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Having tool moving or stopping means

Subclass of:

600 - Surgery

600101000 - ENDOSCOPE

600104000 - With tool carried on endoscope or auxillary channel therefore

Patent class list (only not empty are listed)

Deeper subclasses:

Class / Patent application numberDescriptionNumber of patent applications / Date published
600107000 Having tool raising platform 8
Entries
DocumentTitleDate
20090306473CAPSULE MEDICAL APPARATUS - A capsule medical apparatus includes a needle driving unit that punctures an internal region of a subject with an injection needle and pulls out the injection needle from the internal region, a liquid injection unit that injects a liquid into the internal region through the injection needle, and a leak prevention unit that prevents the liquid that is injected into the internal region from leaking from the internal region.12-10-2009
20100160727TREATMENT TOOL FOR ENDOSCOPE - A treatment tool for an endoscope which is transendoscopically inserted into a body cavity for use, and which includes: a sheath at least partially composed of mixed material in which thermoplastic resin and a crosslinking promoter are mixed; a manipulation wire inserted through the aforementioned sheath so as to be capable of advancing and retracting; a treatment part attached to a first end of the aforementioned manipulation wire; and a manipulation part attached to a second end of the aforementioned manipulation wire; wherein said sheath has a crosslinked part where said thermoplastic resin is crosslinked by irradiating said mixed material with ionizing radiation, and a non-crosslinked region where said thermoplastic resin is not crosslinked.06-24-2010
20130085327ENDOSCOPE FORCEPS PLUG - A main body that has an installation portion which is formed from an elastic material having a cylinder shape, and installed at the metal opening at one end side; a lid insertion portion which cylindrically protrudes to the other end side, and a lid connected to the main body by a flexible connection portion having flexibility, that is formed from an elastic material, that has a tube shape with a cylindrical insertion channel, and that, at both sides where both ends of the insertion channel are respectively open, has first and second installation portions with different external shapes to each other which are installed by selectively inserting to the lid insertion portion. The first installation portion has a larger external shape than the second installation portion, at least a portion of a diameter of the insertion channel decreases when installed to the lid insertion portion of the first installation portion.04-04-2013
20130085326MULTI-UTILITY SURGICAL INSTRUMENT - A multi-utility surgical instrument may include a nosecone, a handle, a housing sleeve, an actuation facilitating sleeve, a piston tube, a hypodermic tube, and an end plug. The hypodermic tube may be disposed within the piston tube; the piston tube may be disposed within the actuation facilitating sleeve; the actuation facilitating sleeve may be disposed within the housing sleeve; the end plug may be disposed within a portion of the housing sleeve; the housing sleeve and the end plug may be disposed within the handle; the nose cone may be fixed to a distal end of the handle; and the hypodermic tube may be fixed to the nosecone.04-04-2013
20100048991AUTOMATIC-RETURN SYRINGE AND ENDOSCOPE DEVICE USING THE SYRINGE - The inside of a cylindrical body is divided into two parts, that is, a first and a second chamber, and in a piston body, a first ventilation hole and a first ventilation path of a pushing portion are formed so as to communicate with the first chamber and a second ventilation hole and a second ventilation path of the pushing portion are formed to communicate with the second chamber, and a spring for returning the piston body to its original position is provided. By pressing the pushing portion while closing the first ventilation port so as to advance the piston body, air is supplied through a syringe port on the first chamber, while by pressing the pushing portion while closing the second ventilation port, air is supplied through the syringe port on the second chamber, and by releasing the pushing operation, the piston body automatically returns to the original position.02-25-2010
20090124852ENDOSCOPE DEVICE - Incision forceps that are used by being passed through a forceps channel of an endoscope, comprising: a flexible tube that is inserted in a body cavity via the forceps channel; a long guide member that is disposed at a position projected from the distal end of the flexible tube; a forceps piece that is provided at the distal end and is provided to be capable of reciprocal movement between a near position that approaches the peripheral surface of the guide member and is projected from the distal end along the peripheral surface, and a far position F that is separated in a direction that intersects the axial line direction of the flexible tube with respect to the peripheral surface; characterized by the guide member being arranged on the axial line of the flexible tube.05-14-2009
20120165605ENDOSCOPE - An endoscope includes: an insertion portion configured to be inserted into a subject; an image pickup section configured to pick up an image of inside of the subject; an operation portion configured to be connected to the insertion portion; a grasping portion configured to be able to be grasped by an operator, the grasping portion being connected to the operation portion and provided such that an axis in a longitudinal direction is substantially perpendicular to a central axis of the insertion portion; a protruding portion provided on a surface on the insertion portion side of the grasping portion, the protruding portion protruding so as to form an acute angle with respect to the central axis of the insertion portion, on the insertion portion side; and a switch portion provided on the protruding portion and disposed at an angle which makes a right angle with respect to the acute angle.06-28-2012
20120184810SELF-LOCKING CANNULA - Cannula intended to traverse the conjunctiva and/or the sclera of the eye in order to enable the passage of at least one tool intended to have an action in the intraocular volume, such as a suction instrument, an instrument for cutting—for example at high speed—the vitreous gel contained in the intraocular volume, a light-guide intended to transmit light in order to see what is happening in the intraocular volume or similar, the cannula including a tubular part defining a passage channel for the tool, which extends between a proximal opening intended to be outside the intraocular volume and a distal opening intended to be inside the intraocular volume.07-19-2012
20090043154ENDOSCOPIC ATTACHMENT, ENDOSCOPIC TREATMENT INSTRUMENT, AND ENDOSCOPE SYSTEM - 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.02-12-2009
20090221870ENDOSCOPIC TREATMENT INSTRUMENT - A drainage tube retainer 09-03-2009
20130072752FORCEPS SUPPORT DEVICE - A forceps support device 03-21-2013
20090093675SYSTEMS, DEVICES AND METHODS HAVING AN OVERTUBE FOR ACCESSING A BODILY OPENING - Medical systems, devices and methods are provided for accessing a bodily opening that, among other things, are safe, reliable and repeatable. A medical system for accessing a bodily opening generally includes a medical instrument and an overtube. The overtube defines an overtube lumen that is sized to receive the medical instrument. The overtube includes a distal end having a tapered portion and a plurality of longitudinally extending slits defining a plurality of flaps. The tapered portion of the overtube is sized relative to the medical instrument such that translation of the medical instrument through the distal end of the overtube forces the plurality of flaps to move radially outwardly.04-09-2009
20130060084ARRANGEMENT FOR MINIMAL ACCESS SURGERY - An access and positioning arrangement for use during an endoscopic surgical procedure in which a pair of surgical tools are utilized, such as an endoscopic imaging device for providing an image of the surgical site and a surgical instrument for manipulating tissue at the surgical site. The arrangement includes a housing for positioning over a surgical portal defined in the patient through which the surgical site is accessed, which housing defines first and second channels which receive the respective surgical tools so that the tools can be maintained in a fixed orientation relative to one another within the surgical site and so that the tools can be readily positioned in the correct positions relative to one another at the surgical site.03-07-2013
20090270677DEVICE PLATFORM FOR MEDICAL PROCEDURES - The present embodiments provide apparatus and methods suitable for facilitating positioning one or more medical components. In one embodiment, the apparatus comprises a rail member having proximal and distal ends and a generally longitudinal axis. A first connector is adapted to be selectively coupled to the rail member, and a first medical component is adapted to be coupled to the first connector. The first connector is disposed for selective longitudinal movement along the rail member, thereby permitting movement of the first medical component with respect to the rail member. In this manner, one or more components, such as a catheter and a needle, may be inserted into a human or animal body in a controlled fashion with respect to one another.10-29-2009
20090270676ARTICULATING CANNULA ACCESS DEVICE - Devices and methods are disclosed for less invasive surgery. More particularly, methods and devices described herein permit improved access within a body cavity when performing a minimally invasive procedure, typically through a small opening, a surgical port, or during an open surgical procedure.10-29-2009
20090247822ENDOSCOPE TREATMENT INSTRUMENT - An endoscope treatment instrument provided with a flexible transmitting member, a treatment portion that is attached to the distal end of the transmitting member, and an actuator which is attached to the proximal end of the transmitting member and is for operating the treatment portion, this endoscope treatment instrument being designed to transmit the action of the actuator to the treatment portion via the transmitting member. The transmitting member consists of the connection in the longitudinal direction of a first coil sheath that has excellent rotation follow-up and good relative bending properties, and a second coil sheath that has excellent rotation follow-up and good ease of motion in the relative longitudinal direction.10-01-2009
20090234184ENDOSCOPE - An endoscope comprises: an insertion tube to be inserted into a body cavity, the insertion tube including a hard distal end portion, a curving portion continuous with the hard distal end portion, and a flexible portion continuous with the curving portion; a contained part of the insertion tube which is accommodated at least inside the curving portion; and at least one movement regulating member which extends inside the curving portion and adapted to regulate at least radial movement of the contained part, one end portion of the position regulating member passing through a rear connecting portion connecting the curving portion and the flexible portion to extend to the flexible portion side, a section of a portion of the movement regulating member inserted into the flexible portion from the rear connecting portion being smaller than a section of a portion of the movement regulating member within the curving portion.09-17-2009
20090012356ENDOSCOPIC DELIVERY DEVICES AND METHODS - Disclosed herein are various devices and methods that can be utilized independently or in conjunction with each other for endoscopic delivery of a wide ranges of medical devices, such as, for example, an endoscopic gastrointestinal bypass sleeve with an attachment cuff. Components of the system can include a space-creating device; an expandable fastener system with flower petal-shaped retention elements; and an endoscopic curved needle driver system.01-08-2009
20120238806IMPLANTATION SYSTEM WITH HANDLE AND CATHETER AND METHOD OF USE THEREOF - A system for deploying an implantable medical device into a body lumen is disclosed. The system comprises a catheter having functional zones for stability, protection, flexibility, trackability and pushability. The system further comprises a device for deploying an implantable medical device with the catheter. A method for deploying an implantable medical device into a body lumen using the system is also disclosed.09-20-2012
20110071349ENDOSCOPE SYSTEM FOR TREATMENT OF SINUSITIS - An endoscope includes a substantially rigid shaft having a distal end and a proximal portion, the shaft having a first lumen and a second lumen separate from the first lumen, the second lumen containing one or more objective lenses disposed at the distal end thereof. A housing is mounted on the proximal portion of the shaft, the housing including an eyepiece mount and a light input port. An image fiber bundle is disposed in the second lumen, the image fiber bundle extending proximally from adjacent the one or more objective lenses to the eyepiece mount. An illumination fiber bundle is disposed in the second lumen, the illumination fiber bundle extending proximally from the distal end of the shaft to the light input port.03-24-2011
20110040148Permanently sealed length compensation for endoscope shafts - An endoscope with an instrument housing and with a shaft that is mounted on the distal end of the instrument housing and consists of an outer tube and an inner tube that is mounted at least partly in the outer tube, so that the outer tube and the inner tube are mounted on the instrument housing so that they can move with respect to one another in the axial direction of the shaft. To provide an endoscope that ensures a constantly fluid-tight relative motion of the two shaft tubes with respect to one another, it is proposed with the invention that the outer tube and inner tube should be mounted on the instrument housing so that they are mobile with respect to one another in the axial direction of the shaft by means of at least one flexible membrane.02-17-2011
20090018391METHODS AND DEVICES FOR PLACEMENT OF AN INTRA-ABDOMINAL OR INTRA-THORACIC APPLIANCE THROUGH A NATURAL BODY ORIFICE - Natural orifice transenteric surgical methods and devices for placing a semi-circumferential appliance around a hollow bodily organ such as the stomach. In one alternative embodiment, such an appliance is placed in order to reduce the inner volume of the stomach.01-15-2009
20110144430ARTICULATING ENDOSCOPIC ACCESSORY CHANNEL - Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck.06-16-2011
20120190921COUNTER-ROTATING OPHTHALMIC SCANNER DRIVE MECHANISM - An endoprobe for ophthalmic microsurgical procedures including a hand-piece including a motor, a cannula assembly coupled to the hand-piece, and a transmission system coupling the motor to the cannula assembly is provided. The cannula assembly having an outer tube and an inner tube concentric with the outer tube, each able to rotate about the longitudinal axis and having a proximal end and a distal end. The transmission system rotates the outer tube in a first direction and the inner tube in a second, opposing direction about the longitudinal axis. A method for scanning a light beam along a linear trajectory using a cannula assembly as above is also provided.07-26-2012
