Abstract: A steering mechanism is used as part of a medical device such as a catheter or an endoscope to allow movement of a steerable distal portion of the catheter or endoscope. The mechanism can include a elongate housing adapted to be coupled to the steerable portion of the medical device and an actuation system including an actuator, a first cam, and a second cam. The actuator can move the first cam between a first position and a second position along a first axis (or about a second axis different than the first axis) to move the steerable portion of the medical device along a first plane. The actuator can move the second cam between a first position and a second position along the second axis (or about the first axis) to move the steerable portion of the medical device along a second plane different than the first plane.

Abstract: A steerable endoscope has an elongated body with a selectively steerable distal portion and an automatically controlled proximal portion. The endoscope body is inserted into a patient and the selectively steerable distal portion is used to select a desired path within the patient's body. When the endoscope body is advanced, an electronic motion controller operates the automatically controlled proximal portion to assume the selected curve of the selectively steerable distal portion. Another desired path is selected with the selectively steerable distal portion and the endoscope body is advanced again. As the endoscope body is further advanced, the selected curves propagate proximally along the endoscope body, and when the endoscope body is withdrawn proximally, the selected curves propagate distally along the endoscope body. This creates a serpentine motion in the endoscope body that allows it to negotiate tortuous curves along a desired path through, around, and between organs within the body.

Abstract: An endoscope includes a curving operation portion which performs a curving operation of a curving portion by rotating around a pivot shaft in a first rotation direction and in a second rotation direction opposite to the first rotation direction from a neutral position where the curving portion is in a non-curved neutral state, a first operation wire which is pulled by the curving operation in the curving operation portion to curve the curving portion in the second curving direction, and a second operation wire which is pulled by the curving operation in the curving operation portion to curve the curving portion in the first curving direction. The endoscope includes a wire crossing portion in which the second operation wire crosses the first operation wire, and a movement regulating portion which regulates the movement of the wire crossing portion from within the operation portion into the insertion portion.

Abstract: A multijointed bending mechanism having a first bending piece, a second bending piece connected to the first bending piece so as to be rotatable around a first rotation shaft, a third bending piece connected to the second bending piece so as to be rotatable around a second rotation shaft, at least two first wires connected to the first bending piece to rotate the first bending piece and at least two second wires connected to the second bending piece to rotate the second bending piece. The second wires are disposed inwards of the first wires with respect to a vertical direction of the first and second rotation shafts.

Abstract: A rotation shaft, a bending operation knob, a fixed shaft, two movable disks, a fixed disk, a cam member, a resistance giving member and a fixing lever are included. The resistance giving member has a rocking portion that fixes a rotation position of the cam member in a second position of the movable disks by abutting onto an inner circumferential face of a protruding portion provided at the cam member that moves with rotation of the cam member with an urging force, and is rockable in a diameter direction of the cam member.

Abstract: The medical manipulator includes an arm formed in a tubular shape having a bending portion capable of bending; an insertion portion that is formed having channels, with the base end of the arm being connected to the distal end of the insertion portion so that lumens of the arm and the channels are in communication; an operation portion for operating the bending portion; and transmission members that are capable of advancing and retracting in a longitudinal direction with respect to the insertion portion such that a movement of the operation portion is transmitted to the bending portion and the bending portion is bent and that connect the bending portion and the operation portion; an opening portion provided at the operation portion and communicated with the channel; and a guide member that guides the movement of the operation portion within a predetermined range and that holds the transmission members to prevent the transmission members from moving in the longitudinal direction with respect to the movement of

Abstract: An endoscope includes an endoscope insertion portion having a bendable bending portion and a bending mechanism configured to bend the bending portion. The bending mechanism includes a pulley, at least one annular member, a pulling member, and a pulling operation member. The pulley is rotatably driven. The annular member is formed into a C-shape with a cut-out, and can be elastically deformed. The annular member is externally fitted to the pulley with a gap. The pulling member has an intermediate portion wound around the annular member. The distal end portion of the pulling member is connected to the bending portion, and the proximal end portion of the pulling member is connected to the pulling operation member which pulls the pulling member. The width direction position at the winding start position of the pulling member wound around the annular member is made different from the width direction position at the winding end position of the pulling member.

