Abstract: An endoscope system includes a light source apparatus configured to cause light of a plurality of colors to be emitted at a first/second light amount ratio to generate first/second illumination light, an endoscope configured to generate an image pickup signal, and a processing apparatus including a processor. The processor causes the light source apparatus to emit light while switching light between the first/second illumination light, generates a first image signal from an image pickup signal related to the first illumination light, generates a second image signal from an image pickup signal related to the second illumination light and generates a corrected image signal in which color is enhanced based on the first and the second image signals. The second illumination light is light obtained by adjusting the second light amount ratio so that the second image signal related to a reference portion substantially indicates achromatic color.

Abstract: A channel unit for an endoscope includes a conduit, a mounting member and a connection member having one end connected to the mounting member and another end connected to a distal end of the conduit, the connection member having flexibility and a variable length in a longitudinal direction, and a proximal end side fixing portion of the connection member is movable back and forth in the longitudinal direction with respect to a distal end side fixing portion of the connection member as the conduit moves back and forth in the longitudinal direction.

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: A distal end unit of an endoscope includes: a distal end frame body that is constituted by a resin molded article configuring a molded interconnect device, that is provided with an image pickup unit containing room, and that is provided with an observation opening portion that opens the image pickup unit containing room on a distal end surface exposed to an exterior; a metal layer that is provided along a flat surface of the observation opening portion; a cover glass that closes the observation opening portion; a solder layer that is bonded to the metal layer and that holds the cover glass on the distal end frame body; and an adhesive layer that covers the solder layer, the metal layer is provided at a position corresponding to a groove provided on the flat surface, and the solder layer is disposed in an interior of the groove.

Abstract: An endoscope including an elongated shaft. The elongated shaft including: an inner shaft tube in which an optical system is received; an outer shaft assembly including an outer shaft tube and a tubular support body proximally abutting the outer shaft tube; at least one bundle of optical fibers disposed between the inner shaft tube and the outer shaft tube; and an electrical connector arranged between the inner shaft tube and the support body. Where the support body includes at least a first web and a second web each extending radially between an inner surface of the support body and an outer surface of the inner shaft tube, the first web and the second web also extending in a longitudinal direction of the shaft such that an annular space between the inner shaft tube and the support body is divided into at least two segments.

Abstract: A signal cable includes: a plurality of electric wires; a first insulating layer surrounding the plurality of electric wires; a shielding layer covering a circumference of the first insulating layer; a second insulating layer covering a circumference of the shielding layer; and a fixing portion fixing a distal end portion of the shielding layer, in which distal end portions of electric wires protrude more toward a distal end side than a distal end portion of the second insulating layer, the distal end portion of shielding layer is disposed nearer to the proximal end side than a distal end portion of the first insulating layer and the distal end portion of the second insulating layer, and the fixing portion fixes the distal end portion of the shielding layer in a space between the distal end portion of the first insulating layer and the distal end portion of the second insulating layer.

Abstract: A distal end frame includes: a first distal end frame member that includes a resin molded product which constitutes a molded interconnect device; a housing chamber that is provided on a distal end side of the first distal end frame member, and is formed of a recessed portion a distal end and one side of which are opened; a second distal end frame member that is composed of the resin molded product constituting the molded interconnect device, and is configured to close the one side of the housing chamber; a signal pattern that is the metal pattern formed in a region including a first joining surface which is a joining surface with the second distal end frame member, on a surface of the first distal end frame member; and a solder material which is configured to join the first distal end frame member and the second distal end frame member.

Abstract: An endoscope includes an imager unit loading region provided at a distal end portion of an insertion portion, a cable connection surface, a wall provided to connect an opening of the imager unit loading region and an opening of the cable connection surface to each other, a contact pattern formed on a wall surface of the imager unit loading region, a wiring pattern formed on a front surface of the cable connection surface from the wall, a connection pattern formed on the cable connection surface, and a through-electrode formed in the wall so that the imager unit loading region and the cable connection surface communicate with each other, configured to cause the contact pattern and the wiring pattern to electrically continue to each other, and formed at a predetermined angle with respect to a center axis of the distal end barrel member.

