Abstract: Disclosed is a cleaner. The cleaner according to an embodiment includes a main body, a suction device configured to suck dust outside the cleaner, a dust detection sensor including a light emitting element and a light receiving element disposed adjacent to the suction device, a dust container configured to store sucked dust through the suction device, and a processor configured to identify a dust inflow state and a dust amount of the dust container based on a voltage value output from the light receiving element, and control an operation of the cleaner based on the identified dust inflow state and dust amount, wherein the light emitting element and the light receiving element are disposed at an outside of the dust container in a direction toward an inlet of the dust container.

Abstract: An image processing device for an endoscope includes a processor. The processor receives, as input, a generated image acquired by performing predetermined processing on an image pickup signal acquired by an endoscope, analyzes a withdrawing speed of the endoscope based on at least one of the generated image and information relating to an operation state of the endoscope, detects a lesion part from the generated image, performs a diagnosis support action on the lesion part, decides a factor affecting the diagnosis support action based on an analysis result of the withdrawing speed, and outputs the factor.

Abstract: An object of the present invention is to provide an image processing device, an endoscope system, and an image processing method capable of efficiently saving a moving image in which a lesion is shown.

Abstract: A power supply apparatus for an endoscope includes a plurality of power supply circuits, a plurality of power changeover switches, and a power control circuit. The power control circuit performs an operation to determine, when one power changeover switch provided on one power supply line connecting one power supply circuit of the plurality of power supply circuits and one electronic part of the plurality of electronic parts in each order of the power-on sequence is set to off, whether an output voltage of the one power supply circuit is normal or not and an operation to start a supply of one drive voltage required to drive the one electronic part according to a judgement result that the output voltage of the one power supply circuit is normal.

Abstract: Improved methods and devices for performing an endoscopic surgery are provided. Systems are taught for operatively treating gastrointestinal disorders endoscopically in a stable, yet dynamic operative environment, and in a minimally-invasive manner. Such systems include, for example, an endoscopic surgical suite. The surgical suite can have a reversibly-expandable retractor that expands to provide a stable, operative environment within a subject. The expansion can be asymmetric around a stabilizer subsystem to maximize space for a tool and an endoscope to each be maneuvered independently to visualize a target tissue and treat the target tissue from outside the patient in a minimally invasive manner.

Abstract: A medical device operable to obtain images of an internal cavity of a patient, including a handle; a flexible tube; a front end cap housing a camera assembly; a bending section extending from the flexible tube and including a proximal end segment and a distal end segment; a peripheral wall having an inner surface defining an internal space and including a cavity extending radially outwardly from the inner surface; a member having an outer surface and positioned at least partly in the internal space with the cavity overlapping the outer surface; and a protrusion of a hardened adhesive bonded to the outer surface of the member and extending into the cavity of the peripheral wall, wherein the member is one of, and the peripheral wall is comprised by another of, the flexible tube, the proximal end segment, the distal end segment, or the front end cap.

Abstract: A method of preparing a robotic surgery apparatus for a medical procedure can include covering a manipulator unit of the robotic surgery apparatus with a first sterile barrier by coupling a drape coupler of the first sterile barrier to a bottom surface of the manipulator unit and wrapping a drape of the first sterile barrier around side and top surfaces of the manipulator unit. The drape can be coupled to the drape coupler. The drape can be made of material that is more flexible than material of the drape coupler. The method can include covering an arm of the robotic surgery apparatus supporting the manipulator unit with a second sterile barrier that is distinct from the first sterile barrier by coupling the second sterile barrier to the arm and wrapping the second sterile barrier around the arm.

Abstract: Certain aspects relate to a handle mechanism that permits control of linear motion of a shaft secured within the handle via two different interfaces for actuating the linear motion. In some aspects, a rotational interface can allow for fine control linear positioning of the shaft, for example by allowing a user to rotate the rotational interface to extend or retract the shaft. In some aspects, a plunging interface can enable a faster linear motion, for example by implementing a biasing mechanism that releases to drive rapid linear motion.

Abstract: The surgical robotic access system provides access for robotic instruments and/or actuators including the introduction, operation and withdrawal of such robotic manipulators into a body cavity without permitting the escape of pressurized fluid or gas. The surgical robotic access system also provides a multi-faceted range of movement without touching or effecting pressure on the opening in the patient's body cavity.

