Abstract: Endoscopes, endoscopic instruments, and methods for making and using the same. An illustrative endoscopic instrument includes a catheter that can extend through the working channel of an endoscope. The catheter may include an end effector passing region.

Abstract: An endoscopic device includes a proximal side contact portion coming into air-tight contact with an outer peripheral portion of the insertion section, and a cavity is defined between the insertion section and a fixed member to a distal direction side of the proximal side contact portion. In a protruding state of a hood, a first path which makes an inside of the hood communicate with the cavity is defined, and the hood is in air-tight contact with the fixed member over an entire circumference in circumferential directions at a distal side contact portion. In a housed state of the hood, a second path which makes the cavity to communicate with an outside of the fixed member is defined.

Abstract: Apparatuses of the type broadly applicable to numerous medical applications in which it is desirable to insert one or more steerable or non-steerable catheters or similar devices into a working channel of an associated device, such as an endoscope, catheter, etc., or passageway of a patient, are disclosed. The apparatuses may include catheters having a dedicated guide wire channel and one or more of the following: viewing capabilities, a working channel, and auxiliary channels, such as insufflation/irrigation channels. The catheters may include a guide wire channel that is configured to provide the catheter or other device with rapid exchange capabilities.

Abstract: A hybrid apparatus for delivery of fluid in connection with endoscopic irrigation and lens cleaning including a connector which is adaptable to a flexible or rigid container, a connector arranged at the end thereof and connected via a tubing supply to a fluid, air and or gas source and to an endoscope during a procedure.

Abstract: Disclosed herein are devices and methods for introducing a plurality of instruments to a target site through a working channel. The working channel can include a surface adapted to guide one or more instruments into select positions. The working channel can be defined by a portion of a guide tube or tip that may be coupled with an endoscope.

Abstract: The foregoing application describes a system and method of performing a minimally invasive surgical operation. More specifically, the invention involves the use of disposable cannula and slender dilators of variable lengths, which incorporate a source of illumination to carry light to a surgical site and video capabilities for capturing and displaying images from a CMOS or CCD camera device. According to one embodiment, fiber optics run semi-circumferentially or along walls of the cannula/dilator and terminate at about a centimeter from the distal end of the cannula/dilator, thereby preventing illumination from “bottoming out” at the floor of the incision. According to one alternate embodiment, the light fibers may be fashioned in an annulus around one or more camera chips to provide illumination and video of the surgical site.

Abstract: A surgical system includes a first instrument defining a first channel and a second instrument receivable by the first channel. The second instrument defines a second channel. A valve coupled to the first instrument controls fluid flow through the first channel, such that impedance of fluid flow through the first channel is substantially the same without the second instrument received in the first channel and with the first channel partially blocked by the second instrument. In another aspect, a surgical apparatus includes an outer member and an inner member received within the outer member to define a first channel therebetween. The inner member houses an optical lens and defines a second channel for receiving a surgical instrument. The first and second channels are configured such that a pump having an inflow rate of up to about 0.7 L/min connected to the second channel can maintain fluid pressure inside an organ.

Abstract: An electrosurgical system may include a medical delivery device and an electrosurgical device to perform an electrosurgical procedure. The electrosurgical device may have a monopolar configuration. An outer surface of the medical delivery device may include a conductive portion that is part of a return path for a bipolar configuration. Current may be supplied through an active member of the electrosurgical device to perform the procedure. After passing through tissue, the current may be drawn to the electrode portion of the medical delivery device to complete the circuit.

Abstract: An endoscopic aspiration device is mounted on a manipulating head of an endoscope, from which an elongated insertion rod member is extended forward, the endoscopic aspiration device being composed of a valve casing which is mounted on the manipulation head in communication with an aspiration passage running through the insertion rod member, and a valve assembly unit including a valve member, a valve guide member and a connector member attached to the valve guide member to communicate same with a proximal aspiration passage on the side of a suction source. The valve member is put in a sliding displacement along the valve guide member to bring the aspiration passage into and out of communication with the proximal aspiration passage on the side of a suction source. The valve guide member is coupled with the valve casing through a coupling mechanism which permits to turn the valve assembly unit on and relative to the manipulating head.

