Abstract: A flexible tube insertion apparatus includes a flexible insertion section to be inserted into a subject and bent by a reaction force from the subject, a variable stiffness unit provided in the insertion section and configured to change a stiffness of the insertion section, and a shape detector configured to detect a bent shape of the insertion section. The apparatus further includes a force specifier configured to acquire a distribution of the reaction force on a distal side from a predetermined point in the bent shape and specify a maximum reaction force position, and a stiffness controller configured to control a stiffness of the variable stiffness unit so as to increase a stiffness of the variable stiffness unit between the predetermined point and the maximum reaction force position.

Abstract: An infusion catheter includes a housing, a proximal shaft assembly, a first distal shaft assembly and a second distal shaft assembly. The housing has one or more inflation ports and one or more infusion ports. The proximal shaft assembly supports a first balloon. The first distal shaft assembly extends distally from the proximal shaft assembly and supports a first distal balloon. The second distal shaft assembly extends distally from the proximal shaft assembly and supports a second distal balloon. The first and second distal shaft assemblies define infusion openings in fluid communication with the one or more infusion ports. The infusion catheter may be inserted into a uterine cavity to occlude tubal ostia and an internal cervical OS of the uterine cavity for sealing the uterine cavity. A therapeutic agent may be delivered through the infusion catheter and into the sealed uterine cavity to treat the uterine cavity.

Abstract: A flexible tube insertion device includes a flexible tube section, at least one variable stiffness unit, at least one state detector, and a stiffness controller. The flexible tube section is segmented along an axial direction into segments and configured to be inserted into an insertion target. The variable stiffness unit is configured to vary bending stiffness of the flexible tube section in units at least one segment. The state detector is configured to detect information relating to shape information of the flexible tube section. The stiffness controller is configured to cause the variable stiffness unit to reduce bending stiffness of a portion of the flexible tube section including a place where the flexible tube section is easy to bend in units of at least one segment based on the shape information.

Abstract: A medical apparatus includes: an operation portion; an annular wall portion including a base portion connectedly provided to an exterior case and a protruding end portion; an operation lever configured to be tilted by an operator; a cover member including a first fitted portion fitted to the operation lever, a deforming portion configured to deform accompanying a tilt of the operation lever, and a second fitted portion with an inner circumferential surface fitted to an outer circumferential surface of the wall portion; and an elastic member including a contact portion in contact with an outer circumferential surface of the second fitted portion, the contact portion being fixed to the exterior case and being deformed to press the outer circumferential surface of the second fitted portion.

Abstract: There is provided an endoscope system which can secure appropriate bending stiffness of an insertion portion while maintaining the slide length of an endoscope insertion portion. According to one aspect of one of the present invention, in an endoscope system including an endoscope and an insertion assisting tool in which the endoscope is inserted and which assists the insertion of an endoscope insertion portion into a body, a flexible portion of the endoscope insertion portion includes a projection region which projects from the distal end opening of a tube body when the endoscope insertion portion is located in the distal end position in a movable range with respect to the tube body of the insertion assisting tool, and the projection region includes a bending stiffness change portion in which bending stiffness increases from a first position on the distal end side to a second position on the proximal end side.

Abstract: An endoscope system includes an insertion section, a bending portion provided in the insertion section, including a distal side and a proximal side, and deformable into an arcuate shape by bending in at least one predetermined direction, a distal-side bending portion, a proximal-side bending portion, a first variable stiffness section provided in the distal-side bending portion and configured to change a stiffness of the distal-side bending portion, a second variable stiffness section provided in the proximal-side bending portion and configured to change a stiffness of the proximal-side bending portion, and a controller for performing control to make a stiffness of the first variable stiffness section higher than a stiffness of the second variable stiffness section.

Abstract: An endoscope system includes an insertion section, a bending portion provided in the insertion section, including a distal side and a proximal side, and deformable into an arcuate shape by bending in at least one predetermined direction, a distal-side bending portion, a proximal-side bending portion, a first variable stiffness section provided in the distal-side bending portion and configured to change a stiffness of the distal-side bending portion, a second variable stiffness section provided in the proximal-side bending portion and configured to change a stiffness of the proximal-side bending portion, and a controller for performing control to make a stiffness of the first variable stiffness section higher than a stiffness of the second variable stiffness section.

