Abstract: Multi-stage catheter device configured to navigate through complex narrow tissue openings such as lung bronchi pathway openings of 3 millimeters or less. The device comprises a proximal catheter portion containing a hollow torque shaft, with a distal catheter portion connected to the proximal portion by a rotatable coupler connected to this hollow shaft. The distal position of the proximal catheter can be controlled by up to four independently controlled proximal stage steering cables positioned outside of the shaft, and the shaft itself can be used to rotate the distal catheter about the rotatable coupler. The position of the distal end of the distal catheter can be further controlled by up to four independently controlled distal stage steering cables positioned inside of the hollow shaft. The device is tipped by a tool plate, which can be equipped with various sensors and other instruments, connected to the outside via other conduits.

Abstract: An imaging module includes: an image sensor; and a mounting board on which the image sensor is mounted together with a plurality of passive components. The mounting board includes: a first surface on which the image sensor is surface-mounted; a second surface that is located on an opposite side to the first surface and on which the passive component is mounted; a third surface that is continuous with the second surface via a step and on which the passive component is mounted; and a columnar cable connection block that rises from the second and third surfaces and to which a cable is connected.

Abstract: A rotating controlling method for an antenna, the steps includes collecting parameters for indicating signal strength of the antenna; and determining an optimal radiation position of the antenna and setting the corresponding value of a repulsive force or an attractive force so that the antenna is rotated to the optimal radiation position.

Abstract: A system for tracking a product from origin to destination is disclosed. The system includes a probe that comprises two plates, a power source and a processor. The power source is controlled by the processor to produce an oscillating output at the plates. Using the oscillating voltage, the probe interrogates a device through capacitive coupling. The device includes a control unit, a memory unit, and first and second materials physically associated with the device for communication using capacitive coupling. Information associated with the device is transferred from the device to the probe through capacitive coupling between the first and second materials and the first and second plates, respectively.

Abstract: A tool for inserting into a cavity is provided. The tool includes a plurality of segments moveably coupled to one another, each segment moveable relative to an adjacent segment between a bent position and a coupled position, the plurality of segments including a first segment, the first segment including: a core formed of a first material; and a shell formed of a second material and comprising or defining a guide feature, a drive feature, a line guide, or a combination thereof; wherein the first material defines a greater stiffness than the second material.

Abstract: A cannula system and method for accessing a blood mass in the brain. The system comprises a cannula with a camera mounted on the proximal end of the cannula with a view into the cannula lumen and the surgical field below the lumen. A prism, reflector or other suitable optical element is oriented between the camera and the lumen of the cannula to afford the camera a view into the cannula while minimizing obstruction of the lumen. The system may also include an obturator with a small diameter shaft and a large diameter tip which is optically transmissive, so that a surgeon inserting or manipulating the assembly can easily see that the obturator tip is near brain tissue (which is white) or blood (which is red).

Abstract: The instant disclosure relates to electrophysiology catheter for tissue ablation. In particular, the instant disclosure relates to a system controller for facilitating an ablation therapy at a cryogenic ablation balloon. In an embodiment, an ablation an ablation catheter system comprising a catheter shaft including proximal and distal ends, a catheter handle coupled to a proximal end of the catheter shaft, a cryogenic ablation ballon coupled to the distal end of the catheter shaft, the ablation ballon configured and arranged to deliver a cryogenic ablation therapy to target tissue, an ablation system controller coupled to the catheter handle.

Abstract: Provided are a bending structure and a flexible tube for a medical manipulator, which comprise a main body that is composed of the wave washers stacked in an axial direction and kept a stacked state, the main body being bendable according to the expansion and contraction in the axial direction. Accordingly, linearity of load characteristics based on load and a bending angle is made high to make it possible to obtain the flexible tube having superior load bearing and bendability while conducting size reduction.

Abstract: A method for anastomosing an alimentary tract according to a first aspect of the invention includes a first step of inserting an endoscope into an alimentary tract through a natural opening in a state where a distal end part of a tube body is coupled to an outer periphery of a distal end part of the endoscope; a second step of making a hole in a tract wall of the alimentary tract; a third step of inserting the tube body through the hole; a fourth step of grasping the distal end part of the tube body disposed through the hole; a fifth step of separating the tube body from an outer periphery of the distal end part of the endoscope; and a sixth step of delivering the treatment part up to the hole after the fifth step.

