An access device for accessing an intervertebral disc having an outer shield comprising an access shield with a larger diameter (˜16-30 mm) that reaches from the skin down to the facet line, with an inner shield having a second smaller diameter (˜5-12 mm) extending past the access shield and reaches down to the disc level. This combines the benefits of the direct visual microsurgical/mini open approaches and the percutaneous, “ultra-MIS” techniques.

An object of the present invention to provide an adhesive for an endoscope and a cured product of the adhesive, and an endoscope and a method for producing the endoscope. The adhesive is able to maintain sufficient adhesive strength even when exposed to high temperature for a long time in a state of being used for fixation of a member or subjected to powerful sterilization treatment with ozone water or the like and is suitable for use in fixing a member constituting the endoscope. The adhesive for an endoscope includes an epoxy resin, an epoxy resin curing component, and a radical scavenger.

An endoscope sheath is provided comprising a sheath tube extending along a longitudinal axis between a proximal end and a distal end, the sheath tube is configured to receive at least a portion of an endoscope; a hub connected to the proximal end of the sheath tube; and a hub adapter engaging the hub and configured to engage the endoscope, wherein the sheath tube can rotate about the longitudinal axis without rotation of the hub adapter, and wherein the sheath tube is restricted from moving axially along the longitudinal axis relative to the hub adapter.

An extension cable is adapted for use in an intravascular ultrasound system. It has a first connector, for connecting to a catheter and a second connector for connecting to a patient interface module. A cable arrangement provides power transmission, data transmission and data signal processing (amplification or regeneration) between the first and second connectors. The extension cable enables sterility to be maintained in a workflow in a time efficient and easy manner as the catheter to extension cable connection may remain in a sterile environment.

An imaging system for use in a patient is provided. The system includes an imaging probe, a rotation assembly, and a retraction assembly. The imaging probe collects image data from a patient site and includes an elongate shaft with a proximal end and a distal portion, with a lumen extending therebetween. A rotatable optical core is positioned within the elongate shaft lumen and an optical assembly is positioned in the elongate shaft distal portion. The optical assembly directs light to tissue at the patient site and collects reflected light from the tissue. The rotation assembly connects to the imaging probe and rotates the optical assembly. The retraction assembly connects to the imaging probe and retracts the optical assembly and the elongate shaft in unison.

Endoscopes having a tip section with viewing elements coupled to a CMOS image sensor and/or a CCD image sensor for transforming light captured by the viewing element into digital and/or analog signals are described. A main connector is coupled with the tip section for transmitting the signals to a main control unit of the endoscope. The main connector includes a pad for transmitting digital signals provided by the CMOS image sensor to a push pin probe in a receptacle of the main control unit. The main connector also include another interface for transmitting analog signals to the main control unit.

An apparatus for performing surgical procedures is disclosed including a flexible entry guide tube and a first steering device. The guide tube has one or more lumens extending along its length from a proximal end to substantially at or near a distal end. At least one of the one or more lumens is an instrument lumen with open ends to receive a flexible shaft of a surgical tool. The first steering device is insertable into the instrument lumen to shape the guide tube as it is inserted through an opening in a body and along a path towards a surgical site. The apparatus may further include a flexible locking device to couple to the flexible entry guide tube and selectively rigidize the guide tube to hold its shape. The guide tube may be steered by remote control with one or more actuators.

The present disclosure provides systems and methods for medical imaging. The system may comprise an optical adapter. The optical adapter may comprise a housing that comprises (1) a first end configured to releasably couple to a scope and (2) a second end configured to releasably couple to a camera. The optical adapter may comprise an image sensor coupled to the housing. The optical adapter may comprise an optics assembly disposed in the housing. The optics assembly may be configured to (1) receive light signals that are reflected from a target site within a subject's body and transmitted through the scope, and (2) reflect a first portion of the light signals onto the image sensor while permitting a second portion of the light signals to pass through to the camera.

The various inventions relate to robotic surgical devices, consoles for operating such surgical devices, operating theaters in which the various devices can be used, insertion systems for inserting and using the surgical devices, and related methods.

An ergonomic attachment system for connecting an irrigation tube or an aspiration tube to a surgical handpiece that reduces surgeon wrist fatigue due to tubing twist. The tube is connected to the handpiece through a swivel joint which allows the tube to rotate circumferentially with respect to the handpiece and self-adjust to a neutral position to relieve the twist.