Abstract: A system for performing a medical procedure includes an articulating probe including inner and outer sleeves, and a surgical tool including a functional element positioned at a distal end of a tool shaft, the tool shaft having an articulation region. The articulating probe and the surgical tool are independently controllable.

Abstract: The medical instrument 1 includes a wire 5, a flexible sheath 6 through which the wire 5 is inserted, a wire driving unit 4 for driving the wire 5, a passive unit 2 that is put into operation as the wire 5 is driven, a sheath pulling unit 14, 17, 21, 51, and a sheath lock unit 12, 13, 20 for locking movement of the sheath 6.

Abstract: A surgical tool insertion aid is provided which enables simultaneous use of multiple surgical tools, as well as the independent exchange of a surgical tool during surgery. A tubular surgical tool insertion aid 1 aids insertion of surgical tools 11 and 13 into the body, and includes: an inner tube 2 into which the surgical tools 11 and 13 are insertable, and which is insertable into the surgical tool insertion aid 1; and a plurality of guide members 3 which are extended in the axial direction from a distal end side to a proximal end side in the inner peripheral surface of the surgical tool insertion aid 1. The inner tube 2 includes, on the outer peripheral surface thereof, an engaging member 4 that engages with the guide member 3 to be made slidable.

Abstract: An apparatus (20) for performing endoscopic surgery on a patient (12) includes at least two concentric tube manipulators (150) adapted to carry devices (152, 154) for performing a surgical operation. A transmission (200) operates the concentric tube manipulators (150). An endoscope tube (106) has a proximal end portion fixed to the transmission (200). The concentric tube manipulators (150) extend from the transmission (200) through an inner lumen (102) of the endoscope tube (106) and are operable to extend from a distal end (104) of the endoscope tube.

Abstract: A medical device comprising a corewire, sensor core, and coupler is presented. A portion of the corewire is disposed within a first end of the coupler, and a portion of the sensor core is disposed within a second end. Alternatively, the device comprises a corewire and a sensor assembly comprising a sensor core having first and second ends and a bore in the first end. A portion of the corewire is disposed within the bore. A method of manufacture comprises providing a corewire, sensor core, and coupler. The method further comprises inserting a portion of the corewire into a first end of the coupler, and a portion of the sensor core into a second end. Alternatively, the method comprises providing a sensor core having first and second ends, and a corewire. The method further comprises forming a bore in the first end, and inserting the corewire into the bore.

Abstract: A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, an end effector, and a rigidizing member. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The acoustic waveguide is coupled with the transducer. The articulation section is operable to flex to thereby deflect the end effector from a longitudinal axis defined by the shaft. The rigidizing member is operable to selectively rigidize the articulation section and thereby prevent deflection of the end effector by preventing flexibility of the articulation section. Such rigidization includes removing any “play” or other small movement that might otherwise be provided by the articulation section due to manufacturing tolerances and/or looseness between parts.

Abstract: A surgical instrument includes a housing and an elongated shaft extending distally therefrom. The elongated shaft includes a proximal portion, a distal portion and a flexible portion supported therebetween. The flexible portion permits pivotal movement of the distal portion of the elongated shaft and an end effector supported thereon. A locking mechanism is operatively associated with the flexible portion of the elongated shaft to selectively impede pivotal motion of the distal portion. The locking mechanism includes a fluid chamber defined within the flexible portion in which a variable viscosity fluid disposed. The variable viscosity fluid is responsive to the application of an electromagnetic field to exhibit increased rigidity in the presence of the electromagnetic field and reduced rigidity in the absence of the electromagnetic field. An electrical coil is arranged such that the electromagnetic field may be selectively induced by the delivery of electrical energy from a power source.

Abstract: An insertion portion, a bending portion, an inner guide sheath, an operation portion, a fixing lever, a guide member, a crank member, a pair of link members, and cam members that are rotatable to a second rotation position where the cam members simultaneously press exposed sites of moving members to wall surfaces in a vertical direction, and a first rotation position where the cam members are separated from the exposed sites, by either one of opening and closing of the respective link members are included.

