Abstract: A system is provided for advancing medical devices along an endoscope to a selected target anatomy in a patient. The advancing system includes a tether having a first portion disposed through a working channel of an endoscope and a second portion disposed external the endoscope. The advancing system may include a guiding device configured to advance a medical device beyond a distal portion of the endoscope to a selected target anatomy.

Abstract: An endoscopic support device configured to support an endoscope during a surgical procedure is disclosed. The endoscopic support device has a connection ring with a height smaller than its diameter and configured to be in an open or deployed position and in a closed or non-deployed position. The support device also has at least two guiding elements, an orientation component, and extension means for manipulating the ring between the deployed and non-deployed positions.

Abstract: A slotted cannula for endoscopic surgical procedures is disclosed. The slotted cannula has a tubular body having a distal end, a proximate end, an open slot extending longitudinally from the beginning of the proximate end to the proximity of the distal end, and a pair of wings integrally formed on the proximate end. The tubular body is made from a transparent material and has an inner diameter large enough to accommodate an endoscope.

Abstract: A hysteroscope includes a base and a handle attached to the base. The handle has a first trigger and a second trigger. An outer barrel is attached to the base. The outer barrel has a plurality of channels. An actuatable tool is located within at least one channel. The first trigger is in communication with the actuatable tool for extending the tool from within the at least one channel. The second trigger in communication with the actuatable tool for actuating the tool. The hysteroscope may further include a third trigger to pivot a distal portion of the outer barrel.

Abstract: Methods and devices for visualizing and accessing a region inside a body are described. One embodiment of a device includes a working catheter which slides along an open track in a visualization catheter. The visualization catheter is inserted into the body to locate a region of the body with the aid of the visualization element. The working catheter then slides along the track to reach the region, and a working element is inserted through the working catheter to access the region, again with the aid of the visualization element. The methods and devices may also be used to access a variety of internal cavities, soft tissues and organs, and the mediastinal space.

Abstract: Two surgical instruments are inserted through a guide tube. The surgical instruments exit at an intermediate position of the guide tube and are oriented to be substantially parallel to the guide tube's longitudinal axis as they exit. A stereoscopic image capture component is on the guide tube between the intermediate position and the guide tube's distal end. The image capture component's field of view is generally perpendicular to the guide tube's longitudinal axis. The surgical instruments and the guide tube are telemanipulatively controlled.

Abstract: A reciprocating surgical file system for precisely removing bone and/or other tissue is described. The system allows a user to maneuver the system and navigate into hard-to-access sites. The tool may be used to perform a spinal decompression by removing tissue that impinges a spinal nerve.

Abstract: A surgical system is provided that includes a sleeve having an inner surface defining a first channel that extends along a first longitudinal axis and an inner surface defining a second channel that extends along a second longitudinal axis. The second channel is spaced apart from the first channel. A first surgical instrument is configured for disposal in the first channel. The first surgical instrument includes an optical probe configured for imaging. A second surgical instrument is configured for disposal in the second channel. The second surgical instrument includes an inflatable balloon. Methods and kits are also provided.

Abstract: An endoscopic surgical device having a slotted clear cannula, a blade and a housing, wherein the cannula is attached to the housing, and wherein the blade is enclosed in the housing and is slidable into the cannula is disclosed. The blade is enclosed within the housing and cannula, and has a horizontally-oriented pushing component and a vertically-oriented cutting component that protrudes through the slot of the cannula. The device further has a device for locking a viewing device in place relative to other components of the device. A method for a performing an operative procedure on a target tissue in a subject using the endoscopic surgical device is also described.

Abstract: A treatment tool for an endoscope, including: an insertion tube extending toward one direction; a movable tip member which is provided on a tip of the insertion tube and which is used for a treatment of a living organ; a control member of which a tip is connected to the insertion tube and controls the movable tip member by advancing and retracting a control shaft member inserted in the insertion tube; and a covering tube which covers at least one part of a circumference of the insertion tube. At least one part of the insertion tube rotates freely about an axis of the insertion tube.

