A guide wire holder includes a sheath including a lumen, a central axis of the sheath extending along a longitudinal axis; an operation wire configured to be inserted into the lumen and configured to advance and retract in the lumen along the longitudinal axis; and a hook including a first end portion, a second end portion and a convex bending region, wherein the first end portion is connected to a distal end of the operation wire, and extends along the longitudinal axis on a first plane, wherein the second end portion extends along the longitudinal axis on the first plane, wherein the convex bending region includes a protruding end portion that curves on a second plane along a radial direction, wherein the second plane is not parallel to the first plane.
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
A61F 2/04 - Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
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
A61M 5/00 - Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular wayAccessories therefor, e.g. filling or cleaning devices, arm rests
A61M 25/01 - Introducing, guiding, advancing, emplacing or holding catheters
2.
CONTROL APPARATUS, DIAGNOSIS SUPPORT METHOD, AND RECORDING MEDIUM
A diagnosis support apparatus includes a processor including at least one piece of hardware. The processor identifies, based on physical information including one or more kinds of information capable of estimating a state of a diagnosis target organ of a subject, one abnormal symptom appearing in the diagnosis target organ, performs, as lesion extraction processing for extracting a lesion candidate region from an endoscopic image, different processing specialized for each abnormal symptom that appears in the diagnosis target organ, and performs the lesion extraction processing corresponding to the identified one abnormal symptom.
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
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 50/30 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indicesICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for individual health risk assessment
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 light source device for an endoscope includes a plurality of excitation laser light sources, a plurality of first condensing optical systems, a plurality of first optical fiber bundles, an illumination light source that generates white light, a second condensing optical system that condenses the white light emitted from the illumination light source, a second optical fiber bundle, and a first glass rod of which a first end surface is connected to emission end surfaces of the first and second optical fiber bundles and first emission ends of the first optical fiber bundles and a second emission end of the second optical fiber bundle are bundled. A connecting portion of an illumination optical system of an endoscope is provided on a second end surface of the first glass rod opposite to the first end surface.
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 1/06 - 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
What is provided is an endoscope capable of improving the quality of a stereoscopic image of a subject.
What is provided is an endoscope capable of improving the quality of a stereoscopic image of a subject.
The endoscope includes a lens frame configured to hold each of a first objective optical system and a second objective optical system and to extend in an optical axis direction, an imaging unit having an imaging element, and a heat dissipation member in contact with each of the lens frame and the imaging unit.
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
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Baker, Charles A.
Bloem, David
Batchelor, Kester Julian
Leak, David M.
Abstract
An auto-feed system for controlling a position of an elongated device in a working channel of an endoscope may include a drive motor which may be coupled to a drive wheel. The drive wheel may interface with the elongated device such that the elongated device at least one of axially inserts or axially retracts when the drive wheel rotates. The auto-feed system may also include a sensor, which may be configured to generate a signal indicative of an axial position of the elongated device in the working 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 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
A61M 25/01 - Introducing, guiding, advancing, emplacing or holding catheters
6.
ENDOSCOPE REPROCESSOR, METHOD FOR OPERATING ENDOSCOPE REPROCESSOR, AND PROGRAM FOR ENDOSCOPE REPROCESSOR
This endoscope reprocessor is provided with: a first tube that is connected to a first cap of an endoscope; a second tube that is connected to the distal end part of the endoscope; a fluid supply unit that supplies a fluid to the conduit of the endoscope via each of the first tube and the second tube; and a controller that controls the fluid supply unit. The conduit includes a first conduit communicating with the first cap, a second conduit communicating with a second cap of the endoscope, and a third conduit communicating with a merging part where the first conduit and the second conduit merge. The third conduit has an opening at the distal end of an insertion part of the endoscope. The controller controls the fluid supply unit such that the second cap is in an open state and the fluid is supplied from the first tube and the second tube to the second cap via the merging 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
7.
ROTARY ARTICULATING CHOLANGIOSCOPE WITH STABILIZING OVERTUBE
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Pirozzi, Anthony R.
Lessig, Richard K.
Abstract
An endoscopy system can include or use an endoscopic overtube, sized and shaped for insertion into a patient esophagus towards a patient duodenum. The overtube can include and access lumen providing an inner diameter to receive and pass a cholangioscope therethrough. The distal portion of the overtube can include or use a side port sized and shaped to permit lateral exit of a distal portion of the cholangioscope. Also, the overtube can include a ramp arranged to re-direct the distal portion of the cholangioscope from a longitudinal direction in the access lumen toward the lateral exit of the side port.
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
8.
CONTROL DEVICE, LEARNED MODEL GENERATOR, MEDICAL ASSISTANT METHOD
A control device includes: a processor, the processor being configured to acquire a first, second and third images from an imaging device including an optical system configured to change a focal length, an imaging element configured to expose an image formed by the optical system to generate a still image, and a focus adjustment mechanism configured to move the optical system along an optical axis direction of the optical system to change the focal length, input the first image, the second image, and the third image as input parameters to a learned model configured to output a depth map indicating a distance from the optical system to the subject as an output parameter, to infer a depth map of the subject, and output the depth map of the subject.
Provided is an osteotomy assistance jig, a digital template, and long bone corrective osteotomy. This osteotomy assistance jig comprises: a first registration member that has a positioning plate serving as a placement reference, and that sets a fixed position of a distal screw bolt; and a second registration member that is connected to the first registration member at an arbitrarily defined pivot angle so as to be capable of pivoting about a pivot axis set on a bone cutting line serving as a reference for cutting, and that sets a fixed position of a proximal screw bolt, wherein the fixed positions of the distal screw bolt and the proximal screw bolt are determined on the basis of the position of the first registration member and the connection position and connection angle of the second registration member with respect to the first registration member.
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
42 - Scientific, technological and industrial services, research and design
44 - Medical, veterinary, hygienic and cosmetic services; agriculture, horticulture and forestry services
Goods & Services
Platform as a service (PAAS) featuring computer software platforms for enterprise asset management of medical equipment; Platform as a service (PAAS) featuring computer software platforms for enterprise asset management of medical equipment, namely, placement and tracking of orders for the purchase, service and repair, reprocessing, reorders, and technical support of medical equipment; Platform as a service (PAAS) featuring computer software platforms for managing product orders; Platform as a service (PAAS) featuring computer software platforms for generating historical reports of equipment purchases; Software as a service (SAAS) services featuring software for enterprise asset management of medical equipment; Software as a service (SAAS) services featuring software for enterprise asset management of medical equipment, namely, placement and tracking of orders for the purchase, service and repair, reprocessing, reorders, and technical support of medical equipment; Software as a service (SAAS) services featuring software for managing product orders; Software as a service (SAAS) services featuring software for generating historical reports of equipment purchases; Providing temporary use of on-line non-downloadable software for enterprise asset management of medical equipment in the fields of healthcare and technology; Providing temporary use of on-line non-downloadable software for enterprise asset management of medical equipment, namely, placement and tracking of orders for the purchase, service and repair, reprocessing, reorders, and technical support of medical equipment in the fields of healthcare and technology; Providing a web site featuring technology that enables users to manage their medical equipment; Providing a web site featuring technology that enables users to manage their medical equipment, namely, placement and tracking of orders for the purchase, service and repair, reprocessing, reorders, and technical support of medical equipment Providing medical information; Providing healthcare information; Providing health care information by a website and online portal to manage orders of medical and surgical products; Providing medical information in the field of healthcare, medicine, and surgery via a website and online portal; Providing information concerning the use of medical diagnostic imaging equipment by means of a web site
12.
ENDOSCOPE PROCESSOR, METHOD FOR OPERATING ENDOSCOPE PROCESSOR, AND STORAGE MEDIUM
An endoscope processor comprises a processor. The processor causes a light source to generate, as illumination light, light in a first wavelength band in which hemoglobin absorption is smaller than that in a green band and light in a second wavelength band which is different from the first wavelength band. The processor causes an endoscope to image a return light so as to output an image signal. The processor acquires a first image obtained by the light in the first wavelength band from the image signal and detects unevenness information on mucosa from the first image. The processor acquires a second image obtained by the light in the second wavelength band from the image signal and synthesizes the unevenness information with the second image so as to generate a display image in which an uneven region in the second image is emphasized.
