An imaging unit 10 of the present invention comprises: a laminated lens 22 formed by laminating at least one resin lens; an imager 23 disposed facing an image surface side end surface 22b of the laminated lens; a distal end frame 21 that accommodates at least the laminated lens and the imager therein; and a resin 30 with which a clearance 21b between a side surface 22a in an optical axis O direction of the laminated lens and an inner surface 21a of the distal end frame is filled. The dimensional size of the clearance in a direction orthogonal to the optical axis of the laminated lens is such that the value for an object side end surface 22c is smaller than the value for the image surface side end surface of the laminated lens on at least one surface among side surfaces of the laminated lens.
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
G02B 7/02 - Mountings, adjusting means, or light-tight connections, for optical elements for lenses
G02B 23/26 - Instruments for viewing the inside of hollow bodies, e.g. fibrescopes using light guides
2.
INFERENCE LEARNING DEVICE AND INFERENCE LEARNING METHOD
An inference learning device, comprising an input device for inputting data from a data acquisition device, a learning device for obtaining an inference model by learning using training data that has been obtained by performing annotation of the data, and a data processing device that, for data that has been obtained continuously in time series from the data acquisition device, makes provisional training data by performing the annotation on a plurality of items of data that have been obtained from data that was obtained at a given first time to a second time that has been traced back to a predetermined time, and makes data, among the provisional training data that has a high correlation of causal relationship with the data of the first time, into adopted training data, which is training data used in the learning device.
A method comprises obstructing at least a portion of an inside of a gallbladder using a barrier, and suppressing, using the barrier, contacting at least a portion of an interior wall of the gallbladder with a bile from a cystic duct.
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Hagel, Michael
Abstract
The present disclosure relates to a method for interactive visualization of colonoscopy procedural statistics. The method can be applied to a mobile device or computing device. The computing device may display, on a user interface, an anatomical representation of a patient anatomy of interest associated with a medical procedure. The computing device may also receive procedural statistics corresponding to the medical procedure. The computing device may further determine location data indicating locations of individual instances of the procedural statistics with respect to the anatomical representation. The computing device may also display a first subset of the procedure statistics corresponding to the first statistical category on the anatomical representation based on the location data. The computing device may further display on the user interface a second subset of the procedure statistics corresponding to the second statistical category on the anatomical representation based on the location data.
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 15/00 - ICT specially adapted for medical reports, e.g. generation or transmission thereof
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
5.
CONNECTOR, ENDOSCOPE CLEANING DEVICE, AND METHOD FOR DETECTING CLOGGING OF ENDOSCOPE CONDUIT
A connector (200) comprises: a connector part (210) that is detachably connected to a fitting (110) of an endoscope conduit; and a valve part (220) that is supported in the connector part so as to be switchable between a first state in which the valve part is not in close contact with the fitting and a second state in which the valve part is in close contact with the fitting and a watertight connection with the fitting is maintained. The valve part is switched from the first state to the second state when subjected to a first liquid feeding pressure higher than or equal to a first threshold value due to a fluid supplied into the connector part. In the second state, the valve part maintains the second state until subjected to a second liquid feeding pressure higher than or equal to a second threshold value due to the fluid supplied into the connector part.
A61B 1/12 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with cooling or rinsing arrangements
A61B 1/015 - Control of fluid supply or evacuation
GYRUS ACMI, INC D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Liu, Dawei
Abstract
A method for automatic annotation of individual frames of procedural videos can include receiving, with processing circuitry of a controller, a video stream captured by an endoscopic camera during an endoscopic procedure. The video stream can include a first timestamp. The method can also include, receiving an audio recording captured during the endoscopic procedure. The audio recording can include a second timestamp. The method can also include, receiving a transcribed text from the audio recording. The transcribed text can also the second timestamp. The method can also include, annotating the video stream with the transcribed text by corresponding the transcribed audio and the video stream when the first timestamp and the second timestamp agree.
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
G06F 40/169 - Annotation, e.g. comment data or footnotes
G16H 10/40 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for data related to laboratory analysis, e.g. patient specimen analysis
An ultrasound treatment tool includes: a vibration transmitter configured to transmit ultrasound vibration from a proximal end toward a distal end; a tube into which the vibration transmitter is inserted; and a rigid part that is provided on an outer peripheral surface of the vibration transmitter at a node position of the ultrasound vibration, the rigid part being in contact with an inner peripheral surface of the tube, the rigid part being made of a resin material that is harder than the tube.
An endoscope treatment tool, comprising: a sheath; a handle body; a wire; a treatment portion connected to a distal end of the wire and arranged on a distal end side of the sheath; a rotating handle movable with respect to the handle body and connected to the wire; a conductive connector having an insertion passage through which the wire is inserted, wherein the wire is movable in a wire movement direction to advance and retreat in a direction that is parallel to a longitudinal axis of the handle body, wherein the wire is rotatable around an axis of the wire movement direction, and wherein the conductive connector extends in a direction that intersects the wire movement direction.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
9.
SYSTEM AND METHOD FOR REAL-TIME IDENTIFICATION AND DISPLAY OF SIMILAR HISTORICAL MEDICAL IMAGES
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Hagel, Michael
Garrow, Jakob
Abstract
The present disclosure relates to a method for identifying and displaying historical classified images. The method can be applied to a mobile device or other computing device. The computing device may display, on a user interface, at least one image of patient anatomy viewed during a medical procedure. The computing device may further receive an indication of an abnormality that is visible within the at least one image of the patient's anatomy viewed during the medical procedure. The computing device may similarly analyze the at least one image with respect to a classified image database to identify, within the classified image database, a similar classified image depicting a classified abnormality having visual characteristics that match the abnormality. The computing device may display, on the user interface in association with the abnormality, the similar classified image and classification data corresponding to the classified abnormality.
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
10.
DISTAL END PART OF ENDOSCOPE, ENDOSCOPE, AND METHOD FOR MANUFACTURING DISTAL END PART OF ENDOSCOPE
The present invention comprises: an imaging unit (40) for imaging in a second direction intersecting a first direction (AX) which is the longitudinal direction of an insertion part (2) of an endoscope (1); a holder (52) that has a first groove (52a) provided adjacent to the imaging unit and formed along the first direction, a second groove (52b) provided along the second direction and formed on the distal side of the first groove, and a third groove (52c) the proximal end of which is connected to the first groove and the distal side of which is connected to the second groove; a plurality of optical fibers (51) that have, in order from the proximal side, a first portion (51a), a bendable flexible portion (51c), and a second portion (51b), the first portion being disposed in the first groove, the second portion being fixed to the second groove with an adhesive (60), and the flexible portion being disposed in the third groove; and a gas that fills the third groove and comes into contact with the plurality of optical fibers.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
11.
ABLATION DEVICE AND TREATMENT METHOD FOR CHOLECYSTITIS
An ablation device comprises a sheath, a balloon attached to the sheath and being expandable and an electrode located on an outer surface of the sheath. The balloon is located longitudinally adjacent to the electrode.
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Batchelor, Kester Julian
Abstract
A method of operating an electrosurgical device comprising first and second electrodes comprises activating sealing energy for sealing an anatomic structure with the second electrode, sensing a parameter of the sealing energy, determining cutting energy for cutting the anatomic structure with the first electrode based on the sensed parameter, activating heating energy for heating the first electrode, and cutting the anatomic structure with electrical energy from the first electrode. An electrosurgical device comprises a shaft comprising a distal end and an articulating section proximate the distal end and a jaw assembly coupled to the distal end of the shaft comprising first and second jaw members, a first electrode positioned on one of the first jaw member or the second jaw member, a second electrode positioned on the first jaw member, a third electrode positioned on the second jaw member and a heating capability associated with the first electrode.
A61B 18/08 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
13.