Abstract: A medical instrument system includes an elongated member having an inner space in a direction of a longitudinal axis, an insertion section installed at the inner space and having a bending section capable of being bent, a manipulation section configured to manipulate the bending section, a first manipulation member transmitting a driving force of the bending section in accordance with the manipulation by the manipulation section, a second manipulation member arranged in the direction of a longitudinal axis, a connecting section having a first connecting section and a second connecting section and capable of connecting the first manipulation member and the second manipulation member, and a switching mechanism having a first acting section and a second acting section and switching between a connection state and a release state in accordance with a relative movement between the elongated member and the insertion section.

Abstract: Medical devices are described. More particularly, medical devices and methods for the identification and treatment of bodily passages, such as sinus cavities, are described herein. An exemplary medical device comprises an elongate member, a handle, and a wire member. The elongate member is moveable between a first straight, or substantially straight, configuration to a second curved configuration.

Abstract: A retrograde delivery catheter includes at its distal end an expandable member configured to at least partially occlude the coronary sinus of a patient's heart, and has a length and variable stiffness that allows the distal end to be selectively articulated so as to be positioned in the coronary sinus. The delivery catheter has a triple lumen construction with a primary lumen extending between the proximal and distal ends and configured to allow a cardioplegic fluid to be delivered to the coronary sinus. A second lumen provides for balloon inflation while a third lumen allows monitoring of a pressure within the coronary sinus. A torque may be applied and a reinforcement member within the delivery catheter provides improved torque transmission along the length of the catheter.

Abstract: Methods and apparatus for treating disorders of the ear, nose, throat or paranasal sinuses, including methods and apparatus for dilating ostia, passageways and other anatomical structures, endoscopic methods and apparatus for endoscopic visualization of structures within the ear, nose, throat or paranasal sinuses, navigation devices for use in conjunction with image guidance or navigation system and hand held devices having pistol type grips and other handpieces.

Abstract: A highly articulated robotic probe (HARP) is comprised of a first mechanism and a second mechanism, one or both of which can be steered in desired directions. Each mechanism can alternate between being rigid and limp. In limp mode the mechanism is highly flexible. When one mechanism is limp, the other is rigid. The limp mechanism is then pushed or pulled along the rigid mechanism. The limp mechanism is made rigid, thereby assuming the shape of the rigid mechanism. The rigid mechanism is made limp and the process repeats. These innovations allow the device to drive anywhere in three dimensions. The device can “remember” its previous configurations, and can go anywhere in a body or other structure (e.g. jet engine). When used in medical applications, once the device arrives at a desired location, the inner core mechanism can be removed and another functional device such as a scalpel, clamp or other tool slid through the rigid sleeve to perform.

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

Abstract: A stiffenable structure is made of longitudinal beams that are positioned around a longitudinal axis. In one state, the longitudinal beams are bendable so that the structure is bendable. As the structure bends, the longitudinal beams slide longitudinally with reference to one another. In a second state, the beams are clamped in a fixed position relative to one another so that the structure is stiffened. In some aspects the longitudinal beams are made of two or more longitudinal laminar elements. As each beam bends, the laminar elements slide longitudinally with reference to one another. Each beam, and accordingly the structure, is stiffened by preventing the laminar elements from sliding longitudinally relative to one another.

Abstract: A surgical instrument includes a housing and an elongated shaft extending distally therefrom. The elongated shaft includes a proximal portion, a distal portion and a flexible portion supported therebetween. The flexible portion permits pivotal movement of the distal portion of the elongated shaft and an end effector supported thereon. A locking mechanism is operatively associated with the flexible portion of the elongated shaft to selectively impede pivotal motion of the distal portion. The locking mechanism includes a fluid chamber defined within the flexible portion in which a variable viscosity fluid disposed. The variable viscosity fluid is responsive to the application of an electromagnetic field to exhibit increased rigidity in the presence of the electromagnetic field and reduced rigidity in the absence of the electromagnetic field. An electrical coil is arranged such that the electromagnetic field may be selectively induced by the delivery of electrical energy from a power source.

Abstract: A method for advancing a device positioned coaxially with respect to a cannula comprises rigidizing a portion of the cannula and advancing the device until a first preestablished limit of relative displacement between the cannula and the device is reached. The method further comprises relaxing the portion of the cannula and advancing the cannula until a second preestablished limit of relative displacement between the cannula and the device is reached.

