Abstract: A tissue-piercing device includes two piercing members, and an operation section to which a proximal end of each of the piercing members is connected. Each of the piercing members includes a flexible outer sheath, a slidable inner sheath which is slidably inserted in the outer sheath, and a slidable needle which is inserted in the inner sheath. A switch portion is provided for switching between an operation mode in which a piercing action by the two piercing members is performed in a single operation, and an operation mode in which piercing actions by the two piercing members are performed in respective separate operations. The switch portion includes a sheath-coupling member to couple and decouple the two slidable inner sheaths. The switch portion may include a needle-coupling member to couple and decouple the two slidable needles.

Abstract: An endoscopy system includes: a motor-driven operating device that an operation section of an accessory is attachable to, the operating device operating the operation section in a motor-driven manner, the accessory having an accessory insertion section to be introduced into a body cavity through an insertion section of an endoscope; a motor-driven forward/backward moving device, arranged in an operation section of the endoscope, for moving the accessory insertion section forward or backward in a motor-driven manner; a control device electrically connected to the motor-driven forward/backward moving device and the motor-driven operating device, the control device including a control unit for outputting control signals to the forward/backward moving device and the operating device and a memory unit for storing one or more treatment operation programs corresponding to accessories to be mounted on the motor-driven forward/backward moving device; and an operation instructing device electrically connected to the co

Abstract: In the case where the living tissues in the patient's body is resected as well, it is possible to suture the resected portion immediately without replacement with another treatment device after resection. Thus, prevention of bleeding from the resected portion or earlier repair of an ulcer that occurs with the resected portion can be carried out for the patent lowly invasively and easily.

Abstract: A medical ligating apparatus includes a medical ligating device having a member which is made of a flexible line and ligates living tissues, and a fixing member which is movably provided at the ligating member and fixes the living tissues in a ligated state, a manipulating device having a flexible sheath and a proximal manipulating section, and a cutting member for cutting the ligating member. The cutting member is provided on the manipulating device and is movably provided on the ligating member.

Abstract: A medical ligating apparatus includes a medical ligating device having a member which is made of a flexible line and ligates living tissues, and a fixing member which is movably provided at the ligating member and fixes the living tissues in a ligated state, a manipulating device having a flexible sheath and a proximal manipulating section, and a cutting member for cutting the ligating member. The cutting member is provided on the manipulating device and is movably provided on the ligating member.

Abstract: An endoscope system comprises an endoscope, manipulating unit, and controlling unit. The endoscope is equipped with an elongated and flexible insertion tube being inserted into an object being examined and formed to be used in combination with a therapeutic instrument. The insertion tube has a distal section accommodating therein at least an optical system for imaging and presenting a longitudinal direction. The manipulating unit is manually manipulated for commanding operations of at least the therapeutic instrument and formed to be loaded to the insertion tube and slidable along the insertion tube in the longitudinal direction thereof. The controlling unit controls at least the therapeutic instrument based on a command from the manipulating unit.

Abstract: An apparatus is provided which assists operations required for a medical instrument. A tubular portion and a therapeutic member of the instrument are inserted through a channel of an insertion tube of an endoscope. In the apparatus, a first drive unit enables the therapeutic member to perform the desired therapeutic operations responsively to a first command signal and a second drive unit enables the tubular portion inserted in the channel to convey responsively to a second command signal. An input device is provided at which two kinds of commands are allowed to be inputted command by command. The two kinds of commands allow the therapeutic member and the tubular portion to be driven in parallel with each other. A controller provides the first and second drive units with the first and second command signals, respectively, in accordance with the two kinds of commands.

Abstract: An endoscope system comprises an endoscope, medical instrument, operating unit, first and second drive units, and control unit. The endoscope comprises a flexible insertion tube being inserted into an object being examined. The medical instrument is partially inserted into the object through the insertion tube and the operating unit is used for commanding the medical instrument to operate. The first drive unit drives the medical instrument to enable an inserting and pulling-out operation of the medical instrument with the object through the insertion tube. The second drive unit drives the medical instrument to enable the medical instrument to perform a therapeutic operation in the object. The control unit controls drive of the first and second driving devices depending on both an operated state of the operating device and an interference state caused between the medical instrument and the insertion tube when the instrument is actually used.

Abstract: A treating implement cartridge for living body tissue has a treating implement which has a plurality of engaging portions engaged with a plurality of engaged portions which are provided at a front end portion of a treatment apparatus inserted into an interior of a body in order to perform treatment of the living body tissue, and performs the treatment for the living body tissue according to operation of the treating apparatus by an operator, an accommodation container which has a plurality of accommodation portions which accommodate the engaging portions of the treating implement, and have opening portions into which the engaged portions are inserted, and a fixing portion which is attached to at least one accommodation portion, and holds the engaging portion.

