Abstract: A medical guiding system of the invention includes: a detection portion for detecting at least one of position and orientation of a medical instrument; a storage portion for storing multiple reference image data obtained from a human body in multiple states and including anatomical positional information of at least one of viscus and organ; a state selection portion for selecting, among the stored reference image data, the reference image data obtained in a state coincident with or approximate to a state of the subject in using the medical instrument; and a guide image creation portion for creating a guide image showing at least one of an anatomical position, shape, and orientation of the medical instrument with respect to the subject, based on at least one of the position and the orientation of the medical instrument detected by the detection portion and reference image data stored in the state selection portion.

Abstract: An endoscopic inspection method includes staining step and super magnified observation step. In the staining step, a distal end surface of a distal end portion of an endoscope which includes a distal end opening of a channel and a first lens that forms a super high-power observation optical system is held in contact with the tissue surface of the observation subject region such that the staining fluid supplied via the channel penetrates to the gap between the distal end surface and the tissue surface to eliminate the mucus on the tissue surface. The tissue surface having the mucus eliminated is stained with the staining fluid. In the super magnified observation step, the first lens which forms the super high-power observation optical system provided at the distal end portion is brought into contact with the tissue surface that has been stained with the staining fluid such that the observation at the cellular level is performed.

Abstract: An overtube comprises a flexible tubular portion in which an insertion channel is formed. An endoscope is inserted through the insertion channel. A plurality of balloons are loaded at plural positions on an outer surface of the flexible tubular portion. Specially, the balloons are expanded and shrunk selectively every use pattern, and the positions are different from each other in an axial direction of the flexible tubular portion and set to be fixed to an inner wall of either a body cavity or a tubular cavity of an object being examined at mutually different positions of the inner wall by expanding the balloons.

Abstract: With a first endoscope inserted through an overtube, the overtube is orally inserted into an object being examined, and a distal end portion of an insertion tube of the first endoscope is made to advance, within the object, from a jejunum via a jejunum-to-jejunum anastomosed portion and a jejunum-anastomosed bent portion so that the distal end portion is located adjacently to a Vater's papilla of a duodenum. The overtube is then sent to a position which is adjacent to the Vater's papilla along the insertion tube of the first endoscope. After this, the first endoscope is pulled from the overtube. A second endoscope is then inserted into the overtube to make a distal end portion of its insertion tube protrude from the distal end of the overtube and is located adjacently to the Vater's papilla. The second endoscope thus-approached is used to treat the Vater's papilla and the tissue therearound.

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: A suture instrument according to the present invention includes a suture tool having an anchor anchored to a biological tissue, a suture thread drawn out of the anchor, and a stopper disposed on the suture thread; a hollow puncture needle, which can house the anchor thereinside, having a hard needle portion formed with an opening at the distal end thereof; a pusher which is disposed to advance and retreat in the puncture needle and a proximal side of which extends to a proximal side with its distal end being in contact with the anchor; and an outer sheath which houses the puncture needle so as to advance and retreat, in which an engaging portion, which is detachably engaged with the suture thread which is drawn in a state where the anchor is housed in the puncture needle, is disposed in the puncture needle or in the pusher.

Abstract: An endoscopic treatment instrument is provided which includes: a flexible sheath; a wire disposed inside the sheath so as to advance and retreat; a restriction member which restricts a movement of the wire in the sheath to a proximal side; an operating portion connected to a proximal end of the sheath; a wire operating portion which is connected to a proximal end of the wire and disposed to advance and retreat relative to the operating portion; a resilient member which has a first end and a second end and of which the first end is connected to the wire operating portion to expand and contract between the second end; a movable member which is connected to the second end so as to be movable relative to the operating portion; and a control member which is disposed in the movable member and which switches the movable member between a movable state and a fixed state relative to the operating portion.

Abstract: A medical system includes: a treatment instrument having an insertion portion configured by an exterior member, and an insertion member that is inserted into the exterior member and is longer than the exterior member; an insertion portion inserting/pulling-out device to transmit a driving force to the exterior member or the insertion member configuring the insertion portion of the treatment instrument, the insertion portion inserting/pulling-out device advancing/retreating at least one of the exterior member and the insertion member; and a driving force non-transmitting portion provided to the insertion member, the driving force non-transmitting portion preventing a driving force of the insertion portion inserting/pulling-out device from being transmitted to the exterior member when the insertion member is moved by a predetermined distance.

Abstract: Provided is a capsule medical apparatus including a capsule body, a control member, and an observing member. The capsule body is to be introduced into a lumen of a subject. The control member controls a movement of the capsule body in the lumen by a flow of a fluid introduced in the lumen. The observing member is fixed inside the capsule body and observes a direction of the flow of the fluid and a direction different from the flow of the fluid according to the movement of the capsule body.

Abstract: A posture and a position of a capsule endoscope 31 in a fluid 7 are made unstable and susceptible to an influence of a flow of the fluid 7 by constructing the capsule endoscope in such a way that the capsule endoscope 31 is equipped in a capsule casing having an approximately cylindrical trunk, a center of gravity of the capsule endoscope 31 is approximately in a volume center, and a specific gravity of the capsule endoscope 31 is approximately equal to that of the fluid 7 injected into a body cavity, thereby causing the capsule endoscope 31 to move to an intraluminal center using a difference of flow rate of the fluid 7 generated in large intestine and the like where a luminal diameter is large to stably capture desired intraluminal images by an imaging optical system.

