Abstract: A rotary self-propelled endoscope, including: a tubular outer shaft having an elongated insertion section main body with a distal end portion which is rotatable around a longitudinal axis and has at least partially a surface formed to have a helical configuration; an inner shaft which is rotatably inserted through the outer shaft and is coupled to the distal end portion of the insertion section main body; and a motor unit which causes the inner shaft to rotate around the longitudinal axis from the proximal end side.

Abstract: A shaft rotating device for rotating a shaft of a medical instrument about its longitudinal axis relative to a handle of the medical instrument comprises an operating element for rotating the shaft. The operating element is arranged at a proximal portion of the shaft and it is in driving connection with the shaft such that the shaft is rotatable relative to the handle against frictional forces. The shaft rotating device further comprises a frictional element with a surface. The surface of the frictional element is in frictional contact with the surface of a counterpart for keeping the shaft and the handle rotationally stationary with respect to each other and movable against the frictional forces. The operating element and the frictional element are in operational connection with respect to one another such that a torque applied to the operating element decreases the frictional forces.

Abstract: A medical instrument having a proximal control handle and a distal tool that are intercoupled by an elongated instrument shaft that is meant to pass internally of an anatomic body, proximal and distal movable members that respectively intercouple the proximal control handle and the distal tool with the instrument shaft, cable control means disposed between the movable members, an actuation member at the handle for controlling the distal tool through the movable members, and a coupler for selectively engaging or disengaging the shaft portion of the instrument from the handle portion. The handle has a distal receiver portion, and a shaft connector on said proximal motion member is selectively engageable with and releaseable from the receiver portion.

Abstract: An endoscope, comprising an elongated rigid shaft and an optical imaging system arranged at a distal end of the shaft for receiving light from an observation area, wherein the optical imaging system is pivotable with respect to the shaft about a first pivot axis which runs about transversely to a longitudinal axis of the shaft. The optical imaging system is pivotable with respect to the shaft about at least a second pivot axis, which is spaced from the first pivot axis and runs about transversely to the longitudinal axis of the shaft, and an overall pivot range of the optical imaging system about the first and at least second pivot axis is at least 150° from the longitudinal axis of the shaft.

Abstract: An endoscopic instrument readily made of one-use disposable plastic material with improved operative elements, and improved fatigue-reducing handgrip.

Abstract: A method for visualizing the interior of a bodily passageway comprising: providing a visualization system for deployment in the bodily passageway, the visualization system comprising: a tube; visualization apparatus; and a helical thread on the exterior surface of the tube, such that when the tube is disposed in the bodily passageway so that the helical thread engages the interior side wall of the bodily passageway, rotation of the tube will induce a relative movement between the tube and the side wall of the bodily passageway; inserting the visualization system into the bodily passageway at a location remote from the site which is to be visualized; rotating the tube so as to draw the bodily passageway onto the tube in a pleating fashion, whereby to bring the site which is to be visualized toward the visualization apparatus; and using the visualization apparatus to visualize the interior of the bodily passageway.

Abstract: A connection mechanism includes a rotatable member formed with a connection hole in which a shaft member is rotatably fitted. A thrust stopper is arranged at the distal end of the shaft member to prevent the rotatable member from being removed from the shaft member. The shaft member has an outer-screw at the distal end portion thereof, and the thrust stopper has an inner-screw opening extending along an axial direction of the thrust stopper. The outer-screw of the distal end portion of the shaft member engages with the inner-screw opening. The thrust stopper has a through opening formed with an inner-screw with which a fixing screw engages. The tip end of the fixing screw engages with the distal end of the shaft member to secure fixation between the thrust stopper and the shaft member.

Abstract: A surgical instrument having an instrument shaft having proximal and distal ends, a tool disposed from the distal end of the instrument shaft, a control handle coupled from the proximal end of the instrument shaft, a distal motion member for coupling the distal end of the instrument shaft to the tool, a proximal motion member for coupling the proximal end of the instrument shaft to the handle and actuation means extending between distal and proximal motion members for coupling motion of the proximal motion member to the distal motion member for controlling the positioning of the tool. Rotation control and locking members are also disclosed.

