A sinus entering endoscope according to an embodiment of the present invention comprises: a body including a plurality of operation parts; an insertion part extending from the front end of the body to be inserted into the sinus through the nasal cavity, and having at least one working channel; and an applicator load part which is disposed in the body and on which a plurality of applicators which can selectively enter through the working channel can be mounted.

The present invention relates to comprehensive systems, devices and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, systems, devices, and methods are provided for delivering energy to difficult to access tissue regions (e.g. peripheral lung tissues), and/or reducing the amount of undesired heat given off during energy delivery.

Provided is an endoscope apparatus provided with: an elongated insertion portion that is inserted into a body; an image-acquisition portion that has an imaging optical system disposed at a distal end of the insertion portion and that acquires two images having parallax for the same imaging subject; an identifying portion that identifies an image of an object, which is in close proximity to the imaging optical system, that is captured only in one of the two images acquired by the image-acquisition portion; and a close-proximity-image-removal processing portion that processes the image so that the image of the object identified by the identifying portion is removed from the image.

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.

A stiffening assembly comprises an outer tube including a longitudinal axis, an inner tube extending along the longitudinal axis, and a plurality of laminar elements between the outer tube and the inner tube and separate from the outer tube and the inner tube. The stiffening assembly is adjustable between a flexible state in which each laminar element of the plurality of laminar elements is movable and a stiffened state in which an applied vacuum clamps the plurality of laminar elements between the outer and inner tubes such that a transfer of forces between the plurality of laminar elements stiffens the stiffening assembly. At least one laminar element of the plurality of laminar elements has a different thickness than at least another laminar element of the plurality of laminar elements.

A catheter having a tube having at least one lumen, at least one elongate element, the at least one elongate element having a bendable portion at a predetermined bendable portion location therealong forward of a distal end of the tube, and at least one selectably inflatable balloon communicating with at least one of the at least one lumen, the at least one selectably inflatable balloon having a forward end and a rearward end, the rearward end of the balloon being located rearwardly of the predetermined bendable portion location.

An apparatus for performing surgical procedures is disclosed including a flexible entry guide tube and a first steering device. The guide tube has one or more lumens extending along its length from a proximal end to substantially at or near a distal end. At least one of the one or more lumens is an instrument lumen with open ends to receive a flexible shaft of a surgical tool. The first steering device is insertable into the instrument lumen to shape the guide tube as it is inserted through an opening in a body and along a path towards a surgical site. The apparatus may further include a flexible locking device to couple to the flexible entry guide tube and selectively rigidize the guide tube to hold its shape. The guide tube may be steered by remote control with one or more actuators.

An ergonomic attachment system for connecting an irrigation tube or an aspiration tube to a surgical handpiece that reduces surgeon wrist fatigue due to tubing twist. The tube is connected to the handpiece through a swivel joint which allows the tube to rotate circumferentially with respect to the handpiece and self-adjust to a neutral position to relieve the twist.

Example embodiments of the present invention relate to a manipulation support apparatus. The apparatus may include a processor and memory storing instructions that when executed on the processor cause the processor to perform the operation of acquiring detection data from a sensor provided in an inserted object which is inserted into a subject body. The detection data may be associated with a state of the inserted object. The apparatus then may decide setting information based on at least one of inserted object information and the user information. The apparatus then may generate support information for a manipulation of the inserted object based on the detection data and the setting information.

A catheter includes an electromechanical polymer (EMP) actuator disposed in a steerable tip at the distal end of the catheter. When activated, the EMP actuator deflects the steerable tip through an angle between 0 and 270 degrees, thus permitting the operator to steer the steerable tip through the vasculature. The steerable tip also has at least a first relatively stiff region and a second relatively flexible region, and the EMP actuator is provided next to the first relatively stiff region so that the steerable tip may toward the flexible region when activated. In one implementation, an external interface allows a user to select by name one of many sets of control signals, with each set of control signals being signals calibrated for configuring the catheter to mimic a known catheter.