Abstract: An insertion instrument includes: a holding member at a distal end of an insertion portion; a first hole formed in the holding member; a second hole that is formed in the holding member and that communicates with the first hole; a long member that is mounted to the holding member and that includes a distal end part and a main body portion; a partitioning member configured to narrow a space in which the main body portion is arranged; and a filler filling a gap around the long member.

Abstract: An endoscopic treatment device includes a hollow tube; an electrode; and an insulative support member. In a radial direction relative to a longitudinal axis of the hollow tube, the insulative support member is radially outward of the electrode and the hollow tube is radially outward of the insulative support member.

Abstract: A light irradiation probe comprising: a catheter having an elongated shape, the catheter being configured to emit light from an emission region arranged on a side surface on a distal end side of the catheter; and wherein the catheter includes an outer sheath having a tubular shape, the outer sheath comprising an outer surface of the catheter; an optical fiber extending in a longitudinal axis direction of the catheter, the optical fiber including a core forming an optical waveguide; and a filling material disposed at a longitudinal position corresponding to the emission region of the outer sheath such that the light emitted from the emission region passes through the filling material, the filling material having a refractive index higher than a refractive index of the core.

Abstract: An endoscope includes: a distal-end constituting portion provided at a distal end of an insertion portion of the endoscope: an observation window having a field of view direction that intersects a longitudinal axis of the insertion portion: a first flat surface on which the observation window is arranged, the first flat surface constituting a part of a surface of the distal-end constituting portion and having a first intersection angle with respect to the longitudinal axis: a second flat surface constituting a part of the surface of the distal-end constituting portion, the second flat surface being provided on a distal end side or a proximal end side with respect to the first flat surface, and having a second intersection angle with respect to the longitudinal axis, the second intersection angle being smaller than the first intersection angle; and a supply unit arranged on the second flat surface.

Abstract: An assistant device includes a processor configured to: generate a first image including one or more characteristic regions requiring excision by a surgical operator; generate a second image including one or more cauterized regions cauterized by an energy device; generate information regarding presence or absence of a first region that is included in the characteristic regions and that is not included in the cauterized region based on the first image and the second image; and output information indicating the presence of the characteristic regions that requires to be cauterized when the first region is present.

Abstract: An energy radiation treatment method comprises: administering a medicinal agent to an affected part; performing energy radiation with a predetermined energy on the affected part; and confirming therapeutic effects by the energy radiation on the affected part, wherein in the administering, a determination based on at least one ultrasound image based on ultrasound waves reflected from the affected part is performed.

Abstract: An imaging unit includes: a first lens group configured to form a first optical image; a second lens group configured to form a second optical image; an objective lens group having a first region and a second region; a single image sensor configured to generate an image signal; a first holding frame having a first holding hole and a second holding hole; a second holding frame configured to hold the objective lens group; and a third holding frame configured to hold the image sensor. A depth of field of a first optical system formed of the objective lens group and the first lens group is set so as to entirely include a depth of field of a second optical system formed of the objective lens group and the second lens group and to be deeper than the depth of field of the second optical system.

Abstract: A medical system and an operating method of a medical system are disclosed. The medical system can operate an endoscope to perform an operation task with respect to a site of interest of an organ of concern in response to input from an operator. The medical system includes a controller that can record a model of the organ of concern generated during preoperative planning, and record the names of a plurality of sites in the organ of concern, and corresponding regions or points in the model with respect to a first coordinate system. The controller receives the name of the site of interest, and the operation task; associates the first coordinate system of the model with a second coordinate system of a display space displayed by a display image; and operates the endoscope with respect to the site of interest on the basis of the operation task.

Abstract: An endoscope apparatus includes an illumination device generating illumination light including a first light, a second light, and a third light, an imaging device capturing an image based on return light from biological tissue, and a processor configured to perform image processing based on first, second, and third images respectively corresponding to the first light, the second light, and the third light. The first light has a peak wavelength within a predetermined wavelength range including a wavelength achieving a largest value of a hemoglobin absorption coefficient. The second light has a peak wavelength between a wavelength achieving a smallest value of the hemoglobin absorption coefficient and a wavelength achieving a first maximum value of the hemoglobin absorption coefficient on a shorter wavelength side of the wavelength achieving the smallest value. The third light has a peak wavelength between the peak wavelengths of the first light and the second light.

