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
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
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
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
5.
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
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.
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
8.
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
9.
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.
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
13.
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
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.
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.
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.
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 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.
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.
An overtube for an endoscope includes: a tube body having a main lumen through which the endoscope is inserted and an air-supply lumen through which gas flows; a fixing balloon provided on an outer peripheral surface of a distal end of the tube body, expandable outward from the outer peripheral surface and contractible toward the outer peripheral surface; an air supply device configured to send the gas to the air-supply lumen; and an airtight valve unit having a tubular portion communicating with the main lumen at a rear end of the tube body, the airtight valve unit closing the gap between the endoscope inserted through the tubular portion into the main lumen and an inner peripheral surface of the tubular portion.
An electrode for a high-frequency medical device in which a coating film is formed on at least a part of a surface of a treatment section of the medical device, wherein the coating film includes a silicone resin, and at least one type of filler having conductivity. Particles of the fillers are fusion-bonded to each other to form a conductive path, and/or a particle of the filler and an electrode substrate disposed on a surface of the treatment section are fusion-bonded to form a conductive path.
A system and method are provided for using artificial intelligence for patent valuation. The method includes obtaining a master list of patent classification codes used by a patent office. The method also includes, for each patent issued by the patent office: obtaining a respective set of patent classification codes assigned to the respective patent and forming a respective training vector. Each element in the respective training vector is a categorical variable that specifies whether a patent classification code is included in the respective set of classification codes. The system receives a respective user-specified value metric for each patent. The method also includes training a machine learning model according to a training data table that includes the training vectors. The machine learning model is configured to predict value metrics for patents according to their corresponding patent classification codes.
An image pickup unit includes: an image sensor; a physical quantity detection sensor; and a holding member that is provided with a wiring connection member to which a cable is connected, in which a distal end of the stress detection sensor is provided between the physical quantity detection sensor and the wiring connection member.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A distal end portion of an endoscope includes: a moving mechanism configured to change a protruding direction of a treatment instrument; a base made of metal and including a supporting portion configured to rotationally support the moving mechanism; a cover member made of resin, the cover member being fitted to the base so as to cover the moving mechanism and including an opening portion formed at a position at which the moving mechanism is placed; an electronic component disposed in the cover member; and a wiring pattern electrically connected to the electronic component, the wiring pattern being provided in the cover member.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. 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
A treatment instrument includes: a shaft; an end effector disposed on a distal side of the shaft; a joint connecting the end effector to a distal end of the shaft; a first part connected to a proximal side of the shaft and configured to bend the joint; wires each connecting the joint and the first part through the shaft and each configured to generate tension in response to an operation of the first part; and a second part connected to the proximal side of the shaft and configured to integrally rotate the shaft, the end effector, the joint, the first part, and the wires about a rotation axis passing through central axes of the shaft, the end effector, the joint, and the first part. The first part includes: a joystick displaceable in a direction intersecting a central axis of the shaft; and a lock fixing a position of the joystick.
A treatment system includes: a treatment instrument configured to cut living tissue in a liquid; an endoscope configured to capture an endoscopic image including an image of the treatment instrument and an image of the living tissue; a support data storage configured to store, as support data to support a cutting treatment, at least one of data regarding a posture of the treatment instrument and image data on a location of a treatment section of the treatment instrument; a support data generator configured to generate support data to be displayed on a display based on the support data stored; a controller configured to control the display to display the endoscopic image; and a turbidity detector configured to detect a degree of cloudiness of the liquid.
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
29.
TREATMENT SYSTEM, CONTROL DEVICE, AND METHOD OF OPERATING THE TREATMENT SYSTEM
A treatment system includes: a treatment instrument for cutting living tissue in a liquid; and a controller for performing control, prior to cutting the living tissue with the treatment instrument, to suppress reduced visibility of a treatment area due to turbidity in the liquid caused by the cutting of the living tissue based on preparation information regarding cutting preparation for the treatment instrument.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A system includes a memory that stores a trained model and a processor. The processor acquires a captured image in which at least one energy device and at least one biological tissue are imaged. The processor performs a process based on the trained model stored in the memory to estimate a heat diffusion region and a specific tissue region from the captured image. The processor determines a risk for heat damage on a specific tissue by energy output from the energy device from the estimated heat diffusion region and the estimated specific tissue region.
An electrically conductive plate of a treatment instrument includes a treating surface and a back surface facing an opposite side of the treating surface, and an electric component is arranged on the back surface of the electrically conductive plate. The electric component is electrically independent from the electrically conductive plate, and a holder supports the electrically conductive plate from the back surface side. A connector is made of a thermoplastic resin, and arranged on either side of and spaced from the electric component in a width direction intersecting with a longitudinal axis. The connector stationarily fixes each end of the electrically conductive plate in the width direction to the holder.
A61B 18/08 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
A manipulator system includes: a manipulator including a bending portion and a bending wire configured to bend the bending portion; a driving portion configured to pull and loosen the bending wire; and a control device configured to control the driving portion, wherein the control device controls the driving portion to perform an initialization operation that alternately repeats pulling and loosening of the bending wire so that an amount of change in a bending shape of the bending portion compared to when the initialization operation is started falls within a predetermined range.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
An endoscope imaging unit includes: an objective lens including a first lens and a second lens; an imaging element configured to capture an image formed by the objective lens; a first lens frame configured to hold the first lens, the first lens frame including a lens barrel that holds the first lens and a flange portion that extends outward from an outer peripheral portion of the lens barrel; a second lens frame that is fixed to the first lens frame and holds the second lens; and a holder that accommodates at least part of the first lens frame and the second lens frame therein and holds the outer peripheral surface of the flange portion of the first lens frame; wherein the flange portion is fixed to the holder on a side surface thereof in an extending direction.