MEDICAL SYSTEM, OPERATION METHOD FOR MEDICAL SYSTEM, AND INFORMATION STORAGE MEDIUM
The medical system includes a basket treatment tool a processor. The processor determines, one or more of: a first determination, based on a transmissive image including the biliary duct, of whether a size of a gallstone allows the basket treatment tool to remove the gallstone from the papillary orifice, or a second determination, based on a resistance when the basket treatment tool is pulled, of whether the resistance allows the basket treatment tool to remove the gallstone from the papillary orifice; and controls the basket treatment tool to remove the gallstone from the papillary orifice when one or more of the first determination or the second determination determines that the gallstone is removable from the papillary orifice.
A61B 17/221 - Calculus gripping devices in the form of loops or baskets
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
14.
LASER-INDUCED FLASHING ALERT, CONTROL, OR COMPENSATION
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Bukesov, Sergey A.
Shelton, Kurt G.
Rao, Maria
Bloem, David
Abstract
A system for endoscopically imaging a first target of a patient, using a light source and a light detector, and for laser-treating a same or different second target of the patient, using a laser source, the system. For example, the system can have at least signal processing circuitry, which can include a target response signal laser-source flashing component detector and a flashing analyzer.
A61B 18/20 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements
A push switch device of an endoscope includes an electric operation switch and a switch button that pushes the operation switch. The switch button includes: a shaft inserted through a hole of a case body of an operation portion; a button top arranged outside the case body and configured to receive an operational force orthogonal to the shaft; a spherical-shaped pusher configured to push in the operation switch by receiving the operational force; and a flange having an arc and provided at midway of the shaft, the flange being configured such that a part thereof abuts against an inside of the operation portion when the shaft is tilted by the operational force.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Nakabe, Kazuya
Kuno, Tatsuki
Abstract
A stent deployment system for deploying a luminal apposing metal stent (LAMS) can use suction to manipulate and stabilize tissue walls during stent placement between adjacent body lumens. The system can apply suction through a deployment device to grasp a first tissue wall, allowing precise positioning and formation of an opening using an RF electrode. The system can deploy a proximal flange for example by retracting a sheath or catheter. Suction can be used to manipulate a second tissue wall and the RF electrode can be used to form another opening in the second tissue wall. A distal flange can be deployed, for example by advancing the sheath. The deployment system can help enable controlled tissue manipulation and/or prevent fluid leakage. The deployment device can advance through an endoscope working channel, with suction provided through either the deployment device or endoscope.
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61F 2/95 - Instruments specially adapted for placement or removal of stents or stent-grafts
A61F 2/966 - Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
17.
IMAGE PROCESSING METHOD, MACHINE LEARNING METHOD, IMAGE PROCESSING DEVICE, IMAGE PROCESSING PROGRAM, NON-VOLATILE RECORDING MEDIUM WITH IMAGE PROCESSING PROGRAM RECORDED THEREON, AND COMPUTER PROGRAM PRODUCT WITH IMAGE PROCESSING PROGRAM RECORDED THEREON
In this image processing method, an image characteristics calculation unit calculates a first image characteristic, which is an image characteristic in a first region of a teacher image, and calculates a second image characteristic, which is an image characteristic in a second region of the teacher image, the second image being different from the first region. A low-pass filter selection unit selects a first low-pass filter corresponding to the first image characteristic and a second low-pass filter corresponding to the second image characteristic from a low-pass filter group comprising a plurality of types of low-pass filters. A low-pass filter processing unit generates a student image for machine learning from the teacher image by performing image processing on the teacher image such that the first low-pass filter is applied in the first region and by performing image processing on the teacher image such that the second low-pass filter is applied in the second region.
An assist device includes fluorescence image generation means for generating a fluorescence image based on an imaging signal that is generated by capturing an image of fluorescence caused by an excitation light that is applied to a living tissue, fluorescence intensity calculation means for calculating a fluorescence intensity based on the fluorescence image, placement period estimation means for estimating, based on the fluorescence intensity, a placement period during which a medical tool is placed in a lumen, and placement period information output means for outputting placement period information on the placement period.
A61B 1/04 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
Systems, devices, and methods for providing a computer-assisted endoscopic procedure guidance are disclosed. A procedure planning system can generate an endoscope navigation plan for a patient scheduled for an endoscopic procedure performed by an operating physician. The system comprises a processor that can access an endoscopic procedure database, identify therefrom physicians substantially matching the experience level of the operating physician, and retrieve reference procedure data of the past procedures performed by the matching physicians. The reference procedure data can be further selected from past procedures performed on patients with similar medical information to the scheduled patient. The processor can generate an endoscope navigation plan for the scheduled patient using reference procedure data. The endoscope navigation plan can be displayed along with the live endoscopic image to guide the operating physician in performing the procedure.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 40/20 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
G16H 70/20 - ICT specially adapted for the handling or processing of medical references relating to practices or guidelines
An ultrasound treatment tool includes: a vibration transmitter configured to transmit ultrasound vibration from a proximal end toward a distal end; a tube into which the vibration transmitter is inserted; a rigid part that is made of a resin material that is harder than the tube, the rigid part being provided on an outer peripheral surface of the vibration transmitter at a node position of the ultrasound vibration, the rigid part being in contact with an inner peripheral surface of the tube; and a pipe configured to cover an outer peripheral surface of the tube. The tube is expanded by the rigid part to be in contact with an inner peripheral surface of the pipe.
A control device includes a connection interface and processing circuitry. The processing circuitry selects candidate coordinates of a target element, which is one a magnetic field generation element or a magnetic field detection element. It calculates a candidate vector based on coordinates of a reference element (the other of the magnetic field generation element or the magnetic field detection element), the candidate coordinates, and a detection signal received via the connection interface from the magnetic field detection element in response to detection of a magnetic field generated by the magnetic field generation element. It calculates a vector norm error based on the candidate vector, updates maximum likelihood coordinates to the candidate coordinates when the vector norm error is smaller than a minimum value of previously-calculated vector norm errors, and selects new candidate coordinates when determining that the vector norm error is not within a first range.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Avalos, Jordan C.
Abstract
A suction or other component of an endoscope system may be cycled on and off or otherwise controlled without requiring direct user input, such as automatically or semi-automatically using a current or historical state of a laser generator, a blurriness or other information from an image of the working area, a count of fragments of a calculi stone, an intraoperative pressure, an intraoperative temperature, or one or more other characteristics of the laser generator or the targeted calculi stone.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/015 - Control of fluid supply or evacuation
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/26 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibreHand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
A clip device includes a clip unit having arms configured to be opened and closed in a forward direction, a wire connected to the clip unit, and a sheath through which the wire is inserted and extending in a longitudinal axis direction, the clip unit being detachably connected to a distal end portion of the sheath, and the clip unit being able to transition between a first form in which the forward direction of the arm faces in the same direction as the longitudinal axis direction and a second form in which the forward direction of the arms faces in a direction that intersects with the longitudinal axis direction.
LEARNING DATA GENERATING APPARATUS, LEARNING DATA GENERATING METHOD, AND NON-TRANSITORY RECORDING MEDIUM HAVING LEARNING DATA GENERATING PROGRAM RECORDED THEREON
A learning data generating apparatus receives first training data, first correct answer information, and second training data, inputs the first and second training data into a neural network to thereby cause the neural network to output first and second array groups each constituted of a plurality of arrays, identifies a first array from the first array group based on the first correct answer information, the first array being an array corresponding to the recognition target, and compares the first array and each of the plurality of arrays constituting the second array group, to create second correct answer information corresponding to the second training data.
