An articulating optical surgical probe includes a handle sized to fit in a single hand and a single rigid cannula extending from the handle having a diameter of 20 Ga or less. The probe further includes a slotted tip at a distal end of the cannula and at least one optical fiber extending through the handle, the single rigid cannula and the slotted tip, and a pull-wire secured to the slotted tip. When the pull-wire exerts tension on the slotted tip, the slotted tip will deviate from straight to a bend angle controlled by the tension in the pull-wire. The slotted tip is formed from a resilient material that will restore to the straight position when the tension exerted by the pull-wire is released.

An endoscopic treatment device includes an insertion unit, a manipulation unit provided at a proximal end portion of the insertion unit, and a manipulation unit attachment mechanism attaching the manipulation unit to an insertion port of a channel of an endoscope. The manipulation unit attachment mechanism has: a connection slider engaged with the insertion port by sliding in a first direction intersecting an axis of the insertion unit and disengaged from the insertion port by sliding in a second direction intersecting the axis; an insertion-port abutment part moving toward a proximal end by contacting with the insertion port; and a slider abutment part preventing sliding of the connection slider in the first direction when the insertion-port abutment part is located at a distal end side and permitting the sliding of the connection slider in the first direction when the insertion-port abutment part is located at a proximal end side.

An endoscope includes an endoscope body and a working channel for guiding medical tools and/or for the through-flow of media. The working channel extends in the longitudinal direction of the endoscope body and forms a working channel outlet in a distal end portion of the endoscope body. An endoscope head is arranged in a distal end region of the endoscope body and has at least one optical unit. The working channel is partially enclosed in the circumferential direction by a part of the endoscope body that is extensionally rigid in the radial direction, over a predefined circumferential portion, preferably one third to two thirds and more preferably more than half of the total circumference. The endoscope body is expandable at least in parts from a first state having a smaller cross-sectional area to a second state having an enlarged cross-sectional area.

An insertion device includes an insertion section extending along a longitudinal axis, a rotor provided in the insertion section rotating around the longitudinal axis, and an assistance tool attached to the insertion section in a state to cover the rotor from an outer peripheral side. The assistance tool rotates around the longitudinal axis together with the rotor when press force is applied from a first projection of the rotor to a second projection of the assistance tool by a rotation of the rotor. An angular position of the second projection around the longitudinal axis can be recognized from an outside of the assistance tool.

An insertion instrument includes a rotating member rotatable around a rotation axis, and adjacent portions adjacently provided on both sides of the rotating member in the direction along the rotation axis. The insertion instrument includes a cover tube forming a part of an outer surface of an insertion section and provided in an elastic deformation state so as to apply elastic force toward an inner peripheral side of the insertion section. A position of the rotating member in the direction along the rotation axis is adjusted by the elastic force, whereby a state where both ends of the rotating member in the direction along the rotation axis are located apart from the adjacent portions is maintained.

An instrument for use with an endoscope may include an elongate section configured to move exterior to the endoscope. The elongate section may include a distal end and a proximal end. The instrument may also include an end effector attached to the distal end of the elongate section, and an actuation device attached to the proximal end of the elongate section. The actuation device may be configured to operate the end effector. The instrument may also include a guiding member coupled to the elongate section. The guiding member may be configured to be coupled to an external surface of the endoscope to permit the guiding member to move longitudinally relative to the endoscope. The guiding member may be coupled to the elongate section such that the end effector may extend past a distal end of the endoscope and move in a transverse direction independent of the movement of the distal end of the endoscope.

An endoscope bending portion includes a circular cylindrical member on which a plurality of slots for bending are formed in a manner penetrating in a radial direction, a first slot among the plurality of slots for bending, a groove formed on the circular cylindrical member, a protrusion portion that is provided by being inserted into the circular cylindrical member through the groove from outside and by protruding on an inner circumference of the circular cylindrical member, where a wire hole is disposed inside the circular cylindrical member, a pulling wire that has a maximum outer diameter portion formed at a distal end portion, and that is inserted in the wire hole to have the maximum outer diameter portion engaged with the protrusion portion, and a restriction portion that is provided inside the circular cylindrical member.

An attachment for an imaging device may include a first sheath including a proximal end, a distal end, and a lumen extending between the proximal end and the distal end; a second sheath positioned around an exterior of the first sheath; and a connector coupled to the first sheath and configured to be coupled to the imaging device.

A reinforced arthroscope comprising external ribs to provide for a number of separate fluid channels, such as inflow, outflow and interstitial tissue drainage, when the arthroscope is slipped into a disposable external sheath. The external sheath includes projections that fit closely on either side of one or more of the external ribs to lock the sheath in place circumferentially relative to the arthroscope. The arthroscope is constructed to be sufficiently rigid so as to penetrate and move within a joint without damaging the rod optics inside. The externality of the arthroscope channels allow for cleaning and sterilizing the scope between uses.

A tubular guide suitable for use as an operating channel for the passage of surgical instruments in an inch-worm-type locomoted endoscopic instrument is described. The guide is fixed to the ends of the central body of the endoscopic instrument and has an elastic and corrugated intermediate portion so as to follow the elongations and the contractions of the central body of the endoscopic instrument without creating an obstacle to the passage of instruments.