A display processing unit causes a display device to display an endoscopic image of a living tissue in a somatic cavity captured by an endoscope. An operation reception unit receives a user operation that is performed so as to set an area of interest in the endoscopic image. An area-of-interest setting unit sets the area of interest in the endoscopic image based on the user operation. A three-dimensional information acquisition unit acquires three-dimensional shape information of the living tissue captured by the endoscope. A virtual surface derivation unit derives three-dimensional shape information of a virtual surface in the area of interest from three-dimensional shape information of an area different from the area of interest. A size information identification unit identifies information concerning a size of the virtual surface from the three-dimensional shape information of the virtual surface.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
35.
STENT DELIVERY SYSTEM, CONTROL APPARATUS, AND METHOD
A stent delivery system includes: a stent delivery device configured to carry a stent to a stenosis and indwell the stent, an observation device configured to observe the stenosis, and one or more processors comprising hardware, the one or more processors being configured to: acquire an observation image from the observation device, and determine at least one stent candidate to be placed in the stenosis based on the observation image.
A61F 2/95 - Instruments specially adapted for placement or removal of stents or stent-grafts
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
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
36.
METHOD OF BONDING OPERATION WIRE AND MEDICAL EQUIPMENT
Provided is a method of bonding an operation wire used in a medical equipment. The method includes: locally heating an adjacent region of a bonding region of an operation wire to generate an oxide in the adjacent region of the operation wire; coating the bonding region and the adjacent region with flux to remove an oxide in the bonding region and the oxide in the adjacent region; inserting a bonding end portion of the operation wire into a through-hole of a coupling material; injecting a melted bonding material into between the coupling material and the operation wire to integrally bond the coupling material and the operation wire such that the oxide remaining in the adjacent region prevents wet-spreading of the bonding material.
H01R 43/02 - Apparatus or processes specially adapted for manufacturing, assembling, maintaining, or repairing of line connectors or current collectors or for joining electric conductors for soldered or welded connections
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
A stent delivery system includes: a stent delivery device configured to carry a stent to a stenosis and indwell the stent; an observation device configured to observe the stenosis; and one or more processors comprising hardware, the one or more processors being configured to: acquire an observation image from the observation device, and determine, based on the observation image, at least one insertion position, which is a position within the stenosis where the stent delivery device is recommended to be inserted.
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
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
38.
IMAGE PICKUP APPARATUS AND IMAGE PROCESSING METHOD
A pixel region includes: pixels each including a plurality of photoelectric conversion devices; a light-shielding region; and an effective region. A reading circuit reads, from a first row of the pixel region, a pixel signal obtained by adding signals of the plurality of photoelectric conversion devices, and reads, from a second row of the pixel region, a plurality of signals including phase difference information. A horizontal streak correction circuit performs one of a first offset correction based on a signal read from the light-shielding region and a second offset correction based on a predetermined value on a pixel signal obtained from a second row of the effective region. An image processing circuit processes image data according to a parameter. The horizontal streak correction circuit selects the first offset correction or the second offset correction according to the parameter.
H04N 25/628 - Detection or reduction of noise due to excess charges produced by the exposure, e.g. smear, blooming, ghost image, crosstalk or leakage between pixels for reducing horizontal stripes caused by saturated regions of CMOS sensors
H04N 17/00 - Diagnosis, testing or measuring for television systems or their details
39.
SYSTEM, INFORMATION STORAGE MEDIUM, AND INFORMATION PROCESSING METHOD
The system includes a memory that stores a trained model, and a processor. The processor acquires at least one treatment image including an image in which at least one energy device and at least one biological tissue are captured. The processor acquires information regarding an amount of energy supply, the information regarding an energy output setting of the energy device. The processor estimates, based on the treatment image, the information regarding the amount of energy supply, and the trained model, estimated remaining heat information regarding an amount of heat or a temperature of the energy device. The processor causes a notification section to make a notification based on the estimated remaining heat information.
The system includes a memory that stores a trained model, and a processor. The processor acquires a pre-treatment image in which at least one energy device and at least one biological tissue are imaged, and a state before application of energy is imaged. The processor estimates an estimated heat diffusion region from the pre-treatment image and information regarding an energy supply amount by processing based on a trained model stored in the memory. The processor superimposes the estimated heat diffusion region on a captured image of the camera and displays the captured image with the superimposed estimated heat diffusion region.
A laser scanning method including emitting a pulsed laser beam from a distal end of an optical fiber in a liquid medium during a first period, the pulsed laser beam being emitted for generating a bubble at the distal end, stopping emission of the pulsed laser beam from the distal end during a second period, wherein the first period is a period for moving the optical fiber closer toward an operation member disposed parallel to the optical fiber by utilizing contraction of the bubble that comes into contact with or close to the operation member, and wherein the second period is a period for moving the optical fiber away from the operation member.
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 1/06 - 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
42.
OBJECTIVE OPTICAL SYSTEM, OPTICAL UNIT, AND ENDOSCOPE APPARATUS
An objective optical system including a first lens and a second lens that are arranged in this order from an object side along a main optical axis, wherein the first lens has a partially spherical shape having a first flat surface, the second lens has a partially spherical shape having a second flat surface, the first flat surface is disposed on a side of the object and is inclined with respect to the main optical axis, and the second flat surface is disposed on an opposite side which is opposite from the side of the object and is perpendicular to the main optical axis.
