A medical system comprises a flexible device configured to be positioned at least partially within a patient anatomy. The patient anatomy includes a plurality of anatomical passageways. The medical system further comprises a memory device including computer executable instructions, the computer executable instructions for performing operations. The operations comprise determining a shape of the flexible device and determining a deformation force for a section of the flexible device. The operations further comprise registering a model of a candidate anatomical passageway of the plurality of anatomical passageways to a model of the flexible device based on the shape of the flexible device and the deformation force for the section of the flexible device. The operations further comprise generating a composite model of the patient anatomy based on the registering.

A system comprises a teleoperated manipulator, a manually operated surgical instrument coupled to the teleoperated manipulator, a teleoperated surgical instrument coupled to the teleoperated manipulator, and a shape sensor comprising a first portion and a second portion. The first portion of the shape sensor is coupled to a proximal end of a cannula, and the second portion of the shape sensor is coupled to the manually operated surgical instrument. The shape sensor is configured to provide a sensor input to a controller, and the sensor input comprises information representing an insertion depth of the manually operated surgical instrument into the cannula.

There is provided an endoscope system which can secure appropriate bending stiffness of an insertion portion while maintaining the slide length of an endoscope insertion portion. According to one aspect of one of the present invention, in an endoscope system including an endoscope and an insertion assisting tool in which the endoscope is inserted and which assists the insertion of an endoscope insertion portion into a body, a flexible portion of the endoscope insertion portion includes a projection region which projects from the distal end opening of a tube body when the endoscope insertion portion is located in the distal end position in a movable range with respect to the tube body of the insertion assisting tool, and the projection region includes a bending stiffness change portion in which bending stiffness increases from a first position on the distal end side to a second position on the proximal end side.

A insertion apparatus includes a flexible tube, a detection section that detects state information of the tube, a calculation section that calculates, based on the state information, shape information of the tube, and an input section that inputs characteristic information of the tube. The apparatus also includes a calculation section that calculates, based on the characteristic information, an operation state of a distal end of the tube, an calculation section that calculates an insertion state of the tube at a specific point closer to a proximal end than the distal end, based on the shape information, characteristic information, and operation state, and a measurement section that measures an actual operation state of the tube at the specific point.

An electronic endoscope of the invention includes: an insertion portion to be inserted into a subject; a distal end rigid portion including a distal end portion and a proximal end portion, the distal end rigid portion being made of resin and provided at a distal end portion of the insertion portion; a bending tube made of metal and provided continuously with the distal end rigid portion; objective optical systems provided at the distal end rigid portion; an image pickup unit that picks up images formed by the objective optical systems; an illumination lens barrel made of metal, the illumination lens barrel holding an illumination optical system provided at the distal end rigid portion and being extended in a direction of the proximal end portion; and a first conductive portion that establishes electrical conduction between the bending tube and the illumination lens barrel.

A flexible tube insertion apparatus includes a tubular insertion section, a variable stiffness section that causes change of bending stiffness of the insertion section, in regard to continuous segments defined in an axial direction of the insertion section, on a segment-by-segment basis, and a stiffness connecting portion. The stiffness connecting portion is arranged across at least a pair of adjacent segments of the segments. The stiffness connecting portion causes change of bending stiffness of a portion between the pair of segments in such a manner that the bending stiffness of the portion between the pair of segments is continuous with bending stiffness of the pair of segments, in accordance with change of the bending stiffness of the portion between the pair of segments by the variable stiffness section.

An optical shape sensing system and method with at least two optical fibers (OSF1, OSF2) both comprising optical shape sensing elements. A processor (P) is arranged to register a coordinate system indicative of a position of one of the optical fibers (OSF1) in space, and to register a position (R2) of the other optical fiber (OSF2) in relation to this coordinate system. An optical console system (C, C1, C2) serves to interrogate the optical shape sensing elements in both optical fibers (OSF1, OSF2), and to accordingly determine a measure of a three-dimensional shape (I) of both optical fibers (OSF1, OSF2), based on the registered position (R2) of the second optical fiber (OSF2) in relation to the coordinate system. This provide the possibility of providing 3D optical shape sensing of the length of both optical fibers (OSF1, OSF2), thus allowing 3D shape reconstruction of e.g. long medical devices with lengths of several meters. More than two shape sensing optical fibers, e.g. incorporated in separate devices, can be registered in this manner in a hierarchical data structure, thus allowing shape sensing of very long instruments.

The invention relates to a property determination apparatus (1) for determining a property of an object (3). Optical sensing data being indicative of an optical property of the object and ultrasound sensing data being indicative of an ultrasound property of the object are generated, and a property determination unit (75) determines a property of the object based on at least one of the optical sensing data and the ultrasound sensing data. Since light and ultrasound have generally different penetration depths and scattering properties with respect to the object, a property of the object can be determined with good quality, even if the quality of one of the optical sensing data and the ultrasound sensing data is reduced by, for example, a relatively small penetration depth, or if one of the optical sensing data and the ultrasound sensing data is less suitable for determining a desired property of the object.

A curve sensor universally applicable to even a curving measurement target having a relatively small diameter is provided. A curve sensor to measure the curving of a curving measurement target includes a light supply unit which guides light, a curve measurement unit which includes a curved state detection unit and which measures the curved state of the measurement target by the change in the amount of light output through the curved state detection unit, a light transmission unit which transmits the light from the light supply unit to the curve measurement unit and a holding portion which holds the light supply unit and the curve measurement unit at predetermined positions on the measurement target.

A method for determining a shape of a bendable instrument can include placing the bendable instrument in a neutral position; moving a first control element a first amount until slack is removed from the first control element; moving a second control element a second amount until slack is removed from the second control element; sensing a position of the first control element after moving the first control element the first amount, the sensed position of the first control element being defined as a first control element calibration position; sensing a position of the second control element after moving the second control element the second amount, the sensed position of the second control element being defined as a second control element calibration position. The method can further include bending the instrument by moving one or both of the first control element and the second control element from the respective first control element calibration position and the second control element calibration position; and determining a resulting shape of the bendable instrument based on a distance one or both of the first control element and the second control element respectively moved from the first control element calibration position and second control element calibration.