Abstract: A medical apparatus includes a medical device, a first support mechanism, a second support mechanism, and a resistance force generation mechanism. The first support mechanism has the medical device arranged therein, and a turning portion that is turned around a predetermined rotation axis. The second support mechanism has the first support mechanism arranged therein and includes a support portion that supports the turning portion to allow the support portion to turn around the rotation axis of the first support mechanism. The resistance force generation mechanism is provided between the turning portion of the first support mechanism and the support portion of the second support mechanism and produces a predetermined resistance force with respect to a relative turning motion of the turning portion and the support portion.

Abstract: A rotatable endoscope coupler which enables an endoscope to be rotatably attached to a camera and selectively locked in place. The coupler enables single handed rotation of the scope while the camera remains in a fixed orientation. A plurality of ceramic ball bearings riding in a stainless steel race enable the coupler to be repeatedly autoclaved. A locking mechanism allows the scope and camera to be fixed from relative rotation.

Abstract: A capsule endoscope capable of implementing stereoscopic photography, with which protruding/recessed states are easily recognized, for a nearby subject. The capsule endoscope includes imaging devices for respectively imaging a common subject, a driving/sampling section which drives the imaging devices, focusing optical systems which correspond one-to-one with the imaging devices and focus subject images onto imaging regions of the corresponding imaging devices, and a control section which controls imaging operations of the imaging devices with the driving/sampling section. At least one of the focusing optical systems is inclined such that an optical axis direction thereof is oriented forward in a direction of imaging by the plurality of imaging devices and toward a perpendicular direction that passes through a central point between the imaging regions of the plurality of imaging devices.

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 lens holding unit that holds an objective lens on which a luminous flux from a subject is landed and an image-pickup element holding unit that holds an image-pickup element capable of picking up an optical image are connected to each other for elastic deformation and restoration. External force that acts on the lens holding unit serves to change the position of the optical axis of an optical image that is formed on the image-pickup surface of the image-pickup element.

Abstract: Optical probes having a diameter less than substantially 500 ?m for use in scanning light from a long, highly flexible fiber to a sample. In one embodiment the probe includes a viscous damping fluid suitable to prevent non-uniform rotational distortion (NURD).

Abstract: A deviated distal viewing endoscope is disclosed, wherein the rotation of the probe rotation control ring controls the rotation of the endoscopic probe as well as the rotation of a rotating tube housed in the handle and in the distal end of which a deviator prism is housed; the rotation of a focusing control ring controls the translation of the ring that acts to house the ocular lens; and the rotation of the ring controls the translation of a first cylindrical mount housing an ocular lens; and the rotation of a viewing angle variation control ring controls the translation of a second cylindrical mount integral with a cylindrical maneuvering tube, a longitudinal displacement of which controlling the tilting of the deviator prism of the endoscope.

Abstract: A system and a method for providing a determination of predicted cognitive performance of an individual preferably based on the time of day and on factors including sleep history based on activity data from an actigraph. The system and the method provide a numerical representation of the predicted cognitive performance. Both may be used to optimize the work schedule of the actigraph wearer to maximize the cognitive capacity during working hours.

Abstract: A remote control catheterization system (20) includes a propelling device (28), which controllably inserts a flexible, elongate probe (26) into the body of a patient (22). A control console (34), in communication with the propelling device, includes user controls (38, 40) which are operated by a user of the system remote from the patient to control insertion of the probe into the body by the propelling device.

Abstract: A control and indicator apparatus for a variable direction-of-operation endoscopic instrument comprises a handle, a coinciding pointer, and a linking system connecting the handle to the endoscopic instrument. The handle affords the user intuitive and integrated control of the available degrees of freedom and the pointer conveys to the user the direction and orientation of the endoscopic working vector by shadowing its movement.

Abstract: An endoscopic system for internal inspection of an object includes an endoscope extending along a longitudinal axis between a distal end to be inserted into the object and a proximal end and an illumination assembly attached to the proximal end of the endoscope. The illumination assembly includes a solid-state light source. The endoscopic system also includes an optical system positioned distally from the solid-state light source to receive and convey light to the distal end.

