Abstract: An endoscopic treatment method includes: inserting an endoscope into a digestive tract; forming a damaged area in at least a portion of the digestive tract along a circumferential direction by performing cauterizing while keeping a mucosal layer by observing with the endoscope; and forming an incomplete stenosis in the digestive tract, while restoring the damaged area, wherein the damaged area is formed by causing damage to a mucosal base layer, the mucosal base layer having an interface that contacts a submucosal layer.

Abstract: A traction tool for performing traction, of a suture thread under a flexible endoscope is provided. The traction toot includes a first holder configured to hold the suture thread or a suture needle attached to the suture thread; a second holder having an engaging surface configured to engage the suture, thread such that the suture thread is capable of advancing and retracting and configured to release an engagement with the suture thread; and a guide member holding the first holder and the second holder such that the first holder and the second holder are relatively movable.

Abstract: A clip unit includes: an arm portion including arms extending from a proximal end portion to a distal end portion so as to be openable and closeable; a holder than can hold the arms in a closed state by accommodating the proximal end portion of the arm portion; and a thread grip attached to at least one of the arms and positioned between the arms. In a state where the arms are spread open, a dimension of the thread grip in the opening/closing direction of the arms is equal to or larger than a distance between the arms in the closed state. The thread can be elastically deformed in the closed state.

Abstract: A treatment device includes a pipeline having electrical insulation, the pipeline having an internal space through which inert gas passes; a distal-end tip attached to a distal end of the pipeline, the distal-end tip having an opening formed to communicate with the internal space such that the inert gas is disposable from the opening; and an electrode provided in the distal-end tip and configured to be energizable with a high-frequency current. The pipeline includes a proximal-end bending portion with a bending habit, and a distal-end flexible portion without a bending habit that is disposed distal to the proximal-end bending portion.

Abstract: A treatment device and an endoscopic treatment method are disclosed. The treatment device includes a first pipeline that is made of material having electrical insulation, and includes an internal space; an electrode that is energizable with high frequency current; a distal-end tip that is attached to a distal end of the first pipeline, and includes a distal-end opening in communication with the internal space of the first pipeline; and a second pipeline that is inserted through the first pipeline and through which liquid can pass. The endoscopic treatment method includes puncturing a treatment target and performing a local injection using the treatment device.

Abstract: An ablation treatment device for ablating treatment procedure used with endoscope device is disclosed. The ablation treatment device is inserted through the endoscope device and protruded into the human body, where the equipped neutral electrode and a gas channel for injecting inert gas is protruded. Together with another gas channel formed on the endoscope device, two types of gases are injected into the human body together with application of high frequency currents to perform ablation procedure. The ablation treatment device is controlled through a control circuit that administers control of the injection of the gases and application of high frequency currents.

Abstract: A tissue traction device includes a first needle connected to a distal end of a first thread; a second needle connected to a distal end of a second thread; an elongated main body connected to the first thread and extending between the first thread and the second thread, the main body including a first hole; and a tube disposed at a proximal end of the main body, wherein the second thread is inserted through the first hole to be advanceable and retractable at a position between the second needle and a distal end of the tube, and the tube and the second thread are configured to be relatively movable in a longitudinal direction of the tube.

Abstract: A tissue traction device includes a first needle connected to a distal end of a first thread; a second needle connected to a distal end of a second thread; an elongated main body connected to the first thread and extending between the first thread and the second thread, the main body being elastically deformable; a tube disposed at a proximal end of the main body; and a traction member having a distal end connected to a distal end portion of the main body, the traction member extending from the distal end portion of the main body toward a distal end of the tube.

Abstract: In a method for treating gastroesophageal reflux disease, an insertion portion of an endoscope is inserted from a cardia into a stomach. A distal end portion can be bent to position a cardiac region and a cautery unit in a field of view of an observation mechanism. The cautery unit can be brought into contact with a first region of a stomach wall around the cardia to cauterize the first region without removing a mucosal layer thereof while the cautery unit and a proximal portion of the insertion portion proximal of the bend are separated from each other by a predetermined distance or more. A position of the cautery unit with respect to the stomach wall can be changed while the separation state is maintained to bring the cautery unit into contact with and cauterize a second region of the stomach wall without removing a mucosal layer thereof.

Abstract: An endoscopic treatment method includes: inserting an endoscope into a digestive tract; forming a damaged area in at least a portion of the digestive tract along a circumferential direction by performing cauterizing while keeping a mucosal layer by observing with the endoscope; and forming an incomplete stenosis in the digestive tract, while restoring the damaged area, wherein the damaged area is formed by causing damage to a mucosal base layer, the mucosal base layer having an interface that contacts a submucosal layer.

