Abstract: Disclosed embodiments include apparatuses, systems, and methods for providing an atraumatic sheath tip. Various disclosed embodiments seek to help reduce or avoid unnecessary tissue damage upon a sheath being extended to convey an elongated instrument for sampling or treatment. In an illustrative embodiment, an apparatus includes a deformable sheath tip configured to be positioned at a distal end of a sheath. The sheath defines therein a lumen configured to convey an elongated instrument. The sheath tip has a base end disposable at the distal end of the sheath and a contact end. The sheath tip has a first column strength along an axis of the sheath tip that is less than a second column strength of the sheath and a first degree of deformability that is greater than a second degree of deformability of the sheath.

Abstract: A catheter system comprises an elongate catheter body including a distal end, a cannulation lumen extending through the catheter body and terminating at the distal end of the catheter body, and a steering element extending through the catheter body for steering the distal end. The catheter system also comprises an imaging element secured to a distal end portion of the catheter body and configured to obtain optical images of an area located distally of the distal end of the catheter body. The catheter body includes a ridge extending axially along an outer surface of the distal end portion, wherein a width of the ridge measured about a circumference of the catheter body is less than a length of the ridge measured along the longitudinal axis, and the imaging element is radially aligned with the ridge with at least a portion of the imaging element disposed within the ridge.

Abstract: A device for performing surgical procedures, such as intracardiac procedures or neurosurgical procedures, includes a solid optical window formed of a transparent, compliant material, wherein the solid optical window includes a proximal side and a distal side, wherein a distal face of the solid optical window is configured to approach tissue during a surgical procedure; an imaging system embedded into the solid optical window and positioned to obtain an image through at least a portion of the distal face of the solid optical window; and a tool channel formed through the solid optical window from the proximal side to the distal side of the solid optical window, wherein the tool channel is configured to receive a tool for performing the surgical procedure.

Abstract: Embodiments of the present invention are directed to providing an effective and reliable approach for cleaning an exposed surface of an imaging element (e.g., a lens) of apparatuses including but not limited to medical imaging instruments such as endoscopes and laparoscopes and the like. In the case of medical imaging instruments, cleaning apparatuses configured in accordance with embodiments the present invention can be cleaned while the distal end portion of the endoscope is in vivo. Such apparatuses have a cleaning member incorporated therein (e.g., a resilient polymeric wiper, a sponge, an absorbent pad or the like) that is used for cleaning the exposed surface of the imaging element. The apparatus is preferably adapted for being mounted on imaging apparatus but can also be entirely or partially integral with one or more components of the imaging apparatus or system of which it is a component.

Abstract: Embodiments of the present invention are directed to providing an effective and reliable approach for cleaning an exposed surface of an imaging element (e.g., a lens) of apparatuses including but not limited to medical imaging instruments such as endoscopes and laparoscopes and the like. In the case of medical imaging instruments, cleaning apparatuses configured in accordance with embodiments the present invention can be cleaned while the distal end portion of the endoscope is in vivo. Such apparatuses have a cleaning member incorporated therein (e.g., a resilient polymeric wiper, a sponge, an absorbent pad or the like) that is used for cleaning the exposed surface of the imaging element. The apparatus is preferably adapted for being mounted on imaging apparatus but can also be entirely or partially integral with one or more components of the imaging apparatus or system of which it is a component.

Abstract: There is provided herein a tip section of a multi-viewing element endoscope, the tip section comprising: two or more side-pointing viewing elements positioned at or in proximity to a distal end of said tip section, wherein each of said two or more side-pointing viewing elements having a discrete illuminator associated therewith, wherein the field of view provided by the two or more side-pointing viewing elements covers a front and side views; a working channel configured for insertion of a surgical tool; and a pathway fluid injector for inflating and/or cleaning a body cavity into which the endoscope is inserted.

Abstract: A surgical apparatus includes an end effector configured to interact with a tissue during a plurality of zones of operation. The surgical apparatus further includes at least one drive mechanism operable to effect at least one motion in the end effector during each of the zones of operation. The surgical apparatus also includes one or more vibration sensors configured to record vibrations generated by the at least one drive mechanism during the zones of operation, wherein the one or more vibration sensors are configured to generate an output signal based on the sensed vibrations, and wherein the output signal is employed to determine a status of the surgical apparatus based on predetermined threshold values that are unique to each of the zones of operation.

