Endoscopic apparatus for medical purposes; endoscopic
equipment for medical purposes; medical apparatus and
instruments; surgical apparatus and instruments; medical and
surgical apparatus and instruments, namely, endoscopic video
processors specially adapted for and exclusively used with
medical and surgical endoscopes for medical and surgical
purposes; chemiluminescent light sources for use in
endoscopy; endoscopes for medical use.
2.
DRUG SOLUTION BOTTLE UNIT AND ENDOSCOPE REPROCESSOR
The present invention provides a drug solution bottle unit having a structure capable of reducing the amount of force required to press the tray when opening the respective lid members of two drug solution bottles. To this end, a drug solution bottle unit 10 according to the present invention comprises: a first bottle 11 having an interior sealed by a first lid 17; and a second bottle 12 having an interior sealed by a second lid 18. The first lid is provided on a first end face 11a of the first bottle, and the second lid is provided on a first end face 12a of the second bottle. The first lid and the second lid are arranged at positions differing in distance from respective second end faces 11b and 12b of the first bottle and the second bottle. The first bottle has a first region 13 for filling liquid, and the second bottle has a second region 14 for filling liquid. The second region includes a first accommodation portion and a protrusion 12d that communicates with the first accommodation portion to form the second region.
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
3.
DRUG SOLUTION BOTTLE UNIT, WASHING AND DISINFECTING DEVICE, AND METHOD FOR OPENING DRUG SOLUTION BOTTLE UNIT
A drug solution bottle unit 7 comprises: a first stopper 17 for closing a first opening 13a of a first drug solution bottle 11 (first bottle body 13); and a second stopper 18 for closing a second opening 14a of a second drug solution bottle 12 (second bottle body 14). In a direction passing through the first opening 13a, the second stopper 18 is disposed at a position different from the first stopper 17.
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
4.
ENDOSCOPE SYSTEM, ENDOSCOPE SYSTEM CONTROL METHOD, AND PROGRAM
Provided are an endoscope system, an endoscope system control method, and a program that are capable of assisting diagnosis without relying on a physician's knowledge or skill. The endoscope system comprises a sensor that detects a physical quantity to generate sensor data, and a processor that processes the sensor data output from the sensor. The sensor has a first sensor that outputs first data and a second sensor that outputs second data. The processor generates diagnosis assistance information on the basis of the first data and the second data, and outputs the diagnosis assistance information.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
5.
ENDOSCOPE SYSTEM AND ENDOSCOPE SYSTEM CONTROL METHOD
An endoscope system according to the present invention comprises an endoscope including: an insertion part that has a tip end part at which an imaging element is disposed and a bending part which is bendable and is connected to the proximal side of the tip end part; and an operation part that receives an operation for bending the bending part, wherein a first marker that indicates a positioning position and that is located closer to the proximal side than the bending part is formed on the outer circumferential surface of the insertion part.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/273 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'appareil digestif supérieur, p. ex. œsophagoscopes, gastroscopes
6.
IMAGE PROCESSING DEVICE AND CONTROL METHOD AND PROGRAM FOR IMAGE PROCESSING DEVICE
Provided are an image processing device capable of assisting an endoscope in having an optimum observation visual field, and a control method and program for the image processing device. The image processing device is provided with a processor. The processor: acquires a medical image obtained by processing imaging data sequentially output from an image sensor of the endoscope; generates first assistance information on the basis of the medical image; and outputs the first assistance information. The first assistance information includes information pertaining to a relationship between a region of interest in the medical image and a visual field direction of the image sensor.
This endoscope system comprises: an endoscope having an insertion part in which an imaging element is disposed at the distal end; a plurality of pressure sensors for detecting pressure applied to the outer circumferential surface of the insertion part, the plurality of pressure sensors being disposed along the axial direction of the insertion part; an air supply device for supplying air from the distal end of the insertion part through an air supply pipeline extending to the distal end of the insertion part; and a processor. The processor: acquires pressure measurement values outputted from the plurality of pressure sensors; specifies a reference sensor on the basis of the pressure measurement values, said reference sensor being a pressure sensor serving as a reference; and generates assistance information obtained by processing the pressure measurement value in accordance with the position of the reference sensor.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/273 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'appareil digestif supérieur, p. ex. œsophagoscopes, gastroscopes
8.
BIOPSY FORCEPS, ENDOSCOPIC TREATMENT SYSTEM, AND METHOD FOR COLLECTING TISSUE USING ENDOSCOPIC TREATMENT SYSTEM
The present disclosure is a biopsy forceps that is insertable into a puncture hole formed by puncturing biological tissue with a needle, including a first forceps piece having a length in one direction and a forceps cup having a recess in which the biological tissue is collectable, and a second forceps piece disposed on an opening side of the recess of the first forceps piece, wherein the first forceps piece is openable and closeable toward a distal end side in a longitudinal direction with respect to the second forceps piece, the forceps cup has a body portion and a distal end portion provided on a distal end side of the body portion in the longitudinal direction, and a length of the distal end portion in a direction perpendicular to the longitudinal direction becomes smaller toward the distal end side.
A61B 1/267 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour les voies respiratoires, p. ex. laryngoscopes, bronchoscopes
A61B 10/04 - Instruments endoscopiques, p. ex. instruments de type cathéther
A medical manipulator includes a manipulator flexible portion extending in a longitudinal direction; and two arms arranged at a distal end of the manipulator flexible portion, and each of the two arms includes a first bending portion, the first bending portion has an artificial muscle that drives the first bending portion to bend, and a bending tube, and the artificial muscle and the bending tube extend along the longitudinal direction and are arranged side by side.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Baker, Charles A.
Mayo, Susanna L.
Bertelson, Arthur J.
Stender, Eric
Abrégé
A lithotripsy system can include a lithotripsy device and controller circuitry. The device for acoustic calculi fracture can include an acoustic treatment probe for providing acoustic energy along the probe to treat one or more calculi and an evacuation pathway extending at least partially via the prob, for removing at least a portion of the one or more calculi via the evacuation pathway. The controller circuitry, coupled to the lithotripsy device, can be configured to receive an indication of clogging of the evacuation pathway and at least one of initiate or adjust a anti-clogging mode for changing at least one characteristic of evacuation via the evacuation pathway in response to the received indication of clogging.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
11.
ENDOSCOPE PROCESSOR, ENDOSCOPE DEVICE, AND METHOD OF GENERATING DIAGNOSTIC IMAGE
An endoscope apparatus including a processor comprising hardware. The processor being configured to: detect a first region of a lesion candidate from first image information acquired by irradiation with first illumination light; detect a second region of a lesion candidate from second image information acquired by irradiation with second illumination light having a different spectrum from the first illumination light; select a region for display of the lesion candidate out of the first region and the second region, the region for display corresponding to an observation target site of a subject; and generate image information for display, in which the region for display is superimposed on the first image information. Wherein the region for display is larger than any one of the first region or the second region.
An endoscope reprocessor includes: a cleaning tank in which an endoscope is placed; an endoscope connecting unit configured to be connected to a channel of the endoscope; a top cover configured to cover an upper part of the cleaning tank; a first ejection unit configured to eject a cleaning solution toward an inner surface of the top cover; a first pump connected to the first ejection unit; and a control unit provided with a processor configured to feed a liquid to the channel of the endoscope by controlling the first pump, in which the processor acquires a type of the endoscope, controls the first pump during cleaning according to the type of the endoscope, and causes the cleaning solution to be delivered from the first ejection unit.
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61B 90/70 - Dispositifs de nettoyage spécialement adaptés aux instruments chirurgicaux
A61L 2/18 - Procédés ou appareils de désinfection ou de stérilisation de matériaux ou d'objets autres que les denrées alimentaires ou les lentilles de contactAccessoires à cet effet utilisant des substances chimiques des substances liquides
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Marcus, David
Bukesov, Sergey A.
Shelton, Kurt G.
