Abstract: An endoscope includes an observation window for observing an image of a photographic subject; an illumination window for emitting illumination light for illuminating the photographic subject; a suction port connected to a suction channel are provided on a distal end surface of an insertion portion; an observation window peripheral edge portion which is formed so that a surface having the observation window is vertical to an observation light axis; an illumination window peripheral edge portion which is formed so that a surface having the illumination window is vertical to an illumination light axis which tilts outward with respect to the observation light axis; and a suction port peripheral edge portion which is formed so that a surface having the suction port is flush with the observation window peripheral edge portion.

Abstract: A portable, low power, low cost, endoscope having a removable probe with a miniature digital CCD imager, single white LED illuminator and an imaging lens on the distal end and a miniature multi pin connector on the proximal end; both ends connected with a multi trace flexible circuit hidden inside of the protecting flexible sleeve; and a full color LCD monitor and associated image signal processing electronics and powered by the small battery cells.

Abstract: An endoscope cap is provided for directing medical devices toward a selected target anatomy in a patient. The endoscope cap includes a ramp that may be used to deflect medical devices that have been advanced from a proximal portion of an endoscope to a distal portion thereof. The ramp may be integral with the endoscope cap, or alternatively, may be pivotally attached thereto.

Abstract: Apparatus for fluid supply to the interior of a portion of a tubular body portion including a locomotive endoscope head extending along a longitudinal axis and having a first selectably radially extendible sealing element and a second selectably radially extendible sealing element, wherein at least one of the first and second selectably radially extendible sealing elements is axially displaceable with respect to the other, a fluid passageway operative for supplying fluid intermediate the first and second selectably radially extendible sealing elements and a locomotive endoscope head controller controlling the operation of the locomotive endoscope head and being operative for controlling selectable extension of the first and second selectably radially extendible sealing elements, axial displacement of the at least one of the first and second selectably radially extendible sealing elements, and fluid introduction through the fluid passageway.

Abstract: An imaging assembly for use in a medical imaging device such as an endoscope or the like. In one embodiment, the imaging assembly includes a transparent distal cap that is shaped to receive an image sensor insert. The image sensor insert has a cooling channel that supplies a cooling liquid or gas to one or more illumination sources.

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: An ultrasonic endoscope comprises an insertion portion including: an angle portion; a hard distal portion; an endoscopic observation unit comprising a lighting portion and an observation portion; and an ultrasonic test unit comprising an ultrasonic transducer constituting an ultrasonic test unit, wherein the hard distal portion includes: a distal end main body including an entire portion whereat the ultrasonic transducer is attached; an observation portion block that includes a portion whereat the observation portion is attached and that is separably coupled with the distal end main body; and an elevator block that is securely held between the distal end main body and the observation portion block by engaging the distal end main body and the observation portion block, and that comprises the elevator, and wherein the distal end main body, the observation portion block and the elevator block are assembled so as to be capable of being disassembled.

Abstract: A surgical instrument includes a handle, an elongated shaft and an end effector extending distally from the shaft. A tensile member is preloaded with a tensile force and extends at least partially through the shaft. A preload mechanism for adjusting the tensile force includes first and second guides in contact with the tensile member to restrain the tensile member at respective first and second lateral distances from a longitudinal axis. A third guide is disposed longitudinally between the first and second guides and is in contact with the tensile member to restrain the tensile member at a third lateral distance from the longitudinal axis. The third guide is movable to vary the third lateral distance and a corresponding length of the tensile member disposed longitudinally between the first and second guides to thereby vary the tensile force.

Abstract: An endoscope includes an illuminator that includes a light emitting surface for illuminating the inside of a living body, an objective optical system for forming an image of a specified object on one side of the objective optical system and illuminated by the illuminator, and a transparent cover that encompasses the illuminator and the one side of the objective optical system. The transparent cover includes an outer surface, and light emitted from the light emitting surface that is reflected by the outer surface satisfies a certain condition that helps prevent rearward dispersed light caused by scratches on, or substances adhering to, the external surface of the transparent cover from entering the entrance pupil of the objective optical system. The endoscope may also include a member for partially shielding the light emitted from the light emitting surface so as to limit the direction in which light is directed from said light emitting surface to the transparent cover.