Abstract: An insertion instrument includes an insertion portion, a tubular member that rotates about a longitudinal axis by a transmitted driving force, a flange portion that holds a position of the tubular member at an outer periphery of the insertion portion, a tapered portion having an outer diameter that gradually decreases toward a proximal end side, and an adhesive layer formed to smoothly connect a proximal end portion of the tapered portion and an outer periphery of the insertion portion.

Abstract: An endoscope including: an optical filter arrangement having: a holder; and an optical filter having one of different filter properties in different directions or multiple optical filters with different filter properties, the optical filter being arranged in the holder to rotate about an axis of rotation in at least one beam path of the endoscope in a direction of light incidence in or behind an objective of the endoscope and in front of an image capturing unit or an eyepiece; wherein the optical filter arrangement is configured to change from a first filter property to a second filter property when the optical filter is rotated by 90° about the axis of rotation from a first target rotational position to a second target rotational position.

Abstract: An endoscope includes an insertion portion, a distal end rigid member, and a channel tube. The distal end rigid member is provided on a distal end side with respect to the bending portion of the insertion portion, and includes an illumination window, an observation window, and a treatment instrument opening. As the distal end rigid member moves relative to the bending portion in a distal end direction of a longitudinal axial direction, the distal end rigid member can change from a first state in which a distance between a proximal end surface of the distal end rigid member and a distal end surface of the bending portion is fixed to a first distance to a second state in which the distance is equal to a second distance longer than the first distance.

Abstract: A medical system includes a flexible elongate instrument and a control unit. The control unit is configured to determine a force exerted by the flexible elongate instrument on tissue of a patient, determine a driving state of the flexible elongate instrument, set a force threshold based on the driving state, and provide feedback to an operator in response to the determined force being higher than the force threshold. Different driving states are associated with different force thresholds.

Abstract: An endoscope includes: a first bending wire that is connected with a first connection part of a bending portion of an insertion portion inserted into a subject and bends the entire bending portion in a first bending direction by pulling; a second bending wire that is connected with a second connection part of the bending portion positioned on a proximal end side of the first connection part and bends a proximal end side part of the bending portion on the proximal end side of the second connection part in the first bending direction by pulling; an operation lever that pulls the first bending wire to the proximal end side; an operation lever that pulls the second bending wire to the proximal end side; and a coil pipe into which the first and second bending wires are inserted at a position on the proximal end side of the bending portion.

Abstract: A flexible endoscope for insertion into the human body includes a flexible section arranged in a distal end region of the endoscope. The endoscope further includes a tip segment distally adjoining the flexible section, the tip segment being controllable by at least one tension cord. The flexible section is formed by means of an investment composition that is mechanically anchored to the tip segment and/or a proximal counter bearing, and the investment compound is elastically deformable.

Abstract: A medical assembly comprising a first imaging device comprising a first handle and a first shaft extending distally from the first handle, a second imaging device comprising a second handle and a second shaft extending distally from the second handle, and an imaging unit, wherein the first imaging device further comprises a first imager at a distal end of the first shaft, a first cable extending from the first handle for connection to the imaging unit, and a first connector, wherein the second imaging device further comprises a second imager at a distal end of the second shaft and a second connector, and wherein the first connector and the second connector are configured to connect, thereby transmitting imaging data from the second imager to the imaging unit via the first cable.

Abstract: An endoscope apparatus includes: a light source that radiates a pulsed light beam onto an imaging subject; an imaging optical system; an image transmission optical system that transmits the image of the imaging subject; an optical sensor that has a light receiving surface on which a plurality of pixels are arrayed and that detects a light level of the image; and one or more processors, wherein the optical sensor obtains light levels by detecting, in a time division manner, a reflected light beam of the pulsed light beam at each of the pixels, and wherein the processors are configured to: calculate an observation distance to the imaging subject from the imaging optical system on a basis of the light levels.

Abstract: A laryngoscope includes a curved blade including a proximal end, a distal end, and a first channel. The laryngoscope also includes a handle and a second channel. The handle includes a non-electric light source, e.g., a chemiluminescent light source. A catalytic agent in the chemiluminescent light source is activated by pressure on the chemiluminescent light source to generate light that transmits along the first channel. The second channel is disposed proximate and through the blade and configured to provide at least one of oxygen, suction, and an instrumentation into the proximal end and out of the distal end of the blade.

