A surgical access port comprises a seal and an instrument guide, which comprises proximal and distal ends, a plurality of instrument guide channels, and an outside surface that fits closely to an inner wall surface of a cannula into which the instrument guide is inserted. The seal is positioned to seal between the instrument guide and the inner wall surface as the instrument guide rotates within the cannula. A first guide channel is configured to support a first surgical instrument at a first defined position within the cannula. A second guide channel is configured to support a second surgical instrument at a second defined position within the cannula. A first guide channel opening is defined along a length of the first guide channel to be open to the outside surface of the instrument guide and place a portion of the first surgical instrument adjacent the inner wall surface.

An optical unit includes: a first actuator for driving a first movable barrel; a second actuator for driving a second movable barrel; a first contact surface for defining a first frontmost end position which the first movable barrel takes; a second contact surface for defining a rearmost end position which the first movable barrel takes; a third contact surface for defining a frontmost end position which the second movable barrel takes; a fourth contact surface for defining a rearmost end position which the second movable barrel takes; and a contact member formed on the first movable barrel, having a fifth contact surface which is brought into contact with a distal end surface of the second movable barrel, and defining a first stop position or a second stop position.

A hermetic seal between an optical element and a metal mount or housing using a fluoropolymer. The fluoropolymer is dispersed along the interior edge of the metal mount. The metal mount and fluoropolymer are then heated to a temperature exceeding the melting point of the fluoropolymer. Once heated the optical element is pressed into the metal mount and allowed to cool. The metal mount, optical element and thickness of fluoropolymer are sized to provide an interference fit between the metal mount and optical element.

A method for observing the branch portion of the hole comprising, a step of pushing an obstacle in the hole with an elbow portion; a step of rotating a guide member around an axial direction so that a distal portion of the guide member faces the branch portion extending laterally to an extending direction of the hole; a step of projecting an endoscope from the distal portion and inserting into the branch portion, while confirming an image; and a step of rotating the image to match an up-and-down direction of the image recognized by a user with an up-and-down of a vertical direction, after the endoscope is inserted into the branch portion.

In one embodiment, a calibration apparatus includes a jig body, a camera, an elongated strip which is deflectable and resilient, a lower groove which is disposed in the jig body, and is configured to receive and grasp the camera therein, an upper groove, which is disposed in the jig body above the lower groove, and is configured to receive and grasp the elongated strip therein so as to position the elongated strip above, and in a fixed relation to, the camera, the upper groove being wider than the lower groove, and an alignment element, which is disposed in the jig body, and is configured to align an end of the camera with an end of the elongated strip.

Unitary vessel harvesting devices with integrated components is provided. In some embodiments, such devices comprise an elongated body having a proximal end and a distal end, a dissection tip disposed at the distal end of the elongated body. The dissection tip can include integrated circuitry to provide an in-tip camera, lighting and data communications.

A medical instrument introduction device, includes an outer tube portion indwelled within a body wall; and an inner needle portion inserted through the outer tube portion, wherein the outer tube portion includes a base portion; a tubular conduit portion whose proximal end portion is connected to the base portion; and an anchor portion connected to a distal end portion of the conduit portion, wherein the conduit portion has a bellows folded shape in a natural state, a dimension of the conduit portion in an axial direction being capable of being increased as the folded shape is stretched by the inserted inner needle portion, and a force needed for stretching the folded shape being gradually decreased in a direction from the proximal end portion to a distal end portion of the conduit portion, and the anchor portion and the inner needle potion are couplable with each other.

An endoscope includes an insertion portion provided with a controllable curved tube. The controllable curved tube includes a plurality of circular tube sections connected in series. A first C-shaped engaging portion is arranged at one end of each tube section. A first included angle is formed between the opening direction of the first C-shaped engaging portion and the axial direction of the tube section to which the first C-shaped engaging portion belongs. A first C-shaped notch is arranged around the outside of the first C-shaped engaging portion. The other end of the tube section is provided with a second C-shaped engaging portion that is engaged with the first C-shaped notch of another tube section. The inner side of the second C-shaped engaging portion is provided with a second C-shaped notch and a spherical protrusion which are engaged with a first C-shaped engaging portion of another tube section.

The present invention provides improved medical devices equipped with a visualization device for intubation, extubation, ventilation, drug delivery, feeding and continuous remote monitoring of a patient. The present invention also provides methods for rapid and accurate placement of a medical device in a patient and continuous real time monitoring, including a remote monitoring, of the patient after the placement.

A manipulation rope having an excellent torque transmittability is provided. A manipulation rope 2 is a rope 2 that is advantageously used as a manipulation rope for a medical instrument, and includes a side wire 6 or a side strand which is an outermost layer, the side wire 6 or the side strand having a spiral shape in which a flatness that is an aspect ratio obtained by a major axis being divided by a minor axis is greater than 1.00 and not greater than 1.10. An elongation of the rope at a time when a tensile load that is 1.0% of a breaking load is applied, is preferably not less than 0.04% and preferably not greater than 0.10%.