A work channel arrangement of an endoscope for guiding medical tools and/or for the through-flow of media. The work channel arrangement has a work channel which is flexible at least in part and extensible relative to the endoscope and which can be moved from a first position, in which the work channel outlet is oriented in the axial direction of the endoscope head, to a second position in which it is extended in the distal direction relative to the first position and in which the work channel outlet is or can be deflected, by means of a guide mechanism, to a predetermined lateral or rearward direction.

Methods and apparatus for accessing and treating regions of the body are disclosed herein. Using an endoscopic device having an automatically controllable proximal portion and a selectively steerable distal portion, the device generally may be advanced into the body through an opening. The distal portion is selectively steered to assume a selected curve along a desired path within the body which avoids contact with tissue while the proximal portion is automatically controlled to assume the selected curve of the distal portion. The endoscopic device can then be used for accessing various regions of the body which are typically difficult to access and treat through conventional surgical techniques because the device is unconstrained by “straight-line” requirements. Various applications can include accessing regions of the brain, thoracic cavity, including regions within the heart, peritoneal cavity, etc., which are difficult to reach using conventional surgical procedures.

An over-actuated system [304], such as a catheter, having shape memory alloy (SMA) hysteretic wire actuators is controlled using a controller [300, 302] that generates a control signal [310] based on a temperature model that takes into account physical limitations of the SMA hysteretic wire actuators, and based on a hysteresis model (e.g., the Duhem model) that describes hysteresis behavior of the SMA hysteretic wire actuators. The controller preferably includes a feedback controller [302] and a reference governor that generates a smart reference signal [308] from a reference signal [306] representing a desired value of an output of the system. The smart reference signal preferably minimizes an error between the reference signal and an achievable output, and the control signal preferably is generated based on the smart reference signal.

An endoscopic cannula includes an elongate shaft having a distal end portion sized for insertion in a body cavity and a camera secured to the distal end portion of the elongate shaft. The camera is configured for viewing the body cavity. The distal end portion of the elongate shaft is adjustable between a straight configuration and a bent configuration to examine the body cavity.

A deployable and flexible tooltip camera is provided for integration within a shaft of an endoscopic tool. The tooltip camera includes a camera mounted to a distal tip of a curved tube which is capable of rotational and translational movement to provide a wide field of view of a tooltip of the endoscopic tool during an endoscopic procedure. The tube retains its curved shape when in use to provide a unique perspective view of the tooltip, but can then be withdrawn into a shaft of the endoscopic tool such that the entire tooltip camera and tube are retained within the shaft of the endoscopic tool and can pass through a cannula. The curved tube may be formed of a super-elastic memory alloy like Nitinol and pre-shaped into an s-curve using a two-step heat treatment process to attain the necessary curvature, and further laser-patterned with holes to attain the necessary flexibility.

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.

An apparatus comprises a flexible entry guide tube comprising one or more lumens, wherein at least one lumen is an instrument lumen; and a rigidizing cable to lock a shape of the guide tube within a body cavity with a distal end of the guide tube near a medical site. The rigidizing cable can steer the guide tube. The apparatus comprises a flexible tool insertable into the instrument lumen. The tool can perform a medical procedure near the distal end of the guide tube. The tool comprises an end effector, a steerable tip portion, and a steering cable for steering the tip portion. While the tip portion remains within the instrument lumen, articulation of the tip portion causes corresponding articulation of a distal portion of the guide tube. The tool can extend away from the distal end while the shape of the guide tube is locked by the rigidizing cable.

A catheter for use in a patient's heart, especially for mapping a tubular region of the heart, has a catheter body, a deflectable intermediate section and a distal a mapping assembly that has a generally circular portion adapted to sit on or in a tubular region of the heart. A control handle of the catheter allows for single-handed manipulation of various control mechanisms that can deflect the intermediate section and contract the mapping assembly by means of a deflection control assembly and a linear control assembly. The deflection control assembly has a deflection arm and a rocker member. The linear control assembly has a linear control member, an inner rotational member and a cam. A pair of puller members are responsive to the deflection control assembly to bi-directionally deflect the intermediate section. A third puller member is responsive to the linear control assembly to contract the generally circular portion of the mapping assembly.

A flexible circuit assembly for an endoscope or borescope having an image sensor. The flexible circuit assembly has a flexible circuit with a first end, a second end, and a length between its first and second ends, the first end of the flexible circuit electrically connectable with the image sensor. A strengthening member is adjacent to the flexible circuit and along the length of the flexible circuit. An electrically insulated layer retains the strengthening member adjacent to the flexible circuit and encloses at least of portion of the strengthening member and the flexible circuit. The strengthening member may comprise a nitinol wire, and the nitinol wire may have a neutral position such that the nitinol wire returns to the neutral position after being articulated to a different position.

An objective is to achieve an endoscope in which a distal part of an insertion unit has a reduced diameter, yet the endoscope has good pushability so that buckling at the distal part can be avoided. This endoscope is provided with: an imaging unit having a lens and an imaging element; a resin tube which extends from the imaging unit to the proximal side opposite the distal side, and through which a cable conductively connected to the imaging element is inserted; and an elastic wire which has a distal end disposed outwardly of the imaging element, is inserted in and extends through the resin tube, and has flexibility and bending stiffness.