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
G02B 13/18 - Optical objectives specially designed for the purposes specified below with lenses having one or more non-spherical faces, e.g. for reducing geometrical aberration
An endoscope includes an insertion portion that is inserted into a subject, and a suction channel that suctions a liquid along with a crushed calculus. The suction channel includes a channel main body, which is inserted in the insertion portion, and a small-diameter channel portion that is provided on a distal end side of the channel main body and has an inner diameter smaller than an inner diameter of the channel main body. The suction channel is configured to satisfy the relational expression R1/R2>1.27, where R1 represents the inner diameter of the channel main body and R2 represents the inner diameter of the small-diameter channel portion.
A61B 1/015 - Control of fluid supply or evacuation
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 17/22 - Surgical instruments, devices or methods, e.g. tourniquets for removing obstructions in blood vessels, not otherwise provided for
44.
LASER SCANNING METHOD, LASER IRRADIATION DEVICE, AND LASER TREATMENT SYSTEM
A laser scanning method that is a method for scanning a laser beam emitted from a distal end of an optical fiber in a liquid medium. The laser scanning method includes emission of a pulsed laser beam from the distal end in the medium, wherein the emission of the pulsed laser beam includes: generating a bubble that is to come into contact with the distal end and an operation member by means of the laser beam emitted from the distal end, the operation member being disposed only at one side of the distal end in a radial direction of the optical fiber; and contracting the bubble by stopping the emission of the laser beam from the distal end.
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
Provided is a control device for controlling a schedule of at least one medical event that includes at least one of a surgery, an examination, and a medical interview. The control device includes at least one processor that includes hardware. The at least one processor is configured to: grasp progress of the medical event that is currently being performed; and determine whether adjustment of the schedule is necessary or not, based on the progress. The schedule includes information about a required time of each stage that is performed in each medical event. The at least one processor is configured to: grasp a current stage of the medical event that is currently being performed, based on an endoscopic image of the medical event that is currently being performed; and grasp the progress based on the current stage and the schedule.
G06Q 10/0631 - Resource planning, allocation, distributing or scheduling for enterprises or organisations
G16H 40/20 - 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 management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
46.
TEMPERATURE MEASUREMENT METHOD, TEMPERATURE MEASUREMENT DEVICE, MEDICAL DEVICE SYSTEM, AND LASER TREATMENT METHOD
Provided is a temperature measurement method for measuring an ambient temperature of a long-length medical device, using first and second optical fibers attached to the medical device, the first and second optical fibers extending in parallel with each other along a longitudinal direction of the medical device, and the first optical fiber having a distal end serving as a measurement unit extending beyond a distal end of the second optical fiber along a longitudinal direction of the first and second optical fibers. The method includes: measuring an optical path length difference between a first optical path including the first optical fiber and a second optical path including the second optical fiber; and calculating a temperature of the measurement unit based on the optical path length difference. When temperatures of the first and second optical fibers are uniform, optical path lengths of the first and second optical paths are equal.
G01K 11/32 - Measuring temperature based on physical or chemical changes not covered by group , , , or using changes in transmittance, scattering or luminescence in optical fibres
A61B 18/26 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
47.
INFERENCE LEARNING DEVICE AND INFERENCE LEARNING METHOD
An inference learning device, comprising an input device for inputting data from a data acquisition device, a learning device for obtaining an inference model by learning using training data that has been obtained by performing annotation of the data, and a data processing device that, for data that has been obtained continuously in time series from the data acquisition device, makes provisional training data by performing the annotation on a plurality of items of data that have been obtained from data that was obtained at a given first time to a second time that has been traced back to a predetermined time, and makes data, among the provisional training data that has a high correlation of causal relationship with the data of the first time, into adopted training data, which is training data used in the learning device.
The system includes a memory that stores first and second trained models, and a processor. The processor acquires a captured image in which at least one energy device and at least one biological tissue are imaged. The processor detects a bounding box from the captured image by processing based on the first trained model and estimates the image recognition information from the captured image in the bounding box by processing based on the second trained model. The processor outputs an energy output adjustment instruction based on the estimated image recognition information to the generator. The generator controls the energy supply amount to the energy device based on the energy output adjustment instruction.
G06V 10/25 - Determination of region of interest [ROI] or a volume of interest [VOI]
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
An endoscope system according to the present invention includes: an illumination light source that emits illumination light for illuminating an object; a therapeutic light source that emits therapeutic light for causing a photoreactive reagent accumulated in a treatment target site to react; a guide light source that emits guide light having a wavelength shorter than a wavelength band of the therapeutic light source; an imager that captures an optical image, the imager including an optical filter that cuts light in the wavelength band of the therapeutic light and transmits a part of white light, the guide light, and fluorescence emitted by the reagent; a controller that controls emission timings of the illumination light source, the therapeutic light source, and the guide light source; and an image processor that generates an image on the basis of an optical image obtained by light emitted from the illumination light source, the therapeutic light source, and the guide light source, in which the controller causes the image processor to generate an illumination light image based on an optical image acquired during a period in which the illumination light source and the guide light source are ON and to generate a fluorescence image based on a fluorescence image acquired during a period in which the therapeutic light source is ON and the illumination light source and the guide light source are OFF.