Abstract: A method of transluminal surgery is provided, which utilizes an endoscopic surgery apparatus having pivotable arms attached by hinges on its distal end. The arms are interchangeable with arms of various configurations. The method includes the steps of inserting an endoscopic surgery apparatus into a body cavity of a patient, making an incision in the body cavity wall to allow access to the patient's abdominal cavity, and further inserting the apparatus through the incision. Surgery is performed at the desired surgical site and the apparatus is withdrawn into the body cavity where the incision is closed. Finally, the apparatus is withdrawn from the patient's body.

Abstract: The invention is related to a medical device for conducting a medical examination and/or intervention within a human or animal body the medical device (1) comprising an elongate body (2) which is designed for introduction into an orifice (15) of the human or animal body the elongate body (2) comprising a distal end (3), which is on the front side of the elongate body during introduction into the orifice (15), of the human or animal body and a proximal end (4) on the opposite side, wherein the elongate body is a hollow body comprising a reception chamber (8) in its interior, which reception chamber (8) is arranged for reception of a human finger (9), characterised in that one or more guiding elements (5, 21) for guiding a medical examination and/or intervention component (6) are located on or in the elongate body and at least one image gathering device (7), which is arranged for gathering of images in front of the distal end (3) of the elongate body (2), is arranged on or in the elongate body (2).

Abstract: Method and surgical instrument for treating prostate tissue including a surgical instrument having a main body, a needle deployment port, a needle, first and second handles and a lockout release mechanism to limit needle extension. Additionally, a kit includes the surgical instrument, together with a cystoscope, and optionally a syringe and reservoir of ethanol. The method includes needle-less injection and visualizing the ethanol injection by delivering both an echogenic agent and ethanol either by needle or needle-less injection or by providing an ultrasonically visible marker near the tip of the ethanol delivery cannula. The method also includes extending the needle transversely of the instrument housing using a link assembly.

Abstract: A network based surgical system including a first medical device having a first network interface, a second medical device having a second network interface, a communications network over which the first medical device, through the first network interface, and the second medical device, through the second network interface, are communicable, wherein the first network interface and the second network interface employ the same network protocol for communicating over the communications network, and wherein the first network interface has a maximum throughput greater than a maximum throughput of the second network interface.

Abstract: A steerable tube for endoscopic applications includes a set of longitudinal elements arranged for interconnecting a proximal and a distal end portion of the steerable tube. The set of longitudinal elements is arranged for transferring a movement of the proximal to the distal end portion. The tube further includes an actuator coupled to the set of longitudinal elements at the proximal end portion, for manipulating the set of longitudinal elements, a flexible body that is arranged between the proximal and distal end portions for accommodating the set of longitudinal elements, and a coupling arrangement for establishing an adjustable coupling between the actuator and at least one of the longitudinal elements, thereby allowing the longitudinal elements to assume different lengths between the proximal and distal end portions. An endoscopic instrument, an endoscope and an assembly including a steerable tube set forth are also described.

Abstract: Assemblies and methods of inserting a delivery system assembly into a working channel are disclosed. In accordance with some embodiments, a sealing insert is configured to reduce fluid leakage and spray-back. In accordance with some embodiments, a sealing insert is disclosed in which a distal sealing surface is configured to seal against differently sized working channels of a plurality of endoscopes. In accordance with some embodiments, a sealing insert is disclosed in which a cap is configured to control a seal between a sealant and a delivery system assembly.

Abstract: The medical treatment endoscope according to the present invention includes a sheath having a flexibility; at least one arm member having a bending part that projects out from a front end of the sheath and performs bending actions; an open/close mechanism which directs the arm member from a direction along a central axis of the sheath to a direction deviated from the central axis of the sheath, and from a direction deviated from the central axis of the sheath to a direction along the central axis of the sheath; and a viewing device and an illuminating member that are disposed to the front end side of the sheath.

