Abstract: Systems, methods and devices for performing water aided endoscopy (WAE) are provided herein. The systems include a plurality of devices designed to create a sealed environment within the body cavity, including a multi-functional plug, valves, balloons and pumps. The systems also provide specialized tools configured for operation within a liquid environment which are designed to interface with the multi-functional seal for insertion into the body cavity while maintaining the seal, including an adjustable constant shape snare. Additional features of the systems and methods include specialized fluids for increasing visibility with the body cavity, dyes and other solutions for image-enhancement and diagnostics, and software for increasing the clarity of the image in real-time.

Abstract: A bending operation device includes a bending lever that is tiltably supported with an angle to a longitudinal direction of an operation section of an endoscope, a wire pulling member that includes a plurality of arm portions that are displaced according to tilting motion of the bending lever, a plurality of operation wires that are connected to the plurality of arm portions and that bend a bending portion provided in an insertion section of the endoscope according to displacement of the wire pulling member, and a plurality of pulleys that guide the plurality of operation wires to the plurality of arm portions, with the plurality of operation wires being substantially parallel to one another, when the bending lever is in a neutral position at which the bending portion is substantially straight.

Abstract: A dilation system includes a handle, a guide member, a balloon dilation member, an actuator, and an endoscope. The handle is configured to provide single-handed use to a user. The guide member is coupled with a distal end of the handle and extends distally therefrom. The balloon dilation member is slidably disposed within the body and the guide member and includes an expandable balloon. The actuator is configured to translate and/or rotate to thereby cause translation and/or rotation of the balloon dilation member. The handle may include a guide member actuator configured to cause translation of the guide member. The handle may further include a rotation mechanism configured to impart rotation upon the guide member. The handle may also include a housing configured to receive and selectively retain the endoscope. The housing is configured to translate and/or rotate to thereby cause translation and/or rotation of the endoscope.

Abstract: An orthopedic surgical instrument for use in knee surgeries includes an elongated body, a pair of output shafts, and a user control. A first output shaft extends out from a first side of the body along a first output axis substantially perpendicular to a longitudinal axis of the elongated body. A second output shaft also extends out from the first side of the elongated body along a second output axis substantially perpendicular to the longitudinal axis of the elongated body. The user control is coupled to the elongated body near a first end and the first and second output shafts are situated near the second end of the elongated body. Each of the first output shaft and the second output shaft are configured to turn independent of one another in response to operation of the user control. Various joint distractors for use with the orthopaedic surgical instrument are also disclosed.

Abstract: Apparatus comprising a sleeve adapted to be slid over the exterior of an endoscope, the sleeve having a distal end and a proximal end; an aft balloon secured to the sleeve; a fore balloon movably mounted to the sleeve so that the fore balloon may be advanced relative to the sleeve; and a locking assembly for releasably securing the distal end of the sleeve to the endoscope.

Abstract: A medical device control handle or catheter includes deflection assembly and at least one of the following: a disk actuator, a lever actuator and a ring actuator for actuating additional puller wires in manipulation of multiple features of the medical device or catheter independently of each other. The disk actuator has a common rotational axis with but is rotationally independent of the deflection assembly. The lever actuator has a separate rotational axis. The ring is mounted outside of the control handle and rotatable relative to the control handle to actuate another puller wire for manipulating another feature of the catheter. Each of the disk, lever and ring actuators are of a design that allows existing control handles and catheters to be readily modified to include these actuators.

Abstract: An instrument (1) for use in measuring blood flow in the femoral head after a femoral neck fracture comprises a sleeve (2) and a rod (3) which is displaceably mounted in the sleeve. The sleeve (2) is configured for insertion into a bore (4) in the femoral neck (5) and femoral head (6) and provided with at least one aperture (8) at a front portion (2a) thereof. The aperture (8) in the front portion (2a) of the sleeve (2) is intended for location in the femoral head (6) distally of the fracture (7) after the sleeve has been inserted into said bore (4). The rod (3) is configured for closing the aperture (8) in the sleeve (2) during insertion of the sleeve into the bore (4) in the femoral neck (5) and femoral head (6) and for exposing said aperture after said insertion. Thereby, blood leaking into the bore (4) at the front portion (2a) of the sleeve (2) can be collected by the sleeve through the aperture (8) therein for subsequent measuring of the volume of the collected blood.