Abstract: Systems and methods are provided for injecting one or more agents into tissue within a patient's body that includes a catheter. A needle guide extends from a distal end of the catheter and terminates at a distal tip, e.g., including a foot with an atraumatic contact surface, the needle guide having a cross-section smaller than the distal end and being biased to a curved shape. The needle guide includes a passage communicating from a lumen of the catheter to an outlet at the distal tip, and a needle device is disposed within the passage that may be deployed from the outlet to inject one or more agents into tissue. The catheter also includes an imaging assembly on the distal end configured to acquire images of tissue adjacent the needle guide distal tip.

Abstract: The present disclosure relates to the field of endoscopy. Specifically, the present disclosure relates to delivery systems and methods for coagulating sites of bleeding within mucosal tissues, and in particular, for eradicating esophageal varices.

Abstract: In some aspects, a method for performing analog matrix inversion on a matrix with a network of resistive device arrays B, W, Q, and C is described. The method may include initializing arrays W, Q, B and C, updating the connections of array W in parallel and array Q in parallel until a predetermined condition is satisfied, and responsive to determining that the predetermined condition is satisfied, outputting an inverted matrix based on outputs from the connections of arrays B, W, Q, and C.

Abstract: Closure devices and methods are provided for ligating tissue, such as the left atrial appendage. Generally, the closure devices include an elongate body, a snare loop assembly comprising a snare and a suture loop, and a shuttle connected to the snare and releasably coupled to the elongate body and retractable therein. In some variations, the shuttle may be configured to fit into the lumen. In other variations, a handle may be attached to the elongate body, and the handle may comprise a track and a snare control coupled to the track. The handle may be configured to release the shuttle from the elongate body and allow movement of the snare control along the track to retract the snare loop and the shuttle into a lumen of the elongate body.

Abstract: A multi-focal, multi-camera endoscope having a tip section including a first optical assembly for generating a first image of a body cavity; a second optical assembly for generating a second image of a body cavity; at least one illuminator associated with each of the first optical assembly and second optical assembly; and a processing system configured to: zoom the first optical assembly and thereby generate a zoomed first image in place of the first image; and automatically cause a physical display to eliminate a display of the second image and to only display said zoomed first image. To eliminate the display of the second image, the processing system reduces a power supply to the second optical assembly, reduces an illumination intensity of an illuminator associated with the second optical assembly or causes the physical display to power off, darken, or blacken.

Abstract: An optical coupler for mounting at a distal end of an optical imaging device includes a visualization section and an attachment section. At least one surface of the visualization section has a roughness that does not interfere with a video capture system of an optical imaging device.

Abstract: An endoscope according to the invention includes a distal end member of an endoscope main body, a guide groove provided in the distal end member from a proximal end side toward a distal end side, first and second concave sections provided at a proximal end and a distal end in the guide groove, a cover attached to the distal end member, and a convex section provided in the cover, the convex section sliding in the guide groove to selectively engage with the first concave section and the second concave section. The convex section engages with the first concave section to fix the cover to the distal end member. The convex section is slid along the guide groove and engages with the second concave section to fix the cover to the distal end member in a state in which the cover deviates to the distal end side.

Abstract: A catheter with a spring tip that facilitates atraumatic initial placement and also continues to protect tissue contacted by the catheter device subsequent to the initial placement. The spring tip is shock-absorbing and axially compliant and allows enhanced use of various devices in conjunction with the tip such as bioptomes, electrodes, needles, flushing catheters, delivery catheters, and the like. The atraumatic shock-absorbing tip could include conductive or non-conductive materials.

Abstract: An endoscopic mucous membrane lifting instrument includes: a cap mounted at a distal end of an insertion portion of an endoscope device; a first wire disposed at the cap and configured to be capable of protruding from an outer circumferential portion of the distal end of the insertion portion toward a direction more distal than the insertion portion and in a direction approaching an extension line of a central line of the insertion portion; a second wire disposed at the cap and be capable of protruding from the outer circumferential portion of the insertion portion along the central line of the insertion portion in the distal direction than the insertion portion; and a wire-manipulating portion configured to independently operate the first wire and the second wire.