Abstract: A incremental rotational displacement mechanism is provided. The mechanism includes a circular detent housing having a plurality of detents arranged along the circumference of the detent housing. A detent ring is positioned coplanar to and within the circumference of the detent housing. At least a portion of the at least one detent arm engages at least a portion of the detent housing. A handle may engage the detent ring, so that a force applied to the handle causes the detent ring to rotate with respect to the circular detent housing. The mechanism is suitable for a variety of applications, including endoscopic instruments.

Abstract: An encapsulated endoscope system in accordance with the present invention comprises: an encapsulated endoscope that rotates to develop a thrust; a controller that moves the encapsulated endoscope in an intended direction of advancement; an imaging unit incorporated in the encapsulated endoscope; and an image processing unit that receives image data sent from the imaging unit, and produces an image, which results from rotation of the received image data, according to the rotational phase of the encapsulated endoscope.

Abstract: A system and a method for providing a determination of predicted cognitive performance of an individual preferably based on the time of day and on factors including sleep history based on activity data from an actigraph. The system and the method provide a numerical representation of the predicted cognitive performance. Both may be used to optimize the work schedule of the actigraph wearer to maximize the cognitive capacity during working hours.

Abstract: An apparatus and method for predicting cognitive performance of an individual based on factors including preferably sleep history and the time of day. The method facilitates the creation of predicted cognitive performance curves that allow an individual to set his/her sleep times to produce higher levels of cognitive performance. The method also facilitates the reconstruction of past cognitive performance levels based on sleep history.

Abstract: An endoscope is provided having a shaft and a handle extending to the side of the shaft at the proximal end. A mechanism is provided for pivoting the view direction in an observation area and has at least one operating element being engaged with the mechanism for actuating the mechanism. The at least one operating element is positioned on the handle, such that the mechanism is actuatable with at least one finger or thumb of the same hand holding the handle.

Abstract: An apparatus and technique for compensating the display of an image obtained from a video camera system associated with an endoscope as it is moved through various orientations are described. The received optical image is converted to an electrical signal with an image sensor that can be a CCD or a CMOS detector. The endoscope video camera system has an inertial sensor to sense rotations of the received image about the optical axis of the endoscope and the sensor's output signals are used to rotate either the image or the image sensor. In case of rotation of the image sensor the rotation sensor can be a gyroscope or a pair of accelerometers. In case of a rotation of the image obtained with the image sensor the inertial sensor, which can be an accelerometer or a gyroscope, the image is rotated within a microprocessor for subsequent viewing on a video display.

Abstract: An apparatus and technique for compensating the display of an image obtained from an endoscope as it is moved through various orientations are described. The endoscope received optical image is converted to an electrical signal with an image sensor that can be a CCD or a CMOS detector. The endoscope has an inertial sensor to sense rotations of the received image about the optical axis of the endoscope and the sensor's output signals are used to rotate either the image or the image sensor. In case of rotation of the image sensor the rotation sensor can be a gyroscope or a pair of accelerometers. In case of a rotation of the image obtained with the image sensor the inertial sensor, which can be an accelerometer or a gyroscope, the image is rotated within a microprocessor for subsequent viewing on a video display. The signal processing to achieve compensatory rotations of the displayed image as an operator of the endoscope moves it about is described.

Abstract: An endoscope having a distal tubular shaft section of smaller diameter in which at least on longitudinally-extending device, such as a light guiding fiber bundle, is arranged. An objective and a video camera are disposed in a free cross-sectional area of the tubular shaft section. The video camera is arranged for rotation about its viewing direction by a rotation device. An electric motor is arranged proximally of the video camera in the free cross-sectional area. The electric motor is connected to the video camera with the motor drive shaft being disposed parallel to the axis of the tubular shaft section.

Abstract: A surgical/diagnostic imaging device for use in interabdominal, interthoracic, and other surgical and diagnostic procedures includes an image sensor pivotally mounted at the distal end of a support. In use, the image sensor and support are contained within a disposable sterile sheath, and the distal portion of the sheath is inserted into the patient through an incision. The imaging device includes actuators to move the image sensor in elevation and azimuth.