Franco, Marle
Abrégé
A surgical system can include an endoscope configured to direct light from a distal end of the endoscope toward a target site to illuminate a field of view around a target; a distally-extending optical fiber extending from the distal end of the endoscope configured to deliver a therapeutic energy towards the target and configured to receive, as return light, at least some of the light that is reflected from the target site in response to the illumination; and processing circuitry configured to determine, based at least in part on the return light, a condition associated with the field of view at the target site.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61B 18/24 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet avec un cathéter
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
14.
DATA PROCESSING DEVICE, ENDOSCOPE SYSTEM, DATA PROCESSING METHOD, INSERTION GUIDE METHOD, AND TRAINING METHOD OF INFERENCE MODEL
A data processing device disclosed herein comprises: an insertion difficult state determination unit that acquires insertion shape information from an insertion shape observation device for observing the insertion shape of an insertion unit of an endoscope, and determines an insertion difficult state, in which insertion of the insertion unit into a lumen is difficult, on the basis of the acquired insertion shape information; a training image frame determination unit that is given a series of image frames of a lumen obtained by imaging by an imaging device provided in the insertion unit, and determines one or more image frames, coming after an image frame acquired a predetermined time before the timing of the determination of the insertion difficult state, as an insertion difficult state image; a guide information generation unit that generates guide information, for supporting the insertion of the insertion unit, for the insertion difficult state image; and a recording unit that records the insertion difficult state image and the guide information in association with each other.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
An endoscope system according to the present invention comprises: an endoscope having an insertion part with an image-capture element disposed at the distal end thereof; a contact pressure sensor provided to the insertion part to detect contact pressure with a body cavity of a subject; and a processor. On the basis of a captured image captured by the image-capture element and elasticity characteristic information detected by the contact pressure sensor, the processor generates a mapping image in which an acquisition position of the elasticity characteristic information estimated on a three-dimensional model representing the body cavity is associated with the three-dimensional model.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/273 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'appareil digestif supérieur, p. ex. œsophagoscopes, gastroscopes
A61B 10/00 - Instruments pour le prélèvement d'échantillons corporels à des fins de diagnostic Autres procédés ou instruments pour le diagnostic, p. ex. pour le diagnostic de vaccination ou la détermination du sexe ou de la période d'ovulationInstruments pour gratter la gorge
16.
ENDOSCOPE SYSTEM, ENDOSCOPE SYSTEM OPERATION METHOD, AND PROGRAM
Provided are: an endoscope system capable of quantitatively evaluating the peristaltic movement of the esophagus; a method for operating the endoscope system; and a program. This endoscope system comprises an endoscope and a processing device. The endoscope has an insertion part in which a first microphone and a second microphone are disposed at different positions in the longitudinal axis direction thereof. The processing device has a processor. The processor processes sound data sequentially outputted from each of the first and second microphones as time-series data, and generates diagnosis assistance information on the basis of the time-series data.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
17.
IMAGE PROCESSING DEVICE, METHOD FOR CONTROLLING IMAGE PROCESSING DEVICE, AND PROGRAM
Provided are: an image processing device that can extract desired data from a large amount of data outputted from a sensor; a method for controlling the image processing device; and a program. The image processing device comprises a processor. The processor sequentially acquires endoscopic images obtained by processing imaging data sequentially outputted from an image sensor of an endoscope, detects a region of interest on the basis of the endoscopic images, determines a first action and a second action for the region of interest, and, on the basis of the determination results, subjects first data outputted from a first sensor to a data section extraction process for extracting data.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
The present invention makes it possible to diagnose gastroesophageal reflux disease while reducing the burden on a subject by an endoscope system comprising an endoscope provided with an insertion part (21) in which an imaging element is disposed at a tip end; an overtube (9) having a cylindrical shape into which the insertion part is freely inserted; and a pressure sensor (9a) that detects the pressure applied to an outer circumferential surface of the overtube.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/273 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'appareil digestif supérieur, p. ex. œsophagoscopes, gastroscopes
A61B 10/00 - Instruments pour le prélèvement d'échantillons corporels à des fins de diagnostic Autres procédés ou instruments pour le diagnostic, p. ex. pour le diagnostic de vaccination ou la détermination du sexe ou de la période d'ovulationInstruments pour gratter la gorge
19.
METHOD FOR DIAGNOSING GASTROESOPHAGEAL REFLUX DISEASE, AND ENDOSCOPIC SYSTEM
In this method for diagnosing gastroesophageal reflux disease, an insertion part of an endoscope is inserted into the stomach, settings are made to enable the endoscope to capture an image of the cardia of the stomach and a pressure sensor provided on an outer peripheral surface of the insertion part to detect esophageal pressure information relating to contraction pressure and relaxation pressure at various sites inside the esophagus, air is supplied into the stomach, and a diagnosis of gastroesophageal reflux disease is made on the basis of at least one of the image captured using the endoscope and the esophageal pressure information detected by the pressure sensor during the supply of the air into the stomach.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/273 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'appareil digestif supérieur, p. ex. œsophagoscopes, gastroscopes
A61B 10/00 - Instruments pour le prélèvement d'échantillons corporels à des fins de diagnostic Autres procédés ou instruments pour le diagnostic, p. ex. pour le diagnostic de vaccination ou la détermination du sexe ou de la période d'ovulationInstruments pour gratter la gorge
This cartridge system includes a cartridge storing a clip unit, a pack in which the cartridge is packaged, and a case capable of storing the pack. The cartridge is configured so that an applicator into which the clip unit can be loaded can be inserted therein. The pack can transition between a first state in which the pack is attached to the case and the inside is maintained in a sterilized state, and a second state in which the applicator can be inserted into the cartridge. The pack transitions from the first state to the second state due to removal of the cartridge from the case.
This cartridge system comprises: a clip unit that can be loaded into an applicator; and a case that accommodates the clip unit. The case has: a case main part in which is formed an opening allowing insertion of the applicator; and a lid capable of opening up or closing off the opening. The lid can transition to a first state for covering the opening and a second state for leaving the opening open.
A61B 17/122 - Clamps ou pinces, p. ex. pour le cordon ombilical
A61B 17/128 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical pour appliquer ou enlever les clamps ou les pinces
A treatment tool includes: a vibration transmission portion having a distal end provided with a treatment portion that functions as a first electrode supplying a high frequency current to a biological tissue; a jaw configured to be opened and closed with respect to the treatment portion, the jaw functioning as a second electrode supplying the high frequency current to the biological tissue; a pipe through which the vibration transmission portion is inserted with the treatment portion protruding from a distal end of the pipe, the pipe including an electrically conductive path to the second electrode; and a support provided on an inner surface of an end portion of the pipe on a distal end side, the support being configured to cover an outer surface of the end portion of the pipe on the distal end side and support the vibration transmission portion.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
23.
IMAGING UNIT, METHOD FOR MANUFACTURING IMAGING UNIT, AND ENDOSCOPE
[Problem] To provide an imaging unit 1 having superior characteristics and high reliability. [Solution] An imaging unit 1 comprises an image sensor 10, a wiring board 20, and an electronic component 40. The image sensor 10 includes an external electrode 13 on a rear surface 10SB. The wiring board 20 is a multilayer rigid wiring board obtained by laminating a first block 21, a second block 22, a third block 23, and a fourth block 24. The first block 21 includes a first electrode 31 on a first surface F1, and a second electrode 32 connected to the first electrode 31 via a first internal wiring line 37 on a second surface F2. The second block 22 is such that a third electrode 33 on a third surface F3 is in contact with the second electrode 32. The third block 23 includes a fourth electrode 34 on a fourth surface F4 and a fifth electrode 35 on a fifth surface F5. A third end 36A of a sixth electrode 36 of a sixth surface F6 of the fourth block 24 is in contact with the fifth electrode. The electronic component 40 is joined to the third electrode 33.
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
This ultrasonic treatment tool is provided with: an ultrasonic blade that supplies ultrasonic vibration and a high-frequency current to biological tissue; a jaw that opens and closes with respect to the ultrasonic blade; a holder member that is supported by the jaw and that is formed from a first material having electrical insulation properties; and a contact member formed from a first resin material, the contact member being provided to the holder member and coming into contact with the ultrasonic blade when the jaw is closed with respect to the ultrasonic blade. The holder member has: a facing surface that faces the ultrasonic blade; and an electrode surface that is provided on a surface that is retracted in a direction away from the ultrasonic blade with respect to the facing surface, the electrode surface having an electrode for supplying the high-frequency current.