G06V 10/82 - Arrangements for image or video recognition or understanding using pattern recognition or machine learning using neural networks
G06V 10/75 - Organisation of the matching processes, e.g. simultaneous or sequential comparisons of image or video featuresCoarse-fine approaches, e.g. multi-scale approachesImage or video pattern matchingProximity measures in feature spaces using context analysisSelection of dictionaries
An energy treatment tool includes: a grip to be held by an operator; a lever that is provided in a state of being exposed to an outside of the grip, the lever being configured to move in response to a changing operation by an operator, the changing operation being for changing an output state of energy; an electric switch that is arranged inside the grip the electric switch being configured to generate a signal for changing an output state of the energy; and a driver that is installed inside the grip such that the driver is rotatable about an axis intersecting an axis along a longitudinal axis correspondingly to movement of the lever, the driver being configured to switch the electric switch between a contacting state and a noncontacting state.
An endoscope includes a distal end barrel, a fitted portion that is provided on a proximal end side of the distal end barrel and has an outer diameter dimension smaller than an outer diameter dimension on a distal end side of the distal end barrel, a coupling member fitted into the fitted portion, a recess portion provided in the coupling member, a convex portion that protrudes from a part of the fitted portion in a radial direction of the distal end barrel and engages with the recess portion, and an image pickup module that is incorporated in the distal end barrel in a vicinity of the convex portion and is disposed in a region overlapping the convex portion in the radial direction of the distal end barrel.
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
27.
IMAGE-PROCESSING DEVICE, IMAGE-PROCESSING METHOD, AND RECORDING MEDIUM
An image-processing device includes a processor. The processor determines a state of an endoscope. When an imaging field of view of an image sensor of the endoscope is divided into a first region including the center of the imaging field of view and a second region other than the first region and the endoscope is inserted into an examination target, the processor executes image processing of setting a visibility of an image of the second region to be lower than a visibility of an image of the first region. When the endoscope is inserted into the examination target, the processor executes image processing of setting a detection performance for an object in the image of the second region to be higher than or equal to a detection performance for an object in the image of the first region.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
An endoscope system includes an endoscope and a suction unit. The endoscope includes an insertion portion configured to be inserted into a subject, an operation portion provided on a proximal end side of the insertion portion, and an angle knob provided on the operation portion for operating the bending portion; and an opening provided in the operation portion, wherein the opening is connected to a lumen provided in the endoscope. The suction unit includes a suction conduit, a protrusion inserted into the opening, and a suction button. In a side view perpendicular to an axis of rotation of the angle knob, a center of a top surface of the suction button, a center of the opening, and the angle knob are arranged along an imaginary straight line with the center of the opening located between the center of the top surface of the suction button and the angle knob.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
This endoscope system comprises: an endoscope having an insertion portion in which an imaging element is disposed at a distal end; a gas supply device that supplies a gas via a gas supply channel provided in the insertion portion; and a processor. The processor detects a muscle positioned at a gastroesophageal junction in a captured image captured by the imaging element during gas supply by the gas supply device, generates time-series information in which a detection result of the muscle positioned at the gastroesophageal junction is associated with time, and generates, on the basis of the time-series information, evaluation support information for supporting evaluation of a function of the muscle positioned at the gastroesophageal junction.
A61B 1/273 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
30.
ENDOSCOPE SYSTEM, LEARNING DEVICE, METHOD FOR CONTROLLING ENDOSCOPE SYSTEM, LEARNING METHOD, AND PROGRAM
Provided are an endoscope system, a learning device, a method for controlling an endoscope system, a learning method, and a program with which it is possible to provide diagnosis assistance information for quantitatively evaluating the state of the lower esophageal sphincter. This endoscope system comprises a processor. A moving image composed of a plurality of frames that are temporally consecutive is generated. Esophageal pressure data indicating pressure changes over time is generated on the basis of pressure data outputted by an esophageal pressure sensor. A synchronization process for synchronizing, on the same time axis, the esophageal pressure data and the moving image obtained by observing the lower esophageal sphincter of a subject is performed. The state of the lower esophageal sphincter of the subject in each frame in the moving image is correlated with a change in the pressure value in the esophageal pressure data. An evaluation result including the timing at which the lower esophageal sphincter of the subject relaxes and an evaluation value obtained by evaluating the relaxation state of the lower esophageal sphincter of the subject is generated. The evaluation result is outputted as diagnosis assistance information.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/015 - Control of fluid supply or evacuation
A61B 1/273 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
31.
AI-BASED ENDOSCOPIC TARGET IDENTIFICATION AND PROCEDURE PLANNING, INTER-FACILITYENDOSCOPIC PROCEDURE PLANNING, AND RISK MANAGEMENT OF ADVERSE EVENTS IN ENDOSCOPY
Systems, devices, and methods for anatomical target identification and procedure planning in an endoscopic procedure are disclosed. An endoscopic system comprises a steerable elongate instrument to be positioned and navigated in a patient anatomy, and a processor. The processor can receive patient information including an image of an anatomical target, apply the image to a trained machine-learning (ML) model to identify the anatomical target and a characteristic thereof, and generate a treatment plan including a tool recommendation and operational parameters of the tool for use in a procedure to treat the anatomical target. The anatomical target characteristic and the treatment plan can be presented to a user as a procedure guidance, or used to robotically facilitate operation of the steerable elongate instrument or a treatment tool to treat the anatomical target.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Magno, Joey
Abstract
An endoscope comprises an elongate shaft comprising a proximal end portion and a distal end portion comprising a distal end tip, a working channel extending at least partially through the elongate shaft and including an opening proximate the distal end tip, an imaging device located proximate the distal end portion proximate the distal end tip, and an electro-adhesion system located on the elongate shaft. A method of operating an endoscope comprises inserting an elongate shaft of the endoscope into anatomy of a patient, activating an electroadhesion system to cause a portion of the endoscope to adhere to tissue of the anatomy, and performing an endoscopy procedure within the anatomy.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
33.
ENDOSCOPE SYSTEM, BALLOON DEVICE, AND METHOD FOR DIAGNOSING GASTROESOPHAGEAL REFLUX DISEASE
An endoscope system 1 comprises: an endoscope 2 having an insertion portion 21 in which an imaging element is disposed at a distal end; a first gas supply device 6 that supplies a gas, via a gas supply channel provided in the insertion portion 21, to the inside of a space in which the distal end of the insertion portion 21 is positioned; an atmospheric pressure detection sensor 7 that detects the atmospheric pressure inside the space in which the distal end of the insertion portion 21 is positioned; a balloon 91 mounted on an outer peripheral surface of the insertion portion 21 and inflated by injection of the gas; a second gas supply device 92 that injects the gas into the balloon 91; and a balloon pressure sensor 93 that detects the pressure applied to the balloon 91. A processor 44 generates diagnosis support information for supporting diagnosis of gastroesophageal reflux disease on the basis of a captured image captured by the imaging element, first pressure information relating to the atmospheric pressure detected by the atmospheric pressure detection sensor 7, and second pressure information relating to the pressure detected by the balloon pressure sensor 93.
This endoscopic system comprises: an endoscope that includes an insertion part in which an imaging element is disposed at the distal end; a temperature sensor that detects a temperature on the outer peripheral surface of the insertion part; a gas supply device that supplies gas through a gas supply channel provided in the insertion part; and a processor. The processor generates diagnosis support information, which supports diagnosis of gastroesophageal reflux disease, on the basis of a captured image captured by the imaging element and esophageal temperature information relating to the temperature detected by the temperature sensor.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/273 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
35.
IMAGE PROCESSING DEVICE, CONTROL METHOD FOR IMAGE PROCESSING DEVICE, AND PROGRAM
The present invention provides an image processing device, an endoscopic system, a training device, a control method for the image processing device, and a program capable of assisting in classification with high accuracy regardless of a skill level of an endoscopist. The image processing device comprises a processor. The processor: sequentially acquires endoscopic images obtained by processing imaged data sequentially outputted from an image sensor of an endoscope inserted into the stomach via the esophagus; inputs the endoscopic images to a trained model that uses the endoscopic images as input parameters and outputs, as output parameters, evaluation results obtained by evaluating the state of esophageal dysfunction; infers, as diagnosis assistance information, the evaluation results outputted from the trained model; and outputs assistance information.
