Methods and apparatus for delivering a medical instrument over the exterior of an endoscope while the endoscope is installed in the patient's body allow the use of instruments which are too large to fit through the lumena of an endoscope. Furthermore, the invention allows the elimination of working lumena in an endoscope thereby minimizing the likelihood of contamination.

Methods and apparatus for delivering a medical instrument over an endoscope while the endoscope is in a body lumen

An endoscope with guiding apparatus is provided. The endoscope has an elongate body with a steerable distal portion, an automatically controlled portion, a flexible and passively manipulated proximal portion, and an externally controlled and manipulatable guiding apparatus. The guiding apparatus may be positioned within the endoscope or may be positioned adjacent to the endoscope. An interlocking device is provided to slidably interlock the guiding apparatus and the endoscope. When the guide is in a flexible state, it can conform to a curve or path defined by the steerable distal portion and the automatically controlled portion. The guide can then be selectively rigidized to assume that curve or path. Once rigidized, the endoscope can be advanced along the guide in a monorail or “piggy-back” fashion so that the flexible proximal portion follows the curve held by the guide until the endoscope reaches a next point of curvature within a body lumen.

Endoscope with adjacently positioned guiding apparatus

An endoscope including; a fixing member detachably mounted to a distal end portion of an endoscope insertion part for detachably fixing and holding a distal end portion of an indwelling tube or a distal end portion of a guide member for guiding the indwelling tube, both of which are provided along the axial direction of the insertion part, to the distal end portion of the insertion part.

Endoscopic system and method for positioning an indwelling tube

An endoscope with separable auxiliary assembly is provided that includes a cylindrical shaped endoscope that is insertable within a sterile end cap with attached sterile drape, the drape being extendable over the length of the endoscope and its trailing cables thus isolating the endoscope and its trailing cables from the environment. A sterile separable channel section is provided that releasably attaches to the end cap. The separable channel section has a plurality of longitudinal channels running therethrough so that operative fluids, gases or operative instruments may be applied to the surgical site. To enable a surgeon to obtain selectable images of an operative site, a detachable viewing head may be attached to the distal end of the endoscope prior to placement of the endoscope inside the end cap.

Sterilizable endoscope with separable auxiliary assembly

A medical apparatus and method useful for positioning one or more members within the gastro-intestinal tract is disclosed. The medical apparatus can include a track supported on a sheath sized to receive an endoscope, and a carrier slidable with respect to the track. A feeding tube accessory adapted to slidably engage the carrier is disclosed.

Track for medical devices

A sheathed endoscope has a flexible elongate insert part and a sheath that is removably fitted over the insert part. The sheathed endoscope comprises a distal end part that is provided at the distal end of the insert part, a distal end cover that is provided at the distal end of the sheath and that is removably fitted over the distal end part, and a lock device that is provided on the distal end cover so as to be engageable with the distal end part. The lock device is disengaged from the distal end part by deforming the distal end cover so that the lock device moves radially outward. A sheath for a sheathed endoscope is provided and is removably fitted over a flexible elongate insert part of the endoscope. The sheath comprises a flexible tubular member that is removably fitted over the insert part, a distal end cover that is connected to the distal end of the tubular member so as to be removably fitted over the distal end of the insert part, the cover being made of a shape-memory synthetic resin material that is restored to a previously memorized shape by heating it to a shape restoration temperature, and a lock device that is provided on the distal end cover.

Nagashige Takahashi

Papers

Sheathed endoscope and sheath therefor