Abstract: A flexible ultrasonic wave generating device (2) is inserted into a flexible tube (10) having flexibility, and an inductor (15), a discharge resistor (21), an FET (22), and an SBD (23) constituting a drive circuit (25) are mounted on first to third flexible substrates (11) to (13). An actuator (14) is connected to the distal end portion of the flexible ultrasonic wave generating device (2). An active blade (30) is attached to the actuator (14).

Abstract: There is provided an endoscopic snare including: a flexible sheath 1; a cable 2 configured to slide in the sheath; a snare loop 3 connected to the cable 2, and projecting from or retracting into the sheath 1; a distal end tip 4 disposed in a distal end part of the sheath and retaining the snare loop 3; and a hand operating part for operating the snare loop 3 via the cable 2. One end of the snare loop 3 is attached to the distal end tip and the other end of the snare loop 3 is attached to a distal end of the cable. The snare loop 3 is expanded into a ring shape without a protruding portion when it is projected from the sheath 1, and is formed into an asymmetric shape where expansion is deviated to either side about an axis of the sheath.

Abstract: Provided is: an endoscopic device used for constructing an endoscopic system, which is simpler in structure and lower in cost as compared with conventional devices; and an endoscopic system using same. A hard-type laparoscopic device 111 has an optical viewing tube 121 equipped with observation optical systems 123, 125a-125d and an illumination optical system 122, the device being characterized in that a storage part 131 which houses a light source 141 which provides illumination light to the illumination optical system 122 and a gas cylinder 151 for supplying gas to insufflate the abdominal cavity is disposed in the optical viewing tube 121 in such a manner as to allow the optical viewing tube 121, the light source 141, and the gas cylinder 151 to be held together as a rigid integral unit.

Abstract: A developing body includes: an excluding portion including a movable wire and fixing wires arranged around the movable wire, a distal end of the movable wire and distal ends of the fixing wires being connected to each other; an insertion tube allowing the movable wire to pass therethrough; and a restriction member that is connected to a proximal end of the movable wire. The restriction member restricts the movement of the movable wire when the restriction member abuts against the first grip portion. When the first grip portion and the second grip portion are moved relative to each other so as to be close to each other in this state, the excluding portion is developed by bringing the distal end of the insertion tube and the distal end of the movable wire to be close to each other to deflect the fixing wire.

Abstract: Disclosed is a hemostatic agent applicator capable of effectively placing a fluid hemostatic agent on an incision surface. The present invention is a hemostatic agent applicator for use in disposing a fluid hemostatic agent, including a tool body in which a hollow part surrounded by a wall part is formed and which includes an open end part on a downstream side of the wall part, and an inlet provided to a portion of the wall part of the tool body to communicate with the hollow part. This hemostatic agent applicator is useful in medical settings relating to surgical procedures, particularly for surface bleeding of a liver and internal organ surgery such as a spleen and fibroid enucleation. An applicator further reduced in size can be applied not only in abdominal surgery, but in endoscopic surgery as well.

Abstract: A retractor has a rigid piercing tube and an expansion body. The expansion body has an introduction tube which is received within the piercing tube, a movable wire which is received within the introduction tube, and stationary wires which are arranged around the movable wire. The proximal end of each of the stationary wires is affixed to the distal end of the introduction tube. The distal end of each of the stationary wires is joined to the distal end of the movable wire. The respective proximal ends of the piercing tube, the introduction tube, and the movable wire are respectively joined to first, second, and third grip sections.

Abstract: An insufflation system configured to supply a predetermined gas into a body cavity of a subject includes: an automatic air supply conduit line configured to automatically supply a gas into the body cavity to maintain a predetermined pressure in the body cavity; a manual air supply conduit line configured to supply a gas into the body cavity by a manual operation; a function selection button provided in an endoscope; and a control unit configured to cause, in accordance with an operation of the function selection button, an air supply conduit line selected by an operation of the function selection button to be in a communication state, and cause a non-selected air supply conduit line to be in a disconnection state.

