Abstract: An endoscope treatment tool includes: a sheath having a lumen; a basket portion being configured to protrude from the lumen and formed of at least one elastic wire; and a manipulation wire causing the basket portion to be moved, wherein the elastic wire has a maximum-outer-diameter portion between distal and proximal ends of the elastic wire and a largest portion that, between the maximum-outer-diameter portion and the proximal end of the elastic wire, reaches the maximum size in an opposite direction from maximum-outer-diameter portion in a side view from a direction orthogonal to a perpendicular line drawn to a center axis from the maximum-outer-diameter portion, and wherein, in a front view of the basket portion, the largest portion is positioned on an opposite side from the side of the maximum-outer-diameter portion with respect to a straight line that is orthogonal to the perpendicular line on the center axis.

Abstract: An endoscopic treatment instrument includes a sheath; a basket section formed by elastic wires; a manipulation wire connected to the basket section; and a distal end cover attached to a distal end of the sheath. The distal end cover has: a first opening; a second opening; an inner peripheral surface disposed between the first and second opening; and a curved surface bent over the whole circumference in t circumference direction of the distal end cover. Each of the plurality of the elastic wires has: a proximal end portion, a distal end portion, and a maximum diameter section. A radius of curvature of the curved surface is smaller than a radius of curvature of each of the plurality of the elastic wires. A contact position of the elastic wires and the curved surface moves in accordance with a retraction of the elastic wires.

Abstract: An endoscope treatment tool includes: a tubular sheath member insertable into a channel of an endoscope; a wire inserted into the interior of the member in such a manner that the wire can be advanced/retracted in the longitudinal direction of the member; and a distal-end treating portion provided at the distal end of the wire and made to protrude from/be pulled into a distal-end opening in the member by advancing/retracting the wire, wherein the member is configured having a two-layer structure in which a metal coil and a resin tube are layered in the radial direction and secured to each other, in the coil, lateral cross-sectional shapes of portions of a strand that are adjacent to each other in the longitudinal direction have complementary depression and protrusion that are brought into tight contact with each other, and the tube has a flexural rigidity greater than that of the coil.

Abstract: In a discharge mechanism of basket-type grasping forceps according to the present invention, a support member can advance and retract relative to a plurality of basket wires, the position of the support member can be fixed, and an object inside a basket part is discharged to the outside of the basket part from a portion of the basket part proximal to the basket wires by movement of the support member and the basket part relative to each other.

Abstract: An endoscopic treatment instrument includes a sheath; a basket section formed by elastic wires; a manipulation wire connected to the basket section; and a distal end cover attached to a distal end of the sheath. The distal end cover has: a first opening; a second opening; an inner peripheral surface disposed between the first and second opening; and a curved surface bent over the whole circumference in the circumference direction of the distal end cover. Each of the plurality of the elastic wires has: a proximal end portion, a distal end portion, and a maximum diameter section. A radius of curvature of the curved surface is smaller than a radius of curvature of each of the plurality of the elastic wires. A contact position of the elastic wires and the curved surface moves in accordance with a retraction of the elastic wires.

Abstract: In a discharge mechanism of basket-type grasping forceps according to the present invention, a support member can advance and retract relative to a plurality of basket wires, the position of the support member can be fixed, and an object inside a basket part is discharged to the outside of the basket part from a portion of the basket part proximal to the basket wires by movement of the support member and the basket part relative to each other.

Abstract: An endoscope treatment tool includes: a tubular sheath member insertable into a channel of an endoscope; a wire inserted into the interior of the member in such a manner that the wire can be advanced/retracted in the longitudinal direction of the member; and a distal-end treating portion provided at the distal end of the wire and made to protrude from/be pulled into a distal-end opening in the member by advancing/retracting the wire, wherein the member is configured having a two-layer structure in which a metal coil and a resin tube are layered in the radial direction and secured to each other, in the coil, lateral cross-sectional shapes of portions of a strand that are adjacent to each other in the longitudinal direction have complementary depression and protrusion that are brought into tight contact with each other, and the tube has a flexural rigidity greater than that of the coil.

Abstract: A treatment tool for an endoscope includes: a distal end member attached to a distal end of an endoscope; a treatment part; a tube that is arranged in an axis direction of the endoscope and has a lumen formed therein; an insertion part that is inserted into the lumen and has a distal end to which the treatment part is fixed; a connecting member that connects the tube and the distal end member; a first pivot that couples the connecting member and the tube; and a second pivot that couples the connecting member and the distal end member. The second pivot is provided at a position at which the connecting member is capable of rotating such that the first pivot is moved from a position at a proximal end side relative to the second pivot to a position at a distal end side.

Abstract: A binding part of a basket-type grasping forceps includes: a first binding part to which proximal ends of first wires that are some of a plurality of basket wires are fixed; and a second binding part to which proximal ends of second wires not connected to the first binding part among the plurality of basket wires are fixed, which is engaged with the first binding part to be separable from the first binding part, is containable inside a sheath along with the first binding part in a state in which the second binding part is engaged with the first binding part, and is held by an inner surface of the sheath to be inseparable from the first binding part in the sheath.

Abstract: A stone extraction fragmentation device of the present invention include: a stone extraction operation section having a first main body and a gripping section; and a fragmentation operation section having a second main body, a moving body which is capable of being connected with the first main body, and a rotating knob which is configured to move the moving body with respect to the second main body, wherein the moving body is configured to move the first main body in a direction away from the second main body by rotation of the rotating knob.

