92 results about "Flexible endoscopy" patented technology

A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.

A system for reprocessing flexible endoscopes having lumen therein. The reprocessing system deploys steam to disinfect and/or sterilize the endoscopes, and designs, components, and methods for reducing or balancing the reprocessing cycle time and the effects of thermal expansion and contraction on the endoscopes.

An integrated endoscopic image acquisition and therapeutic delivery system for use in minimally invasive medical procedures (MIMPs). The system uses directed and scanned optical illumination provided by a scanning optical fiber or light waveguide that is driven by a piezoelectric or other electromechanical actuator included at a distal end of an integrated imaging and diagnostic/therapeutic instrument. The directed illumination provides high resolution imaging, at a wide field of view (FOV), and in full color that matches or excels the images produced by conventional flexible endoscopes. When using scanned optical illumination, the size and number of the photon detectors do not limit the resolution and number of pixels of the resulting image. Additional features include enhancement of topographical features, stereoscopic viewing, and accurate measurement of feature sizes of a region of interest in a patient's body that facilitate providing diagnosis, monitoring, and/or therapy with the instrument.

A novel approach to diagnostic and therapeutic interventions in the peritoneal cavity is described. More specifically, a technique for accessing the peritoneal cavity via the wall of the digestive tract is provided so that examination of and/or a surgical procedure in the peritoneal cavity can be conducted via the wall of the digestive tract with the use of a flexible endoscope. As presently proposed, the technique is particularly adapted to transgastric peritoneoscopy. However, access in addition or in the alternative through the intestinal wall is contemplated and described as well. Transgastric and/or transintestinal peritoneoscopy will have an excellent cosmetic result as there are no incisions in the abdominal wall and no potential for visible post-surgical scars or hernias.

The invention provides a method and system for performing an image-guided endoscopic medical procedure. The invention may include registering image-space coordinates of a path of a medical instrument within the anatomy of a patient to patient-space coordinates of the path of the medical instrument within the anatomy of the patient. In some embodiments, the image space coordinates of the path of the medical instrument may be predicted coordinates such as, for example, a calculated centerline through a conduit-like organ, or a calculated “most likely path” of the medical instrument within the anatomy of the patient. In other embodiments, the path of the medical instrument may be an actual path determined using intra-operative images of the patient's anatomy with the medical instrument inserted therein. The registered instrument may then be navigated to one or more items of interest for performance of the endoscopic medical procedure.

A shaft for a medical device includes an outer sheath and a flexible spiral wrap therein. The flexibility of the spiral wrap is modified by changing the width of the wraps of a spiral, the thickness of the wraps of a spiral, or the gap spacing of the spiral. The spacing between wraps is maintained by attaching the spiral wrap to the cover sheath that surrounds the spiral wrap at two or more locations.

A robotic manipulator controller and system for use in flexible endoscopy, the manipulator comprising a flexible member configured to be coupled to an endoscope, and an arm connected to and movable by the flexible member, wherein the flexible member has a first end connected to the arm and a second end connectable to the controller to allow a physical movement of the arm to be controllable by a physical movement of the controller.

Methods and devices for approximating tissue are disclosed. The methods and devices utilize a device for applying an implantable tissue fastener and a variety of implantable tissue fasteners. The tissue-fastening device can be delivered endoscopically and can be adapted to function along side or in conjunction with a flexible endoscope. In general, the device can include a flexible shaft having an implantable tissue fastener applier disposed at a distal end thereof and a handle for operating the implantable tissue fastener applier disposed at a proximal end thereof. A variety of self-deploying implantable tissue fasteners can be used with the tissue fastener applier device.

A disposable endoscope system (100) connects to a reusable control and monitor unit 6,10 and comprises a flexible insertion section (1) connected to an operating handle (3) that connects to an umbilical cord (4). The end interface (5) of the umbilical is the final component of the disposable endoscope. The flexible insertion section (2) has a video camera (12), an illumination source (11) and an actively steered section that is controlled from the operating handle. The endoscope provides PC mouse functionality, enabling image and procedure logging and controls and integration with other patient management systems.

