Abstract: A method of using an imaging catheter for activating a photodynamic agent is provided. The method generally includes four steps. First, an imaging catheter including a fiber optic cable is inserted within a body cavity or vessel. The fiber optic cable has a first end (e.g., proximal end) and a second end (e.g., distal end), and is configured to transmit electromagnetic irradiation from its first end to its second end and to transmit an image from its second end to its first end. Second, an image of a site of interest (e.g., the location of an aneurysm) within the body cavity or vessel is observed using the fiber optic cable. Third, a suitable photodynamic agent is applied to the site of interest. Fourth, the fiber optic cable is used to deliver a selected wavelength or wavelength range of electromagnetic energy to the site to thereby activate the photodynamic agent.

Abstract: A robotic catheter system includes a controller with a master input device. An instrument driver is in communication with the controller and has a elongate instrument interface including a plurality of instrument drive elements responsive to control signals generated, at least in part, by the master input device. An elongate instrument has a base, distal end, and a working lumen, wherein the guide instrument base is operatively coupled to the guide instrument interface. The elongate instrument preferably comprises and/or defines other lumens to accommodate instruments such as an optics bundle, a light bundle, a laser fiber, and flush irrigation. The working lumen preferably is configured to accommodate a grasping or capturing tool, such as a collapsible basket or grasper, for use in procedures such as kidney stone interventions. The elongate instrument includes a plurality of instrument control elements operatively coupled to respective drive elements and secured to the distal end of the instrument.

Abstract: A medical laser system and related methods of monitoring optical fibers to determine if an optical fiber cap on the optical fiber is in imminent danger of failure. The laser system includes a photodetector for converting returned light from the optical fiber cap to an electronic signal for comparison to a trigger threshold value known to be indicative imminent fiber cap failure. The returned light can be the main laser treatment wavelength, an auxiliary wavelength such as an aiming beam or infrared wavelengths generated by a temperature of the optical fiber cap. In the event the electronic signal reaches the trigger threshold value, the laser system can be temporarily shut-off or the power output can be reduced.

Abstract: Apparatus and methods are provided including identifying a subject as suffering from a disorder of an organ of the subject. In response to the identifying, a shaft is inserted into the organ, not via a natural lumen of the subject. Using a laser beam emitted from a distal portion of the shaft, a portion of the organ is ablated. A vicinity of the portion of the organ is cooled by introducing a fluid to the vicinity, and, subsequently aspirating the fluid therefrom, the introduction and aspiration of the fluid being performed via the shaft, while the shaft is inside the organ. Other embodiments are also described.

Abstract: An objective optical system includes, a first group having positive refractive power, a second group having positive refractive power, the first group having a first parallel flat plate, a diaphragm, a second parallel flat plate and a first plano-convex lens with its convex surface facing the image side in the above mentioned order as viewed from the object side, the first parallel flat plate, the second flat parallel plate and the first plano-convex lens forming a cemented lens, the second parallel flat plate being formed by an infrared absorption filter, the second group having a second plano-convex lens with its convex surface facing the object side.

Abstract: A method for generating at least one section of a virtual 3D model of a body interior, in particular a hollow organ, uses data that are provided by at least one endoscope introduced into the body interior. The data comprise at least one position and orientation of the endoscope, the at least one position and orientation being assigned at least one distance between the endoscope and the at least one point on a surface of the body interior, and at least one endoscopic image of the surface of the body interior in the region of the at least one point on the surface of the body interior. From the said data relating to a number of different positions and orientations of the endoscope is/are generated the section or sections of the 3D model in superposition with the associated endoscopic image. An appropriate apparatus is also described.

Abstract: An apparatus having an elongate hollow metal body extending along a longitudinal axis is disclosed. The hollow body defines a central opening and has a predetermined wall thickness. A pattern of laser cut slits is formed into the body. The slits define a plurality of articulatable elements. The plurality of articulatable elements enable active articulation of the body in a first plane and passive deflection in planes orthogonal to the first plane.