An endoscope system according to the present invention comprises: an endoscope having an insertion part in which an imaging element is disposed at the distal end; a contact pressure sensor that detects the contact pressure with a body cavity of a subject; and a processor. The processor generates, on the basis of a captured image captured by the imaging element, a three-dimensional model representing a target organ, and simulates the movement of the target organ on the basis of the three-dimensional model and pressure information detected by the contact pressure sensor.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A treatment device 100 comprises: an insertion part 21 that is inserted into a subject and a balloon part 6 including a first balloon 61 that is attached to the insertion part 21 and that expands with the introduction of a fluid. The balloon part 6 treats a site to be treated by imparting thermal energy to the site to be treated.
Disclosed herein are systems, devices, and methods for lubricating and/or cleaning a medical device. Such a lubrication device may include a first portion configured to apply a lubricant to an outer surface of an elongate body of a medical device and a second portion distal to the first portion where the second portion may include a seal configured to remove the lubricant from the elongate body and a waste collection chamber configured to receive and contain the removed lubricant.
A medical support device includes a processor including hardware. The processor is configured to: perform division on endoscope-related procedure information with a division method according to content of the endoscope-related procedure information to extract a specific word; compare the specific word with a standard term; determine the specific word as an attribute value when the specific word matches the standard term;
determine and accumulate the specific word as a facility-specific term when the specific word does not match the standard term; and update, as the standard term, the accumulated facility-specific term.
G16H 70/20 - ICT specially adapted for the handling or processing of medical references relating to practices or guidelines
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
A cartridge configured to store a clip unit is disclosed herein. The first cartridge includes a sheath connection portion configured to receive a sheath of an applicator. The second cartridge included a storage area configured to store at least a part of the clip unit. The second cartridge is movable relative to the first cartridge in a moving direction of the clip unit.
A light source device includes: a fluorescent material configured to rotate about a rotation axis, and emit fluorescence upon reception of excitation light; a light source configured to emit the excitation light; an optical filter that is arranged to cover a part of the fluorescent material from a direction along the rotation axis, the optical filter being configured to pass light of some wavelength band in the fluorescence generated by excitation of the fluorescent material; and a first processor configured to control a rotation operation of the fluorescent material about the rotation axis, and an operation of the light source.
A tip hood configured to be attached to a distal end portion of an endoscope. The tip hood includes a gas feed conduit configured to allow a predetermined gas to flow therethrough, a first gas feed outlet configured to feed the gas, supplied through the gas feed conduit, in a field-of-view direction of the endoscope, and a second gas feed outlet configured to feed the gas, supplied through the gas feed conduit, toward a distal end surface of the endoscope.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/015 - Control of fluid supply or evacuation
GYRUS ACMI, INC. d/b/a OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Batchelor, Kester Julian
Abstract
Electrosurgical device systems comprising an electrosurgical device comprising a sealing electrode and a cutting element and methods of operating the electrosurgical device can comprise activating sealing energy to perform a sealing operation to seal an anatomic structure with the sealing electrode of the electrosurgical device, determining a first parameter indicative of progress of the sealing operation, comparing the first parameter to a first threshold parameter, automatically activating the cutting element to perform a cutting operation to cut the anatomic structure with the electrosurgical device if the first parameter of the sealing energy is within a tolerance band of the first threshold parameter, completing the sealing operation, and completing the cutting operation.
Systems, devices, and methods for providing an endoluminal transhepatic access to a patient pancreaticobiliary system in an endoscopic procedure are disclosed. An example of a transhepatic access procedure comprises navigating a steerable elongate instrument through a body cavity or channel and exiting to a access site of liver, puncturing the liver from the access site, extending the steerable elongate instrument through the liver and into the pancreaticobiliary system and performing an operation therein. Following the operation, the steerable elongate instrument can be retreated, and the access site of liver can be closed with a closure means. Apparatus and methods of training a machine-learning model and using said model to identify patient candidacy for retrograde access based on images of patient anatomy are also disclosed.
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 17/00 - Surgical instruments, devices or methods
45.
INFORMATION PROCESSING DEVICE AND INFORMATION PROCESSING METHOD
An information processing device of the present invention is capable of collaboration with a learning device to determine whether an image group that has been obtained in time series by the first endoscope is an image group obtained at a first time or at a second time, and to create a first inference model for image feature determination of images for the first endoscope by performing learning with results of having performed annotation on the image group that was obtained at the second time as training data, the information processing device comprising at least one or a plurality of classifying processors that classify image groups constituting training data candidates, within an image group from the first endoscope that has been newly acquired, or an image group from a second endoscope, using the image group that has been obtained at the first time, when the first inference model was created.
G06V 10/774 - Generating sets of training patternsBootstrap methods, e.g. bagging or boosting
G06V 10/764 - Arrangements for image or video recognition or understanding using pattern recognition or machine learning using classification, e.g. of video objects
An endoscope treatment tool includes a sheath and an incision device. The sheath includes a distal end portion having a first channel. The first channel extends internal to the distal end portion between a distal opening at a distal end surface of the distal end portion and a proximal opening at a main flow chamber. The incision device is inserted in the first channel and includes a second channel extending between a distal end of the incision device and a proximal end of the incision device. The endoscope treatment tool is switchable between a first mode and a second mode. In the first mode, a first path for fluid is formed between the main flow chamber and the first channel. In the second mode, a second path for fluid is formed between the main flow chamber and the second channel.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 17/00 - Surgical instruments, devices or methods
The endoscope includes a cylinder with an inner space, a first moving member with a first connecting member having at least two protrusions, a second moving member with a second connecting member including a head and a narrower neck, and an opening/closing mechanism. The opening/closing mechanism changes the first connecting member between a closed state to hold the head portion and an open state to release it, and includes a proximal first part with a smaller cross-sectional area that restricts the first connecting member from releasing the second connecting member, and a distal second part with a larger cross-sectional area that allows the first connecting member to open. By moving along the axis within these parts, the members transition between holding and releasing states. The first and second parts form at least a part of the inner space. The opening/closing mechanism forms at least a part of the cylinder.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
An insertion instrument comprises an insertion portion including a bending portion provided at a distal end side of the insertion portion, a first wire provided in the insertion portion, and an operation portion provided at a proximal end side of the insertion portion. The operation portion includes a bending operation unit. The bending operation unit includes a lever having a central shaft defining a central axis, a rotor coupled to the lever, a wire attachment surface to which the first wire is attached. An inner surface of the operation portion includes a receiver body and a restriction body. The receiver body supports the rotor for rotation about the central axis and for movement of the lever from a neutral position to an inclined position, where, in the inclined position, the central shaft is inclined relative to the central shaft in the neutral position. Movement of the lever from the neutral position to the inclined position pulls the first wire to bend the bending portion. The restriction surface restricts a portion of the rotation of the rotor about the central axis.
An information processing device includes a processor including hardware. The processor acquires a physical attribute of a subject, sets, based on the acquired physical attribute of the subject, a condition related to control information for insertion of an endoscope, and generates, based on the set condition, the control information.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/015 - Control of fluid supply or evacuation
This endoscope attachment is attached to an endoscope and comprises: a first tube; and a second tube disposed on the proximal-end side of the first tube. The first tube is capable of advancing and retracting inside the second tube. This treatment device is attached to an endoscope and comprises: an end effector fixed to the distal end of the endoscope; a first flexible part fixed to the end effector; and a second flexible part disposed on the proximal-end side of the first flexible part. The first flexible part is capable of advancing and retracting inside the second flexible part.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
Provided is an endoscopic treatment method for resecting a full thickness of a gastrointestinal wall under an endoscope, the method including: making a full circumferential incision in tissue around a target tissue up to a submucosal layer; fixing a traction device to a first location positioned further outside the target tissue; pulling the first location using the traction device so that a first region and a second region are folded and approach each other along a fold line that passes through the first location and divides the target tissue into the first region and the second region, to lift the full thickness of the gastrointestinal wall including the target tissue toward a gastrointestinal lumen side; suturing the submucosal layer exposed by full circumferential incision; and resecting the target tissue placed in the lumen side of the sutured area.