Abstract: Embodiments of the invention provide devices and associated methods for use when performing endoscopic procedures. According to one aspect, a sheath positionable within a working channel of an endoscopic device, and adapted for receiving one or more instruments, is provided. The sheath can include a first channel and a second channel, the first channel and the second channel extending at least partially along a length of the sheath, wherein at least one of the first channel or the second channel includes an open edge open along at least part of the length of the respective channel.

Abstract: An apparatus is disclosed. In some embodiments, the apparatus comprises an endoscope comprising a first distal end portion, and a tube comprising a second distal end portion, wherein the endoscope and the tube are in a side-by-side relationship and are coupled at distal end portions of the endoscope and the tube using a single coupling device.

Abstract: An internal treatment apparatus for a patient having a flexible tubular body to be introduced into a patient includes a center opening for inserting therethrough an endoscope for observing a target site, the center opening being circular in cross section and disposed at a center of an end face of the flexible tubular body; and a plurality of circumferential apertures through which surgical instruments are inserted for performing a surgical procedure on the target site, the plurality of circumferential apertures being provided in the flexible tubular body at equi-angular intervals around the center opening.

Abstract: A probe manipulator which has a grip device that can be held by a user in order to facilitate manipulation of a probe when the latter has been inserted into a channel of an endoscope. Connection devices are provided for releasably connecting the grip device to the probe in such a way that the probe may be rotated or displaced by rotation or displacement of the grip device. The connection device is connectable such that the probe need not be fed through the grip device, but that the grip device may be placed at any point along the length of the probe.

Abstract: Described herein are various systems and methods for directing endoscopy instruments to varying positions at a target site. In one aspect, at least one instrument channel has multiple exit points at the distal end of the guide tube, and the position of an instrument delivered through the channel may be switched between the different exit points. In another aspect, an instrument channel splits into multiple branches at the distal end of the guide tube, and the position of an instrument at the target site may be changed by selectively directing the instrument into a different channel branch. In yet another aspect, the guide tube, or a portion thereof, may be rotated to reposition an instrument at the target site. The capability of changing the instrument positions during a procedure would enable a physician to examine or treat multiple target sites within an operative field, without necessitating the full retraction of the instruments or the guide tube from the operative field.

Abstract: A medical device such as an endoscope, a laparoscope, or other device including an entry guide uses outriggers or arms that are mounted on the distal end of the entry guide and rotationally deployed to provide separation of instruments when the entry guide reaches a work site. Deployment can be implemented with as few as one cable or actuator to operate the arms. This mechanism may achieve working separation in a short axial length without complicating instrument channels that may be used for other instruments introduced through the entry guide.

Abstract: An insertion assisting device 60 has an insertion path 70 into which an insertion portion 12 of an endoscope 100 is inserted and has a substantially tubular shape. The insertion assisting device 60 includes a ventilation opening 90 that is formed on a distal-end surface or outer circumferential surface thereof, a ventilation duct 74 that communicates with the opening 90 and is different from the insertion path 70, and a liquid reservoir tank 116 that is connected to a base-end side of the duct 74 and stores liquid flowing out of the duct 74.

Abstract: Methods and devices are provided for providing suction and/or irrigation to locations within a body cavity. In general, the methods and devices can allow instruments within a body cavity to be cleaned during a surgical procedure without having to remove the instruments from the body cavity. In one embodiment, an end effector is provided that includes an elongate body having a cleaning base formed thereon. The end effector can be configured as a modular element configured to be removably and replaceably attachable to a distal end of an elongate shaft. The cleaning base can have one or more ports formed through a surface thereof. The cleaning base can be configured to provide suction and/or irrigation through the one or more ports to clean a face of a surgical instrument seated in the cleaning base or in close proximity to the cleaning base.

