An ultrasound endoscope includes an ultrasound transducer unit provided at a distal end of the ultrasound endoscope. The ultrasound transducer unit includes: an ultrasound transducer configured to transmit and receives an ultrasonic wave; and a housing that includes a housing portion to house the ultrasound transducer, the housing portion including a plurality of protrusions configured to position the ultrasound transducer, each protrusion being arranged to face a rear surface on an opposite side to a transceiving surface of the ultrasonic wave of the ultrasound transducer, the protrusions being arranged to be across a longitudinal axis of the housing from one another.
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p. ex. en utilisant des cathéters
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Conjeti, Sailesh
Abrégé
A system for determining one or more procedure locations during an endoscopic medical procedure may comprise processing circuitry and memory with instructions stored thereon that when performed by the processing circuitry cause the processing circuitry to receive an input corresponding to the endoscopic medical procedure. The input may include an endoscopic video stream, a patient history, one or more organizational guidelines, or a current position of the endoscope in the anatomy of the patient. The processing circuitry may determine, based on the input one or more procedure locations in association with a map of a portion of the anatomy of the patient and display the map on a graphical user interface. The processing circuitry may further display graphical elements that indicate the one or more procedure locations on the displayed map and dynamically update the graphical elements during the endoscopic medical procedure to indicate whether the one or more procedure locations correspond to one of a completed or uncompleted procedure there.
G16H 20/40 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients concernant des thérapies mécaniques, la radiothérapie ou des thérapies invasives, p. ex. la chirurgie, la thérapie laser, la dialyse ou l’acuponcture
G16H 30/40 - TIC spécialement adaptées au maniement ou au traitement d’images médicales pour le traitement d’images médicales, p. ex. l’édition
A61B 34/20 - Systèmes de navigation chirurgicaleDispositifs pour le suivi ou le guidage d'instruments chirurgicaux, p. ex. pour la stéréotaxie sans cadre
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
3.
MEDICAL ASSISTANCE DEVICE, MEDICAL ASSISTANCE METHOD, AND PROGRAM
Provided are a medical assistance device, a medical assistance method, and a program that allow the temporal relationship between continuous information and discrete information to be identified. The medical assistance device comprises a processor. The processor: acquires examination data including at least one of endoscopic examination and treatment, the examination data including continuous information of one or more continuous states continuous in time on the same time axis from the start to the end of examination, and one or more pieces of discrete information on the same time axis; generates, on the basis of the examination data, chart information including the time axis from the start to the end of examination, continuous region information, and discrete region information, the continuous region information indicating a change in the continuous state of examination on the same time axis in a manner indicating continuity from the examination start time to a change start time and from the change start time to a change end time or a next change start time, and the discrete region information indicating the time of generation of the discrete information; and outputs the chart information.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
4.
NEEDLE HOLDER FOR ENDOSCOPE AND OPERATING METHOD OF SUTURE NEEDLE
A needle holder includes a sheath, a grasper capable of grasping a target object, an operation portion capable of opening and closing the grasper, and an operation wire. The operation portion includes a main body, a slider, and an elastic member that is elastically deformable depending on an opening and closing position of the grasper. The slider is connected to the grasper via the operation wire. The grasper can release grasping of the target object and can grasp the target object with a first grasping force in response to an operation of moving the slider against a restoring force of the elastic member. The grasper can grasp the target object with a second grasping force smaller than the first grasping force when the restoring force of the elastic member and tension of the operation wire are balanced.
A61B 17/062 - Dispositifs pour manipuler les aiguilles
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
5.
OUTPUT ADJUSTMENT DEVICE FOR LITHOTRIPSY APPARATUS, SUCTION FORCE GENERATION METHOD, AND ATTRACTING METHOD
Provided is an output adjustment device for a laser lithotripsy apparatus including: a processor including hardware, the processor being configured to: pulse a laser beam; adjust an output of the pulsed laser beam; monotonically increase the output of the laser beam as a first period to generate a bubble binding body containing a plurality of bubbles from a laser emission end; monotonically decrease the output of the laser beam with a gradient larger than a predetermined gradient as a second period following the first period to cause the bubble binding body to disappear so that a crushing target is attracted to the laser emission end; and before the bubble binding body is generated, raise a liquid temperature in a region where the bubble binding body is generated by generating the bubbles and causing the bubbles to disappear.
B23K 26/0622 - Mise en forme du faisceau laser, p. ex. à l’aide de masques ou de foyers multiples par commande directe du faisceau laser par impulsions de mise en forme
A61B 18/26 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet pour produire une onde de choc, p. ex. lithotritie par laser
A61P 13/12 - Médicaments pour le traitement des troubles du système urinaire des reins
B23K 26/08 - Dispositifs comportant un mouvement relatif entre le faisceau laser et la pièce
B23K 26/40 - Enlèvement de matière en tenant compte des propriétés du matériau à enlever
Provided is a control device for controlling movement of an endoscope. The endoscope acquires an image including a target of interest. The control device includes at least one processor. The processor is configured to acquire a position of the target of interest in a field of view of the endoscope, calculate a position of a dirt on the endoscope in the field of view, set a target region at a position different from the position of the dirt, and cause the endoscope to track the target of interest such that the target of interest is positioned within the target region based on the position of the target region and the position of the target of interest.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
7.
ENDOSCOPE SYSTEM, CONTROL APPARATUS, AND GAS FEEDING CONTROL METHOD
An endoscope system includes a gas feeding apparatus that feeds carbon dioxide, and a light source apparatus provided with an air pump for supplying air. The endoscope system feeds the carbon dioxide or the air from a distal end of an endoscope when a gas/liquid feeding button provided to the endoscope is operated. The endoscope system includes a pressure meter and a processor. The pressure meter is provided inside the gas feeding apparatus and configured to detect a pressure of the carbon dioxide. The processor is configured to perform control for stopping feeding of the air by the air pump when determining that, after the carbon dioxide is fed by an operation of the gas/liquid feeding button, the pressure of the carbon dioxide detected by the pressure meter reaches a predetermined threshold.
A61B 1/015 - Commande de l'alimentation en fluide ou de l'évacuation de fluide
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
An endoscope system includes: a processor; an endoscope; a holder configured to hold the endoscope and adjust a position and an orientation of the endoscope; and a display. The processor acquires a first position of a first port for inserting, into an examination subject, a first treatment tool, a second position of a second port for inserting, into the examination subject, a second treatment tool, and a third position of a focus target in the examination subject, and rotates the image on a basis of the acquired first, second, and third positions such that a particular relative angle is formed between a direction of a second vector, which is a projection of a first vector indicating an up-down direction of the focus target as viewed from an operator onto a plane orthogonal to a visual axis of the endoscope and an up-down direction of the image displayed on the display.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
9.
REAL-TIME COMPOSITION ANALYSIS TECHNIQUES FOR ULTRASONIC ABLATION
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Schmitt, Jeffrey M.
Bukesov, Sergey A.
Baker, Charles A.
Shelton, Kurt G.
Abrégé
A composition of a biological sample, such as tissue of a patient, can be estimated during an ablation procedure. A composition detector system can include a probe, an illumination source, and a spectrometer. A distal end of a probe can convey mechanical, acoustical, or ultrasonic energy to the tissue to ablate the tissue. The probe can extend through a working channel of a viewing scope. An illumination source can illuminate a portion of the tissue at the distal end of the probe or as the portion is being evacuated and collected for disposal. The illumination can generate response illumination from the portion of the tissue. The spectrometer can receive the response illumination, analyze the response illumination, and provide an estimate of the composition of the portion of tissue.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 10/04 - Instruments endoscopiques, p. ex. instruments de type cathéther
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
An apparatus for treating an insufflation gas is provided. The apparatus includes: an insufflation tube comprising an inlet for receiving a flow of insufflation gas; a nebulizer arranged to deliver a mist of a humidifier liquid into the insufflation tube for creating a humidified gas flow; and a microwave generator arranged to apply microwaves to a heating region of the insufflation tube, the heating region being downstream of the nebulizer for heating the humidified gas flow.
A61M 13/00 - Insufflateurs à fins thérapeutique ou de désinfection
A61M 11/04 - Pulvérisateurs ou vaporisateurs spécialement destinés à des usages médicaux agissant par pression de la vapeur des liquides à pulvériser ou vaporiser
11.
OPTICAL DETECTION WITH CONTROLLABLE DETECTOR INTEGRATION TIME
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Shelton, Kurt G.
Bukesov, Sergey A.
