Abstract: A blunt dissector for endoscopic vein harvesting has a generally-cylindrical sheath for retaining an elongated endoscope. The sheath is elongated between a distal end and a proximal end. A transparent tip is disposed at the distal end of the sheath. A handle is disposed at the proximal end of the sheath. The sheath includes a selectably closable longitudinal slot having an opened configuration such that the endoscope can be inserted radially into the sheath. The longitudinal slot has a closed configuration that retains the endoscope within the sheath and presents a substantially it) smooth outer surface for use during dissection.

Abstract: An endoscopic surgical instrument includes a wiping section that is provided at a tip part of an insertion section and is pivoted to wipe off extraneous matter adhering to an observation surface provided at a tip part of a lens the endoscope through a grip section and the insertion section. An axial member is inserted through the insertion section and is connected to the wiping section. An operation section is provided over a whole circumference of a tip end of the grip section in a longitudinal direction of the grip section, is connected to the axial member, and operates the wiping section through the axial member. A center axis of the operation section is coaxial to a center axis of an endoscope when the endoscope is inserted through the grip section and the insertion section.

Abstract: A surgical treatment device which is used together with an endoscope, includes a sheath, a treatment portion which is arranged at the distal end portion of the sheath and includes first to third electrodes configured to treat a living tissue by using electrical energy, an operation portion which is arranged at a proximal end portion of the sheath and which is configured to operate the treatment portion, and a switching portion which is configured to switch between a first mode in which a treatment is given by using the first electrode and at least one of the second and third electrodes in the treatment portion and a second mode in which a treatment is given by using the second and third electrodes.