Abstract: A medical treatment endoscope includes: an insertion portion which has a lumen formed along a longitudinal axis of the insertion portion and is configured to be inserted into a body cavity, a lateral opening portion which extends in a lateral surface of the insertion portion, from a distal end surface of the insertion portion to a proximal end side of the insertion portion, an elastic member which is provided in an inner wall of the lumen at a position separated from an edge of a proximal end of the insertion portion in a direction toward a distal end side of the insertion portion, and a tubular arm which includes a bendable bending part provided at a distal end side of the tubular arm.

Abstract: A treatment tool of an endoscope including: a movable tip end portion that performs a treatment on a living body; a flexible first coil sheath into which a wire is spirally wound; a flexible second coil sheath into which a wire is spirally wound and which is concentrically fitted onto or into the first coil sheath; a flexible operation wire that is formed into an elongated thin shape, a tip end thereof being connected to the movable tip end portion, and the operation wire being movably inserted into the first coil sheath; and an operation portion for advancing and retracting the operation wire, in which a tip end of the second coil sheath is fixed to the movable tip end and a base end thereof is fixed to the operation portion.

Abstract: There is provided an insufflation system and an insufflation apparatus which can prevent a pressure inside a lumen from rapidly increasing and can achieve operability matched to a sense an operator. The insufflation apparatus is connected to an endoscope and an insertion assisting tool which guides the endoscope into the gastrointestinal tract. Carbon dioxide can be insufflated into a gastrointestinal tract of a patient through an internal conduit of the endoscope according to an operator's operation (manual insufflation). When the operator instructs the insufflation apparatus to perform the automatic insufflation, carbon dioxide is intermittently insufflated into the gastrointestinal tract through the insertion assisting tool so as to make the pressure inside the gastrointestinal tract become a set pressure (automatic insufflation). The insufflation flow rate of the manual insufflation is switched between the high flow rate and the low flow rate according to ON/OFF state of the automatic insufflation.

Abstract: There is provided an insufflation system and an insufflation apparatus which can prevent a pressure inside a lumen from rapidly increasing and can achieve operability matched to a sense of an operator. When the operator operates an air/water supply button of the endoscope, the gas is insufflated into a gastrointestinal tract of a patient through an internal conduit of the endoscope (manual insufflation). Meanwhile, the insufflation apparatus is connected to an insertion assisting tool which guides the endoscope into the gastrointestinal tract. When the insufflation apparatus automatically performs insufflation, the gas is intermittently insufflated into the gastrointestinal tract of the patient so as to maintain the pressure inside the gastrointestinal tract at the set pressure (automatic insufflation). The average flow rate of the gas in the automatic insufflation is set to be less than or equal to the insufflation flow rate in the manual insufflation.

Abstract: An electronic device housing, includes: a housing case including a housing area which houses a heat generating component; a duct, including ends which are in communication with the housing area at different positions respectively and a body portion disposed outside the housing area, in which first air inside housing case which is heated by the heat generating component flows; and a flow device, disposed in the housing case, configured to circulate the first air and make second air which radiates heat in the duct flow towards a side of the housing area side.

Abstract: A voltage monitoring circuit includes a plurality of voltage input terminals which input a voltage across each of a plurality of series-coupled battery cells, a selection circuit which, by selecting two of the voltage input terminals, selects a voltage across one of the battery cells, an A/D converter which converts the voltage across the battery cell into a digital value, a control unit which sends the digital value to an external controller, a ground wiring which is coupled to a ground terminal for inputting a ground level voltage for the voltage monitoring circuit, the ground terminal being among the voltage input terminals, and through which the voltage monitoring circuit is supplied with the ground level voltage, a terminal which is supplied with a lowest fixed potential, and a switch circuit which is coupled between the first terminal and the ground wiring.