This ultrasonic treatment tool is provided with: an ultrasonic blade that supplies ultrasonic vibration and a high-frequency current to biological tissue; a jaw that opens and closes with respect to the ultrasonic blade; a holder member that is supported by the jaw, is formed from a first material having electrical insulation properties, and has, provided on the surface facing the ultrasonic blade, an electrode that supplies the high-frequency current; and a contact member formed from a first resin material, the contact member being provided to the holder member and coming into contact with the ultrasonic blade when the jaw is closed with respect to the ultrasonic blade. The holder member is provided with a protruding part that protrudes toward the ultrasonic blade.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
An ultrasonic treatment tool includes: an ultrasonic blade configured to supply ultrasonic vibration and high-frequency current to a body tissue; a jaw configured to open and close with respect to the ultrasonic blade; a holder that is supported by the jaw, is made of a first material having electrical insulation properties, and includes an electrode supplying the high-frequency current and a protruding portion protruding toward the ultrasonic blade, the electrode being disposed on a face that is included in the holder and that faces the ultrasonic blade; and an abutting portion that is disposed in the holder and is made of a first resin material, the abutting portion being configured to abut against the ultrasonic blade when the jaw closes with respect to the ultrasonic blade.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
An ultrasonic treatment tool includes: an ultrasonic blade configured to supply ultrasonic vibration and high frequency current to a living tissue; a jaw configured to open and close with respect to the ultrasonic blade; a holder that is supported by the jaw, and that is made of a first material having an electrical insulation property; an abutting portion that is arranged in the holder, and that is made of a first resin material, the abutting portion being configured to abut on the ultrasonic blade when the jaw is closed with respect to the ultrasonic blade; and a first pin that is provided in the jaw to support the holder in a swingable manner.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
28.
METHOD OF OPERATING CONNECTOR UNIT OF ENDOSCOPE SYSTEM, AND ENDOSCOPE SYSTEM
A method of operating a connector unit of an endoscope system, the method including engaging a first engagement portion of a first connector with a second engagement portion of a second connector to electrically connect a first wire to a third wire via a second wire, electrically disconnecting the first wire and the second wire, and detaching the first engagement portion from the second engagement portion. The first connector includes the first wire electrically connected to the second wire. The second connector includes the third wire.
H01R 43/26 - Appareils ou procédés spécialement adaptés à la fabrication, l'assemblage, l'entretien ou la réparation de connecteurs de lignes ou de collecteurs de courant ou pour relier les conducteurs électriques pour engager ou séparer les deux pièces d'un dispositif de couplage
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Roggan, Andre
Lisenby, Paul
Shelton, Kurt G.
Young, Kimbolt
Abrégé
Systems, devices, and methods for direct user control of a medical laser system to provide adjustable laser treatment to a target without shutting off laser emissions during a medical laser procedure are described. An exemplary medical laser system comprises a laser system to emit laser pulses via an optical fiber to an anatomical target of a patient, an actuator operable by a user to spontaneously activate or adjust laser system operation, and a controller circuit to provide a feedback to the user about the spontaneous activation or adjustment of the laser system operation. The controller circuit may generate a control signal to cause the laser system to emit laser pulses in accordance with the spontaneous activation or adjustment of the operation of the laser system.
A61B 18/22 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
30.
ENDOSCOPE IMAGE PROCESSING DEVICE, ENDOSCOPE IMAGE PROCESSING METHOD, ENDOSCOPE IMAGE PROCESSING PROGRAM, NON-VOLATILE STORAGE MEDIUM, AND ENDOSCOPE SYSTEM
This endoscope image processing device includes: a recognition reception unit for receiving a recognition result of recognizing a lesion from an image; a basis information generation unit for generating basis information for the recognition result; a difficulty determination unit for determining recognition difficulty from a recognition difficulty determination material; and an output unit for outputting, to a display unit, the basis information if the difficulty determination unit determines that recognition is difficult.
This control device 1 is connected to an energy device ED and outputs a drive signal, for driving the energy device ED, to the energy device ED. The control device 1 comprises: a first processor 2; a fundamental wave generation unit 3 for generating a fundamental wave signal; a first amplifier connection part 41 to which is electrically connected a first amplifier AMP for amplifying the fundamental wave signal, so as to correspond to the first energy device ED, and then outputting a drive signal; a second amplifier connection part 42 to which is electrically connected a second amplifier AMP for amplifying the fundamental wave signal, so as to correspond to the second energy device ED, and then outputting a drive signal; the energy device ED connected to the control device 1; and a switch 8 for electrically connecting at least one of the first and second amplifiers AMP.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
This treatment tool 2 comprises: a vibration transmission member 12 that has, at the distal end thereof, a treatment part 121 that functions as a first electrode for supplying a high-frequency current to a biological tissue, and supplies ultrasonic vibration to the biological tissue; a jaw 11 that opens/closes with respect to the treatment part 121 and functions as a second electrode for supplying a high-frequency current to the biological tissue; and a pipe 10 into which the vibration transmission member 12 is inserted in a state where the treatment part 121 protrudes from the distal end, and which has a conductive path to the second electrode. An end part of a distal end side Ar1 of the pipe 10 and the treatment part 121 are electrically insulated from each other so as not to be short-circuited through another conductive member.
Provided is an image processing device including a processor. The processor is configured to receive a far-point image focused at a far point and a near-point image focused at a near point. The far-point image and the near-point image have different exposure amounts from each other. Subsequently, the processor is configured to generate a determination map representing brightness or frequencies of respective regions of one of the far-point image and the near-point image, calculate combining ratios of the far-point image and the near-point image for the respective regions on the basis of the determination map and a prescribed relationship between a combining ratio and brightness or a frequency, and combine the far-point image and the near-point image by using the combining ratios calculated for the respective regions.
A treatment tool includes: an ultrasonic blade that includes a treatment face having a first face and having a second face adjacent to the first face; a gripper that includes an electrode configured to open and close with respect to the ultrasonic blade to grip a body tissue between the gripper and the ultrasonic blade; an abutting portion that is made of an electrically insulating material and is disposed in the gripper, the abutting portion being configured to abut against the first face when the gripper closes with respect to the ultrasonic blade; and a protruding portion that is made of an electrically insulating material, is spaced apart from the abutting portion in the gripper, and protrudes toward the second face.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
Provided is a method of manufacturing a medical device that is repeatedly used by performing cleaning, disinfection, or sterilization using a medical agent. The method includes: performing first blasting on an outer surface that is included in the medical device and is made of a resin material to change an orientation of a fibril of the resin material.
B24C 1/10 - Méthodes d'utilisation de jet abrasif en vue d'effectuer un travail déterminéUtilisation d'équipements auxiliaires liés à ces méthodes pour augmenter la compacité des surfaces, p. ex. par grenaillage
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A treatment tool for an endoscope includes a sheath having insulation properties can include a wire provided inside the sheath so as to be advanceable and retractable and to be electrifiable with a high-frequency current. An electrode can be connected to a distal end of the wire. In a state in which a distal end of the electrode is positioned inside the sheath, hemorrhage is controllable by pressing a distal end of the sheath against a tissue and discharging electricity while maintaining a distance from the tissue to the electrode.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
37.
IMAGE GENERATION METHOD FOR MACHINE LEARNING, MACHINE LEARNING METHOD, AND ENDOSCOPE IMAGE PROCESSING APPARATUS
An image generation apparatus for machine learning performs reduction processing on components in at least part of a frequency band higher than a Nyquist frequency of a training image, for a candidate correct answer image with a resolution higher than the training image, and generate a correct answer image. The correct answer image and the training image are used as a pair for machine learning to improve a resolving power of an input image.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
G06T 3/4046 - Changement d'échelle d’images complètes ou de parties d’image, p. ex. agrandissement ou rétrécissement utilisant des réseaux neuronaux
G06T 5/20 - Amélioration ou restauration d'image utilisant des opérateurs locaux
G06T 5/60 - Amélioration ou restauration d'image utilisant l’apprentissage automatique, p. ex. les réseaux neuronaux
G16H 30/40 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le traitement d’images médicales, p. ex. l’édition
38.