A61B 17/02 - Surgical instruments, devices or methods for holding wounds open, e.g. retractorsTractors
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/04 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for suturing woundsHolders or packages for needles or suture materials
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
An insertion instrument comprises an insertion section including a distal end portion, a bending portion, and a flexible tube portion. The distal end portion includes an opening, an objective lens, a first conduit, and a second conduit connected to the first conduit, the second conduit extending in a direction other than the longitudinal direction, the second conduit located distally relative to the first conduit. A space between a side surface of the objective lens and a side surface of the opening in the distal end surface defines a third conduit, the third conduit connected to the second conduit.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
54.
ENDOSCOPE APPARATUS, IMAGE PROCESSING DEVICE, IN-HOSPITAL SYSTEM, IMAGE PROCESSING METHOD, AND COMPUTER-READABLE STORAGE MEDIUM
An endoscope apparatus includes an endoscope and processing circuitry. The endoscope includes an imaging device disposed at a distal end of an insertion portion and configured to capture endoscopic images when the endoscope is inserted into a human body. The processing circuitry is configured to determine, based on image changes of the endoscopic images, whether each endoscopic image is a non-observation target image or an observation target image, detect a specific region based on image characteristics in endoscopic images determined as the non-observation target images, determine images including the specific region among the non-observation target images as correction target images, determine a directional relationship between a direction of the imaging device and an anatomical orientation of the human body, based on the correction target images, and
An endoscope apparatus includes an endoscope and processing circuitry. The endoscope includes an imaging device disposed at a distal end of an insertion portion and configured to capture endoscopic images when the endoscope is inserted into a human body. The processing circuitry is configured to determine, based on image changes of the endoscopic images, whether each endoscopic image is a non-observation target image or an observation target image, detect a specific region based on image characteristics in endoscopic images determined as the non-observation target images, determine images including the specific region among the non-observation target images as correction target images, determine a directional relationship between a direction of the imaging device and an anatomical orientation of the human body, based on the correction target images, and
perform direction standardization processing based on the directional relationship, thereby standardizing orientations of the correction target images based on the anatomical orientation.
G06V 10/24 - Aligning, centring, orientation detection or correction of the image
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/273 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
G06V 10/25 - Determination of region of interest [ROI] or a volume of interest [VOI]
G06V 10/32 - Normalisation of the pattern dimensions
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
55.
DIAGNOSIS SUPPORT SYSTEM, DIAGNOSIS SUPPORT METHOD, AND STORAGE MEDIUM
An endoscope system including a processor. The processor includes hardware and is configured to acquire an in-vivo image, input the in-vivo image to a first classifier to output first performance information, and input the in-vivo image to a second classifier to output second performance information. The first classifier and the second classifier are mutually different classifiers.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
G06V 10/25 - Determination of region of interest [ROI] or a volume of interest [VOI]
G06V 10/764 - Arrangements for image or video recognition or understanding using pattern recognition or machine learning using classification, e.g. of video objects
G06V 10/94 - Hardware or software architectures specially adapted for image or video understanding
56.
ENDOSCOPE REPROCESSOR, METHOD, AND CONTROL APPARATUS FOR FLUID SUPPLY CONTROL
An endoscope reprocessor includes a first tube connectable to a first ferrule of an endoscope, a second tube connectable to a second ferrule of the endoscope, a fluid supplying assembly configured to supply a fluid to a conduit of the endoscope via the first and second tubes, a sensor configured to detect a pressure and/or a flow rate of the fluid in the conduit, and processing circuitry. The processing circuitry is configured to control the fluid supplying assembly in a first mode to supply the fluid at a first pressure to the first tube, acquire the pressure and/or the flow rate from the sensor, and based on the pressure and/or the flow rate, switch control of the fluid supplying assembly from the first mode to a second mode to supply the fluid at a second pressure higher than the first pressure to the first tube.
A61B 1/12 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with cooling or rinsing arrangements
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
57.
MEDICAL INFORMATION TRANSMISSION DEVICE, ENDOSCOPE CART, MEDICAL INFORMATION TRANSMISSION METHOD, AND MEDICAL INFORMATION TRANSMISSION PROGRAM
This medical information transmission device comprises: an input interface for inputting use state information related to the state of an endoscope during use; a control unit that converts the inputted use state information into cleaning information for cleaning the used endoscope; and an output interface that outputs the cleaning information for presentation.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/12 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with cooling or rinsing arrangements
The present invention comprises: an objective lens (11) that is disposed such that the optical axis thereof faces a direction intersecting the endoscope insertion direction; an imager (10) that forms and captures an image of light from the objective lens (11); and a rigid base plate (40) that has an imaging system holding part (41) which holds an imaging system constituted by the objective lens (11) and the imager (10). The rigid base plate (40) has an inclined part (42) that is inclined with respect to a light-receiving surface of the imager (10) as seen from the endoscope insertion direction, and that extends toward the endoscope base end direction from the imaging system holding part (41). The inclined part (42) has a cable connection part (44) for connecting a composite cable.
A61B 1/04 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Penman, Jeffery D.
Ailinger, Robert E.
Frattura, Eric A.
Abstract
An adapter for connecting an endoscope to a video processor comprises a housing extending between a first end portion and a second end portion, a first connector located at the first end portion, the first connector comprising a standardized computer peripheral connector, and a second connector located at the second end portion, the second connector comprising a non-standardized computer peripheral connector. A method for communicating signals between an endoscope and an imaging system of an endoscope 2024/102619 system comprises connecting the endoscope to a first connector of a conversion adapter, the first connector comprising a standardized computer periphery connector, connecting the imaging system to a second connector of the conversion adapter, the second connector comprising a non-standardized computer peripheral connector, and transmitting a communication signal from the imaging system to the endoscope through the first connector and the second connector.
A61B 1/07 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
60.
DEVICES AND METHODS TO TREAT AND PREVENT DIVERTICULITIS
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Holman, Thomas J.
Murdeshwar, Nikhil M.
Abstract
A method of treating diverticulitis and the diverticulum by reducing the bioactivity of the diverticulum such that the diverticulum necroses. The devices and methods include placing an endoscopic device within a colonic lumen relative to at least one diverticulum and inverting the diverticulum. Once inverted, the diverticulum is collapsed and sealed. Overtime, the inverted diverticulum will necrose and be absorbed by the body or slough off and be expelled.
A61F 2/962 - Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/12 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61F 2/82 - Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
A61F 2/95 - Instruments specially adapted for placement or removal of stents or stent-grafts
A61K 9/00 - Medicinal preparations characterised by special physical form
Various disclosed embodiments include illustrative apparatuses, systems, and methods for providing a vacuum force during tissue biopsies. In an illustrative embodiment, an illustrative apparatus includes a housing that is attachable to a handle of a medical device and a piston device that is disposed at least partially within the housing. The piston device is configured to be biased in a first direction and lockable in a loaded pre-suction position.
An endoscope system including a processor configured to: classify a first image acquired by applying first illumination light into a first region and a second region; extract, from a second image acquired by applying second illumination light, a third region including a region corresponding to the second region, the third region having visual information corresponding to a region hidden behind the second region; and generate a partial transparent image by combining the first region and the third region.
G06T 11/60 - Editing figures and textCombining figures or text
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements
Disclosed herein are systems, devices, and methods for lubricating and/or cleaning a medical device. Such a lubrication device may include a first portion configured to apply a lubricant to an outer surface of an elongate body of a medical device and a second portion distal to the first portion where the second portion may include a seal configured to remove the lubricant from the elongate body and a waste collection chamber configured to receive and contain the removed lubricant.
