Abstract: An endoscopic clip device including a clip, a treatment instrument body comprising a sheath, an operation wire, and a distal connection portion, a sleeve accommodated inside the sheath and accommodating the connection portion in distal portion of the wire such that portion of inner diameter of the sleeve is smaller than outer diameter of the locking portion when the connection portion is drawable from the accommodation portion. The sleeve has diameter enlargement portion on distal side of the sleeve and elastically self-openable, a diameter reduction step portion on proximal side of the enlargement portion, and a sleeve body positioned on the proximal side of the enlargement portion from the step portion and having radial rigidity higher than that of the enlargement portion, and the inner diameter of the sleeve body is smaller than the outer diameter of the locking portion when the connection portion is drawable from the accommodation portion.

Abstract: According to the present invention, there is provided a clip cartridge in which a clip having a structure enabling a user to easily perform a series of procedures can be easily and reliably mounted on a treatment instrument body. A clip cartridge (200) according to the present invention includes an inner case (30) that has a first accommodation region (32) for accommodating a clip (110), and an outer case (40) that has an elongated insertion hole (43) into which a treatment instrument body (90) is inserted, and a second accommodation region (42) which accommodates the inner case (30) so as to be movable. The treatment instrument body (90) is inserted into the insertion hole (43), and an operation wire is pressed forward so that a distal connection portion and a diameter enlargement portion of the sleeve protrude from the sheath to a distal side and enter the second accommodation region (42), and so that a diameter enlargement portion is elastically enlarged in diameter.

Abstract: According to the present invention, there is provided a clip cartridge in which a clip having a structure enabling a user to easily perform a series of procedures can be easily and reliably mounted on a treatment instrument body. A clip cartridge (200) according to the present invention includes an inner case (30) that has a first accommodation region (32) for accommodating a clip (110), and an outer case (40) that has an elongated insertion hole (43) into which a treatment instrument body (90) is inserted, and a second accommodation region (42) which accommodates the inner case (30) so as to be movable. The treatment instrument body (90) is inserted into the insertion hole (43), and an operation wire is pressed forward so that a distal connection portion and a diameter enlargement portion of the sleeve protrude from the sheath to a distal side and enter the second accommodation region (42), and so that a diameter enlargement portion is elastically enlarged in diameter.

Abstract: The present invention provides an endoscopic clip device and a clip in which a connection operation between a clip and an operation wire is facilitated, and in which a procedure can be quickly performed by reducing an exchange frequency of a treatment instrument body. An endoscopic clip device (100) according to the present invention includes a clip (110) that has a plurality of arms (120) for gripping a living body tissue and a locking portion (130), and a treatment instrument body that comprises an elongated sheath (10) and an operation wire (20) in which a chunky distal connection portion (50) is disposed in a distal end. In a state where the distal connection portion (50) is accommodated in an accommodation portion (134), the operation wire (20) is drawn to a proximal side in a forward/backward movement direction so that the arms (120) are closed to grip the living body tissue.

Abstract: The present invention provides a sheath for gastrostoma (1), a sheathed dilator, a gastrostomy catheter kit and a method of splitting a sheath for gastrostoma. The sheath for gastrostoma (1) includes a sheath body (11) in which a gastrostomy catheter (2) is inserted and a handle (12). The sheath for gastrostoma (1) lowers the insertion resistance of a gastrostomy catheter when inserted in a fistula before insertion of the gastrostomy catheter in the fistula for replacement in the patient's body. According to the invention, a sheath for gastrostoma, a sheathed dilator, a sheath for gastrostoma with insertion aid, a gastrostomy catheter kit and a method of splitting a sheath for gastrostoma which can lower the insertion resistance during placement of a catheter in the patient's body, facilitate air supply control of an endoscope and stabilize endoscopic visual field during surgery are provided.

Abstract: The present invention provides a sheath for gastrostoma (1), a sheathed dilator, a gastrostomy catheter kit and a method of splitting a sheath for gastrostoma. The sheath for gastrostoma (1) includes a sheath body (11) in which a gastrostomy catheter (2) is inserted and a handle (12). The sheath for gastrostoma (1) lowers the insertion resistance of a gastrostomy catheter when inserted in a fistula before insertion of the gastrostomy catheter in the fistula for replacement in the patient's body. According to the invention, a sheath for gastrostoma, a sheathed dilator, a sheath for gastrostoma with insertion aid, a gastrostomy catheter kit and a method of splitting a sheath for gastrostoma which can lower the insertion resistance during placement of a catheter in the patient's body, facilitate air supply control of an endoscope and stabilize endoscopic visual field during surgery are provided.

Abstract: A medical device includes a main body elongated in a vertical direction. A guide section protrudes from a lower end of the main body in a direction crossing the vertical direction and includes first and second guide holes. A first unit includes a first puncture needle slidably supported by the main body near an upper end of the first puncture needle in the vertical direction and having a sharp lower end slidably inserted into the first guide hole from above. The first unit has a first holding plate integrally fixed to the first puncture needle. A second unit includes a second puncture needle slidably inserted into the second guide hole from above and a second holding plate integrally fixed to the second puncture needle. The second holding plate separably abuts on the first holding plate from above. A position of the second guide hole is selectable along the guide section.

Abstract: A medical device (1) includes a main body (2); a first piercing needle (4) provided slidably with respect to the main body (2); a first holding plate (61) adapted to hold the first piercing needle (4) and provided slidably on the main body (2); and a second holding plate (62) adapted to hold a second piercing needle (3) and detachably and movably mounted on the first holding plate (61), wherein the second holding plate (62) is mounted so as to move to the first holding plate (61) in a predetermined direction.

Abstract: The present invention provides a sheath for gastrostoma (1), a sheathed dilator, a gastrostomy catheter kit and a method of splitting a sheath for gastrostoma. The sheath for gastrostoma (1) includes a sheath body (11) in which a gastrostomy catheter (2) is inserted and a handle (12). The sheath for gastrostoma (1) lowers the insertion resistance of a gastrostomy catheter when inserted in a fistula before insertion of the gastrostomy catheter in the fistula for replacement in the patient's body. According to the invention, a sheath for gastrostoma, a sheathed dilator, a sheath for gastrostoma with insertion aid, a gastrostomy catheter kit and a method of splitting a sheath for gastrostoma which can lower the insertion resistance during placement of a catheter in the patient's body, facilitate air supply control of an endoscope and stabilize endoscopic visual field during surgery are provided.

Abstract: A medical device (1) includes a main body (2) elongated in a vertical direction, a guide section (slide section (23)) protruding from a lower end of the main body in a direction crossing the vertical direction, and including a first guide hole (235) and a second guide hole (236), a first unit (A) including a first puncture needle (4) of a hollow structure and a first holding plate (61), the first puncture needle being slidably supported by the main body near an upper end of the first puncture needle in the vertical direction and having a sharp lower end slidably inserted into the first guide hole from above, the first holding plate being integrally fixed to neighborhoods of the upper end of the first puncture needle, and a second unit (B) including a second puncture needle (3) and a second holding plate (62), the second puncture needle being slidably inserted into the second guide hole from above, the second holding plate being integrally fixed to neighborhoods of an upper end of the second puncture needle, w

Abstract: A medical device (1) includes a main body (2); a first piercing needle (4) provided slidably with respect to the main body (2); a first holding plate (61) adapted to hold the first piercing needle (4) and provided slidably on the main body (2); and a second holding plate (62) adapted to hold a second piercing needle (3) and detachably and movably mounted on the first holding plate (61), wherein the second holding plate (62) is mounted so as to move to the first holding plate (61) in a predetermined direction.