A61B 5/00 - Measuring for diagnostic purposes ; Identification of persons
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 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 CAP, LIGHT TREATMENT ENDOSCOPE SYSTEM, AND LIGHT TREATMENT METHOD
An endoscope cap includes: a light-transmissive portion having a tubular shape made of a light-transmissive material, the light-transmissive portion including a coating layer on a periphery of the tubular shape; and a tubular portion configured to connect the light-transmissive portion to a distal end of an insertion portion of an endoscope, the coating layer being configured to reflect light in a wavelength band for light treatment of a body portion and transmit light in a wavelength band for white light image capturing.
Provided is a method of molding an optical element. The method includes: inserting a neck portion provided in each of an upper mold and a lower mold into a hole portion provided in a side surface mold; replacing an atmosphere in the hole portion of the side surface mold with an inert gas through a groove communicating between either an upper end surface or a lower end surface of the side surface mold and the hole portion of the side surface mold; heating a molding material disposed in the hole portion of the side surface mold; and bringing the upper mold and the side surface mold, and the lower mold relatively close to each other to press molding the molding material to obtain an optical element.
The medical system includes a basket treatment tool a processor. The processor determines, one or more of: a first determination, based on a transmissive image including the biliary duct, of whether a size of a gallstone allows the basket treatment tool to remove the gallstone from the papillary orifice, or a second determination, based on a resistance when the basket treatment tool is pulled, of whether the resistance allows the basket treatment tool to remove the gallstone from the papillary orifice; and controls the basket treatment tool to remove the gallstone from the papillary orifice when one or more of the first determination or the second determination determines that the gallstone is removable from the papillary orifice.
Systems, devices, and methods for endoscopic access to a target region in a patient pancreaticobiliary system from an entry site of a stricture is disclosed. The stricture can be opened up using an radio-frequency (RF)-based approach by delivering RF energy to a working head of a steerable elongate instrument positioned at the entry site, or a mechanical puncture-based approach by applying force to a working head made of material with substantial stiffness. A machine learning (ML) model can be trained to determine a proper pancreaticobiliary access method for the patient, such as between the RF-based approach and the mechanical puncture-based approach. At least a distal portion of the steerable elongate instrument can be advanced into the pancreaticobiliary region to perform a diagnostic or therapeutic operation therein.
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
A light source device includes a plurality of light emitters, an optical system configured to combine light from the light emitters, a wavelength selective filter located on an optical path of the optical system, and an optical sensor configured to receive light from one light emitter among the light emitters through an optical filter. The optical filter has a wavelength selection characteristic corresponding to a wavelength selection characteristic of the wavelength selective filter.
A stent delivery system includes: a stent delivery device configured to carry a stent to a stenosis and indwell the stent; an observation device configured to observe the stenosis; and one or more processors, each comprising hardware, the one or more processors being configured to: acquire an observation image from the observation device; and determine a target placement position for placing the stent in the stenosis based on the observation image.
A61B 6/12 - Devices for detecting or locating foreign bodies
A61B 6/00 - Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
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
G16H 40/63 - 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 for local operation
Systems, devices, and methods for planning an endoscopic tissue acquisition procedure for acquiring tissue from an anatomical target are disclosed. An endoscopic system comprises a steerable elongate instrument and a processor. The steerable elongate instrument can be positioned and navigated in a patient anatomy and acquire tissue from an anatomical target via a biopsy tool associated with the steerable elongate instrument. The processor can receive an image of the anatomical target, apply the received image to a trained machine-learning (ML) model to determine a tissue acquisition plan that includes a recommended biopsy tool and operational parameters for navigating the steerable elongate instrument or maneuvering the recommended biopsy tool. The tissue acquisition plan can be presented to a user, or used to facilitate a robot-assisted tissue acquisition 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
This treatment portion of a medical energy device treats a biological tissue by transferring energy to the biological tissue, in a state where the treatment portion is in contact with the biological tissue. The treatment portion of the medical energy device includes a main body portion and a covering film. The main body portion transfers energy to the biological tissue. The covering film contains silicone as a main component, and covers the surface of the main body portion. The silicone includes at least a D unit and a T unit. In the silicone, the molar ratio of silicon atoms forming the D unit with respect to all the silicon atoms is 40-99%. In the silicone, the molar ratio of methyl functional groups bonded to the silicon atoms with respect to all functional groups bonded to the silicon atoms is at least 60%.
A phototherapy device includes: a treatment light emitter configured to emit treatment light for causing a reaction of a drug; a narrow band light emitter configured to emit narrow band light having part of wavelength band of a visible light range; an imager configured to obtain a narrow band light image which is formed using the narrow band light applied onto an application position of the treatment light; a narrow-band-light image variation calculator configured to calculate a time variation between the narrow band light image obtained before an application of the treatment light and the narrow band light image obtained after the application of the treatment light; and a display image generator configured to generate a display image including information based on the calculated variation.
An ultrasound transducer array includes: a transducer group including a plurality of ultrasound transducers aligned, the transducers being configured to transmit and receive ultrasonic waves; a signal line configured to electrically connect the transducer group and an external device and transmit a signal communicated by the transducer group and the external device; and a relay board that is a bendable relay board and that has a first end and a second end, the first end being branched, the first end being connected to each of the ultrasound transducers, the second end being connected to the signal line to relay transmission and reception of the signal between the ultrasound transducers and the signal line, branched portions of the first end of the relay board extending in a direction of alignment of the ultrasound transducers.
