Abstract: An endoscopic treatment device is used with an endoscope. This treatment device includes a transmission member with a flexible structure having a distal end portion to be inserted into a body and can be operated outside the body, a push rod coupled to the distal end portion, and first and second connecting members rotatably coupled to the push rod. The treatment device further includes first and second arm members rotatably coupled to the distal end portion of the connecting member, a holding member rotatably holding the respective arm at a predetermined interval therebetween, and first and second actuating members integrally formed with the arm members and can open/close when the transmission member actuates the first and second connecting members and the first and second arm members through the push rod. This device also includes a needle mounted on at least one of the first and second actuating members.

Abstract: In an endoscopic treatment instrument having a plurality of sheaths, a supporting member for directly and indirectly supporting the plurality of sheaths, and a connecting member for directly/indirectly bringing the sheaths and an endoscope in a connected state are provided. The supporting member constrains a relative position of the plurality of sheaths and the connecting member can change the connecting state. Therefore, when an operator changes the connecting state of the connecting member, the positional relation of the endoscope and the plurality of sheaths can be changed, while the positional relation of the plurality of sheaths is still constrained. Accordingly, for example, left and right sheaths can be easily exchanged.

Abstract: An endoscopic treatment device is used with an endoscope. This treatment device includes a transmission member with a flexible structure having a distal end portion to be inserted into a body and can be operated outside the body, a push rod coupled to the distal end portion, and first and second connecting members rotatably coupled to the push rod. The treatment device further includes first and second arm members rotatably coupled to the distal end portion of the connecting member, a holding member rotatably holding the respective arm at a predetermined interval therebetween, and first and second actuating members integrally formed with the arm members and can open/close when the transmission member actuates the first and second connecting members and the first and second arm members through the push rod. This device also includes a needle mounted on at least one of the first and second actuating members.

Abstract: A medical ligating apparatus includes a medical ligating device having a member which is made of a flexible line and ligates living tissues, and a fixing member which is movably provided at the ligating member and fixes the living tissues in a ligated state, a manipulating device having a flexible sheath and a proximal manipulating section, and a cutting member for cutting the ligating member. The cutting member is provided on the manipulating device and is movably provided on the ligating member.

Abstract: A semiconductor memory device has a plurality of word line provided on a semiconductor region, extending in a row direction, a plurality of bit lines provided in the semiconductor region, extending in a column direction, and a plurality of memory elements provided at intersections between the plurality of word lines and the plurality of bit lines. Each word line provides a first gate electrode in the corresponding memory element. A lower portion of a side surface of each word line in a direction parallel to an extending direction of the word line is perpendicular to a main surface of the semiconductor region. An upper portion of the side surface is inclined so that a width thereof becomes smaller toward a top thereof.

Abstract: A nonvolatile semiconductor memory device includes bit line diffusion layers extending along the X direction in an upper portion of a semiconductor substrate; and gate structures extending along the Y direction on the semiconductor substrate and each including a charge trapping film and a gate electrode. The nonvolatile semiconductor memory device further includes a first interlayer insulating film in which first contacts respectively connected to the bit line diffusion layers are formed; and second contacts that penetrate through a UV blocking film and a second interlayer insulating film formed on the first interlayer insulating film and have bottom faces respectively in contact with the first contacts and top faces respectively in contact with metal interconnections.

Abstract: A nonvolatile semiconductor memory device includes bit line diffusion layers extending along the X direction in an upper portion of a semiconductor substrate; and gate structures extending along the Y direction on the semiconductor substrate and each including a charge trapping film and a gate electrode. The nonvolatile semiconductor memory device further includes a first interlayer insulating film in which first contacts respectively connected to the bit line diffusion layers are formed; and second contacts that penetrate through a UV blocking film and a second interlayer insulating film formed on the first interlayer insulating film and have bottom faces respectively in contact with the first contacts and top faces respectively in contact with metal interconnections.

Abstract: An endoscopic instrument includes: a high-frequency knife for carrying out incisional intervention; a wire having a distal end connected to the high-frequency knife; an outer sheath for allowing the wire to pass therethrough; a main body having a proximal end of the sheath fixed thereto; a first slider, capable of freely sliding on the main body, having the wire fixed thereto; at least a stopper projecting radially outward relative to the wire; a first abutment member making contact with the stopper and regulating distal sliding movement of the wire; and a projection-length-adjusting member, provided in the outer sheath, for regulating proximal sliding movement of the wire by making contact with the stopper. This configuration allows the high-frequency knife to be maintained at different projection lengths based on the stopper making contact with the first abutment member and the stopper making contact with the projection-length-adjusting member.

Abstract: An endoscope system 1 according to the present invention is configured to include an endoscope 2 and an instrument 3. A first pipeline system 20 and a second pipeline system 30 are formed in the endoscope 2. A tissue grasped by the instrument 3 is retracted into a forceps channel 15, autopsy cups 79 are opened, and water-supply and suctioning are conducted to the grasped tissue by using the first pipeline system 20 and the second pipeline system 30, and then, the grasped tissue is collected from a tissue-suctioning pipeline 46 to a tissue-grasping device 17.