Rao, Maria
Marcus, David
Abrégé
In an optical detection device, such as an endoscope, a detector having a controllable detector integration time can generate a detector signal from light that is reflected or emitted by a sample and collected by a user-replaceable optical fiber. A spectrum analyzer can measure a. spectrum of the detector signal. A controller can receive fiber parameter data that corresponds to at least one value of at least one physical parameter, such as core diameter, of the user-replaceable optical fiber. In response to receiving the fiber parameter data, the controller can establish or adjust the controllable detector integration time to have a value that corresponds to the at least one value of the at least one physical parameter of the user-replaceable optical fiber. For example, the controller can decrease the controllable detector integration time value with increasing diameter of the core of the user-replaceable optical fiber.
The present invention is a focus control device (10) that makes a focal point adjustment by causing a focus lens (26ab) included in an imaging optical system (26a) to move forward or rearward in a direction along an optical axis (O) on the basis of an output signal from an imaging unit (26). The focus control device (10) comprises a processor. The processor detects distance information pertaining to the distance from the leading end of the imaging optical system to an object to be imaged. When the distance information lies within the range of a prescribed distance, the processor performs autofocus control for adjusting the position of the focus lens on the optical axis in accordance with changes in the imaging distance.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A stent delivery device that can be inserted into an endoscope. The device includes a guide catheter including a guide tube, an operating wire, and a joint portion that joins the guide tube and the wire. The device also includes a pusher catheter including a first tube through which the wire is inserted and a second tube through which the guide tube is inserted. The device may include a bite prevention portion that can prevent the wire from biting into an inner surface of the second tube. In a state where a distal end of the pusher catheter protrudes from the endoscope channel and the channel includes a curved portion in a curved state, a proximal end of the guide tube, which includes the joint portion, and/or the bite prevention portion can be positioned proximal of a proximal end of the curved portion in the endoscope channel.
A61F 2/966 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure avec un mouvement longitudinal relatif entre la gaine extérieure et la prothèse, p. ex. utilisant une tige poussoir
A61F 2/95 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes
A61F 2/962 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure
15.
INFORMATION PROCESSING SYSTEM, ENDOSCOPE SYSTEM, AND INFORMATION STORAGE MEDIUM
An information processing system includes a processor. The trained model is trained to resolution recover a low resolution training image generated by low resolution processing performed on a high resolution training image to a high resolution training image that represents a high resolution image captured with a predetermined object through the first imaging system. The low resolution processing represents processing that generates a low resolution image as if captured with the predetermined object through the second imaging system and processing that simulates the second imaging method, and includes processing that simulates a resolution characteristic of an optical system of the second imaging system. The processor uses the trained model to resolution recover the processing target image captured through a second imaging system to an image having a resolution at which the first imaging system performs imaging.
G06T 3/4053 - Changement d'échelle d’images complètes ou de parties d’image, p. ex. agrandissement ou rétrécissement basé sur la super-résolution, c.-à-d. où la résolution de l’image obtenue est plus élevée que la résolution du capteur
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A handle assembly includes: a handle body; a transmission member configured to transmit a high-frequency current; a connector being conductive and extending in a direction intersecting a longitudinal axis of the transmission member; and an elastic body being conductive, wherein the elastic body contacts the transmission member in a state in which the elastic body is compressed, and the transmission member is slidable relative to the connector in a state in which the transmission member is pressed against the connector.
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Batchelor, Kester Julian
Ozell, Timothy
Abrégé
A surgical end effector can include an upper jaw and a lower jaw, opposite the upper jaw. The upper jaw can move vertically toward and away from the lower jaw in a first direction substantially orthogonal to a longitudinal axis. At least one of: (1) the upper jaw includes a first upper jaw member and a second upper jaw member, configured to be actuated to move laterally toward and away from each other in a second direction that is substantially orthogonal to the first direction and to the longitudinal axis; or (2) the lower jaw includes a first lower jaw member and a second lower jaw member, configured to be actuated to move laterally toward and away each other in the second direction that is substantially orthogonal to the first direction and to the longitudinal axis. Sub-flush blades may optionally be included.
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Landfors, Kurt B.
Thornton, Thomas Michael
Mccomis, Geophrey J.
Abrégé
A system can perform image capture during a medical procedure. The system can record video from one or more video sources. The system can store the recorded video in a cached memory as stored video. The system can receive a triggering event, such as receiving a signal, operation of an actuator, or issuance of a voice command. In response to the triggering event, the system can capture a video segment from the stored video. Because the video segment is captured from stored video, the video segment can optionally include video and/or frames that occurred before the triggering event is received.
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
H04N 5/77 - Circuits d'interface entre un appareil d'enregistrement et un autre appareil entre un appareil d'enregistrement et une caméra de télévision
H04N 7/18 - Systèmes de télévision en circuit fermé [CCTV], c.-à-d. systèmes dans lesquels le signal vidéo n'est pas diffusé
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Polejaev, Vladimir
Bukesov, Sergey A.
Shelton, Kurt G.
Abrégé
Systems, devices, and methods for automatic control of laser treatment of target structure in a body of a subject based on acoustic feedback in response to delivery of laser energy to the target are disclosed. An exemplary laser energy delivery system comprises a laser system to direct laser energy at a body target, and a controller circuit to receive an acoustic signal in response to delivery of laser energy to the target, and to measure acoustic properties from the acoustic signal. The control circuit may generate control signals for controlling the laser system to adjust laser energy output, or for controlling an actuator to adjust a position of a laser fiber distal end relative to the target to achieve a desired therapeutic effect.
A61B 18/22 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/20 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers
A bone plate includes: a shaft portion extending in a longitudinal direction; and a head portion disposed on a proximal side of the shaft portion and having four screw holes arranged in a quadrangular shape. The four screw holes include first and second screw holes arranged in the lateral direction, and a third screw hole and a fourth screw hole located between the first screw hole and the second screw hole in the lateral direction and arranged further on the proximal side and distal side with respect to the first and second screw holes, respectively.
This information processing system comprises: an interface device that acquires medical treatment information related to medical treatment for a user and medical interview information related to symptoms of the user before and after the medical treatment; a memory in which the medical treatment information and the medical interview information are recorded; and a processor. The processor determines the treatment effect of the medical treatment for the user on the basis of the medical interview information acquired by the interface device, and records in the memory the medical treatment information, the medical interview information, and the treatment effect in association with each other.
G16H 10/60 - TIC spécialement adaptées au maniement ou au traitement des données médicales ou de soins de santé relatives aux patients pour des données spécifiques de patients, p. ex. pour des dossiers électroniques de patients
22.
MEDICAL SYSTEM, MEDICAL DATABASE CREATION METHOD, DATA STRUCTURE OF MEDICAL CONTENT DATA, MEDICAL PRACTICE SUPPORT METHOD, AND DATABASE
This medical system comprises: a medical knowledge database 16 for storing records including data pertaining to a medical practice on a normalized table; and a medical video analysis unit 4 for analyzing a medical video including a medical procedure video in which a medical practice using an apparatus is recorded, and extracting data corresponding to a plurality of items defined in the medical knowledge database 16. The plurality of items include at least the medical procedure video and the apparatus. The medical video analysis unit 4 analyzes speech and images that constitute a medical video, extracts the medical procedure video to generate a digest video, and extracts the apparatus appearing in the medical procedure video to generate the name of the apparatus. The medical knowledge database 16 stores the generated digest video and the name of the apparatus in the same record.
G16H 30/00 - TIC spécialement adaptées au maniement ou au traitement d’images médicales
G06F 16/90 - Détails des fonctions des bases de données indépendantes des types de données cherchés
G16H 20/00 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients
G16H 40/00 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux
23.
MEDICAL SCHEDULING SYSTEM, MEDICAL INFORMATION DISPLAY DEVICE, MEDICAL SCHEDULING METHOD, MEDICAL INFORMATION DISPLAY METHOD, MEDICAL INFORMATION ACQUISITION DISPLAY METHOD, AND MEDICAL SCHEDULING PROGRAM
This medical scheduling system includes: a patient information input unit for inputting information related to a patient; a diagnosis information input unit for inputting first physician information for a first medical institution at which a first diagnosis is performed on the patient, and also inputting the result of a first diagnosis; and a display control unit for retrieving treatment information related to a treatment corresponding to the first diagnosis result from a medical information database and displaying, in accordance with the treatment information, background information pertaining to a plurality of medical institutions capable of performing the treatment.
G16H 40/00 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux
24.
