This ultrasonic transducer comprises: a piezoelectric element layer that has a piezoelectric element which sends and receives ultrasonic waves; a dematching layer that is laminated on the piezoelectric element layer and that reflects at least a portion of the ultrasonic waves, said dematching layer having a first member and a second member which has a higher electrical conductivity than the first member; and a wire that is electrically connected to the second member. Thus, the present invention provides an ultrasonic transducer that reduces noise and prevents connection failure.
A signal cable includes: a plurality of electric wires; a first insulating layer surrounding the plurality of electric wires; a shielding layer covering a circumference of the first insulating layer; a second insulating layer covering a circumference of the shielding layer; and a fixing portion fixing a distal end portion of the shielding layer, in which distal end portions of electric wires protrude more toward a distal end side than a distal end portion of the second insulating layer, the distal end portion of shielding layer is disposed nearer to the proximal end side than a distal end portion of the first insulating layer and the distal end portion of the second insulating layer, and the fixing portion fixes the distal end portion of the shielding layer in a space between the distal end portion of the first insulating layer and the distal end portion of the second insulating layer.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
3.
ENDOSCOPE SYSTEM, IMAGE GENERATING DEVICE, AND IMAGE GENERATING METHOD
This endoscope system comprises: an endoscope that is provided with an illumination unit that illuminates a subject with illumination light and an imaging unit that captures an image of the subject; a control device that generates a captured image by performing, on an imaging signal acquired from the imaging unit, image signal processing that is based on an imaging parameter; and an image generating device. The control device generates a first captured image that is the captured image as obtained by capturing the subject while illuminated with a light amount equal to or less than an upper limit value, and a second captured image that is the captured image as obtained by capturing the subject while illuminated with a light amount equal to or less than the upper limit value and that is brighter than the first captured image. The image generating device generates, from the first captured image and the second captured image, an estimated image estimating an image obtained by capturing the subject while illuminated with a light amount greater than the upper limit value.
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Marvin Iii, William E.
Terravecchia, Jake
Abstract
A system for detecting abnormalities in medical devices during medical procedures within a patient can include an inflow tubing defining an inflow lumen configured to provide a fluid from a fluid source to a site of the medical procedure. An inflow sensor can be in communication with the inflow lumen to sense an inflow parameter of the fluid within the inflow lumen. An outflow tubing can define an outflow lumen configured to extract debris from the site of the medical procedure. An outflow sensor can be in communication with the outflow lumen to sense an outflow parameter of the debris within the outflow lumen. A memory including instructions; and processing circuitry that, when in operation, can be configured by the instructions to identify an abnormality in either the inflow tubing or the outflow tubing based on comparing the inflow signal or the outflow signal, respectively, to a pre-determined threshold.
A61M 1/00 - Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
A61B 1/015 - Control of fluid supply or evacuation
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Batchelor, Kester Julian
Yang, Teo Heng Jimmy
Abstract
An electrosurgery device can include a return electrode, an active electrode including a hydrophobic or superhydrophobic surface configured to retain a portion of gas from a vapor pocket hereon when the active electrode is in a conductive liquid solution and the active electrode has transitioned into an inactive state, and an electrically insulating material situated between the active and return electrodes.
A reusable rotating ultrasound capsule for mounting to a distal end of a catheter. An exemplary device includes a motor compartment having a proximal face and a distal end. A sensor compartment includes a cap that seals with the motor compartment. A motor located within the motor compartment includes a drive component and a shaft rotatably coupled to the drive component and extending distally from the motor compartment into the sensor compartment. The shaft includes an ultrasound transducer. A plurality of electrical contacts are mounted on the proximal face. At least two of the electrical contacts are electrically coupled to the motor. A rotational electrical coupler includes a rotational component mechanically coupled to the shaft and electrically coupled to the ultrasound transducer and a stationary component mechanically coupled to the motor compartment and electrically coupled to one or more of the plurality of electrical contacts.
This inspection assistance system assists an inspection that uses a medical image and has one or more processors having hardware, wherein the processor acquires a video signal that includes information about the medical image, and is able to output inspection assistance information for assisting an inspection by carrying out a recognition process on the basis of the video signal, and determines, on the basis of the video signal, whether the video signal is a video signal used for recognition process.
G16H 40/00 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
A61B 1/04 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Ailinger, Robert E.
Christensen, Kelly David
Tidwell, Justin Garth
Hutchison, Derek Alder
Cornia, Spence Edward
Gorringe, Dustin Edward
Smith, Jeffrey C.
Abstract
An endoscope comprises a handpiece housing, an elongate flexible shaft extending from the handpiece housing, a pull wire extending from the handpiece housing into the elongate flexible shaft, and a tensioning mechanism configured to adjust tension in the pull wire. A method for adjusting tension in a pull wire of a controller for an endoscope comprises preparing an endoscope for use before a procedure, adjusting tension in a pull wire for deflecting a flexible elongate shaft of the endoscope to reduce knob dwell, and performing an endoscopic procedure with the endoscope.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Batchelor, Kester Julian
Pirozzi, Anthony R.
Callaghan, Michael E.
Abstract
A controller for an auxiliary endoscope comprises a coupling piece for attaching to a main endoscope, a handpiece connected to the coupling piece, a working shaft extending from the handpiece and extending into the coupler and a first control feature located on the handpiece for operating a pull wire extending through the working shaft, the pull wire configured to steer the auxiliary endoscope, wherein the handpiece can be moved relative to the coupling piece to adjust a position of the auxiliary scope relative to the main scope.
A manipulator system includes: a manipulator; a driving device to which the manipulator is detachably connected and which electrically drives the manipulator; a control device; a first sensor provided in the driving device; and a second sensor provided in the manipulator or the driving device. The control device is configured to perform a first step of confirming that the driving device operates normally according to electric power on the basis of an output of the first sensor, and a second step of confirming that the manipulator is connected to the driving device on the basis of an output of the second sensor. The first step includes checking whether the first sensor is normal, and the second step includes checking whether the second sensor is normal on the basis of the output of the first sensor that has been confirmed to be normal and the output of the second sensor.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
An endoscope system includes: a light source configured to emit white light having wavelength distribution of white color; an optical element configured to block at least light emitted from the light source, the at least light having wavelength band corresponding to a light absorption band with a highest peak from among light absorption bands of a medicinal substance used in phototherapy; an imaging element configured to perform imaging based on a light component which has passed through the optical element; and an image processor configured to process imaging signal obtained as a result of imaging performed by the imaging element, and generate an image.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Marvin, Iii, William E.
Terravecchia, Jake
Abstract
A system for detecting abnormalities in medical devices during medical procedures within a patient can include an inflow tubing defining an inflow lumen configured to provide a fluid from a fluid source to a site of the medical procedure. An inflow sensor can be in communication with the inflow lumen to sense an inflow parameter of the fluid within the inflow lumen. An outflow tubing can define an outflow lumen configured to extract debris from the site of the medical procedure. An outflow sensor can be in communication with the outflow lumen to sense an outflow parameter of the debris within the outflow lumen. A memory including instructions; and processing circuitry that, when in operation, can be configured by the instructions to identify an abnormality in either the inflow tubing or the outflow tubing based on comparing the inflow signal or the outflow signal, respectively, to a pre-determined threshold.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 1/015 - Control of fluid supply or evacuation
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Baker, Charles A.