Abstract: The present invention is a retractor for displacing an organ within the body cavity or the inner wall of a hollow organ, the retractor being provided with: a housing tube; an expansion body which can be housed into and extend from the housing tube; and a grip connected to the proximal ends of the housing tube and the expansion body. The expansion body is provided with: a displacing part configured from a movable wire and multiple fixed wires disposed in the periphery of the moveable wire; and an introduction tube which is disposed along the displacing part and through which the movable wire penetrates. Moreover, when the expansion body is expanded, the displacement part is designed so that, from among the expansion angles formed by two adjacent fixed wires, one expansion angle (?2) becomes larger than the other expansion angle (?1).

Abstract: There is provided an insufflation system and an insufflation apparatus which can prevent a pressure inside a lumen from rapidly increasing and can achieve operability matched to a sense of an operator. When the operator operates an air/water supply button of the endoscope, the gas is insufflated into a gastrointestinal tract of a patient through an internal conduit of the endoscope (manual insufflation). Meanwhile, the insufflation apparatus is connected to an insertion assisting tool which guides the endoscope into the gastrointestinal tract. When the insufflation apparatus automatically performs insufflation, the gas is intermittently insufflated into the gastrointestinal tract of the patient so as to maintain the pressure inside the gastrointestinal tract at the set pressure (automatic insufflation). The average flow rate of the gas in the automatic insufflation is set to be less than or equal to the insufflation flow rate in the manual insufflation.

Abstract: There is provided an insufflation system and an insufflation apparatus which can prevent a pressure inside a lumen from rapidly increasing and can achieve operability matched to a sense an operator. The insufflation apparatus is connected to an endoscope and an insertion assisting tool which guides the endoscope into the gastrointestinal tract. Carbon dioxide can be insufflated into a gastrointestinal tract of a patient through an internal conduit of the endoscope according to an operator's operation (manual insufflation). When the operator instructs the insufflation apparatus to perform the automatic insufflation, carbon dioxide is intermittently insufflated into the gastrointestinal tract through the insertion assisting tool so as to make the pressure inside the gastrointestinal tract become a set pressure (automatic insufflation). The insufflation flow rate of the manual insufflation is switched between the high flow rate and the low flow rate according to ON/OFF state of the automatic insufflation.

Abstract: A gas supply apparatus includes: a gas supply conduit for supplying a gas to a digestive tract; a pressure detecting device which detects a pressure in the digestive tract; a flow regulating device which regulates a gas amount supplied from the gas supply source to the digestive tract via the gas supply conduit; a first control device which controls the flow regulating device according to a result detected by the pressure detecting device to supply the gas into the digestive tract so that the pressure inside the digestive tract becomes a set pressure; a second control device which controls the flow regulating device to supply a fixed gas amount into the digestive tract; and a gas supply mode switching device which switches between gas supply modes including a mode for executing control by the first control device and a mode for executing control by the second control device.

Abstract: There is provided an endoscopic snare including: a flexible sheath 1; a cable 2 configured to slide in the sheath; a snare loop 3 connected to the cable 2, and projecting from or retracting into the sheath 1; a distal end tip 4 disposed in a distal end part of the sheath and retaining the snare loop 3; and a hand operating part for operating the snare loop 3 via the cable 2. One end of the snare loop 3 is attached to the distal end tip and the other end of the snare loop 3 is attached to a distal end of the cable. The snare loop 3 is expanded into a ring shape without a protruding portion when it is projected from the sheath 1, and is formed into an asymmetric shape where expansion is deviated to either side about an axis of the sheath.

Abstract: There is provided an open back type sterilized gown including a main panel including: a front panel; and a left-side back panel and a right-side back panel linked with the front panel, wherein an elastic body having an ended annular shape is provided at a neckline part formed at the main panel, and the elastic body can maintain the neckline part of the sterilized gown in an annular shape surrounding a neck part of a wearer in a non-deformed state, and opens on a back side so as to allow a neck part of the wearer to pass through a back side of the neckline part in a deformed state.

Abstract: A retractor has a rigid piercing tube and an expansion body. The expansion body has an introduction tube which is received within the piercing tube, a movable wire which is received within the introduction tube, and stationary wires which are arranged around the movable wire. The proximal end of each of the stationary wires is affixed to the distal end of the introduction tube. The distal end of each of the stationary wires is joined to the distal end of the movable wire. The respective proximal ends of the piercing tube, the introduction tube, and the movable wire are respectively joined to first, second, and third grip sections.