INFORMATION PROCESSING DEVICE, INFORMATION PROCESSING SYSTEM, INFORMATION PROCESSING METHOD, AND INFORMATION PROCESSING PROGRAM
This information processing device comprises: a first acquisition unit that acquires action history information of a user; and a control unit that supplies, to a first determination unit that determines a health risk of the user, first action history information obtained by restricting the action history information acquired by the first acquisition unit on the basis of a privacy level set by the user, and outputs, with respect to a medical interview item based on medical interview information corresponding to a disease, second action history information obtained by restricting the action history information acquired by the first acquisition unit on the basis of the privacy level set by the user, as response information for the medical interview item on basis of the user's operation.
A medical device includes a clip having an arm member and a pressing tube configured to receive the arm member; an applicator having an operation wire configured to advance and retract to open and close the arm member and a sheath configured to accommodate the operation wire; and a link configured to engage the operation wire with the clip and transition between an engagement configuration in which the clip and the operation wire is engaged with each other and a release configuration in which the engagement of the clip and the operation wire is released.
A61B 17/128 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical pour appliquer ou enlever les clamps ou les pinces
A61B 17/122 - Clamps ou pinces, p. ex. pour le cordon ombilical
Systems, devices, and methods for planning an endoscopic tissue acquisition procedure for acquiring tissue from an anatomical target are disclosed. An endoscopic system comprises a steerable elongate instrument and a processor. The steerable elongate instrument can be positioned and navigated in a patient anatomy and acquire tissue from an anatomical target via a biopsy tool associated with the steerable elongate instrument. The processor can receive an image of the anatomical target, apply the received image to a trained machine-learning (ML) model to determine a tissue acquisition plan that includes a recommended biopsy tool and operational parameters for navigating the steerable elongate instrument or maneuvering the recommended biopsy tool. The tissue acquisition plan can be presented to a user, or used to facilitate a robot-assisted tissue acquisition procedure.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 10/04 - Instruments endoscopiques, p. ex. instruments de type cathéther
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 34/10 - Planification, simulation ou modélisation assistées par ordinateur d’opérations chirurgicales
An endoscopic treatment instrument includes: a sheath; an electrode which is disposed on a distal end side of the sheath; a rod which is disposed at least partially inside the electrode; and an elastic body which biases a distal end of the rod so that the distal end of the rod is accommodated in more proximal side than a distal end of the electrode.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
This endoscopic treatment tool comprises: a sheath; an electrode disposed on the distal end side of the sheath; a rod at least partially disposed in the electrode; and an elastic body for applying bias so that the distal end of the rod is accommodated closer to the proximal end side than to the distal end of the electrode.
A61B 18/08 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage à l'aide de sondes chauffées électriquement
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
An endoscope system includes: a drive cable; an endoscope comprising a bending section; a drive device configured to connect to a proximal end of the drive cable to drive the bending section; a connector configured to detachably connect the drive cable and the endoscope, the connector including an opening through which an instrument configured to be inserted into the endoscope, and a drape provided at a portion of the connector.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/015 - Commande de l'alimentation en fluide ou de l'évacuation de fluide
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Shelton, Kurt G.
Abrégé
Systems and methods of in situ pressure control at an anatomical environment during a procedure are disclosed. An exemplary irrigation and suction system comprises a user input configured to receive from a user a desired pressure to be applied to the anatomical environment, or a desired flow condition corresponding to the desired pressure. The system comprises a pressure sensor to sense a pressure at or near the anatomical environment, and a control module to adjust one or more of an irrigation flow rate or a suction flow rate of at least one working channel of a medical device to maintain the pressure of the anatomical environment at substantially a level of the desired pressure, or to maintain the desired flow condition in the working channel during the procedure.
A61B 18/26 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet pour produire une onde de choc, p. ex. lithotritie par laser
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/015 - Commande de l'alimentation en fluide ou de l'évacuation de fluide
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61B 1/307 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour l'appareil urinaire, p. ex. urétroscopes, cystoscopes
A61B 1/31 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour le rectum, p. ex. proctoscopes, sigmoïdoscopes
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/24 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet avec un cathéter
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
A light distribution correction lens on which a luminous flux emitted from the light emitting unit is incident and which is a single lens having a positive power is arranged at a position at which a distance to the light emitting unit is smaller than a distance to an incidence-side lens group.
A light distribution correction lens on which a luminous flux emitted from the light emitting unit is incident and which is a single lens having a positive power is arranged at a position at which a distance to the light emitting unit is smaller than a distance to an incidence-side lens group.
A focal length of the incidence-side lens group is denoted by f1 and a focal length of the emission-side lens group is denoted by f2, f1/f2>3 is satisfied, and each of the incidence-side lens group and the emission-side lens group has positive refractive power, and when a distance from an emission-side principal point of the incidence-side lens group to an incidence-side principal point of the emission-side lens group is denoted by xd, xd
This biological observation device includes: a treatment tool identifier (14a) that identifies a treatment tool region in an image; a biological tissue identifier (14b) that identifies a biological tissue region in the image; and a contact sensor (14e) that detects whether or not a treatment tool (27) is in contact with biological tissue in the image on the basis of information on the treatment tool region and information on the biological tissue region.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
33.
IMAGE PROCESSING DEVICE, IMAGE PROCESSING METHOD, AND IMAGE PROCESSING PROGRAM
This image processing device performs control to: compare a first reliability degree of a deduction result from a first deduction model built through training using a first training data set which includes a first training data item composed of a first image, and a second reliability degree of a deduction result from a second deduction model built through training using a second training data set which includes training data items from the first training data set excluding the first training data item; execute, when the second reliability degree is greater than or equal to the first reliability degree, image processing by using the second deduction model; build, when it is indicated that the second reliability degree is less than the first reliability degree, a third deduction model through training using a third training data set obtained by adding an alternative training data item for the first training data item to the second training data set; generate the alternative training data item such that a third reliability degree of a deduction result from the third deduction model is greater than or equal to the first reliability degree; and execute, when it is indicated that the third reliability degree is greater than or equal to the first reliability degree, image processing by using the third deduction model.
G06V 10/774 - Génération d'ensembles de motifs de formationTraitement des caractéristiques d’images ou de vidéos dans les espaces de caractéristiquesDispositions pour la reconnaissance ou la compréhension d’images ou de vidéos utilisant la reconnaissance de formes ou l’apprentissage automatique utilisant l’intégration et la réduction de données, p. ex. analyse en composantes principales [PCA] ou analyse en composantes indépendantes [ ICA] ou cartes auto-organisatrices [SOM]Séparation aveugle de source méthodes de Bootstrap, p. ex. "bagging” ou “boosting”
34.
INFORMATION PROCESSING DEVICE, INFORMATION PROCESSING SYSTEM, INFORMATION PROCESSING METHOD, AND INFORMATION PROCESSING PROGRAM
This information processing device comprises: a first acquisition unit that acquires behavior history information of a user; a second acquisition unit that acquires environment information indicating an environment for each region; a first determination unit that, when it is determined that there is a risk of a disease in the user, determines a disease name and an onset timing of the disease on the basis of the behavior history information and the environment information; and a medical interview presentation unit that generates medical interview information having medical interview items corresponding to the disease name and presents the user with medical interview items based on the medical interview information at a timing based on the onset timing.
G16H 50/00 - TIC spécialement adaptées au diagnostic médical, à la simulation médicale ou à l’extraction de données médicalesTIC spécialement adaptées à la détection, au suivi ou à la modélisation d’épidémies ou de pandémies
The present invention provides a guide device (1) that is used for resection of a bone in a region where a bone plate is located. In order to resect the bone to make the bone conform to the shape of a bone contact surface of the bone plate, the guide device comprises: a fixed part (2) that is fixed to the bone and has a resection region (S) located at a resection site of the bone; and a guide part (3) that guides a cutting tool or a guide member in the resection region (S). The guide part (3) guides the cutting tool or the guide member along a plate surface (P) having the same or substantially the same shape as the bone contact surface of the bone plate.
A medical manipulator includes an outer sheath and a channel tube that is inserted into the outer sheath. At least a part of the channel tube includes a coil sheath forming a lumen into which a treatment manipulator or a treatment tool is inserted and a blade tube disposed outside of the coil sheath.
A61B 34/00 - Chirurgie assistée par ordinateurManipulateurs ou robots spécialement adaptés à l’utilisation en chirurgie
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
37.
MEDICAL MANIPULATOR AND MEDICAL MANIPULATOR SYSTEM
A medical manipulator includes a flexible body; an arm that includes a first bending portion and a second bending portion and that is disposed at a distal end of the flexible body; an artificial muscle that bendably drives the first bending portion; and a wire that bendably drives the second bending portion.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A medical system includes a suture device. The suture device includes: an arm; a first jaw and a second jaw that are attached to a distal end of the arm; and a needle configured to attach a thread. At least one of the first jaw and the second jaw configured to be opened and closed to deliver the needle therebetween.
