Abstract: The invention proposes a device for minimally invasive intervention in the skeletal region, in particular on the spinal column, having at least the following two elements: a cannula with a distal end generally bevelled in shape (22) relative to a symmetrical axis of the cutting tool (2); and an optical probe (endoscope) for insertion through the cavity of the cannula. The device is further characterized in that the cannula takes the form of a hollow cutting tool (2), in which the most distal region of the distal end comprises a cutting edge (26), which is incorporated into the edge of the wall of the cutting tool (2).

Abstract: This endoscope treatment tool insertion-extraction system is provided with: a first treatment tool and a second treatment tool which are insertable into and retractable from a forceps channel of an endoscope; a first insertion-extraction mechanism which feeds the first treatment tool into the forceps channel or removes the first treatment tool from the forceps channel; a second insertion-extraction mechanism which feeds the second treatment tool into the forceps channel or removes the second treatment tool from the forceps channel; one driving section which drives the first insertion-extraction mechanism and the second insertion-extraction; and a selection section which selectively engage the driving section with one of the first insertion-extraction mechanism and the second insertion-extraction mechanism.

Abstract: Disclosed is a disposable access port for use in endoscopic procedures, including laparoscopic procedures. The access port includes a cannula with an embedded camera in communication with an external control box. In operation, a trocar is combined with the access port to facilitate insertion of the access port into an anatomical site. Prior to insertion, the camera is pushed inside the cannula, where it remains during insertion. The trocar is removed after the access port has been inserted to allow surgical instruments to access the anatomical site. During removal of the trocar, a portion of the trocar urges the camera out of the cannula, thereby allowing visualization of the anatomical site. The camera can be fixedly or adjustably mounted on the port. A camera may also be mounted on the trocar. The trocar may include irrigation and suction channels to facilitate a clear view of the anatomical site.

Abstract: An instrument lifting operation device including: an operation wire drawing mechanism configured to draw an proximal end of an operation wire connected to an instrument lifting piece; and a braking mechanism configured to restrict movement of the operation wire toward the tip side, wherein the braking mechanism includes: a fixed wall; and a spring arranged to be able to rotate about an axis together with an instrument lifting operation member in a state where the spring is elastically pressed against an inner circumferential surface of the fixed wall. When the instrument lifting operation member is operated to rotate about the axis, the wire coupling member rotates about the axis and the operation wire moves forward and backward in a state where the spring contacts and slides on the inner circumferential surface of the fixed wall to generate frictional resistance at a contacting part.

Abstract: An endoscope includes an insertion portion and a treatment instrument insertion channel, and is inserted into a body cavity; an operation portion which is connected to a proximal end side of the insertion portion; and a treatment instrument raiser which has a guiding surface for guiding a treatment instrument, and able to rise according to an operation from the operation portion. The raiser includes a slit which is formed on a distal end side of the guiding surface and with which a guide wire guided toward the distal end side opening can be engaged, and a guide wire guiding unit which is formed on an outer periphery of the guiding surface and serves to guide the guide wire into the slit. The guide wire is guided into the slit by the guiding unit, when the raiser is raised by the operation from the operation portion.

Abstract: An endoscope according includes a treatment instrument riser which guides a distal end of a treatment instrument projected from a distal end opening provided in a channel for inserting the treatment instrument in an insertion portion to a desired position; a driving mechanism which is rotatably fitted onto an axis provided in an operation portion covered with an outer packaging member, and drives the treatment instrument riser; a guide-wire securing unit which secures a position of a guide wire projected from the distal end opening provided in the channel in the insertion portion; a guide-wire securing operation member which operates the guide-wire securing unit; and a securing unit which secures a position of the guide-wire securing operation member in a state where the position of the guide-wire is secured.