Abstract: An image processing system includes a memory storing a training image set and a reference image set, and a processor including hardware. The processor is configured to: generate an augmented image set by applying data augmentation to images included in the training image set; and determine an augmentation parameter based on a similarity between an augmentation feature statistic and a reference feature statistic, the augmentation feature statistic being a statistic of a feature of a recognition target calculated based on the augmented image set, the reference feature statistic being a statistic of a feature of the recognition target calculated based on the reference image set.

Abstract: A method for calibrating an endoscope, the endoscope including a curved portion that can be driven to bend and a flexible portion through which a bending wire that bends the curved portion is inserted, includes: arranging the curved portion and the flexible portion of the endoscope so that they have a predetermined shape; bending the curved portion; measuring first shape information, which is information about a shape of the curved portion; and updating a control parameter for the endoscope to drive the curved portion based on the measured first shape information.

Abstract: An endoscope treatment tool, comprising: a sheath; a handle body; a wire; a treatment portion connected to a distal end of the wire and arranged on a distal end side of the sheath; a rotating handle movable with respect to the handle body and connected to the wire; a conductive connector having an insertion passage through which the wire is inserted, wherein the wire is movable in a wire movement direction to advance and retreat in a direction that is parallel to a longitudinal axis of the handle body, wherein the wire is rotatable around an axis of the wire movement direction, and wherein the conductive connector extends in a direction that intersects the wire movement direction.

Abstract: An endoscope includes an insert part. The endoscope has an imaging unit provided in the insert part, a light guide having a light guide exit surface from which illumination light is emitted provided in the insert part and an end cover provided at the distal end of the insert part. The end cover has a cut-through portion in which the imaging unit is inserted and fixed. The end cover has a first surface on its object side, a second surface on its operator side, and a side surface on its outer circumference. The first surface includes a first flat surface and a curved surface. The curved surface is located between the first flat surface and the side surface. The second surface has an illumination area on which the illumination light is incident. At least a portion of the illumination area is formed as a partial torus surface. First specific cross sections are defined as cross sections containing the center axis of the end cover and intersecting the light guide exit surface.

Abstract: Provided is an endoscope system including an endoscope that images living tissue to be treated by at least one instrument; and a control device that includes a processor configured to derive at least one of the following information: grasp assistance information on a grasping operation to grasp the living tissue by the at least one instrument, and traction assistance information on a traction operation for traction of the living tissue by the at least one instrument, based on an endoscopic image acquired by the endoscope.

Abstract: In a treatment system, an energy treatment instrument includes a pair of grasping pieces. An energy output source outputs electric energy to the energy treatment instrument, thereby applying treatment energy to a blood vessel grasped between the grasping pieces. A measurement section measures a blood pressure at a site related to the grasped blood vessel. A processor controls output of the electric energy from the energy output source based on a measurement result obtained by the measurement section, and thereby switches an actuation state of the energy treatment instrument between a first mode for coagulating the blood vessel and a second mode for coagulating the blood vessel target that is different from the first mode.

Abstract: An optical fiber bundle manufacturing apparatus includes: a winding member; a guide member movable in a direction parallel to a rotary axis, the guide member being configured to guide an optical fiber wire to any one of first winding positions, a converging winding position and second winding positions; and a processor configured to perform processing to move the guide member such that a first branching portion branching into p branches, a converging portion converging the first branching portion branching into p branches into one, a second branching portion branching into q branches, and a connecting portion connecting the first branching portion and the second branching portion are formed in this order by the optical fiber wire.

Abstract: An endoscope includes: a barrel having an opening of a through hole on an outer surface; a lens inserted into the through hole and having a distal end surface which protrudes from the outer surface; a first resin disposed between a wall surface of the through hole and a side surface of the lens; and a second resin disposed on a surface of the first resin, a portion of the barrel disposed around the opening, and an entire circumference of an outer peripheral portion of the distal end surface of the lens, the second resin forming a protruding portion which protrudes from the distal end surface of the optical member, containing light blocking particles, and having a larger fracture toughness value than the first resin.