Abstract: An electronic device including: a multilayer printed circuit board; and a molded retaining body; wherein the printed circuit board is formed of structured layers of conducting and non-conducting materials adhered together, the conducting materials form conductor tracks and contact areas, the printed circuit board being stiffened in a rigid region by stiffening material, the rigid region having electronic components and encapsulated in an epoxy; the printed circuit board having a flexible region that is more flexible than the rigid region, the flexible region having contact areas; the retaining body having an arc-shape formed on a radial inner side of the retaining body for arrangement on an inner tube of an endoscope; the retaining body having, on a radial outer side, a receiving contour for receiving and shaping the printed circuit board; and the retaining body having a retainer for holding the printed circuit board in a bent state.

Abstract: An endoscope distal end structure includes: an imaging unit; a signal cable; and a distal end frame including a housing portion, and a cable connection portion configured to connect the signal cable. The housing portion is a recess formed on a distal end side of the distal end frame. The housing portion includes a side surface and a bottom surface provided with a connection terminal. At least a part of the cable connection portion is provided with a cable connection electrode that connects a core wire of the signal cable on a distal end side from a bottom surface of the housing portion with reference to the optical axis direction of the imaging unit. The connection terminal and the cable connection electrode are connected by a wiring pattern formed in the housing portion, an outer periphery of the distal end frame, and the cable connection portion.

Abstract: A cable connection structure includes: cables, each including a jacket and a core wire exposed at an end portion by removing the jacket; a first fixing member configured to fix distal end portions of exposed core wires while holding the cables at predetermined intervals; a second fixing member configured to fix proximal end portions of the exposed core wires while holding the cables at predetermined intervals; and a substrate including a core wire connection electrode configured to electrically connect the core wire at a position between the first fixing member and the second fixing member, wherein the first fixing member and the second fixing member are different members.

Abstract: A signal processing device includes: a processor including at least one or more pieces of hardware, the processor being configured to: switch to one of a first state in which an input of a clock signal for operating an imager to the imager is permitted and a second state in which the input of the clock signal to the imager is prohibited, and temporarily switch from the first state to the second state when a first synchronization signal output from a first synchronization signal generation circuit and a second synchronization signal output from a second synchronization signal generation circuit are not synchronized.

Abstract: The ligation device includes a clip unit, an applicator, and the applicator includes a sheath, an operation wire, a second link that is provided on the operation wire, and is capable of being fitted to the first link at a protrusion position, the second link configured to be restricted a releasing of fitting to the first link at an accommodation position, a slider connected to the operation wire and is configured to move with a first operation, and a limiter including a switch member configured to move in an intersecting direction that intersects a direction of the first operation with a second operation. The limiter is configured to limit a movement range of the slider when the second operation is not performed, and configured to release a limitation of the movement range of the slider with the second operation and to allow the second link to move toward the protrusion position.

Abstract: A communication system includes a transmission terminal and a reception terminal. One of the transmission terminal and the reception terminal includes a processor. The processor is configured to calculate an adjustment value indicating a difference between an imaging cycle and a display cycle. The processor is configured to cause the imaging cycle and the display cycle to match each other by adjusting a signal generator on the basis of the adjustment value. A connection history in which adjustment information and identification information of a communicator are associated with each other is recorded on a recording medium. The processor is configured to adjust the signal generator on the basis of the adjustment value indicated by the adjustment information when the first communicator and the second communicator connect to each other again.

Abstract: A cam lock for cabinets adaptable to cabinet drawers and doors of various thicknesses is disclosed. The cam lock includes a cam, a plug, an adapter, and a cylinder housing. The plug has a keyway and tumblers in communication with the keyway. The adapter is configured to couple to the cam and the plug. The cylinder housing is configured to receive the plug and the adapter. The retainer clip is configured to extend through the cylinder housing into registry with the plug after the plug and adapter are inserted into the cylinder to thereby retain both the plug and the adapter in the cylinder housing, whereby installation of the cam lock in the cabinet is simplified.

Abstract: A manipulator system includes: a manipulator; a driving device to which the manipulator is detachably connected and which electrically drives the manipulator; a control device; a first sensor provided in the driving device; and a second sensor provided in the manipulator or the driving device. The control device is configured to perform a first step of confirming that the driving device operates normally according to electric power on the basis of an output of the first sensor, and a second step of confirming that the manipulator is connected to the driving device on the basis of an output of the second sensor. The first step includes checking whether the first sensor is normal, and the second step includes checking whether the second sensor is normal on the basis of the output of the first sensor that has been confirmed to be normal and the output of the second sensor.

