Abstract: A treatment instrument includes a grasping piece that is openable and closable to a treatment portion, and includes an electrode member. An electrode inclination surface facing a side on which the treating portion is located is provided on an outer surface of the electrode member of the grasping piece, and the electrode inclination surface extends from an inner side to an outer side in a width direction so as to be inclined in a direction away from the treatment portion.

Abstract: An endoscope system includes: a drive cable; an endoscope that has a bending portion that is capable of bending and is driven by the connected drive cable; a drive device that electrically drives the connected drive cable; a trolley equipped with the drive device; a stand that connects the drive cable and the endoscope and is capable of being installed at a position away from the trolley; and an operation device that is communicably connected to the drive device and attached to the stand.

Abstract: A treatment device includes a shaft extending along a longitudinal axis and including a plurality of segments arranged along the longitudinal axis, a treatment portion at a distal-end side of the shaft, an operation portion at a proximal-end side of the shaft, and an imaging device. A first segment of the plurality of segments is at the distal-end side of a second segment of the plurality of segments and is rotatably attached to the second segment at a first pivot point. The imaging device is provided in the second segment. The first segment is rotatable about the first pivot point relative to the second segment such that a longitudinal axis of the first segment intersects a longitudinal axis of the second segment at a first angle and at least a part of the treatment portion enters a field of view of the imaging device.

Abstract: A control apparatus includes a processor, and the processor receives data logs related to operations of a plurality of controlled devices, adds, based on information on a predetermined person in charge of surgery set according to the data logs, information on the person in charge of surgery according to the plurality of controlled devices to the data logs related to the operations of the plurality of controlled devices obtained from results of communication with the plurality of controlled devices, and extracts data logs for each predetermined person in charge of surgery from the data logs and the information on the set person in charge of surgery.

Abstract: An endoscope treatment tool includes: a forceps having a first forceps piece and a second forceps piece; and a joint. The second forceps piece includes a forceps cup, a first tooth, a second tooth, a third tooth, a fourth tooth. A length from a tip of the first tooth to a tip of the second tooth in a longitudinal direction defines a first length, a length from the tip of the first tooth to a tip of the third tooth in the longitudinal direction defines a second length, and the first length is shorter than the second length. A length from the tip of the first tooth to a tip of the fourth tooth in the longitudinal direction defines a third length and the second length is shorter than the third length.

Abstract: An endoscope includes an insertion portion including a distal end portion in which an image pickup unit is disposed, the insertion portion being configured to be inserted into an organ of a subject, an operation portion disposed at a proximal end of the insertion portion, and a sensor disposed in the operation portion, the sensor being configured to detect a pressure of a fluid in a flow passage passing through from the operation portion to a first opening of the distal end portion, the flow passage being configured to allow the fluid flowed into the operation portion to be flowed out from the first opening.

Abstract: An endoscope system includes an endoscope, at least one monitor, a first measuring instrument configured to measure a first direction, at least one second measuring instrument configured to measure a second direction, a reception circuit configured to receive the image from the endoscope, and a processor. The first direction corresponds to a horizontal component of an imaging direction of the endoscope. The second direction corresponds to a horizontal component of a reference direction. The reference direction is a direction in which the at least one monitor faces or is a direction toward or away from an image display surface of the at least one monitor. The processor is configured to calculate an angle between the first direction and the second direction, process the image based on the angle, and display the processed image on the at least one monitor. The processing includes a rotation processing or a horizontal flip processing.

Abstract: An endoscope comprising: an insertion portion; a raising base provided at a distal end of the insertion portion; a wire configured to move in a raising direction to raise the raising base; a biasing element attached to the wire and configured to apply to the wire a biasing force in the raising direction; and an operation portion coupled to a proximal end of the insertion portion, the operation portion including a switching mechanism having a first state and a second state. The switching mechanism is configured to switch between the first state and the second state. In the first state, the switching mechanism prevents the biasing force from moving the wire in the raising direction and, in the second state, the switching mechanism allows the biasing force to move the wire in the raising direction.

Abstract: An endoscope system includes: a drive cable; an endoscope driven by the drive cable that has been connected; a drive device that electrically drives the connected drive cable; a trolley equipped with the drive device; and a stand that supports a connector that detachably connects the drive cable and the endoscope, and is capable of being installed at a position away from the trolley.

