Abstract: An endoscope clip can include an arm portion that can move into the following configurations: a closed configuration, a first open configuration in which the pair of arms are separated at a first distance, and a second open configuration in which the pair of arms are separated at a second distance larger than the first distance. The endoscope clip can also include an operation wire and a restriction portion configured to restrict movement of the operation wire to fix the arm portion in one of the possible configurations.

Abstract: A medical device includes: a sheath extending in a longitudinal direction; a treatment portion disposed at a distal end of the sheath; a wire inserted into the sheath and to which the treatment portion is fixed; a handle disposed at a proximal end of the sheath and to which the wire is fixed; and a transmission member disposed on an outer periphery of the sheath and extending from the handle to the distal end, wherein the treatment portion, the wire, the handle, and the transmission member are rotatable in a circumferential direction with respect to the longitudinal direction relative to the sheath.

Abstract: A ligation device includes a first arm, a second arm, a holding tube, an operation wire, a sheath, and a link mechanism having a first link and a second link which are connected to each other and engage the holding tube with the sheath, wherein the link mechanism is configured to be switch between a disengaged configuration in which engagement between the holding tube and the sheath is released and an engaged configuration in which the holding tube is engaged with the sheath due to the operation wire.

Abstract: A clip device includes an arm portion including a plurality of arms that are biased to an open state; a pressing tube into which a proximal-end portion of the arm portion is accommodated and configured to be able to lock the arm portion in a closed state; an insertion portion connected to a proximal-end opening of the pressing tube at a distal end of the insertion portion; a power transmission member extending through the insertion portion; a link configured to detachably connect a distal-end portion of the power transmission member and a proximal-end portion of the arm portion; a first stopper configured to regulate the distal-end portion of the power transmission member from protruding from a distal-end opening of the pressing tube, and a switching portion configured to switch the clip device between a first state and a second state.

Abstract: A cartridge system including: a treatment instrument configured to be configured to be loaded into an applicator; a cartridge in which an insertion port which the applicator is configured to be inserted into and pass through in an insertion/passage direction is formed and the treatment instrument is housed; and a pack in which a storage area that is configured to house the cartridge is formed, in which the cartridge is configured to transition to a first form in which the cartridge is housed in the storage area of the pack and a second form in which at least a part protrudes from the storage area, and the pack is opened in accordance with transition of the cartridge from the first form to the second form.

Abstract: A system, comprises a sheath, an operation body attached to the sheath, the operation body including a first wall, a clip configured to be inserted in and protruded from the sheath, the clip including a pair of arms, a wire inserted in the sheath, the wire including a first end and a second end, the first end attached to the clip, a handle attached to the second end and configured to move the wire against the operation body, the handle configured to open and close the pair of arms via the wire, and an obstruction attached to the wire and configured to generate a sliding resistance to the wire. The handle is configured to change a configuration of the clip between a first configuration and a second configuration. In the first configuration, the obstruction and the wire are placed in a relative position, the handle opens the arms, and the obstruction contacts the first wall.

Abstract: A medical instrument has a capsule; an arm member disposed to protrude from the capsule; an operation wire connected to the arm member; a sheath configured to accommodate the operation wire; and a link configured to connect the sheath with the capsule, wherein the link has an engaging portion including a first surface intersecting with the longitudinal axis; and an engaged portion movable to an opposite position opposite to the first surface and a position spaced away from the first surface in spite of a relative position of the capsule with respect to the sheath, and configured to restrict a separation of the capsule with respect to the sheath when the engaged portion is disposed at the opposition position to contact the first surface, and wherein the capsule is rotatable in response to a rotation force from the sheath when the engaged portion is disposed at the opposition position.

Abstract: A medical device includes a clip having an arm member and a pressing tube configured to receive the arm member; an applicator having an operation wire configured to advance and retract to open and close the arm member and a sheath configured to accommodate the operation wire; and a link configured to engage the operation wire with the clip and transition between an engagement configuration in which the clip and the operation wire is engaged with each other and a release configuration in which the engagement of the clip and the operation wire is released.

Abstract: A clip cartridge includes a clip unit having a pressing tube, an arm member and a connection portion. The connection portion can transition between a protrusion configuration and an accommodation configuration. The clip cartridge also includes a housing that can accommodate the clip unit. The housing has a stopper that restricts movement of the connection portion and a release mechanism or a groove that permits movement of the connection portion. The stopper is able to restrict movement of the clip unit by contacting the arm member or the pressing tube.

