Systems, apparatuses, and methods are discussed herein for an endoscope. The endoscope has a distal tip with an oblique portion and a flat portion, the oblique portion defines a plane that forms an angle between and including 20 and 40 degrees to a central axis of the endoscope. A related sheath may have similar features at the distal tip.

Apparatuses, systems, and methods for controlling the sampling of tissue using a guidewire. In an illustrative embodiment, an apparatus includes a handle, a flexible dual lumen catheter couplable to the handle, and a guidewire guide disposed at a distal end of the flexible dual lumen catheter.

Apparatuses, systems, and methods for controlling the sampling of tissue using a guidewire. In an illustrative embodiment, an apparatus includes a handle, a flexible dual lumen catheter couplable to the handle, and a guidewire guide disposed at a distal end of the flexible dual lumen catheter.

A removable and replaceable sheath may be coupled to a medical instrument used during a procedure, and may enable one or more functional features of the medical instrument while maintaining a sterile barrier between the instrument itself and the treatment site. The sheath may be replaced prior to a subsequent use, and sterilization of the medical instrument is not required due to the sterile barrier. Sheaths may include an embedded memory that stores procedure configurations and procedure results, longitudinal channels for delivering power or irrigation, optical elements for providing procedure specific endoscopic views, and other features. One sheath may be fitted to an endoscope for imaging and tissue ablation. Another sheath includes a balloon usable during sinuplasty procedures. Yet another sheath may be fitted to a sonic ablation instrument to provide improved transmission of sonic power to tissue.

A removable and replaceable sheath may be coupled to a medical instrument used during a procedure, and may enable one or more functional features of the medical instrument while maintaining a sterile barrier between the instrument itself and the treatment site. The sheath may be replaced prior to a subsequent use, and sterilization of the medical instrument is not required due to the sterile barrier. Sheaths may include an embedded memory that stores procedure configurations and procedure results, longitudinal channels for delivering power or irrigation, optical elements for providing procedure specific endoscopic views, and other features. One sheath may be fitted to an endoscope for imaging and tissue ablation. Another sheath includes a balloon usable during sinuplasty procedures. Yet another sheath may be fitted to a sonic ablation instrument to provide improved transmission of sonic power to tissue.

A system for visualizing a tissue region of interest comprises a deployment catheter defining a lumen and a hood coupled to and extending distally from the deployment catheter. The hood has a low-profile configuration within a delivery sheath and a deployed configuration when extended distally of the delivery sheath. The hood in the deployed configuration defines an open area in fluid communication with the lumen. A distal portion of the deployment catheter extends into the open area. An imaging element is coupled to an imager support member. When in the deployed configuration, the imaging element is configured to extend distally of the distal portion while the imager support member extends within the deployment catheter. The imaging element comprises a tapered surface and the deployment catheter comprises a complementary tapered surface. Retraction of the imaging element causes the imaging element to shift radially outward from a longitudinal axis.

A system for visualizing a tissue region of interest comprises a deployment catheter defining a lumen and a hood coupled to and extending distally from the deployment catheter. The hood has a low-profile configuration within a delivery sheath and a deployed configuration when extended distally of the delivery sheath. The hood in the deployed configuration defines an open area in fluid communication with the lumen. A distal portion of the deployment catheter extends into the open area. An imaging element is coupled to an imager support member. When in the deployed configuration, the imaging element is configured to extend distally of the distal portion while the imager support member extends within the deployment catheter. The imaging element comprises a tapered surface and the deployment catheter comprises a complementary tapered surface. Retraction of the imaging element causes the imaging element to shift radially outward from a longitudinal axis.

An ENT tool has a tool chassis having a chassis channel and a tool chassis distal end. A tubular probe is dimensioned to be inserted into a human patient orifice, the probe is rotatable about a probe axis of symmetry, and the probe has a probe proximal end rotatingly connected to the tool chassis distal end. A balloon insertion mechanism is slidingly located within the chassis channel, and is configured to fixedly accept a balloon sinuplasty mechanism penetrating the tubular probe. A guidewire adjustment section is fixedly attached to the balloon insertion mechanism, and the section has a rotatable enclosure. A plurality of rollers are disposed within the enclosure and are configured so that on rotation of the enclosure the rollers grip and rotate a guidewire positioned between the rollers, and, absent rotation of the enclosure, release the guidewire and permit distal and proximal translation of the guidewire.

An ENT tool has a tool chassis having a chassis channel and a tool chassis distal end. A tubular probe is dimensioned to be inserted into a human patient orifice, the probe is rotatable about a probe axis of symmetry, and the probe has a probe proximal end rotatingly connected to the tool chassis distal end. A balloon insertion mechanism is slidingly located within the chassis channel, and is configured to fixedly accept a balloon sinuplasty mechanism penetrating the tubular probe. A guidewire adjustment section is fixedly attached to the balloon insertion mechanism, and the section has a rotatable enclosure. A plurality of rollers are disposed within the enclosure and are configured so that on rotation of the enclosure the rollers grip and rotate a guidewire positioned between the rollers, and, absent rotation of the enclosure, release the guidewire and permit distal and proximal translation of the guidewire.

A system comprising an adjustable mount arm, a bronchoscope coupled to the adjustable mount arm, an attachment coupled to the bronchoscope, and a steerable sheath coupled to the attachment and configured to be inserted through the bronchoscope. The system further includes a flexible probe configured to be inserted through the steerable sheath and the bronchoscope.