The present invention is directed at minimally invasive systems in which the proximal end portion of the working channel has either zero or a limited range of movement in the lateral direction. A first embodiment has a slidable collar attached to a pair of flanges, wherein movement of the collar is bounded by an annular frame. A second embodiment has a substantially spherical element attached to the tube. A third embodiment has a plurality of caps. A fourth embodiment is adapted for a larger working channel.

Provided are a flexible tube for an endoscope, the flexible tube having good elasticity, good flexibility, and sufficient chemical resistance, an endoscopic medical device including the flexible tube for an endoscope, a method for producing the flexible tube for an endoscope, and a method for producing the endoscopic medical device. The flexible tube for an endoscope has a flexible-tube base that is tubular and that has flexibility and a polymer cover layer covering the flexible-tube base. The flexible-tube base has a spiral tube made of a metal strip and a tubular mesh member covering the spiral tube and made of braided metal wires, the tubular mesh member has a porosity of 2% to 10%, and the flexible tube has, between the flexible-tube base and the polymer cover layer, a primer layer including a silane coupling agent.

In an endoscope, a flexible device of an elongated tube has a variable stiffness device. The variable stiffness device includes a movable control wire and a coil spring, to which compression force is applied to change stiffness. There occur changes in stiffness of the flexible device in plural radial directions of the coil spring at an equal point in an axial direction. The variable stiffness device is so constructed that a difference between maximum and minimum levels of stiffness of the variable stiffness device is set at most 0.2 time as much as stiffness of the flexible device with internal structures other than the variable stiffness device. Thus, unexpected grip feeling in manipulation of an operator at the time of advance can be removed in relation to undulating motion of the coil spring.

The following describes various applications and uses for a controllably rigidizable flexible device or sheath. Such rigidizing mechanisms can allow for a transition between a rigid state and a flexible state of a sheath. Rigidization can be applied along an entire length of a flexible sheath or along select portions of the sheath, and the rigidization can be of varying stiffness. Rigidization can be user controlled or automatically controlled using computer processes.

The present invention discloses access devices and methods to create an access channel for introduction of one or more working devices into an anatomical region. The access channel is created using a visualization modality that is later removed before inserting one or more working devices through the access channel. This allows the methods and devices of the present invention to be used even in small sized natural or surgically created insertion tracts leading to the anatomical region. The access channel can be made of a device such as a sheath, a guidewire, and an elongate device comprising a lumen. Examples of visualization modalities are endoscopes and body insertable ultrasound imaging devices. The working devices can be used to perform a variety of diagnostic, therapeutic, or preventive procedures. Endometrial ablation devices and procedures have been used as an example to describe various aspects of the present invention.

The present invention relates to a controlling apparatus for bending the tube of an endoscope, in which the tube of the endoscope is consisted of different rigid and soft parts. The tail portion of the tube is provided at least with a soft foldable ring and other rigid portion becomes a support base. A slot is formed in the tube for receiving a controlling slice, which has an elastic end being bent in tenseness and the other end extending into a handle to engage with a teeth piece. A gear set provided within the handle engages with the teeth piece. By turning the gear set, it can move the teeth piece as well as the controlling slice toward the tail portion of the tube to control the tail portion being bent under simple operation. When the controlling slice moves towards the handle and is apart from the soft foldable ring of the tube, the tail portion will be recovered flatly because of being lack of elastic force. It therefore obtains improvement and utility that the present invention is capable of bending the tail portion of the tube easily.

An imaging device for imaging a portion of a patient's vasculature with an imaging element may include a proximal portion having a relatively higher stiffness that provides rigidity for pushing the imaging device through a patient's vasculature, and may include a distal portion having a relatively lower stiffness that enables threading through a curved vasculature of the patient. The imaging device also may include a transition region disposed between the proximal portion and the distal portion.

A multi-conductor cable for use in a catheter is described. The conductor-cable is isotropically flexible to allow catheter steering, but is also longitudinally stiff enough to push and pull the entire cable through the catheter lumen. In one implementation, the multi-conductor cable is bundled for most of its length, to provide longitudinal stiffness and support pushing and pulling the cable through a catheter lumen. However, in one such implementation, the portion of the cable within a steerable section of the catheter is unbundled and divided into individual conductors or groups that are flexible enough that they do not bias or otherwise interfere with the steering of the catheter. In one such approach, a spring wire or other stiffening element is added to the cable at that location to preserve or enhance longitudinal stiffness (tension and compression) of the cable through the unbundled flexible section.

An articulating stylet usable with a tracheal intubation system is disclosed. Methods for using the articulating stylet and systems that incorporate the articulating stylet are also disclosed. In some examples, a stylet adapted for mounting an endotracheal tube comprises a shaft and a control wire. The shaft comprises a distal shaft portion, a proximal shaft portion, and an expanding connection joining the distal shaft portion to the proximal shaft portion. The proximal shaft portion has a body portion and a tip portion. The tip portion includes a tip and has greater flexibility than the body portion. The control wire is at least partially disposed within both the distal shaft portion and the proximal shaft portion and is configured to cause the tip portion of the proximal shaft portion to deform.

An insertion device includes a thin and elongated insertion section, a rotating body which is rotated to advance or retreat the insertion section, a driving force supply source which supplies a driving force to the rotating body, a variable stiffness section provided for the insertion section and permitting stiffness of the insertion section to be varied, a stiffness detector which detects the stiffness of the insertion section varied by the variable stiffness section, and a controller which controls the driving force supply source in accordance with the stiffness of the insertion section detected by the stiffness detector.