Abstract: An endoscope system includes: a light source configured to emit white light having wavelength distribution of white color; an optical element configured to block at least light emitted from the light source, the at least light having wavelength band corresponding to a light absorption band with a highest peak from among light absorption bands of a medicinal substance used in phototherapy; an imaging element configured to perform imaging based on a light component which has passed through the optical element; and an image processor configured to process imaging signal obtained as a result of imaging performed by the imaging element, and generate an image.

Abstract: A method for tracking the status of at least one medical device in a distributed medical device system includes a) determining an operational status of the at least one medical device, b) computing a digital representation of the operational status of the at least one medical device, and c) storing the digital representation in an electronic storage medium of the at least one medical device; wherein the method further d) comparing the digital representation of the operational status with a previously stored digital representation of a previously determined operational status of the at least one medical device, e) preparing a change report identifying any differences between the digital representation of the current status and the previously stored digital representation of the previously determined operational status, f) transmitting the change report to a status repository server, and g) storing of the change report in a database.

Abstract: An electrosurgical generator is provided, including: at least one interface for connecting an electrosurgical instrument to the electrosurgical generator; an electrosurgical signal generation unit for supplying an electrosurgical signal to an electrosurgical instrument connected to the electrosurgical generator; a processor configured to control the electrosurgical signal generation unit; and an instrument detection unit configured to detect the type of an electrosurgical instrument connected to the electrosurgical generator; wherein the instrument detection unit comprises a camera and an image processor, the camera being configured to acquire one or more images of an electrosurgical instrument connected to the electrosurgical generator, and the image processor being configured to analyse the one or more images to detect the type of the electrosurgical instrument; and wherein the processor is configured to control the electrosurgical signal generation unit depending on the detected type of the electrosurgical

Abstract: A wire fixing structure includes: a first hole portion through which a wire passes; and a second hole portion which is formed in a direction orthogonal to the first hole portion and communicates with the first hole portion. The wire includes: a first portion which is inserted into and is disposed in the first hole portion; a second portion which is extended from the first hole portion and wound around the outer peripheral portion of a wire fixing member; and a third portion which is inserted into and is disposed in the first hole portion again after the second portion is wound around the outer peripheral portion. The fastening member is inserted into the second hole portion and fixes the first portion and the third portion by pressing in the first hole portion.

Abstract: An ischemia control device is connected to a control unit that receives inputs from sensors and other surgical devices that senses patient conditions. The control unit uses the data inputs, as well as direct inputs from the medical operators, to output opening and closing instructions to the ischemia control device. The actuator on the ischemia control device receives the opening and closing instructions and manipulates the ischemia control device. The ischemia control device can be automatically operated using the sensed information to intermittently and alternately achieve ischemia of the organs and reperfuse the organs and, thereby, protect the organs from being damaged by the ischemia.

Abstract: An image pickup apparatus includes an image pickup member including an image pickup device, a stacked device in which a plurality of semiconductor devices are stacked, a wiring board having a first principal surface and a second principal surface, the wiring board including a central section having a substrate thicker than the image pickup device, an intermediate section that is extended from the central section and is bent, and a terminal section that is extended from the intermediate section, the image pickup member being bonded to the first principal surface of the central section, the stacked device being bonded to the second principal surface of the central section, and a plurality of signal cables bonded to the terminal section.

Abstract: An optical unit includes a first barrel, a second barrel, a third barrel, and a position detection unit. Eight magnets including first and second magnets are fixed to the first barrel. A first and second coils are fixed to the second barrel. The position detection unit includes a magnetic sensor configured to detect magnetic fields generated by the first and second magnets and to generate a detection signal having a corresponding relation with a position of the first barrel. The third barrel includes a position defining surface parallel to a moving direction of the first barrel. The position detection unit is fixed to the position defining surface.

Abstract: When an operation knob 10 formed of silicone rubber is pushed laterally, a stem 7 tilts with a contact portion (i) as a fulcrum, a push button portion 6b is pushed, and a contact point in a switch mechanism portion 6a operates to turn on a switch circuit. Even if, by a large operating force F3 being applied, the operation knob 10 is extended and the inner surface portion 15, which is a ceiling surface of an internal space 13 of the operation knob 10, rides on an upper end portion 7c, a reinforcing surface 19 provided on the inner surface portion 15 slides on the upper end portion 7c, and the operation knob 10 returns to the initial shape.

