Abstract: An anatomical probe system comprises an elongated flexible body and an operational component extending within a channel of the flexible body. The system also comprises a support member at a distal end of the elongated flexible body. The support member includes a fluid director adapted to direct a fluid from the channel toward the operational component. The fluid may be automatically directed towards the operational component in response to detecting a material obstruction of an image.

Abstract: An endoscopic peripheral includes a first end including at least a camera and one or more lights. The endoscopic peripheral may also include a second end may include a plug to physical connect the endoscopic peripheral to a computing device or a wireless device. The endoscopic peripheral may also include a flexible cable for communicating content captured by the camera to the computing device or wireless device.

Abstract: An interventional device, e.g. a Vacuum Assisted Biopsy (VAB) needle, incorporating optical fibers such that biological tissue in a volume at a side of the interventional device can be substantially completely optically probed by optical spectroscopy. In a VAB embodiment, a plurality of optical fiber pairs connected to respective optical ports, are placed at opposite positions along the suction cavity, and they are readout subsequently allowing to make a map of the tissue properties along the place where the tissue will be cut by the VAB needle. Based on decision software in an optical console, it can be determined whether the tissue present in the cutting cavity is completely normal tissue or not, prior to actually performing the biopsy on the tissue. In this way a well defined end point for VAB is created.

Abstract: This disclosure an optical unit having a plurality of structural elements such as lens and a spacer having two or more opposing surfaces of the plurality of structural elements are bonded and secured to each other. A contact portion of the bonding portion is configured to prevent spreading of an adhesive and an adhesive reservoir is provided at the bonding portion. This disclosure further provides an apparatus having an imaging optical system configured to image a side surface in a tubular passage and an illuminating optical system that is arranged centrally within the imaging optical system.

Abstract: Deep Tissue Low Intensity Laser Therapy or Treatment (DT-LILT) as described here is a novel methodology through which selective destruction of nociceptive (pain) nerves can be brought upon by a medical laser delivery system using the phenomenon of absorption and cell resonance. Using this method nerve cells that transmit pain can be selectively destroyed leaving the surrounding tissues intact as no heat is generated. The delivery system incorporates a fine needle through which a 703 nm (range 690 to 710) pulsed wave low intensity laser is delivered deep into the body, directly to the area of pain causing selective destruction of pain nerves. Laser devices based on this methodology should be used only by the physician or equivalent professional community since diagnosing and defining the area of pain is critical to providing successful pain relief.

Abstract: A needle device includes a hollow shaft, an elongated insert and an operating lever. The hollow shaft has a first distal end portion with a bevel, the elongated insert has a second distal end portion and is movably arranged within the hollow shaft, and the operating lever is shiftable between a first condition and a second condition. Furthermore, the operating lever is interconnected with the elongated insert such that the second distal end portion is located within the hollow shaft and proximally to the bevel when the operating lever is in the first condition, and that the second distal end portion is located outside the hollow shaft and distally to the bevel when the operating lever is in the second condition.

Abstract: An apparatus according to one embodiment includes an endoscope tip including a housing that is monolithically formed of a transparent material. At least one optical component is at least partially encased within the housing. The optical component can be, for example, a light source, a fiber optic, an imaging sensor, a lens, a reflector or a light shield. In another embodiment, an apparatus includes an endoscope having a distal end portion that includes a housing. The housing is monolithically formed with a transparent material and a light source is at least partially encased within the housing. The housing also includes a micro-defects portion within the transparent material of the housing. The micro-defects portion is configured to provide a selected output shape of a beam of light produced by the light source.

Abstract: An endoscope includes a flexible tube and a connection mouth ring. The flexible tube includes a helical tube, a braid tube disposed outside the helical tube, and an outer tube disposed outside the braid tube. The endoscope further includes a caulking member which caulks the end of the braid tube from the outside of the connection mouth ring in a state held therebetween. The end of the helical tube is connected by thermal action to the connection mouth ring, and a part where the end of the helical tube is connected to the connection mouth ring is positioned differently along the axis of the connection mouth ring from a part where the end of the braid tube is caulked against the connection mouth ring.