Abstract: An objective optical unit includes: an observation optical system including a fixed lens and a moving lens; a fixed barrel holding the fixed lens; a moving lens barrel disposed in a coil holding barrel, holding a movable group lens, and moving in a direction along a photographing optical axis of the observation optical system; a first film formed on slide surfaces of the coil holding barrel and the moving lens barrel, the first film serving as an oxidation reaction prevention layer, a second film interposed between the slide surface where the first film is formed and the first film, the second film serving as a stress reduction layer; and a voice coil motor configured to relatively move the moving lens barrel with respect to the fixed barrel in an optical axis direction by using a coil disposed at the fixed barrel and a magnet disposed at the moving lens barrel.

Abstract: An endoscope system includes: an endoscope including a bending portion that is capable of bending; a drive device that is detachably connected to the endoscope and drives the endoscope; and an operation device that is communicably connected to the drive device and has an input portion that inputs an operation for driving the endoscope, wherein the drive device can select a method of controlling the bending portion with respect to the operation input from the input portion from fine movement control and coarse movement control, and the distance at which the drive device bends the bending portion by the coarse movement control with respect to a predetermined operation input is larger than the distance at which the drive device bends the bending portion by the fine movement control.

Abstract: An external mechanism for an endoscope includes: a bending wheel configured to engage with a second UD knob of a second bending operation device provided in an operation portion of an endoscope; a motor portion configured to generate a driving force for rotating the bending wheel; a housing case housing the bending wheel and the motor portion and detachably attached to the operation portion, and an operation switch arranged outside the housing case and configured to output a control signal to the motor portion due to the operating element being operated, in which the operation switch is pivotally supported by the rotation shaft and rotates with respect to the housing case.

Abstract: An electrically conductive irrigation fluid for use in bipolar resectoscopic surgery, wherein the irrigation fluid being brought into contact with the electrode of a resectoscope and tissue being coagulated and/or resected by means of the electrode surrounded by the irrigation fluid, wherein the irrigation fluid includes metal ions. Moreover, the method relates to a resectoscopy system including a resectoscope and an irrigation system that is connected to the resectoscope, the resectoscope having a handle and a tubular shaft, and the shaft including an electrode instrument that is arranged so as to be longitudinally displaceable and has in its distal end region an electrode to which high-frequency current can be applied, wherein the irrigation system includes an irrigation fluid, which can be conducted through the shaft of the resectoscope to the electrode.

Abstract: In a method of forming an access route to the bile duct, a needle is introduced into a duodenum, and the introduced needle is pierced into an oral side projection of a duodenal papilla, which is located at an oral position than an opening of the duodenal papilla. The tip of the pierced needle is made to reach the inside of the bile duct to form a tunnel communicating the duodenum and the bile duct, and a treatment device is inserted into the formed tunnel.

Abstract: A medical apparatus configured for insertion directly or indirectly into a living body is provided with a coloring part having a marking formed on an outer surface. The marking has a coloring layer of an acrylic resin containing a pigment and a protective layer of a polymethacrylic ester covering the coloring layer directly or indirectly, and an upper surface of the coloring part is recessed from a part of the medical apparatus, such as a covering tube of a sheath of an endoscope treatment instrument, adjacent to the coloring part on the outer surface.

Abstract: A method for operating a medical navigation system for an image-guided surgical procedure including: training a first artificial neural network on a set of surgical image video data of a target object of a patient representing a video image, and identifying the structure of the target object; training a second artificial neural network on at least one virtual three-dimensional target object model of the target object and identifying the structure of the virtual three-dimensional target object model by the identified structure of the target object; training a third artificial neural network by the identified structure of the target object and the structure of the virtual three-dimensional target object model and aligning the identified structure of the target object, with the structure of the corresponding target object of the virtual three-dimensional target object model, which is identified by the second artificial neural network.