Abstract: A medical instrument system includes an elongated member having an inner space in a direction of a longitudinal axis, an insertion section installed at the inner space and having a bending section capable of being bent, a manipulation section configured to manipulate the bending section, a first manipulation member transmitting a driving force of the bending section in accordance with the manipulation by the manipulation section, a second manipulation member arranged in the direction of a longitudinal axis, a connecting section having a first connecting section and a second connecting section and capable of connecting the first manipulation member and the second manipulation member, and a switching mechanism having a first acting section and a second acting section and switching between a connection state and a release state in accordance with a relative movement between the elongated member and the insertion section.

Abstract: Basket type grasping forceps include a sheath, a main body section, and a manipulation section, the main body section includes a basket section and a manipulation wire, the basket section includes a plurality of basket wires and a distal fixing member fixed to the plurality of basket wires, and the distal fixing member has a wire-fixing section to which a first wire serving which is at least one of the plurality of basket wires is fixed, and a high-strength fixing section to which a second wire which is at least another one of the plurality of basket wires is fixed more strongly than a fixing strength of the first wire in the wire-fixing section.

Abstract: A high-frequency knife conduit line and opening hole opening communicate allowing fluid to flow between a rod-shaped electrode outer peripheral surface and the opening hole inner peripheral surface. The guide hole is smaller than the opening and is further toward a radial inner side than the opening outer edge and further toward a radial outer side than the rod-shaped electrode. The fluid is released from the opening to the outside of the sheath over the whole circumference of the rod-shaped electrode on the radial outer side while an electrode portion protrudes toward the sheath distal end portion separating a larger-diameter portion from a supporting member. The fluid is injected to the larger-diameter portion front through the guide hole as the opening hole and the guide hole communicate while the electrode portion is pulled back toward the sheath proximal end portion so that the larger-diameter portion abuts against the supporting member.

Abstract: In a discharge mechanism of basket-type grasping forceps according to the present invention, a support member can advance and retract relative to a plurality of basket wires, the position of the support member can be fixed, and an object inside a basket part is discharged to the outside of the basket part from a portion of the basket part proximal to the basket wires by movement of the support member and the basket part relative to each other.

Abstract: A medical treatment instrument operation unit includes a sliding portion capable of advancing and retracting to a body portion and rotating around a longitudinal axis of the body portion and connected to a proximal end portion of the operating member, and a regulating portion switchable to a movable state where regulating portion is capable of advancing, retracting, and rotating to the body portion and a limited state where the advance, retraction, and rotation of sliding portion to the body portion is limited. The regulating portion includes a rotatable dial portion, and a shaft-shaped member screwed to the dial portion to be relatively advanceable and retractable thereto in a direction in which the shaft-shaped member is brought close to and separated from the body portion. Movable and limited states are switched as the shaft-shaped member comes close to and separates from the body portion with the turning of the dial portion.

Abstract: A treatment tool for an endoscope includes: a distal end member attached to a distal end of an endoscope; a treatment part; a tube that is arranged in an axis direction of the endoscope and has a lumen formed therein; an insertion part that is inserted into the lumen and has a distal end to which the treatment part is fixed; a connecting member that connects the tube and the distal end member; a first pivot that couples the connecting member and the tube; and a second pivot that couples the connecting member and the distal end member. The second pivot is provided at a position at which the connecting member is capable of rotating such that the first pivot is moved from a position at a proximal end side relative to the second pivot to a position at a distal end side.

Abstract: An endoscope procedure instrument provided with: a tube part that is cylindrical in shape and attaches to the front end of the endoscope, the tube part having a slit provided to the side surface thereof extending along the direction of the central axis; and a grasping member that is disposed to the tube part extending along the slit, for holding a biologic tissue with respect to the endoscope.

Abstract: A medical device includes a treatment portion, a long cylindrical insertion portion, an operation portion and transmission portion. The insertion portion includes a regulation member provided while being projected from an inner wall surface of the insertion portion for regulating a length by which the treatment portion protrudes from the distal end of the insertion portion. The transmission portion includes an operation wire inserted in the insertion portion and has a distal end fixed to the treatment portion and an contacting member fixed to the operation wire and disposed at a position opposite to the treatment portion with respect to the regulation member. A rotating bearing member contacting the regulation member and the contacting member respectively and can rotate relative to at least any one of the regulation member and the contacting member around an axis of the operation wire is provided between the regulation member and the contacting member.

Abstract: A high-frequency treatment instrument having a sheath; an elongated extension member; a narrow portion provided on an inner surface of the sheath; and a pressing member which allows the elongated extension member to advance and retract only in a part of the sheath. The elongated extension member is advanced to form a first treatment electrode extending along a central axial line of the sheath and the elongated extension member is further advanced to form a second treatment electrode which intersects with the central axial line of the sheath.

Abstract: A medical system includes: a treatment instrument having an insertion portion configured by an exterior member, and an insertion member that is inserted into the exterior member and is longer than the exterior member; an insertion portion inserting/pulling-out device to transmit a driving force to the exterior member or the insertion member configuring the insertion portion of the treatment instrument, the insertion portion inserting/pulling-out device advancing/retreating at least one of the exterior member and the insertion member; and a driving force non-transmitting portion provided to the insertion member, the driving force non-transmitting portion preventing a driving force of the insertion portion inserting/pulling-out device from being transmitted to the exterior member when the insertion member is moved by a predetermined distance.