Abstract: An implant with which prostates of different sizes can be treated is achieved by the fact that the length of a deployed implant is modifiable to a variable extent. Through the change of length of a stretched-out wire structure of the implant, the implant can be adapted individually to the patient anatomy and the outcome of treatment can thus be improved.

Abstract: A suction system of an endoscope includes a branch conduit including a suction pipe sleeve branching from a main conduit; a suction path provided in the suction pipe sleeve and including a first opening communicating with the main conduit; a working channel including an insertion path communicating with the main conduit; and a liquid feed tube inserted through the main conduit and the working channel. A first minimum length A, a maximum length B, and a second minimum length C have a dimensional relation of C?B<(A?B)/2, the first minimum length A passing through a first center on a plane of the first opening, the maximum length B passing through a second center on a cross section orthogonal to a longitudinal direction of the liquid feed tube, the second minimum length C passing through a third center on a cross section orthogonal to a longitudinal direction of the insertion path.

Abstract: An electrosurgical generator including housing and an internal circuitry to generate a high-frequency voltage and to output the generated high-frequency voltage to an electrosurgical instrument, further including at least one output socket for connection of a plug of the electrosurgical instrument. The output socket is configured as self-contained unit including: a casing configured for mounting at a front plate of the housing; a plug socket mounted at a frontal face of the casing for plugging of the electrosurgical instrument; a conductor board inserted into the casing and being configured to provide internal connections of the output socket; and a connector provided at the conductor board for a connection to the internal circuitry. Thereby the output socket is modularly exchangeable. Being self-contained, the output socket can be easily exchanged against another output socket of different functionality, allowing for easy re-configuration.

Abstract: An information processing device of the present invention is capable of collaboration with a learning device to determine whether an image group that has been obtained in time series by the first endoscope is an image group obtained at a first time or at a second time, and to create a first inference model for image feature determination of images for the first endoscope by performing learning with results of having performed annotation on the image group that was obtained at the second time as training data, the information processing device comprising at least one or a plurality of classifying processors that classify image groups constituting training data candidates, within an image group from the first endoscope that has been newly acquired, or an image group from a second endoscope, using the image group that has been obtained at the first time, when the first inference model was created.

Abstract: A light-irradiation-device delivery apparatus includes: a metal needle tube having a longitudinal axis, a side hole, which penetrates from an inner circumferential surface to an outer circumferential surface, and a blade surface at a distal end thereof; an optical fiber that is accommodated inside the needle tube, the optical fiber including a core allowing light to propagate, a clad covering an outer circumferential surface of the core, and an emission area provided at a distal-end section of the optical fiber; and a positioning member that positions the emission area between a distal end and a proximal end of the needle tube in the longitudinal-axis direction. The distal end of the optical fiber is positioned in an interior space of the needle tube in a state where the emission area is positioned between the distal end and the proximal end of the side hole.

Abstract: An endoscope includes: an outer cylinder including an outer cylinder distal end portion held by a distal end holding portion provided inside an insertion section and an outer cylinder proximal end portion held by a proximal end holding portion provided on a proximal end side relative to the distal end holding portion; and an inner cylinder provided inside the outer cylinder, the inner cylinder including inside a wire coupled to a movable portion provided in the insertion section, an amount of stretch of the inner cylinder due to bending of the insertion section being larger than an amount of stretch of the outer cylinder due to the bending, the inner cylinder, in a stretch state where the inner cylinder stretches due to the bending, forming a gap in a longitudinal direction of the outer cylinder between the inner cylinder and the proximal end holding portion.

Abstract: An image-processing device that includes at least one processor which is configured to: set discrete measurement regions in a standard image and a reference image selected from images acquired in a time series manner and calculate motion vectors in the respective measurement regions; set a region of interest in the standard image; select, from the calculated motion vectors, the motion vectors in the set region of interest; estimate a homographic-transformation matrix that represents a motion in the region of interest by using the selected motion vectors; evaluate an error in the homographic-transformation matrix on the basis of the estimated homographic-transformation matrix and the calculated motion vectors; and set, on the basis of the evaluation result for the homographic-transformation matrix estimated on the basis of a first region of interest, a second region of interest a size of which is increased as compared with that of the first region of interest.

