Abstract: A resin multilayer substrate includes a multilayer body including resin base-material layers laminated in a thickness direction and a circuit conductor therein, an end-surface ground conductor provided directly on each end surface of the multilayer body in the thickness direction, an adhesion layer on a side surface of the multilayer body, and a side-surface ground conductor on the adhesion layer. The end-surface and side-surface ground conductors are made of a ground conductor material with a coefficient of thermal expansion whose difference from a coefficient of thermal expansion of the resin base-material layers in a plane direction is smaller than a difference from a coefficient of thermal expansion of the resin base-material layers in the thickness direction. The adhesion layer is made of a material with higher adhesiveness to the side surface of the multilayer body than adhesiveness of the ground conductor material.

Abstract: A multilayer substrate includes a multilayer body in which insulating layers are laminated in a laminating direction, a front electrode that is provided on a front surface side of a first insulating layer which is positioned on a front surface side of the multilayer body among the insulating layers, a first internal electrode that is provided on an opposite side to the front electrode with the first insulating layer interposed therebetween, and a first interlayer connection conductor that electrically connects the front electrode and the first internal electrode with each other. The first interlayer connection conductor includes a front side connection surface that is electrically connected with the front electrode and a back side connection surface that is electrically connected with the first internal electrode.

Abstract: A medical device capable of safely cutting a lesion area with relatively high accuracy while supplying a liquid into a body and discharging a cut object. The medical device that removes an object in a body lumen includes: a rotatable drive shaft; a cutting portion fixed to a distal portion of the drive shaft and configured to cut the object; an outer tubular shaft configured to rotatably accommodate the drive shaft; and a handle, in which the outer tubular shaft includes a tubular inner layer and a tubular outer layer fixed to the inner layer and surrounding the inner layer, a first lumen is formed between the outer layer and the inner layer, a second lumen is formed between the inner layer and the drive shaft, and the outer tubular shaft is rotatable with respect to the handle.

Abstract: Provided are a bearing and a medical device in which a gap is secured between an inner ring and an outer ring, and the gap can be used as a flow path for a fluid or an object. A bearing having a plurality of rolling elements between an inner ring and an outer ring is provided with a raceway surface on which the rolling elements roll on the outer ring and receiving portions for rotatably accommodating the rolling elements at a position of the inner ring facing the raceway surface.

Abstract: A medical device that reduces stress concentration on a part of a drive shaft and has stable rotation and durability. The medical device that removes an object in a body lumen includes: a rotatable drive shaft; a driving portion configured to apply torque to a proximal portion of the drive shaft and having a specified rated rotation direction; a cutting portion fixed to a distal portion of the drive shaft and configured to cut the object; an outer tubular shaft rotatably accommodating the drive shaft, in which the drive shaft includes a proximal coil and a distal coil disposed on a distal side with respect to the proximal coil, and the distal coil is more deformable in a radial direction than the proximal coil by receiving load torque while the drive shaft is rotating in the rated rotation direction.

Abstract: A medical device includes: a drive shaft that is rotatable; a drive unit that is connected to a proximal portion of the drive shaft and rotates the drive shaft; a housing that accommodates the proximal portion of the drive shaft; and a handle portion that accommodates the drive unit and the housing, in which the housing includes an accommodation portion that is provided therein, a shaft support that is disposed in the accommodation portion and has a lumen through which the proximal portion of the drive shaft is inserted, and an elastic body that is disposed between an outer peripheral surface of the shaft support and an inner peripheral surface of the accommodation portion, and since an outer diameter of the shaft support is smaller than an inner diameter of the accommodation portion, the shaft support is movable in the accommodation portion.