Abstract: A miniature ingestible capsule has multiple therapeutic or diagnostic operations that can be performed. These functions are controlled by a combination of an outside control, a pose beacon and through information relayed from an imagining array and transmitter. These functions can be in a separate capsule without an imaging array or within the same capsule with an imaging array. Typically, there is one function performed in addition to imaging. These functions can include suction and spray capabilities, ultrasound sensor, lithotripsy, laser, heat, electrocautery, BICAP, biopsy forceps, a needle knife snare cautery (cold and hot with continuous or pulsed current for cutting and coagulation), with a basket, and fine needle aspiration with various wheels and fins and motors controlled externally and other tools to be used in humans. All of these tools can be attached to a retractable arm. Also, they can be used on an elevator device that lifts them, allowing for an extra 180° of movement.

Abstract: The invention relates to an endoscope having a shaft in which at least one working channel is positioned and having on the distal end of the shaft an endoscope head, such that the part of the working channel contained in the endoscope head can be rotated with respect to the related working channel by a Bowden cable that is mounted on a control handle on the proximal end by a collet. To configure an endoscope in such a manner that it ensures simple construction as well as a constantly even tension of the Bowden cable, it is proposed with the invention that the depth of insertion of a cable cord of the Bowden cable into the collet can be limited by a pressure element acting on the cable cord and collet.

Abstract: Embodiments of the invention include a medical device for accessing a patient's body portion and used for diagnosis and treatment of medical conditions. Embodiments of the invention may include a particular endoscopic positioning mechanism for placing an endoscope and an additional treatment device within desired body portions in order to assist in diagnosis and treatment of anatomical diseases and disorders. In particular, a medical device according to an embodiment of the invention includes a positioning mechanism configured for movement through at least two degrees of freedom.

Abstract: A guide system for use with an endoscope, and a method of use is disclosed. The guide system can include a track, in the form of a rail, and a mating member for engaging the rail. The guide system can also include an accessory, such as an accessory guide tube through which a medical instrument can be carried external of the endoscope. An end cap can be provided to support the track relative to the distal end of the endoscope.

Abstract: An endoscopic elevator apparatus cooperable with an insertion tube extending to a distal tip and having enhanced grasping and reduced scraping of an elongate medical device is disclosed. The apparatus comprises an elevator movably attached to the distal tip. The elevator has an inner side formed thereon defining a grasping slot for engagement with the endoscope. The elevator has a surface projection disposed thereon for inhibiting damage to the elongate medical device.

Abstract: A harvesting device for an endoscope includes a harvesting member inserted through an outer tube member, including a harvesting portion arranged at the distal end portion of the outer tube member and to perform a harvesting, and configured to move so that the harvesting member moves and positions the harvesting portion at a harvesting position and a standby position, a wipe member inserted through the outer tube member, including a wipe portion arranged at the distal end portion of the outer tube member, and configured to move so that the wipe member moves the wipe portion to wipe a distal end portion of the endoscope, and a conversion mechanism to convert the movement of the harvesting member into that of the wipe member to interlock the wiping of the wipe portion with the positioning of the harvesting portion.

Abstract: An endoscope comprises: an insertion portion that is to be inserted into a coelom; a treatment instrument elevation support, pivotally provided at a distal end of the insertion portion, that is used to guide a treatment instrument introduced at the distal end; and an observation section that obtains an image observed at the distal end, wherein, when the treatment instrument elevation support is reclined, part of the treatment instrument elevation support is included in the image obtained by the observation section.

Abstract: An endoscope includes: a treatment instrument elevator base including a contact surface which contacts with a treatment instrument inserted into a treatment instrument insertion channel, and rotatably provided to a distal end to elevate the instrument; a contact portion provided to the distal end to contact with the instrument when the elevator base is elevated; a first leading portion provided to the contact surface to lead the instrument to a predetermined position on the contact surface as the elevator base is rotated; a holding portion provided to the contact surface and the contact portion, and including a grasping surface for sandwiching the instrument with a diameter not exceeding a predetermined value; and a second leading portion provided to the contact portion to lead the instrument larger than the grasping surface away from the holding portion.

