Abstract: A procedure for forming an opening in a tubular organ surface while observing images from an endoscope introduced into a tubular organ through a natural opening, and performing observation and treatment of an organ in an abdominal cavity through the opening, including the steps of: inserting an endoscope into a target tubular organ through a natural opening of a subject; checking and identifying a region without other organs or blood vessels; inserting a perforating treatment instrument; perforating with the perforating treatment instrument; inserting the endoscope into the abdominal cavity through the perforated portion; inserting a surgical treatment instrument through the perforated portion; performing surgery; inserting a suturing instrument; and suturing the perforated portion, wherein the endoscope is replaced by an ultrasonic endoscope in at least one of the steps.

Abstract: An overtube including an insertion portion having a distal end portion and a proximal end portion, at least the distal end portion being inserted into an examination subject; a first lumen formed in the insertion portion and in which a device for carrying out medical procedures in the examination subject is freely inserted and removed; a tissue cutting portion that is to be disposed at the distal end portion of the insertion portion traversing the first lumen and that cuts the tissue of the examination subject; and a holding portion that holds the tissue cutting portion at a position removed from a position traversing the first lumen.

Abstract: The medical treatment endoscope according to the present invention includes a sheath having a flexibility; at least one arm member having a bending part that projects out from a front end of the sheath and performs bending actions; an open/close mechanism which directs the arm member from a direction along a central axis of the sheath to a direction deviated from the central axis of the sheath, and from a direction deviated from the central axis of the sheath to a direction along the central axis of the sheath; and a viewing device and an illuminating member that are disposed to the front end side of the sheath.

Abstract: The medical treatment endoscope according to the present invention includes a sheath having a flexibility; at least one arm member having a bending part that projects out from a front end of the sheath and performs bending actions; an open/close mechanism which directs the arm member from a direction along a central axis of the sheath to a direction deviated from the central axis of the sheath, and from a direction deviated from the central axis of the sheath to a direction along the central axis of the sheath; and a viewing device and an illuminating member that are disposed to the front end side of the sheath.

Abstract: The medical manipulator includes an arm formed in a tubular shape having a bending portion capable of bending; an insertion portion that is formed having channels, with the base end of the arm being connected to the distal end of the insertion portion so that lumens of the arm and the channels are in communication; an operation portion for operating the bending portion; and transmission members that are capable of advancing and retracting in a longitudinal direction with respect to the insertion portion such that a movement of the operation portion is transmitted to the bending portion and the bending portion is bent and that connect the bending portion and the operation portion; an opening portion provided at the operation portion and communicated with the channel; and a guide member that guides the movement of the operation portion within a predetermined range and that holds the transmission members to prevent the transmission members from moving in the longitudinal direction with respect to the movement of

Abstract: The medical treatment endoscope according to the present invention includes a sheath having a flexibility; at least one arm member having a bending part that projects out from a front end of the sheath and performs bending actions; an open/close mechanism which directs the arm member from a direction along a central axis of the sheath to a direction deviated from the central axis of the sheath, and from a direction deviated from the central axis of the sheath to a direction along the central axis of the sheath; and a viewing device and an illuminating member that are disposed to the front end side of the sheath.

Abstract: In a bipolar cutter for a living body tissue, a groove part is formed in a member that is arranged close to an active electrode, thereby providing a constitution to cut while the blood stanching is ensured since when a heat amount generated by the active electrode is conducted in the member, an excessive heat conduction to the member is efficiently interrupted by a layer of air that is produced due to the groove part and the living tissue is thus provided with more heat.

Abstract: A surgical instrument of the present invention comprises an insertion unit; an operating unit provided on one end of the insertion unit; a treatment unit provided so as to protrude from the other end of the insertion unit; a first shaft member for transmitting turning force to the treatment unit in conjunction with the turning operation of a turning operation member provided on the operating unit; and a second shaft member for transmitting opening/closing force to the treatment unit in conjunction with the opening/closing operation of an opening/closing member provided on the operating unit.

Abstract: An endoscope system includes a rigid endoscope including an optical system in a rigid insert section thereof, and a wiper sheath. The wiper sheath includes a wiper insert section receiving the insert section of the rigid endoscope, a wiper arranged on a distal end portion of the wiper insert section and enabled to be placed in contact with a distal-end face of the rigid endoscope received in the wiper insert section, and an operation unit, arranged at a proximal end portion of the wiper insert section, for switching the wiper between a contact state with the wiper placed to be in contact with the distal-end face of the rigid endoscope and a detached state with the wiper spaced apart from the distal-end face of the rigid endoscope, and for moving the wiper on and along the distal-end face of the rigid endoscope when the wiper is in the contact state.

Abstract: An instrument for an endoscope includes a first insertion portion having an base end to which an operation section is connected; a first offset portion extending outward from an axis of the first insertion portion; a second insertion portion having a base end joined to the first offset portion and an element extending parallel to the axis of the first insertion portion; a second offset portion which is joined to a head of the second insertion portion and reaches an extension of the axis of the first insertion portion; a third insertion portion which is joined to the second offset portion and has a portion arranged on an axis which is substantially the same as at least a part of the axis of the first insertion portion; and an inner hole formed through the first insertion portion, the first offset portion, the second insertion portion, the second offset portion, and the third insertion portion.

Abstract: An overtube according to this invention includes: an insertion part, that is inserted into a subject and has a lumen, through which a device insertion part of a device for performing a medical procedure inside a body of the subject is removably inserted, the insertion part being inserted into the subject; and a tissue incising part that is disposed at a distal end side of the insertion part so as to cross the lumen and incises a tissue of the subject.