Abstract: The present invention is a retractor for displacing an organ within the body cavity or the inner wall of a hollow organ, the retractor being provided with: a housing tube; an expansion body which can be housed into and extend from the housing tube; and a grip connected to the proximal ends of the housing tube and the expansion body. The expansion body is provided with: a displacing part configured from a movable wire and multiple fixed wires disposed in the periphery of the moveable wire; and an introduction tube which is disposed along the displacing part and through which the movable wire penetrates. Moreover, when the expansion body is expanded, the displacement part is designed so that, from among the expansion angles formed by two adjacent fixed wires, one expansion angle (?2) becomes larger than the other expansion angle (?1).

Abstract: The guide tube for forming a pneumoperitoneum of the present invention comprising a flexible tube having an inner cavity, has an outer diameter that allows the guide tube to be inserted into a puncture needle, a distal end of the guide tube is closed, the distal end is provided with a tip portion that can be held by holding forceps provided in an endoscope, a proximal end of the guide tube is provided with a connecting portion to an insufflation apparatus, and the guide tube is provided with a side hole region having at least one side hole that can establish communication between the inner cavity of the flexible tube and the outside in a case where the inner cavity is pressurized through insufflation.

Abstract: Disclosed is a hemostatic agent applicator capable of effectively placing a fluid hemostatic agent on an incision surface. The present invention is a hemostatic agent applicator for use in disposing a fluid hemostatic agent, including a tool body in which a hollow part surrounded by a wall part is formed and which includes an open end part on a downstream side of the wall part, and an inlet provided to a portion of the wall part of the tool body to communicate with the hollow part. This hemostatic agent applicator is useful in medical settings relating to surgical procedures, particularly for surface bleeding of a liver and internal organ surgery such as a spleen and fibroid enucleation. An applicator further reduced in size can be applied not only in abdominal surgery, but in endoscopic surgery as well.

Abstract: There is provided an insufflation system and an insufflation apparatus which can prevent a pressure inside a lumen from rapidly increasing and can achieve operability matched to a sense an operator. The insufflation apparatus is connected to an endoscope and an insertion assisting tool which guides the endoscope into the gastrointestinal tract. Carbon dioxide can be insufflated into a gastrointestinal tract of a patient through an internal conduit of the endoscope according to an operator's operation (manual insufflation). When the operator instructs the insufflation apparatus to perform the automatic insufflation, carbon dioxide is intermittently insufflated into the gastrointestinal tract through the insertion assisting tool so as to make the pressure inside the gastrointestinal tract become a set pressure (automatic insufflation). The insufflation flow rate of the manual insufflation is switched between the high flow rate and the low flow rate according to ON/OFF state of the automatic insufflation.

Abstract: There is provided an insufflation system and an insufflation apparatus which can prevent a pressure inside a lumen from rapidly increasing and can achieve operability matched to a sense of an operator. When the operator operates an air/water supply button of the endoscope, the gas is insufflated into a gastrointestinal tract of a patient through an internal conduit of the endoscope (manual insufflation). Meanwhile, the insufflation apparatus is connected to an insertion assisting tool which guides the endoscope into the gastrointestinal tract. When the insufflation apparatus automatically performs insufflation, the gas is intermittently insufflated into the gastrointestinal tract of the patient so as to maintain the pressure inside the gastrointestinal tract at the set pressure (automatic insufflation). The average flow rate of the gas in the automatic insufflation is set to be less than or equal to the insufflation flow rate in the manual insufflation.

Abstract: An insufflation system configured to supply a predetermined gas into a body cavity of a subject includes: an automatic air supply conduit line configured to automatically supply a gas into the body cavity to maintain a predetermined pressure in the body cavity; a manual air supply conduit line configured to supply a gas into the body cavity by a manual operation; a function selection button provided in an endoscope; and a control unit configured to cause, in accordance with an operation of the function selection button, an air supply conduit line selected by an operation of the function selection button to be in a communication state, and cause a non-selected air supply conduit line to be in a disconnection state.