Abstract: An endoscopic treatment device is used with an endoscope. This treatment device includes a transmission member with a flexible structure having a distal end portion to be inserted into a body and can be operated outside the body, a push rod coupled to the distal end portion, and first and second connecting members rotatably coupled to the push rod. The treatment device further includes first and second arm members rotatably coupled to the distal end portion of the connecting member, a holding member rotatably holding the respective arm at a predetermined interval therebetween, and first and second actuating members integrally formed with the arm members and can open/close when the transmission member actuates the first and second connecting members and the first and second arm members through the push rod. This device also includes a needle mounted on at least one of the first and second actuating members.

Abstract: An endoscopic treatment device is used with an endoscope. This treatment device includes a transmission member with a flexible structure having a distal end portion to be inserted into a body and can be operated outside the body, a push rod coupled to the distal end portion, and first and second connecting members rotatably coupled to the push rod. The treatment device further includes first and second arm members rotatably coupled to the distal end portion of the connecting member, a holding member rotatably holding the respective arm at a predetermined interval therebetween, and first and second actuating members integrally formed with the arm members and can open/close when the transmission member actuates the first and second connecting members and the first and second arm members through the push rod. This device also includes a needle mounted on at least one of the first and second actuating members.

Abstract: An endoscopic treatment device is used with an endoscope. This treatment device includes a transmission member with a flexible structure having a distal end portion to be inserted into a body and can be operated outside the body, a push rod coupled to the distal end portion, and first and second connecting members rotatably coupled to the push rod. The treatment device further includes first and second arm members rotatably coupled to the distal end portion of the connecting member, a holding member rotatably holding the respective arm at a predetermined interval therebetween, and first and second actuating members integrally formed with the arm members and can open/close when the transmission member actuates the first and second connecting members and the first and second arm members through the push rod. This device also includes a needle mounted on at least one of the first and second actuating members.

Abstract: A tissue-piercing device includes two piercing members, and an operation section to which a proximal end of each of the piercing members is connected. Each of the piercing members includes a flexible outer sheath, a slidable inner sheath which is slidably inserted in the outer sheath, and a slidable needle which is inserted in the inner sheath. A switch portion is provided for switching between an operation mode in which a piercing action by the two piercing members is performed in a single operation, and an operation mode in which piercing actions by the two piercing members are performed in respective separate operations. The switch portion includes a sheath-coupling member to couple and decouple the two slidable inner sheaths. The switch portion may include a needle-coupling member to couple and decouple the two slidable needles.

Abstract: The ligating apparatus has the thread receiving portion 50 movably disposed back and forth at the distal end of the inserting part body. Outer circumference of the thread receiving portion 50 forms the loop holding portion 52 around which the knot forming loop 51 formed from the ligature 40 is disposed. When the first end of the ligature 40 is pulled into the thread receiving portion 50, the knot forming loop 51 is pushed out of the loop holding portion 52 by the delivery portion 62 of the knot pusher 59. The knot forming loop 51 is further pushed by the delivery portion 62 along the ligature 40 toward the tissue W1 and ligated. The present invention provides a ligating apparatus capable of reducing the load on the tissue to be ligated during ligating operation.

Abstract: In the case where the living tissues in the patient's body is resected as well, it is possible to suture the resected portion immediately without replacement with another treatment device after resection. Thus, prevention of bleeding from the resected portion or earlier repair of an ulcer that occurs with the resected portion can be carried out for the patent lowly invasively and easily.

Abstract: A medical ligating apparatus includes a medical ligating device having a member which is made of a flexible line and ligates living tissues, and a fixing member which is movably provided at the ligating member and fixes the living tissues in a ligated state, a manipulating device having a flexible sheath and a proximal manipulating section, and a cutting member for cutting the ligating member. The cutting member is provided on the manipulating device and is movably provided on the ligating member.

Abstract: A medical ligating apparatus includes a medical ligating device having a member which is made of a flexible line and ligates living tissues, and a fixing member which is movably provided at the ligating member and fixes the living tissues in a ligated state, a manipulating device having a flexible sheath and a proximal manipulating section, and a cutting member for cutting the ligating member. The cutting member is provided on the manipulating device and is movably provided on the ligating member.

Abstract: An endoscopic instrument used to form an artificial valve for treating gastroesophageal reflux disease (GERD).

Abstract: An endoscopic instrument used to form an artificial valve for treating gastroesophageal reflux disease (GERD).

Abstract: A suturing device for an endoscope includes a curved needle rotatably attached on the distal end of the suturing device. A rotary member is provided on the rotation axis of the curved needle for rotating said curved needle and a connecting arm connects the curved needle to the rotary member. The center of curvature of the curved needle is aligned with the rotation axis of the curved needle and engaging means are provided at least at the pointed end of the curved needle for receiving thread.