20110288371ENDOSCOPE DEVICE - An endoscope device includes a treatment instrument, the treatment instrument including a treatment instrument body, a distal treatment portion provided in a distal direction side to the treatment instrument body, and a rotary joint portion configured to rotate the distal treatment portion around an axis relative to the treatment instrument body, and an inner peripheral surface which is provided in the endoscope or in a tubular member separate from the endoscope and which defines a treatment instrument insertion passage to insert the treatment instrument. The endoscope device includes a frictional force application portion configured to apply frictional force to a contact portion between a distal direction side part of the inner peripheral surface and an outer peripheral surface in a distal direction side part of the treatment instrument body when the treatment instrument body is rotated around the axis relative to the endoscope.11-24-2011
20090182194Positioning system for securing a treatment instrument at the end of a medical device - Embodiments of the invention include a medical device for accessing a patient's body portion and used for diagnosis and treatment of medical conditions. Embodiments of the invention may include a particular endoscopic positioning mechanism for placing an endoscope and an additional treatment device within desired body portions in order to assist in diagnosis and treatment of anatomical diseases and disorders. In particular, a medical device according to an embodiment of the invention includes a positioning mechanism configured to maintain the relative position of a treatment instrument with respect to an underlying endoscope during a treatment procedure.07-16-2009
20090177031MEDICAL SYSTEMS, DEVICES AND METHODS FOR ENDOSCOPICALLY SUTURING PERFORATIONS - Medical systems, devices and methods are disclosed for suturing a perforation in tissue, that may be employed endoscopically and/or laparoscopically, and that offer simple, reliable and controllable placement of suture around a perforation for complete closure thereof. One embodiment of the medical system generally includes an endoscope, an endcap, a needle, a suture, and first and second grip systems configured for relative translation to selectively pass the needle between the first and second grip systems.07-09-2009
20100056862ACCESS NEEDLE FOR NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY - A translumenal access device may comprise a cannula defining a first lumen and a hollow needle. The hollow needle may be positioned within the cannula. The hollow needle may comprise a first portion including a sharpened rigid distal portion with a first column strength. The hollow needle also may comprise a second portion including a floppy portion with a second column strength. The second portion may be disposed just proximal to the first portion. The first column strength may be greater than the second column strength. The first column strength may be sufficient to penetrate tissue. The second column strength may allow the second portion to buckle to prevent the hollow needle from further penetrating tissue.03-04-2010
20100036198DEVICE FOR THE MANIPULATION OF BODY TISSUE - A device for manipulating body tissue comprises a base structure and at least one tubular member having a proximal end and an orientable distal end that defines a seat for supporting a surgical instrument, in which the tubular member is connected to the base structure. An actuation mechanism is suitable for orientating the distal end of the tubular member to take it into certain operative configurations. The actuation mechanism is also connected to the base structure. Means are also foreseen for the connection of the base structure to a distal end portion of an insertion tube of an endoscope or laparoscope, so that the actuation mechanism and the tubular member are arranged outside the insertion tube. The tubular member interacts with the actuation mechanism so that a movement of an actuation portion of the tubular member with respect to the base structure leads to the orientation of the orientable end.02-11-2010
20090131749TISSUE REMOVAL SYSTEM AND METHOD USING REINFORCED LOOP - The present disclosure provides a system and method for removing a tissue that extends from a tissue layer, such as a polyp, lesion, or organ. The disclosure provides a medical loop that can be tightened around the tissue extending from the tissue layer by using a one-way anchor and a flexible member to form a loop, the flexible member having ridges to interface with the anchor and secure the flexible member in a tightened position around the tissue. The ridges interface with the tissue to secure the loop in position on the extending tissue and reduce slippage of the loop off of the tissue after tightening the loop. A snare or other cutting instrument may be used to remove the tissue extending outward from the loop. An endoscopic system may be used to guide the medical loop and the cutting instrument to an appropriate location inside a body passage.05-21-2009
20090030272Endoscopic treatment tool - An endoscopic treatment tool is provided which includes: a grasping portion that has a first shoulder portion and second shoulder portion; a current-carrying portion that protrudes out from a distal end of each of the first and second shoulder portions; a pivot portion that is disposed in the distal end of the first shoulder portion so as to protrude in substantially the same direction as the longitudinal direction of the first shoulder portion, the distal end of the pivot portion being provided with an insulating portion; a wire that is connected to the grasping portion; a sheath which has a tubular shape, and into which the wire and grasping portion are inserted; a main body to which the sheath is fixed; and a sliding portion which is disposed to move in the longitudinal direction of the main body in a sliding manner, and to which the wire is connected.01-29-2009
20120108899DEVICE FOR THE CONTROLLED INFUSION OF LIQUID FORMULATIONS IN TISSUES AND ORGANS IN CELLULAR THERAPEUTIC PROCEDURES - The present invention relates to a device for the controlled infusion of liquid formulations, especially formulations comprising cells, directly into tissues or organs, to be used in cellular therapeutic procedures related to ischemic or non-ischemic diseases. The device comprises an automatic dispenser (05-03-2012
20090275798OVERTUBE AND ENDOSCOPE SYSTEM SUITABLE FOR TREATMENT SUCH AS SUBMUCOSAL DISSECTION - An overtube includes: an endoscope insertion portion passing hole through which an insertion portion of an endoscope is passed; and at least one manipulator passing hole through which a manipulator insertion portion of a manipulator apparatus is passed. The manipulator insertion portion includes a driving portion which has at least one first joint and one second joint rotating clockwise and counterclockwise. The endoscope insertion portion passing hole includes an endoscope protrusion amount determination portion which determines a length of a protrusion of the endoscope; and an observation optical system observation direction determination portion which determines an observation direction of the endoscope. The manipulator passing hole includes a manipulator protrusion amount determination portion which determines positions of the first joint of the manipulator within the observation optical system; and a joint driving direction determination portion which determines rotating directions of shafts of joints within the observation direction.11-05-2009
20090299136ENDOSCOPIC SYSTEM FOR SURGICAL INSTRUMENT POSITION CONTROL AND POSITION CONTROL METHOD THEREOF - In an endoscopic system, when an affected area of a biomedical tissue in an image is treated with a scalpel and a holding pair of forceps which movably extend from a distal portion of an endoscope through the endoscope while the image taken by the endoscope in a body cavity in a time-series manner is being observed, a treatment is performed in which the holding pair of forceps holds the affected area detached from the biomedical tissue by the scalpel. When any motion is detected in the distal portion of the endoscope included in the image, a motion direction and a motion amount of the distal portion of the endoscope attributed to the motion are detected, and the distal portion of the endoscope is curved to return the scalpel to an original treatment position.12-03-2009
20090281379SYSTEM AND METHOD FOR TRANSLUMINAL ACCESS - A translumenal access system includes a translumenal access catheter, a trocar, and one or more guidewires. The trocar may be introduced through adjacent tissue layers, typically from an endoscope, and the translumenal access catheter introduced through the resulting penetration over the trocar. A balloon on the catheter may be used to dilate the penetration, and an enlarged distal portion of the balloon may be used to draw the tissue layers into apposition. The first stent may be exchanged for the trocar and a second stent may be introduced through a side port on the access catheter. The stents may be then used to introduced catheters or other interventional tools, optionally for delivering one or more stents to the enlarged tissue penetration.11-12-2009
20090292164ENDOSCOPE DEVICE - An endoscope device comprising: an elongated tubular insertion part; a plurality of arm members which is provided in the distal portion of the insertion part so as to protrude forward and is capable of treatment with a treatment tool inserted thereinto; an observation main body provided in the distal portion of the insertion part so as to freely separate from the insertion part; an energization member which energizes the observation main body disposed within the distal portion of the insertion part toward the direction opposite to the plurality of the arm members in the radial direction of the insertion part; and a holding mechanism which resists the energization member to hold the observation main body in a state where the observation main body is disposed within the distal portion of the insertion part and is capable of releasing the holding state.11-26-2009
20090299135SURGICAL DEVICE AND ENDOSCOPE INCLUDING SAME - 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. The distal end of each the first and second working channel defines a bore having a longitudinal axis substantially perpendicular to the longitudinal axis of the through bore of the end cap.12-03-2009
20120296161BALLOON VISUALIZATION FOR TRAVERSING A TISSUE WALL - Systems and methods for controllably traversing a tissue wall. In one embodiment, a distal end of a catheter is positioned and/or repositioned utilizing direct visualization out the distal end of the catheter, as facilitated by an imaging element disposed within the distal tip of the catheter. An inflatable balloon may comprise a portion of the distal tip of the catheter for structural and/or visualization media purposes. A tissue traversing element may be forwarded through a working lumen defined by the catheter and controllably pushed through a tissue wall as observed with the imaging element. The tissue traversing element may comprise sensors and the like to facilitate monitoring of changes in pressure, color, oxygen saturation, flow rate, and echo timing, to determine the position of the tissue traversing member relative to the tissue wall.11-22-2012
20090036735ENDOSCOPIC TREATMENT INSTRUMENT - In accordance with the present invention, a substrate for mounting a light-emitting element is provided including a core metal whose outer periphery is covered with an enameled layer and including a reflective cap portion provided on one surface thereof, wherein a heat radiating portion is formed, by partly eliminating the enameled layer so that the core metal is exposed, on the other surface thereof on which the reflective cap portion is not provided. Further, a light-emitting element module comprising a light-emitting element mounted on the aforementioned substrate, an illumination apparatus having this light-emitting element module, a display apparatus, and a traffic signal device are also provided.02-05-2009
20110207998CAPSULE MEDICAL APPARATUS - A capsule medical apparatus capable of injecting a medical agent into a living tissue includes a casing, a pressing member that presses the surface of the living tissue, a driving unit that causes the pressing member to protrude from the casing in a predetermined direction and to press the surface of the living tissue while rotating the pressing member around a rotation axis parallel to the protruding direction, and a needle-like puncturing member that is arranged on the pressing member and punctures the living tissue in an oblique direction with respect to the surface of the living tissue to thereby inject the medical agent into the living tissue along with the rotation of the pressing member driven by the driving unit.08-25-2011
20080287734System and methods for clearance of obstructions - The present invention is a system and methods to clear obstructions including foreign objects and food boluses during an EGD procedure. The medical device according to the present invention includes a flexible tubular housing, power transfer device, clamp, tool element, power source, and optional hood. The present invention drills through the obstruction to rupture it into pieces. Displaced obstructions, and/or pieces thereof, can be collected within the housing. The remainder of the obstruction can then be passed into the stomach where it can be digested, safely excreted, or actively removed by an endoscopist.11-20-2008
20080281153ENDOSCOPIC INSTRUMENT - An endoscopic instrument includes: a knife; a wire having a distal end connected to the knife; a sheath allowing the wire to pass therethrough; a main body having the freely rotative sheath fixed thereto; a slider, having the wire fixed thereto, disposed slidable in an axial line direction of the main body; a stopper, provided to the wire or the knife, for projecting outward radially relative to the wire; a first-distal-regulation section and a second-distal-regulation section provided to the sheath for regulating distal sliding movement of the wire by making contact with the stopper; and a second-distal-regulation section, provided distally relative to the first-distal-regulation section, for regulating distal sliding movement of the wire by making contact with the stopper, wherein the stopper is capable of moving between the first-distal-regulation section and the second-distal-regulation section by rotating the main body relative to the sheath around an axial line by predetermined rotational angle, and at least two different projection lengths of the knife can be maintained by contacting the main body to the first-distal-regulation section or the second-distal-regulation section. Accordingly, at least two stepwise adjustment of the projection length of the incising section can be maintained easily and reliably.11-13-2008