Abstract: A surgical device for temporary protection of an anastomosis in the colon, the rectum, or the anal passage, including: a semi-rigid hollow longitudinal temporary anchor element, a first wall of which includes a substantially cylindrical main portion with a substantially circular section having a length of at least 50 mm, the first wall having an outside diameter that may be varied in a controlled manner; and a flexible sheath fixed to the anchor element against, preferably around, the first wall and having a length downstream of the anchor element of at least 50 cm, and an outside diameter when at rest in the range 20 mm to 40 mm, and the sheath is made from a biocompatible elastomer material having a wall thickness in the range 0.05 mm to 1 mm.

Abstract: An endoscopic surgical device and an overtube that allows the state of a distal end of a treatment tool to be easily checked while reducing the diameter of the overtube and can improve surgical efficiency. An endoscope insertion part of an endoscope and a treatment tool insertion part of a treatment tool are insertable through an overtube inserted into a body wall, and a slider is provided for moving the endoscope insertion part and the treatment tool insertion part forward and backward in an interlocking manner. A guide part that guides the endoscope insertion part in a direction away from a distal end of the treatment tool insertion part is provided in the vicinity of an endoscope delivery port in a distal end cap at the distal end of the overtube, and the endoscope insertion part is delivered in an oblique direction from the endoscope delivery port.

Abstract: An endoscopic probe which advances within a lumen having a central valve unit. The valve unit has a central bore defining a proximal end and a distal end, and at least one valve for controlling the introduction and withdrawal of fluid into the central bore. The probe further includes a sliding tubular sheath movably disposed inside the central valve unit, and a flexible sleeve, impermeable to the fluid and sealingly anchored to the central valve unit on both distal proximal ends. The sleeve is folded over to cover both the inside and outside of the sheath to sealingly envelop the sheath and contain the fluid, together with said valve unit, while allowing sliding of the sheath. A method for providing, assembling and operating the probe is also provided.

Abstract: The endoscope system includes an endoscope including an imaging unit that is capable of taking an image of a subject of interest, a display unit for displaying an image taken by the imaging unit, an endoscopic position sensor for detecting a position of the endoscope in the body cavity, a distance measurement unit for measuring a distance from a distal end of the endoscope to the subject of interest, a position calculation unit for computing the positions of the distal end of the endoscope and the subject of interest on the basis of information from the endoscopic position sensor and the distance measurement unit, a position storage unit for storing a position of the subject of interest computed by the position calculation unit, and a direction indication unit for indicating a direction in which the subject of interest is present on the display unit.

Abstract: The present invention relates to a fully integrated sterilizable one time use disposable tissue visualization device and methods for using such devices. Preferred embodiments of the invention facilitate the visualization of an internal tissue site while causing a minimum of damage to the surrounding tissue. Further preferred embodiments may allow for the delivery of fluids and other treatment to an internal tissue site.

Abstract: Disclosed are balloon catheters for forming liquid cast biodegradable arterial stents, typically, the balloon catheters include multiple balloons and multiple ports and include an element for promoting or initiating curing of a polymer solution via polymerization or cross-linking.

Abstract: The present disclosure relates to an endoscopy system. The endoscope system includes: a first light source unit which is installed on a substrate; a second light source unit which is installed on the substrate and which emits light when the first light source unit does not emit light; an optical unit through which the light of the first light source unit or the second light source unit passes; a light guide unit which induces the light which passed through the optical unit to the inside of a target object; an image sensing unit which senses the light reflected and reached from the target object and which converts the sensed light into an image signal; and an image signal processing unit which processes the image signal to display on a display unit.

Abstract: A surgical system includes one or more arms defining a passageway therethrough. The arm includes a proximal portion configured for positioning externally of a patient's body and a distal portion configured for positioning within an internal body cavity. The distal portion includes first and second articulatable segments spaced apart from one another and capable of independent articulation between a substantially straight configuration and an articulated configuration. A first articulation assembly is coupled to the proximal portion of the one arm and is transitionable between a first state and a second state for articulating the first articulatable segment between the substantially straight configuration and the articulated configuration. A second articulation assembly is coupled to the proximal portion of the arm and is configured to move between a plurality of positions for articulating the second articulatable segment between the substantially straight configuration and the articulated configuration.

Abstract: A medical device and method for the treatment of a sinus opening includes a handle, a guide catheter, a guide wire, a balloon catheter, a guide wire movement mechanism and a balloon catheter movement mechanism. The handle has proximal and distal ends and a longitudinal axis along the length of the handle. The guide catheter is attached to the distal end of the handle and has a catheter lumen. The guide wire and balloon catheter are both disposed at least partially in the handle and catheter lumen. The guide wire movement mechanism and the balloon catheter movement mechanism are both operatively disposed on the handle. In addition, the guide wire movement mechanism is configured for advancement and retraction of the guide wire through the handle and catheter lumen by user operation of the guide wire movement mechanism.