Abstract: An endoscopic treatment tool, includes an elongated member having a distal end and a proximal end; a braid disposed between the distal end and the proximal end of the elongated member; a distal indicator disposed on the elongated member between a distal end and a proximal end of the braid, the distal indicator extending along a longitudinal axis of the elongated member; a proximal indicator disposed between the distal end and the proximal end of the braid on the elongated member at a more proximal side of the elongated member than the distal indicator, the proximal indicator extending along the longitudinal axis; and a pre-curved shape portion formed in a curved shape, wherein each of the distal indicator and the proximal indicator has a width less than half of an outer circumferential surface of the elongated member in a circumferential direction of the elongated member, respectively.

Abstract: 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.

Abstract: A flexible manipulator includes an insertion portion including a tubular flexible portion, a bending portion, and a distal end portion. The flexible manipulator includes an operating unit on a proximal end side of the insertion portion, the operating unit including a first operating portion. The flexible manipulator includes a tube inside the tubular flexible portion, the tube including a through-hole spirally extending along a longitudinal axis of the tube from a proximal end to a distal end. The flexible manipulator includes a wire extending through the through-hole, a first end of the wire connected to the distal end portion and a second end of the wire connected to the first operating portion. The flexible manipulator includes an adjustment mechanism. The bending portion is a tubular body between the distal end portion and a distal end side of the tube.

Abstract: An optical unit includes a first lens, a second lens, and a holding member. The first lens is formed in a spherical segment having a first flat surface and a first convex spherical surface. The second lens is formed in a spherical segment having a second flat surface and a second convex spherical surface. A holding member has a first end portion that surrounds the first lens and a second end portion that surrounds the second lens. The holding member holds the first lens and the second lens with a frictional force such that the first convex spherical surface and the second convex spherical surface are adjacent to each other between the first end portion and the second end portion. The first end portion is located on the same surface as the first flat surface or closer to the second lens than the first flat surface. The second end portion is located on the same surface as the second flat surface or closer to the first lens than the second flat surface.

Abstract: The method for calibrating an endoscope is a method for calibrating an endoscope having a curved portion capable of being driven by bending, and includes: an arrangement step of suspending and arranging a distal end portion of the endoscope including the curved portion; a bending step of bending the curved portion of the distal end portion which has been suspended; a measurement step of measuring shape information of the curved portion; and an adjustment step of updating a control parameter by which the endoscope drives the curved portion, based on the shape information which has been measured.

Abstract: A joint ring includes a main body part and a pair of protrusion parts protruding from a first surface of the main body part in a direction of a central axis thereof and having spherical surfaces on protruding portions. The main body part includes a pair of engagement holes and a pair of receiving holes. The protrusion parts include engagement parts which are configured to be capable of being inserted into the engagement holes. When the joint rings are arranged in the direction of the central axis and the protrusion parts of a first joint ring enter the receiving holes of a second joint ring, the spherical surfaces come into contact with receiving surfaces inside the receiving holes, and the first joint ring and the second joint ring become rotatable relative to each other with a line segment connecting centers of the respective spherical surfaces as a rotational center.

Abstract: A force transmission mechanism includes a force adjuster that receives a driving force and that is configured to change a force transmission efficiency, and also includes a driving member that is configured to connect an end effector and the force adjuster via a joint section and transmit the driving force. The force adjuster converts the driving force into a linear force via a rotational force, and increases the conversion efficiency from the driving force to the linear force such that an amount of increase in the force transmission efficiency increases with increasing displacement amount of the driving member when the driving member is displaced in accordance with flexing or curving of the joint section.

Abstract: A bonded body includes: a first base body including a first wiring, a first electrode made of an electroplating film and including a first surface having a first region covering a periphery of an end portion of the first wiring and a second region covering the end portion of the first wiring, and a first passivation layer made of an insulating material and covering a periphery of the first electrode; a second base body including a second electrode; and solder disposed between the first region of the first electrode and the second electrode.

Abstract: A provisioning system for endoscopes in an application environment including one or more examination rooms and one or more reprocessing stations for endoscopes. The provisioning system including a processor including hardware. The processor being configured to: receive first information about scheduled procedures, receive second information about a status of one or more endoscopes, the second information including an indication of whether an endoscope is ready for use, currently in use, or currently being reprocessed, determine from the first information and the second information whether a ready-to-use endoscope is or will be available for each respective scheduled procedure, and control a display to display an indicator which indicates whether a ready-to-use endoscope is or will be available for the respective scheduled procedure.

