Abstract: An endoscope system includes: an endoscope including an elongated insertion portion provided with a bendable bending portion, the insertion portion being inserted into a duodenum; and a first balloon to a fourth balloon for moving a one-side surface of a distal end portion located nearer to a distal end side than the bending portion in the insertion portion in parallel with respect to a field of view direction S of an objective lens which is a diameter direction of the insertion portion, separately from bending of the bending portion, the one-side surface being located in a circumferential direction along an insertion direction W of the insertion portion and parallel to a central axis P of the insertion portion.

Abstract: An auxiliary tool for colonoscopy is disclosed. The auxiliary tool for colonoscopy includes an anal intubation body and a feces-holding body. The anal intubation body has an aperture surface on one side and an anus cover on the other side, and also has a hollow part having a first diameter formed inside. The anus cover is shaped as a cap having a round curved surface. The feces-holding body has one side coupled to an inner side of the anus cover, has a holding part formed inside, and has a leakage prevention body formed on the other side. The holding part has a second diameter and is connected with the hollow part, and the leakage prevention body is configured to permit passage of an endoscope tube but prevent leakage of fecal matter held in the holding part to the other side.

Abstract: Described herein are various systems and methods for directing endoscopy instruments to varying positions at a target site. In one aspect, at least one instrument channel has multiple exit points at the distal end of the guide tube, and the position of an instrument delivered through the channel may be switched between the different exit points. In another aspect, an instrument channel splits into multiple branches at the distal end of the guide tube, and the position of an instrument at the target site may be changed by selectively directing the instrument into a different channel branch. In yet another aspect, the guide tube, or a portion thereof, may be rotated to reposition an instrument at the target site. The capability of changing the instrument positions during a procedure would enable a physician to examine or treat multiple target sites within an operative field, without necessitating the full retraction of the instruments or the guide tube from the operative field.

Abstract: An optical access apparatus for receiving an endoscope to permit visualization during passage through tissue includes an access member dimensioned for insertion through body tissue. The access member defines a longitudinal axis and has a longitudinal opening for receiving an endoscope. The access member has a closed penetrating end adapted to pass through tissue. The closed penetrating end is transparent to permit visualization of tissue with the endoscope. The optical access apparatus further includes a locking collet coaxially mounted relative to the longitudinal axis of the access member and a manual member mounted adjacent the locking collet and operatively engageable therewith. The locking collet has internal surfaces defining an internal passage to permit passage of the surgical instrument.

Abstract: Methods and apparatus for accessing and treating regions of the body are disclosed herein. Using an endoscopic device having an automatically controllable proximal portion and a selectively steerable distal portion, the device generally may be advanced into the body through an opening. The distal portion is selectively steered to assume a selected curve along a desired path within the body which avoids contact with tissue while the proximal portion is automatically controlled to assume the selected curve of the distal portion. The endoscopic device can then be used for accessing various regions of the body which are typically difficult to access and treat through conventional surgical techniques because the device is unconstrained by “straight-line” requirements. Various applications can include accessing regions of the brain, thoracic cavity, including regions within the heart, peritoneal cavity, etc., which are difficult to reach using conventional surgical procedures.

Abstract: A rigidizable linkage mechanism comprises a plurality of serially arranged links comprising a distal link and a link proximal to the distal link. The rigidizable linkage mechanism further comprises a cable that extends in a distal direction through the plurality of serially arranged links, extends around the distal link of the plurality of links, and in a proximal direction back through at least a portion of the plurality of links. A distal end of the cable is fixedly coupled to the link proximal to the distal link, and a proximal end of the cable is coupled to a rigidizing actuator.

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: A flexible endoscope for extending between an incision and a surgical site, the flexible endoscope including an endoscopic cylinder received by an outer flexible sleeve, the endoscopic cylinder including an outer contact surface received by the flexible sleeve with a helical thread, a flanged structure associated with the flexible sleeve and corresponding to a proximate handle end of said endoscopic cylinder, and a directional guide angularly extending from said outer surface and tapered.

Abstract: A body cavity access tube assembly includes a body cavity access tube having an external surface. A collapsible protective sleeve is positioned over the external surface and has a proximal end attached to the body cavity access tube and a distal end attached to a repositioning device The repositioning device is supported on the external surface of the body cavity access tube and has a released configuration wherein the repositioning device and the distal end of the collapsible protective sleeve are movable relative to a longitudinal axis of the body cavity access tube. The repositioning device also has an engaged configuration wherein the repositioning device and the distal end of the collapsible protective sleeve have a fixed position relative to the longitudinal axis of the body cavity access tube.