Abstract: A treatment instrument for an endoscope is provided that is suitable for cutting submucosa in endoscopic submucosal dissection. The treatment instrument for an endoscope includes a treatment portion having a cutting unit at a tip of an insertion portion that is to be inserted into the body. The main unit of the treatment portion is formed in a sawtooth shape having a peak portion and a valley portion. An electrode plate serving as the cutting unit is provided in the valley portion.

Abstract: Endoscopic system 40 comprises composite optical fiber 34 that consists of a large-diameter, laser light transmitting optical fiber surrounded by a large number of image transmitting fibers that are bundled together to form an integral assembly with the central fiber, laser applying and image observing optical unit 42 that is connected to the eyepiece portion of said composite optical fiber such that it launches laser light into said large-diameter optical fiber and that the image being transmitted through said image transmitting optical fiber is focused on a camera to become observable, and an illuminating light transmitting unit that transmits illuminating light to the tip of the objective portion of said composite optical fiber for irradiation purposes.

Abstract: An illumination device for medical and dental procedures is described. The illumination device includes an elongate body configured to contain two or more optical fibers to transmit electromagnetic energy from a power source toward a target surface. The distal end of the illumination device is illustrated as a unitary structure, and the proximal end is illustrated as having multiple proximal end members. The illumination device includes two or more optical fibers for transmitting energy toward the distal end, and at least one optical fiber for transmitting energy from the distal end toward the proximal end of the device.

Abstract: Videoendoscope including a distal endpiece, a laser source generating a laser beam and an optical formation device arranged to produce from the laser beam a calibrated light spot near a target of which the size is to be measured, wherein the laser source is housed in a distal endpiece, while the optical formation device is housed at least partially in a removable optical head that can be fitted on the distal endpiece.

Abstract: A guidewire having an embedded matrix polymer construction and methods of making and using the same. The guidewire may include a core wire or member having a proximal region and distal region, a jacket disposed over the distal region, and a coil disposed over the jacket. The coil may include a coating and may be embedded within the jacket.

Abstract: A surgical system according to the present invention comprises: a surgical instrument for medical treatment of an affected portion in the body cavity; an observation device for observing tissue in the body cavity; an image display device for displaying images taken by the observation device; and an indicating-point control device included in at least one of the surgical instrument and the observation device, for controlling the position of an indicating point superimposed on an image displayed on the image display device.

Abstract: A polymeric coating is applied to at least one embolic coil carried in a fixture, at least a portion of said embolic coil being generally vertical and straight. The coil is carried in the fixture during the processing, and may remain in the fixture if desired for further steps of processing.

Abstract: A guiding stylet apparatus is disclosed. The guiding stylet apparatus comprises a guiding device, a holding portion, an image capture unit, a light source, and a display. The guiding device is inserted into a catheter to guide the catheter to a predetermined position. The image capture unit is used to capture an internal image. The light source provides sufficient light, so as to allow the image capture unit to capture the internal image. The display is electrically connected to the image capture unit to display the internal image.

Abstract: A laser energy delivery device is provided that is suitable for irradiating a body tissue with relatively long wavelength laser energy in the presence of an aqueous liquid without significant absorption of the laser energy by the liquid. The device includes an elongate hollow sheath that has an open aperture at its distal end portion and closed at its proximal end, a laser energy conduit such as an optical fiber or hollow wave guide, within the sheath, the distal end of the conduit being disposed near the open aperture at the distal end portion of the sheath, and the proximal end of the conduit being adapted for connection to a source of long wavelength laser energy. The sheath also includes an inlet port, spaced from the proximal end of the sheath, and adapted to receive and deliver a biologically compatible gas through the sheath to a body tissue site in contact with the open distal end of the sheath.

Abstract: An endoscope for an optical fiber provides for inflow and outflow of irrigant. A telescope is included having a field of view directed into a working region. The endoscope defines a “hooded region” with an extended, blunt tip. The optical fiber fits within the endoscope has a side or end firing tip with an emission surface. A guide element is adapted to movably support the optical fiber in a position spaced away from the working region, and limit lateral movement of the tip without preventing longitudinal and rotational movement. An irrigant flow arrangement operates to direct inflowing irrigant over the emission surface of the tip. The fiber is assembled with a fiber coupler, a handle, a fiber port cap, and a travel limiter fixed to the fiber at a predetermined distance from the tip. The travel limiter cooperates with the endoscope and the fiber port cap to limit longitudinal and rotational movement of the fiber.