Abstract: The apparatus of one embodiment of the present invention is comprised of a flexible sheath instrument, a flexible guide instrument, and a tool. The flexible sheath instrument comprises a first instrument base removably coupleable to an instrument driver and defines a sheath instrument working lumen. The flexible guide instrument comprises a second instrument base removably coupleable to the instrument driver and is threaded through the sheath instrument working lumen. The guide instrument also defines a guide instrument working lumen. The tool is threaded through the guide instrument working lumen. For this embodiment of the apparatus, the sheath instrument and guide instrument are independently controllable relative to each other.

Abstract: This endoscope apparatus includes: an insertion portion; a bending portion; an operation portion; and a pull member. The operation portion includes: an operation lever; a bearing that supports the operation lever in a state of being freely inclinable around a swinging center; a friction member that is fixed to the operation lever; a press portion configured to contact a contact surface; and a switching device that is connected to the press portion and presses the press portion against the contact surface when rotated in a first rotational direction with a predetermined rotation axis as a rotation center thereof and also so as to cause the press portion to be spaced away from the contact surface when rotated in a second direction.

Abstract: Endoscopic instrument with a control element, an instrument shaft, an adjustment element, a pull element, an actuator, an intermediate element which is operatively connected to the control element and to the adjustment element such that a force applied to the control element by the user can be transmitted to the adjustment element via the intermediate element in order to move the adjustment element, a detection device for detecting a torsion of the intermediate element, and an abutment device, which defines a free rotatory movement range of the control element relative to the adjustment element.

Abstract: Systems and methods for maneuvering an endoscope are disclosed. The system includes: at least one first pivoting support that is pivotally attached to the endoscope and that permits the endoscope to pivot around at least one first axis of rotation; at least one second pivoting support that is in communication with the at least one first pivoting support and that is adapted to rotate around at least one axis that is substantially orthogonal to said first axis so as to permit the endoscope to rotate around an insertion point into a body in at least two orthogonal axes; and at least one controller attached to either the first or the second pivoting. The controller is adapted to provide a constant dynamic equilibrium between said endoscope and at least one of the pivoting supports.

Abstract: An endoscope (1) having a distal end being arranged to be inserted into a body cavity of a patient to be examined and a proximal end which is arranged to be held by a user of the endoscope. The endoscope further comprises a handle (2) arranged at the proximal end of the endoscope, an insertion portion (3) arranged at the distal end of the handle, a bending portion (4) arranged at the distal end of the insertion portion, and two control wires (40,41) arranged between the handle and the bending portion, said control wires being used to control the bending of the bending portion via control inputs made at the handle.

Abstract: An operation mechanism includes: a longitudinal member having a channel; a subject operation section provided at a distal end side of the member; an operation section provided at a proximal end side of the member; a first transmission means connected to the subject operation section at a distal end side thereof and formed to penetrate the operation section transmitting a first driving force; a first input portion provided in the operation section and connected to a proximal end side of the first transmission means to operate the subject operation section; a second input portion provided closer to the subject operation section side of the operation section than the first input portion and operated by a medical instrument inserted through the channel; and second transmission means connected to the first input portion and the second input portion and transmits a second driving force.

Abstract: A shock-absorbing mechanism includes a shaft having a linear member wound therearound, a base having a relative position fixed to a first end of the linear member and formed with a shock-absorbing space which spreads toward the radial outside from the outer peripheral surface of the shaft, and a passage formed in the base in communication with the shock-absorbing space and the outside of the base and causing a second end of the linear member to extend to the outside of the base.

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: Hood 2 is formed to extend forward from the outer periphery of the tip of the tubular body 1. The tubular body is provided with at least a fluid delivery channel 11, an imaging channel 12 and a bending mechanism. Hood 2 has a basic shape of a cylindrical shape or a hollow circular truncated cone shape enlarging toward the tip, the tip of the hood has an obliquely-cut shape, and the hollow of the hood opens in the tip face 21 thereof. A hood tip 22 located at the tip of the wall part of the outer periphery of the tip of the hood bends to the inside of the hood and acts to stay the fluid.