Abstract: A flexible endoscope insertion tube having at least one working channel extending in the axial direction of the flexible tube. One or more liners are in coaxial alignment with the distal end working channel of the tube. At least one ceramic tip liner may be disposed on the interior distal end of the endoscope working channel which protects the working channel from operational wear and tear.

Abstract: A steerable catheter sheath for use in directing a catheter into a desired position is provided. The sheath includes an elongated member configured to receive the catheter therein. The distal end of the elongated member is steerable in two directions, each direction having a different bent configuration, e.g., a sharp curve in one direction and an open arching curve in the other direction. A resilient structure having different bending properties in each of its lateral sides is carried in the distal portion of the elongated member and causes the asymmetric bending. In one embodiment, the resilient structure includes a hypotube with a plurality of notches and slits in the sides. In another embodiment, the resilient structure is covered in an outer coating having different durometer portions. The sheath is particularly useful for accessing left and right pulmonary veins when a transeptal entry approach is used into the left atrium.

Abstract: An endoscope includes a distal end part having a round-chamfered outer peripheral edge, an observation window on an end surface of the distal end part, a nozzle which jets a cleaning fluid toward the observation window, and an observation window base part on which the observation window is placed, the observation window which is formed on the end surface of the distal end part so as to protrude from a surrounding area, and has an outer peripheral shape being formed into a streamline shape in a region facing the nozzle, with respect to a flow of the cleaning fluid jetted from the nozzle.

Abstract: Provided is an endoscope which is capable of preventing liquid drops from attaching onto the vicinity of an observation window even in the case where the observation window is placed in the vicinity of a round-chamfered peripheral edge part. In the case where an observation window is placed in the vicinity of a round-chamfered peripheral edge part, the peripheral edge part in the vicinity of the observation window is round-chamfered in a manner that the radius of curvature (round-chamfer) becomes larger along with an increase in distance from a starting point, the starting point being the point closest to the observation window. With this feature, it is possible to prevent the liquid drops from attaching onto the vicinity of the observation window to thereby block the field of view.

Abstract: A system and method facilitate percutaneous intravascular access while militating against unwanted penetration of the accessed blood vessel. A small diameter access tube includes a terminal segment comprised of a shape memory polymer and configured to flare outwardly toward a larger diameter orifice. The configuration of the terminal segment is modified to taper toward the insertion point of an internal insertion needle for facilitating insertion of the access tube into a blood vessel. Subsequent to insertion, the access tube is advanced relative to the insertion needle which then is retracted, and the terminal segment is allowed to return to the flared configuration so that fluid flow through the access tube is facilitated.

Abstract: A probe which is inserted into a lumen of inside of a body, irradiates an observation object part of a physiological tissue with excitation light, and detects fluorescence resulting from the excitation light, wherein the probe including: a plus lens arranged facing toward a tip side of the probe; and a plurality of optical fibers receiving the fluorescence at tip surfaces through the plus lens, wherein the tip surface are directed toward the plus lens and arranged in positions offset from an optical axis of the plus lens, wherein positions of the tip surface of at least optical fibers of which an amount of offset from the optical axis of the plus lens differ mutually among plurality of optical fibers are shifted mutually along the optical axis of the plus lens.

Abstract: A focus control device includes an image acquisition section that acquires a captured image that has been captured by an imaging optical system, an evaluation value calculation section that calculates a focus evaluation value based on the captured image, the focus evaluation value being used to evaluate an in-focus state of an object in the captured image, a determination information calculation section that calculates determination information based on the focus evaluation value, a determination section that determines whether to start or stop an autofocus control process based on the determination information, and a focus control section that starts or stops the autofocus control process based on a determination result of the determination section.

Abstract: Apparatus for directed cranial access to a site includes a guidepiece and a receptacle. The receptacle includes lower and upper parts. The guidepiece includes a body having a bore defining an alignment axis. The guidepiece is dimensioned to fit rotatably within the receptacle. The bore is dimensioned to accept an imaging device, and an adaptor is provided, dimensioned to accept a device to be placed at the site. The imaging device is inserted into the bore and the guidepiece is swiveled until the image shows that the axis is aligned along an optimal trajectory to the site, the guidepiece is locked, and the imaging device is withdrawn. Then the adaptor is inserted into the bore, and the device is inserted through the adaptor along the established trajectory to the site. After placement of the device, the adaptor, guidepiece, and receptacle are removed while the device is held in place.

