Abstract: An endoscope includes a therapeutic instrument controlling base which is arranged to the distal portion of the inserting portion and controls such that a therapeutic instrument projected from the opening of a channel for inserting the therapeutic instrument at the distal portion of the inserting portion moves in the right and left directions of an observed image obtained by an observing unit, a controlling-base operating unit which is arranged to an operating section continuously arranged to the proximal side portion of the inserting portion and which can be operated in the right and left directions of an operator who grips the operating section, and a controlling-base operating mechanism which controls such that the therapeutic instrument controlling base moves in the right direction of the observed image according to the operation of the controlling-base operating unit in the right direction thereof by the operator who grips the operating section and controls such that the therapeutic instrument controlling

Abstract: A torque-transmitting, variably-flexible, locking insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument, a distal end with a tip for protrusion of the instrument, and a handle to be gripped by an operator. A device locks the handle to and unlocks the handle from the instrument, which is at least partly disposed within the hollow body. A device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. A method for operating a torque-transmitting, locking insertion device includes placing the instrument at least partly within the hollow body and locking the handle to and unlocking the handle from the instrument. The hollow body is transitioned between a relatively flexible condition and a relatively stiff condition.

Abstract: An in-line laparoscopic surgical instrument is provided, including a ratchet mechanism. The ratchet mechanism includes a single actuating means that may be used to engage, release, or defeat a ratchet engagement between portions of the handle.

Abstract: A torque-transmitting, locking instrument holder, includes a hollow body having a proximal end for receiving an instrument, a distal end for protrusion of the instrument, and a handle to be gripped by an operator. A device is provided for locking the handle to and unlocking the handle from the instrument at least partly disposed within the hollow body. A method for operating the instrument holder includes providing a hollow body having a proximal end for receiving an instrument, a distal end for protrusion of the instrument, and a handle to be gripped by an operator. The instrument is placed at least partly within the hollow body and the handle is locked to and unlocked from the instrument.

Abstract: An endoscope includes a thin and long flexible insertion portion extended from an operation portion having a grasping portion. Further, the endoscope is configured such that the operation portion includes a holding portion for holding a distal end portion, a bending portion, or the like, which are distal end side portions of the insertion portion, so as to thereby prevent a trouble which may be caused by an article being placed on the insertion portion, or by the insertion portion being stepped by the user, or the like.

Abstract: A device for facilitating fluid delivery to the trachea of a patient which comprises, a tubular housing adapted to be sealably mounted on an elongate element of an endoscope for examining the trachea of the patient and configured to mount an adapter for an endotracheal tube for intubating the patient over and around the elongate element, the housing having at least one inlet into a cavity inside the housing for supplying at least a first fluid and an outlet for delivering the first fluid between the elongate element and an inside wall of the endotracheal tube mounted on the adapter.

Abstract: Hermetically sealed enclosures and constructions are disclosed for use in endoscopic systems, particularly endoscopic systems with electronic imaging and illumination systems in the enclosures. Compound optical windows are also disclosed for use in the systems. The compound optical windows may have separate panes for an imaging system and an illumination system, and contrast-reducing optical boundaries are between panes.

Abstract: This invention relates to an improved colonoscope and method of removing or adding non-distal fluid from the colon during colonoscopy using a colonoscope, the colonoscope having at least a distal port and a non-distal port or plurality of non-distal ports to remove fluid from a shared channel within the colonoscope. The invention further describes the utilization of multiple ultrasound probes to determine a three dimensional image of anatomy behind the wall of a colon and the usage of microprocessors and/or motors to tighten and release wires of the colonoscope. Finally, a method of using an external joystick and a joystick on a handle of a colonoscope to effect navigation is described.

Abstract: Provided herein are water-tight, portable endoscopes that include the light and power source incorporated into a sealed compartment (also referred to herein as sealed canister) within the endoscope handle. The description also features water-tight, endoscope handles that include the light and power source incorporated into a sealed canister within the handle. In some embodiments, the sealed compartment contains all of the electronic components of the endoscope.

