Abstract: In a puncture needle for an endoscope, in a state in which a distal end of an outer sheath is located in an observation field of an observation optical system of an endoscope and a needle slider is retracted to abut a needle slider engaging section, a distal end of an inner sheath is located closer to a distal side than a proximal end of a raising base in the outer sheath, and a proximal end of the inner sheath is located closer to a proximal side than a needle tip of a needle tube in the outer sheath.

Abstract: In the biopsy system according to one embodiment, the needle tube of the treatment tool has the minor axis of the flattened portion and the bending plane of the bending portion parallel to each other. Accordingly, the needle tube is easily bent in the bending direction of the bending portion, and even in an endoscope that has few bendable directions and is bendable, for example, in only two directions (e.g., up and down), the bending operation of the bending portion is not easily hindered. As a result, even after the treatment tool for endoscopes is inserted into the endoscope, the bending portion can be easily bent with a predetermined bending amount, and a procedure can be easily performed.

Abstract: An endoscopic treatment system includes: an endoscopic treatment device having an operating unit which has a distal end and a proximal end and a sheath; and a guide wire which has a coated region applied with coating at a distal end. A packaging material has a tray which maintains a predetermined position relationship between the sheath and the guide wire and holds the distal end side of the sheath in a state where the coated region of the guide wire is exposed from the distal end of the sheath. The tray is located on the distal end side of the sheath to a sheath holding portion, which holds the sheath, and has a wire accommodating portion which holds the full length of the coated region of the guide wire exposed from the distal end of the sheath in a linear form.

Abstract: A treatment tool includes a sheath that has a distal end portion and a proximal end portion, is formed with a lumen through which a guide wire is insertable, and has an opening portion that is opened in a direction intersecting with a central axis of the lumen on an outer circumferential surface of the proximal end portion while communicating with the lumen; a proximal end holding portion that holds a proximal end region at a proximal end side of the proximal end portion; and a distal end holding portion that holds a distal end region disposed more distal than the proximal end region of the proximal end portion, wherein the distal end holding portion holds the distal end region in a bent state with respect to the proximal end region such that the opening portion is located on an extension of the central axis of the lumen.

Abstract: In a puncture needle for an endoscope, in a state in which a distal end of an outer sheath is located in an observation field of an observation optical system of an endoscope and a needle slider is retracted to abut a needle slider engaging section, a distal end of an inner sheath is located closer to a distal side than a proximal end of a raising base in the outer sheath, and a proximal end of the inner sheath is located closer to a proximal side than a needle tip of a needle tube in the outer sheath.

Abstract: A medical instrument system includes an elongated member having an inner space in a direction of a longitudinal axis, an insertion section installed at the inner space and having a bending section capable of being bent, a manipulation section configured to manipulate the bending section, a first manipulation member transmitting a driving force of the bending section in accordance with the manipulation by the manipulation section, a second manipulation member arranged in the direction of a longitudinal axis, a connecting section having a first connecting section and a second connecting section and capable of connecting the first manipulation member and the second manipulation member, and a switching mechanism having a first acting section and a second acting section and switching between a connection state and a release state in accordance with a relative movement between the elongated member and the insertion section.

Abstract: An endoscope treatment instrument includes: a sheath to be inserted into a channel of an endoscope; a treatment portion at a distal end portion of the sheath; an elongate member inserted into the sheath advancing and retracting, a distal end portion of the elongate member connected to the treatment portion, the elongate member advancing and retracting with respect to the sheath to operate the treatment portion; and an operating portion on a proximal end portion of the sheath. The operating portion includes: an operating portion body connected to the sheath; a slider movably along a direction of an axial line of the sheath with respect to the operating portion body and connected to a proximal end portion of the elongate member; and a constant force spring portion biasing the slider towards a proximal end side with a constant force regardless of a position of the slider.

Abstract: An endoscopic treatment system includes: an endoscopic treatment device having an operating unit which has a distal end and a proximal end and a sheath; and a guide wire which has a coated region applied with coating at a distal end. A packaging material has a tray which maintains a predetermined position relationship between the sheath and the guide wire and holds the distal end side of the sheath in a state where the coated region of the guide wire is exposed from the distal end of the sheath. The tray is located on the distal end side of the sheath to a sheath holding portion, which holds the sheath, and has a wire accommodating portion which holds the full length of the coated region of the guide wire exposed from the distal end of the sheath in a linear form.

Abstract: The endoscope treatment system includes an endoscope treatment tool that has an operating section including a distal end and a proximal end, and a sheath that is connected to the distal end of the operating section and is formed with a lumen into which the guide wire is capable of being inserted; a guide wire holder that has a tube member, in which the guide wire is accommodated, and that is circumferentially wound; and a fixing member that couples the operating section to the guide wire holder so that the distal end and the proximal end of the operating section are located outside the circumference of the guide wire holder.

Abstract: A method for ligating an internal body tissue using an outer cylinder member and an inner cylinder member including the processes of projecting the inner cylinder from a front end of the outer cylinder member; attaching a ligation band member to an outer peripheral surface of the inner cylinder member; contacting a front end of the inner cylinder member with an internal body tissue; suctioning an inside of the inner cylinder member via a channel communicated with the inside of the inner cylinder member such that the internal body tissue is drawn into the inner cylinder member; and ligating the internal body tissue with the ligation band member by disconnecting the ligation band member from the front end of the inner cylinder member when the inner cylinder member is drawn into the inside the outer cylinder member at a position where the ligation band member is disconnected.

Abstract: In the biopsy system according to one embodiment, the needle tube of the treatment tool has the minor axis of the flattened portion and the bending plane of the bending portion parallel to each other. Accordingly, the needle tube is easily bent in the bending direction of the bending portion, and even in an endoscope that has few bendable directions and is bendable, for example, in only two directions (e.g., up and down), the bending operation of the bending portion is not easily hindered. As a result, even after the treatment tool for endoscopes is inserted into the endoscope, the bending portion can be easily bent with a predetermined bending amount, and a procedure can be easily performed.

Abstract: A needle for an endoscope, includes: an outer sheath tube having a fluid passage provided therein; a distal end discharging portion that is accommodated in the distal end of the outer sheath tube so as to be extended therefrom and retracted thereinto, and is connected to the distal end of the fluid passage; an operating device for operating the distal end discharging portion so as to be extended from the distal end of the outer sheath tube and retracted thereinto; a fluid supplying device, that is provided in the outer sheath tube and is caused to communicate with the fluid passage, and supplies a fluid to the distal end discharging portion through the fluid passage; and a blocking device that is provided in the fluid passage, for freely opening and shutting off circulation of a fluid in line with an operation of the operating device.

Abstract: A medical instrument system includes an elongated member having an inner space in a direction of a longitudinal axis, an insertion section installed at the inner space and having a bending section capable of being bent, a manipulation section configured to manipulate the bending section, a first manipulation member transmitting a driving force of the bending section in accordance with the manipulation by the manipulation section, a second manipulation member arranged in the direction of a longitudinal axis, a connecting section having a first connecting section and a second connecting section and capable of connecting the first manipulation member and the second manipulation member, and a switching mechanism having a first acting section and a second acting section and switching between a connection state and a release state in accordance with a relative movement between the elongated member and the insertion section.

Abstract: A medical instrument system includes an elongated member having an inner space in a direction of a longitudinal axis, an insertion section installed at the inner space and having a bending section capable of being bent, a manipulation section configured to manipulate the bending section, a first manipulation member transmitting a driving force of the bending section in accordance with the manipulation by the manipulation section, a second manipulation member arranged in the direction of a longitudinal axis, a connecting section having a first connecting section and a second connecting section and capable of connecting the first manipulation member and the second manipulation member, and a switching mechanism having a first acting section and a second acting section and switching between a connection state and a release state in accordance with a relative movement between the elongated member and the insertion section.

Abstract: The endoscope treatment system includes an endoscope treatment tool that has an operating section including a distal end and a proximal end, and a sheath that is connected to the distal end of the operating section and is formed with a lumen into which the guide wire is capable of being inserted; a guide wire holder that has a tube member, in which the guide wire is accommodated, and that is circumferentially wound; and a fixing member that couples the operating section to the guide wire holder so that the distal end and the proximal end of the operating section are located outside the circumference of the guide wire holder.

Abstract: A puncture needle includes: a needle part that has a first needle part and a second needle part that are hollow, adjacent, and have resiliency; and a sheath that retractably accommodates the needle part; in which a bend part that separates distal end sides of the first needle part and the second needle part to be further apart than proximal end sides thereof is provided in at least one of the first needle part and the second needle part.

Abstract: A medical instrument for performing a medical procedure within a body cavity includes: an insertion part which is inserted into the body cavity and has a bending part capable of bending in a predetermined range; a manipulating part which manipulates the bending part; a wire which connects the bending part with the manipulating part; and a clutch which is provided in the manipulating part and maintains a bending state of the bending part.

Abstract: A ligation apparatus that ligatures living tissue using a clip and provides an optimal ligation apparatus for ligaturing living tissue in a body cavity. The ligation apparatus includes a clip with a clip claw member that is advanced and retreated relative to a pressing member to open and close, a sheath configured to accommodate the clip such that the clip claw member is not exposed to the outside, an advance and retreat restricting mechanism which restricts advance and retreat of the pressing member relative to the sheath at a distal end portion of the sheath and allows advance and retreat of the clip claw member relative to the pressing member according to advance and retreat of the operation wire relative to the sheath to allow the clip ligaturing living tissue, and a releasing mechanism which releases at least a portion of the clip when the clip ligatures the living tissue.

Abstract: A method for ligating an internal body tissue using an outer cylinder member and an inner cylinder member including the processes of projecting the inner cylinder from a front end of the outer cylinder member; attaching a ligation band member to an outer peripheral surface of the inner cylinder member; contacting a front end of the inner cylinder member with an internal body tissue; suctioning an inside of the inner cylinder member via a channel communicated with the inside of the inner cylinder member such that the internal body tissue is drawn into the inner cylinder member; and ligating the internal body tissue with the ligation band member by disconnecting the ligation band member from the front end of the inner cylinder member when the inner cylinder member is drawn into the inside the outer cylinder member at a position where the ligation band member is disconnected.

Abstract: The medical treatment endoscope according to the present invention includes a sheath having a flexibility; at least one arm member having a bending part that projects out from a front end of the sheath and performs bending actions; an open/close mechanism which directs the arm member from a direction along a central axis of the sheath to a direction deviated from the central axis of the sheath, and from a direction deviated from the central axis of the sheath to a direction along the central axis of the sheath; and a viewing device and an illuminating member that are disposed to the front end side of the sheath.