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
A61B 1/012 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/06 - AiguillesSupports ou empaquetages pour aiguilles ou matériaux de suture
A61B 17/062 - Dispositifs pour manipuler les aiguilles
An ultrasonic treatment instrument includes: an ultrasonic blade configured to supply ultrasonic vibration and a high frequency current to a living tissue, respectively; a jaw configured to open and close with respect to the ultrasonic blade; and an abutment portion provided in the jaw and made of a first resin material, the abutment portion being configured to abut against the ultrasonic blade when the jaw is closed with respect to the ultrasonic blade, at least a part of the jaw being made of a second resin material, and the jaw including an electrode configured to supply the high frequency current on at least a part of a contact surface that is included in the jaw, the contact surface being configured to be in contact with the living tissue.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
40.
INFORMATION PROCESSING SYSTEM, ENDOSCOPE SYSTEM, IMAGE PROCESSING METHOD AND INFORMATION STORAGE MEDIUM
Defocus simulation processing is performed for a region on an optical axis of a first imaging system and a region other than on the optical axis in a training image, based on a transfer function or a point spread function on the optical axis. One or more processors use a trained model to generate an output image in which a blur of a processing target image which is an image captured by the first imaging system is corrected, and estimates an object distance of the processing target image. The one or more processors acquire a filter characteristic associated with the estimated object distance from a correction table, and performs blur adjustment processing for the output image using the acquired filter characteristic.
This medical manipulator comprises a manipulator and a camera unit that is provided at the distal end of the manipulator so as to be capable of moving forward and rearward in the longitudinal direction. The camera unit has a support part and a camera that is provided to the distal-end side of the support part. The camera unit has a first state in which the camera unit is advanced relative to the manipulator, a second state in which the camera unit is retracted relative to the manipulator, and a third state in which the camera unit is curved downward.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
42.
MEDICAL MANIPULATOR AND MEDICAL MANIPULATOR SYSTEM
This medical manipulator is provided with: an outer sheath; a channel tube through which the outer sheath is inserted; a bending part disposed at a distal end part of the outer sheath and being bendable; and a bending wire for bending the bending part. The bending part has a plurality of ring members through which the bending wire is inserted. The plurality of ring members are disposed so as to be separated from each other along the longitudinal direction of the outer sheath.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A medical manipulator includes a manipulator flexible portion extending in a longitudinal direction; and two arms arranged at a distal end of the manipulator flexible portion, and the two arms are arranged in a left-right direction perpendicular to the longitudinal direction, each of the two arms includes a second bending portion, and distal ends of second bending portions of the two arms are spaced apart in the left-right direction by bending the second bending portions.
A heat invasion observation apparatus that observes a heat invasion to a biological tissue, the heat invasion observation apparatus includes a fluorescence image generation circuit configured to obtain an image pickup signal generated by picking up an image of fluorescence generated from a heat invasion area in the biological tissue irradiated with exciting light for exciting a substance contained in the heat invasion area, and generate fluorescence image data based on the obtained image pickup signal. The substance contained in the heat invasion area is a substance generated when the biological tissue is thermally processed.
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Batchelor, Kester Julian
Yang, Teo Heng Jimmy
Onaga, Takeshi
Golomb, Jordan R.
Abrégé
A system for imaging and treating tissue can include or use an imaging sensor adapted to receive imaging information from a location internal to a human or animal subject, a tissue therapy output for applying a tissue therapy to tissue at the location internal to the subject, and controller circuitry, comprising signal-processing circuitry configured for image-processing the imaging information to determine a structure or other characteristic at or near the location internal to the subject, and to tailor a parameter or algorithm, controlling the tissue therapy output, at least in part based on the imaging information.
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
46.
STONE FRAGMENT CAPTURE SYSTEMS FOR LITHOTRIPSY SYSTEMS
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Baker, Charles A.
Bloem, David
Braga, Richard M.
Bertelson, Arthur J.
Schneider, Brian J.
Abrégé
A lithotripsy device can comprise a handpiece, a lithotripsy probe extending from the handpiece, an energization source configured to deliver an energy to a distal end of the lithotripsy probe, a suction passage extending from the distal end of the probe and through the handpiece, and a capture device comprising a container comprising a storage space, an entry port configured to couple to the handpiece at the suction passage, and an exit port, and a capture element connected to the container and configured to facilitate capture of stone fragments within the storage space. A method can comprise fragmenting stones with a lithotripsy device, drawing a vacuum through the lithotripsy device to pull stone fragments and waste fluid therethrough, pulling the vacuum through a stone capture device connected to the lithotripsy device, depositing stone fragments within the stone capture device using a capture element, and drawing the vacuum through the device.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61M 1/00 - Dispositifs de succion ou de pompage à usage médicalDispositifs pour retirer, traiter ou transporter les liquides du corpsSystèmes de drainage
A61M 39/06 - Soupapes hémostatiques, c.-à-d. éléments formant joint autour d'une aiguille, d'un cathéter ou similaire, et se fermant après leur retrait
A61M 39/12 - Raccords ou accouplements pour tubes pour raccorder un tube flexible à un dispositif de fixation rigide
An ultrasonic treatment instrument includes: an ultrasonic blade configured to supply ultrasonic vibration and a high frequency current to a living tissue, respectively; a jaw configured to open and close with respect to the ultrasonic blade; a holder provided in the jaw to be swingable with respect to the jaw; and an abutment portion provided in the holder and made of a first resin material, the abutment portion being configured to abut against the ultrasonic blade when the jaw is closed with respect to the ultrasonic blade, at least a part of the holder being made of a second resin material, and the holder including an electrode configured to supply the high frequency current on at least a part of a contact surface that is included in the holder, the contact surface being configured to be in contact with the living tissue.
An endoscope includes a bending tube extending along a longitudinal axis from a proximal end side to a distal end side, a wire that bends the bending tube, a first sheath through which the wire is passed, and a plate body having an annular shape and disposed in the proximal end side of the bending tube. The plate body includes: a first annular surface facing distally; a second annular surface facing proximally and intersecting the longitudinal axis; and a hole penetrating the first annular surface and the second annular surface and through which the wire is passed, and at least a portion of the first sheath is disposed proximally relative to the second annular surface and a distal end of at least the portion of the first sheath is configured to push a periphery of the hole on the second annular surface.
A medical system according to the present invention comprises a suturing device that has: an arm; a first jaw and a second jaw that are attached to the tip end of the arm; and a needle to which a thread can be attached, wherein the first jaw and the second jaw are configured so that at least one of the first jaw and the second jaw can be opened and closed, and the needle can be transferred therebetween.
A medical manipulator according to the present invention comprises: a flexible manipulator section; an arm that has a first bending section and a second bending section, and is positioned at the tip end of the flexible manipulator section; an artificial muscle that drives the bending of the first bending section; and a wire that drives the bending of the second bending section.
A medical manipulator according to the present invention comprises an outer sheath and a channel tube that is inserted through the outer sheath, wherein at least a part of the channel tube has: a coil sheath that forms a lumen through which a treatment manipulator or a treatment implement is inserted; and a braided tube which is positioned on the outside of the coil sheath.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
52.
MEDICAL MANIPULATOR AND MEDICAL MANIPULATOR SYSTEM
This medical manipulator comprises: a manipulator flexible part extending in the longitudinal direction; and two arms disposed at the tip of the manipulator flexible part. Each of the two arms has a first bending part. The first bending part has an artificial muscle that drives bending of the first bending part, and a bending tube. The artificial muscle and the bending tube extend along the longitudinal direction and are arranged side by side.
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
53.
MEDICAL MANIPULATOR SYSTEM, DRIVE DEVICE, AND ASSEMBLY METHOD FOR MEDICAL MANIPULATOR SYSTEM
A medical manipulator system according to the present invention comprises: an insertion manipulator that extends in the longitudinal direction and has a lumen; a treatment manipulator that can be inserted through the lumen; a first drive unit that drives the insertion manipulator; and a second drive unit that drives the treatment manipulator, wherein the first drive unit is positioned at the tip-side of the second drive unit, and is extendable and retractable in the longitudinal direction.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
54.