Abstract: Exemplary embodiments of devices and method for affecting at least one anatomical tissue can be provided. A configuration can be provided that includes a structure which is expandable (i) having and/or (ii) forming at least one opening or a working space through which the anatomical tissue(s) is placed in the structure. For example, the structure, prior to being expanding, can have at least one partially rigid portion. In addition, or as an alternative, upon a partial or complete expansion thereof, the structure can be controllable to have a plurality of shapes. Further, the structure can be controllable to provide the working space with multiple shapes and/or multiple sizes.

Abstract: Shaped liver biopsy sheaths and methods for transfemoral transcaval liver access are disclosed.

Abstract: A device having a sheath, a medical device, a stylet, a handle and a plunger device. The handle includes portions connected proximal ends of the sheath, the medical device and the stylet and a chamber portion connected to the actuator. The chamber portion includes a volume of space configured to volumetrically connect to at a lumen of the medical device, the sheath or the stylet and a plunger device configured to be slidably received within the chamber portion. The plunger device is able to pneumatically isolate a proximal portion of the volume of space from a distal portion of the volume of space. Proximal movement of the stylet and the plunger device cause a suction effect (i.e., reduced pressure) at the distal end of the sheath, the medical device and/or the stylet.

Abstract: A set of medical sampling parts for use with an endoscope, including: a sampling device; a sample container including a separator part located at a top of the sample container, a base located at a bottom of the sample container opposite of said top, and a container part at least partly enclosing a sample volume located at the bottom of the sample container, so that a container axis extends between said separator part and said base; and a connector for connecting the sampling device with the sample container, wherein the sample container can be detached from the sampling device by a translational movement along a detachment axis.

Abstract: The disclosed technology provides a device for sealing an aperture in a tissue of a body lumen. The device comprises a flexible support member having a base having (i) a central portion and (ii) one or more lateral support portions, to engage and/or hold a sealable member of the device against an interior surface of the tissue when the device is in the sealing position. The lateral support portions provide additional support surfaces to engage peripheral portions of the sealable member against the interior surface of the tissue. A cage or shoe engaged with the support member on the exterior surface of the tissue can provide additional support and assist sealing the aperture.

Abstract: A valve leaflet obstruction repair clip and a repair system thereof include a clamping component and a flow obstruction component. The clamping component and the flow obstruction component are assembled and clamped to fix the incomplete closure between the valve leaflets. The upper clamping arm and the lower clamping arm are engaged together in a natural state, and the upper clamping arm undergoes unilateral movement in an extended state. The present application enables edge-to-edge repair of the valve leaflets and adopts unilateral clamping, effectively preventing the problem of valve leaflet stenosis caused by the implantation of the repair device.

Abstract: Surgical systems are provided. The surgical system includes a first scope device configured to transmit image data of a first scene within a field of view of the first scope device. A second scope device is configured to transmit image data of a second scene within a field of view of the second scope device. A tracking device is associated with one of the scope devices and configured to transmit a signal indicative of a location of the one of the scope devices. A controller is configured to receive the transmitted image data and the transmitted signal to determine a relative distance between the scope devices and to provide a merged image of at least a portion of the scope devices in a single scene, where at least one of the scope devices in the merged image is a representative depiction.

Abstract: Various devices, systems, and methods are provided for allowing surgical instruments to access a body cavity through an access device, such as a cannula. In one embodiment, a cap can be removably and replaceably coupled to a proximal end of cannula and can have an opening therethrough that communicates with an inner passageway of the cannula. Various surgical elements can be passed through the cap and cannula and into a patient when the cannula is positioned within the patient. The cap can have a side slot formed therein. The slot can be configured to allow surgical elements, such as sutures, to pass through the cap and into the cannula. At least one surgical seal can be in the cap and can be configured to receive surgical elements therethrough.