B05C 5/02 - Apparatus in which liquid or other fluent material is projected, poured or allowed to flow on to the surface of the work from an outlet device in contact, or almost in contact, with the work
GYRUS ACMI. INC. D/B/A OLYMPUS SUGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Murdeshwar, Nikhil M.
Holman, Thomas J.
Milford, Jordan N.
Abstract
An electromagnetic suturing device comprises a body, a coil in the body and a suturing element actuatable by a magnetic field generated in the coil. An electromagnetic suturing device comprises a housing comprising a first arm having a first end face, a first suturing track extending into the first end face, a second arm having a second end face opposing the first end face, a second suturing track extending into the second end face, a coil in the first arm, and a suturing element drivable by a magnetic field generated by the coil to move from the first suturing track to the second suturing track. An electro-magnetic hammer suturing device comprises a housing and a coil in the housing, a shuttle to reciprocate in the housing by an electromagnetic field generated by the coil and a suturing element to be actuated by the shuttle.
A61B 17/04 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for suturing woundsHolders or packages for needles or suture materials
A61B 17/00 - Surgical instruments, devices or methods
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
66.
ENDOSCOPE REPROCESSOR, CONTROL METHOD, AND CONTROL APPARATUS FOR PRESSURE-CONTROLLED FLUID SUPPLY TO AN ENDOSCOPE
An endoscope reprocessor includes a first tube connectable to a first ferrule of an endoscope, a second tube connectable to a second ferrule of the endoscope, a fluid supply assembly configured to supply fluid to a conduit of the endoscope via the first tube and the second tube, and a controller. The conduit includes a first conduit communicating with the first ferrule, and a second conduit communicating with the second ferrule, the first and second conduits converging into a third conduit having an opening at a distal end of an insertion portion of the endoscope. The controller is configured to control the fluid supply assembly to feed liquid to the first and second conduits at a first pressure, and then feed liquid to the first and second conduits at a second pressure higher than the first pressure.
A61B 1/12 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with cooling or rinsing arrangements
A61B 1/015 - Control of fluid supply or evacuation
67.
ENDOSCOPE SYSTEM, AND CONTROL DEVICE, DONTROL METHOD, AND CONTROL PROGRAM FOR ENDOSCOPE
This endoscope system 1 comprises: an illumination light source 311 that emits illumination light; a treatment light source 612 that emits treatment light that causes a photoreactive reagent accumulated in a target site to react; an imaging unit that images return light of the illumination light from a subject and fluorescence generated by irradiating the subject with the treatment light; a light source control unit 44 that controls the operation of the illumination light source 311 and the treatment light source 612; and an imaging control unit 44 that causes the imaging unit to perform imaging in accordance with a specific frame period. When a first mode among a plurality of modes is set, the light source control unit 44 causes the emission of the illumination light from the illumination light source 311 and the emission of the treatment light from the treatment light source 612 to be performed in a time division manner in accordance with the specific frame period in a state in which the number of emissions of the treatment light per unit time is less than the number of emissions of the illumination light per unit time.
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
An endoscope reprocessor includes a first tube connectable to a first ferrule of an endoscope, a second tube connectable to a second ferrule, a fluid supply assembly, a sensor, and a processor. The fluid supply assembly supplies fluid to the endoscope's internal conduit via the first and second tubes. The internal conduit includes a first conduit communicating with the first ferrule, a second conduit communicating with the second ferrule, and a third conduit, all merging at a merging point. The processor performs a first cleaning process to supply, when the first tube is disconnected from the first ferrule, fluid to the first and third conduits via the second conduit and the second tube connected to the second ferrule, determine an end timing of the first cleaning process based on a detection signal from the sensor, and perform a second cleaning process to supply fluid to the first and second tubes.
A61B 1/12 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with cooling or rinsing arrangements
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
69.
ENDOSCOPE REPROCESSOR, METHOD, AND CONTROL DEVICE FOR CONTROLLING FLUID PRESSURE IN ENDOSCOPE REPROCESSING
An endoscope reprocessor includes a first tube connectable to a first ferrule of an endoscope, a second tube connectable to a second ferrule of the endoscope, a fluid supply assembly, and a controller. The controller is configured to drive the fluid supply assembly to supply fluid to a conduit of the endoscope via the first and second tubes, and control a pressure of liquid supplied to a second conduit to be equal to or less than a pressure of liquid supplied to a first conduit. The conduit includes the first conduit in communication with the first ferrule, and the second conduit in communication with the second ferrule, the first and second conduits converging into a third conduit leading to an opening at a distal end of an insertion portion of the endoscope.
A61B 1/12 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with cooling or rinsing arrangements
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
70.
ENDOSCOPE AUXILIARY INFORMATION GENERATION DEVICE, ENDOSCOPE AUXILIARY INFORMATION GENERATION METHOD, ENDOSCOPE AUXILIARY INFORMATION GENERATION PROGRAM, INFERENCE MODEL TRAINING METHOD, AND ENDOSCOPE AUXILIARY SYSTEM
An endoscope auxiliary information generation device includes an image acquisition unit configured to sequentially acquire a plurality of images of an inside of a living body obtained by an imaging unit of an endoscope that images an inside of a lumen of a subject, a region-of-attention detection unit configured to detect a region of attention having a specific feature in the image, a relative position change detection unit configured to detect a change in a relative position between the imaging unit and a target object imaged by the imaging unit on the basis of the image, and an auxiliary information generation unit configured to generate auxiliary information for guiding the endoscope to be manipulated in accordance with consecutive changes in the relative position.
A61B 1/04 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
71.
WAVEFORM CONTROL DEVICE FOR LASER LITHOTRIPSY APPARATUS, LASER LITHOTRIPSY METHOD, AND CRUSHING METHOD
Provided is a waveform control device for a laser lithotripsy apparatus including: a processor including hardware, the processor being configured to: pulse a laser beam; change an output of the pulsed laser beam; continuously emit the laser beam until a bubble generated from a laser emission end by an irradiation of the laser beam reaches a crushing target; and after the bubble generated from the laser emission end reaches the crushing target, reduce the output of the laser beam or turn off the irradiation of the laser beam during a period in which there is the bubble between the laser emission end and the crushing target, and the bubble does not couple the laser emission end and the crushing target.
B23K 26/0622 - Shaping the laser beam, e.g. by masks or multi-focusing by direct control of the laser beam by shaping pulses
A61B 18/26 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibreHand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
A61P 13/12 - Drugs for disorders of the urinary system of the kidneys
B23K 26/08 - Devices involving relative movement between laser beam and workpiece
B23K 26/40 - Removing material taking account of the properties of the material involved
A scanning optical fiber includes: an optical fiber; and a protruding member that is provided in a distal end region of the optical fiber, and that has an outer diameter larger than an outer diameter of the optical fiber. The protruding member receives a flow of a fluid in a longitudinal direction of the optical fiber toward a distal end of the optical fiber, and generates a force in a radial direction of the optical fiber.
A cover for fitting over a distal end of a shaft of a medical device is provided. The cover includes: a tubular body with a first end, a second end, inner and outer circumferential surfaces, an internal diameter and at least one projecting element extending outwardly; and an axial slot in the tubular body extending at least partially between the first end and the second end, wherein the tubular body is movable between a first position in which the slot has a first width and the tubular body has a first internal diameter, and a second position in which the width of the slot and the internal diameter of the tubular body are increased, wherein the tubular body is resiliently biased from the second position towards the first position.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A medical control device includes: a memory configured to store an association between scene information regarding an observation scene using a medical observation device, user information regarding a user who uses the medical observation device, and an operation screen; and a processor including hardware, the processor being configured to perform selective switching between a first display mode and a second display mode, when a first display mode is selected, acquire the scene information and the user information, generate an operation image based on first association information, the scene information, and the user information, and output the operation image to a display, and when the second display mode is selected, output a preset operation image to the display.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
75.
