Abstract: An over-tube for use in an endoscopic treatment in an abdominal cavity using an endoscope includes an over-tube main body which is inserted from a distal portion thereof via a natural opening in a patient's body to access the inside of the abdominal cavity from the distal portion through a lumen wall, and an internal cover which is disposed in a passage of the endoscope disposed in an inner cavity of the over-tube main body and which is extractable from a proximal portion of the over-tube main body.

Abstract: An apparatus is disclosed. In some embodiments, the apparatus comprises an endoscope comprising a first distal end portion, and a tube comprising a second distal end portion, wherein the endoscope and the tube are in a side-by-side relationship and are coupled at distal end portions of the endoscope and the tube using a single coupling device.

Abstract: An endoscope sheath, said endoscope sheath comprising: a first sheet and a second sheet, said first sheet defining a first sheet distal end and an opposed first sheet proximal end, said first sheet also defining opposed first sheet first and second side edges extending between said first sheet proximal and distal ends, said second sheet defining a second sheet distal end and an opposed second sheet proximal end, said second sheet also defining opposed second sheet first and second side edges extending between said second sheet proximal and distal ends, said first and second sheets being sealed to each other adjacent said first and second sheet distal ends, first side edges and second side edges, said first and second sheets being unsealed from each other adjacent said first and second sheets proximal ends, said first sheet having greater optical clarity than said second sheet adjacent said first and second sheet distal ends, said first sheet being more rigid than said second sheet adjacent said first and seco

Abstract: The protective sheath front end of the disclosed curved section protective sheath for covering the curved section of an endoscope covers the outer periphery of the front end of the endoscope. A filamentous member is wound around the outer periphery of the protective sheath front end, affixing the protective sheath front end to the front end of the endoscope. An adhesive agent is layered on the outer periphery of the protective sheath front end so as to cover the filamentous member. A ring member is fitted to the protective sheath front end so as to cover the adhesive agent. The inner surface of the ring member is bonded to the filamentous member with the adhesive agent therebetween.

Abstract: An endoscope is provided and includes a flexible insertion tube; a distal end assembly provided at an end of the insertion tube; and a cooling medium tube provided in the inside of the insertion tube, and connected to the distal end assembly. A cooling medium for cooling the distal end assembly is introduced through one of the insertion tube and the cooling medium tube, and discharged through the other of the insertion tube and the cooling medium tube. Since the endoscope is configured such that the cooling medium directly contacts with a heating element or a conductor through which the heat of the heating element is conducted, the cooling effect of the front end portion of the endoscope is improved.

Abstract: Endoscopic devices and methods used for fastening multiple tissue layers, such as, for example, an endoscopic fundoplication procedure, are disclosed. The device may include, for example, an elongated tubular member having a proximal end for extending outside of the body and a distal end for positioning proximate the multiple tissue layers, a grasper configured for positioning proximate the distal end of the tubular member and for grasping at least one of the multiple tissue layers, a device coupled to the distal end of the tubular member for folding the multiple tissue layers together, a tissue fastener configured to be inserted into the tissue layers to hold the tissue layers together, and a fastener head for inserting the tissue fastener into the tissue layers.

Abstract: A robotic surgical system configured to perform minimally invasive surgical procedures. In one variation, this robotic surgical system includes an instrument driver configured to steer an elongate instrument of an instrument assembly in one or more degrees of motion. A drape is disposed between the instrument driver and the instrument assembly. A drive interface apparatus is operatively coupled to the drape. The drape and drive interface apparatus may form a fluid barrier between the instrument driver and the instrument assembly. Drive interface apparatus may be disposed on a top surface of the instrument driver and on a bottom surface of the instrument assembly. The drive interface apparatus may transmit torque from the instrument driver to the instrument assembly. The input torque drives a pulley in the instrument assembly that operates one or more control wires to steer an elongate instrument of the instrument assembly for performing minimally invasive surgical procedures.

Abstract: An endoscopic incision system includes: an endoscope; a cylindrical member for covering at least a distal end of an insertion section of the endoscope; and at least an incision section for incising a living tissue, the incision section being provided to a distal end of the cylindrical member and being capable of being exposed from the distal end of the cylindrical member outwardly. In this configuration, the radially expanding incision section will not be twisted or bent, and the incision section prevented from inadvertent fall-off can maintain the desirable shape when it is operated and rotated.