Abstract: A manipulator includes an operation command unit to be gripped by a hand, a composite input unit operable by a finger, a connector shaft extending from the operation command unit, and a working unit disposed on a distal end of the connector shaft. The working unit includes a yawing mechanism, a rolling mechanism, and an opening and closing mechanism. The composite input unit has a shuttle ring for actuating the rolling mechanism, and a pad for actuating the yawing mechanism. The shuttle ring is an angularly movable member having two knobs disposed in respective left and right positions. The pad is disposed inside of the shuttle ring.

Abstract: The present invention relates generally to the field of medicine, in particular diagnostics and surgery. By applying endoscopy in the diagnostics and surgery sector, surgical instruments, apparatus or processes are used for examining the interior of living organisms and/or for operative interventions. As such, said invention relates to a medical instrument, in particular a surgical instrument, for use in the endoscopy, comprising a tubular element, work element and an operating element. The operating element advantageously consists of an ergonomic axial grip with an integrated locking mechanism and an instrument shaft cleaning connection.

Abstract: A medical manipulator comprises a working unit (10) that performs operations, an operating unit (20) that generates instructions, a drive unit (50) that drives the working unit on the basis of instructions given thereto by the operating unit, a power transmission mechanism (60) for transmitting driving force of the drive unit to the working unit, and a control unit (40) for controlling the power transmission mechanism on the basis of instructions given thereto by the operating unit. The power transmission mechanism includes a first power transmission unit (61) interlocked with the drive unit, and a second power transmission unit (63) interlocked with the working unit and capable of being detachably connected to the first power transmission unit. A back drive torque of the first power transmission unit is larger than a back drive torque of the second power transmission unit.

Abstract: A medical manipulator comprises a working unit (10) that performs operations, an operating unit (20) that generates instructions, a drive unit (50) that drives the working unit on the basis of instructions given thereto by the operating unit, a power transmission mechanism (60) for transmitting driving force of the drive unit to the working unit, and a control unit (40) for controlling the power transmission mechanism on the basis of instructions given thereto by the operating unit. The power transmission mechanism includes a first power transmission unit (61) interlocked with the drive unit, and a second power transmission unit (63) interlocked with the working unit and capable of being detachably connected to the first power transmission unit. A back drive torque of the first power transmission unit is larger than a back drive torque of the second power transmission unit.

Abstract: A multifunction endoscope handle comprises a body cover, a first body cover extension and a second body cover extension. The body cover comprises distal and proximal ends with a waist of therebetween. The proximal and distal end circumferences part each larger than the waist circumference. The body cover also comprises an outer surface tapering from the distal and proximal ends to the waist. Both of the first and second body cover extensions extend radially outwardly directions from the outer surface of the body cover. In some embodiments the proximal circumference is larger than the distal circumference. The outer surface is preferably a smoothly tapering outer surface. The body cover may comprise a plurality of ports at a proximal portion thereof.

Abstract: An endoscope includes: a treatment instrument elevator base including a contact surface which contacts with a treatment instrument inserted into a treatment instrument insertion channel, and rotatably provided to a distal end to elevate the instrument; a contact portion provided to the distal end to contact with the instrument when the elevator base is elevated; a first leading portion provided to the contact surface to lead the instrument to a predetermined position on the contact surface as the elevator base is rotated; a holding portion provided to the contact surface and the contact portion, and including a grasping surface for sandwiching the instrument with a diameter not exceeding a predetermined value; and a second leading portion provided to the contact portion to lead the instrument larger than the grasping surface away from the holding portion.

Abstract: A medical manipulator comprises a working unit (10) that performs operations, an operating unit (20) that generates instructions, a drive unit (50) that drives the working unit on the basis of instructions given thereto by the operating unit, a power transmission mechanism (60) for transmitting driving force of the drive unit to the working unit, and a control unit (40) for controlling the power transmission mechanism on the basis of instructions given thereto by the operating unit. The power transmission mechanism includes a first power transmission unit (61) interlocked with the drive unit, and a second power transmission unit (63) interlocked with the working unit and capable of being detachably connected to the first power transmission unit. A back drive torque of the first power transmission unit is larger than a back drive torque of the second power transmission unit.