Marcus, Divid
Abstract
In a laser tissue ablation system, a distal end of an optical fiber can extend from an endoscope. The optical fiber can receive therapeutic laser light pulses at first times, receive measurement light pulses at second times, direct the therapeutic laser light pulses and the measurement light pulses toward a target, collect, as collected light pulses, at least some of the measurement light pulses that are reflected from the target, and direct, as return light pulses, at least some of the collected light pulses away from the distal end of the optical fiber. An optical detector can sense at least some of the return light pulses. Processor circuitry can perform a time-of-flight analysis of the sensed return light pulses to determine a spacing between the distal end of the optical fiber and the target and can generate a spacing data signal representing the determined spacing.
G01S 17/10 - Systems determining position data of a target for measuring distance only using transmission of interrupted, pulse-modulated waves
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
A61B 18/24 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Hand-pieces therefor with a catheter
G01S 7/481 - Constructional features, e.g. arrangements of optical elements
G01S 7/4865 - Time delay measurement, e.g. time-of-flight measurement, time of arrival measurement or determining the exact position of a peak
15.
SPECTRAL DETECTION OF OPTICAL FIBER FLASHING EVENT
GYRUS ACMI, INC., D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Baker, Charles A.
Bukesov, Sergey A.
Shelton, Kurt G.
Batchelor, Kester Julian
Abstract
A laser tissue ablation system can include an optical fiber, with a distal end being extendible from an endoscope body of an endoscope. The optical fiber can deliver therapeutic laser light from the distal end of the optical fiber toward a target site, and receive return light into the distal end of the optical fiber. The laser tissue ablation system can include a sensor that can spectrally measure the return light. The laser tissue ablation system can include processor circuitry that can form a first determination, from the spectral measurement of the return light, whether flashing event light is present in the return light. The flashing event light can be generated when a flashing event occurs at the distal end of the optical fiber. The processor circuitry can generate, in response to the first determination, a flashing event data signal that indicates whether the flashing event has occurred.
A61B 18/22 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Hand-pieces therefor
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G01N 21/25 - Colour; Spectral properties, i.e. comparison of effect of material on the light at two or more different wavelengths or wavelength bands
16.
INFORMATION PROCESSING DEVICE AND INFORMATION PROCESSING METHOD
An information processing device of the present invention is capable of collaboration with a learning device to determine whether an image group that has been obtained in time series by the first endoscope is an image group obtained at a first time or at a second time, and to create a first inference model for image feature determination of images for the first endoscope by performing learning with results of having performed annotation on the image group that was obtained at the second time as training data, the information processing device comprising at least one or a plurality of classifying processors that classify image groups constituting training data candidates, within an image group from the first endoscope that has been newly acquired, or an image group from a second endoscope, using the image group that has been obtained at the first time, when the first inference model was created.
G06V 10/774 - Generating sets of training patterns; Bootstrap methods, e.g. bagging or boosting
G06V 10/764 - Arrangements for image or video recognition or understanding using pattern recognition or machine learning using classification, e.g. of video objects
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Boone, Eric J.
Fiksen, Christian J.
Ward, Zane R.
Pham, Hanam S.
Nelson, Jeffrey
Abstract
A surgical device comprising: a closure assembly including: (a) a latch unit comprising: (A) a hook latch, having a home position, (B) a forward bias constraint, (C) a rearward bias constraint, and (D) a bias member extending between the forward bias constraint and the rearward bias constraint so that the bias member has a pre-load when the hook latch is in the home position; (b) a movement unit including a bar that is movable relative to the latch unit so that the bar is movable in a prescribed motion into contact with the latch unit to create a locked state; and wherein the bar moves into contact with the hook latch driving the hook latch in a first direction, away relative to the home position, and then the hook latch is moved by the bar in a second direction relative to the home position, and a loading of the bias member is increased from the pre-load when the hook latch is moved in either the first direction away from the home position or the second direction away from the home position.
A cartridge system includes a clip unit including an arm configured to be opened and closed, and a case in which the clip unit has a storage area configured to move along a longitudinal direction, wherein the case includes an opening through which at least part of the arm is exposed when the clip unit stored in the storage area is positioned at a predetermined position.
A61B 17/128 - Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A suction system of an endoscope includes a branch conduit including a suction pipe sleeve branching from a main conduit; a suction path provided in the suction pipe sleeve and including a first opening communicating with the main conduit; a working channel including an insertion path communicating with the main conduit; and a liquid feed tube inserted through the main conduit and the working channel. A first minimum length A, a maximum length B, and a second minimum length C have a dimensional relation of C−B<(A−B)/2, the first minimum length A passing through a first center on a plane of the first opening, the maximum length B passing through a second center on a cross section orthogonal to a longitudinal direction of the liquid feed tube, the second minimum length C passing through a third center on a cross section orthogonal to a longitudinal direction of the insertion path.
A61B 18/26 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
An image pickup unit includes a rear group lens barrel which holds the rear group lens, a moving lens barrel which holds the moving lens and which is movable to advance and retreat inside the rear group lens barrel along an optical axis of the observation optical system, an actuator which includes a guide tube and a head member and which is configured to transmit motive power to the moving lens barrel by advance and retreat movement of the head member with respect to the guide tube, and a second stopper member which is positioned and fixed to the rear group lens barrel and which defines a retreat position in a direction of the optical axis of the moving lens barrel, in which the second stopper member also serves as a holding member which holds a distal end side of the guide tube.
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Batchelor, Kester Julian
Yang, Teo Heng Jimmy
Onaga, Takeshi
Golomb, Jordan R.
Abstract
A system for imaging and treating tissue can include or use an imaging sensor adapted to receive imaging information from a location internal to a human or animal subject, a tissue therapy output for applying a tissue therapy to tissue at the location internal to the subject, and controller circuitry, comprising signal-processing circuitry configured for image-processing the imaging information to determine a structure or other characteristic at or near the location internal to the subject, and to tailor a parameter or algorithm, controlling the tissue therapy output, at least in part based on the imaging information.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
Provided is an endoluminal device system including: an elongated and flexible endoluminal device; a wire that is disposed in the endoluminal device; a first sensor that detects tension of the wire; a second sensor that detects displacement of the wire; a driving device capable of pulling the wire; and a processor. The processor is configured to: cause the driving device to execute a relaxing operation for relaxing the wire, acquire the tension and the displacement of the wire during the relaxing operation, which are detected by the first sensor and the second sensor, respectively, and adjust a control parameter of the endoluminal device based on a rate of change in the tension with respect to the displacement.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
An endoscope connection mechanism includes a connection pipe sleeve including a hole having an axis, and a first optical shutter movable between a first state and a second state. The first optical shutter includes a first, a second and a third portions. The first portion includes a first end fixed to a base portion of the first optical shutter, and a second end provided distally relative to the first end. The second portion includes a third end connecting to the second end, and a fourth end provided distally relative to the third end. The third portion includes a fifth end connecting to the fourth end, and a sixth end provided distally relative to the fifth end. In the first state, the third portion is positioned to intersect the axis of the hole, and in the second state, the third portion is positioned not to intersect the axis of the hole.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
An optical device includes: an optical system including a moving lens that moves in a direction along an optical axis; a moving frame including a first magnetic body and configured to hold the moving lens; a holding frame formed into a cylindrical shape by a non-magnetic body and configured to movably hold the moving frame on an inner circumferential surface along the optical axis, a drive unit including a magnet and configured to cause the moving frame to move in the direction along the optical axis; and second magnetic bodies arranged between the drive unit and the moving frame and configured to transmit a magnetic force of the magnet to the first magnetic body of the moving frame.