Abstract: An airway manifold includes a manifold body having an upper body portion and a lower body portion. The body portions are engaged such that the upper body portion is rotatable relative to the lower body portion, whereby a generally hollow interior space is defined. The lower body portion has a port open to the interior space, and the upper body portion includes a plurality of ports open to the interior space. A first upper body port is axially alignable with the lower body port to define a substantially linear passageway therebetween when the upper body portion is at a first rotatable position relative to the lower body portion. A second upper body port is axially alignable with the lower body port to define a substantially linear passageway therebetween when the upper body portion is at a second rotatable position.

Abstract: An apparatus for accessing a bodily passageway includes: an endoscope including an insertion portion configured to inserted into the bodily passageway; a drive tube including a lumen configured to receive the endoscope; a helically-wound thread disposed on an outer wall of the drive tube and configured such that rotation of the drive tube causes the drive tube with the endoscope to move along the passageway; a flexible drive shaft configured to transfer rotary motion generated by a power supply; and a rotatable drive collar disposed on the endoscope and configured to rotate the drive tube relative to the endoscope, the rotatable drive collar including a stator, a rotor rotatable over the stator and detachably coupled to the drive tube, a rotary gear configured to transfer the rotary motion from the flexible drive shaft to the rotor to rotate the drive tube, and a watertight seal disposed between the stator and the rotor.

Abstract: A propulsion apparatus for an endoscope includes a propulsion assembly for mounting on a tip device of the endoscope, for propulsion in a body cavity. First and second wire devices are disposed to extend from the tip device in a proximal direction, having a coil winding, for rotating to drive the propulsion assembly. First and second motors are connected with proximal ends of respectively the first and second wire devices, for rotating the first and second wire devices. A timer is actuated if a speed difference between rotational speeds of the first and second motors becomes equal to or more than a reference speed value, for measuring an elapsed time. A break detector detects breakage of the first wire device if the elapsed time becomes equal to or longer than a predetermined time. A controller controls the first and second motors in response to an output of the break detector.

Abstract: A selectively positionable camera assembly for use in connection with a guide tube assembly that has a guide tube handle portion and at least one guide tube protruding therefrom. In various embodiments, the camera includes an elongated flexible camera portion that is sized to operably extend through at least one of the guide tubes of the guide tube assembly. A camera handle is operably coupled to the elongated flexible camera portion such that the handle is movably supported by at least a portion of the guide tube handle portion. At least one retainer is provided on the guide tube handle and/or the camera handle for releasably retaining the camera handle in any one of a plurality of orientations relative to the portion of the guide tube handle.

Abstract: An intraductal insertion device includes a thrust generating section installed at an insertion portion. The thrust generating section is made up of a flexible shaft adapted to rotate clockwise or counterclockwise around a shaft axis. The thrust generating section is configured by winding the shaft axis of the flexible shaft around an axis of the insertion portion in an insertion direction.

Abstract: A guide tube includes a tube; a ciliary portion composed of many cilia inclined in a longitudinal direction of the tube, provided in an outer peripheral portion of the tube; and a bag as a press mechanism for pressing an insertion portion of an endoscope inserted inside the tube.

Abstract: An endoscope main body constituting an endoscope in a state in which an elongated detachable observation optical system is attached to the endoscope main body, and in a proximal end of an insertion section of the endoscope main body, a branch member is disposed. The branch member is provided so that a first extended section and a second extended section are branched from each other and thereby first and second operating sections are separately arranged. Furthermore, the branch member has an opening as an inlet which guides an imaging module in a distal end of the observation optical system to a hard portion of the insertion section.

Abstract: An endoscope including a control section; and a shaft extending from the control section. The shaft includes a malleable section and a distal active deflection section. The shaft includes a frame and at least one active deflection control wire extending through the malleable section between the control section and the distal active deflection section. The frame includes a malleable frame member at the malleable section. The malleable frame member connects a frame member of the frame at the distal active deflection section to the control section.