Abstract: A treatment tool for an endoscope, having a flexible sheath being made of electrically insulating material to be inserted through an instrument channel of the endoscope, an operation wire, which is adapted to be advanced and retracted in an axial direction of the sheath inside the sheath, a treatment instrument, which is arranged at a distal portion of the treatment tool and is adapted to be protruded and retracted from a distal end of the sheath, and a fluid channel with an opening, through which fluid is ejected toward the treatment instrument, is provided. The operation wire and the fluid channel are arranged inside the sheath in parallel with an axis of the sheath. The treatment instrument is connected to the operation wire in a laterally displaced position with respect to the operation wire, and is arranged in front of the opening of the fluid channel.

Abstract: A grasping apparatus for use with an elevator of an endoscope having enhanced grasping features for grasping an elongate medical device is disclosed. The apparatus comprises a body comprising a grasping surface and an opening formed through the grasping surface to receive the elevator. The opening of the body is configured to be disposed about the elevator of the endoscope. The grasping surface is configured to be disposed on the elevator for grasping of the elongate medical device.

Abstract: A mother-baby endoscope includes: a lateral-view mother endoscope housing a treatment instrument raising stand in a distal end portion and including a treatment instrument insertion channel disposed in an insertion portion and opening toward the treatment instrument raising stand; and a baby endoscope including an insertion portion having a bending portion disposed on a distal end side, the insertion portion being inserted into the treatment instrument insertion channel of the mother endoscope and guided into a body cavity for observing or treating a region to be inspected. When the insertion portion of the baby endoscope is protruded by approximately 20 millimeters from an observation window of the mother endoscope in an observation direction, a proximal end surface of the bending portion of the baby endoscope is set to be located on a more proximal end side than an opening portion of the treatment instrument insertion channel.

Abstract: A guide system for use with an endoscope, and a method of use is disclosed. The guide system can include a track, in the form of a rail, and a mating member for engaging the rail. The guide system can also include an accessory, such as an accessory guide tube through which a medical instrument can be carried external of the endoscope. An end cap can be provided to support the track relative to the distal end of the endoscope.

Abstract: An edge portion of an endoscope inserting portion includes an observation optical system, a first treatment-tool oscillating base which guides, in a first direction, a first treatment tool guided via a first channel for inserting the treatment tool, and a second treatment-tool oscillating base which guides, in a second direction, a second treatment tool guided via a second channel for inserting the treatment tool. Upon endoscope treatment for the lesion portion using the first and second treatment tools which are projected from the edge openings of two first and second channels for inserting the treatment tool and which are guided by the two first and second treatment-tool oscillating bases, one of the first and second treatment tools is moved to the outside of a field of view of an endoscope image as needed.

Abstract: There is provided an endoscopic system. The system comprises a flexible endoscope insertable into a first tubular organ from a natural opening of a human body. The system further comprises an opening member which forms on a wall part of the first tubular organ an opening used to insert the endoscope into an abdominal cavity from the first tubular organ in the body, an anastomosing member which is able to anastomoses the first tubular organ with a second tubular organ in the abdominal cavity, and a cutting member with which the second tubular organ is able to be cut.

Abstract: When a guide wire 5 is maximally raised on a treatment instrument raising stand 35, a distal point of the guide wire 5 is operated so as to be capable of always observing a papillary opening portion 7, which is a subject to be treated, from the front (in a basic position where the portion to be treated is positioned at the center of the field of view). The treatment instrument raising stand 35 is maximally raised in order that the tilt angle ? of the guide wire 5 is equal to the tilt angle ? of a central axis of a field of view of an observation window 30. Then, the guide wire 5 is fixed and a treatment instrument such as a drainage tube is replaced, whereby a treatment instrument can be easily and more safely replaced via the guide wire 5.