G03B 5/00 - Adjustment of optical system relative to image or object surface other than for focusing of general interest for cameras, projectors or printers
A relay device 20 for a medical system comprises: a reception unit 21A that receives from a controller 10 a first signal for continuously changing a setting value of a medical apparatus 30; a conversion unit 23 that converts the first signal into a second signal; a transmission unit 21B that transmits the second signal to the medical apparatus 30; a detection unit 22 that detects disconnection of communication with the controller 10; and a control unit 24 that uses a detection signal from the detection unit 22 to control the transmission unit 21B to transmit to the medical apparatus 30 a third signal constituted by a fail-safe signal.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
26.
IMAGE PROCESSING DEVICE, ENDOSCOPE SYSTEM, IMAGE PROCESSING METHOD, AND INFORMATION STORAGE MEDIUM
An image processing device includes a processor. The processor is configured to: recognize blood vessel running information; recognize a first bleeding position from a surgery image; identify a second bleeding position in the blood vessel running information corresponding to the first bleeding position in the surgery image; and identify a bleeding stopping point corresponding to the second bleeding position as a bleeding stopping recommended point corresponding to the first bleeding position. The processor: acquires information about the bleeding stopping recommended point corresponding to each of one or more blood vessel areas in the blood vessel running information; identifies the blood vessel area among the one or more blood vessel areas, to which the second bleeding position belongs; and performs processing in which the bleeding stopping recommended point corresponding to the blood vessel area thus identified is superimposed on the surgery image and displayed on a display.
A61B 5/02 - Measuring pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography; Heart catheters for measuring blood pressure
G06T 7/70 - Determining position or orientation of objects or cameras
Insertion equipment includes an insertion section, a distal end member provided at a distal end of the insertion section, and a tube configured to supply a fluid to the distal end member. In the distal end member, the fluid passes through a first flow channel extending in a distal end direction, passes through a second flow channel in a direction different from the distal end direction, is divided, is discharged through a first opening in a distal end surface, and part of the fluid is discharged through one or more second openings in an outer circumferential surface of the distal end member in a radial direction or a proximal end direction.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 1/015 - Control of fluid supply or evacuation
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
28.
IMAGING SYSTEM, ENDOSCOPE SYSTEM, CAMERA UNIT, AND SCOPE OF ENDOSCOPE
In an imaging system, a camera unit and a control unit are connected via a source voltage line and an image signal line. The camera unit includes: a pixel array configured to generate an accumulation signal and a reset signal; a source voltage measuring circuit configured to output a voltage value (VDDA) indicating a second source voltage in the pixel array; a reference voltage generating circuit configured to generate a reference voltage (VBGR); a plurality of AD conversion devices; and a signal transmitting unit. The control unit includes: a source voltage supply device configured to supply a first source voltage (Vout) to the source voltage line; and a signal receiving device configured to receive the image signal and the result of the second AD conversion.
This endoscope treatment tool comprises: a sheath which is an elongated member having a lumen extending in a longitudinal direction; a distal end treatment part provided to the distal end section of the sheath; an operation part provided to the proximal end section of the sheath; and a wire which is inserted into the lumen and is attached to the distal end treatment part and which is supported by the operation part so as to advance/retreat in the longitudinal direction, wherein the operation part has a lock mechanism which restricts advance/retreat of the wire in the longitudinal direction.
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A method of endoscopically approaching a duodenum includes: inserting an endoscope into a duodenum of a subject through stomach; inserting a venting device into the stomach; and deflating the stomach by removing air from the stomach through the venting device.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
31.
SEMICONDUCTOR APPARATUS, IMAGE PICKUP UNIT, ENDOSCOPE, AND METHOD FOR MANUFACTURING SEMICONDUCTOR APPARATUS
An image pickup unit includes: an image pickup substrate including a first principal surface and a second principal surface, a light receiving circuit being formed on the first principal surface and a through wiring being placed on an inner surface of a via hole including an opening in the second principal surface; a solder resist film placed around the via hole on the second principal surface and in the via hole in a range from a bottom face to a level not reaching the second principal surface; and a bonding terminal which is made of solder, covers a surface of the solder resist film placed in the via hole, and is bonded to the through wiring on an outer edge of the opening in the via hole, the through wiring being not covered with the solder resist film.
H01L 23/00 - SEMICONDUCTOR DEVICES NOT COVERED BY CLASS - Details of semiconductor or other solid state devices
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A full-thickness resection method for a gastrointestinal tract includes forming a pair of first markings in surrounding tissue on both sides of a lesion to sandwich the lesion therebetween; performing a full-thickness resection to a portion including the lesion; identifying a pair of suture locations in the vicinity of the pair of first markings; and suturing the pair of first suture locations.
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
GYRUS ACMI, INC.D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Holton, Jeffrey D.
Blus, Theodore C.
Kroll, Mark J.
Mensch, John
Abstract
A forceps having a first jaw and a second jaw, where at least one of the first and second jaws is capable of moving between an open position and a closed position. The forceps including an inner shaft located within an outer shaft and extending along the longitudinal axis, and a drive bar coupled to and extending distally from the inner shaft. The drive bar including a pair of drive bar struts extending from a distal portion of the inner shaft and positioned laterally inward of at least one of first and second set of flanges of the first and second jaws. A drive pin is securable to the pair of drive bar struts and the drive bar is translatable within the outer shaft to translate the drive pin to move the first jaw and/or the second jaw between open and closed positions.
A61B 17/128 - Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A61B 17/285 - Surgical forceps combined with cutting implements
A61B 17/29 - Forceps for use in minimally invasive surgery
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
An imaging system includes a camera device and a control device connected to each other by a power source line, a video signal line, and a ground line. An image sensor of the camera device receives, as a distal end voltage, a power source voltage output from the control device to the power source line. An output circuit of the camera device outputs a digital signal indicating a value of the distal end voltage to the video signal line. A calculation circuit of the control device calculates a resistance value of the power source line based on a value of the power source voltage, the value of the distal end voltage indicated by the digital signal, a current value of the power source line, a resistance value of the ground line, and a current value of the ground line.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
Provided is an estimation method executed by a processor of an estimation device. The estimation method includes: acquiring monitor information regarding an electrical characteristic value in an energy treatment tool when non-treatment energy for monitoring is applied to a living tissue from the energy treatment tool; acquiring image information regarding an endoscopic image obtained by imaging the living tissue; and performing estimation regarding thermal invasion in the living tissue based on at least one of the monitor information and the image information and on an output setting value of treatment energy for treating the living tissue with the energy treatment tool.
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61B 1/04 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
A treatment tool includes: a first gripper; a second gripper configured to pivot relative to the first gripper to grip a living tissue between the second gripper and the first gripper; a support being provided with a pivoting shaft configured to engage with the second gripper and serve as a pivoting center of the second gripper; and a driver provided with a driving shaft configured to engage with the second gripper, the driver being configured to move forward and backward to pivot the second gripper.
