Endoscope window assembly designs and methods of assembling sub-millimeter imaging endoscopes are disclosed. An endoscope apparatus comprises an elongated cylindrical probe having rotating illumination optics in the middle and at least one detection fiber and a spectrometer connected to the detection fiber and a light source connected to the illumination optics and a processor for imaging. An optically transparent window is attached to the cylindrical probe at the distal end thereof, the window seals the rotating illumination optics inside the cylindrical probe, and the at least one detection fiber is located on the outer surface of the cylindrical probe. The present disclosure provides various embodiments of a window component that covers only the illumination component of the optical probe. Endoscope embodiments where the window component covers only the illumination component eliminate or significantly reduce exposure of detection fibers to reflected illumination light without blocking a light collection optical path.

Systems and methods are provided for inserting an endoscope through an anatomical cavity to a target site. A speaker is positioned externally proximate to a patient and the endoscope is inserted into the anatomical cavity. A signal is received from at least one sensor positioned near the distal end of the endoscope. The signal is indicative of vibrations induced in internal cavity tissue by the externally positioned speaker. A first anatomical structure in contact with the distal end of the endoscope is identified based on the signal indicative of vibrations induced in the internal cavity tissue by the externally positioned speaker. As the distal end of the endoscope moves from the first anatomical structure into contact with other anatomical structures along a path to the target site, the received signal indicative of induced vibrations changes correspondingly and is used to guide the endoscope to the target site.

A patient-side support system includes a base, a platform movably coupled to the base, manipulator assemblies coupled to the platform, instruments, each of the instruments being coupled to a different one of the manipulator assemblies, each of the instruments including a body and a shaft extending from the body, and a guide tube common to the instruments. A first part of the shaft of each individual one of the instruments extends distally from the guide tube to the body. a second part of the shaft of each individual one of the instruments extends through at least a portion of the guide tube. The first part of the shaft of a first instrument of the instruments is articulatable between the body of the first instrument and the guide tube. The guide tube and the instruments are collectively rotatable about a longitudinal axis of the guide tube.

A system comprises a flexible instrument, a first user input device spaced from the flexible instrument, and a second user input device including a first state and a second state. The system further comprises a control system configured to, based on an input received from the first user input device, control an orientation of the flexible instrument. The control system is further configured to, based on an input received from the second user input device, adjust a stiffness of the flexible instrument. The stiffness of the flexible instrument is lower when the second user input device is in the first state than when the second user input device is in the second state.

The present invention provides a locally invasive surgical apparatus including a manipulator for scratching the bone at a fracture site, a drive arm on which the manipulator is mounted, and a controller for controlling the manipulator and the drive arm. Therefore, it is possible to carry out minimally invasive surgery during bone fracture surgery, thereby enabling simple and quick bone fracture surgery for a speedy recovery.

A medical system including a flexible instrument such as a lung catheter or bronchoscope provides a control mode in which direct manual control of insertion can be used with computer-assisted control of instrument characteristics such as the orientation or rigidity of a portion of the instrument. To facilitate manual insertion control, a mechanism can provide low inertia and friction for movement along an insertion axis. One implementation employs a manual grip of the instrument for control of insertion pressure, a joystick or other input device for computer-assisted steering, and a foot pedal for control of stiffness or compliance in the instrument. Another implementation employs a joystick for computer-assisted steering and for control of stiffness or compliance in the instrument.

A method for determining the force applied to a tip of a medical instrument includes receiving inputs from a medical instrument having at least one elongated actuation element used to manipulate a position of the instrument while in a patient's body. The method also includes applying the inputs to a lumped model of the instrument and determining a force on a tip of the instrument based on both the inputs and the lumped model.

An insertion device includes an insertion section extending along a longitudinal axis, a rotor provided in the insertion section rotating around the longitudinal axis, and an assistance tool attached to the insertion section in a state to cover the rotor from an outer peripheral side. The assistance tool rotates around the longitudinal axis together with the rotor when press force is applied from a first projection of the rotor to a second projection of the assistance tool by a rotation of the rotor. An angular position of the second projection around the longitudinal axis can be recognized from an outside of the assistance tool.

An insertion instrument includes a rotating member rotatable around a rotation axis, and adjacent portions adjacently provided on both sides of the rotating member in the direction along the rotation axis. The insertion instrument includes a cover tube forming a part of an outer surface of an insertion section and provided in an elastic deformation state so as to apply elastic force toward an inner peripheral side of the insertion section. A position of the rotating member in the direction along the rotation axis is adjusted by the elastic force, whereby a state where both ends of the rotating member in the direction along the rotation axis are located apart from the adjacent portions is maintained.

The length of an endoscope carried by a robotic arm is determined using computer vision. The endoscope is inserted through a trocar into a body cavity and mounted to a manipulator arm. The position of a fulcrum for movement of the endoscope at the trocar site is determined using input from a force/torque sensor. While images are captured using the endoscope, the manipulator arm withdraws the distal end of the endoscope intro the trocar. Image processing is used to determine when the distal end of the trocar becomes visible in the captured images. The position of the endoscope at the point where the trocar becomes visible is recorded, and the length of the endoscope is determined based on the recorded position.