Abstract: A closure device closes an end opening of an instrument channel of an endoscope. A coupling sleeve is for connection with the end opening, and has a guide lumen for passage of an instrument. Two sealing walls are disposed to project from the coupling sleeve in a shiftable manner in a proximal direction in relation to the entry of the instrument, for contacting one another to seal the guide lumen in an openable manner, to prevent fluid from passing around the instrument. A housing sleeve contains the sealing walls. A coupling flange is disposed to project from the sealing walls in the proximal direction, for coupling the sealing walls to the housing sleeve. A regulating projection is disposed to project from an inner surface of the housing sleeve, for regulating the coupling sleeve in the proximal direction.

Abstract: An endoscope comprises a shaft with an outer tube and with an inner tube extending inside the latter, the outer and inner tubes being radially spaced apart from one another such that they form between them an axially extending channel, which provides space for receiving a light guide. An intermediate tube having flexural strength is arranged between the outer tube and the inner tube, which intermediate tube at least partially surrounds the inner tube.

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 cleaning nozzle is formed at a leading end face of a rigid-endoscope oversheath to cover a rigid endoscope. The cleaning nozzle is connected with a flow path formed in the oversheath so that fluid flowing through the flow path is ejected from an ejection port. The side surfaces of the cleaning nozzle are composed of a relatively hard material, while the upper surface is composed of a relatively soft material. When the flow rate of the fluid ejected from the ejection port is high, the upper surface of the ejection port is widened upward and thereby the direction of ejection of the fluid also changes. The direction of ejection of the fluid can thus be changed by controlling the flow rate.

Abstract: A reinforced arthroscope comprising external ribs to provide for a number of separate fluid channels, such as inflow, outflow and interstitial tissue drainage, when the arthroscope is slipped into a disposable external sheath. The arthroscope is constructed to be sufficiently rigid so as to penetrate and move within a joint without damaging the rod optics inside. The externality of the arthroscope channels allow for cleaning and sterilizing the scope between uses.

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: 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 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.

Abstract: A treatment tool insertion channel of an endoscope, which is arranged through an inside of an insertion part that includes a flexible tube and a bendable part, includes a flexible inner tube, a spiral groove formed around the flexible inner tube over an entire length of the bendable part and the flexible tube, at least one coil wound along a bottom of the spiral groove, and at least one type of filler with which the spiral groove is filled. The treatment tool insertion channel includes a first portion that includes a part inside the bendable part and a second portion at a proximal end side of the first portion, the first portion being configured more flexible than the second portion.

Abstract: A disposable protecting cover for an endoscope, the endoscope comprising a endoscope and a disposable valve disk, and the disposable protecting cover comprising a disposable sheath, a clamping tube, a disposable suction tube, a three-way sealing cap, a water air tube, and a protecting cover comprising a hand entrance and an instrument insertion opening.

Abstract: A view optimizing assembly, method and kit for use in combination with a laparoscope having a lens located on the shaft tip of the laparoscope, and a source of insufflation CO2. The invention includes a multi-lumen sheath assembly, a deflector assembly in fluid communication with the lumens of the sheath assembly, wherein the flow of CO2 through the lumens forms a vortex when coming into contact with the deflector assembly, thereby preventing fogging of the laparoscope lens.

Abstract: An apparatus having a tube section and an expanded end. The tube section is flexible while the end section is rigid. The apparatus has a central bore, large enough to loosely receive an endoscope tube, and the end section has two peripheral bores which communicate with the central bore. There is a collar around the central bore which allows formation an air- and water-tight seal with the head of an endoscope. The tube may be fenestrated at its proximal end and may include medial pleats. This apparatus is mainly used by: sliding an endoscope into the central bore until the endoscope head forms an air- and water-tight seal with the central bore; connecting a lavage tube to one peripheral bore and a vacuum tube to the other peripheral bore; inserting the endoscope and the apparatus into a GI tract; and manually controlling the apparatus to apply lavage and vacuum.

Abstract: A medical device for insertion through a channel of an endoscope comprises a sheath forming a smooth outer surface over a first abrasive portion of a length of the device. A second portion of the length of the device remains uncovered by the sheath.

Abstract: An access assembly for insertion through a single incision is provided. The access assembly includes a foam body having a proximal end and a distal end and a plurality of lumens extending through the foam body. Each of the lumens includes a sleeve extending the length of the body. The foam body has a central portion and a lower rim at a distal end of the central portion. The lower rim defines a circular recess, about the body, along a proximal side of the lower rim.

