Abstract: A light-irradiation-device delivery apparatus includes: a metal needle tube having a longitudinal axis, a side hole, which penetrates from an inner circumferential surface to an outer circumferential surface, and a blade surface at a distal end thereof; an optical fiber that is accommodated inside the needle tube, the optical fiber including a core allowing light to propagate, a clad covering an outer circumferential surface of the core, and an emission area provided at a distal-end section of the optical fiber; and a positioning member that positions the emission area between a distal end and a proximal end of the needle tube in the longitudinal-axis direction. The distal end of the optical fiber is positioned in an interior space of the needle tube in a state where the emission area is positioned between the distal end and the proximal end of the side hole.

Abstract: An access route formation method for a bile duct includes: inserting a treatment tool into a duodenum as a target; deforming a tissue of a duodenal papilla by pressing the treatment tool against the duodenal papilla; observing a deformed tissue; and forming an opening in the bile duct located below the deformed tissue by incising the deformed tissue or puncturing the deformed tissue in a state in which the treatment tool is pressed against the deformed tissue.

Abstract: According to an aspect, a method of cholecystitis treatment includes: forming a communication hole that communicates a gallbladder and a duodenum; and arranging a bypass tube extending from a cystic duct to the duodenum through an inside of the gallbladder and the communication hole.

Abstract: In a method of forming an access route to the bile duct, a needle is introduced into a duodenum, and the introduced needle is pierced into an oral side projection of a duodenal papilla, which is located at an oral position than an opening of the duodenal papilla. The tip of the pierced needle is made to reach the inside of the bile duct to form a tunnel communicating the duodenum and the bile duct, and a treatment device is inserted into the formed tunnel.

Abstract: Provided is a puncture device includes: a needle tube; and a tube that is accommodated within the needle tube, is capable of accommodating an optical fiber, and is composed of a cylindrical optically-transparent material. The needle tube includes a tip member fixed to a distal end of the tube and having a blade surface at a tip thereof, and a base member that is disposed at a position where the base member covers a proximal end of the tube relative to the tip member and that is movable along a longitudinal axis of the needle tube. The base member advances to cause a distal end of the base member to abut on a proximal end of the tip member. The base member retracts to cause the distal end of the base member to move away from the proximal end of the tip member in a direction of the longitudinal axis.

Abstract: In a method of forming an access route to the bile duct, a needle is introduced into a duodenum, and the introduced needle is pierced into an oral side projection of a duodenal papilla, which is located at an oral position than an opening of the duodenal papilla. The tip of the pierced needle is made to reach the inside of the bile duct to form a tunnel communicating the duodenum and the bile duct, and a treatment device is inserted into the formed tunnel.

Abstract: For the purpose of placing a stent at a position where the digestive tract wall and the bile duct wall are more reliably brought into close contact, provided is a stent delivery device including an inner shaft having a longitudinal axis and a tubular outer sheath through which the inner shaft is inserted so as to be movable along the longitudinal axis, wherein the inner shaft includes a fixing mechanism that fixes a distal-end section of a stent extended in accordance with relative movement of the inner shaft and the outer sheath, to the inner shaft in a releasable manner.

Abstract: An endoscopic surgical device that includes: a sheath; a manipulator; a manipulation wire; a clip body having a pair of arms, connected to a distal end of the manipulation wire, and configured to be capable of advancing and retracting in accordance with manipulation of the manipulator along with a longitudinal axis of the manipulation wire; a holding tube into which a proximal portion of the clip body is inserted to be capable of advancing and retracting; and a biasing member configured to hold a position of the manipulation wire at an initial position. The clip body is nonrotatable around the longitudinal axis at the initial position. When the manipulation wire is advanced a prescribed amount against a biasing force of the biasing member, the clip body is rotatable around the longitudinal axis, and is allowed adjustment of an opening-closing direction of the pair of arms.

Abstract: An endoscope treatment tool includes: a sheath; a clip unit; a biasing member arranged between a distal end part of the sheath and the clip unit; and a first rotation preventing part capable of preventing the clip unit from rotating relative to the distal end part of the sheath about a longitudinal axis. The clip unit includes: a clip body; a holding tube; and a second rotation preventing part capable of preventing the clip body from rotating relative to the holding tubes about the longitudinal axis. The biasing member biases the holding tube so as to separate from the distal end part of the sheath. When a proximal end part of the holding tube comes into contact with the distal end part of the sheath against the biasing force of the biasing member, the first rotation preventing part prevents the relative rotation of the clip unit.

Abstract: A phototherapy method includes: introducing an ultrasound endoscope into a digestive tract; visualizing an irradiation target site in a body by means of the ultrasound endoscope introduced into the digestive tract; puncturing a vicinity of the irradiation target site with a distal-end section of a needle tube that is made to protrude from a distal-end section of the ultrasound endoscope introduced into the digestive tract; exposing an optical fiber from the distal-end section of the needle tube that has punctured the vicinity of the irradiation target site, by making the needle tube retreat with respect to the optical fiber accommodated inside the needle tube; and radiating light emitted from the exposed optical fiber onto the irradiation target site.