Abstract: A tissue resection apparatus includes a pair of grasping members that holds a tissue; and a cartridge that is replaceably attached to the pair of grasping members. The cartridge includes a cartridge body that has a longitudinal axis and a slot extending along the longitudinal axis, guides a cutting member cutting a tissue by the slot, and defines a movement range of the cutting member; a pair of sealing portions that are provided on both sides of the slot so as to sandwich the slot and extend parallel to the slot, respectively; and a tissue sealing portion that is located closer to a distal end side than the slot and is provided on an extension line of the slot.

Abstract: A point storage unit stores points, which are imparted to the user in an electronic commerce, in association with user identification information. A link request receiving unit receives a link request for linking user identification information and membership card identification information for identifying a membership card for receiving points imparted at an actual shop. In a case where the link request is received, a link information storage unit stores link information indicating a link between the user identification information and the membership card identification information. In a case where a point use request with a designation of the membership card identification information is received, a use permission unit permits use of the points stored in association with the user identification information linked to the membership card identification information.

Abstract: Provided is a tissue excision method that excises a partial tissue within an excision region set in a hollow organ over an entire thickness direction. The tissue excision method includes a first process of gripping a peripheral edge portion of the excision region from the inside of the hollow organ; a second process of moving the portion and drawing the folded hollow organ into a slit with a predetermined width; a third process of suturing a part located outside the excision region so as to be integral over the thickness direction; and a fourth process of cutting the portion of the drawn hollow organ along the peripheral edge of the excision region. In the second process, a portion of a fluid within the hollow organ is moved out of the hollow organ to keep the internal pressure within a fixed range while drawing the portion of the hollow organ.

Abstract: A gas supply apparatus includes: a gas supply conduit for supplying a gas to a digestive tract; a pressure detecting device which detects a pressure in the digestive tract; a flow regulating device which regulates a gas amount supplied from the gas supply source to the digestive tract via the gas supply conduit; a first control device which controls the flow regulating device according to a result detected by the pressure detecting device to supply the gas into the digestive tract so that the pressure inside the digestive tract becomes a set pressure; a second control device which controls the flow regulating device to supply a fixed gas amount into the digestive tract; and a gas supply mode switching device which switches between gas supply modes including a mode for executing control by the first control device and a mode for executing control by the second control device.

Abstract: A voltage monitoring circuit includes a plurality of voltage input terminals which input a voltage across each of a plurality of series-coupled battery cells, a selection circuit which, by selecting two of the voltage input terminals, selects a voltage across one of the battery cells, an A/D converter which converts the voltage across the battery cell into a digital value, a control unit which sends the digital value to an external controller, a ground wiring which is coupled to a ground terminal for inputting a ground level voltage for the voltage monitoring circuit, the ground terminal being among the voltage input terminals, and through which the voltage monitoring circuit is supplied with the ground level voltage, a terminal which is supplied with a lowest fixed potential, and a switch circuit which is coupled between the first terminal and the ground wiring.

Abstract: A surgical instrument for holding a suturing needle comprises an operating section, an insert section having an insert-section distal end extension at a distal end of an insert section body, a clamping portion, a rotatable holder portion, a receiving member having a first contact surface, and a transmitting member having a second contact surface. The insert section body has an inner bore along a first axis in a longitudinal direction. The insert-section distal end extension has a rotation-allowing groove on an inner peripheral surface of an inner bore provided along a second axis at a predetermined angle with respect to the first axis. The rotatable holder portion is allowed to be passively rotatable about the second axis under an external force applied to the suturing needle when a gap is formed between the transmitting member and the receiving member.

Abstract: Endoscopic surgical operation method includes: a step of lifting a living tissue including an diseased tissue located distally relative to an operation channel of an endoscope inserted through a natural orifice; a step of suturing a proximal region and a distal region of the living tissue positioned basal relative to the diseased tissue lifted by a suturing means section projecting distally from the operation channel of the endoscope after the lifting; and a step of resecting the living tissue between the sutured regions and the diseased tissue endoscopically after suturing the proximal region and the distal region of the living tissue surrounding the diseased tissue.

