Abstract: An endoscopic surgical instrument is provided that includes a handle portion, an elongated middle portion, an articulating portion and a tool portion. The tool portion is steerable by control mechanisms disposed on the handle portion which are accessible to a single hand of a user of the endoscopic surgical instrument. The endoscopic surgical instrument is advantageously employed in a variety of endoscopic surgical techniques, including transgastric or transluminal surgery.

Abstract: An insertion instrument which is connected to a manipulating head grip is composed of an elongated flexible tube section, an articular section and a rigid tip end section in series from a proximal end which is connected to the manipulating head grip. The articular section can be flexed in an arbitrary direction by way of a flexion control means which is provided on the manipulating head grip. A flexible tube straightening means is provided internally of the flexible tube section to straighten the same into a rectilinear form. The flexible tube straightening means is activated into a straightening action in interlinked relation with a flexing operation of the flexion control means.

Abstract: An endoscope includes an insertion portion having a bendable portion; an operation portion from which the insertion portion extends; a first bending operation knob arranged on a surface of the operation portion and including depressions and first protrusions, to bend the bendable portion in a first direction when rotated; and a second bending operation knob arranged over the first bending operation knob and including depressions and second protrusions, to bend the bendable portion in a second direction when rotated. A length of the second protrusion from a center of rotation to a tip portion is longer than a length of the first protrusion from the center of rotation to tip portions of the first protrusions, and the second protrusion has a depression near a projection of a circular orbit of rotation of each tip portion of the first protrusions onto a surface facing the first bending operation knob.

Abstract: A flexible endoscope includes an elongate flexible extrusion. A central lumen extends longitudinally through the center of the extrusion, and a plurality of other longitudinally extending lumens are spaced around the central lumen. An optical fiber is inserted within the central lumen and is coupled to its inner surface. This optical fiber serves as a compression member and conveys light through the flexible endoscope. A first pair of tension members extend through lumens on opposite sides of the central lumen. Applying a tension force to one of these tension members causes a distal tip of the flexible endoscope to bend in a first direction, while applying a tension force to the opposite tension member causes the distal tip to bend in an opposite direction. Providing a second pair of tension members in lumens disposed orthogonal to the first pair enables bending of the distal tip relative to orthogonal axes.

Abstract: A connectorized ultrasound probe includes a distal section that is configured for insertion into a patient's body and a proximal section configured to interface the distal section with an ultrasound system. The distal section is easily attachable and detachable from the proximal section using at least one set of connectors. When connected, a user-operated actuator located on the proximal section controls the bending of the distal section, and the ultrasound system sends driving signals to and receives return signals from the ultrasound transducer via the proximal section. This arrangement is particularly advantageous for long term monitoring, because the disconnectability of the proximal section makes it possible to leave the distal section in place in the patient for longer periods of time without undue discomfort.

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 method of constructing an articulation joint includes forming a metallic tube with a number of rings formed therein. Springs may be secured to the inside surface or outside surface of the rings to allow the joint to bend in directions transverse to the axis of the springs. A fixture may be used to hold the springs at the correct position within the tube and the springs may be urged toward the rings or vice versa to obtain a good bond between the springs and the rings.

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 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: A method for transmitting torque and variably flexing an insertion device for receiving an instrument includes the steps of providing a hollow body, transmitting torque along the hollow body with a corrugated tube, applying suction to create a vacuum in the hollow body for placing the hollow body in a relatively stiff condition, relieving the vacuum for placing the hollow body in a relatively flexible condition, maintaining the hollow body in the relatively flexible and relatively stiff conditions with tendons disposed within the hollow body, and individually adjusting at least some of the tendons in length for steering a distal end of the hollow body.

Abstract: An endoscope comprising a pulley, an insertion portion having a steerable section and a control wire connecting the pulley to the steerable section for controlling movement of the steerable section. A portion of the control wire extends around the pulley, and the endoscope further comprises a cover for controlling slack in the wire. The cover is mounted on the pulley such that it is able to rotate with the pulley.