20080269557Surgical Method Utilizing Transluminal Endoscope and Instruments - A method of transluminal surgery is provided, which utilizes an endoscopic surgery apparatus having pivotable arms attached by hinges on its distal end. The arms are interchangeable with arms of various configurations. The method includes the steps of inserting an endoscopic surgery apparatus into a body cavity of a patient, making an incision in the body cavity wall to allow access to the patient's abdominal cavity, and further inserting the apparatus through the incision. Surgery is performed at the desired surgical site and the apparatus is withdrawn into the body cavity where the incision is closed. Finally, the apparatus is withdrawn from the patient's body.10-30-2008
20080269558ENDOSCOPIC INSTRUMENT - An endoscopic instrument includes: a high-frequency knife for carrying out incisional intervention; a wire having a distal end connected to the high-frequency knife; an outer sheath for allowing the wire to pass therethrough; a main body having a proximal end of the sheath fixed thereto; a first slider, capable of freely sliding on the main body, having the wire fixed thereto; at least a stopper projecting radially outward relative to the wire; a first abutment member making contact with the stopper and regulating distal sliding movement of the wire; and a projection-length-adjusting member, provided in the outer sheath, for regulating proximal sliding movement of the wire by making contact with the stopper. This configuration allows the high-frequency knife to be maintained at different projection lengths based on the stopper making contact with the first abutment member and the stopper making contact with the projection-length-adjusting member.10-30-2008
20090030274ENDOSCOPIC METHODS AND DEVICES FOR TRANSNASAL PROCEDURES - Medical devices, systems and methods that are useable to facilitate transnasal insertion and positioning of guidewires and various other devices and instruments at desired locations within the ear, nose, throat, paranasal sinuses or cranium. Direct viewing of such placements via an endoscope.01-29-2009
20090030273MEDICAL APPARATUS - A medical apparatus according to the present invention includes: a flexible sheath; an arm section having a bending part capable of bending operation and a first channel capable of inserting a procedure instrument therethrough, the arm section being disposed to protrude from a tip of the sheath; and an operation stick having a second channel connected to the first channel and a bending operating part connected to the arm section by an operation-transmission member, wherein the operation stick has: a regulation section for regulating movement of the bending operating part; and a falloff-preventive section for engaging with the procedure instrument inserted in the second channel to prevent the procedure instrument from falling from the operation stick.01-29-2009
20090187069FLEXIBLE ENDOSCOPE SYSTEM AND FUNCTIONALITY - 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.07-23-2009
20090143643Transluminal endoscopic surgery kit - A transluminal surgery kit and method of using the same. In one embodiment, the kit may include an endoscope, a surgical instrument, and an overtube. The surgical instrument may be an injection needle. The overtube, whose primary function is to provide a substantially sterile pathway for the surgical instrument, may include a tubular member having a proximal end, a distal end and a plurality of longitudinal bores. A film may cover the distal end of the tubular member. One of the bores may be appropriately dimensioned to coaxially receive the distal end of the endoscope, with the proximal end of the endoscope preferably not being inserted into the bore but extending proximally therefrom. A fastener for securing the tubular member to a lumen wall within a patient, together with a tool for inserting the fastener through the lumen wall, may be disposed within another one of the bores.06-04-2009
20090143641HARVESTING DEVICE FOR ENDOSCOPE - A harvesting device for an endoscope includes a harvesting member inserted through an outer tube member, including a harvesting portion arranged at the distal end portion of the outer tube member and to perform a harvesting, and configured to move so that the harvesting member moves and positions the harvesting portion at a harvesting position and a standby position, a wipe member inserted through the outer tube member, including a wipe portion arranged at the distal end portion of the outer tube member, and configured to move so that the wipe member moves the wipe portion to wipe a distal end portion of the endoscope, and a conversion mechanism to convert the movement of the harvesting member into that of the wipe member to interlock the wiping of the wipe portion with the positioning of the harvesting portion.06-04-2009
20090143642THERAPEUTIC DEVICE SYSTEM AND MANIPULATOR SYSTEM - A therapeutic device system is provided with a control parameter section for calculating a control parameter for adjusting a drive amount of a manipulator with respect to a manipulation signal on the basis of curved state information on an endoscope insertion section, and changing the old control parameter, and when a state of a curve of the endoscope insertion section has changed, a control parameter conforming to the change is calculated to change the old one, whereby the same manipulation operation of the operator enables the same operation of the manipulator to be performed at all times.06-04-2009
20090005638Interchangeable Endoscopic End Effectors - Methods and devices are provided for performing various procedures using interchangeable end effectors. In general, the methods and devices allow a surgeon to remotely and selectively interchange various surgical end effectors within a patient's body, thus allowing the surgeon to perform various procedures without the need to remove the device from the patient's body. In one embodiment, a modular device is provided having an insertion device and a cartridge containing a plurality of end effectors coupled to or formed on the insertion device. The cartridge can be configured to move between various positions to allow an instrument shaft to be selectively mated to one of the various end effectors contained within the cartridge. For example, the cartridge can be moved to a desired position, and an instrument shaft can be advanced into a chamber in the cartridge to engage and remove an end effector from the cartridge, thus allowing the end effector to be used to perform a surgical procedure. Once complete, the instrument shaft can be retracted relative to the cartridge to return the end effector into its original chamber in the cartridge. The cartridge can then be repositioned to allow the shaft to engage and utilize another end effector.01-01-2009
20090326319ENDOSCOPE APPARATUS - An endoscope apparatus includes an accessory including an actuation portion configured to be actuated, an operating unit for operating the actuation portion, an endoscope including an accessory insertion pass wherein the accessory is adapted to be inserted through the accessory insertion pass from a proximal end portion of the accessory insertion pass to a distal end portion of the accessory insertion pass, and projected from and retracted into the distal end portion of the accessory insertion pass, a detecting unit configured to detect a condition of a part of the accessory, which is projected from the distal end portion of the accessory insertion pass, and a control unit configured to control an actuation of the actuation portion by an operation to the operating detecting unit.12-31-2009
20110224486Minimally Invasive Surgical Stabilization Devices and Methods - The various embodiments of the present inventions provide stabilization devices and methods for use of the stabilization devices with minimally invasive gynecological procedures such as methods of preventing pregnancy by inserting intrafallopian contraceptive devices into the fallopian tubes.09-15-2011
20090023990PROBE MANIPULATOR - 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.01-22-2009
20090023988Endoscopic Instrument - An endoscopic instrument includes a rigid hollow shank (01-22-2009
20090023989ENDOSCOPE SYSTEM AND MEDICAL INSTRUMENT - An endoscope system according to the present invention includes: an endoscope equipped with a long insertion portion; a medical instrument which includes a treating portion installed in a distal part and used to perform various treatments in a body cavity and a long sheath including a rigid portion with predetermined flexibility and a flexible portion more flexible than the rigid portion, the rigid portion and flexible portion being installed consecutively starting from a distal side, where the sheath is inserted in a channel of the insertion portion of the endoscope; an operation instruction apparatus used to give commands regarding operation of the medical instrument; a first medical instrument drive apparatus which operates the treating portion of the medical instrument; and a second medical instrument drive apparatus which moves the sheath forward and backward.01-22-2009
20090023987ENDOSCOPE APPARATUS - An endoscope has an observation window and an opening for channel in the end face of an endoscope inserting portion. The endoscope comprises a retaining member for retaining the vicinity of a treatment object part.01-22-2009
20080306335Endoscopic vessel harvesting system components - Components for an endoscopic vessel harvesting system suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The main components of such systems include a vessel dissector and a vessel harvester, both of which work in conjunction with a separately provided endoscope. The vessel dissector is an elongated cannula having a blunt tip for separating layers of facial around vessels. The tip may be movable, and is typically transparent to permit viewing forward of the tip using the endoscope. Internal features of the tip may reduce glare back to the endoscope. Several devices improve visibility through the tip by reducing interference from tissue or fluid on the tip. The vessel harvester also has an elongated cannula for receiving the endoscope. Several tools within the harvester permit manipulation, severing, and sealing of vessels forward of the distal end. The tool for manipulating vessels may have a low-profile for increased visibility of operation, and may be coupled to the cannula with a damping mechanism to reduce the possibility of avulsion of the vessels. Various vessel cutting and sealing devices are provided that may accommodate various sizes of vessels and improve cutting and sealing efficacy.12-11-2008
20090198098Endoscope treatment instrument - An endoscope treatment instrument provided with an inserted portion that is flexible, a treatment portion that is attached to the distal end of the inserted portion, an operator portion that is attached to the proximal end of the inserted portion for manipulating the treatment portion, and a transmitting member that is connected to the treatment portion and the operator portion and is inserted into the inserted portion, for transmitting the operation of the operator portion to the treatment portion; wherein: 08-06-2009
20090099414METHOD OF PERFORMING DIAGNOSIS OR TREATMENT ERENDOSCOPICALLY AND MEDICAL TREATMENT DEVICE - A method of performing diagnosis or treatment perendoscopically in which a guide catheter is inserted inside a body, and the guide catheter is made to protrude beyond a distal end portion of the endoscope; and in which a first diagnosis or treatment is performed by inserting a medical treatment device that performs the diagnosis or treatment of the body inside the guide catheter, and causing this medical treatment device to protrude by a first predetermined distance from the guide catheter; and in which the medical treatment device is extracted from the guide catheter; and in which a second diagnosis or treatment is performed by inserting a medical treatment device into the guide catheter, and causing the medical treatment device to protrude by a second distance which is adjusted in accordance with the first predetermined distance.04-16-2009
20110230712MEDICAL SYSTEM - A medical system includes an endoscope which is a first medical instrument, a gas supply apparatus which is a second medical instrument that supplies a gas to an insertion site at which an insertion portion of the endoscope is inserted, a biological information acquiring apparatus which is a biological information detection section that detects a blood flow rate at the insertion site as a biological information detected value, a manipulation information acquiring apparatus which is a manipulation information detection section that contacts the insertion portion of the endoscope and is combined with a roller that rotates as the insertion portion moves forward or backward to detect an amount of rotation of the roller as manipulation information, and a system control apparatus provided with a control section that outputs an instruction signal for changing an amount of gas supply to the gas supply apparatus according to the detected value detected by the biological information acquiring apparatus and the manipulation information detected by the manipulation information acquiring apparatus.09-22-2011
20110230713LAPAROSCOPE WITH ADJUSTABLE SHAFT - A laparoscope with an elongated rigid shaft, including an observation device at its distal end and a handle body at its proximal end, with a main body disposed at a distance from the handle body and connected thereto by a connecting piece, wherein the connecting piece is designed such that the position thereof can be adjusted.09-22-2011
20080262296ENDOSCOPE SYSTEM - An endoscope system (10-23-2008
20090203961Surgical Instrument - A surgical instrument adapted for use during transanal endoscopy is disclosed. The surgical instrument has a shaft having a proximal end and distal end. A working part, for example a scissors or gripper, is attached to the distal end of the shaft, and a handle potion is attached to proximal end of the shaft. The handle portion is actuatable to actuate said working part via a force transmission member. The shaft further includes a linear insertion portion having a longitudinal axis. The proximal end of the shaft is laterally displaced relative to the longitudinal axis of the insertion portion. This configuration increases the ability to manipulate and actuate the surgical instrument during a transanal endoscopic procedure or similar surgical procedure.08-13-2009
20100168513Integrated Delivery and Visualization Tool for a Neuromodulation System - Methods and apparatus for delivering a neurostimulator to a target tissue are provided which may include any number of features. One feature is a delivery tool comprising a handle portion, an elongate shaft comprising a contoured distal portion, a visualization system embedded in the elongate shaft, and an insertion groove on the elongate shaft configured to deploy the neurostimulator. The contoured distal portion can be shaped and configured to maintain contact with a posterior maxilla and elevate a periosteum off of the posterior maxilla to avoid soft tissue dissection. In some embodiments, the neurostimulator is implanted in close proximity to or touching the sphenopalatine ganglion.07-01-2010