Abstract: A voltage monitoring circuit includes a plurality of voltage input terminals which input a voltage across each of a plurality of series-coupled battery cells, a selection circuit which, by selecting two of the voltage input terminals, selects a voltage across one of the battery cells; an A/D converter which converts the voltage across the battery cell into a digital value, a control unit which sends the digital value to an external controller, a ground wiring which is coupled to a ground terminal for inputting a ground level voltage for the voltage monitoring circuit, the ground terminal being among the voltage input terminals, and through which the voltage monitoring circuit is supplied with the ground level voltage, a terminal which is supplied with a lowest fixed potential, and a switch circuit which is coupled between the first terminal and the ground wiring.

Abstract: A medical treatment endoscope includes: an insertion portion which has a lumen formed along a longitudinal axis of the insertion portion and is configured to be inserted into a body cavity, a lateral opening portion which extends in a lateral surface of the insertion portion, from a distal end surface of the insertion portion to a proximal end side of the insertion portion, an elastic member which is provided in an inner wall of the lumen at a position separated from an edge of a proximal end of the insertion portion in a direction toward a distal end side of the insertion portion, and a tubular arm which includes a bendable bending part provided at a distal end side of the tubular arm.

Abstract: A treatment tool includes a long shaft member, a pair of grasping members installed at a distal end portion of the long shaft member, a driving force transmission member connected to the pair of grasping member, a driving manipulation member, and a switch unit having a first sliding section and a second sliding section, and configured to switch a ratio of a magnitude of a force for moving the driving force transmission member with respect to a magnitude of a force for moving the driving manipulation member when the driving manipulation member is manipulated to be moved by switching a position at which the driving manipulation member is slid between the first sliding section and the second sliding section.

Abstract: A medical instrument includes a first grasping member and a second grasping member that approach and separate from each other, a rotating body that is rotatably installed on a rotation shaft fixed to the first grasping member, an open-close link whose first end is rotatably connected to a first rotation shaft provided on the second grasping member and whose second end is rotatably connected to a second rotation shaft provided on the rotating body at a distance from the rotation shaft, and a manipulating member rotating the rotating body. When the rotating body is rotated in a predetermined direction, the first grasping member and the second grasping member approach each other while the second rotation shaft approaches an imaginary straight line connecting axes of the rotation shaft and the first rotation shaft.

Abstract: Provided is a tissue excision method that excises a partial tissue within an excision region set in a hollow organ over an entire thickness direction. The tissue excision method includes a first process of gripping a peripheral edge portion of the excision region from the inside of the hollow organ; a second process of moving the portion and drawing the folded hollow organ into a slit with a predetermined width; a third process of suturing a part located outside the excision region so as to be integral over the thickness direction; and a fourth process of cutting the portion of the drawn hollow organ along the peripheral edge of the excision region. In the second process, a portion of a fluid within the hollow organ is moved out of the hollow organ to keep the internal pressure within a fixed range while drawing the portion of the hollow organ.

Abstract: Full-thickness excision of tissue of a lesion in a lumen is performed through a natural orifice. Specifically, the tissue surrounding the lesion that is in a folded state is joined and severed using a linear stapler. The linear stapler includes a cutter and is inserted into the lumen. Joining and cutting is performed while organs outside of the lumen are pushed in a direction away from the lesion with the tip of the linear stapler. As a result of these steps being repeatedly performed along the periphery of the lesion, the lesion is excised.

Abstract: In a manufacturing method of a foreign object detection apparatus, an elastic insulator including an attaching section and an inner peripheral portion, on which a plurality of electrodes is disposed in such a manner that each of the electrodes is away from the others, is formed, a predetermined portion of the attaching section is removed, a feeding member is coupled with the electrodes, and a coupling portion of the electrodes and the feeding member and a portion of the elastic insulator are covered with a covering part.