Abstract: A medical clip includes: a pair of knob sections constituted by a first knob and a second knob, the first knob and the second knob being formed so as to be separated from each other, the first knob being disposed parallel to a first portion having a flat plate shape, the second knob being disposed parallel to a second portion having a flat plate shape; a connecting section that connects the first portion and the second portion via a first bent section and a second bent section, wherein the first knob is connected to the first portion via a third bent section and the second knob is connected to the second portion via a fourth bent section; and an elastic member installed between the front end portion of the first knob and the front end portion of the second knob and elastically deformable.

Abstract: A medical camera system includes a video medical scope defining an enclosed space within a distal portion and a proximal portion that a user can attach and detach to each other. The two portions both have an interface for coupling to each other allowing radio frequency communications across a patient isolation barrier having improvements to avoid interfering with surrounding equipment. Power transfer elements provide for power transfer across the patient isolation barrier.

Abstract: An endoscope having a handle with a handle housing arranged at a proximal end of the endoscope and an insertion tube extending from said handle and terminating in a tip part of a bending section at the distal end of the endoscope, the bending section comprises a distal tubular end segment and a plurality of articulated bending segments, the bending section comprises an intermediate segment between the proximal distal end segment and the plurality of articulated bending segments, wherein the intermediate segment is longer than a bending segment and the distal end segment.

Abstract: An endoscope (1) having an operating handle (2). The operating handle (2) comprises a handle housing adapted to accommodate a number of movable parts, respect to said handle housing. The housing comprises at least two shell parts (9, 10) forming the outer housing walls. Furthermore, the operating handle (2) comprises a chassis (17) adapted to support said at least two shells parts (9, 10) forming the outer housing walls.

Abstract: A method for observing the branch portion of the hole include: a step of pushing an obstacle in the hole aside with an elbow portion; a step of rotating a guide member around an axial direction so that a distal portion faces the branch portion extending laterally to an extending direction of the hole; a step of rotating an image to match an up-and-down direction of the image with an up-and-down of a vertical direction, at about the same timing as a timing to rotate the guide member around the axial direction; and a step of projecting an endoscope from the distal portion and inserting into the branch portion while confirming the image.

Abstract: A method for observing the branch portion of the hole comprising, a step of pushing an obstacle in the hole with an elbow portion; a step of rotating a guide member around an axial direction so that a distal portion of the guide member faces the branch portion extending laterally to an extending direction of the hole; a step of projecting an endoscope from the distal portion and inserting into the branch portion, while confirming an image; and a step of rotating the image to match an up-and-down direction of the image recognized by a user with an up-and-down of a vertical direction, after the endoscope is inserted into the branch portion.

Abstract: An endoscope has an elongate shaft, with a housing that is arranged in the endoscope and has a fluid-tight embodiment and a sensor for capturing a physical measurement variable, the sensor being arranged in the shaft. The sensor is situated outside of the fluid-tight housing. A signal line extends from the sensor to a coupling point at the fluid-tight housing. The coupling point connects the signal line to an evaluation unit that is arranged in an interior of the housing for the purposes of evaluating the measurement signal.

Abstract: A surgery system includes an overtube that has a distal end, a proximal end, and a longitudinal axis and holds a treatment tool and an endoscope so as to be movable forward and backward in a direction of the longitudinal axis. The overtube has an endoscope holding part that has an endoscope holding surface for holding the endoscope and allowing circumferential rotation of the endoscope about a central axis of the endoscope, and a treatment tool holding part that has a treatment tool holding surface for holding the treatment tool. The surgery system further includes an endoscope that is inserted into the overtube and has a held surface held by the endoscope holding surface. The endoscope has an orientation maintaining part that maintains the circumferential orientation of the endoscope even in a case where the overtube rotates around the longitudinal axis.

Abstract: Provided herein are optical probes to enhance the accessible volume imaged with a microscope, and systems and methods for inserting the optical probes into an object for imaging of the interior of the object. The object can be a tissue of a living organism. The probe can continuously image the space in the vicinity of the probe as the probe is inserted into the object. The probe can image a sample at an angle great than 0° relative to the implantation axis of the probe. The probe can be connected to a surface of the object by a cuff. The cuff can comprise one or more surface features to increase a surface area of the cuff that attaches to the surface of the object. The cuff can be held by a clamp while the probe is inserted into the object for imaging.