Abstract: An ultrasonic treatment apparatus includes a sheath which has an opening at a distal-end thereof; an ultrasonic transducer which is connected to the sheath, the ultrasonic transducer being able to generate ultrasonic vibration which is of treatment energy; an ultrasonic power supply unit which supplies electric power for driving the ultrasonic transducer; a treatment unit which is connected to the ultrasonic transducer, the treatment unit transmitting the ultrasonic vibration to a living tissue; and a high-frequency power supply unit which supplies high-frequency current which is of the treatment energy to the treatment unit.

Abstract: An endoscopic instrument used to form an artificial valve for treating gastroesophageal reflux disease (GERD).

Abstract: An endoscopic instrument used to form an artificial valve for treating gastroesophageal reflux disease (GERD).

Abstract: A suturing device for an endoscope includes a curved needle rotatably attached on the distal end of the suturing device. A rotary member is provided on the rotation axis of the curved needle for rotating said curved needle and a connecting arm connects the curved needle to the rotary member. The center of curvature of the curved needle is aligned with the rotation axis of the curved needle and engaging means are provided at least at the pointed end of the curved needle for receiving thread.

Abstract: A medical procedure tool equipped with: a flexible linear material for carrying out a specific procedure to a biological tissue; a linear material holding member provided covering the linear material in a freely advancing and retracting manner, for holding the linear material; a flexible first sheath provided so as to come into contact with the base end side of the linear material holding member; a flexible second sheath provided so as to be freely advancing and retracting with respect to the first sheath and the linear material holding member; an operator for advancing and retracting manipulation of the second sheath; and a cutting means for cutting the linear material; wherein the cutting means is provided with a first cutting part provided to the linear material holding member; and a second cutting part that is provided to the front end of the second sheath and which, together with the first cutting part, grips the linear material there between; and one of either the first cutting part or the second cuttin

Abstract: A holding member has an opening portion which opens to an distal end. The opening portion, the distal end of an endoscope and a holding member define a treatment space. A clamping member can project and retreat from and into the opening portion through the treatment space. The puncture member can move in the treatment space, in a direction that intersects with the longitudinal direction of the endoscope.

Abstract: A holding member has an opening portion which opens to an distal end. The opening portion, the distal end of an endoscope and a holding member define a treatment space. A clamping member can project and retreat from and into the opening portion through the treatment space. The puncture member can move in the treatment space, in a direction that intersects with the longitudinal direction of the endoscope.

Abstract: In an endoscopic treatment instrument having a plurality of sheaths, a supporting member for directly and indirectly supporting the plurality of sheaths, and a connecting member for directly/indirectly bringing the sheaths and an endoscope in a connected state are provided. The supporting member constrains a relative position of the plurality of sheaths and the connecting member can change the connecting state. Therefore, when an operator changes the connecting state of the connecting member, the positional relation of the endoscope and the plurality of sheaths can be changed, while the positional relation of the plurality of sheaths is still constrained. Accordingly, for example, left and right sheaths can be easily exchanged.

Abstract: There is provided a flexible guide tube which guides an endoscope or a therapeutic device into an abdominal cavity through the mouth and stomach to conduct an observation or a therapeutic treatment in the abdominal cavity. The guide tube includes an insertion section which has a distal end, a peripheral section, and a central axis, and which is capable of being inserted into a body through the mouth, and two expandable and shrinkable balloons arranged in the vicinity of the distal end at a predetermined distance from each other in the axial direction on the periphery of the insertion section. The predetermined distance is preferably set to 3 to 8 mm, and the length of the insertion section is preferably set to about 600 to 1000 mm.

Abstract: A treatment device for endoscopic therapy of the present invention includes a suturing-ligating member having a distal end portion and a proximal end portion, that carries out at least one of suturing and ligation of biological tissue, a stopper provided to be movable forward or backward on an proximal end side of the suturing or ligating member, and stoppable by friction on the suturing-ligating member to maintain the biological tissue in a sutured or ligated state by the suturing-ligating member, and a suturing-ligation releasing member provided movable with relative to the suturing-ligating member to release the suturing-ligation state maintained by firctional stopping between the suturing-ligating member and the stopper by moving the releasing member to the proximal end portion side of the suturing-ligating member.

Abstract: A ligature and suture device for medical application that ligatures or sutures biomedical tissue that has been suctioned by a suction device using a suturing member. The ligature and suture device includes an insertion portion having a lumen into which an endoscope can be inserted, and a distal end portion that is connected to the lumen and in which at least one side aperture is provided, at least one hollow needle that is able to support inside itself the suturing member, and that is placed inside the insertion portion such that a tip of the hollow needle is able to move between a first position, which is on a base end side of the side aperture, and a second position, which is on a distal end side of the side aperture, an operating section that performs an operation to move the needle, and at least one pledget that can be penetrated by the needle, and that is placed in a vicinity of the distal end of the side aperture so as to be freely removable from the distal end portion.