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 ligating apparatus including a thread receiving portion movably disposed at a distal end of an inserting part body. An outer circumference of the thread receiving portion forms the loop holding portion around which a knot forming loop formed from a ligature is disposed. When a first end of the ligature is pulled into the thread receiving portion, the knot forming loop is pushed out of the loop holding portion by a delivery portion of the knot pusher. The knot forming loop is further pushed by the delivery portion along the ligature toward tissue and ligated. Such ligating apparatus is capable of reducing a load on the tissue to be ligated during a ligating operation.

Abstract: A multi-degree-of-freedom forceps includes a insertion portion that has a first bending portion and a second bending portion connected to each other at both ends via an operating member; a treatment portion that is attached to the first bending portion and is used for tissue treatment; and an operating portion that is attached to the second bending portion to bend the second bending portion to thereby bend the first bending portion. The operating portion has a handle body capable of being swung relative to the insertion portion with the second bending portion as an operation center. The handle body has a grip portion that is gripped by a user in use. The grip portion is provided around the operation center or closer to the insertion portion side than the operation center.

Abstract: A rotational force transmission mechanism has: a rotation-inputting member freely rotative and driven in a predetermined first direction and a second direction opposite the first direction by a predetermined operating member; a first rotation-transmitting member for receiving a rotational driving force supplied from the rotation-inputting member in the first direction; a second rotation-transmitting member, disposed to face the first rotation-transmitting member, for receiving a rotational driving force supplied from the rotation-inputting member in the second direction; a connection section disposed so that the rotational force acts in the direction in which the first rotation-transmitting member and the second rotation-transmitting member face each other, the connection section in the facing position transfers the rotational driving force received by the first rotation-transmitting member in the first direction to the second rotation-transmitting member and transfers the rotational driving force received by

Abstract: A manipulation mechanism for moving an oscillating body in a soft endoscope in a stable locus such as for laparoscopic procedures. The mechanism has first and second oscillating portions oscillating on first and second imaginary planes and guide members which regulate oscillating locus of the first and second oscillating portions. A manipulation stick is fixed to the second oscillating portion and capable of moving on the second imaginary plane. The oscillating portions respectively have a force-transmitting-member attachment member, a pair of first support members, and a force receiving member. The pair of first support members is provided with first and second convex portions and each of the first and second guide members is provided with first and second groove portions formed so as to be closer to each other in a direction away from the manipulation reference plane.

Abstract: The endoscopic treatment instrument includes an insertion portion; a treatment portion; and a control portion. The treatment portion includes a pair of forceps members; a tip cover; a distal end holding portion that is fixed to a distal end of the insertion portion; a distal end locking member that restrains a relative movement by locking the tip cover onto the distal end holding portion; and a distal end release member that is provided on an operational member by which the pair of forceps members is opened and closed and that releases an engagement made by the distal end locking member between the tip cover and the distal end holding portion at least when the pair of forceps members is closed.

Abstract: An endoscopic treatment instrument having a treatment portion having: an input member; a first link disconnectably connected to the input member; a first control plate disposed in a first connecting portion, inserting the input member through the first control plate, and engaging the input member by inclination of the first control plate; a first forceps member opening and closing according to advancing and retracting motions of the first link; a second link disconnectably connected to the input member; a second control plate disposed in a second connecting portion, inserting the input member through the second control plate, and engaging the input member by inclination of the second control plate; and a second forceps member opening and closing according to advancing and retracting motions of the second link, the opening-and-closing angle of the second forceps member being less than that of the first forceps member.

Abstract: An implant placement device includes a sheath; a long-axis member having an opening on a distal end side, movable along an axis, and a lumen communicating with the opening; a stylet movable in the axis and provided within the lumen to be turnable around the axis; an operating part on a proximal end side of the stylet to turn the stylet around the axis; a guide part on the proximal end side of the sheath to guide the operating part in a predetermined direction, thereby moving the sheath in the axis with respect to the stylet and turning a distal end portion of the stylet around the axis; and a coupling portion formed at the distal end of the stylet, detachably coupled with an implant, and moving in the axis and turning around the axis along with the stylet and the implant according to an operation of the operating part.