A61B 8/00 - Diagnosis using ultrasonic, sonic or infrasonic waves
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
A phototherapy device includes: a treatment light emitter configured to emit treatment light for causing a reaction of a drug; a narrow band light emitter configured to emit narrow band light having part of wavelength band of a visible light range; an excitation light emitter configured to emit excitation light for causing excitation of the drug; a first imager configured to obtain a narrow band light image which is formed using the narrow band light applied onto an application position of the treatment light; a second imager configured to obtain a fluorescence image which is formed using the excitation light emitted onto the application position of the treatment light; and a display image generator configured to generate a superimposed image in which the narrow band light image and the fluorescence image are superimposed.
A first acquisition unit acquires first identification information for identifying a first medical device having a first constituent component and a second constituent component. A second acquisition unit acquires the status of the first constituent component incorporated in a second medical device or second identification information for identifying the constituent component incorporated in the second medical device based on the first identification information. A recording unit records the status of the first constituent component or the second identification information and third identification information for identifying the second medical device in association with each other.
G16H 40/40 - 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 management of medical equipment or devices, e.g. scheduling maintenance or upgrades
G16H 40/67 - 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 for remote operation
62.
PROBE FOR ULTRASONIC TREATMENT TOOL, METHOD FOR PRODUCING SAME, AND ULTRASONIC TREATMENT TOOL
A probe for an ultrasonic treatment tool is configured to transmit ultrasonic vibration to a biological tissue. The probe includes a substrate including a stainless steel, a structure of the stainless steel including one or both of troostite and sorbate.
An insertion device includes: an insertion portion configured to be inserted into a subject; an imaging unit that includes an imaging element and an optical element and that is arranged at a distal end of the insertion portion, the imaging unit being configured to capture an internal image of the subject to generate an image signal; a transmitter that is arranged adjacent to a proximal end side of the imaging unit in the insertion portion, the transmitter being configured to transmit the image signal using millimeter waves or submillimeter waves; and a waveguide that is arranged on a proximal end side of the transmitter in the insertion portion and at a position distant from the transmitter with a distal end surface of the waveguide facing the transmitter, the waveguide being configured to propagate the millimeter waves or submillimeter waves.
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
64.
ULTRASOUND PROBE, ULTRASOUND TRANSDUCER UNIT, AND ULTRASOUND ENDOSCOPE
An ultrasound probe includes: a transducer array in which a plurality of transducers configured to transmit and receive ultrasonic waves are arrayed with longitudinal directions of the transducers aligned; and a pair of housings each having a plate shape, the housings being configured to sandwich the transducers, the housings including a first conductive portion provided on a first face positioned on a side of each of the transducers, an insulating portion provided on an outer edge portion of a second face that is positioned on an opposite side of the first face, a second conductive portion provided on the second face, and a third conductive portion electrically connecting the first conductive portion and the second conductive portion.
A phototherapy device includes: a treatment light emitter configured to emit treatment light for causing a reaction of a drug; a first imager configured to obtain a tissue structure image which is formed using narrow band light applied onto an application position of the treatment light; a second imager configured to obtain a fluorescence image which is formed using excitation light applied onto the application position of the treatment light; a boundary region calculator configured to refer to the tissue structure image to determine a boundary region in which a tissue structure has changed; a fluorescence intensity variation calculator configured to calculate magnitude of variation in fluorescence intensity of the boundary region; and a display image generator configured to generate a display image to be used for displaying the magnitude of variation of the fluorescence intensity.
An accommodating container accommodates a medical instrument. A sensor unit acquires environmental information obtained at the time transportation of the accommodating container. A recording unit records the environmental information acquired by the sensor unit. A control device controls the functions of a medical instrument. The control device restricts the functions of the medical instrument based on the environmental information recorded in the recording unit.
G16H 40/40 - 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 management of medical equipment or devices, e.g. scheduling maintenance or upgrades
G16H 40/67 - 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 for remote operation
An endoscope system includes a light source apparatus to generate an illumination light including a first light in a red to near infrared region, a second light in a green region, and a third light in a blue region, an image pickup device to pick up an image of an object and output an image pickup signal, and a processor to generate a first to third color components corresponding to the first to third lights based on an image generated according to the image pickup signal. The processor generates two of three color components that are blue, green, and red included in an observation image by using a second color component, and generates one remaining color component by using a first color component, and generates respective color components of red, green, and blue included in a white light observation image by using the first to third color components.
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
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
A medical stapler includes a grasping portion connected to an endoscope and having a first jaw and a second jaw connected by a rotation shaft; an operation portion configured to receive an external force for operating the grasping portion to open and close; a first wire configured to transmit the external force that is received by the operation portion to the grasping portion; and a movable pin attached to a distal end of the first wire, wherein the grasping portion is transitioned to an open state and a closed state by the first/second jaw relatively rotating with each other, and the movable pin is advanceable and retractable between positions at the proximal-end and distal-end side of the rotation shaft in a state in which the movable pin is engaged with an engagement groove formed in the first jaw.
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
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
A medical stapler includes an attachment-detachment portion that is attachable to and detachable from a distal-end portion of an endoscope; a grasping portion arranged at a distal-end side of the attachment-detachment portion and configured to grasp target tissue and suture the grasped target tissue; and an advancement-retraction mechanism configured to connect the grasping portion to the attachment-detachment portion such that the grasping portion is advanceable and retractable with respect to the attachment-detachment portion, wherein the advancement-retraction mechanism includes a wire sheath inserting through a penetration hole formed in the attachment-detachment portion, a distal end of the wire sheath is fixed to the grasping portion, and the grasping portion moves to the distal-end side by moving the wire sheath toward the distal-end side.
