| CPC A61B 1/00098 (2013.01) [A61B 1/00096 (2013.01); A61B 1/00101 (2013.01); A61B 1/00105 (2013.01); A61B 1/00131 (2013.01); A61B 1/00133 (2013.01); A61B 1/00137 (2013.01); A61B 1/00142 (2013.01); A61B 1/00177 (2013.01); A61B 1/01 (2013.01); A61B 1/015 (2013.01); A61B 1/018 (2013.01); A61B 1/0676 (2013.01); A61B 1/126 (2013.01); A61B 1/2736 (2013.01); A61B 1/00089 (2013.01); A61B 1/00103 (2013.01); A61B 1/00165 (2013.01); A61B 1/00181 (2013.01)] | 16 Claims |

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1. A kit for use in an endoscopic procedure on a patient, the kit comprising:
an endoscope comprising an elongate shaft with a working channel;
a coupler device configured for removable attachment to the endoscope, the coupler device comprising:
a main body comprising a distal end, a proximal end configured for attachment to the shaft of the endoscope and a surface between the proximal and distal ends; and
a passage for receiving an instrument and having an opening along a portion of the surface:
an endoscopic device configured for advancement through the working channel of the endoscope and the passage in the coupler device; and
a mechanism for articulating the endoscopic device passing through the endoscope, the mechanism comprising the passage, which comprises a flexible working channel extension within the coupler device, the working channel extension having a proximal end configured for attachment to the working channel of the endoscope, wherein the working channel extension is configured for angular adjustment.
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