G06T 5/50 - Image enhancement or restoration using two or more images, e.g. averaging or subtraction
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
An endoscope apparatus includes first and second optical lenses that are separately provided at a distal end portion of an endoscope, and form first and second optical images, respectively, an optical path length changing filter that makes optical path lengths of the first and second optical images different, an image pickup device that performs image pickup of the first and second optical images to generate first and second image pickup signals, and a processor that generates first and second images from the first and second image pickup signals, corrects parallax, removes an area including a figure present only in one of the first and second images, and combines respective focusing areas of the first and second images to generate an endoscope 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
G02B 23/24 - Instruments for viewing the inside of hollow bodies, e.g. fibrescopes
14.
GAS FEEDING APPARATUS, SUPPLY METHOD AND GAS FEEDING SYSTEM
A gas feeding apparatus configured to supply the gas to a lumen of a patient through a gas feeding conduit provided in an endoscope, the gas feeding apparatus including: a flow rate sensor configured to measure a flow rate of the gas in the gas feeding conduit; and a control circuit configured to time-sequentially calculate an integrated amount of the gas fed to the lumen in a period from a first timing to a second timing, the first timing being a timing when the gas starts to be fed from the gas feeding conduit to the lumen by an operation of a gas feeding button of the endoscope, the second timing being different from the first timing. The control circuit controls a notification unit to activate an alarm, when the integrated amount of the gas reaches the first threshold.
A61B 1/015 - Control of fluid supply or evacuation
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 stapler is a medical stapler used together with an endoscope and includes a flexible elongated member extending in a length direction of the endoscope, a wire inserted inside the elongated member and movable forward and backward with respect to the elongated member, a suture assembly connected to a distal end of the wire and being able to suture a gripped treatment target with a staple, an operation unit connected to a rear end of the wire and ejecting the staple from the suture assembly by moving the wire forward and backward, and an ejection restriction structure restricting ejection of the staple when a tension applied to the wire is equal to or less than a first tension caused by a change in shape of the elongated member.
A61B 17/10 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for applying or removing wound clampsWound clamp magazines
A61B 17/00 - Surgical instruments, devices or methods
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
16.
ENDOSCOPE APPARATUS AND METHOD OF OPERATING ENDOSCOPE APPARATUS
An endoscope apparatus includes: an insertion section; a flow passage; a closed space forming member configured to form a closed space in at least a portion of an intestine; a pump configured to apply pressurization and depressurization to a liquid in the closed space a plurality of times through the flow passage in a state where the liquid is retained in the closed space; a flow passage allowing the liquid in the closed space to which the pressurization and the depressurization are applied the plurality of times through the flow passage to flow out to an outside of the intestine, and a liquid discharge opening.
A61B 1/015 - Control of fluid supply or evacuation
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
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 1/31 - 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
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Butler, William E.
Nelson, Jeffrey J.
Abstract
Medical devices for operating an end effector including a housing, a drive shaft, a drive body and a drive link. The drive shaft is moveable relative to the housing to actuate the end effector. The drive body is operably coupled to the drive shaft. The drive body includes a proximal collar and a distal collar. The drive link includes a proximal cam surface and distal cam surface, and the drive link is operatively coupled to the housing and actuatable to translate the drive shaft with respect to the housing. The proximal cam surface is configured to interface with the proximal collar when the drive link displaces proximally to translate the drive body in a proximal direction, and the distal cam surface is configured to interface with the distal collar when the drive link displaces distally to translate the drive shaft in a distal direction.
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 17/285 - Surgical forceps combined with cutting implements
A61B 17/29 - Forceps for use in minimally invasive surgery
A61B 17/295 - Forceps for use in minimally invasive surgery combined with cutting implements
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 ultrasonic transducer can include a plurality of piezoelectric elements arrayed along a longitudinal direction. The ultrasonic transducer can further include housing configured to store the plurality of piezoelectric elements and a contact receiver that is fitted to the housing and configured to transmit an electric signal to the plurality of piezoelectric elements. The contact receiver can include a body that is electrically insulating and a wiring pattern that is electrically connected to a lead that is provided on the housing. The wiring pattern can be formed by three-dimensional plating.
A treatment tool can include a first gripping piece and a second gripping piece that is openable and closable relatively to the first gripping piece. A longitudinal portion can be configured to transmit driving force to open or close the first gripping piece and the second gripping piece. The treatment tool can further include housing that has a stationary handle and to which the longitudinal portion is connected and a movable handle rotatable about a first rotation axis in the housing. The tool can also include a transmitter that is movable in the housing and configured to transmit force generated by a grip on the movable handle to the longitudinal portion and a link that has one end pivotally supported to be rotatable about a second rotation axis in a connector of the movable handle and another end pivotally supported to be rotatable about a third rotation axis in the transmitter.
A control device includes at least one processor having hardware. The processor acquires rigidity setting information that is information relating to rigidity setting of a variable rigidity member and, based on the rigidity setting information, sets a target voltage of a variable voltage power supply that applies a voltage to a constant current circuit for flowing a constant current through a heater that heats the variable rigidity member.
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
Leak, David M.
Batchelor, Kester Julian
Baker, Charles A.
Abstract
An actuation assembly can be configured to be attached to a medical instrument and can include an elongated body, a first engageable assembly, and a second engageable assembly. The elongated body can include a first end portion and a second end portion. The second end portion can be opposite the first end portion. The first engageable assembly can be disposed adjacent to the first end portion. The first engageable assembly can be operable to generate a first signal. The second engageable assembly can be disposed adjacent to the second end portion. The second engageable assembly can be operable to generate a second signal. The first signal and the second signal can be transmitted to the medical instrument to control one or more parameters of the medical instrument.
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
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Baker, Charles A.
Batchelor, Kester Julian
Bukesov, Sergey A.
Abstract
A surgical system can include a light source that can generate therapeutic laser light and controllably vary a spectral profile of the therapeutic laser light. An optical fiber having a distal end can deliver the therapeutic laser light to a target site. A distance sensor can repeatedly measure a. time-varying distance value that corresponds to a time- varying separation between the distal end of the optical fiber and the target site. A controller can cause the light source to temporally vary the spectral profile of the therapeutic laser light in response to the distance value. In some examples, the light source can include a first laser that is activated only when the distance value is less than a specified distance threshold and a. second laser, at a different wavelength, that is activated only when the distance value is greater than the specified distance threshold.
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
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
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Conjeti, Sailesh
Liu, Dawei
Ryan, Michael
Abstract
Systems, devices, and methods for determining or adjusting an imaging mode for use in inspecting tissue or foreign objects during an endoscopy procedure are disclosed. An exemplary endoscope system includes an endoscope and a controller circuit. The endoscope includes an imaging system to obtain images or video streams of a target anatomy during an endoscopy procedure. The controller circuit can generate from the obtained images or video streams endoscopic image or video features characterizing an anomaly in the target anatomy, and determine a personalized, pathology-specific imaging mode to enhance discernability of the anomaly from the images or video streams. The recommended imaging mode may be determined using a trained machine learning model. The recommended imaging mode may be provided to a user or a process to facilitate manual or automatic endoscopic imaging mode adjustment during the endoscopy procedure.
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
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
This tip hood comprises: an air supply pipe line for transmitting a prescribed gas; a first air supply hole for sending the gas toward the visual field of an endoscope via the air supply pipe line; and a second air supply hole for sending the gas toward the distal end side of the endoscope via the air supply pipe line.
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 1/012 - 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
25.