Abstract: A steerable shaft of a medical instrument is steered by one or more control cables. The control cables are in contact with a steering system tension control device that reduces the tension in the control cables caused by bends in the shaft.

Abstract: The present invention is directed to a novel shape-transferring cannula system, which provides access to tortuous and unsupported paths. The shape-transferring cannula system and method enables exploration of hollow body structures, and creates a custom-contoured access port for insertion and removal of, for example, diagnostic, surgical, or interventional instruments to and from a site within the body to which the physician does not have line-of-sight access.

Abstract: An endoscope system includes an overtube (2) and an endoscope (1), where the overtube (2) is equipped with a shape-holding section (2b) capable of shape-holding and relaxing, a balloon (2a) provided at the distal end of the shape-holding section (2b) to fix the overtube (2) to a body cavity, and an endoscope passage hole (13) serving as a conduit through which the endoscope (1) is passed and the endoscope (1) is equipped with a shape-holding section (1b) capable of shape-holding and relaxing and a balloon (1a) provided at the distal end of the shape-holding section (1b) to fix the endoscope (1) to the body cavity. When one of the endoscope (1) and overtube (2) is inserted, the shape-holding section of the other shape-holds, and the body cavity is pulled with the balloon (1a) inflated, making it possible to reduce insertion length.

Abstract: An insertion apparatus includes a moving unit moving between a first movement position in a state that a motion portion performs a motion and a second movement position in a state that the motion of the motion portion is regulated. A link unit oh the insertion apparatus includes a coupling portion which couples a first link with a second link in a state that the first link and the second link form a substantially V-like shape having a link coupling position as an apex when the moving unit is placed at the first movement position and in a state that the first link and the second link form a substantially linear shape that does not bend at the link coupling position when the moving unit is placed at the second movement position.

Abstract: A method for variably flexing and steering an insertion device that receives an instrument, which comprises providing a hollow body having tendons disposed therewithin and a distal end, changing a condition of the hollow body by selectively applying suction to create a vacuum in the hollow body to place the hollow body in a relatively stiff condition and relieving the vacuum to place the hollow body in a relatively flexible condition, maintaining the hollow body in the relatively flexible and relatively stiff conditions with the tendons, the vacuum created by the applied suction frictionally locking the tendons in place in the relatively stiff condition, and individually adjusting at least one of the tendons in length to steer the distal end of the hollow body.

Abstract: An insertion instrument and an endoscope are provided that include: a bending portion provided in an insertion portion; a flexible tube portion connected in series to a proximal end side of the bending portion; an inside guide pipe provided inside the insertion portion, and inside which a wire is inserted to freely advance and retract; and an outside guide pipe provided inside the insertion portion, and inside which the inside guide pipe is inserted to freely advance and retract. Inside the insertion portion, a distal end of the inside guide pipe is fixed to a midway position of the bending portion, and a proximal end of the inside guide pipe is configured to be switchable between a fixed state and a non-fixed state. Further, inside the insertion portion, a distal end of the outside guide pipe is fixed to a distal end of a flexible tube portion, and a proximal end thereof is fixed at a more rearward position than the flexible tube portion.

Abstract: An insertion device includes: a linear member inserted into an insertion portion to be movable; a plurality of mobile bodies provided in a state of being strung together on an outer periphery of the linear member and being movable with respect to the linear member; a restricting member fixed with respect to the linear member, the restricting member restricting a movable range of each mobile body with respect to the linear member and preventing each of the mobile bodies from falling off; and a fixing pin being movable between a first position and a second position at which the fixing pin is fitted in between any adjacent two mobile bodies.

Abstract: A flexible steerable device comprising a plurality of interconnected segments configured to pivot relative to each other, each of the plurality of segments having a cavity disposed therein. The device also includes a flexible tube disposed within the cavities of the plurality of segments. The flexible tube includes at least one rigidizing chamber having fusible material disposed therein, wherein upon varying temperature of the fusible material, the fusible material shifts between a first state in which the flexible steerable device is flexible and a second state in which the flexible steerable device is rigidized.

Abstract: A steerable multi-linked device. The device includes a first multi-linked mechanism and a second multi-linked mechanism. At least one of the first and second multi-linked mechanisms is steerable and includes a modular link assembly at an end thereof. The modular link assembly includes a base, and a tip removably connected to the base.