Abstract: An endoscope includes a therapeutic instrument controlling base which is arranged to the distal portion of the inserting portion and controls such that a therapeutic instrument projected from the opening of a channel for inserting the therapeutic instrument at the distal portion of the inserting portion moves in the right and left directions of an observed image obtained by an observing unit, a controlling-base operating unit which is arranged to an operating section continuously arranged to the proximal side portion of the inserting portion and which can be operated in the right and left directions of an operator who grips the operating section, and a controlling-base operating mechanism which controls such that the therapeutic instrument controlling base moves in the right direction of the observed image according to the operation of the controlling-base operating unit in the right direction thereof by the operator who grips the operating section and controls such that the therapeutic instrument controlling

Abstract: In an endoscope, scopes that include a scope-side memory and a connector are selectively and detachably connected to a processor that includes a processor-side memory and a connection member. A parameter stored in the scope-side memory can be written to the processor-side memory. The connector that is connectable to the connection member is used for connecting the scope to the processor. When the connection member that is movable is in the first position, the connector is detachably connectable to the connection member. When the connection member is in the second position, the subject is observable. When the connection member is moved from the first position to the second position, the parameter is written to the processor-side memory. When the connection member is moved from the second position to the first position, the parameter is written to the scope-side memory.

Abstract: A therapeutic system is provided, which is preferable to a treatment of pancreatic duct and biliary duct for Roux-en-Y gastrectomy patient. The therapeutic system is provided with a catheter equipped with an imaging device outputting a signal in reply to imaging, an overtube to be inserted into inside a patient, and a display displaying images based on the signal outputted from the imaging device. The overtube has an inserting channel into which the catheter is inserted, a therapeutic instrument channel into which a therapeutic instrument is inserted, an elevating base formed in an opening located at a distal end of, at least, the therapeutic-instrument channel, and an operation device to operate the elevating base. The elevating base is formed to allow a distal end portion of the therapeutic instrument to be mounted on the elevating base to elevate the distal end portion.

Abstract: Robotic devices, systems, and methods for use in robotic surgery and other robotic applications, and/or medical instrument devices, systems, and methods includes both a reusable processor and a limited-use robotic tool or medical treatment probe. A memory the limited-use component includes machine readable code with data and/or programming instructions to be implemented by the processor. Programming of the processor can be updated by shipping of new data once downloaded by the processor from a component, subsequent components can take advantage of the updated processor without repeated downloading.

Abstract: A method of performing treatment on a desired part of a cavity includes use of an endoscope having a guide wire, a therapeutic instrument and a therapeutic instrument elevator base capable of guiding the instrument to a desired position. The guide wire is inserted into an insertion channel of the endoscope and located in a desired position in the cavity. The instrument is moved from a position in the cavity to a position closer to the operation portion of the endoscope than to the distal end of the endoscope. While a guide wire fixing means at the distal end of the endoscope fixes the guide wire, the instrument is completely pulled out from the instrument channel of the endoscope.

Abstract: Endoscopes and methods for making and using endoscopes. An example endoscope includes a handle portion and a shaft portion. The shaft portion may include one or more channels. A catheter and/or wire locking member may be coupled to a channel.

Abstract: An endoscope hood comprises a cap section which has A cap section which has a nail section inside of an inner surface of a tip margin, an attaching section which is disposed to a base terminal of the cap section to be attached to a tip of an inserting section of the endoscope, a soft tube 16 of which tip aperture connects to an inside of the cap section so as to insert the snare sheath therethrough, a snare wire which is inserted in the cap section via the soft tube 16, and a snare wire feeding section which is formed by making a notch section in a part of the soft tube in the nail section in a corresponding position to the tip aperture, such that the snare wire can be spread in the cap section so as to be disposed inside of the nail section, and the center axis of the soft tube is disposed so as to pass through a range of the snare wire feeding section.