Abstract: A body cavity-observing apparatus has an endoscope with an imaging optical system on the front edge thereof, a prism movably mounted on the forefront of the imaging optical system, and an actuator to drive the prism on a given command signal. Then, a different endoscope image is obtained by moving the prism, and thus, a wide range endoscope image can be easily obtained.

Abstract: Rotary endoscope has a deflected distal sight. The endoscope includes a cylindrical handle. An endoscopic probe includes a distal optical deflector which introduces one-way inversion of an image of an object observed through a distal lateral lens port, a lens, and an optical image conveying system. The endoscopic probe has a proximal end which is accommodated in a distal part of the cylindrical handle, and is adapted to convey the image of the object observed along an optical axis to an ocular lens. An adjustment device moves the ocular lens in a controlled manner by an outer ring. The ocular lens is arranged in a median part of the cylindrical handle and is movable longitudinally along the optical axis. A one-way image rectifier is arranged in a proximal part of the cylindrical handle. The one-way image rectifier compensates for the one-way image inversion introduced by the distal optical deflector. A rotation device is movable in a controlled manner by an outer ring.

Abstract: Methods, devices, and systems for a) revascularization and/or b) performing other medical procedures at vascular or non-vascular intracorporeal locations within a mammalian body. The methods generally comprise the formation of at least one extravascular passageway from a blood vessel to a vascular or non-vascular target location. In the revascularization methods the extravascular passageway is utilized for blood flow. In the medical procedure methods the extravascular passageway is utilized as a conduit for accessing or performing procedures at the vascular or non-vascular target location. Also disclosed are catheter devices and systems which are useable to form the extravascular passageways of the invention, as well as apparatus for modifying, maintaining and/or closing such extravascular passageways.

Abstract: In the method of treating internal body tissue, the steps that include providing an endoscope having a viewing channel, with an elongated optical stem, associated with the channel, and defining a longitudinal axis; providing a longitudinally elongated sheath received on a stem and supported for controlled rotation about an axis and into selected angular position relative to a support, to gain access to the selected urethral tissue zone to be treated; providing means to be rotated with the sheath to be targeted toward and to eject flowable treatment material onto or into tissue at a zone; and rotating the sheath and ejecting treatment material at a selected zone.

Abstract: An intravascular catheter system for crossing a severe or total arterial occlusion includes a steerable intravascular catheter providing a working element and an optical guidance system. The optical guidance system is realized by an optical member with may include an imaging shaft that is rotated and measured by a motor/encoder assembly or which may include an optical switching device connected to a plurality of optical fibers. The working element may include a plurality of opening members that are actuated by an external plunger.

Abstract: A device carries first and second units in aligned end-to-end disposition at a distal end of a shaft and provides structure for moving the second of the units into position alongside the first of the units. The device comprises a base portion to which a proximal end of the shaft is fixed, the first unit being fixed to a distal end of the shaft. A rod extends lengthwise through the shaft and a portion of the first unit, and is off-set from an axis of the shaft and fixed to the second unit removed from an axis of the second unit.

Abstract: A device carries first and second units in aligned end-to-end disposition at a distal end of a shaft and provides structure for moving the second of the units into position alongside the first of the units. The device comprises a base portion to which a proximal end of the shaft is fixed, the first unit being fixed to the distal end of the shaft. A rod extends lengthwise through the shaft and a portion of the first unit, and is off-set from an axis of the shaft and fixed to the second unit removed from an axis of the second unit. Mounted on the base portion is structure for effecting rotational movement of the rod to effect rotational movement of the second unit to a position removed from alignment with the first unit, and for effecting axial movement of the rod to effect axial movement of the second unit into the position alongside the first unit.

Abstract: A surgical/diagnostic imaging device for use in interabdominal, interthoracic, and other surgical and diagnostic procedures includes an image sensor pivotally mounted at the distal end of a support. In use, the image sensor and support are contained within a disposable sterile sheath, and the distal portion of the sheath is inserted into the patient through an incision. The imaging device includes actuators to move the image sensor in elevation and azimuth.