OPTICAL FIBER WITH CIRCUMFERENTIAL ILLUMINATION-GENERATING PORTION
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Bukesov, Sergey A.
Abstract
In a fiber-based surgical system, an optical fiber can include a fiber core that can propagate excitation light toward a distal end of the fiber core. The optical fiber can include an illumination-generating portion that extends fully or partially around a circumference of the fiber core proximate the distal end of the fiber core. The illumination-generating portion can have an annular cross-section, taken in a plane orthogonal to a longitudinal axis of the optical fiber. The illumination-generating portion can include an absorbing element, such as a phosphor or a quantum dot, that can absorb at least some of the excitation light and, in response, emit illuminating light to propagate distally beyond the distal end of the fiber core. The optical fiber can illuminate a target with the illuminating light. At least some of the illuminating light can reflect from the target to form response light.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/04 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements
A61B 1/07 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
G02B 23/24 - Instruments for viewing the inside of hollow bodies, e.g. fibrescopes
A61B 18/22 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibreHand-pieces therefor
76.
SCANNING OPTICAL FIBER, LASER IRRADIATION DEVICE, AND METHOD FOR MANUFACTURING SCANNING OPTICAL FIBER
A scanning optical fiber includes: a fiber core having a proximal region and a distal region; and a cover member formed of a single seamless member and covering at least a portion of the core. The cover member includes a tubular main section that covers at least a portion of the distal region excluding an end portion of the core, a protrusion protruding from a distal end of the main section at only one side of the core in a radial direction and arranged alongside the end portion in the radial direction, and a large diameter section provided at a proximal side relative to the distal end of the main section and folded in a longitudinal direction of the main section into a shape that protrudes radially outward.
This ultrasonic probe comprises: a plurality of ultrasonic transducers arrayed along an array direction; a plurality of signal cables electrically respectively connected to the ultrasonic transducers; and a substrate electrically connecting the ultrasonic transducers and the signal cables. The substrate has: a conductive layer in which a prescribed interconnection pattern is formed; and an insulating layer formed from an insulating material and provided on the opposite side of the conductive layer from the ultrasonic transducers. In the insulating layer, a vibration damping part formed from a material having a different acoustic impedance from the insulating layer is provided between adjacent ultrasonic transducers along the array direction. This allows for a reduction in acoustic crosstalk caused by ultrasonic vibrations propagating through the substrate.
This endoscope (1) comprises: a distal frame (14) which is provided on a distal side of an insertion part (2) and which has a sensor retention hole (19) penetrating from a distal end to a proximal end along a first axis (O1); a pressure sensor (50) which has a sensor head (51) and a signal cable (52) connected to the sensor head (51), and of which an end part on the sensor head (51) side is disposed in the sensor retention hole (19); and a sensor holder (55) that is provided on the outer periphery of the signal cable (52) on the sensor head (51) side. Furthermore, the sensor retention hole (19) includes: a first hole part (26); a second hole part (27) located farther on the proximal side than the first hole part (26) and thinner than the first hole part; and a first surface (28) formed by a step between the first hole part (26) and the second hole part (27). The sensor holder (55) supports the sensor head (51) inside the first hole part (26) in a state with the proximal side of the sensor holder (55) in contact with the first surface.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
This treatment instrument includes: a first gripping member 16; a second gripping member 12 openable and closable with respect to the first gripping member 16 and gripping a treatment object between the first gripping member 16 and itself; a support member 11 having an elongated shape and supporting the second gripping member 12 in a distal end portion to open and close the second gripping member with respect to the first gripping member 16; and a first wire Wi1 having one end connected to the second gripping member 12, to open and close the second gripping member 12 with respect to the first gripping member 16. The support member 11 has an outer surface provided with a groove portion 1141c that is recessed radially inward in the support member 11 and that extends from one end to the other end of the support member 11 along a longitudinal direction in the support member 11. The first wire WI1 is inserted into the groove portion 1141c.
Stents; Medical and surgical apparatus and instruments for use in endoscopic procedures; Drainage appliances for surgical procedures; Drainage tubes for medical purposes
81.
ENDOSCOPIC EXAMINATION ASSISTANCE METHOD, ENDOSCOPIC EXAMINATION ASSISTANCE DEVICE, AND RECORDING MEDIUM
An endoscopic examination assistance method includes calculating a remaining time until an examination of an internal organ using an endoscope ends based on a preset examination time for the examination and an elapsed time having elapsed after the examination has started, acquiring current position information indicating a current examination position in the internal organ, and generating and outputting an examination time table including a scheduled examination time for each of a plurality of sections in the internal organ using the remaining time and the current position information.
G16H 40/20 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
G06T 7/73 - Determining position or orientation of objects or cameras using feature-based methods
G06V 10/764 - Arrangements for image or video recognition or understanding using pattern recognition or machine learning using classification, e.g. of video objects
An ultrasonic probe includes: a plurality of ultrasonic transducers that are arranged along an arrangement direction from a first side toward a second side; a first flexible printed circuit including a first wiring group that extends from the plurality of ultrasonic transducers toward the first side and electrically connects the plurality of ultrasonic transducers and a plurality of signal lines configured to transmit and receive ultrasonic signals to and from the plurality of ultrasonic transducers; and a second wiring group that extends from the plurality of signal lines toward the second side; a second flexible printed circuit including a third wiring group that extends from the plurality of ultrasonic transducers toward the second side; and a connection portion that electrically connects the second wiring group and the third wiring group.
This display control device generates a three-dimensional image on the basis of an imaging signal from an imaging unit having a stereo optical system. The display control device sets a cross point of the three-dimensional image closer to the imaging unit side than the tip of a treatment tool when the tip of the treatment tool is arranged in an image height 60% region of the three-dimensional image. An endoscope system according to the present invention is a system in which the abovementioned display control device has connected thereto: an endoscope having an imaging unit with a stereo optical system, and a channel through which a treatment tool can be inserted; and a monitor capable of displaying a three-dimensional image.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
This treatment implement for endoscopes is provided with a sheath, an electroconductive rod disposed on the distal end side of the sheath, and an insulating member fixed to the distal end of the rod, wherein: the distal end of the rod has a first protrusion extending outward in the radial direction of the rod; the distal end of the rod is fixed in the state of being inserted into the insulating member; the insulating member has a side wall surrounding the outer surface of the distal end of the rod; the insulating member has a second protrusion extending from the inner surface of the side wall toward the outer surface of the rod; the first protrusion is disposed at a position that is closer to the distal end than the second protrusion and overlaps the second protrusion in the axial direction of the rod; and the second protrusion extends continuously over the entire circumference of the side wall.
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
Medical device, namely, manipulation system comprising flexible arms, knobs, levers, and buttons, for use in endoscopic therapy in the nature of endoscopic equipment for medical purposes; multitasking manipulation system for endo-therapy devices comprising treatment manipulators, treatment instruments, over tubes, flexible or rigid medical and surgical endoscopes, CO2 supply units, high-frequency and ultrasonic energy devices, video processors, monitors, light sources, recorders, fixing tools, and access devices, exclusively for use with medical and surgical endoscopes in the nature of endoscopic equipment for medical purposes; endoscopic equipment for medical purposes; medical and surgical apparatus and instruments for use in endoscopic procedures
Systems and methods for an endoscope system are described. The endoscope system can include a processing apparatus including a processor including hardware. The processor can acquire structure data of an organ, acquire an endoscope image from an imager of an endoscope, and acquire an ultrasonic image from a probe of the endoscope. The processor can automatically control a probe position of the endoscope based on the structure data and the distal end position information of the endoscope in a first control mode, and automatically controls the probe position based on the ultrasonic image in a second control mode.
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Butler, William E.
Nelson, Jeffrey J.
Blus, Theodore C.