Abstract: An endoscope sheath is provided for advancing medical devices into the anatomy of a patient. The endoscope sheath includes at least one lumen that may be used to advance devices alongside an endoscope. The endoscope sheath may include an endoscope cap configured to mate with the lumen. The endoscope may include one or more coupling members configured to mate with the openings of the lumen.

Abstract: An instrument for confirming the position of an indwelling gastrostomy catheter, and a method of confirming the indwelling position thereof, with which it is possible to reduce cleaning costs, and which does not cause any discomfort to a patient. An instrument for confirming the indwelling position of a gastrostomy catheter which is indwelling in a hole formed between the surface of the skin of the patient and the inner surface of the stomach wall comprising a fiberscope and a protective cover. Furthermore, the tip end of the protective cover comprises a light-transmissive window part and a wire that is linked to the outer periphery at the tip end of the protective cover.

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

Abstract: Endoscope sheaths and associated endoscopy data collection and analysis systems and methods are described. In one implementation an endoscope sheath include a body and one or more sensors disposed in the body. The sheath may further include a leak detection apparatus configured to detect leaks in the sheath body. In addition, the sheath may include actuator apparatus, such as a balloon catheter or other surgical instrument. Data from the endoscope and endoscope sheath may be collected, fused and displayed for use in medical procedures and/or analysis.

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: A protective sheath for an endoscope includes an elongated shaft with a longitudinal bore extending from a proximal opening at the shaft proximal end to a distal opening at the shaft distal end. The longitudinal bore is sized for receiving an endoscope tube inserted axially into the bore. The shaft distal end includes a shovel-shaped portion comprising a bowl, a bowl rim having a flange portion, and a distal cutting edge for dividing soft tissue a surgical procedure. The surfaces of the shovel-shaped portion are adapted for retracting soft tissue during such a procedure.

Abstract: An endoscope hood includes: an opening portion which is placed on a far side with respect to a leading end surface of an insertion part of an endoscope, wherein an opening is formed on the opening portion in a direction substantially orthogonal to an axial direction of the insertion part; and a flexible hood part configured to cover a portion other than the opening, on the far side with respect to the leading end surface of the insertion part, wherein gas inside of the hood part is sucked from a gas suction port of the insertion part, the opening is adsorbed onto a region to be measured, and the hood part is deformed so as to be closely adhered to the region to be measured within a range of the opening and a probe, to thereby fix the probe to the region to be measured in a state where the probe is set therealong.

Abstract: A surgical instrument, such as an endoscope, having a hermetically sealed housing for accommodating, optical and/or electrical devices therein. The housing having a wall with a via provided in the wall to electrically connect an electrical contact formed on the inside of the wall with an electrical contact formed on the outside of the wall, wherein the via has a penetration in the wall, and the penetration is filled with a filling material to form a hermetically sealed housing, wherein the electrical contacts are formed as at least one electrically conductive conductor path on the inside of the wall and on the outside of the wall, wherein one conductor path on the inside of the wall, and one conductor path on the outside of the housing are connected to each other by means of the via, and wherein the filling material of the via consists of metal or solder.

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

Abstract: An endoscope includes a rigid portion having an illuminating portion disposed therein and a cover integrally molded to include a transparent first resin member and a colored second resin member. The first resin member configures a first molded portion including an illumination window forming portion which includes an incident surface on which the illumination light is made incident and an emission surface from which the incident illumination light is emitted and an eaves portion projecting from the illumination window forming portion and including a first surface located on the emission surface side and a second surface located on the incident surface side. The second resin member configures a second molded portion forming a cover external shape that covers, the side surface of the illumination window forming portion, the first surface of the eaves portion, and the second surface of the eaves portion.

Abstract: A protective sleeve for an endoscope having an endoscope tube is provided. The protective sleeve of certain embodiments can include a tubular main body for holding a distal section of the endoscope tube. The main body has an open proximal end and a cover glass at the distal end. The cover glass has a spherically curved, concave inside, a spherically curved, convex outside and a constant thickness.

Abstract: There is provided a flexibility/rigidity adjustable apparatus which can change over its state between a flexible state in which such apparatus is freely bendable and a rigid state in which such bending is restricted when in use. A flexible closing cover 18 which can expand/shrink is provided on an outer circumference 2 of a flexible tube 1. A latching member 7 which moves together with the closing cover 18 is provided, and a latching-member receiving part 11 with which the latching member 7 can engage is provided at the outer circumference 2 of the tube 1. A closed space 21 formed between the closing cover 18 and the tube 1 is connected to an air inlet/outlet part 22. As the air is evacuated through the inlet/outlet part 22 to change the pressurized condition of the closed space 21 from an atmospheric pressure condition to a negative pressure condition, the closing cover 18 reduces its diameter around an axis 4, and the latching member 7 is caused to engage with the latching-member receiving part 11.

