A cannulation method includes inserting an endoscope into a duodenum, bringing a distal end section of the endoscope to a position where a duodenal papilla is within a field of view of the endoscope, promoting secretion of pancreatic juice or bile by administering a drainage stimulant, determining an amount of relaxation of the duodenal papilla, and performing cannulation into a biliary duct through the duodenal papilla where the amount of relaxation is greater than a predetermined amount.

The disclosed embodiments relate to a system that implements a side-viewing imaging catheter. This system includes a catheter sheath enclosing an imaging core, wherein the imaging core resents an internal optical channel coupled to an optical element located at the distal end of the imaging core. The optical element includes an internal reflective surface that reflects and focuses light transmitted via the optical channel in a direction orthogonal to a rotational axis of the catheter toward a target location, and returns reflected light from the target location back through the optical channel. This internal reflective surface of the optical element is shaped to focus the light so that a resulting beam shape at the target location has a small cross section area and substantially equal axial and transaxial dimensions.

A method for displaying guidance information using a graphical user interface during an medical procedure comprises displaying, in a first mode of the graphical user interface, first image data from a perspective corresponding to a distal end of an elongate device. The first image data includes a virtual roadmap. The method also comprises transitioning from the first mode of the graphical user interface to a second mode of the graphical user interface. The transition is based on an occurrence of a triggering condition. The method also comprises displaying, in the second mode of the graphical user interface, second image data from a perspective corresponding to the distal end of the elongate device. The second image data includes a target indicator corresponding to a target location and an alignment indicator corresponding to an expected location of the medical procedure at the target location.

An endoscope device having one or more processors configured to perform a control process including: processing an imaging signal to generate image data of a display image of a subject, wherein the image signal is generated by an image sensor, wherein the image sensor is arranged at a distal end of an insertion portion, and wherein a bending actuator is configured to bend the distal end; setting a first measurement point and a second measurement point on the display image; calculating a first subject distance from the first measurement point to a reference point of the image sensor, and a second subject distance from the second measurement point to the reference point; calculating a difference value between the first subject distance and the second subject distance; and controlling the bending actuator to bend the distal end of the insertion portion such that the difference value is decreased.

An instrument device manipulator (IDM) is attached to a surgical arm of a robotic system and comprises a surgical tool holder and an outer housing. The surgical tool holder includes an attachment interface that can secure a surgical tool in a front-mount configuration (where the attachment interface is on a face opposite of an elongated body of the surgical tool) or a back-mount configuration (where the attachment interface is on the same face as the elongated body of the surgical tool). The surgical tool holder may rotate continuously within the outer housing. In a back-mount configuration, the surgical tool holder may have a passage that receives the elongated body of the tool and allows free rotation of the elongated body about the rotational axis. A surgical drape separates the IDM and robotic arm from a tool, while allowing electrical and/or optical signals to pass therebetween.

Robotic systems can be capable of collision detection and avoidance. A medical robotic system can include a first kinematic chain and one or more sensors positioned to detect one or more parameters of contact with one or more portions of the first kinematic chain. The medical robotic system can be configured to cause adjustment of a configuration of the first kinematic chain from a first configuration to a second configuration based on a constraint determined from the one or more parameters of contact with the first kinematic chain detected by the one or more sensors.

Certain aspects relate to biopsy apparatuses, systems and techniques for biopsy using a biopsy pattern. Some aspects relate to moving a distal portion of a medical instrument to one or more sample locations of the biopsy pattern and guiding the instrument to obtain tissue samples from the sample locations within the biopsy pattern. Some aspects relate to obtaining the biopsy pattern and adjusting the sample locations within the biopsy pattern based on various factors such as anatomical features.

Robotic systems can be capable of collision detection and avoidance. A medical robotic system can include a first kinematic chain and one or more sensors positioned to detect one or more objects detected within a vicinity of the first kinematic chain. The medical robotic system can be configured to cause adjustment of a configuration of the first kinematic chain from a first configuration to a second configuration based on a constraint determined from the one or more objects detected by the one or more sensors within the vicinity of the first kinematic chain.

The present disclosure relates to a system and method for adjusting a tool with a plurality of segments for inserting into a cavity of a machine. The method includes determining an initial alignment measurement of at least a portion of the tool; comparing the initial alignment measurement to a target alignment measurement to determine an adjustment amount; and adjusting at least one of the plurality of segments based on the adjustment amount. The tool includes a plurality of segments moveably coupled, where one or more of the plurality of segments comprises a unique dimensional measurement affecting a fit tolerance.

The various inventions relate to robotic surgical devices, consoles for operating such surgical devices, operating theaters in which the various devices can be used, insertion systems for inserting and using the surgical devices, and related methods.