20110237881SUPPORT AND GUIDE DEVICE FOR AN ENDOSCOPIC INSTRUMENT - A support and guide device for an endoscopic instrument includes a first guide device extending substantially in a plane and bordering a surface, a first carriage that can travel along the first guide device, a second guide device connected to the first carriage and extending in a plane perpendicular thereto, a second carriage that can travel along the second guide device, a holder for the endoscopic instrument which is connected to the carriage and rotatable about the longitudinal axis of the carriage and moveable in the axial direction, and drive units for the first and the second carriages and for the holder for the endoscopic instrument. A control system is associated with the drive units.09-29-2011
20100228086SIDE VIEWING ENDOSCOPE SYSTEM - A side viewing endoscope system is discloses that a mother endoscope of a side viewing type provided an endoscopic observation means is disposed on a side surface of a rigid distal end portion, a instrument rising chamber installed of a instrument riser member for rising up or sinking down of a treatment instrument in the rigid distal end portion, a biopsy channel provided through an axial direction of the insertion section being communicated with said instrument rising chamber, a daughter endoscope having a slender insertion section being inserted into the biopsy channel and having a viewing field in a forward direction of the distal end of the slender insertion section, a perforation window formed at the rigid distal end portion and having a viewing field of the forward direction of the biopsy channel, and the distal end portion being introduced through the biopsy channel at a position not to be protruded from the outer surface of the rigid distal end.09-09-2010
20100228084PUNCTURE NEEDLE DEVICE FOR ULTRASONIC ENDOSCOPE - A puncture needle device detachably attached to an ultrasonic endoscope via a pipe sleeve including a non-circular collar, including a cylindrical connecting body into which the pipe sleeve is inserted, the cylindrical connecting body including an insertion limit portion which contacts the pipe sleeve to prevent it from being further inserted, and a non-circular collar receiving hole engaged with the collar and irrotatable relative thereto when the pipe sleeve is inserted; a sheath projecting from the cylindrical connecting body and inserted into an internal conduit of the ultrasonic endoscope; a puncture needle inserted into the sheath; and a lock member supported by the cylindrical connecting body and movable between an unlocked position allowing the pipe sleeve to insert and remove from the cylindrical connecting body, and a locked position wherein the lock member contacts the collar of the pipe sleeve to prevent it from removing from the cylindrical connecting body.09-09-2010
20100228083SLOTTED CLEAR CANNULA - A slotted cannula for endoscopic surgical procedures is disclosed. The slotted cannula has a tubular body having a distal end, a proximate end, an open slot extending longitudinally from the beginning of the proximate end to the proximity of the distal end, and a pair of wings integrally formed on the proximate end. The tubular body is made from a transparent material and has an inner diameter large enough to accommodate an endoscope.09-09-2010
20090076319ENDOSCOPIC-USE TREATMENT INSTRUMENT - An endoscopic-use treatment instrument according to the present invention includes: a wire; an Y-shaped knife formed by a flexible material and is disposed at the distal end of the wire and used for treatment conducted in a body cavity; a flexible sheath having the wire passing therethrough; an operation section provided to the proximal end of the wire and capable of rotating the wire around an axial line; a cylindrical bearing fixed to the distal end of the sheath; a rotative member inserted into the bearing and capable of freely rotating relative to the bearing; and a regulator section provided to the rotative member and regulating the rotation of the treatment member relative to the rotative member around the axial line, so that the Y-shape knife is urged to expand outward in a radial direction of the sheath when the Y-shape knife is in the exterior of the sheath, and the rotation of the Y-shape knife relative to the rotative member around the axial line is regulated when the Y-shape knife makes contact with the regulator section. The rotational operation amount corresponds to rotational amount of a distal end mechanism correspond desirably according to this configuration.03-19-2009
20090292165ENDOSCOPIC SURGICAL APPARATUS - An endoscopic surgical apparatus includes a treatment accessory configured to be inserted through a channel of an endoscope, including a treatment portion with a treatment function, and having a movement function, a setting unit configured to set a reference position as a reference in treatment by the treatment accessory and a reference direction relative to the reference position, a detecting unit configured to detect a movement state of the treatment accessory in the reference direction relative to the reference position, a control unit configured to control the movement function or the treatment function on the basis of the movement state.11-26-2009
20110028783MULTI-LUMEN ENDOSCOPIC ACCESSORY AND SYSTEM - The embodiments of the present invention relate to an endoscopic system and accessories. In particular, the various embodiments relate to endoscopic systems in which an accessory comprises a multi-lumen device that is capable of quantitatively delivering at least a catheter, a balloon, and a needle to a site. The accessory is configured to allow for individual, independent control of its components. For example, in some embodiments, the needle and guidewire can be independently controlled. In addition, the needle may be retracted back into an inner lumen of the catheter body. Accordingly, during use, the accessory of the embodiments allows the user to maintain access to an incision site without having to exchange or remove accessories for various parts of the procedure02-03-2011
20090105536ENDOSCOPE TREATMENT SYSTEM - An endoscope treatment system includes: an advancing and retracing device which electromotively advances and retracts a treatment instrument insertion portion of a treatment instrument to be introduced in a treatment instrument insertion channel through a treatment instrument opening opened at a mouth ring portion of an endoscope; and a connecting tube including a tube main frame to which the treatment instrument insertion portion is inserted and an attaching portion provided at one end portion of the tube main frame, while the attaching portion is arranged at the mouth ring portion or the treatment instrument insertion portion integrally.04-23-2009
20090105535Apparatus for applying surgical fasteners to body tissue - An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.04-23-2009
20100130817TISSUE MANIPULATION DEVICES - Devices are provided for manipulating tissue during a surgical procedure. In certain embodiments, an end effector is operably coupled to the end of an elongate shaft. The end effector has at least one tissue support linkage movably coupled thereto such that upon application of a first actuation force thereto, the tissue support linkage moves laterally outward from within the end effector to enable the surgeon to manipulate/support adjacent tissue therewith. Upon application of another actuation force to the tissue support linkage, the tissue support linkage is caused to move substantially completely within the outer perimeter of the end effector to enable the end effector to be inserted through a lumen/opening or passageway. In various embodiments, the end effector may be selectively articulateable relative to the elongate shaft.05-27-2010
20090036737OPERATION SECTION STRUCTURE OF TREATMENT INSTRUMENT FOR ENDOSCOPIC USE - An operation section structure of a treatment instrument for endoscopic use has: a hook knife inserted into a body cavity; a wire having a distal end connected to the hook knife; a tubular flexible sheath provided to an outer periphery of the wire; a current-carrying plug having a main unit having a distal end connected to the sheath; a sliding member made of a conductive material and having a proximal end of the wire fixed thereto, the sliding member being capable of sliding on the main unit in longitudinal direction; a operation member capable of freely rotating in circumferential direction of the operation member; and attached to the sliding member; and a conductive section provided to the operation member, the conductive section being made of a conductive material providing conductivity by making contact with the sliding member. This configuration can rotate the distal end structure easily.02-05-2009
20110028784MULTI-LUMEN ENDOSCOPIC ACCESSORY AND SYSTEM - The embodiments of the present invention relate to an endoscopic system and accessories. In particular, the various embodiments relate to endoscopic systems in which an accessory comprises a multi-lumen device that is capable of quantitatively delivering at least a catheter, a balloon, and a needle to a site. The accessory is configured to allow for individual, independent control of its components. For example, in some embodiments, the needle and guidewire can be independently controlled. In addition, the needle may be retracted back into an inner lumen of the catheter body. Accordingly, during use, the accessory of the embodiments allows the user to maintain access to an incision site without having to exchange or remove accessories for various parts of the procedure02-03-2011
20110034766CAPSULE MEDICAL APPARATUS SYSTEM - A capsule medical apparatus system includes a rotating magnetic field generation apparatus that generates a desired rotating magnetic field in three-dimensional directions, a capsule medical apparatus that includes a magnet and a needle for puncture that can be projected and retracted in a rotation direction of the rotating magnetic field and is rotated in the direction of the rotating magnetic field when the rotating magnetic field is applied to the magnet, a step-out operation detecting unit that detects a step-out operation by which the capsule medical apparatus is inversely rotated when a luminal surface is punctured with the needle, and a magnetic-field control instructing unit that controls the rotating magnetic field generation apparatus on the basis of a detection result performed by the step-out operation detecting unit.02-10-2011
20110034767SURGICAL PORT FOR NOTES PROCEDURES - A dual use compression clip and surgical port device where the device serves as a surgical compression clip and surgical port in surgical procedures. The device comprises two compression elements each constructed having a bounding surface which when taken together form the boundary of a surgical port and one or more hinge elements in mechanical communication with the compression elements allowing the compression elements and the device to move from an open arrangement to a closed arrangement. The device also includes one or more apertures on each of the compression elements sized and configured to receive the insertion elements of an applicator instrument so that a force applied by the applicator instrument brings the device and compression elements from their open arrangement to their closed arrangement. A system and method for use of the device is also discussed.02-10-2011
20090099415Endoscopic Instrument System for Implanting a Device in the Stomach - An endoscopic delivery system is provided to deliver a functional device through the esophagus and into the stomach where it is attached the stomach wall. The endoscopic instruments attach or remove the attachment devices and functional devices from the stomach and may be used to assist in determining the optimal attachment location.04-16-2009
20090312603ENDOSCOPIC TISSUE ANCHOR DEPLOYMENT - An endoscopic tissue anchor deployment device includes a handle, an elongated shaft defining an internal lumen, and an end effector attached to the distal end of the elongated shaft. A tissue anchor catheter is removably inserted through the lumen of the elongated shaft, the catheter having a tissue anchor assembly that is deployable from its distal end. In some embodiments, the handle includes a pin and track assembly that define a series of handle actuation steps corresponding to deployment steps for the deployment device end effector and the tissue anchor catheter. In some embodiments, the handle includes a catheter stop member that prevents movement of the tissue anchor catheter under certain circumstances, and a handle stop member that prevents actuation of the handle under certain circumstances.12-17-2009
20100056863MEDICAL MANIPULATOR, MEDICAL TREATMENT SYSTEM, AND METHOD FOR MEDICAL TREATMENT - A medical manipulator which includes: a plurality of arms formed in a cylindrical shape a distal end portion of which is made of a rigid member having a bending portion capable of bending; an insertion portion made of a rigid member having a plurality of channels in which base ends of the plurality of arms are connected to a distal end of the insertion portion so as to connect lumens of the arms to the plurality of channels; a photographic device provided at the distal end of the insertion portion; an operation portion that operates the bending portion; and a transmission member that connects the bending portion and the operation portion, in which the bending portion has: a first bending portion that is capable of bending in a predetermined direction by an operation of the operation portion, and a second bending portion provided in a base end than the first bending portion that is capable of fixing the plurality of arms in a bent state so as to mutually separate, and the transmission portion has: a first region which is flexible, and a second region which is rigid and connected to a base end portion of the first region.03-04-2010
20120245414HANDLE FOR CONTROLLING INSTRUMENTS, ENDOSCOPIC INSTRUMENT COMPRISING SUCH A HANDLE, AND AN ASSEMBLY09-27-2012
20100063354MANIPULATION MECHANISM AND MEDICAL DEVICE INSTRUMENT - A manipulation mechanism of the present invention includes an oscillating body which is disposed on a first imaginary plane, where first and second imaginary planes are parallel to each other with respect to a manipulation reference plane; and a holding body which is disposed on the second imaginary plane so as to regulate an oscillating locus of the oscillating body, wherein the oscillating body is provided with first and second convex portions which are spaced from each other and protrude toward the holding body, wherein the holding body is provided with first and second groove portions which respectively guide the first and second convex portions, and wherein the first and second groove portions are formed to be closer to each other in a direction away from the manipulation reference plane on one side of the manipulation reference plane from a point on the manipulation reference plane as a start point03-11-2010
