Abstract: A medical device includes a snare wire advanceable and retractable inserted through a channel in an insertion portion that is inserted through an endoscope; a substantially tubular cap member including a first portion and a second portion connected to a distal end of the insertion portion, the cap member having an annular distal end surface, the first portion being attachable to the distal end of the insertion portion in phase with the channel, and the cap member having an internal space formed by the first portion and the second portion; and a guide member being linearly extended along an internal surface of the distal end side of the cap member at a side of the second portion, the guide member being configured to guide the snare wire to form a loop and to restrict a retraction of the snare wire toward the side of the insertion portion.

Abstract: A cytodiagnosis method includes a preparation step, a first injection step, a first discharge step, a second injection step, a second discharge step, a contact step of bringing a filter and a pressing member into contact with each other after the second discharge step, a flattening step of flattening the fine undulations of the filter by pressing the filter with the pressing member after the contact step, and an observation step of observing the cells on the filter flattened by the flattening step with an observation unit while illuminating the filter with a light source while the filter is located between the light source and the observation unit.

Abstract: A tissue collecting tool includes: a main body that is long; an operation part arranged on a proximal end side of the main body; a bag part including a bottom portion and an opening portion and having a part of the opening portion fixed to the main body such that the opening portion is positioned on a further proximal end side than the bottom portion; and a linear member connected to the opening portion and the operation part and raising the opening portion by being moved in a longitudinal direction of the main body.

Abstract: A method used to mark a tubular organ of a subject. In a first step, at a position near a lesion on a wall surface of the tubular organ, a first electrode is supplied with high-frequency current, so that the first electrode punctures the wall surface from a surface of a mucosal layer on the wall surface to a predetermined depth. In a second step, the first electrode is supplied with the high-frequency current for a predetermined time such that a first marking is made by cauterization on a muscle layer. In a third step, a second electrode, which is disposed coaxially with the first electrode, is supplied with high-frequency current for a predetermined time such that a second marking is made by cauterization on the surface of the mucosal layer. During the third step, the first electrode is held as is after the second step.

Abstract: A tissue collecting tool includes: a main body that is long; an operation part arranged on a proximal end side of the main body; a bag part including a bottom portion and an opening portion and having a part of the opening portion fixed to the main body such that the opening portion is positioned on a further proximal end side than the bottom portion; and a linear member connected to the opening portion and the operation part and raising the opening portion by being moved in a longitudinal direction of the main body.

Abstract: An attachment for an endoscope includes: a tubular main body having a proximal end portion; a partition part provided in the main body, the partition part being provided at a position at which a distance from the proximal. end portion to the partition part is longer than a protrusion length of a distal end portion of a device in contact with the partition part toward a proximal end side of the main body, to prevent the distal end portion of the device entering from a distal end side of the main body from coming into contact with a distal end surface of the insertion part; and a communication part provided in the partition part, the communication part forming a communication passage through which a proximal end side and a distal end side of the partition part communicate with each other in the main body.

Abstract: A medical device includes a snare wire advanceable and retractable inserted through a channel in an insertion portion that is inserted through an endoscope; a substantially tubular cap member including a first portion and a second portion connected to a distal end of the insertion portion, the cap member having an annular distal end surface, the first portion being attachable to the distal end of the insertion portion in phase with the channel, and the cap member having an internal space formed by the first portion and the second portion; and a guide member being linearly extended along an internal surface of the distal end side of the cap member at a side of the second portion, the guide member being configured to guide the snare wire to form a loop and to restrict a retraction of the snare wire toward the side of the insertion portion.

Abstract: An endoscopic mucous membrane lifting instrument includes: a cap mounted at a distal end of an insertion portion of an endoscope device; a first wire disposed at the cap and configured to be capable of protruding from an outer circumferential portion of the distal end of the insertion portion toward a direction more distal than the insertion portion and in a direction approaching an extension line of a central line of the insertion portion; a second wire disposed at the cap and be capable of protruding from the outer circumferential portion of the insertion portion along the central line of the insertion portion in the distal direction than the insertion portion; and a wire-manipulating portion configured to independently operate the first wire and the second wire.

Abstract: A tissue grasping device includes a longitudinal axis member; an actuating member provided at a distal end portion of the longitudinal axis member; a wire member elongated to an outside of the actuating member and being curved in a loop shape; a through hole formed in a distal end surface of the actuating member and holding a first end side of the wire member such that the first end side of the wire member is capable of moving with respect to the actuating member; and a direction restriction portion provided at a side surface of the actuating member and fixing a second end portion of the wire member to the actuating member such that an elongated direction of a second end side of the wire member is coincide with a direction intersecting a side surface of the actuating member.

Abstract: An endoscope attachment of the present invention includes a light-shielding member disposed in a distal direction from a distal end of an endoscope insertion portion of an endoscope and shields a part of light emitted from a light source of the endoscope at a position separated from the light source; and a support portion connected to the endoscope insertion portion and being capable of holding the light-shielding member at a position distant from the distal end of the endoscope insertion portion.

