A bending operation mechanism of an endoscope includes a bending operation lever, a seal unit having a tubular member and an elastic member. The elastic member has a fixed part attached to an outer circumference of the tubular member in a circumferential manner along a longitudinal axis direction N of the tubular member. An extending part that extends from an outer circumference of the fixed part to the outside of the fixed part in a radial direction K into a shape of a circle substantially concentric with the fixed part. A region extends from the outer circumference of the fixed part would extend with a predetermined angle.

A method for producing a reinforced working channel tube, a working channel tube produced by the method, a use of the working channel tube and an endoscope including the working channel tube, the method including: providing an elongated hollow tube main body, the tube main body having a meltable plastic material at least on its outer surface; at least locally heating a wire; tensioning the wire and winding the wire at least in sections around the outer surface of the tube main body; softening or melting the outer surface of the tube main body by the wire; securely anchoring or embedding the wire in the outer surface of the tube main body; and forming a coil anchored or embedded in the outer surface of the tube main body through the winding of the wire.

A method cinches a suture. The method provides a cinch having a suture capturing portion configured to capture a suture, a cinch lock coupled with the suture capturing portion, and a cinch anchor having a lumen. The suture capturing portion is extended out of the lumen to capture the suture. The suture is captured by the suture capturing portion. The suture capturing portion is retracted into the lumen of the cinch anchor. The suture is cinched between the cinch lock and the cinch anchor.

An endoscope system includes an endoscope, and an insertion auxiliary tool into which the endoscope is inserted. A flexible portion of the insertion section of the endoscope includes, from a distal end side toward a proximal end side, a low flexural rigidity portion, a flexural rigidity varying portion in which a flexural rigidity increases from the distal end side toward the proximal end side, and a high flexural rigidity portion with flexural rigidity higher than that in the low flexural rigidity portion. When at least a part of the flexible portion projects from a distal end opening of the tube body, a position of the proximal end of the low flexural rigidity portion is positioned closer to a proximal end of the insertion auxiliary tool than the distal end opening of the tube body from the proximal end of the insertion auxiliary tool.

Provided is an endoscope allowing two operating methods, that is, a surgeon's own manual operation and an operating method using a hand other than the surgeon regarding a hardness adjusting operation. An endoscope includes an insertion part having a flexible part; an operating part continuously provided on a proximal end side of the insertion part; a hardness adjusting mechanism serving as a first driving force input member that is provided from the operating part to the flexible part and adjusts the hardness of the flexible part; an operating ring that is provided in the operating part and is manually operated and inputs a driving force to the hardness adjusting mechanism; and a shaft serving as a second driving force input member that is provided separately from the operating ring and inputs a driving force to the hardness adjusting mechanism.

An endoscope having an insertion tube with a distal optical module and a releasable handle. In a semi-robotic embodiment, the handle comprises haptic controllers and a computer configured for steering and/or adjusting physical properties of the insertion tube in response to one or more command inputs from the haptic controllers. The computer may also convert image data received from the optical module into two-dimensional images displayable on a monitor. The endoscope may have inertial measurement units (IMUs) for providing data to the computer for creating a digital three-dimensional image representation of an anatomy model and/or for facilitating handling properties of the endoscope.

An information processing system, including a processor comprising hardware. The processor being configured to: acquire an endoscope image from an endoscope, the endoscope image showing a papillary portion, determine route information of a lumen based on the endoscope image, the lumen being at least one of a biliary duct or a pancreatic duct, generate a display image based on a result of the determination of the route information of the lumen, the display image having a route guide image to provide guidance of a route of the lumen leading to the papillary portion superimposed on the endoscope image, and display the display image on a display.

A cannulation method includes inserting an endoscope into a duodenum, bringing a distal end section of the endoscope to a position where a duodenal papilla is within a field of view of the endoscope, promoting secretion of pancreatic juice or bile by administering a drainage stimulant, determining an amount of relaxation of the duodenal papilla, and performing cannulation into a biliary duct through the duodenal papilla where the amount of relaxation is greater than a predetermined amount.

A stiffening assembly comprises an outer tube including a longitudinal axis, an inner tube extending along the longitudinal axis, and a plurality of laminar elements between the outer tube and the inner tube and separate from the outer tube and the inner tube. The stiffening assembly is adjustable between a flexible state in which each laminar element of the plurality of laminar elements is movable and a stiffened state in which an applied vacuum clamps the plurality of laminar elements between the outer and inner tubes such that a transfer of forces between the plurality of laminar elements stiffens the stiffening assembly. At least one laminar element of the plurality of laminar elements has a different thickness than at least another laminar element of the plurality of laminar elements.

A robotic system comprises an instrument including proximal distal sections. The distal section comprises a steerable segment and a distal tip. The instrument also includes a main lumen and a pull wire. The system also comprises a sensor to detect a position of the distal tip of the instrument and a computing device that causes the system to record a position of a working configuration of the distal tip, determine, based on a sensor signal, a movement of the distal tip in response to insertion of a probe into the main lumen, and generate a control signal based on the determined movement. The system also comprises a drive interface connected to the pull wire at the proximal section of the instrument. The drive interface adjusts a tensioning of the pull wire based on the control signal to return the distal tip towards the working configuration recorded before the movement occurred.