Abstract: Disclosed is a disposable access port for use in endoscopic procedures, including laparoscopic procedures. The access port includes a cannula with an embedded camera in communication with an external control box. In operation, a trocar is combined with the access port to facilitate insertion of the access port into an anatomical site. Prior to insertion, the camera is pushed inside the cannula, where it remains during insertion. The trocar is removed after the access port has been inserted to allow surgical instruments to access the anatomical site. During removal of the trocar, a portion of the trocar urges the camera out of the cannula, thereby allowing visualization of the anatomical site. The camera can be fixedly or adjustably mounted on the port. A camera may also be mounted on the trocar. The trocar may include irrigation and suction channels to facilitate a clear view of the anatomical site.

Abstract: Tissue closure systems are described herein. Such a system may include a deployment catheter and an attached imaging hood deployable into an expanded configuration. In use, the imaging hood is placed against or adjacent to a region of tissue to be imaged in a body lumen that is normally filled with an opaque bodily fluid such as blood. A translucent or transparent fluid, such as saline, can be pumped into the imaging hood until the fluid displaces any blood, thereby leaving a clear region of tissue to be imaged via an imaging element in the deployment catheter. Additionally, the system can be deployed in a number of various ways to effect the closure of wounds or openings in the patient body.

Abstract: A steerable imaging catheter is provided, including an elongated catheter tube, at least one steering cable extending along the catheter tube to control the movement of the distal end thereof, and a fiber optic cable extending along the catheter tube. The fiber optic cable transmits illumination light from its proximal end to its distal end and transmits an image from its distal end to its proximal end. In one embodiment, two or more steering cables are used, and the catheter tube is configured to have greater flexibility near its distal end than its proximal end so as to concentrate the movement (flexing) of the catheter tube at its distal end. The use of two or more steering cables, together with the catheter tube having varying flexibility, permit better control of the distal end of the catheter tube while reducing undue twisting of the remainder of the catheter tube.

Abstract: An endoscope attachment enables an endoscope to capture images of areas in front and at the sides of the endoscope. The endoscope attachment has a transparent attaching part which is used to attach the endoscope attachment to a probe of the endoscope and has two through-holes. A cylindrical transparent image capturing part is used to enable a camera of the probe to capture images and has a trumpet-shaped second mirror on the outer wall of the image capturing part and a wide angle lens with a hyperboloid in the image capturing part. A first mirror is formed at a part of the hyperboloid of the wide angle lens.

Abstract: An endoscope apparatus includes a transparent member that is provided at a distal end of an insertion portion of an endoscope and opposed to an image pickup optical system, a transducer that is attached to an inner surface of the transparent member, a diffraction grating that is provided on an outer surface of the transparent member, and converts an ultrasound vibration f from the transducer into a surface acoustic wave ? which propagates on the outer surface of the transparent member, and absorption portions that are provided at an outer peripheral portion of the transparent member, and deflect the propagated surface acoustic wave ? to a surface different from the outer surface to absorb the surface acoustic wave.

Abstract: Tissue visualization and manipulation systems are described herein. Such a system may include a deployment catheter and an attached imaging hood deployable into an expanded configuration. In use, the imaging hood is placed against or adjacent to a region of tissue to be imaged in a body lumen that is normally filled with an opaque bodily fluid such as blood. A translucent or transparent fluid, such as saline, can be pumped into the imaging hood until the fluid displaces any blood, thereby leaving a clear region of tissue to be imaged via an imaging element in the deployment catheter. Additionally, any number of therapeutic tools can also be passed through the deployment catheter and into the imaging hood for treating the tissue region of interest.

Abstract: A cooling structure of a heat-generating electronic component including a cooling circuit, which includes a cooling fluid delivery unit, a first heat exchanger for absorbing and discharging thermal energy at the heat-generating electronic component as well as a control structure. The control structure adjusts the cooling fluid flow and thus the cooling capacity of the heat exchanger to such value that at a predetermined temperature in the area of the electronic component a balance is brought about between the heat quantity generated and the heat quantity discharged. The cooling structure is inserted in the deflecting forming a bendable adapter outside the end cap of an endoscope.

Abstract: An endoscope includes an insertion portion and a treatment instrument insertion channel, and is inserted into a body cavity; an operation portion which is connected to a proximal end side of the insertion portion; and a treatment instrument raiser which has a guiding surface for guiding a treatment instrument, and able to rise according to an operation from the operation portion. The raiser includes a slit which is formed on a distal end side of the guiding surface and with which a guide wire guided toward the distal end side opening can be engaged, and a guide wire guiding unit which is formed on an outer periphery of the guiding surface and serves to guide the guide wire into the slit. The guide wire is guided into the slit by the guiding unit, when the raiser is raised by the operation from the operation portion.