Abstract: Guide wire fixing means is provided for an insertion portion of an endoscope, and a guide wire is releasably engaged when inserting/removing a therapeutic instrument running on the guide wire with a distal end portion of the guide wire inserted into a therapeutic instrument insertion channel of the endoscope being led out from a distal end opening portion of the channel.

Abstract: There is disclosed a living tissue harvesting apparatus according to one aspect of the present invention, comprising a sheath which can be inserted in a body through a cut skin portion, an endoscope inserted through the sheath, a cutting device which is disposed at the sheath and which can cut a living tissue, and a holder which is disposed at the sheath to hold a harvesting object tissue in the body and which includes a press discharge portion to press-discharge the harvesting object tissue in a direction detached from the cutting device, wherein the holder includes a hook portion to catch the living tissue in a position disposed opposite to the cutting device, and the cutting device and hook portion can move with respect to each other.

Abstract: An endo-therapy accessory is used in combination with an endoscope which has a forceps elevator. This endo-therapy accessory has an insertion portion of the endo-therapy accessory to be inserted into the endoscope. The insertion portion of the endo-therapy accessory has a forceps elevator fixing section set in a range of passing the elevator, and fixed when the elevator is lifted, and a main index for use in determining whether a part of the elevator fixing section, which is more proximal than a far end of the fixing portion, is located on the elevator.

Abstract: One of a first endoscopic treatment instrument setting state and a second endoscopic treatment instrument setting state is selectable. In the former state, when a first diathermic snare is removably inserted in a flexible tube, a loop portion is circumferentially broadened and disposed along a first projection portion. In the latter state, when a second diathermic snare is removably inserted in the flexible tube, a loop portion is circumferentially broadened and disposed along a second projection portion.

Abstract: An apparatus for guiding an instrument inserted through an endoscope's instrument channel is provided. The apparatus can attach to an endoscope to guide the position of the end of the instrument, such as by constraining the instrument to bend in a predetermined manner, or otherwise guide the distal end of the instrument extending from the distal end of the instrument channel. The apparatus can be used to assist in positioning the instrument to perform useful work on tissue adjacent the perimeter of the endoscope. The apparatus can also be used to provide cooperation between instruments inserted either through or alongside the endoscope.

Abstract: The invention is directed to techniques and apparatus for controlling the temperature of a coolant delivered to a patient in a hypothermic therapy system, including a hypothermic therapy system that can be applied to a patient outside or inside a hospital setting. In general, the coolant is in a pressurized form at ambient temperature, and is expanded proximate to the patient to cause the coolant to cool. Cooling garments placed in contact with the body of the patient circulate the cooled coolant proximate to the patient to cool the patient. A controller controls the temperature of the coolant by mixing the coolant with ambient air, for example, to reduce the risk of harm the patient.

Abstract: A system for endoscopic suturing is provided having an endoscope, such as a gastroscope, with a distal end locatable in the body of a patient and a flexible shaft extending to the distal end, a flexible accessory tube coupled to the endoscope to be movable relative to the endoscope's shaft, and a tip coupled to the shaft of the endoscope having an opening through which one end of the accessory tube is received. The system further includes a tissue suturing instrument and a suture securing instrument. Each of these instruments has a distal end coupled to a partially flexible shaft locatable through the accessory tube.

Abstract: A urological resectoscope having an axially extending shaft tube, the proximal end thereof being fixed to a main body. A sliding body is proximally positioned in relation to the main body, and can slide in a parallel manner in relation to the axis thereof. The sliding body includes a receiver, a fixing device and a contacting device. An electrode that can be subjected to a high frequency, including a rigid electrode carrier having one external, insulated conductive wire, can be positioned in the resectoscope such that it can axially slide beyond the distal end of the shaft tube. In the assembly position, the electrode carrier extends through the shaft tube and the main body into the receiver, and can be fixed by the fixing device and contacted by the contacting device. The fixing device is proximally arranged in relation to the contacting device on the sliding body.

