Fluorescent imaging systems for performing an endoscopic procedure, such as a retrograde cholangiopancreatography (ERCP) procedure may include a first light source for emitting light in the visible spectrum, or light in the near infrared (NIR) spectrum, or both. A light source bandpass filter may block the emitted light in the visible spectrum, or in the NIR spectrum, or both. A first sensor may be capable of detecting the light in the visible spectrum, or the light in the NIR spectrum, or both. A sensor bandpass filter may block the detected light in the visible spectrum, or in the NIR spectrum, or both. The first or a second light source, or the first or a second sensor, or combinations thereof, may be removably disposed on a duodenoscope.

A suturing apparatus comprises an invaginating device secured to a distal end of an endoscope for invaginating two parts of the interior of a wall of a vessel, for example, a stomach to be sutured together to form a gastric sleeve. The invaginating device includes a suction chamber for forming invaginated parts of the interior of the wall of the vessel. A suturing instrument extending through an instrument channel of the endoscope extends into the invaginating device, and is urged into or adjacent the suction chamber for inserting a suture into the invaginated part in the suction chamber. The next invaginated part is then formed, and the suture is inserted into it. The suture is then tightened to draw the two invaginated parts together.

Systems and methods herein are directed to an endoscopic device with a drip flange, including the assembly and use of the endoscopic device. The endoscopic device with a drip flange may be positioned to abut an aperture into an operative cavity and inserted through the aperture. An endoscopic procedure may be performed, during which fluid moves along an outside surface of the elongate shaft, the fluid moving from the distal end toward the proximal end, and where the fluid is directed to a drip flange coupled to the outside surface of the elongate shaft between the distal tip and a proximal end of the elongate shaft.

Disclosed embodiments include apparatuses, systems, and methods for positioning electrodes within a body. In an illustrative embodiment, a control handle is selectively engageable with primary and secondary actuators respectively coupled with primary and secondary electrodes. At a first position, the primary and secondary actuators are movably engaged to move in concert to a second position where distal ends of the electrodes extend into a target region. At the second position, the control handle is engaged with the secondary actuator and movable independently of the primary actuator in a first direction to a third position where the distal end of the secondary electrode extends beyond the distal end of the primary electrode. At the third position, the control handle is movably engaged with the primary actuator and movable independently of the secondary actuator in a second direction to a fourth position to partially retract the distal end of the primary electrode.

A medical valve may comprise a valve stem and an operation portion. The operation portion may include a stationary portion, a movable portion which is movable relative to the stationary portion and fixed relative to the valve stem, a seal disposed between the stationary portion and the movable portion, and a biasing member. Movement of the movable portion in a first direction may cause deformation of the biasing member, such that a restorative force of the biasing member urges movement of the movable portion in a second direction opposite the first direction. A frictional force between the seal and one of the stationary portion and the movable portion resists the movement of the movable portion in the second direction.

A valve for use in an endoscope may comprise a proximal valve stem member having a first lumen extending from a proximal opening at a proximalmost end of the proximal valve stem member to a distal opening at a distalmost end of the proximal valve stem member. A distal valve stem member may have a second lumen with a proximal opening at a proximalmost end of the distal valve stem member. The proximalmost end of distal valve stem member may be received within the distal opening of the first lumen. The distal valve stem may be movable relative to the proximal valve stem.

This disclosure relates generally to a container and tube set and methods for fluid delivery, and particularly an integrated container and tube set suitable for use with an endoscope to supply liquids and/or gases to the endoscope. The integrated container and tubes may include a container (e.g., water reservoir) containing a fluid and a gas, and a plurality of tubes integrally formed with the container. The integrated container may include an irrigation supply tube having a first lumen in fluid communication with the fluid, a lens wash supply tube having a second lumen in fluid communication with the fluid, a gas supply tube having a third lumen in operative communication with the gas, and an optional alternative gas supply tube having a fourth lumen in fluid communication with the gas. The lens wash supply tube and the gas supply tube may be formed as a single, multi-lumen tube.

An ablation device including a body having a lumen for receiving a distal end of an endoscope, a cover portion extending from a side of the body, the cover portion defining a recess between the cover portion and the body, and an electrode platform having at least one electrode positioned thereon, the electrode platform movable between a covered position, where the at least one electrode is covered by the cover portion, and an exposed position, where the at least one electrode is at least partially exposed beyond the cover portion. At least one vacuum port is formed in the electrode platform.

An ablation cap including a body having a lumen for receiving a distal end of an endoscope, the body having a central axis extending therethrough, and at least one guide for receiving at least one lateral extension of an electrode platform, wherein at least a portion of the at least one guide extends at an angle relative to the central axis of the body.

A light output monitoring apparatus includes a light receiving unit, an attachment unit, an adapter, and a protective cap, and monitors a power of light output from a light emitting end of a catheter incorporating an optical fiber. The protective cap includes an insertion opening into which a part of the catheter of a predetermined range on the light emitting end side is removably inserted, includes a window portion for transmitting the light output from the light emitting end of the catheter, and is fixed in position by being inserted into a through-hole of the adapter. The adapter is fixed in position by being attached to the attachment unit.