Abstract: An endoscope system includes a first endoscope that includes a first distal end portion, a first observation window provided at the first distal end portion, a first objective optical system optically coupled to the first observation window and having a first viewing angle, and a first treatment instrument channel opening positioned at a first distance away from the first observation window; and a second endoscope that includes a second distal end portion, a second observation window provided at the second distal end portion, a second objective optical system optically coupled to the second observation window and having a second viewing angle wider than the first viewing angle, and a second treatment instrument channel opening positioned at a second distance longer than the first distance.

Abstract: Methods and systems, including computer readable mediums, are provided for transforming a measurement made relative to a first reference frame into a corresponding measurement relative to a second reference frame. Sensor signals that are produced by sensors in response to the sensors' motion relative to the first reference frame are transformed using a transformation matrix. The transformation generates corrected sensor signals that are relative to the axes of the second reference frame.

Abstract: First and second illumination and image pickup units are provided in the container body having opposite reference view field directions and are respectively freely tilted in an arbitrary direction within predetermined inclination angles from the reference view field direction.

Abstract: An endoscope insertion portion of the invention includes an outer surface formed between a plurality of observation windows oriented in a spouting direction of the air/water feeding portion, the outer surface being in the same plane as surfaces of the plurality of observation windows.

Abstract: Distal ends of the LG fiber bundles are held in a state of being inclined outwardly with respect to an insertion direction of the distal end rigid portion, an observation hole for holding the image-pickup unit is formed at the distal end rigid portion, illumination holes for holding the distal ends of the LG fiber bundles are formed around the observation hole, the illumination holes are inclined outwardly with respect to an insertion direction of the distal end rigid portion, extended lines of inclined angles of the illumination holes are set to pass through backward of the observation hole, and a space after removal of the image-pickup unit from the observation hole is secured as a space for withdrawal of the LG fiber bundles.

Abstract: An optical probe, for example, a medical endoscope, having a removable lens cell. In an embodiment, the optical probe has an elongated tube with a proximal portion terminating at a proximal end and a distal portion opposite the proximal portion terminating at a distal end. The elongated tube defines an axial lumen wherein a lens cell holder is disposed proximal the distal portion. The lens cell holder has an axial holder bore for at least partially containing the lens cell within and removably coupled with the holder bore.

Abstract: Tissue imaging and extraction systems are described herein. Such a system may include a deployment catheter and an attached imaging hood deployable into an expanded configuration. In use, the imaging hood is placed against or adjacent to a region of tissue to be imaged in a body lumen that is normally filled with an opaque bodily fluid such as blood. A translucent or transparent fluid, such as saline, can be pumped into the imaging hood until the fluid displaces any blood, thereby leaving a clear region of tissue to be imaged via an imaging element in the deployment catheter. Additionally, the extraction system can include features or instruments for procedures such as clearing blood clots, emboli, and other debris which may be present in a body lumen. Other variations may also be used for facilitating trans-septal access across tissue regions as well as for balancing body fluids during a procedure.

Abstract: Tissue visualization and manipulation systems are described herein. Such a system may include a deployment catheter and an attached imaging hood deployable into an expanded configuration. In use, the imaging hood is placed against or adjacent to a region of tissue to be imaged in a body lumen that is normally filled with an opaque bodily fluid such as blood. A translucent or transparent fluid, such as saline, can be pumped into the imaging hood until the fluid displaces any blood, thereby leaving a clear region of tissue to be imaged via an imaging element in the deployment catheter. Additionally, any number of therapeutic tools can also be passed through the deployment catheter and into the imaging hood for treating the tissue region of interest.

Abstract: A front end rigid portion constitutes a front end of an endoscope insertion unit in an endoscope. The front end rigid portion is provided with an illumination optical system irradiating an observation target area with illumination light and an imaging optical system having an imaging element imaging the observation target area. The endoscope includes a heat emission member which is connected to the front end rigid portion and extends in the longitudinal direction of the endoscope insertion unit. The heat emission member is formed by mixing fiber-piece-shaped fillers with a resin material.