Abstract: A tissue collector includes: an elongated sheath; a bag; a wire bending portion; and an extending portion which is arranged at the distal end portion of the sheath so as to protrude forward from the distal end portion along the longitudinal axis and enter an inside of the bag. The extending portion intersects with the opening surface that is defined by an opening end of the opening portion. The extending portion is configured to be capable of extending inside the bag from an opening surface toward the bottom portion.

Abstract: A clip unit includes: an arm portion including arms extending from a proximal end portion to a distal end portion so as to be openable and closeable; a holder than can hold the arms in a closed state by accommodating the proximal end portion of the arm portion; and a thread grip attached to at least one of the arms and positioned between the arms. In a state where the arms are spread open, a dimension of the thread grip in the opening/closing direction of the arms is equal to or larger than a distance between the arms in the closed state. The thread can be elastically deformed in the closed state.

Abstract: In an endoscopic treatment method, a damaged area is formed in at least a portion of a digestive tract along a circumferential direction. The damaged area is formed by performing thermal ablation of mucosal layer and not removing the mucosal layer. An incomplete stenosis is formed in the digestive tract during restoration of the damaged area.

Abstract: A mucous membrane lifting instrument includes: a tubular hood having a proximal end attachable to a distal end of an endoscope; a first band having an elasticity, and arranged on an outer peripheral surface of the hood in a stretched state; a second band having an elasticity, and arranged on the outer peripheral surface of the hood in a stretched state at a position proximal of the first band; and a linear member that is connected to the first band, and passes between the outer peripheral surface of the hood and the second band.

Abstract: In an endoscopic treatment method, a damaged area is formed in a digestive tract at least a portion in a circumferential direction of the digestive tract, the damaged area being formed by ablating mucosal layer while remaining the mucosal layer, and an incomplete stenosis is formed in the digestive tract, during performance of a process of restoration of the damaged area.

Abstract: An endoscope auxiliary tool includes a first support section which is formed to extend along a longitudinal axis, a second support section which is formed substantially in parallel to the longitudinal axis of the first support section, a first protrusion section and a second protrusion section which are formed at distal end sections of the first support section and the second support section, respectively, and disposed more distal than the distal end section of the endoscope to sandwich an axis of a channel having an opening at the distal end section of the endoscope, and a positioning section which is configured to position the first protrusion section and the second protrusion section with respect to the distal end section of the endoscope such that the first support section and the second support section are inclined to the axis of the channel.

Abstract: A tissue collector includes: an elongated sheath; a bag; a wire bending portion; and an extending portion which is arranged at the distal end portion of the sheath so as to protrude forward from the distal end portion along the longitudinal axis and enter an inside of the bag. The extending portion intersects with the opening surface that is defined by an opening end of the opening portion. The extending portion is configured to be capable of extending inside the bag from an opening surface toward the bottom portion.

Abstract: A medical device includes a long shaft member, a curved portion configured to be curved, a support member that is configured to be deformed along a curved shape of the curved portion, a guide member that extends from a distal end of the curved portion, and a linear member that includes a connection portion connected to the guide member, the linear member being inserted into the support member, and that pulls the guide member in accordance with a change of the curved shape. A central axis of the guide member is positioned apart from the central axis of the support member. The linear member which protrudes from the support member is inclined with respect to a longitudinal axis of the guide member and is connected to the connection portion.

Abstract: An endoscopic device includes a longitudinal member, a pair of jaws installed at a distal end of the longitudinal member and configured to be freely opened and closed, a first grasping member supported by a first jaw of the pair of jaws, a second grasping member supported by a second jaw of the pair of jaws, the second body having a wire shape, flexibility, and being curved in a loop shape, a long operating transmission member having a distal end portion connected to the pair of jaws and installed to advance and retreat along a longitudinal axis of the longitudinal member, and an open-close operating portion installed at a proximal end portion of the operating transmission member and configured to be manipulated to open and close the pair of jaws.

Abstract: An endoscopic device includes a longitudinal member, a pair of jaws installed at a distal end of the longitudinal member and configured to be freely opened and closed, a first grasping member supported by a first jaw of the pair of jaws, a second grasping member supported by a second jaw of the pair of jaws, the second body having a wire shape, flexibility, and being curved in a loop shape, a long operating transmission member having a distal end portion connected to the pair of jaws and installed to advance and retreat along a longitudinal axis of the longitudinal member, and an open-close operating portion installed at a proximal end portion of the operating transmission member and configured to be manipulated to open and close the pair of jaws.