Abstract: Provided are a surgical apparatus for an endoscope and an exterior tube that can supply a pneumoperitoneum gas into a body cavity without causing degradation of operability. An exterior tube is sheathed to an outer tube insertion part of an outer tube that is inserted into a body cavity through a body wall and guides an endoscope and a treatment tool into the body cavity, and an outer peripheral surface of the exterior tube is provided with a locking part that restricts the forward and backward movement of the exterior tube with respect to the body wall and the rotation of the exterior tube around an axis. A gap between an inner peripheral surface of the exterior tube and an outer peripheral surface of the outer tube insertion part is used as an air supply passage for supplying the pneumoperitoneum gas within the body cavity.

Abstract: Provided is an endoscopic surgical device and an overtube with which a surgeon can easily obtain a desired image and operability is high. The overtube includes a slider within an overtube body, which guides an endoscope and a treatment tool into a body cavity. An endoscope-coupled part and a treatment tool-coupled part are provided inside the slider, and the slider has a dead zone where the forward and backward movement of either the endoscope or the treatment tool does not interlock with the movement of the other and a sensing zone where the forward and backward movement of either the endoscope or the treatment tool interlocks with the movement of the other. F1>F2 is satisfied when a fixing force for fixing the endoscope-coupled part to the endoscope tool is defined as F1 and a fixing force for fixing the treatment tool-coupled part to the treatment tool is defined as F2.

Abstract: A tissue sampling device including a flexible sheath, a cannula inserted into the sheath so as to be movable back and forth and punctured into body tissue, and an operation unit provided on a proximal end side of the sheath to move the cannula back and forth, wherein the cannula has a distal end part including a slit extending from a distal end opening toward a proximal end side.

Abstract: Provided is a surgical system that can realize simplification of a structure of a storage case, miniaturization, and cost reduction. The surgical system includes an overtube, a sheathing tube, a syringe, a tube, an inner needle, and a storage case that has individual storage parts for individually storing the overtube, the sheathing tube, the syringe, the tube, and the inner needle, respectively. The storage case fixes a first instrument, which is any one of the overtube, the sheathing tube, the syringe, the tube, or the inner needle, to the individual storage part corresponding to the first instrument by using at least one of second instruments which are other instruments stored in the individual storage parts.

Abstract: An endoscope connector device that can prevent infiltration of moisture into a sheathing member, which occurs due to a difference in a thermal expansion factor between the resin sheathing member and a metal extension member, is provided. The connector device includes a metal internal member 42, a metal light guide rod 12 and metal fixing bases 36A and 36B, which are connected to the internal member 42, a resin sheathing member 20 that accommodates the internal member 42 and includes leading-out holes 26C, 38A, and 38B, which lead the light guide rod 12 and the fixing base 36A, 36B to the outside, and fluoro rubber O-rings 30, 40A, and 40B, which are provided on the light guide rod 12 and the fixing bases 36A and 36B, the O-rings 30, 40A, and 40B being respectively placed in gaps between the light guide rod 12 and the fixing bases 36A and 36B and the leading-out holes 26C, 38A, and 38B and sealing the inside of the sheathing member 20.

Abstract: An overtube, which is punctured into a body wall and guides an endoscope and a treatment tool into a body cavity, includes an interlocking member that interlocks the forward and backward movements of the endoscope and the treatment tool with each other. The interlocking member is constituted of a first sleeve coupled to the endoscope, a second sleeve coupled to the treatment tool, and a coupling member having an elastic body, which couples the first sleeve and the second sleeve together. Accordingly, in a case where the stretching of the coupling member is small, the endoscope interlocks with the forward and backward movement of the treatment tool at a slow response, and in a case where the stretching of the coupling member is large, the endoscope interlock with the forward and backward movement of a treatment tool at a quick response.

Abstract: An endoscope system includes an imaging sensor that images a sutured portion, a display device, and a processor configured to generate an oxygen saturation image imaging an oxygen saturation of the sutured portion based on image information obtained by the imaging sensor, determine a fusion state of the sutured portion, and display the oxygen saturation image and a determination result obtained by determining the fusion state of the sutured portion.

