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 optical monitoring device for monitoring curvature along a flexible medical instrument including optical fibers, a light source to inject light into the optical fibers, a light receiver configured to measure an optical characteristic of reflected light from the optical fibers, a processor to analyze the measured optical characteristic to determine a curvature of the optical fibers, compare the curvature with a threshold curvature, determine a location along the optical fibers of the determined curvature, store previous curvatures and their associated location along the fibers in a storage, analyze the stored curvatures by counting or summing curvatures determined at a given location over time to predict breakdown of the flexible medical instrument, and produce an indication when the stored curvatures determined at the given location over time predict breakdown of the flexible medical instrument at the given location.

The following describes various applications and uses for a controllably rigidizable flexible device or sheath. Such rigidizing mechanisms can allow for a transition between a rigid state and a flexible state of a sheath. Rigidization can be applied along an entire length of a flexible sheath or along select portions of the sheath, and the rigidization can be of varying stiffness. Rigidization can be user controlled or automatically controlled using computer processes.

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 medical device includes a flexible elongate instrument, an actuator for inserting and retracting the instrument, and a control unit configured to determine at least one of a force being exerted by the actuator or an amount of force applied at a proximal end of the instrument. The control unit is configured to determine a force exerted by the instrument on tissue of a patient based on a shape of the instrument and at least one of the force exerted by the actuator or the force applied at the proximal end. A method of operating a medical device includes: determining a shape of a flexible elongate instrument and at least one of a first force exerted by an actuator or a second force applied to a proximal end; and determining a third force, exerted on tissue, based on the shape and at least one of the first or second forces.

A bending operation system includes an elongated tubular portion including a bending portion, a first linear member and a second linear member which cause the bending portion to bend, and a drive portion which displaces the first linear member and the second linear member. The bending operation system further includes a first displacement detector which acquires a displacement of the first linear member as a first displacement, a second displacement detector which acquires a displacement of the second linear member as a second displacement, and a calculator which calculates operation assist information by use of one or both of the first displacement and the second displacement.

The subject matter discloses a multi-sensor endoscope having a dynamic field of view comprising an elongated shaft terminating with a tip section; a maneuvering section connected to the elongated shaft; at least two sensors, wherein at least one sensor is placed behind the tip section, on the maneuvering section; and one or more illuminators located on external surface of the shaft. In some cases, the sensors include a camera. The subject matter also discloses a multi-sensor endoscopy system comprising an endoscope comprising a handle and a controller, such that the maneuvering section is controlled by the controller.

It is an object of the present invention to provide an endoscope insertion assistance apparatus, a method and a program that allow an operator of an endoscope to easily grasp an insertion situation of the endoscope to thereby conduct effective insertion assistance. An endoscope insertion assistance apparatus (100) according to the present invention includes an acquisition unit (110) that acquires shape data to identify an insertion shape of an endoscope inserted into a lumen, an estimation unit (120) that estimates any one of a plurality of shape categories for the insertion shape from the shape data and an output unit (130) that outputs display information in chronological order for the estimated shape category.

A surgical access assembly comprises a trocar and a surgical instrument. The trocar comprises a housing and an access tube extending distally from the housing. The housing comprises a hollow light emitter. The housing and the access tube define a lumen extending through the housing and the access tube. The hollow light emitter is configured to project light in the lumen. The surgical instrument comprises an end effector and a shaft extending proximally from the end effector. The shaft comprises an optical receiver positioned within reach of the light from the hollow light emitter. The shaft further comprises a light guide extending from the optical receiver along at least a portion of the shaft toward the end effector.

Information extracted from sequential images captured from the perspective of a distal end of a medical device moving through an anatomical structure are compared with corresponding information extracted from a computer model of the anatomical structure. A most likely match between the information extracted from the sequential images and the corresponding information extracted from the computer model is then determined using probabilities associated with a set of potential matches so as to register the computer model of the anatomical structure to the medical device and thereby determine the lumen of the anatomical structure which the medical device is currently in. Sensor information may be used to limit the set of potential matches. Feature attributes associated with the sequence of images and the set of potential matches may be quantitatively compared as part of the determination of the most likely match.