Abstract: A suture instrument that is inserted into a body and ejects an elongated anchor to which a suture thread that sutures a perforation is connected and which is placed on tissue, including a base that extends from a proximal end on a hand side to a remote end that is introduced to tissue and has flexibility; an anchor holding instrument that is disposed at the remote end of the base, is capable of housing a plurality of the anchors inside, and whose distal end that ejects the anchors is approximately pointed in the direction of the proximal end of the base; a tip position changing mechanism that is provided for changing the tip position of the anchor holding instrument and causes the anchor holding instrument to move in a direction that intersects with the axial line of the lengthwise direction of the base; and a position operation device that operates the tip position changing mechanism at the hand side and operates the tip position of the anchor holding instrument.

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: This gastric therapy system includes a loop-forming member that forms a loop along a lesser-curvature-line and a greater-curvature-line in a stomach; a guide member that introduces the loop-forming member into the stomach; and a therapy section that cerclages a part of the gastric wall after looping the loop-forming member.

Abstract: A suture instrument that is inserted into a body and ejects an elongated anchor to be engaged to tissue, consisting of: an elongated member that extends from a proximal end on a hand side to a remote end that is introduced to tissue and has flexibility; a needle that is provided at the remote end of the elongated member, has at the distal end a sharp tip that is capable of puncturing tissue, is capable of housing a plurality of the anchors inside, and is provided with a side hole through which the anchors are capable of passing; a pusher whose remote end abuts the anchor that is housed in the needle and is disposed in a manner to be capable of moving in the axial direction of the elongated member; and a push-out control portion that is provided in the needle or the pusher and changes the movement direction of the anchor that has been moved to a formation position of the side hole by the pusher from the length-wise direction of the needle to a direction heading toward the side hole.

Abstract: An endoscopic treatment tool according to the present invention is an endoscopic treatment tool which is inserted into hollow organs via the mouth, nose, anus, or other natural orifice of the patient and performs suturing treatment within the hollow organs or abdominal cavities, includes: a hollow organ lining support which is smaller than the smallest diameter of a passage from a natural orifice of the hollow organ, the hollow organ lining support being able to expand so as to have a diameter larger than the smallest diameter of the passage from the natural orifice of the hollow organ.

Abstract: An over-tube for use in an endoscopic treatment in an abdominal cavity using an endoscope includes an over-tube main body which is inserted from a distal portion thereof via a natural opening in a patient's body to access the inside of the abdominal cavity from the distal portion through a lumen wall, and an internal cover which is disposed in a passage of the endoscope disposed in an inner cavity of the over-tube main body and which is extractable from a proximal portion of the over-tube main body.

Abstract: An intragastric balloon that is left in an inflated state inside a stomach includes: a balloon main body that is capable of being inflated to a predetermined size; and at least one or more internal passages that are formed in the balloon main body so as to penetrate the balloon main body, and that allow contents of the stomach to be passed.

Abstract: A tissue capturing device is formed by a substantially circular cylinder-shaped container, a filter member, and a lens member. The filter member is provided with a substantially circular plate-shaped partitioning portion, and a circular column portion that is formed substantially in the shape of a circular column and that is provided coaxially with a top surface of the partitioning portion. Recessed portions that have a sufficient size to enable them to capture biological tissue are formed in a circumferential wall portion of the circular column portion. Tissue capturing surfaces are formed in bottom surfaces of the recessed portions. A plurality of micro through holes that penetrate as far as a bottom surface of the partitioning portion are formed in the tissue capturing surfaces of the recessed portions. A lens member is also mounted on the container. The mounting position of the lens member is a position that faces the tissue capturing surfaces.

Abstract: An ultrasonic endoscope includes an insertion section, an operation section, an optical observation system, and an ultrasonic observation system. The optical observation system is disposed in the insertable section, and has an objective lens located on a face of a distal end of the insertion section. The ultrasonic observing system is disposed in the insertion section, and has an ultrasonic transducer disposed on the face of the distal end of the insertion section or further forward than the distal end.

Abstract: A fistulectomy method of forming a fistula between a first duct and a second duct includes sticking a puncture needle into the second duct from the inside of the first duct through a wall surface of the first duct and a wall surface of the second duct, arranging the puncture needle at a position of a central axis and sticking a coil needle around the puncture needle from the first duct toward the second duct to couple the first duct with the second duct, maintaining the coil needle in a state where the first duct communicates with the second duct, and forming the fistula on an inner side of the coil needle.