Abstract: The invention provides an endoscope system for generating an oxygen saturation image that can be used for various medical applications, such as oxygen saturation monitoring during surgery. A clip 141 is attached to the surrounding tissue of a tumor CN from the luminal side. The tissue to which the clip 141 is attached becomes an ischemic part CL. An oxygen saturation image is generated from image information obtained by imaging the tissue on the abdominal cavity side. In the oxygen saturation image, the ischemic part CL is displayed as a low oxygen region. Accordingly, it becomes easy to find the location of the tumor CN even from the abdominal cavity side.

Abstract: The overtube includes an interlocking member which is configured to be movable forward and backward inside an overtube body—and has an endoscope-coupled part and a treatment tool-coupled part. A side hole that is formed to pass through a side wall of the overtube body in communication with a passage in the overtube body for sending a fluid into a body cavity, and a side wall is configured to be openable and closable by the forward and backward movement of the interlocking member.

Abstract: The endoscopic surgery device includes: an outer tube body that penetrates through a body wall to be inserted into a body cavity; an endoscope insertion path provided inside the outer tube body; a treatment tool insertion path provided inside the outer tube body; a position sensor that has a non-sensitive area where no change in a relative position of the treatment tool insertion part with respect to the endoscope insertion part is detected even if the treatment tool insertion part is moved back and forth, and a sensitive area that is an area other than the non-sensitive area, where change in a relative position of the treatment tool insertion part is detected, and that detects its movement amount with respect to the outer tube body; and a control unit that changes a range of an observation image acquired by the endoscope in accordance with the detected movement amount.

Abstract: Provided is a surgical apparatus for an endoscope with which an operator can change, as desired, the size of an image of a site to be observed that appears in an endoscopic image obtained by an endoscope or the size of the range of the site to be observed. An image processing unit (zooming means) of a processor device changes a zoom magnification factor of an endoscopic image from an endoscope through electronic zooming on the basis of the operation of a foot switch. In the non-sensing region of the slider, the activation and deactivation of the zooming operation by the foot switch are switched according to a relative position of a distal end of the endoscope with respect to a distal end of the treatment tool.

Abstract: Provided are an endoscopic surgical device and a guide device that can satisfy the function of interlocking two medical instruments with each other. An overtube, which is punctured into a body wall and guides an endoscope and a treatment tool into a body cavity, includes an interlocking member that interlocks the forward and backward movements of the endoscope and the treatment tool with each other. The interlocking member is constituted of a first sleeve coupled to the endoscope, a second sleeve coupled to the treatment tool, and a corded flexible coupling member that couples the first sleeve and the second sleeve together. Accordingly, when the coupling member is in a relaxed state, the endoscope and the treatment tool independently move forward and backward, and when the coupling member is in a tensioned state, the endoscope and the treatment tool move forward and backward in an interlocking manner.

Abstract: An overtube includes a slider within an overtube body, which guides an endoscope and a treatment tool into a body cavity. An endoscope-coupled part and a treatment tool-coupled part are provided in the slider, and the slider has a dead zone where the forward and backward movement of either the endoscope or the treatment tool does not interlock with the movement of the other and a sensing zone where the forward and backward movement of either the endoscope or the treatment tool interlocks with the movement of the other. A fluid-supplying connector that is provided on a base end surface of the overtube body, and has an axial direction that is made parallel to a longitudinal axis of the overtube body, and is detachably connected to an air supply tube for sending fluid into the body cavity through an internal space of the overtube body.

Abstract: Provided is a surgical apparatus for an endoscope that can appropriately and easily perform mounting work of an endoscope onto an outer tube. An outer tube, which passes through a body wall, is inserted into a body cavity, and guides an endoscope and a treatment tool into the body cavity, includes a slider that is an interlocking member that moves the endoscope and the treatment tool forward and backward in an interlocking manner. At the time of mounting of an endoscope in which an endoscope insertion part is coupled to a slider body of the slider, the endoscope insertion part is inserted to a position where a larger-diameter part provided in the endoscope insertion part abuts against a base end surface of an outer tube. Accordingly, the slider body can be coupled to a predetermined suitable position of the endoscope insertion part.