Abstract: An object of the present invention is to provide an endoscopic surgery device and an outer tube, capable of easily obtaining an image desired by an operator to facilitate treatment as well as of performing minimally invasive surgery. In the endoscopic surgery device and the outer tube, an endoscope and a treatment tool are inserted into a body cavity through an outer tube. The outer tube is provided with a built-in slider. The slider is provided so as to be axially movable in the outer tube body. The endoscope and the treatment tool, inserted into the outer tube, are held by the slider. Moving the treatment tool allows endoscope to be moved in conjunction with the movement of the treatment tool.

Abstract: Joint coupling links of robot arm to each other includes: plurality of plate-shaped segments lined up in plate thickness direction; and operating wires extending through plurality of segments in plate thickness direction. Groove extending in second direction and having partially circular cross section is provided at first-direction middle portion of main surface out of two main surfaces of adjacent segments, two main surfaces facing each other in plate thickness direction. Projection extending in second direction and having partially circular cross section is provided at first-direction middle portion of main surface. Curvature of projection is larger than curvature of groove. Projection is fitted in groove, and bottom portion of groove and top portion of projection contact each other. Dimension of projection in plate thickness direction is larger than dimension of groove in plate thickness direction and smaller than length of line connecting bottom portion of groove and edge portion of groove.

Abstract: An ultrasonic device having a tri-axial configuration including an ultrasound transmission member, a dilator, and a sheath is disclosed. The ultrasound device may be used in a procedure to treat an occluded blood vessel. The ultrasound transmission member can transmit ultrasonic energy from an ultrasonic transmission member into the subintimal space of a blood vessel. The sheath may articulate to aid in the process of re-entering the central lumen of the blood vessel.

Abstract: An insertion apparatus includes an insertion section, a motor that rotates a rotational housing, a drive control unit that supplies a driving current to the motor to control driving of the motor, a temperature detector provided in the rotational housing, that detects a temperature of the rotational housing, a temperature measurement unit that measures a temperature in a vicinity of the rotational housing based on a detection result obtained from the temperature detector, a heating element used for heating, and a heating control unit that controls the heating element to perform heating when a measurement result of the temperature measurement unit is lower than a predetermined temperature.

Abstract: An insertion instrument includes a rotating member rotatable around a rotation axis, and adjacent portions adjacently provided on both sides of the rotating member in the direction along the rotation axis. The insertion instrument includes a cover tube forming a part of an outer surface of an insertion section and provided in an elastic deformation state so as to apply elastic force toward an inner peripheral side of the insertion section. A position of the rotating member in the direction along the rotation axis is adjusted by the elastic force, whereby a state where both ends of the rotating member in the direction along the rotation axis are located apart from the adjacent portions is maintained.

Abstract: The invention relates to an endoscope (1), comprising an endoscope tube (3) fastened to a main body (2). According to the invention a connection piece (4), to which a cannula end (6) of a cannula (7) that can be placed onto the endoscope tube (3) can be fastened, is arranged on the endoscope tube (3) in such a way that the connection piece is axially movable between a first position and a second position, wherein a shaped element (8) of the main body (2) and a counter-shaped element (9) of the connection piece (4) form a rotation-prevention mechanism in the first position and enable a rotational motion of the connection piece (4) about a longitudinal axis of the endoscope tube (3) in the second position.

Abstract: An insertion part of an endoscope and an insertion part of a treatment tool, which are inserted in an outer tube, can be synchronously moved in the axial direction, and, even when the insertion part of the treatment tool is slightly moved in the axial direction, an excellent endoscopic image without shake is obtained. When a treatment tool of an endoscopic surgery device moves by a displacement amount over an allowance amount, an endoscope moves in interlock with the movement of the treatment tool. Moreover, the treatment tool 50 moves in the axial direction with the allowance amount t with respect to the endoscope 10. Therefore, when the treatment tool is moved by a displacement amount of allowance amount or less, the endoscope does not move. By providing such allowance amount, slight movement of the treatment tool is not transmitted to the endoscope.

