Abstract: An automatic needle mover (1) for moving a medical threaded needle includes: two shafts (a first shaft (11) and a second shaft (12)) extending in the same direction and slidable relative to each other along a longitudinal direction; a needle holding portion (a second needle support portion (22)) provided on one end side of the second shaft (12); a needle-receiving portion (a first needle support portion (21)) provided on one end side of the first shaft (11); and a handle (30) serving as a control portion for controlling the sliding of the two shafts. The needle holding portion has a first groove portion provided in a first claw portion protruding in a direction intersecting the longitudinal direction of the shafts. The needle-receiving portion has a second groove portion provided in a second claw portion protruding in a direction intersecting the longitudinal direction of the shafts.

Abstract: An operating portion which allows a bending treatment instrument to be inserted into an endoscope channel and bendably operated smoothly through intuition. The operating portion is connected with a device wire and bending wires and used to operate the treatment instrument and bend a freely bendable, bending treatment instrument, where the device wire is connected to a treatment instrument provided at a distal end of the bending treatment instrument and is used to operate the treatment instrument and the plurality of bending wires is used to bend the bending treatment instrument, the operating portion including: an operating portion body; a guide unit penetrated by the device wire; a bending wire pulling unit connected with the bending wires and swingably assembled onto the guide unit; and a grip portion connected with the device wire and configured to be reciprocable in an axial direction of the bending wire pulling unit.

Abstract: A fixing device for an endoscope that allows easy detachment of the endoscope from an endoscope holder even with the endoscope kept inserted in a body cavity is provided. A fixing device for fixing an endoscope capable of observing an operative site in a body cavity using an endoscope having an insertion portion to be inserted into the body cavity and an endoscope body attached at an end of the insertion portion. The fixing device includes a holder body which is attached to a fixing stand placed on a floor and holds the endoscope body in a rotatable manner. The holder body includes a detaching mechanism that allows the endoscope body to be detached from the holder body while keeping the insertion portion inserted in the body cavity.

Abstract: A fixing stand to which an endoscope body and treatment instruments can be easily attached in an easy-to-operate manner and which facilitates increase or decrease in the number of such items is provided. A fixing stand includes legs and a fixing stand body erected on the legs, the fixing stand allowing at least one or more of an endoscope body of an endoscope and an operation input portion of a treatment instrument for use in a surgery to be attached to the fixing stand in a detachable manner. The endoscope body and the operation input portion are attached to fixtures which are disposed side by side substantially horizontally to the direction in which the fixing stand is erected. The fixtures are detachably attached to a fixing base which extends substantially horizontally to the fixing stand body. A hanger component is further attached to the fixing base.

Abstract: A puncture assistance system provides information on a collapse state of a blood vessel to be punctured, caused by pressing action of an ultrasonic probe, when ultrasonic images of the blood vessel are acquired. A puncture assistance system 10 includes: vascular diameter detecting means 18 for detecting a vascular diameter during acquisition of the ultrasonic images from an ultrasonic diagnostic device 11; puncture assistance information generating means 12 for generating puncture assistance information for determination of whether or not puncture is allowed to be performed based on a collapse state of a blood vessel B caused by pressing action of an ultrasonic probe 15 against skin S by comparing a current vascular diameter detected by the vascular diameter detecting means 18 with a standard vascular diameter stored in advance; and a monitor 19 that presents the puncture assistance information.

Abstract: An operating portion which allows a bending treatment instrument to be inserted into an endoscope channel and bendably operated smoothly through intuition. The operating portion is connected with a device wire and bending wires and used to operate the treatment instrument and bend a freely bendable, bending treatment instrument, where the device wire is connected to a treatment instrument provided at a distal end of the bending treatment instrument and is used to operate the treatment instrument and the plurality of bending wires is used to bend the bending treatment instrument, the operating portion including: an operating portion body; a guide unit penetrated by the device wire; a bending wire pulling unit connected with the bending wires and swingably assembled onto the guide unit; and a grip portion connected with the device wire and configured to be reciprocable in an axial direction of the bending wire pulling unit.

Abstract: A hinge member of a bending treatment instrument in an endoscope channel and used bendably and capable of withstanding loads from grasping and resection motions of treatment instruments and a bending treatment instrument that uses the hinge member. Tubular hinge members arranged in a row substantially coaxially with one another make up the instrument and a hinge member includes: two recesses on edges of an end face on a proximal side in an axial direction; and two projections on an edge of an end face on a distal side shifted 90 degrees in a circumferential direction from the recess and facing each other in radial direction, wherein a bending-wire passage hole penetrating the hinge member in the axial direction is at a position avoiding the projections on the end face on the distal side, and a device-wire passage hole penetrating an axial center portion.

Abstract: A puncture assistance system provides information on a collapse state of a blood vessel to be punctured, caused by pressing action of an ultrasonic probe, when ultrasonic images of the blood vessel are acquired. A puncture assistance system 10 includes: vascular diameter detecting means 18 for detecting a vascular diameter during acquisition of the ultrasonic images from an ultrasonic diagnostic device 11; puncture assistance information generating means 12 for generating puncture assistance information for determination of whether or not puncture is allowed to be performed based on a collapse state of a blood vessel B caused by pressing action of an ultrasonic probe 15 against skin S by comparing a current vascular diameter detected by the vascular diameter detecting means 18 with a standard vascular diameter stored in advance; and a monitor 19 that presents the puncture assistance information.

Abstract: To provide a treatment instrument that combines a capability to grip a target tissue and a capability to resect and ablate the target tissue without the need to interchange left and right devices or adjust a field of view of an endoscope, which can reduce burden on a surgeon. A high frequency forceps includes a pair of forceps pieces configured to open and close on a pivot and equipped with incision blades adapted to pass a high-frequency current to a living tissue, in which the incision blades are formed, respectively, on opposite faces of the pair of forceps pieces, extending from a side of the pivot to a distal side; and the incision blades are spaced away from each other when the pair of forceps pieces is closed.

Abstract: Provided is a bendable treatment instrument that enables an individual doctor who is performing an endoscopic procedure to reliably and intuitively manipulate forceps, a knife, or the like. A bendable treatment instrument (1) includes a mechanism connecting, via a flexible tube body (4) encasing a transmission member, a bending section (3) configured to perform a bending action and a manipulation member (8) configured to receive a manipulation with respect to the bending section (3) from an operator. The mechanism is capable of transmitting a manipulation by the manipulation member (8) to the bending section (3). The bendable treatment instrument further includes a support member (7) configured to support the manipulation member (8) while clasping the flexible tube body (4), and a rotation support member (11) configured to support the manipulation member (8) so as to allow the manipulation member (8) to axially rotate with respect to the flexible tube body (4) at the support member (7).