167 results about "Endoscopic manipulation" patented technology

The present invention relates to methods and devices for performing endoscopic cannulation, papillotomy and sphincterotomy and similar procedures. According to the present state of the art, endoscopic cannulation of the common bile duct and papillotomy and similar procedures are accomplished by advancing the device into an endoscope / duodenoscope so that the distal tip of the device exits the endoscope adjacent the sphincter muscles at the Papilla of Vater. The endoscope mechanisms are then manipulated to orient the distal tip of the device to the desired position for proper cannulation of the duct. Due to inconsistencies in, for example, the sphincterotome, anatomy, and endoscope manipulation, it is difficult to accurately and consistently position the sphincterotome for proper cannulation. The steerable sphincterotome of the present invention allows the physician to control the position of the distal tip of the device independently of the endoscope and adjust for inconsistencies in the device and the anatomy. According to the present invention, the handle to which the cutting wire is attached is freely rotatable relative to the catheter. The handle, secured to the cutting wire but rotatable relative to the shaft of the catheter, provides a mechanism to rotate the wire, transmitting the force to rotate the device tip. With the handle rotating independently of the shaft at the proximal end, the force can be applied directly to the distal tip without twisting the entire shaft. Also a rotation lock to maintain the orientation of the tip and / or a rotation marking, to indicate the amount of rotation may be included.

Methods and apparatus provide continuous guidance of endoscopy during a live procedure. A data-set based on 3D image data is pre-computed including reference information representative of a predefined route through a body organ to a final destination. A plurality of live real endoscopic (RE) images are displayed as an operator maneuvers an endoscope within the body organ. A registration and tracking algorithm registers the data-set to one or more of the RE images and continuously maintains the registration as the endoscope is locally maneuvered. Additional information related to the final destination is then presented enabling the endoscope operator to decide on a final maneuver for the procedure. The reference information may include 3D organ surfaces, 3D routes through an organ system, or 3D regions of interest (ROIs), as well as a virtual endoscopic (VE) image generated from the precomputed data-set. The preferred method includes the step of superimposing one or both of the 3D routes and ROIs on one or both of the RE and VE images. The 3D organ surfaces and routes may correspond to the surfaces and paths of a tracheobronchial airway tree extracted, for example, from 3D MDCT images of the chest.

An insertion assisting tool for an endoscope which is a tubular insertion assisting tool which is provided with an inflatable and deflatable balloon attached to a tip end outer peripheral part, and through which an insertion section for an endoscope is capable of being inserted, comprising: an air hole formed at an outer periphery and / or a tip end part of the insertion assisting tool.

A casing of an endoscopic manipulating head assembly is largely constituted by and dividable into a main cover section adapted to support an operating means of an angulation control mechanism and a grip cover section provided between the main cover section and an insertion tube of the endoscope. Both of the main cover section and the grip cover section are formed of a synthetic resin material. A support plate of a rigid metal is provided internally of the manipulating head assembly to support the angulation control mechanism. A plural number of passage-forming tubular structural members are successively connected within the grip cover section for passing internal components to and from the insertion tube of the endoscope. The support plate is connected to one of the tubular structural members which is located at the proximal end of the grip cover section. A first anti-twist lock portion is formed between the support plate and joined end portions of the main and grip cover sections, while a second anti-twist lock portion is formed between the grip cover section and joined end portions of the tubular structural members.

The present invention is directed to a medical device, such as an endoscopic device, configured to be loaded into a channel of an endoscope prior to insertion of the endoscope into a body, and a method of performing an operative procedure with an endoscopic device. The endoscopic device comprises an elongate member for insertion into the channel of the endoscope, wherein a length of the elongate member is greater than a length of the channel of the endoscope. The endoscopic device also comprises a distal assembly connected to a distal portion of the elongate member and operable to perform an endoscopic operation, wherein the distal assembly has an open configuration and a closed configuration with a profile larger than a diameter of the channel of the endoscope, wherein the distal assembly is adapted to be exterior to the channel when the endoscope is inserted into the body.