Abstract: The present disclosure is directed to systems and methods for amplifying a region of interest in a surgical environment. The system includes a stereo endoscope having a first camera and a second camera configured to obtain one or more images of the surgical environment. The system also includes a computer that has a central processing unit (CPU) configured to determine the region of interest in the surgical environment, a first controller configured to process the one or more images from the first camera to generate first amplified image(s), and a second controller configured to process the one or more images from the second camera to generate second amplified image(s). The first and second controllers process the one or more images based on the region of interest determined by the CPU. A display displays the one or more first amplified images and the one or more second amplified images.

Abstract: An imaging apparatus includes: a lens unit in which a plurality of optical elements including one or more wafer-level lenses and a spacer are laminated; an imaging element configured to receive light incident from the lens unit, perform photoelectric conversion on the light, and generate an image signal; and a moisture-proof member that is bent and arranged so as to come in contact with at least a part of side surfaces of the lens unit to prevent moisture from entering a gap between the optical element and the spacer and/or a gap between the optical elements.

Abstract: A video processor includes an identification section configured to identify a kind of an endoscope, an electronic zoom processing section configured to magnify by a first magnification factor and a second magnification factor larger than the first magnification factor, and a mode setting section configured to set to a first mode of enabling selection of a first processing pattern, and a second processing pattern, when connection of a super-wide angle endoscope is identified, and set to a second mode enabling selection of the second processing pattern when connection of a single visual field endoscope is identified, wherein when the mode setting section performs electronic zoom processing by the second magnification factor in the first mode, the electronic zoom processing section cuts out an image so that only the optical image of the forward visual field is displayed and magnifies the image with the second magnification factor.

Abstract: An image pickup system includes a light source unit configured to perform illumination; an image pickup unit configured to output an image pickup signal; a pre-processing unit configured to generate a first image signal, a second image signal, and a third image signal, each corresponding to one field, and sequentially output the image signals; and a synchronization processing unit configured to selectively assign the image signals sequentially outputted to a first color channel, a second color channel, and a third color channel. The synchronization processing unit switches first assignment processing for assigning the first image signal to the first color channel and further assigning the second image signal to the second and third color channels and second assignment processing for assigning the first image signal to the first color channel and further assigning the third image signal to the second and third color channels.

Abstract: A surgical headlight system includes an adjustable headband, a light assembly mounted to the headband, a motor assembly mounted to the headband and the light assembly, and electronic controller having a wireless transceiver therein, a power control circuit for varying electrical power delivered to a light source of the light assembly, a power source in electrical communication with the light assembly, the motor assembly, and the wireless transceiver, and a sterilizable wireless controller configured to transmit instructions to the wireless transceiver, the instructions causing the electronic controller to one or more of actuate at least one motor of the motor assembly to alter an orientation of the light assembly, adjust a diameter of an aperture of the light assembly, adjust a spacing between one or more condensing lenses and an objective lens, or operate the power control circuit to increase or decrease electrical power delivered to the light source.

Abstract: A method for obtaining one or more 3D surface images of a tooth, the method executed at least in part by a computer repeats a sequence of acquiring a succession of images of the tooth from a scanner, in particular an intra-oral structured-light scanner, at a scanner acquisition rate and changing the scanner acquisition rate according to differences between successive images in the acquired succession of images. In particular, said differences are used to determine the relative speed of movement of the scanner and to use this information to adjust the acquisition frequency such that the amount of redundant information in the image data is reduced.

Abstract: Particular embodiments of the invention comprise a wireless laryngoscope and a blade forming a portion of a wireless laryngoscope. The wireless laryngoscope comprises a handle having a front and rear portion, a blade having an outer surface and an inner surface, a blade tip having a convex outer surface and a concave inner surface, and a blade bend located at an end of the blade opposite the blade tip.

Abstract: An example system to capture digital images includes: a colposcope device configured to capture a digital image during a colposcopy procedure; and an image processing module programmed to digitally process the digital image, including: a filter module programmed to filter certain aspects of the digital image; and an overlay module programmed to allow the digital image to be annotated. In other examples, colposcope devices include: a cradle, the cradle being configured to hold a portable computing device, the cradle including an aperture; and an optical capture device, the optical capture device including a constant magnification lens system, the constant magnification lens system being configured to direct light through the aperture.