Abstract: A seal is provided for effectively inhibiting the egress of fluids from the working channel of an endoscope when an elongate device having a region with a non-circular cross-sectional shape is disposed therein. The seal has a body portion with a proximal end adapted for insertion of the elongate device, a distal end adapted for connection to the proximal end of the endoscope, and a wall defining a lumen adapted to receive the elongate device and to provide access to the working channel of the endoscope. The seal includes a sealing element for sealing the region of the elongate device with a non-circular cross-sectional shape. The sealing element conforms to the profile of the non-circular region.

Abstract: An endoscopic instrument has a portion having an outer surface with a non-circular cross-sectional shape. The non-circular cross-sectional shape may be provided to the instrument by providing peripheral projections or fins along the length of the portion or by providing the periphery of the portion with a polygonal shape. The resulting instrument has significantly reduced backlash while maintaining adequate fluid flow in the working channel.

Abstract: A surgical device for use with an endoscope. The device includes an end cap removably affixable to a distal end of the endoscope such that at least a portion of the end cap distally extends beyond the distal end of the endoscope. The end cap defines a through bore for receiving the distal end of the endoscope, and the end cap includes an outer surface defining first and second tracks substantially perpendicular to a longitudinal axis of the through bore. The device further includes a first working channel having a distal end disposed in the first track and movable along a length of the first track between a first position and a second position. The device further includes a second working channel having a distal end disposed in the second track and movable along a length of the second track between a first position and a second position.

Abstract: An endoscopic instrument has a control member, a portion of the member having an outer surface with a non-circular cross-sectional shape. The non-circular cross-sectional shape may be provided to the control member by providing peripheral projections or fins along the length of the portion or by providing the periphery of the portion with a polygonal shape. Where fins are used, the fins are preferably quite small and only have a minimal effect on the fluid flow cross-sectional area between the interior of the endoscope instrument shaft and the central control member. The resulting instrument has significantly reduced backlash in end effector assembly manipulation, while maintaining adequate fluid flow in the endoscope shaft.

Abstract: A small diameter, multi-channel endoscope for pain management in a subject includes a control handle and a flexible, elongated body functionally connected to the control handle. The body includes a distal end for positioning in or about a target structure. The body also includes a working channel that extends longitudinally through the body. The working channel includes a controllable deployment mechanism configured for selective application of at least one target substance to the target structure. Additionally, the body includes an image channel extending longitudinally through the body. The image channel includes a visualization system for conveying an image from the distal end of the body to a user.

Abstract: The present invention generally provides methods and devices for removing fluid from a surgical instrument. Surgical access devices and seal systems are generally provided having one or more valves or seal assemblies to create a closed system between the outside environment and the environment in which the surgical access device is being inserted. The devices of systems can also include a fluid remover in the form of a sorbent element, a scraper element, a wicking element, or any combination thereof that is configured to remove fluid from a working channel of the device or system and/or from a surgical instrument inserted therethrough.

Abstract: A surgical tool assembly is provided having a surgical tool, a scope; and a detachable clip which couples the tool and scope. The clip includes a first grip which engages a peripheral surface of the tool and a second grip which engages a peripheral surface of the scope. Additionally, the first and second grips may be formed continuously with one another.

Abstract: An intracorporeal insertion instrument includes an elongated two guide wires having a distal end portion whose cross-sectional shape is non-circular, wherein a bending habit is applied to the distal end portion, and a sheath main body provided with a plurality of lumens formed such that the guide wires are inserted from a plurality of proximal-end openings and the respective guide wires can be protruded from distal-end openings, the respective distal-end openings being formed such that the respective guide wires are prevented from rotating around axes of the guide wires in the distal end openings, and the distal end portions of the guide wires are separated from each other along protruding directions.

Abstract: An enhanced flexibility auxiliary endoscope assembly for use with an endoscope, the assembly including at least one flexible elongate element and a flexible sleeve having a first lumen for accommodating a distal portion of an endoscope capable of assuming at least a first curvature and a second lumen for accommodating the at least one flexible elongate element, the second lumen being configured to allow the at least one flexible elongate element to assume the at least first curvature as well as at least a second curvature about the first curvature, thereby to enhance flexibility of the auxiliary endoscope assembly.

Abstract: The present invention is an integrated and automated irrigation and aspiration system for use in an endoscopic imaging system. The system provides for the automated cleaning of poorly prepared patients during a colonoscopy procedure as well as automated cleaning of an imaging system of an endoscope. The invention analyzes images obtained from an image sensor to detect the presence of an obstructed field of view, whereupon a wash routine is initiated to remove the obstruction. The wash routine may be adjusted in accordance with environmental conditions within the patient that are sensed by one or more sensors within the endoscope. In another embodiment, insufflation is automatically controlled to inflate a patient's colon as a function of one or more sensor readings obtained from one or more environmental sensor(s) on the endoscope.

Abstract: A method for forming an artificial valve includes inserting a sheath having proximal and distal sections and a lumen extending therethrough orally into a body cavity; inserting an endoscope orally into a body cavity, the endoscope being slidably positioned within the sheath; holding tissue in a vicinity of a junction of a stomach and an esophagus where the artificial valve is to be formed, using a holding device extending from the sheath; penetrating through tissue of the esophagus and then through tissue of the stomach at an oral side of the junction of the stomach and the esophagus with a needle provided outside of the endoscope which is not mechanically connected to the holding device and which is moveable outside of the endoscope relative to the endoscope; and passing a binding member through the tissue of the esophagus and the tissue of the stomach using the needle.

Abstract: The exemplary embodiments illustrated provide the discovery of methods and apparatuses for periscope devices that couple to a viewing end of a visualization catheter or endoscope to extend the viewing range and accessory range of the endoscope or visualization catheter so as to provide for greater viewing and reach into multiple areas of the anatomy.

Abstract: An endoscope insertion portion includes an image pick-up assembly including an image pick-up unit and an image pick-up cable provided in order from the distal end portion to the proximal end side wherein the outer diameter of the image pick-up unit is larger than the outer diameter of the image pick-up cable, and a channel assembly arranged side by side with the image pick-up assembly and including a thin outer diameter portion and a thick outer diameter portion provided in order from the distal end portion to the proximal end side wherein a distal end portion of the thick outer diameter portion is arranged on more proximal end side than a proximal end portion of the image pick-up unit.

Abstract: Described herein are various systems and methods for directing endoscopy instruments to varying positions at a target site. In one aspect, at least one instrument channel has multiple exit points at the distal end of the guide tube, and the position of an instrument delivered through the channel may be switched between the different exit points. In another aspect, an instrument channel splits into multiple branches at the distal end of the guide tube, and the position of an instrument at the target site may be changed by selectively directing the instrument into a different channel branch. In yet another aspect, the guide tube, or a portion thereof, may be rotated to reposition an instrument at the target site. The capability of changing the instrument positions during a procedure would enable a physician to examine or treat multiple target sites within an operative field, without necessitating the full retraction of the instruments or the guide tube from the operative field.

Abstract: A flow guide directs a fluid flow across a surface of a device, for example a lens surface of an endoscope, in a controlled manner to facilitate flow attachment to the surface. Embodiments include features that impart a non-uniform velocity profile and/or include guide surfaces for facilitating flow attachment and/or coverage.

Abstract: A surgical system includes a first instrument defining a first channel and a second instrument receivable by the first channel. The second instrument defines a second channel. A valve coupled to the first instrument controls fluid flow through the first channel, such that impedance of fluid flow through the first channel is substantially the same without the second instrument received in the first channel and with the first channel partially blocked by the second instrument. In another aspect, a surgical apparatus includes an outer member and an inner member received within the outer member to define a first channel therebetween. The inner member houses an optical lens and defines a second channel for receiving a surgical instrument. The first and second channels are configured such that a pump having an inflow rate of up to about 0.7 L/min connected to the second channel can maintain fluid pressure inside an organ.

