A medical device comprising an endoscope accessory for attachment to the working end of an endoscope. The coupler device provides a flexible working channel extension from the endoscope so that instruments can exit the endoscope at various angles. The device also provides a protective cover to reduce the ingress of debris, fluid, bacteria, or other unwanted matter from the working end of the endoscope which could lead to infection.

A tissue manipulation system comprises a reconfigurable hood structure. The hood structure is asymmetric and has a low profile delivery configuration and an expanded deployed configuration which defines an open area bounded at least in part by the hood structure and by an interface surface extending across the hood structure distal end and configured to engage against a tissue region. The open area is in fluid communication with an environment external to the hood structure. The system also includes a catheter in communication with the open area such that introduction of a fluid through the catheter purges the open area of bodily fluid. The interface surface is slanted relative to the catheter longitudinal axis when the hood structure is fully expanded in the expanded deployed configuration. The system also includes an imaging element positioned on the hood structure such that the open area is visualized through the fluid.

A distal end cover of an endoscope includes a peripheral edge portion configured to form an opening that externally exposes a space in which a raising base is housed, in a distal end member; a planned-to-be-torn-apart section including a tear starting point disposed on the peripheral edge portion, and a thin portion that is connected to a to-be-torn-apart section of the peripheral edge portion torn from the tear starting point, on an inside surface of a surface facing the opening or an inside surface of at least one side surface that connects the peripheral edge portion and the surface facing the opening; and an engagement portion configured to be engaged with an outside surface of the distal end member by engaging in a direction intersecting the outside surface.

A distal cap apparatus for use with an endoscope, having a proximal end and a distal end and a longitudinal axis extending therebetween, includes a mount configured for mounting to the distal end of the endoscope, and a strap connected to the mount and configured for banding about the distal end of the endoscope when the distal end of the endoscope is received in the mount. The mount defines a strap slot configured to receive an end of the strap to configure the strap in the banded configuration. The strap may be elastic. The strap may be a continuous band. In one embodiment, a distal cap apparatus includes a mount having a strap and a buckle for adjusting a size of a loop formed at least partially by the strap about the distal end of the endoscope.

An endoscopic system includes a left optical system having a first focal position, a right optical system having a second focal position that is different from the first focal position. An image capturing device generates a first image and a second image respectively from images of a subject that are obtained by the left optical system and the right optical system. A display device displays the first image or the second image. A proper image determiner determines the magnitude relationship between the position of the subject in a predetermined area displayed on the display device and at least one threshold value Th is established between the first focal position and the second focal position. A video signal processor switches to the first image or the second image depending on a determined result from the proper image determiner and displays the image on the display device.

An instrument port for introducing an instrument into a surgical site includes a port body, a bulb disposed on the distal end of the port body, and a channel extending from a proximal end to a distal end of the instrument port. The channel includes an instrument channel defined in the port body and a bulb channel defined in the bulb. An imaging system is disposed at or near the distal end of the instrument port. The imaging system is fluidically isolated from the surgical site.

A loading unit including a shipping assembly is provided. The shipping assembly is operably received adjacent the cartridge assembly to retain staples with the cartridge assembly. The shipping assembly includes a shipping member selectively secured to loading unit and a locking member slidably disposed within the shipping member. The locking member is movable between a proximal position wherein the shipping member is secured to the housing and a distal position wherein the shipping member is removable from the housing.

Surgical visualization systems and related methods are disclosed herein, e.g., for providing visualization during surgical procedures. Systems and methods herein can be used in a wide range of surgical procedures, including spinal surgeries such as minimally-invasive fusion or discectomy procedures. Systems and methods herein can include various features for enhancing end user experience, improving clinical outcomes, or reducing the invasiveness of a surgery. Exemplary features can include access port integration, hands-free operation, active and/or passive lens cleaning, adjustable camera depth, and many others.

Components for an endoscopic vessel harvesting system suitable for harvesting target vessels such as the saphenous vein or radial artery for cardiac artery bypass graft surgery. The main components of such systems include a vessel dissector and a vessel harvester, both of which work in conjunction with a separately provided endoscope. The vessel dissector is an elongated cannula having a blunt tip for separating layers of facial around vessels. The tip may be movable, and is typically transparent to permit viewing forward of the tip using the endoscope. Internal features of the tip may reduce glare back to the endoscope. Several devices improve visibility through the tip by reducing interference from tissue or fluid on the tip. The vessel harvester also has an elongated cannula for receiving the endoscope. Several tools within the harvester permit manipulation, severing, and sealing of vessels forward of the distal end. The tool for manipulating vessels may have a low-profile for increased visibility of operation, and may be coupled to the cannula with a damping mechanism to reduce the possibility of avulsion of the vessels. Various vessel cutting and sealing devices are provided that may accommodate various sizes of vessels and improve cutting and sealing efficacy.

The present specification describes a circuit board design that uses circuit boards for illuminator sets associated with the various optical assemblies. In one configuration, front and side illuminators are assembled on front and side illuminator circuit boards. Leaf connectors associated with each illuminator are provided to interface with a common base board.