Abstract: An endoscope system comprises: an endoscope main body having an insertion portion in which a lumen is formed, the insertion portion having a proximal end and a distal end, a distal end opening of the lumen being provided to the distal end of the insertion portion, and a proximal end opening of the lumen being provided to the proximal end of the insertion portion; a first fixing member provided to the distal end of the insertion portion, capable of selecting between a fixed state for fixing the distal end portion of a linear member inserted into the lumen and a released state thereof in the distal end portion of the insertion portion; a second fixing member provided to the proximal end of the insertion portion, capable of selectively fixing the proximal end portion of the linear member inserted into the lumen in the proximal end of the insertion portion; and a tubular member having a proximal end, a distal end, and a lumen running therebetween, and removably inserted into the lumen, wherein a slit is formed fr

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 tip end part (22) of an outer sheath (20) is rotatable about an axis in a predetermined range with respect to a tip end part (13) of a flexible insertion portion (11). A channel deformation space (19) which enables a part in the vicinity of the tip end of a channel tube (23) to be rotated with following the rotation while being elastically deformed is disposed. A locking mechanism (18, 28) is engaged or disengaged by rotating the tip end part (22) of the outer sheath (20) about the axis in the predetermined range with respect to the tip end part (13) of the flexible insertion portion (11).

Abstract: A surgical device for injecting a chemical agent within a subject for use in endoscopic injection therapies is disclosed The device includes a support body, a motion transmitting unit, an agent delivery system and a guide housing The motion transmitting unit is movable relative to the support body The agent delivery system includes a needle for extending into a subject and structure defining a conduit between the support body and the needle. The guide housing has a flexible elongated body, an internal elongated passage and friction reducing material lining the passage At least a portion of the motion transmitting unit adjacent the needle is slideably housed within the guide housing The device offers a surgeon improved ease of needle extension and retraction when the distal end of the endoscope is bent at acute angles.

Abstract: A hood for an endoscope has a cap part detachably mounted on the end portion of the insertion part of an endoscope. An opening communicates with the inside of the cap part, at the end of a flexible tube connected to the opening. Into the flexible tube, such an endoscopic treating instrument as a high frequency snare is inserted.

Abstract: A tubular member useful as an inner liner for the working channel of a flexible endoscope has a distal portion which is specially treated to make it highly flexible and resistant to kinking or collapsing when it bends with the flexible section of the endoscope. The tubular member is also useful as a catheter device or as a component of a catheter device or catheter system. A multiplicity of external ridges on the distal portion of the tubular member reinforce the tubing wall and prevent kinking or buckling of the wall or collapsing of the inner lumen. The external ridges may be formed by convolutions of the tubing wall or by external threads which are formed on the exterior of the tubing wall within the flexible distal portion. An outer helical reinforcing coil may be added between the external ridges to further reinforce the flexible distal portion of the tubular member from kinking or collapsing.

Abstract: A sleeve for medical instruments such as endoscopes is disclosed. The sleeve is attachable in any axial or rotational orientation on the endoscope tube. A clamp-like locking means holds the sleeve securely to the endoscope tube without causing damage, while a locking screw permits easy locking, releasing or adjustment. A flared extension at the distal end of the sleeve facilitates stabilization during medical procedures.

Abstract: A system for evulsing subcutaneous tissue including an endoscope adapted to be inserted into subcutaneous tissue through a skin cut portion to observe tissue to be evulsed and existing under the skin, a dissecting unit adapted to be inserted into the subcutaneous tissue through the skin cut portion so as to dissect the tissue, to be evulsed, from surrounding tissue in order to form a cavity along the tissue to be evulsed and below the skin, a cavity maintaining unit adapted to be inserted from the skin cut portion into the cavity formed by the dissecting unit and to be retained in the cavity in order to maintain, around the tissue to be evulsed, a treatment space which permits the endoscope to be inserted and removed and which enables treatment of the tissue to be evulsed, and at least one treatment tool adapted to be inserted into the treatment space maintained by the cavity maintaining unit in order to perform, in the treatment space, treatment required to evulse the tissue to be evulsed.

