Abstract: An endoscope system includes an endoscope, at least one monitor, a first measuring instrument configured to measure a first direction, at least one second measuring instrument configured to measure a second direction, a reception circuit configured to receive the image from the endoscope, and a processor. The first direction corresponds to a horizontal component of an imaging direction of the endoscope. The second direction corresponds to a horizontal component of a reference direction. The reference direction is a direction in which the at least one monitor faces or is a direction toward or away from an image display surface of the at least one monitor. The processor is configured to calculate an angle between the first direction and the second direction, process the image based on the angle, and display the processed image on the at least one monitor. The processing includes a rotation processing or a horizontal flip processing.

Abstract: A treatment device includes a shaft extending along a longitudinal axis and including a plurality of segments arranged along the longitudinal axis, a treatment portion at a distal-end side of the shaft, an operation portion at a proximal-end side of the shaft, and an imaging device. A first segment of the plurality of segments is at the distal-end side of a second segment of the plurality of segments and is rotatably attached to the second segment at a first pivot point. The imaging device is provided in the second segment. The first segment is rotatable about the first pivot point relative to the second segment such that a longitudinal axis of the first segment intersects a longitudinal axis of the second segment at a first angle and at least a part of the treatment portion enters a field of view of the imaging device.

Abstract: An endoscope treatment tool includes: a forceps having a first forceps piece and a second forceps piece; and a joint. The second forceps piece includes a forceps cup, a first tooth, a second tooth, a third tooth, a fourth tooth. A length from a tip of the first tooth to a tip of the second tooth in a longitudinal direction defines a first length, a length from the tip of the first tooth to a tip of the third tooth in the longitudinal direction defines a second length, and the first length is shorter than the second length. A length from the tip of the first tooth to a tip of the fourth tooth in the longitudinal direction defines a third length and the second length is shorter than the third length.

Abstract: An endoscope includes an insertion portion including a distal end portion in which an image pickup unit is disposed, the insertion portion being configured to be inserted into an organ of a subject, an operation portion disposed at a proximal end of the insertion portion, and a sensor disposed in the operation portion, the sensor being configured to detect a pressure of a fluid in a flow passage passing through from the operation portion to a first opening of the distal end portion, the flow passage being configured to allow the fluid flowed into the operation portion to be flowed out from the first opening.

Abstract: In a method of forming an access route to the bile duct, a needle is introduced into a duodenum, and the introduced needle is pierced into an oral side projection of a duodenal papilla, which is located at an oral position than an opening of the duodenal papilla. The tip of the pierced needle is made to reach the inside of the bile duct to form a tunnel communicating the duodenum and the bile duct, and a treatment device is inserted into the formed tunnel.

Abstract: A flexible manipulator includes an insertion portion including a tubular flexible portion, a bending portion, and a distal end portion. The flexible manipulator includes an operating unit on a proximal end side of the insertion portion, the operating unit including a first operating portion. The flexible manipulator includes a tube inside the tubular flexible portion, the tube including a through-hole spirally extending along a longitudinal axis of the tube from a proximal end to a distal end. The flexible manipulator includes a wire extending through the through-hole, a first end of the wire connected to the distal end portion and a second end of the wire connected to the first operating portion. The flexible manipulator includes an adjustment mechanism. The bending portion is a tubular body between the distal end portion and a distal end side of the tube.

Abstract: The method for calibrating an endoscope is a method for calibrating an endoscope having a curved portion capable of being driven by bending, and includes: an arrangement step of suspending and arranging a distal end portion of the endoscope including the curved portion; a bending step of bending the curved portion of the distal end portion which has been suspended; a measurement step of measuring shape information of the curved portion; and an adjustment step of updating a control parameter by which the endoscope drives the curved portion, based on the shape information which has been measured.

Abstract: A medical apparatus configured for insertion directly or indirectly into a living body is provided with a coloring part having a marking formed on an outer surface. The marking has a coloring layer of an acrylic resin containing a pigment and a protective layer of a polymethacrylic ester covering the coloring layer directly or indirectly, and an upper surface of the coloring part is recessed from a part of the medical apparatus, such as a covering tube of a sheath of an endoscope treatment instrument, adjacent to the coloring part on the outer surface.

Abstract: An endoscope comprises: an insertion portion comprising a distal end portion, the distal end portion including a distal end surface; a flow passage formed in the insertion portion, the flow passage including a fluid ejection port formed in the distal end surface and the flow passage configured to supply a fluid via the fluid ejection port to an environment outside of the insertion portion; and a suction passage formed in the insertion portion, the suction passage including a suction port formed in the distal end surface. The distal end surface includes a deflection surface formed integrally with the distal end portion. The deflection surface covers a part of the fluid ejection port. The deflection surface is positioned so that the fluid supplied via the fluid ejection port contacts the deflection surface and is deflected in a first direction. The first direction does not intersect the suction port.

Abstract: An endoscope according to an embodiment of the present disclosure includes an insertion portion configured to be inserted into a subject. A channel is provided in the insertion portion, the channel receiving an accessory. A plurality of first guides is spaced apart at intervals in the channel, the plurality of first guides configured to guide the accessory along a longitudinal axis of the insertion portion.