Abstract: Where two axes X and Y using the axial center position as the origin are set on a section orthogonal to the axial line of the distal end hard portion, the observation portion and the treatment equipment lead-out portion are disposed at both side positions between which the Y-axis is placed, the surface on which the solid-state image pickup device of the substrate is incorporated is disposed in a direction parallel to the X-axis, the center of the treatment equipment lead-out port is disposed between a plane parallel to the X-axis including the center of the optical axis of the object lens and a plane including the plane of the substrate, the line connecting the centers of both the illumination portions are roughly parallel to the Y-axis, and is drawn near the center of the optical axis of the object lens, and the distances between the center of the optical axis and both the illumination portions are made as equal to each other as possible.

Abstract: Disclosed is a sizing device for sizing an inside diameter of a lung passageway. The device includes an elongate shaft configured for positioning in the lung passageway and a sizing element at the distal end of the shaft. The sizing element defines a range of transverse dimensions that correspond to a range of transverse dimensions suitable for use with a predetermined set of bronchial isolation devices. The device is used to determine the suitability of a bronchial isolation device for use in the lung passageway prior to using a separate delivery catheter to deliver the bronchial isolation device into the lung passageway.

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: An endoscope includes an insertion unit; an observation optical system arranged at an end surface of the insertion unit in an inserting axis direction and having a wide viewing angle for observing a body cavity; and a plurality of illumination optical systems arranged on an axis slanted with respect to the inserting axis direction of the insertion unit and used when illuminating the body cavity. An illumination lens of at least one of the illumination optical systems is subjected to light diffusion process.

Abstract: A multiple biopsy device has a number of chambers into which tissue samples are received. A cutting mechanism, such as a blade, moves relative to the chambers to cut a tissue sample that is within a chamber. In one embodiment of the invention, the multiple biopsy device is removably secured to the distal end of an endoscope/bronchoscope.

Abstract: A camera assembly for positioning within a bodily passageway, including a camera, a catheter adapted to retain the camera, and a rotary coupling interconnecting the catheter and the camera. The catheter is provided with helically-wound threads thereon. The rotary coupling permits the catheter to rotate and thereby move axially while the camera remains rotationally stationary.

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

Abstract: 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 endoscope includes an adaptor detachably mounted on a distal end of an insertion section; a mounting base provided in said adaptor; illumination section attached to the front of said mounting base; front electrode terminals provided at the front end of the mounting base and connected to the illumination section; rear electrode terminals provided at the back of the mounting base, connected to the front electrode terminals, and abutting electrode terminals provided at the distal end of the insertion section when the adaptor is mounted on the distal end of the insertion section; and insulating plates where the front and rear electrode terminals are provided in a manner such that they are exposed from the surface and coupling lines to couple the front and rear electrode terminals are embedded.

Abstract: An integrated solid state device for viewing and manipulating objects located in remote sites and locations which includes a flexible cable having a camera on one end and a viewer on an opposite end. The camera captures images near the end of the flexible cable and converts the images into a video signal that is transferred through wires that extend through the length of the flexible cable. The video signals are received by the viewer and converted into a displayed image. A variety of removable article manipulators can be attached to the distal end of the flexible cable and used to manipulate, capture and retrieve articles and objects near the distal end of the flexible cable.

Abstract: A large area thermal ablation apparatus for use with an endoscope includes a housing and at least one electrode. The housing is removably attachable to a distal terminating end of the endoscope. The housing includes an outer surface and a cross-sectional area that is at least as large as a cross-sectional area of the distal terminating end of the endoscope. The electrode is supported by the outer surface of the housing. The electrode is capable of delivering energy to a tissue region inside a body to ablate the tissue region.

Abstract: An endoscope device includes an objective lens group that is provided at a distal end of an insertion portion that is inserted into a lumen of a subject and is used to observe or photograph the subject, and an illumination device that is provided at a distal end of the insertion portion and illuminates the subject using LED. The illumination device is provided with LED chips and an LED chip supporting block that supports these LED chips, and at least a portion of the objective lens group is mounted on the LED supporting block.

Abstract: A surgical instrument has a tip section with several degrees of freedom of articulation and at least one link that may be too long for insertion through an entry guide that follows a curved path. Each long link is made of a shape memory alloy or another material having a state in which the link is sufficiently flexible to bend as needed to pass through the entry guide. Once through the entry guide, the material of the link makes a transition to a state in which the link returns to a desired shape and is sufficiently rigid for precise controlled movement against external forces and for actuation using tendons.

Abstract: An otoscope 800 includes a lens 802 and an eyepiece 801 by which a doctor can examine the external ear cavity of a patient. The otoscope includes a handle 803 within which there is situated a printer to provide an instantaneous permanent record of an image viewed by the doctor. Upon activation of a trigger 817, a permanent graphic image is printed onto a sheet 816 that passes out of the handle 803 via slot 804.

