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: A provisioning system for endoscopes in an application environment including one or more examination rooms and one or more reprocessing stations for endoscopes. The provisioning system including a processor including hardware. The processor being configured to: receive first information about scheduled procedures, receive second information about a status of one or more endoscopes, the second information including an indication of whether an endoscope is ready for use, currently in use, or currently being reprocessed, and control a display to display a user interface having a graphical user interface. Wherein the graphical user interface includes: a first presentation area in which data about ready-to-use endoscopes is displayed, a second presentation area in which data about scheduled procedures is displayed, and a third presentation area in which data about endoscopes undergoing a reprocessing process is displayed.

Abstract: A treatment tool includes a tubular member including an opening and a tubular member main body that has a tubular shape. The tubular member is configured to suction a tissue piece through the opening. The treatment tool includes a blade member provided on an opening edge of the opening.

Abstract: A method of estimating a partial deformation of an organ in which point clouds are calculated from intraoperative image data captured before and after a partial deformation motion of an organ. Geometric feature vectors are assigned to unmoving points, whose position does not change due to the partial deformation motion. Difference vectors indicating the change of the geometric feature vectors due to a change of position of moving in proximity to the unmoving points are utilized to estimate the partial deformation motion of the organ.

Abstract: An endoscope, comprising: an insertion portion insertable into an inside of a subject; an observation window provided in a distal end portion of the insertion portion; a liquid feeding channel extending through the distal end portion of the insertion portion; and at least one liquid feeding port. In operation, liquid exits the at least one liquid feeding port, and liquid exiting the at least one liquid feeding port is directed in a first direction away from the observation window and toward the inside of the subject.

Abstract: A method of finding a set of corresponding points in images to be registered. According to the method, an input unit of the system receives a first user input, indicative of a reference point in an intraoperative image. A processing unit sets a reference area surrounding the reference point and converts the image data points in the reference area to a intraoperative point cloud. The input unit receives a second user input, indicative of a candidate point in a preoperative image. The processing unit sets a search area surrounding the reference point and converts the image data points in the reference area to a preoperative point cloud. By comparing geometric feature descriptors of the image data points, the processing unit finds a target point in the preoperative image corresponding to the reference point and defines the points as set of corresponding points.

Abstract: An image pickup unit includes a distal end member including a recess portion, an image pickup device unit, and an objective lens unit. The recess portion is formed such that a spatial cross-sectional area of the recess portion increases continuously or stepwise from a bottom surface toward an opening. The objective lens unit is fixed to the recess portion by a sealing material injected in a gap.

Abstract: An endoscope includes an objective optical system provided in a distal end portion of an insertion portion, and a light splitting element configured to split a light beam from an objective optical system into a plurality of light beams including a first light beam and a second light beam. The first light beam is reflected by a reflection mirror, and is formed into an image on a first image pickup device. The second light beam is formed into an image on a second image pickup device. The first image pickup device and the second image pickup device are disposed adjacent to the light splitting element at positions different from each other with respect to an optical axis of the light beam from the objective optical system.

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 includes: an insertion portion formed along a longitudinal axis extending from a proximal end to a distal end; a light guide having an optical characteristic that enables transmitting lithotriptic light and illuminating light having respective wavelength bands that are different from each other, from the proximal end toward the distal end of the insertion portion; and a treatment instrument insertion channel provided in the insertion portion, the treatment instrument insertion channel extending from the proximal end to the distal end.

Abstract: Embodiments of the technology disclosed herein is directed to a medical manipulator capable of detecting an instant when a tip of the medical manipulator is unexpectedly separated from a body tissue and thus avoid making contact with surrounding body tissues. The technology disclosed eliminates the needs for providing a force sensor located on the tip of the medical manipulator. The medical manipulator includes a movable unit at one end and an electric motor, a control unit, and an operation input unit at opposed end thereof. The movable unit includes a treating unit for treating the body tissue. The electric motor is configured to operate the movable unit. The electric motor includes a current sensor or a torque detecting unit for detecting the torque of the motor. The control unit includes a torque reducing unit for reducing the torque transmitted to the movable unit from the electric motor.