MEDICAL MANIPULATOR, MEDICAL MANIPULATOR SYSTEM, AND TREATMENT METHOD PERFORMED BY MEANS OF MEDICAL SYSTEM
This medical manipulator comprises: a manipulator flexible section that extends in the longitudinal direction; and two arms disposed at the tip end of the manipulator flexible section. The two arms are arranged in a left-right direction perpendicular to the longitudinal direction. Each of the two arms includes a second bending part. As a result of the second bending parts bending, the tip ends of the second bending parts of the two arms are separated in the left-right direction.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
GYRUS ACMI, INC. d/b/a OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Magno, Joey
Abrégé
A method for performing an endoscopy procedure can include viewing an image of a wall of a duodenum proximate a papilla using an endoscope, releasing through a cannula of the endoscope a fluid towards the papilla while viewing the image, and inserting an instrument through an opening of the papilla after releasing the fluid. A system can include an endoscope, a cannula system including a cannula extending through the endoscope, a fluid control system coupled to the cannula system, the fluid control system including a source of saline and a source of a freezing agent, and a fluid activator, wherein the fluid activator is configured to deliver at least one of the saline and the freezing agent through the cannula at a user's discretion.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
An ultrasonic treatment tool comprises: an ultrasonic blade 13 that applies ultrasonic vibration and a high-frequency electric current to biological tissue; a jaw 11 that is opened and closed with respect to the ultrasonic blade 13; and a contact member 12 that is provided in the jaw 11, is formed of a first resin material, and is brought into contact with the ultrasonic blade 13 when the jaw 11 is closed with respect to the ultrasonic blade 13. The jaw 11 is at least partially formed of a second resin material, and has an electrode EP that supplies a high-frequency electric current to at least a portion of a contact surface that makes contact with biological tissue.
This ultrasonic treatment tool comprises: an ultrasonic blade 13 that supplies ultrasonic vibrations and high-frequency current to biological tissue; a jaw 11 that opens and closes relative to the ultrasonic blade 13; a holder member 14 that is provided to be able to pivot relative to the jaw 11; and an abutment member 12 that is provided on the holder member 14, is made of a first resin material, and abuts against the ultrasonic blade 13 when the jaw 11 is closed relative to the ultrasonic blade 13. The holder member 14 is at least partially made of a second resin material, and has an electrode EP that supplies high-frequency current to at least a part of a contact surface that comes into contact with the biological tissue.
This endoscope imaging device is to be provided at a distal end of an insertion part of an endoscope. The endoscope imaging device comprises: an endoscope distal end part that is connected to the distal end of the insertion part, and has a distal end surface facing the distal end side in the longitudinal direction of the insertion part and a protruding portion protruding from the distal end surface toward the distal end side; an objective optical system that is provided in the protruding portion, and has a field-of-view axis extending in the longitudinal direction and an angle of view of greater than 180°; and an illumination optical system that is provided outside the range of the field of view of the objective optical system and is capable of irradiating the distal end side with illumination light.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
59.
ENDOSCOPE IMAGING DEVICE, ENDOSCOPE, AND ENDOSCOPE TIP COVER
An endoscope imaging device according to the present invention is provided at a distal end of an insertion section of an endoscope and comprises: an objective optical system; a water supply section which is capable of ejecting liquid toward the objective optical system; an illumination optical system which is provided at the periphery of the objective optical system; a suction opening which is capable of suctioning the liquid ejected by the water supply section; and a guide section which is provided on the side opposite from the the water supply section so as to sandwich the objective optical system in the direction in which the water supply section ejects the liquid, and which is formed so as to be capable of guiding the liquid to the suction opening.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
60.
USER INTERFACE AND LOCK FEATURES FOR POSITIONING MULTIPLE COMPONENTS WITHIN A BODY
GYRUS ACMI, INC., D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Shuman, Brandon James
Lambe, Peter
Tyson, Taylor N.
Siuda, Anthony H.
Saleira, Cassandra
Hurst, Chistine N.
Hadford, Eric
Abrégé
Disclosed embodiments include apparatuses, systems, and methods for positioning electrodes. In an illustrative embodiment, an apparatus includes a primary electrode defining a lumen, an elongated secondary electrode slidably receivable within the lumen, and a sheath configured to slidably receive the electrodes and to convey the electrodes toward a target region. A housing is coupled with the sheath and movably mounted to motivate the sheath relative to the target region. A primary actuator is coupled with the primary electrode and slidably coupled with the housing to motivate the primary electrode relative to the sheath. A secondary actuator is coupled with the secondary electrode and movably coupled with the primary actuator to be slidable with the electrodes in concert. The secondary actuator is rotatable independently of the primary actuator to travel along a helical path to motivate the secondary electrode to move relative to the target region independently of the primary electrode.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
61.
FOCUS CONTROL DEVICE, FOCUS CONTROL METHOD, FOCUS CONTROL PROGRAM, AND ENDOSCOPE SYSTEM
The present invention is a focus control device for adjusting a focus position on the basis of an output signal from an imaging unit (26) having an optical system (26b) that is provided to the distal end (21a) of an endoscope (20) insertion part (21) and moves forward and rearward in a direction following an optical axis (O) to perform focus adjustment, wherein the focus control device comprises: a distance distribution information acquisition unit (15) that, from an output signal of the imaging unit, acquires longitudinal-direction distance distribution information pertaining to an object when viewed from the imaging unit, and acquires temporal distance change information pertaining to the object; a range determination unit (15b) that determines a distance change range for the object on the basis of the distance distribution information and the distance change information; and a focus position control unit (16) that adjusts the focus position on the basis of the result of determination performed by the range determination unit.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
62.
ULTRASOUND PROBE, ULTRASOUND TRANSDUCER UNIT, AND ULTRASOUND ENDOSCOPE
An ultrasound probe includes: a transducer array in which a plurality of transducers configured to transmit and receive ultrasonic waves are arrayed with longitudinal directions of the transducers aligned; and a pair of housings each having a plate shape, the housings being configured to sandwich the transducers, the housings including a first conductive portion provided on a first face positioned on a side of each of the transducers, an insulating portion provided on an outer edge portion of a second face that is positioned on an opposite side of the first face, a second conductive portion provided on the second face, and a third conductive portion electrically connecting the first conductive portion and the second conductive portion.
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p. ex. en utilisant des cathéters
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
63.
ENDOSCOPE WITH INTEGRATED STABILIZER AND CANNULATION ELEMENTS
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Terravecchia, Jake
Marvin Iii, William E.
Talbot, Brian M.
Norton, Erica J.
Abrégé
An endoscope system can include an arm and a scope defining a working channel extending along a longitudinal axis of the scope. The working channel can define an opening of the working channel at a distal tip of the scope. The arm can be connected to the distal tip of the scope and can be movable with respect to the scope and the working channel to engage and clear tissue from the opening of the working channel.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/12 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec système de refroidissement ou de rinçage
A61B 1/015 - Commande de l'alimentation en fluide ou de l'évacuation de fluide
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
An endoscope system including: an illumination light source that emits illumination light for illuminating an object; a therapeutic light source that emits therapeutic light for causing a photoreactive reagent accumulated in a treatment target site to react; a guide light source that emits guide light having a wavelength shorter than a wavelength band of the therapeutic light source; an imager that captures an optical image; a controller that controls emission timings of the illumination light source, the therapeutic light source, and the guide light source; and an image processor that generates an image on the basis of an optical image obtained by light emitted from the illumination light source, the therapeutic light source, and the guide light source.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
A61N 5/06 - Thérapie par radiations utilisant un rayonnement lumineux
65.
ENDOSCOPE COVER ATTACHMENT SYSTEM AND ENDOSCOPE COVER ATTACHMENT METHOD
The present invention includes: a cylinder part 46 configured to cover a distal end part 5 of an endoscope 1; a distal end cover 45 provided at the proximal end of the cylinder part 46 and having a distal end part insertion hole 50 configured to insert the distal end part 5 into the cylinder part, and cover-side protrusions 51l, 51r and a locking belt 56 which are configured to lock onto the distal end part 5; a frame body 61 covering the distal end cover 45; and a holder 60 having a cover removal hole 65 configured to remove the distal end cover 45 from the frame body, and a locking claw 87 for keeping the distal end cover 45 on the frame body 61. The cover-side protrusions 51l, 51r and the locking belt 56 deform the cylinder part 46 during the process of locking onto the distal end part 5, and a portion, facing the cover-side protrusions 51l, 51r and the locking belt 56, of the inner surface of the frame body 61 is separated in the deformation direction of the cover-side protrusions 51l, 51r and the locking belt 56.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
66.
CAMERA UNIT, ENDOSCOPE, AND METHOD FOR MANUFACTURING CAMERA UNIT
[Problem] To provide a camera unit 1 having high performance and excellent yield. [Solution] A camera unit 1 comprises: an imaging unit 10 including an imaging element 11 and a cover glass 12 that has a light-receiving surface 10SB; an optical unit 20 having an optical axis, the optical unit 20 having an emission surface 20SB that is larger than the light-receiving surface 10SB; and a transparent resin bonding the light-receiving surface 10SB and the emission surface 20SB. The transparent resin forms a filet reaching the emission surface 20SB from a side surface 10SS of the cover glass 12. An outer side surface 30SS of the filet is positioned on the same plane as a side surface 20SS of the optical unit 20.