Abstract: A macular health measurement and storage system comprises a plurality of macular-pigment measurement machine for measuring macular pigment density in humans, a plurality of computers each of which is associated with a corresponding one the macular-pigment measuring machines, and a central host. The plurality of macular-pigment measurement machines include a device for receiving macular pigment data from a patient, at least one data transfer port, and at least one processor that enables the transfer of the macular pigment data from the transfer port. The plurality of computers include a first port coupled to the data transfer port of the corresponding macular-pigment measurement machine for receiving the macular pigment data. Each of the computers includes a second port for transferring patient data. The central host is coupled to the second ports on each of the plurality of computers. The central host includes a storage device for storing the patient data.

Abstract: A method for measuring visual field comprising a reference standardized symbol display operation in which a standardized test symbol is displayed at a reference location BP provided at a center of a display 2; a reference input operation in which a test subject is made to input the fact that the standardized test symbol displayed at the reference standardized symbol display operation has been recognized; a peripheral standardized symbol display operation in which, following input of the fact that the standardized test symbol was recognized at the reference input operation, a standardized test symbol is displayed at a location different from the reference location BP; and a peripheral input operation in which the test subject is made to input the fact that the standardized test symbol displayed at the peripheral standardized symbol display operation has been recognized; wherein a response time is measured from when the standardized test symbol is displayed at the peripheral standardized symbol display operatio

Abstract: A subjective optometry apparatus includes a light projecting optical system which projects a target light flux toward an examinee's eye to project a visual target onto the examinee's eye, a calibration optical system which is disposed in an optical path from the light projecting optical system to the examinee's eye and changes optical characteristics of the target light flux, an optical member which guides the target light flux of which the optical characteristics is changed by the calibration optical system to the examinee's eye, a light deflection section being different from the calibration optical system, which includes light deflection members provided in a left and right pair and a driving section which rotationally drives the light deflection members, and deflects the target light flux by rotating the light deflection members, and a control section which controls the light deflection section based on prism information to deflect the target light flux.

Abstract: Ocular surface interferometry devices, systems, and methods are disclosed for imaging an ocular tear film. An imaging device can be focused on the lipid layer of the tear film to capture optical wave interference interactions of specularly reflected light from the tear film combined with a background signal(s) in a first image, wherein the specularly reflected light may be produced from various portions of the ocular tear film by obliquely illuminating various portions of the ocular tear film with a multi-wavelength light source, such as in a tiling pattern(s). The imaging device can also be focused on the lipid layer to capture a second image containing the background signal(s) present in the first image. The second image can be subtracted from the first image to reduce and/or eliminate the background signal(s) in the first image to produce a resulting image, which can used to measure a tear film layer thickness.

Abstract: Systems and methods for long working distance optical coherence tomography (OCT). According to an aspect, an OCT system includes a reference arm. Further, the OCT system includes a sample arm operably connected to the reference arm. The sample arm includes a scanner configured to scan an optical beam. The sample arm also includes an objective positioned a predetermined distance from the scanner, configured to receive the optical beam, and to direct the optical beam to an object positioned at about the predetermined distance from the scanner for imaging of the object.

Abstract: To determine the emotion of a viewer more accurately by measuring the pupil diameter while eliminating the influence of brightness, breathing, and pulse. A reference data measuring unit measures, as reference data, a reference pupil diameter Csk, a breathing influenced pupil diameter Dskt, and a pulse influenced pupil diameter Eskt for each of various combinations of the brightness of an entire screen and the brightness of a visual point. A measuring unit identifies the reference pupil diameter Csk, the breathing influenced pupil diameter Dskt, and the pulse influenced pupil diameter Eskt corresponding to the elapsed time of content.

Abstract: A portable and low-cost tool for testing a VOR and oculomotor functions. Such a tool is achieved by programming a smartphone for use in performing such testing. Described herein are computer executable programs for assessing vestibular-ocular reflex including visual acuity and oculomotor function.

Abstract: A device including a contact tonometer tip having a bi-curved cornea-contacting surface structured to reduce, during the tonometric measurement, at least the measurement error caused by the presence of a fluid film between the tip and the cornea and/or the intra-corneal stress formed during the applanation deformation and occurring at a location of the tip-to-cornea contact area. Method for using such device for measurement of intraocular pressure while procuring values IOP with increased accuracy as compared to those obtained with the use of a conventional flat-surface tonometer tip. The cornea-contacting surface includes a first central portion and a second portion that encircles and adjoins the first central portion. The curvatures of the first and second portions have opposite signs. In one case, the first central portion has a curvature with the same sign as that of the cornea and/or is rotationally-symmetric.