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 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: The teachings provided herein are directed to a methods and devices for treating a hemorrhoid in a subject in a manner that produces substantially less post-procedural pain in the subject, the method minimizing or avoiding a removing or a necrosis of a rectal tissue fold.

Abstract: An articulated device may include a first steerable multi-linked mechanism and a second steerable multi-linked mechanism. The second steerable multi-linked mechanism may include a first link, a plurality of intermediate links and a second link movably coupled to a second one of the intermediate links. A first one of the intermediate links may be movably coupled to the first link. The articulated device may include a camera located within at least a portion of the second link and a protective shield connected to a distal end of the second link. The protective shield may surround at least a portion of the camera.

Abstract: An endoscope collar for use with an endoscope. The endoscope collar comprising a main portion comprising a proximal end that detachably couples to an end of the endoscope and a collar protrusion extending from the main portion. The collar protrusion is configured to be removably located within the aperture of a tube (e.g., a feeding tube).

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: An optical delivery apparatus is disclosed including: an optical fiber extending between a distal end having a distal end face and a proximal end having a proximal end face, an optical element positioned to receive the light emitted from the distal end face and direct the light to an illumination region; and a non-metallic housing containing the optical fiber and the optical element and maintaining the relative position of the optical fiber and the optical element.

Abstract: Provided is an endoscope objective optical system 1 including, in order from an object side, a first lens 2 composed of a negative single lens, a second lens 3 composed of a positive single lens, an aperture stop 4, a third lens 5 composed of a positive single lens, and a fourth lens 6 composed of a positive combined lens, wherein the third lens 5 has a meniscus shape having a convex surface facing the image side. The endoscope objective optical system (1) satisfies the following conditions: 0.3<Df/f<1.15,??(1) n1<1.79,??(2) n2>n1,??(3) 0.6<IH/f<0.83,??(4) and |r1|?|r2|+d1>1.

Abstract: Apparatus includes Flexible Sheath extending from a proximal end which extends into living body; Capsule extending from a proximal to a distal end and having an opening formed in a proximal end thereof; Clip Assembly provided in Capsule and configured to be operably movable between a closed configuration in which first and second arms of Clip Assembly are drawn toward one another and an expanded configuration in which the first and second arms are separated from one another to receive target tissue therebetween; Bushing extending between a proximal end coupled to Sheath and a distal end releasably coupled to Capsule via a tab on the distal end of Bushing engaging the opening of Capsule; and Control Member a distal end of which is releasably coupled to Clip Assembly to transmit to Clip Assembly forces applied thereto to move Clip Assembly between the insertion and expanded configurations.

Abstract: Exemplary embodiments of apparatus and method for effecting at least one anatomical structure of a body can be provided. For example, at least one first arrangement can be provided which is structured to be at least partially inserted into the body and including an opening. In addition, at least one second arrangement can be provided which configured to increase and/or decrease a size of the opening by a motion thereof in a first direction. Further, at least one third arrangement can be provided which can be coupled to the second arrangement(s), and configured to move at least in a second direction which is at least approximately parallel to the second direction.

Abstract: In a first aspect the invention is an endoscopic device in which the empty spaces between the plurality of tubes, wires, and cables are utilized as a channel that enables liquid or gas to flow from the handle section to the distal tip. In a second aspect the invention is a method of reducing the diameter of an endoscope device by utilizing the empty spaces between the plurality of tubes, wires, and cables as a channel that enables liquid or gas to flow from the handle section to the distal tip. In a third aspect the invention is a distal tip comprising a pattern of alternating grooves and lands on its outer surface and a cap that fits tightly over the lands. The tight fitting cap changes the grooves into closed channels through which liquid or gas can flow.

