A system for performing a surgical procedure includes a camera configured to capture real-time near infrared images, an injection system configured to inject a fluorescent dye into a patient's blood stream, and a workstation operably coupled to the camera for retrieving a three-dimensional (3D) model of the patient's anatomy based on pre-procedure images, retrieve an indication of a targeted critical structure within the 3D model, observe, using the captured real-time near infrared images, perfusion of the fluorescent dye through tissue to identify critical structures illuminated by near-infrared light, and register the real-time near-infrared images to the 3D model using the identified illuminated targeted critical structure in the real-time near infrared images captured by the camera and the identified targeted critical structure in the 3D model as a landmark.

Fluorescent imaging systems for performing an endoscopic procedure, such as a retrograde cholangiopancreatography (ERCP) procedure may include a first light source for emitting light in the visible spectrum, or light in the near infrared (NIR) spectrum, or both. A light source bandpass filter may block the emitted light in the visible spectrum, or in the NIR spectrum, or both. A first sensor may be capable of detecting the light in the visible spectrum, or the light in the NIR spectrum, or both. A sensor bandpass filter may block the detected light in the visible spectrum, or in the NIR spectrum, or both. The first or a second light source, or the first or a second sensor, or combinations thereof, may be removably disposed on a duodenoscope.

A medical-endoscopic instrument includes a distal elongate insertion section (1), for the minimal-invasive introduction into a human or animal body, with a first LED (5), a second LED (7) and a picture sensor (9). The first LED includes a first light spectrum (19), suitable for fluorescence endoscopy. The second LED includes a second light spectrum (21), suitable for white light endoscopy. A light filter (23), arranged in front of the second LED in the viewing direction (x), has a transmission spectrum (25). The second LED is configured to irradiate according to the second light spectrum on average more intensively in a first wavelength region (K) than in a second wavelength region (L). The light filter is configured to let through light, which is emitted by the second LED, according to the transmission spectrum, on average less in the second wavelength region than in the first wavelength region.

An optical device may include an optical fiber having a fixed end and a free end; a first actuator positioned at a actuator position between the fixed end and the free end and configured to apply a first force on the actuator position of the optical fiber such that a movement of the free end of the optical fiber in a first direction is caused, wherein the first direction is orthogonal to a longitudinal axis of the optical fiber; and a deformable rod disposed adjacent to the optical fiber, and having a first end and a second end, wherein the first end is connected to a first rod position of the optical fiber and the second end is connected to a second rod position of the optical fiber.

Methods (10, 10′, 10″) for imaging a scene (110) during a change of a field of view (112) of an image sensor (114) relative to the scene (110) and a corresponding system (100) are disclosed.

A medical endoscopic instrument includes a distal elongated insertion section (1) for minimally invasive insertion into a human or animal body, with at least one LED (5) arranged in a distal end section of the insertion section (1), and a lens system (19) arranged distally of the LED (5) with an optical axis (x). The lens system (19) includes a first lens (29) and a second lens (31) arranged distally of the first lens (29). The second lens (31) has a proximally extending sleeve extension (35). The sleeve extension (35) has a first reference surface for positioning the second lens (31) in relation to the insertion section (1) and a second reference surface (39) for positioning the first lens (29) in relation to the second lens (31).

A learning device 3 includes: a training image acquisition unit 321 that acquires training images in which a first training image acquired by capturing light from a subject irradiated with light in a first wavelength band and a second training image acquired by capturing light from the subject irradiated with light in a second wavelength band different from the first wavelength band are paired; a singular area specification unit 322 that specifies a singular area in the second training image; a first feature data extraction unit 323 that extracts feature data of a singular-corresponding area at a pixel position corresponding to the singular area in the first training image; and a singular-corresponding area learning unit 324 that generates a learning model by performing machine learning on the singular-corresponding area based on the feature data.

In general, devices, systems, and methods for multi-source imaging are provided.

Systems, devices, and methods for controlling cooperative surgical instruments with variable surgical site access trajectories are provided. Various aspects of the present disclosure provide for coordinated operation of surgical instruments accessing a common surgical site from different approach and/or separate body cavities to achieve a common surgical purpose. For example, various methods, devices, and systems disclosed herein can enable the coordinated treatment of tissue by disparate minimally invasive surgical systems that approach the tissue from varying anatomical spaces and must operate differently, but in concert with one another, to effect a desired surgical treatment.

There is provided a medical dimming control apparatus including: a dimming control section configured to control a dimming in relation to an imaging of an observation target by an imaging device in accordance with a set dimming mode. The dimming mode at least includes a first dimming mode that controls the dimming at a first tracking speed and a second dimming mode that controls the dimming at a second tracking speed that is slower than the first tracking speed, and the dimming control section sets the first dimming mode on the basis of a change in an imaging-related behavior in the imaging device, and sets the second dimming mode in a case of determining that a predetermined condition is satisfied while executing the control in accordance with the first dimming mode.