Abstract: A puncture apparatus is disclosed, which can include a first puncture needle having a first needle tip and configured to puncture a living body tissue, a shaft interlocked to the first puncture needle, a second puncture needle having a second needle tip and configured to puncture a living body tissue, the second needle tip being oriented in a direction different from a direction in which the first needle tip is oriented, the second puncture needle being disposed so as to be movable relative to the first puncture needle in a proximal direction of the first puncture needle, and a moving section moving the second puncture needle relative to the first puncture needle in the proximal direction of the first puncture needle.

Abstract: A medical tube is disclosed, which includes a tubular main body curved in a circular arc shape. The main body has a flat shape as a cross-sectional shape at a central portion in the longitudinal direction thereof. The main body has a flat shape including a minor axis and a major axis as a cross-sectional shape at the central portion in the longitudinal direction thereof. The angle formed between the minor axis and a plane containing both a center point of the circular arc in the central portion and a center point of the cross-sectional shape with respect to the longitudinal direction of the main body is an acute angle. The angle is preferably 20° to 60°. The medical tube thus configured is for use in treatment of a disorder in a pelvic organ, by indwelling an implant between a urethral lumen and a vaginal cavity.

Abstract: A puncture device is disclosed, which can include a puncture needle curved in an arc, turnably supported around an axis (J1) as a turning center, and having a needle tip which punctures a living body when the puncture needle is turned; a urethral insertion member having a urethral insertion portion of a linear shape which is inserted into the urethra; and a frame capable of connecting the puncture needle and the urethral insertion member to each other, the frame turnably supporting the puncture needle. When the puncture needle is turned, the needle tip of the puncture needle has a locus (plane f9), which is inclined by an inclination angle (?2) of 20 to 60 degrees with respect to a plane (f2) orthogonal to the urethral insertion portion.

Abstract: A medical tube is disclosed, which can include a main body in which a distal portion of a tubular proximal separable piece is detachably connected to a proximal portion of a tubular distal separable piece; and a state maintaining mechanism for maintaining a connected state of the distal separable piece and the proximal separable piece. In addition, the main body is inserted into a body starting from the distal separable piece side, and is disposed inside the body in a state in which a distal end and a proximal end thereof are exposed outside of the body. In addition, the state maintaining mechanism can include a string which is disposed inside the main body and interlocks the distal separable piece and the proximal separable piece, and the connected state can be released by cutting the string.

Abstract: A medical device is disclosed, which includes a urethral insertion member and a vaginal insertion member which are inserted into the urethra and the vagina positioned adjacent each other, respectively, with a biological tissue interposed therebetween, a puncture needle disposed for movement for passing the biological tissue between the urethra and the vagina, a supporting member which supports the puncture needle for movement and supports the urethral insertion member and the vaginal insertion member thereon, a dissection portion which dissects, when the puncture needle moves, the biological tissue in accordance with the movement, and a restriction mechanism which restricts the dissection portion such that the direction in which the dissection portion dissects the biological tissue is fixed with respect to the urethral insertion portion and the vaginal insertion portion.

Abstract: A puncture device, a puncture apparatus, and a method are disclosed, the puncture apparatus including a puncture device for puncturing a biological tissue, a urethral-insertion member, a vaginal insertion member, and a supporting member which supports the urethral-insertion member, vaginal insertion member and a puncture member of the puncture device. The puncture device includes a puncture needle for puncturing a biological tissue, a shaft portion and a connection portion for connecting the puncture needle and the shaft portion to each other, and an implant assembly positioned at a distal end of the puncture needle and having a needle tip portion for puncturing a biological tissue and a biological tissue supporting implant. The puncture needle has a form of a pipe and has a tubular portion. The biological tissue supporting implant is accommodated in the hollow portion.

Abstract: A puncture device and method are disclosed, the puncture device includes a puncture member having a puncture needle for puncturing a biological tissue, a shaft portion, and a connection portion for connecting the puncture needle and the shaft portion to each other. The puncture needle includes a needle main body for puncturing the biological tissue, and an extension needle provided for movement relative to the needle main body along a longitudinal direction of the needle main body and configured to puncture the biological tissue. The puncture device includes, as extension means for moving the extension needle in a direction toward the distal end of the needle main body with respect to the needle main body to extend the puncture needle, and/or a pusher for pushing the extension needle to move in the direction toward the distal end of the needle main body.

Abstract: A tissue separation device includes: a sheath; a tube having a deformation part; a restriction member; and an inner structure. The tissue separation device is used in an assembled state where the tube is movably inserted in the sheath, the restriction member is inserted in the tube, and the inner structure is movably inserted in the restriction member. The inner structure includes: wires and which are expandable and contractible; an operation unit which operates expansion of the wires; a tubular body; and a traction shaft. The wires are expanded by being curved so as to protrude in opposite directions. When dissecting a biological tissue, the wires in an expanded state are moved within the tube in relation to the tube, without moving the tube relative to the living body.

Abstract: An expansion instrument includes an elongated vaginal-insertion member insertable into the vaginal lumen which is adjacent the urethral lumen with biological tissue interposed between the two, an elongated urethral-insertion member insertable into the urethral lumen, an interlock device interlocking the vaginal-insertion member and the urethral-insertion member to allow the insertion members to be brought closer together and brought farther apart, and a vaginal-side restriction that restricts the positional relationship, with respect to the biological tissue, of the vaginal-insertion member after being inserted into the vaginal lumen.