Abstract: A surgical device, an outer tube, an endoscope, and a treatment tool that have a compact configuration and achieve high durability are provided. The outer tube includes a slider in an outer tube body. When the endoscope and the treatment tool are inserted into the outer tube, and are held by an endoscope holding part and a treatment tool holding part each being provided in the slider, and are combined into a single unit. Consequently, when the treatment tool is moved in the axial direction, the endoscope is moved in the axial direction in interlock with the movement. Because the outer tube is configured such that the endoscope exit port has an inner diameter that is smaller than the inner diameter of the elastic member provided to hold the endoscope at the endoscope holding part, the strength of the endoscope can be secured while preventing interference with the treatment tool.

Abstract: Provided is an endoscopic surgical device and an overtube with which a surgeon can easily obtain a desired image and operability is high. The overtube includes a slider inside the overtube body that guides an endoscope and a treatment tool into a body cavity, the first valve member provided in the endoscope insertion passage, and the second valve member provided in the treatment tool insertion passage. F1>F3 and F2>F3 are satisfied when a fixing force for fixing the slider to the endoscope is defined as F1, a fixing force for fixing the slider to the treatment tool is defined as F2, and a frictional force that receives from the first valve member when the endoscope moves forward and backward is defined as F3.

Abstract: A distal end of an endoscope insertion passage of an overtube is provided with a fluid supply and discharge port. When an observation window of the endoscope insertion part inserted through the endoscope insertion passage is cleaned, an operator can set a distal end surface at a predetermined positioning position using a positioning mechanism, without extracting the endoscope insertion part from the endoscope insertion passage. A concave cleaning storage part that communicates with the fluid supply and discharge port is formed inside the endoscope insertion passage on the distal end side. Cleaning water is supplied from the fluid supply and discharge port to remove foreign matter from the observation window, and stored in the cleaning storage part, and then, the cleaning water stored in the cleaning storage part is suctioned from the fluid supply and discharge port.

Abstract: An endoscopic surgical device and an overtube that allows the state of a distal end of a treatment tool to be easily checked while reducing the diameter of the overtube and can improve surgical efficiency. An endoscope insertion part of an endoscope and a treatment tool insertion part of a treatment tool are insertable through an overtube inserted into a body wall, and a slider is provided for moving the endoscope insertion part and the treatment tool insertion part forward and backward in an interlocking manner. A guide part that guides the endoscope insertion part in a direction away from a distal end of the treatment tool insertion part is provided in the vicinity of an endoscope delivery port in a distal end cap at the distal end of the overtube, and the endoscope insertion part is delivered in an oblique direction from the endoscope delivery port.

Abstract: An object of the present invention is to provide an endoscopic surgery device and an outer tube, capable of easily obtaining an image desired by an operator to facilitate treatment as well as of performing minimally invasive surgery. In the endoscopic surgery device and the outer tube, an endoscope and a treatment tool are inserted into a body cavity through an outer tube. The outer tube is provided with a built-in slider. The slider is provided so as to be axially movable in the outer tube body. The endoscope and the treatment tool, inserted into the outer tube, are held by the slider. Moving the treatment tool allows endoscope to be moved in conjunction with the movement of the treatment tool.

Abstract: Provided are a surgical apparatus for an endoscope and an outer tube that ease limitation of the types of available medical instruments to improve convenience and improve operability. An outer tube, which passes through a body wall, is inserted into a body cavity, and guides an endoscope and a treatment tool into the body cavity, includes therein a slider that is an interlocking member that moves the endoscope and the treatment tool forward and backward in an interlocking manner. The slider is provided with a cylindrical pressure-contact member that is brought into pressure-contact with and coupled to an outer peripheral surface of the treatment tool. The pressure-contact member is formed of compressible foamed rubber having pores, and an oil component is held in the pores of the foamed rubber.