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
G02B 7/02 - Montures, moyens de réglage ou raccords étanches à la lumière pour éléments optiques pour lentilles
An information processing device includes a processor including one or more hardware components. The processor is configured to obtain a classification result that a kind of an insertion shape of an endoscope insertion portion inserted into a subject is classified as one of a plurality of predetermined kinds, and output the classification result.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
68.
DATA PROCESSING DEVICE, DATA PROCESSING METHOD, DATA PROCESSING PROGRAM, ENDOSCOPE SYSTEM, MEDICAL SYSTEM, DISPLAY CONTROL METHOD, INSERTION GUIDE METHOD, LEARNING METHOD FOR INFERENCE MODEL, AND LEARNING MODEL
This data processing device is equipped with: a difficult-to-insert part image determination unit to which captured images, obtained as a time series by capturing images of a lumen where an insertion tool is inserted, are inputted and which determines whether or not said inputted captured images are difficult-to-insert part images obtained from a difficult-to-insert part for said insertion tool; a successful timing acquisition unit which acquires, as a successful timing, a timing at which a successful insertion image obtained when the insertion of said insertion tool into said lumen is successful; a feature determination unit to which said captured images are inputted and which determines a feature of an intermediate image group representing an image group captured between the capturing timing of said difficult-to-insert part image and said successful timing; and an association unit which associates and records said difficult-to-insert part image with information on the feature of said intermediate image group corresponding to said difficult-to-insert part image.
An endoscope cover attachment system 100 comprises: a distal end cover 45 having a tube portion 46 configured to cover a distal end portion 5 of an endoscope 1, a distal end portion insertion port 50 provided at the base end of the tube portion 46 and configured to allow the insertion of the distal end portion 5 into the tube portion, and cover-side protrusions 51l, 51r and a locking belt 56 configured to lock onto the distal end portion 5; and a holder 60 having a frame body 61 that covers the distal end cover 45, a cover removal port 65 configured to allow the removal of the distal end cover 45 from the frame body, and a locking claw 87 that holds the distal end cover 45 on the frame body 61. When the cover-side protrusions 51l, 51r are not locked onto the distal end portion 5 and the holder 60 is moved in the direction of removing the distal end portion 5 from the cover removal port 65, the locking claw 87 maintains the state in which the distal end cover 45 is held at the frame body 61.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
70.
INSERTION DEVICE HAVING OPERATION LEVER MORE EASILY BENDABLE IN PREDETERMINED DIRECTION AND OPERATION PORTION OF INSERTION DEVICE
An insertion device includes a bending portion provided in an insertion portion having a longitudinal axis; an operation lever provided in an operation portion and configured to cause the bending portion to bend, where the operation portion is provided on a proximal end side of the insertion portion; and an elastic member connected to the operation portion, and provided with rigidity that resists tilting when the operation lever is tilted, where first rigidity in a first tilting direction is lower than second rigidity in a second tilting direction, wherein of the elastic member, a cross-section orthogonal to an axial direction of the operation lever is formed into a rectangular shape, and any of corners of the rectangular shape of the cross-section is placed in the first tilting direction.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Baker, Charles A.
Abrégé
Systems and methods for localizing and characterizing an anatomical target during a laser procedure are disclosed. A surgical laser system comprises a multi-core fiber that includes a first fiber core to transmit relatively high-power therapeutic laser, and a second fiber core to transmit a non-therapeutic, relatively low-power optical or electromagnetic signal and a return signal from the target responsive to the optical or electromagnetic irradiation thereon. The system can determine a fiber-to-target distance based on an interference pattern between the return signal and at least a portion of the optical or electromagnetic signal reflect by a reflective member of the optical fiber. The fiber-to-target distance, among other target characteristics, can be provided to a user or a mechanism for manual or automatic adjustment of laser fiber position or orientation or laser output setting.
A61B 18/22 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par application de radiations électromagnétiques, p. ex. de micro-ondes en utilisant des lasers le faisceau étant dirigé le long, ou à l'intérieur d'un conduit flexible, p. ex. d'une fibre optiquePièces à main à cet effet
An insertion apparatus in the invention includes: a multi-lumen tube provided in an insertion portion and formed in a bendable manner, the insertion portion being inserted into a subject; a distal end member arranged so as to cover a distal end of the multi-lumen tube; a braided tube into which the multi-lumen tube is inserted, a distal end edge portion of the braided tube being disposed between the distal end member and the multi-lumen tube; and a wire configured to bend the multi-lumen tube by traction, in which the braided tube includes a gap through which the wire passes from an outside of the braided tube to an inside of the braided tube.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Potts, Dawn
Anand, Umang
Abrégé
Techniques are described to utilize machine learning to analyze EBUS ultrasound imagery. Models are trained on annotated samples to identify important vascular landmarks, lymph node stations, and other structures.
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p. ex. en utilisant des cathéters
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
74.
DISPLAY CONTROL DEVICE, DISPLAY CONTROL METHOD, DISPLAY CONTROL SYSTEM, AND DISPLAY CONTROL PROGRAM
This image classification device for an endoscope comprises: a first inference model that has been trained on the basis of a first training data group including a plurality of pieces of first training data obtained by imparting, to each image, annotation information corresponding to the image and text information differing from the annotation information and pertaining to the image; and a control circuit that outputs, for display, a first inference result output by the first inference model when a prescribed image and prescribed text information are input into the first inference model.
A clip cartridge includes a clip unit having a pressing tube, an arm member and a connection portion. The connection portion can transition between a protrusion configuration and an accommodation configuration. The clip cartridge also includes a housing that can accommodate the clip unit. The housing has a stopper that restricts movement of the connection portion and a release mechanism or a groove that permits movement of the connection portion. The stopper is able to restrict movement of the clip unit by contacting the arm member or the pressing tube.
A61B 17/128 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical pour appliquer ou enlever les clamps ou les pinces
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/122 - Clamps ou pinces, p. ex. pour le cordon ombilical
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
An elongated access device used in a medical system. The elongated access device slidably received a medical tool and an ultrasound probe. The elongated access device includes a sheath and an intraluminal tip attached to the distal end of the sheath. The intraluminal tip includes ramp and nose donuts being spaced apart from one another and configured to be attached to one or more elongated sleeves. One or more orientation pins are engaged with the respective ramp and nose donuts and may be anchored within the sheath. The medical tool is engaged with a ramp formed in the ramp donut or a remp received within the ramp donut. The ultrasound probe is configured to engage with the intraluminal tip so as to ensure that the medical tool directionality is oriented toward a target during a procedure.
A61B 8/00 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/018 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires destinés à recevoir des instruments
A61B 1/267 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour les voies respiratoires, p. ex. laryngoscopes, bronchoscopes
A61B 8/12 - Diagnostic utilisant des ondes ultrasonores, sonores ou infrasonores dans des cavités ou des conduits du corps, p. ex. en utilisant des cathéters
A61B 10/04 - Instruments endoscopiques, p. ex. instruments de type cathéther
A multi-lumen tube 11 for an endoscope according to the present invention comprises: a tube 12 disposed along the longitudinal direction inside an insertion part 2 of an endoscope 1; a deformable wall 13 partitioning the interior of the tube; and a first channel 5 and a second channel 7 respectively formed in one and the other of the interior of the tube partitioned by the wall. In a cross section perpendicular to the longitudinal direction, the first-channel side of the tube protrudes on one side with respect to the wall, the second-channel side of the tube protrudes on the other side with respect to the wall, and outer contours 12a1, 12a2 of the two portions of the tube connected to the wall each form a concave shape.
A61B 1/012 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments caractérisés par les conduits internes ou par leurs accessoires
78.
MEDICAL EXAMINATION SUPPORT METHOD, HEALTH SUPPORT METHOD, MEDICAL EXAMINATION SUPPORT DEVICE, AND HEALTH SUPPORT DEVICE
Provided is a medical examination support method, a health support method, a medical examination support device, and a health support device that are capable of determining sensor data with a high degree of granularity. This medical examination support method includes: an acquisition step for acquiring sensor data detected for a user by a sensor and lifestyle information about the lifestyle of the user and recording the data and information on a time-series basis; an extraction step for extracting lifestyle-related information selected from the lifestyle information, the selected lifestyle-related information relating to the sensor data; and an output step for outputting the related information and the sensor data.
A61B 5/00 - Mesure servant à établir un diagnostic Identification des individus
G16H 20/00 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients
79.