Abstract: This invention discloses a method for manufacturing a disposable endoscopic puncture outfit for laparoscopy operations. The manufacturing method comprises the following steps: 1) preparing a camera shooting module; 2) preparing a puncture needle; 3) preparing a positioning puncture casing pipe; 4) mounting the camera shooting module on the puncture needle; 5) inserting the puncture needle in the positioning puncture casing pipe, and making a transparent cover slightly extend out of the positioning puncture casing pipe. This invention also discloses a puncture outfit made with a method for manufacturing a disposable endoscopic puncture outfit for laparoscopy operations. The manufacturing method provided by this invention has a simple process, is easy to implement, and has high production efficiency.

Abstract: Apparatus, systems, and methods for laparoscopic abdominal surgery are disclosed. For example, a system or kit is provided for performing a procedure within a surgical space within a patient's body that includes a plurality of tool heads, and a tool head carrier including features for removably receiving one or more tool heads, the tool head carrier sized for introduction through a trocar or other port into a surgical space. The system or kit may also include a surgical tool including a tool shaft introduceable into the surgical space and including features for securing a tool head to the tool. Optionally, the tool head carrier may include a clip for securing the tool head carrier to an endoscope.

Abstract: An endoscopic device includes a longitudinal shaft member having a lumen, a curved section formed at a distal portion of the longitudinal shaft member and having a first recovering force, and a guide section formed at a proximal end portion of the curved section of the longitudinal shaft member and having a second recovering force. The curved section has an opening section in communication with the lumen at a surface of an inner section of the curved shape recovered by the first recovering force, and a pressing surface configured to press a tissue by the second recovering force is formed at a surface of an outer section of the curved shape of the curved section opposite to the opening section.

Abstract: Various robotic devices and related medical procedures are disclosed herein. Each of the various robotic devices have an arm. The arm can have two arm components coupled at a joint.

Abstract: An endoscope procedure instrument provided with: a tube part that is cylindrical in shape and attaches to the front end of the endoscope, the tube part having a slit provided to the side surface thereof extending along the direction of the central axis; and a grasping member that is disposed to the tube part extending along the slit, for holding a biologic tissue with respect to the endoscope.

Abstract: A capsule medical apparatus system includes a rotating magnetic field generation apparatus that generates a desired rotating magnetic field in three-dimensional directions, a capsule medical apparatus that includes a magnet and a needle for puncture that can be projected and retracted in a rotation direction of the rotating magnetic field and is rotated in the direction of the rotating magnetic field when the rotating magnetic field is applied to the magnet, a step-out operation detecting unit that detects a step-out operation by which the capsule medical apparatus is inversely rotated when a luminal surface is punctured with the needle, and a magnetic-field control instructing unit that controls the rotating magnetic field generation apparatus on the basis of a detection result performed by the step-out operation detecting unit.

Abstract: When an operation instruction is input by a first (second) control output instruction input device, locus calculation means calculates a locus of movement of a first (second) therapeutic device on the basis of any one of joint sections, which is instructed to operate. On the basis of a calculation result by the locus calculation means, therapeutic device operation control means controls an operation of the first (second) therapeutic device by a first (second) active mechanism. Thereby, there is provided an endoscope apparatus which can improve the operational efficiency and positional precision of the therapeutic device.

Abstract: A medical device includes: a body electrode disposed in contact with a human body; a tubular instrument having a distal electrode at a distal end portion of an insertion portion inserted into the body and a plurality of active joints for changing an orientation and a position of the distal end portion at the insertion portion; a plurality of joint position information detecting sections for respectively acquiring joint position information of the plurality of active joints; and a storage section for storing the joint position information respectively acquired by the plurality of joint position information detecting sections based on conduction between the body electrode and the distal electrode.

Abstract: A vitrector with integrated imaging capability may include a vitrector tube, a tubular cutter, an actuation mechanism, an optical fiber, and a lens structure for focusing light coupled into the lens structure from the optical fiber beyond the distal end so as to image a region about the focus.