Abstract: The present invention relates to an intubation system comprising insertion unit to be connected to a bending section of a medical instrument comprising an inner elongated shaft structure being capable of torque transmission around its length axis and an outer elongated shaft structure surrounding the inner elongated shaft structure and having a continuous outer surface, and an orientation controller being attached to the inner elongated shaft, such that when the orientation controller rotates, the bending section turns around itself.

Abstract: A deflectable endoscope including an imaging structure, an outer member having a proximal portion and a distal portion, an elongated column member extending distally from the outer member and an inner member positioned coaxial with the outer member and attached to the column member. The inner member extends distally of the outer member and has a distal tip portion. A reinforcement member is positioned over the column member to restrict axial movement of the column member such that when one of the inner member or outer member is moved with respect to the other, axial compression of the column member is restricted by the reinforcement member causing the distal tip portion of the inner member to deflect laterally.

Abstract: Surgical trocars, and image acquisition method using the same, include a body having a passage configured to receive at least one surgical instrument, and at least one camera movably coupled to an outer wall of the body.

Abstract: Embodiments of the disclosure may include an apparatus including an optical fiber having a distal end and configured to emit a beam of energy. The apparatus may also include a first lens coupled to the distal end of the optical fiber and a sheath including a channel and a second lens positioned on a distal region of the sheath. The optical fiber may be disposed within the channel of the sheath to permit relative movement between the first lens and the second lens and thereby adjust a beam of energy that exits the sheath.

Abstract: An insertion device includes a channel defining portion extended through an inside of an insertion section up to a base portion toward a distal direction and defining a channel that is open to an outside of the insertion section in an opening of an outer peripheral portion of the base portion, and a driving unit extended through an inside of the channel with a driving axis being an axial center and being rotatable in directions around the driving axis when driven. The insertion device includes a driving force receiving portion connected to a gear portion in the opening of the channel, and a support unit supporting the driving unit so that the driving axis is parallel to the longitudinal axis in the gear portion.

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 foregoing application describes a system and method of performing a minimally invasive surgical operation. More specifically, the invention involves the use of disposable cannula and slender dilators of variable lengths, which incorporate a source of illumination to carry light to a surgical site and video capabilities for capturing and displaying images from a CMOS or CCD camera device. According to one embodiment, fiber optics run semi-circumferentially or along walls of the cannula/dilator and terminate at about a centimeter from the distal end of the cannula/dilator, thereby preventing illumination from “bottoming out” at the floor of the incision. According to one alternate embodiment, the light fibers may be fashioned in an annulus around one or more camera chips to provide illumination and video of the surgical site.

Abstract: Endoscopic instrument assemblies and methods for making and using the same. An example endoscopic instrument assembly includes an endoscope having a working channel and an endoscopic instrument slidably disposed in the working channel. The inside surface of the working channel and the outside surface of the endoscopic instrument each have a non-circular cross-sectional shape along at least a portion of their respective lengths.

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: Provided is a capsule medical apparatus including a capsule body, a control member, and an observing member. The capsule body is to be introduced into a lumen of a subject. The control member controls a movement of the capsule body in the lumen by a flow of a fluid introduced in the lumen. The observing member is fixed inside the capsule body and observes a direction of the flow of the fluid and a direction different from the flow of the fluid according to the movement of the capsule body.

Abstract: An arthroscopic inflow and outflow sheath providing an improved inflow and outflow system reducing the diameter of a continuous flow system while providing fluid management during arthroscopy. The improved arthroscopic inflow and outflow sheath comprises an elongated atraumatic tube having an inner surface, outer surface, proximal end, and distal end. The atraumatic sheath further comprises a plurality of ribs extending from the inner surface of the tube and designed to contact an outer surface of the arthroscope thereby creating outer lumens facilitating the inflow and outflow of fluid to a surgical site. The distal tip of the tube is made of an elastic material having a higher modulus of elasticity than the modulus of elasticity in the material of the proximal end of the tube.

Abstract: There is disclosed an endoscopic instrument comprising a shaft having a distal end at which at least one optical sensor is arranged and a proximal end configured for a connection to a supply unit, further comprising a data transmission element which is provided between the at least one optical sensor and the proximal end and which is configured to differentially transmit at least two signals. The data transmission element is embodied as a star quad cable.

Abstract: A flexible channel to be incorporated into an endoscopic insertion portion having a flexible portion at least in part of its length, for the purpose of providing a flexible passage internally of the endoscopic insertion portion. The flexible channel is composed of a flexible tube with a helical groove on and around its outer periphery, and a reinforcing coil fitted in the helical groove on the flexible tube. At the root of the helical groove, angular projections are formed at intervals in the longitudinal direction and the reinforcing coil is tightly pressed tightly against the angular projections.