Abstract: A steering mechanism may comprise an actuation system for one-fingered operation by a user, the system configured to move at least a distal portion of the medical device such that 360 degree articulation is achievable, and a housing coupled to the system, the housing having proximal and distal ends. The system may comprise a first lever rotatable about a first axis, the first lever coupled to a first cam and configured to move the first cam from a first position to a second position when rotated about the first axis to deflect the distal portion; and a second lever rotatable about a second axis, the second lever coupled to a second cam and configured to move the second cam from a first position to a second position when rotated about the second axis to deflect the distal portion, wherein the first lever is coupled to the second lever.

Abstract: An insertion portion mounted tool of an insertion instrument includes: an expansion and retraction section provided on an outer circumferential side of an insertion portion so as to be movable forward and backward in a longitudinal direction, and configured to be expanded in the subject by an operation from outside of the subject to thereby be held by an inner wall of the subject; a positioning portion that defines a range in which the expansion and retraction section is movable forward and backward in the longitudinal direction with respect to the insertion portion; and a rotational movement restriction portion that restricts an angle in which the expansion and retraction section is rotationally moved in an outer circumferential direction on an outer circumference of the insertion portion.

Abstract: Methods for using a surgical device integrating a suction mechanism with a coagulation mechanism for improving lesion creation capabilities. The device comprises an elongate member having an insulative covering attached about means for coagulating soft tissue. Openings through the covering expose regions of the coagulation-causing elements and are coupled to lumens in the elongate member which are routed to a vacuum source and a fluid source to passively transport fluid along the contacted soft tissue surface in order to push the maximum temperature deeper into tissue.

Abstract: An endovascular device monitoring system is provided that determines, based on movement of the endovascular device past a selected reference location, at least one of a movement rate of a endovascular device and position of a distal end of a endovascular device in a body of a patient.

Abstract: The insertion device includes an insertion portion that is inserted into a lumen, a fixing portion that is provided at an insertion part of the insertion portion to be inserted into the lumen, and fixes the insertion portion at a first position inside of the lumen, and a positioning portion that is attached to a part of the insertion portion exposed to the external of the lumen and provided in the outer part of the lumen. The positioning portion positions the insertion portion at a second position outside of the lumen.

Abstract: Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.

Abstract: A device for producing a pneumoperitoneum in a medical procedure includes a main body having a ring portion defining a main opening, and a domed portion extending from the ring portion to an apex. The ring portion is adapted to form a positive seal with the skin of the patient upon application of a suction force within the main body abutting the patient. The device includes a suction port extending from the domed portion of the main body and is configured to facilitate application of the suction within the main body. The access port is operably engaged with the domed portion of the main body proximate to the apex and is adapted to receive a surgical instrument therethrough. A pair of opposed grips operably engaged with the domed portion of the main body is adapted to facilitate one-handed application and removal of the main body with respect to the patient.

Abstract: A cannula with a proximally mounted camera provides visualization of the brain during minimally invasive surgery. The device comprises a cannula with a camera mounted on the proximal end of the cannula with a view into the cannula lumen and the surgical field below the lumen. A prism, reflector or other suitable optical element is oriented between the camera and the lumen of the cannula to afford the camera a view into the cannula while minimizing obstruction of the lumen.

Abstract: An insertion device includes a support member supporting a rotating tubular member between a base member and the rotating tubular member in diametrical directions and holding the rotating tubular member at a position where a rotation driving force is transmittable from a driving unit to an inner peripheral portion of the rotating tubular member connected to the driving unit. The insertion device includes a distal side ring member maintaining liquid-tightness between an outer peripheral portion of the base member and the inner peripheral portion of the rotating tubular member to a distal direction side of the driving unit placement cavity, and a proximal side ring member maintaining liquid-tightness between the outer peripheral portion of the base member and the inner peripheral portion of the rotating tubular member to a proximal direction side of the driving unit placement cavity.

Abstract: A system for releasably attaching a steerable disposable multi-linked device to a durable device may include a disposable portion and a durable portion. The disposable portion may include a connecting member connected to the disposable portion and the durable portion and a steerable multi-linked device. The steerable multi-linked device may include a first link, a plurality of intermediate links, a second link movably coupled to a second one of the intermediate links, and a cable which passes through the first link and intermediate links and extends beyond a first end of the first link. A first one of the intermediate links may be movably coupled to the first link. The durable portion may include an axial member which defines an opening therethrough and a feeder mechanism.