Abstract: Debris-removing cap includes a cap body having a receiving cavity and an interior surface disposed within the receiving cavity. The cap body is configured to be attached to an optical device such that a mating face of the optical device is disposed within the receiving cavity. The interior surface is configured to face the mating face of the optical device. The debris-removing cap also includes a lens wiper that is coupled to the interior surface within the receiving cavity and extends away from the interior surface toward the mating face of the optical device. The lens wiper moves relative to the mating face when activated by a user of the debris-removing cap. The lens wiper engages a lens of the mating face when activated by the user to remove debris from the lens.

Abstract: An optical coupler for mounting at a distal end of an optical imaging device includes a visualization section and an attachment section. At least one surface of the visualization section has a roughness that does not interfere with a video capture system of an optical imaging device.

Abstract: A tip section of a multi-camera endoscope includes a front-pointing camera on a planar surface of a distal end of the tip section and two side-pointing cameras positioned in depressions on a cylindrical surface in proximity to the planar surface such that the side field of view provided by the two side-pointing cameras partially overlaps with the front field of view provided by the front-pointing camera. The tip section further includes a working channel configured for insertion of a surgical tool and a pathway fluid injector for inflating and/or cleaning a body cavity into which the endoscope is inserted.

Abstract: Medical systems, devices and methods are disclosed for suturing a perforation in tissue, that may be employed endoscopically and/or laparoscopically, and that offer simple, reliable and controllable placement of sutures around a perforation for complete closure thereof. One embodiment of the medical system generally includes an endoscope, an endcap, an elongated side tube, a needle, a suture and a retrieval device. The endcap is fitted to a distal end of the endoscope. The elongated side tube defines a side channel and is connected to the endcap. The needle has a shaft and a needle tip detachably connected to a distal end of the shaft. The needle is sized to be translated through the side channel of the side tube. The suture is attached to the needle tip. The retrieval device is sized to be translated through a working channel of the endoscope and retrieve the needle tip.

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

Abstract: A propelling device includes a traveling body that rotates in a state of being brought into contact with an inner wall of an alimentary canal, an external cylinder around which the traveling body is wound, and a mounting cylinder on which a tip end portion of an endoscope is mounted. Three driven rollers are rotatably attached to the external cylinder. The traveling body is pinched between the driven rollers and driving gears. As the driving gears rotate, the traveling body travels in a circulating manner. A rotating shaft of the driven roller located at the center among the three driven rollers is held by a shaft hole that is made long in a gear arrangement direction in which the driving gears are disposed side by side.

Abstract: A flexible shaft includes a flexible, elongated outer sheath, at least one drive shaft disposed within the outer sheath and a moisture sensor disposed within the outer sheath configured to detect moisture within the outer sheath. Another flexible shaft includes a flexible, elongated outer sheath, at least one flexible drive shaft disposed within the outer sheath and a coupling connected to a distal end of the outer sheath configured to couple to a surgical attachment. A sleeve includes an elongated shaft configured to receive a flexible shaft therein and a securing arrangement configured to selectively and variably retain the elongated shaft in any one of a number of longitudinal positions along the flexible shaft.

Abstract: A self propelled, endoscopic apparatus formed of a flexible, fluid-filled toroid and a motorized or powerable frame The apparatus may be used to advance a variety of accessory devices into generally tubular spaces and environments for medical and non-medical applications. The apparatus when inserted into a tubular space or environment, such as the colon of a patient undergoing a colonoscopy, is advanced by the motion of the toroid. The toroid's surface circulates around itself in a continuous motion from inside its central cavity along its central axis to the outside where its surface travels in the opposite direction until it again rotates into its central cavity. As the device advances within the varying sizes, shapes and contours of body lumens, the toroid compresses and expands to accommodate and navigate the environment. The motion of the toroid can be powered or unpowered and the direction and speed may be controlled.