INFORMATION PROCESSING DEVICE, ENDOSCOPE SYSTEM, AND PROCESSING METHOD
An information processing device (20) includes a processor (22) including hardware. The processor (22) acquires an attribute of an examinee, sets a condition related to control information regarding the insertion of an endoscope on the basis of the acquired attribute of the examinee, and generates control information on the basis of the set condition.
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 comprises: a tip frame; a fitted part provided on the base end side of the tip frame and having an outer diameter dimension smaller than that of the tip side of the tip frame; a connecting ring that fits with the fitted part; a recessed part provided in the connecting ring; a projecting part projecting in the radial direction of the tip frame from a part of the fitted part and engaging with the recessed part; and an imaging module built in the tip frame in the vicinity of the projecting part and disposed in a region overlapping the projecting part in the radial direction of the tip frame.
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
27.
IMAGE PROCESSING APPARATUS, IMAGE PROCESSING METHOD, AND STORAGE MEDIUM
An image processing apparatus for use with an endoscope, and including a processor comprising hardware. The processor is configured to obtain an object distance, calculate dimensional characteristics defining apparent dimensions of an object in an image acquired by the endoscope, calculate scale information defining a relationship between the apparent dimensions and actual dimensions based on the object distance and the dimensional characteristics, and generate an indication pattern representing the actual dimensions based on the scale 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
G06T 3/40 - Scaling of whole images or parts thereof, e.g. expanding or contracting
G06T 7/571 - Depth or shape recovery from multiple images from focus
An endoscopic treatment tool can include a sheath and a wire inserted through the sheath. The wire can be movable forward and backward in a longitudinal direction of the sheath. The endoscopic treatment tool can further include a forceps, the forceps including a first forceps piece and a second forceps piece. The forceps can be supported or configured to be openable and closable. A connecting body can be connected to a distal end of the wire and can open and closes the forceps. When the forceps are in an open state, the first forceps piece and the second forceps piece include abutment surfaces abutting a distal end portion of the connecting body in the longitudinal direction.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
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
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Conjeti, Sailesh
Liu, Dawei
Ryan, Michael
Abstract
Systems, devices, and methods for creating and using a personalized, segment-specific endoscope withdrawal plan to guide an endoscopy procedure are disclosed. An endoscope system includes an endoscope and a controller circuit. The endoscope incudes an imaging system to obtain images or video streams of distinct segments of an anatomy in a patient during an endoscopy procedure. The controller circuit can analyze the images or video streams to generate image or video features for individual ones of the distinct segments of the anatomy. Based on the image or video features, the controller circuit can generate an endoscope withdrawal plan including target or recommended segment-specific endoscope withdrawal parameter values for each of the segments. The endoscope withdrawal plan may be provided to the user or a robotic system to facilitate manual or robotic withdrawal 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 1/31 - 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
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Kroll, Mark J.
Halstead, Cole D.
Butler, William E.
Mensch, John
Blus, Theodore C.
Whitney, Robert D.
Warzecha, Matthew J.
Abstract
A surgical forceps can include an outer shaft, a first jaw, a second jaw, and an inner shaft. The first jaw can include a first flange and a second flange. The first jaw can be pivotably coupled to the outer shaft. The second jaw can include a third flange and a fourth flange. The third flange can be welded to the outer shaft and the fourth flange can be welded to the outer shaft. The inner shaft can be engaged with the first flange and the second flange. The inner shaft can be movable with respect to the outer shaft, the third flange, and the fourth flange to move the first jaw between an open position and a closed position.
This clip device comprises: a clip unit having arms that open and close in terms of the front direction; a wire connected to the clip unit; and a sheath through which the wire is inserted and that extends in the longitudinal axis direction. The clip unit is separably connected to a tip end part of the sheath. The clip unit can transition between a first mode in which the front direction of the arms is aligned with the longitudinal axis direction and a second mode in which the front direction of the arms is aligned with a direction intersecting the longitudinal axis direction.
An information processing apparatus includes a processor. The processor acquires a medical image, identifies the acquired medical image and acquires an identification result, analyzes a motion relating to interpretation of the medical image by a user to acquire a motion analysis result, and compares the identification result and the motion analysis result and acquires a comparison result relating to coincidence or noncoincidence of the identification result and the motion analysis result.
G16H 30/20 - ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
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
33.
MEDICAL ASSISTANCE DEVICE, MEDICAL ASSISTANCE METHOD, AND PROGRAM
Provided are a medical assistance device, a medical assistance method, and a program enabling accurate extraction of terminology used for analysis. This medical assistance device is provided with a processor. The processor: imports endoscopy-related procedure information which is configured in a predetermined format and which forms the predetermined format that includes at least a plurality of characters pertaining to endoscopic qualitative diagnosis or treatment; extracts a specific word by using a method of division corresponding to an attribute linked to an item of an examination type to divide the endoscopy-related procedure information, compares the specific word and a standard term defined in the predetermined format, and determines the specific word to be an attribute value if the specific word and the standard term match.
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 40/63 - 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 70/20 - ICT specially adapted for the handling or processing of medical references relating to practices or guidelines
An endoscope according to the present invention includes a cylinder, a first moving member, a second moving member, and an opening/closing mechanism. The cylinder has an inner cavity, and the inner cavity is formed along a first axis extending from the distal end toward the proximal end. The first moving member moves in the inner cavity along the first axis and has a first coupling member. The first coupling member has at least two projections for hooking and holding the second moving member. The second moving member moves in the inner cavity along the first axis and has a second coupling member. The second coupling member includes a head part held by the first coupling member, and a neck part provided on the distal end side of the head part and formed thinner than the head part. The opening/closing mechanism changes the state of the first coupling member between a state in which the first coupling member is opened to open the second coupling member, and a state in which the first coupling member is closed to hold the second coupling member.
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
An endoscope includes: an observation window disposed in a distal end portion of an insertion portion; a nozzle disposed in the distal end portion; and a cover configured to cover the distal end portion, a distal end surface of the cover includes: a first surface surrounding the observation window, the first surface having a first planar shape when viewed in a cross-section taken about a line connecting the observation window and the nozzle; a second surface disposed radially outside the first surface, the second surface having a curved shape when viewed in the cross-section; and a third surface disposed radially outside of the second surface, the third surface having a second planar shape.
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
36.
ENDOSCOPE APPARATUS, OPERATING METHOD OF ENDOSCOPE APPARATUS, AND INFORMATION STORAGE MEDIUM
An endoscope apparatus includes: an imaging device; a light source device; an illumination light control circuit; a first processing circuit; and a second processing circuit. The light source device emits first support illumination light in a first time period. The first processing circuit acquires a first support image obtained with the first support illumination light. The second processing circuit extracts first diagnosis support information on the basis of the first support image. The light source device emits second support illumination light being as a result of dimming control on the basis of the first diagnosis support information in a second time period. The first processing circuit acquires a second support image with the second support illumination light. The second processing circuit acquires support display information on the basis of the second support image. The first processing circuit executes image processing, based on the support display information, on the display 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 1/06 - 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
37.
TERMINATING DRYING CYCLES BY MONITORING CURRENT IN ELECTROSURGICAL SYSTEMS
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Batchelor, Kester Julian
Busche, Maureen D.
Williams, Wayne
Abstract
Apparatus and associated methods relate to controlling electrical power of an electrotherapeutic signal that is provided to a biological tissue engaged by an electrosurgical instrument during a medical procedure. Electrical power—a product of a voltage difference across and an electrical current conducted by the engaged biological tissue—is controlled according to a therapeutic schedule. The electrotherapeutic schedule can be reduced or terminated in response to a termination criterion being met. In some examples, the termination criterion is a current characteristic, such as, for example, a decrease in current conducted by the engaged biological tissue. In some examples, the termination criterion is a biological tissue resistance characteristic, such as, for example, an increase in the biological tissue resistance that exceeds a predetermined delta resistance value.