IMAGE PICKUP UNIT, ENDOSCOPE, AND METHOD OF MANUFACTURING IMAGE PICKUP UNIT
An image pickup unit includes: a three-dimensional wiring board including a recess on a first principal surface, in which a wall surface of the recess has an inclination angle of an upper region that is smaller than an inclination angle of a lower region; a stacked device disposed in the recess, the stacked device including an optical system and an image pickup device; and resin disposed in a gap between the recess and the stacked device.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
G02B 23/24 - Instruments pour regarder l'intérieur de corps creux, p. ex. endoscopes à fibres
Provided is a method for producing a medical device 5, wherein the medical device 5 is subjected to cleaning, disinfection, or sterilization using a chemical to enable repeated use thereof. This method for producing a medical device includes a step for changing the orientation of fibrils 120 by subjecting the outer surface, which is formed from a resin material, of the medical device 5 to first blasting.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
This ultrasonic treatment tool comprises: an ultrasonic treatment unit 12 which is provided on the tip side of a tubular member for insertion into a subject and which applies ultrasonic vibration to biological tissue; and a support member 10 which supports the ultrasonic treatment unit 12. The ultrasonic treatment unit 12 comprises: an ultrasonic transducer 13 for generating ultrasonic vibration; and an ultrasonic blade 14 which is connected to the tip-side end of the ultrasonic transducer 13 and which applies the ultrasonic vibration generated by the ultrasonic transducer 13 to biological tissue. The support member 10 supports, within the ultrasonic treatment unit 12 that is housed therein, a first node position of the vibration of the ultrasonic transducer 13 and a second node position of the vibration of the ultrasonic blade 14.
In the present invention, a treatment tool comprises: an ultrasonic blade 11 that is provided with a treatment surface having a first surface 1111 and second surfaces 1112, 1113 adjacent to the first surface 1111, ultrasonic vibration and high-frequency current being supplied from the treatment surface to biological tissue; a grip member 12 that opens and closes with respect to the ultrasonic blade 11 and thereby grips the biological tissue between the grip member 12 and the ultrasonic blade 11, and that has an electrode 13 for supplying high-frequency current to the biological tissue; a contact part 141 that is configured of an electrically insulating material and is provided to the grip member 12, the contact part 141 coming into contact with the first surface 1111 when the grip member 12 is closed with respect to the ultrasonic blade 11; and a projection part 142 that is configured of an electrically insulating material and is provided at a position on the grip member 12 set apart from the contact part 141, the projection part 142 projecting towards the inclined surfaces 1112, 1113. A portion of the electrode 13 is exposed from between the contact part 141 and the projection part 142, said portion facing the ultrasonic blade 11.
This endoscope light quantity control device controls a light quantity value on the basis of an image acquired by an endoscope. The endoscope light quantity control device includes a luminance evaluation unit that calculates a luminance evaluation value for the whole image and a luminance evaluation value for the periphery of the image, and a light quantity control unit that controls the light quantity value on the basis of larger luminance evaluation value of the whole luminance evaluation value and the peripheral luminance evaluation value.
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
An endoscope system 1 comprises: a plurality of communication devices 5; a relay device 6 that connects the plurality of communication devices so as to be capable of communicating with each other by Ethernet; and a priority allocation device 73 that refers to a priority table in which provisional priorities are associated with each of the plurality of communication devices 5, and allocates actual priority to a communication device 5, among the plurality of communication devices, that is connected to the relay device 6. The plurality of communication devices 5 include an image processing device 7 for processing a captured image acquired by an endoscope 2. The relay device 6 performs priority communication of the communication device 5 connected to the relay device 6 in accordance with the actual priority.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A treatment tool includes: a treatment surface for treating of a treatment target; and a plurality of recessed portions that are provided in at least a part of the treatment surface and in which first resins are disposed, the treatment surface including a surface region not covered with the first resins, the surface region functioning as a first electrode supplying a high-frequency current to the treatment target to treat the treatment target.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
An ultrasonic treatment tool includes: a tubular portion; an ultrasonic treatment unit provided on a distal end side of the tubular portion, the ultrasonic treatment unit including an ultrasonic transducer configured to generate ultrasonic vibration, and an ultrasonic blade that is connected to a distal end portion of the ultrasonic transducer and that includes a treatment portion configured to apply the ultrasonic vibration to a biological tissue to treat the biological tissue; and a support configured to accommodate the ultrasonic treatment unit inside the support with the treatment portion protruding from an inside toward an outside of the support, and support the ultrasonic treatment unit at a first node position of vibration of the ultrasonic transducer and at a second node position of vibration of the ultrasonic blade in the support when each of the ultrasonic transducer and the ultrasonic blade vibrates at a predetermined resonance frequency.
An ultrasonic treatment tool includes: a tubular portion; and an ultrasonic treatment unit provided on a distal end side of the tubular portion, the ultrasonic treatment unit including an ultrasonic transducer configured to generate ultrasonic vibration, and an ultrasonic blade that is connected to a distal end portion of the ultrasonic transducer and that includes a treatment portion configured to apply the ultrasonic vibration to a biological tissue to treat the biological tissue, one of the ultrasonic transducer and the ultrasonic blade including a protrusion protruding toward another of the ultrasonic transducer and the ultrasonic blade, the other of the ultrasonic transducer and the ultrasonic blade including an insertion recess into which the protrusion is inserted, and being connected to the one of the ultrasonic transducer and the ultrasonic blade at a proximal end portion of the protrusion with the protrusion inserted into the insertion recess.
This ultrasonic treatment tool comprises an ultrasonic treatment unit 12 which is provided on the tip side of a tubular member for insertion into a subject and which applies ultrasonic vibration to biological tissue. The ultrasonic treatment unit 12 comprises: an ultrasonic transducer 13 for generating ultrasonic vibration; and an ultrasonic blade 14 which is connected to the tip-side end of the ultrasonic transducer 13 and which applies the ultrasonic vibration generated by the ultrasonic transducer 13 to biological tissue. The ultrasonic blade 14 has a projection part 141 projecting toward the ultrasonic transducer 13. The ultrasonic transducer 13 has an insertion recess 1622, and is connected to the ultrasonic blade 14 at the base end of the projection part 141, in a state where the projection part 141 is inserted into the insertion recess 1622. The thickness T1 of a connection part 18 of the ultrasonic transducer 13 that is connected to the ultrasonic blade 14 is greater than the thickness T2 of the portion 19 that is adjacent to the connection part 18.
This treatment tool has treatment surfaces 1212, 1213 for treating a treatment target. The treatment surfaces 1212, 1213 are provided with a plurality of recesses 1221, each having a first resin 1222 disposed therein. A surface 1224 of the treatment surfaces 1212, 1213 not covered by the first resin 1222 functions as a first electrode for treating the treatment target by supplying a high-frequency current to the treatment target.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
49.