Abstract: A coaxial illuminated laser endoscopic probe and active numerical aperture control apparatus and method of use, succinctly known as an illumination and laser source, capable of selectively providing illumination light and laser treatment light through a single optical fiber. The apparatus and method is especially useful during ophthalmic surgery. The present art is capable of providing the aforesaid through an optical fiber of such small size that heretofore said fiber was only useable for laser treatment light only. The present art also, with its unique optical system, allows for two illumination light outputs from a single illumination source. The apparatus utilizes a phototoxicity risk card to calibrate the system to prior art or safe illumination levels since the unique optical system provides illumination light of greater intensity than the prior art.

Abstract: A system and method for the in situ discrimination of healthy and diseased tissue. A fiberoptic based probe is employed to direct ultraviolet illumination onto a tissue specimen and to collect the fluorescent response radiation. The response radiation is observed at three selected wavelengths, about 403 nm, about 414 nm, and about 431 nm. The intensities of the 403 nm and 414 mn radiation are normalized using the 431 nm intensity. A score is determined using the ratios in a linear discriminant analysis (LDA). The tissue under examination is resected or not, based on the outcome of the LDA.

Abstract: A medical needle set for visualized tissue ablation within a subject's body includes a cannula and components configured for inclusion in the cannula, including a trocar for occlusion of the cannula lumen during needle placement, and a visualizing ablation probe used for simultaneous endoscopic viewing and ablation of tissue sites with a laser beam. The cannula can include a tissue-gripping surface for stabilization of the needle set on the target tissue. A surgical system for tissue ablation includes a visualizing ablation needle set operably connected to an endoscope and a laser. A surgical procedure using this system permits simultaneous visualization and ablation of tissues, including those of the facet joints of the spine.

Abstract: A method for the treatment of Barrett's Esophagus of a patient having endothelial esophageal complications. The treatment comprises connecting a wavelength specific light source to an elongated light guide having a distal end, the light guide arranged within a lumen of a steerable endoscope, guiding the endoscope into the esophagus of the patient, energyzing the light source, and manipulating the distal end of the light source onto a target on the endothelial complications inside of the patient's esophagus for the selective thermolysis of the target in the esophagus, thereby reverting the red secretory esophageal lining to a normal lining.

Abstract: To provide a medical energy irradiation apparatus which permits easy and accurate establishment of a site of tissues of a living body targeted for irradiation with energy, when doctors use the medical energy irradiation apparatus to perform a cure for a prostatic hyperplasia or the like. The doctors insert an applicator 110 of the medical energy irradiation apparatus to an urinary bladder 161 and fix an endoscope 135 near to an entrance of an urethra. In this arrangement, when observing with the endoscope (135), a seminal colliculas 144 observed through a side-observation window 130 is observed toward a lower part of an observed image (schematic diagram) displayed on a display unit, and a positioning marker 140 in an interior of the applicator is observed toward an upper part of an observed image.

Abstract: To provide a medical energy irradiation apparatus which, having a simple and inexpensively manufacturable structure, enables a doctor using it in the heat curing of prostatic hypertrophy or the like to accurately and stably irradiate a prescribed site deep in a living body with a laser beam and, even if its observation window is smeared, to observe tissues of a living body. An inserting portion of the medical energy irradiation apparatus to be inserted into a living body according to the invention has an emitting portion for emitting a laser beam toward tissues of the living body; an observation window, provided near the tip of the inserting portion in its inserting direction, for observing the tissues of the living body; and a hollow pipe for supporting a supporting member, which supports the emitting portion, shiftably in the lengthwise directions of the inserting portion and feeding detergent to the observation window.