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 17/00 - Surgical instruments, devices or methods
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
This ultrasonic probe is provided with: a plurality of ultrasonic transducers arrayed along a direction of arraying going from a first side toward a second side; a first flexible substrate on which are formed a first wiring group configured so as to extend from the plurality of ultrasonic transducers toward the first side and so as to electrically connect the plurality of ultrasonic transducers and a plurality of signal lines for transmitting/receiving ultrasonic signals to/from the plurality of ultrasonic transducers, and a second wiring group configured so as to extend from the plurality of signal lines toward the second side; a second flexible substrate on which is formed a third wiring group configured so as to extend from the plurality of ultrasonic transducers to the second side; and a connecting section for electrically connecting the second wiring group and the third wiring group. Due to this configuration, provided is an ultrasonic probe that has a miniaturized distal end section and is prevented from decreasing in bend resistance.
Medical apparatus and instruments; bone prostheses;
artificial teeth; artificial bone parts to be implanted in
natural bones; sutures; surgical implants comprised of
artificial materials for replacing human bone; bone implants
comprised of artificial materials; prosthetics or fillings
materials, not for dental use; orthopedic implants; spinal
implants comprised of artificial materials; metal bone
fixation plate for foot; metal bone fixation plate for knee;
esthetic massage apparatus for commercial use; gloves for
medical purposes; urinals for medical purposes; bed pans;
ear picks; teething rings; ice bag pillows for medical
purposes; triangular bandages; support bandages; surgical
catgut; feeding cups for medical purposes; dropping pipettes
for medical purposes; teats; medical ice bags; medical ice
bag holders; feeding bottles and pacifiers for baby;
thermally insulated feeding bottles for baby; fingerstalls
for medical use; contraceptives, non-chemical; artificial
tympanic membranes; bone substitutes for surgical use; bone
screws.
40.
PROCESSING SYSTEM, IMAGE PROCESSING METHOD, LEARNING METHOD, AND PROCESSING DEVICE
A processing system includes a processor with hardware. The processor is configured to perform processing of acquiring a detection target image captured by an endoscope apparatus, controlling the endoscope apparatus based on control information, detecting a region of interest included in the detection target image based on the detection target image for calculating estimated probability information representing a probability of the detected region of interest, identifying the control information for improving the estimated probability information related to the region of interest within the detection target image based on the detection target image, and controlling the endoscope apparatus based on the identified 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 1/06 - 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 bending tube is constructed of a first bending piece including a first upper-side opening and a first lower-side opening formed on an outer surface in a longitudinal axis direction, and a first upper-side wire accommodating groove and a first lower-side wire accommodating groove continuous with a first upper-side opening and a first lower-side opening respectively and formed in a direction crossing two up and down bending directions at an angle of 90 degrees, and a second bending piece including a second upper-side opening and a second lower-side opening formed on an outer surface in the longitudinal axis direction, and a second upper-side wire accommodating groove and a second lower-side wire accommodating groove continuous with a second upper-side opening and a second lower-side opening respectively and formed in a direction crossing the two up and down bending directions at an angle of 270 degrees.
The present invention relates to a cover having a plurality of moveable, external, angled projecting elements for use with flexible medical scoping devices such as endoscopes or enteroscopes. The invention includes the cover with an over cuff and use of the disposable removable covering in methods of medical scoping procedures or examinations. The invention also includes an applicator for assisting in placing the covering about or over a medical device and a kit of parts.
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 1/31 - 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 1/32 - Devices for opening or enlarging the visual field, e.g. of a tube of the body
An endoscopic treatment instrument can include a coil sheath, a wire, a wire connection portion, and an end effector. The wire is provided in the coil sheath and configured to move in a longitudinal direction of the coil sheath relative to the coil sheath. The wire connection portion is connected to a distal end side of the wire. The end effector is configured to switch between an open state and closed state in response to movement of the wire, when the end effector is in the closed state, a proximal end of the wire connection portion is located proximally relative to a distal end of the coil sheath.
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
44.
Endoscope Package System, Manufacturing Method of Endoscope, and Holding Body
In order to provide an endoscope that can reduce imbalance in shrinkage of an insertion portion and imbalance in slackening of bending wires even if a sterilization process involving heating is performed with respect to the endoscope stored in a container or the like while achieving the downsizing of a storage form used to store the endoscope in the container or the like, the endoscope package system includes an endoscope, the endoscope includes: a flexible insertion portion; in a length direction of the flexible insertion portion, the flexible insertion portion has a shape that includes a first winding direction and a second winding direction, the first winding direction is different from the second winding 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
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Baker, Charles A.
Abstract
Systems, devices, and methods for providing adjustable laser treatment of a target using fiber-to-target distance measurements are disclosed. An exemplary surgical laser system includes a laser system to generate and deliver laser pulses to an anatomical target via an optical fiber, a feedback analyzer circuit to receive a return laser signal in response to a chirped laser irradiating at the target, and a controller circuit. The feedback analyzer circuit can generate an optical coherence metric using the chirped laser and the return laser signal, and determine a fiber-to-target distance between a distal end of the optical fiber and the target. Based at least on the fiber-to-target distance, the controller circuit can adjust a position or an orientation of the distal end of the optical fiber, or adjust a surgical laser output setting for generating and delivering laser pulses to the target.
A61B 18/24 - 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 with a catheter
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 needle tube (3) has a tubular body (5). The body (5) has a slit (6) that extends in the longitudinal direction of the body (5) from a leading end opening (5c) of the body (5) toward the base end side and that penetrates the side wall of the body (5) in the radial direction. The length (L) from the leading end (5b) of the body (5) to the base end of the slit (6) is 3-25 mm. In a cross section perpendicular to the longitudinal axis (A) of the body (5), the opening angle (θ) formed by two line segments connecting the center (A) of the body (5) and side edges (6a, 6b) of the slit (6) on both sides in the width direction is 30-90°.
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Bukesov, Sergey A.
Shelton, Kurt G.
Talbot, Brian M.
Abstract
A probe of a target identification system can be extended via a first lumen of a viewing instrument, such as for illuminating an area beyond a distal end of the viewing instrument via an optical path of the viewing instrument. An optical response to the illumination of the area can be received via an optical path of the probe and can be split from other optical signals of the optical path. The optical response information can be used to identify characteristics of a target and to adjust parameters of a working instrument such as a working instrument contemporaneously using the probe.
A61B 18/18 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
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 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
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
G02B 27/12 - Beam splitting or combining systems operating by refraction only
G02B 27/14 - Beam splitting or combining systems operating by reflection only
H04B 10/25 - Arrangements specific to fibre transmission
This endoscope device comprises: an endoscope including an imaging device at an insertion section distal end; and a processor. The processor: detects a specific site on the basis of an image feature of an endoscopic image acquired by the imaging device during endoscope insertion in endoscopic examination; controls the imaging device so as to achieve a focused state of the specific site; determines, on the basis of the endoscopic image, a directional relationship between an up/down/left/right direction of the imaging device and an anatomical position of a human body into which the endoscope is inserted; and on the basis of the directional relationship, continuously rotates the endoscopic images sequentially acquired during the insertion with regard to the specific site, thereby performing directional unification processing to unify the orientation of the sequentially acquired endoscopic images with reference to the anatomical 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
49.
PROCESSING SYSTEM, ENDOSCOPE SYSTEM, AND PROCESSING METHOD
A processing system includes a processor including hardware. The processor acquires an endoscope image in which a duodenal papilla including an oral protrusion is imaged, estimates a depth map of a region including the duodenal papilla from the endoscope image, estimates a summit line of the oral protrusion from the estimated depth map, and performs display processing so as to superimpose a guide display based on the estimated summit line on the endoscope image.
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
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
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Murdeshwar, Nikhil M.
Holman, Thomas J.
Abstract
A method of treating diverticulitis while maintaining the bioactivity of the diverticulum. The devices and methods include placing an endoscopic device within a colonic lumen relative to at least one diverticulum and inserting a plurality of particles into the at least one diverticulum. The plurality of particles can include magnetic particles, non-magnetic particles, or both. The plurality of particles can partially or totally occlude the diverticulum preventing unwanted material from entering the diverticulum. Additionally, the plurality of particles can include antimicrobial and therapeutic layers that can treat diverticulitis and prevent or minimize diverticulitis from occurring.