20100063353ROTATIONAL/LINEAR CONVERTER FOR MEDICAL DEVICE - The present invention discloses a surgical equipment, having a proximal portion and a distal portion at least reversibly or temporarily interconnected along a main longitudinal axis (shaft P:D); said proximal portion is insertable into a body cavity, and having at least one manoeuvrable effecter; said effecter is adapted to be either manoeuvred linearly along said axis (linear effecter) or to be manoeuvred rotationally around said axis (rotational effecter); said distal portion comprising a handset located outside the body; said handset is adapted to manoeuvre said effecter with either a linear motion along said axis (linear handset) or a rotational motion around said axis (rotational handset); said effecter comprising a proximal effecting means and a distal converter; said converter translates either linear motion to rotational motion or rotational motion to linear motion; so as said rotational effecter is adaptable to a linear handset, and vice versa, a linear effecter is adaptable to a rotational handset.03-11-2010
20110178367ENDOSCOPIC DEVICE WITH END EFFECTOR MECHANISM - An endoscopic device and associated method of use. The endoscopic device includes a tubular portion and an end effector mechanism for mounting at an end of the tubular portion. The end effector mechanism includes a casing defining a cavity open to an exterior of the casing. A manipulator member is nested within the cavity of the casing and extendable to protrude to the exterior of the casing. The manipulator member includes a plurality of serially coupled manipulator segments and ending with a last manipulator segment. Each manipulator segment is pivotally connected to an adjacent manipulator segment. A surgical end effector tool such as a gripper or cutter is mounted at the last manipulator segment. A mechanical control may be located within the casing and used for mechanically controlling of the manipulator member. The endoscopic device may operate from a single port or natural orifice of a patient.07-21-2011
20100056861ARTICULATING END CAP - Various embodiments of a surgical device and methods of using the surgical device are disclosed. The surgical device may comprise a collar configured to fit over a distal face of an endoscope and rotate about a longitudinal axis of the endoscope. The surgical device may also comprise a flexible, elongate translating mechanism coupled to the collar and extending proximally from the collar. Applying a linear force to the translating mechanism may cause the translating mechanism to exert a rotational force on the collar. In addition, the surgical device may comprise a hollow cap coupled to a distal end of the collar. The cap may be pivotable relative to the collar in a plane parallel to the axis. In addition, the cap may have a first open end configured to face the endoscope and a second open end configured to face distally.03-04-2010
20090216078ENDOSCOPIC TREATMENT TOOL - Endoscopic biopsy forceps as one of endoscopic treatment tools of the present invention include a flexible insertion section. The proximal end portion of the insertion section is received in an operating section. A closely wound coil is exposed to the proximal end portion of the insertion section, and the proximal end portion of the coil is enlarged in diameter to form an enlarged-diameter portion. A protrusion is formed in an operation section body, and the enlarged-diameter portion of the coil is locked by the protrusion to restrict the movement of the coil, thereby preventing slipping off of the insertion section.08-27-2009
20110077460SURGICAL ENDOSCOPE AND PROCESS FOR EXCHANGING SURGICAL TOOLS IN A SURGICAL ENDOSCOPE - It is described an endoscope to perform surgeries preferably by perforation in translumenal organs in internal organs, comprising an insertion tube (03-31-2011
20110060188LOW COST DISPOSABLE MEDICAL FORCEPS TO ENABLE A HOLLOW CENTRAL CHANNEL FOR VARIOUS FUNCTIONALITIES - The present invention relates to an endoscopic biopsy forceps (03-10-2011
20110071350APPLICATOR FOR ENDOSCOPIC TREATMENT OF BILIARY DISEASE - The application discloses devices, systems, kits and methods for treating biliary disease. Device comprise, for example, a component configured for deployment to a lumen of a gallbladder or gallbladder duct which has a proximal end and a distal end with a lumen extending therethrough and a fluid or gas delivery apparatus at its distal end.03-24-2011
20120071716MEDICAL INSTRUMENT WITH MULTIPLE FUNCTIONS FOR AN ENDOSCOPE - The invention relates to a medical instrument for an endoscope, the instrument comprising a flexible outer insertion tube (03-22-2012
20120203063TREATMENT TOOL FOR ENDOSCOPE - A treatment tool for endo scope includes a pair of forceps members supported by a forceps rotation axis such that they can rotate relatively, an operation part for performing an open-close operation of the pair of forceps members, an operation wire that connects the pair of forceps members and the operation part, an insertion part which the operation wire is inserted into, a cover member that secures the forceps rotation axis to the insertion part, a connection member including a link rotation axis, provided at a distal-end part of the operation wire, and a pair of link members, first end parts of each being rotatably connected via respective rotation axis members to a proximal-end part of each of the pair of forceps members, and second end parts of each being rotatably connected to the link rotation axis. The cover member includes restricting parts.08-09-2012
20100004505ENDOSCOPE APPARATUS - When an operation instruction is input by a first (second) control output instruction input device, locus calculation means calculates a locus of movement of a first (second) therapeutic device on the basis of any one of joint sections, which is instructed to operate. On the basis of a calculation result by the locus calculation means, therapeutic device operation control means controls an operation of the first (second) therapeutic device by a first (second) active mechanism. Thereby, there is provided an endoscope apparatus which can improve the operational efficiency and positional precision of the therapeutic device.01-07-2010
20120203064Percutaneous Renal Access System - A method for creating a tract in retrograde fashion for nephrostomy tube creation comprising the steps of providing a puncture wire having a tissue penetrating tip shielded in a sheath, inserting the puncture wire and sheath through a channel in an ureteroscope, advancing the puncture wire from the sheath while visualizing under direct vision a position of the puncture wire, advancing the puncture wire through a selected calyx, and inserting antegrade a coaxial catheter over the puncture wire.08-09-2012
20090281378MEDICAL SYSTEM - A medical system includes an insertion device to be inserted into a body cavity and including a channel extending between a distal end portion of the insertion device and a proximal end portion thereof and a proximal end opening portion connected with a proximal end portion of the channel, a treatment device to be inserted into the channel from the proximal end opening portion and to be inserted through the channel, and including an actuating portion provided at a distal end portion of the treatment device, a coupling portion provided at a proximal end portion of the treatment device, and a transmitting portion extending between the actuating portion and the coupling portion and to transmit a driving force applied to the coupling portion to the actuating portion, a driving device including a coupling accepting portion to be coupled with the coupling portion and a driving mechanism to drive the coupling portion coupled with the coupling accepting portion, and a guide mechanism including a guide member to be arranged between the coupling portion coupled with the coupling accepting portion and the proximal end opening portion, to support and guide the transmitting portion between the coupling portion coupled with the coupling accepting portion and the proximal end opening portion, and harder than the transmitting portion.11-12-2009
20110257480MULTIJOINT MANIPULATOR AND ENDOSCOPE SYSTEM HAVING THE SAME - A multijoint manipulator apparatus includes a tubular-member, linear-motion-transmission-members, a drive-unit, a position-detector, a tension-detector, an operation-unit, and a movement-degree-calculation-unit. The linear-members are inserted in the tubular-member, one end and the other end of each of the linear-members being fixed to the vicinity of a joint of the tubular-member and the drive-unit, respectively. The drive-unit moves the linear-members. The position-detector and the tension-detector detect positions and tension of the linear-members, respectively. A desired position/posture of a point of interest is input to the operation-unit. The calculation-unit calculates a current position/posture of the point, a weighting factor serving to give priority to and move the linear-members the tension of which is relatively low among the linear-members, and movement degrees of the linear-members to move the point to the desired position/posture, and causes the drive-unit to pull the linear-members.10-20-2011
20080319260Medical device - A medical device of the invention includes: a treatment instrument including a treatment portion which is used extended from a distal end of an endoscope insertion portion having a treatment instrument channel, an operation portion for operation of advancing/retreating an operation wire coupled to the treatment portion, and a treatment instrument insertion portion in which the operation wire is advanceably/retreatably inserted, the treatment instrument insertion portion having a predetermined flexibility and inserted into the treatment instrument channel; a detecting portion for detecting advancing/retreating moving amount of the treatment instrument insertion portion; a treatment portion operating device to which the operation portion is installed, the treatment portion operating device advancing/retreating the operation wire to operate the treatment portion; an operation instructing portion for instructing operation of the treatment portion; and a control device for judging a state of the treatment instrument insertion portion and driving the treatment portion operating device by a moving amount obtained by correcting an advancing/retreating amount of the operation wire, based on a detection result from the detecting portion according to an instruction from the operation instructing portion.12-25-2008
20080306336RETRIEVAL DEVICE - An endoscopic device for retrieving an object from within a human body is disclosed. The device includes a support assembly, a transmitting assembly, a wire, and a net element. The support assembly has a base and a tubular member. The transmitting assembly includes a handle and a motion transmitting link fixed to the handle and extending through at least a portion of the tubular member. The wire defines a loop portion and two leg portions. A proximal end of each leg portion is secured to the link by a first connection and the two leg portions are secured to each other by at least a second connection distal from the first connection. The net element has a distal portion secured to the loop portion and a proximal portion secured relative to the leg portions. The loop portion is movable between an expanded position and a collapsed position.12-11-2008
20100331623System for endoscopic suturing - A system for endoscopic suturing is provided having an endoscope, such as a gastroscope, with a distal end locatable in the body of a patient and a flexible shaft extending to the distal end, a flexible accessory tube coupled to the endoscope to be movable relative to the endoscope's shaft, and a tip coupled to the shaft of the endoscope having an opening through which one end of the accessory tube is received. A tissue suturing instrument is provided having a partially flexible shaft locatable through the accessory tube, and a tissue engaging end coupled to the shaft. The tissue engaging end has a vacuum sleeve enabling suction to be selectably applied at the tissue engaging end to capture tissue through an opening in the vacuum sleeve. Two needles are provided which extend through the shaft of the suturing instrument. Each needle is separately actuated into a gap in the instrument's tip, through tissue suctioned into the opening of the vacuum sleeve and into a ferrule at each end of a loop of suture. The system further includes a suture securing instrument having a partially flexible shaft locatable through the accessory tube, and a distal end coupled to the shaft. After removal of the suturing instrument from the accessory tube, a loop of suture extends through the tissue and the accessory tube, the suture securing instrument receives the free ends of the loop of suture at its distal end through a sleeve member, and the suture securing instrument is then inserted through the accessory tube to the location of the suture in the tissue. The suture securing instrument crimps the sleeve member and cuts the free ends of the suture to secure the suture closed. The suturing instrument and suture securing instrument are passed through the accessory tube without removal of the endoscope from the patient. The endoscope provides viewing by an operator of the engaging end of the suturing instrument for selecting placement of the suture through tissue, and of the distal end of the suture securing instrument to secure the suture closed.12-30-2010
20110118546BALLOON CATHETER WITH DETACHABLE HUB, AND METHODS FOR SAME - A balloon catheter may include a distal anchoring balloon and a proximal hub that is removable from the catheter body. The catheter body may include a valve structure providing for maintaining the balloon in an inflated state during and after removal of the proximal hub. The valve preferably is constructed such that removal of the hub provides a low-profile proximal catheter end that will allow that proximal catheter end to pass through an endoscopic surgical device such as, for example, through an accessory channel of a standard duodenoscope and/or an ultra-slim endoscope/cholangioscope, facilitating a scope-exchange for use during, for example, a cholangioscopy or pancreatoscopy procedure. A method useful for scope exchange and/or introducing another elongate surgical device may utilize a balloon catheter with a distal anchoring balloon and a proximal hub that is removable from the catheter body.05-19-2011