Abstract: A tubular member useful as an inner liner for the working channel of a flexible endoscope has a distal portion which is specially treated to make it highly flexible and resistant to kinking or collapsing when it bends with the flexible section of the endoscope. The tubular member is also useful as a catheter device or as a component of a catheter device or catheter system. A multiplicity of external ridges on the distal portion of the tubular member reinforce the tubing wall and prevent kinking or buckling of the wall or collapsing of the inner lumen. The external ridges may be formed by convolutions of the tubing wall or by external threads which are formed on the exterior of the tubing wall within the flexible distal portion. An outer helical reinforcing coil may be added between the external ridges to further reinforce the flexible distal portion of the tubular member from kinking or collapsing.

Abstract: A device utilizable with an endoscope to promote cleanliness comprises a substantially thin-walled elongate tubular sheath made of a flexible material, the sheath having a use configuration with an inner diameter larger than an outer diameter of an insertion member of the endoscope, whereby the sheath may be removably disposed about such insertion member to substantially surround same prior to insertion of the insertion member into a patient. A liner element extends parallel to the sheath and inside the sheath at least along a distal end portion of the liner element. The liner element is insertable into a biopsy channel of the insertion member of the endoscope. The sheath and the liner element are attached at their distal ends by a transparent cap member to form a germ-tight seal. Biopsy channels expandable from a collapsed configuration to receive endoscopic surgical instruments during an operation are provided in or on the sheath.

Abstract: A surgical instrument assembly has an endoscope with an instrument channel and a sheathed elongate tubular member inserted into the instrument channel. The sheath is provided with a distal end portion having at least one resiliently biased, curved portion tending to direct the tip of the distal end portion in a direction angularly offset from the axis of the body insertion tube at its distal end. The elongate tubular member is itself longitudinally slidably positioned within the sheath. The instrument channel exerts forces sufficient to straighten the curved portions of the sheath when the curved portions are positioned within the body insertion tube, proximal of the tube's distal end. An elongate flexible endoscopic instrument is mounted into the tubular member so that an operative tip is located at a distal end of the tubular member.

Abstract: A surgical instrument assembly has an endoscope with an instrument channel and a sheathed elongate tubular member inserted into the instrument channel. The tubular member is provided with a distal end portion having at least one resiliently biased, curved portion tending to direct the tip of the distal end portion in a direction angularly offset from the axis of the body insertion tube at its distal end. The elongate tubular member is itself longitudinally slidably positioned within a relatively stiff, straight sheath having mechanical properties sufficient to straighten the curved portion of the tubular member when the curved portion is positioned within the sheath, proximal of the sheath's distal end. An elongate flexible endoscopic instrument is mounted into the tubular member so that an operative tip is located at a distal end of the tubular member.

Abstract: A treatment apparatus for insertion in a forceps channel of an endoscope. The treatment apparatus includes a treatment instrument, a flexible element, and a cover tube. The flexible element is slidable within the cover tube and the treatment instrument is provided at a distal end of the flexible instrument. A distal end of the cover tube expands to receive the treatment instrument as the flexible element is drawn toward a proximal end of the cover tube. The treatment device may include a connecting instrument that supports the cover tube within the forceps channel and seals a proximal end of the forceps channel.

Abstract: A polytetrafluoroethylene (PTFE) or expanded polytetrafluoroethylene (ePTFE) flexible and bendable working channel section which is circumferentially reinforced against kinking and which is adapted to be insertable, in-line, with the rigid section of the endoscopic working channel.

Abstract: The endoscope unit 1 includes a flexible tube 3 having a deflectable portion at one end and a proximal housing 4 at the other end. The deflectable portion of the flexible tube 3 has a hard tip 2 at its distal end and the tip 2 has an observation opening 11. The flexible tube 3 has a optical assembly guide channel 10, extending from the proximal housing 4 to the observation opening 11, for removably fitting an optical assembly 9. Optical assembly 9 includes a bundle of optical fibres covered by an external cover 18. The bundle of optical fibres has an objective lens 15 at one end and eyepiece 16 at the other end. A watertight sheath 19 is provided, the watertight sheath 19 being transparent near objective lens 15.