Abstract: An endoscope shaft made of a composite tube comprises an external tube and an internal tube which is softer and more resilient compared to the external tube as well as a helical spring for stiffening the composite tube. According to the invention, the helical spring in the relaxed state has an outer diameter which is larger than the inner diameter of the internal tube. Furthermore the helical spring is inserted in the internal tube preferably loosely at a spring bias, whereby it is radially pressed against the internal tube.

Abstract: An endoscope deflection section frame including a plurality of rings and rivets. Each ring has front ears and rear ears with rivet holes through the ears. The rivets are located in the rivet holes to thereby pivotably connect the rings to one another. Each rivet includes a head at an interior side of an inner one of the ears and an opposite end at an exterior side of an outer one of the ears. The opposite end is welded to the outer ear.

Abstract: A medical instrument comprising a flexible, filamentous shaft slideably disposed in a sheath, the instrument including an electronic imaging system comprising an image sensor carried on a distal end portion of the instrument. The shaft may be used as a guidewire for a complementary guided device, or it may be used to carry a functional element for performing a procedure at a target site in a patient's body. In other embodiments, the present invention contemplates a flexible sheath, preferably having a simple tubular construction, with an electronic imaging system at its distal end. The sheath is adapted to slideably receive a shaft, preferably a filamentous shaft, that closely fits the sheath. The shaft carries functional element at its distal end. The instruments according to the present invention may include one or more filaments along their length for deflecting an insertable portion of the instrument.

Abstract: The present invention is an endoscope system comprising an endoscope provided with a distal end inserted into a subject body and a proximal end having a site capable of being held by a physician and provided with an endoscope insertion unit having a first flexible portion arranged on the distal end thereof and a second flexible portion coupled to the proximal end of the first flexible portion and provided with a site having an outer diameter larger than a site having the maximum outer diameter of the first flexible portion; and an endoscope insertion assisting device, in which the inner diameter of a distal opening of an insertion hole through which the endoscope insertion unit is inserted is substantially equal to the outer diameter of the second flexible portion.

Abstract: An apparatus for introduction into a test body includes a functional portion for obtaining information on an inside of a test body; a power source for supplying power for driving the functional portion; and an enclosed container for accommodating the functional portion and the power source. A cross-sectional shape orthogonal to a longitudinal direction of the enclosed container is an elliptical shape to make an outer shape small to alleviate a burden on a test subject during introduction into a body by swallowing or the like for test.

Abstract: The present invention provides a capsule-type medical apparatus and a method of manufacturing a capsule-type medical apparatus which can prevent a contact between a burr formed on an optical dome which is a part of a capsule-like casing and a living body in a subject. The capsule-type medical apparatus has a capsule-like casing which can be introduced inside the subject. The casing is configured with optically transparent optical domes and a cylindrical trunk member having an outer diameter dimension larger than an outer diameter dimension of the optical domes. The cylindrical trunk member is fitted onto an outer circumferential surface of the optical domes so as to cover each of the optical domes up to a portion near the burr formed thereon. The cylindrical trunk member has a step higher than the burr so as to prevent a contact between the burr and a living body in the subject.

Abstract: An endoscope having a hollow shaft for inserting an image guide, so that the distal end of the shaft is configured at an angle to the longitudinal axis of the shaft and the shaft is closed at the distal end by means of an end piece provided with a pass-through borehole for the image guide. To create an endoscope with an image transmission system of sufficient image size and image quality that can be autoclaved for cleaning purposes, it is proposed with the invention that the image guide should be positioned in the shaft in such a way that the bending radius of the image guide in the area of the bending of the shaft is greater than the bending radius of the shaft in the area of the bending.

Abstract: A flexible tube for an endoscope comprises: a spiral tube including a band-shaped plate which is spirally wound; a braid which covers an outer circumferential surface of the spiral tube; and an outer skin made of a resin, which covers an outer circumferential surface of the braid, wherein the braid includes metal fibers deposited with a release agent and heat-resistant resin fibers deposited with a bonding material, the metal fibers and the resin fibers are blended in a mesh pattern, and the braid is bonded to the outer skin by the bonding material.