Abstract: A stacked lens includes: a first optical device; a second optical device disposed on an optical axis of the first optical device; and an adhesive layer bonding the first optical device and the second optical device and including a projection projecting outside a side surface of the first optical device and a side surface of the second optical device.

Abstract: An energy treatment tool includes: a blade configured to transmit ultrasound vibration, an arm movable relative to the blade between an open position and a closed position, the arm including a surface on a blade-side of the arm, a pad provided on the surface, the pad including a first side and a second side opposite to the first side in a width direction of the arm, a first pin connected to the arm and extending along the width direction, a first electrode facing the first side of the pad and rotatable relative to the pad around the first pin, a second electrode facing the second side of the pad.

Abstract: An endoscope system includes: an endoscope including an insertion portion configured to be inserted into a subject; a distance measurement unit configured to measure a distance between the insertion portion and an object by transmitting and receiving millimeter waves or submillimeter waves; and a flexible waveguide that has one end that is connected to the distance measurement unit and another end that is exposed to outside from a distal end of the insertion portion, the flexible waveguide being configured to propagates the millimeter waves or submillimeter waves transmitted and received by the distance measurement unit.

Abstract: A joint ring of an endoscope comprises a joint ring body including a joint ring wall having an inner surface, an outer surface, a first end surface, and a second end surface, and a first wire guide attached to the inner surface of the joint ring wall. The first wire guide includes a first wire guide body including a first wire guide wall having a third end surface and a fourth end surface. In a central axis direction of the joint ring body, at least a first portion of the first end surface and at least a first portion of the third end surface are at a first axial position and at least a first portion of the second end surface and at least a first portion of the fourth end surface are at a second axial position.

Abstract: A living tissue sampling method includes inserting an endoscope inserted into a guide sheath into a body cavity of a subject, checking three-dimensional image information of a body cavity path against distal end position data of the endoscope, bringing distal ends of the endoscope and the guide sheath close to a focused region, removing the endoscope from the guide sheath while keeping the guide sheath stationed inside the body cavity, inserting a biopsy instrument into the guide sheath, and sampling living tissue of the focused region by the biopsy instrument.

Abstract: A treatment instrument includes a rotating body and a housing. The rotating body includes a connecting portion including: a supported portion having a cylindrical outer peripheral surface, and an engaged portion that is adjacent to the supported surface. The housing includes a supporting portion that is configured to support the supported portion of the rotating body, the supporting portion being rotatable around a predetermined rotation axis; and an engaging portion that is configured to generate a frictional force larger than a frictional force between the supporting portion and the supported portion by coming into contact with the engaged portion.

Abstract: An image pickup apparatus of the present invention includes a first member including an illumination optical element and an observation optical element, an image pickup device, and a second member including a signal wire and an illumination member. The first member includes a first layer substrate including an illumination window and an observation window and a second layer substrate including a first illumination element and an observation lens, the second member includes a third layer substrate including a second illumination element and an opening in which the image pickup device is disposed and a fourth layer substrate including a third illumination element and a signal wire, the first member and the second member are stacked in order of the first layer substrate, the second layer substrate, the third layer substrate, and the fourth layer substrate and integrally bonded, and the first illumination element is a light emitting element.

Abstract: An image pickup unit includes a first optical device including a lens and a spacer arranged around the lens and having a circular inner circumference, the spacer having a thickness continuously decreasing outward, an adhesive layer disposed on an adhesive surface of the spacer of the first optical device, a second optical device adhered to the first optical device by the adhesive layer, and an imager receiving light condensed by an optical system including the first optical device and the second optical device.