Abstract: An instrument for an endoscope includes a first insertion portion having an base end to which an operation section is connected; a first offset portion extending outward from an axis of the first insertion portion; a second insertion portion having a base end joined to the first offset portion and an element extending parallel to the axis of the first insertion portion; a second offset portion which is joined to a head of the second insertion portion and reaches an extension of the axis of the first insertion portion; a third insertion portion which is joined to the second offset portion and has a portion arranged on an axis which is substantially the same as at least a part of the axis of the first insertion portion; and an inner hole formed through the first insertion portion, the first offset portion, the second insertion portion, the second offset portion, and the third insertion portion.

Abstract: A shock-absorbing mechanism includes a shaft having a linear member wound therearound, a base having a relative position fixed to a first end of the linear member and formed with a shock-absorbing space which spreads toward the radial outside from the outer peripheral surface of the shaft, and a passage formed in the base in communication with the shock-absorbing space and the outside of the base and causing a second end of the linear member to extend to the outside of the base.

Abstract: A manipulation mechanism of the present invention includes an oscillating body which is disposed on a first imaginary plane, where first and second imaginary planes are parallel to each other with respect to a manipulation reference plane; and a holding body which is disposed on the second imaginary plane so as to regulate an oscillating locus of the oscillating body, wherein the oscillating body is provided with first and second convex portions which are spaced from each other and protrude toward the holding body, wherein the holding body is provided with first and second groove portions which respectively guide the first and second convex portions, and wherein the first and second groove portions are formed to be closer to each other in a direction away from the manipulation reference plane on one side of the manipulation reference plane from a point on the manipulation reference plane as a start point

Abstract: This tissue fastening apparatus is a tissue fastener for clamping first biological tissue and second biological tissue so as to be in close contact with each other, including: a first tissue fixation portion, made of an elastic wire wound in a coil, that is locked on the first biological tissue; and a second tissue fixation portion, made of an elastic wire wound in a coil, that is locked on the second biological tissue, the second tissue fixation portion continuing into the first tissue fixation portion, in which when falling off first and second biological tissue necrotized by being clamped between the first tissue fixation portion and the second tissue fixation portion, the tissue fastener moves only from the second tissue fixation portion to the first tissue fixation portion side and falls off.

Abstract: A tissue fastening apparatus includes a tissue fastening tool, with fastens a first biological tissue and a second biological tissue so as to bring the tissues into close contact and an applicator for indwelling the tissue fastening tool. The tissue fastening tool is made of an elastic wire rod and is wound in a coil shape. The applicator includes a needle tube accommodated in an inner cavity with the tissue fastening tool stretched, a stylet inserted into the inner cavity of the needle tube nearer to the proximal side than the tissue fastening tool, and a rotating mechanism that rotates the stylet around an axis when the stylet is moved toward a distal end of the needle tube. The tissue fastening tool and the stylet are disengageably engaged with each other and integrally and rotatably connected with each other. The rotating mechanism rotates the stylet in a direction opposite to the winding direction of the tissue fastening tool as seen from the proximal side.

Abstract: A tissue fastening instrument that fastens a first biological tissue and a second biological tissue that is adjacent to the first biological tissue so as to come into close contact, provided with a first tissue fixing portion that consists of an elastic wire that is wound into a coil shape and engaged on the first biological tissue; a second tissue fixing portion that consists of an elastic wire that is wound into a coil shape, is connected to a first end portion of the first tissue fixing portion and engaged on the second biological tissue; and a peripheral spring portion that is connected to a second end portion of the first tissue fixing portion and extends toward the second tissue fixing portion while forming a loop on the outside of the first tissue fixing portion and the second tissue fixing portion, in which the peripheral spring portion has a spring portion that is connected to the second end portion of the first tissue fixing portion and extends toward the second tissue fixing portion, and an end tur

Abstract: A bending tube, provided with a bending section capable of bending, the bending tube comprising: a main unit having a lumen; a pair of transfer members having distal ends of the transfer members being connected to a distal end of the bending section or the main unit disposed distally relative to the bending section; an operation section having proximal ends of the pair of transfer members, the operation section being configured so that a retracting operation for retracting one of the pair of transfer members proximally causes the other one of the pair of transfer members to be linked and pushed out distally, wherein the retracting operation applies a predetermined magnitude of tension to the pair of transfer members.