Abstract: An apparatus includes a flexible elongate member that defines a lumen and is configured to be inserted within a body passageway of a patient. The flexible elongate member includes a proximal portion, a distal portion, and a medial portion disposed between the proximal portion and the distal portion. The distal portion is movable between a substantially linear configuration and a curved configuration. A stiffening member is coupled to the flexible elongate member. The stiffening member is movable to a selected location along a length of the flexible elongate member to provide modified flexibility to the selected location of the flexible elongate member. The stiffening member may include a first portion and a second portion, the first portion having a first stiffness and the second portion having a second stiffness different than the first stiffness. The stiffening member may be disposed within a lumen or at an exterior portion of the flexible elongate member.

Abstract: There is provided a flexibility/rigidity adjustable apparatus which can change over its state between a flexible state in which such apparatus is freely bendable and a rigid state in which such bending is restricted when in use. A flexible closing cover 18 which can expand/shrink is provided on an outer circumference 2 of a flexible tube 1. A latching member 7 which moves together with the closing cover 18 is provided, and a latching-member receiving part 11 with which the latching member 7 can engage is provided at the outer circumference 2 of the tube 1. A closed space 21 formed between the closing cover 18 and the tube 1 is connected to an air inlet/outlet part 22. As the air is evacuated through the inlet/outlet part 22 to change the pressurized condition of the closed space 21 from an atmospheric pressure condition to a negative pressure condition, the closing cover 18 reduces its diameter around an axis 4, and the latching member 7 is caused to engage with the latching-member receiving part 11.

Abstract: A rigidizable linkage mechanism comprises a plurality of serially arranged links comprising a distal link and a link proximal to the distal link. The rigidizable linkage mechanism further comprises a cable that extends in a distal direction through the plurality of serially arranged links, extends around the distal link of the plurality of links, and in a proximal direction back through at least a portion of the plurality of links. A distal end of the cable is fixedly coupled to the link proximal to the distal link, and a proximal end of the cable is coupled to a rigidizing actuator.

Abstract: An endoscope includes a second bending drive mechanism. The second bending drive mechanism passively bends the second bending portion in accordance with external force when the drive force is not transmitted to the first bending portion. The second bending drive mechanism bends the second bending portion in a predetermined direction in a case that the second bending portion has received external force in the predetermined direction, and generates force against the external force in a direction different from the predetermined direction in the second bending portion in a case that the second bending portion has received the external force in the different direction while the drive force to bend the first bending portion in the predetermined direction has been transmitted to the first bending portion.

Abstract: An endoscope includes an insertion section, a bending section, a bending operation section and a shift mechanism. The bending section includes a first bending section and a second bending section provided at a proximal end of the first bending section. The second bending section includes an actuation pipe interposed between an angle wire extending in the second bending section and a wire guide through the angle wire and guiding the angle wire, and supported to be moved in the extending direction of the wire guide with respect to the wire guide. A rigidity of the second bending section is shifted while the actuation pipe is moved in the extending direction of the wire guide.

Abstract: A method and apparatus for removing loops formed during endoscopic procedures including colonoscopy and small bowel enteroscopy. The device inserted through the biopsy channel of an endoscope reversibly engages the distal portion of the biopsy channel of the endoscope. When pressure is applied to the device handle external to the endoscope, the force is transmitted to the distal end of the endoscope advances and straightens out the loop. When the device is torqued, the distal end of the engaged endoscope torques which can remove a twist in the endoscope as well. Neither procedure requires removal of a portion of the scope or loss of position which occurs with conventional methods.

Abstract: A controllable sheath for optimizing the control of surgical instruments at the operation site includes a flexible sheath surrounding an endoscope and including a lumen extending along the walls of the sheath and adjacent to the endoscope. The lumen permits the passage of surgical instruments from the proximal end of the endoscopic device to the operation site. The lumen extends beyond the distal end of the endoscope and deflects at the distal end as desired by the operator's manipulation of a controller device. This distal end deflection may occur through various different techniques where the ability to deflect the lumen gives the operator increased control and maneuverability over the surgical implements located in the lumen. Depending upon the particular requirements of the surgical procedure, the controllable sheath may include any number of lumens capable of distal end deflection.