Abstract: A cleaning device for use with a percutaneous visualization device includes a cannula and a cleaning swab. The cannula has a first section pivotably connected to a second section. The cleaning swab is positioned at a distal end of the cannula and is configured to pivot into a position to clean at least a portion of a percutaneous visualization device upon insertion into the cannula. In an alternative embodiment, the cleaning device includes a cannula and a seal. The seal is disposed within the cannula and configured to clean at least a portion of a percutaneous visualization device upon insertion and retraction in the cannula. Further, the cannula has a cleaning surface on at least a portion of an inner surface thereof. The cleaning surface is also configured to clean at least a portion of said percutaneous visualization device upon insertion and retraction in the cannula.

Abstract: A medical instrument includes: an image pickup unit incorporated in a medical instrument body for picking up an image of the subject to be examined from an observation window; an airflow generating unit provided rotatably with respect to the medical instrument body so as to cover the image pickup unit by a covering unit having an opening formed therein, the airflow generating unit being configured to generate an airflow for preventing adherents from sticking to the observation window, by rotation of the covering unit; a fixing unit for indwelling and fixing the medical instrument body inside the subject to be examined; and a drive unit incorporated in the medical instrument body, for driving the airflow generation unit.

Abstract: In a tip face of an insertion part of an endoscope, gas is discharged from a plurality of air supply ports formed around an observation window, and air currents are generated. This removes suspended matter, such as oil particles and fat particles, from an imaging visual field. The interval between adjacent air supply ports of the air supply port is specified so that the gas around air currents is caught in the air currents by the air currents without being directed towards the imaging lens. The surrounding gas by the air currents being discharged is pulled in the imaging direction along with the air currents. Since the surrounding gas induced by the air currents is prevented from being induced in the direction of the imaging lens, the imaging lens can be prevented from being contaminated by an unnecessary object.

Abstract: A protector for a light conducting conduit constitutes an enlarged head attached to the distal end of the light conducting conduit. The enlarged head has an internal cavity with a shutter positioned adjacent its distal end. The shutter is opened by insertion of the light connection of a medical instrument into the internal cavity. The shutter closes when the light connection of the medical instrument is removed from the internal cavity. The enlarged head is made of a material with a low heat conductivity.

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

Abstract: A clear, sealable isolation sleeve for use in a medical environment especially with hand-held electronic devices, for the purpose of reducing the spread of infectious diseases. The sleeve offers an isolated containment for such hand-held medical devices while in patient proximity. The sleeve features a perforated tear zone for easy removal and disposal. Embodiments of the present invention can be manufactured from a clear material that allows the hand-held device to read bar codes through it, while also allowing the clinician to read displayed data and manipulate keypads on the device all while contained within the sleeve.

Abstract: The invention relates to a tube assembly for an endoscope comprising a disposable tube that surrounds a working channel and preferably also a flushing channel and fixing means for fixing the disposable tube to the endoscope. Said fixing means have a fixing unit which is used to fix the disposable tube on the distal end of the endoscope in a rotationally and axially fixed manner. The endoscope fixing means also have a guide device which is used to displaceably fix the disposable tube on respective sections of the endoscope that are at a distance from the distal end of said endoscope.

Abstract: An articulating mechanism for use in a medical device, such as an endoscope or a catheter, includes a series of stacked links disposed adjacent to one another and movable with respect to each other. Each link includes a front face tapered to a pair of pivot points and a rear face defining a wedge shaped recess for receiving the pivot points of the adjacent link. Pull-wires provide tension and hold the staked links together while also allowing for controlled bending of the distal portion by movement of one or more of the pull-wires.

Abstract: This protection for an endoscope includes a sheath with a rigid cylindrical tubular part (8), and an associated flexible sleeve. The rigid cylindrical tubular part (8) is made of a material permitting transport of light. The rigid cylindrical tubular part (8) is treated in such a way as to guide the light from a light source at its proximal end (10) to its distal end (12). The distal end (12) of the cylindrical tubular part (8) has elements (14, 16) for diffusing and/or orienting the light guided via the cylindrical tubular part (8). The endoscope is designed to use a protection in order to illuminate the cavity to be examined in the patient's body.