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
A needle tube includes a tubular body. The body has a slit that extends in a longitudinal direction of the body from a distal end opening of the body toward a proximal end side, and that penetrates a side wall of the body in a radial direction. The length from a distal end of the body to a proximal end of the slit is 3 to 25 mm. The opening angle formed by two line segments connecting a center of the body and side ends on both sides of the slit in a width direction in a cross section perpendicular to a longitudinal axis of the body is 30° to 90°.
Provided is a covered stent manufacturing method including: disposing an inner cover inside a stent body having a mesh structure formed by knitting wires, the stent body having engagement portions, each of which is formed by hooking two bent portions of the wires with each other; disposing an outer cover outside the stent body; forming a slack portion that expands in a radial direction of the stent body in at least one of the covers, the slack portion creating slack that allows movements of the two bent portions in a longitudinal direction and the radial direction of the stent body in at least one of the covers; and joining the covers with each other in regions on an inner side of the mesh of the mesh structure.
A61F 2/90 - Stents in a form characterised by wire-like elementsStents in a form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
B29C 65/00 - Joining of preformed partsApparatus therefor
B29K 105/08 - Condition, form or state of moulded material containing reinforcements, fillers or inserts of continuous length, e.g. cords, rovings, mats, fabrics, strands or yarns
B32B 3/30 - Layered products comprising a layer with external or internal discontinuities or unevennesses, or a layer of non-planar shapeLayered products comprising a layer having particular features of form characterised by a particular shape of the outline of the cross-section of a continuous layerLayered products comprising a layer with external or internal discontinuities or unevennesses, or a layer of non-planar shapeLayered products comprising a layer having particular features of form characterised by a layer with cavities or internal voids characterised by a layer formed with recesses or projections, e.g. grooved, ribbed
B32B 5/02 - Layered products characterised by the non-homogeneity or physical structure of a layer characterised by structural features of a layer comprising fibres or filaments
B32B 7/05 - Interconnection of layers the layers not being connected over the whole surface, e.g. discontinuous connection or patterned connection
B32B 27/12 - Layered products essentially comprising synthetic resin next to a fibrous or filamentary layer
ENDOSCOPE AUXILIARY INFORMATION GENERATION DEVICE, ENDOSCOPE AUXILIARY INFORMATION GENERATION METHOD, ENDOSCOPE AUXILIARY INFORMATION GENERATION PROGRAM, INFERENCE MODEL TRAINING METHOD, AND ENDOSCOPE AUXILIARY SYSTEM
This endoscope auxiliary information generation device comprises: an image acquisition unit that sequentially acquires a plurality of images of the inside of a living body, wherein the images are obtained using an imaging unit of an endoscope; a target area detection unit that detects a target area having a specific feature in the images; a relative position change detection unit that detects a change in the relative position between the imaging unit and an object being imaged by the imaging unit on the basis of the images; and an auxiliary information generation unit that generates auxiliary information for guiding the operation of the endoscope in accordance with a continuous change in the relative position.
GYRUS ACMI, INC. D/B/ AOLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Batchelor, Kester Julian
Moe, Riyad
Williams, Wayne
Abstract
Apparatus and associated methods relate to controlling electrical power of an electrotherapeutic signal that is provided to a biological tissue engaged by an electrosurgical instrument during a medical procedure. Electrical power—a product of a voltage difference across and an electrical current conducted by the engaged biological tissue—is controlled according to a therapeutic schedule. The electrotherapeutic schedule can be reduced or terminated in response to a termination criterion being met. In some examples, the termination criterion is a current characteristic, such as, for example, a decrease in current conducted by the engaged biological tissue. In some examples, the termination criterion is a biological tissue resistance characteristic, such as, for example, an increase in the biological tissue resistance that exceeds a predetermined delta resistance value.
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 17/00 - Surgical instruments, devices or methods
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A treatment device includes a flexible sheath; a wire configured to be inserted into the sheath; a first treatment member disposed at distal side from the wire; a second treatment member disposed at a distal side from the first treatment member; and a protection member configured to cover the second treatment member when the first treatment member projects from a distal end of the sheath.
A61B 1/012 - 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
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
A61B 17/221 - Calculus gripping devices in the form of loops or baskets
An endoscope includes a frame component provided at a distal end portion of an insertion portion, an exterior member with conductivity in which the frame component fits, an imaging unit fixed to the frame component and configured to pick up an image, a conductive part provided in the imaging unit, an electrical connection part, a first end portion of which is connected to the conductive part, a neighboring part of a second end portion on an opposite side of the first end portion of which is sandwiched and fixed between an outer surface of the frame component and an inner surface of the exterior member and configured to electrically connect the conductive part and the exterior member, and an opening provided in the exterior member and configured to expose part of the frame component and cut an extra portion of the electrical connection part during assembly.
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.
ENDOSCOPE REPROCESSOR, METHOD FOR OPERATING ENDOSCOPE REPROCESSOR, AND PROGRAM FOR ENDOSCOPE REPROCESSOR
This endoscope reprocessor comprises: a processing tank in which an endoscope is disposed; a bottle in which a liquid is accommodated; a conduit for supplying the liquid in the bottle to the processing tank; a pump disposed in the conduit; a flowmeter that measures the flow rate of the liquid; and a controller that detects the shortage of the liquid in the bottle on the basis of the decrease in the flow rate measured by the flowmeter.
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
58.
ENDOSCOPE REPROCESSOR, OPERATION METHOD FOR ENDOSCOPE REPROCESSOR, AND PROGRAM FOR ENDOSCOPE REPROCESSOR
This endoscope reprocessor comprises: a first tube having a first connector connected to a first mouthpiece of an endoscope; a second tube having a second connector connected to a second mouthpiece; a fluid supply unit for supplying a fluid to a tube line of the endoscope; a controller; and a sensor for detecting the pressure of the fluid. The tube line includes a first tube line communicating with the first mouthpiece, a second tube line communicating with the second mouthpiece, and a third tube line in which the first tube line and the second tube line merge. The controller controls the fluid supply unit to a first mode in which fluid at a first pressure is supplied to the first tube and uses the result of comparing a plurality of threshold values with the pressure acquired from the sensor as a basis to switch the control to a second mode in which fluid at a second pressure higher than the first pressure is supplied to the first tube or a third mode in which fluid is supplied to the first tube and the second 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 1/018 - 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
GYRUS ACMI, INC D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Singh, Aseem
Singh, Kamaldeep
Abstract
Various embodiments disclosed relate to a lithotripsy device. A device may include a longitudinal shaft extending between a proximal portion and distal portion. A device may include a basket extending along the distal portion of the longitudinal shaft, the basket configured to catch a target calculus. A device may include a rotational driver operably coupled to the longitudinal shaft and the basket, the rotational driver actuatable for rotating the longitudinal shaft and the basket, wherein at least one of the longitudinal shaft and the basket is configured to vibrate in response to an acoustic energy input.
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 17/00 - Surgical instruments, devices or methods
A61B 17/221 - Calculus gripping devices in the form of loops or baskets
60.
ENDOSCOPE REPROCESSOR, METHOD FOR OPERATING ENDOSCOPE REPROCESSOR, AND PROGRAM FOR ENDOSCOPE REPROCESSOR
This endoscope reprocessor comprises: a first tube including a first connector connected to a first cap of an endoscope; a second tube including a second connector connected to a second cap of the endoscope; a fluid supply unit for supplying a fluid to a conduit of the endoscope via each of the first tube and the second tube; and a controller for controlling the fluid supply unit. The conduit includes a first conduit in communication with the first cap, a second conduit in communication with the second cap, and a third conduit where the first conduit and second conduit merge. The third conduit has an opening at the distal end of an insertion part of the endoscope. The controller controls the fluid supply unit so as to feed the liquid at a first pressure to the first conduit and the second conduit and then feed the liquid 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
61.
