A laser lithotripsy system to deliver laser energy from one or more laser sources to a stone (e.g., mobile calculus), the system including a capture portion, a first laser node and a second laser node. The capture portion configured to be movable from a stored state to a deployed state. In the deployed state, the capture portion is configured to at least partially surround the stone. The first laser node and the second laser node are coupled to the capture portion and are configured to deliver the laser energy to the stone, and the first laser node is spaced apart from the second laser node.

The limiting device includes a clamping portion and a movable portion; the clamping portion and the movable portion are both annular structures, two ends of the clamping portion and the movable portion are respectively connected to form a connected double-ring structure, and the ring diameter of the movable portion is larger than that of the clamping portion. The limiting device is disposed on a core rod, the clamping portion and the core rod are in interference fit, and the movable portion and the core rod are in clearance fit. When the movable portion cooperates with the core rod, the limiting device may slide relative to the core rod; when the clamping portion cooperates with the core rod, the limiting device and the core rod are in a fixed state, and the limiting device cannot slide relative to the core rod, thus achieving the purpose of limiting.

In one example, a medical device may include a handle including a proximal portion and a distal portion, and the proximal portion may pivot relative to the distal portion. The medical device may also include an insertion portion coupled to the distal portion of the handle and configured to be positioned within a body lumen; and an articulation wire extending from the handle through the insertion portion. Pivoting of the proximal portion of the handle relative to the distal portion of the handle may move the articulation wire relative to the insertion portion to bend a distal portion of the insertion portion.

A lithotripsy apparatus includes: a treatment laser beam source that emits a treatment laser beam that crushes a stone; a guide light source that emits guide light; a photodetector that detects return light that returns as a result of the emitted guide light being reflected at the stone; and a processor including hardware, the processor being configured to: measure a distance from the treatment laser beam source to the stone on the basis of the return light; determine a condition of a bubble occurring between the treatment laser beam source and the stone on the basis of the measured distance; and adjust a light quantity of the treatment laser beam on the basis of the determined condition of the bubble.

An access device used with an endoscope includes an access pipe configured to be inserted into a sheath of the endoscope, a piercer disposed on a distal end portion of the access pipe and configured to pierce into a hollow organ through a digestive tract of a patient, and a treatment tool configured to be inserted into the access pipe and to be introduced into the hollow organ by the piercer. The access device is switchable between a first configuration and a second configuration. In the first configuration, a piercing function of the piercer is switched on, so that the piercer pierces the digestive tract and the hollow organ to enter into an interior of the hollow organ, and in the second configuration, the piercing function of the piercer is switched off, the piercer is kept connected to the interior of the hollow organ.

A system for spectroscopic signal detection can comprise a spectrometer, a light source emitter configurable to emit a first signal toward a target, and an aiming light source emitter configurable to emit a second signal having a visible spectrum toward the target. The system can include a first optical component such as a filter for attenuating or removing noise associated with the second signal from a third signal from the target back to the spectrometer.

A system includes a surgical instrument configured to perform a laparoscopic surgical operation, a location sensor configured to identify a spatial relationship between an anatomical structure and the surgical instrument, and a processor configured to receive a graphical representation of a patient, determine proximity of the distal end portion of the surgical instrument with the anatomical structure of the patient based on the spatial relationship, and generate a warning based on the determination of proximity.

A medical system for ablating tissue within a gallbladder having a gallbladder wall includes a medical device. The medical device includes a shaft having a proximal portion and a distal portion opposite the proximal portion, and an inflatable treatment element coupled to the distal portion of the shaft and transitionable between a first deflated free-form configuration and a second inflated coiled configuration.

A bipolar ablation device for treatment of a stenosis within an implanted metallic stent may include an elongate shaft slidably disposable within an endoscope, the elongate shaft including at least one electrode configured to form a first pole of the bipolar ablation device, and an electrode lead slidably disposable within the endoscope. The electrode lead may be configured to electrically engage the implanted metallic stent to form a second pole of the bipolar ablation device. The elongate shaft may be positionable within a lumen of the implanted metallic stent.

A gallbladder cryoablation device can include an elongated body and a compliant thermal conductive wire. The elongated body includes a sharp distal end for insertion into a gallbladder, a liquid duct configured to insert a cryoablation fluid into the gallbladder, and an air duct configured to evacuate any gas displaced by the cryoablation fluid. The compliant thermal conductive wire is configured to expand from the elongated body and contact an inner wall of the gallbladder. A method of using the gallbladder cryoablation device includes inserting the elongated body, via the sharp distal end of the elongated body, into the gallbladder; positioning the compliant thermal conductive wire into the gallbladder until a sufficient portion of the compliant thermal conductive wire contacts the inner wall of the gallbladder; directing the cryoablation fluid into the cryoablation device; and cooling the compliant thermal conductive wire to a freezing temperature.