Abstract: An insertion device and an endoscope which are inserted and extracted through a small incision and have multiple functions. A device body has grip forceps as a treatment means. A first folding back section and a second folding back section are provided at a distal portion of the device body such that the first and second folding back sections are aligned in a row in the longitudinal direction of the device body. The first folding back section and the second folding back section respectively have image obtaining means. An operation means can move the first folding back section to a folded back position in which the first folding back section is folded back relative to the second folding back section, and can also move the second folding back section to a position in which the second folding back section is folded back relative to the device 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: The present invention relates generally to medical devices and methods. The present medical devices comprises a platform comprising a magnetically-attractive material, and a camera coupled to the platform and configured to be moved in at least three degrees of freedom relative to the platform, where the camera's movement in each respective degree of freedom is controlled by a separate actuator coupled to the platform. The medical devices further comprise a housing disposed around at least a portion of the camera, the housing being at least partially transparent, and a wiper arm configured to move relative to the housing.

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: 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: Dilators with a threaded distal portion and direct visualization capability may be used for penetrating and dilating stiff tissues and bones. The threaded portion of a dilator engages the tissue between the insertion site and the target site, and may be rotated for advancing through the target tissue in a more controlled fashion. The direct visualization capability may be used to visualize the ligament as the threaded distal portion passes through the ligamentum flavum. The devices and methods described may be used in procedures, for example, where ligaments surrounding the epidural space need to be dilated in order to deliver one or more surgical instruments into the epidural space.

Abstract: A scanning endoscopic device includes an optical fiber allowing irradiation light guided from a proximal side fiber portion to a distal side fiber portion to exit from a distal end thereof, and an actuator section placed to a distal direction side of the proximal fiber portion. The scanning endoscopic device includes a light absorbing section absorbing beam light having directivity in one direction, and the light absorbing section includes a black filling member filling a space between the proximal side fiber portion and an outer envelope tube in radial directions. The device further includes a light scattering section provided between the proximal side fiber portion and the outer envelope tube in the radial directions to scatter the beam of light.

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: 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: 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: An apparatus for deployment of a hemostatic clip comprises a handle assembly, a shaft connected to a distal portion thereof and a clip assembly releasably coupled to a distal portion of the shaft. The clip assembly includes clip arms and a capsule cooperating with the clip arms to provide a first user feedback indicating a decision configuration of the clip assembly. In addition, the apparatus includes a control wire including a ball connector, the control wire extending from the handle assembly and coupled to the clip assembly by the ball connector to maintain the clip assembly coupled to the shaft, wherein the ball connector is detachable from the clip assembly to provide a second user feedback indicating separation of the clip assembly from the shaft.

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: A deflation device for use in deflating an inflatable or implantable balloon device, comprising, in combination: an endoscope tube, having a distal end, a proximal end, and a lumen; a cap disposed at the distal end of the endoscope tube and having walls defining a balloon interface chamber; a coring device disposed within the lumen and configured to travel within the lumen such that a distal end of the coring device is extendable beyond the distal end of the cap; wherein the cap is configured to provide a normal surface of a balloon relative to the orientation of the coring device as the coring device is disposed near the distal end of the cap.

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: 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: A distal-end rigid section of an insertion section of an endoscope, includes: a first base of a metallic material, which constitutes a distal-end portion of the insertion section of the endoscope; a second base of a resin material, which is formed on an axially proximal-end side of the first base; a cylindrical portion protruding from the second base toward an axially distal-end side of the first base and including a non-circular hole portion in which an illumination light source having a non-circular outer shape, generating light and emitting illumination light is disposed; and a through-hole formed by opening a part along an outer peripheral surface of the first base, the cylindrical portion being disposed in the through-hole such that the illumination light is emitted to the axially distal-end side of the first base.

Abstract: An electronic endoscope includes a distal end portion of an insertion portion which incorporates electronic components, a metal frame which holds an observation window, an earth member which is connected to a patient-side ground of an external device, and a static-protective member which is disposed in the distal end portion to have a predetermined clearance from the metal frame and is electrically connected to the earth member to let static electricity applied to the distal end portion flow to the earth member. With the configuration, the electronic endoscope prevents occurrence of trouble, a fault, and the like in an electronic component incorporated in the distal end portion due to applied static electricity.

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.