An electronic component holding member includes a first base material including an electronic component, a first resin molded product, and first metal patterns in which a signal pattern and a grounding pattern are formed on a non-planar surface, a second base material including a second resin molded product, and a second metal pattern formed on a non-planar surface so as to overlap at least part of the first metal patterns, and grounding wiring configured to connect the grounding pattern and the second metal pattern.
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
An image pickup unit for endoscope includes a first barrel having first hardness, a second barrel having second hardness in which an optical member is internally provided, the second barrel being held in a hole of the first barrel to be movable, a film having third hardness formed on one of an inner surface of the hole and an outer surface of the second barrel, a magnet provided in the second barrel, and a coil provided in the first barrel and configured to generate a magnetic field that acts on the magnet. The second barrel has a magnet or is composed by a magnetic material. The second barrel slides in the first barrel according to energization to the coil. The third hardness is lower than the first hardness and the second hardness.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
39.
INFORMATION PROCESSING SYSTEM, ENDOSCOPE SYSTEM, TRAINED MODEL, INFORMATION STORAGE MEDIUM, AND INFORMATION PROCESSING METHOD
An information processing system (100) includes: a storage unit (110) for storing a trained model (120) that has been subjected to machine learning using a dataset including a training image group (32G) and a correct answer image (36); and a processing unit (130) which uses the trained model (120) to adjust blurring, resulting from defocusing of a first imaging system (101), of a processing target image, which is an image captured by the first imaging system (101). A region of each training image (32), among a plurality of training images (32), that is on an optical axis of the first imaging system (101) and a region thereof that is not on the optical axis are subjected to defocus simulation processing on the basis of a transfer function or a point spread function on the optical axis. The trained model (120) is subjected to machine learning such that each training image (32) becomes the correct answer image (36).
This curved tube comprises: a first tubular member (12); and a second tubular member (13) which has a second tongue-piece portion (33) to be overlapped on an end of the first tubular member (12) and in which the second tongue-piece portion (33) has formed thereto a projecting portion (35) that is rotatably linked to the first tubular member (12). The end of the first tubular member (12) has formed therein a first hole (26) which penetrates said end in a radial direction of the longitudinal axis thereof and in which the projecting portion (35) is inserted. A protrusion (26c) is formed around the opening of the first hole (26). The projecting portion (35) has a second hole (34) which penetrates in the axial direction of the projecting portion (35). The second tongue-piece portion (33) has formed therein a recess (35b) that receives the protrusion (26c).
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Batchelor, Kester Julian
Yang, Teo Heng Jimmy
Moe, Riyad
Abstract
An electrosurgical instrument includes a jaw member having an electrically conductive tissue sealing plate configured to operably couple to a source of electrosurgical energy for treating tissue. A liquidphobic structure is added to at least a portion of the electrically conductive sealing plate to reduce tissue adherence during application of electrical energy to tissue.
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Shelton, Kurt G.
Bukesov, Sergey A.
Abstract
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 for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
A61B 5/06 - Devices, other than using radiation, for detecting or locating foreign bodies
G06T 3/20 - Linear translation of a whole image or part thereof, e.g. panning
G06T 3/40 - Scaling of a whole image or part thereof
G06T 3/60 - Rotation of a whole image or part thereof
A bending tube includes a first tubular member including a first tubular opening and a second tubular member including a second tubular opening. The first tubular member includes a first end portion, a first hole, and a projection on a surface of the first end portion around a periphery of a first end of the first hole. The second tubular member includes a second end portion, a second hole, and a turning shaft projecting from a periphery of a first end of the second hole. The first end portion overlaps the second end portion and the turning shaft is seated in the first hole to connect the first tubular member to the second tubular member. The projection on the surface of the first end portion contacts a surface of the second end portion.
This grasping forceps according to the present invention is provided with: a sheath extending in the longitudinal direction; a rod provided at the tip of the sheath and extending in the longitudinal direction; and a grasping part that has a first jaw connected to the base side of the rod and opening and closing toward the tip side of the rod, and a second jaw connected to the base side of the rod on the opposite side of the rod from the first jaw and opening and closing toward the tip side of the rod. The rod has a tip part provided with a first convex portion that protrudes toward the first jaw on a first protruding side.
This imaging device 1 comprises: a three-dimensional circuit device (MID) having a first region A1 that has two conductor patterns 41, 42 provided to the surface thereof, the two conductor patterns 41, 42 being disposed parallel to each other at a first interval, and the widths W40 of the two conductor patterns 41, 42 being substantially the same; resist patterns 51, 52 that are a plurality of solder-free parts to which solder does not adhere, the resist patterns 51, 52 being disposed in the first region A1 so as to be substantially orthogonal to the two conductor patterns 41, 42 and so as to be substantially parallel to each other at a second interval D50; and an electronic component 60 having two external electrodes 69A, 69B that are respectively soldered to the two conductor patterns 41, 42 between the resist patterns 51, 52, which are the plurality of solder-free parts.
A61B 1/04 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
46.
WAVEGUIDE CIRCUIT DEVICE, IMAGING DEVICE, ENDOSCOPE, AND METHOD FOR MANUFACTURING IMAGING DEVICE
This waveguide circuit device is provided with: a plurality of peripheral electrodes among a plurality of external electrodes in a camera unit; a plurality of first pads which are arranged in N-symmetry positions (wherein N represents a natural number of 2 or greater) and to which the peripheral electrodes are respectively solder-joined; a plurality of first conductive patterns each of which has a first end and a second end and which are disposed in N-symmetry positions, in which the first ends are respectively connected to the plurality of first pads; and a plurality of lands which are respectively connected to the second ends of the plurality of first conductive patterns.
A61B 1/04 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
47.
IMAGE PICKUP MODULE, ENDOSCOPE, AND MANUFACTURING METHOD OF IMAGE PICKUP MODULE
An image pickup module includes: a lens unit including a first principal surface and a second principal surface; an image pickup unit including a third principal surface and a fourth principal surface on which an external electrode is disposed; a wiring board including a hole and a bonding electrode disposed on a bottom surface of the hole; a solder that bonds the bonding electrode and the external electrode; a rigid member that defines a spacing between the fourth principal surface and the bottom surface; and a second resin disposed between the fourth principal surface and the bottom surface.
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Ward, Zane R.
Boone, Eric J.
Fiksen, Christain J.
Abstract
Forceps with improved actuation include a housing and a body that is longitudinally slidable relative to the housing. The body having a peripheral flange extending outward towards the housing. A trigger includes an actuation surface configured to receive a force input from a user. The trigger further including at least one arm configured to transfer the received force input to the body. To inhibit lateral splaying of the at least one arm when the trigger is actuated, the housing includes a first control surface, such as a rib proximate the arm.
A61B 17/128 - Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A61B 17/285 - Surgical forceps combined with cutting implements
A61B 17/29 - Forceps for use in minimally invasive surgery
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
An image pickup unit includes: an image pickup optical system including an optical axis; an image pickup device; a first electric substrate on which the image pickup device is mounted; a second electric substrate formed integrally with the first electric substrate and configured to surround peripheries of the image pickup optical system and the image pickup device and extend in a direction along the optical axis, the second electric substrate including a housing space for housing the image pickup optical system and the image pickup device, a part of the second electric substrate being formed in an arc shape when viewed in a cross section in a vertical direction with respect to the optical axis; and a conductive circuit connecting the first and second electric substrates, and provided from a first surface exposed outside of the second electric substrate to a second surface in the housing space.