Abstract: A control method for an endoscope reprocessor is a control method for an endoscope reprocessor that includes a treatment tank, a circulation conduit that links a circulation opening and a discharge opening opened in the treatment tank to each other, a first pump that feeds liquid from the circulation opening towards the discharge opening, an atmospheric open conduit including a first end portion open to an atmosphere and a second end portion connected between the circulation opening and the first pump in the circulation conduit, a filter that filtrates a liquid flowing from the treatment tank through the circulation opening into the circulation conduit, and a sensor that detects a liquid feeding state in the circulation conduit, where the liquid feeding state in the circulation conduit is measured by the sensor during operation of the first pump in a state where the inside of the atmospheric open conduit is closed.

Abstract: An image pickup apparatus for endoscope includes: an optical unit having an incident surface and an emitting surface; an image pickup unit adhering to the emitting surface; an interposer where the image pickup unit is bonded to a first electrode of a first main surface; and an electric cable bonded to the interposer. The image pickup unit is smaller than the optical unit and the interposer in an outer size in a direction orthogonal to an optical axis. The image pickup apparatus for endoscope further includes a heat conductive resin with which a portion among the emitting surface, the first main surface, and a side surface of the image pickup unit is filled. The first electrode extends to a position where the first electrode is brought into contact with the heat conductive resin.

Abstract: A tissue clipping device and system, and method for clipping tissue are disclosed. The tissue clipping device includes a clip with clip arms that is slidably disposed within a channel of a lock tube. The clip is designed to move between an open configuration in which distal ends of the clip arms are separated from each other for receiving tissue therebetween, and a closed configuration in which the distal ends of the clip arms are closer to each other than in the open configuration for clipping the tissue received therebetween. The tissue clipping system further includes a delivery device for delivering and deploying the tissue clipping device. The delivery device is releasably coupled to the tissue clipping device.

Abstract: A focus adjustment device, comprising: a processor having a main physical object position detection circuit for detecting position of a main object based on an image signal, a distance value detection circuit for detecting distance values in accordance with object distance of a plurality of AF regions based on the image signal, a candidate region setting section for setting regions exhibiting a distance value for a close-range side of greater than a specific value, with respect to a statistic for distance value of regions corresponding to position of the main physical object, to unnecessary candidate regions, and a control section for determining regions corresponding to unnecessary physical objects based on the unnecessary candidate regions, and controlling focus adjustment based on distance value corresponding to regions that have had regions corresponding to the unnecessary physical objects excluded from the main physical object regions.

Abstract: An electronic module includes: a mount table including a first electrode mounting surface on which an electronic component is mounted; a plurality of electrode mount parts that are formed in the mount table and at which lands corresponding to a plurality of respective electrodes of the electronic component are formed on the first electrode mounting surface; a step part located between the plurality of electrode mount parts and including a predetermined step relative to the first electrode mounting surface of the mount table; and a solder withdrawing part at which an end part of a corresponding one of the lands is extended to the step part or a side surface of the mount table.

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: 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: An endoscope system includes an endoscope having a position/angle sensor and an amplifying circuit, a memory configured to store output error sensitivity data and a first wiring resistance value, and a processor including a signal processing circuit configured to process an output signal from the amplifying circuit. The signal processing circuit corrects an error of the output signal based on a value obtained by multiplying a difference between the first wiring resistance value and a processor wiring resistance value by the output error sensitivity data.

Abstract: A medical instrument comprises a housing and an elongated sheath configured to be attached to the housing. The elongated sheath includes opposed distal end and proximal end along a longitudinal axis. An end effector is configured to be attached to the distal end of the elongated sheath. The end effector includes a pair of grasps. A direction changer is used to change a direction of the end effector with respect to the distal end of the elongated sheath. A first drive shaft movable in the elongated sheath in ganged relation for opening and closing movement of the pair of grasps. A second drive shaft movable in the elongated sheath in ganged relation for angular movement of the end effector by the direction changer with respect to the elongated sheath. An operating member is configured to actuate the second drive shaft between a bent positions and a neutral position.