Abstract: An endoscope cleaning sheath includes a tube body and a distal end configuration portion. The tube body includes an endoscope disposition hole in which an insertion portion of an endoscope provided with at least an observation window is inserted and disposed, at least one liquid supply hole configuring a liquid supply channel, and at least one gas supply hole configuring a gas supply channel. The distal end configuration portion is fixed to a distal end portion of the tube body. On an inner surface of a distal end surface portion of the distal end configuration portion is provided a fluid mixing portion and a concave portion configuring an ejection opening that ejects a fluid mixture at an observation window of the endoscope. The fluid mixing portion causes liquid supplied through the liquid supply hole and gas supplied through the gas supply hole to merge to mix the liquid and gas.

Abstract: An endoscope plug body comprises a plug frame, a lid member and a plug member and shuts off an inside of a treatment instrument insertion channel from an outside. The plug frame is provided with annular projection portions, a plug body destruction portion and a plug-frame destruction operation portion. A flange portion is arranged between the annular plug portions and fitted to a base of the endoscope. The plug body destruction portion and the plug-frame destruction operation portion releases the lock state by destruction. The plug frame is cylindrical and communicates with a pipe line disposed inside the endoscope. The lid member is separate from the plug frame and has a lid portion disposed at an opening at the other end of the plug frame. The plug member is separate from the plug frame, formed of an elastic member and has a plug-member treatment instrument insertion portion.

Abstract: A medical apparatus and method useful for positioning one or more members within the gastro-intestinal tract is disclosed. The sheath can be provided with texture on an inside surface to facilitate installation of the endoscope in the sheath, and to permit the endoscope to be gripped through the sheath.

Abstract: A method of removing bacterial biofilm from a target site of a human patient. A bacterial biofilm removal system is provided that includes an endoscope, an irrigation duct and an aspiration duct. The endoscope includes a working end. The irrigation duct includes an outlet. The aspiration duct includes an inlet. The endoscope working end, the irrigation duct outlet and the aspiration duct inlet are disposed proximate a target site that includes a layer of bacterial biofilm. The target site is imaged with the endoscope working end. The fluid is dispensed through the irrigation duct outlet toward the target site to mechanically remove at least a portion of the layer of bacterial biofilm. The removed bacterial biofilm and the dispensed fluid are collected with the aspiration duct inlet.

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: Apparatus and methods are provided for placing and advancing a diagnostic or therapeutic instrument in a hollow body organ of a tortuous or unsupported anatomy, comprising a handle, an overtube disposed within a hydrophilic sheath or liner, and a distal region having an atraumatic tip. The sheath/liner may be disposable to permit reuse of the overtube. Loading devices may be provided for disposing the sheath/liner about the overtube. Tensioning mechanisms may be provided to selectively stiffen the overtube to reduce distension of the organ caused by advancement of the diagnostic or therapeutic instrument. The distal region permits passive steering of the overtube caused by deflection of the diagnostic or therapeutic instrument, while the atraumatic tip prevents the wall of the organ from becoming caught or pinched during manipulation of the diagnostic or therapeutic instrument.

Abstract: A guide system for use with an endoscope, and a method of use is disclosed. The guide system can include a track, in the form of a rail, and a mating member for engaging the rail. The guide system can also include an accessory, such as an accessory guide tube through which a medical instrument can be carried external of the endoscope. An end cap can be provided to support the track relative to the distal end of the endoscope.

Abstract: A disposable endoscope sheath includes an extendable sleeve sized to accommodate an endoscope shaft having a viewing end. The extendable sleeve has a variable length. A distal portion of the sleeve is configured to direct irrigation fluid onto the viewing end of the endoscope to flush surgical debris from the viewing end of the endoscope.

Abstract: An intubation device is provided for use with a guide apparatus having a track that is adapted to be associated with an endoscope such that bending of the track is substantially decoupled from bending of the endoscope. The intubation device includes an elongated, flexible tube and a mating member attached to the tube and adapted to slidingly engage the track external of the endoscope. The intubation device further includes a tissue bolster disposed on the proximal portion of the tube and changeable between a collapsed and an expanded configuration. The tube is positionable inside the upper gastrointestinal tract of a patient such that the proximal end of the tube is externalized through the gastric and abdominal walls of the patient, and wherein the tissue bolster is securable against the inner gastric wall when the tissue bolster is in the expanded configuration.