INSPECTION ASSISTANCE SYSTEM, INSPECTION ASSISTANCE METHOD, CONTROL METHOD FOR MEDICAL DEVICE, AND COMPUTER-READABLE RECORDING MEDIUM ON WHICH PROGRAM IS RECORDED
An inspection assistance system includes one or more processors including hardware, and the one or more processors are configured to: acquire a video signal including information of a medical image; perform recognition processing based on the video signal, to enable outputting of inspection assistance information for assisting an inspection; acquire identification information included in the video signal, the identification information being different from the information of the medical image; and determine whether the video signal is a video signal for the recognition processing, based on the identification information.
G06V 10/98 - Détection ou correction d’erreurs, p. ex. en effectuant une deuxième exploration du motif ou par intervention humaineÉvaluation de la qualité des motifs acquis
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
G06V 10/70 - Dispositions pour la reconnaissance ou la compréhension d’images ou de vidéos utilisant la reconnaissance de formes ou l’apprentissage automatique
G06V 20/40 - ScènesÉléments spécifiques à la scène dans le contenu vidéo
G16H 40/67 - TIC spécialement adaptées à la gestion ou à l’administration de ressources ou d’établissements de santéTIC spécialement adaptées à la gestion ou au fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement d’équipement ou de dispositifs médicaux pour le fonctionnement à distance
An image pickup unit, which is an electronic component device, includes: a stacked device which is an electronic component including an external electrode; and a wiring board. The wiring board has a first principal surface and includes a bonding electrode and an alignment mark on the first principal surface, the external electrode of the electronic component is bonded to the bonding electrode, and on the first principal surface, an area of a region in which a first region where the bonding electrode is virtually moved in a predetermined first direction, and the alignment mark are superimposed on each other is less than 50% of an area of the alignment mark.
H10F 39/00 - Dispositifs intégrés, ou ensembles de plusieurs dispositifs, comprenant au moins un élément couvert par le groupe , p. ex. détecteurs de rayonnement comportant une matrice de photodiodes
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
H01L 23/544 - Marques appliquées sur le dispositif semi-conducteur, p. ex. marques de repérage, schémas de test
The present invention comprises: a distance distribution information acquisition unit (15) for acquiring distance distribution information in the front-rear direction of an observation target, on the basis of an output signal from an imaging unit (26) provided at the tip of an endoscope (20) insertion unit (21), in order to generate an endoscope image that can be displayed in a size appropriate for the target and is always clear and in high-definition in an endoscope or the like; a focus position control unit (16) for adjusting the relative position of a focus lens, included in the imaging unit, on the optical axis according to the distance distribution information; and an electronic zoom processing unit (11a) for performing image processing for limiting the region of an image signal, acquired from the imaging unit, in order to generate an image to be displayed on the display unit.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
82.
RECOMMENDATION METHOD, RECOMMENDATION DEVICE, PROGRAM, AND RECOMMENDATION SYSTEM
Provided are a recommendation method, a recommendation device, a program, and a recommendation system which make it possible to propose a proper response to a symptom of an individual. The present invention is a recommendation method performed by a recommendation device comprising a processor, said recommendation method comprising: a symptom reception step for receiving, with the processor, input of a symptom of a user; an output step for searching a database in which information including a treatment method for each symptom is classified and outputting related information for alleviating the symptom; and a physical condition reception step for requesting input of a physical condition of the user after an estimated time has elapsed since the related information has been output, according to estimated time information, which indicates a time until an effect takes place and which has been obtained by searching the database per treatment method for efficacy information including the estimated time information.
G16H 20/00 - TIC spécialement adaptées aux thérapies ou aux plans d’amélioration de la santé, p. ex. pour manier les prescriptions, orienter la thérapie ou surveiller l’observance par les patients
83.
FOCUS CONTROL DEVICE, FOCUS CONTROL METHOD, FOCUS CONTROL PROGRAM, ENDOSCOPE SYSTEM, AND METHOD FOR CREATING INFERENCE MODEL FOR DISTANCE DISTRIBUTION OF ENDOSCOPIC IMAGE
The present invention comprises: a distance distribution information acquisition unit (15) that acquires, from an endoscope or the like, distance distribution information in the front-back direction of an object on the basis of output signals from an imaging unit (26) provided at the distal end of an insertion part (21) of an endoscope (20); a pattern classification unit (18) that classifies the distance distribution information acquired by the distance distribution information acquisition unit into a plurality of distance distribution patterns; and a focus position control unit (16) that adjusts the relative position between a focus lens and an imaging element (26b) included in the imaging unit along the optical axis in accordance with the result of the classification by the pattern classification unit.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
Endoscopic apparatus for medical purposes; endoscopic
equipment for medical purposes; medical apparatus and
instruments; surgical apparatus and instruments; medical and
surgical apparatus and instruments, namely, endoscopic video
processors specially adapted for and exclusively used with
medical and surgical endoscopes for medical and surgical
purposes; chemiluminescent light sources for use in
endoscopy; endoscopes for medical use.
85.
ENDOSCOPE AND METHOD FOR CONFIRMING GROUNDING OF ENDOSCOPE
An endoscope can include an internal member provided at a distal end of an insertion portion a conductive external member fitted over the internal member and electrically connected to a ground. The endoscope can also include an image pickup instrument fixed to the internal member, and the image pickup instrument can include a lens. The endoscope can include an electrical connection part having a first end portion connected to the conductive member and a second end portion connected to the external member, the electrical connection part being configured to electrically connect the conductive member and the external member, a conductor wire including a third end portion electrically connected to the first end portion, and a fourth end portion that passes through an opening formed in the external member.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/05 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision caractérisés par le fait que le capteur d'images, p. ex. l'appareil photographique, est placé dans la partie de l'extrémité distale
G01R 31/52 - Test pour déceler la présence de courts-circuits, de fuites de courant ou de défauts à la terre
86.
JAW APPARATUS AND TECHNIQUES TO MAINTAIN ENGAGEMENT UPON TISSUE SEPARATION
Disclosed embodiments include apparatuses for and methods of separating tissue with opposing jaw members having distal ends that translate toward a surface of the tissue as the jaw members are rotated outwardly to maintain engagement with the tissue. In an illustrative embodiment, an apparatus includes jaw members rotatably coupled adjacent to their proximal ends. The jaw members define opposing outwardly-facing curved channels disposed between their proximal and distal ends that slidably engage a distal pin. A bracket defines a distal socket that receives the distal pin. As the jaw members are motivated in a distal direction relative to the bracket toward the distal pin, engagement of the distal pin with the outwardly-facing curved channels causes the jaw members to rotate to cause the distal ends of the jaw members move outwardly transversely to the distal direction while the distal ends translate in the distal direction.
GYRUS, ACMI,INC., D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Batchelor, Kester Julian
Leak, David M.
Baker, Charles A.
Abrégé
A stone fragment capture device for a lithotripsy system comprises a container for retaining stone fragments, an inlet port in the container coupling to a suction passage of a lithotripsy device, an outlet port fluidly coupling to a collection canister of the lithotripsy system, a transparent portion of the container through which stone fragments are viewed and indicia on the container for determining a property of stone fragments. A method of retrieving stone fragments from a lithotripsy procedure comprises fragmenting stones with a lithotripsy device, drawing a vacuum through the lithotripsy device to pull stone fragments and waste fluid through the lithotripsy device, pulling the vacuum through a stone fragment capture device connected to the lithotripsy device, separating the stone fragments from the waste fluid within the stone fragment capture device, determining a property of the stone fragments within the stone fragment capture device, and finishing the lithotripsy procedure.
A61B 17/22 - Instruments pour comprimer les ulcères ou similaires placés sur les organes internes du corpsInstruments pour curer les cavités des organes du corps, p. ex. des osInstruments, dispositifs ou procédés chirurgicaux pour l'élimination ou la destruction invasives des calculs utilisant des vibrations mécaniquesInstruments, dispositifs ou procédés chirurgicaux pour l'élimination non prévue ailleurs des obstructions dans les vaisseaux sanguins
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Boone, Eric J.
Fiksen, Christian J.
Ward, Zane R.
Pham, Hanam S.
Nelson, Jeffrey
Abrégé
A surgical device comprising: a closure assembly including: (a) a latch unit comprising: (A) a hook latch, having a home position, (B) a forward bias constraint, (C) a rearward bias constraint, and (D) a bias member extending between the forward bias constraint and the rearward bias constraint so that the bias member has a pre-load when the hook latch is in the home position; (b) a movement unit including a bar that is movable relative to the latch unit so that the bar is movable in a prescribed motion into contact with the latch unit to create a locked state; and wherein the bar moves into contact with the hook latch driving the hook latch in a first direction, away relative to the home position, and then the hook latch is moved by the bar in a second direction relative to the home position, and a loading of the bias member is increased from the pre-load when the hook latch is moved in either the first direction away from the home position or the second direction away from the home position.