Abstract: The present invention includes a single molded strip of suture anchors frangibly connected to each other that can be preloaded with a suture and then deployed at the site of use inside the body. This configuration eliminates the need to reload an anchor when multiple anchors are required. Further, this molded strip of anchors can include different variations of a suture anchor or locking device all in the same single strip. The strip would typically be molded from plastic or metal and would offer the additional advantage of being injection molded in a one piece shot which would not only save on cost per anchor but would offer assembly advantages as well.

Abstract: A toggle-type suture anchor that incorporates individual suture tensioning and locking without knot tying. The anchor includes an elongate toggle body having a working suture pre-threaded into a first passage and back up and out a second passage with a length running longitudinally adjacent the side of the anchor. A locking suture loop is pre-threaded into a third passage between the first and second passage and includes a collapsible loop that encircles a portion of the length of suture running longitudinally adjacent the side of the anchor. With the loop open, the working suture can slide through the anchor, however, when the loop is closed the working suture is locked in position to retain tension on the working suture. The anchor can be utilized in a pre-strung connected array of anchors.

Abstract: A surgical bone sheath staple device, anchor, and/or scaffold enables low impact installation of distal end members in bones to secure soft tissue and the like via a deployment system. The bone sheath staples, anchors, and scaffolds secure soft tissue to bone to ensure tailored fixation of soft tissue to bone. The bone staples, anchors, and scaffolds integrate sheath and suture tightening members to secure soft tissue to bone and tailor compression of soft tissue to bone to encourage healing. The bone staples, anchors, and scaffolds integrate sheaths and suture to define attachment mechanisms and other features that secure the staples, anchors, and/or scaffolds to bone.

Abstract: An implant for repairing a joint between a first bone and a second bone includes a first section constructed of a substantially rigid material and a graft constructed of soft tissue having a first end and a second end. The first section has a first end surface configured for positioning against the first bone. The graft is configured for stabilizing the first section relative to the first bone. A first fastener is configured for mounting to the graft and the first section to anchor the graft to the first section. A second fastener is configured for mounting to the graft and the first bone to anchor the graft to the first bone.

Abstract: A suturing instrument includes a handle, an elongate shaft, and a suturing head. One or more pull wires extend from the handle into the elongate shaft for controllably deflecting a deflectable portion of the elongate shaft in one or more directions and/or planes for improved maneuverability within the body of a patient during an endoscopic or laparoscopic surgical procedure and for changing the positioning of the suturing head.

Abstract: A surgical staple includes a body includes a first leg, a second leg, and a backspan. The backspan has a first portion, a second portion, a third portion, and a crimped region. The first portion of the backspan includes a looped member. The second portion of the backspan extends between a first end portion of the first leg and a first end portion of the looped member. The third portion of the backspan extends between a first end portion of the second leg and a second end portion of the looped member. The crimped region includes a crimped section in at least one of the second portion or the third portion of the backspan. A combined wire thickness of the second and third portions of the backspan in the crimped region is about equal to the diameter of the body of the surgical staple.

Abstract: A stapling system including a housing that has a first rotatable disk configured to transmit a first operative motion and a second rotatable disk configured to transmit a second operative motion is disclosed herein. The second rotatable disk is operable independently of said first rotatable disk. The stapling system further includes an end effector, an elongate rigid shaft, and a drive system. The drive system is responsive to the first operative motion from the first rotatable disk to perform a closing motion of the end effector and responsive to the second operative motion from the second rotatable disk to perform a firing stroke. A control system is configured to assure that the closing motion and the firing stroke are separate and distinct, wherein the control system prevents the firing stroke from occurring prior to the completion of the closing motion.

Abstract: A surgical instrument includes a shaft assembly, an end effector, a driving assembly, at least one motor, and a motor controller. The at least one motor is configured to actuate the driving assembly to deploy staples. The motor controller is in communication with the motor. The motor controller is configured to determine whether values of first and second trigger variables exceed predetermined thresholds. The motor controller is configured to modify at least one motor control parameter in response to determining that the values of the first and second trigger variables exceed the predetermined thresholds. The motor control parameters include a motion profile instituted by the motor controller for the motor, a waiting period during which power to the motor is reduced or stopped, or the predetermined threshold relating to current or force for proximal retraction to be different from the predetermined threshold relating to current or force for distal advancement.