Abstract: Apparatus for inserting an instrument (1) in a flexible body cavity is disclosed. The apparatus includes a sheath (3) having an inner chamber (31) for accommodating the instrument (1) and an outer chamber (41) surrounding the inner chamber, thereby defining an enclosed space between the inner chamber and the outer chamber Fluid pressure is temporarily applied to thse enclosed space so as to expand the outer chamber to facilitate insertion of the instrument in the body cavity. In another embodiment the inner chamber is expandable to have a diameter equal to or greater than the diameter of the outer chamber, and wherein the outer chamber incorporates one or more lines of weakness for facilitating release and expansion of the inner chamber and withdrawal of the instrument from the inner chamber. In yet another embodiment the sheath includes at its distal end a convex lens for use by a camera in obtaining images of said body cavity.

Abstract: Systems and methods make use of a view optimizing assembly having a deflector assembly with critical physical, pneumatic, and optical characteristics that make possible intra-operative defogging, surgical debris deflection, and cleaning of a laparoscope lens during minimally invasive surgery, while also maintaining visualization of the surgical site. The view optimizing assembly can incorporate a quick exchange feature, which makes possible a surgical method for maintaining clear visualization that includes the ability to make a quick exchange of laparoscopes having different operating characteristics (e.g., laparoscopes with different tip angles, lengths, or diameters) entirely on the sterile operating field and without interference with the preexisting surgical set-up on the sterile operating field. The view optimizing assembly integrates with the existing suite of minimally invasive instrumentation.

Abstract: An endoscope with a flexible elongate insertion shaft, an illumination guide extending longitudinally through the insertion shaft, and an image guide extending longitudinally through the insertion shaft. The insertion shaft is formed along an outer surface with at least one longitudinally extending channel longitudinally traversable by an elongate endoscopic instrument. The channel having a longitudinally extending slot so that the channel is open to the ambient environment along at least a portion of its length.

Abstract: A sheath device (1) suitable for endoscopic instruments (2) and comprising an elongated tubular member (4) having a proximal end (6), a distal open end (7), and at least one fluid channel (23). A flushing unit (5) is connected to the proximal end (6) of the tubular member (4) and comprises a proximal open end (8) suitable for receiving a first endoscopic instrument (2), a fluid inlet (16) in contact with said fluid channel (23), and a fluid outlet (17). The tubular member and the flushing unit together define a first interior guiding passage (10) for sheathing at least a part of said first endoscopic instrument (2). The connection between the tubular member (4) and the flushing unit (5) allows for axial rotation of the tubular member (4) in relation to the flushing unit (5).

Abstract: On the periphery of a silicon tube 12, a plurality of insertion holes 14 extending in the axial direction of the silicon tube 12 for fitting treatment tools such as a precutting knife 30, a puncture needle 32, a hook knife 34, and a high-frequency snare 36 are formed. Accordingly, a high-versatility endoscopic multi-purpose treatment hood which makes easy detailed examinations, complicated procedures, and difficult treatments using an endoscope can be provided.

Abstract: Endoscope assemblies, biopsy caps, and methods for making and using the same. An example endoscope assembly may include an endoscope having a channel formed therein and a port that provides access to the channel. A cap may be coupled to the port. The cap may include a base having a securing member for securing the cap to the port. The cap may also include an outer shell, a locking member coupled to the outer shell, an inner seal member disposed within the outer shell, and one or more openings extending through the cap and into the channel. A fluid control region may be defined within the outer shell.

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 extractible from a proximal portion of the over-tube main body.

Abstract: A guide system for use with an endoscope, and a method of use is disclosed. The guide system can include a track, in the form of a rail, and a mating member for engaging the rail. The guide system can also include an accessory, such as an accessory guide tube through which a medical instrument can be carried external of the endoscope. An end cap can be provided to support the track relative to the distal end of the endoscope.

Abstract: A medical apparatus and method useful for positioning one or more members within the gastro-intestinal tract is disclosed. The medical apparatus can include a track supported on a sheath sized to receive an endoscope, and a carrier slidable with respect to the track. A feeding tube accessory adapted to slidably engage the carrier is disclosed.

Abstract: In an endoscopic treatment instrument having a plurality of sheaths, a supporting member for directly and indirectly supporting the plurality of sheaths, and a connecting member for directly/indirectly bringing the sheaths and an endoscope in a connected state are provided. The supporting member constrains a relative position of the plurality of sheaths and the connecting member can change the connecting state. Therefore, when an operator changes the connecting state of the connecting member, the positional relation of the endoscope and the plurality of sheaths can be changed, while the positional relation of the plurality of sheaths is still constrained. Accordingly, for example, left and right sheaths can be easily exchanged.