ENDOSCOPE SYSTEM, COMMUNICATION METHOD, AND COMMUNICATION PROGRAM
An endoscope system (1) comprises: a first device (6) that is capable of executing a first medical function; a second device (7) that is capable of executing a second medical function, is physically connected to the first device (6), and communicates with the first device (6) by a first communication method; and a third device (8) that is capable of executing a third medical function, is physically connected to the second device (7), and communicates with the second device (7) by a second communication method. The second device (7) is an image processing device that processes a captured image acquired by an endoscope (2). The first device (6) is logically connected to the third device (8) via the second device (7) to use the third medical function.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A filter device includes a filter configured to attenuate light with a predetermined wavelength from emitted light emitted through a cover glass of an eyepiece portion of an endoscope along an optical axis, a frame configured to hold the filter, and a connector configured to hold the frame, and attach the frame to a camera head including an image pickup device configured to receive light passed through the filter. The connector includes an elastic region that presses the filter or the frame to an outer circumference of an effective optical path of the cover glass or to a circumference of the cover glass, in a state where the camera head is attached to the eyepiece portion.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
This medical system comprises an endoscopic system, and an external storage device for storing setting data for the endoscopic system. The external storage device: stores the setting data in a manner that associates device information on the endoscopic system with examination information provided by the endoscopic system; stores analysis information corresponding to the setting data; and transmits, on the basis of the device information and the examination information transmitted from the endoscopic system, the corresponding setting data and analysis information to the endoscopic system. The endoscopic system presents the setting data and the analysis information to a user, and sets the setting data selected by the user.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
Provided is a washing/disinfecting device 1 comprising: a bottle installation part 7 that is provided in a device body 2; a rail 33, 34 that is provided in the bottle installation part 7 and comprises an engagement part 35, 36; a chemical bottle 10 of which the attitude is guided by the rail 33, 34 when the chemical bottle is attached to and detached from the bottle installation part 7; an engaged part 21, 22 that is provided to the chemical bottle 10 and is engaged with the engagement part 35, 36; a blocking part 17, 18 for sealing the chemical bottle 10; and a blade part 41, 42 that is provided in the bottle installation part 7 and ruptures the blocking part 17, 18 of the chemical bottle 10, the chemical bottle 10 having been mounted by being pushed into the direction of the depths of the bottle installation part 7 by a user.
A61L 2/18 - Procédés ou appareils de désinfection ou de stérilisation de matériaux ou d'objets autres que les denrées alimentaires ou les lentilles de contactAccessoires à cet effet utilisant des substances chimiques des substances liquides
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61L 2/24 - Appareils utilisant des opérations programmées ou automatiques
A stent device includes a stent formed in a tubular shape by weaving wires and a cover covering at least a part of the stent. The cover is partially bonded to parts rather than a whole surface of the stent.
An endoscope including: a light guide to guide the light from a light source; a first positive lens to concentrate light from the light guide onto an internal focus point and emit the concentrated light to irradiate an object, a rod lens provided on an emission side of the light guide; and a second positive lens provided on an emission side of the rod lens and on an incidence side of the first positive lens. Wherein the internal focus point is in a position where a conjugate image of an emission surface of the light guide is formed; the internal focus point is closer to the light guide than an intermediate point between an incidence surface of the first positive lens and an emission surface of the first positive lens on an optical axis of the first positive lens; and the rod lens has an emission convex lens surface.
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61B 1/002 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec des agencements de lentilles-barreau
55.
VIDEO PROCESSOR UNIT FOR REUSABLE AND SINGLE USE ENDOSCOPES
GYRUS ACMI, INC. D.B.A. OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Birnkrant, Dashiell A.
Abrégé
A video processor adapter device includes a first input port configured to electrically couple with a single-use medical device and receive a first video signal, and a second input port configured to electrically couple with a reusable medical device and receive a second video signal, where the first and second input ports can be of different configurations. Signal conditioning circuitry is coupled to the first input port and converts the first video signal to a third video signal. An electrical switch receives signals from both input ports and selects which signal to provide. An output port is coupled to the electrical switch and is configured to be electrically coupled with a video processing unit, sending either the second video signal or the third video signal to the video processing unit where the third signal can mimic the first signal.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
An imaging unit according to an embodiment of the present invention is held by a distal end member of an endoscope, and comprises: a cylindrical lens barrel extending in an optical axis direction; an objective optical system formed from lenses held on an inner peripheral surface of the lens barrel; a holding member attached to the lens barrel and holding an imaging element; and a positioning member attached to the lens barrel. The positioning member has a first positioning part for determining a position in a circumferential direction around an optical axis of the holding member relative to the distal end member. One of the lens barrel and the positioning member has a second positioning part for determining a position in an optical axis direction of the lens barrel relative to the distal end member.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
57.
INFERENCE DEVICE, INFERENCE MODEL CREATION METHOD, AND TRAINING DATA CREATION METHOD
An inference device according to the present invention includes an acquisition unit that acquires a series of a plurality of images obtained in advance and serving as candidates for training data, a first inference unit that is created by learning first training data obtained by adding first annotation information to a first image frame from among the series of the plurality of images acquired by the acquisition unit, a prompt generation unit that generates a prompt relating to a second image frame that is different from the first image frame from among the series of the plurality of images acquired by the acquisition unit, on the basis of history information imparted to the series of the plurality of images, an alternative image generation unit that generates an alternative image that is similar to the second image frame on the basis of the prompt, and a second inference unit that is created by learning second training data obtained by adding second annotation information, based on the prompt, to the alternative image.
A medical manipulator system includes an outer manipulator including an imager that captures an image, an inner manipulator that protrudes from a distal end surface of the outer manipulator, a driving device that controls the outer manipulator and the inner manipulator, and a processor. The processor calculates information regarding a work region that is an operable range of the inner manipulator with respect to each of a plurality of positions of the outer manipulator to acquire information regarding a plurality of the work regions. The processor performs drive control of the outer manipulator to move to a first position corresponding to a first work region selected from among the plurality of work regions based on the region of the treatment target, the three-dimensional shape information regarding the lumen, and the three-dimensional shape information regarding the outer manipulator.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61M 25/01 - Introduction, guidage, avance, mise en place ou maintien en position des cathéters
A61M 25/06 - Aiguilles avec un guide pour piquer le corps ou analogues
59.
USER INTERFACE WITH DUAL-FUNCTION CONTROL SURFACE FOR POSITIONING MULTIPLE COMPONENTS WITHIN A BODY
GYRUS ACMI, INC D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Tyson, Taylor N.
Abrégé
Disclosed embodiments include apparatuses, systems, and methods for positioning electrodes using a single control surface. In an illustrative embodiment, an apparatus includes an actuator shaft defining a lumen through which a primary electrode and a secondary electrode are linearly movable. A primary actuator is movably couplable with the actuator shaft and a primary electrode with the primary actuator being configured to extend and retract the primary electrode. A secondary actuator is movably couplable with the primary actuator and a secondary electrode with the secondary actuator being configured to extend and retract the secondary electrode. An actuator controller is configured to move along the shaft in a first direction to engage and motivate the primary actuator and is further configured to move along the shaft in a second direction to engage and motivate the secondary actuator. The primary actuator and the secondary actuator are sequentially manipulatable using only the actuator controller.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
60.
AUXILIARY INFORMATION GENERATION METHOD, AUXILIARY INFORMATION GENERATION DEVICE, AND RECORDING MEDIUM
An auxiliary information generation method includes sequentially acquiring a plurality of images obtained by an image sensor of an endoscope at a plurality of positions in a digestive tract of a subject, detecting feature regions in the digestive tract based on the plurality of images, calculating the number of the feature regions in each of a plurality of sections in the digestive tract, generating auxiliary information according to the number of the feature regions, and controlling a state of the auxiliary information according to the number of the feature regions when the auxiliary information is displayed on a display.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
G06V 10/44 - Extraction de caractéristiques locales par analyse des parties du motif, p. ex. par détection d’arêtes, de contours, de boucles, d’angles, de barres ou d’intersectionsAnalyse de connectivité, p. ex. de composantes connectées
G16H 30/40 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le traitement d’images médicales, p. ex. l’édition
61.
MEDICAL IMAGE PROCESSING DEVICE, MEDICAL IMAGE PROCESSING METHOD, AND COMPUTER-READABLE RECORDING MEDIUM
A medical image processing device includes a processing module performing data processing with respect to imaging data, the processing module being capable of implementing a first algorithm which enables data processing with respect to first imaging data obtained as a result of imaging performed by a first endoscope, and a second algorithm which enables data processing with respect to the first imaging data and with respect to second imaging data obtained as a result of imaging performed by a second endoscope, the processing module being configured to determine type of endoscope that is connected, when connection with the first endoscope is determined, perform data processing according to an algorithm that is selected as a result of a user operation from among the first algorithm and the second algorithm, and when connection with the second endoscope is determined, perform data processing according to the second algorithm.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
62.