Abstract: A surgical stapling instrument includes a shaft assembly, an end effector at a distal end of the shaft assembly and having a first jaw with an anvil and a second jaw operable to cooperate with the first jaw to clamp tissue, and a cartridge inserted into the second jaw. The cartridge includes staples, a movable member translatable distally during a firing stroke to discharge the staples into tissue, a first sensor assembly configured to monitor a first condition of the cartridge, and a second sensor assembly configured to monitor a second condition of the cartridge. A first processor is coupled with the first and second sensor assemblies and is configured to receive first and second signals from the sensor assemblies, respectively, where each signal is indicative of the respective condition of the cartridge. The first processor is configured to selectively permit or restrict the firing stroke based upon the signals.

Abstract: Apparatus, systems, and methods are described for closing the base of a left atrial appendage or other tissue structure. A tissue closure device comprises a pair of legs having compliant surfaces for engaging against opposite sides of the tissue structure. A plurality of axially spaced-apart tissue-penetrating fasteners are delivered from one leg to the other to pierce the intervening tissue and hold the closure device in place on the tissue structure.

Abstract: A surgical instrument, operable to compress, staple, and cut tissue, includes a body, a shaft, and an end effector with a pair of jaws. A placement tip that is bent, angled, or curved and extends distally from one of the jaws of the end effector. The placement tip is elastically deformable when the placement tip is subject to a clamping force, such as when the end effector is closed with the jaws in contact or when tissue is clamped between the jaws of the end effector. When the placement tip deflects, relative angles defined in part by the placement tip vary compared to an initial state without the clamping force. Furthermore, a distal end of the placement tip may change position based on the state of deflection of the placement tip in response to the clamping force.

Abstract: A surgical stapling instrument having a surgical end effector that includes first and second jaws that are selectively movable relative to each other. The surgical stapling instrument further includes a staple cartridge having a sled movable through said staple cartridge between an unfired position and a fired position. The sled includes a central portion configured to be received by a longitudinal slot, a first wedge-shaped cam on a first side of the central portion, and a second wedge-shaped cam on a second side of the central portion. The central portion extends distal to the first wedge-shaped cam and said second wedge-shaped cam. The surgical stapling instrument further includes a firing member configured to advance the sled from the unfired position toward the fired position during a staple firing stroke and a lockout system.

Abstract: Surgical instruments and control systems therefor are disclosed. A surgical instrument can comprise: a power circuit comprising a power source and a switch, a microcontroller coupled to the power circuit, a handle comprising an attachment portion, and a control circuit in signal communication with the microcontroller. The attachment portion can comprise a first electrical contact in signal communication with the microcontroller. The control circuit can comprise a sensor configured to detect an attachment state of the attachment portion. The control circuit can communicate the detected attachment state to the microcontroller, and the microcontroller can ignore signals from the first electrical contact when the control circuit communicates a detached state. The attachment portion can comprise a second electrical contact coupled to a second power circuit, and the second power circuit can decouple the second electrical contact and the second power source when the sensor detects the detached state.

Abstract: An end effector for use by a surgeon to staple an anatomical structure of a patient during a surgical procedure includes an anvil and a cartridge. The anvil has an anvil face and a first staple pocket defined by the anvil face, where the first staple pocket comprises a first cup and a second cup for staple formation. The cartridge has a first staple, the first staple having a first open leg with a first tip, a second open leg with a second tip, and a first crown coupling the first open leg and the second open leg, and a first driver. The first staple, once deployed by the first driver and deformed by the first staple pocket, comprises the first tip and the second tip crossing the first midline axis of the first crown in a formed configuration.

Abstract: Methods and devices are provided for promoting wound healing. In general, surgical staplers and stapler components are provided having a coating thereon that is configured to selectively control an interaction between at least one matrix metalloproteinase (MMP) inhibitor and an outer surface of the stapler or stapler component.

Abstract: A device includes a capsule extending longitudinally from a proximal end to a distal end and including a channel extending therethrough. The capsule is releasably coupled to a proximal portion of the device. Device also includes a first arm rigidly fixed to the distal end of the capsule to extend distally therefrom. In addition, Device includes a second arm, a proximal end of which is slidably received within the capsule so that the second arm is movable between an open configuration, in which the second arm is moved laterally away from the first arm and a distal end of the second arm is moved distally past the distal end of the first arm, and a closed configuration, in which the second arm is moved toward the first arm and the distal end of the second arm is moved proximally toward the distal end of the first arm.