Abstract: A system for transmitting a temperature of a patient to an electronic medical record associated with the patient includes a thermometer with a digital display that is configured to display a temperature value associated with the temperature signal and at least one error-checking value. The system also includes a handheld imaging device including a camera to capture an image of the digital display of the thermometer, a processor to extract the text in the image using optical character recognition, and perform an error-check on the temperature value using the at least one error-checking value in the image, and to transmit the patient's identification number and temperature to an electronic medical record system.

Abstract: A system and method for monitoring and determining a medical condition of a user, via a communication device of the user is disclosed. The system and a method according to some embodiments, may comprise a memory and a processor, the processor may be configured to receive an audio signal related to a user's speech, and determine a progress of a disease of the user based on comparing the audio signal to a reference audio signal. According to some embodiments, the memory and processor may be included in a mobile communication device operated by the user, the reference audio signal may be generated based on recording normal speech of the user e.g. during telephone calls.

Abstract: Apparatus and methods for diagnosing conditions consistent with the presence of cranial blood vessel blockage and large vessel occlusions (LVO's) using the framework of a small head-harness that is transportable, field-expedient, and durable. A single pulse set using ultrasonic or near-infrared energy is broadcast into a patient's brain allowing the apparatus to perform an area scan of the brain and detect and decipher cranial blood vessel blockage and LVO signal patterns. The interpretation of the pattern lies within the internal programming which produces a binary signal as to whether an LVO is suspected or not.

Abstract: An object of the invention is to provide a technology for further improving scanning performance. Provided is an optical scanning device including: a scanning unit including an optical waveguide configured to guide incident light and emit the light from an emission end, and a vibration unit configured to generate a vibration and vibrate the emission end; and a signal transmission unit configured to transmit a signal to the scanning unit and cause the scanning unit to scan an object, characterized in that the scanning unit includes a first bonding and vibration attenuating unit configured to bond, with an elastic member, an end surface of the vibration unit closer to the emission end and the optical waveguide.

Abstract: Methods and apparatuses for characterizing life quality of a living entity via hyper-spectral imaging and analysis, and applications thereof, such as managing life quality of a living entity. Includes acquiring hyper-spectral imaging data and information of: anatomical features of the living entity, and substances consumable by the living entity; generating and maintaining a living entity-specific database containing data and information about the living entity; processing acquired living entity anatomical feature and acquired living entity consumable substance hyper-spectral imaging data and information, and living entity data and information; using processed data and information to generate living entity life quality data and information characteristic of life quality of the living entity. Applicable to any live or living entity (human, animal, plant). Applicable as a stand-alone system or as integrated microelectromechanical (MEM) [chip level] components as part of a smart or intelligent device.

Abstract: A system includes a measurement apparatus having sensors measuring physiologic parameters such as blood pressure, heart rate, and/or blood oxygen level. A sensor is inserted into a user orifice and coupled to tissue comprising blood. Another sensor provides positioning information, and yet another sensor provides proximity information of the apparatus to the tissue. A communication device includes microphones of a headset adapted to be worn by the user to receive voice input commands, and also includes audio output devices. A voice recognition module processes voice commands to identify a specific command and is customized to user preferences. The apparatus communicates with a control system receiving and processing the physiological parameters including a touch-screen, a mechanical system having actuators, and a wireless transmitter to transmit data of the physiological parameters over a wireless link to a host. The control system manipulates part of the control system responsive to the voice commands.

Abstract: A measurement system includes a light source having semiconductor sources, a multiplexer, and one or more fused silica fibers configured to form an output optical beam having one or more optical wavelengths modulated at a modulation frequency. A light beam set-up includes a monochromator forming a filtered optical beam. A measurement apparatus delivers the filtered optical beam to a sample. A receiver receives a spectroscopy output beam generated from the sample by the filtered optical beam. The receiver is configured to use a lock-in technique that detects the modulation frequency, and to generate first and second signals responsive to light received while the light source is off and on, respectively. The measurement system improves a signal-to-noise ratio of the spectroscopy output beam by differencing the first and second signals. The receiver processes the spectroscopy output beam using chemometrics or multivariate analysis to permit identification of materials within the sample.