Abstract: A treatment instrument passage channel through which a treatment instrument can be passed lies through an elongated insertion unit that is inserted into a body cavity or the like. The distal opening of the treatment instrument passage channel opens onto the distal part of the insertion unit. A treatment instrument swing stand having a hole, through which the distal part of a treatment instrument led out of the distal opening is passed, bored therein is disposed near the distal opening so that the treatment instrument swing stand can swing freely. The treatment instrument swing stand is manipulated by proximally pulling angling wires. Thus, the distal part of the treatment instrument is swung from a position near the center of a field of view in both the rightward and leftward directions of an endoscope. Thus, the mucosa of a lesion can be resected easily while being caught in the field of view.

Abstract: A urological resectoscope having an axially extending shaft tube, the proximal end thereof being fixed to a main body. A sliding body is proximally positioned in relation to the main body, and can slide in a parallel manner in relation to the axis thereof. The sliding body includes a receiver, a fixing device and a contacting device. An electrode which can be subjected to a high frequency, including an electrode carrier having one external, insulated conductive wire, can be positioned in the resectoscope such that it can axially slide beyond the distal end of the shaft tube. In the assembly position, the electrode carrier extends through the shaft tube and the main body into the receiver, and can be fixed thereto by the fixing device and contacted therein by the contacting device.

Abstract: An edge portion of an endoscope inserting portion includes an observation optical system, a first treatment-tool oscillating base which guides, in a first direction, a first treatment tool guided via a first channel for inserting the treatment tool, and a second treatment-tool oscillating base which guides, in a second direction, a second treatment tool guided via a second channel for inserting the treatment tool. Upon endoscope treatment for the lesion portion using the first and second treatment tools which are projected from the edge openings of two first and second channels for inserting the treatment tool and which are guided by the two first and second treatment-tool oscillating bases, one of the first and second treatment tools is moved to the outside of a field of view of an endoscope image as needed.

Abstract: An end of a side-looking endoscope is constituted by covering an end body with a cap. The end body has a stand lever accommodation room in which a stand lever is accommodated, and a ridge is provided on a top surface of the stand lever accommodation room. A groove is formed inside the cap, and the groove is engaged with the ridge. The cap is thus prevented from dropping or rotating from the end body.

Abstract: An endo-therapy accessory is used in combination with an endoscope which has a forceps elevator. This endo-therapy accessory has an insertion portion of the endo-therapy accessory to be inserted into the endoscope. The insertion portion of the endo-therapy accessory has a forceps elevator fixing section set in a range of passing the elevator, and fixed when the elevator is lifted, and a main index for use in determining whether a part of the elevator fixing section, which is more proximal than a far end of the fixing portion, is located on the elevator.

Abstract: A hysteroscope for carrying out endoscopic operations in the uterus by way of an auxiliary instrument, consists of an inner shank and an outer shank surrounding the inner shank whilst forming a longitudinal channel, of a first fitting for supplying rinsing fluid to be supplied through the inner shank into the uterus and of a second fitting for removing rinsing fluid from the uterus via the longitudinal channel. Furthermore there are provided a third fitting on which the auxiliary instrument is introducable into the hysteroscope and is further distally movable through a working channel, and deflection means with which the distal end region of the auxiliary instrument is elastically laterally deflectable.

Abstract: An apparatus for guiding an instrument inserted through an endoscope's instrument channel is provided. The apparatus can attach to an endoscope to guide the position of the end of the instrument, such as by constraining the instrument to bend in a predetermined manner, or otherwise guide the distal end of the instrument extending from the distal end of the instrument channel. The apparatus can be used to assist in positioning the instrument to peform useful work on tissue adjacent the perimeter of the endoscope. The apparatus can also be used to provide cooperation between instruments inserted either through or alongside the endoscope.