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: An endoscope includes, in an insertion section, a bending tube covered with a first skin, a flexible tube covered with a second skin, a thread wound around a joining section of the first skin and the second skin, first resin covering the thread and having a modulus of elasticity of 0.5 GPa or more and 5 GPa or less, and second resin covering the first resin, extended from both ends of the first resin respectively to ranges of 100 ?m or more, and having a modulus of elasticity of 0.3 MPa or more and 100 MPa or less.

Abstract: A diagnosis support system includes a processor. The processor is connected to a plurality of classifiers that are different in performance. The processor displays performance information of each of the classifiers side by side, receives a user's selection of the performance information displayed side by side, and inputs an input image to the classifier associated with the performance information selected by the user.

Abstract: A method for operating a reconditioning apparatus for cleaning and disinfecting a medical instrument(s), the medical instrument having an internal channel(s). The method including: receiving the medical instrument(s) in a reconditioning chamber; connecting the internal channel(s) to a fluid connection of fluid connections in the reconditioning chamber; flushing the internal channel(s) with a reconditioning fluid; detecting an identifying feature of medical instrument(s) indicating a type of the medical instrument(s); comparing the detected type with data sets stored in a database and, of the fluid connections, provide an allocation of a fluid connection connected to the internal channel(s) on a basis of the identified type; and subsequent to the flushing, actuating a compressed air source to apply compressed air to the allocated fluid connection such that reconditioning fluid present in the at least one internal channel is blown out of the channel.

Abstract: An ultrasound endoscope includes: an insertion portion to be inserted into a subject; an ultrasound transducer that is provided at a distal end of the insertion portion and includes plural piezoelectric element groups configured to transmit and receive ultrasound; a connector portion that is provided on a proximal end side of the insertion portion and includes plural connectors to which an external device is connected; and a cable portion including plural first coaxial lines connected to the piezoelectric element groups configured to transmit the ultrasound to a first area, and plural second coaxial lines connected to the piezoelectric element groups configured to transmit the ultrasound to a second area, the first coaxial lines being shorter in length than the second coaxial lines, the first area and the second area being where the ultrasound is transmitted.

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 endoscopic system includes a processor. The processor generates from a measured value of pressure in a lumen of a subject a first temporal change image of the pressure in the lumen, generates an observation image for observing an opened/closed state of a valve portion in the lumen of the subject in real time from an image pickup signal obtained by picking up an image of the opened/closed state of the valve portion in the lumen in real time using an endoscope, and generates a superposition image by superposing the first temporal change image and the observation image in a temporally synchronized manner.

Abstract: An electronic module includes: an integrated circuit including a first mounting surface; a solid wiring board including a second mounting surface and a third mounting surface within a horizontally projected area corresponding to the integrated circuit; both the second and third mounting surfaces face the first mounting surface of the integrated circuit and disposed at positions with different distances to the first mounting surface. An electrode surface of an electronic component mounted in a space formed between the first and the third mounting surfaces, and an electrode surface of the second mounting surface are arranged substantially parallel to a surface of the integrated circuit on which electrodes are aligned. The electrode on the second mounting surface and the electrodes of the integrated circuit are electrically connected to each other. The electrode of the electronic component is electrically connected to the electronic component and the electrodes of the integrated circuit.

Abstract: An endoscope includes in order from an object side, an objective optical system, an optical-path splitter, an image sensor, and an image processor. A ?/4 wavelength plate is disposed between the objective optical system and the splitter. The splitter includes first and second prisms, and has a beam splitting surface at which the first prism and the second prism are brought into close contact. The splitter splits light at the beam splitting surface, into a first optical path through which P-polarized light is transmitted and a second optical path through which S-polarized light is reflected. The first and second prisms are slid relative to one another along the beam splitting surface to adjust optical path lengths of the first and second optical paths, and are disposed at positions to cancel an amount of shift in focusing positions of extraordinary and ordinary light, and satisfy specific conditional expressions.