A suturing mechanism includes a grasping portion including a first grasping member and a second grasping member that are connected by a rotation shaft to be openable and closeable; a staple extraction portion provided in the first grasping member; and a staple reception portion provided in the second grasping member, wherein when the grasping portion is in a closed state, the staple extraction portion and the staple reception portion are opposite to each other, and the staple extraction portion includes a rotation member configured to extract the accommodated staple toward the opposite staple reception portion by a rotation operation; and a straight-moving member configured to interlock with the rotation operation of the rotation member and straightly move for extracting the staple toward the staple reception portion.
A medical stapler includes an attachment-detachment portion attached to a distal-end portion of an endoscope and including an opening from which an objective lens of the endoscope is exposed; and a grasping portion attached to the attachment-detachment portion and including a first grasping portion and a second grasping portion connected by a rotation shaft to be openable and closeable, wherein the second grasping portion includes a visual-field space penetrating a gap between the staple reception portion and the rotation shaft in an open-close direction, when the grasping portion is in the closed state, the staple extraction portion and the staple reception portion are opposite to each other, and when the grasping portion is in an open state, an optical axis of the objective lens passes through the visual-field space.
A calibration device includes a processor configured to process a stereo image which is taken by a stereo camera disposed in front end portion of an endoscope, the processor being configured to superimpose an imaging guide onto the stereo image to generate a calibration image that is to be displayed in a display, and calibrate a camera parameter of the stereo camera based on the stereo image taken by the stereo camera is state in which a plurality of marks included is a chart representing a photographic subject image in the calibration image fall into a specific positional relationship with respect to the imaging guide.
G06T 7/80 - Analysis of captured images to determine intrinsic or extrinsic camera parameters, i.e. camera calibration
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
74.
SURGERY SYSTEM AND CONTROL METHOD FOR SURGERY SYSTEM
A surgery system includes: an imager capturing an image of a treatment target; a display having a screen displaying the image of the treatment target captured by the imager; and a processor configured to control a display area of the treatment target on the screen, wherein the processor is configure to: calculate a position of a resection end section of the treatment target on the basis of the image of the treatment target acquired by the imager; cause the display area of the treatment target to be moved to a position at which the resection end section is disposed at a prescribed reference position on the screen; calculate an orientation of a marking added to the treatment target on the screen; and cause the display area of the treatment target to be rotated to an orientation in which the marking is disposed in a prescribed reference orientation on the screen.
A61B 34/00 - Computer-aided surgery; Manipulators or robots specially adapted for use in 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
G06T 7/73 - Determining position or orientation of objects or cameras using feature-based methods
H04N 23/695 - Control of camera direction for changing a field of view, e.g. pan, tilt or based on tracking of objects
75.
SUBSTRATE CONNECTION STRUCTURE, ULTRASOUND DIAGNOSIS APPARATUS AND ULTRASOUND ENDOSCOPE
A substrate connection structure includes: a rigid substrate that includes a plurality of electrodes and a plurality of wiring patterns that are electrically connected to the plurality of electrodes; a flexible printed board that includes a plurality of flying leads formed on one end of the flexible printed board, the flying leads being electrically connected to the plurality of electrodes; and second protrusions that are arranged on the plurality of electrodes and on which the flying leads are arranged.
A vibration transmitter includes: a first rod including a fitting hole extending along the longitudinal axis thereof; and a second rod attached to a distal end portion of the first rod by a fitting portion fitted into the fitting hole in a state where a compressed surface pressure is received from the inner surface of fitting hole. The first rod includes: a first region in which the fitting portion is fitted into the fitting hole; and a second region positioned proximal of the first region. In the first region of the first rod, a crystal grain diameter is larger than that in the second region of the first rod.
A substrate laminating apparatus includes: a first holding mechanism configured to hold a first substrate; a second holding mechanism configured to hold a second substrate and change a distance between the first substrate and the second substrate; a load detecting mechanism configured to detect a load originated from a surface tension acting between the first substrate and the second substrate; and a driving mechanism configured to control a distance between the first substrate and the second substrate based on a detection value of the load detecting mechanism.
A phototherapy method comprising: irradiating an affected area that is administered with a phototherapeutic agent with therapeutic light in a first period; and irradiating the affected area with the therapeutic light in a second period after the first period, wherein the second period is a period after the intensity of a first light that is emitted from the phototherapeutic agent has significantly decreased by irradiation with the therapeutic light in the first period, and an irradiation energy dose of the therapeutic light in the second period is determined based on a state of the affected area.
A therapeutic light irradiation device including a reflecting surface disposed on a path of a therapeutic light emitted in a first direction from an insertion section of an endoscope, and configured to switch an irradiation direction of the therapeutic light between the first direction and a second direction intersecting the first direction, and a connector configured to detachably connect the reflecting surface to the insertion section.
A control device, comprising: a processor including hardware, the processor being configured to: control a laser light source to emit a first instance of a laser light, calculate an overlap information related to an overlap area of an irradiation area of an irradiation target that is irradiated with the first instance of the laser light, and control the laser light source to emit a second instance of the laser light based on the overlap information.
H05B 47/105 - Controlling the light source in response to determined parameters
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
A medical manipulator includes: an elongated portion; an end effector provided to a distal end of the elongated portion and having a pair of jaws that open and close; and a manipulating portion provided to a proximal end of the elongated portion. One of the pair of jaws has a first member and a second member, the second member being rotatably attached to the first member. The other of the pair of jaws has a third member rotatably attached to the first member and the second member, a front portion of the third member being located to face the second member. The manipulating portion has a switching portion configured to switch between a first mode in which rotation of the second member with respect to the first member is restricted and a second mode in which rotation of the second member with respect to the first member is not restricted.