Abstract
Forceps including a frame and a motion transfer assembly to transfer forces from or more actuators to an end effector. The motion transfer assembly can include a body having a passageway, a drive shaft extending through the passageway, and a drive link. The body and the drive shaft slidable with respect to the frame, and the body rotationally fixed to the drive shaft to transfer a rotational input received from a first actuator into a rotational motion of the drive shaft relative to the frame. The drive link operably coupled to the frame and the body to transfer a force received from a second actuator into a linear motion of the body and the drive shaft relative to the frame.
A61B 17/29 - Forceps for use in minimally invasive surgery
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
An endoscopic diagnosis assistance method includes: detecting an acquisition position that is a position within a lumen whose image is acquired by an imaging portion provided at a distal end portion of an endoscope; detecting a speed at which the distal end portion of the endoscope is advanced into or retracted from the lumen; and determining, based on an inference model, whether or not the speed of the distal end portion of the endoscope passing through an attention region capable of being determined under a predetermined condition is within a predetermined speed range for the attention region relative to the detected acquisition position, wherein the inference model was obtained by machine learning using: previously captured image frames captured in multiple cases; and a result of determining the attention region for the previously captured image frames to annotate an examination speed appropriate for examining the attention region, as training data.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/31 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for the rectum, e.g. proctoscopes, sigmoidoscopes
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
MEDICAL CONSULTATION RECOMMENDATION ASSISTANCE DEVICE, MEDICAL CONSULTATION RECOMMENDATION ASSISTANCE SYSTEM, OPERATION METHOD OF MEDICAL ASSISTANCE DEVICE, AND MEDICAL ASSISTANCE PROGRAM
A medical consultation recommendation assistance device according to the present invention comprises: a plurality of user terminals that each include a sensor unit for acquiring vital data of a user; a collection unit that collects pieces of vital data which are not sensitive personal information from among pieces of vital data of a plurality of users acquired by the plurality of user terminals; a vital data distribution detection unit that obtains a distribution of the collected pieces of vital data of the plurality of users; and a display control unit that displays the vital data distribution in a first region of a display screen of each of the user terminals and displays, on the displayed distribution, the vital data collected from that user terminal.
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
90.
ENDOSCOPE SYSTEM, IMAGE PROCESSING METHOD, AND IMAGE PROCESSING PROGRAM
An endoscope system (1) comprises: a second processor device (3) that is connected to an endoscope (2) so as to be capable of communicating with the endoscope (2) and that acquires an image captured by the endoscope (2); a first processor device (4) that is connected to the second processor device (3) so as to be capable of communicating with the second processor device (3) and that acquires the captured image through the second processor device (3); and a display device (5) that displays the image. The first processor device (4) is provided with: a first image processing unit (422) that executes first image processing on the captured image by software processing and generates a first captured image; an abnormality detection unit (43) that detects the presence or absence of an abnormality in the first image processing unit (422); a second image processing unit (442) that executes second image processing on the captured image by a hardware configuration and generates a second captured image; and an image switching unit (443) that causes a display device (5) to display the first captured image or the second captured image as an endoscope image according to a result of detection by the abnormality detection unit (43).
A61B 1/04 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances
A medical manipulator includes a flexible shaft, a distal-end portion, an operating unit with which the distal-end portion is operated, a wire transmitting a motive force of the unit to the distal-end portion, a coil formed from a material having a greater rigidity than the shaft and one end thereof being secured to the distal-end portion and the other end thereof being secured to the unit, and a tube having a greater bending rigidity than the coil. The unit includes a socket connected to the shaft, a ball relatively rotatable to the socket, and a handle with which the wire is pushed/pulled in the longitudinal direction, the coil is disposed at a position at which the coil covers an area surrounding the wire, and the tube is disposed at a position at which the tube covers an area surrounding the coil in spaces in the socket and the ball.
A tissue closure method comprises grasping a first portion of a tissue between a first arm and a central arm, restricting a sliding of a first slider while grasping the first portion, the first slider configured to open and close the first arm relative to the central arm, grasping a second portion of the tissue between a second arm and the central arm while restricting the sliding of the first slider, indwelling the first arm, the second arm, and the central arm in a body.
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
An accessory for a medical scoping device is provided. The accessory comprises: a tubular body for receiving a medical scoping device; and a first projecting element. The first projecting element moveable between: a retracted position where the first projecting element is substantially aligned with the tubular body; and an extended position wherein the first projecting element extends outwardly from the tubular body. The accessory further comprises: an actuator configured to selectively move the first projecting element between the retracted position and the extended position and between the extended position and the retracted position.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
This insertion device of the present invention has an insertion part (2) to be inserted into a subject, an operation part (3) connected to the insertion part, a suction conduit (26) inserted into the insertion part and the operation part, while a distal end thereof forms a distal end opening (25a) in the insertion part, and a proximal end thereof is connected to a suction device (42), and a delivery conduit (27) which branches from the suction conduit at a branch part (33) in the operation part and delivers a fluid into the suction conduit from a delivery source (43) for delivering the fluid. Within the operation part, the delivery conduit is configured so as to extend upward relative to gravity in a state in which the operation part is gripped from the branch part.
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
This endoscope system comprises: a light source disposed inside an endoscope; a fluid conduit provided around the light source; and a processor that controls the light source. The processor controls a light amount of the light source on the basis of a total fluid-flow time during which a fluid has flowed through the fluid conduit.
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements
A61B 1/12 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with cooling or rinsing arrangements
A treatment device includes an indwelling device including a treatment portion, and a tubular member including a proximal-end opening and in which a proximal-end portion of the treatment portion is disposed. The treatment device further includes an actuator including a connector releasably connected to a proximal-end portion of the treatment portion, and a power transmission member connected to the connector for moving the connector. The treatment portion can be fixed with respect to the tubular member when the power transmission member is retracted such that connector pulls the proximal-end portion of the treatment portion in a proximal direction to a predetermined position. The treatment device also includes a regulation portion for regulating a displacement of the connector in a direction separating from a longitudinal axis of the tubular member in the state in which the connector pulls the proximal-end portion towards the predetermined position.
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/122 - Clamps or clips, e.g. for the umbilical cord
This endoscope system 1 comprises: an LED 45 provided inside an operation unit 11 of an endoscope 2; a liquid feeding channel 27 disposed around the LED 45 inside the operation unit 11; and a CPU 7 that controls the output of the LED 45 on the basis of the flow rate of a liquid flowing through the liquid feeding channel 27.
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
Systems, devices, and methods for planning endoscopic ultrasound (EUS)-guided tissue acquisition (EUS-TA) from an anatomical target are disclosed. An endoscopy system can comprise a steerable elongate instrument including an EUS probe to produce ultrasound scans of the anatomical target, and a tissue acquisition device to sample tissue. A processor can receive one or more images of the anatomical target including one or more EUS images converted from the ultrasound scans, and apply the one or more images to a trained machine-learning model to generate an EUS-TA plan. The EUS-TA plan may include a recommended tissue acquisition device, and recommended values of operational parameters for manipulating the tissue acquisition device, navigating the steerable elongate instrument, or positioning the EUS probe. The EUS-TA plan can be presented to a user, or used to facilitate a robot-assisted tissue acquisition procedure.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
An endoscopic surgical device includes: a sheath; a forceps section protruding from a cover provided at a distal end of the sheath and including a pair of openable-closable forceps components; an operable member that is connected to a proximal end of the forceps section, that opens the forceps components when moved forward in a longitudinal direction, and that closes the forceps components when moved rearward; and a flow-path formation member having a through-hole through which the operable member extends and having a first liquid delivery hole constituted by a gap between the through-hole and the operable member and a second liquid delivery hole constituted by a gap between the flow-path formation member and an inner peripheral surface of the cover. The operable member is provided with a large-diameter section that abuts on the flow-path formation member when the operable member is moved forward to block the first liquid delivery hole.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