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
50.
ENDOSCOPE REPROCESSOR, CONTROL APPARATUS, AND CONTROL METHOD
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 for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
A61B 90/70 - Cleaning devices specially adapted for surgical instruments
Provided is an image processing apparatus including a processor. The processor is configured to: reconstruct, by employing a plurality of time-series images acquired by an endoscope, three-dimensional information of an imaging subject containing relative dimensions; calculate, on the basis of focus information of each of the plurality of images, scale information for converting the relative dimensions of the three-dimensional information to absolute dimensions; convert, by employing the scale information, the relative dimensions to the absolute dimensions; and output three-dimensional information containing the absolute dimensions.
An imaging unit includes: an illumination unit that includes an illumination optical system; a first holding frame configured to hold the illumination unit; an imaging-unit main body that includes an imager, and an observation optical system configured to form the subject image on the imager; and a second holding frame configured to hold the imaging-unit main body. A first abutting portion configured to abut on the second holding frame in a radial direction of the first holding frame is arranged on an outer surface of the first holding frame.
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
Surgical, medical apparatus and instruments for use in endoscopy and enteroscopy procedures; parts and fittings for all the aforesaid goods; enteroscopy equipment and apparatus; surgical apparatus and instruments for use in an enteroscopy, namely, enteroscopes and attachments specially fitted therefor; medical apparatus and instruments for use in an enteroscopy namely, enteroscopes and attachments specially fitted for enteroscopes; structural parts and fittings for all the aforesaid goods
54.
METHOD OF MANUFACTURING LENS UNIT, LENS UNIT, IMAGE PICKUP APPARATUS, AND ENDOSCOPE
A method of manufacturing a lens unit includes: producing a stacked wafer including a plurality of optical wafers that include at least one optical wafer in which a light shielding layer is disposed and having a first principal surface and a second principal surface; forming grooves in a grid pattern on the first principal surface or the second principal surface of the stacked wafer using a dicing blade, in which the grooves have a depth at which the light shielding layer is cut; and dividing the stacked wafer into a plurality of lens units by performing stealth dicing using a filamentation laser along the grooves.
G02B 13/00 - Optical objectives specially designed for the purposes specified below
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
55.
LENS UNIT, IMAGE PICKUP APPARATUS, ENDOSCOPE, AND METHOD OF MANUFACTURING LENS UNIT
A lens unit includes a first optical element including a first principal surface that is an incident surface; and including a first glass substrate and a first resin, the first glass substrate including a frame-shaped cutout at an outer edge of the first principal surface, the first resin being disposed only in the cutout.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
56.
IMAGE PICKUP APPARATUS, ENDOSCOPE, AND METHOD OF MANUFACTURING IMAGE PICKUP APPARATUS
An image pickup apparatus includes a lens unit and an image pickup unit. The lens unit includes a plurality of optical devices including a first optical device that includes: a first glass substrate having a first principal surface and a second principal surface and a groove leading to the second principal surface from the first principal surface in at least one of four corners on an outer edge; first resin disposed in the groove; and a resin lens disposed on the second principal surface. The image pickup unit including an image pickup device is disposed on an optical device not including the first resin, of the plurality of optical devices.
A lens unit includes: a first optical device including a first glass substrate including a first principal surface and a second principal surface, and a resin lens disposed on the second principal surface; a second optical device including a second glass substrate including a third principal surface and a fourth principal surface, in which the third principal surface is disposed facing the second principal surface, and a substantially rectangular aperture layer made of metal that is disposed on the third principal surface and that has four corner regions cut out; and an adhesive layer that adhesively bonds the first optical device and the second optical device, in which four corner regions do not sandwich the aperture layer between the first optical device and the second optical device.
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Batchelor, Kester Julian
Moe, Riyad
Williams, Wayne
Abstract
Apparatus and associated methods relate to controlling electrical power of an electrotherapeutic signal that is provided to a biological tissue engaged by an electrosurgical instrument during a medical procedure. Electrical power—a product of a voltage difference across and an electrical current conducted by the engaged biological tissue—is controlled according to a therapeutic schedule. The electrotherapeutic schedule can be reduced or terminated in response to a termination criterion being met. In some examples, the termination criterion is a current characteristic, such as, for example, a decrease in current conducted by the engaged biological tissue. In some examples, the termination criterion is a biological tissue resistance characteristic, such as, for example, an increase in the biological tissue resistance that exceeds a predetermined delta resistance value.
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
This treatment instrument comprises: a sheath; a center shaft that extends in a width direction orthogonally intersecting the length direction of the sheath; and forceps that have a first forceps piece and a second forceps piece, at least one of said first forceps piece and said second forceps piece being supported so as to be able to open and close treating the center shaft as the center, wherein the lengths of the first forceps piece and the second forceps piece in the aforementioned width direction are greater than or equal to the lengths of the first forceps piece and the second forceps piece in the aforementioned length direction.
A control device includes a processor. The processor acquires an endoscope image that is an image captured by an endoscope; determines whether suction is needed, based on the endoscope image; when the suction is determined to be needed, implements control to carry out the suction; determines a state of a subject based on a change in the endoscope image when the suction is performed; and performs control regarding suction based on the state of the subject.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 1/015 - Control of fluid supply or evacuation
An ultrasound probe includes: an ultrasound transducer including plural piezoelectric elements; an acoustic lens layer configured to radiate the ultrasound emitted from the plural piezoelectric elements to outside; a back layer that faces the acoustic lens layer with the ultrasound transducer interposed between the back layer and the acoustic lens layer; and a wiring member having at least a part that is arranged at a first position between the acoustic lens layer and the ultrasound transducer or at a second position that faces the ultrasound transducer with the back layer interposed between the second position and the ultrasound transducer. The wiring member includes: a resin layer having electrically insulating; and an electrically conducting layer that is provided on the resin layer and includes plural signal wirings.
A61B 8/00 - Diagnosis using ultrasonic, sonic or infrasonic waves
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
B06B 1/06 - Processes or apparatus for generating mechanical vibrations of infrasonic, sonic or ultrasonic frequency making use of electrical energy operating with piezoelectric effect or with electrostriction
62.
TREATMENT TOOL GENERATOR, TREATMENT SYSTEM, CONTROL METHOD, AND TREATMENT METHOD
A treatment tool generator includes: a power source configured to supply power to a treatment tool; and a processor configured to control an operation of the power source and the treatment tool, the processor being configured to cause the power source to supply the power to the treatment tool to apply treatment energy to a biological tissue from the treatment tool, calculate a thickness index value to be an index of a thickness dimension of the biological tissue that is grasped by the treatment tool, determine whether it is a change timing to change a control state of at least one of the power source and the treatment tool based on the thickness index value, and perform at least one of a first control, a second control, and a third control upon determining that it is the change timing.
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Batchelor, Kester Julian
Abstract
An electrosurgical device comprising: forceps including: (i) a first working arm having a contact surface and (ii) a second working arm having a contact surface; wherein the forceps has a first electrical configuration where the contact surface of the first working arm and the contact surface of the second working arm are substantially opposite each other so that the contact surfaces of the forceps can be used to grip an item between the working arms and so that the forceps is configured to deliver a first therapy current through the first working arm, the second working arm, or both; and wherein the forceps has second electrical configuration where the contact surface of the first working arm and the contact surface of the second working arm are askew relative to each other and an electrode edge is formed on at least one side of the forceps so that a second therapy current extends from the electrode edge.