Abstract: A treatment system includes a guide component that is used to insert a treatment tool into a body cavity, a tilt sensor that is provided in the guide component and detects an angle of inclination of the treatment tool that has been inserted inside the guide component, an insertion amount sensor that is provided in the guide component and detects an amount that the treatment tool has been inserted inside the guide component, a switching device that switches an observation range of images of an interior of the body cavity that are acquired by an observation device that has been introduced into the body cavity and are then displayed on a display unit, and a system control unit that drives the switching device based on information about the angle of inclination and insertion amount of the treatment tool.

Abstract: The endoscope apparatus comprises an endoscope which has an imaging element and a monitor which displays an image imaged by the imaging element. The endoscope is provided with an internal insertion portion which is movably arrangeable inside a body cavity, and an operation unit for changing the position of the internal insertion portion, which is arrangeable outside the body. The internal insertion portion and the operation unit are arranged on a common axis so as to interpose a body wall therebetween.

Abstract: An overtube includes an insertion portion that has a distal end portion and a proximal end portion, and at least the distal end portion thereof is inserted into a subject; a first lumen that is formed in the insertion portion and that allows freely inserting and removing a device for carrying out medical procedures in the subject; puncture needles that pass through the insertion portion, have a control member connected to the proximal end portion of the insertion portion, and puncture tissue; and second lumens that are provided in the insertion portion and through which puncture needles are passed, the second lumens having on the distal end portion of the insertion portion openings through which distal ends of the puncture needles extend and retract, and the openings being provided on an inside of the insertion portion defined by the first lumen.

Abstract: A manipulation mechanism of the present invention includes an oscillating body which is disposed on a first imaginary plane, where first and second imaginary planes are parallel to each other with respect to a manipulation reference plane; and a holding body which is disposed on the second imaginary plane so as to regulate an oscillating locus of the oscillating body, wherein the oscillating body is provided with first and second convex portions which are spaced from each other and protrude toward the holding body, wherein the holding body is provided with first and second groove portions which respectively guide the first and second convex portions, and wherein the first and second groove portions are formed to be closer to each other in a direction away from the manipulation reference plane on one side of the manipulation reference plane from a point on the manipulation reference plane as a start point

Abstract: A medical manipulator which includes: a plurality of arms formed in a cylindrical shape a distal end portion of which is made of a rigid member having a bending portion capable of bending; an insertion portion made of a rigid member having a plurality of channels in which base ends of the plurality of arms are connected to a distal end of the insertion portion so as to connect lumens of the arms to the plurality of channels; a photographic device provided at the distal end of the insertion portion; an operation portion that operates the bending portion; and a transmission member that connects the bending portion and the operation portion, in which the bending portion has: a first bending portion that is capable of bending in a predetermined direction by an operation of the operation portion, and a second bending portion provided in a base end than the first bending portion that is capable of fixing the plurality of arms in a bent state so as to mutually separate, and the transmission portion has: a first regi

Abstract: A bending tube, provided with a bending section capable of bending, the bending tube comprising: a main unit having a lumen; a pair of transfer members having distal ends of the transfer members being connected to a distal end of the bending section or the main unit disposed distally relative to the bending section; an operation section having proximal ends of the pair of transfer members, the operation section being configured so that a retracting operation for retracting one of the pair of transfer members proximally causes the other one of the pair of transfer members to be linked and pushed out distally, wherein the retracting operation applies a predetermined magnitude of tension to the pair of transfer members.

Abstract: An endoscopic surgery tool in which an image pickup device is provided on a hollow guide component that penetrates a body wall of a living body and guides a surgical tool into a body cavity, includes: a detection device that detects an amount of change in the tilt of the guide component when the guide component is tilted relative to the body wall using the portion passing through the body wall as a support point; and a correction device that calculates from the tilt change amount an amount of movement of the image pickup device that moves in conjunction with the tilting of the guide component, and makes corrections in order that an observation image from the image pickup device before the guide component was tilted is maintained after it has been tilted.

Abstract: In a treatment endoscope which includes: an elongated insertion section having a first channel for inserting a treatment instrument therethrough; an arm, having a second channel for inserting a treatment instrument therethrough, attached to the distal end of the insertion section so that the first channel communicates with the second channel; a first operation section for operating the arm; and a second operation section for operating the insertion section, the arm has a first bending section which can be operated to be bent via the first operation section, the insertion section has a second bending section which can be operated to be bent via the second operation section, and an interlock mechanism connects the first operation section to the second operation section so that, when either one of the first bending section and the second bending section is bent by operating either one of the first operation section and the second operation section, the other one of the first bending section and the second bendin

Abstract: A rotational force transmission mechanism has: a rotation-inputting member freely rotative and driven in a predetermined first direction and a second direction opposite the first direction by a predetermined operating member; a first rotation-transmitting member for receiving a rotational driving force supplied from the rotation-inputting member in the first direction; a second rotation-transmitting member, disposed to face the first rotation-transmitting member, for receiving a rotational driving force supplied from the rotation-inputting member in the second direction; a connection section disposed so that the rotational force acts in the direction in which the first rotation-transmitting member and the second rotation-transmitting member face each other, the connection section in the facing position transfers the rotational driving force received by the first rotation-transmitting member in the first direction to the second rotation-transmitting member and transfers the rotational driving force received by