ENDOSCOPE REPROCESSOR, CLEANING TUBE, ENDOSCOPE REPROCESSOR OPERATION METHOD, AND PROGRAM FOR ENDOSCOPE REPROCESSOR
An endoscope reprocessor comprises: a first tube including a first connector connected to a first cap of an endoscope; a second tube including a second connector connected to a second cap of the endoscope; a fluid supply unit for supplying a fluid to a pipeline of the endoscope via each of the first tube and the second tube; and a controller that controls the fluid supply unit. The pipeline includes a first pipeline communicated with the first cap, a second pipeline communicated with the second cap, and a third pipeline in which the first pipeline and the second pipeline merge. The third pipeline has an opening at the tip of an insertion portion of the endoscope. The controller controls the fluid supply unit so that the pressure of a liquid to be supplied to the second pipeline is equal to or less than the pressure of the liquid to be supplied to the first pipeline.
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
62.
REPROCESSOR FOR MEDICAL EQUIPMENT, REPROCESSING METHOD FOR MEDICAL EQUIPMENT, AND RECORDING MEDIUM
This reprocessor for medical equipment comprises a supply device for supplying a fluid and a processor, and reprocesses medical equipment including first to third conduits that converge at a convergence point. The reprocessor is connected to the first conduit with a gap therebetween and is connected to the second conduit. The processor controls the supply device so that the supply device starts supplying the fluid only to the second conduit with the first to third conduits not filled with any liquid, and starts supplying the fluid to the first conduit before the fluid flows out from the gap after passing through the convergence point and the first conduit.
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
63.
ENDOSCOPE REPROCESSOR, ENDOSCOPE REPROCESSOR OPERATION METHOD, PROGRAM FOR ENDOSCOPE REPROCESSOR, AND STORAGE MEDIUM
This endoscope reprocessor reprocesses an endoscope. The endoscope is provided with a pipeline including a first pipeline, a second pipeline, and a third pipeline. The endoscope reprocessor comprises: a first tube including a first connector to be connected to a first cap communicated with the first pipeline; a second tube including a second connector to be connected to a second cap communicated with the second pipeline, a fluid supply unit that supplies a fluid to the pipeline via the first tube and the second tube; and a processor that, when the first connector is not connected to the first cap, controls the fluid supply unit so as to supply the fluid to the first pipeline and the third pipeline via the second pipeline and the second tube in which the second connector is connected to the second cap.
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 control device including a first light source configured to output light and a sensor configured to detect the light and generate a first signal based on the detected light. The control device further including an obstruction configured to obstruct the light from entering the sensor and at least one controller comprising hardware. The at least one controller configured to: receive the first signal; determine whether the first signal is a periodic signal or a non-periodic signal; and in response to determining that the first signal is the periodic signal, permit a second light source to supply light to an 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 1/06 - 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
65.
MEDICAL ASSISTANCE DEVICE, MEDICAL ASSISTANCE SYSTEM, AND MEDICAL ASSISTANCE METHOD
Provided are a medical assistance device, a medical assistance system, and a medical assistance method, which are capable of easily and efficiently checking a large number of endoscopic image groups having different magnifications. This medical assistance device: determines, on the basis of imaging magnification information and detection result information, whether or not images included in each of a plurality of image files have the same feature region; forms an image group for each feature region by grouping, on the basis of the result of the determination regarding whether or not the images have the same feature region, the images included in each of the plurality of image files; selects a representative image for each image group; and displays the representative images on a display device.
An image pickup module includes: an imager including a light receiving surface; and a back surface opposite to the light receiving surface; a wiring board including a first surface, a bottom surface disposed in a recess surrounded by a plurality of walls, a plurality of electronic components configured to mount on the bottom surface; and a cutout communicating a first space between the back surface and the first surface with a second space inside the recess, the cutout being on a first wall of the plurality of walls; and a resin disposed in the first space, the second space and a third space inside of the cutout, in which the resin is continuous without an interface between the first space, the second space, and the third space.
G02B 23/24 - Instruments for viewing the inside of hollow bodies, e.g. fibrescopes
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
A medical intervention device may include a distal end comprising a pair of jaws and a handle operably coupled to the distal end. The handle may include a pair of pivoting finger arms each having at least one finger loop, the pivoting finger arms being configured for opening and closing the pair of jaws at the distal end. The handle may also include at least one actuation interface arranged on the handle and in a position distal to the pair of finger arms.
A treatment tool can include an end effector comprising an ultrasonic blade, a tubular portion coupled to the end effector, and a driver coupled to a proximal end of the tubular portion. The driver can be configured to actuate the end effector via the tubular portion. The treatment tool can further include a pusher configured to support a coupling between the tubular portion and the driver in order to prevent a movement of the tubular portion in a longitudinal direction thereof.
This endoscopic inspection assistance method comprises: calculating, on the basis of an inspection time previously set in inspection of an organ using an endoscope and an elapsed time that has elapsed from the start of the inspection, a remaining time until the inspection ends; acquiring current position information indicating a position in the organ that is currently being inspected; and generating and outputting, by using the remaining time and the current position information, an inspection time table including a scheduled inspection time for each of a plurality of division sections into which positions in the organ are divided.
This endoscopic diagnosis assistance method, which is a diagnosis assistance method for an endoscope having at a tip unit thereof an imaging unit that acquires an image of a lumen, includes: detecting an acquisition position, which is a position in the lumen, where the tip unit acquires the image; detecting the speed at which the tip unit of the endoscope advances/retreats into/from the lumen; and determining whether the speed of the tip unit of the endoscope, which passes through a caution region that can be determined under a predetermined condition, is within the range of a suitable observation speed.
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
Disclosed embodiments include apparatuses, systems, and methods for positioning electrodes within a body. In an illustrative embodiment, an apparatus for slidably moving multiple features relative to a sheath inserted into a body and positioned relative to a reference point includes a primary actuator configured to move a primary electrode, a secondary actuator configured to move a secondary electrode, and a control mechanism. The control mechanism is configured to selectively prevent movement of at least one of the primary actuator based on a position of the secondary actuator and of the secondary actuator based on a position of the primary actuator and lock positions of the primary actuator and the secondary actuator.
A61B 17/00 - Surgical instruments, devices or methods
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
72.
ENDOSCOPIC LASER ENERGY DELIVERY SYSTEM AND METHODS OF USE
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Shelton, Kurt G.
Bukesov, Sergey A.
Talbot, Brian M.
Abstract
Systems, devices, and methods for delivering laser energy to a target in an endoscopic procedure are disclosed. An exemplary method comprises providing a first laser pulse train and a different second laser pulse train emitting from a distal end of an endoscope and incident on a target. The first laser pulse train has a first laser energy level, and the second laser pulse train has a second laser energy level higher than the first laser energy level. In an example, the first laser pulse train is used to form cracks on a surface of a calculi structure, and the second laser pulse train causes fragmentation of the calculi structure after the cracks are formed.
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
A61B 17/00 - Surgical instruments, devices or methods
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
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
A treatment tool can include a first jaw including a first electrode, and a second jaw configured to be opened and closed with respect to the first jaw, and the second jaw including a second electrode. The first electrode and the second electrode are configured to cause a high-frequency current, and at least a part of the first jaw includes a first portion having an uneven surface.
An endoscopic imaging manipulation method including: capturing endoscopic images of laryngeal and/or pharyngeal tissue structures during examination of the larynx and/or pharynx using an endoscope inserted through a patient's nose or mouth, feeding the captured endoscopic images to an instance of an artificial intelligence trained to identify suspicious areas of the laryngeal and/or pharyngeal tissue structures showing signs of alterations from healthy laryngeal and/or pharyngeal tissue, overlaying the captured endoscopic images with a marking indicating areas indicated by the instance of artificial intelligence as suspicious, and displaying the overlayed captured endoscopic images on a monitor.