Abstract: A cap for an endoscope includes: a cylindrical portion formed so that a distal end thereof protrudes forwardly from a distal end of an insertion portion of an endoscope; and a suction path that is connected to a suction device, and that communicates with an internal surface of the cylindrical portion.

Abstract: A device is for introducing a stent into a hollow organ, in particular into the gastrointestinal tract of the body of a patient. The device includes a magnet system which covers the area of treatment of the patient and generates a 3D gradient field for remote-controlled movement and orientation of an endorobot. The endorobot is provided with a linear magnet and is freely movable in the hollow organ. Further, the stent, which can be uncoupled from the outside, is secured to the endorobot in a folded-down state so that it can be brought to the site of use and can there be opened out so as to bear firmly on the wall of the hollow organ.

Abstract: The present invention provides an endoscopic accessory control system that resides externally of the endoscope. The system comprises the endoscopic accessory with a working end to be placed at the distal end of the endoscope, a control sheath extending proximally external to the endoscope and a control handle joined to the proximal end of the control sheath. The control handle is slidably mounted to the exterior surface of the endoscope shaft and is configured to permit grasping of both the shaft and the handle. With the control handle and endoscope shaft grasped with one hand, the other hand of the user is left free to manipulate the endoscope distal tip controls. Additionally, the external arrangement of the control sheath leaves the working channel of the endoscope free for use of accessories or operations.

Abstract: A video endoscope includes a tube fitted at its distal end with an affixed objective lens, a video camera mounted behind the objective lens in the tube, the camera together with an elongated rotation element constituting a swivel unit that is supported both at the distal and proximal end zones in each case by swivel bearing at the tube. The swivel element being rotationally adjustable relative the tube by a swivel drive system. The distal swivel bearing is axially and radially bearing and the proximal swivel bearing is only radially bearing.

Abstract: An endoscope apparatus including: an elongated insertion section; an adaptor, which has an illuminating section including optical elements, and an observation optical system, that are attached to and removed from a tip of the insertion section; a sensor provided in the adaptor; and electrical contacts for the illumination section, and electrical contacts for the sensor, provided in the adaptor and the tip of the insertion section.

Abstract: An endoscopic overtube with articulating fingers extending from the distal end. The articulating fingers form an opening that may be expanded by a balloon. When positioned in a puncture site in a tissue wall, the articulating fingers dilate and enlarge the puncture site to allow for the body of the overtube to pass through the puncture site. In various embodiments, the fingers may further comprise cutting elements to assist in the dilation of the puncture site.

Abstract: An endoscope observation optical system capable of improving the observation resolution of a mucous membrane of a living body is provided. The endoscope includes an observation optical system compatible with both standard visible-light observation and blood-vessel-enhancement observation, whose main component of a displayed image is an absorption peak of hemoglobin present in a waveband lower than 480 nm, wherein some longitudinal chromatic aberration remains in the endoscope observation optical system due to undercorrection at a wavelength of 415 nm, and wherein the focal position during blood-vessel-enhancement observation is set closer to a near point than the focal position during standard visible-light observation.

Abstract: An endoscope, comprising an elongated tubular shaft for introducing into a body of a patient, the shaft having a longitudinal axis and a distal end, and further having an opening the distal end. A light guide is arranged along the shaft and has a light-emitting distal end, the light-emitting distal end being arranged in the area of the opening of the shaft in order to radiate light from the opening.

Abstract: An optical adaptor for endoscope according to the present invention includes, in an outer casing, a light emitter, serving as a light source for illumination, and two terminals connected to the positive and negative electrodes of the light emitters to be externally projected from the inside of the outer casing. The connection of a diode between the positive and negative electrodes of the light emitters prevents the static electricity from being applied to the light emitter.

Abstract: A capsule endoscope is disclosed that includes means for illuminating an object, means for imaging the object, and a transparent cover having a center of curvature. The transparent cover covers the illumination means and the imaging means, and the imaging means includes an objective optical system and an image detecting element. The illumination means is positioned relative to the image detecting element, as viewed axially from the object side of the capsule endoscope, so that an area that is symmetrically positioned about the optical axis of the objective optical system from a light emitting area of the illumination means overlaps an area of the image detecting element, but does not overlap any areas of the image detecting element that are used for image detection.