20100179383SELECTIVE CANNULATION METHOD AND ENDOSCOPIC TREATMENT INSTRUMENT USED FOR LUMENAL TISSUE HAVING BRANCH SECTION - A selective cannulation method for a lumenal tissue's branch section includes: a first step for guiding an endoscope having a channel to an aperture section of the lumenal tissue; a second step for inserting a distal end of an endoscopic treatment instrument through the channel into the aperture section of the lumenal tissue; a third step for having the distal end of the endoscopic treatment instrument make contact with a pipe wall extending from the aperture section of the lumenal tissue to the branch section at two opposed points on the pipe wall by deforming the distal end of the endoscopic treatment instrument; a fourth step for sliding and moving the distal end of the endoscopic treatment instrument to the branch section while having the distal end of the endoscopic treatment instrument make contact with the pipe wall; and a fifth step for inserting the distal end of the endoscopic treatment instrument into a predetermined branch lumen divided from the branch section.07-15-2010
20100121141ENDOSCOPIC CUTTING AND DEBRIDING DEVICE MOUNTED ON A FLEXIBLE AND MANEUVERABLE TUBE EMPLOYING A FLUID-DRIVEN TURBINE - An endoscope for visualizing and operating upon a surgical site within a human body employs an elongated tubular body adapted to be inserted through bodily passages so that the distal end is adjacent the surgical site. The body has a flexible section, at least proximal to the distal end, and manually adjustable bending controls at the proximal end may be manipulated to impose bending forces on the distal end to steer the distal end to the surgical site. A fluid turbine supported for rotation adjacent the distal end is powered by fluids pumped through a passage so as to rotate the turbine. The various cutters and debriding tools may be attached to the distal ends so that they are rotated by the turbine.05-13-2010
20090275797HYBRID LAPAROSCOPIC-ENDOSCOPIC SURGICAL TECHNIQUE FOR DELIVERING END EFFECTORS THROUGH A NATURAL ORIFICE - A method for performing a hybrid laparoscopic-endoscopic procedure is achieved by inserting a medical instrument laparoscopically through an abdominal wall and into a gastric cavity, inserting an overtube and endoscope transorally into the gastric cavity to provide an access path to the gastric cavity, passing an end effector transorally to the surgical site translumenally within the endoscope, and attaching the end effector to a distal end of the medical instrument while the instrument is positioned within the gastric cavity.11-05-2009
20100030019ENDOSCOPIC SURGICAL OPERATION METHOD - Endoscopic surgical operation method includes: a step of lifting a living tissue including an diseased tissue located distally relative to an operation channel of an endoscope inserted through a natural orifice; a step of suturing a proximal region and a distal region of the living tissue positioned basal relative to the diseased tissue lifted by a suturing means section projecting distally from the operation channel of the endoscope after the lifting; and a step of resecting the living tissue between the sutured regions and the diseased tissue endoscopically after suturing the proximal region and the distal region of the living tissue surrounding the diseased tissue.02-04-2010
20110137116Endoscopic Surgical Instrument With Color-Coded Working Parts - An endoscopic surgical instrument includes an insertion portion adapted to be inserted into a body, the insertion portion having a proximal end extending outside the body during use and a distal end located within the body during use, a working part attached to the distal end of the insertion portion, the working part being disposed within the body during use, and a handle portion attached to the proximal end of the insertion portion, the handle portion being disposed outside of the body during use, the handle portion being actuatable to actuate the working part via a force transmission member. The working part is a member of one of a plurality of subsets of working parts, members of each subset of working parts being visually distinguishable from members of each other subset of working parts by color.06-09-2011
20120041259ENDOSCOPIC SYSTEM FOR RESECTION OF TISSUE - The present embodiments provide apparatus for facilitating endoscopic resection of tissue. The apparatus comprises proximal and distal barrels. The proximal barrel is adapted to be coupled to an endoscope. A cutting member is disposed within a lumen of the distal barrel and configured to resect a segment of tissue. In one embodiment, a central longitudinal axis of the proximal barrel is radially offset from a central longitudinal axis of the distal barrel, thereby allowing the cutting member to be centered relative to the working lumen of the endoscope. Additionally, the cutting member may comprise at least one viewing window that permits endoscopic visualization of tissue distal to the distal barrel when the cutting member is disposed within the distal barrel.02-16-2012
20100191052BARREL SYSTEM FOR USE WITH AN ENDOSCOPE - The present embodiments provide apparatus and methods for facilitating cauterization of tissue. In one embodiment, the apparatus comprises a proximal barrel and a distal barrel, which are coupled together and moveable with respect to one another. At least a portion of the proximal barrel may be coupled to an endoscope to secure the apparatus to the endoscope. At least one electrocautery member is disposed within a lumen of the distal barrel and configured to cauterize at least a segment of tissue pulled into a lumen of the proximal barrel and/or the lumen of the distal barrel.07-29-2010
20090187070INJECTION NEEDLE FOR ENDOSCOPE, AND INNER TUBE HAVING NEEDLE BODY FIXED TO ITS DISTAL END - An injection needle for an endoscope includes an insertion portion including, an outer tube, and an inner tube movably arranged forward and backward within the outer tube, and which has a coil member and a needle body fixed to a distal portion of the inner tube, and an operating portion which is fixed to the outer tube and for operating to move the inner tube forward and backward, wherein the coil member is fitted on and is anchored to a portion opposed to a tip of the needle body, and the inner tube is fitted on and anchored to the coil member.07-23-2009
20100113873SUTURING DEVICE AND SUTURING SYSTEM - A suturing device for suturing tissues by using a suturing unit having an anchor mounted to an end portion of a suturing thread is provided, the suturing device including: a pair of first and second jaws which are opened or closed so as to grip the tissue; a hollow needle tube which receives the anchor in an inner cavity thereof; and a pusher which is inserted through the needle tube in a freely advancing and retracting manner and is capable of pushing the anchor received in the needle tube toward a distal end of the needle tube, in which the needle tube is disposed so as to intersect the first jaw and to allow the distal end thereof to face the second jaw, and in which, when the tissue is gripped by the first and second jaws, the needle tube is inserted into the tissue.05-06-2010
20120065467ROBOTIC CATHETER SYSTEM AND METHODS - The apparatus of one embodiment of the present invention is comprised of a flexible sheath instrument, a flexible guide instrument, and a tool. The flexible sheath instrument comprises a first instrument base removably coupleable to an instrument driver and defines a sheath instrument working lumen. The flexible guide instrument comprises a second instrument base removably coupleable to the instrument driver and is threaded through the sheath instrument working lumen. The guide instrument also defines a guide instrument working lumen. The tool is threaded through the guide instrument working lumen. For this embodiment of the apparatus, the sheath instrument and guide instrument are independently controllable relative to each other.03-15-2012
20120016196ENDOSCOPIC BALLOON TISSUE DISSECTOR AND RETRACTOR - In endoscopic surgery, a retractor having independently spreadable retractor blades mounted at the distal end of a tube is introduced percutaneously. A balloon dissector is passed through the tube and expanded. Following dissection by expansion of the balloon, the balloon is contracted, the tube is advanced, and the dissected tissue is spread by moving the blades apart from each other. The balloon dissector is withdrawn and another instrument is then introduced to carry out surgery on the anatomical structure exposed by the dissection and spreading steps.01-19-2012
20120016195METHODS AND SYSTEMS FOR MINIMALLY INVASIVE ENDOSCOPIC SURGERIES - The present invention relates to methods and systems for endoscopic fasciotomies. In certain embodiments such methods include dissecting tissue down to the fascia using an endoscopic dissector, lifting the fascia off tissue, vascular structures, muscle, and/or nerves, cauterizing and cutting the fascia using a bisector/bipolar device inserted through a cannula, retracting the cannula, and closing the incision site. A suction device introduced via the cannula may be used to apply suction to remove blood, tissue, irrigation fluid and/or other debris with the cannula in situ.01-19-2012
20120016194METHODS AND SYSTEMS FOR MINIMALLY INVASIVE ENDOSCOPIC SURGERIES - DEVICE - Methods and systems are provided for harvesting at least a portion of a blood vessel, such as the radial artery in the upper extremity and the saphenous vein in the lower extremity. In certain embodiments, an endoscopic surgical system includes a blunt tip trocar (BTT) for insertion into an incision in the extremity, a cannula for insertion through the BTT, a bisector/bipolar device, and an endoscope. The endoscope may have a dissection tip at its distal end for dissecting tissue from the blood vessel and, with the tip removed, may provide a visual field at its distal end. The endoscope is sized to fit into the cannula and provides visualization of the blood vessel during bisection with the bisector/bipolar device.01-19-2012
20120016193METHODS AND SYSTEMS FOR MINIMALLY INVASIVE ENDOSCOPIC SURGERIES - The present invention provides systems and methods for minimally invasive endoscopic surgical procedures. In certain embodiments, the surgical procedures include harvesting of a deep basilic or cephalic vein for creation of a brachial-basilic or brachial-cephalic AV fistula, with simultaneous transpositioning, harvesting of a deep basilic or cephalic vein for transposition of an existing brachial-basilic or brachial-cephalic AV fistula, and ligating and excising an aneurysmal radial-cephalic, brachial-cephalic, or brachial-basilic AV fistula from the upper or lower arm.01-19-2012
20100228085SLOTTED CLEAR CANNULA - A slotted cannula for endoscopic surgical procedures is disclosed. The slotted cannula has a tubular body having a distal end, a proximate end, an open slot extending longitudinally from the beginning of the proximate end to the proximity of the distal end, and a pair of wings integrally formed on the proximate end. The tubular body is made from a transparent material and has an inner diameter large enough to accommodate an endoscope.09-09-2010
20090105534ENDOSCOPIC TREATMENT INSTRUMENT - A treatment device for an endoscope has a tubular sheath portion having an inlet opening at the proximal end thereof and a long treatment device body provided with a basket at the distal end thereof, wherein the treatment device body is advanceably/retreatably inserted into the sheath portion through the inlet opening, and the basket is projected from and retreated into the distal end of the sheath portion by advancing and retreating the treatment device body relative to the sheath portion. The treatment device for an endoscope has an installation portion that is placed between an endoscope, at which forceps plug opening is provided, and the sheath portion and installs the sheath portion to the endoscope such that the inlet opening and the forceps plug opening are arranged opposite to each other on substantially the same line.04-23-2009
20120157765Endoscopic Suturing System With Retained End Cap - A treatment device for use with an endoscope having a instrument channel for passage of an endoscopic instrument and a distal end is provided. The treatment device includes an end effector assembly with a base for placement at the distal end of the endoscope, an end effector rotatable relative to the base, and a mounting portion for attaching the base to the endoscope. The mounting portion is resiliently compressible and can be radially compressed for insertion into the instrument channel, whereby an expansion force of the resiliently compressed mounting portion retains the base relative to the distal end of the endoscope. The mounting portion also includes an opening longitudinally extending therethrough and communicable with the instrument channel and sized for receiving an endoscopic instrument therethrough.06-21-2012
20120209063DEVICE FOR CONTROLLED ENDOSCOPIC PENETRATION OF INJECTION NEEDLE - An endoscopic needle device comprises a handle and a catheter sheath connected to the handle, wherein the catheter sheath has at least one lumen, for example a needle lumen and a stabilization lumen, extending therethrough. A needle is selectively movable within the needle lumen between a needle retracted position and a needle extended position and a stabilization element is selectively movable within the stabilization lumen between a stabilizer retracted position and a stabilizer extended position. A linking mechanism may operatively connect the needle and the stabilization element so that when the needle is in the needle retracted position the stabilization element is in the stabilizer extended position and when the needle is in the needle extended position the stabilization element is in the stabilizer retracted position.08-16-2012
20120157766DEVICE FOR ENDOSCOPIC TREATMENT OF UPPER GASTROINTESTINAL BLEEDING - A medical device designed for gastrointestinal endoscopists who require a more effective means of removing blood clots from the upper GI tract during episodes of upper GI bleeding. It is an endoscope attachment that breaks down blood clots, allowing them to be removed through the existing endoscope suction channel. Current methods are time-consuming, ineffective, and often life-threatening. This device offers an efficient alternative that makes the procedure quicker, safer, easier, and more cost-effective. The product offers simple solution to a life-threatening problem.06-21-2012
20110065986POSITIONING SYSTEM FOR MANIPULATING A CHANNEL WITHIN A MEDICAL DEVICE - Embodiments of the invention include a medical device for accessing a patient's body portion and used for diagnosis and treatment of medical conditions. Embodiments of the invention may include a particular endoscopic positioning mechanism for placing an endoscope and an additional treatment device within desired body portions in order to assist in diagnosis and treatment of anatomical diseases and disorders. In particular, a medical device according to an embodiment of the invention includes a positioning mechanism configured for movement through at least two degrees of freedom.03-17-2011