Abstract: An imaging device includes a camera unit and a control unit. The camera unit includes an image sensor. The control unit includes a voltage measurement circuit and a voltage adjustment circuit. A first power source voltage is transferred from the control unit to the camera unit by a power source line and is input to the camera unit as a second power source voltage. A video signal or the second power source voltage is output to a video signal line. The voltage measurement circuit is configured to measure a voltage value of the second power source voltage. The voltage adjustment circuit is configured to adjust a value of the first power source voltage based on the value of the second power source voltage.

Abstract: An endoscope includes an insertion section, a channel, a raising base and a sterilizing device. The insertion section includes a distal end portion, and the distal end portion includes a recess. The channel is disposed in the insertion section, the channel communicating with the recess and the channel configured to receive a treatment instrument. The raising base is disposed in the recess, the raising base configured to guide the treatment instrument to protrude from the recess. The sterilizing device is disposed in the distal end portion, the sterilizing device configured to sterilize one or more of the channel and the recess and the raising base.

Abstract: A reconditioning apparatus for an endoscope including a controller configured to: supply an interior of the endoscope with a fluid at a predefined pressure; supply one or more channels of the endoscope and an exterior of the endoscope with a rinsing liquid to carry out a reconditioning process using the rinsing liquid; concurrently with the supplying of the rinsing liquid, determine a temperature and a pressure in the interior of the endoscope during the reconditioning process; and when the determined pressure decreases lower than a predetermined pressure: identify the endoscope as not defective, when the decrease in the determined pressure is preceded by a corresponding decrease in the determined temperature, and identify the endoscope as defective, when the decrease in the determined pressure is not preceded by a corresponding decrease in the determined temperature.

Abstract: An imaging device includes a camera unit and a control unit. A first power source voltage is transferred from the control unit to the camera unit by a power source line and is input into the camera unit as a second power source voltage. The camera unit is configured to output a video signal, a reference signal having a reference voltage, and a voltage signal in accordance with the second power source voltage to a video signal line. The control unit is configured to measure a voltage value of each of the reference signal and the voltage signal. The control unit is configured to calculate a control value of the first power source voltage by using the measured voltage value.

Abstract: An energy treatment system and a output control method thereof according to embodiments of the present invention perform treatment by energy supply in which ultrasonic energy and high frequency energy are combined, stop or suppress discharge by reducing the output of high frequency energy within a set period when a state in which discharge is likely to occur during treatment is detected, and change the output of ultrasonic energy. In addition, in order for a user to continue treatment without feeling uncomfortable and to ensure incision performance, each output is controlled so that the set period is as short as possible or is supplemented, and also, the set period expires, and control is performed so as to reduce the possibility of discharge even at the time of returning.

Abstract: A vibration transmitter includes: a first rod including a fitting hole extending along the longitudinal axis thereof; and a second rod attached to a distal end portion of the first rod by a fitting portion fitted into the fitting hole in a state where a compressed surface pressure is received from the inner surface of fitting hole. The first rod includes: a first region in which the fitting portion is fitted into the fitting hole; and a second region positioned proximal of the first region. In the first region of the first rod, a crystal grain diameter is larger than that in the second region of the first rod.

Abstract: A guide wire gripping device is provided that includes: a sheath; an advanceable and retractable part extending along the longitudinal axis of the sheath; an operation control that moves the advanceable and retractable part along the longitudinal axis; a grasping portion having a contact surface having a peripheral edge surrounded by a distal end, a proximal end, and a pair of side ends; and a support part connected to the advanceable and retractable part and fixed to one of the pair of side ends.

Abstract: A lesion resection method includes a marking step of forming a three-dimensional marking in peripheral tissues of a lesion; a grasping step of grasping the lesion by a grasping forceps; a retracing step of pulling the marking to a hand side of a staple ejection position of a stapler by pulling the grasping forceps grasping the lesion; a ligating step of ejecting a staple from the stapler to ligate the peripheral tissues of the lesion; and a resecting step of resecting the lesion.

Abstract: An insertion portion of an endoscope including a distal end portion including: an exterior surface, a first channel including a first opening on the exterior surface, and a second channel including a second opening on the exterior surface and a third opening on the first channel. An elongated object is inserted into the first channel. A rigid portion is provided at a distal end of the first elongated object. The rigid portion including: an outer peripheral surface, and a first surface recessed from the outer peripheral surface of the rigid portion. Wherein both of the outer peripheral surface and the first surface are exposed within the third opening.