Abstract: A visual system for laparoscopy comprising a visual device having a visual head member and an elongated connector; a manipulation device having a handheld operation portion, an insertion portion and a first contact element; and an external device comprising means to communicate with the vision head member, via the first contact element, when the elongated connector is mounted in an lumen of the insertion portion. The insertion portion of the manipulation device is configured to be extendable out from a body cavity through an airtight passage whereby the elongated connector is configured to be slidably mounted into the lumen of the insertion portion outside of the body cavity upon the insertion portion is withdrawn into the body cavity.

Abstract: Devices, systems, methods, and kits for treating the tissue structures of the ear make use of a guide structure that can mechanically register a treatment probe with a target region of a target tissue, the guide structure being fittingly received in an auditory canal and often comprising a conformable body such as a compressible foam, or the like. The guide structure may include an articulating mechanism for selectively orienting the treatment probe toward the target region of, for example, a tympanic membrane. The guide structure may also support a videoscopic image capture device, illumination transmitting optical fibers, an aiming beam transmitter, and the like. Such structures facilitate myringotomy, tympanostomy tube placement, and the like, under local anesthesia in a doctor's office.

Abstract: Described here are devices, systems, and methods for providing remote traction to tissue. Generally, the systems may include a grasper and a delivery device configured to releasably couple to the grasper. The grasper may have a first jaw and a second jaw and a main body having a barrel portion. The barrel portion may have a lumen extending therethrough, and a portion of the delivery device may be advanced through the lumen to rotate one or both of the jaws. The delivery devices may include a handle, a shaft, and a distal engagement portion. The delivery devices may further include an actuation rod which may be advanced through a barrel portion of a grasper to actuate the grasper. In some instances, the delivery device may further include a locking sheath, wherein the locking sheath is configured to temporarily couple to a grasper.

Abstract: An insertion device includes a rotor rotating around a first revolution axis, and an assist tool attached to an insertion section with covering the rotor from an outer peripheral side. An assist tool rotates together with the rotor around a second revolution axis when press force is applied from a first protrusion of the rotor to a second protrusion of the assist tool by rotating of the rotor. The first revolution axis of the rotor and the second revolution axis of the assist tool move closer to each other when the rotor and the assist tool are rotating together.

Abstract: On an inner peripheral surface of an assistance tool of an insertion device, a sliding surface extends from an assistance tool proximal surface toward a distal side, and when the assistance tool attached to an insertion section rotates, the sliding surface slides on a supporting surface around a longitudinal axis. A flange portion of the insertion section includes an opposed surface opposed to the assistance tool proximal surface with a gap when the assistance tool is attached to the insertion section. In a part where the assistance tool proximal surface is opposed to the opposed surface, a proximal end of an outer peripheral surface of the assistance tool does not form a step relative to the flange portion.

Abstract: A surgical obturator that includes an elongated shaft defining a longitudinal axis and an obturator member disposed adjacent a distal end of the elongated shaft. The obturator member may include a proximal section being convex along a majority of its length. It may also include a central section disposed adjacent the proximal section, the central section including a first pair of surfaces disposed relative to each other on radially opposite sides of the central section, and a second set of surfaces disposed between the first pair of surfaces and further being disposed relative to each other on radially opposite sides of the central section, at least a portion of a length of each one of the first pair of surfaces being concave, and at least a portion of a length of each one of the second pair of surfaces being convex. The obturator member may also include a guiding nub disposed distally of the central section and including a rounded distal-most portion.

Abstract: A balloon dissector includes a cannula, an expandable bladder, and a cord. The cannula defines a lumen between proximal and distal ends. The expandable bladder is configured to expand when fluid is injected into the lumen and includes an inner surface, a proximal base, and a retainer. The proximal base is selectively coupleable to the distal end of the cannula in a sealing relationship. The retainer is positioned on the inner surface of the expandable bladder. The cord includes a first end, a second end, and a central portion. The one end of the cord extends from the proximal end of the cannula. The cord extends through the lumen of the cannula and through the retainer of the bladder returning into the lumen. The cord configured to draw the expandable bladder into the lumen after the expandable bladder is expanded.

Abstract: An insertion apparatus includes an inserting section, a rotary cylinder, a motor, motor control section, a moving average calculating section, and a torque limit determining section. The inserting section is formed along a longitudinal axis. The rotary cylinder is provided to be rotatable around a longitudinal axis of the inserting section. The motor rotates the rotary cylinder. The motor control section supplies a motor current to drive the motor. The moving average calculating section calculates an average of the motor current within a predetermined period, after the motor starts up. The torque limit determining section determines whether torque of the motor is in a limit state by comparing a calculating result by the moving average calculating section with a predetermined torque limit set value, at timing except startup of the motor.

