[Problem] To provide a guidewire that has good operability and that can perform procedures efficiently. [Solution to Problem] A guidewire is for guiding insertion of a medical appliance into a subject. The guidewire includes an inserting portion and an observation optical system. The inserting portion has a first part and a second part that has higher flexibility than the first part, and the inserting portion is to be inserted into the subject. The observation optical system is provided to the inserting portion, and the observation optical system is provided for observing inside the subject.

A flexible endoscope insertion method includes: rotating a hollow organ by changing the body position to semilateral position or lateral position for observing the lateral wall of the lumen; turning the tip of the flexible endoscope to the lateral wall of the lumen by rotating the endoscope in the counter direction of the lumen; and retracting the organ with the endoscope itself by rotating the endoscope in the counter direction of the lumen. In other embodiments, the method includes: rotating a body cavity by changing the body position to the appropriate position for observing the lateral side of the organ; turning the tip of the flexible endoscope to the lateral side of the organ by rotating the endoscope in the direction of the lateral side of the organ; and retracting the organ with the endoscope itself by rotating the endoscope in the direction of the lateral side of the organ.

An apparatus comprises an instrument including an elongated shaft. The apparatus also comprises a first shape sensor including an elongated optical fiber extending within the elongated shaft at a first radial distance from the neutral axis. The apparatus also comprises a twist resistant feature configured to reduce twisting of the elongated optical fiber relative to the elongated shaft while permitting axial translation of the elongated optical fiber within the elongated shaft.

A catheter assembly including a tapered steering spine having a varying stiffness along an axial length. The tapered steering spine is tailored to provide increasing flexibility from proximal to distal in a way that makes the bend radius more uniform along the length of the steering section. In one embodiment, the tapered steering spine includes structures on adjacent rings that engage with each other when the steering section is flexed to limit the minimum bend radius to a predetermined minimum and which enhances the torsional rigidity of the steering section regardless of the degree of flexure of the steering section. The limited bend radius can prevent excessive bending of components such as fiber optics. The enhanced torsional rigidity can negate the need for torque braid in the section of the catheter shaft that surrounds the tapered steering spine.

A variable-stiffness actuator system includes a shape-memory member in which a stiffness increases by being heated and decreases by radiating heat, a heating member configured to generate heat, a channel arranged along the longitudinal axis of the shape-memory member, a transfer section configured to selectively supply and stop first and second heat transmission fluids into the channel, and a controller configured to control the transfer section. The controller causes the transfer section to supply the first heat transmission fluid and then supply the second heat transmission fluid into the channel, and further to stop the supply of the second heat transmission fluid so that retention of the first and second heat transmission fluids simultaneously occurs in the channel.

A system comprises a flexible instrument, a first user input device spaced from the flexible instrument, and a second user input device including a first state and a second state. The system further comprises a control system configured to, based on an input received from the first user input device, control an orientation of the flexible instrument. The control system is further configured to, based on an input received from the second user input device, adjust a stiffness of the flexible instrument. The stiffness of the flexible instrument is lower when the second user input device is in the first state than when the second user input device is in the second state.

In a rigid distal end portion of an ultrasonic endoscope, a side-viewing optical observation portion and a wave transmission/reception face of an ultrasonic probe are provided on respective sides, in the width direction, of a boundary side wall of a pair of side walls constituting a laterally open recess. The wave transmission/reception face is arranged in a range in which at least a part of the wave transmission/reception face overlaps the boundary side wall, while being offset from an elevator in the longitudinal direction of an insertion portion. When the rigid distal end portion is viewed in an observation direction of the optical observation portion, a top portion of the elevator is located on a line connecting a center of the outer shape of the wave transmission/reception face of the ultrasonic probe, and a center, in the width direction, of the distal end connecting portion of a treatment tool conduit.

The present invention is an access sheath comprising a tube or sheath with a passageway primarily for endoscopic procedures accessing the ureter through the bladder. The sheath has a bend limiting feature to limit the bend angle or bend radius. The sheath exhibits flexibility up to this limit at which point it becomes rigid. Excessive force is required to bend the sheath beyond the bend limit and would result in the kinking of the tubular frame.

A medical system including a flexible instrument such as a lung catheter or bronchoscope provides a control mode in which direct manual control of insertion can be used with computer-assisted control of instrument characteristics such as the orientation or rigidity of a portion of the instrument. To facilitate manual insertion control, a mechanism can provide low inertia and friction for movement along an insertion axis. One implementation employs a manual grip of the instrument for control of insertion pressure, a joystick or other input device for computer-assisted steering, and a foot pedal for control of stiffness or compliance in the instrument. Another implementation employs a joystick for computer-assisted steering and for control of stiffness or compliance in the instrument.

A guidewire with a cross section of at least a part of its length, comprising a filling material (PLM), a lumen (LM) arranged inside the filling material (PLM) for accommodating an optical fiber (OF) with optical shape sensing properties. One or more stiffening elements (RD) are arranged inside the first material (PLM), wherein the stiffening element(s) (RD) is formed by a material having a higher axial stiffness than the filling material. A braiding structure (BR) encircles all of: the filling material (PLM), the lumen (LM), and the stiffening element(s) (RD). Such guidewire can be designed with a circular symmetric bending behavior, and is thus suitable as an interventional medical device, e.g. for endovascular procedures, and still it can provide optical shape sensing properties.