IMAGING DEVICE, ENDOSCOPE, IMAGING SYSTEM, AND CLOCK ADJUSTMENT METHOD
This imaging device has pixels, a driving circuit for the pixels, a comparison circuit, a clock synchronization circuit, and an external disturbance detection circuit. The comparison circuit compares the phase/frequency of a first clock signal and the phase/frequency of a second clock signal. The clock synchronization circuit executes synchronization processing for generating the first clock signal in synchronization with the second clock signal. The external disurbance detection circuit compares the phase difference or the frequency difference between the first clock signal and the second clock signal with a threshold value. When the phase difference or the frequency difference is greater than the threshold value, the external disturbance detection circuit causes the clock synchronization circuit to stop the synchronization processing and fixes the phase or the frequency of the first clock signal.
This signal processing system comprises: a first signal processing device 3 that is communicably connected to an endoscope 2 and executes first signal processing on an image captured by the endoscope 2; and a second signal processing device 4 that is communicably connected to an external display device 5 and executes second signal processing on the captured image after the first signal processing is executed, thereby generating an endoscopic image for display. The first signal processing device 3 comprises a synchronization control unit 312 that synchronizes the first signal processing with the second signal processing.
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
GYRUS ACMI, INC. d/b/a OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Batchelor, Kester Julian
Abrégé
A system for generating and delivering plasma-treated fluid can include a plasma introduction chamber to retain fluid, a plasma discharge apparatus coupled with the chamber, and one or more fluid conduits. The plasma discharge apparatus can generate cold plasma containing reactive oxygen and nitrogen species (RONS) that infiltrate the fluid. The system can include a fluid reservoir, a plasma-treated fluid reservoir, and a fluid pump. Methods of forming the system and delivering the plasma-treated fluid can include monitoring fluid characteristics and controlling RONS concentration for medical treatments.
A61B 18/04 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
65.
MEDICAL SYSTEM AND MEDICAL EQUIPMENT SETUP ASSISTANCE METHOD
This medical system comprises: an external storage device in which is saved evidence information including information pertaining to evidence and information on setup data corresponding to the evidence; and a medical processing device that receives the evidence information from the external storage device. The medical processing device uses setup data corresponding to user-selected evidence information from among the received evidence information to set up medical equipment.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
This endoscopic treatment implement comprises: a sheath having a longitudinal axis; an electrode at least a portion of which protrudes from the distal-end section of the sheath toward the distal end side; and a tube supported by the distal-end section of the sheath and having a suction conduit passing in the longitudinal direction of the longitudinal axis. A distal-end opening of the suction conduit is positioned at the distal-end section of the sheath, and a proximal-end opening of the suction conduit is opened to the outside of the sheath at a position between the distal end and proximal end of the sheath.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
67.
IMAGE PROCESSING DEVICE, ENDOSCOPE SYSTEM, AND IMAGE PROCESSING METHOD
[Problem] To provide an image processing device 10 that selects a model suitable for a captured scene and performs processing. [Solution] An image processing device 10 is provided with: a scene determination unit 11 that determines a scene for capturing a primary image P1 acquired by a camera unit 7 of an endoscope device 9; a storage unit 12 that stores a plurality of trained models, each performing predetermined processing; a selection unit 13 that selects one model from the plurality of models on the basis of a determination result obtained by the scene determination unit 11; and an image processing unit 14 that performs processing on the primary image P1 using the selected one model.
Provided is a procedure instrument for an endoscope, comprising: a sheath having a longitudinal axis; and a tube which is supported by the distal end part of the sheath and has at least one aspiration tube passage penetrating in the longitudinal direction of the longitudinal axis. The proximal end opening of the aspiration tube passage opens on the outside of the sheath at a position between the distal end and the proximal end of the sheath, and has a protrusion protruding further radially outward than the outer surface of the sheath at a position closer to the proximal end side of the sheath than the proximal end opening of the aspiration tube passage.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
69.
MEDICAL SYSTEM, PROCESSOR, AND METHOD FOR OPERATING MEDICAL SYSTEM
[Problem] To provide an endoscope system 1 with which it is possible to ascertain that a user is dissatisfied with a processed image processed on a server 30. [Solution] This endoscope system 1 comprises: a processor 10 that includes an acquisition unit 12 for acquiring a primary image P1 from an endoscope device 2, a first reception unit 15 for receiving the primary image P1, and a dissatisfaction signal generation unit 16 for generating a dissatisfaction signal when a user is dissatisfied with a secondary image P2 obtained by processing the primary image P1; and a server 30 that includes a second reception unit 31 for receiving the primary image P1 and the dissatisfaction signal, a processing unit 32 for processing the primary image P1 on the basis of a first processing condition and thus generating the secondary image P2, and a storage unit 35 for storing at least one primary image P1 when the dissatisfaction signal is received.
Provided are a medical assistance device, a medical assistance system, and a medical assistance method that make it possible to input a report by a simple operation while shortening a search time with a simple configuration. The medical assistance device: selects observation information associated with an image ID, from an observation information database in which items of a doctor's observation information are associated with image IDs, in order of closeness of feature amounts in annotation information; and displays the observation information associated with the image ID on a display unit as recommended observation information for a lesion, in order of closeness of the feature amounts in the annotation information.
An ultrasonic treatment tool according to the present invention comprises: a vibration transmission member which has a treatment part at the tip end thereof for treating a treatment target and which transmits ultrasonic vibration from the base end toward the treatment part; a holding member which opens and closes with respect to the treatment part; and a resin pad which is held by the holding member and which has a gripping surface that grips the treatment target between the resin pad and the treatment part. The resin pad has: a first region which includes a gripping position for the treatment target and in which heat generated by the treatment is large; and a second region other than the first region. In the holding member, the heat capacity per unit length of a third region facing the first region is greater than the heat capacity per unit length of a fourth region facing the second region.
This machine learning image processing method comprises: generating, from a first teacher image, a first student image having a lower image quality than the first teacher image; calculating a first frequency characteristic of the first student image; calculating a sample frequency characteristic from a sample image obtained by capturing an image with a low-quality endoscope, said sample image being set as a low-quality image sample; comparing the first frequency characteristic with the sample frequency characteristic; and if the Nyquist frequency of the first frequency characteristic is lower than the Nyquist frequency of the sample frequency characteristic, reducing the image size of the first teacher image to generate a second teacher image, and lowering the image quality of the second teacher image to generate a second student image.
The present invention comprises: wires 37, 38 that act by reciprocating between an operation part 6 and the distal end of an insertion part 5 inserted into a subject in the longitudinal direction of an insertion apparatus 1; pulleys 51, 52 that rotate about a central axis O3 in response to an operation from the outside, the pulleys 51, 52 including drums drum 51a, 52a around which a wire is wound for at least one circumference, and a flange 51c for preventing detachment of the wires from the drums; and a wire-fixing part 51d that fixes the wires to the pulleys. The drums are configured such that the cross-sectional shape orthogonal to the central axis has a non-circular oval shape in which the radius of a portion where the wire-fixing part is not provided is formed so as to be less than the radius of a portion where the wire-fixing part is provided.
Provided is a machine learning image processing method, wherein: a first frequency characteristic of a first teacher image is calculated; a sample frequency characteristic of a sample image, which serves as a sample of a low-quality image obtained by imaging with a low-image-quality endoscope, is calculated; a ratio of the sample frequency characteristic and the first frequency characteristic is calculated as a first frequency response characteristic; the first frequency response characteristic is compared with a predetermined second frequency response characteristic for student image generation; when a Nyquist frequency of the first frequency response characteristic is N2 and a Nyquist frequency of the second frequency response characteristic is N1, if N1 < N2, the image size of the first teacher image is reduced to generate a second teacher image; and if N1 ≥ N2, the first teacher image is reduced in image quality using a low-pass filter set on the basis of the second frequency response characteristic to generate a first student image.