Abstract: A laser energy delivery device and method are provided for irradiating a body tissue with relatively long wavelength laser energy in the presence of an aqueous liquid without significant absorption of the laser energy by the liquid. The device includes an elongate hollow sheath that is open at its distal end and closed at its proximal end, a laser energy conduit such as an optical fiber or hollow waveguide, within the sheath, the distal end of the conduit being disposed near the open distal end of the sheath, and the proximal end of the conduit being adapted for connection to a source of long wavelength laser energy. The sheath also includes an inlet port, spaced from the proximal end of the sheath, and adapted to receive and deliver a biologically compatible gas through the sheath to a body tissue site in contact with the open distal end of the sheath.

Abstract: A medical needle set for visualized tissue ablation within a subject's body includes a cannula and components configured for inclusion in the cannula, including a trocar for occlusion of the cannula lumen during needle placement, and a visualizing ablation probe used for simultaneous endoscopic viewing and ablation of tissue sites with a laser beam. The cannula can include a tissue-gripping surface for stabilization of the needle set on the target tissue. A surgical system for tissue ablation includes a visualizing ablation needle set operably connected to an endoscope and a laser. A surgical procedure using this system permits simultaneous visualization and ablation of tissues, including those of the facet joints of the spine.

Abstract: An imaging system includes a pulsed laser, a pre-compensator for chromatic dispersion, a transmission optical fiber, and a GRIN lens. The pre-compensator chirps optical pulses received from the laser. The transmission optical fiber transports the chirped optical pulses from the pre-compensator. The GRIN lens receives the transported optical pulses from the transmission optical fiber. The GRIN lens has a wider optical core than the transmission optical fiber and substantially narrows the transported optical pulses received from the transmission optical fiber.

Abstract: A measurement system for indirectly measuring dimensions of a defect in a target area, within a range of working distances between the measurement system and the target area, the measurement system comprising illuminating optics for illuminating the target area, a laser pattern generator with a laser source and a pattern generating assembly for producing a reference laser pattern having at least one dimension essentially invariant within the range of working distances, the at least one dimension constituting a reference dimension in the target area, and projecting the reference laser pattern, alone a laser beam path, onto the target area, and an imaging system with imaging optics for obtaining an image of the target area together with the reference pattern, to determine the linear dimensions of the defect in the image relative to the reference dimension, wherein the laser beam path is spaced apart from the illuminating and imaging optics.

Abstract: Methods and apparatus for inhibiting longitudinal expansion of a body portion of an endoscopic sheath during inflation of an inflatable member are disclosed. In one embodiment, a sheath assembly includes a body portion adapted to encapsulate a distal end of an insertion tube, and an inflatable member coupled to the body portion and adapted to be inflated radially outwardly from the body portion. The sheath assembly further includes an expansion-inhibiting mechanism coupled to at least one of the inflatable member and the body portion. The expansion-inhibiting mechanism advantageously inhibits a longitudinal expansion of the body portion during inflation of the inflatable member. The expansion-inhibiting mechanism may assume a variety of embodiments, including, for example, a non-compliant member, a longitudinally-stretched portion, a reinforcing spring member, a pressure relief device, or a suitable detent mechanism.

Abstract: An endoscope assembly includes a housing having an outwardly extending tube with the free end adapted for insertion into a body cavity. A laser is contained within the housing which emits an output beam through the free end of the tube. A light sensor detects light in a predetermined color range which impinges upon the free end of the tube and generates an output signal representative thereof. A circuit disables the laser in response to the output signal from the light sensor.

Abstract: A thrombolysis catheter apparatus is disclosed comprising: (a) an elongated thrombolysis catheter portion comprising a plurality of independently controllable electroactive polymer actuators, which provide a curvature to the thrombolysis catheter based upon received control signals; (b) a control unit coupled to the plurality of actuators and sending the control signals to the plurality of actuators; and (c) an occlusion removal device. Also disclosed is a method of treating an arterial occlusion by advancing the thrombolysis catheter portion through the arterial vasculature of a patient to a position proximate the occlusion, while controlling the shape of the thrombolysis catheter portion using the control unit. The occlusion is then removed using the occlusion removal device.