Abstract: An endoscope according to an embodiment of the present disclosure includes an insertion portion configured to be inserted into a subject. A channel is provided in the insertion portion, the channel receiving an accessory. A plurality of first guides is spaced apart at intervals in the channel, the plurality of first guides configured to guide the accessory along a longitudinal axis of the insertion portion.

Abstract: A sterilized endoscope kit, comprising a sterilized endoscope, a sterilized treatment instrument, a sterilized guide wire, and a packaging material. The sterilized endoscope includes a first lumen. The sterilized treatment instrument is inserted into the first lumen, the sterilized treatment instrument includes a second lumen. The sterilized guide wire is inserted into the second lumen. The sterilized endoscope, the sterilized treatment instrument, and the sterilized guide wire are arranged in the packaging material, and the packaging material provides a sterile environment for the sterilized endoscope, the sterilized treatment instrument, and the sterilized guide wire.

Abstract: A provisioning system for endoscopes in an application environment including one or more examination rooms and one or more reprocessing stations for endoscopes. The provisioning system including a processor including hardware. The processor being configured to: receive first information about scheduled procedures, receive second information about a status of one or more endoscopes, the second information including an indication of whether an endoscope is ready for use, currently in use, or currently being reprocessed, and control a display to display a user interface having a graphical user interface. Wherein the graphical user interface includes: a first presentation area in which data about ready-to-use endoscopes is displayed, a second presentation area in which data about scheduled procedures is displayed, and a third presentation area in which data about endoscopes undergoing a reprocessing process is displayed.

Abstract: A treatment tool includes a tubular member including an opening and a tubular member main body that has a tubular shape. The tubular member is configured to suction a tissue piece through the opening. The treatment tool includes a blade member provided on an opening edge of the opening.

Abstract: A method of estimating a partial deformation of an organ in which point clouds are calculated from intraoperative image data captured before and after a partial deformation motion of an organ. Geometric feature vectors are assigned to unmoving points, whose position does not change due to the partial deformation motion. Difference vectors indicating the change of the geometric feature vectors due to a change of position of moving in proximity to the unmoving points are utilized to estimate the partial deformation motion of the organ.

Abstract: An endoscope, comprising: an insertion portion insertable into an inside of a subject; an observation window provided in a distal end portion of the insertion portion; a liquid feeding channel extending through the distal end portion of the insertion portion; and at least one liquid feeding port. In operation, liquid exits the at least one liquid feeding port, and liquid exiting the at least one liquid feeding port is directed in a first direction away from the observation window and toward the inside of the subject.

Abstract: A method of finding a set of corresponding points in images to be registered. According to the method, an input unit of the system receives a first user input, indicative of a reference point in an intraoperative image. A processing unit sets a reference area surrounding the reference point and converts the image data points in the reference area to a intraoperative point cloud. The input unit receives a second user input, indicative of a candidate point in a preoperative image. The processing unit sets a search area surrounding the reference point and converts the image data points in the reference area to a preoperative point cloud. By comparing geometric feature descriptors of the image data points, the processing unit finds a target point in the preoperative image corresponding to the reference point and defines the points as set of corresponding points.

Abstract: An image pickup unit includes a distal end member including a recess portion, an image pickup device unit, and an objective lens unit. The recess portion is formed such that a spatial cross-sectional area of the recess portion increases continuously or stepwise from a bottom surface toward an opening. The objective lens unit is fixed to the recess portion by a sealing material injected in a gap.

Abstract: An endoscope includes an objective optical system provided in a distal end portion of an insertion portion, and a light splitting element configured to split a light beam from an objective optical system into a plurality of light beams including a first light beam and a second light beam. The first light beam is reflected by a reflection mirror, and is formed into an image on a first image pickup device. The second light beam is formed into an image on a second image pickup device. The first image pickup device and the second image pickup device are disposed adjacent to the light splitting element at positions different from each other with respect to an optical axis of the light beam from the objective optical system.