Abstract: In an endoscope system including an endoscope having an insertion section and an operation section and a disposable protection cover having an insertion section cover having formed therein a forceps channel and a forceps inlet opening through which a forceps can be inserted into the forceps channel, the forceps inlet opening is selectively closed by a forceps plug which is made of resilient material and separately formed from the insertion section cover. The forceps plug is preferably formed such that it can be detachably secured to a forceps inlet opening of an ordinary coverless (without-cover} endoscope.

Abstract: An endoscope unit includes an endoscope having an insertion portion and a fluid supply instrument mounted on the insertion portion. The fluid supply instrument comprises a thin resilient tube. This resilient tube is intimately attached to an outer periphery of the insertion portion of the endoscope and radially expansible. A supply member is connected to a basal end of the resilient tube. When fluid from this supply member is supplied to the basal end of the resilient tube, the resilient tube is radially expanded and a fluid passage is formed between the resilient tube and the insertion portion of the endoscope. The fluid is discharged from a distal end of the resilient tube.

Abstract: An endoscope sheath assembly usable within an elongated flexible endoscope to isolate a portion of the endoscope from an external environment during a therapeutic or diagnostic endoscopic procedure. The sheath assembly has a sheath with an elongated flexible endoscope tube, a plurality of working channels extending the endoscope tube, and a low-friction, fabric isolating sleeve positioned within the endoscope tube and surrounding portions of the working channels. The isolating sleeve includes first and second sleeve lumens formed therein through which respective working channels extend. The coefficient of friction between the isolating sleeve and the working channels is less than the coefficient of friction between the working channels themselves so that working channels are frictionally isolated from each other, from the endoscope tube, and from the insertion tube to reduce resistance to articulation of the endoscope.

Abstract: A guiding device for treatment accessories of an endoscope includes a guiding tube and a fixing device. The guiding tube is long enough to extend from a forceps channel of the endoscope and is provided with a bent portion at a distal end thereof. The fixing device positions the guiding tube to having a predetermined positional relationship with respect to the entrance of the forceps channel such that the bent portion bends in a predetermined direction with respect to the exit of the forceps channel.

Abstract: An endoscope system including an endoscope having an insertion section which extends from a proximal end to a distal end and is inserted into a cavity under inspection and an operation section connected to the proximal end of the insertion section, and a protection cover including an insertion section inserting channel which extends from a proximal end to a distal end and into which said insertion section of the endoscope is insertable and a conduit channel which extends from the proximal end to the distal end, the improvement being characterized in that a distal end portion of the insertion section has a non-circular cross section such as a semicircular or oval cross section and a proximal end portion of the insertion section has a substantially circular cross section. A distal end member of the insertion section inserting channel has an accommodating portion which is a corresponding non-circular cross section.

Abstract: A device utilizable with an endoscope to promote cleanliness comprises a substantially thin-walled elongate tubular sheath made of a flexible material, the sheath having a use configuration with an inner diameter larger than an outer diameter of an insertion member of the endoscope, whereby the sheath may be removably disposed about such insertion member to substantially surround same prior to insertion of the insertion member into a patient. A liner element extends parallel to the sheath and inside the sheath at least along a distal end portion of the liner element. The liner element is insertable into a biopsy channel of the insertion member of the endoscope. The sheath and the liner element are attached at their distal ends by a transparent cap member to form a germ-tight seal. Biopsy channels expandable from a collapsed configuration to receive endoscopic surgical instruments during an operation are provided in or on the sheath.

Abstract: An endoscope system including an endoscope having an insertion section which extends from a proximal end to a distal end and is inserted into a cavity under inspection and an operation section connected to the proximal end of the insertion section, and a protection cover including an insertion section inserting channel which extends from a proximal end to a distal end and into which said insertion section of the endoscope is insertable and a conduit channel which extends from the proximal end to the distal end, the improvement being characterized in that a distal end portion of the insertion section has a non-circular cross section such as a semicircular or oval cross section and a proximal end portion of the insertion section has a substantially circular cross section. A distal end member of the insertion section inserting channel has an accommodating portion which is a corresponding non-circular cross section.