Abstract: In one aspect, the present invention is a system for rotatably coupling a shaft to a housing. The system includes a selectively rotatable shaft coupler that connects a shaft to a housing that allows a limited amount of shaft rotation, but which sets a restriction on the maximum amount of shaft rotation. In another aspect, the invention provides a shaft coupling system for connecting a proximal end of an endoscope shaft to a housing without the use of adhesive or epoxies.

Abstract: A casing of an endoscopic manipulating head assembly is largely constituted by and dividable into a main cover section adapted to support an operating means of an angulation control mechanism and a grip cover section provided between the main cover section and an insertion tube of the endoscope. Both of the main cover section and the grip cover section are formed of a synthetic resin material. A support plate of a rigid metal is provided internally of the manipulating head assembly to support the angulation control mechanism. A plural number of passage-forming tubular structural members are successively connected within the grip cover section for passing internal components to and from the insertion tube of the endoscope. The support plate is connected to one of the tubular structural members which is located at the proximal end of the grip cover section.

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: One aspect of the present invention provides a laryngoscope comprising a blade; a doployable mirror, and an operating mechanism, the operating mechanism being arranged to deploy the mirror. The mirror is pivotable with respect to the blade and the arrangement is such that an initial operation of the operating mechanism causes the mirror to be deployed while further operation of the operating mechanism causes the mirror to be pivoted with respect to the blade. In the preferred embodiment, the blade has a pivotable tip which is also operable by the operating mechanism. The deployment of the mirror, the pivoting of the mirror 30 and the pivoting of the tip 18 can all be performed by operation of a single operating mechanism, preferably in the form of a simple lever. The laryngoscope may therefore readily be operated using only one hand and without the need for any dextrous finger movements.

Abstract: A structure having a proximal open end for inserting a treatment instrument into a channel of the insertion portion that opens to a display panel side, and is provided on the frame of the display portion, wherein the treatment instrument inserted from the proximal open end (forceps-port) that extends out from the open end of the distal portion.

Abstract: A system and method for orienting an endoscope shaft and operator control module. The operator control module includes an engaging mechanism that allows the operator control module to be disengaged from the endoscope shaft. This allows the operator control module to remain in the operator's preferred orientation and then be re-engaged to the endoscope shaft. Remotely powered tip articulation cables are also provided, thus allowing the operator control module the freedom of not having to remain mechanically attached to the endoscope shaft in a fixed position. When the operator wants to rotate the endoscope shaft axially and does not want the position of the operator control module to be changed, the operator control module engaging mechanism is disengaged, after which the endoscope shaft is rotated to the desired position, and the engaging mechanism is then re-engaged to the endoscope shaft or to a fixed feature on the shaft.

Abstract: An endoscope apparatus having an internal channel comprises a scope portion in which a flexibly bending portion is provided at an elongated insert portion having a flexibility, the insert portion being inserted into a space which is a target of inspection, and a manipulating device inserting channel is formed, the channel being capable of loading therein a predetermined manipulating device which advances the inside of the insert portion to its distal end side, a remote controller which operates the flexibly bending portion by a joystick, and a connecting device which connects the scope portion and the remote controller to be integrally linked with each other at a position where an operation of the joystick and an operation for inserting the manipulating device through a proximal opening end do not interfere with each other.

Abstract: An endoscopic accessory medical device is provided. The device can include a handle, a flexible shaft, and an end effector. The handle can include an actuator for operating the end effector through a wire or cable pulling member that extends through the flexible shaft. The handle and actuator can be operable with a single hand, such that the operation of the end effector can be accomplished with the same hand that is used to hold the handle and advance the end effector through an endoscope. The handle can include an actuation mechanism that is decoupled from operation of the end effector when the actuator is in a first open position, which becomes operatively coupled to the end effector when the actuator is moved to a second position, such as by squeezing the actuator, and which operates the end effector when the actuator is moved further to a third position.