Abstract: An endoscope insertion portion includes a distal end side wire guide which is provided over a distal end side of a operation wire, and a portion of which is fixed to a bending portion, a proximal end side wire guide which is provided over a proximal end side of a operation wire, and a portion of which is fixed to a insertion tube portion, a distal end side abutting portion provided at a proximal end of the distal end side wire guide, and a proximal end side abutting portion which is provided at a distal end of the proximal end side wire guide, and brought into abutment with the distal end side abutting portion when the operation wire is moved backward so that the bending portion is bent.

Abstract: A control handle for use with a steerable endoscopic device. The endoscopic device having a pair of control wires to effect steering. The control handle includes a steering mechanism that includes an actuator, such as a control knob, drivingly connected to a drive member, such as a sprocket or drive gear. To transmit force from the drive member to the control wires, a length of transmission structure, such as bead chain, is connected to the proximal ends of the control wires and is engaged with the drive member. In one embodiment, a single-use endoscope may be provided, which includes a control handle, a steerable endoscopic device, and a umbilical cord or communications conduit for functionally connecting the control handle to a control cabinet of an endoscopic imaging system.

Abstract: An endoscopic tool utilizes a fiber optic system for illuminating and imaging ligaments or other tissue which are to be cut. Illumination and imaging is performed above a lateral opening at the distal end of a probe that is inserted into an incision point. Preferably, a two edged blade which can be moved in both the distal to proximal direction and the proximal to distal direction is selectively deployable from of the lateral opening at the distal end of the probe. The endoscopic tool is small in size, and preferably includes a pencil grip with a button actuator for deploying the two edged cutting blade. A wire actuator that fits into a slot in the bottom of the deployable blade, can be nested with the fiber optic cable such that the cross sectional area of the probe is reduced. Alternatively, a tube concentric with the fiber optic cable can be used as the mechanism for actuating the blade or other device.

Abstract: A torque-transmitting, variably-flexible, corrugated insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument and a distal end with a tip for protrusion of the instrument. A vacuum-activated device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. A corrugated tube transmits torque from the proximal end toward the distal end. A method for transmitting torque and variably flexing an insertion device for receiving an instrument includes providing a hollow body, transmitting torque along the hollow body with a corrugated tube, applying suction to create a vacuum in the hollow body for placing the hollow body in a relatively stiff condition, and relieving the vacuum for placing the hollow body in a relatively flexible condition.

Abstract: A medical instrument including a medical catheter having a distal end insertable within a body lumen of a patient, having a first flexible catheter segment, and having a second flexible catheter segment located distal the first flexible catheter segment. The first flexible catheter segment includes a first loop sensor and includes an active first catheter stiffener adapted to stiffen and un-stiffen substantially only the first flexible catheter segment. The second flexible catheter segment includes a second loop sensor and includes an active second catheter stiffener adapted to stiffen and un-stiffen substantially only the second flexible catheter segment. A method for using the medical instrument is also presented.

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 invention relates to an endoscope having a shaft in which at least one working channel is positioned and having on the distal end of the shaft an endoscope head, such that the part of the working channel contained in the endoscope head can be rotated with respect to the related working channel by a Bowden cable that is mounted on a control handle on the proximal end by a collet. To configure an endoscope in such a manner that it ensures simple construction as well as a constantly even tension of the Bowden cable, it is proposed with the invention that the depth of insertion of a cable cord of the Bowden cable into the collet can be limited by a pressure element acting on the cable cord and collet.

Abstract: A control handle for use with a steerable endoscopic device. The endoscopic device having a pair of control wires to effect steering. The control handle includes a steering mechanism that includes an actuator, such as a control knob, drivingly connected to a drive member, such as a sprocket or drive gear. To transmit force from the drive member to the control wires, a length of transmission structure, such as bead chain, is connected to the proximal ends of the control wires and is engaged with the drive member. In one embodiment, a single-use endoscope may be provided, which includes a control handle, a steerable endoscopic device, and a umbilical cord or communications conduit for functionally connecting the control handle to a control cabinet of an endoscopic imaging system.

Abstract: A surgical imaging device and method configured to be inserted into a surgical site. The surgical imaging device includes a plurality of prongs. Each one of the prongs has an image sensor mounted thereon. The image sensors provide different image data corresponding to the surgical site, thus enabling a surgeon to view a surgical site from several different angles. The prongs may be moveable between a first position, suitable for insertion though a small surgical incision, and a second position, in which the prongs are separated from each other. In addition, the prongs may be bendable.