Abstract: An endoscope is provided with an operation unit provided with at least one operation member, an insertion section to be inserted in a human cavity, the operation unit being connected with a proximal end of the insertion section, a direction setting table provided at a distal end portion of the insertion section, the direction setting table adjusting a direction in which a distal end of a treatment instrument inserted through an instrument-inserting channel protrudes from a distal end portion of the insertion section of the endoscope, and an operation wire that moves along the axis thereof upon operation of the operation member, the operation wire being connected to the direction setting table so that the direction setting table is moved in accordance with operation of the operation member. With this structure, the distal end portion of the insertion section and the operation unit is electrically insulated.

Abstract: The invention provides devices and methods for performing less-invasive surgical procedures within an organ or vessel. In an exemplary embodiment, the invention provides a method of closed-chest surgical intervention within an internal cavity of a patient's heart or great vessel. According to the method, the patient's heart is arrested and cardiopulmonary bypass is established. A scope extending through a percutaneous intercostal penetration in the patient's chest is used to view an internal portion of the patient's chest. An internal penetration is formed in a wall of the heart or great vessel using cutting means introduced through a percutaneous penetration in an intercostal space in the patient's chest. An interventional tool is then introduced, usually through a cannula positioned in a percutaneous intercostal penetration.

Abstract: The holding device of the endoscope allows suspension of the tissue while it is held and fixed securely. Use of holding device with large distal ends will not damage tissue and allows holding and suspension of a large area. A needle pierces at least the proper muscularis, thereby forming a large protrusion including the proper muscularis of the stomach and the esophagus as artificial valve to prevent reflux effectively. The holding device, formed extending out of the distal end of the endoscope, can touch the tissue easily under observation of the endoscope. Treatment is simple, and takes a shorter time.

Abstract: A treating instrument erecting device for use in an endoscope includes a treating instrument erecting member for changing the direction of projection of the distal end portion of a treating instrument inserted in a treating instrument inserting channel. The treating instrument erecting member is provided at the distal end of an insert part of the endoscope. A control wire for operating the treating instrument erecting member is axially movably inserted in a wire guide provided in the insert part to extend over the entire length of the insert part. A wire driving member for advancing or retracting the control wire is provided in a control part connected to the proximal end of the insert part. The control wire and the wire driving member are electrically isolated from each other.

Abstract: This invention provides an endoscopic treatment system for executing at least one of localized injection through mucous membrane, peeling off and cutting off of mucous membrane. This system has an endoscope, which has an insertion section provided with at least one channel extending therein. The system also has a plurality of treatment tools including a syringe needle for executing localized injection through a portion of mucous membrane, forceps for gripping a portion of mucous membrane, and at least one knife for executing at least one of peeling off and cutting off of mucous membrane. Further, this system includes an endoscopic guide tube to be inserted into the esophagus, which has a main channel for inserting therein the endoscope, and at least one sub channel for inserting therein each of the treatment tools.

Abstract: A treatment instrument passage channel through which a treatment instrument can be passed lies through an elongated insertion unit that is inserted into a body cavity or the like. The distal opening of the treatment instrument passage channel opens onto the distal part of the insertion unit. A treatment instrument swing stand having a hole, through which the distal part of a treatment instrument led out of the distal opening is passed, bored therein is disposed near the distal opening so that the treatment instrument swing stand can swing freely. The treatment instrument swing stand is manipulated by proximally pulling angling wires. Thus, the distal part of the treatment instrument is swung from a position near the center of a field of view in both the rightward and leftward directions of an endoscope. Thus, the mucosa of a lesion can be resected easily while being caught in the field of view.

Abstract: An endoscope is provided which has a first forceps raising base and a second forceps raising base. The first forceps raising base is provided at a distal end opening of a first treating tool insertion channel formed at a distal end of an insertion section, and is adapted to be raised in a first direction. The second forceps raising base is provided at a distal end opening of a second treating tool insertion channel formed at the distal end of the insertion section, and is adapted to be raised in a second direction different from the first direction. The first and second raising directions of the first and second forceps raising bases are different from each other in at least two combinations.