20110065985ENDOSCOPIC INSTRUMENT - An endoscopic instrument has a proximally arranged operating part, a distally arranged instrument head and a shaft connecting the operating part to the instrument head. A number of instrument channels guided through the shaft open out on the instrument head. These instrument channels run obliquely outwardly in the distal direction with respect to a central axis of the instrument head in a section of the channels that adjoins the distal openings thereof.03-17-2011
20100094083FLEXIBLE ENDOSCOPIC STITCHING DEVICES - An endoscopic stitching device is provided including a handle assembly supporting a manually operated suture needle loading assembly; a tool assembly operatively supported on and connected to the handle assembly; a suture needle operatively associated with the tool assembly, wherein the tool assembly includes a pair of juxtaposed jaws pivotally associated with one another; and an actuation cable extending between the handle assembly and the tool assembly, wherein axial displacement of the actuation shaft results in opening and closing of the jaws and rotation of the actuation cable results in selective retention of the suture needle in the jaws. A proximal end of the actuation cable is connected to the suture needle loading assembly such that actuation of the suture needle loading assembly imparts rotation to the actuation cable to selectively engage the suture needle in one of the jaws.04-15-2010
20120123204Percutaneous Renal Access System - A method for creating a tract for nephrostomy tube creation comprising the steps of providing a puncture wire having a tissue penetrating tip shielded in a sheath, the puncture wire slidable within the sheath and releasably lockingly engaged thereto, inserting the puncture wire and sheath in a first direction through a working channel of an ureteroscope to exit the channel of the ureteroscope, releasing the puncture wire from the sheath and advancing the puncture wire a first distance from the sheath while visualizing via the ureteroscope the position of the puncture wire, advancing the puncture wire and the sheath into a selected calyx and through a flank of a patient, removing the puncture wire from the sheath in a second direction different from the first direction and inserting a guidewire through the sheath.05-17-2012
20120149979Needle Capture Device - A needle capture device includes a flexible tubular member, a flexible shaft extending through the tubular member, a proximal handle for moving the shaft and tubular member relative to each other, a housing at the distal ends of the shaft and tubular member, and a capture mechanism situated within housing. The housing has an alternating arrangement of flights and spaces radially arrayed about its exterior dimensioned to be closely received within an endoscopic instrument channel so as to coaxially orient said housing with the instrument channel. The capture mechanism has a first configuration in which it is adapted to receive and retain a needle presented into the distal end of the instrument channel, and a second configuration in which it is adapted to release the needle from the instrument channel.06-14-2012
20090131748Ligator - An apparatus applicable for the ligation of internal tissue in a created or natural cavity in animals or in the human body fx varicose veins in the gullet or a duodenal diverticulum by means of an elastic band (05-21-2009
20110004056 DEVICE FOR ENDOSCOPIC REMOVAL OF STONES OR CONCREMENTS FROM A BILE AND PANCREATIC DUCT OR FOREIGN BODIES AND POLYPS SUBSEQUENT TO POLYPECTOMY IN THE UPPER OR LOWER GASTROINTESTINAL TRACT01-06-2011
20120165606CATHETER INCLUDING A BENDABLE PORTION - A catheter including a tube having at least one lumen, at least one elongate element, the at least one elongate element having a bendable portion at a predetermined bendable portion location therealong forward of a distal end of the tube and at least one selectably inflatable balloon communicating with at least one of the at least one lumen, the at least one selectably inflatable balloon having a forward end and a rearward end, the rearward end of the balloon being located rearwardly of the predetermined bendable portion location.06-28-2012
20120136207Endoscopic Methods and Devices for Transnasal Procedures - Medical devices, systems and methods that are useable to facilitate transnasal insertion and positioning of guidewires and various other devices and instruments at desired locations within the ear, nose, throat, paranasal sinuses or cranium.05-31-2012
20100174140INTEGRATED ENDOSCOPE AND ACCESSORY TREATMENT DEVICE - An integrated endoscope and accessory treatment device is provided. The device employs a medical treatment device at its distal end that is combined with the endoscope as a complete system. The treatment device is controlled by integrated elements at the proximal end of the endoscope. The treatment devices may include tissue apposition devices, tissue cutting devices, forceps and others.07-08-2010
20100174139Guide Wire Insertion and Re-Insertion Tools and Methods of Use - An insertion tool for use in inserting a guide wire into a guide wire lumen of a catheter for use in a lumen of an endoscope. The insertion tool includes a main body having a main lumen and a funnel-shaped extension connected to and disposed atop the main body. The funnel-shaped extension having a funnel lumen. The funnel lumen has a top opening and a bottom opening. The funnel lumen tapering from the top opening to the bottom opening. The bottom opening positioned and sized to communicate with the guide wire lumen of the catheter such that, when the catheter is disposed in the main lumen, the guide wire may be easily inserted into the top opening of the funnel lumen and into the guide wire lumen of the catheter.07-08-2010
20120083654SIDE LOOKING MINIMALLY INVASIVE SURGERY INSTRUMENT ASSEMBLY - A surgical instrument is inserted through a guide tube. The surgical instrument exits at an intermediate position of the guide tube and is oriented to be substantially parallel to the guide tube's longitudinal axis as it exits. A stereoscopic image capture component is on the guide tube between the intermediate position and the guide tube's distal end. The image capture component's field of view is generally perpendicular to the guide tube's longitudinal axis. The guide tube is jointed to allow the image capture component to be moved. The surgical instruments and the guide tube are telemanipulatively controlled.04-05-2012
20120172663ENDOSCOPIC INSTRUMENT SYSTEM - An endoscopic instrument system for performing endoscopic interventions via a natural access path, including a flexible endoscope with an endoscope handle and an elongate endoscope shaft introducible into a hollow space in a body, wherein the endoscope shaft includes a steerable end section and at least one instrument channel, and also includes an endoscopic instrument with a handle, an elongate instrument shaft and a tool which can be actuated by a pull and/or push element arranged within the instrument shaft and connected to the handle and to the tool, wherein the endoscopic instrument can be introduced into the instrument channel for conducting manipulations in the hollow space in the body, and wherein the instrument shaft includes a continuous flexible tube that is connected, such that it is rotationally fixed, to the handle and to the tool with respect to a longitudinal direction of the tube.07-05-2012
20100048992ENDOSCOPE THERAPEUTIC DEVICE - In an endoscope therapeutic device having a plurality of introduction guide tubes for introducing a treatment tool into a body cavity, the introduction guide tubes are mutually joined at a position more proximal than bending portions thereof. Accordingly, the effects caused by the movement of the plurality of the introduction guide tubes are mutually invalidated at a joint portion as a fulcrum, so that the position of the introduction guide tube is relatively stabilized in the body cavity. As joining methods, there are integration, usage of a joint tool, and usage of an over tube. The operability is improved when the introduction guide tube is provided at the distal end thereof with a mechanism for retaining and/or rotating a distal end of a treatment tool inserted therethrough.02-25-2010
20100048990ENDOSCOPIC NEEDLE FOR NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY - A translumenal access device may comprise a catheter, an inflatable member, a hollow needle, a stylet, and a guide wire. The catheter may comprise at least one first lumen and at least one second lumen. The at least one first lumen may be configured to slidably receive the guide wire from the proximal end to the distal end of the catheter. The inflatable member may be mounted near the distal end of the catheter, and may be in fluid communication with second lumen. The hollow needle may be mounted on the distal end of the catheter. The hollow needle may be mounted distal to the inflatable member. The stylet may comprise a third lumen and may be configured to be slidably disposed within the hollow needle. The sylet has at least one extended position and at least one retracted position.02-25-2010
20100298639METHODS FOR USING SELF-RETAINING SUTURES IN ENDOSCOPIC PROCEDURES - Endoscopic methods utilize self-retaining sutures to approximate tissue in a cavity of a subject. An endoscopic instrument is provided containing the self-retaining suture. The endoscopic instrument may be provided in combination with an endoscope and/or an endoscopic manipulator. The endoscopic instrument is passed through a cavity wall into a cavity of a patient. The self-retaining suture is deployed, using the endoscopic instrument, into a first tissue portion and a second tissue portion within the cavity. The self-retaining suture may be deployed endoscopically in patterns which include, purse string stitch, alpha stitch, linear stitching, curvilinear stitching, continuous helical stitch, and continuous sinusoidal stitch.11-25-2010
20100298638Endoscopic Instrument with Bi-Laterally Widened Cam-Slot at End Effector - An endoscopic instrument includes a tubular member having a proximal end and a distal end, a clevis at the distal end of the tubular member, and an end effector assembly mounted on the clevis. A control member extends through the tubular member and includes a cam-pin coupled to the distal end thereof. The end effectors are controlled with a cam-pin and cam-slot arrangement, with the end effectors including the cam-slot and such cam-slot having a proximal end slot bilaterally widened to permit the cam-pin additional movement therein. When the cam-pin is retracted to move the end effectors into a closed positions and then further retracted into the bilaterally widened area, the end effectors can rotate together in the same direction to facilitate movement through a rigid bend in an endoscope.11-25-2010
20100010298ENDOSCOPIC TRANSLUMENAL FLEXIBLE OVERTUBE - Apparatus, system, and method for use with an endoscope are disclosed. A flexible overtube having a proximal end and a distal end defines a hollow lumen therebetween to receive a flexible shaft portion of an endoscope therein. The proximal end of the flexible overtube is configured to remain outside of a patient and the distal end is configured to enter the patient through a natural orifice. At least one fluid tight seal is located at the proximal end of the flexible overtube to prevent leakage of fluids around the flexible shaft of the endoscope when the flexible shaft of the endoscope is positioned within the flexible overtube. The system further includes a flexible endoscope. The method includes introducing the system into a patient though a natural orifice of the patient and performing an endoscopic translumenal procedure.01-14-2010
20120253118Bronchoscope Adapter And Method - A bronchoscope adapter is configured for one hand operation by providing a slide lock that is captured within a housing and a retaining nut that can be operated with a single finger or thumb. Rotation of the retaining nut is eased by isolating rotational force from a compression block with a spacer ring.10-04-2012
20120253117DRAINAGE TUBE INSERTION TOOL - A drainage tube insertion tool for use in an endoscope, comprising: 10-04-2012
20120253119Bronchoscope Adapter And Method - A bronchoscope adapter is configured for one hand operation by providing a slide lock that is captured within a housing and a retaining nut that can be operated with a single finger or thumb. Rotation of the retaining nut is eased by isolating rotational force from a compression block with a spacer ring.10-04-2012
20120253116System and Method for Performing Surgical Procedures with a Modular Surgical System - A surgical system is provided including a reusable handle assembly having a controller and a reusable cannula assembly configured to be operatively connected to and steerable by the reusable handle assembly. Additionally, the surgical system includes a plurality of surgical instruments configured to be inserted through the reusable handle assembly and configured to advance a length of the reusable cannula assembly, such that the plurality of surgical instruments are engaged with at least one trigger mechanism of the reusable handle assembly. The handle assembly, the cannula assembly, and the plurality of surgical instruments are modular components configured to be releasably or removably coupled or interconnected to each other.10-04-2012
20120226101Endoscopic Ultrasound Fine Needle Aspiration Device - A handle for a medical device comprises a proximal segment defining a proximal lumen extending therethrough and sized and shaped to receive an endoscopic medical device therein. A medial segment is received within a distal portion of the proximal segment and has an outer diameter smaller than an inner diameter thereof. A medial lumen extends through the proximal segment and is open to the proximal lumen. A distal segment is received within a distal portion of the medial segment and defines a distal lumen extending therethrough open to the medial lumen. The distal segment has an outer diameter smaller than an inner diameter of the medial segment. The medial segment includes a first movement limiting mechanism limiting movement of an endoscopic medical device inserted therethrough along an axis of the distal lumen and a second movement limiting mechanism limiting advancement of an endoscope attached to the distal body portion.09-06-2012
20090036736TREATMENT ENDOSCOPE - In a treatment endoscope which includes: an elongated insertion section having a first channel for inserting a treatment instrument therethrough; an arm, having a second channel for inserting a treatment instrument therethrough, attached to the distal end of the insertion section so that the first channel communicates with the second channel; a first operation section for operating the arm; and a second operation section for operating the insertion section, the arm has a first bending section which can be operated to be bent via the first operation section, the insertion section has a second bending section which can be operated to be bent via the second operation section, and an interlock mechanism connects the first operation section to the second operation section so that, when either one of the first bending section and the second bending section is bent by operating either one of the first operation section and the second operation section, the other one of the first bending section and the second bending section bends.02-05-2009