Abstract: A medical device that cuts an object in a body lumen includes: a drive shaft; a shaft portion connected to the drive shaft; a cutting portion connected to the shaft portion; and first and second bearings that rotatably support the shaft portion. The first bearing has a ring shape, the second bearing has a ring shape and is spaced from a proximal side of the first bearing. The shaft portion includes a first sliding portion slidably supported by the first bearing, a second sliding portion slidably supported by the second bearing, and an intermediate portion between the first and second sliding portions. The intermediate portion has a protruding portion protruding radially outward, the protruding portion is disposed between the first bearing (81) and the second bearing in an axial direction, and the shaft portion has a passage that communicates from the first sliding portion to the second sliding portion).

Abstract: A medical device and a treatment method are disclosed, which can improve safety by reducing damage to a biological tissue while an object inside a biological lumen can be cut. A medical device is disclosed for cutting an object inside a biological lumen includes a rotatable drive shaft, and a rotary structure that interlocks with a distal side of the drive shaft so as to be rotated by the drive shaft. The rotary structure has a cutting portion for cutting the object, and a non-cutting portion capable of smoothly coming into contact with a biological tissue. The non-cutting portion is located in a maximum outer diameter portion of the rotary structure.

Abstract: A transmission line component includes an insulation substrate, signal line conductors, and a common-mode choke coil. The insulation substrate is made of a flexible material, and has a shape extending in a first direction. The signal line conductors are on or in the insulation substrate, and extend mainly in the first direction. The common-mode choke coil includes linear conductors on or in the insulation substrate, and is connected to the signal line conductors. The insulation substrate includes a first signal line portion in which the signal line conductors are provided, and a coil portion in which the common-mode choke coil is provided in the first direction. The insulation substrate includes a bent portion in the first signal line portion.

Abstract: A method is disclosed comprising: introducing a treatment member into a living body and positioning the treatment member adjacent substance in the living body to be ground; moving the treatment member in at least a clockwise direction or a counterclockwise direction about a central axis, which is different from an axis of rotation of the treatment member while the treatment member is positioned adjacent the substance to be ground in the living body to grind the substance; and shearing debris resulting from the grinding of the substance to reduce a size of the debris.

Abstract: A medical device for cutting an object in a body lumen includes: a tubular drive shaft; a cutting unit fixed to a distal portion of the drive shaft; a protective tubular main body accommodated in the drive shaft and the cutting unit and rotatable relative to the drive shaft; and a protective-side stopper disposed on an outer peripheral surface of a distal portion of the protective tubular main body. The distal portion of the drive shaft or the cutting unit has a drive-side stopper contactable with the protective-side stopper. By the protective-side stopper coming into contact with the drive-side stopper, the protective tubular main body is restrained from moving axially with respect to the drive shaft without being restrained from rotating relative to the drive shaft.

Abstract: A medical device has a rotatable drive shaft, a rotary body whose distal end includes a cutting edge for applying a cutting force to a stenosed site, and that is disposed on a distal side of the drive shaft so as to be rotated in conjunction with rotation of the drive shaft, and a distal member disposed in the rotary body. The distal member has a support portion extending to a distal side beyond a distal end of the rotary body, and configured to be capable of supporting the rotary body with respect to a blood vessel. The support portion is configured so that a distance from the rotary body is variable in a first direction (height direction) in which the rotary body is moved close to the stenosed site.

Abstract: A medical device has a rotatable drive shaft, a rotary body that includes a cutting edge for applying a cutting force to a stenosed site, and that is disposed on a distal side of the drive shaft so as to be rotated in conjunction with rotation of the drive shaft, a switching portion whose distal end is disposed at a position protruding from the cutting edge, and a holding portion that holds the switching portion so as to move the switching portion on the same plane as the cutting edge or to a position away from the stenosed site beyond the cutting edge in accordance with a pushing force, when the switching portion is pushed against the stenosed site.

