Systems and methods are provided for injecting one or more agents into tissue within a patient's body that includes a catheter. A needle guide extends from a distal end of the catheter and terminates at a distal tip, e.g., including a foot with an atraumatic contact surface, the needle guide having a cross-section smaller than the distal end and being biased to a curved shape. The needle guide includes a passage communicating from a lumen of the catheter to an outlet at the distal tip, and a needle device is disposed within the passage that may be deployed from the outlet to inject one or more agents into tissue. The catheter also includes an imaging assembly on the distal end configured to acquire images of tissue adjacent the needle guide distal tip.

A pericardial-cavity observing method including: a step of inserting an endoscope sheath and an endoscope into a space between the heart and the pericardium; a step of disposing a protruding portion closer to the pericardium than an optical member is so that an angle that is formed between a centerline that passes through a center of the protruding portion and a center of the optical member and a tangent of the pericardium that passes through a foot of a perpendicular line drawn, from the center of the optical member of the endoscope, to the pericardium sagging down from the protruding portion toward the heart becomes greater than an angle formed between the centerline and an external common tangent of the protruding portion and the optical member; and a step of observing the heart by means of the endoscope.

An endoscope apparatus includes: an endoscope including a first operation portion that is coupled to a first insertion portion to be inserted into a subject; a medical device including a second operation portion that is coupled to a second insertion portion to be inserted into the subject through the first insertion portion, the second operation portion including at least one locking member; and a belt-like body having flexibility and including at least three end portions in which at least one end portion includes a locked portion to be locked to the locking portion, the belt-like body being configured to be wound around the endoscope to hold and fix the second operation portion of the medical device in a state where the at least three end portions are connected to the second operation portion.

An endoscope system includes: a first endoscope including an insertion section, an operation section, and a bending operation device; a second endoscope including an insertion section, an operation section, and a bending operation device; and a fixing member configured to connect and fix the operation sections to each other such that the bending operation device of the first endoscope is made to protrude toward the operation section of the second endoscope, the bending operation device of the second endoscope is made to protrude toward the operation section of the first endoscope, and the bending operation device of the second endoscope is spaced apart from the bending operation device of the first endoscope toward an insertion section side.

An endoscope system includes a mother endoscope, a baby endoscope and a fixing member. The mother endoscope includes a first insertion section, a first operation section, a treatment instrument insertion channel and an opening. The baby endoscope includes a second insertion section and a second operation section. The first operation section includes a projection portion. The second operation section includes a recess portion that is a recessed face formed such that at least part of the recessed face comes into face contact with a surface of the projection portion. The second operation section is fixed to the first operation section in a state where the recess portion is in contact with the surface of the projection portion.

A bronchoscope for insertion into a patient's airways for diagnostic and therapeutic purposes. The bronchoscope includes a bronchoscope head configured to be releasably secured and sealed to one tube of a set of interchangeable bronchial and/or tracheal tubes.

A bronchoscope for insertion into a patient's airways for diagnostic and therapeutic purposes. The bronchoscope includes a bronchoscope head configured to be releasably secured and sealed to one tube of a set of interchangeable bronchial and/or tracheal tubes.

Improved methods and devices for performing an endoscopic surgery are provided. Systems are taught for operatively treating gastrointestinal disorders endoscopically in a stable, yet dynamic operative environment, and in a minimally-invasive manner. Such systems include, for example, an endoscopic surgical suite. The surgical suite can have a reversibly-expandable retractor that expands to provide a stable, operative environment within a subject. The expansion can be asymmetric around a stabilizer subsystem to maximize space for a tool and an endoscope to each be maneuvered independently to visualize a target tissue and treat the target tissue from outside the patient in a minimally invasive manner.

A baby endoscope which forms a medical device includes: a rotary member; an exterior member which rotatably holds the rotary member about a predetermined rotation axis, houses the rotary member in the exterior member, and has a surface which is brought into contact with a portion of an outer peripheral surface of an operation section of a mother endoscope on an outer peripheral portion; and a bending operation lever mounted on the rotary member, and is disposed within a width of the exterior member in a direction of the rotation axis when the exterior member is viewed in a direction orthogonal to the rotation axis.

Exemplary embodiments of devices and method for affecting at least one anatomical tissue can be provided. A configuration can be provided that includes a structure which is expandable (i) having and/or (ii) forming at least one opening or a working space through which the anatomical tissue(s) is placed in the structure. For example, the structure, prior to being expanding, can have at least one partially rigid portion. In addition, or as an alternative, upon a partial or complete expansion thereof, the structure can be controllable to have a plurality of shapes. Further, the structure can be controllable to provide the working space with multiple shapes and/or multiple sizes.