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: An endoscope includes, an insertion section, a distal end section body has an observation window, a liquid feed path which is formed to supply a liquid to the distal end section body side, a gas feed path which is formed to supply a gas to the distal end section body side, and a nozzle having a confluent portion which makes confluent the liquid supplied from the liquid feed path and the gas supplied from the gas feed path, and a jet outlet which jets a gas/liquid mixture fluid, which is mixed in the confluent portion, toward the observation window, wherein the nozzle is configured such that an angle, which is formed between a direction of a flow of the liquid toward the jet outlet and a direction of a flow of the gas toward the jet outlet, is set at an obtuse angle of 90° or more.

Abstract: A reusable temperature sensing probe assembly comprises a temperature sensor strip extending from one end of a handle. The temperature sensor strip carries at least one temperature sensor for measuring temperature within a body cavity of a person, such as the rectum. The handle/temperature sensor strip is reversibly positionable within a unitary balloon/sleeve assembly comprised of a balloon portion and a sleeve portion. The balloon portion is comprised of a first interior space configured to hold the temperature sensor stip and a second interior space separate from the first interior space that is configured for inflation. An inflation tube has one portion sealed within the second interior space of the balloon portion and a second portion which extends through the sleeve portion for connection to a fluid source.

Abstract: An endoscope includes: an insert portion having a bending portion for bending operation and a flexible soft portion connected to the proximal end of the bending portion; an inflatable/deflatable balloon attached on the proximal side from the bending portion; and a supplying/sucking opening provided in the outer surface of a ring that connects the bending portion to the soft portion, the supplying/sucking opening supplying and sucking fluid to and from the balloon.

Abstract: Many embodiments of an airway assembly and methods of using an airway assembly are disclosed. In one embodiment, an airway assembly includes an outer tube, an inner tube disposed coaxially with the outer tube, and a seal disposed on the inner tube. The seal is movable between a collapsed position and an expanded position where the seal engages an airway. Another embodiment is an airway assembly that includes an outer tube having a proximal portion and a distal portion, and an inner tube disposed coaxially with the outer tube. The inner tube has a proximal portion and a distal portion. The proximal portion of the outer tube has an outer diameter that is larger than an outer diameter of the distal portion of the outer tube.

Abstract: A sheath for a medical instrument includes an elongate body extending from a proximal end to a distal face. The elongate body may be configured to axially extend from a first length to a second length greater than the first length. The sheath may include a first hollow lumen extending from a first end proximate the proximal end to a second end proximate the distal face, and a second hollow lumen extending from the proximal end to the distal face. The second lumen may be open at the distal face. The sheath may also include a transparent window positioned at the second end of the first lumen to seal the first lumen at the second end. The transparent window may be configured to transmit light therethrough.

Abstract: A sheath for a medical device may include an elongate body extending from a proximal end to a distal face and a first hollow lumen and a second hollow lumen extending from a first end proximate the proximal end to a second end proximate the distal face. The sheath may also include at least one lighting device positioned in the sheath proximate the distal face, and a transparent window positioned at the second end of the first lumen to seal the first lumen at the second end. The transparent window may be configured to transmit light therethrough.

Abstract: An endoscope of the present invention includes a cover member, a groove formed on an outer circumferential face of the cover member, holes which are located at least two places in a circumferential direction of the groove and communicate with the interior of the cover member, a bending portion and a loop-shaped puller wire wound around the groove so as to enter the groove from within the cover member through the hole at one end in the cover member and enter the cover member from the groove through the hole at the other end.

Abstract: An endoscope comprising, in a part of an insertion portion having flexibility, a bending portion formed by covering an outermost circumference with a covering rubber. Respective end portions of the covering rubber being tightly bound to a rigid portion near the bending portion with a thread and fixed by applying an adhesive. In at least one end portion of both fixed end portions of the covering rubber, hardness of at least a portion in a range from an end portion in a center portion side of a portion tightly bound with the thread to an end portion in a center portion side of a portion to which the adhesive is applied is set higher than hardness in a center portion of the covering rubber.

Abstract: A protective sheath adapted to cover an elongate medical probe. The sheath includes an elongate sheath adapted to receive an insertion tube of a medical probe and isolate the insertion tube from body tissue and at least one light generating element mounted on the sheath.

Abstract: A protective sleeve apparatus for protecting an endoscopic or laparoscopic instrument includes an elongated tubular member having an open proximal end and an open distal end. The elongated tubular member is sized and configured to receive a laparoscopic or endoscopic instrument therethrough. The tubular member has a folded section adjacent the distal end in releasable engagement with an intermediate section of the tubular member to define a substantially enclosed sleeve to receive the instrument and substantially prevent entry of contaminants within an interior of the tubular member. The folded section is releasable from the intermediate section upon exertion of a proximal force to the tubular member to facilitate removal of the tubular member along the instrument.