20090018390Medical system - A medical system according to the present invention includes: a medical instrument provided with a treatment portion for performing treatment operations on living body tissue; a treatment portion displacement mechanism for displacing the position of the treatment portion of the medical instrument; a treatment detection portion that detects whether the treatment portion is in a treatment state or a non-treatment state; and a control portion that controls displacement of the treatment portion by controlling the treatment portion displacement mechanism according to detection results from the treatment detection portion.01-15-2009
20080300455ACCESS APPARATUS WITH SHALLOW ZERO CLOSURE VALVE - A surgical access assembly for use with a surgical access device includes a housing defining a central longitudinal axis, an elongate access member extending from the housing whereby the housing and the access member having a longitudinal passage dimensioned to permit passage of a surgical instrument, an instrument seal disposed within the housing and being adapted to establish a substantial fluid tight seal about the instrument and a zero closure valve mounted relative to the housing and being adapted to assume an open condition upon passage of the surgical instrument and a substantially closed position in the absence of the instrument. The zero closure valve includes a valve periphery and first and second lips depending from the valve periphery. The first and second lips have lip edge surfaces in juxtaposed relation to define a slit when the valve is in the closed position thereof. At least one of the lips has a general arcuate internal lip surface leading to the lip edge surface to define a sloping configuration dimensioned to facilitate passage of the surgical instrument through the valve. Each of the first and second lips may define a general arcuate lip surface. In one embodiment, the internal arcuate lip surface of each of the first and second lips includes an outer surface portion arranged at a first angle relative to the longitudinal axis of the seal housing and an inner surface portion arranged at a second angle relative to longitudinal axis and being different from the first angle. The first angle is greater than the second angle.12-04-2008
20110004057SYSTEMS AND METHODS FOR TRANSNASAL DILATION OF PASSAGEWAYS IN THE EAR, NOSE OR THROAT - A dilation catheter device and system for dilating an opening in a paranasal sinus and/or other passageways within the ear, nose or throat is disclosed. A dilation catheter device and system is constructed in a manner that facilitates ease of use by the operator and, in at least some cases, allows the dilation procedure to be performed by a single operator. Additionally, the dilation catheter device and system may be useable in conjunction with an endoscope and/or a fluoroscope to provide for easy manipulation and positioning of the devices and real time visualization of the entire procedure or selected portions thereof. In some embodiments, shaft markers are disposed on a shaft of the dilation catheter and have a light color to contrast with a dark color of the dilation catheter shaft. The high contrast between the markers and catheter shaft allows for easy viewing of the markers in low light and operation conditions.01-06-2011
20120277526ENDOSCOPIC DEVICE - An endoscopic device includes a bending operation wire configured to bend a treatment instrument bending section when pulled or loosened by an operation in a treatment instrument operation section. The bending operation wire includes a rigidity variable wire which includes a first wire portion, a second wire portion provided to a proximal direction side of the first wire portion and having a rigidity higher than that of the first wire portion, and a wire joint portion in which the first wire portion and the second wire portion are joined, the wire joint portion is placed to the proximal direction side of a proximal end of an endoscope bending section at a treatment in which a proximal end of the treatment instrument bending section is placed to a distal direction side of a distal end of the endoscope insertion section.11-01-2012
20110319710SCOPE PROTECTION FOR ENDOSCOPIC DEVICES - A medical device for insertion through a channel of an endoscope comprises a sheath forming a smooth outer surface over a first abrasive portion of a length of the device. A second portion of the length of the device remains uncovered by the sheath.12-29-2011
20120289776METHODS AND DEVICES FOR DIAGNOSING, MONITORING, OR TREATING MEDICAL CONDITIONS THROUGH AN OPENING THROUGH AN AIRWAY WALL - Methods and devices for diagnosing, monitoring, and/or treating tissue through an opening or port through an airway wall are provided herein.11-15-2012
20100168514ENDOSCOPIC DELIVERY OF MEDICAL DEVICES - The invention is directed to an endoscopic assembly having an endoscope, particularly a flexible hysteroscope and an outer sheath disposed about a length of the shaft of the hysteroscope which has an expandable member such as an inflatable balloon for sealing the assembly within a body lumen or cavity. Specifically, the endoscope assembly is configured for delivery of an occlusive contraceptive member to the patient's fallopian tube. The invention is also directed to an endoscope having a driving member for movement of a medical device within the working lumen of an endoscope. In one embodiment the driving member is a friction wheel which engages an elongated medical device disposed within the working channel of the endoscope to effect longitudinal movement of the medical device.07-01-2010
20100125165ENDOSCOPE SYSTEM AND ASSIST DEVICE - In an endoscope system, a nasal endoscope for entry in a first external nostril of a patient includes a first elongated tube, a first distal portion thereof, an imaging window, an instrument channel, a handle section, and a steering section. An assist device for entry in a second nostril includes a second elongated tube, a second distal portion thereof, and a working channel with a greater inner diameter than the instrument channel. A retaining device retains the second distal portion on the first distal portion removably and equidirectionally, to cause a second distal end surface to contact a lower peripheral part outside a first distal end surface lower than a horizontal line passing a center point of the imaging window when the first distal end surface is viewed in a state of orienting an upper side of steering of the steering section in an upward direction.05-20-2010
20110160533Method and System for Drug Delivery - A medical device and procedure for delivering a drug into a uterus are described. In one implementation, the medical device includes a first elongate member, a second elongate member and a stopper device. The first elongate member is configured for transcervical insertion into the uterus and includes a lumen extending therethrough. The second elongate member is positioned within said lumen and also includes a lumen therethrough. The second elongate member is positionable in a retracted or an extended position. A distal end of the second elongate member is configured to extend beyond a distal end of the first elongate member and penetrate uterine tissue when in the extended position. A proximal end of the second elongate member is configured to receive a drug for delivery through the lumen of the second elongate member. The stopper device controls movement of the second elongate member within the first elongate member.06-30-2011
20110160532ENDOSCOPIC INSTRUMENT - An endoscopic instrument includes an elongate guide element having at least one guide rail extending from a proximal to a distal end of the guide element. At least one working instrument, which is provided with an engagement element which fits with the at least one guide rail, engages with the at least one guide rail in a manner such that the working instrument is displaceable along the at least one guide rail.06-30-2011
20110160531NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY (NOTES) DEVICE - A natural orifice translumenal endoscopic surgery (NOTES) device includes a puncture needle, dilator sheaths and working sheaths. The puncture needle includes a puncture end and a protruding safety stud situated substantially at a middle section of the puncture needle. Each dilator sheath has an insert end and a position limit end, and each dilator is sheathed sequentially onto the puncture needle, and the position limit end is stopped by the safety stud of the puncture needle, such that the insert end will not exceed the puncture end and will form a safety interval from the puncture end. The working sheath is provided for inserting and retracting the dilator sheaths and the puncture needle to form a space required for a surgical operation after the dilator sheaths have expanded a natural orifice, so as to provide a safe and convenient use of NOTES.06-30-2011
20080255413Powered surgical instrument - A surgical instrument including a housing, an endoscopic portion, a shaft portion and an end effector is disclosed. The endoscopic portion extends distally from the housing and defines a longitudinal axis. The shaft portion is selectively connectable to a distal end of the endoscopic portion. The end effector is selectively connectable to a distal end of the shaft portion.10-16-2008
20080228030ARTICLE, SYSTEM, AND METHOD FOR SECURING MEDICAL DEVICES TO TREAT OBESITY, GASTRO-ESOPHAGEAL REFLUX DISEASE (GERD) AND IRRITABLE BOWEL SYNDROME (IBS) REVERSIBLY - A medical staple formed from a nitinol wire, the staple having two elongated arms which extend upwardly and outwardly from a central loop in two opposing generally semicircular courses forming an arc extending upwardly and outwardly and an end second comprising a sharpened endpoint, the endpoint being the arms bendable under resistance, is disclosed. In some embodiments the arms extend upwardly on a parallel course and then outwardly. The material is preferably an alloy with hyperelastic characteristics. The staples are placed in a flexible endoscope and a lumen catheter within the endoscope, using a hook or forceps in the lumen catheter having a distal end in the lumen of the catheter and the staple distal to the forceps in folded configuration with the arms folded inward in the lumen catheter, positioning the distal end of the lumen catheter at a location in the patient's gastrointestinal tract where stapling is desired, moving the forceps distally so as to force the staple forward out of the lumen catheter and cause the end points to pierce the patient's inner wall of the gastrointestinal tract.09-18-2008
20120253120ENDOSCOPIC DELIVERY OF MEDICAL DEVICES - The invention is directed to an endoscopic assembly having an endoscope, particularly a flexible hysteroscope and an outer sheath disposed about a length of the shaft of the hysteroscope which has an expandable member such as an inflatable balloon for sealing the assembly within a body lumen or cavity. Specifically, the endoscope assembly is configured for delivery of an occlusive contraceptive member to the patient's fallopian tube. The invention is also directed to an endoscope having a driving member for movement of a medical device within the working lumen of an endoscope. In one embodiment the driving member is a friction wheel which engages an elongated medical device disposed within the working channel of the endoscope to effect longitudinal movement of the medical device.10-04-2012
20130096378Systems And Methods For Controlling Balloon Catheters - A system and method for utilizing an endoscopic sheath. An endoscope is received in a scope port of the endoscopic sheath. A dilation device is received in a working port of the endoscopic sheath. The dilation device is controlled utilizing controls of the endoscopic sheath.04-18-2013
20130144119METHOD AND APPARATUS FOR BILIARY ACCESS AND STONE RETRIEVAL - 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.06-06-2013
20080200756Medical system and endoscope system - A medical system includes: a treatment instrument having an insertion portion configured by an exterior member, and an insertion member that is inserted into the exterior member and is longer than the exterior member; an insertion portion inserting/pulling-out device to transmit a driving force to the exterior member or the insertion member configuring the insertion portion of the treatment instrument, the insertion portion inserting/pulling-out device advancing/retreating at least one of the exterior member and the insertion member; and a driving force non-transmitting portion provided to the insertion member, the driving force non-transmitting portion preventing a driving force of the insertion portion inserting/pulling-out device from being transmitted to the exterior member when the insertion member is moved by a predetermined distance.08-21-2008
20100305401ENDOSCOPIC SYSTEMS USING SELF-RETAINING SUTURES - Endoscopic systems utilize self-retaining sutures to approximate tissue in a cavity of a subject. An endoscopic instrument is provided containing the self-retaining suture. The endoscopic instrument may be provided in combination with an endoscope and/or an endoscopic manipulator. The endoscopic instrument is passed through a cavity wall into a cavity of a patient. The self-retaining suture is deployed, using the endoscopic instrument, into a first tissue portion and a second tissue portion within the cavity. The self-retaining suture may be deployed endoscopically in patterns which include, purse string stitch, alpha stitch, linear stitching, curvilinear stitching, continuous helical stitch, and continuous sinusoidal stitch.12-02-2010
20110313248ORIENTATION ADAPTER FOR INJECTION TUBE IN FLEXIBLE ENDOSCOPE - An endoscope adapter ring for a needleless fluid delivery system for delivering therapeutic fluids to treatment sites within a patient. The needless fluid delivery system can include an automated injector source and a needleless access device. The access device can include a delivery scope and a treatment specific applicator. The adapter ring is operably attached to the endoscope to keep the injector lumen in a known orientation for the use of a side injector.12-22-2011
20120088968Methods and devices for visualization and access - Methods and devices for visualizing and accessing a region inside a body are described. One embodiment of a device includes a working catheter which slides along an open track in a visualization catheter. The visualization catheter is inserted into the body to locate a region of the body with the aid of the visualization element. The working catheter then slides along the track to reach the region, and a working element is inserted through the working catheter to access the region, again with the aid of the visualization element. The methods and devices may also be used to access a variety of internal cavities, soft tissues and organs, and the mediastinal space.04-12-2012

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