Abstract: Surgical apparatus and method includes a cannula that houses an endoscope and supports a dilating element near a distal end of the cannula. The dilating element has a dimension which is greater than the diameter of the cannula for enlarging a surgical cavity in tissue as the cannula is advanced through tissue at a surgical site to provide working space adjacent a target vessel within which surgical instruments may be conveniently manipulated. The dilating element of oval sided shape permits surrounding tissue to be pushed away or otherwise displaced away from the target vessel atraumatically. A locking mechanism is disposed on the cannula, which accepts a succession of mating dilating elements of progressively larger dimensions for successive insertion and enlargement of a surgical cavity as required.

Abstract: A surgical instrument extends through a guide tube and exits at an intermediate position of the guide tube. The instrument includes a parallel motion mechanism that changes the position of a distal end of the surgical instrument without changing the orientation of the distal end. An image capture component is at the distal end of the guide tube, and a joint allows the image capture component to move while the intermediate position remains stationary. The configuration allows a cross section of the guide tube to be oblong. In some aspects, a joint for the image capture component is placed between exit ports for surgical instruments, which allows the guide tube cross section to be further reduced.

Abstract: A visual inspection device includes a body having a support portion and a grip portion extending from the support portion. The device also includes a flexible cable having a first end portion coupled to the body and a second end portion, and a camera assembly coupled to the second end portion of the flexible cable. The camera assembly includes an image sensor operable to transmit image data through the flexible cable. The device further includes a display supported by the support portion of the body. The display is electrically connected to the flexible cable to display image date from the image sensor. The device is powered by a rechargeable battery pack removably coupled to the body.

Abstract: A distal end hood for an endoscope configured to be mounted on a distal end portion of an endoscope including an observation window, and a distal end surface of the distal end portion on which an opening is formed, the opening configured to spray a feed gas, the distal end hood for an endoscope including a conduit including: a first end portion on which a first opening is formed, the first opening being fitted together by insertion with an opening of the distal end surface of the distal end portion of the endoscope and being connectable to the opening; and a second end portion on which a second opening is formed, the second opening being disposed at a position away from the distal end surface toward a proximal end side of the endoscope.

Abstract: Provided is an attachment for an endoscope, the attachment being attached to a leading end part of the endoscope having a leading end surface on which an observation window for observing an inside of a subject's body and a first opening for jetting a constant-pressure supplied gas are formed, the attachment including: a second opening provided at a position separate from the leading end surface; a pipe conduit that communicates the first opening and the second opening with each other so as to jet the constant-pressure supplied gas from the second opening; and a region separating member that separates a jetting region of the constant-pressure supplied gas jetted from the second opening from a region of view of the observation window.

Abstract: The present disclosure relates to calibration target devices, assemblies and methods for use with imaging systems, such as a stereoscopic endoscope. A calibration assembly includes: a target surface extends in three dimensions with calibration markers and a body with an interface that engages an endoscope so the markers are within the field of view. A first calibration marker extends along a first plane of the target surface and a second marker extends along a second plane of the target surface. The planes are different and asymmetric relative to the field of view as seen through the endoscope. Three-dimensional targets, in particular, enable endoscopic calibration using a single image (or pair of images for a stereoscopic endoscope) to reduce the calibration process complexity, calibration time and chance of error as well as allow the efficient calibration of cameras at different focus positions.

Abstract: A surgical instrument for forming a gastrotomy. In various embodiments, the surgical instrument may comprise a hollow tip for attachment to a distal end of a tubular member such as an endoscope. In other embodiments, the hollow tip is integrally formed on the distal end of the endoscope. The hollow tip is configured such that when it is brought into contact with the inner layer of tissue in the stomach, the tissue is caused to stretch. A hole-forming device may be passed through the hollow tip to pierce through the stretched inner layer and adjacent outer layers of tissue to form a passageway therethrough for permitting surgical procedures to be performed therethrough. After the surgical procedures are performed through the passageway, the hollow tip is removed from contact with the inner layer of tissue to permit the inner layer of tissue to relax and to cause the holes formed through the inner layer and outer layers of tissue to be offset from each other.

Abstract: Devices, tools and methods for performing minimally invasive surgical procedures. Methods of performing minimally invasive ablation procedures. Methods of performing rapid exchange of tools in a device while the device remains in a reduced-access surgical space.