Abstract: A body fluid collection device comprises a longitudinal member having a lumen formed along a longitudinal axis and configured to be inserted through the channel, a flow path in which a suction is acted by the suction section of the endoscope, which is formed to bring the lumen of the longitudinal member in communication with the channel, an accommodating section which is formed in the flow path, and accumulate the the body fluid suctioned in the lumen by the suction section of the endoscope, and a sealing member configured to seal a space between the longitudinal member and the channel closer to a distal end of the longitudinal member than the suction port so that a fluid does not flow from the distal end side to a proximal end side of the longitudinal member.

Abstract: An endoscopic submucosal dissection device includes: a cap that is separably attached to a distal end of an insertion portion of an endoscope; a first holding portion and a second holding portion; a wire portion at least one part of which protrudes from the first holding portion and the second holding portion and is formed into a loop shape, and which is held by the first holding portion and the second holding portion to be movable forward and backward; an electrode portion that is provided at the part of the wire portion; an insulation member; and an operation portion that is connected to the wire portion and moves the electrode portion between the first holding portion and the second holding portion, wherein the first holding portion and the second holding portion are formed at opposite sides with a center axis of the cap being interposed therebetween.

Abstract: An endoscopic mucous membrane lifting instrument includes: a cap mounted at a distal end of an insertion portion of an endoscope device; a first wire disposed at the cap and configured to be capable of protruding from an outer circumferential portion of the distal end of the insertion portion toward a direction more distal than the insertion portion and in a direction approaching an extension line of a central line of the insertion portion; a second wire disposed at the cap and be capable of protruding from the outer circumferential portion of the insertion portion along the central line of the insertion portion in the distal direction than the insertion portion; and a wire-manipulating portion configured to independently operate the first wire and the second wire.

Abstract: A marking system includes: an applicator that has a puncturing part capable of being punctured into a wall part of a luminal organ from an outside of the luminal organ; a marker that is accommodated in the applicator; and a pointer device including an insertion that has flexibility, is formed in an elongated manner, and is capable of being inserted into an inside of the luminal organ, and a light-emitting part that is disposed inside the insertion at a distance from a distal end of the insertion. An opening into which the puncturing part is capable of being inserted is formed at the distal end of the insertion. A leakage of light, which is emitted from the light-emitting part, to an outside of the insertion is suppressed between the light-emitting part and the distal end of the insertion.

Abstract: A tissue grasping device includes a longitudinal axis member; an actuating member provided at a distal end portion of the longitudinal axis member; a wire member elongated to an outside of the actuating member and being curved in a loop shape; a through hole formed in a distal end surface of the actuating member and holding a first end side of the wire member such that the first end side of the wire member is capable of moving with respect to the actuating member; and a direction restriction portion provided at a side surface of the actuating member and fixing a second end portion of the wire member to the actuating member such that an elongated direction of a second end side of the wire member is coincide with a direction intersecting a side surface of the actuating member.

Abstract: An endoscopic device includes a longitudinal member, a pair of jaws installed at a distal end of the longitudinal member and configured to be freely opened and closed, a first grasping member supported by a first jaw of the pair of jaws, a second grasping member supported by a second jaw of the pair of jaws, the second body having a wire shape, flexibility, and being curved in a loop shape, a long operating transmission member having a distal end portion connected to the pair of jaws and installed to advance and retreat along a longitudinal axis of the longitudinal member, and an open-close operating portion installed at a proximal end portion of the operating transmission member and configured to be manipulated to open and close the pair of jaws.

Abstract: An endoscopic device includes a longitudinal member, a pair of jaws installed at a distal end of the longitudinal member and configured to be freely opened and closed, a first grasping member supported by a first jaw of the pair of jaws, a second grasping member supported by a second jaw of the pair of jaws, the second body having a wire shape, flexibility, and being curved in a loop shape, a long operating transmission member having a distal end portion connected to the pair of jaws and installed to advance and retreat along a longitudinal axis of the longitudinal member, and an open-close operating portion installed at a proximal end portion of the operating transmission member and configured to be manipulated to open and close the pair of jaws.

Abstract: A medical device includes: an insertion portion that includes a distal end and a proximal end and is capable of being inserted into a body; a light-emitting portion that is disposed at the distal end of the insertion portion and is configured to emit light containing a wavelength capable of passing through a biological tissue; and a marking portion that is disposed at the distal end of the insertion portion and is configured to form a marking on the biological tissue. The light-emitting portion and the marking portion are disposed at the insertion portion such that a positional relationship between the light-emitting portion and the marking portion can be fixed.

Abstract: A body fluid collection device includes a long shaft member having a lumen formed along a longitudinal axis, an absorption body configured to expand from an initial state in which a body fluid is not absorbed into the absorption body as the body fluid is absorbed, and having a proximal end portion configured to be disposed in the lumen when a predetermined amount of the body fluid is absorbed into the absorption body, and an identification section configured to indicate that the absorption body has absorbed the predetermined amount of the body fluid.

Abstract: A body fluid collection device comprises a longitudinal member having a lumen formed along a longitudinal axis and configured to be inserted through the channel, a flow path in which a suction is acted by the suction section of the endoscope, which is formed to bring the lumen of the longitudinal member in communication with the channel, an accommodating section which is formed in the flow path, and accumulate the the body fluid suctioned in the lumen by the suction section of the endoscope, and a sealing member configured to seal a space between the longitudinal member and the channel closer to a distal end of the longitudinal member than the suction port so that a fluid does not flow from the distal end side to a proximal end side of the longitudinal member.