Abstract: In an endoscope washer disinfector, a liquid agent is supplied from a tank to a washing bath. A first supply passage communicates between the tank and a pressurizing member. A second supply passage communicates between the washing bath and the tank. A discharging member opens the inside pressure of the tank to the atmosphere. A detector detects an amount of the agent passing along the second supply passage to output a detection signal corresponding to the agent amount. By driving the pressurizing member to pressurize the inside of the tank via the first supply passage, means starts agent supply from the tank to the bath via the second supply passage. Based on the detection signal, means determines whether the amount of the agent passing along the second supply passage reaches a specified volume. When it is determined that the agent amount reaches the specified volume, means ends the agent supply by making the inner pressure of the tank open to the atmosphere by driving the discharging member.

Abstract: An endoscope washer disinfector washes and disinfects an endoscope with a mouth ring communicating with an endoscope duct. The washer disinfector comprises a washing disinfecting bath; a nozzle arranged with the bath, loaded into the mouth ring, and formed to supply fluid to the duct via the mouth ring; a tray on which the endoscope is mounted. In this washer disinfector, a bilateral positioning member positions the endoscope and the tray so that the mouth ring of the endoscope mounted on the tray is located at a given position on the tray; and a trilateral positioning member positions the washing disinfecting bath, the tray, and the endoscope so that, when the tray is loaded into the washing disinfecting bath, the mouth ring of the endoscope positioned at the given position on the tray by the bilateral positioning member is positioned at a position that is across is from the nozzle.

Abstract: A therapeutic treatment device for body lumen occlusion of the invention includes: a pliable tubular main body portion including a fluid path inside thereof, the pliable tubular main body portion being inserted into a body lumen; an energy generating portion disposed on a side of one end of the main body portion; and an aperture portion communicating with the fluid path, the aperture portion being disposed in proximity to the energy generating portion. This allows the present invention to achieve a therapeutic treatment device for body lumen occlusion inexpensively produceable with a simple constitution, which can prevent damaging a body lumen and selectively occlude the body lumen.

Abstract: An endoscope cleaning and disinfecting apparatus of the present invention includes: a bottle body, including, a rigid portion with a mouth portion, and a deformable portion which is in a first shape while the disinfectant being stored therein and is deformable from the first shape to a second shape upon being compressed when the disinfectant is discharged therefrom; and a disinfectant tray having a housing section which can be pulled out of the apparatus body and into which the bottle body is housed, the disinfectant tray being provided with a housing space for a first slide member which allows the housing section to slide relative to the apparatus body and a housing space for a second slide member which is slidable relative to the first slide member.

Abstract: A power-supply starter apparatus for a capsule-type medical device that includes a container case internally retaining a capsule-type medical device having at least a intra-subject information acquiring unit and a power switch for switching power supply to each unit including the intra-subject information acquiring unit, and a starter that has a magnetic body and controls switching of the power supply by applying a magnetic field originating from the magnetic body to the power switch of the capsule-type medical device inside the container case, wherein the container case has an insertion/removal unit in which a space is formed where the magnetic body can be brought closer to the power switch and the starter is inserted/removed, and the insertion/removal unit and starter have a restriction unit for restricting rotation around an axis in an insertion/removal direction of the starter into/from the insertion/removal unit so that switching of the power supply is controlled only by an insertion/removal operation of

Abstract: The medical image processing apparatus according to the present invention includes an image compressing unit for compressing a medical image with either a first image compressing method or a second image compressing method; a record direction input setting unit for allocating a first record directing section that is capable of performing a first direction for compressing the medical image with the first image compressing method and a second record directing section that is capable of performing a second direction for compressing the medical image with the second image compressing method; and a controlling unit for outputting the medical image that is compressed with the first image compressing method to an image recording unit in response to detection of the first direction and outputting the medical image that is further compressed with the second image compressing method to the image recording unit in response to detection of the second direction.

Abstract: This capsule endoscope system includes: a capsule endoscope having an internal lumen; a catheter tube connected to the capsule endoscope; and a connection portion for connecting the distal end of the catheter tube to the capsule endoscope so that the catheter tube is communicatively connected with the internal lumen of the capsule endoscope.

Abstract: This stent delivery system includes: a guide catheter inserted inside a stent, and inserted into the interior of the living body with the stent by a guide member inserted inside the guide catheter; a guide member inserted inside the guide catheter, and which guides the guide catheter and the stent to the interior of a living body; a pusher catheter inserted into the interior of the living body with the guide catheter in a state where the guide catheter is inserted inside the pusher catheter, and which pushes the stent along the guide catheter; and an engaging portion disposed on a head section of the guide catheter protruding from the stent, which engages with the stent in a state where the guide member is inserted into the head section, and which releases the stent in a state where the guide member is retracted away from the head section.

Abstract: A managing system manages not only an endoscope washer-disinfector performing cleaning and disinfection with an insertion tube of an endoscope but also an endoscope apparatus performing an endoscopic examination using the endoscope. The system comprises an acquiring unit and a manger. The acquiring unit acquires information indicative of a finish time of the endoscopic examination which is the newest and performed by the endoscope apparatus. The manager manages states of the cleaning and disinfection performed by the endoscope washer-disinfector depending on the information indicative of the finish time of the endoscopic examination acquired by the acquiring unit. Every time when an endoscopic examination is finished, the information indicative of the finish time of the endoscopic examination is updated. For example, a length of an elapsing time from the finish of each endoscopic examination is reflected in how the cleaning and disinfection is performed.

Abstract: A medical retainer is provided capable of independently controlling supplying air and water to a hollow organ like a stomach and a lumen of a small intestine. The medical retainer for sealing a fluid, the retainer being subject to be retained in a gastrointestinal tract of a patient, the medical retainer includes: a sealing section for sealing the fluid, the sealing section making contact with a wall of the gastrointestinal tract; a main body having passageways; and directional valves disposed in the passageways for allowing one of upward flow and downward flow of the fluid relative to the position of the retainer.