Provided is a procedure instrument for an endoscope, comprising: a sheath having a longitudinal axis; and a tube which is supported by the distal end part of the sheath and has at least one aspiration tube passage penetrating in a longitudinal direction along the longitudinal axis. The sheath has a proximal end region and a distal end region having a relatively smaller outer diameter than the proximal end region. The tube covers at least a part of the distal end region. In the longitudinal direction of the sheath, the proximal end of the tube is positioned radially outward of the distal end region.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
An endoscopic treatment instrument includes a sheath including a first tube and a distal end member, the distal end member fixed to a distal end of the first tube, the distal end member including a suction hole, an electrode protruding from a distal end of the sheath, a second tube fixed to the distal end member, a conduit located between an inner surface of the second tube and an outer surface of the first tube, the conduit communicating with the suction hole. A proximal end of the conduit is located between a distal end and a proximal end of the first tube.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
77.
ENDOSCOPE SYSTEM, CONTROL DEVICE, AND CONTROL METHOD FOR ENDOSCOPE SYSTEM
A control device for use with an endoscope is configured to: set a first pipe line to a closed state, a second pipe line to an open state, and a third pipe line to a closed state, to cause liquid to be ejected from an air and water supply portion; set the first pipe line to an open state, the second pipe line to a closed state, and the third pipe line to the closed state, to cause gas to be ejected from the air and water supply portion; and set the first pipe line to the closed state, the second pipe line to the open state, and the third pipe line to an open state, to reduce a pressure in a water supply tank.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
78.
ENDOSCOPE SYSTEM, IMAGE PROCESSING DEVICE, TOTAL PROCESSING TIME DETECTION METHOD, AND PROCESSING DEVICE
An endoscope system includes: an endoscope configured to generate an imaging signal and output the generated imaging signal; an image processing device configured to perform image processing on the imaging signal input from the endoscope; a display configured to display an image of a subject based on the imaging signal subjected to the image processing by the image processing device; and a first processor configured to calculate a sum of a first processing time from when the endoscope generates the imaging signal to when the endoscope outputs the imaging signal, a second processing time from when the image processing device receives the imaging signal to when the image processing device outputs the imaging signal to the display, and a third processing time from when the display receives the imaging signal to when the display displays the image based on the imaging signal.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Magno, Joey
Callaghan, Michael E.
Abrégé
An endoscope distal tip attachment is provided that can include a barrel and distal tip extending from the barrel. The barrel can have a proximal end and a distal end along with a first shoulder and a second shoulder. The first shoulder can be at a first side of the distal end and can be configured to engage with a distal end of an endoscope. The second shoulder can be at second side of the distal end opposing the distal end first side. The barrel can have a set of ribs extending away from the first shoulder and towards the barrel proximal end where the set of ribs define a cavity. The barrel can include a ring coupled with the set of ribs and extends around the cavity. The distal tip can extend from the second barrel shoulder and can be formed as a single piece with the barrel.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
An ultrasonic treatment tool includes: a vibration transmission portion having a distal end provided with a treatment portion configured to treat a treatment target, the vibration transmission portion being configured to transmit ultrasonic vibration from a proximal end toward the treatment portion of the vibration transmission portion; a holding portion configured to be opened from and closed to the treatment portion; and a resin pad that is held to the holding portion and has a gripping face to grip the treatment target between the resin pad and the treatment portion.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
81.
OPTICAL DETECTION WITH CONTROLLABLE DETECTOR INTEGRATION SYNCHRONIZATION
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Shelton, Kurt G.
Bukesov, Sergey A.
Rao, Maria
Marcus, David
Abrégé
In an optical detection device, a light source can have a characteristic, such as generating pulsed illumination or generating continuous illumination. An optical fiber can collect, as collected light, light that is reflected or emitted by a sample in response to illumination generated by the light source. An optical detector can receive at least some of the collected light, convert the collected light to photoelectrons, accumulate the photoelectrons only during a controllable integration duration, and generate a detector signal from the accumulated photoelectrons. The optical detector can synchronize a controllable start time and a controllable end time of the integration duration based at least in part on the characteristic of the light source. For example, the integration duration start and end times can be synchronized to corresponding start and end times of illumination pulses. An analyzer can measure a spectrum of the collected fight from the detector signal.
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
82.
OPTICAL DETECTOR INTEGRATION TIME DURING MEDICAL PROCEDURES
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Shelton, Kurt G.
Bukesov, Sergey A.
Rao, Maria
Marcus, David
Abrégé
A system for adjusting integration time of an optical detector during a lithotripsy procedure involving illumination of the target by an illumination source may comprise an optical detector and controller circuitry, control circuitry, processing circuitry, or the like. The controller circuity may be configurable or configured to establish an integration time for the optical detector. The controller circuitry may further cause the optical detector to receive a signal from the target in response to the illumination of the target by the illumination source and analyze the response signal received at the optical detector. Based at least in part on the analyzed response signal, such as upon determination of an occurrence of an event, the controller circuitry may adjust the integration time of the optical detector and adjust at least one setting of a medical device based at least in part on the occurrence of the event.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A61B 18/26 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet pour produire une onde de choc, p. ex. lithotritie par laser
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
83.
METHOD FOR MANUFACTURING COMPOSITE TUBE FOR MEDICAL EQUIPMENT, COMPOSITE TUBE FOR MEDICAL EQUIPMENT, AND ENDOSCOPE
Provided is a method for manufacturing a composite tube for medical equipment having a curved region with a small bending radius. In the method for manufacturing a composite tube 2 for medical equipment, a cut C10 is formed in a first tube 10, the region of the first tube 10 where the cut C10 is formed is covered by a second tube 20 to form a WIP tube 2W, and the second tube 20, which is a heat-shrinkable tube, is heat-shrunk.
F16L 11/12 - Manches, c.-à-d. tuyaux flexibles en caoutchouc ou en matériaux plastiques flexibles avec agencements pour usages particuliers, p. ex. spécialement profilés, avec couche protectrice, chauffés, conducteurs d'électricité
84.
IMAGE PROCESSING APPARATUS, DIAGNOSIS SUPPORTING METHOD, AND RECORDING MEDIUM RECORDING IMAGE PROCESSING PROGRAM
An image processing apparatus includes a processor. The processor receives an observation image of a subject or the observation image and system information, detects a lesioned part candidate from the observation image, estimates a deterioration risk of endoscopy quality from the observation image or the system information, controls a notification form of the lesioned part candidate from an estimation result of the deterioration risk, and notifies the lesioned part candidate according to the control of the notification form.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A medical treatment tool includes: a grasping portion having a first jaw and a second jaw; a plate-shaped blade that is provided in the first jaw and that has a thickness direction; a heater that supplies, to the first blade, thermal energy for treating a tissue grasped by the grasping portion; an energy insulating member that is arranged such that only an output surface of the blade, which comes into contact with the tissue, is exposed and that blocks leakage of the thermal energy to an outside of the first jaw; and first wiring that supplies electrical energy to the heater, wherein the blade, the heater, and the first wiring are arranged so as to be laminated in the thickness direction, and an area of a supply surface where the heater supplies the thermal energy to the blade is larger than an area of the output surface.
A61B 18/08 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage à l'aide de sondes chauffées électriquement
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
86.
SYSTEMS AND METHODS FOR ENDOSCOPIC IMAGE RECONSTRUCTION
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Shelton, Kurt G.
Bukesov, Sergey A.
Abrégé
Systems, devices, and methods for endoscopic mapping of a target and tracking of endoscope locations inside a subject's body during a procedure are disclosed. An exemplary system comprises an imaging system configured to capture an endoscopic image of the target that includes a footprint of an aiming beam directed at the target, and a video processor configured to identifying one or more landmarks from the captured endoscopic image and determine their respective locations relative to the aiming beam footprint, and generate a target map by integrating a plurality of endoscopic images based on landmarks identified from one or more of the plurality of endoscopic images. The target map can be used to track endoscope location during an endoscopic procedure.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 5/06 - Dispositifs autres que ceux à radiation, pour détecter ou localiser les corps étrangers
G06T 3/20 - Translation linéaire d’images complètes ou de parties d’image, p. ex. panoramique
G06T 3/4084 - Changement d'échelle d’images complètes ou de parties d’image, p. ex. agrandissement ou rétrécissement dans le domaine transformé, p. ex. changement d’échelle dans le domaine de la transformée de Fourier rapide
G06T 3/60 - Rotation d’images entières ou de parties d'image
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Bukesov, Sergey A.