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: An overtube for use with an endoscopic surgical instrument. In various embodiments, the overtube may comprise a hollow tubular member that has an implantable tip detachably affixed to a distal end thereof. The implantable tip may have at least one retention member formed thereon to retain the tip within an organ wall. The implantable tip may further have a lumen extending therethrough to form a passageway through the organ wall. A plug member may be provided to selectively seal off the lumen within the implantable tip.

Abstract: If an instruction indicating advance is input, first and second motors are driven to rotate first and second torque wires. A rotary body is circulated by the rotation of the first and second torque wires, and a propelling unit advances. The first and second TGs detect the rotating speeds of the first and second torque wires. If disconnection of the first torque wire is detected by a disconnection detecting section, a motor control section stops driving of the first motor coupled to the disconnected first torque wire, and rotates the second motor coupled to the second torque wire that is not disconnected at a low speed to rotate the second torque wire at a low speed. Through the low-speed rotation of the second torque wire, the propelling unit advances at a low speed or retreats at a low speed.

Abstract: A medical plasma generator and its application are provided. In the medical plasma generator, a gas supply tube supplies a gas required for the generation of plasma. An internal electrode in a tube shape has a joined part joined to the end of the gas supply tube, and an extended part extended from the joined part. The extended part has a smaller diameter than the joined part, thereby allowing the gas to jet out with an increased speed when the gas passes through the internal electrode. A high voltage is applied to the internal electrode. A glass tube encloses the extended part of the internal electrode and protruding from the internal electrode. A ground electrode is formed on an outer surface of a protruding part of the glass tube. Interaction between the ground electrode and the internal electrode leads to ionization and discharge of the gas passing through the internal electrode, thereby generating plasma. A tubular cover covers the glass tube and is extended beyond the glass tube.

Abstract: Provided is a surgical apparatus for transanal endoscopic microsurgery (TEM) in which a thin and long endoscope and surgical instruments are inserted through a natural orifice of a human body and the endoscope and surgical instruments are conveyed to the operation area in the body to perform the operation area in the body. According to the surgical apparatus for TEM, a rotation function is added to a barrel of the surgical apparatus for TEM to enable manual rotation of the barrel to a required extent and adjustment of an operation area, without separation of the surgical apparatus for TEM from a fixing frame during an operation. In addition, since the endoscope is disposed outside the barrel, it is possible to reduce the outer diameter of the barrel and uniformly maintain a visual direction of the endoscope even when the barrel is rotated. Further, since the rotation function is added to both the barrel and the surgical instrument insertion hole, more convenient operation is possible.

Abstract: A medical procedure and a system are provided so that two visions are obtainable through natural orifices by means of two observational apparatuses, or one the two visions is selectable. The medical procedure through a natural orifice comprises: forming an orifice in a hollow organ by using a device inserted into the hollow organ from a natural orifice of a patient; introducing a first observation device from said orifice formed in said hollow organ into an abdominal cavity; introducing a second observation device from said orifice formed in said hollow organ into the abdominal cavity; arranging said second observation device in a position different from that of said first observation device; simultaneously or selectively displaying an image obtained from said first observation device and an image obtained from said second observation device; and performing a desired procedure in the abdominal cavity while confirming the images.

Abstract: An apparatus for accessing a bodily passageway includes: an endoscope including an insertion portion configured to inserted into the bodily passageway; a drive tube including a lumen configured to receive the endoscope; a helically-wound thread disposed on an outer wall of the drive tube and configured such that rotation of the drive tube causes the drive tube with the endoscope to move along the passageway; a flexible drive shaft configured to transfer rotary motion generated by a power supply; and a rotatable drive collar disposed on the endoscope and configured to rotate the drive tube relative to the endoscope, the rotatable drive collar including a stator, a rotor rotatable over the stator and detachably coupled to the drive tube, a rotary gear configured to transfer the rotary motion from the flexible drive shaft to the rotor to rotate the drive tube, and a watertight seal disposed between the stator and the rotor.

Abstract: An insertion and extraction assisting device of an endoscope has a promotion unit attached on the front end side of the endoscope and a transmission section whose one end is connected to a promotion unit, and the other end is drawn along the endoscope, and an outside unit. The other end of the transmission section is connected to the outside unit, and rotational force or a turn signal from the outside unit is transmitted to the promotion unit, so that driving force is generated by the promotion unit. When the other end of the transmission section is connected to, the outside unit reads an ID code expressing a kind of the promotion unit and controls the rotational force or the turn signal to send to the promotion unit.