Abstract: A detachable stylet assembly for endotracheal intubation of a patient is disclosed. The stylet comprises an elongated tube defining: a longitudinal axis, a proximal end for detachably mounting the stylet to a hand grip, and a distal end for entering the trachea of the patient. The tube comprises an articulation section adjacent the distal end adapted to curve into the trachea upon actuation. An actuator housing is mounted on and adjacent to the proximal end of the tube. An actuating assembly is constructed inside the actuator housing having connection means for engaging the hand grip. A control wire is mounted within the actuator housing and connected to the actuating assembly. The control wire extends through the tube to the distal end of the tube and is adapted to curve the articulation section upon actuation. The hand grip comprises a base handle and a trigger for manual actuation of the actuator assembly. The trigger comprises finger grooves for convenient gripping.

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 self propelling catheter introducer system for exploring a body cavity is disclosed which includes a flexible tubular catheter, an everting tube and a steering section located near the distal end of the catheter that is introduced in a body cavity. The steering section is adapted for pointing the distal end in a desired direction using a plurality of rods adapted to be extended and retracted.

Abstract: An arrangement for manipulating a medical device is inserted into the body of a patient. There is a drive element to be driven by a motor. There is also a control element for controlling at least one motion of the medical device. A transmission arrangement transmits motion from the drive element to the control element, the transmission arrangement having first and second members which are frictionally engaged with one another so that motion may be transmitted from one to the other. There is a manual manipulation control, which may be grasped by a user to move the medical device manually while the first and second members remain in frictional engagement with one another.

Abstract: An insertion device sets engage range which it prescribed in return power to the neutral position by elastic force of the spring and rotation resistance force by the slide power by elastic member for dial portion performing curving operation of a curving portion. If a rotary angle is beyond an engage range, the dial part lets a rotary point of view to order return in an engage range and, if there is a rotary angle in an engage range, the dial part keeps a target part in an observation field of vision.

Abstract: A medical instrument for performing a medical procedure within a body cavity includes: an insertion part which is inserted into the body cavity and has a bending part capable of bending in a predetermined range; a manipulating part which manipulates the bending part; a wire which connects the bending part with the manipulating part; and a clutch which is provided in the manipulating part and maintains a bending state of the bending part.

Abstract: A steerable, tendon-driven endoscope is described herein. The endoscope has an elongated body with a manually or selectively steerable distal portion and an automatically controlled, segmented proximal portion. The steerable distal portion and the segment of the controllable portion are actuated by at least two tendons. As the endoscope is advanced, the user maneuvers the distal portion, and a motion controller actuates tendons in the segmented proximal portion so that the proximal portion assumes the selected curve of the selectively steerable distal portion. By this method the selected curves are propagated along the endoscope body so that the endoscope largely conforms to the pathway selected. When the endoscope is withdrawn proximally, the selected curves can propagate distally along the endoscope body. This allows the endoscope to negotiate tortuous curves along a desired path through or around and between organs within the body.

Abstract: An endoscope includes a bending operation knob inputting a bending operation of a bending section in first perpendicular directions, a touch surface which is exposed in an outer surface of a grip casing and on which a bending operation of the bending section in second perpendicular directions is input, and a positional information calculator calculating a positional information of a touched region with time, the touched region being a region that is touched in the touch surface. The endoscope includes a positional change detector detecting a positional change of the touched region when the bending operation of the bending section in the second perpendicular directions is input, and a drive controller controlling a drive state of a drive member in accordance with the positional change of the touched region.

Abstract: A steerable endoscope has an elongated body with a selectively steerable distal portion and an automatically controlled proximal portion. The endoscope body is inserted into a patient and the selectively steerable distal portion is used to select a desired path within the patient's body. When the endoscope body is advanced, an electronic motion controller operates the automatically controlled proximal portion to assume the selected curve of the selectively steerable distal portion. Another desired path is selected with the selectively steerable distal portion and the endoscope body is advanced again. As the endoscope body is further advanced, the selected curves propagate proximally along the endoscope body, and when the endoscope body is withdrawn proximally, the selected curves propagate distally along the endoscope body. This creates a serpentine motion in the endoscope body that allows it to negotiate tortuous curves along a desired path through, around, and between organs within the body.

