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1608results about "Rectum proctoscopes" patented technology

Surgical stapling device

A surgical stapling device is disclosed for the treatment of internal hemorrhoids. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The anvil assembly of the stapling device may include an approximation mechanism having an anvil retainer including an elongated distal extension dimensioned to be telescopingly received within a longitudinal bore of an anvil center rod of the anvil assembly. The elongated distal extension is of a length to provide telescopic engagement with the anvil center rod without obstructing visualization of the surgical site. A kit including a surgical instrument having a removable anvil assembly and an anvil assembly insertion handle is also disclosed. The kit may also include a speculum, an anal dialator and / or an obturator.
Owner:TYCO HEALTHCARE GRP LP

Endoscope with adjacently positioned guiding apparatus

An endoscope with guiding apparatus is provided. The endoscope has an elongate body with a steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable guiding apparatus. The guiding apparatus may be positioned within the endoscope or may be positioned adjacent to the endoscope. An interlocking device is provided to slidably interlock the guiding apparatus and the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once rigidized, the endoscope can be advanced along the guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.
Owner:INTUITIVE SURGICAL OPERATIONS INC

Tendon-driven endoscope and methods of insertion

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.
Owner:INTUITIVE SURGICAL OPERATIONS INC

Endoscope having a guide tube

InactiveUS20050124855A1Facilitates advancement and withdrawalPreventing tissue from being pinchedGuide needlesCannulasDistal portionCatheter
An endoscope having a guide tube is described herein. The assembly has an endoscope which is slidably insertable within the lumen of a guide tube. The guide tube is configured to be rigidizable along its entire length from a relaxed configuration. The endoscope has a steerable distal portion to facilitate the steering of the device through tortuous paths. In the relaxed configuration, a portion of the guide tube is able to assume the shape or curve defined by the controllable distal portion of the endoscope. Having assumed the shape or curve of the endoscope, the guide tube may be rigidized by the physician or surgeon to maintain that shape or curve while the endoscope is advanced distally through the tortuous path without having to place any undue pressure against the tissue walls.
Owner:INTUITIVE SURGICAL

Instrument introducer

Instrument introducers and methods of using the same are provided to facilitate the introduction of a surgical instrument into a cavity or a body opening of a patient. The instrument introducers include a body portion defining a lumen therethrough, a flexible distal end portion having a distal orifice, a proximal end portion having a proximal orifice, and at least one fold formed in at least the distal end portion.
Owner:TYCO HEALTHCARE GRP LP

Hemorrhoids treatment method and associated instrument assembly including anoscope and cofunctioning tissue occlusion device

A surgical instrument assembly for the treatment of hemorrhoids includes an anoscope and a hemorrhoid occlusion device. The anoscope includes a hollow body closed at a distal end and at least partially open at a proximal end to define a longitudinal channel. The hollow body has a sidewall provided with a window spaced from the distal end and the proximal end. A shutter member is slidably attached to the hollow body for selectively covering the window during an insertion operation and for opening the window to allow hemorrhoidal tissues to protrude through the window into the anoscope. The hemorrhoid occlusion device includes an instrument shaft provided at a distal end with two jaws, at least one of the jaws including a C- or U-shaped clamping member movable alternately away and towards the other of the jaws for clamping and occluding hemorrhoidal tissues protruding through the window into the anoscope.
Owner:TYCO HEALTHCARE GRP LP

Shape lockable apparatus and method for advancing an instrument through unsupported anatomy

Apparatus and methods are provided for placing and advancing a diagnostic of therapeutic instrument in a hollow body organ of a tortuous or unsupported anatomy, comprising a handle, an overtube, a distal region having an atraumatic tip. The overtube may be removable from the handle, and have a longitudinal axis disposed at an angle relative to the handle. The overtube may be selectively stiffened to reduce distension of the organ caused by advancement of the diagnostic or therapeutic instrument. The distal region permits passive steering of the overtube caused by deflection of the diagnostic or therapeutic instrument while the atraumatic tip prevents the wall of the organ from becoming caught or pinched during manipulation of the diagnostic or therapeutic instrument.
Owner:USGI MEDICAL CORP

Self-steering endoscopic device

An endoscopic device including mechanisms to facilitate insertion of the device is disclosed. The device includes a sensing assembly configured for determining the position of the distal end of the device relative to a lumen. The device may further including a steering mechanism configured to direct the distal end of the device. A controller may be operably connected to the sensing assembly and the steering mechanism. The controller may be incorporated into the endoscopic device. Alternately, the controller may be positioned remote of the endoscopic device.
Owner:TYCO HEALTHCARE GRP LP

Apparatus and methods for achieving endoluminal access

ActiveUS7955253B2Simplify and expedite pleatingFacilitate formation and retentionSurgeryEndoscopesCatheterRelative motion
Owner:USGI MEDICAL

Rectal expander

There is disclosed medical apparatus of the type for use in surgery such as transanal endoscopic microsurgery, as well as methods of providing access to, inspecting and enabling surgery within a body passage. In one embodiment of the invention, medical apparatus in the form of a rectal expander (10) is disclosed, the expander (10) being adapted for location at least partly within a body passage such as the rectum (12) of a patient (14), the expander (10) having a leading end (18) and an access area in the form of an opening (20) for access from the expander (10) into the rectum (12), at least part of the opening (20) being spaced from the leading end (18), and the expander (10) being controllably movable between collapse and expansion positions, for expanding the rectum (12).
Owner:UNIVERSITY OF DUNDEE