Abstract: An endoscopy instrument guider port includes a main body member where at least one surgical instrument entrance part is disposed at an upper surface, a protective tube extending downwards from the main body member, a retaining ring body fixed to a lower end portion of the protective tube, the retaining ring body being freely deformed and restored, and a control ring body disposed at a predetermined position along a length direction of the protective tube to be coiled around the protective tube through a folding motion and control a length of the protective tube. According to the present invention, the control ring body disposed at the protective tube facilitates length adjustment and traction generation of the protective tube, appropriate handling of surgical situations is possible because an upper body may be turned and separated, and surgical delays may be prevented while endoscopy operations may be made easier.

Abstract: A propulsion assembly for an endoscope includes a support sleeve and a barrel unit. An endless track device is disposed to extend along inner and outer surfaces of the barrel unit, for endlessly moving in an axial direction of an elongated tube of the endoscope, and contacting a wall of a body cavity, for propulsion of the elongated tube. Worm wheels are disposed on the support sleeve, for driving the endless track device by engagement therewith. Plural idler rollers are disposed on the inner surface of the barrel unit in a rotatable manner, for keeping the endless track device movable in driving of the worm wheels. An guide projection is formed on the endless track device. A guide groove is formed in the barrel unit, for receiving the guide projection, to guide the endless track device on the barrel unit in the axial direction.

Abstract: The present invention is an endoscope system comprising an endoscope provided with a distal end inserted into a subject body and a proximal end having a site capable of being held by a physician and provided with an endoscope insertion unit having a first flexible portion arranged on the distal end thereof and a second flexible portion coupled to the proximal end of the first flexible portion and provided with a site having an outer diameter larger than a site having the maximum outer diameter of the first flexible portion; and an endoscope insertion assisting device, in which the inner diameter of a distal opening of an insertion hole through which the endoscope insertion unit is inserted is substantially equal to the outer diameter of the second flexible portion.

Abstract: A clean and inexpensive medical manipulator device can be provided in which a risk of failure caused by current leakage or disconnection is eliminated and reliability is higher than in a manipulator device using an electrically driven actuator or electric motor. The medical manipulator device includes a stage section 3 that can hold a medical instrument 2; a plurality of actuators 4 each linked at one end to the stage section 3; and a base section 5 linked to the other end of each of the plurality of actuators 4 and serving as a base for the plurality of actuators 4, wherein each of the actuators 4 causes the medical instrument 2 and the stage section 3 to displace with respect to the base section 5 by extending or contracting in the longitudinal direction of the actuator 4 in response to a pressure of a liquid 6.

Abstract: A system and method are described for determining candidate fiducial marker locations in the vicinity of a lesion. Imaging information and data are input or received by the system and candidate marker locations are calculated and displayed to the physician. Additionally, interactive feedback may be provided to the physician for manually selected or identified sites. The physician may thus receive automatic real time feedback for a candidate fiducial marker location and adjust or accept a constellation of fiducial marker locations. 3D renderings of the airway tree, lesion, and marker constellations may be displayed.

Abstract: A system and method for guiding a capsule medical device. The method includes: changing, by a control unit, a gradient distribution of a gradient magnetic field generated by a magnetic field generator in a vertical direction, the magnetic field generator generating at least the gradient magnetic field in the vertical direction to guide a capsule medical device that includes a magnetic-field responding unit; detecting, by a position detector, a position of the capsule medical device in the vertical direction based on a gradient distribution of the gradient magnetic field generated by the magnetic field generator, a physical parameter of the capsule medical device, and a physical parameter of a liquid when the capsule medical device starts to move; and setting, by the control unit, the magnetic field generated by the magnetic field generator based on the detected position of the capsule medical device in the vertical direction.

Abstract: A system for minimizing leakage of fluid distending media by the sides of the endoscopic instrument in endoscopic procedures such as arthroscopy, hysteroscopy or laparoscopy. A double-wall flexible tubular sheath having walls containing pressurized fluid is mounted over an endoscopic instrument. The double-wall flexible tubular sheath moves in and out of a natural opening of a tissue cavity or through an incision made in the cavity wall.