Abstract: There is provided herein an endoscope assembly comprising at least one front-pointing camera and at least one front illuminator associated therewith, at least one side-pointing camera and at least one of side illuminator associated therewith, a front working channel configured for insertion of a medical tool and a side service channel configured for insertion of a medical tool.

Abstract: Endoscopes, medical devices for use with endoscopes, and methods for making and using endoscopes. An example medical device for use with an endoscope is a catheter having one or more ridges formed on an outer surface thereof. The ridges may interact, for example, with the elevator of an endoscope.

Abstract: An improved system for attaching devices to the distal end of endoscopic instruments is described. An attachment adapter comprises a distal stop, such as a complete or partial loop or cylinder, which limits the penetration of an endoscope into the adapter. The adapter has at least one flange protruding proximally along the endoscope. The adapter is secured on the endoscope by a securing means, which compresses the flange or flanges sufficiently to provide a friction fit. The flexibility of the inventive adapter system allows the adapter to work reliably with endoscopes that are used, damaged or repaired. The adapter may further provide a slit or window allowing viewing of the vessel wall by a lens on an endoscope, thereby improving the operator's ability to understand the location of the endoscope during operation. The adapter may carry any of a variety of devices, including devices for closing a surgical incision, or treating or manipulating tissue.

Abstract: An endoscope holding device includes an insertion part that is long and holds the distal end part of an endoscope so as to freely protrude and retract; a distal end face that specifies a protruding direction of the endoscope, and is formed at the distal end of the insertion part, a displacement part which has a displacement face that is curved from the distal end toward a proximal end and provided at a position apart from the distal end face in order to displace living body tissue in front of the insertion part to secure a space for operating the distal end part of the endoscope protruded from the distal end face to curve; and a fixing portion that fixes the displacement part and the insertion part such that the distal end side of the displacement face intersects a direction orthogonal to the distal end face.

Abstract: An optical coupler is disclosed with an attachment section for mounting at a distal end of an optical imaging device for visualizing a surface area covered with an opaque fluid and/or particulate matter. The coupler includes a visualization section at one end of the coupler that includes a proximal surface for engaging the distal end of the optical imaging device, an attachment section connected to and extending away from the visualization section, an outer surface spaced apart from the proximal surface, and may include a hollow instrument channel extending from the proximal surface toward the outer surface. This surface extends continuously from a first outer side boundary across to a second opposite outer side boundary of the visualization section. The visualization section can be formed from an elastic material capable of transmitting an optical image of the surface area. In one form, the material is a silicone gel or elastomer.

Abstract: A medical tube includes: a tube main body through which a conduit, through which an insertion portion of a cholangioscope is insertable, is pierced from a distal end to a rear end; a side hole that is formed between the distal end and the rear end of the tube main body and causes an outer circumferential side of the insertion portion and the conduit to communicate with each other; and a hardness changing portion that can change the hardness of at least a part of the tube main body including the side hole according to operation by an operator.

Abstract: In one embodiment, an apparatus may include an endoscopic housing defining an opening disposed along a plane substantially normal to a longitudinal axis of the endoscopic housing. A rotatable member may be coupled to the endoscopic housing and may have a proximal portion configured to move from a stowed configuration to a deployed configuration when the proximal portion of the rotatable member is rotated about an axis substantially normal to the longitudinal axis of the endoscopic housing. The proximal portion of the rotatable member may be disposed on a distal side of the plane when in the stowed configuration and disposed on a proximal side of the plane associated with the opening when in the deployed configuration.

Abstract: An endoscopic device includes a proximal side contact portion coming into air-tight contact with an outer peripheral portion of the insertion section, and a cavity is defined between the insertion section and a fixed member to a distal direction side of the proximal side contact portion. In a protruding state of a hood, a first path which makes an inside of the hood communicate with the cavity is defined, and the hood is in air-tight contact with the fixed member over an entire circumference in circumferential directions at a distal side contact portion. In a housed state of the hood, a second path which makes the cavity to communicate with an outside of the fixed member is defined.

