公开(公告)号：US06527753B2

公开(公告)日：2003-03-04

申请号：US09794974

申请日：2001-02-27

申请人： Ryuta Sekine ,  Christopher J. Gostout

发明人： Ryuta Sekine ,  Christopher J. Gostout

IPC分类号： A61M500

CPC分类号： A61B1/00135 ,  A61B1/018 ,  A61B1/2733 ,  A61B17/29 ,  A61B17/3478 ,  A61B18/14 ,  A61B2017/00269 ,  A61B2017/003 ,  A61B2017/3445 ,  A61B2018/00482 ,  A61B2018/1412 ,  A61B2018/1475

摘要： This invention provides an endoscopic treatment system for executing at least one of localized injection through mucous membrane, peeling off and cutting off of mucous membrane. This system has an endoscope, which has an insertion section provided with at least one channel extending therein. The system also has a plurality of treatment tools including a syringe needle for executing localized injection through a portion of mucous membrane, forceps for gripping a portion of mucous membrane, and at least one knife for executing at least one of peeling off and cutting off of mucous membrane. Further, this system includes an endoscopic guide tube to be inserted into the esophagus, which has a main channel for inserting therein the endoscope, and at least one sub channel for inserting therein each of the treatment tools.

摘要翻译： 本发明提供了一种内窥镜处理系统，用于执行通过粘膜的局部注射，剥离和切断粘膜中的至少一种。 该系统具有内窥镜，其具有设置有至少一个在其中延伸的通道的插入部。 该系统还具有多个处理工具，包括用于通过粘膜的一部分进行局部注射的注射器针头，用于夹持粘膜部分的镊子，以及至少一个用于执行剥离和切断 黏膜。 此外，该系统包括插入食道的内窥镜引导管，其具有用于在其中插入内窥镜的主通道，以及用于在其中插入其中的每个处理工具的至少一个子通道。

公开(公告)号：US5779686A

公开(公告)日：1998-07-14

申请号：US718016

申请日：1996-09-03

申请人： Yukio Sato ,  Yutaka Yanuma ,  Kazuhiko Ohzeki ,  Ryuta Sekine ,  Yasuo Miyano

发明人： Yukio Sato ,  Yutaka Yanuma ,  Kazuhiko Ohzeki ,  Ryuta Sekine ,  Yasuo Miyano

IPC分类号： A61B10/02 ,  A61B1/00 ,  A61B10/00 ,  A61B10/06 ,  A61B17/00 ,  A61B17/28 ,  A61B17/32 ,  A61B18/14 ,  A61B19/00 ,  A61M39/02

CPC分类号： A61B10/06 ,  A61B2010/0216 ,  A61B2017/00004 ,  A61B2017/0023 ,  A61B2017/0046 ,  A61B2017/292 ,  A61B2018/1407 ,  A61B2090/0814

摘要： A disposable medical instrument wherein at least part of the portion which does not directly contact the mucosa in body cavities is composed of a material containing hydrophilic polymer such as water soluble polymer or water absorptive polymer.

摘要翻译： 一种一次性医疗器械，其中不直接接触体腔内的粘膜的部分的至少一部分由含有亲水性聚合物如水溶性聚合物或吸水性聚合物的材料构成。

公开(公告)号：US07694864B2

公开(公告)日：2010-04-13

申请号：US12436402

申请日：2009-05-06

申请人： Yuta Okada ,  Ryuta Sekine

发明人： Yuta Okada ,  Ryuta Sekine

IPC分类号： A61B17/04

CPC分类号： A61B17/115 ,  A61B17/07207 ,  A61B17/1114 ,  A61B2017/00398 ,  A61B2017/2905 ,  A61B2017/2926 ,  A61B2017/306 ,  A61B2017/320052

摘要： A position information transmitting member for transmitting position information to a staple receiving portion is provided in a tissue stapler having a staple receiving portion which comprises the anvil of the stapler. Thereby, an operator can easily locate the position of and grasp the staple receiving portion located within a tissue to swiftly execute stapling. The tissue stapler includes a stapling portion provided with an endoscope inserting tube path, a stapling portion provided with a staple injecting portion arranged on a distal end side of the inserting portion, and a staple receiving member (anvil) arranged separately from the inserting portion, to be grasped by a treatment tool introduced via the inserting portion in a state when it is opposed to the stapling portion via a tissue, to bend a distal end portion of a staple pressed out from the staple injecting portion of the stapling portion which has penetrated through the tissue.