Abstract: A wire member 50 is received in a flexible part 22 of an endoscope 20 and adapted to remotely curvilinearly control a bendable part 27 at a distal end of the flexible insertion part 22. The wire member 50 includes a braid 51 braiding from a plurality of resin fibers and an adhesive agent 52 impregnated in the braid 51 and hardened. The impregnating and hardening of the adhesive agent 52 are carried out in a state where the braid 51 is applied with a tensile force having a predetermined magnitude.

Abstract: A borescope is received within a housing. The borescope includes a flexible end portion carrying the video head and a housing includes a flexible end portion comprised of ball-socket segments and a tip for following the movement of the flexible end portion of the borescope. Cooling air is provided in an annular passage between the borescope and housing for flow about the borescope to maintain the video head temperature below its temperature limitation. Two cables maintain the ball-socket segments and tip in contact with a transition piece and with one another to enable the flexible borescope end portion to follow the movement of the directionally controlled video head.

Abstract: An insertion instrument which is connected to a manipulating head grip is composed of an elongated flexible tube section, an articular section and a rigid tip end section in series from a proximal end which is connected to the manipulating head grip. The articular section can be flexed in an arbitrary direction by way of a flexion control means which is provided on the manipulating head grip. A flexible tube straightening means is provided internally of the flexible tube section to straighten the same into a rectilinear form. The flexible tube straightening means is activated into a straightening action in interlinked relation with a flexing operation of the flexion control means.

Abstract: A miniaturized imaging device and method of viewing small luminal cavities are described. The imaging device can be used as part of a catheter, and can include a lens, an SSID including an imaging array optically coupled to the lens; an umbilical including a conductive line; and an adaptor configured to support the lens and provide electrical communication between the SSID and conductive line. Alternatively, the adaptor can be a rigid adaptor configured to provide electrical communication between the SSID and the conductive line through a conductive path. The conductive path can be configured along multiple contiguous surfaces of the adaptor such that the SSID is electrically coupled to the conductive path at a first surface, and the conductive line is electrically coupled to the conductive path at a second surface.

Abstract: An endoscope device having a control unit and a bendable probe unit arranged at the distal end of a wire extending from the control unit. The control unit includes a ball shaft and a control lever arranged on the ball shaft. The ball shaft includes a ball member and an outer case that encases the ball member and rotates along the outer peripheral surface of the ball member when the control lever is tilted. The wire is attached to the outer case. The construction facilitates control unit operation, which reduces inspection time and improves inspection accuracy.

Abstract: A torque-transmitting, variably-flexible, corrugated insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument and a distal end with a tip for protrusion of the instrument. A vacuum-activated device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. A corrugated tube transmits torque from the proximal end toward the distal end. A method for transmitting torque and variably flexing an insertion device for receiving an instrument includes providing a hollow body, transmitting torque along the hollow body with a corrugated tube, applying suction to create a vacuum in the hollow body for placing the hollow body in a relatively stiff condition, and relieving the vacuum for placing the hollow body in a relatively flexible condition.

Abstract: An endoscope includes an insertion portion which has a bending portion, a wire which is fixed to an end of a distal side of the bending portion and is pushed along the insertion portion, an operating portion which is provided on a proximal side of the insertion portion opposite to the bending portion, and a wire-connecting member which is interposed in the wire between the insertion portion and the operating portion to form an allowance in a in which the wire is pushed and pulled, wherein a portion of the wire between the wire-receiving member and the wire-connecting member is inserted into the coil spring so that the coil covers a surface of the portion of the wire.

Abstract: Flexible, steerable, endoscopic instruments include a handle, a flexible shaft, and an end effector. The handle includes an actuator for controlling the end effector. The handle also includes a steering mechanism for steering the endoscopic instrument. The steering mechanism includes one or more tensioning members configured to increase or decrease a tension force on one or more steering wires that are attached to one or more steerable portions of the flexible shaft.

