An articulated tip part for an endoscope, and an endoscope, including segments including a distal end segment having an outer wall defining an inner spacing adapted to accommodate a camera assembly therein and a proximal wall having a proximal surface, the distal end segment having an outer surface, wherein adjacent of the segments are interconnected by at least one hinge member to enable bending of the articulated tip part; and an insertion guide adapted to guide a steering wire and including an entry provided in the outer surface of the distal end segment, the insertion guide also including an exit fluidly coupled with and leading to the inner spacing of the distal end segment, whereby an end of a steering wire can be guided into the inner spacing of the distal end segment via the entry of the insertion guide.

A falloposcope is described, and a method of screening a patient for fallopian tube and/or ovarian cancer with the falloposcope. The falloposcope can perform optical imaging, including fluorescence imaging and/or optical coherence tomography (OCT), and optionally include a channel for a sampling wire, within a diameter of about 0.7 millimeter. The method includes inserting the falloposcope through a lumen of vagina, cervix, uterus, and fallopian tube so a tip of the falloposcope is in proximity to a first fallopian tube or ovary of the patient; providing fluorescence stimulus wavelength through an illumination fiber of the falloposcope while imaging light at fluorescence emission wavelength through a coherent fiber bundle to form fluorescence emissions images; and determining suspect tissue. Then the sampling wire is used to collect cells from the suspect tissue for karyotype and other analysis.

A medical system according to the present invention comprises: a medical device comprising an insertion part comprising an angulating part, and angulation wires attached to the angulating part; and an actuator, detachably connected to the medical device, that electrically actuates the angulation wires to angulate the angulating part. The angulation wires comprise a first angulation wire and a second angulation wire. When the medical device is not attached to the actuator, the first angulation wire and the second angulation wire are in a mechanically connected looped state. When the medical device is connected to the actuator, the first angulation wire and the second angulation wire are in a second state in which the two are independently electrically actuated.

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.

Insertion device according to an aspect of the present disclosure includes: an insertion device, comprising an insertion portion configured to be inserted into a subject. At least one traction member configured to pull a distal end side portion of the insertion portion. An operation portion provided on a proximal end side of the insertion portion. At least one sheath member inserted through the insertion portion, wherein the at least one traction member is inserted through an inner channel in the at least one sheath member. A rotating member to which one end of the at least one traction member is connected, the rotating member configured to rotate, with an external operation force, around a first axis of a first shaft member provided in the operation portion. At least one guide member disposed in the operation portion, wherein at least a portion of the at least one guide member is located on a first shaft member side with respect to a tangential line of an outer circumference of the rotating member, the tangential line passing through a point on an end of the at least one sheath member that is located within the operation portion. Wherein the at least one guide member is configured to guide the at least one traction member such that at least a portion of a path of the at least one traction member passes on the first shaft member side of the tangential line.

A bending operation mechanism for an endoscope, which is a pulley unit, includes: an up-down bending pulley which is a rotation body; an angle wire which is a bending-portion pulling member having a distal end side connected to a bending portion and a proximal end side that is pulled by the up-down bending pulley; and a spiral spring which is a slack absorption member having a first end connected to the an proximal end of the angle wire and a second end side connected to the up-down bending pulley and configured to pull the angle wire in the direction toward the up-down bending pulley.

A wire-driven manipulator includes a first member and a second member into both of which a flexible member is inserted, the second member being disposed more on a base end side than the first member, wherein the first and the second members are bent by a drive of the flexible member, wherein the first member includes a bonding portion mechanically bonded with the member, wherein the second member is independent of the first member and the member, and wherein a variation of an average curvature of the first member caused by a drive of the members is larger than a variation of an average curvature of the second member.

Several embodiments of the present invention are generally directed to medical visualization systems that comprise combinations of disposable and resuable components, such as catheters, functional handles, hubs, optical devices, etc. Other embodiments of the present invention are generally directed to features and aspects of an in-vivo visualization system that comprises an endoscope having a working channel through which a catheter having viewing capabilities is routed. the catheter may obtain viewing capabilities by being constructed as a vision catheter or by having a fiberscope or other viewing device selectively routed through one of its channels. The catheter is preferably of the steerable type so that the distal end of the catheter may be steered from its proximal end as it is advanced with the body. A suitable use for the in-vivo visualization system includes but is not limited to diagnosis and/or treatment of the duodenum, and particularly the biliary tree.

Disclosed herein is a medical device including a dynamic seal and a movable member. The device allows the movable member to translate proximally and distally through the dynamic seal while fluid does not flow proximally to the dynamic seal member.