Abstract: A light-irradiation-device delivery apparatus includes: a metal needle tube having a longitudinal axis, a side hole, which penetrates from an inner circumferential surface to an outer circumferential surface, and a blade surface at a distal end thereof; an optical fiber that is accommodated inside the needle tube, the optical fiber including a core allowing light to propagate, a clad covering an outer circumferential surface of the core, and an emission area provided at a distal-end section of the optical fiber; and a positioning member that positions the emission area between a distal end and a proximal end of the needle tube in the longitudinal-axis direction. The distal end of the optical fiber is positioned in an interior space of the needle tube in a state where the emission area is positioned between the distal end and the proximal end of the side hole.

Abstract: A stent delivery method includes: forming through-holes in an alimentary canal wall and a cyst wall so as to communicate with each other; passing a stent through the through-holes and placing a first expandable part in the alimentary canal and a second expandable part in the cyst; allowing the first expandable part to expand to an expanded state in the alimentary canal; and, after the expansion of the first expandable part, allowing the second expandable part to expand in the cyst while the alimentary canal wall is pressed by the first expandable part in the expanded state.

Abstract: An endoscope treatment tool includes: a tubular sheath part; an operation wire; an arm member; a holding tube; and a biasing member. The sheath part includes an elongated body part, and a tubular member. In a state where the holding tube and the tubular member are in contact with each other, the holding tube and the tubular member are connected to each other so as not to be rotated relative to each other about an axis and to be movable relative to each other in a direction in which a central axis of the sheath part extends. The arm member and the holding tube have a rotation restricting structure that prevents the arm member from rotating about an axis of the holding tube in a state where the arm member is in contact with the holding tube against the biasing force of the biasing member.

Abstract: A stent delivery method includes: forming through-holes in an alimentary canal wall and a cyst wall so as to communicate with each other; passing a stent through the through-holes and placing a first expandable part in the alimentary canal and a second expandable part in the cyst; allowing the first expandable part to expand to an expanded state in the alimentary canal; and, after the expansion of the first expandable part, allowing the second expandable part to expand in the cyst while the alimentary canal wall is pressed by the first expandable part in the expanded state.

Abstract: An endoscope treatment tool includes: a sheath; a clip unit; a biasing member arranged between a distal end part of the sheath and the clip unit; and a first rotation preventing part capable of preventing the clip unit from rotating relative to the distal end part of the sheath about a longitudinal axis. The clip unit includes: a clip body; a holding tube; and a second rotation preventing part capable of preventing the clip body from rotating relative to the holding tubes about the longitudinal axis. The biasing member biases the holding tube so as to separate from the distal end part of the sheath. When a proximal end part of the holding tube comes into contact with the distal end part of the sheath against the biasing force of the biasing member, the first rotation preventing part prevents the relative rotation of the clip unit.

Abstract: An endoscopic surgical device that includes: a sheath; a manipulator; a manipulation wire; a clip body having a pair of arms, connected to a distal end of the manipulation wire, and configured to be capable of advancing and retracting in accordance with manipulation of the manipulator along with a longitudinal axis of the manipulation wire; a holding tube into which a proximal portion of the clip body is inserted to be capable of advancing and retracting; and a biasing member configured to hold a position of the manipulation wire at an initial position. The clip body is nonrotatable around the longitudinal axis at the initial position. When the manipulation wire is advanced a prescribed amount against a biasing force of the biasing member, the clip body is rotatable around the longitudinal axis, and is allowed adjustment of an opening-closing direction of the pair of arms.

Abstract: An endoscope treatment tool includes: a tubular sheath part; an operation wire; an arm member; a holding tube; and a biasing member. The sheath part includes an elongated body part, and a tubular member. In a state where the holding tube and the tubular member are in contact with each other, the holding tube and the tubular member are connected to each other so as not to be rotated relative to each other about an axis and to be movable relative to each other in a direction in which a central axis of the sheath part extends. The arm member and the holding tube have a rotation restricting structure that prevents the arm member from rotating about an axis of the holding tube in a state where the arm member is in contact with the holding tube against the biasing force of the biasing member.

Abstract: A biopsy system includes an endoscope which includes an insertion portion having a channel, and a bendable portion provided in a distal end portion of the insertion portion; a needle tube which includes a distal end region, and a proximal end region having a higher bending rigidity than that of the distal end region; a sheath which can be inserted into the channel and inserted through by the needle tube; an attachment adapter which is provided on a proximal end side of the sheath and is capable of being mounted at the endoscope; and a connection member which connects the distal end region and the proximal end region, wherein the connection member can move within only a range of the insertion portion more proximal than a proximal end of the bendable portion and more distal than a proximal end of a follow-bending region.

Abstract: In a puncture needle for an endoscope, in a state in which a distal end of an outer sheath is located in an observation field of an observation optical system of an endoscope and a needle slider is retracted to abut a needle slider engaging section, a distal end of an inner sheath is located closer to a distal side than a proximal end of a raising base in the outer sheath, and a proximal end of the inner sheath is located closer to a proximal side than a needle tip of a needle tube in the outer sheath.

Abstract: An endoscope puncture needle is provided with: an outer sheath; a needle tube arranged inside the outer sheath; an operation main body; a needle slider; an engaging mechanism; a proximal-end-side inner tube arranged at an inside of a proximal end of the outer sheath; and a distal-end-side inner tube arranged inside a distal end section of the outer sheath and has an inner circumferential surface that is relatively harder than the proximal-end-side inner tube. When the needle slider is engaged to the operation main body, a distal end of the needle tube is arranged inside the distal-end-side inner tube.