Abstract: This treatment device for endoscope is used for cutting body tissue while the treatment device is retractably projected from a catheter. The treatment device includes: a control wire inserted into the catheter; and a cutting electrode mounted at the distal end of the control wire with the cutting electrode being imparted a bent configuration in advance. The cutting electrode elastically deforms in a state where the cutting electrode is retracted into the catheter, thereby assuming such a shape as to resemble the configuration of the catheter.

Abstract: This capsule endoscope system includes: a capsule endoscope having an internal lumen; a catheter tube connected to the capsule endoscope; and a connection portion for connecting the distal end of the catheter tube to the capsule endoscope so that the catheter tube is communicatively connected with the internal lumen of the capsule endoscope.

Abstract: This suturing instrument has a flexible inserted portion, which is introduced into a body cavity, and a hand operated portion, which is manipulated from outside the body by the surgeon. An anchoring member, which is attached to suture material, is housed inside the puncture needle at the end of the inserted portion. A pushing member, which pushes out the anchoring member, has a structure that enables it to be inserted into the inserted portion and the hand operated portion. Further, the puncture needle communicates with a flow path inside the hand operated portion, and a gas port for supplying flow to this flow path is provided to the hand operated portion.

Abstract: A medical retainer is provided capable of independently controlling supplying air and water to a hollow organ like a stomach and a lumen of a small intestine. The medical retainer for sealing a fluid, the retainer being subject to be retained in a gastrointestinal tract of a patient, the medical retainer includes: a sealing section for sealing the fluid, the sealing section making contact with a wall of the gastrointestinal tract; a main body having passageways; and directional valves disposed in the passageways for allowing one of upward flow and downward flow of the fluid relative to the position of the retainer.

Abstract: A medical procedure through a natural body orifice according to the present invention includes: introducing a first device having an insertion portion, from a patient's natural orifice into a hollow organ; performing a first medical procedure using the first device; withdrawing the first device from the body, and introducing a second device having an insertion portion, from a patient's natural orifice into the body; and performing a second medical procedure using the second device, wherein the first medical procedure is performed prior to the second medical procedure for performing the second medical procedure.

Abstract: A medical procedure and a system are provided so that two visions are obtainable through natural orifices by means of two observational apparatuses, or one the two visions is selectable. The medical procedure through a natural orifice comprises: forming an orifice in a hollow organ by using a device inserted into the hollow organ from a natural orifice of a patient; introducing a first observation device from said orifice formed in said hollow organ into an abdominal cavity; introducing a second observation device from said orifice formed in said hollow organ into the abdominal cavity; arranging said second observation device in a position different from that of said first observation device; simultaneously or selectively displaying an image obtained from said first observation device and an image obtained from said second observation device; and performing a desired procedure in the abdominal cavity while confirming the images.

Abstract: In order to control the pressure in an abdominal cavity of a patient and a pressure in a hollow organ, a medical system includes: a first pressure sensor for measuring the pressure of a gas in the abdominal cavity; a first port for insufflating and evacuating the abdominal cavity; a second pressure sensor for measuring the pressure of a gas in the hollow organ; a second port for insufflating and evacuating the hollow organ; an air supply apparatus connected to the second port for controlling the air supply and evacuation based on the output by the first and second pressure sensors; a third port connected to the second pressure sensor in the air supply apparatus; an endoscope connected to the air supply apparatus; a pneumoperitoneum needle connected to the first port; and a puncture needle connected to the second port.

Abstract: The incision instrument of the present invention includes: a substantially rod-shaped electrode that has one end and the other end; a cable that has one end that is electrically connected to the electrode; and a connecting portion that is provided at the other end of the cable and is connectable to a high frequency power supply.

Abstract: A medical procedure performed inside an abdominal cavity includes: performing a first treatment at a target position inside the abdominal cavity by a first apparatus that has been introduced percutaneously into the abdominal cavity; and performing a second treatment, using a second apparatus that has been introduced into the abdominal cavity via a natural aperture of a living body, in cooperation with the first apparatus inside the abdominal cavity, or alternatively, performing a second treatment that is necessitated as a result of the first treatment being performed after the first treatment has been performed.

Abstract: A cap installable on a distal end portion of an endoscope according to the present invention has: a cap body that is constituted by a hollow member having a distal end opening and a proximal end opening, and has a proximal end portion to be installed on the distal end portion of the endoscope; a first slit that is formed in the cap body and into which tissue is to be drawn, and that extends in a first direction from the distal end opening; and a second slit that is formed in the cap body and into which tissue is to be drawn, and that is connected to the first slit and extends in a second direction differing from the first direction.