Abstract: A videoendoscope comprising an inspection probe comprising an inspection tube and a distal endpiece secured to one end of the inspection tube and housing an imaging device; a video processor for processing the electrical signal delivered by the imaging device and for generating a video signal; a control handle comprising a control unit secured to the inspection tube to control the video processor and a display unit secured to a side face of the control unit and including a display screen connected to the video processor; and an umbilical cable having one end secured to the control unit and having its other end connected to a light source and to an electrical power supply.

Abstract: A plurality of handpieces used to perform an operation is connected to a main operation apparatus, which generates a driving signal, through connectors formed on the main apparatus. When an operator holds a handpiece he/she wants to use, an output line over which the driving signal is transmitted is routed to the held handpiece owing to an output of a sensor that detects a change in capacitance stemming from the hold. The operator therefore need not manually set a mode in which the driving signal is applied to the handpiece he/she wants to use. Moreover, a port number assigned to a port to which the output line is routed is indicated on a display device. The operator can readily identify the usable handpiece.

Abstract: An endoscope is provided with a centering control section and a centering button. The centering control section is configured to control a bending mechanism in such a manner as to return a bendable portion to a neutral position where the bendable portion is substantially linear. The centering button is used for entering an instruction for controlling the centering control section. The endoscope is also provided with a personal computer configured to change the bend the bendable portion should have when the bendable portion is returned to the neutral position. The bend is changed in accordance with a bending characteristic variance the bendable portion may undergo in each bending direction.

Abstract: A medical manipulator comprises a working unit (10) that performs operations, an operating unit (20) that generates instructions, a drive unit (50) that drives the working unit on the basis of instructions given thereto by the operating unit, a power transmission mechanism (60) for transmitting driving force of the drive unit to the working unit, and a control unit (40) for controlling the power transmission mechanism on the basis of instructions given thereto by the operating unit. The power transmission mechanism includes a first power transmission unit (61) interlocked with the drive unit, and a second power transmission unit (63) interlocked with the working unit and capable of being detachably connected to the first power transmission unit. A back drive torque of the first power transmission unit is larger than a back drive torque of the second power transmission unit.

Abstract: A handgrip for a colonoscope shaft capable of measuring and presenting to the operator of radial and longitudinal forces applied by the operator during the manipulation with the colonoscope. The handgrip includes an internal sleeve positioned over the shaft of the colonoscope so that it can be released and repositioned by depressing a release button. And external sleeve covers the internal sleeve and provides for a convenient grip by the operator. The only means of transmission of force applied by the operator from the external sleeve to the internal sleeve is the engaging means such as a flexible rectangular bar or a set of engaging plates imbedded between the external sleeve and internal sleeve. The engaging means are equipped with a set of sensors such as strain gages positioned on all sides of the bar to measure the forces between the sleeves, which correspond to the forces applied by the operator to the shaft of the colonoscope.

Abstract: A handle for a medical device is provided. The handle includes an inner handle member and first and second outer handle members slideably disposed on the inner handle member. An elongate sheath is attached to the inner handle member and extends axially beyond a distal end of the inner handle member and a stylet is attached to one of the outer handle members and disposed in a lumen of the sheath. Slideable movement of the outer handle members relative to the inner handle members controls relative positioning of various components of the handle.

Abstract: An endoscope apparatus has an endoscope that is arranged to be connectable to a processor unit, and has a first, second and third operation switches provided on an operation section of the endoscope for operating various functions. The endoscope is provided with a rotary switch that is used to select one of combinations of predetermined functions allocated to the first, second and third operation switches. This allows any switch functions to be altered and defined only by the endoscope without cumbersome operations.

Abstract: A variable-view arthroscope or similar instrument (endoscope, etc.) includes a housing tube with an input end. The housing tube contains an input assembly and a portion of a light relay assembly. A control varies the position of the input assembly to change the viewing position of the arthroscope. In certain embodiments, the control uses external master magnets that rotate around an axis orthogonal to the longitudinal axis of the housing to drive internal slave magnets magnetically. This permits the housing to be sealed completely. In certain embodiments, a cam-axle assembly translates the rotational motion of the internal slave magnets to linear motion that drives a push rod that manipulates the input assembly.

