Abstract: A medical treatment endoscope according to the present invention is provided with: a flexible sheath capable of a bending operation; an arm section protruding from the tip of the sheath and capable of a bending operation; an operation stick formed to allow a procedure instrument to pass therethrough so that the operation stick is operated by an operator in an attempt to bend the arm section; and a channel unit having a first channel which allows the procedure instrument to pass therethrough so that the channel unit is inserted through the operation stick detachably.

Abstract: A medical treatment endoscope includes: a flexible sheath capable of a bending operation; a viewing unit for observing the vicinity of the tip relative to the sheath; an arm section protruding from the tip of the sheath and capable of bending operation; an operation section for operating the arm section; and at least a transmission member, connected to the arm section and the operation section, for transmitting the operation of the operation section to the arm section. The transmission member is detachably connected to the operation section.

Abstract: A medical instrument which is inserted into a body cavity includes: an insertion part which has a bending part capable of bending in a predetermined range; a plurality of joint rings which are provided in the bending part and are connected to each other in the axial direction of the insertion part; a manipulating part which manipulates the bending part; and a wire which is inserted into the plurality of the joint rings and connects the bending part with the manipulating part, wherein: the plurality of the joint rings comprises a connecting part, a portion of which is provided so as to protrude from the outer peripheral surface and which is connected to the joint ring of the distal side in the axial direction of the insertion part and a connected part which is connected to the joint ring of the proximal side in the axial direction of the insertion part; the connecting part has a linear cross section orthogonal to the axis of the joint ring, and a curved base portion which is a portion of the connecting part pr

Abstract: A medical instrument for performing a medical procedure within a body cavity includes: an insertion part which is inserted into the body cavity and has a bending part capable of bending in a predetermined range; a manipulating part which manipulates the bending part; a wire which connects the bending part with the manipulating part; and a clutch which is provided in the manipulating part and maintains a bending state of the bending part.

Abstract: A surgical treatment instrument according to the invention includes an insertion portion, an operation portion provided on one end of the insertion portion, a treatment portion provided so as to extend from the other end of the insertion portion, two gripping members provided on the treatment portion, each having a gripping face, an open/close operating member provided on the operation portion to perform opening/closing by at least one of the two griping members being moved, variable angle operating members respectively provided on the operation portion to change the treatment portion to a predetermined angle, a braked member provided within the operation portion and operating in conjunction with the operation of the variable angle operation portion, and a braking member provided within the operation portion to brake the braked member by operating in conjunction with the operation of the open/close operation member, wherein the treatment portion maintains a predetermined angle by the braked member being brake

Abstract: A procedure for forming an opening in a luminal organ surface while observing images from an endoscope introduced into a luminal organ through a natural orifice, 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 luminal organ through a natural orifice of a subject; checking and identifying a region without other organs or blood vessels under observation by the endoscope; inserting a perforating treatment instrument for perforating the target luminal organ under observation by the endoscope; perforating the region where safety in an abdominal cavity outside the target luminal organ is checked in the checking step, using the perforating treatment instrument; inserting the endoscope into the abdominal cavity through the perforated portion; inserting a surgical treatment instrument for performing treatment of the organ in the abdominal cavity through the perforated portion; performing surgery under observat

Abstract: A surgical treatment apparatus according to the present invention includes an outer sheath, extending from a base portion subject to an operator's hand to the tip subject to insertion into a body cavity, that is provided with a working channel through which a treatment instrument can be passed; an image pickup device disposed at the tip portion of the outer sheath; and pivotable forceps disposed at the tip portion of the outer sheath, supported on a supporting section protruding in the axial direction via a joint being bent away from the working channel, and having a pair of forceps members arranged so as to be freely opened/closed, wherein the image pickup device is disposed at a position between the axis line of the supporting section and the axis line of the working channel and offset from an imaginary line connecting the two axis lines.

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: 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: 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: 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: 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: An overtube includes an insertion part that is inserted into a subject and has a lumen through which a device inserting part of a device whose distal end bends freely for performing a medical procedure inside a body is removably inserted and a bending part that bends the distal end side of the lumen, in which the bending part is provided with a bending tube having a plurality of joint rings that are connected via connecting shafts along the lumen to freely turn and a braided tube that is disposed on the inner side of the bending tube and forms the periphery of the lumen.

Abstract: A medical procedure carried out via a natural opening, comprising: fastening the distal end of thread members to a tissue in a body cavity in proximity to a targeted incision site via a first introduction member that is inserted into a body cavity through a natural opening of an examination subject; inserting a second introduction member having a cutting instrument attached to the distal end thereof into a body cavity through a natural opening of an examination subject and disposing the cutting instrument in proximity to the targeted incision site; and cutting the tissue by pressing the cutting instrument against the tissue while pulling the proximal end sides of the thread members.

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: An overtube according to the present invention has 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: A puncture needle includes: a needle part that has a first needle part and a second needle part that are hollow, adjacent, and have resiliency; and a sheath that retractably accommodates the needle part; in which a bend part that separates distal end sides of the first needle part and the second needle part to be further apart than proximal end sides thereof is provided in at least one of the first needle part and the second needle part.

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: 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: 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.