Abstract: An insertion instrument comprises an insertion portion including a bending portion provided at a distal end side of the insertion portion, a first wire provided in the insertion portion, and an operation portion provided at a proximal end side of the insertion portion. The operation portion includes a bending operation unit. The bending operation unit includes a lever having a central shaft defining a central axis, a rotor coupled to the lever, a wire attachment surface to which the first wire is attached. An inner surface of the operation portion includes a receiver body and a restriction body. The receiver body supports the rotor for rotation about the central axis and for movement of the lever from a neutral position to an inclined position, where, in the inclined position, the central shaft is inclined relative to the central shaft in the neutral position. Movement of the lever from the neutral position to the inclined position pulls the first wire to bend the bending portion.

Abstract: A first examination identification unit identifies examination data including predetermined diagnosis data from among multiple pieces of examination data held in a recorder. A second examination identification unit identifies respective pieces of examination data of multiple examinations performed on a same patient after an examination date included in the examination data identified by the first examination identification unit from among the multiple pieces of examination data held in the recorder. An information acquisition unit acquires, based on multiple pieces of examination data identified by the first examination identification unit and the second examination identification unit, a period from the examination date included in the examination data identified by the first examination identification unit until the complete cure of the patient and the number of examinations performed until the complete cure of the patient.

Abstract: A surgical system including a surgical instrument having a shaft, an image sensor positioned at a distal end of the shaft, the image sensor being configured to capture images of a target object of a living object, and a control grip is arranged at a proximal end of the shaft. The surgical system further including a monitor for displaying the images and a controller configured to display a virtual target object model image of the target object on the monitor. Where the control grip is configured to position the virtual target object model image displayed on the monitor at a determined position and rotate the virtual target object model image displayed on the monitor at the determined position.

Abstract: An insertion support system includes a state acquisition apparatus configured to acquire first information. The first information includes at least one of: a plurality of pieces of position information related to a plurality of positions of an insertion section to be inserted into an insertion target body; and a plurality of pieces of direction vector information in a longitudinal axis direction of the insertion section. The insertion support system also includes a support information calculator configured to calculate second information related to a rotation quantity of the insertion section based on the first information, and an output section configured to output the second information.

Abstract: The disclosed technology is directed to a puncture needle access system for introducing guide wire into an interior of a tubular organ. The puncture needle access system includes an endoscope having an insertion portion. An endoscopic puncture needle is configured to be engaged with the insertion portion and includes an elongated tubular sheath having a lumen that extends in a longitudinal direction through the elongated tubular sheath. A tubular needle tube is inserted movably in the longitudinal direction into the lumen of the elongated tubular sheath. The tubular needle tube includes an inclined cutting-edge face formed at a distal end. The elongated tubular sheath includes an inclined surface oriented toward a distal end of the sheath so that the inclined surface comes closer to the elongated tubular sheath. The distal end of the sheath is located on a proximal end side of the sheath relative to a distal end of the inclined surface.

Abstract: An assist device includes: a processor configured to generate a fluorescence image based on an imaging signal that is generated by capturing an image of fluorescence caused by excitation light that is applied to a living tissue, calculate a fluorescence intensity based on the fluorescence image, based on the fluorescence intensity, estimate a placement period during which a medical tool is placed in a lumen, and output placement period information on the placement period and an observation image obtained by capturing an image of the living tissue.

Abstract: A conduit cleaning tool includes a long shaft. The shaft includes a linear first part and a second part arranged on a proximal end side with respect to the first part. The second part includes a plurality of bent portions bent to a corrugated shape in a predetermined direction with respect to a longitudinal direction N, and the plurality of bent portions are configured to rub an inner surface of the conduit.

