Abstract: The ligation device includes a clip unit, an applicator, and the applicator includes a sheath, an operation wire, a second link that is provided on the operation wire, and is capable of being fitted to the first link at a protrusion position, the second link configured to be restricted a releasing of fitting to the first link at an accommodation position, a slider connected to the operation wire and is configured to move with a first operation, and a limiter including a switch member configured to move in an intersecting direction that intersects a direction of the first operation with a second operation. The limiter is configured to limit a movement range of the slider when the second operation is not performed, and configured to release a limitation of the movement range of the slider with the second operation and to allow the second link to move toward the protrusion position.

Abstract: A cartridge system includes a clip unit including an arm configured to be opened and closed, and a case in which the clip unit has a storage area configured to move along a longitudinal direction, wherein the case includes an opening through which at least part of the arm is exposed when the clip unit stored in the storage area is positioned at a predetermined position.

Abstract: The endoscopic treatment tool includes a clip having a plurality of arms freely open and close at a distal side of the arm, a holding tube into which at least a portion on a proximal side is inserted, and a connecting member connecting with the clip. The holding tube includes a tightening member provided in an inner region of the holding tube, and a protrusion-retraction wing configured to protrude and retract with respect to an outer side, the tightening member is provided on a proximal side from the protrusion-retraction wing, the clip has an engagement portion on an accommodation region accommodated in the inner region, and a movement of the clip toward a distal side with respect to the holding tube is restricted by engaging the engagement portion moved to the proximal side with the tightening member.

Abstract: A system, comprises a sheath, an operation body attached to the sheath, the operation body including a first wall, a clip configured to be inserted in and protruded from the sheath, the clip including a pair of arms, a wire inserted in the sheath, the wire including a first end and a second end, the first end attached to the clip, a handle attached to the second end and configured to move the wire against the operation body, the handle configured to open and close the pair of arms via the wire, and an obstruction attached to the wire and configured to generate a sliding resistance to the wire. The handle is configured to change a configuration of the clip between a first configuration and a second configuration. In the first configuration, the obstruction and the wire are placed in a relative position, the handle opens the arms, and the obstruction contacts the first wall.

Abstract: The present invention provides a clip system that is optimal for suture treatment of living tissue. The clip system includes a clip unit having a first arm and a second arm capable of opening and closing, a wire capable of opening and closing the clip, and a sheath through which the wire can be inserted. The clip unit includes a support portion that swingably supports the first arm and the second arm.

Abstract: A clip device includes an arm portion including a plurality of arms that are biased to an open state; a pressing tube into which a proximal-end portion of the arm portion is accommodated and configured to be able to lock the arm portion in a closed state; an insertion portion connected to a proximal-end opening of the pressing tube at a distal end of the insertion portion; a power transmission member extending through the insertion portion; a link configured to detachably connect a distal-end portion of the power transmission member and a proximal-end portion of the arm portion; a first stopper configured to regulate the distal-end portion of the power transmission member from protruding from a distal-end opening of the pressing tube, and a switching portion configured to switch the clip device between a first state and a second state.

Abstract: Clip unit with a clip having a plurality of arms that can be opened and closed, a distal end connecting portion that is releasably connected to the clip, a proximal end connecting portion that is connected to a power transmission member; and a rod-shaped portion that longitudinally connects the distal end connecting portion and the proximal end connecting portion. In a cross-section perpendicular to the longitudinal direction, the rod-shaped portion has a first length in a first direction perpendicular to the longitudinal direction that is shorter than a second length in a second direction perpendicular to both the longitudinal direction and the first direction.

Abstract: A ligation device includes a first arm, a second arm, a holding tube, an operation wire, a sheath, and a link mechanism having a first link and a second link which are connected to each other and engage the holding tube with the sheath, wherein the link mechanism is configured to be switch between a disengaged configuration in which engagement between the holding tube and the sheath is released and an engaged configuration in which the holding tube is engaged with the sheath due to the operation wire.

Abstract: 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.

Abstract: A medical instrument has a capsule; an arm member disposed to protrude from the capsule; an operation wire connected to the arm member; a sheath configured to accommodate the operation wire; and a link configured to connect the sheath with the capsule, wherein the link has an engaging portion including a first surface intersecting with the longitudinal axis; and an engaged portion movable to an opposite position opposite to the first surface and a position spaced away from the first surface in spite of a relative position of the capsule with respect to the sheath, and configured to restrict a separation of the capsule with respect to the sheath when the engaged portion is disposed at the opposition position to contact the first surface, and wherein the capsule is rotatable in response to a rotation force from the sheath when the engaged portion is disposed at the opposition position.

Abstract: 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.

Abstract: The ligation device includes a clip unit, an applicator, and the applicator includes a sheath, an operation wire, a second link that is provided on the operation wire, and is capable of being fitted to the first link at a protrusion position, the second link configured to be restricted a releasing of fitting to the first link at an accommodation position, a slider connected to the operation wire and is configured to move with a first operation, and a limiter including a switch member configured to move in an intersecting direction that intersects a direction of the first operation with a second operation. The limiter is configured to limit a movement range of the slider when the second operation is not performed, and configured to release a limitation of the movement range of the slider with the second operation and to allow the second link to move toward the protrusion position.

Abstract: A ligation device includes a first arm, a second arm, a holding tube, an operation wire, a sheath, and a link mechanism having a first link and a second link which are connected to each other and engage the holding tube with the sheath, wherein the link mechanism is configured to be switch between a disengaged configuration in which engagement between the holding tube and the sheath is released and an engaged configuration in which the holding tube is engaged with the sheath due to the operation wire.

Abstract: A treatment system includes: an implant placed in a body; an insertion portion that is inserted into the body; and a flap having a first end and a second end located at a position closer to a distal end than the first end, the flap extending from the first end to the second end, wherein the second end has a receiving portion through which the implant can enter, and can be arranged at a spaced position, the spaced position being a position more spaced from a central axis of the insertion portion than the first end, and the flaps support the implant by abutting against the implant placed in the body.

Abstract: A medical device includes: a clip; a wire configured to be capable of operating the clip; a link that detachably connects the clip and the wire; a sheath with an inner diameter that can accommodate the link; a handle connected to the sheath; a slider provided on the handle and configured to be movable relative to the handle, the slider being connected to the wire; a first sheath constituting the sheath, the first sheath having a length such that the link is arranged at a position protruding from the first sheath when the slider is advanced with respect to the handle to a maximum extent; and a second sheath constituting the sheath and connected to the first sheath, the second sheath having a length such that the link is arranged at a position accommodated in the sheath when the slider is advanced with respect to the handle to a maximum extent.

Abstract: An applicator capable of operating a clip unit including a first link, a medical apparatus including the applicator and the clip unit, and a method for operating the medical apparatus are disclosed. The applicator includes: a second link capable of engaging with the first link; an operation wire; a sheath capable of accommodating the second link; a slider that is connected to the operation wire and can be operated to move the second link; and a knob. In a state where the slider is in an advanced-most position, the knob can be operated to adjust the length of the wire extending from the slider to the second link between: a first length at which the second link protrudes from the sheath, and a second length that is shorter than the first length, and at which the second link is inside the sheath.

Abstract: A cartridge accommodates a clip unit including an arm member and a tubular housing, and is configured so that the clip unit is able to be mounted in an applicator having a sheath and an operation wire. The cartridge includes a main body in which an insertion hole into which the sheath is inserted is formed and a pusher configured to be movable with respect to the main body. The pusher is configured to come into contact with an engaging member provided in the sheath by moving the sheath with respect to the main body in a state in which the sheath is inserted into the insertion hole. The pusher is configured to push the engaging member against the housing, and to engage the sheath with the housing by engaging the engaging member with both the housing and the sheath.

Abstract: Provided is an endoscope clip and an operation method for a clip. The clip includes a clip arm that is configured to be transitioned between a first, second and third configurations. The clip includes a slider to operate the clip arm to be transitioned between the configurations, and a limiter configured to restrict movement of the slider so as to restrict the transition of the clip arm from one configuration to another of the configurations.

Abstract: An endoscope clip can include an arm portion that can move into the following configurations: a closed configuration, a first open configuration in which the pair of arms are separated at a first distance, and a second open configuration in which the pair of arms are separated at a second distance larger than the first distance. The endoscope clip can also include an operation wire and a restriction portion configured to restrict movement of the operation wire to fix the arm portion in one of the possible configurations.

Abstract: A medical instrument has a capsule; an arm member disposed to protrude from the capsule; an operation wire connected to the arm member; a sheath configured to accommodate the operation wire; and a link configured to connect the sheath with the capsule, wherein the link has an engaging portion including a first surface intersecting with the longitudinal axis; and an engaged portion movable to an opposite position opposite to the first surface and a position spaced away from the first surface in spite of a relative position of the capsule with respect to the sheath, and configured to restrict a separation of the capsule with respect to the sheath when the engaged portion is disposed at the opposition position to contact the first surface, and wherein the capsule is rotatable in response to a rotation force from the sheath when the engaged portion is disposed at the opposition position.