Abstract: A puncture apparatus is disclosed, which includes a freely rotatable puncture member possessing a distal end portion and a proximal end portion, the puncture member including a bent region at which the puncture member is bent, the distal end portion of the puncture member including a puncture needle for puncturing living body tissue as the puncture member is rotated about a rotation center to rotate a needle tip of the puncture needle toward the living body tissue to puncture the living body tissue; and an elongated urethral-insertion member configured to be inserted into a urethra so that a near-side of the urethral-insertion member is the side of the urethral-insertion member located closer to the rotation center, and the far-side of the urethral-insertion member is the side of the urethral-insertion member located farther from the rotation center.

Abstract: A puncture device is disclosed, which can include a puncture needle curved in an arc, turnably supported around an axis (J1) as a turning center, and having a needle tip which punctures a living body when the puncture needle is turned; a urethral insertion member having a urethral insertion portion of a linear shape which is inserted into the urethra; and a frame capable of connecting the puncture needle and the urethral insertion member to each other, the frame turnably supporting the puncture needle. When the puncture needle is turned, the needle tip of the puncture needle has a locus (plane f9), which is inclined by an inclination angle (?2) of 20 to 60 degrees with respect to a plane (f2) orthogonal to the urethral insertion portion.

Abstract: An insertion tool is disclosed, which includes a urethral insertion portion of a longitudinal shape configured to be inserted into a urethra, and a vaginal insertion portion of a longitudinal shape configured to be inserted into a vagina. A distal end portion of the vaginal insertion portion is inclined with respect to the urethral insertion portion in a direction in which the distal end portion of the vaginal insertion portion is spaced away from the urethral insertion portion.

Abstract: A medical tube is disclosed, which can include a main body in which a distal portion of a tubular proximal separable piece is detachably connected to a proximal portion of a tubular distal separable piece; and a state maintaining mechanism for maintaining a connected state of the distal separable piece and the proximal separable piece. In addition, the main body is inserted into a body starting from the distal separable piece side, and is disposed inside the body in a state in which a distal end and a proximal end thereof are exposed outside of the body. In addition, the state maintaining mechanism can include a string which is disposed inside the main body and interlocks the distal separable piece and the proximal separable piece, and the connected state can be released by cutting the string.

Abstract: A medical tube is disclosed, which includes a tubular main body curved in a circular arc shape. The main body has a flat shape as a cross-sectional shape at a central portion in the longitudinal direction thereof. The main body has a flat shape including a minor axis and a major axis as a cross-sectional shape at the central portion in the longitudinal direction thereof. The angle formed between the minor axis and a plane containing both a center point of the circular arc in the central portion and a center point of the cross-sectional shape with respect to the longitudinal direction of the main body is an acute angle. The angle is preferably 20° to 60°. The medical tube thus configured is for use in treatment of a disorder in a pelvic organ, by indwelling an implant between a urethral lumen and a vaginal cavity.

Abstract: An insertion tool is disclosed, which includes an elongate vaginal insertion portion configured to be inserted into a vagina; an elongate urethral insertion portion configured to be inserted into a urethra; and a supporting portion configured to support the vaginal insertion portion and the urethral insertion portion thereon. In a mounted state of the insertion tool in which the vaginal insertion portion is inserted in the vagina and the urethral insertion portion is inserted in the urethra, a puncture needle can puncture a vaginal wall from an outside of a body through a space defined by the vaginal insertion portion, the urethral insertion portion and the supporting portion.

Abstract: A medical device is disclosed, which includes a urethral insertion member and a vaginal insertion member which are inserted into the urethra and the vagina positioned adjacent each other, respectively, with a biological tissue interposed therebetween, a puncture needle disposed for movement for passing the biological tissue between the urethra and the vagina, a supporting member which supports the puncture needle for movement and supports the urethral insertion member and the vaginal insertion member thereon, a dissection portion which dissects, when the puncture needle moves, the biological tissue in accordance with the movement, and a restriction mechanism which restricts the dissection portion such that the direction in which the dissection portion dissects the biological tissue is fixed with respect to the urethral insertion portion and the vaginal insertion portion.

Abstract: A tube assembly is disclosed which includes an elongated medical tube and a medical elongated body insertable in the medical tube and higher than the medical tube in rigidity and which is used in an assembled state with the medical elongated body inserted in the medical tube to be assembled together. The tube assembly further includes a puncturing section adapted to puncture a living body; a dissecting section adapted to dissect the living body as the puncturing section punctures the living body; and a rotation restraining section adapted to restrain the medical tube from rotating about its axis in relation to the medical elongated body in the assembled state.

Abstract: A puncture needle guiding device is disclosed, which can include a casing; an ultrasound transmission-reception unit which is disposed inside the casing and which transmits and receives ultrasound; and a guide groove which is provided in the casing and which guides a curved puncture needle adapted to puncture a subject body.

Abstract: A medical device is disclosed which connects an overactive tissue suffering from positional displacement in a living body to a less active tissue having a range of movement smaller than that of the overactive tissue to correct the positional displacement. The medical device can include an elongated insertion tool including an observation portion configured to observe a distal end side of the medical device using an imaging device, and a guide portion configured to guide a treatment tool, which is to be used to carry out treatment for the less active tissue, to the proximity of the less active tissue, the insertion tool having a dissection function for dissecting a biological tissue when the insertion tool is inserted into the living body from the outside of the living body and advances toward the less active tissue in the living body.

Abstract: Disclosed herein is a medical device including: a positioning catheter to be inserted into a blood vessel in the vicinity of an affected region; a treatment catheter to be inserted to reach the affected region; and attracting means provided at respective predetermined positions of both the catheters to apply a magnetic force in a direction of attracting each other; wherein the magnetic force of the attracting means restricts floating of the treatment catheter.