Abstract: An acoustic lens contains a base material composed of a diorganopolysiloxane or a silicone rubber compound utilizing a diorganopolysiloxane as a main component, and plate-like inorganic compound particles dispersed in the base material.

Abstract: An external mechanism for endoscope includes a bending wheel, a motor, a housing case, a case detachably fixing member, and a mounting restricting member obstructing mounting of a housing case on a sub operation section by interfering with a second bending upward and downward fixing lever in a state where the second bending upward and downward fixing lever is at a position other than a release position.

Abstract: An optical module for endoscope includes a light emitting element, an optical fiber, a ferrule to which the light emitting element is bonded, a wiring board to which the ferrule is bonded, and a resin disposed between the ferrule and the wiring board, wherein the ferrule has a first principal surface made of a transparent material, a second principal surface, and a side surface, the second principal surface has an opening of an insertion hole, the second principal surface has an opening of a groove communicating with the insertion hole, the side surface has an opening of the groove, and a first distance between the opening of the groove on the side surface and the first principal surface is greater than a second distance between the bottom surface of the insertion hole and the first principal surface.

Abstract: A suture method includes a first arrangement step of using a first treatment device including first/second grasping pieces to hook the first grasping piece to a first position of peripheral tissues of a lesion; a second arrangement step of hooking the second grasping piece to a second position of the peripheral tissues; a grasping step of grasping the first position and the second position while pressing the first position and the second position to the peripheral tissues; a retracting step of retracting the lesion site toward a proximal end side of the first treatment device while drawing the first position and the second position grasped by the first treatment device; and a suturing step of suturing a first suturing position at an external side of the first position and a second suturing position at an external side of the second position in the peripheral tissues.

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: An electronic module includes a first structure including a flat mounting surface on which an integrated circuit is mounted and a wiring surface including a surface including a portion that changes in a direction perpendicular to the mounting surface, a wire connected to the integrated circuit being extended on the wiring surface, a second structure disposed with a dielectric region interposed with respect to the wiring surface of the first structure, a metal pattern being provided on the second structure, and at least one spacer member that equalizes thickness of the dielectric region between the wire and the metal pattern in an entire range between the mounting surface and the wiring surface including the surface including the portion that changes in the direction perpendicular to the mounting surface.

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: A laser light irradiation system that irradiates a stone in a body with laser light to cause the stone to be dust, the laser light irradiation system including a laser fiber that emits the laser light, and a processor configured to control a frequency of the laser light emitted from the laser fiber, wherein the processor is configured to switch between first laser light of a first frequency and second laser light of a second frequency such that the second laser light is emitted at least before or after an emission timing of the first laser light, the first laser light generating a water flow that pulls the stone toward the laser fiber, the second laser light generating a water flow that stirs the stone.

Abstract: A light treatment system includes: a probe configured to be inserted into a bladder, the probe including an optical fiber configured to propagate light, and a light emitter that is provided at a distal end of the optical fiber, the light emitter being configured to emit the light; and a balloon catheter into which the probe is inserted, the balloon catheter being configured to be inserted into the bladder, the balloon catheter including a distal end portion that is to be dilated in the bladder, a wall configured to divide inside of the distal end portion into two regions, and a reflector configured to reflect the light emitted by the light emitter, the reflector being provided on a surface of the wall, the surface facing a region of the two regions, the region being where the light emitter is positioned.

Abstract: An endoscope button for an endoscope including a cylinder communicating with tubes includes: a first unit and a second unit that are attachable and detachable with respect to a fitting part fixed to the cylinder, and that are separable from each other in a state being removed from the fitting part. The first unit has a cylindrical shape, and includes a cylindrical member that is attachable and detachable with respect to the fitting part. The second unit includes: a fixing member that is inserted inside the cylindrical member in a state in which the endoscope button is attached to the fitting part, and is fixed to the cylindrical member; and a first movable member that is installed movably with respect to the fixing member, and that is movable back and forth inside the cylinder in the state in which the endoscope button is attached to the fitting part.