Shelton, Kurt G.
Kojo, Hiroyuki
Talbot, Brina M.
Polejaev, Vladimir
Abrégé
Systems, devices, and methods for determining a distance between a distal end of an endoscope and a target during an endoscopic procedure are disclosed. A surgical laser feedback control system comprises a feedback analyzer and a controller. The feedback analyzer can receive at least two reflected signals from a target in response to electromagnetic radiation directed at the target. The at least two reflected signals correspond to respective different distances between a distal end of a device of a surgical laser system and the target. The feedback analyzer can determine a distance between the distal end of the device of the surgical laser system and the target based on the at least two reflected signals. The controller can generate a control signal to the surgical laser system to perform a predetermined operation based on the determined distance.
A61B 18/24 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet avec un cathéter
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61B 5/107 - Mesure de dimensions corporelles, p. ex. la taille du corps entier ou de parties de celui-ci
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/26 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet pour produire une onde de choc, p. ex. lithotritie par laser
G01S 7/481 - Caractéristiques de structure, p. ex. agencements d'éléments optiques
G01S 17/08 - Systèmes déterminant les données relatives à la position d'une cible pour mesurer la distance uniquement
H01S 5/02251 - Découplage de lumière utilisant des fibres optiques
H01S 5/0683 - Stabilisation des paramètres de sortie du laser en surveillant les paramètres optiques de sortie
88.
IMAGE PROCESSING APPARATUS, ENDOSCOPE SYSTEM, AND OPERATION METHOD PERFORMED BY OPERATING IMAGE PROCESSING APPARATUS
An image processing apparatus includes: a processor including hardware, the processor being configured to acquire a first observation image obtained by capturing an image of return light of first observation light applied to a subject; and estimate a depth of invasion based on a pixel value of each pixel of the first observation image.
A61B 5/1455 - Mesure des caractéristiques du sang in vivo, p. ex. de la concentration des gaz dans le sang ou de la valeur du pH du sang en utilisant des capteurs optiques, p. ex. des oxymètres à photométrie spectrale
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
89.
DRIVE DEVICE FOR MEDICAL MANIPULATOR, MEDICAL MANIPULATOR SYSTEM, AND MOTOR DEVICE FOR MEDICAL MANIPULATOR
A drive device for a medical manipulator includes: a housing; a motor; a support member that supports the motor, a flexure body having a first connector fixed to the housing, a second connector detachably connected to the support member, and a flexure portion provided between the first connector and the second connector, a strain sensor disposed in the flexure portion, wherein the second connector is fixed relative to the support member in a circumferential direction of the motor when the support member is attached.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
What is provided is an endoscopic device including: a sheath extending in a longitudinal direction thereof; a treatment tool opening portion that communicates with a treatment tool lumen inserted through the sheath in the longitudinal direction and allows a treatment tool inserted through the treatment tool lumen to project to and retract from a distal end side of the sheath in the longitudinal direction; and a suction opening portion communicating with a suction lumen inserted through the sheath in the longitudinal direction, wherein the treatment tool opening portion and the suction opening portion are provided in an insertion region that is disposed inside bile and pancreatic ducts when the sheath is inserted into the bile and pancreatic ducts, and the suction opening portion is able to suck an inner wall of the bile and pancreatic ducts.
Clip delivery device has a sheath, a wire inserted into the sheath, and a clip detachably connected to the wire and having arms movable between an open position and a closed position. A tube is adjacent the sheath along a longitudinal axis and contains at least part of the clip and has a convex portion on an inner surface. A connector provided in the sheath has a hook detachably connected with the convex portion. The hook is movable between a first position, in which the hook engages the convex portion and is at a first radial distance from a central axis of the sheath, and a second position, in which the hook is disengaged from the convex portion and is at a second radial distance from the central axis of the sheath, where the first radial distance is greater than the second radial distance, by moving the wire.
A61B 17/122 - Clamps ou pinces, p. ex. pour le cordon ombilical
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/128 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical pour appliquer ou enlever les clamps ou les pinces
93.
IMAGE PROCESSING APPARATUS, IMAGE PROCESSING METHOD, AND STORAGE MEDIUM
An image processing apparatus includes one or more processors. The one or more processors store one or more first machine learning models in a setting space including a first setting condition and a second setting condition, the one or more first machine learning models being placed at or below a predetermined density in the setting space, receives an image for identification, selects one or more second machine learning models that, in the setting space, are either within a predetermined range from the image for identification, or in order of shorter distance from the image for identification, and identifies the image for identification using the second machine learning models.
G06V 10/70 - Dispositions pour la reconnaissance ou la compréhension d’images ou de vidéos utilisant la reconnaissance de formes ou l’apprentissage automatique
G06V 10/82 - Dispositions pour la reconnaissance ou la compréhension d’images ou de vidéos utilisant la reconnaissance de formes ou l’apprentissage automatique utilisant les réseaux neuronaux
G16H 50/30 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour le calcul des indices de santéTIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies pour l’évaluation des risques pour la santé d’une personne
(1) Endoscopic equipment; Endoscopic apparatus for medical purposes; Surgical instruments; Surgical probes; Rigid and flexible medical endoscopes; Medical instrument stands
(1) Endoscopic equipment; Endoscopic apparatus for medical purposes; Surgical instruments; Surgical probes; Rigid and flexible medical endoscopes; Medical instrument stands
Endoscopic equipment; Endoscopic apparatus; Medical apparatus and instruments; Surgical apparatus and instruments; Surgical probes; Endoscopes; Medical instrument stands.
Endoscopic equipment; Endoscopic apparatus; Medical apparatus and instruments; Surgical apparatus and instruments; Surgical probes; Endoscopes; Medical instrument stands.
98.
REAL-TIME ENDOSCOPY SCENE ANALYSIS AND PHOTO-DOCUMENTATION
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Conjeti, Sailesh
Abrégé
Systems, devices, and methods for real-time endoscopy scene analysis and photo-documentation 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 analyzes the images or video streams to recognize an area of interest (AO I), and generate an endoscope maneuvering plan including an target or recommended imaging setting of the imaging device. Real-time guidance can be provided to a user or a robotic system to assist in maneuvering the endoscope and imaging and photo¬ documenting the AOI in accordance with the endoscope maneuvering plan.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
G16H 40/63 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement local
A61B 1/31 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour le rectum, p. ex. proctoscopes, sigmoïdoscopes
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Weber, Daniel C.
Abrégé
An electrosurgical device for cutting or sealing tissue of a patient can include a jaw assembly including a first jaw having a first distal end and a first proximal end, and a second jaw having a second distal end and a second proximal end, wherein the first proximal end is movably coupled to the second proximal end to provide an end effector forceps including the first and second jaws, wherein the second jaw includes a base portion and a discrete and separate electrode portion coupled to an upper surface of the base portion, wherein the base portion includes a first standoff extending from the upper surface of the base portion and the electrode includes a first notch corresponding to the first standoff, the first notch positioned around a periphery of the electrode such that the first standoff extends through the first notch and extends above an upper surface of the electrode.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
B29C 45/00 - Moulage par injection, c.-à-d. en forçant un volume déterminé de matière à mouler par une buse d'injection dans un moule ferméAppareils à cet effet
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
100.
MEDICAL MANIPULATOR SYSTEM, MEDICAL MANIPULATOR CONTROL METHOD, AND MEDICAL MANIPULATOR CONTROL DEVICE
A medical manipulator system includes a medical manipulator including a bending portion and a bending wire configured to bend the bending portion, an actuator configured to bend the bending portion by driving the bending wire, a sensor configured to detect tension of the bending wire, and a controller configured to control the actuator. The controller drives the bending wire so that the tension of the bending wire does not exceed a tension limit value determined on the basis of a traction quantity of the bending wire.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments