Abstract: A cartridge accommodates a clip unit including an arm member and a tubular housing, and is configured so that the clip unit is able to be mounted in an applicator having a sheath and an operation wire. The cartridge includes a main body in which an insertion hole into which the sheath is inserted is formed and a pusher configured to be movable with respect to the main body. The pusher is configured to come into contact with an engaging member provided in the sheath by moving the sheath with respect to the main body in a state in which the sheath is inserted into the insertion hole. The pusher is configured to push the engaging member against the housing, and to engage the sheath with the housing by engaging the engaging member with both the housing and the sheath.

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: 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 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: An endoscopic surgical device that includes: a sheath; a manipulator; a manipulation wire; a clip body having a pair of arms, connected to a distal end of the manipulation wire, and configured to be capable of advancing and retracting in accordance with manipulation of the manipulator along with a longitudinal axis of the manipulation wire; a holding tube into which a proximal portion of the clip body is inserted to be capable of advancing and retracting; and a biasing member configured to hold a position of the manipulation wire at an initial position. The clip body is nonrotatable around the longitudinal axis at the initial position. When the manipulation wire is advanced a prescribed amount against a biasing force of the biasing member, the clip body is rotatable around the longitudinal axis, and is allowed adjustment of an opening-closing direction of the pair of arms.

Abstract: A clip unit including: a clip main body having a first arm portion, a second arm portion, and a middle portion; a pressing tube formed in a tube shape to be capable of accommodating the clip main body, the pressing tube being provided to deform the clip main body so as to make a distal end of the first arm portion and a distal end of the second arm portion to approach to each other, as the middle portion, the first arm portion, and the second arm portion are moved toward a proximal end side of the clip unit; a locking portion configured to protrude from an inner circumferential surface of the pressing tube on the proximal end side of the pressing tube; and a first locked portion configured to protrude from a lateral surface of the first arm portion.

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: An endoscopic surgical device that includes: a sheath; a manipulator; a manipulation wire; a clip body having a pair of arms, connected to a distal end of the manipulation wire, and configured to be capable of advancing and retracting in accordance with manipulation of the manipulator along with a longitudinal axis of the manipulation wire; a holding tube into which a proximal portion of the clip body is inserted to be capable of advancing and retracting; and a biasing member configured to hold a position of the manipulation wire at an initial position. The clip body is nonrotatable around the longitudinal axis at the initial position. When the manipulation wire is advanced a prescribed amount against a biasing force of the biasing member, the clip body is rotatable around the longitudinal axis, and is allowed adjustment of an opening-closing direction of the pair of arms.

Abstract: An injection needle for an endoscope includes: an outer and inner sheath; a needle tube; a stopper; an engaging contact portion integrally formed of the same material as the outer sheath, protrudes to an inner side in a radial direction relative to an inner circumferential surface of the outer sheath; and an operating member. A movable range of the operating member in a straight state is made up of a first range and a second range. A length of the second range is greater than a value of a difference between an inner diameter of the outer sheath and an outer diameter of the inner sheath, and a thickness of the engaging contact portion in the direction of the longitudinal axis is greater than a thickness of the inner sheath in a radial direction and a thickness of the outer sheath in the radial direction.

Abstract: A clip unit including: a clip main body having a first arm portion, a second arm portion, and a middle portion; a pressing tube formed in a tube shape to be capable of accommodating the clip main body, the pressing tube being provided to deform the clip main body so as to make a distal end of the first arm portion and a distal end of the second arm portion to approach to each other, as the middle portion, the first arm portion, and the second arm portion are moved toward a proximal end side of the clip unit; a locking portion configured to protrude from an inner circumferential surface of the pressing tube on the proximal end side of the pressing tube; and a first locked portion configured to protrude from a lateral surface of the first arm portion.

Abstract: A clip unit including: a clip main body having a first arm portion, a second arm portion, and a middle portion; a pressing tube formed in a tube shape to be capable of accommodating the clip main body, the pressing tube being provided to deform the clip main body so as to make a distal end of the first arm portion and a distal end of the second arm portion to approach to each other, as the middle portion, the first arm portion, and the second arm portion are moved toward a proximal end side of the clip unit; a locking portion configured to protrude from an inner circumferential surface of the pressing tube on the proximal end side of the pressing tube; and a first locked portion configured to protrude from a lateral surface of the first arm portion.