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
Provided is a medical stapler that is disposed on the distal end of an endoscope, the medical stapler comprising: a wire extending in the axial direction of the endoscope; and a staple discharge part having a cartridge capable of storing staples, and an ejection mechanism connected to the distal end of the wire and being capable of ejecting the staples from the cartridge. The cartridge is detachably attached to the staple discharge part. Through forward and backward movement of the wire, the ejection mechanism is movable between a first position as an initial position and a second position where the staples are ejected. The ejection mechanism is in the second position when the cartridge is detached from the staple discharge part. The ejection mechanism is moved from the second position to the first position when the cartridge is attached to the staple discharge part.
A cover for fitting over the distal end of a shaft of a medical device is provided. The cover comprises: a tubular body with a first end, a second end, inner and outer circumferential surfaces, a longitudinal axis and at least one outwardly extending projecting element; and a plurality of guide members pivotally attached to the second end of tubular body and movable between a first position in which the guide members converge towards the longitudinal axis in a direction from the second end of the tubular body towards the first end of the tubular body, and a second position in which the guide members are parallel to the longitudinal axis.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/31 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments pour le rectum, p. ex. proctoscopes, sigmoïdoscopes
A medical stapler provided at a distal end of an endoscope includes a wire extending in an axial direction of the endoscope and a staple release part having a cartridge configured to accommodate a staple and an injection mechanism connected to a distal end of the wire and configured to eject the staple from the cartridge. The cartridge is provided so that the cartridge is removably attached to the staple release part. The injection mechanism is movable from a first position that is an initial position to a second position where the staple is ejected by manipulating the wire. The injection mechanism is located at the second position when the cartridge is removed from the staple release part. The injection mechanism moves from the second position to the first position when the cartridge is attached to the staple release part.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
An endoscope system includes a light source apparatus to generate an illumination light including a first light in a red to near infrared region, a second light in a green region, and a third light in a blue region, an image pickup device to pick up an image of an object and output an image pickup signal, and a processor to generate a first to third color components corresponding to the first to third lights based on an image generated according to the image pickup signal. The processor generates two of three color components that are blue, green, and red included in an observation image by using a second color component, and generates one remaining color component by using a first color component, and generates respective color components of red, green, and blue included in a white light observation image by using the first to third color components.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
A61B 1/04 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments combinés avec des dispositifs photographiques ou de télévision
A61B 1/06 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments avec dispositifs d'éclairement
93.
ENDOSCOPY VIDEO TIMELINE INTEREST LEVEL PREDICTION
GYRUS ACMI, INC. D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Juergens, Thorsten
Ryan, Michael
Abrégé
Various techniques are described for analyzing video recordings for endoscopic and other types of medical imaging. In some examples, a system generates an intelligent interest prediction indicator displayed in association with a timeline search bar of the video recording. The intelligent interest prediction indicator is quantified and scored over the timeline based on one or more parameters. In other examples, a system intelligently selects key frames from different video segments to display as thumbnails associated with those segments. These techniques may increase the efficiency, accuracy, and speed with which a physician may review and identify salient aspects of a recorded endoscopy procedure.
H04N 19/30 - Procédés ou dispositions pour le codage, le décodage, la compression ou la décompression de signaux vidéo numériques utilisant des techniques hiérarchiques, p. ex. l'échelonnage
GYRUS ACMI, INC D/B/A OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Jones, Lewis
Williams, Wayne
Abrégé
A bipolar surgical instrument (1) comprises a body (2), first and second opposed jaws (18, 20) located at the distal end of a shaft (10), the first jaw (18) being movable with respect to the second jaw (20) between an open position in which the first and second jaws (18, 20) are spaced apart from one another, and a closed position in which the first and second jaws (18, 20) are adjacent one another. The first and second elongate jaw members (18, 20) have respective first and second electrodes. A controller is operable to determine a mode of operation depending upon a measurement of impedance between the first and second jaws.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
According to the present invention, an endoscope comprises: a pair of upward/downward curving operation wires for transmitting traction force to a curving portion of an insertion portion; an upward/downward curving pulley having a pair of pulley grooves on an outer circumferential portion thereof; and wire guides provided in circumferential areas of the respective pulley grooves for respectively guiding the upward/downward curving operation wires that are wound around the respective pulley grooves. The allowable rotation angle of the upward/downward curving pulley is less than or equal to 180 degrees. A bottom portion of each pulley groove has a width that allows the corresponding upward/downward curving operation wire to be wound around the pulley groove up to two turns. Each wire guide has a tapered shape for progressively reducing the width of the bottom portion of the corresponding pulley groove so as to allow the corresponding upward/downward curving operation wire to be wound around the pulley groove only one turn in the rotation axis direction of the upward/downward curving pulley, and for guiding the corresponding upward/downward curving operation wire wound in the circumferential area to the bottom portion of the pulley groove.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
96.
FOCUS CONTROL DEVICE, FOCUS CONTROL METHOD, FOCUS CONTROL PROGRAM, AND ENDOSCOPE SYSTEM
In order to provide a focus control device capable of performing automatic control switching to enable proper focus control of an imaging unit according to the usage state of equipment such as an endoscope, the present invention comprises: a time-series change determination unit (15a) that detects a time-series image change pattern of an endoscopic image based on a plurality of pieces of image data which are sequentially acquired in chronological order by an imaging unit (26) included at the tip end of an insertion part (21) of an endoscope (1); a usage state determination unit (15) that determines the usage state of the endoscope on the basis of the time-series image change pattern detected by the time-series change determination unit; and a focus control unit (16) that drives and controls the imaging optical system of the imaging unit. The focus control unit switches to focus control according to the determination result of the usage state determination unit.
A61B 1/00 - Instruments pour procéder à l'examen médical de l'intérieur des cavités ou des conduits du corps par inspection visuelle ou photographique, p. ex. endoscopesDispositions pour l'éclairage dans ces instruments
Endoscopic apparatus for medical purposes; endoscopic
equipment for medical purposes; medical apparatus and
instruments; surgical apparatus and instruments; medical and
surgical apparatus and instruments, namely, endoscopic video
processors specially adapted for and exclusively used with
medical and surgical endoscopes for medical and surgical
purposes; chemiluminescent light sources for use in
endoscopy; endoscopes for medical use.
Endoscopic apparatus for medical purposes; endoscopic
equipment for medical purposes; medical apparatus and
instruments; surgical apparatus and instruments; medical and
surgical apparatus and instruments, namely, endoscopic video
processors specially adapted for and exclusively used with
medical and surgical endoscopes for medical and surgical
purposes; chemiluminescent light sources for use in
endoscopy; endoscopes for medical use.
A drive device includes a casing including a drive signal generator configured to generate a drive signal, a switching element configured to repeatedly turn on and off at a drive frequency of the drive signal or higher, and a heat sink including an outer surface provided with the switching element and an inner surface provided with at least one radiation fin. The drive device also includes first and second fans arranged such that airflows along the outer surface and inner surface of the heatsink are simultaneously formed from the first fan toward the second fan.
A61B 18/12 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par chauffage en faisant passer des courants à travers les tissus à chauffer, p. ex. des courants à haute fréquence
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci
A61B 18/02 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci par refroidissement, p. ex. techniques cryogéniques
100.
ENDOSCOPIC CUTTING FORCEPS WITH JAW CLAMP LEVER LATCHING MECHANISM
GYRUS ACMI, INC., D.B.A. OLYMPUS SURGICAL TECHNOLOGIES AMERICA (USA)
Inventeur(s)
Lamser, Dennis G.
Mensch, John R.
Moe, Riyad
Abrégé
A lever latching system comprising: a housing; a lever having a latch pin fixedly mounted to the lever, the lever being movably mounted to the housing so that the latch pin moves in an arc; and a latch plate movably mounted to the housing for linear movement with respect to the housing, the latch plate comprising a labyrinth for receiving the latch pin.
G05G 5/00 - Moyens pour empêcher, limiter ou inverser le mouvement de certaines pièces d'un mécanisme de commande, p. ex. verrouillage des organes de commande
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A61B 17/295 - Pinces pour la chirurgie faiblement invasive combinées à des instruments coupants
A61B 18/00 - Instruments, dispositifs ou procédés chirurgicaux pour transférer des formes non mécaniques d'énergie vers le corps ou à partir de celui-ci