Abstract: An endoscope device in accordance with the present invention consists mainly of an endoscope, a light source apparatus, a video processor, and a monitor. The endoscope includes an insertion unit, an operation unit, a linkage cord, a connector unit, and an electric connector. The insertion unit is flexible and elongated. The operation unit is coupled to the proximal end of the insertion unit. The endoscope can undergo at least one of cleansing, disinfection, and sterilization that is performed at a high temperature. Furthermore, a drop in the temperature of at least part of the external surface of the operation unit of the endoscope occurring when the endoscope is cooled within a predetermined domain of temperatures is substantially equal to or larger than a drop in the temperature of at least part of the external surface of the insertion unit.

Abstract: A coupling device for a light and image guiding system that is keyed to prevent incorrect attachment of light and image guides and an interlock that lockingly engages the light and image guides together in an engaged position, the coupling device attached to a portable camera unit that translates optical signals into an electronic format for display.

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 videoendoscope comprising an inspection probe comprising an inspection tube and a distal endpiece secured to one end of the inspection tube and housing an imaging device; a video processor for processing the electrical signal delivered by the imaging device and for generating a video signal; a control handle comprising a control unit secured to the inspection tube to control the video processor and a display unit secured to a side face of the control unit and including a display screen connected to the video processor; and an umbilical cable having one end secured to the control unit and having its other end connected to a light source and to an electrical power supply.

Abstract: A casing of an endoscopic manipulating head assembly is largely constituted by and dividable into a main cover section adapted to support an operating means of an angulation control mechanism and a grip cover section provided between the main cover section and an insertion tube of the endoscope. Both of the main cover section and the grip cover section are formed of a synthetic resin material. A support plate of a rigid metal is provided internally of the manipulating head assembly to support the angulation control mechanism. A plural number of passage-forming tubular structural members are successively connected within the grip cover section for passing internal components to and from the insertion tube of the endoscope. The support plate is connected to one of the tubular structural members which is located at the proximal end of the grip cover section.

Abstract: A component of an endoscope is a flexible tube which is composed of a helical coil, a reticular tube formed of a braided thin wires and provided over the helical coil, and an outer cover provided over the reticular tube. The outer cover is formed of a resin material containing TiNxOy (where, 0.1≦x≦1.0, 0≦y≦1.9) which is a color developing agent to be colored when irradiated with laser light. The flexible tube is provided with scale formed by the colored portion. The outer surface the outer cover is black or dark color before the irradiation with laser light, but thus formed scale is white or blight color having a whiteness of 60% or more.

Abstract: The present invention provides an endoscope comprising an elongated insert portion having flexibility, the insert portion being inserted into a space targeted for inspection, a connector portion linked with a proximal end side of the insert portion and having a unit which controls flexible bending and image acquisition of the insert portion mounted thereon, an apparatus main body which controls the connector portion, and an endoscope housing case which houses the insert portion and connector portion and the apparatus main body therein, the endoscope apparatus having an insert portion housing member in which the endoscope main body having the connector portion and apparatus main body assembled with each other is attachable to/detachable from the endoscope housing case, and which is attachable to/detachable from the endoscope main body while the insert portion is held.

Abstract: The present invention provides an endoscope apparatus comprising a scope portion in which a flexibly bending portion is provided at an elongated insert portion having a flexibility, the insert portion being inserted into a space which is a target of inspection, and a manipulating device inserting channel is formed, the channel being capable of loading therein a predetermined manipulating device which advances the inside of the insert portion to its distal end side, a remote controller which operates the flexibly bending portion by a joystick, and a connecting device which connects the scope portion and the remote controller to be integrally linked with each other at a position where an operation of the joystick and an operation for inserting the manipulating device through a proximal opening end do not interfere with each other.