Abstract: A curving control device to which an electrically-controlled endoscope is connected has a main CPU for primarily performing curving driving control, and a monitoring CPU for monitoring whether the operating state relating to curving actions is normal or abnormal. In the event of detecting an abnormality from the monitoring CPU, the curving control device also performs processing for handling the occurrence of the abnormality, such as outputting an emergency stop through an interlock via the main CPU, turning the main power and the like of a servo driver OFF.

Abstract: An endoscope including: two bending portions, a bending amount calculator, a setting portion, a determination portion, and a controller, configured as such: Upon bending of the distal bending portion, the bending amount calculator calculates the bending amount of the distal bending portion. If the determination portion finds if the bending calculated exceeds a first set threshold set by the setting portion, the controller continuously outputs a signal to drive the proximal bending portion to bend in the same direction as the distal bending portion. When subsequently the determination portion finds that the bending calculated is less than a second threshold less than the absolute value of the first threshold, and which is also set by the setting portion, the controller outputs a signal to return the proximal bending section to its initial predetermined position.

Abstract: An imaging system can include a base unit and one or more imaging units. The base unit can include a main interface that has a plurality of main electrical connectors and one or more main mechanical connectors. A mechanical system is located in the base unit. Each imaging unit can include an elongate support member having a proximal end, a proximal section, a bendable section, and a distal end. Also, an imaging interface that couples with the main interface can be included on the proximal end of the elongate support member. The imaging interface includes a plurality of imaging electrical connectors that correspond and connect with the main electrical connectors of the main interface and includes one or more imaging mechanical connectors that correspond and connect with main mechanical connectors of the main interface. Mechanical actuators can bend the bendable section under control from the base unit.

Abstract: A system and method for anchoring a round catheter pull wire within the distal end of a catheter. A steering deflection mechanism includes a pull ring having a plurality of apertures and one or more receiving slots. The method includes affixing one or more round pull wires to the one or more receiving slots of the pull ring. The shape of the round wire and manner of affixing the wire to the pull ring provide a steering assembly that can withstand greater pull forces while maintaining design integrity.

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: A surgical instrument navigation system is provided that visually simulates a virtual volumetric scene of a body cavity of a patient from a point of view of a surgical instrument residing in the cavity of the patient. The surgical instrument navigation system includes: a surgical instrument; an imaging device which is operable to capture scan data representative of an internal region of interest within a given patient; a tracking subsystem that employs electro-magnetic sensing to capture in real-time position data indicative of the position of the surgical instrument; a data processor which is operable to render a volumetric, perspective image of the internal region of interest from a point of view of the surgical instrument; and a display which is operable to display the volumetric perspective image of the patient.

Abstract: A self-contained surgical, e.g., endoscope, system. The surgical, e.g., endoscope, system may include a sterilizable shaft having a light source and/or an image capture device mounted at the distal end of the shaft or connected to the distal end of the shaft by fiber optics. The light source is a light emitting diode or an array of light emitting diodes, and may have its own power source located at the distal end of the shaft. The shaft includes a working channel, an irrigation/aspiration channel, and an electric cable. The shaft is coupled at its proximal end to a control module having a video processor and an integrally-mounted display screen for displaying image data from the image capture device. The control module may also include an irrigation/aspiration system, a control unit, and a controller. The control module is coupled to a power module. The power module includes steering motors connected to steering cables in the shaft. In addition, the power module includes drive motors and a power source.

Abstract: An inexpensive, endo-tracheal intubation device is disclosed. Methods of making and using the inexpensive, endo-tracheal intubation device are also disclosed.

Abstract: An endoscope including a shaft having a deflectable distal end; a handle at a proximal end of the shaft; and a deflection control connected to the distal end. The deflection control includes a combined lock and deflection control member at the handle. The control member is adapted to be moved to a selected location by a single finger of a user and thereby deflect the distal end. The control member is adapted to be locked at the user selected location by movement of the control member to a locked position by the single finger of the user.