Abstract: A wearable device includes a measurement device adapted to be placed on a wrist or ear having a light source with LEDs to measure physiological parameters. The measurement device generates an optical beam having a near infrared wavelength between 700-2500 nanometers by modulating the LEDs, and lenses to deliver the beam to tissue, which reflects the beam to a receiver having spectral filters in front of spatially separated detectors coupled to analog to digital converters that generate at least two receiver outputs. Signal-to-noise ratio of the beam reflected from the tissue is improved by comparing the receiver outputs, and by increasing light intensity from the LEDs. The receiver is synchronized to the modulation of the LEDs and uses a lock-in technique that detects the modulation frequency. The measurement device generates an output signal representing a non-invasive measurement on blood within the tissue.

Abstract: A system integrating a hemodynamic parameter (Hdp) monitoring system and a radiofrequency generator synchronized by a processing system is disclosed. The system is capable of identifying health condition-specific Hdp variation values changes in a patient upon the exposure of low energy amplitude modulated electromagnetic fields frequencies (SFq). The exposure of SFq influences cellular functions or malfunctions in a warm-blooded mammalian subject. The construction of a library of SFq can be used to efficiently and effectively diagnose and treat a health condition in patients. Methods of using the system are further disclosed.

Abstract: The invention presents an apparatus (6) for characterization of a condition of a vessel (12) wall of a living being (2). The relationship between temporal blood pressure (621) and blood flow (622) measurements of pulsatile blood motion within the vessel (12) is an indication of the health of the vessel (12) wall. Furthermore, the invention discloses a system (1) comprising the apparatus (6), and a method (100) of characterizing the condition of vessel (12) walls.

Abstract: An electronic blood pressure monitor of the present invention includes a blood pressure measurement cuff that is to be worn on a measurement site of a measurement subject. The electronic blood pressure monitor includes a blood pressure measurement unit that measures a blood pressure value of the measurement subject using the cuff. The electronic blood pressure monitor includes an external compression detection unit that detects whether or not there was external compression on the cuff during blood pressure measurement performed by the blood pressure measurement unit.

Abstract: A method and system for communicating estimated blood loss parameters of a patient to a user, the method comprising: receiving data representative of an image, of a fluid receiver; automatically detecting a region within the image associated with a volume of fluid received at the fluid receiver, the volume of fluid including a blood component; calculating an estimated amount of the blood component present in the volume of fluid based upon a color parameter represented in the region, and determining a bias error associated with the estimated amount of the blood component; updating an analysis of an aggregate amount of the blood component and an aggregate bias error associated with blood loss of the patient, based upon the estimated amount of the blood component and the bias error; and providing information from the analysis of the aggregate amount of the blood component and the aggregate bias error, to the user.

Abstract: Examination of the structure and function of blood vessels is an important means of monitoring the health of a subject. Such examination can be important for disease diagnoses, monitoring specific physiologies over the short- or long-term, and scientific research. This disclosure describes technology and various embodiments of a system and method for imaging blood vessels and the intra-vessel blood flow, using at least laser speckle contrast imaging, with high speed so as to provide a rapid estimate of vessel-related or blood flow-related parameters.

Abstract: A method of measuring a patient's blood pressure non-invasively considers the shape of the waveform to accurately estimate the patient's invasive systolic and diastolic blood pressure, or alternatively accurately predict the patient's hypertension classification. The method can be implemented in a clinical setting or within a wearable device.

Abstract: Methods, devices, and systems for monitoring heart rate variability (HRV) are presented. The HRV monitoring systems and devices are adapted to give immediate feedback to the subject concerning their current condition and any pertinent changes in their condition. The HRV monitoring systems and devices detect, analyze, and assess HRV against a pre-determined application, user needs, against pre-determined limits, or user specific baselines or a combination of both pre-determined limits and user specific baselines. They also have the ability to provide real time notifications based on the system's assessment of a user's heart rate, HRV and changes in the HRV.

Abstract: A method for measuring physiologically characteristics of user includes: using at least one light emitting unit to emit light ray including first light component corresponding to first wavelength and second light component corresponding to second wavelength different from the first wavelength; using an image sensing circuit to sense and generate at least one physiologically characteristics measurement signal in response to the light ray; performing an offset calibration operation upon the physiologically characteristics measurement signal to generate at least one calibrated measurement signal; and, calculating the calibrated measurement signal to estimate a physiologically characteristics result.