Abstract: An endoscope assembly includes a housing having an outwardly extending tube with the free end adapted for insertion into a body cavity. A laser is contained within the housing which emits an output beam through the free end of the tube. A light sensor detects light in a predetermined color range which impinges upon the free end of the tube and generates an output signal representative thereof. A circuit disables the laser in response to the output signal from the light sensor.

Abstract: An invasive imaging apparatus comprising: a flexible catheter with a proximal end and a distal end, the distal end being shaped for insertion into a blood vessel along a guide wire thereby to reach remote places in the vasculature or other organs, an optical assembly positioned at the distal end of the catheter comprising an image sensor positioned non-perpendicularly to the longitudinal axis of the catheter and an illumination sensor, at least one illumination source for illuminating an immediate region beyond the distal end of the catheter, and at least one working channel running from the proximal to the distal end of the catheter.

Abstract: (57) Abstract: The invention relates to a medical laser treatment module, which comprises a laser radiation source for generating a fundamental wavelength &lgr;1 and which is highly variable in use. According to the invention, the medical laser treatment module is characterized in that it comprises at least one means (2, 3) for generating laser radiation of another wavelength &lgr;1, &lgr;3 and at least one means for optionally injecting the laser radiation of the fundamental wavelength &lgr;1 into the means for generating the wavelength &lgr;2, &lgr;3. The laser module designed in such a manner can be used, in particular, in dentistry and both as an intergratable module and as a fixed component of a treatment unit.

Abstract: A cartridge is configured to be inserted into a medical instrument for treating patients with radioactive seeds. The cartridge includes a rotating internal barrel that is loaded with a plurality of seeds, where the internal barrel has a plurality of conduits for accepting the seeds. As the internal barrel rotates, a seed from one of the conduits is deposited into a shuttle, and then the shuttle is fully extended so as to provide the seed to the medical instrument. The shuttle is then retracted, and the barrel is rotated to the next conduit, so as to receive a seed from that next conduit. The cartridge includes a first shield and a second shield, each having slots where the slots of the first and second shields are aligned in a first verification or calibration mode, and where the slots are not aligned in a normal, seed depositing mode. The second shield also includes a plurality of numeric indicators that indicate a current number of seeds remaining in the cartridge.

Abstract: Method and apparatus for thermal ablation or coagulation of biological tissue using a scanning laser beam with real-time video monitoring and monitoring of therapeutic treatment parameters, such as temperature prior to or during treatment. In a preferred embodiment, a unique reflective optical delivery system is employed in conjunction with temperature control of the treatment area, and possibly, cryogenic treatment of the treatment area, to eliminate or reduce the need for anesthetics. All therapeutic parameters can be displayed on a video monitor, which is attached to a laser scanner. The reflective optics of the laser scanner can provide precise single-layer vaporization by the laser without thermal injury to the underlying tissue, and the video monitor allows a surgeon to monitor all therapeutic parameters both before and during a treatment procedure. The video monitor also can provide a three-dimensional view of the treatment area. This also can be videotaped for documentation purposes.

Abstract: To provide a medical energy irradiation apparatus which, having a simple and inexpensively manufacturable structure, enables a doctor using it in the heat curing of prostatic hypertrophy or the like to accurately and stably irradiate a prescribed site deep in a living body with a laser beam and, even if its observation window is smeared, to observe tissues of a living body. An inserting portion of the medical energy irradiation apparatus to be inserted into a living body according to the invention has an emitting portion for emitting a laser beam toward tissues of the living body; an observation window, provided near the tip of the inserting portion in its inserting direction, for observing the tissues of the living body; and a hollow pipe for supporting a supporting member, which supports the emitting portion, shiftably in the lengthwise directions of the inserting portion and feeding detergent to the observation window.

Abstract: An inspection system for performing a test selected from the group consisting of field of view, angle of view, distortion, image quality, depth of field, illumination system transmission efficiency, illumination profile, relative transmission of imaging system and centering error of a rigid, rod lens endoscope. The inspection system includes a testing station supporting a plurality of targets for measuring an optical performance of the endoscope, and a controller controllably displacing the testing station linearly toward and away from the endoscope and rotating the testing station at a nominal angle of view of the endoscope about a first axis and rotating the targets about a second axis parallel to the first axis to selectively displace each of the targets into the field of view of the endoscope.