Abstract: An endoscope treatment tool includes a clip main body which includes a pair of arm portions; a pressing tube through which the clip main body is inserted; a locking portion which is disposed on an inner circumferential surface of a proximal end of the pressing tube; a locked portion which is disposed on the proximal end side of the clip main body; a sheath portion; a linear member connected to the clip main body and inserted through the sheath portion; a stopper portion which is configured to regulate a protrusion length of the linear member with respect to the distal end of the sheath portion; and a connection member which is disposed at a distal end of the linear member such that a connection between the linear member and the clip main body is released by regulating a movement of the clip main body.

Abstract: An endoscope treatment tool includes: a clip unit having a clip main body which includes first and second arm portions, a pressing tube which is formed in a tube shape, a locking portion which protrudes from an inner circumferential surface of a proximal end of the pressing tube, and a locked portion which protrudes from the clip main body; a linear member connected to the clip unit; a sheath in which the linear member is inserted; and a fracture mechanism connected to a proximal end of the linear member. The fracture mechanism includes a first support member connected to the linear member, a second support member disposed on a proximal end side of the first support member, and a fracturable member disposed between the first support member and the second support member so as to connect the first support member and the second support member.

Abstract: An endoscope treatment tool includes a clip main body which includes a pair of arm portions; a pressing tube through which the clip main body is inserted; a locking portion which is disposed on an inner circumferential surface of a proximal end of the pressing tube; a locked portion which is disposed on the proximal end side of the clip main body; a sheath portion; a linear member connected to the clip main body and inserted through the sheath portion; a stopper portion which is configured to regulate a protrusion length of the linear member with respect to the distal end of the sheath portion; and a connection member which is disposed at a distal end of the linear member such that a connection between the linear member and the clip main body is released by regulating a movement of the clip main body.

Abstract: An endoscope treatment tool includes: a clip unit having a clip main body which includes first and second arm portions, a pressing tube which is formed in a tube shape, a locking portion which protrudes from an inner circumferential surface of a proximal end of the pressing tube, and a locked portion which protrudes from the clip main body; a linear member connected to the clip unit; a sheath in which the linear member is inserted; and a fracture mechanism connected to a proximal end of the linear member. The fracture mechanism includes a first support member connected to the linear member, a second support member disposed on a proximal end side of the first support member, and a fracturable member disposed between the first support member and the second support member so as to connect the first support member and the second support member.

Abstract: A clip unit including: a clip main body having a first arm portion, a second arm portion, and a middle portion; a pressing tube formed in a tube shape to be capable of accommodating the clip main body, the pressing tube being provided to deform the clip main body so as to make a distal end of the first arm portion and a distal end of the second arm portion to approach to each other, as the middle portion, the first arm portion, and the second arm portion are moved toward a proximal end side of the clip unit; a locking portion configured to protrude from an inner circumferential surface of the pressing tube on the proximal end side of the pressing tube; and a first locked portion configured to protrude from a lateral surface of the first arm portion.

Abstract: A hemostatic clip includes: a clip body formed by folding an intermediate section of a belt-like member; and a holding tube. The clip body includes: a first member formed of a first metallic material that is elastically deformable; and a pair of second members that are formed of a second metallic material having a lower elastic strain limit than an elastic strain limit of the first metallic member and are connected to respective both ends of the first member. The holding tube is configured to change an opening width of the clip body by holding part of the clip body in the holding tube.

Abstract: A hemostatic clip includes: a clip body formed by folding an intermediate section of a belt-like member; and a holding tube. The clip body includes: a first member formed of a first metallic material that is elastically deformable; and a pair of second members that are formed of a second metallic material having a lower elastic strain limit than an elastic strain limit of the first metallic member and are connected to respective both ends of the first member. The holding tube is configured to change an opening width of the clip body by holding part of the clip body in the holding tube.