Surgical systems are provided. In one exemplary embodiment, a surgical system includes a first scope device having a first portion configured to be inserted into and positioned within an extraluminal anatomical space and a second portion distal to the first portion and configured to be positioned within an intraluminal anatomical space, and a second instrument configured to be inserted into the extraluminal anatomical space and configured to couple to and move the first portion of the first scope device within the extraluminal anatomical space to facilitate movement of the second portion of the first scope device while the second portion is positioned within the intraluminal anatomical space. Methods are also provided.

Surgical systems for operating endoscopically and laparoscopically are provided. The surgical system includes a first scope device configured to transmit image data of a first scene. A second scope device is configured to transmit image data of a second scene. A tracking device associated with the first or second scope device and configured to transmit a signal indicative of a location of the first or second scope device. A first surgical instrument is configured to interact with an internal side of a target tissue structure. A second surgical instrument is configured to interact an external side of the target tissue structure. A controller is configured to receive (i) the transmitted image data and transmitted signal (ii) to determine a first relative distance, a second relative distance, and a third relative distance. Relative movements of the instruments are coordinated based on the determined relative distances.

Surgical anchoring systems for use with a surgical instrument for endoluminal access are provided. The surgical instrument includes an outer sleeve defining a working channel therethrough. The outer sleeve is configured to be disposed within a first natural body lumen. A channel arm is configured to extend through the working channel and to move independently relative to each other. The channel arm has an anchor member and is configured to move between expanded and unexpanded states. When in the expanded state, the anchor member is configured to be disposed within a second natural body lumen. A control actuator extends along the channel arm and is operatively coupled to the anchor member, the control actuator being operatively coupled to a drive system that is configured to control motion of the channel arm to selectively manipulate an organ associated with the first and second natural body lumens.

Surgical systems for are provided. The surgical system includes a first scope device configured to transmit image data of a first scene within a field of view of the first scope device. A second scope device is configured to transmit image data of a second scene within a field of view of the second scope device. A tracking device is associated with one of the scope devices and configured to transmit a signal indicative of a location of the one of the scope devices. A controller is configured to receive the transmitted image data and the transmitted signal to determine a relative distance between the scope devices and to provide a merged image of at least a portion of the scope devices in a single scene, where at least one of the scope devices in the merged image is a representative depiction.

A method of operating a surgical anchoring system can include inserting an outer sleeve of a surgical instrument at least partially into a first natural body lumen, the outer sleeve having a working channel. The method can include inserting a channel arm of the surgical instrument through the working channel of the outer sleeve and into a second natural body lumen. The channel arm has at least one first anchor member coupled thereto and a control actuator operatively coupled to the at least one first anchor member. The method can include expanding the at least one first anchor member from an unexpanded state to an expanded state to form an anchor point at a portion of the second natural body lumen. The method can include controlling, by the control actuator, a motion of the channel arm to selectively manipulate an organ associated with the first and second natural body lumens.

Surgical systems are provided. In one exemplary embodiment, a surgical system includes a first scope device, a first instrument, a second scope device, and a second instrument. The first scope device has a first portion configured to be inserted into an extraluminal anatomical space and a second portion configured to be positioned within an intraluminal anatomical space. The first scope device includes a first insufflation port configured to insufflate the intraluminal anatomical space. The first instrument is configured to be inserted through the extraluminal anatomical space and into the intraluminal anatomical space such that the first instrument is present in both the extraluminal and intraluminal anatomical spaces. The second scope device is configured to be inserted into the extraluminal anatomical space. The second scope device has a second insufflation port configured to insufflate the extraluminal anatomical space. The second instrument is configured to be inserted into the extraluminal anatomical space. Methods are also provided.

Surgical sealing systems are provided. In one exemplary embodiment, a surgical sealing system includes a seal housing having a plurality of ports, in which each of port has a nominal size and shape, is configured to assume a selected and/or shape that is different from the nominal size and shape, and is constrained by the size and shape of each of the other plurality of ports. The position of an instrument and a force applied thereto is effective to change the size and/or shape of the ports based on the movement, direction, and force of the instrument, and the ability to alter the nominal shape of any one port is constrained or limited by the size and shape of the other ports, thereby enabling a force applied to one instrument positioned within one of the plurality of ports to stabilize at least one other instrument positioned within others of the plurality of ports.

An endoscopic system for sensing one or more characteristics at an environment of a worksite comprises a shaft comprising a proximal end portion and a distal end portion; an electrically active sensor system comprising a sensor positioned to sense at least one characteristic of an environment in which the distal end portion of the shaft is located; an electrical power transmission line electrically coupled to the sensor and extending along the shaft, the electrical power transmission line configured to transmit power to the sensor; and a floating ground element electrically isolated from an earth ground and operably coupled to the electrically active sensor system. An overall capacitance between the electrical power transmission line and the floating ground element is greater than an overall capacitance between the floating ground element and earth ground.

A medical image processing apparatus 10 includes a medical image acquisition unit 11 that acquires a medical image 50 including a subject image, a medical image analysis result acquisition unit 12 that acquires an analysis result obtained by analyzing the medical image 50, a display unit 13 that displays at least one medical image 50 and at least information on presence or absence of a lesion or a type of a lesion in the analysis result acquired by the medical image analysis result acquisition unit 12, and an input receiving unit 14 that receives an input regarding whether or not the information on presence or absence of a lesion or a type of a lesion included in the analysis result is correct.

A cleaning management apparatus manages bedside cleaning for an endoscope connected to an examination apparatus. After an examination is completed, a measurement unit measures the operation time of a predetermined operation button of the endoscope. A recording control unit records that a preliminary cleaning has already been performed when the operation time that has been measured satisfies a completion condition. A notification unit gives notice of a message indicating that the preliminary cleaning is completed when the measured operation time satisfies the completion condition.