A61B 17/29 - Forceps for use in minimally invasive surgery
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
83.
FLEXIBLE-MANIPULATOR GUIDE MEMBER AND FLEXIBLE MANIPULATOR
A flexible-manipulator guide member is provided in an inserted portion of a flexible manipulator including the elongated flexible inserted portion, the movable portion disposed at the distal end of the inserted portion, a drive portion disposed at the base end of the inserted portion, and the elongated driving-force transmitting member that transmits motive power of the drive portion to the movable portion, and is provided with a lumen through which the driving-force transmitting member passes in the longitudinal direction, wherein the lumen has a twisted shape about the longitudinal axis of the inserted portion.
The information processing system includes: a memory storing a first trained model and a second trained model; and a processor. The first trained model is trained to perform a detection process on a first training image at a normal magnification. The second trained model is trained to perform a diagnosis process on a second training image at a greater magnification. To the processor, magnification change information acquired by an operation device of an endoscope system that changes magnification of a target image is input. When the magnification change information indicates the normal magnification, the processor performs the detection process of detecting a lesion from the target image through processing based on the first trained model, and when the magnification change information indicates the greater magnification, the processor performs the diagnosis process of diagnosing a type of the lesion from the target image through processing based on the second trained model.
G16H 50/20 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
G06V 10/764 - Arrangements for image or video recognition or understanding using pattern recognition or machine learning using classification, e.g. of video objects
An imaging system includes: an optical system configured to form a subject image; a driver configured to drive the optical system; an imaging element configured to capture the subject image and generate image data; and a processor configured to control the imaging element and the driver. The imaging element includes: a first imaging portion configured to capture an image of a first light beam that travels through a first optical path in the optical system; a second imaging portion configured to capture an image of a second light beam that travels through a second optical path shorter than the first optical path; and plural phase difference pixels for phase difference autofocus, the plural phase difference pixels being arranged in at least one of the first imaging portion and the second imaging portion, the plural phase difference pixels being configured to output phase difference signals.
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 assistant device includes a processor configured to: generate a first image including one or more characteristic regions requiring excision by a surgical operator; generate a second image including one or more cauterized regions cauterized by an energy device; generate information regarding presence or absence of a first region that is included in the characteristic regions and that is not included in the cauterized region based on the first image and the second image; and output information indicating the presence of the characteristic regions that requires to be cauterized when the first region is present.
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
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 1/04 - 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
A light irradiation probe comprising:
a catheter having an elongated shape, the catheter being configured to emit light from an emission region arranged on a side surface on a distal end side of the catheter; and wherein the catheter includes an outer sheath having a tubular shape, the outer sheath comprising an outer surface of the catheter; an optical fiber extending in a longitudinal axis direction of the catheter, the optical fiber including a core forming an optical waveguide; and a filling material disposed at a longitudinal position corresponding to the emission region of the outer sheath such that the light emitted from the emission region passes through the filling material, the filling material having a refractive index higher than a refractive index of the core.
An energy radiation treatment method comprises: administering a medicinal agent to an affected part; performing energy radiation with a predetermined energy on the affected part; and confirming therapeutic effects by the energy radiation on the affected part, wherein in the administering, a determination based on at least one ultrasound image based on ultrasound waves reflected from the affected part is performed.
Provided is an endoscope system including an endoscope that images living tissue to be treated by at least one instrument; and a control device that includes a processor configured to derive at least one of the following information: grasp assistance information on a grasping operation to grasp the living tissue by the at least one instrument, and traction assistance information on a traction operation for traction of the living tissue by the at least one instrument, based on an endoscopic image acquired by 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 17/29 - Forceps for use in minimally invasive surgery
A61B 34/20 - Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
An endoscope includes an insert part. The endoscope has an imaging unit provided in the insert part, a light guide having a light guide exit surface from which illumination light is emitted provided in the insert part and an end cover provided at the distal end of the insert part. The end cover has a cut-through portion in which the imaging unit is inserted and fixed. The end cover has a first surface on its object side, a second surface on its operator side, and a side surface on its outer circumference. The first surface includes a first flat surface and a curved surface. The curved surface is located between the first flat surface and the side surface. The second surface has an illumination area on which the illumination light is incident. At least a portion of the illumination area is formed as a partial torus surface. First specific cross sections are defined as cross sections containing the center axis of the end cover and intersecting the light guide exit surface. The endoscope satisfies the following conditional expression (1) in at least one first specific cross section:
An endoscope includes an insert part. The endoscope has an imaging unit provided in the insert part, a light guide having a light guide exit surface from which illumination light is emitted provided in the insert part and an end cover provided at the distal end of the insert part. The end cover has a cut-through portion in which the imaging unit is inserted and fixed. The end cover has a first surface on its object side, a second surface on its operator side, and a side surface on its outer circumference. The first surface includes a first flat surface and a curved surface. The curved surface is located between the first flat surface and the side surface. The second surface has an illumination area on which the illumination light is incident. At least a portion of the illumination area is formed as a partial torus surface. First specific cross sections are defined as cross sections containing the center axis of the end cover and intersecting the light guide exit surface. The endoscope satisfies the following conditional expression (1) in at least one first specific cross section:
0
≤
hA
/
r
≤
0.5
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 1/07 - 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
An endoscope system includes: an endoscope including an insertion portion configured to be inserted into a subject; a distance measurement unit configured to measure a distance between the insertion portion and an object by transmitting and receiving millimeter waves or submillimeter waves; and a flexible waveguide that has one end that is connected to the distance measurement unit and another end that is exposed to outside from a distal end of the insertion portion, the flexible waveguide being configured to propagates the millimeter waves or submillimeter waves transmitted and received by the distance measurement unit.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
A61B 1/273 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
93.
