An endoscope that includes an elongated bougie, a distal tip at a distal end of the bougie and a handle at a proximal end of the bougie. The distal tip has a camera, an LED light, and a distal tip housing forming a distal tip chamber. The endoscope also has an electronic connector, such as a PCB board connector, having at least one PCB board, and at least a portion of the PCB board is nestled within the distal tip chamber. The PCB board connector is disposed between the distal tip and the distal end of the elongated bougie when being assembled. The distal tip and the PCB board connector are attached into one integral distal assembly by removable attaching means, such as a pair of snap fit hood and holder. The integral distal end assembly is configured to be cut from the old bougie used in a medical procedure and to be collected and later disassembled, sterilized, and reassembled with another new bougie.

Endoscopes comprising a reusable hand-piece and separable disposable shaft assembly are illustrated and described. The reusable hand-piece includes a housing having an articulation control mounted thereto and an electronics module mounted thereto. The articulation control includes control knobs and concentric drive shafts for articulation. The electronics module includes a battery, a control board, and an optical and/or electrical connector. The separable disposable shaft comprises a housing having an articulation wire actuating assembly mounted thereto and an optical and/or electrical connector mounted thereto. When the housing of the hand-piece and the housing of the separable disposable shaft assembly are joined together, the articulation control engages the articulation wire actuating assembly and the optical and/or electrical connector of the reusable hand-piece engages the optical and/or electrical connector of the disposable shaft assembly.

A method for fixing one end of an actuation cable configured to allow orienting of the distal head of a medical device including providing a pivoting part provided with at least one fixing pin made of thermoplastic material for fixing a proximal end of an actuation cable, arranging, from the terminal part of the pin, a radially through recess to allow the insertion of the actuation cable, positioning the actuation cable inside the recess, letting a free end of the pin project, and heating at least the free end of the pin and applying a pressure on the pin to ensure, by welding, the fixing of the actuation cable with the pivoting part.

A medical device including a handle including an actuation device, a sheath extending from the handle and having a longitudinal axis, the sheath defining an imaging lumen extending from the handle to a distal end of the sheath, an imaging device at a distal end of the sheath, and a piezoelectric member connected to the imaging device, where movement of the piezoelectric member moves the imaging device in a first direction relative to the longitudinal axis.

A steering system for a medical device may include a first drive member having a central longitudinal axis; a central shaft extending through the first drive member; a control knob coupled to the first drive member; a braking knob coupled to the central shaft and including a first protrusion; and a brake shoe member coupled to the central shaft between the control knob and the braking knob. The first protrusion may be positioned within a first channel of the brake shoe member; the first protrusion may be configured to engage the brake shoe member to move a first arm of the brake shoe member radially outward towards a wall of the control knob when the braking knob is rotated in a first direction; and the first arm may be configured to move away from the wall when the braking knob is rotated in a second direction.

A force estimation system for calculating force information regarding forces applied to one or more positions of a flexible tubular portion having flexibility through an arithmetic operation, the force estimation system comprising: a processor configured to input the deformation state and the mechanical property at a plurality of longitudinal positions of the flexible tubular portion, and calculates the force information of the force applied to the individual positions of the flexible tubular portion based on the deformed state and the mechanical property.

A medical device having multiple degrees of freedom independent of each other. The medical device includes a handle, an end effector, and a tubular section extending between the handle and the end effector. The end effector is configured to be rotated about a first axis extending through the tubular section without rotating the tubular section. And, the tubular section is configured to be rotated about the first axis with the end effector.

A wire-driven manipulator includes a first member and a second member into both of which a flexible member is inserted, the second member being disposed more on a base end side than the first member, wherein the first and the second members are bent by a drive of the flexible member, wherein the first member includes a bonding portion mechanically bonded with the member, wherein the second member is independent of the first member and the member, and wherein a variation of an average curvature of the first member caused by a drive of the members is larger than a variation of an average curvature of the second member.

In one embodiment of the invention, an apparatus for performing surgical procedures is disclosed including a flexible entry guide tube, and a first steering device. The flexible entry guide tube has one or more lumens extending along its length from a proximal end to substantially at or near a distal end. At least one of the one or more lumens is an instrument lumen with open ends to receive a flexible shaft of a surgical tool to perform surgery near the distal end of the flexible entry guide tube. The first steering device is insertable into the instrument lumen to shape the flexible entry guide tube as it is inserted through an opening in a body and along a path towards a surgical site. The apparatus may further include a flexible locking device to couple to the flexible entry guide tube and selectively rigidize the flexible entry guide tube to hold its shape. The flexible entry guide tube may be steered by remote control with one or more actuators.

A probe includes an articulating member with at least two vertebrae elements sequentially arranged along a long axis of the elongate ultrasound imaging probe. The articulating member includes pivots located between the at least two vertebrae elements. The pivots are disposed off-center relative to the at least two vertebrae elements. The pivots are spatially oriented to provide a pivot point for a different articulation direction of a vertebra element. The probe further includes a plurality of guides, including at least one guide for each of the respective different pivot directions. The probe further includes an actuator with a set of controls, each control configured to actuate a different pair of the plurality of guides for controlling opposing articulation directions, wherein the actuator reduces stress induced on at least one of a pushed guide or a non-activated guide, wherein the stress is induced in response to the actuator pulling a guide.