Abstract: A propulsion assembly for an endoscope includes a support sleeve and an endless track device. A clamping sleeve is contained in the support sleeve. Male and female threads cooperate for moving the clamping sleeve between operative and non-operative states upon rotation of the clamping sleeve. The operative state is on a side of a proximal direction from the non-operative state along a central axis. A sealing device is contained in the support sleeve, has a C-shape in a resiliently deformable manner, is disposed around the endoscope and between the clamping sleeve and a receiving surface. The sealing device is pushed by the clamping sleeve when the clamping sleeve is in the operative state, for squeezing the endoscope by radially compressing thereabout, and released from push of the clamping sleeve when the clamping sleeve is in the non-operative state, for releasing the endoscope by radially returning to expand thereabout.

Abstract: A propulsion assembly includes a support sleeve for mounting on a tip device of an endoscope. An endless track device is supported on the support sleeve in an endlessly movable manner, for contacting a wall of a body cavity, for propulsion of the tip device relative to the body cavity. A drive sleeve drives the endless track device. First and second torque wire devices have proximal and distal end portions, the proximal end portion being rotated by a motor, the distal end portion actuating the drive sleeve. Plural helical windings of a first group constitute the first wire device, and are so wound as to increase tightness thereof upon moving the endoscope in a distal direction. Plural helical windings of a second group constitute the second wire device, and are so wound as to increase tightness thereof upon moving the endoscope in a proximal direction.

Abstract: The exemplary embodiments illustrated provide the discovery of systems, methods, and apparatuses of endoscope stabilization devices for use with, for example, slim scopes, so as to provide, for example, a flexible outer structure capable of bending and holding a fixed position so as to provide, for example, support to make cannulation with a slim scope and target anatomy easier and more efficient.

Abstract: A controllable sheath for optimizing the control of surgical instruments at the operation site includes a flexible sheath surrounding an endoscope and including a lumen extending along the walls of the sheath and adjacent to the endoscope. The lumen permits the passage of surgical instruments from the proximal end of the endoscopic device to the operation site. The lumen extends beyond the distal end of the endoscope and deflects at the distal end as desired by the operator's manipulation of a controller device. This distal end deflection may occur through various different techniques where the ability to deflect the lumen gives the operator increased control and maneuverability over the surgical implements located in the lumen. Depending upon the particular requirements of the surgical procedure, the controllable sheath may include any number of lumens capable of distal end deflection.

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 locating morphological features within a body cavity using a catheter including proximal and distal ends, a transparent balloon carried on the distal end, and an optical imaging assembly carried on the distal end for imaging through the balloon. The balloon includes a channel extending therethrough to a lumen extending through the catheter. A guidewire or other localization member is received in the lumen that is extendable through the channel. During use, the catheter is inserted into a right atrium of a heart, and the balloon is expanded and placed against the wall of the heart to locate the coronary sinus. Sufficient force is applied to clear blood between the surface and the wall and clear the field of view of the imaging assembly. The catheter is manipulated to locate the coronary sinus, whereupon the localization member is advanced into the coronary sinus.

Abstract: Laparoscopic instruments and cannulas are provided for performing laparoscopic procedures entirely through the umbilicus. Generally S-shaped laparoscopic instruments placed through the C-shaped trocar sleeves or through the cannula and instrument holder unit provide markedly improved degrees of instruments' freedom during trans-umbilical laparoscopic procedures.

Abstract: An anchored working channel includes an elongated shaft with a proximal end and a distal end, and at least one inflatable balloon positioned at the distal end of the elongated shaft and having an outer wall having an outer surface for contacting surrounding tissue, wherein the elongated shaft has a first lumen through which fluid is supplied to inflate the at least one inflatable balloon such that the balloon anchors the shaft to surrounding tissue, wherein the elongated shaft has a second lumen that accommodates at least one medical instrument and/or device inserted therein, and wherein the outer surface of the at least one inflatable balloon comprises a textured surface for preventing slippage of the outer surface on surrounding tissue.

Abstract: Apparatus for use in a body lumen is provided including an introducer tube configured to be advanced into a gastrointestinal tract of a subject. A guide member is coupled to a distal end of the introducer tube and is configured to be mounted in a vicinity of a valve of the subject. The apparatus also includes a capsule removably coupled to a distal portion of the introducer tube, and configured to be decoupled from the introducer tube and propelled through a small intestine of the subject once the guide member has been mounted in the vicinity of the valve. The apparatus also includes a gas supply configured to propel the capsule distally through the small intestine by generating positive gas pressure proximal to the capsule. Other embodiments are also described.