An endoscope system includes an insertion section, an imager, and a control device including a processor that processes a signal from the imager. The insertion section is inserted into a lumen as an object. The imager is monocular and is provided in the insertion section to capture an image of the object. The processor acquires actual size determination information for determining an actual size of at least a portion of the lumen. The processor calculates a three-dimensional structure of the lumen based on the captured image. The processor also calculates three-dimensional structure size information for determining an actual size of at least a portion of the three-dimensional structure by calibrating the three-dimensional structure of the lumen based on the actual size determination information. The processor also outputs specific portion size information representing an actual size of a specific portion of the three-dimensional structure, based on the three-dimensional structure size information.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
An image processing apparatus includes a processor. The processor is configured to acquire image information from an endoscope during observation of an inside of a subject, generate an organ model from the acquired image information, identify an unobserved region that is not observed by the endoscope in the organ model, estimate a top and a bottom and an azimuth of an image pickup visual field of the endoscope with respect to the organ model, set a display direction of the organ model based on the top and the bottom and the azimuth of the image pickup visual field, and output the organ model to the monitor, the organ model being associated with the identified unobserved region.
G06T 19/00 - Manipulating 3D models or images for computer graphics
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
G06T 7/73 - Determining position or orientation of objects or cameras using feature-based methods
An image processing device includes a processor. The processor acquires shape information about a variable shape of a manipulator. The processor displays on a display a CG image of a manipulator model as viewed from a virtual camera in an object space, based on the shape information. The processor executes a rotation process of rotating a viewing direction of the virtual camera by a rotation angle according to the shape information.
G06T 19/20 - Editing of 3D images, e.g. changing shapes or colours, aligning objects or positioning parts
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
(1) Medical and surgical apparatus and instruments for cleaning, washing, disinfecting and sterilizing medical endoscopes; medical device, namely, automated endoscope reprocessor; endoscopic equipment
A biopsy device includes: a hollow needle; a wire located inside the needle and having a helical drill portion; a rotation mechanism moving the drill portion; a sheath covering the needle, the needle and the wire being movable in a longitudinal direction of the needle with respect to the sheath; and an operating unit on a proximal side of the needle, the wire, and the sheath. The unit includes: a main body fixed to a proximal end of the sheath; and a knob fixed to a proximal end of the wire and supported by the main body so as to be movable in the longitudinal direction and rotatable about a longitudinal axis of the wire. The mechanism includes: a threaded portion, on the main body, having a pitch equal to a pitch of the drill portion; and a joint portion, on the knob, joined to the threaded portion.
A medical ultrasound incision device includes: a probe configured to vibrate ultrasonically; a jaw configured to be opened and closed relatively to the probe and hold a body tissue between the probe and the jaw; and a pad that is positioned between the probe and the jaw, the pad being configured to prevent direct contact between the probe and the jaw in a state where the jaw has been closed, the pad including polyethylene having molecular weight larger than 4,400,000.
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Murdeshwar, Nikhil M.
Holman, Thomas J.
Abstract
A direct peroral cholangioscopy method comprises inserting an endoscope into a guide sheath, inserting the guide sheath and endoscope into a duodenum, extending a tissue retrieval device through the endoscope into the duodenum, extending an anchor wire into the duodenum, collecting biological matter with the tissue retrieval device, and withdrawing the cholangioscope and tissue retrieval device from the duodenum along the anchor wire. A cholangioscopy system comprises a steerable guide sheath and a cholangioscope comprising a shaft extending to a distal end face for displacement within the steerable guide sheath, a tool lumen extending along the shaft and exiting at the distal end face, an anchor lumen entering the shaft between a proximal end portion and the distal end face and exiting at the distal end face, and an exchange lumen extending from the tool lumen to an exterior of the shaft at the distal end face.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61B 1/273 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
A61B 17/29 - Forceps for use in minimally invasive surgery
71.
ENDOSCOPE FLUID CONTROL SYSTEM, FLUID CONTROL APPARATUS FOR ENDOSCOPE, CONTROL METHOD OF ENDOSCOPE FLUID CONTROL SYSTEM, AND CONTROL METHOD OF FLUID CONTROL APPARATUS FOR ENDOSCOPE
An endoscope fluid control system, includes: a water suction pump and a water suction pressure gauge connected to a water suction conduit; a memory configured to record correlation data for each type of endoscope, the correlation data indicating a correlation between a pressure value indicated by the water suction pressure gauge and an output value of the water suction pump; and a processor configured to: specify correlation data corresponding to a type; and monitor an operation of the water suction pump based on the specified correlation data.
A61B 1/015 - Control of fluid supply or evacuation
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
G16H 40/60 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
72.
DIRECT PERORAL CHOLANGIOSCOPE SYSTEM WITH GUIDE SHEATH
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Murdeshwar, Nikhil M.
Holman, Thomas J.
Pirozzi, Anthony R.
Abstract
A direct peroral cholangioscope system comprises a guide sheath sized to pass through an esophagus of a patient comprising a proximal end portion, a distal end portion, and a lumen extending between the proximal end portion and the distal end portion, an endoscope comprising an elongate body extending from a proximal end to a distal end, an imaging device coupled to the elongate body proximate the distal end, and a passage extending at least partially through the elongate body and exiting at the distal end, the elongate body sized to pass through the lumen, and a tissue retrieval device configured to pass through the passage and retrieve tissue from within the patient. The guide sheath can be used to steer the endoscope through the pyloric sphincter and the sphincter of Oddi to allow the endoscope to be articulated in the common bile duct using native steering capabilities.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A channel replacement method to replace a first channel of an endoscope, the first channel including a first distal end and a first rear end, the channel replacement method including: sealing a flow path of the first channel by arranging a first plug at the first distal end and arranging a second plug at the first rear end, and withdrawing the first channel from inside the endoscope.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
An image pickup unit includes: a bonded device provided with a light receiving surface, an undersurface, and four side faces, the bonded device including a light receiving element provided with a light receiving circuit, and a circuit element provided with a peripheral circuit and direct-bonded to the light receiving element; a first protective layer covering the four side faces, the first protective layer being made of an inorganic material; a second protective layer covering the first protective layer, the second protective layer being made of metal; and a third protective layer covering the second protective layer, the third protective layer being made of an organic material.
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Magno, Joey
Schmitt, Jeffrey M.
Baker, Charles A.
Shelton, Kurt G.
Batchelor, Kester Julian
Abstract
An endoscope may include an expandable and collapsible working channel, a flexible endoscope body, and an optical sensor located at a distal tip of the endoscope body. The optical sensor can provide a distal field of view from the distal tip. In the collapsed configuration, the working channel can be collapsed such that a channel wall is in a first position relative to the endoscope body and the working channel defines a first cross-sectional area. In the expanded configuration, the channel wall is displaced relative to the first position and the working channel defines a second cross-sectional area that is larger than the first cross-sectional area.