Abstract: An endoscope connector includes: a plug including an electric contact configured to be electrically connected to an external medical apparatus, the plug being provided with a first substrate; a first frame electrically connected to the plug; a second frame electrically connected to the first frame, the second frame being made of metal; a first electric connection member electrically connected to the first substrate; a second electric connection member connected to the first electric connection member; a substrate unit including a second substrate and an electromagnetic shield member covering the second substrate, the electromagnetic shield member being made of metal; and an urging member configured to urge the substrate unit in a direction of the second frame, and to put the electromagnetic shield member into an electric conduction state by causing the electromagnetic shield member to abut on the second frame.

Abstract: An endoscopic treatment method includes: inserting an endoscope into a digestive tract; forming a damaged area in at least a portion of the digestive tract along a circumferential direction by performing cauterizing while keeping a mucosal layer by observing with the endoscope; and forming an incomplete stenosis in the digestive tract, while restoring the damaged area, wherein the damaged area is formed by causing damage to a mucosal base layer, the mucosal base layer having an interface that contacts a submucosal layer.

Abstract: An ultrasound endoscope includes: a plurality of piezoelectric elements that are arranged to form a cylinder such that respective longitudinal directions of the piezoelectric elements are aligned, each piezoelectric element being configured to transmit and receive an ultrasound wave; an acoustic lens that is located on outer peripheries of the piezoelectric elements, the acoustic lens being configured to converge ultrasound waves generated by the piezoelectric elements on an outside of the acoustic lens, and transmit ultrasound waves input from the outside of the acoustic lens to the piezoelectric elements; a housing configured to hold distal end sides and proximal end sides of both of the piezoelectric elements and the acoustic lens; and a flexible material that is located between either a distal end or a proximal end of the acoustic lens and the housing, and that has a lower elastic modulus than the acoustic lens.

Abstract: An endoscopic bendable tube includes: an integrally formed resin tube; at least two wires embedded in a tube wall of the resin tube from a proximal end side to a distal end side of the resin tube, the at least two wires being parallel to a tube axis direction of the resin tube and being at positions facing each other; and a plurality of pairs of through slits formed in the tube wall of the resin tube in the tube axis direction, each pair of through slits being formed facing each other in the tube wall of the resin tube.

Abstract: A clip device includes a clip, including a plurality of arms having sliding grooves; and an intermediate member inserted into the sliding grooves for connecting the plurality of arms; a pressing tube accommodating a proximal end portion of the clip; a connection member connecting with an operation wire at a proximal end side and including an engaging portion engaging with the intermediate member; and a locking mechanism for lock the plurality of arms when the clip is pulled toward the proximal end side by a predetermined distance by the connection member, wherein the clip includes a contact portion formed on a side surface of the arm to be in contact with the engaging portion from a direction orthogonal to an axial direction of the intermediate portion for preventing a deformation of the engaging portion when the intermediate portion slides along the sliding groove before the plurality of arms are locked.

Abstract: An image pickup unit includes a rear group lens barrel which holds the rear group lens, a moving lens barrel which holds the moving lens and which is movable to advance and retreat inside the rear group lens barrel along an optical axis of the observation optical system, an actuator which includes a guide tube and a head member and which is configured to transmit motive power to the moving lens barrel by advance and retreat movement of the head member with respect to the guide tube, and a second stopper member which is positioned and fixed to the rear group lens barrel and which defines a retreat position in a direction of the optical axis of the moving lens barrel, in which the second stopper member also serves as a holding member which holds a distal end side of the guide tube.

Abstract: An endoscope connection mechanism includes a connection pipe sleeve including a hole having an axis, and a first optical shutter movable between a first state and a second state. The first optical shutter includes a first, a second and a third portions. The first portion includes a first end fixed to a base portion of the first optical shutter, and a second end provided distally relative to the first end. The second portion includes a third end connecting to the second end, and a fourth end provided distally relative to the third end. The third portion includes a fifth end connecting to the fourth end, and a sixth end provided distally relative to the fifth end. In the first state, the third portion is positioned to intersect the axis of the hole, and in the second state, the third portion is positioned not to intersect the axis of the hole.

Abstract: Provided is an endoluminal device system including: an elongated and flexible endoluminal device; a wire that is disposed in the endoluminal device; a first sensor that detects tension of the wire; a second sensor that detects displacement of the wire; a driving device capable of pulling the wire; and a processor. The processor is configured to: cause the driving device to execute a relaxing operation for relaxing the wire, acquire the tension and the displacement of the wire during the relaxing operation, which are detected by the first sensor and the second sensor, respectively, and adjust a control parameter of the endoluminal device based on a rate of change in the tension with respect to the displacement.