Abstract: The medical appliance of the present invention includes a bending portion, an operation portion, bending operation wires pulled and loosened by bending operation, coil pipes in which the bending operation wires are inserted, and coil pipe receivers and cylinders that include compression coil springs and support the proximal end portions of the coil pipes so as to be able to move along directions in which the bending operation wires extend.

Abstract: A sensor assembly for use in a surgical procedure is described. The assembly can includes a sensor for implantation into a body part, a sensor cord attached to and extending from the sensor and a handle fastened to the sensor cord. The handle is fastened so that a force can be applied to the sensor cord via the handle. The handle comprises a force indicator to which force applied to the sensor cord is applied and which can provide an indication of the force applied to the sensor cord via the handle.

Abstract: An endoscopic surgical instrument is provided that includes a handle portion, an elongated middle portion, an articulating portion and a tool portion. The tool portion is steerable by control mechanisms disposed on the handle portion which are accessible to a single hand of a user of the endoscopic surgical instrument. The endoscopic surgical instrument is advantageously employed in a variety of endoscopic surgical techniques, including transgastric or transluminal surgery.

Abstract: Control devices and methods are provided for controlling tension applied to a tensioning element extending through a flexible shaft, such as on an endoscopic device. In one exemplary embodiment, the methods and devices are configured to allow free movement and optionally provide slack to a control mechanism on an endoscopic device during insertion to allow free flexion of the shaft of the device, and to tension the control mechanism when desired to actuate, articulate, or otherwise control the working end or other portion of the device disposed within a patient's body.

Abstract: A rotational force transmission mechanism has: a rotation-inputting member freely rotative and driven in a predetermined first direction and a second direction opposite the first direction by a predetermined operating member; a first rotation-transmitting member for receiving a rotational driving force supplied from the rotation-inputting member in the first direction; a second rotation-transmitting member, disposed to face the first rotation-transmitting member, for receiving a rotational driving force supplied from the rotation-inputting member in the second direction; a connection section disposed so that the rotational force acts in the direction in which the first rotation-transmitting member and the second rotation-transmitting member face each other, the connection section in the facing position transfers the rotational driving force received by the first rotation-transmitting member in the first direction to the second rotation-transmitting member and transfers the rotational driving force received by

Abstract: An endoscope including a bending portion in an insertion portion comprises multiple pulling members, an operation device, a driving force transfer mechanism and a biasing mechanism. The multiple pulling members are mounted on the bending portion. The operation device generates a driving force for pulling the pulling members in conjunction with a turning operation. The bending portion is bent by the operation device between an approximately straight state and a bending state. The driving force transfer mechanism transfers the driving force generated in conjunction with the turning operation of the operation device to the pulling members. The biasing mechanism provides the driving force transfer mechanism with a biasing force for turning the operation device in a reverse direction to the turning operation direction in a state where the bending portion is bent by turning the operation device.

Abstract: An endoscope angle portion comprises an angle portion structure. The angle portion structure includes angle ring units each of which comprises pivoting joint portions extending from its both ends and has a shape that is notched obliquely in directions away from the pivoting joint portions, and wherein adjacent ones of the angle ring units is pivotally joined to form the angle portion structure, wherein a first angle ring unit of the angle ring units has a larger length dimension than that of a second angle ring unit of the angle ring units, and the first angle ring unit has a smaller notch width of a notched portion than that of the second angle ring unit, the first angle ring unit being nearer a base end of the endoscope angle portion than the second angle ring unit.

Abstract: A bent state holding mechanism for an endoscope which includes a control portion and an insertion portion extending therefrom, the insertion portion having a bendable portion at a distal end thereof, including a bendable portion control mechanism provided on the control portion, which is operated to bend the bendable portion, and at least two frictional resistance producing members which rotate relative to each other upon operation of the bendable portion control mechanism, to exert a frictional resistance for holding the bendable portion at any operated position. The two frictional resistance producing members include a radial plate spring made of resilient metal which includes a ring portion and a plurality of radial projections which project radially outwards from the ring portion; and an annular friction member having a pressure surface which is brought to be pressed obliquely against flat surfaces of the plurality of radial projections.