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 1/015 - Control of fluid supply or evacuation
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
This imaging unit 1 has an imaging element 2, a first substrate 4, and a second substrate 5 connected thereto in order from the distal end thereof, and includes: a cutout 7 that is provided in a side surface 4c of the first substrate 4 and penetrates from a distal end surface 4a to a base end surface 4b, the cutout being formed to have a smaller width dimension L2 of a second opening on the base end surface 4b side than a width dimension L1 of a first opening on the distal end surface 4a side; and a resin 10 that fills the cutout 7, a gap between the imaging element 2 and the first substrate 4, and a gap between the first substrate 4 and the second substrate 5.
A61B 1/04 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Magno, Joey
Schmitt, Jeffrey M.
Abstract
An endoscope may include an expandable and collapsible working channel, a flexible endoscope body, and an optical sensor located at a distal tip of the endoscope body. The optical sensor can provide a distal field of view from the distal tip. In the collapsed configuration, the working channel can be collapsed such that a channel wall is in a first position relative to the endoscope body and the working channel defines a first cross-sectional area. In the expanded configuration, the channel wall is displaced relative to the first position and the working channel defines a second cross-sectional area that is larger than the first cross-sectional area.
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61B 1/307 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the urinary organs, e.g. urethroscopes, cystoscopes
A61B 1/015 - Control of fluid supply or evacuation
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
79.
CLIP UNIT, CLIP DELIVERY DEVICE, AND CLIP RELEASE METHOD
A clip unit for a treatment tool is disclosed herein. The clip unit comprising a first arm that includes a first rotation portion, the first arm rotating around the first rotation portion as a center of rotation. The clip unit further comprising a second arm that includes a second rotation portion that is connected to the first rotation portion, the second arm rotating around the second rotation portion as a center of rotation. The first rotation portion and the second rotation portion are configured to lock a relative rotation of the first arm and the second arm.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
80.
ENDOSCOPE PROCESSOR, ENDOSCOPE DEVICE, AND METHOD OF GENERATING DIAGNOSTIC IMAGE
An endoscope processor includes a processor. The processor detects a first region of a lesion candidate from first image information which is acquired by irradiation with first illumination light; detects 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; selects a region for display of the lesion candidate out of the first region and the second region, corresponding to an observation target site of a subject; and generates image information for display, in which the region for display is superimposed on the first image information.
The delivery device includes: a first outer tube member; an inner tube member that is inserted into the first outer tube member; a second outer tube member that is positioned at a proximal side with respect to the first outer tube member and is connected to the inner tube member; a pulling member that is inserted into the second outer tube member and is connected to the first outer tube member; a first joint member in which a first hole for fixing the pulling member therein and a second hole configured to allow the inner tube member to advance and retract are formed; and a fixing member that fixes the first joint member to the first outer tube member.
A61F 2/966 - Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
A61F 2/95 - Instruments specially adapted for placement or removal of stents or stent-grafts
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
An image pickup unit includes: an image pickup member configured to output an image pickup signal; a sensor; a three-dimensional wiring board including a surface on which the image pickup member is mounted and a different surface on which the sensor is mounted; a signal cable electrically connected to the three-dimensional wiring board; a frame member housing the image pickup member, the sensor, the three-dimensional wiring board, and a distal end portion of the signal cable; a first resin sealing the sensor; and a second resin sealing the distal end portion of the signal cable and having a lower elastic modulus than an elastic modulus of the first resin.
H04N 23/54 - Mounting of pick-up tubes, electronic image sensors, deviation or focusing coils
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A fluid perfusion apparatus includes: a suction conduit for suctioning a fluid from inside a living body; a suction source connected to the suction conduit and configured to suction the fluid at a first flow velocity via the suction conduit; a suction control apparatus connected to the suction conduit and configured to control a flow of the fluid suctioned via the suction conduit; and a control circuit configured to control the suction control apparatus. The control circuit performs control for reversing the flow of the fluid suctioned via inside the suction conduit by the suction control apparatus, to generate a backflow, after controlling suction at the first flow velocity by the suction source for a predetermined period of time and to cause the suction control apparatus to perform re-suction at a second flow velocity greater than the first flow velocity after continuing the backflow for the predetermined period of time.
An endoscope includes a tube including a cable, an operation section connected to the tube, and a connector unit that connects the tube and the operation section. The operation section inserts the cable. The connector unit is movable between a first state and a second state to change a separation distance between a distal end of the tube and the operation section.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 50/30 - Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
85.
IMAGE PICKUP UNIT, ENDOSCOPE, AND METHOD OF MANUFACTURING IMAGE PICKUP UNIT
An image pickup unit includes a stacked device in a substantially rectangular parallelepiped shape including an external electrode, and a three-dimensional wiring board including a bonding electrode and an alignment mark on a bottom surface of a recess on a first principal surface and a projection, on a side surface, projecting in a first direction parallel to a wall surface of the recess, in which the external electrode of the stacked device that is disposed in the recess is bonded to the bonding electrode, and on the bottom surface, an area of a region in which a first region where the bonding electrode is virtually moved in the first direction and the alignment mark are superposed on each other is less than 50% of an area of the alignment mark.
A method for closing a wound in a tubular organ using a suture thread includes: a first step of connecting a first edge portion and a second edge portion with the suture thread; and a second step of connecting a third edge portion and a fourth edge portion with the suture thread. The first step includes passing the suture thread through a first position on a mucosal surface of at least one of the first edge portion and the second edge portion. The second step includes passing the suture thread through a third position on the mucosal surface of at least one of the third edge portion and the fourth edge portion. A shortest distance between the wound and the third position is larger than a shortest distance between the wound and the first position.
A61B 17/04 - Surgical instruments, devices or methods, e.g. tourniquets for closing wounds, or holding wounds closed, e.g. surgical staples; Accessories for use therewith for suturing wounds; Holders or packages for needles or suture materials
This delivery device comprises: an outer tube; an inner tube passed through the outer tube; an axial member that is an elongate member having flexibility, the axial member being passed through the inner tube and capable of holding a stent between a distal end of the axial member and the inner tube; an operating mechanism that includes a housing and performs an operation for moving the inner tube in a longitudinal direction relative to the axial member; and an adjuster that is provided between a proximal end of the outer tube and a proximal end of the axial member, and is capable of correcting the position of the outer tube in the longitudinal direction relative to at least one of the inner tube and the axial member.
A phototherapy assistance method for assisting phototherapy applied to an affected area using a photo-responsive medical agent. The phototherapy assistance method including obtaining blood flow related information regarding blood flow of the affected area, generating progression degree related information regarding progression degree of the phototherapy in the affected area by associating the blood flow related information with the progression degree, and indicating the progression degree related information.
Provided is phototherapy progress measuring method for measuring a progress of a phototherapy of an affected portion by employing a fluorescent agent. The method includes: detecting a first fluorescence intensity, which is an intensity of fluorescence generated in the affected portion as a result of radiating therapeutic light beam onto the affected portion; and calculating, by employing the first fluorescence intensity and reference data, progress information representing the progress of the phototherapy of the affected portion. The reference data are determined on the basis of a fluorescence intensity associated with the fluorescent agent that is in the affected portion and that is not involved in the phototherapy.
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Shelton, Kurt G.
Toutant, Kristen R.