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: An ultrasound catheter system and a method for operating an ultrasonic catheter at a treatment site within a patient's vasculature or tissue are disclosed. The method of operating an ultrasonic catheter comprises advancing a catheter with at least one ultrasonic element to a treatment site in a patient's vascular system or tissue, driving the at least one ultrasonic element to generate ultrasonic energy, delivering a therapeutic compound to the treatment site through the catheter, and varying a power parameter and a physiological parameter of the ultrasonic element by ramping the power parameter and the physiological parameter between two set of minimum and maximum values.

Abstract: A receiving apparatus (2) includes a radio unit (2a) and a main receiving unit (2b) detachably connected with each other, the radio unit (2a) stores radio unit ID information (12a) as identification information to identify the radio unit itself, the main receiving unit (2b) stores a process condition table (16a) in which process conditions corresponding to the radio units are stored, the main receiving unit (2b) includes a setting controller (C1b) which serves as a setting controller that sets the process condition of the main receiving unit (2b), the setting controller (C1b) acquires the radio unit ID information (12a) from the radio unit (2a), selects the process condition of the main receiving unit (2b) corresponding to the acquired radio unit ID information (12a) from the process condition table (16a), and sets the selected process condition as the process condition of the main receiving unit (2b), so that, when a replaceable unit detachably connected to a shared unit is replaced with another replaceable

Abstract: An anti-extravasation sheath includes a tube sized and dimensioned to permit fluid flow between the inner surface of the tube and an outer surface of an arthroscopic instrument when the arthroscopic instrument is disposed within the tube. A plurality of ribs extending inwardly from the inner surface of the tube and running longitudinally along the tube form a seal between the outer surface of the arthroscopic instrument, thus defining outer lumens between the outer surface of the arthroscopic instrument and the inner surface of the tube. At least one drainage lumen extending longitudinally along the tube and disposed within the ribs is in fluid communication with at least one drainage aperture disposed on the central portion of the tube.

Abstract: An arthroscopic inflow and outflow sheath providing an improved inflow and outflow system reducing the diameter of a continuous flow system while providing fluid management during arthroscopy. The improved arthroscopic inflow and outflow sheath comprises an elongated atraumatic sheath having an inner surface, outer surface, proximal end, and distal end. The atraumatic sheath further comprises plurality of ribs or webs extending from the inner surface of the sheath and designed to contact an outer surface of the arthroscope thereby creating outer lumens facilitating the inflow and outflow of fluid to a surgical site.

Abstract: An improved endoscopic device which is introduced into the intestinal tract of a living organism and which operates autonomously therein, adapted to obtain and store or transmit one or more types of data such as visual image data, laser autofluorescence data, or ultrasonic waveform data. In another aspect of the invention, an improved endoscopic device useful for implanting the aforementioned endoscopic smart probe is disclosed. In another aspect of the invention, apparatus for delivering agents including nanostructures, radionuclides, medication, and ligands is disclosed. In another aspect of the invention, apparatus for obtaining a biopsy of intestinal tissue is disclosed. In another aspect of the invention, apparatus for detecting the presence of one or more molecular species within the intestine is disclosed. Methods for inspecting and/or treating the interior regions of the intestinal tract using the aforementioned apparatus are also disclosed.

Abstract: Disclosed herein is an arc-shaped flexible printed circuit film type endoscope using an imaging device. The endoscope includes an image photographing means and an object insertion means. The image photographing means includes a head housing to which an imaging device and an illumination means are mounted, and functions to photograph an image. The object insertion means includes an arc-shaped flexible thin foil, an insulating adhesive film, a circuit film and an insulating protective film which are layered and inserted into an interior of an object to be inspected. The object insertion means is connected at one end thereof to the image photographing means and connected at the other end to a transmission cable via a connector.

Abstract: A proximal housing for a full-thickness resection device (FTRD) is provided with a plurality of chambers through which fasteners are introduced into a portion of tissue to be resected. The proximal housing has a noncircular cut-out opposite the plurality of chambers to receive a noncircular endoscope. The proximal housing also is provided with a resection cavity into which the tissue to be resected is to be received. In addition, shaft openings are provided through which mounting shafts may be inserted. A noncircular endoscope is also disclosed for insertion into the cut-out whereby the endoscope has passages to house the functions of remote viewing, illumination, insufflation and irrigation.