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
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 10/778 - Active pattern-learning, e.g. online learning of image or video features
G06V 10/82 - Arrangements for image or video recognition or understanding using pattern recognition or machine learning using neural networks
G06V 20/40 - ScenesScene-specific elements in video content
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
75.
METHOD AND SYSTEM FOR MEDICAL ENDOSCOPIC IMAGING ANALYSIS AND MANIPULATION
An endoscopic medical imaging analysis and manipulation method including: capturing endoscopic images of laryngeal, pharyngeal and/or surrounding tissue structures during examination of the larynx, pharynx and/or surrounding tissue using an endoscope, feeding the captured endoscopic images to first and second instances of artificial intelligences, the first instance of artificial intelligence having been trained to identify suspicious areas of laryngeal, pharyngeal and/or surrounding tissue structures showing signs of alterations from healthy laryngeal, pharyngeal and/or surrounding tissue and the second instance of artificial intelligence having been trained to detect and classify abnormalities in the mucosal layer or the tissue of the larynx, pharynx and/or surrounding tissue, overlaying the captured endoscopic images with one or more markings indicating an area or areas indicated by the first instance of artificial intelligence as suspicious, and displaying the overlaid captured endoscopic images on a monitor, together with information provided by the second instance of artificial intelligence.
A supply cart includes a transceiver, a processor, at least one sensor and at least one indicator. A transceiver receives endoscope procedure data from a server. A processor is configured to read the endoscope procedure data and determine an instrument and one or more consumables needed for a procedure associated with the endoscope procedure data. At least one sensor is configured to determine a presence or absence of the instrument at the supply cart. At least one indicator is configured to provide an indication relating to the presence or the absence of the instrument at the supply cart.
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 procedure preparation system includes an input interface, a display, at least one a processor. The at least one processor is configured to receive an input containing (i) a medical procedure location where a medical procedure is performed, and (ii) a storage location where a medical device is stored, calculate (iii) a distance between (i) and (ii), calculate one of (a) a preparation start time of the medical device used in the medical procedure and (b) a performing time of the medical procedure using the medical device based on (iii) and (iv), and output a display image indicating one of (a) and (b) to the display. Calculation one of (a) and (b) is based on (iii) the distance and (iv) a movement speed of a transport device.
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 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 40/40 - 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 of medical equipment or devices, e.g. scheduling maintenance or upgrades
78.
IMAGE PROCESSING APPARATUS, ENDOSCOPE SYSTEM, AND IMAGE PROCESSING METHOD
An image processing apparatus includes a processor. The processor is configured to output second and third images corresponding to a continuous first image respectively to first and second routes, analyze the second image and output an analysis result, and generate a fourth image based on the third image and the analysis result and continuously output the fourth image. When acquiring the third image, the processor completes the generation of the fourth image before acquiring an analysis result by the second image generated based on a same first image as the first image, which is a generation source of the third 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
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Shelton, Kurt G.
Fan, Tailin
Abstract
Systems and methods for controlling an energy output setting of a lithotripsy device during a lithotripsy procedure are provided. The system includes a laser or other lithotripsy device configured for facilitating the lithotripsy procedure, an irrigation system configured for supplying an irrigant such as saline to a surgical site, and a temperature sensor configured to provide temperature data associated with the irrigant. The system can modulate the energy output setting of the lithotripsy device based on an estimated temperature that is determined based at least in part on the temperature data and one or more other factors such as a current energy output setting or a flow rate of the irrigant.
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 1/307 - 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 urinary organs, e.g. urethroscopes, cystoscopes
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
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
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
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Shelton, Kurt, G.
Bukesov, Sergey, A.
Batchelor, Kester, Julian
Rao, Maria
Marcus, David
Abstract
A system for identifying and classifying a target in an image obtained during a. medical procedure can comprise a medical device, and processing circuitry connected to the medical device. The processing circuitry can be configured to receive an image of a surgical site and analyze the image of the surgical site to locate a target in the image. The processing circuitry can further cause light to be emitted toward, the target from a light source associated with the medical device. At least a portion of the emitted light scattered by or reflected from the target can be collected at an optical splitter, and the collected light can be analyzed using a spectrometer coupled to the optical splitter to identify or classify the target. The processing circuitry can provide an output to a user based on at least one of the identification or classification of the 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 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
This stent delivery device comprises an outer sheath, an inner sheath that is inserted through the interior of the outer sheath, an operation part for operating the outer sheath and the inner sheath, and a restriction mechanism that restricts the movement of the inner sheath.
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
A bipolar surgical instrument comprises a body, first and second opposed jaws located at the distal end of a shaft, the first jaw being movable with respect to the second jaw between an open position in which the first and second jaws are spaced apart from one another, and a closed position in which the first and second jaws are adjacent one another. The first and second elongate jaw members have respective first and second electrodes. A controller is operable to determine a starting voltage for application to the jaws.
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
An endoscope holder includes a holder body, a hanger and a slide member. The hanger is pivotably attached to the holder body to move between a first angle position and a second angle position. The slide member is supported on the holder body. The slide member is configured to move slidably between a first position and a second position. At the first position, the slide member restricts pivoting of the hanger from the first angle position to the second angle position. At the second position, the slide member permits pivoting of the hanger from the first angle position to the second angle position. When the hanger is at the first angle position, the hanger is configured to support an endoscope by hanging the endoscope on the hanger. When the hanger is at the second angle position, the hanger is configured to not support the endoscope by hanging.
A61B 50/20 - Holders specially adapted for surgical or diagnostic appliances or instruments
F16M 13/02 - Other supports for positioning apparatus or articlesMeans for steadying hand-held apparatus or articles for supporting on, or attaching to, an object, e.g. tree, gate, window-frame, cycle
In an image pickup unit, an image pickup device, a first substrate, and a second substrate are connected in the order from a distal end. The image pickup unit includes a cutout that is provided in a side surface of the first substrate, penetrates from a distal end surface to a proximal end surface, and has a smaller width dimension of an opening on the proximal end surface side than that of an opening of the distal end surface side, and a resin filled in the cutout, a gap between the image pickup device and the first substrate, and a gap between the first substrate and the second substrate.
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
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Batchelor, Kester Julian
Sakanoue, Yoichiro
Abstract
An endoscope comprises an elongate shaft comprising a distal end portion comprising a distal end face located at a distal-most end of the elongate shaft and a recessed end face located proximally of the distal end face, a working channel extending at least partially through the elongate shaft to the recessed end face, an imaging device located in the distal end portion, and an extension wall for the working channel extending from the recessed end face, the extension wall being movable between a closed position and an open position. A method of collecting tissue using a device extending from an endoscope comprises inserting the endoscope into anatomy of a patient, extending the device into a working channel of the endoscope to extend from the endoscope, adjusting a moveable wall of the endoscope to support the device, and collecting tissue from the anatomy with the device.
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 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 17/00 - Surgical instruments, devices or methods
86.
MULTILAYER THREE-DIMENSIONAL CIRCUIT SUBSTRATE, ENDOSCOPE, AND METHOD FOR MANUFACTURING MULTILAYER THREE-DIMENSIONAL CIRCUIT SUBSTRATE
A multilayer three-dimensional circuit substrate includes a first substrate, a first protective metal layer, a second protective metal layer, a second substrate, a first interlayer connecting member, and a second interlayer connecting member. The first protective metal layer has a lower absorption rate of light than a first wiring provided on a first surface of the first substrate. The second protective metal layer has a lower absorption rate of light than a second wiring provided on a second surface of the first substrate. The second substrate is configured such that a thickness between a fifth surface and a sixth surface is thinner than a thickness between a third surface and a fourth surface. A sensor is provided on the fifth 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
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 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
A surgical system includes an endoscope including an imager which captures an endoscopic image, a medical manipulator with an injection needle at a distal end section thereof, a drive device which controls the medical manipulator to control a position of the injection needle, and a processor. The processor is configured to: control to inject a target amount of a injection fluid into a syringe connected to the injection needle; acquire, from the imager, the endoscopic image in which a treatment target is captured; and perform a prescribed determination to determine success/failure of injection using the endoscopic image, and control the drive device to change the position of the injection needle based on a determination result of the prescribed determination.