Abstract: A method of transluminal surgery is provided, which utilizes an endoscopic surgery apparatus having pivotable arms attached by hinges on its distal end. The arms are interchangeable with arms of various configurations. The method includes the steps of inserting an endoscopic surgery apparatus into a body cavity of a patient, making an incision in the body cavity wall to allow access to the patient's abdominal cavity, and further inserting the apparatus through the incision. Surgery is performed at the desired surgical site and the apparatus is withdrawn into the body cavity where the incision is closed. Finally, the apparatus is withdrawn from the patient's body.

Abstract: A medical instrument, includes: an insertion section having a treatment instrument projection port and an active bending section at a position on the insertion section's proximal end portion side of the treatment instrument projection port; a joystick by which an operation of the active bending section is inputted; a driving section for driving the active bending section; and a control section for controlling the joystick and the driving section, and the control section having an active bending section which performs a control in one control mode selected from a plurality of different control modes.

Abstract: An enhanced flexibility auxiliary endoscope assembly for use with an endoscope, the assembly including at least one flexible elongate element and a flexible sleeve having a first lumen for accommodating a distal portion of an endoscope capable of assuming at least a first curvature and a second lumen for accommodating the at least one flexible elongate element, the second lumen being configured to allow the at least one flexible elongate element to assume the at least first curvature as well as at least a second curvature about the first curvature, thereby to enhance flexibility of the auxiliary endoscope assembly.

Abstract: A working unit of a manipulator includes a hollow joint shaft, wires disposed as power transmitting members in the hollow joint shaft, and a distal-end working unit mounted on an end of the hollow joint shaft and movable by the wires. The wires are wound around respective tubular members in the distal-end working unit. The hollow joint shaft has a pair of visual checking holes defined in respective side walls thereof near the distal end thereof for allowing the wires to be visually checked therethrough. The visual checking holes are positioned to expose the tubular members therethrough.

Abstract: A treatment device for an endoscope includes an operating wire having a treatment section at a distal end thereof, a first sheath through which the operating wire is inserted, a second sheath into which the first sheath is inserted, a locking portion provided in the treatment section to advance or retreat, a first stopper that regulates advance movement of the locking portion, a second stopper that regulates retreat movement of the locking portion, and a sheath operating portion that advances or retreats the second sheath between a first positional relationship and a second positional relationship. The first stopper is provided in the first sheath via a connecting portion that extends toward the front side from a distal end of the first sheath, and the second stopper is provided in the second sheath on the rear side of the first stopper in the direction of the axis.

Abstract: A capsule medical apparatus to be introduced into a subject includes a tissue collecting unit that collects in-vivo tissue; a storage unit that stores therein the in-vivo tissue that is collected by the tissue collecting unit; a liquid storing unit that stores therein liquid for suppressing autolysis of in-vivo tissue; a liquid supplying unit that supplies the liquid in the liquid storing unit to the storage unit; and a control unit that allows, in response to an instruction to start collecting the in-vivo tissue, the tissue collecting unit to collect desired in-vivo tissue and to store the collected in-vivo tissue in the storage unit and that then allows the liquid supplying unit to supply the liquid to the storage unit and makes the storage unit be in a liquid-tight state.

Abstract: An endoscope system includes at least an endoscope of the endoscope and an accessory, a placement unit on which the endoscope is adapted to be placed, a detecting unit configured to detect whether the endoscope is placed on the placement unit or not, an actuating unit for at least one of the endoscope and the accessory, an operating unit for operating the actuating unit, and a control unit configured to be switched between a normal mode wherein the actuating unit is controlled according to an operation to the operating unit and a restricting mode wherein the actuating unit is controlled regardless of an operation to the operating unit, on the basis of a result of detection by the detecting unit.

Abstract: The present invention provides methods and apparatus for obtaining endoluminal access. An elongate body is configured for insertion within a body lumen, conduit, organ, orifice, passageway or cavity, the elongate body having a working axis and a distal region, and an articulating element disposed near the distal region, the articulating element configured to articulate off-axis from the working axis of the elongate body. The elongate may achieve access in an endoluminal or a laparoscopic fashion. Methods of using the apparatus are also provided.

