Provided are an elevator that can be reliably attached by a simple operation and an endoscope including the elevator. An elevator engages with and attached to an engagement end of a rotation shaft protruding from a distal end portion of the endoscope by being pushed in from a direction intersecting with an axial length direction, and is elevated according to rotation of the rotation shaft. A jig is connected to the elevator, and the jig has a grip portion that is gripped when the elevator is attached and can be separated after the attachment.

Embodiments of a simulated valve device can be used to determine whether a valve device would fit within a particular airway. The simulated valve device can include a shaft having at least one strut extending radially therefrom. The strut and at least part of the shaft can be surrounded by a membrane for viewing through a bronchoscope. In some embodiments, the membrane can include markings for viewing by a user.

Embodiments of a simulated valve device can be used to determine whether a valve device would fit within a particular airway. The simulated valve device can include a shaft having at least one strut extending radially therefrom. The strut and at least part of the shaft can be surrounded by a membrane for viewing through a bronchoscope. In some embodiments, the membrane can include markings for viewing by a user.

A device may include a first portion coupled to a shaft of an insertable medical device. The first portion may extend along a first portion longitudinal axis between a proximal end and a distal end. The first portion may include a protrusion extending radially outwardly of the first portion longitudinal axis. At least a portion of the first portion may be received within a lumen of a second portion. The second portion may be axially moveable along the first portion longitudinal axis relative to the first portion. The second portion may include a longitudinally extending channel. A spring may be located radially between the first portion and the second portion.

A device may include a first portion coupled to a shaft of an insertable medical device. The first portion may extend along a first portion longitudinal axis between a proximal end and a distal end. The first portion may include a protrusion extending radially outwardly of the first portion longitudinal axis. At least a portion of the first portion may be received within a lumen of a second portion. The second portion may be axially moveable along the first portion longitudinal axis relative to the first portion. The second portion may include a longitudinally extending channel. A spring may be located radially between the first portion and the second portion.

Systems and methods are disclosed including apparatuses and methods for endoscopy such as an endoscope device operable to produce suction. An endoscope can include or use a cylinder for use at a distal end of an endoscope, and the cylinder can include a cylinder channel extending from a first end of the cylinder to a second end of the cylinder, and a rotor arranged within a working channel of the endoscope at the distal end of the endoscope. The rotor can be movable within the cylinder or the channel such as to help fragment or clear foreign bodies during a procedure.

An articulated tip part for an endoscope having a number of hingedly connected segments including a distal end segment and a second segment, wherein adjacent segments are interconnected by at least one hinge member, whereby the tip part can be bent by means of the hingedly connected segments, wherein the distal end segment comprises a first steering wire guide for accommodating and guiding a steering wire, and wherein the second segment comprises an insertion guide with an entry in an outer circumferential surface of the second segment and an exit aligned with an entry into the first steering wire guide, whereby an end of a steering wire can be guided into the entry of the first steering wire guide via the insertion guide.

An articulated tip part for an endoscope having a number of hingedly connected segments including a distal end segment and a second segment, wherein adjacent segments are interconnected by at least one hinge member, whereby the tip part can be bent by means of the hingedly connected segments, wherein the distal end segment comprises a first steering wire guide for accommodating and guiding a steering wire, and wherein the second segment comprises an insertion guide with an entry in an outer circumferential surface of the second segment and an exit aligned with an entry into the first steering wire guide, whereby an end of a steering wire can be guided into the entry of the first steering wire guide via the insertion guide.

An insertion apparatus includes: a tube in which a water feeding communication hole opens on an outer peripheral surface of the tube; a tube connector in which a water feeding branch conduit which allows an inner surface of a tube insertion hole to communicate with an outside is formed, and a second stopper portion which protrudes toward the inside of the tube insertion hole is formed; an O ring which is positioned by contacting with the second stopper portion; a spacer which is positioned by contacting with the O ring, and in which a communication hole which allows an inner surface side and an outer surface side of a wall portion to communicate with each other is formed; and an O ring which is positioned by contacting with the spacer.

A system for performing a surgical procedure includes a camera configured to capture real-time near infrared images, an injection system configured to inject a fluorescent dye into a patient's blood stream, and a workstation operably coupled to the camera for retrieving a three-dimensional (3D) model of the patient's anatomy based on pre-procedure images, retrieve an indication of a targeted critical structure within the 3D model, observe, using the captured real-time near infrared images, perfusion of the fluorescent dye through tissue to identify critical structures illuminated by near-infrared light, and register the real-time near-infrared images to the 3D model using the identified illuminated targeted critical structure in the real-time near infrared images captured by the camera and the identified targeted critical structure in the 3D model as a landmark.