Abstract: A stereoscopic endoscope including an objective lens system for forming an image of an object which objective lens system is arranged at the front end of an inserting section and has a single optical axis; an image transmission device coaxially arranged with the objective lens system and adapted to transmit the image formed by the objective lens system; a pupil dividing device for dividing the image transmitted through the objective lens system and the image transmission device so as to obtain left and right images of the object; an image sensing device for picking up the left and right images obtained by the pupil dividing device; a first support structure containing at least the objective lens system; and a second support structure containing at least the pupil dividing device and the image sensing device, wherein the first and second support structures are rotatable relative to each other around an axis extending along the longitudinal dimension of the endoscope.

Abstract: A stereoscopic endoscope including an objective lens system for forming an image of an object which objective lens system is arranged at the front end of an inserting section and has a single optical axis; an image transmission device coaxially arranged with the objective lens system and adapted to transmit the image formed by the objective lens system; a pupil dividing device for dividing the image transmitted through the objective lens system and the image transmission device so as to obtain left and right images of the object; an image sensing device for picking up the left and right images obtained by the pupil dividing device; a first support structure containing-at least the objective lens system; and a second support structure containing at least the pupil dividing device and the image sensing device, wherein the first and second support structures are rotatable relative to each other around an axis extending along the longitudinal dimension of the endoscope.

Abstract: An endoscope having a longitudinally-slotted probe that is connected to a guidance part for an optical system which extends in an axially movable fashion through the guidance part into the probe and the view of which is directed toward the longitudinal slot of the probe. The axial adjustment of an associated optical system is operated by a drive, which is connected to the guidance part and can be operated by hand. The instrument can be held by an operator using one hand and, as this is done, the optical system can be securely brought into position. The optical system can be adjusted using this same hand, thus permitting the operator to use the other hand to guide a surgical instrument.

Abstract: Various mechanisms are provided for use in a surgical instrument. A shaft and an engaged lost motion operating knob are provided for rotation relative to a handle portion. A latch system prevents rotation of the shaft unless the shaft is rotated by the knob. A cartridge is provided for rotation at the distal end of the shaft. Engaging structures are provided for preventing rotation of the cartridge relative to the shaft when axial forces are applied to the cartridge. A loading tool is provided for engaging the cartridge to install the cartridge on the instrument. The cartridge includes a washer for engaging a carrier on which the cartridge is mounted so as to prevent rotation of the washer. The washer is adapted to engage a fastener advancing member in a first angular orientation and is disengaged when the cartridge is rotated to establish a second relative angular orientation.

Abstract: A borescope has an inverting dove prism (24) mounted on an ocular mount (12) proximally of an ocular lens (11). The ocular mount is axially adjustable by rotation of a collar (26) to achieve focusing and is rotatable about the axis independently of the focus position in unison with orbital scanning of a reflector (7) at the distal end of the borescope. Location of the dove prism proximally of the ocular lens avoids the need to include an invertor within the optical relay of insertion tube (2) thereby avoiding aperture reduction and simplifying assembly.

Abstract: An endoscope includes a first tube having a proximal end and distal end, a second tube having a proximal end and distal end, and a control rod movably coupled to the first tube and secured to the second tube for allowing the second tube to be rotated out of lengthwise alignment with and axially movable with respect to the first tube. The first tube includes concentrically disposed optical fibers with ends terminating at the distal end of the first tube. The second tube includes separate concentrically disposed optical fibers with ends terminating at both the proximal and distal ends of the second tube. When the first and second tubes are longitudinally aligned, at least some of the optical fibers in the second tube are substantially aligned with those in the first tube such that light is coupled therebetween. Both of the first and second tubes are capable of receiving imaging means.

Abstract: A continuous flow resectoscope having a working element and a sheath assembly removably connected to the working element. The sheath assembly has an outer sheath removably attached to an inner sheath. The improvement comprises a rotatable connection of the inner sheath to the working element, wherein the working element is rotatable relative to both the inner and outer sheaths.