Abstract: An endoscope device comprising: an elongated tubular insertion part; a plurality of arm members which is provided in the distal portion of the insertion part so as to protrude forward and is capable of treatment with a treatment tool inserted thereinto; an observation main body provided in the distal portion of the insertion part so as to freely separate from the insertion part; an energization member which energizes the observation main body disposed within the distal portion of the insertion part toward the direction opposite to the plurality of the arm members in the radial direction of the insertion part; and a holding mechanism which resists the energization member to hold the observation main body in a state where the observation main body is disposed within the distal portion of the insertion part and is capable of releasing the holding state.

Abstract: A lubricant supplying device of an endoscope everting tube drive comprises a drive tube everted at least once to thus form an outer and an inner tube portion. Inside the inner tube portion an endoscope shaft is mounted in an axially displaceable manner. In addition a drive device is provided which encompasses the drive tube everted at least once or the inner tube portion thereof so as to apply a driving force for an advancing movement of the endoscope shaft onto the inner tube portion, the drive means being in fluid connection with a lubricant supplying line and a lubricant discharge line for introducing a lubricant via the drive device into the drive tube everted at least once and/or for discharging it. The lubricant supply line and the lubricant discharge are connected to the drive device in two locations thereof diametrically opposite with respect to the endoscope shaft.

Abstract: An endoscope includes: a distal end opening of a treatment instrument insertion channel opened at a side surface of a distal end portion; a treatment instrument elevator base that is provided at a position facing the distal end opening in the treatment instrument insertion channel and leads a distal end of a treatment instrument protruding from the distal end opening, to a desired position; a first wall portion along the insertion direction of the distal end opening; and a second wall portion at a proximal end side of the insertion direction of the distal end opening and provided with a groove in which a part of the treatment instrument elevator base is fitted when the treatment instrument elevator base is raised, and as the treatment instrument elevator base is raised, a guide wire protruding from the distal end opening is releasably engaged by contacting the treatment instrument elevator base, the first wall portion, and a surface constituting the groove of the second wall portion.

Abstract: A treatment instrument operation unit is provided with a drive unit, an operation portion installation section and a command signal output section. The drive unit drives an operation portion for operating each treatment section of the respective treatment instruments. The operation portion is attached to the operation portion installation section provided to the drive unit. The command signal output section outputs an installation start signal to a controller for notifying that the installation of the treatment instrument has begun upon installation of the operation portion in the operation portion installation section. After outputting the installation start signal from the command signal output section to the controller, the drive unit drives the operation portion installation section to the position where the operation portion is allowed to be installed based on the control signal outputted form the controller.

Abstract: A capsule medical apparatus includes a needle driving unit that punctures an internal region of a subject with an injection needle and pulls out the injection needle from the internal region, a liquid injection unit that injects a liquid into the internal region through the injection needle, and a leak prevention unit that prevents the liquid that is injected into the internal region from leaking from the internal region.

Abstract: The present invention provides methods and apparatus for obtaining endoluminal access. An elongate body is configured for insertion within a body lumen, conduit, organ, orifice or passageway, the elongate body having a working axis and a distal region, and an articulating element disposed near the distal region, the articulating element configured to articulate off-axis from the working axis of the elongate body. Methods of using apparatus of the present invention are also provided.

Abstract: An apparatus is provided which assists operations required for a medical instrument. A tubular portion and a therapeutic member of the instrument are inserted through a channel of an insertion tube of an endoscope. In the apparatus, a first drive unit enables the therapeutic member to perform the desired therapeutic operations responsively to a first command signal and a second drive unit enables the tubular portion inserted in the channel to convey responsively to a second command signal. An input device is provided at which two kinds of commands are allowed to be inputted command by command. The two kinds of commands allow the therapeutic member and the tubular portion to be driven in parallel with each other. A controller provides the first and second drive units with the first and second command signals, respectively, in accordance with the two kinds of commands.