Abstract: An endoscope comprises: an insertion portion comprising a distal end portion, the distal end portion including a distal end surface; a flow passage formed in the insertion portion, the flow passage including a fluid ejection port formed in the distal end surface and the flow passage configured to supply a fluid via the fluid ejection port to an environment outside of the insertion portion; and a suction passage formed in the insertion portion, the suction passage including a suction port formed in the distal end surface. The distal end surface includes a deflection surface formed integrally with the distal end portion. The deflection surface covers a part of the fluid ejection port. The deflection surface is positioned so that the fluid supplied via the fluid ejection port contacts the deflection surface and is deflected in a first direction. The first direction does not intersect the suction port.

Abstract: An endoscope includes: an insertion portion formed along a longitudinal axis extending from a proximal end to a distal end; a light guide having an optical characteristic that enables transmitting lithotriptic light and illuminating light having respective wavelength bands that are different from each other, from the proximal end toward the distal end of the insertion portion; and a treatment instrument insertion channel provided in the insertion portion, the treatment instrument insertion channel extending from the proximal end to the distal end.

Abstract: Embodiments of the technology disclosed herein is directed to a medical manipulator capable of detecting an instant when a tip of the medical manipulator is unexpectedly separated from a body tissue and thus avoid making contact with surrounding body tissues. The technology disclosed eliminates the needs for providing a force sensor located on the tip of the medical manipulator. The medical manipulator includes a movable unit at one end and an electric motor, a control unit, and an operation input unit at opposed end thereof. The movable unit includes a treating unit for treating the body tissue. The electric motor is configured to operate the movable unit. The electric motor includes a current sensor or a torque detecting unit for detecting the torque of the motor. The control unit includes a torque reducing unit for reducing the torque transmitted to the movable unit from the electric motor.

Abstract: A control method for an endoscope reprocessor is a control method for an endoscope reprocessor that includes a treatment tank, a circulation conduit that links a circulation opening and a discharge opening opened in the treatment tank to each other, a first pump that feeds liquid from the circulation opening towards the discharge opening, an atmospheric open conduit including a first end portion open to an atmosphere and a second end portion connected between the circulation opening and the first pump in the circulation conduit, a filter that filtrates a liquid flowing from the treatment tank through the circulation opening into the circulation conduit, and a sensor that detects a liquid feeding state in the circulation conduit, where the liquid feeding state in the circulation conduit is measured by the sensor during operation of the first pump in a state where the inside of the atmospheric open conduit is closed.

Abstract: An image pickup apparatus for endoscope includes: an optical unit having an incident surface and an emitting surface; an image pickup unit adhering to the emitting surface; an interposer where the image pickup unit is bonded to a first electrode of a first main surface; and an electric cable bonded to the interposer. The image pickup unit is smaller than the optical unit and the interposer in an outer size in a direction orthogonal to an optical axis. The image pickup apparatus for endoscope further includes a heat conductive resin with which a portion among the emitting surface, the first main surface, and a side surface of the image pickup unit is filled. The first electrode extends to a position where the first electrode is brought into contact with the heat conductive resin.

Abstract: A tissue clipping device and system, and method for clipping tissue are disclosed. The tissue clipping device includes a clip with clip arms that is slidably disposed within a channel of a lock tube. The clip is designed to move between an open configuration in which distal ends of the clip arms are separated from each other for receiving tissue therebetween, and a closed configuration in which the distal ends of the clip arms are closer to each other than in the open configuration for clipping the tissue received therebetween. The tissue clipping system further includes a delivery device for delivering and deploying the tissue clipping device. The delivery device is releasably coupled to the tissue clipping device.

Abstract: A focus adjustment device, comprising: a processor having a main physical object position detection circuit for detecting position of a main object based on an image signal, a distance value detection circuit for detecting distance values in accordance with object distance of a plurality of AF regions based on the image signal, a candidate region setting section for setting regions exhibiting a distance value for a close-range side of greater than a specific value, with respect to a statistic for distance value of regions corresponding to position of the main physical object, to unnecessary candidate regions, and a control section for determining regions corresponding to unnecessary physical objects based on the unnecessary candidate regions, and controlling focus adjustment based on distance value corresponding to regions that have had regions corresponding to the unnecessary physical objects excluded from the main physical object regions.