Abstract: A method is used to manufacture an anvil of a circular surgical stapler. The anvil includes a head and a coupling feature that extends proximally from the head. The method includes forming each of the head and the coupling feature using at least one metal injection molding process. The method also includes after forming the coupling feature, machining a through bore into the coupling feature that extends completely through the coupling feature along a longitudinal axis of the coupling feature.

Abstract: Disclosed is a false lumen closure assembly for closing a false lumen in a body vessel including a compressed false lumen occluder, a carrier catheter and a retractable sheath. The compressed false lumen occluder includes a stent graft including at least one occlusive barrier across the stent graft to occlude blood flow through an interior of the stent graft. The carrier catheter carries the false lumen occluder and extends from a proximal end proximal of the false lumen occluder to a distal end distal of the false lumen occluder, and passes the false lumen occluder exteriorly of the stent graft. The compressed false lumen occluder and at least part of the carrier catheter are disposed in a lumen of the retractable sheath.

Abstract: An example occlusive implant is disclosed. The example occlusive implant includes an expandable framework configured to shift between a collapsed configuration and an expanded configuration, wherein the expandable framework includes a plurality of strut members circumferentially spaced around a longitudinal axis of the expandable framework, wherein one or more of the plurality of strut members includes a first twisted portion and a face portion. The occlusive implant also includes a plurality of fixation members disposed along the face portion of one or more of the plurality of strut members.

Abstract: An occluder, an occluding system, and a conveying device are provided. The occluder includes an occluding frame. The occluding frame includes a first occluding unit, a middle portion occluding unit, a second occluding unit, and waist portions. Both ends of the middle portion occluding unit are connected to the first occluding unit and the second occluding unit, respectively, by the waist portions. A fixing member is sleeved on each waist portion. A channel is formed at a middle portion of each fixing member. The occluding frame has an inner cavity. A first opening is formed on the first occluding unit. A second opening is formed on the second occluding unit. The first opening, the channel, the inner cavity, and the second opening are communicated to form a path. A locking member can be omitted in the occluder.

Abstract: A surgical clip may include a first leg member having a first inner surface with a curvature, the first leg member having a first thickness in a vertical direction, a first width in a lateral direction, and a first length in a longitudinal direction, where the first width is greater than the first thickness along at least half of the first length. The surgical clip may also include a second leg member having a second inner surface with a curvature, the second leg member having a plurality of teeth. The first width may be defined by first and second lateral protrusion extending from opposing side surfaces of the first leg member. The first width may be greater than a second width of an inner portion of the first leg member and a third width of an outer portion of the first leg member.

Abstract: A clip device includes a restraining tube having an insertion passage with a first arm part and a second arm part facing each other and disposed within the insertion passage and configured to protrude from the restraining tube. The clip device further includes an operation wire configured to move the first arm part. A first stopper is engaged to the first arm part and a second stopper is engaged to the second arm part. The first stopper is disposed in a region closer to a distal end of the restraining tube than the second stopper. The first stopper is configured to, in response to the operation wire moving from the distal end of the restraining tube to a proximal end of the restraining tube, move relative to the second stopper, contact the second stopper, and move in contact with the second stopper.

Abstract: The present disclosure relates generally to the field of medical devices. In particular, the present disclosure relates to traction systems, and methods of use thereof, for endoscopic procedures such as tissue dissection. For example, a traction system may include a filament extendable along an outer surface of an endoscope with a distal end of the filament attachable to a medical device engaged with a target tissue of a body lumen.

Abstract: An improved type of tourniquet is disclosed herein. The tourniquet includes an elongated elastomeric body and potentially a buckle. The buckle is secured to the tourniquet via a looped portion formed by the elongated elastomeric body looping backwards onto itself. The looped portion passes through an opening of the buckle to secure the buckle to the tourniquet. The tourniquet also includes an integrated spike. The integrated spike comprises a base and a shaft. A width of the base is wider than a width of the shaft, and a length of the shaft is greater than three times a thickness of the elongated elastomeric body. The length of the shaft is sufficient to enable the spike to pass through the elongated elastomeric body at least three times. The base and a portion of the shaft can be embedded within the molded section.