Abstract: An insertion device includes: a linear member inserted into an insertion portion to be movable; a plurality of mobile bodies provided in a state of being strung together on an outer periphery of the linear member and being movable with respect to the linear member; a restricting member fixed with respect to the linear member, the restricting member restricting a movable range of each mobile body with respect to the linear member and preventing each of the mobile bodies from falling off; and a fixing pin being movable between a first position and a second position at which the fixing pin is fitted in between any adjacent two mobile bodies.

Abstract: A steerable multi-linked device. The device includes a first multi-linked mechanism and a second multi-linked mechanism. At least one of the first and second multi-linked mechanisms is steerable and includes a modular link assembly at an end thereof. The modular link assembly includes a base, and a tip removably connected to the base.

Abstract: A selectively rigidizable endoscopic device is described. In one aspect, an endoscopic medical device is described that includes a flexible inner tube having a first lumen, a flexible outer tube that receives the inner tube, and a multiplicity of overlapping, rigidizable scale-like strips. Each scale-like strip is coupled with the inner tube and positioned between the inner and outer tubes. Of particular note, the overlapping strips are actuatable between a non-rigidized state in which overlapping strips are slideable relative to one another and a rigidized state in which overlapping strips are not slideable relative to one another.

Abstract: Methods and devices are provided for controlling an endoscope in a body cavity. In one exemplary embodiment, a stiffening element for an endoscopic surgical system includes an elongate member having a diameter configured for insertion and use in a channel of an endoscope. The elongate member can be movable between an unlocked position in which the elongate member is freely movable to assume a desired configuration, and a locked position in which the elongate member is maintained in a desired configuration. In one embodiment, the elongate member is formed from a plurality of links that are pivotally coupled to one another. Methods for controlling a surgical device in a body cavity, as well as systems for use in endoscopic surgeries, are also provided herein.

Abstract: A cannula assembly having a hollow elongate cannula with a proximal end, a distal end, and a central axis. A coiled reinforcing member is disposed along a portion of the hollow elongate cannula and is adapted to provide structural support to the elongate cannula. An intermediate reinforcing band is disposed on the elongate cannula between the proximal end and the distal end to reinforce a perforated section in the wall of the cannula and includes a forward edge, a rearward edge, at least one rib and at least one protrusion extending orthogonally from the forward edge and at least one protrusion extending from the rearward edge. A distal reinforcing band is disposed at the distal end of the elongate cannula and has a plurality of fingers that taper slightly inwardly toward the central axis of the hollow elongate cannula.

Abstract: A first bendable section which can be bent in an arbitrary direction and a second bendable section which can be bent in the bending direction of this first bendable section are provided at the tip end side of an insertion portion. A balloon which is inflated/contracted by feed/discharge of a fluid is provided in this second bendable section so that hardness of this second bendable section can be varied and insertion work into a curved portion is facilitated.

Abstract: A molded elastomer for an endoscope is provided, which includes a fluorine-containing elastomer and a filler. The filler includes thermal black in a content of 1 to 10 parts by mass based on 100 parts by mass of the fluorine-containing elastomer, and plate alumina in a content of 2 to 10 parts by mass based on 100 parts by mass of the fluorine-containing elastomer.

Abstract: A steerable multi-linked device. The device includes a first multi-linked mechanism and a second multi-linked mechanism. The first mechanism defines a first plurality of grooves. The second mechanism defines a second plurality of grooves. The first and second pluralities of grooves cooperate to define at least two working ports along a length of the device. At least one of the first and second mechanisms are steerable.

Abstract: A method for transmitting torque and variably flexing an insertion device for receiving an instrument includes the steps of providing 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, an outer jacket and an inner sleeve, maintaining the hollow body in relatively flexible and relatively stiff conditions with wires disposed at least partly between the outer jacket and the inner sleeve and being free of at least one of the outer jacket and the inner sleeve, transmitting torque along the hollow body with a corrugated tube disposed between the outer jacket and the inner sleeve, and applying suction to create a vacuum between the outer jacket and the inner sleeve for placing the hollow body in the relatively stiff condition and relieving the vacuum for placing the hollow body in the relatively stiff condition, with a transitioning device for frictionally locking the wires and the corrugated tube in place.

Abstract: An endoscope assembly includes an insertion tube including a channel and a vibratory device inserted into the channel of the insertion tube.