Abstract: A sterilized endoscope kit, comprising a sterilized endoscope, a sterilized treatment instrument, a sterilized guide wire, and a packaging material. The sterilized endoscope includes a first lumen. The sterilized treatment instrument is inserted into the first lumen, the sterilized treatment instrument includes a second lumen. The sterilized guide wire is inserted into the second lumen. The sterilized endoscope, the sterilized treatment instrument, and the sterilized guide wire are arranged in the packaging material, and the packaging material provides a sterile environment for the sterilized endoscope, the sterilized treatment instrument, and the sterilized guide wire.

Abstract: Insertion device according to an aspect of the present disclosure includes: an insertion device, comprising an insertion portion configured to be inserted into a subject. At least one traction member configured to pull a distal end side portion of the insertion portion. An operation portion provided on a proximal end side of the insertion portion. At least one sheath member inserted through the insertion portion, wherein the at least one traction member is inserted through an inner channel in the at least one sheath member. A rotating member to which one end of the at least one traction member is connected, the rotating member configured to rotate, with an external operation force, around a first axis of a first shaft member provided in the operation portion.

Abstract: A medical apparatus includes an inflow tube having a first conduit having a first inner diameter. An outflow tube has a second conduit having a second inner diameter. An intermediate tube has a first end and a second end, the first end connected to the inflow tube and the second end connected to the outflow tube. The intermediate tube has a third inner diameter, the third inner diameter being larger than the first inner diameter and the second inner diameter. The intermediate tube defines a flow path. The flow path includes a first flow path configured to direct a liquid flowing along the flow path in a first direction, and a second flow path configured to direct the liquid flowing along the flow path in a second direction. The first direction is opposite to the second direction.

Abstract: An insertion device comprising an insertion portion configured to be inserted into a subject and having a longitudinal axis in a state of forming a straight line. A bending portion is provided at a distal end side of the insertion portion. A bending tube is provided in the bending portion. A traction member is disposed in the bending portion. The bending tube includes a first joint ring and a second joint ring. The first joint ring is joined to the second joint ring in an adjacent manner. The first joint ring has a first contact portion where the traction member contacts an outer peripheral portion of the first joint ring. The second joint ring has a second contact portion where the traction member contacts an inner peripheral portion of the second joint ring. Application of tension on the traction member bends the bending portion.

Abstract: A method of cholecystitis treatment according to an aspect of the present disclosure comprises a step A including contacting inner walls of a gallbladder to each other by constricting the gallbladder and a step B including maintaining the inner walls of the gallbladder contacting each other.

Abstract: A manufacturing method for a flexible tube for endoscope includes a step of extending a core material obtained by covering an outer circumference of a bar-like resin member with a first mesh tube in a major axis direction and winding a spiral tube around an outer circumference of the core material, a step of covering an outer circumference of the spiral tube with a second mesh tube, a step of molding an outer skin of a resin around an outer circumference of the second mesh tube and causing the resin to penetrate to a surface of the spiral tube, and a step of removing only the core material from a stacked tubular member formed by the core material, the spiral tube and the second mesh tube.

Abstract: An endoscope according to an embodiment includes an elongated insertion section including a bending section configured to bend in at least an up-down direction by internally-disposed two or more wires being towed, an operation section including a grasping section, the operation section, a bending operation unit including a joystick for bending the bending section and provided in the operation section, two actuators respectively including turning shafts, the two turning shafts being internally disposed in the grasping section in a longitudinal direction of the grasping section, the two actuators being disposed side by side along a plane parallel to an operation direction of an operation member for bending the bending section in the up-down direction, and a conversion mechanism including a rotation torque transmission mechanism and a tensile force transmission mechanism, the conversion mechanism converting the rotation torque into the tensile force.

Abstract: An endoscope processor includes a processor that can be connected to an endoscope including a moving mechanism of a focusing lens included in an objective optical system and an image pickup apparatus. The processor is configured to determine whether or not a transition has been made from a screening state to a proximity state based on positional information of the focusing lens and an image in a proximity determination mode when a variation in an image height in an effective image range with control of the moving mechanism is 1% or less, and when it is determined that a transition has been made to the proximity state, the processor is configured to end the proximity determination mode and control the moving mechanism in an autofocus mode.

Abstract: Treatment tool includes a fixed handle, a shaft extending distally from the fixed handle, a treatment portion projecting distally from the shaft and configured to treat biological tissue, a jaw pivotably rotatably with respect to the shaft and, with the treatment portion, configured to grasp the biological tissue therebetween, a movable handle extending proximally from the jaw and causing the jaw to open and close relative to the treatment portion by proximally approaching or separating from the fixed handle, and a first adjusting member provided on the movable handle and having an extension protruding toward the fixed handle and, when the movable handle is brought into close proximity to the fixed handle, abutting the fixed handle. Changing the amount (length) by which the extension of the first adjusting member protrudes from the movable handle, adjusts an amount of the stroke of the movable range of the movable handle.

Abstract: The ultrasonic transducer has a cylindrical shape having a first end surface and a second end surface, and includes a piezoelectric material that generates ultrasonic vibration for treating biological tissue with ultrasonic energy, a first electrode that is disposed in contact with the first end surface and to which an ultrasonic driving voltage is applied for generating ultrasonic vibration to the piezoelectric material, a second electrode that is disposed in contact with the second end surface and to which a reference voltage is applied for generating ultrasonic vibration to the piezoelectric material, an insulating plate that opposes the second end surface with the second electrode interposed therebetween, a third electrode that opposes the second electrode with the insulating plate and to which high-frequency power for treating biological tissue is supplied with high-frequency energy, and a short-circuit prevention unit that prevents short-circuiting between the first and third electrodes.