Abstract: A bent state holding mechanism of an endoscope including a bending mechanism having a rotatable bending member, includes a bent state holding member for switching between a bent-state holding state and a bendable-portion free state; and a click mechanism for providing a tactile feel to the bent state holding member when rotated to the bent-state holding state and/or when rotated to the bendable-portion free state. The click mechanism includes a click leaf spring having a protrusion formed therein, and a click projection projecting toward a surface of the click leaf spring, one of the click leaf spring and the click projection being configured to rotate together with the bent state holding member upon rotation thereof. Rotating the bent state holding member causes the click projection to abut against the protrusion and ride over the protrusion with a click action while resiliently deforming the click leaf spring.

Abstract: A bendable portion control device for an endoscope including a control portion and an insertion portion extending therefrom, the insertion portion having a bendable portion at a distal end thereof, the bendable portion control device includes a control wire fixed thereto and extending to the control portion through the insertion portion; a control knob disposed on the control portion; an operating force transmission mechanism having a pair of relatively rotatable members connected to the control knob and a proximal end of the control wire, respectively; and a torque limiting mechanism for allowing torque to be transmitted to the bendable portion via the control wire when the torque is equal to or less than a predetermined torque, and for preventing the torque from being transmitted to the bendable portion via the control wire by disengaging the relatively rotatable members from each other when exceeding the predetermined torque.

Abstract: A fitting hole portion of a shaft portion fitted to a mouth ring portion of an endoscope is provided to an attachment portion of a ligation band operation band, and an operation to switch between a flange portion insertion position at which the flange portion of the mouth ring is insertable and an engagement position at which a protrusion portion of the mouth ring portion is engagable is performed by a sliding member slidable with respect to the shaft portion.

Abstract: The present invention features a remote viewing device that is capable of improving its operation by removing slack in its control cables and/or by increasing the range of motion of its viewing head. In one embodiment, the method for improving the operation involves removing at least a portion of the slack in at least one control cable attached to a servo motor. The removal of at least a portion of the slack includes changing the position of a servo motor relative to a flexible tube termination block until a specified tension is encountered in at least one of the control cables. The method further includes determining first and second servo control signal values corresponding to no angular deflection and a specified deflection in a viewing head.

Abstract: An electric bending endoscope having a traction-member operating device according to the present invention has traction members each of whose one end portion is fixed to and extends from a distal end portion of a long and narrow inserting portion, a pulley forming multiple peripheral recesses in which middle parts of the traction members are wound and are located in predetermined states, respectively, a motor for rotating, in a predetermined direction, the pulley in the state where the traction members are wound and are located, an arm member having a plurality of arm members to which base end portions of the traction members wound and located in the peripheral recesses of the pulley and extended therefrom are fixed, and an operation instructing lever to which the arm member is integrally fixed and having an operating portion for changing a slanting direction and a slanting amount to instruct to move a predetermined traction member from the plurality of traction members by a predetermined amount.

Abstract: A system and related methods for performing minimally invasive vascular bypass surgery, such as coronary artery bypass surgery. The system and methods involve the feature of providing a stabilizer introducer (10) dimensioned for minimally invasive introduction into the chest cavity of a patient. The stabilizer introducer has a central lumen (22) having an open distal end which, when disposed over a surgical site, may be filled with biocompatible fluid to establish a “fluid filled column” within the stabilizer introducer. An incision is then created through the wall of the diseased blood vessel within the surgical site (from outside or inside the blood vessel), through which a bypass conduit may be passed in order to restore flow.

Abstract: A bending manipulation device for endoscope wherein a pair of control wires are taken up by a pulley provided in and given a rotary motion by the main control portion of the endoscope, and one of control wires extended out from the pulley corresponding to the turning operation thereof is taken up by the pulley while the other is paid out from the pulley, thereby enabling the bending manipulation to be carried out. The groove of the above pulley is formed in the shape of a spiral continuously extending in the peripheral direction of this pulley and is used in common by the above pair of control wires. One part from the one end of the groove and the other part from the other end of the groove are arranged side by side and in parallel with each other. Each of control wires is alternately taken up on the groove of the pulley corresponding to the turning direction of the pulley.