Abstract: A system for accessing a patient's body may include an elongate member having a proximal end, a distal end, and two lumens. The elongate member may include two lumens and a thickness of material extending between external and internal surfaces of the elongate member. The system may also include a first illumination device associated with a first of the two lumens such that a portion of the first illumination device may extend into the thickness of material. A second illumination device may be associated with the second of the two lumens such that a portion of the second illumination device may extend into the thickness of material. Further, the system may include an imaging device having a first portion extending into the thickness of material, a second portion protruding into the first of the two lumens, and a third portion protruding into the second of the two lumens.

Abstract: An apparatus for deflecting a distal portion of a catheter, a sheath, a medical device, or other flexible elongate member may generally include a handle portion, a pair of adjusting knobs, and deflection wires. The adjusting knobs may be rotatably coupled to the handle portion and operably coupled to the deflection wires. The deflection wires may be in further communication with the distal portion of the flexible elongate member. Rotation of the adjustment knobs may translate or otherwise displace particular deflection wires with respect to the rest of the flexible elongate member, thereby causing the distal portion of the flexible elongate member to deflect. Further, the deflection wires may be oriented such that the distal portion of the flexible elongate member may be deflected in a multitude of directions.

Abstract: In a robotic endoscope system, the orientation of a captured camera view at a distal tip of a robotic endoscope and displayed on a screen viewable by an operator of the endoscope is automatically maintained at a roll orientation associated with a setpoint so as not to disorient the operator as the endoscope is moved, flexed and its tip turned in different orientations. A processor generates a current commanded state of the tip from operator input and modifies it to maintain the setpoint roll orientation. To generate the modified current commanded state, the current commanded roll position and velocity are constrained to be a modified current commanded roll position and velocity that have been modified according to a roll angular adjustment indicated by a prior process period commanded state of the tip and the setpoint. The processor then commands the robotic endoscope to be driven to the modified commanded state.

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: 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: Systems and method are disclosed whereby elongate medical instruments may be registered to adjacent tissue structures and other structures, and may be navigated and operated in a coordinated fashion to maximize ranges of motion, ease of use, and other factors. A method for registering an instrument relative to nearby structures may comprise moving a portion of the instrument between two in situ positions, tracking movement during this movement with both a kinematic model and also a localization sensor based configuration, determining the orientation of the tracked portion relative to both the instrument coordinate system used in the kinematic modeling and also a localization coordinate reference frame, and adjusting the orientation of the instrument coordinate reference frame to minimize the difference between determined orientations using the kinematic model and localization sensors. Methods and configurations for navigating coupled and registered instrument sets are also disclosed.

Abstract: A remote guidance system for a medical device is provided that is capable of use with magnetic resonance imaging and other environments with a relatively high level of electromagnetic interference. In one embodiment, a fluid control system controls delivery of fluid to a fluid conduit supplying a fluid chamber of a fluid housing. A piston disposed within the fluid chamber moves in response to a change in fluid displacement in the chamber and causes corresponding movement of the medical device within a body. In another embodiment, means are provided for controlling a connector coupled to the medical device at a location outside the body wherein movement of the connector causes a corresponding movement of the medical device. A sensor generates a signal indicative of a characteristic associated with movement of the medical device. The sensor includes an optic fiber that transmits a light wave indicative of the characteristic.

Abstract: A two-part bending endoscope includes: a first bending part which configures one side of a bending portion; a second bending part which configures the other end side of the bending portion; and a bending portion operation apparatus including a first operation device for causing the first bending part to perform a bending action and a second operation device for causing the second bending part to perform a bending action, wherein the bending portion operation apparatus includes a selective power-transmitting mechanism section which enables at least a bending action of the first bending part by the first operation device, and an interlocking operation of the second bending part and the first bending part by the second operation device.

Abstract: A deflectable tip videoarthroscope of 5.4 mm diameter or smaller, comprising a miniaturized chip-in-tip CCD with four-way angulations mounted on the distal end of the arthroscope. The deflectable tip videoarthroscope may be provided with a replaceable distal window made of a thin material (such as polycarbonate or acrylic) or a glass (sapphire or other) with very high light transmission properties, connected to a sheathing system that is disposable or limited-reusable, which could be discarded if a shaver burr or ablation probe contacts the lens. This design protects the distal window of the videoarthroscope during use and reduces scope repair costs and system down-time. The deflectable tip videoarthroscope may additionally include a steering wheel, which allows 360 degree rotation of the instrument during arthroscopic procedures. The videoarthroscope may further include an irrigation channel or a wireless imager control system.