The present invention relates to a system of laparoscopic instruments that provides the possibility of an effective and fast laparoscopic / endoscopic suturing method in order to facilitate 5 laparoscopic / endoscopic operation. The system consists of the following main parts: a novel, specially made laparoscopic instrument that in one end has a specially made needle through which a thread can be fed; a novel, specially made laparoscopic instrument that in one end has a specially made needle that has the capability of receiving and holding 10 the end of the thread, a novel, special clips machine and a new clip; a novel thread feeder, eventually integrated in a forceps; and specially made double forceps.

The present invention relates to methods and devices for performing endoscopic cannulation, papillotomy and sphincterotomy and similar procedures. According to the present state of the art, endoscopic cannulation of the common bile duct and papillotomy and similar procedures are accomplished by advancing the device into an endoscope / duodenoscope so that the distal tip of the device exits the endoscope adjacent the sphincter muscles at the Papilla of Vater. The endoscope mechanisms are then manipulated to orient the distal tip of the device to the desired position for proper cannulation of the duct. Due to inconsistencies in, for example, the sphincterotome, anatomy, and endoscope manipulation, it is difficult to accurately and consistently position the sphincterotome for proper cannulation. The steerable sphincterotome of the present invention allows the physician to control the position of the distal tip of the device independently of the endoscope and adjust for inconsistencies in the device and the anatomy. According to the present invention, the handle to which the cutting wire is attached is freely rotatable relative to the catheter. The handle, secured to the cutting wire but rotatable relative to the shaft of the catheter, provides a mechanism to rotate the wire, transmitting the force to rotate the device tip. With the handle rotating independently of the shaft at the proximal end, the force can be applied directly to the distal tip without twisting the entire shaft. Also a rotation lock to maintain the orientation of the tip and / or a rotation marking, to indicate the amount of rotation may be included.

A device for creating endoscopic operating space includes an external cannula, an internal cannula disposed in the external cannula, and an expandable retractor disposed at a distal end of the device and cooperable with the external cannula and the internal cannula. The expandable retractor is displaceable between an unexpanded position and an expanded position. An actuator is cooperable with the expandable retractor to displace the expandable retractor between the unexpanded position and the expanded position.

According to the present state of the art, endoscopic cannulation of the common bile duct and papillotomy and / or sphincterotomy of the Papilla of Vater and / or the Sphincter of Oddi is accomplished by advancing a sphincterotome (or papillotome or cannulotome) into an endoscope / duodenoscope so that the distal tip of the sphincterotome exits the endoscope adjacent the sphincter muscles at the Papilla of Vater. The endoscope mechanisms are then manipulated to orient the distal tip of the sphincterotome to the desired position for proper cannulation of the duct. Accurate and consistent control of the length of the exposed blade is made difficult due to a number of factors. These factors include: 1) differences in the inside diameters of the outer tube and the needle knife wire, 2) the orientation of the needle knife wire within the outer tube, 3) the mismatch of tolerance of the needle knife wire and the inside diameter of the extrusion, 4) anatomy, and 5) endoscope manipulation. A sphincterotome incorporating the present invention will provide the user with an indication of the exposed blade length and will allow the physician to control the length of the exposed blade. According to one embodiment of the present invention, various visual indications are presented to the user as the needle knife is advanced from its outer sheath. These visual indications, combined with a mechanical method to hold the knife in position during catheter placement allows the user to perform precise incisions. Presently available products that may be modified according to the present invention include, but are not limited to, Boston Scientific Sphincterotomes and Needle Knives.

Systems and methods for tracking shape and orientation of an endoscope employ motion tracking sensors to track locations on the endoscope for use in determining real time shape and distal end orientation for display during navigation of the endoscope. An example system includes sensor units distributed along the endoscope and a control unit. The sensor units track motion of the endoscope locations and transmit resulting tracking data to a control unit. The control unit processes the tracking data to determine shape of the endoscope and orientation of the distal end of the endoscope. The control unit generates output to a display unit that causes the display unit to display one or more representations indicative of the shape of the endoscope and orientation of the distal end of the endoscope for reference by an endoscope operator during an endoscopic procedure.

An insertion assisting tool for an endoscope which is a tubular insertion assisting tool which is provided with an inflatable and deflatable balloon attached to a tip end outer peripheral part, and through which an insertion section for an endoscope is capable of being inserted, comprising:an air hole formed at an outer periphery and / or a tip end part of the insertion assisting tool.