Abstract
Systems, devices, and methods for automatic control of surgical site temperature during an endoscopic procedure are disclosed. An exemplary endoscopic surgical system comprises an endoscopic surgical device controllably coupled to a medical instrument to deliver energy to a surgical site during a procedure, an imaging sensor to generate images or video frames of at least a portion of the surgical site during the procedure, and a controller circuit to analyze the generated images or video frames to determine whether a degree of heat built up in a first target at the surgical site exceeds a predetermined threshold. Based on such determination, the controller circuit can determine whether to adjust at least one operating parameter associated with the endoscopic surgical system to achieve or maintain a treatment effect of a different second target at the surgical site while avoid damaging the first target during the procedure.
A61B 18/26 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 5/103 - Measuring devices for testing the shape, pattern, size or movement of the body or parts thereof, for diagnostic purposes
An image pickup unit includes a three-dimensional substrate which includes a recess portion and an image pickup module which is installed in the recess portion, and the recess portion includes a first recess portion, a second recess portion which communicates with the first recess portion and which has a wider opening and a shallower depth than the first recess portion, and a third recess portion which is formed by providing a notch from a bottom surface of the second recess portion in a depth direction of the first recess portion.
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
92.
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.
G02B 23/24 - Instruments for viewing the inside of hollow bodies, e.g. fibrescopes
H05K 3/00 - Apparatus or processes for manufacturing printed circuits
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
GYRUS ACMI, INC., D.B.A. OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Bukesov, Sergey A.
Talbot, Brian M.
Shelton, Kurt G.
Chida, Masayasu
Schnakenberg, Rachel D.
Abstract
Systems, devices, and methods for delivering laser energy directed toward target tissue using a spectroscopic feedback. An exemplary laser feedback control system comprises a feedback analyzer to receive a signal from a target tissue using a spectroscopic sensor, and a laser controller to determine whether the received signal generally equals a first preset. If the received signal meets the first preset, the laser controller can send a control signal to a laser system to change from a first state to a second state of the first laser system. The laser system can deliver laser energy via an optical fiber towards the target tissue.
A61B 1/07 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
A61B 18/22 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Hand-pieces therefor
H01S 3/10 - Controlling the intensity, frequency, phase, polarisation or direction of the emitted radiation, e.g. switching, gating, modulating or demodulating
H01S 3/13 - Stabilisation of laser output parameters, e.g. frequency or amplitude
94.
MULTILAYER THREE-DIMENSIONAL CIRCUIT BOARD, ENDOSCOPE, AND METHOD FOR MANUFACTURING MULTILAYER THREE-DIMENSIONAL CIRCUIT BOARD
This multilayer three-dimensional circuit board (1) comprises a first board (10) and a second board (20) provided on a surface of the first board (10). A protective metal layer (12) covers a first portion of first wiring (11) of the first board (10). The second board (20) has a hole (22) that exposes a portion of the protective metal layer (12). An interlayer connecting member (30), which electrically connects the protective metal layer (12) and second wiring (21) provided to the second board (20), is provided in the hole (22). The protective metal layer (12) has a lower absorption factor of light of a predetermined wavelength lower than the first wiring (11).
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Batchelor, Kester Julian
La, Anh Tri
Munderloh, Andreia Chagas
Abstract
Apparatus and associated methods relate to controlling electrical power of an electrotherapeutic signal that is provided to a biological tissue engaged by an electrosurgical instrument during a medical procedure. Electrical power—a product of a voltage difference across and an electrical current conducted by the engaged biological tissue—is controlled according to a therapeutic schedule. The electrotherapeutic schedule can be reduced or terminated in response to a termination criterion being met. In some examples, the termination criterion is a current characteristic, such as, for example, a decrease in current conducted by the engaged biological tissue. In some examples, the termination criterion is a biological tissue resistance characteristic, such as, for example, an increase in the biological tissue resistance that exceeds a predetermined delta resistance value.
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventor
Shelton, Kurt G.
Toutant, Kristen R.
Abstract
Systems and methods for automatic control of surgical site temperature during an endoscopic procedure are disclosed. An exemplary endoscopic surgical system comprises a endoscopic surgical device controllably coupled to a medical instrument to deliver energy to an anatomical target at a surgical site, a temperature sensor to measure temperatures at the surgical site at different times during the procedure, and a controller circuit to generate a temperature trend or a prediction of future temperature at the surgical site using the temperature measurements. Based at least in part on the generated temperature trend or the prediction of future temperature at the surgical site, the controller circuit can adjust at least one operating parameter associated with the endoscopic surgical system to achieve or maintain substantially a desired temperature at the surgical site during the procedure to prevent, or reduce the severity of, laser-induced tissue thermal damage.
A61B 18/26 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
97.
LEARNING DATA GENERATING APPARATUS, LEARNING DATA GENERATING METHOD, AND NON-TRANSITORY RECORDING MEDIUM HAVING LEARNING DATA GENERATING PROGRAM RECORDED THEREON
A learning data generating apparatus receives first training data, first correct answer information, and second training data, inputs the first and second training data into a neural network to thereby cause the neural network to output first and second array groups each constituted of a plurality of arrays, identifies a first array from the first array group based on the first correct answer information, the first array being an array corresponding to the recognition target, and compares the first array and each of the plurality of arrays constituting the second array group, to create second correct answer information corresponding to the second training data.
An ultrasound endoscope includes: an ultrasound transducer including a piezoelectric element that includes a plurality of grooves with a groove filling material filled in the plurality of grooves, the groove filling material including the following (1) to (3):
(1) an epoxy resin;
(2) at least one filler selected from the group consisting of diamond, aluminum oxide, silicon oxide, silicon carbide, boron carbide, iron oxide (III), chromium oxide (III), and cubic boron nitride; and
(3) an aliphatic diol diglycidyl ether.
A61B 8/00 - Diagnosis using ultrasonic, sonic or infrasonic waves
A61B 8/12 - Diagnosis using ultrasonic, sonic or infrasonic waves in body cavities or body tracts, e.g. by using catheters
B06B 1/06 - Processes or apparatus for generating mechanical vibrations of infrasonic, sonic or ultrasonic frequency making use of electrical energy operating with piezoelectric effect or with electrostriction
99.
METHOD FOR MANUFACTURING COVERED STENT, AND COVERED STENT
A method for manufacturing a covered stent that includes: placing an inner cover (3) inside a stent body with a mesh structure formed by weaving wires, said stent body having an interlocking part (2b) in which two bends of the wires are interlocked to each other; placing an outer cover (4) outside the stent body; forming a slack section (6), which expands in the radial direction of the stent body, in at least one of the covers (3, 4), said slack section (6) providing a slack that allows the two bends to move in the longitudinal and radial directions of the stent body to at least one of the covers (3, 4); and joining the covers (3, 4) together in the inner region of the mesh of the mesh structure.
A61F 2/90 - Stents in a form characterised by wire-like elements; Stents in a form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
100.
IMAGE DISPLAY SYSTEM, IMAGE-PROCESSING SYSTEM, AND IMAGE DISPLAY METHOD
An image display system includes a first processor disposed in a first system and a second processor disposed in a second system. The first processor is configured to transmit two or more first images to the second system and receive two or more second images from the second system. The first processor is configured to transmit, to the second system, first identification information added to a second image displayed on a monitor when a release signal has been received. The second processor is configured to acquire a temporary image to which the same second identification information is added as the first identification information among two or more temporary images stored on a buffer.