Abstract: An endoscope comprises a shaft with an outer tube and with an inner tube extending inside the latter, the outer and inner tubes being radially spaced apart from one another such that they form between them an axially extending channel, which provides space for receiving a light guide. An intermediate tube having flexural strength is arranged between the outer tube and the inner tube, which intermediate tube at least partially surrounds the inner tube.

Abstract: Endoscopes, endoscopic instruments, and methods for making and using the same. An illustrative endoscopic instrument includes a catheter that can extend through the working channel of an endoscope. The catheter may include an end effector passing region.

Abstract: An endoscope system has an endoscope; an attachment for the endoscope, having a non-circular irregularly shaped hole that communicates with an opening of a channel of the endoscope and attached to a forward end of an insertion section of the endoscope; and a treatment instrument for the endoscope, having a flexible tube and a treatment section. An extension/retraction section having a non-circular cross section corresponding to the shape of an opening of the irregularly shaped holes is provided at a forward end of the flexible tube, and the irregularly shaped hole restricts rotation of the flexible tube. Further, the treatment section has directivity about its axis relative to the flexible tube and its rotation is restricted.

Abstract: An instrument for an endoscope includes an insertion portion inserted into an instrument insertion channel of the endoscope, and a pair of biopsy cups provided at the distal end of the insertion portion so as to be able to be openable and closable. Also, an operation portion for operating the paired biopsy cups is provided at the proximal end of the insertion portion. The operation portion is provided with a hook, and an engaged member engageable with the hook is attached to a part protruding out from the endoscope, of the insertion portion.

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 method and apparatus for use during a surgical procedure sealingly isolates a resected specimen to prevent contamination of surrounding tissue as the specimen is removed from the surgical site. The pouch is disposed at the distal end of an endoscope or trocar, and can be used to debulk and dimensionally alter the specimen for removal through a working channel.

Abstract: A medical guidewire system for guiding thereon a medical implement includes an end effector, an actuation guidewire having a distal end permanently connected to the end effector, and a control assembly. The assembly has a handle, a shaft receiving the guidewire. The shaft has a proximal end permanently connected to the handle and a distal end temporarily connected to the end effector. A first actuator is movably connected to the handle and operatively connected to the guidewire to actuate the end effector. A second actuator is movably connected to the handle and operatively connected to a portion of the guidewire to disconnect the guidewire from the handle when actuated and, thereby, permit removal of the control assembly from the end effector and guidewire. When the control assembly is removed, the end effector and the guidewire form a surgical exchange or guidewire for guiding thereon the medical implement.

Abstract: An endoscope plug body includes a plug frame with which a venting cap is covered, an inner peripheral surface being formed in the venting cap, the inner peripheral surface being communicated with a channel arranged in an endoscope. The plug frame includes a latch member that latches the plug frame along the periphery of the venting cap to attach the plug frame to the venting cap; and a breaking member that breaks a partial area of the plug frame while maintained in a continuous state in a circumferential direction of the plug frame, the partial area reaching one end portion of the plug frame while including a part of a latched portion of the latch member.

Abstract: A handheld device for performing an optical medical examination of a patient. The device comprises a handle; an image sensor positioned at an end of the handle; a trigger provided in the handle; an image memory for storing the image data upon activation of the trigger; a roll of print media mounted in the handle; an ink supply within a core of the roll of print media; a media transportation mechanism; a pagewidth print head extending longitudinally within the handle; a guillotine mechanism for severing a printed image from the transported print media; and a print engine controller.

Abstract: A drying agent arrangement for optical instruments, in particular for endoscopic instruments, having a hygroscopic substance in the instrument housing, such that the hygroscopic substance, configured as individual moulded bodies, is positioned in an intake receptacle that can be replaceably inserted in the instrument housing. To provide a drying agent arrangement that, along with simple, versatile application, allows the intake of a great quantity of drying agent, the intake receptacle may be configured as a double-walled sleeve, such that the two walls, forming an intake space for the moulded bodies of the hygroscopic substance, are radially distanced from one another and positioned in such a way that the walls, closing the intake space at one axial end of the sleeve, are connected with one another at the end and on the other axial end of the sleeve, releasing the intake space, are radially distanced from one another at the end.