Abstract: An optical device includes: an optical system including a moving lens that moves in a direction along an optical axis; a moving frame including a first magnetic body and configured to hold the moving lens; a holding frame formed into a cylindrical shape by a non-magnetic body and configured to movably hold the moving frame on an inner circumferential surface along the optical axis, a drive unit including a magnet and configured to cause the moving frame to move in the direction along the optical axis; and second magnetic bodies arranged between the drive unit and the moving frame and configured to transmit a magnetic force of the magnet to the first magnetic body of the moving frame.

Abstract: An optical system for an endoscope, the optical system including: a distal optical assembly; a proximal optical assembly; and at least one elongated bar-shaped fixing element; wherein the proximal optical assembly is fastened to the distal optical assembly by the fixing element.

Abstract: A manufacturing method of an image pickup apparatus for endoscope includes manufacturing an optical member in which a plurality of optical devices are stacked, and an image pickup member including an image pickup device having a light receiving surface, measuring a position of an image-forming plane on which an object image, light of which is focused by the optical member, is formed, and fixing the optical member and the image pickup member in a state where an interval is adjusted so that a measured position of the image-forming plane becomes a position of the light receiving surface by performing curing processing on a transparent resin disposed to fill an optical path between the optical member and the image pickup member.

Abstract: An image processing device includes: a circuit block in which an operation period is predetermined and intermittent operation is performed according to the operation period; a plurality of SRAMs; and a dummy control circuit configured to increase an intensity of a dummy operation of an unused SRAM among the plurality of SRAMs for a certain period of time before the operation period of the circuit block, and to decrease the intensity of the dummy operation of the unused SRAM among the plurality of SRAMs for a certain period of time after the operation period of the circuit block.

Abstract: An operation switch includes an elastic operation member, a pressing member, and a switch main body. The elastic operation member is formed of an elastic member, and includes a dome portion on one end side and a circumferential plane portion on the other end side. The dome portion is formed in a dome shape in a natural state, elastically deformed to a balanced state with a predetermined tension different from the natural state, and held as a dome shape. The pressing member moves by deforming the dome portion, and presses an electric switch. The switch main body includes a recess for switch in which an electric switch is disposed, a housing hole in which the pressing member is housed, and a central protrusion around which an inner plane of the circumferential plane portion of the elastic operation member is disposed.

Abstract: A clip device includes a tube and a clip having a first arm portion and a second arm portion, and an engagement mechanism including a stepped connector and a hooking structure, and configured to connect to the clip. The stepped connector includes an engaging region connecting two side regions, a width of the engaging region of the stepped connector is smaller than a width of a first of the two side regions of the stepped connector. The hooking structure includes two lateral surfaces connected by a hook surface, and a surface of the engaging region of the stepped connector engages with the hook surface of the hooking structure and each of the two side regions of the stepped connector are adjacent to respective one of the two lateral surfaces of the hooking structure.

Abstract: An illumination device for fluorescence image guided surgery and a surgical instrument. The illumination device includes a glass rod, a mixing rod and a plurality of optical fibers surrounding a circumferential surface of the glass rod. A first mixing rod end face of the mixing rod abuts a second rod end face of the glass rod and end faces of the optical fibers, so that white light and excitation light are guided and homogenized in the mixing rod.

Abstract: Insertion equipment includes an insertion section, a distal end member provided at a distal end of the insertion section, and a tube configured to supply a fluid to the distal end member. In the distal end member, the fluid passes through a first flow channel extending in a distal end direction, passes through a second flow channel in a direction different from the distal end direction, is divided, is discharged through a first opening in a distal end surface, and part of the fluid is discharged through one or more second openings in an outer circumferential surface of the distal end member in a radial direction or a proximal end direction.

Abstract: An image processing device includes a processor. The processor is configured to: recognize blood vessel running information; recognize a first bleeding position from a surgery image; identify a second bleeding position in the blood vessel running information corresponding to the first bleeding position in the surgery image; and identify a bleeding stopping point corresponding to the second bleeding position as a bleeding stopping recommended point corresponding to the first bleeding position. The processor: acquires information about the bleeding stopping recommended point corresponding to each of one or more blood vessel areas in the blood vessel running information; identifies the blood vessel area among the one or more blood vessel areas, to which the second bleeding position belongs; and performs processing in which the bleeding stopping recommended point corresponding to the blood vessel area thus identified is superimposed on the surgery image and displayed on a display.