An endoscopic instrument is disclosed that includes an elongate shaft and an instrument insert releasably connected to a distal end portion of the shaft, the distal end portion of the shaft being in the form of a sleeve and a proximal end region of a base of the instrument insert being in the form of a coupling shaft, or the distal end portion of the shaft being in the form of a coupling shaft and a proximal end region of a base of the instrument insert being in the form of a sleeve, with the coupling shaft being releasably held in the sleeve and the sleeve and/or the coupling shaft at least in portions having a cross-sectional profile which is reversibly changeable for detaching the coupling shaft from the sleeve. The invention also relates to a shaft for an endoscopic instrument, and to an instrument insert for an endoscopic instrument.

Provided are a distal end cap detachment jig and an endoscope capable of simply and easily detaching a distal end cap from a distal end portion body.

A distal end cap detachment jig that is used to detach, from a distal end portion body of an endoscope insertion part, a distal end cap which is attachable to and detachable from the distal end portion body and which is provided with a locking portion for mounting capable of being locked to the distal end portion body when the distal end cap is mounted on the distal end portion body, the distal end cap detachment jig including: a jig body having an accommodation space portion of which one end is provided with an opening portion; a locking release portion provided in the jig body; and a holding portion provided in the jig body, in which in a case where the distal end cap is accommodated in the accommodation space portion, the locking release portion is in a locking release state in which locking of the locking portion with respect to the distal end portion body is released and the holding portion is in a holding state in which the distal end cap is held by the holding portion, to make the distal end cap integral with the jig body so that the distal end cap is capable of being pulled out from the distal end portion body.

A laryngoscope system that consists of a blade assembly and a handle assembly. The blade assembly has a blade body with multiple handle attachment points. The handle can attach to any of the handle attachment points using a standard ISO 7376 connection. By attaching the handle to different handle attachment points the functional length of the laryngoscope blade can be adjusted. The handle that attaches to the blade body can contain an internal lighting unit. If so, the blade body contains optical elements at the handle attachment points that direct light from the handle to a forward facing output. If the handle does not hold a light, a lighting unit can be added to the blade body.

A ureteroscope system includes a handle; an elongated shaft extends from the handle to a distal end and includes a working channel which is opened at the distal end; an external member extends from a proximal end to a distal end and is coupled to the shaft, the member includes a hub and a tube defining a first external channel; and a coupling mechanism defines first and second tubes and is coupled the distal end of the member to the distal end of the shaft. The first tube defines a first lumen and the second tube defines a second lumen which is sized and shaped to receive a distal end of the member. A proximal portion of the first tube is sized and shaped to be inserted into a distal portion of the shaft such that the first lumen is opened to the working channel.

A ureteroscope system includes a handle; an elongated shaft extends from the handle to a distal end and includes a working channel which is opened at the distal end; an external member extends from a proximal end to a distal end and is coupled to the shaft, the member includes a hub and a tube defining a first external channel; and a coupling mechanism defines first and second tubes and is coupled the distal end of the member to the distal end of the shaft. The first tube defines a first lumen and the second tube defines a second lumen which is sized and shaped to receive a distal end of the member. A proximal portion of the first tube is sized and shaped to be inserted into a distal portion of the shaft such that the first lumen is opened to the working channel.

A system for treating tissue includes a cap mounted over a distal end of an endoscope, a clip mountable over the cap and including first and second jaws movably connected to one another between an insertion configuration, in which the first and second jaws extend over the cap to receive a target tissue therebetween, a review configuration, in which at least a portion of the clip extends into a field of view of the optical system of an endoscope, and a deployed configuration in which the clip is moved distally off of the cap so that the first and second jaws are drawn toward one another. A control element is configured so that movement proximally through the cap via a first distance moves the clip from the insertion configuration to the review configuration and a second distance moves the clip from the review configuration to the deployed configuration.

According to one aspect, a method for removing material from a body lumen is disclosed. The method may include positioning a first medical device within the body lumen; and expanding an expandable member at a distal portion of the first medical device from a retracted state to an expanded state. The expandable member may abut the body lumen in the expanded state. The method may further include providing fluid to a fluid lumen of the first medical device, wherein the fluid is deployed into the body lumen; applying an ultrasound signal to the first medical device from a second medical device; and moving the first medical device distally through the body lumen while the expandable member is in an expanded state, to remove material from the body lumen.

A removal tool for removing a hood having a hollow cylindrical shape mounted to a distal tip of an endoscope from the distal tip is constituted from a flexible member including a hole-shaped recess capable of housing the hood in its inside. An outer surface of the hood is provided with a step portion that extends along a circumferential direction of the hood. An inner wall surface of the recess is provided with an engaging portion at a position opposing to the step portion when the hood is housed in the recess, the engaging portion being shaped to grip the hood by being engaged with the step portion as a result of deformation of the flexible member.

An intraoral measurement device includes: a device main body that holds a base end side of a prism by a housing, the housing accommodating an illumination member and an imaging member, a cover member that is attached to the device main body in a state of covering, with a space part interposed in between, a distal end side of the prism arranged to face a measurement target, in which a part arranged to face the measurement target is formed by a light transmission window; and a heat transfer member that extends from the device main body along a non-optical surface of the prism, and transfers heat of the device main body to the light transmission window through abutment of a protruding end provided to protrude from the prism against the light transmission window of the cover member.

An optical fibre having a functionalised distal exploration end including a sheath, and a ferrule rigidly connected to the sheath at the distal exploration end, characterised in that the distal exploration end has a functionalised head which is removably attached on the ferrule. Also, a method of assembling the optical fibre.