A tube like member having a first flexible portion comprising a first and a second circumferential slits, the first circumferential slit is arranged opposite to the second circumferential slit and comprises a first end and a second end, the second circumferential slit comprises a third end and a fourth end, wherein the first end and the third end are arranged such that a first bridge is provided between said first and second circumferential slits characterized in that the first flexible portion comprises a first longitudinal slit arranged longitudinally along the tube like member and a second longitudinal slit arranged longitudinally along the tube like member, wherein the first circumferential slit is communicatively connected to the first longitudinal slit, wherein the second circumferential slit is communicatively connected to the second longitudinal slit, the first longitudinal slit and second longitudinal slit being arranged to define longitudinal sides of the first bridge.

An endoscopic system having a shaft, a sheath disposed at least partially inside the shaft having a distal end with a leading surface and an inner surface, the leading surface at the distal end of the sheath having rounded edges so as to be atraumatic, an instrument at least partially inside the sheath and movable relative to the sheath along a longitudinal direction of the sheath, the inner surface being sloped so as to deflect the instrument at a predetermined angle as it is moved into contact with the inner surface and out of the sheath, and the sheath being rotatable relative to the shaft so as to change the direction at which the instrument extends from the sheath.

An embodiment of the present invention provides for an elongated medical device with a hypotube backbone running through the device, and a spiral lumen spiraled around the backbone along the length of the backbone. The backbone may be formed from a nitinol alloy for increased bendability without compromising axial stiffness. The device may also incorporate a jacket around the hypotube and spiral lumen formed using either melting, molding, bonding, or casting. The spiral lumen may be configured to accommodate a variety of uses, including actuation members (e.g., pull wires), tools, and means for aspiration, irrigation, image capture, and illumination. Additionally, the present invention provides a method for constructing an elongated medical device with a hypotube backbone running through the device, and a spiral lumen spiraled around the backbone along the length of the backbone.

A rigidity variable apparatus includes: one or a plurality of coil units including a spiral-shaped coil portion in which a plurality of SMA element wires made of a shape-memory alloy are wound around an axis at a first pitch in a state where the SMA element wires are overlapped with each other in a predetermined axis direction, each of the SMA element wires memorizing a spiral shape with a pitch narrower than the first pitch, one of the plurality of SMA element wires starting to deform to the memorized spiral shape with a predetermined pitch when at a predetermined temperature or higher, another of the plurality of SMA element wires starting to deform to the spiral shape with a different pitch; and an electrothennal heater configured to heat the coil portion.

The present disclosure relates to a device configured to move within a body cavity, such as the gastrointestinal tract, in particular, the small intestine, and methods of using the device. The presently disclosed device may be self-driving, and the articulation of a tip of the device may be controlled and fine tuned. The presently disclosed device may be used in a variety of body cavities such as a vascular body lumen, a digestive body lumen, a respiratory body lumen, or a urinary body lumen, for example, for endoscopic purposes, for delivering a substance into the body cavity, for removing a substance or tissue from the body cavity, for capturing an image of the body cavity, and/or for performing an operation of a tissue or organ using the device.

An insertion device includes: an insertion portion; a shape memory alloy tube provided in the insertion portion such that a distal end is located on a side of one end of the insertion portion and a proximal end is located on a side of another end of the insertion portion, the shape memory alloy tube being configured to serve as a conduit through which a refrigerant flows from a side of the distal end toward a side of the proximal end; a heater configured to heat the shape memory alloy tube; and a refrigerant supply tube configured to supply the refrigerant to the distal end of the shape memory alloy tube by causing the refrigerant to flow from the proximal end side toward the distal end side of the shape memory alloy tube, the refrigerant supply tube being disposed inside the shape memory alloy tube.

A medical device may comprise a sheath configured to be inserted into a body lumen of a patient. A distal end of the sheath may include an elevator for changing an orientation of a medical device. A handle may include an actuator. The actuator may be operably connected to the elevator. Activation of the actuator may cause movement of the elevator. An engaging portion may, in at least one configuration of the handle, protrude from a surface of a handle body toward the actuator. A force exerted by the user on at least one of the actuator or the engaging portion may cause the handle to transition between (a) a first configuration in which the engaging portion interacts with the actuator to inhibit movement of the actuator relative to the engaging portion and (b) a second configuration in which the actuator is movable relative to the engaging portion.

A flexible tube insertion device includes a flexible and elongated insertion portion, a rigidity changeable mechanism extending in a longitudinal direction of the insertion portion in a rigidity changeable range of at least part of the insertion portion and configured to change bending rigidity of the rigidity changeable range, and a processor configured to perform, on the rigidity changeable mechanism, control for changing an insertion shape of the insertion portion being inserted into a subject. The rigidity changeable mechanism performs, in accordance with control by the processor, operation for sequentially increasing bending rigidity of the rigidity changeable range in a direction from a central part of the rigidity changeable range to each end part of the rigidity changeable range.

A single, handheld medical device for performing an endometrial abrasion and/or HSG procedure is disclosed. The preferred embodiment comprises a body that includes a handle integrally connected to an arm with an articulating member at its distal end. The handle comprises a means for storing and pumping a fluid into the uterus so that ultrasound or x-ray can be used to determine the location of the articulating member within the uterus. The arm further comprises a shielding device that is operable to slidably engage the arm of the device and the shield and the arm are configured to cover and sealingly engage the external os of the cervix to prevent reflux during use. Optional viewing means are disclosed, including an imaging screen mountably attached to the device and in communication with a scope disposed within the arm.

A medical introducer includes an elongated tubular member having a proximal end, a distal portion, and a central lumen extending from the proximal end to a distal port in the distal portion. A frame structure is coupled to the distal portion of the elongated tubular member, where frame structure supports the distal portion of the elongated tubular member in a tapered shape and alternatively in a non-tapered shape. The elongated tubular member may include a rigid outer tube and a rigid inner tube carried in an interior lumen of the outer tube. The distal portion is typically a reinforced elastomeric tubular extension of the outer tube, and the reinforced elastomeric tubular extension may have a conical shape.