Abstract: An electrosurgical generator for supplying power, including an inverter for high voltage, which is led to an output to the connector of an electrosurgical instrument, a measurement system with at least one measurement monitor for a physical parameter at the output or at the electrosurgical instrument, and an operation controller which controls the inverter on the basis of at least one predefined operating sequence. The measurement monitor for the physical parameter is switchable between a plurality of different configurations which differ in the measurement range. The operation controller interacts with the measurement system so one of the different configurations of the measurement monitor is switched in each case, under control by the operating sequence. By switching the configuration, the suitable measurement range is always set during operation.

Abstract: A deflection prism assembly for an endoscope having a lateral viewing direction. The deflection prism assembly including: a prism holder; and a deflection prism which is received in the prism holder. The deflection prism is formed of a glass. The prism holder includes a reception component and an adjustment component, where the reception component is formed of a ceramic and the adjustment component is formed of a metal. The deflection prism is attached to the reception component and the adjustment component provides a stop for the deflection prism in an axial direction.

Abstract: An ultrasound observation apparatus includes: a B-mode image generation unit; a region selection information input unit; a region-of-interest setting unit configured to set a region of interest of an ultrasound image to be subjected to processing suitable for an operation mode selected, in accordance with the input, from a plurality of operation modes for detecting a selected one of a plurality of pieces of characteristic biological information, by calculation using a region-of-interest setting method previously associated with the operation mode, based on a desired region selected in the region selection information; and a mode image composition unit configured to generate a mode composite image in which an operation mode image presented in two dimensions additional information obtained by performing processing suitable for the operation mode selected in accordance with the input on the region of interest is superimposed on a B-mode image generated by the B-mode image generation unit.

Abstract: A braider includes: a plurality of cylindrical bobbins around which flat foil yarns are wound so as not to be inverted; a plurality of carriers to which the bobbins are rotatably attached, the plurality of carriers being configured to feed out the flat foil yarns from the bobbins; a core material supply mechanism configured to supply a core material to be placed inside the outer conductor; a waveguide take-out mechanism configured to take out the flexible waveguide after the outer conductor is formed; and a carrier movement determination mechanism configured to determine movement of the carriers so that there are always three or more cross points formed by the individual flat foil yarns with other ones of the flat foil yarns in an enlarged portion before the flat foil yarns form a braided shape.

Abstract: A training data generation method includes: obtaining output information related to an electrical characteristic value in an energy treatment tool when ultrasound energy is being applied from the energy treatment tool to a body tissue; obtaining photography data that contains a photograph taken of a state in which the ultrasound energy is being applied to the body tissue; obtaining a label from the photography data; and adding the label to the output information to generate the training data.

Abstract: An objective optical system includes a predetermined lens disposed near the pupil of the objective optical system. The predetermined lens has a first refractive region including an optical axis and a second refractive region located outside the first refractive region. The refractive power of the second refractive region is greater than the refractive power of the first refractive region. A light beam reaching an image plane includes a first light beam and a second light beam. The first light beam is a light beam transmitted through the first refractive region and includes at least one of a beam of white light and a beam of near-infrared light. The second light beam is a light beam transmitted through the second refractive region and includes only the beam of near-infrared light. A predetermined conditional expression (1) is satisfied.

Abstract: An endoscope system includes a valve configured to keep an internal space of an endoscope airtight, an air pump configured to open and close the valve by applying a negative pressure and a positive pressure, a pressure sensor configured to detect a pressure at a time of the negative pressure and the positive pressure being applied, and a control section configured to receive a detection signal from the pressure sensor, and perform drive control of the air pump.

Abstract: An ultrasound endoscope includes: an insertion portion; an ultrasound functional unit including an ultrasound transducer; an endoscope functional unit that at least includes an imaging optical system; and a balloon locking portion configured to connect the ultrasound functional unit and the endoscope functional unit, the balloon locking portion having a groove shape that can lock a balloon. A first plane passes, in a direction of a longitudinal axis of the insertion portion, through a first end portion of the ultrasound transducer near the endoscope functional unit, the first plane being perpendicular to the longitudinal axis of the insertion portion, and the first plane is positioned closer to a proximal end than a second plane passing through a second end portion of the balloon locking portion near the ultrasound functional unit, the second plane being perpendicular to the longitudinal axis of the insertion portion.