Abstract: An electronic module includes: a mount table including a first electrode mounting surface on which an electronic component is mounted; a plurality of electrode mount parts that are formed in the mount table and at which lands corresponding to a plurality of respective electrodes of the electronic component are formed on the first electrode mounting surface; a step part located between the plurality of electrode mount parts and including a predetermined step relative to the first electrode mounting surface of the mount table; and a solder withdrawing part at which an end part of a corresponding one of the lands is extended to the step part or a side surface of the mount table.

Abstract: A medical apparatus includes an inflow tube having a first conduit having a first inner diameter. An outflow tube has a second conduit having a second inner diameter. An intermediate tube has a first end and a second end, the first end connected to the inflow tube and the second end connected to the outflow tube. The intermediate tube has a third inner diameter, the third inner diameter being larger than the first inner diameter and the second inner diameter. The intermediate tube defines a flow path. The flow path includes a first flow path configured to direct a liquid flowing along the flow path in a first direction, and a second flow path configured to direct the liquid flowing along the flow path in a second direction. The first direction is opposite to the second direction.

Abstract: Insertion device according to an aspect of the present disclosure includes: an insertion device, comprising an insertion portion configured to be inserted into a subject. At least one traction member configured to pull a distal end side portion of the insertion portion. An operation portion provided on a proximal end side of the insertion portion. At least one sheath member inserted through the insertion portion, wherein the at least one traction member is inserted through an inner channel in the at least one sheath member. A rotating member to which one end of the at least one traction member is connected, the rotating member configured to rotate, with an external operation force, around a first axis of a first shaft member provided in the operation portion.

Abstract: An endoscope system includes an endoscope having a position/angle sensor and an amplifying circuit, a memory configured to store output error sensitivity data and a first wiring resistance value, and a processor including a signal processing circuit configured to process an output signal from the amplifying circuit. The signal processing circuit corrects an error of the output signal based on a value obtained by multiplying a difference between the first wiring resistance value and a processor wiring resistance value by the output error sensitivity data.

Abstract: A medical instrument comprises a housing and an elongated sheath configured to be attached to the housing. The elongated sheath includes opposed distal end and proximal end along a longitudinal axis. An end effector is configured to be attached to the distal end of the elongated sheath. The end effector includes a pair of grasps. A direction changer is used to change a direction of the end effector with respect to the distal end of the elongated sheath. A first drive shaft movable in the elongated sheath in ganged relation for opening and closing movement of the pair of grasps. A second drive shaft movable in the elongated sheath in ganged relation for angular movement of the end effector by the direction changer with respect to the elongated sheath. An operating member is configured to actuate the second drive shaft between a bent positions and a neutral position.

Abstract: An insertion device comprising an insertion portion configured to be inserted into a subject and having a longitudinal axis in a state of forming a straight line. A bending portion is provided at a distal end side of the insertion portion. A bending tube is provided in the bending portion. A traction member is disposed in the bending portion. The bending tube includes a first joint ring and a second joint ring. The first joint ring is joined to the second joint ring in an adjacent manner. The first joint ring has a first contact portion where the traction member contacts an outer peripheral portion of the first joint ring. The second joint ring has a second contact portion where the traction member contacts an inner peripheral portion of the second joint ring. Application of tension on the traction member bends the bending portion.

Abstract: A method of cholecystitis treatment according to an aspect of the present disclosure comprises a step A including contacting inner walls of a gallbladder to each other by constricting the gallbladder and a step B including maintaining the inner walls of the gallbladder contacting each other.

Abstract: An endoscope includes, in an insertion section, a bending tube covered with a first skin, a flexible tube covered with a second skin, a thread wound around a joining section of the first skin and the second skin, first resin covering the thread and having a modulus of elasticity of 0.5 GPa or more and 5 GPa or less, and second resin covering the first resin, extended from both ends of the first resin respectively to ranges of 100 ?m or more, and having a modulus of elasticity of 0.3 MPa or more and 100 MPa or less.

Abstract: A diagnosis support system includes a processor. The processor is connected to a plurality of classifiers that are different in performance. The processor displays performance information of each of the classifiers side by side, receives a user's selection of the performance information displayed side by side, and inputs an input image to the classifier associated with the performance information selected by the user.