Abstract: An endoscopic treatment system 1 of the present invention includes an overtube 2 that is inserted into the body of a patient. An endoscope 7 and a suturing device 8 are inserted into the overtube 2. The overtube 2 has a long and flexible tube main body 3, and a chamber 4 is provided at the distal end of the tube main body 3. The chamber 4 has a lateral hole 10 formed on the lateral surface thereof. The width of the lateral hole 10 is set such that a lesion can be drawn into the lateral hole 10 while preventing other organs on the periphery of the lesion from being drawn into the lateral hole 10.

Abstract: Medical systems, devices and methods are disclosed for suturing a perforation in tissue, that may be employed endoscopically and/or laparoscopically, and that offer simple, reliable and controllable placement of suture around a perforation for complete closure thereof. One embodiment of the medical system generally includes an endoscope, an endcap, a needle, a suture, and first and second grip systems configured for relative translation to selectively pass the needle between the first and second grip systems.

Abstract: Embodiments of the invention include a medical device for accessing a patient's body portion and used for diagnosis and treatment of medical conditions. Embodiments of the invention may include a particular endoscopic positioning mechanism for placing an endoscope and an additional treatment device within desired body portions in order to assist in diagnosis and treatment of anatomical diseases and disorders. In particular, a medical device according to an embodiment of the invention may include an outer flexible tube and a positioning mechanism configured for rotating one portion of the flexible tube relative to another portion of the flexible tube.

Abstract: Disclosed herein are devices and methods for introducing a plurality of instruments to a target site through a working channel. The working channel can include a surface adapted to guide one or more instruments into select positions. The working channel can be defined by a portion of a guide tube or tip that may be coupled with an endoscope.

Abstract: An endoscope adapter ring for a needleless fluid delivery system for delivering therapeutic fluids to treatment sites within a patient. The needless fluid delivery system can include an automated injector source and a needleless access device. The access device can include a delivery scope and a treatment specific applicator. The adapter ring is operably attached to the endoscope to keep the injector lumen in a known orientation for the use of a side injector.

Abstract: An apparatus applicable for the ligation of internal tissue in a created or natural cavity in animals or in the human body, for example varicose veins in the gullet or a duodenal diverticulum, by means of an elastic band (19) while observing the ligations through an endoscope. The apparatus includes an automatic trigger unit (1) mounted firmly on the handle of the endoscope which can release a number of elastic bands (19) with the aid of a single-stranded trigger cord (11). Only a single elastic band (19) is released for each ligation thereby establishing a one-man-operated apparatus.

Abstract: An insertion assisting device includes a rotary body in the form of toroid, and a support and drive part for supporting the rotary body in a rotatable manner and rotating it. The support and drive part has an approximately cylindrical supporting member for supporting the rotary body in a rotatable manner. The rotary body is provided with a convex portion for increasing the thickness to improve the strength thereof. A concave portion having a shape corresponding to the shape of the convex portion is formed on a portion of a front end surface of the supporting member, which is made in contact with the convex portion. The concave portion prevents the rotary body from stopping rotating, which may be caused by point contact between the convex portion and the supporting member.

Abstract: The present invention provides an access device for surgery. The access device includes a guide member and a head member. The guide member and head member define a channel configured to receive and guide a sterile flexible scope with a working channel. The guide member and head member cooperate to extend through a small opening of 2 cm or less to access tissue structures. The head member may include surfaces to separate a pericardium from a surface of the heart, stabilize a beating heart and, with the endoscope, provide visibility for the implantation of a therapeutic such as stem cells to the surface of the heart with improved safety and accuracy. Ranges of other diagnostic, application of therapeutics or biologics, and observational applications may be facilitated by the access device, such as TMR, ablation, echo-probe diagnostics, LAA isolation, observation of the same procedures, etc.

Abstract: A flow guide directs a fluid flow across a surface of a device, for example a lens surface of an endoscope, in a controlled manner to facilitate flow attachment to the surface. Embodiments include features that impart a non-uniform velocity profile and/or include guide surfaces for facilitating flow attachment and/or coverage.

Abstract: A flow guide directs a fluid flow across a surface of a device, for example a lens surface of an endoscope, in a controlled manner to facilitate flow attachment to the surface. Embodiments include features that impart a non-uniform velocity profile and/or include guide surfaces for facilitating flow attachment and/or coverage.