Endoscopic instrument management systems are described herein which allow one or more operators to manage multiple different instruments utilized in endoscopic procedures. In one aspect, responsibility for instrumentation management between one or more operators may be configured such that a first set of instruments is controlled by a primary operator and a second set of instruments is controlled by a secondary operator. The division of instrumentation may be facilitated by the use of separated instrumentation platforms or a single platform which separates each instrument for use by the primary operator. Such platforms may be configured as trays, instrument support arms, multi-instrument channels, as well as rigidized portions of instruments to facilitate its handling, among others. In another aspect, one or more plastically deformable instrument manifolds are provided to guide flexible endoscopic instruments into and through an endoscopic access device.

An automated actuator for the spring-based end effector of a medical instrument to be used by a single operator without assistance for biopsy, clipping, clamping, grasping, snaring, cutting, dissecting or other operative functions with electrical connections for cautery or hot biopsy used independently or combined with a rigid or flexible endoscope of any size. The control mechanism may be a spring(s), gear(s), electrical solenoid or motor, air or hydraulic pressure activated piston or a combination thereof. Automated action may be initiated by voice, hand or foot controls. The actuating mechanism may be disposable, attached to or separable from the end effector instrument or permanently attached to be reusable. The automated instrument may be combined with an endoscope.

An electromechanical drive system with drop-in capability allows manipulation of the majority of existing endoscopes. The invention does not require retrofitting of existing endoscopes and maintains the current clinical workflow. The drive system can be controlled through a human/machine interface, which could consist of a variety of different input devices, including a joystick, keyboard, or game controller.

A self-piercing blind rivet is provided for apposing biological tissue together with a device for setting the same, especially through the instrumental channel of a flexible endoscope. Without the help of further instruments, it is possible to fix, approximate and appose tissue layers, the contact force while connecting the tissue layers being adjustable. The rivets are stored in the setting device, so that they can be applied in order. The rivet and setting device enable the surgeon to combine tissue discontinuities conveniently by means of an endoscope. The surgical procedure is simplified further because the rivets can remain in the body.

The present invention relates to a device for storage of medical equipment. In particular, the present invention relates to a single-use storage device for components of a piece of medical equipment that retains the components with the piece of medical equipment. More particularly the storage device may be used to store endoscope valves, with the parent flexible endoscope. A single-use storage device for medical equipment comprises a container portion, for holding one or more pieces of medical equipment, a closure portion, designed to engage with the container portion to form an enclosure around said medical equipment, a plurality of apertures permitting fluid flow through the storage device, and securing means to secure the closure portion to the container portion, the securing means arranged such that once the closure portion has been secured to the container portion using the securing means the closure portion and container portion cannot be separated without permanently disabling the securing means.

A supporting apparatus for medical device comprises a balance mechanism which movably and tiltably maintains a flexible endoscope and balances a weight of the flexible endoscope and a link mechanism section. Further, the supporting section of the flexible endoscope comprises a transparent photo interrupter which detects attachment/detachment of the flexible endoscope, and the supporting apparatus for medical device is provided with a controller which outputs a control signal to switch lock sections to a fixed state, based on a detection signal from the photo interrupter, when the flexible endoscope is detected to be detached from the supporting section by the photo interrupter.

A medical retrieval basket used for entrapping and extracting objects such as urinary and biliary calculi from the body comprising a handle assembly, a flexible shaft, and a basket. The basket comprises a plurality of outwardly disposed shape memory wires and is bulbous in shape at its distal end. Located at the intersection point of the wires at the distal end of the basket is a hub that restricts the degree of relative movement between the wires. This hub also serves to increase contact points with the object to be retrieved and to stabilize the orientation of the basket wires. The substantially tipless configuration of the distal end of the basket permits the basket to retrieve objects from difficult to reach locations and reduces tissue trauma caused by the basket tip. The basket wires have varying cross sectional shapes and sizes in different sections of the basket to optimize the performance to the needs of each section within the basket. The flexible shaft contains a drive wire that exhibits different flexibilities within the same strand of material by varied cross sectional shapes or diameters. This permits the distal section of the shaft to be more flexible, which reduces the possibility of the device shaft limiting the deflection of a flexible endoscope.

A shank for a flexible endoscope or for a flexible endoscopic instrument includes a first shank portion and, a second shank portion, angled relative to a distal end region of the first shank portion by a longitudinal adjustment of at least one tensioning means which is guided in a longitudinally displaceable manner inside the second shank portion and connected to a distal end region of the second shank portion. The longitudinal adjustment by least one threaded drive, which can be driven by at least one torsion shaft extending inside the first shank portion. The invention also relates to a flexible endoscope and a flexible endoscopic instrument.