Abstract: A cover system endoscope apparatus in which an insert part cover sheath for isolating the insert part of a cover endoscope is airtightly connected to a distal end constructive part of a tip part of an insert part cover. The insert part cover sheath is composed of a soft resin such as polyurethane exhibiting an excellent chemical resistance and a relatively high flexibility. The tip side of the cover sheath is connectively covered on an outer peripheral edge of the rear end of the distal end constructive part. The insert part cover sheath is formed with a forceps inlet on its near-at-hand side. Connected airtightly thereto is an endoscope manipulation part fixing mouth part having an expansion tube mouth for connecting an expansion tube and further a connecting part connected to a cover holding tool. An opening of an endoscope insert channel provided in an interior of the insert part cover sheath is formed on the near-at-hand side of the endoscope manipulation part fixing mouth part.

Abstract: A cover-fit endoscope can be used while being covered with a cover so that it is watertight. An appliance channel is extended through the cover and an appliance insertion inlet of the channel is open. This opening of the appliance insertion inlet is provided with an integral appliance plug. It is therefore possible to prevent the contaminated appliance plug from being fitted to the sterilized cover by mistake, and also to prevent leakage of the body fluids. Thus, the cover-fit endoscope is kept from contamination. The cover and the appliance plug are both discarded after use. The need for washing and disinfecting the cover-fit endoscope is eliminated, and use of the sterilized appliance plug is always ensured to reduce a fear of infection.

Abstract: An improved endoscope prevents abrasion of a fiberoptic image guide with a braid reinforced sheath. Abrasion of fiberoptic image guides within articulating endoscopes quickly wear through a conventional fiberoptic mantle, decreasing the useful life of the endoscope. Preferably, the sheath comprises a metal braid disposed within a polyimide, which effectively protects the image guide from abrasion against the endoscope components and substantially extends useful life.

Abstract: In an endoscope system including an endoscope having an insertion section and an operation section and a disposable protection cover having an insertion section cover having formed therein a forceps channel and a forceps inlet opening through which a forceps can be inserted into the forceps channel, said forceps inlet opening is selectively closed by a forceps plug which is made of resilient material and separately formed from the insertion section cover. The forceps plug is preferably formed such that it can be detachably secured to a forceps inlet opening of an ordinary coverless (without-cover) endoscope.

Abstract: An endoscopic accessory comprising a catheter with axial walls defining an interior area, an elongated tool shaft slidably positioned within the interior area of the catheter, an endoscopic tool attached to the distal end of the tool shaft, and a retaining member connected to the catheter to prevent the tool from inadvertently deploying. The tool is slidable relative to the catheter between a withdrawn position and an advanced position, with the tool being positioned proximal to the distal end of the catheter when in the withdrawn position and extending beyond the distal end of the catheter when in the advanced position. The retaining member is connected to the catheter proximal to the distal end of the catheter and is movable between a closed position and an open position. In the closed position, the retaining member prevents the tool from being prematurely deployed. In the open position, the retaining member allows the endoscopic tool to be deployed without interference.

Abstract: An endoscope cover apparatus including a joint portion for fixing a control portion of an endoscope disposed adjacent to an operator, and extending insertion-portion cover disposed in front of the joint portion, a cover leading member disposed in the leading portion of the insertion-portion cover, a first tubular passage member passing through the cover-type endoscope from the joint portion to the cover leading member to continuously connect opening portions respectively formed in the cover leading member and the joint portion, and a second tubular passage member for continuously connecting the tubular passage of the joint portion to an external device.

Abstract: In an endoscope system including an endoscope having an insertion section to be inserted into a cavity under inspection, a bending portion which is provided in the insertion section near a distal end thereof and is bent in at least up and down directions and an operation section to which a proximal end of the insertion section is connected and a disposable protection cover having an insertion section dover for covering the insertion section of the endoscope and having formed therein an insertion section inserting channel into which the insertion section of the endoscope is insertable and conduit channels, the insertion section inserting channel and conduit channels are both crossed by a line which is parallel with the up and down directions, so that the distal end of the insertion section can be correctly bent in the up and down directions without being influenced by the conduit channels.

Abstract: A cover-type endoscope apparatus comprises a cover and a covering endoscope used by being inserted into the cover. At least one hand-side tube line of tube lines forming a plurality of channels provided in the cover has a thickness larger than a thickness of an inserting-side tube line.

