A medical instrument having integrated arms extending from a proximal end to a distal end, and a handpiece with actuators to control movement of the arms. The instrument includes an insertion tube having arm channel(s) for receiving an arm therethrough. Each arm includes an engagement member at the distal end of resilient material with a natural non-linear configuration when deployed but deforming when retracted into the arm channel when retracted. Arm channels may be located at different radial distances from one another in the insertion tube so the engagement members may be at radial angles relative to one another when deployed. Arms and engagement members are movable between at least a first position and second position relative to one another by rotation and/or translational motion of the corresponding actuator, to contact tissue or deflect a tool extended through the working channel of the endoscope.

A method cinches a suture. The method provides a cinch having a suture capturing portion configured to capture a suture, a cinch lock coupled with the suture capturing portion, and a cinch anchor having a lumen. The suture capturing portion is extended out of the lumen to capture the suture. The suture is captured by the suture capturing portion. The suture capturing portion is retracted into the lumen of the cinch anchor. The suture is cinched between the cinch lock and the cinch anchor.

An endoscope comprises: an insertion portion comprising a distal end portion, the distal end portion including a distal end surface; a flow passage formed in the insertion portion, the flow passage including a fluid ejection port formed in the distal end surface and the flow passage configured to supply a fluid via the fluid ejection port to an environment outside of the insertion portion; and a suction passage formed in the insertion portion, the suction passage including a suction port formed in the distal end surface. The distal end surface includes a deflection surface formed integrally with the distal end portion. The deflection surface covers a part of the fluid ejection port. The deflection surface is positioned so that the fluid supplied via the fluid ejection port contacts the deflection surface and is deflected in a first direction. The first direction does not intersect the suction port.

An endoscope, comprising: an insertion portion insertable into an inside of a subject; an observation window provided in a distal end portion of the insertion portion; a liquid feeding channel extending through the distal end portion of the insertion portion; and at least one liquid feeding port. In operation, liquid exits the at least one liquid feeding port, and liquid exiting the at least one liquid feeding port is directed in a first direction away from the observation window and toward the inside of the subject.

An integrated scope and biopsy device having visualization for use in many different medical applications, such as, but not limited to, collection of uterine tissue biopsy is disclosed. The device may further include an integrated camera and light for visualizing the interior of the uterus and the tissue biopsy site itself. Further, the device is configured to evacuate tissue biopsies through aspiration and irrigation.

Provided are an endoscope capable of preventing a cleaning liquid from remaining on a surface of an observation optical system with a simpler configuration, and a method for manufacturing the endoscope. In the endoscope that includes a convex observation optical system provided at a distal end of an insertion portion and in which a cleaning liquid is ejected from an air and water supply nozzle, a distal end surface surrounding the observation optical system and having an uneven shape is provided.

According to one aspect, a medical device may be configured for use with an endoscope and may include a tool. The tool may include an actuator, at least one extension at a distal portion of the actuator, and a distal end. The at least one extension may extend radially outward from the actuator and may have an edge configured to fragment debris within a body. The medical device may also include a cap configured for coupling to a distal end of the endoscope, and the cap may include a body defining an opening and a cavity. The opening may be configured to align with optics of the endoscope, and the at least one extension may be positioned within the cavity of the body.

The invention relates to a video endoscope (10) with an endoscope (20) comprising endoscope optics (22) and a camera head (30) comprising camera electronics (35) and a display and control unit (36), wherein a vacuum pump (40) is arranged in the video endoscope (10) for aspiration of air from the environment of the video endoscope (10).

Further, the invention relates to an envelope (70) suitable to receive a video endoscope (10) comprising a hollow tube (71) having a distal end (71a) and a proximal end (71b), wherein the distal end (71a) is closed by means of an optically transparent window (72), wherein a flexible pouch (73) having an inlet opening (74) is arranged at the proximal end (71b), wherein the inlet opening (74) of the pouch (73) is implemented to be closable by means of a closure (75).

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.

A method for cleaning the lens of a visualization device integrated into a ventilation tube positioned inside a patient, wherein the tube comprises a ventilation lumen and the lens is positioned proximal to the distal end of the ventilation lumen, the method comprising providing a suction catheter comprising a brush at its distal end; positioning the catheter inside the ventilation lumen such that the brush protrudes from the distal end of the ventilation lumen; and manipulating the catheter at its proximal end to cause the brush to make contact with the lens in order to clean the lens.