Abstract: An endoscope hood has a protrusion portion which protrudes in an observation visual field direction of an endoscope at an end of a cylindrical press fitting fixing portion attached by press fitting in a state that an attachment position in a circumferential direction is positioned at a distal end portion of an endoscope insertion portion in an appropriate direction. Further, there is provided attachment state confirming device which increases an area of the protrusion portion displayed in an endoscope observation image when the press fitting fixing portion is attached to a distal end portion of a second endoscope insertion portion having a size different from that of a first endoscope insertion portion to which the press fitting fixing portion can be appropriately attached, and gives a warning about an inappropriate attachment state.

Abstract: Embodiments of the present invention are generally directed to a visualization system including a small gauge vision catheter that is designed to be standalone or received within an instrument channel of a larger endoscope. The vision catheter has imaging means disposable within an imaging channel, a working channel, and an electromagnetic sensor element insertable into the working channel of the catheter to provide position tracking. The working channel of the catheter also provides access for therapeutic and diagnostic tools.

Abstract: A removable, resilient atraumatic sheath for arthroscopic instruments. The sheath covers sharp edges on the arthroscopic instrument, particularly the distal tip of the rigid cannula, and thereby protects tissue and objects near a surgical site from accidental trauma. The sheath may be provided in the form of an inflow/outflow sheath that allows a surgeon to irrigate and drain a surgical field without the use of a separate irrigation instrument. The distal tip of the sheath may comprise a dissimilar material of a higher modulus of elasticity than the material comprising the remainder of the tube.

Abstract: A medical instrument in particular a uretero-renoscope has a proximal head part and an elongate thin shaft for introduction into a small diameter elongate hollow organ. An instrument channel and at least one further channel is disposed within the shaft. The instrument channel is arranged centrally in the shaft.

Abstract: A biopsy forceps as one of treatment instruments for endoscope includes: a tubular coil sheath introduced into a body cavity through a treatment instrument channel included in an endoscope insertion portion; a treatment portion disposed closer to a distal end side than a distal end surface of the coil sheath; an operation wire for transmitting a turning force to turn the treatment portion in a circumferential direction, the operation wire being inserted in the coil sheath in a forwardly/backwardly movable manner and turned in the circumferential direction; and a turn restricting mechanism portion for restricting a turn position of the treatment portion turned by the turning force transmitted by the operation wire with respect to the coil sheath at a first turn-restricting position or at a second turn-restricting position.

Abstract: An improved endoscopic device which is introduced into the intestinal tract of a living organism and which operates autonomously therein, adapted to obtain and store or transmit one or more types of data such as visual image data, laser autofluorescence data, or ultrasonic waveform data. In another aspect of the invention, an improved endoscopic device useful for implanting the aforementioned endoscopic smart probe is disclosed. In another aspect of the invention, apparatus for delivering agents including nanostructures, radionuclides, medication, and ligands is disclosed. In another aspect of the invention, apparatus for obtaining a biopsy of intestinal tissue is disclosed. In another aspect of the invention, apparatus for detecting the presence of one or more molecular species within the intestine is disclosed. Methods for inspecting and/or treating the interior regions of the intestinal tract using the aforementioned apparatus are also disclosed.

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

Abstract: An endoscope including an elongated insertion section configured to be inserted into a lumen of a subject's body from the distal end side thereof, a tip forming portion which forms a distal end portion of the insertion section, and a bending section which is formed on the insertion section and is bent to move the tip forming portion in a given direction. A slope portion is formed on the given-direction side of the tip forming portion. The slope portion is located so that the tip forming portion is tapered from the rear end side toward the distal end side and abuts against an inner wall of the lumen.

Abstract: An endoscopic shaft having multiple endoscopic elements set in a polymer common housing. The endoscopic elements may be drawn with the common housing to manufacture a component, called an EndoFiber, which forms the length of the endoscopic shaft. A second structure, called an Endocap, may be provided that includes optical elements and which is attached to the end of the EndoFiber to form the shaft.

Abstract: A method for assembling an endoscope with a first tubular channel for receiving image-transmitting components and with a second channel for receiving light guides. It is proposed to introduce the light guides first into a flexible tube and to introduce the unit made up of flexible tube and light guides into the second channel.

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 seal is provided for effectively inhibiting the egress of fluids from the working channel of an endoscope when an elongate device having a region with a non-circular cross-sectional shape is disposed therein. The seal has a body portion with a proximal end adapted for insertion of the elongate device, a distal end adapted for connection to the proximal end of the endoscope, and a wall defining a lumen adapted to receive the elongate device and to provide access to the working channel of the endoscope. The seal includes a sealing element for sealing the region of the elongate device with a non-circular cross-sectional shape. The sealing element conforms to the profile of the non-circular region.