Device for in-vivo imaging

The present invention provides a system and method for obtaining in vivo images. The system contains an imaging system and an ultra low power radio frequency transmitter for transmitting signals from the CMOS imaging camera to a receiving system located outside a patient. The imaging system includes at least one CMOS imaging camera, at least one illumination source for illuminating an in vivo site and an optical system for imaging the in vivo site onto the CMOS imaging camera.
Owner:GIVEN IMAGING LTD

Surgical stapler

A surgical stapler comprising a handle assembly, an elongated body portion extending distally from the handle assembly, and a head portion disposed adjacent a distal portion of the elongated body portion and including an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The anvil assembly has an anvil head and a plurality of projections extending proximally of the anvil head, the projections engageable with a portion of the shell assembly.
Owner:TYCO HEALTHCARE GRP LP

Force feedback control system for video endoscope

A video endoscope system includes a reusable control cabinet and an endoscope that is connectable thereto. The endoscope may be used with a single patient and then disposed. The endoscope includes an illumination mechanism, an image sensor, and an elongate shaft having one or more lumens located therein. An articulation joint at the distal end of the endoscope allows the distal end to be oriented by the actuators in the control cabinet or actuators in a control handle of the endoscope. Fluidics, electrical, navigation, image, display and data entry controls are integrated into the system along with other accessories.
Owner:BOSTON SCI SCIMED INC

Methods and devices for diagnostic and therapeutic interventions in the peritoneal cavity

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.
Owner:APOLLO ENDOSURGERY INC

Systems and methods for evaluating the urethra and the periurethral tissues

The present invention provides systems and methods for the evaluation of the urethra and periurethral tissues using an MRI coil adapted for insertion into the male, female or pediatric urethra. The MRI coil may be in electrical communication with an interface circuit made up of a tuning-matching circuit, a decoupling circuit and a balun circuit. The interface circuit may also be in electrical communication with a MRI machine. In certain practices, the present invention provides methods for the diagnosis and treatment of conditions involving the urethra and periurethral tissues, including disorders of the female pelvic floor, conditions of the prostate and anomalies of the pediatric pelvis.
Owner:THE JOHN HOPKINS UNIV SCHOOL OF MEDICINE +1

System, method and devices for navigated flexible endoscopy

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.
Owner:PHILIPS ELECTRONICS LTD

Self-Steering Endoscopic Device

An endoscopic device including mechanisms to facilitate insertion of the device is disclosed. The device includes a sensing assembly configured for determining the position of the distal end of the device relative to a lumen. The device may further including a steering mechanism configured to direct the distal end of the device. A controller may be operably connected to the sensing assembly and the steering mechanism. The controller may be incorporated into the endoscopic device. Alternately, the controller may be positioned remote of the endoscopic device.
Owner:TYCO HEALTHCARE GRP LP

Single use endoscopic imaging system

An endoscopic imaging system includes a reusable control cabinet having a number of actuators that control the orientation of a lightweight endoscope that is connectable thereto. The endoscope is used with a single patient and is then disposed. The endoscope includes an illumination mechanism, an image sensor, and an elongate shaft having one or more lumens located therein. An articulation joint at the distal end of the endoscope allows the distal end to be oriented by the actuators in the control cabinet. The endoscope is coated with a hydrophilic coating that reduces its coefficient of friction and because it is lightweight, requires less force to advance it to a desired location within a patient.
Owner:SCI MED LIFE SYST

Articulation joint for video endoscope

A video endoscope system includes a reusable control cabinet and an endoscope that is connectable thereto. The endoscope may be used with a single patient and then disposed. The endoscope includes an illumination mechanism, an image sensor, and an elongate shaft having one or more lumens located therein. An articulation joint at the distal end of the endoscope allows the distal end to be oriented by the actuators in the control cabinet or actuators in a control handle of the endoscope. Fluidics, electrical, navigation, image, display and data entry controls are integrated into the system along with other accessories.
Owner:BOSTON SCI SCIMED INC

Endoscope with single step guiding apparatus

An endoscope with guiding apparatus is described herein. A steerable endoscope is described having an elongate body with a manually or selectively steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable tracking rod or guide. The tracking rod or guide is positioned within a guide channel within the endoscope and slides relative to the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once set, the endoscope can be advanced over the rigidized guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.
Owner:INTUITIVE SURGICAL OPERATIONS INC

Medical treatment method and apparatus

A medical treatment method comprises orally inserting a first endoscope having a first treatment tool provided thereto into a body cavity, inserting a first insertion member insertion support tool from at least one of abdominal and transdermal cavities into the body cavity, inserting a second endoscope having a second treatment tool provided thereto into the body cavity through the first insertion member insertion support tool, grasping a lesioned part by the second treatment tool inserted into the body cavity by the second endoscope, cutting the lesioned part by the first treatment tool inserted into the body cavity by the first endoscope, and collecting the lesioned part.
Owner:OLYMPUS CORP

Internal Treatment Apparatus for a Patient and an Internal Treatment System for a Patient

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.
Owner:NAT CANCER CENT +1

Shape lockable apparatus and method for advancing an instrument through unsupported anatomy

Apparatus and methods are provided for placing and advancing a diagnostic or therapeutic instrument in a hollow body organ of a tortuous or unsupported anatomy, comprising a handle, an overtube, a distal region having an atraumatic tip. The overtube may be removable from the handle, and have a longitudinal axis disposed at an angle relative to the handle. The overtube may be selectively stiffened to reduce distension of the organ caused by advancement of the diagnostic or therapeutic instrument. The distal region permits passive steering of the overtube caused by deflection of the diagnostic or therapeutic instrument while the atraumatic tip prevents the wall of the organ from becoming caught or pinched during manipulation of the diagnostic or therapeutic instrument.
Owner:USGI MEDICAL
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