Abstract: An endoscope system including an endoscope having an insertion section which extends from a proximal end to a distal end and is inserted into a cavity under inspection and an operation section connected to the proximal end of the insertion section, and a protection cover including an insertion section inserting channel which extends from a proximal end to a distal end and into which said insertion section of the endoscope is insertable and a conduit channel which extends from the proximal end to the distal end, the improvement being characterized in that a distal end portion of the insertion section has a non-circular cross section such as a semicircular or oval cross section and a proximal end portion of the insertion section has a substantially circular cross section. A distal end member of the insertion section inserting channel has an accommodating portion which is a corresponding non-circular cross section.

Abstract: An endoscope has a sterilizable, elongated, optical capsule section and a separable, disposable, sterile channel section. The capsule has a window at a distal end in front of an image sensor. Image transmitting electronic cables, connected to the image sensor, extend proximally from the capsule. Light transmitting fibers extend from the window proximally for transmitting light to a site under investigation from a remote light source. The cables and the fibers are housed in a common conduit connected to the proximal end of the capsule. The separable channel section has a distal end removably attached to the capsule and has plurality of longitudinal channels for transmitting fluids or for receiving an operative instrument. A flexible tube is connected to the proximal end of each channel for supplying fluid or for manipulating the operative instrument from a remote location. The separable channel section is disposable after use.

Abstract: An endoscope with separable auxiliary assembly is provided that includes a cylindrical shaped endoscope that is insertable within a sterile end cap with attached sterile drape, the drape being extendable over the length of the endoscope and its trailing cables thus isolating the endoscope and its trailing cables from the environment. A sterile separable channel section is provided that releasably attaches to the end cap. The separable channel section has a plurality of longitudinal channels running therethrough so that operative fluids, gases or operative instruments may be applied to the surgical site. To enable a surgeon to obtain selectable images of an operative site, a detachable viewing head may be attached to the distal end of the endoscope prior to placement of the endoscope inside the end cap.

Abstract: An endoscope system for use in an endoscopic procedure including a plurality of endoscopes each having an insertion section to be inserted into a cavity under inspection and an operation section to which the insertion section is connected, and a plurality of disposable protection covers each having an insertion section cover for covering said insertion section of the endoscope and an operation section cover for covering said operation section of the endoscope. The operation section of the endoscope is provided with angle knobs for bending a distal end of the insertion section into a desired direction and said angle knobs are detachably secured to a shaft. In said operation section cover, there is formed an aperture through which said shaft is protruded from the operation section cover. All the angle knobs and shafts of all the endoscopes are constructed such that all the angle knobs can be detachably secured to any of the shafts.

Abstract: An endoscope system detachably provided with a cover endoscope possible of being fitted with a cover and used by covering its outer surface with the cover and a coverless endoscope used without being fitted with the cover. A display range and a visual field range of an image that are obtained in the cover endoscope have substantially the same configurations as those of a display range and a visual field range of an image that are obtained in the coverless endoscope.

Abstract: An endoscope apparatus includes: an endoscope having an insertion section; and a sheath attached thereto so as to cover at least the insertion section of the endoscope, wherein the endoscope apparatus is equipped with: a forward end gap portion formed between the inner surface of an edge portion formed in the forward end portion of the sheath and the outer surface of the forward end portion of the insertion section of the endoscope; and a fluid passage which communicates with the forward end gap portion and which is formed between the inner surface of the sheath and the outer surface of the insertion section of the endoscope, and wherein a liquid feeding passage or a suction passage for passing a cleaning fluid or a sucked object is provided in the fluid passage, and a nozzle section for spraying the cleaning fluid onto an observation window portion in the forward end portion of the insertion section of the endoscope is provided in the forward end gap portion.

Abstract: An covered endoscope type of endoscopic apparatus has a covered endoscope and a cover for covering the covered endoscope. The covered endoscope has an elongated flexible inserted portion, an operated portion formed on the base end side of the inserted portion, and a universal cord extending from a side portion of the operated portion. The cover is formed of an inserted portion cover member, an operated portion cover member and a cord cover which cover the inserted portion, the operated portion and the universal cord of the covered endoscope, respectively. An operated endoscope portion fixation mouth member having a forceps inlet and an expansion tube mouth to which an expansion tube provided on an expander is connected is provided at a base end of the inserted portion cover member. An air supply tube, a water supply tube and an aspiration tube are inserted through the inserted portion cover member, the operated portion cover member and the cord cover.