Abstract: An endoscope suitable for autoclaving in accordance with the present invention has a barrier that separates an interior from an exterior. When the barrier is located at a predetermined position, consideration is taken into a displacement of the barrier between the position of the barrier observed before start of autoclaving and the position thereof observed after completion of the autoclaving during which predetermined pressure is applied and a thermal load is imposed.

Abstract: The endoscope has a frame member for satisfying at a time, mechanical strength chemical resistance, size reduction, weight reduction, and workability by using carbon fiber reinforced thermoplastic resin as a frame member disposed inside the endoscope. The frame member of an at-hand operating part is formed by using carbon fiber reinforced thermoplastic resin. In the carbon fiber reinforced thermoplastic resin, substantially 20% to substantially 30% of carbon fiber is contained in a mixed material prepared by mixing crystalline resin and amorphous resin in a ratio of substantially 7:3 to substantially 8:2.

Abstract: The invention provides an input device for robotic surgical techniques and other applications. The input device has a handle supported by a linkage having joints with a redundant degree of freedom, with the joints being movable with at least one more degree of freedom than the handle. At least one joint of the linkage is actively driven to prevent the linkage from approaching singularities of the joint system, motion limits of the joints, or the like, and also to drive the linkage toward a freely articulatable configuration. In one embodiment, a robotic master controller includes an arm assembly supporting a gimbal having such a redundant linkage, with the arm primarily positioning the gimbal in a three dimensional controller workspace and the gimbal coupling the arm to the handle with four rotational degrees of freedom. One or more additional degrees of freedom may also be provided for actuation of the handle.

Abstract: A portable, hand-held endoscopic camera having all of the necessary components for performing endoscopic procedures comprises power source means, lens means, light source means, and video camera means. The portable endoscopic camera is adaptable to a wide variety of systems and includes a low wattage light source means. The camera is self-contained. A kit is also provided, the kit having all of the components necessary for performing endoscopic procedures.

Abstract: A micro-endoscopic system employs a pulsed xenon light source and novel image collection optics with a fine diameter optical probe for an endoscope. Very bright pulses of light emitted by a xenon flash tube increase the intensity of light incident on the light transmitting optics, allowing a reduction in size of the optical components, resulting in a corresponding reduction in the size of the optical probe. A novel segmented glass image guide directs the reflected light to a sensor array. Segmentation of the image guide avoids the birefringence problems associated with fine diameter glass optical structures. Conventional optical fiber imaging and light delivery apparatus may also be used in conjunction with the pulsed xenon light source.

Abstract: An ergonomically superior endoscopic suction-irrigation instrument for surgery comprises a telescope sheath connected at an adjustable angle, preferably approximately 30°, to a vertically elongated handle having thumb-operated irrigation and suction valves and a hook for supporting the handle from the surgeon's hand when the surgeon's grip on the handle is loosened. The instrument is especially suited for sinus surgery.

Abstract: A medical instrument for endoscopic removal of the saphenous vein has an elongated shaft which hat at the distal end a spatula tip and in whose proximal region is arranged a laterally projecting handle. The instrument further has an endoscopic optical system which has an eyepiece cup that is arranged at the proximal end of the instrument. The handle is joined to the shaft in such a way that an outer side of the instrument facing away from the handle continuously has a surface that, from the distal to the proximal end, is free of projections. The eyepiece cup is arranged in oblique orientation with respect to a longitudinal center axis of the shaft and encloses with the handle, with respect to the longitudinal center axis, an angle of less than 90°.

Abstract: A probe controller is integral with a gripper for the probe's insertion tube. The gripper is easily operated with one hand, permitting a user to hold, release, and insert the insertion tube with the same hand that operates the controls on the controller, thus freeing the user's other hand to feed the insertion tube into the opening, perform other operations, or optionally to operate the controls.

Abstract: An examination device for examining the interior of a body cavity has a tubular probe having a first, forward end and a second, rearward end. The probe is mounted in a hand piece, and a closure is engaged with the second end of the probe. A shield is provided on the probe either adjacent the first end or spaced therefrom but forwardly of the hand piece to shield the hand piece from contact with body tissue. The shield is also able to seal against a body orifice.