Abstract: A protective body packages an exterior of a capsule endoscope body of a capsule endoscope such that a field of vision of an objective lens system is not obstructed. As a result, even if the capsule endoscope collides against a wall surface inside an object being examined, a circular cylinder portion of the protective body is elastically deformed so that the protective body itself becomes a shock absorbing portion and protects each portion inside a case as well as actual LED covers and a lens cover. As a result, the capsule endoscope body can be recovered in an undamaged condition, and unnecessary costs can be reduced by reusing the capsule endoscope body.

Abstract: Flexible tubular liner coating systems are described herein. A method for coating and forming the flexible tubular inner liner may comprise, in one example, coating at least a first surface of a flexible elongate strip having a first and a second edge and then bringing the first and second edges of the flexible elongate strip into proximity of one another. Once the edges are brought towards one another, they may be joined such that a flexible tubular liner is formed having the coated first surface formed as an inner surface of the flexible tubular liner. Flexible tubular liner coating systems are described herein. A method for coating and forming the flexible tubular inner liner may comprise, in one example, coating at least a first surface of a flexible elongate strip having a first and a second edge and then bringing the first and second edges of the flexible elongate strip into proximity of one another.

Abstract: A loop section has a bending portion at the distal end. The bending portion bends in a direction that intersects the plane formed by the loop section. A diathermic snare is used in combination with an endoscope. When the loop section expands along the inner circumference of an engagement projection of a cap section, the bending portion of the loop section conforms to the corner of the bending portion of the projection.

Abstract: An endoscope system has an endoscope; an attachment for the endoscope, having a non-circular irregularly shaped hole that communicates with an opening of a channel of the endoscope and attached to a forward end of an insertion section of the endoscope; and a treatment instrument for the endoscope, having a flexible tube and a treatment section. An extension/retraction section having a non-circular cross section corresponding to the shape of an opening of the irregularly shaped holes is provided at a forward end of the flexible tube, and the irregularly shaped hole restricts rotation of the flexible tube. Further, the treatment section has directivity about its axis relative to the flexible tube and its rotation is restricted.

Abstract: A reinforced arthroscope comprising external ribs to provide for a number of separate fluid channels, such as inflow, outflow and interstitial tissue drainage, when the arthroscope is slipped into a disposable external sheath. The arthroscope is constructed to be sufficiently rigid so as to penetrate and move within a joint without damaging the rod optics inside. The externality of the arthroscope channels allow for cleaning and sterilizing the scope between uses.

Abstract: The invention provides methods of focusing an instrument for the acquisition of optical data from a tissue sample. Methods of the invention allow rapid focusing in the context of a diagnostic procedure in which rapid data acquisition is desirable. For example, inventive methods allow a user to focus an optical instrument quickly enough to obtain data within an optimal window of time following application of a chemical agent to the tissue. In one embodiment, a user focuses an optical instrument by aligning laser spots projected onto a tissue sample within rings that are superimposed at predetermined locations within the user's visual field. Preferred methods of the invention further comprise automatic validation to detect whether the spots are sufficiently well-aligned.

Abstract: A fluid irrigation system comprises a small, flexible endoscope and a flexible sheath which is positioned coaxially over the endoscope. A working channel of the endoscope provides a path for introducing an irrigant fluid into a target body lumen or cavity. The irrigant and other fluids may then be removed from the target body lumen or cavity through an axial passage of the sheath. The volume or pressure of the irrigant fluid introduced into the body lumen or cavity is controlled by adjusting the outflow of fluid drained through the sheath.

Abstract: A guide system for use with an endoscope, and a method of use is disclosed. The guide system can include a track, in the form of a rail, and a mating member for engaging the rail. The guide system can also include an accessory, such as an accessory guide tube through which a medical instrument can be carried external of the endoscope. An end cap can be provided to support the track relative to the distal end of the endoscope.

Abstract: A method for operating a computer system to handle switch over between several accounts at account selection in a real time charging system, wherein at a charging rating of a session, a first account is selected from a set of accounts, to be used and rated with its charging interval; the cost of a first charging interval is calculated for the first account; it is determined if the cost for the first charging interval is covered by the balance of the first account; if the cost for the first charging interval is not covered, a second account is selected to be used from the set of accounts; the cost for a next charging interval is determined; it is determined if the cost for the next charging interval minus the residue money left on the first account is covered by the balance of the second account; and if so, continue with the next charging interval, wherein the residue money left on the first account is used before the selected second account is used.