Abstract: A medical device is disclosed which can be inserted into a biological lumen to effectively cut and remove an object. The medical device includes a drive shaft, a cutting portion fixed to a distal portion of the drive shaft, an outer tube that accommodates the drive shaft, and a handle unit disposed in a proximal portion of the drive shaft and the outer tube. The handle unit has an aspiration port. The aspiration port communicates with an aspiration lumen disposed between the outer tube and the drive shaft. The drive shaft has a first wire rod helically wound around an axis of the drive shaft. A helical winding direction of the first wire rod wound toward a proximal end direction of the drive shaft is a reverse direction of a rotation direction of the drive shaft. The first wire rod directly faces an inner peripheral surface of the outer tube.

Abstract: A device handle is disclosed for grinding substances inside a body lumen, the device handle comprising: a high-speed drive source configured to rotate a treatment member connected to a distal end of a drive shaft; and a low-speed drive source connected to a revolution shaft, and wherein the revolution shaft is configured to cause the treatment member to move about a central axis of the revolution shaft, and wherein the central axis of a proximal portion of the revolution shaft is different from a central axis of the treatment member.

Abstract: A medical device and can remove an object inside a biological lumen while allowing a positional change of the device inside the biological lumen. The medical device includes a drive shaft, an outer tube accommodating the drive shaft, a cutting portion fixed to a distal portion of the drive shaft, and a hub unit housing proximal portions of the drive shaft and the outer tube. The hub unit has an operation unit fixed to the outer surface of the outer tube to rotate the outer tube, a first support portion rotatably supporting the operation unit, a first housing having an aspiration port for discharging fluid to outside, and causing communication of an aspiration lumen of the outer tube with the aspiration port, and a first seal between the first housing and the outer tube. The first support portion and the first seal are disposed in parallel along an axial direction.

Abstract: A control apparatus and a control method which are capable of suppressing appearance of a thrombus inside a medical device during a period other than the treatment period. The medical device includes a treatment unit configured to treat an object in a biological lumen. The control apparatus includes an aspiration source or a liquid delivering source connected to the medical device, and a control unit configured to control a flow rate of a fluid flowing inside the medical device. The control unit causes the fluid to flow inside the medical device at a constant flow rate during a treatment period of the treatment unit, and causes the fluid to flow inside the medical device at a flow rate lower than the constant flow rate during a period other than the treatment period, while the medical device is inserted into a living body.

Abstract: A medical device is able to achieve a high aspiration pressure while also effectively transmitting rotational torque to a cutting portion to remove an object inside a biological lumen. The medical device includes a drive shaft, an outer tube accommodating the drive shaft, a cutting portion fixed to the drive shaft, and a hub unit. The hub unit has a first housing with an aspiration port, a second housing with a liquid delivering port, and first and second seal portions disposed between the second housing and the drive shaft. The first seal portion has a first frictional coefficient, and the second seal portion has a second frictional coefficient. The first frictional coefficient is lower than the second frictional coefficient, and the first seal portion is located on a distal side of the second seal portion.

Abstract: A medical device for grinding substance inside a body lumen includes a rotatable tubular drive shaft, a treatment member connected to the drive shaft, and a tubular member possessing an axially extending lumen that extends throughout the tubular member. The tubular member is mounted on the treatment member and surrounds a portion of the treatment member so that the treatment member is rotatable relative to the tubular member. The treatment member includes a shearing portion, and the tubular member includes a protrusion that projects toward the lumen of the tubular member. The protrusion is located axially in front of the shearing portion and interacts with the shearing portion during relative rotation between the treatment member and the tubular member to shear debris resulting from the grinding of the substance.

Abstract: A medical device for grinding substance inside a body lumen includes a rotatable tubular drive shaft, a treatment member connected to the drive shaft, and a tubular member possessing an axially extending lumen that extends throughout the tubular member. The tubular member is mounted on the treatment member and surrounds a portion of the treatment member so that the treatment member is rotatable relative to the tubular member. The treatment member includes a shearing portion, and the tubular member includes a protrusion that projects toward the lumen of the tubular member. The protrusion is located axially in front of the shearing portion and interacts with the shearing portion during relative rotation between the treatment member and the tubular member to shear debris resulting from the grinding of the substance.