Abstract: A power supply starter (51) provided with a magnetic body (51e) is mounted on an inner lid portion (42) while a sterilizing sheet (43) is opened for enabling application of a magnetic field from outside of the inner lid portion (42) (inside of the inner lid portion (42)) by the magnetic body (51e), and therefore, the start to drive respective functions of the capsule endoscope (2) is prevented until the magnetic field is applied from outside, and thereby, the start to drive the respective functions of the capsule endoscope can be performed with arbitrary timing and the consumption of power accumulated within the capsule endoscope can be suppressed.

Abstract: A sheath for a medical instrument may include an elongate body extending from a proximal end to a distal face, and a first hollow lumen extending from a first end proximate the proximal end to a second end proximate the distal face. The sheath may also include a transparent window positioned at the second end of the first lumen to seal the first lumen at the second end. The transparent window may be configured to transmit light therethrough.

Abstract: A cover for a laparoscope having a substantially gas-impermeable, flexible membrane defining an interior space adapted to receive at least a distal-most portion of the laparoscope; and at least one valve for allowing gas to flow into and/or out of the interior space. By providing a substantially gas-impermeable, flexible membrane, the membrane can conform to the camera in use, ensuring that the cover can be used with both rigid and flexible laparoscopes and in particular those with cameras at their distal end. The valve allows gas to flow into or out of the interior space. This may be used to remove gas from the interior space so that the cover conforms more closely to the profile of the endoscopic camera. It may also be used to check that there has been no damage to the cover during the operation, and thus no breach of the sterile barrier.

Abstract: An endoscope insertion shaft is disclosed comprising a tubular member having an axis and including at least one aperture for imparting desirable mechanical characteristics to the shaft. A composite, laminated or fused material comprises at least one layer encasing or jacketing the tubular member.

Abstract: A protective cap for use on arthroscopic instruments and sheaths disposed over arthroscopic instruments. The cap protects the distal end of the instrument from accidental damage caused by other instruments used during a surgical procedure. The portion of the cap that covers a view port on an arthroscope is transparent in order to allow a user to see through the instrument and through the cap.

Abstract: An outer tube for natural orifice surgery. The outer tube can have interchangeable inserts to establish a desired size and number of lumens. A distal tapered soft plastic plug may be provided to cover the distal end of the tube. Different segments of the tube may have different stiffness characteristics.

Abstract: A covering apparatus for a surgical viewing instrument. The apparatus includes a tape having a first length overlying the viewing portion of the surgical viewing instrument, the tape movable across the viewing portion to move the first length away from the viewing portion and advance a second cleaner length of tape to a position overlying the viewing portion.

Abstract: Transparent domes useful for covering at least a lens located on a scope's distal face, taking the form of a single layer membrane affixed to the distal end of the scope, a solid cap attachable to and detachable from the distal end of the scope, or an inflatable and deflatable balloon having an exterior wall for contacting at least the lens at the scope's distal face. Methods for performing diagnostic or diagnostic and therapeutic procedures within bodily cavities including collapsed intestines using transparent domes and scopes.

Abstract: An endoscope provided with hygiene protection includes a cover, which is closed at its distal end and which is transparent for optical information, at least on the front side thereof, and which can be rolled thereon in the direction of the axis of the endoscope. The endoscope further includes one or more working channels extending in a parallel position in relation to the endoscope and terminating in an open manner on the distal end of the cover. The working channels are only connected to the distal end of the cover. There are also one or more vacuum channels having one or several openings, which terminate on the side facing away from the patient and are in addition to the one or more working channels. The working channels are positioned in between the outer side of the endoscope and the inner side of the cover. A method for adding hygiene protection to an endoscope, which includes the application of sub-atmospheric pressure between the endoscope and the cover, is also disclosed.

Abstract: An endoscopic imaging device for endoscopy in a body vessel is disclosed. The device comprises an annular illumination tube comprising an annular illumination fiber for illuminating a body vessel during endoscopy. The device further includes a first imaging tube comprising a first imaging fiber for gross examination and navigation through the body vessel. The first imaging fiber is disposed within the annular illumination tube. The device further comprises a second imaging tube comprising a second imaging fiber for cellular imaging. The second illumination fiber is disposed adjacent the first imaging tube and within the annular illumination tube.