A system includes an endoscope configured for insertion into an internal body cavity and a fluid management system. The fluid management system includes a pump configured to pump fluid through the endoscope into the internal body cavity and a controller configured to determine a pressure within the internal body cavity based upon a current feedback signal received from the pump. A method includes supplying a drive signal to a pump to pump fluid into an internal body cavity, receiving a current feedback signal from the pump, and determining a pressure within the internal body cavity based on the current feedback signal.

A clipping system includes a clip having a pair of clip arms, proximal ends of the clip arms slidably received within a channel of a capsule to be moved between an open configuration and a closed configuration. A proximal end of the capsule including connecting tabs extending proximally therefrom. An applicator includes an elongated flexible member and a control member extending therethrough. The control member includes a distal end connected to the clip arms to move the clip assembly between the open and closed configurations. A distal end of the elongated flexible member includes a bushing including a first ramped surface, along which the connecting tabs slide along to engage a corresponding engaging feature of the bushing, and a second ramped surface proximal of the first ramped surface, the connecting tabs slidable along the second ramped surface to plastically deform toward a deployed configuration.

An endoscope device including an endoscope body, a suture device, and a needle. The endoscope body has a proximal portion and a distal portion opposite each other and includes a working channel. The suture device includes a first arm and a second arm opposite each other. The working channel connects the proximal portion and the distal portion. The first arm and the second arm extend toward a distal direction. At least one of the first arm and the second arm are pivotally connected to the distal portion and can be opened or closed with respect to the other. The operation method thereof is also provided.

A device for treating tissue includes a clip including clip arms and a coupler. Each of the clip arms extends from a proximal end to a distal end. Proximal ends of the clip arms are slidably received within a channel of a capsule. A proximal end of the capsule includes openings extending through a wall. The coupler is mounted over the proximal end of the capsule via deployment arms including engaging features extending laterally inward from an interior surface thereof to engage the openings of the capsule. The coupler includes retention arms configured to engage a corresponding portion of an applicator. When a pre-determined compressive force is applied to the coupler, the deployment arms are proximally slidable along the corresponding portion of the applicator to deflect the deployment arms out of engagement with the capsule so that the coupler is separable from the capsule.

A medical device includes a handle including a first slot, a first control device movable within the first slot in a proximal direction and a distal direction, and a sheath extending from the handle and having a longitudinal axis, the sheath defining a first lumen extending from the handle to a distal end of the sheath. A first tube extends within the first lumen, the first tube is connected to the first control device and moves between a first position, where a distalmost end of the first tube is flush with or proximal of a distalmost end of the sheath, and a second position, where the distalmost end of the first tube is positioned distal of the distalmost end of the sheath. The first slot extends parallel to the longitudinal direction of the sheath.

A medical manipulator includes a flexible shaft, a distal-end portion, an operating unit with which the distal-end portion is operated, a wire transmitting a motive force of the unit to the distal-end portion, a coil formed from a material having a greater rigidity than the shaft and one end thereof being secured to the distal-end portion and the other end thereof being secured to the unit, and a tube having a greater bending rigidity than the coil. The unit includes a socket connected to the shaft, a ball relatively rotatable to the socket, and a handle with which the wire is pushed/pulled in the longitudinal direction, the coil is disposed at a position at which the coil covers an area surrounding the wire, and the tube is disposed at a position at which the tube covers an area surrounding the coil in spaces in the socket and the ball.

An endoscope treatment instrument having a sheath, a rotation axis extending in a width direction orthogonal to a longitudinal direction of the sheath, a plate formed with a first opening through which the rotation axis passes and a second opening having a width different from the width of the first opening, a forceps piece rotatably supported about the first opening and the rotation axis passing through the second opening, and a wire connected to a proximal end portion of the plate.

The present disclosure provides a multiple-processing device for an endoscope. The multi-processing device may comprise a plurality of processing units, a conveying component, and an operation component. The processing units may include a capsule body and clamping arms. A proximal end of the capsule body may be provided with a first limit part that may be available for deformation or failure under an external force. The distal end of a conveying pipe of the conveying component and/or the proximal end of the capsule body may be provided with a second limit part configured to expand and contract along a radial direction of the conveying pipe. The multiple-processing device not only enhances the combination between the capsule body and the conveying pip, so as to control the opening and closing of the clamping arms, but also prevents the processing units from interfering or jamming the inner wall of the conveying pipe due to the expanded first limit part, which can ensure the smooth movement of the processing units in the conveying pipe, so that the processing units can be effectively repeatedly opened and closed before being released. The present disclosure also provides a use method of a multi-multi-processing device for an endoscope.

The present subject matter provides a system for allowing controlled access of a tool to all sides of an elevated tissue in body of a patient, the system including: a rail configured to surround the elevated tissue; and at least one vehicle configured to move along the rail and carry at least one tool configured to manipulate the elevated tissue. Also provided is a method for cutting an elevated tissue in a body of a patient, the method including: inserting a rail to a vicinity of the elevated tissue; surrounding the elevated tissue with the rail; placing a vehicle on the rail; connecting a cutting device to the vehicle; and moving the vehicle along the rail while cutting the elevated tissue with the cutting device. Additional embodiments of the system and method are disclosed herein.

An endoscopic clip device for closure of a mucosal defect or transmural perforation in a gastrointestinal wall may include a sleeve and a clip disposed at least partially within and coupled to the sleeve. The clip may be configured for reversibly moving between an open configuration for positioning relative to the wall and a closed configuration for closing the defect or perforation. The clip may include a first clip arm configured for engaging the mucosal and submucosal layers of the wall and including a first needle extending to a distal end of the first clip arm and configured for advancing through the mucosal layer and into at least the submucosal layer, and a second clip arm disposed opposite the first clip arm and configured for engaging the mucosal layer. The device may be configured for advancing through an operative channel of an endoscope or overtube having a tortuous shape.