Abstract: A color video diagnostic system for mini-endoscopes for viewing features of objects where access to the object is limited or where minimally invasive techniques are preferable, such as in medical or industrial applications. A black-and-white video chip mounted at the distal end of an endoscope body images an object sequentially illuminated by laser diode light sources having different wavelengths. More than one laser diode may be used within a color region to provide truer color representations. A controller controls the laser diode light sources for sequentially illuminating the object by color, and a video processor responsive to the controller receives signals from the black-and-white video chip for producing a color data signal. A display displays a color image of the object. At least one diagnostic laser diode light source, which can be tunable, may be included for enhancing selected features of the object being viewed, and it may emit in the visible, near infrared, or infrared wavelength regions.

Abstract: A focusable imaging laser otoscope for performing laser surgery without the need for anesthesia, The apparatus includes a housing, an end member movably disposed within the housing, an imaging device attached to the housing for producing an image of a target area, an illuminating system attached to the housing for illuminating the target area, a speculum having a longitudinal axis and detachably attached to the end member, an optical system attached to the housing and having a main optical axis coaxial with the longitudinal axis of the speculum, for directing a surgical and/or an aiming laser beam from a laser source through the housing and the speculum to strike the target area and for directing image forming light rays to project an image of the target area onto the imaging device such that when the image of the target area is focused, the surgical laser beam and/or aiming laser beam are also focused on the target area, and a focusing assembly attached to the housing and to the end member for adjustably mov

Abstract: According to a fluorescent endoscope apparatus for detecting an autofluorescent-light image emitted from a living body upon irradiation thereof by stimulating light, when the endoscope insertion portion is inserted into or removed from a patients body, stimulating light is prevented from entering the eyes of the patient or the operator, ensuring for their safety. When the endoscope insertion portion is outside the body of a patient, the flicker occurring due to the fluorescent or other light illuminating the diagnosis room, which would be detected together with the autofluorescent-light image by a fluorescent-image use camera or with the normal image by a normal-image use camera, is detected by a flicker detector. The flicker detector outputs a detection signal to the stimulating light emission prevention controller, which turns off the power source to the stimulating light laser source by use of a controller computer and thereby prevents the emission of stimulating light.

Abstract: Use of radiation-absorbing dyes (e.g., indocyanine green (ICG), fluorescein, rose bengal) and photodynamic dyes (e.g., hematoporphyrins, aminolevulinic acids, porphyrins, merocyanines, porphycenes, porfimer sodium, verteporfin, Photofrin II, PH-10, chlorins, zinc phthalocyanine, purpurins, pheophorbides, monoclonal antibody-dye conjugates of any of the foregoing dyes) for the treatment of conditions associated with abnormal vasculature, including, generally, lesions, and, more specifically, tumors (cancerous and benign) and choroidal neovascularization (CNV) associated with age-related macular degeneration (ARMD).

Abstract: A reduced area-imaging device is provided for use with a miniature hand-held computer referred to in the industry as a PDA. In one configuration of the imaging device, the image sensor is placed remote from the remaining image processing circuitry. In a second configuration, all of the image processing circuitry to include the image sensor is placed in a stacked fashion near the same location. In the first configuration, the entire imaging device can be placed at the distal end of a camera module. In a second configuration, the image sensor is remote from the remaining image processing circuitry wherein available space within the PDA is used to house the remaining circuitry. In any of the configurations, the image sensor may be placed alone on a first circuit board, or timing and control circuits may be included on the first circuit board containing the image sensor.

Abstract: The devices and methods disclosed herein are directed to altering gaseous flow within a lung to improve the expiration cycle of, for instance, an individual having Chronic Obstructive Pulmonary Disease. More particularly, these devices and methods produce and to maintain collateral openings or channels through the airway wall so that expired air is able to pass directly out of the lung tissue to facilitate both the exchange of oxygen ultimately into the blood and/or to decompress hyper-inflated lungs. The devices and methods also disclose locating and selecting a site for creation of a collateral opening.