Abstract: A trocar assembly is presented herein. The trocar assembly can have a hollow elongate member having a first end and a second end. The first end of the hollow elongate member can be open. The first end also can allows an implement to be inserted. The trocar assembly also includes a jaw hingedly coupled to the second end of the hollow elongate member.

Abstract: An attachment unit includes a tube main body extended along a longitudinal axis in a state that a gap is provided between itself and an outer peripheral portion of an insertion section or a member on the outer peripheral portion of the insertion section, and a tube proximal end portion, provided to a proximal direction side of the tube main body, to which a proximal end of the attachment unit is placed. The tube proximal end portion includes a proximal side gap reducing portion eliminating or reducing the gap as compared with a part to an inner peripheral direction side of the tube main body between itself and the outer peripheral portion of the insertion section or the member, and is placed to a distal direction side of an insertion opening in a use situation.

Abstract: An endoscope includes an attachment unit detachably attached to an outer peripheral direction side of an insertion section to be rotatable about a longitudinal axis with respect to an insertion main body, and including a gear portion formed over an all-round inner peripheral portion of the attachment unit, a rotary gear meshing with the gear portion to allow the attachment unit to be attached to the insertion section, and a base portion defining a gear arrangement portion where the rotary gear is arranged on an outer peripheral portion of the insertion section. In the endoscope, a channel, extended through an inside of an operation section and an inside of the insertion section from an outer surface of the operation section and opened to an outside of the insertion section in the gear arrangement portion, is defined.

Abstract: Described herein are various systems and methods for directing endoscopy instruments to varying positions at a target site. In one aspect, at least one instrument channel has multiple exit points at the distal end of the guide tube, and the position of an instrument delivered through the channel may be switched between the different exit points. In another aspect, an instrument channel splits into multiple branches at the distal end of the guide tube, and the position of an instrument at the target site may be changed by selectively directing the instrument into a different channel branch. In yet another aspect, the guide tube, or a portion thereof, may be rotated to reposition an instrument at the target site. The capability of changing the instrument positions during a procedure would enable a physician to examine or treat multiple target sites within an operative field, without necessitating the full retraction of the instruments or the guide tube from the operative field.

Abstract: An attachment unit rotates in directions around a longitudinal axis with respect to an insertion main body when rotary drive force is transmitted from a drive force transmission unit provided to an insertion section, and allows propulsive force in one of directions parallel to the longitudinal axis to act on the insertion section by rotating in contact with a paries. The attachment unit includes a fin portion which is spirally extended along the longitudinal axis and whose dimension from the longitudinal axis to an outer peripheral end vary in accordance with how external force different from the propulsive force acts in the directions parallel to the longitudinal axis in a state that the attachment unit does not rotate with respect to the insertion main body.

Abstract: A magnetically guiding system includes: a capsule medical device that has a magnet provided therein; an information acquiring unit that acquires physical information about magnetic guiding of the capsule medical device; a magnetic field generating unit that generates a magnetic field for magnetically guiding the capsule medical device; and a control unit that sets a magnetic field condition based on the physical information acquired by the information acquiring unit and controls the magnetic field generating unit to generate a magnetic field corresponding to the magnetic field condition.

Abstract: There is provided an endoscopic system. The system comprises a flexible endoscope insertable into a first tubular organ from a natural opening of a human body. The system further comprises an opening member which forms on a wall part of the first tubular organ an opening used to insert the endoscope into an abdominal cavity from the first tubular organ in the body, an anastomosing member which is able to anastomoses the first tubular organ with a second tubular organ in the abdominal cavity, and a cutting member with which the second tubular organ is able to be cut.

Abstract: The present invention relates to a cover having a plurality of moveable, external, angled projecting elements for use with flexible medical scoping devices such as endoscopesor enteroscopes. The invention includes the cover with an over cuff and use of the disposable removable covering in methods of medical scoping procedures or examinations. The invention also includes an applicator for assisting in placing the covering about or over a medical device and a kit of parts.

Abstract: A medical robotic system includes an entry guide with articulatable instruments extending out of its distal end, an entry guide manipulator providing controllable four degrees-of-freedom movement of the entry guide, and a controller configured to limit joint velocities in the entry guide manipulator so as to prevent movement of tips of the articulatable instruments from exceeding a maximum allowable linear velocity when the entry guide manipulator is being used to move the entry guide.