Abstract: A medical treatment device comprising an elongate probe member having proximal and distal extremities. The elongate probe member has a longitudinal axis and at least one passageway extending from the proximal extremity to the distal extremity. A guide is mounted in the at least one passage of the elongate probe member and has proximal and distal extremities with the distal extremity of the guide being in the vicinity of the distal extremity of the elongate probe member. The guide has an opening in the distal extremity and a lumen extending from the proximal extremity to the opening in the distal extremity. A needle is slidably disposed in the lumen of the guide. The needle is in the form of a tube having an axial lumen extending therethrough. A control mechanism is coupled to the proximal extremity of the elongate probe member and is secured to the needle for advancing and retracting the needle relative to the guide.

Abstract: Apparatus and methods for endoscope assemblies having working channels with reduced bending and stretching resistance are disclosed. In one embodiment, an endoscope assembly includes a sheath having a body portion adapted to at least partially encapsulate an endoscopic insertion tube, and a working channel attached to the body portion and extending along at least a portion of the body portion. The working channel includes a component for reducing the resistance of the assembly to bending and stretching. In alternate aspects, the working channel may include a cut, a gap, a sliding portion, or an expansion section. Endoscope assemblies having a working channel in accordance with the invention advantageously reduce the articulation and stretching resistance of the assembly during articulation of the endoscope assembly.

Abstract: A surgical system comprising a cannula for an elongate surgical tool that enables a physician to operate on a surgical site within a body from outside the body is described. The cannula supports a pin that is locked and unlocked from a J-shaped channel provided in the sidewall of a sheath for a surgical tool. The sheath prevents the surgical tool, such as a scalpel, from cutting the cannula as it is moved there through to the surgical site. The surgical tool, in turn, is provided with a second J-shaped channel that engages with a pin supported by the sheath for locking and unlocking the tool there from to enable a physician to perform the surgical procedure. One surgical tool is interchangeable with another for performing different tasks at the surgical site during the procedure.

Abstract: A cannula comprises a main body for accommodating both an endoscopic lumen and a working lumen. The main body of the cannula ends at a point proximal to the distal end of the cannula. Extending distally from the point at which the main body end is an endoscopic dissection shaft of decreased diameter, which houses the endoscopic lumen, but not the working lumen. A transparent tapered tip is positioned on the distal end of the endoscopic dissection shaft. Due to the decreased diameter of the endoscopic dissection shaft, the transparent tapered tip has a small diameter, The main body of the cannula ends in a smoothly contoured face that provides minimal trauma to vessel and other tissue that comes in contact with the face as the cannula is advanced through the surgical site.

Abstract: Apparatus for sheathing an endoscopic tool includes a sheathing assembly, which includes a sleeve dispenser and a port adapter for mating with a proximal port of an endoscopic working channel so as to permit the endoscopic tool to be advanced through the sheathing assembly into the working channel. A flexible sleeve in the sheathing assembly has a distal end, which is fixed to the sleeve dispenser, and a proximal end, which is adapted to engage the endoscopic tool as the endoscopic tool is retracted from the working channel, causing the sleeve to extend out of the dispenser in a proximal direction so as to sheath the endoscopic tool.

Abstract: A steerable endoscopic sheath has a proximal end, a distal end and a working channel lumen disposed therein. A plurality of solid state light emitting devices such as light emitting diodes are positioned near the distal end of the sheath and are selectively energized to illuminate internal body tissues. An imaging device such as a photo diode or CCD array creates an image from light reflected from the tissue. The distal tip of the endoscopic sheath is selectively moveable with a deflection device that is insertable into the sheath. The deflection device includes a tip deflection mechanism that allows a user to move the tip of the deflection device. With the deflection device inserted in the sheath, movement of the distal tip causes a corresponding movement in the distal tip of the sheath. The distal tip of the sheath has a shape retaining mechanism that allows it to retain the shape imparted by the deflection device once the deflection device is removed from the sheath.

Abstract: A channel tube coupling structure for an anti-pollution type endoscope which can easily and smoothly couple a multi-lumen type channel tube extending from a base end of an outer sheath with tubes on a side of the endoscope and separate the multi-lumen type channel tube therefrom. At a side surface in a vicinity of the base end of the channel tube, side holes communicate with a plurality of tubes that are formed so as to be shifted from one another in an axial direction. A coupling hole, where the base end portion of the channel tube is loosely inserted thereinto and freely removed therefrom, provides a space in a radial direction between the channel tube and the coupling hole. Annular sealing members are provided which seal portions between the respective side holes, in a state where the base end portion of the channel tube is inserted into the coupling hole.