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 includes: a distal end body comprising a first fluid passage, the first fluid passage extending in a direction intersecting a longitudinal direction of the distal end body, the first fluid passage comprising a first distal end opening; a first cover detachably attached to the distal end body, the first cover including a second fluid passage in fluid communication with the first fluid passage, the second fluid passage extending along the longitudinal direction; and a second cover detachably attached to the distal end body, the second cover located distally relative to the first cover.
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
A61B 1/015 - Control of fluid supply or evacuation
89.
ENDOSCOPE SYSTEM, AND IMAGE PROCESSING APPARATUS AND IMAGE PROCESSING METHOD USED IN ENDOSCOPE SYSTEM
An image processing apparatus for use with an endoscope system. The image processing apparatus including: a first processor configured to perform image processing on an inputted image, the image processing including a diagnostic process; a second processor configured to perform selection processing to select and transmit the inputted image to an external image processing apparatus connected to an external network; and an interface configured to receive a processing result of the diagnostic process by the external image processing apparatus. Wherein the external image processing apparatus is configured to perform at least one of a detection of a lesion candidate or a differentiation of the lesion candidate.
H04N 7/18 - Closed-circuit television [CCTV] systems, i.e. systems in which the video signal is not broadcast
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
G06T 1/20 - Processor architecturesProcessor configuration, e.g. pipelining
GYRUS ACMI, INC D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Baker, Charles A.
Abstract
An endoscope comprises an elongate shaft extending along an axis from a proximal end portion to a distal end portion, a video imaging device located in the distal end portion, the video imaging device including a field of view, and an optical imaging systems, e.g., an optical coherence tomography (OCT) imaging system, configured to emit light outside of the field of view. A method of imaging anatomy using an endoscope comprises inserting the endoscope into anatomy of a patient, the endoscope comprising an elongate body with a central axis, obtaining imaging with a video imaging device that includes a field of view, emitting light from a distal end portion of the endoscope outside of the field of view, obtaining reflected light from the emitted light in the multiple radial directions, and generating optical images, e.g., optical coherence tomography imaging, of the anatomy from the reflected light.
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 1/05 - 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 5/00 - Measuring for diagnostic purposes Identification of persons
91.
TECHNIQUES FOR COMPOSITION IDENTIFICATION OF AN ANATOMICAL TARGET
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Bukesov, Sergey A.
Shelton, Kurt G.
Abstract
Techniques for identifying composition of an anatomical target using a series of different colored light sources are provided. In an example, a method can include emitting light from multiple illumination sources, receiving an illumination response from an anatomical target at an optical sensor, providing an image representative of the anatomical target, and providing spectral intensity information of the illumination response in addition to the image. Each illumination source can emit light having a range of frequencies centered about a different frequency than each other illumination source.
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
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
92.
ENDOSCOPIC CONTROL APPARATUS, ENDOSCOPE SYSTEM, MEDICAL SYSTEM, AND ENDOSCOPIC CONTROL METHOD
An endoscopic control apparatus includes one or more processors configured to process image matching with respect to a first image and a second image to determine an image in the first image and the second image, the first image obtained from an endoscope during an endoscopy, the image feature comprises information related to common pixels among the first image and the second image, detect a treatment target based on the image feature obtained from the image matching, determine a treatment instrument based on the detected treatment target, and display guide information, the guide information includes information related to the treatment instrument.
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
93.
IMAGE DISPLAY SYSTEM, DISPLAY CONTROL DEVICE, AND IMAGE DISPLAY METHOD
An image display system includes: a monitor configured to be able to display a 3D image; a detection device configured to detect a position of an observer or a position of monitor observation glasses with respect to the monitor as an observation position; and a display control device configured to determine at least one of a display size and a display position of the 3D image to be displayed on the monitor on the basis of the observation position detected by the detection device.
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
H04N 13/207 - Image signal generators using stereoscopic image cameras using a single 2D image sensor
H04N 13/341 - Displays for viewing with the aid of special glasses or head-mounted displays [HMD] using temporal multiplexing
H04N 13/366 - Image reproducers using viewer tracking
National University Corporation Tokyo Medical and Dental University (Japan)
Inventor
Fukuhara, Tomohiko
Iwanaga, Toshihisa
Koga, Hideyuki
Abstract
A guide device that guides a drill that drills a second bone hole in a bone in which a first bone hole is formed includes: an elongated protective portion that is inserted into the first bone hole and that defines, in an interior of the first bone hole, a pathway that extends in a longitudinal direction of the first bone hole and through which a suture passes; a guide portion that has a guide hole that specifies a guide axis and that guides the drill passing through the guide hole along the guide axis; and an arm portion that connects the protective portion with the guide portion. The guide axis is disposed at a twist position with respect to the protective portion, and the drill guided along the guide axis passes through a position at which the drill does not interfere with the suture that passes through the pathway.
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Talbot, Brian M.
Bukesov, Sergey A.
Shelton, Kurt G.
Mcloughlin, Anne G.
Schnakenberg, Rachel D.
Abstract
A multifiber assembly and methods of using the same in an endoscopic procedure for transmitting illumination light to, and a response signal reflected from, a target is disclosed. An exemplary device comprises a proximal end, and distal end, and a transition section between the proximal and distal ends. The proximal end includes a first connector to be connected to a light source and a second connector configured to be connected to a spectrometer. The distal end includes a shaft including at least two first optical fibers to transmit light and at least one second optical fiber to transmit a spectroscopic signal. The transition section can couple the first connector to the at least two first optical fibers, and to couple the second connector to the at least one second optical fiber.
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 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 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
An image processing device includes a processor including hardware, the processor being configured to: generate a white light image based on a white light which is made of a light having a wavelength band of visible light range; generate an absorption band light image indicating an absorption degree of a light having a wavelength band of Soret band which is absorbed by a drug accumulated in a target region for treatment; and generate a display image based on the white light image and the absorption band light image.
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
This image processing device comprises a processor. The processor generates a three-dimensional image of a subject from a first image (S2), associates, with a second image, the position of boundary information relating to a lesion portion in the second image (S3), and associates, with the three-dimensional image, the position of the boundary information associated with the second image (S4). The first image and the second image are two-dimensional images of the subject captured by an endoscope and the first image is an image captured prior to the capture of the second image.
This diagnostic imaging assistance device 5 comprises: an image selection unit 511 that selects, as a diagnostic image, one of a plurality of images including the same subject and in which different processes are executed; and an estimation unit 512 that executes an estimation process for the diagnostic image by using a trained model to estimate a diagnostic candidate region, which is a diagnostic candidate region in the diagnostic image, and outputs a degree of reliability of the diagnostic candidate region. The image selection unit 511 selects one of the plurality of images as a diagnostic image on the basis of the degree of reliability of the diagnostic candidate region.
This method for generating auxiliary information: sequentially acquires a plurality of images obtained by an imaging unit of an endoscope at a plurality of positions in the digestive tract of a subject; detects a characteristic area(s) in the digestive tract on the basis of the plurality of images; calculates the number of the characteristic areas in each of a plurality of sections in the digestive tract; generates auxiliary information according to the number of the characteristic areas; and controls the mode of the auxiliary information according to the number of the characteristic areas when the auxiliary information is displayed on a display unit.
A wiring board has a first principal surface including one or more first pads configured to bond an electronic component, one or more second pads configured not to bond another member, one or more wiring patterns connecting the one or more first pads to the one or more second pads, respectively, and a solder nonwetting region is formed on each of the one or more second pads.
H05K 1/11 - Printed elements for providing electric connections to or between printed circuits
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