Abstract: A steerable device, such as a steerable catheter, may include a control handle and an insertion shaft extending outwardly therefrom. In use, the insertion shaft is navigated to an area of interest for examination and/or treatment thereof. The steerable device may include a steering system that controls the deflection angle of the distal end of the insertion shaft in two or more non-planar directions for navigating the insertion shaft to the area of interest. The steering system may also include a locking mechanism for arresting or partially arresting the movement of the distal end of the insertion shaft in a first direction independent of arresting or partially arresting the movement of the distal end in a second non-planar direction.

Abstract: Control systems and methods for a remote joint use position measurements to determine and control the force that an actuator applies to the joint through a linkage. The use of force and feedback allows control of a medical instrument having a linkage that provides non-negligible compliance between the joint and a proximal actuator and particularly allows precise instrument operation even when the position of the distal joint cannot be directly related to the proximal motor position.

Abstract: A steerable endoscope has an elongated body with a selectively steerable distal portion and an automatically controlled proximal portion. The endoscope body is inserted into a patient and the selectively steerable distal portion is used to select a desired path within the patient's body. When the endoscope body is advanced, an electronic motion controller operates the automatically controlled proximal portion to assume the selected curve of the selectively steerable distal portion. Another desired path is selected with the selectively steerable distal portion and the endoscope body is advanced again. As the endoscope body is further advanced, the selected curves propagate proximally along the endoscope body, and when the endoscope body is withdrawn proximally, the selected curves propagate distally along the endoscope body. This creates a serpentine motion in the endoscope body that allows it to negotiate tortuous curves along a desired path through, around, and between organs within the body.

Abstract: In an embodiment of the present invention, an endoscope includes an insertion unit having a bending portion on a distal end side thereof, an endoscope main body provided on a proximal end side of the insertion unit, a left-and-right direction bending mechanism coupled with the bending portion, a left-and-right direction bending drive unit generating drive force to bend the bending portion in a left-and-right direction, a drive force transmission mechanism transmitting the drive force to the left-and-right direction bending mechanism and a cord portion extending from the endoscope main body and supplies electrical power from the outside to the left-and-right direction bending drive unit, wherein the left-and-right direction bending drive unit is provided on the endoscope main body and arranged along an extending direction of the cord unit.

Abstract: In the present invention, a logical block of an FPGA is configured by a serial communication unit, a serial communication control portion, an EEPROM controller, an abnormal signal processing portion, an LED controller, an operation mode controller, a DPRAM, a clutch signal input portion, a jig substrate input output portion, a RAM, a motor controller, a motor drive waveform generating portion, an RL (right and left) motor current F/B portion, a UD (up and down) motor current F/B portion, a potentiometer control portion, a thermistor control portion, an RL encoder control portion, a UD encoder control portion, and an FPGA block abnormality monitoring portion.

Abstract: A medical appliance including a medical instrument that is separable from an actuator support, the appliance including a connection and disconnection system including a connector carried by the instrument and including a guide for guiding at least one actuator rod retained elastically in the guide by a head, and a coupling endpiece carried by the support and including at least one engagement mechanism that is guided in rotation and that defines a reception setback for receiving the head of the actuator rod. The engagement mechanism is fitted with a rotary coupling member complementary to the rotary coupling member presented by the connector, and the endpiece also presents at least one hook connected to an actuator system.

Abstract: The apparatus of one embodiment of the present invention is comprised of a flexible sheath instrument, a flexible guide instrument, and a tool. The flexible sheath instrument comprises a first instrument base removably coupleable to an instrument driver and defines a sheath instrument working lumen. The flexible guide instrument comprises a second instrument base removably coupleable to the instrument driver and is threaded through the sheath instrument working lumen. The guide instrument also defines a guide instrument working lumen. The tool is threaded through the guide instrument working lumen. For this embodiment of the apparatus, the sheath instrument and guide instrument are independently controllable relative to each other.