STACKED LENS, OPTICAL UNIT, ENDOSCOPE, AND METHOD OF MANUFACTURING OPTICAL UNIT
A stacked lens includes: a first optical device; a second optical device disposed on an optical axis of the first optical device; and an adhesive layer bonding the first optical device and the second optical device and including a projection projecting outside a side surface of the first optical device and a side surface of the second optical 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
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 vibration transmission member includes: a main body that extends from a front end toward a proximal end of the vibration transmission member to define a longitudinal axis direction and that has a proximal end to which an ultrasonic transducer configured to generate ultrasonic vibration is connected; and an end effector that is installed at a front end of the main body and that has a curved shape which curves in a first direction toward the front end of the vibration transmission member, the first direction being orthogonal to the longitudinal axis direction, the end effector being configured to apply the ultrasonic vibration to a body tissue to treat the body tissue.
An image pickup apparatus of the present invention includes a first member including an illumination optical element and an observation optical element, an image pickup device, and a second member including a signal wire and an illumination member. The first member includes a first layer substrate including an illumination window and an observation window and a second layer substrate including a first illumination element and an observation lens, the second member includes a third layer substrate including a second illumination element and an opening in which the image pickup device is disposed and a fourth layer substrate including a third illumination element and a signal wire, the first member and the second member are stacked in order of the first layer substrate, the second layer substrate, the third layer substrate, and the fourth layer substrate and integrally bonded, and the first illumination element is a light emitting element.
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
96.
STENT, STENT DELIVERY SYSTEM, AND STENT MANUFACTURING METHOD
A tubular stent formed of at least one wire includes proximal and distal ends and an intermediate part that includes annular windings extending in a circumferential direction around a longitudinal axis of the stent and arranged in a direction along the longitudinal axis. Each of the windings has hill-shaped sections bent toward the proximal end and valley-shaped sections bent toward the distal end, alternately arranged in the circumferential direction. All sections form intersections helically arranged around the longitudinal axis. The hill-shaped sections of one of the windings and the valley-shaped sections of the neighboring winding overlap each other at the intersections in a radial direction of the stent. Distances in the direction of the longitudinal axis between the hill-shaped and the valley-shaped sections of a first winding forming at least one of the proximal and distal ends are different from each other in a circumferential direction of the stent.
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
97.
IMAGE PICKUP UNIT, ENDOSCOPE, AND METHOD FOR MANUFACTURING IMAGE PICKUP UNIT
An image pickup unit includes a first optical device including a lens and a spacer arranged around the lens and having a circular inner circumference, the spacer having a thickness continuously decreasing outward, an adhesive layer disposed on an adhesive surface of the spacer of the first optical device, a second optical device adhered to the first optical device by the adhesive layer, and an imager receiving light condensed by an optical system including the first optical device and the second optical 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
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
98.
INFORMATION PROCESSING APPARATUS AND INFORMATION PROCESSING METHOD
A first examination identification unit identifies examination data including predetermined diagnosis data from among multiple pieces of examination data held in a recorder. A second examination identification unit identifies respective pieces of examination data of multiple examinations performed on a same patient after an examination date included in the examination data identified by the first examination identification unit from among the multiple pieces of examination data held in the recorder. An information acquisition unit acquires, based on multiple pieces of examination data identified by the first examination identification unit and the second examination identification unit, a period from the examination date included in the examination data identified by the first examination identification unit until the complete cure of the patient and the number of examinations performed until the complete cure of the patient. A derivation unit derives an appropriate examination interval and an appropriate number of examinations based on the period and the number of examinations acquired by the information acquisition unit from the plurality of pieces of examination data of the patient.
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 50/30 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for individual health risk assessment
A surgical system including a surgical instrument having a shaft, an image sensor positioned at a distal end of the shaft, the image sensor being configured to capture images of a target object of a living object, and a control grip is arranged at a proximal end of the shaft. The surgical system further including a monitor for displaying the images and a controller configured to display a virtual target object model image of the target object on the monitor. Where the control grip is configured to position the virtual target object model image displayed on the monitor at a determined position and rotate the virtual target object model image displayed on the monitor at the determined position.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
G06F 3/0354 - Pointing devices displaced or positioned by the user; Accessories therefor with detection of 2D relative movements between the device, or an operating part thereof, and a plane or surface, e.g. 2D mice, trackballs, pens or pucks
G06F 3/0338 - Pointing devices displaced or positioned by the user; Accessories therefor with detection of limited linear or angular displacement of an operating part of the device from a neutral position, e.g. isotonic or isometric joysticks
G06T 19/20 - Editing of 3D images, e.g. changing shapes or colours, aligning objects or positioning parts
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 lesion resection method includes a marking step of forming a three-dimensional marking in peripheral tissues of a lesion; a grasping step of grasping the lesion by a grasping forceps; a retracing step of pulling the marking to a hand side of a staple ejection position of a stapler by pulling the grasping forceps grasping the lesion; a ligating step of ejecting a staple from the stapler to ligate the peripheral tissues of the lesion; and a resecting step of resecting the lesion.
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
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