Abstract: In an endoscope cover-sheathed endoscope which is used for endoscopic examination with an insertional part of an endoscope sheathed with an endoscope cover, the surfaces of the insertional part, operational part, and universal cord of the endoscope are all structured to tightly shut out water. Even when contaminated, the endoscope can be immersed in chemical and thus disinfected effortlessly.

Abstract: In an endoscope system including an endoscope having an insertion section insertable into a cavity under inspection and an operation section having at least one operation switch, said operation section being connected to a proximal end of said insertion section and a disposable protection cover having an insertion section cover for covering said insertion section of the endoscope and an operation section cover for covering said operation section of the endoscope, said insertion section cover includes a forceps channel through which existing forceps for use in ordinary without-cover endoscopes can be inserted. An inner diameter of the forceps channel is determined to be slightly larger than an outer diameter of most frequently used forceps or standard forceps whose number shows a peak in the outer diameter series of the forceps.

Abstract: A cover system endoscope apparatus in which an insert part cover sheath for isolating the insert part of a cover endoscope is airtightly connected to a distal end constructive part of a tip part of an insert part cover. The insert part cover sheath is composed of a soft resin such as polyurethane exhibiting an excellent chemical resistance and a relatively high flexibility. The tip side of the cover sheath is connectively covered on an outer peripheral edge of the rear end of the distal end constructive part. The insert part cover sheath is formed with a forceps inlet on its near-at-hand side. Connected airtightly thereto is an endoscope manipulation part fixing mouth part having an expansion tube mouth for connecting an expansion tube and further a connecting part connected to a cover holding tool. An opening of an endoscope insert channel provided in an interior of the insert part cover sheath is formed on the near-at-hand side of the endoscope manipulation part fixing mouth part.

Abstract: A channel system for use with a conventional endoscope is provided. The system comprises a collapsible access channel that is connected to a first distal end of the endoscope. The collapsible channel includes an access opening communicating between the two ends of the collapsible channel. The endoscope may be provided with a protective sheath and/or an endcap that is integral with the collapsible channel. The collapsible access channel allows a physician to insert functional instruments such as a biopsy device or tubes for supplying air, water, suction and irrigation.

Abstract: An endoscope has a sterilizable, elongated, optical capsule section and a separable, disposable, sterile channel section. The capsule has a window at a distal end in front of an image sensor. Image transmitting electronic cables, connected to the image sensor, extend proximally from the capsule. Light transmitting fibers extend from the window proximally for transmitting light to a site under investigation from a remote light source. The cables and the fibers are housed in a common conduit connected to the proximal end of the capsule. The channel section has a distal end removably attached to the capsule and has plurality of longitudinal channels for transmitting fluids or for receiving an operative instrument. A flexible tube is connected to the proximal end of each channel for supplying fluid or for manipulating the operative instrument from a remote location. The separable section is disposable after use. The capsule is sterilizable for reuse with another sterile separable section on the next patient.

Abstract: An endoscope cover with a channel covers at least an inserted portion of an endoscope. The endoscope cover has a treatment tool channel into which a treatment tool is inserted and incorporates a treatment tool raising device for moving, to a predetermined position, the treatment tool inserted into the treatment tool channel and protruding from a distal end portion of the treatment tool channel. The endoscope cover includes an endoscope operating portion fixing port portion provided at a proximal end portion of an inserted portion covering portion which covers the inserted portion of the endoscope. The port portion fixes an operating portion of the endoscope inserted into the inserted portion covering portion. A treatment tool raising device operating member connected to the treatment tool raising device for operating the treatment tool raising device is disposed in the endoscope operating portion fixing port portion.

Abstract: A cover-system endoscope comprises the main body of an endoscope and an endoscope cover assembly for covering the main body of the endoscope. The endoscope cover assembly includes a direction changing means such as a tube body, an erecting base having a hinge section or a balloon for erecting the erecting base in order to change the direction of a medical treatment instrument which is inserted through the medical treatment instrument channel.