Abstract: A rotational force transmission mechanism has: a rotation-inputting member freely rotative and driven in a predetermined first direction and a second direction opposite the first direction by a predetermined operating member; a first rotation-transmitting member for receiving a rotational driving force supplied from the rotation-inputting member in the first direction; a second rotation-transmitting member, disposed to face the first rotation-transmitting member, for receiving a rotational driving force supplied from the rotation-inputting member in the second direction; a connection section disposed so that the rotational force acts in the direction in which the first rotation-transmitting member and the second rotation-transmitting member face each other, the connection section in the facing position transfers the rotational driving force received by the first rotation-transmitting member in the first direction to the second rotation-transmitting member and transfers the rotational driving force received by

Abstract: An endoscopic operation assisting device includes a first handle member and a second handle member, which are openable and closable. The first handle member includes, at the side of an opening and closing surface portion thereof, a groove forming an insertion section holding hole for holding an insertion section of an endoscope. Further, the first handle member includes, on a surface portion of the first handle member contraposed to the opening and closing surface portion, a step portion including a flat surface which is provided at a distal end side disposed toward the direction of a distal end portion of the insertion section and which is lower than a proximal end side. Meanwhile, the second handle member includes, at the side of an opening and closing surface portion thereof, a groove forming the insertion section holding hole.

Abstract: A grasping forceps 1 includes: a pair of guide sections 7A and 7B that guide maneuvering wires 6A and 6B in a direction of an axial line C of a sheath; an extending-and-retracting member (transmission section) 8 that transmits displacement information of the maneuvering section to the maneuvering wires 6A and 6B and outputs the displacement information to the intervention instrument; a distal direction movement inhibitor section (specific directional movement-inhibitor section) 10 that allows the sheaths of the maneuvering wires 6A and 6B toward the distal end; a proximal direction movement inhibitor section (specific directional movement-inhibitor section) 11 that allows the sheaths of the maneuvering wires 6A and 6B toward the distal end; and an locked-state-releasing section 12 that releases an engaging state of the guide sections 7A and 7B with the distal direction movement inhibitor section 10 or the proximal direction movement inhibitor section 11 based on the displacement input by the maneuvering secti

Abstract: The endoscopic treatment instrument according to a first aspect of the present invention includes an insertion portion having a distal end and a proximal end, the distal end being inserted into a human body; a treatment portion provided at the distal end of the insertion portion; and a control portion provided at the proximal end of the insertion portion, and the treatment portion includes a pair of forceps members; a tip cover which supports a pivot shaft that pivots at least one of the pair of forceps members openably and closably with respect to the other forceps member; a distal end holding portion that is fixed to the distal end of the insertion portion and in which the tip cover is held relatively movably toward the distal end of the insertion portion and toward the proximal end of the insertion portion; a distal end locking member that restrains a relative movement by locking the tip cover onto the distal end holding portion when the pair of forceps members is opened to grasp a specified object; and a

Abstract: An instrument for an endoscope includes a first insertion portion having an base end to which an operation section is connected; a first offset portion extending outward from an axis of the first insertion portion; a second insertion portion having a base end joined to the first offset portion and an element extending parallel to the axis of the first insertion portion; a second offset portion which is joined to a head of the second insertion portion and reaches an extension of the axis of the first insertion portion; a third insertion portion which is joined to the second offset portion and has a portion arranged on an axis which is substantially the same as at least a part of the axis of the first insertion portion; and an inner hole formed through the first insertion portion, the first offset portion, the second insertion portion, the second offset portion, and the third insertion portion.