Abstract: An apparatus and method for performing a myringotomy in a child's ear without the need for anaesthesia. A charge coupled device or television camera is aimed within a micromanipulator housing at a child's ear drum. The housing is retained to the ear, either with a fastener such as an adhesive or in a helmet, so that the housing moves with the movement of the child's head. A video image of the ear drum surface is displayed on a screen from signals transmitted from the camera device. A physician marks on the screen with an electronic pen pointer where the laser beam should be aimed at the ear drum surface. A microprocessor responds to this marking to determine the appropriate coordinates and instructs mirror control motors to rotate a scanning mirror in the path of the laser beam.

Abstract: The configuration and arrangement of the instrument greatly facilitate safe placement of the instrument and an associated endotracheal tube. The instrument includes a handle with an arm extending therefrom. The arm includes a base portion and a distal lifter portion preferably having an angle between 5° and 85°, inclusive, and the lifter is sized and shaped to engage or lift the patient's epiglottis, thereby to expose the glottis. In a preferred embodiment, the base portion and lifter portion are substantially the same length, and a viewing device, which is preferably a CCD or CMOS camera positioned near the transition portion between the base and lifter portions, is aligned to provide a perspective view toward the distal end of the lifter. Lights, which are preferably LED units, are positioned toward the distal end of the lifter to facilitate viewing.

Abstract: A reduced area imaging device is provided for use in medical or dental instruments such as an endoscope. In one configuration of the imaging device, the image sensor is placed remote from the remaining circuitry. In another configuration, all of the circuitry to include the image sensor is placed in a stacked fashion at the same location. In a first embodiment of the invention, the entire imaging device can be placed at the distal tip of an endoscope. In a second embodiment, the image sensor is remote from the remaining circuitry according to the first configuration, and wherein a control box can be provided which communicates with the image sensor and is placed remotely from the endoscope. In yet another embodiment, the imaging device can be incorporated in the housing of a standard medical camera which is adapted for use with traditional rod lens endoscopes.

Abstract: The device comprises a treatment laser and at least two diagnosis lasers of differing wavelengths, wherein a receiving means is allocated to each diagnosis laser. The signal of the receiving means is led to an electronic evaluation and control means. In the distal end section of the endosopic part of the device the light beams of all lasers are guided together.

Abstract: An endoscope optical system is used in an endoscope which can be combined with at least two laser treatment units that produce different wavelengths. At least two filters for removing laser light are provided in the path of the optical system, and are arranged at positions where angles of incidence or emergence of a chief ray are different. In this way, even with the laser treatment units using a plurality of wavelengths, laser light of the plurality of wavelengths can be removed.

Abstract: An endoscope, in particular for applications in urology, has a hollow shaft (10), an optical viewing system (12) which can be inserted in the hollow shaft (10) and has a fiber-optic illumination system, an optical fiber (16) which can be introduced with the optical system (12) into the hollow shaft (10) and connected at its proximal end to an external laser source and is bent at its distal end away from the shaft axis. In order to allow irradiation of tissue lying closely packed around the hollow shaft, an indeformable holding tube (14) which is parallel to the optical system (12) and passes through the hollow shaft (10) is provided; this tube accommodates the optical fiber (16) and its distal end is bent at a fixed angle in relation to the shaft axis and accommodated entirely within the shaft cross-section. A spacer (36) with a radiation window (32) ensures that the tissue to be irradiated cannot lie next to the point (18) at which light emerges from the optical fiber (16).

Abstract: In a myringotomy, a selected amount of tympanic membrane tissues are removed from a patient by the application of laser energy to vaporize the tissues. An endoscope is inserted into the ear canal and used to visually detect and locate the cellular material to be removed The endoscope has a laser guide with a distal tip which extends beyond the distal end of the optical elements of the endoscope, thereby enabling placement, under direct visual observation, of the distal tip of the laser guide in contact with the tympanic membrane. A controlled amount of electromagnetic radiation is transmitted along the laser guide only after contact of the distal tip of the laser guide with the tissues to be removed.