Abstract: In the endoscope system 1, a tissue recovery device 3 that recovers tissue is directly mounted on an endoscope 2. The tissue recovery device 3 has a filter portion, and the filter portion is inserted so as to traverse the conduit of the suction conduit 20 that passes inside the endoscope operation portion 10. The suction conduit 20 opens to the distal end portion of the endoscope insertion portion 11, and the working channel 23 branches off from the branch portion 22 that is provided further on the distal end side than the insertion location of the tissue recovery device 3. With this endoscope system, it is possible to reduce operational burden of the operator with regard to the endoscope system that includes the tissue recovery device that recovers tissue.

Abstract: A treatment tool insertion channel of an endoscope, which is arranged through an inside of an insertion part that includes a flexible tube and a bendable part, includes a flexible inner tube, a spiral groove formed around the flexible inner tube over an entire length of the bendable part and the flexible tube, at least one coil wound along a bottom of the spiral groove, and at least one type of filler with which the spiral groove is filled. The treatment tool insertion channel includes a first portion that includes a part inside the bendable part and a second portion at a proximal end side of the first portion, the first portion being configured more flexible than the second portion.

Abstract: An optical coupler is disclosed with an attachment section for mounting at a distal end of an optical imaging device for visualizing a surface area covered with an opaque fluid and/or particulate matter. The coupler includes a visualization section at one end of the coupler that includes a proximal surface for engaging the distal end of the optical imaging device, an attachment section connected to and extending away from the visualization section, an outer surface spaced apart from the proximal surface, and may include a hollow instrument channel extending from the proximal surface toward the outer surface. This surface extends continuously from a first outer side boundary across to a second opposite outer side boundary of the visualization section. The visualization section can be formed from an elastic material capable of transmitting an optical image of the surface area. In one form, the material is a silicone gel or elastomer.

Abstract: A continuous flow irrigation endoscope and a continuous flow irrigation fluid management system, both designed to be compatible to each other and meant to function as a single system. The endoscope and the fluid management system are synergistic to each other such that both enhance the efficiency of each other. The system allows a body tissue cavity to be distended by continuous flow irrigation so that the detached tissue pieces and waste fluid present inside a body tissue cavity are continuously automatically evacuated from the tissue cavity without causing the cavity to collapse at any stage and without the need of withdrawing the endoscope or a part of the endoscope from the tissue cavity.

Abstract: An air/water channel is split into smaller-diameter branch channels before the air/water channel enters a bending portion so as to create a space within a joint ring constituting the bending portion. A forceps channel having the largest outer diameter among internal components of the joint rings is disposed at the center of the joint rings. In addition to the branch channels, optical fibers as a light guide, a signal line, and the like are arranged around the forceps channel within the joint rings. By eliminating the created space, a diameter of the joint rings is reduced and thus a diameter of an insertion section is reduced.

Abstract: An accessory for partially enclosing a shaft of an endoscope is disclosed. The accessory defines a first space for accommodating the shaft and a second space for defining a conduit along the shaft. An outer surface of the accessory around the first and second spaces is centered on a first longitudinal axis, and the first space is centered on a second longitudinal axis spaced relative to the first longitudinal axis. The first space is open to one side, so that the accessory only partially encloses the shaft when placed around it.

Abstract: Provided is an attachment for an endoscope, the attachment being attached to a leading end part of the endoscope having a leading end surface on which an observation window for observing an inside of a subject's body and a first opening for jetting a constant-pressure supplied gas are formed, the attachment including: a second opening provided at a position separate from the leading end surface; a pipe conduit that communicates the first opening and the second opening with each other so as to jet the constant-pressure supplied gas from the second opening; and a region separating member that separates a jetting region of the constant-pressure supplied gas jetted from the second opening from a region of view of the observation window.