Abstract: A ligation device includes a first arm, a second arm, a holding tube, an operation wire, a sheath, and a link mechanism having a first link and a second link which are connected to each other and engage the holding tube with the sheath, wherein the link mechanism is configured to be switch between a disengaged configuration in which engagement between the holding tube and the sheath is released and an engaged configuration in which the holding tube is engaged with the sheath due to the operation wire.

Abstract: A medical instrument has a capsule; an arm member disposed to protrude from the capsule; an operation wire connected to the arm member; a sheath configured to accommodate the operation wire; and a link configured to connect the sheath with the capsule, wherein the link has an engaging portion including a first surface intersecting with the longitudinal axis; and an engaged portion movable to an opposite position opposite to the first surface and a position spaced away from the first surface in spite of a relative position of the capsule with respect to the sheath, and configured to restrict a separation of the capsule with respect to the sheath when the engaged portion is disposed at the opposition position to contact the first surface, and wherein the capsule is rotatable in response to a rotation force from the sheath when the engaged portion is disposed at the opposition position.

Abstract: A clip cartridge includes a clip unit having a pressing tube, an arm member and a connection portion. The connection portion can transition between a protrusion configuration and an accommodation configuration. The clip cartridge also includes a housing that can accommodate the clip unit. The housing has a stopper that restricts movement of the connection portion and a release mechanism or a groove that permits movement of the connection portion. The stopper is able to restrict movement of the clip unit by contacting the arm member or the pressing tube.

Abstract: A cartridge system includes a main body portion having a plurality of clip storage areas. Each of the clip storage areas stores a clip, and each of the clip storage areas is provided with an opening through which an applicator can be inserted and a lid for independently opening and closing the opening.

Abstract: An applicator capable of operating a clip unit including a first link, a medical apparatus including the applicator and the clip unit, and a method for operating the medical apparatus are disclosed. The applicator includes: a second link capable of engaging with the first link; an operation wire; a sheath capable of accommodating the second link; a slider that is connected to the operation wire and can be operated to move the second link; and a knob. In a state where the slider is in an advanced-most position, the knob can be operated to adjust the length of the wire extending from the slider to the second link between: a first length at which the second link protrudes from the sheath, and a second length that is shorter than the first length, and at which the second link is inside the sheath.

Abstract: A clip device can include a clip including a pair of clip arms, a capsule including a channel, the channel slidably inserted into a proximal end of each clip arm of the pair of clip arms, and a coupler attached onto the proximal end of the capsule. The coupler includes a pair of deployment arms and a pair of retention arms. The pair of retention arms are configured to engage with a corresponding portion of an applicator. Wherein a first length of the coupler in a first direction is longer than a second length of the coupler in a second direction in a cross-section. The cross-section crosses the pair of retention arms and the pair of deployment arms and is perpendicular to a longitudinal direction of the coupler.

Abstract: Provided is an endoscope clip. The clip includes an arm having a first arm and a second arm, the arm configured to be transitioned between a first configuration in which the first arm and the second arm are separated from each other by a first amount and a second configuration in which the first arm and the second arm are separated from each other by a second amount larger than the first amount. The clip includes a slider to operate the arm to be transitioned between the configurations, and a limiter configured to restrict movement of the slider so as to restrict the transition of the arm from one configuration to another of the configurations.

Abstract: Provided is an endoscope clip and an operation method for a clip. The clip includes a clip arm that is configured to be transitioned between a first, second and third configurations. The clip includes a slider to operate the clip arm to be transitioned between the configurations, and a limiter configured to restrict movement of the slider so as to restrict the transition of the clip arm from one configuration to another of the configurations.

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 cartridge system includes a clip unit including an arm configured to be opened and closed, and a case in which the clip unit has a storage area configured to move along a longitudinal direction, wherein the case includes an opening through which at least part of the arm is exposed when the clip unit stored in the storage area is positioned at a predetermined position.

Abstract: The endoscopic treatment tool includes a clip having a plurality of arms freely open and close at a distal side of the arm, a holding tube into which at least a portion on a proximal side is inserted, and a connecting member connecting with the clip. The holding tube includes a tightening member provided in an inner region of the holding tube, and a protrusion-retraction wing configured to protrude and retract with respect to an outer side, the tightening member is provided on a proximal side from the protrusion-retraction wing, the clip has an engagement portion on an accommodation region accommodated in the inner region, and a movement of the clip toward a distal side with respect to the holding tube is restricted by engaging the engagement portion moved to the proximal side with the tightening member.