Abstract: The invention relates to a computer-implemented medical data processing method for determining a heartbeat signal describing the heartbeat of a patient in the time domain, the method comprising executing, on a processor of a computer, steps of: a) acquiring, at the processor, acceleration measurement data describing an acceleration in the time domain of an anatomical body part measured on an external surface of the anatomical body part; b) determining, by the processor, component analysis data describing a result of an independent component analysis in the time domain of the acceleration measurement data; c) acquiring, at the processor, heartbeat template data describing template shapes of heartbeat in the time domain; d) determining, by the processor and based on the component analysis data and the heartbeat template data, recurrent shape data describing a recurrence of certain signal shapes in the component analysis data; e) determining, based on the recurrent shape data, heartbeat signal data describing a

Abstract: Systems and methods for facilitating processing of cardiac information based on sensed electrical signals include a processing unit configured to receive a set of electrical signals; receive an indication of a measurement location corresponding to each electrical signal of the set of electrical signals; and generate, based on at least one of an annotation waveform corresponding to each electrical signal of the set of electrical signals and a set of annotation mapping values, an annotation histogram.

Abstract: It relates to the field of displaying the heart-rate data collected in an exercise test, in particular to a method for achieving a panoramic display during Electrocardiogram Exercise Test by using a time axis, comprising following steps: (a) building a horizontal axis (X axis) in units of time as a time axis, and building a vertical axis (Y axis) in units of heart rate, therefore forming a two-dimensional tendency chart; (b) collecting and storing real-time 12-lead ECG raw data, acquiring and storing real-time heart rate data, (c) setting a time vernier, wherein in a default status, the time vernier is located at the current moment, and it is connected with 12-lead ECG raw data.

Abstract: The invention discloses a method, a system, a computer program and a device for determining the surface charge and/or dipole densities on heart walls. Using the foregoing, a table of dipole densities ?(P?, t) and/or a table of surface charge densities ?(P?, t) of a given heart chamber can be generated.

Abstract: The disclosure relates generally to applications of Orientation Independent Sensing (OIS) and Omnipolar mapping Technology (OT) to various system, device and method embodiments as recited herein. Similarly, systems and methods suitable for supporting OIS and OT systems and methods are disclosed. Further, OIS and OT implementations that provide end user interfaces, diagnostic indicia and visual displays generated, in part, based on measured data or derived from measured data are also disclosed. Embodiments also describe applying optimization techniques to determine the greatest voltage difference of a local electric field associated with an electrode-based diagnostic procedure and a vector representation thereof. Various graphic user interface related features are also described to facilitate orientation and electrode clique signal display.

Abstract: Methods and systems are described for detecting and classifying seizure-related events. In some embodiments, the methods and systems herein may include adjustment of one or more threshold settings used for seizure detection in order to improve sensitivity and/or battery performance of a mobile EMG detection unit.

Abstract: Systems and methods for processing cardiac information include a processing unit configured to receive a set of cardiac electrical signals; receive an indication of a measurement location corresponding to each of the set of electrical signals; and identify, for each electrical signal of the set of electrical signals, a deflection. The deflection includes a deviation from a signal baseline. An activation waveform corresponding to the set of electrical signals is generated based on the identified deflections.

Abstract: Provided are a localization system and method useful in the acquisition and analysis of cardiac information. The localization system and method can be used with systems that perform cardiac mapping, diagnosis and treatment of cardiac abnormalities, as examples, and in the retrieval, processing, and interpretation of such types of information. The localization system and method use high impedance inputs, improved isolation, and relatively high drive currents for pairs of electrodes used to establish a multi-axis coordinate system. The axes can be rotated and scaled to improve localization.

Abstract: A catheter for use in a patient's heart, especially for mapping a tubular region of the heart, has a catheter body, a deflectable intermediate section and a distal mapping assembly that has a generally circular portion adapted to sit on or in a tubular region of the heart. A control handle of the catheter allows for single-handed manipulation of various control mechanisms that can deflect the intermediate section and contract the mapping assembly by means of a deflection control assembly and a rotational control assembly. The deflection control assembly has a deflection arm and a rocker member. The rotational control assembly has an outer rotational member, an inner rotational member and a cam. A pair of puller members are responsive to the deflection control assembly to bi-directionally deflect the intermediate section. A third puller member is responsive to the rotational control assembly to contract the generally circular portion of the mapping assembly.