Abstract: The invention relates to an endoscope comprising a first quick-acting closure (3) for a traction wire (13) of a Bowden wire device, which closure is arranged at the proximal end to be pivotable or displaceable, with a locking position of the quick-acting closure (3), in which an attachment unit for loosening and attaching the traction wire (13) of the Bowden wire device can be actuated and with a working position of the quick-acting closure (3), in which the attached traction wire of the Bowden wire device can be displaced within a working area which is defined by end positions (15′, 15″) of the quick-acting closure (3), in order to actuate a mechanism which is arranged at the distal end of the endoscope together with the traction wire (13) of the Bowden wire device in such a way that it can be loosened.

Abstract: The present invention is directed to a drainage catheter including an elongated hollow drainage tube having a proximal end, a distal end, a tip, a flexible region adjacent the tip, a filament routing channel, a hub associated with the proximal end of the elongated hollow drainage tube, and a filament member associated with the flexible tip for altering the shape of the flexible tip to facilitate retention of the drainage tube in a patient's body. The filament member is slidably positioned within the filament routing member in the distal end of the drainage tube to permit removal of same from the catheter. The filament member exits the catheter through the hub, which further includes at least one filament member passageway. The filament member passageways enable slidable movement of the filament member therein, while also maintaining a liquid tight seal from leakage through the hub.

Abstract: The bending part of an endoscope is constructed in which plural joint rings are connected with each other. The adjacent joint rings are rotatably connected with rivets after overlapping a connecting part with another connecting part. A guide hole is formed at the inner head of the rivet, and a bend-control wire is inserted through the guide hole whereby the bend-control wire is guided. A notch and a hole are formed at the end and the base of the connecting part, respectively; therefor the bend-control wire is prevented from coming into contact with the connecting part.

Abstract: A tubular medical device comprises a tubular body, a lumen, a compression-resisting member inserted in the lumen so that it cannot move in the direction of the axis of the tubular body, with its distal end located at a predetermined distance from the distal end of the tubular body toward the proximal end, a pull wire whose distal end is secured near the distal end of the tubular body at a position deviated from the axis of the tubular body and which is led in the tubular body to the proximal end of the tubular body, and a pulling mechanism for pulling the pull wire toward the proximal end of the tubular body which is attached to the proximal end of the tubular body and has a manipulation dial. The compression-resisting member consists of a main body and a secured portion. The compression-resisting member main body, and has a property of resisting compression in the axial direction of the tubular body. The secured portion retains the main part in place in the lumen.

Abstract: A steerable catheter is provided. The catheter comprises an elongated, flexible tubular catheter body having proximal and distal ends and a lumen extending therethrough and a control handle at the proximal end of the catheter body. The control handle comprises a handle housing having a generally hollow interior and fixedly attached, either directly or indirectly to the catheter body; a piston slidably mounted in the handle housing and having proximal and distal ends; and a pulley fixedly attached, either directly or indirectly to the handle housing at a location proximal to the proximal end of the piston. A first puller wire is provided having a distal end fixedly attached in the distal end of the catheter body and a proximal end anchored to the piston. A second puller wire is provided having a distal end fixedly attached in the distal end of the catheter body.

Abstract: A valve assembly includes a housing defining an aperture, a passageway, and a branch passage. The branch passage extends from the aperture and intersects and communicates with the passageway. The branch passage is disposed at an angle greater than 90 degrees with respect to the passageway. A piston is disposed at least partially within the branch passage and is movable from a first position to a second position. The piston allows communication between the passageway and the aperture when the piston is in the first position, and the piston blocks communication between the passageway and the aperture when the piston is in the second position. An angled seal may be positioned around the piston.

Abstract: A manipulation mechanism for an angle section of an endoscope includes at least one pulley provided within a main operation unit, with the base ends of a pair of operating wires wound thereupon, a pulley rotating shaft extended externally from a casing of the main operation unit to rotate the pulley, an angle operating apparatus provided outside of the main operation unit and coupled to the pulley rotating shaft, a pulley supporting assembly fixedly held by the casing of the main operation unit for supporting the pulley to be reciprocally rotated over a predetermined angle, a sleeve member provided within the main operation unit for passing through the operating wires from the pulley, a pipe holder fixedly mounted to the sleeve member, and a supporting rod connected at one end to the pulley supporting assembly and being fixed to the pipe holder at the other end.