Abstract: A system and method are disclosed for deploying an elongated unit in a body cavity, for introducing an interchangeable tool to a slender shaft having a distal end. The system comprising: an elongated unit comprising a longitudinal axis and a distal portion arranged to protrude through a first port into the body cavity. At least one maneuvering unit connected to the elongated unit for maneuvering the distal portion of the elongated unit in a 3D coordinate system to a determined depth and orientation in the body cavity. The at least one maneuvering unit is arranged to selectively deploy the distal portion of the elongated unit at the determined depth and orientation at a distance with respect to the distal end of the slender shaft and selectively align the longitudinal axis thereof with a longitudinal axis of the slender shaft.

Abstract: A mantle tube including a bendable member, which is formed in such a way as to be received in an elongate, annular, cylindrical member, includes two fixed sites that are fixed to the cylindrical member and a bendable site that is interposed between these fixed sites and bendable in a direction intersecting a longitudinal direction thereof, an angle adjustment member that is capable of adjusting a bending angle of the bendable site, and an angle holding mechanism that is capable of holding, at any desired bending angle, the bendable site bent by the angle adjustment member.

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 rotational device for rotating an endoscope having an operating element for moving a movable assembly of the endoscope includes a rotatable assembly, to which an endoscope is connectable, a stationary assembly, relative to which the rotatable assembly is rotatable, a first drive means for rotating the rotatable assembly relative to the stationary assembly in order to put a shaft of an endoscope connected to the rotatable assembly into rotational motion about a longitudinal axis of the endoscope, and a second drive means for moving an operating element of the endoscope connected to the rotatable assembly relative to the shaft of the endoscope in order to move an assembly of the endoscope, which assembly is movable by means of the operating element.

Abstract: Instruments and a surgical instrument system adapted for manipulating the position of implants within a spinal disc space to enable sequential addition of two or more implants during a surgical procedure, particularly a spinal surgery, and more particularly a spinal surgery selected from posterior and transforaminal interbody fusion surgery. The system permits controlled manipulation of an initially inserted implant within the disc space to allow for insertion of at least one additional implant adjacent the initial implant.

Abstract: Apparatus comprising: a sleeve adapted to be slid over the exterior of an endoscope; a proximal balloon secured to the sleeve; an inflation/deflation tube carried by the sleeve and in fluid communication with the interior of the proximal balloon; a push tube slidably mounted to the sleeve; and a distal balloon secured to the distal end of the push tube, the interior of the distal balloon being in fluid communication with the push tube, wherein the distal balloon is capable of assuming a deflated condition and an inflated condition, and further wherein when the distal balloon is in its deflated condition, an axial opening extends therethrough, the axial opening being sized to receive the endoscope therein, and when the distal balloon is in its inflated condition, the axial opening is closed down.

Abstract: A surgical tool and method of use during laparascopic surgery, the tool including a shaft having a distal region with an elastic modulus E. Distal and proximal regions of the shaft have outer diameters D1 and D2 respectively, with D2>D1. The distal region has a bend and terminates in a working feature having a distal end. The distal region has a length L1 measured in a direction parallel to the shaft axis in the proximal region, and has an offset doff relative to the proximal region where doff>D2. The elastic modulus E and the length of L1 are selected so that the working feature is insertable through an access device yet the distal region does not deflect noticeably when a force of 10 N is applied perpendicular to the distal end of the working feature.

Abstract: An endoscope particularly suited for endocranial procedures and a method of using the endoscope. In some examples the endoscope is rigid except for a bend/tilt portion near a distal end of a rigid tube that is inserted in a patient's cranium, which distal end is controlled in a degree and direction of tilt with a finger operated controller at the endoscope's handle. Some examples use telescoping tubes that allow customizing the endoscope size for specific procedures. A distal portion of the endoscope can be disposable, supplied in a sterile package for a single procedure, thus taking into account contamination dangers that are particularly high for intracranial and certain other interventions and the fact that it can be difficult or impossible to effectively autoclave heat-sensitive components of certain endoscopes or effectively sterilize them using other techniques.

Abstract: A medical tubing being flexible and kink-free as gas insufflation tubing and non-collapsible as suction/irrigation tubing is provided. The tubing is lightweight and thin-walled. The tubing has a generally rigid but thin walled with a structural shape or is generally soft and thin-walled tubing with a hard re-enforcement.