Abstract: An insertion system having a processor including hardware, configured to: determine, for each of a plurality of times, one or more positions of an insertion section configured to be inserted into an insertion subject; determine, for the each of the plurality of times, state of the insertion section relative to the insertion subject based on the one or more positions for the each of the plurality of times; determine, for the each of the plurality of times, whether an attention state of the insertion section that restricts insertion of the insertion section into the insertion subject has occurred, based on the state of the insertion section relative to the insertion subject determined; and control a monitor to display attention state information indicating the one or more positions of the insertion section at which the occurrence of the attention state of the insertion section is determined over the plurality of times.

Abstract: Each of segments of a vibration transmitting member has a dimension of a half-wave length between mutually neighboring vibration anti-nodes and sets a vibration node as a center. In each of recess segments included in the segments, the vibration node is located in a groove, and an intermediate extension extends from a proximal end to a distal end in the groove in a longitudinal direction. At least two of the recess segments are different from each other with respect to at least one of a dimension in the longitudinal direction of the intermediate extension and a cross-sectional area perpendicular to the longitudinal direction of the intermediate extension.

Abstract: A vibration transmitter can include a straight portion, a curved portion, a first curved surface provided on an external surface of the curved portion, a second curved surface facing a side opposite to the first curved surface and a first portion provided on the first curved surface. The first portion can extend towards a side opposite to the side toward which the curved portion is curved and a distance between the first portion and an imaginary curved surface can increase from the proximal side toward the distal side, and the imaginary curved surface being parallel with the second curved surface.

Abstract: A dilator, dilating a narrowed part of a paranasal sinus, includes an end effector, and the end effector includes a pair of treatment pieces openable and closable relative to each other. Each of the treatment pieces includes a treatment surface facing a side on which the treatment piece opens, and each of the treatment surfaces includes an inclined surface inclined to be closer to a side on which the treatment piece closes as a distance to a distal end of the treatment piece decreases. The pair of inclined surfaces become parallel or substantially parallel to each other when the treatment pieces are opened to a maximum angle. The end effector opens anisotropically.

Abstract: The disclosed technology is directed to a treatment instrument having a vibration generating device and a handle for operation. The vibration generating device comprises a housing and a generator including a transducer disposed within the housing. The transducer generates vibration by using electric energy and a first electric contact disposed on the housing. A connector is rotatable about a predetermined rotational axis with respect to the housing of the generator. A coupler is disposed in the connector and having a second electric contact rotatable about the predetermined rotational axis with respect to the first electric contact in a state in which an electric connection of the second electric contact to the first electric contact is maintained. The connector further includes a conductive member forming a part of an electric path of a current that flows based on an operating input at an operating member provided on the 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.

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: An ultrasound signal processing apparatus includes: a receiver configured to receive a positive phase ultrasound reception signal and a negative phase ultrasound reception signal; and a processor including hardware, the processor being configured to perform phasing addition on each of the positive phase ultrasound reception signal and the negative phase ultrasound reception signal, and adding the positive phase ultrasound reception signal subjected to the phasing addition and the negative phase ultrasound reception signal subjected to the phasing addition with shifting of a predetermined period of time.

Abstract: An insertion apparatus includes: a tube in which a water feeding communication hole opens on an outer peripheral surface of the tube; a tube connector in which a water feeding branch conduit which allows an inner surface of a tube insertion hole to communicate with an outside is formed, and a second stopper portion which protrudes toward the inside of the tube insertion hole is formed; an O ring which is positioned by contacting with the second stopper portion; a spacer which is positioned by contacting with the O ring, and in which a communication hole which allows an inner surface side and an outer surface side of a wall portion to communicate with each other is formed; and an O ring which is positioned by contacting with the spacer.