Abstract: An endoscope treatment system includes: an endoscope; and a treatment tool that has a sheath that is inserted in a channel of an insertion portion of the endoscope, in which projection portions that project outward from the sheath in the radial direction are provided, and engagement portions that engage the projection portions are provided near the channel of the endoscope.

Abstract: A capsule medical apparatus capable of injecting a medical agent into a living tissue includes a casing, a pressing member that presses the surface of the living tissue, a driving unit that causes the pressing member to protrude from the casing in a predetermined direction and to press the surface of the living tissue while rotating the pressing member around a rotation axis parallel to the protruding direction, and a needle-like puncturing member that is arranged on the pressing member and punctures the living tissue in an oblique direction with respect to the surface of the living tissue to thereby inject the medical agent into the living tissue along with the rotation of the pressing member driven by the driving unit.

Abstract: An endoscope includes: a treatment instrument elevator base including a contact surface which contacts with a treatment instrument inserted into a treatment instrument insertion channel, and rotatably provided to a distal end to elevate the instrument; a contact portion provided to the distal end to contact with the instrument when the elevator base is elevated; a first leading portion provided to the contact surface to lead the instrument to a predetermined position on the contact surface as the elevator base is rotated; a holding portion provided to the contact surface and the contact portion, and including a grasping surface for sandwiching the instrument with a diameter not exceeding a predetermined value; and a second leading portion provided to the contact portion to lead the instrument larger than the grasping surface away from the holding portion.

Abstract: Endoscopes, endoscopic instruments, and methods for making and using the same. An illustrative endoscopic instrument includes a catheter that can extend through the working channel of an endoscope. The catheter may include an end effector passing region.

Abstract: A medical system includes: a first operation apparatus used when a first doctor operates a medical instrument; a second operation apparatus that outputs a control instruction signal for controlling a motion of the medical instrument, and is operated by a second doctor; at least one medical action information detection section that detects medical action information based on the motion of the medical instrument when the first doctor operates the medical instrument using the first operation apparatus; a storage apparatus that stores reference information set by the second doctor according to the first doctor for comparing with the medical action information detected by the medical action information detection section; a switching signal generation apparatus that is connected to the second operation apparatus, and switches an output destination of the control instruction signal based on the medical action information detected by the medical action information detection section and the reference information store

Abstract: The medical treatment endoscope according to the present invention includes a sheath having a flexibility; at least one arm member having a bending part that projects out from a front end of the sheath and performs bending actions; an open/close mechanism which directs the arm member from a direction along a central axis of the sheath to a direction deviated from the central axis of the sheath, and from a direction deviated from the central axis of the sheath to a direction along the central axis of the sheath; and a viewing device and an illuminating member that are disposed to the front end side of the sheath.

Abstract: In a treatment endoscope which includes: an elongated insertion section having a first channel for inserting a treatment instrument therethrough; an arm, having a second channel for inserting a treatment instrument therethrough, attached to the distal end of the insertion section so that the first channel communicates with the second channel; a first operation section for operating the arm; and a second operation section for operating the insertion section, the arm has a first bending section which can be operated to be bent via the first operation section, the insertion section has a second bending section which can be operated to be bent via the second operation section, and an interlock mechanism connects the first operation section to the second operation section so that, when either one of the first bending section and the second bending section is bent by operating either one of the first operation section and the second operation section, the other one of the first bending section and the second bendin

Abstract: Apparatus and methods for extending a tube, the apparatus including a foldable tube having a folded portion inside an unfolded portion of the tube, and a source of fluid coupled to the unfolded portion for providing fluid into the unfolded portion to unfold and extend the folded portion out of the unfolded portion to become an extension of the unfolded portion. The apparatus and methods are useful, inter alia, for cleansing the colon in the normal direction, that is, from the cecum to the anus, using an apparatus that is introduced via the anus. A washing liquid is supplied deep into the colon via the soft feed tube that is inserted via the anus and is extended into the colon by inflation. The washing liquid is then drained out via the anus through a drainage channel.

Abstract: A device for coagulating body tissue contains an electrode arrangement comprising a first electrode group and a second electrode group, both of which have strip-shaped electrodes.