To provide an endoscope operating apparatus where an operator who is a user can recognize a locked state and a free state clearly with his / her fingers grasping an operating part under an examining environment, and the number of constituent parts can be decreased to reduce a manufacturing cost and achieve weight reduction. An operating apparatus of an endoscope which is provided with a flexible tube inserted into a body to be examined and having a bending part at a distal end thereof and which performs work by bending the bending part according to a manual operation, comprising: a drive part which can pull a wire which is disposed in the flexible tube, a distal end of the wire being fixed to the bending part and the wire bending the bending part; and an operating part which operates the drive part.

The invention provides a portable mechanical endoscope fixture comprising a base, a horizontal rotating mechanism and a lifting pitching mechanism. Through adjustment of three degrees of freedom, an endoscope being fixed can be horizontally rotated, lifted up and down and pitched. The portable mechanical endoscope fixture has the advantages that manual fixing of the endoscope is completely replaced; the lifting pitching mechanism and a vertical lifting mechanism are arranged at the edge of the horizontal rotating mechanism, more operating space is saved, and more medical instruments can be used in surgery; in addition, a sound-operated or foot-operated control device can be added to the portable mechanical endoscope fixture, and medical labor cost is saved.

A simulation system for training in endoscopic procedures includes an endoscope apparatus, which includes an operating part with at least one valve, a control device to generate a virtual image of an endoscopic operating scene depending on an actuation of the valve and a display device to display the virtual image, the endoscope apparatus includes for example a siphoning line, an insufflation line and / or a flushing line upon which the valve acts. The simulation system includes pressure-generating means to impact the siphoning line, the insufflation line and / or the flushing line with reduced or excess pressure, sensor means to measure pressure and / or flow in the siphoning line, the insufflation line and / or the flushing line and transmission means to transmit the measured values provided by the sensor means to the control device to be used in generating the virtual image.

The present disclosure provides for a surgical device. The surgical device includes a jaw assembly and a camera assembly coupled to the jaw assembly. The camera assembly includes a camera housing defining an interior space having at least one opening on a side thereof, first and second support arms pivotally coupled within the camera housing and deployable therefrom, and a camera body coupled to the first and second support arms and moveable between a first position, in which the camera body is positioned within the interior space of the camera housing, and a second position, in which the camera body extends from the at least one opening of the camera assembly.

The invention relates to an endoscope joint ring, an endoscope bent part and a corresponding endoscope device. The endoscope joint unit comprises a ring part and a restraint positioning part, wherein the periphery of the restraint positioning part is closed, and the restraint positioning part is a part independent from the ring part; the restraint positioning part is fixedly arranged at one side of the inner wall of the ring body. The endoscope bent part comprises at least two endoscope joint units, and adjacent endoscope joint units are in mutually movable connection. One end of the endoscope device is an insert end, and the endoscope bent part is positioned at the insert end. The size and shape of the restraint positioning part are not influenced by the size of the ring body, so that the restraint positioning part can be better matched with the periphery of an endoscope operation part; the consistence of each restraint positioning part is maintained, so that when a metal material is stamped, tiny changes due to inconsistent metal rebound shrinking rates can be avoided; the restraint positioning part is convenient to treat, trim, burr and other phenomena influencing extra resistance generated in a process of drawing a steel cable cannot occur.

To provide an electric bending endoscope device which can always ensure good operability when using the endoscope without imposing a weight burden on the operator during the operation of the endoscope. The electric bending endoscope device includes at least: an electric bending endoscope capable of observation and treatment in a body cavity, including an elongated insertion portion inserted into the body cavity, and a device for electrically bending and driving a part of the insertion portion. A bending drive device, and an operating part that is separate from the bending drive device and electrically connected to the bending drive device; a system controller, electrically connected to the electric bending endoscope, and controls the electric bending endoscope as a whole; and An endoscope holding device, which includes a bending drive unit with a built-in bending drive device and holds a part of the electric bending endoscope, and an arm connected to and held on the bending drive unit; by attaching and detaching the bending drive unit It is freely connected and arranged on the base end side of the insertion part, and electrically connects the electric bending endoscope and the bending driving device.