An endoscope system includes an endoscope, and an insertion auxiliary tool into which the endoscope is inserted. A flexible portion of the insertion section of the endoscope includes, from a distal end side toward a proximal end side, a low flexural rigidity portion, a flexural rigidity varying portion in which a flexural rigidity increases from the distal end side toward the proximal end side, and a high flexural rigidity portion with flexural rigidity higher than that in the low flexural rigidity portion. When at least a part of the flexible portion projects from a distal end opening of the tube body, a position of the proximal end of the low flexural rigidity portion is positioned closer to a proximal end of the insertion auxiliary tool than the distal end opening of the tube body from the proximal end of the insertion auxiliary tool.

An endoscope system includes an endoscope, and an insertion auxiliary tool into which the endoscope is inserted. A flexible portion of the insertion section of the endoscope includes, from a distal end side toward a proximal end side, a low flexural rigidity portion, a flexural rigidity varying portion in which a flexural rigidity increases from the distal end side toward the proximal end side, and a high flexural rigidity portion with flexural rigidity higher than that in the low flexural rigidity portion. When at least a part of the flexible portion projects from a distal end opening of the tube body, a position of the proximal end of the low flexural rigidity portion is positioned closer to a proximal end of the insertion auxiliary tool than the distal end opening of the tube body from the proximal end of the insertion auxiliary tool.

A handle for maneuvering a catheter, comprises: a handle body having an outer surface and an inner surface, the inner surface defining a tubular passage extending along a longitudinal axis from a proximal end to a distal end of the handle body. The handle includes a coupling mechanism at the proximal end and a strain relief sleeve at the distal end of the handle body. The strain relief sleeve is adapted to irremovably secure a flexible catheter sheath to the handle; and the coupling mechanism is adapted to detachably connect the handle to a patient interface unit (PIU). The handle body is ergonomically sized and shaped for grasping by a single hand of a user, and is configured to linearly engage to and disengage from the PIU via the coupling mechanism. When the handle is attached to the PIU, an imaging core moves linearly inside the tubular passage without bending.

An insertion instrument comprises an insertion portion including a bending portion provided at a distal end side of the insertion portion, a first wire provided in the insertion portion, and an operation portion provided at a proximal end side of the insertion portion. The operation portion includes a bending operation unit. The bending operation unit includes a lever having a central shaft defining a central axis, a rotor coupled to the lever, a wire attachment surface to which the first wire is attached. An inner surface of the operation portion includes a receiver body and a restriction body. The receiver body supports the rotor for rotation about the central axis and for movement of the lever from a neutral position to an inclined position, where, in the inclined position, the central shaft is inclined relative to the central shaft in the neutral position. Movement of the lever from the neutral position to the inclined position pulls the first wire to bend the bending portion. The restriction surface restricts a portion of the rotation of the rotor about the central axis.

An enhanced flexible robotic endoscopy apparatus includes a main body and flexible elongate shaft. The main body comprises a proximal end, a distal end and a housing that extends to the proximal end and the housing comprises a plurality of surfaces and a plurality of insertion inlets which reside on at least one of the surface of the housing at the proximal end of the main body, through which a plurality of channels for endoscopy are accessible. Each of the insertion inlets has insertion axis corresponding thereto, along which flexible elongate assemblies are insertable, with the insertion axes of the insertion inlets being parallel to the central axis of the flexible elongate shaft at the proximal end of the flexible elongate shaft.

An enhanced flexible robotic endoscopy apparatus includes a main body and flexible elongate shaft. The main body comprises a proximal end, a distal end and a housing that extends to the proximal end and the housing comprises a plurality of surfaces and a plurality of insertion inlets which reside on at least one of the surface of the housing at the proximal end of the main body, through which a plurality of channels for endoscopy are accessible. Each of the insertion inlets has insertion axis corresponding thereto, along which flexible elongate assemblies are insertable, with the insertion axes of the insertion inlets being parallel to the central axis of the flexible elongate shaft at the proximal end of the flexible elongate shaft.

A steerable instrument for endoscopic and/or invasive type of applications, such as in surgery, which has an elongated tubular body having a proximal end part with a first actuation flexible zone having a first diameter and a distal end part having a first distal flexible zone having a second diameter that is different from the first diameter. A cylindrical diameter adaptation section is arranged to connect the proximal end part to the distal end part such that a flexion in a radial direction relative to a longitudinal center axis of the longitudinal tubular body of the first actuation flexible zone results in an amplified or attenuated flexion of the first distal flexible zone.

An apparatus, system and process for identifying one or more different tissue types are described. The method may include applying a configuration to one or more programmable light sources of an imaging system, where the configuration is obtained from a machine learning model trained to distinguish between the one or more different tissue types captured in image data. The method may also include illuminating a scene with the configured one or more programmable light sources, and capturing image data that includes one or more types of tissue depicted in the image data. Furthermore, the method may include analyzing color information in the captured image data with the machine learning model to identify at least one of the one or more different tissue types in the image data, and rendering a visualization of the scene from the captured image data that visually differentiates tissue types in the visualization.

An apparatus, system and process for identifying one or more different tissue types are described. The method may include applying a configuration to one or more programmable light sources of an imaging system, where the configuration is obtained from a machine learning model trained to distinguish between the one or more different tissue types captured in image data. The method may also include illuminating a scene with the configured one or more programmable light sources, and capturing image data that includes one or more types of tissue depicted in the image data. Furthermore, the method may include analyzing color information in the captured image data with the machine learning model to identify at least one of the one or more different tissue types in the image data, and rendering a visualization of the scene from the captured image data that visually differentiates tissue types in the visualization.

An insertion support system includes a state acquisition apparatus configured to acquire first information. The first information includes at least one of: a plurality of pieces of position information related to a plurality of positions of an insertion section to be inserted into an insertion target body; and a plurality of pieces of direction vector information in a longitudinal axis direction of the insertion section. The insertion support system also includes a support information calculator configured to calculate second information related to a rotation quantity of the insertion section based on the first information, and an output section configured to output the second information.