摘要翻译： 一种用于将位置信息传送到订书钉容纳部分的位置信息传送部件设置在具有包括订书机的砧座的订书钉接收部分的组织缝合器中。 因此，操作者可以容易地定位位于组织内的订书钉接收部分的位置并快速地执行装订。 组织缝合器包括具有内窥镜插入管路的装订部，设置有插入部的前端侧的缝钉注入部的装订部以及与插入部分别配置的缝合钉接收部件（砧座） 在经由组织与装订部相对的状态下，通过插入部引导的处理工具被抓住，使从被钉入的缝合部的钉注入部压出的钉的前端部弯曲 通过组织。

公开(公告)号：US20060253128A1

公开(公告)日：2006-11-09

申请号：US11375946

申请日：2006-03-15

申请人： Ryuta Sekine ,  Akira Suzuki ,  Raifu Matsui ,  Yuta Okada ,  Kensei Nakahashi

发明人： Ryuta Sekine ,  Akira Suzuki ,  Raifu Matsui ,  Yuta Okada ,  Kensei Nakahashi

IPC分类号： A61B17/10

CPC分类号： A61B17/32056 ,  A61B17/00234 ,  A61B17/0487 ,  A61B17/122 ,  A61B17/1285 ,  A61B17/29 ,  A61B17/320016 ,  A61B2017/00269 ,  A61B2017/0034

摘要： When a living tissue of a ligation target is ligated by means of a snare wire, the snare wire is brought into contact with the living tissue of a ligation target, on a large contact face by means for preventing living tissue cut-in of a ligation target of at least one of a distal end chip and a rear end ring of a loop section of the snare wire, thereby preventing the living tissue of a ligation target from cutting into a contact face of at least one of the distal end chip and rear end ring of the loop section.

摘要翻译： 当通过圈套线将结扎靶的活体组织结合时，通过用于防止活组织切断结扎的绳索在大接触面上与结扎靶的活组织接触， 所述线圈的环路部分的远端芯片和后端环中的至少一个的目标，从而防止结扎对象的生物体组织切割成远端芯片和后端中的至少一个的接触面 环路段的端环。

公开(公告)号：US20050267335A1

公开(公告)日：2005-12-01

申请号：US11131502

申请日：2005-05-18

申请人： Yuta Okada ,  Ryuta Sekine ,  Raifu Matsui

发明人： Yuta Okada ,  Ryuta Sekine ,  Raifu Matsui

IPC分类号： A61B19/00 ,  A61B1/00 ,  A61B1/018 ,  G02B23/24

CPC分类号： A61B1/00188 ,  A61B1/0014 ,  A61B1/00183 ,  A61B1/018 ,  G02B23/2438

摘要： The present invention is an endoscope apparatus including an endoscope comprising an observation optical system in which the angle of observable field of view for observing a therapeutic tool can be changed and an operating mechanism for changing the observable field of view; and an insertion guide tube for guiding the therapeutic tool into a body cavity, wherein the insertion guide tube is detachably positioned and supported in a predetermined position relative to the endoscope. With this apparatus, the therapeutic tool can be observed in an optimal observing state irrespective of whether the area to be observed is located near or far from a distal end of the endoscope.

摘要翻译： 本发明是一种内窥镜装置，其包括内窥镜，其包括观察光学系统，在该观察光学系统中，可以改变用于观察治疗工具的可观察视场角度和用于改变可观察视场的操作机构; 以及用于将治疗工具引导到体腔中的插入引导管，其中所述插入引导管可拆卸地定位并且被支撑在相对于所述内窥镜的预定位置。 利用该装置，可以以最佳观察状态观察治疗工具，而不管观察区域是否位于距离内窥镜的远端近或远的位置。

公开(公告)号：US20050228224A1

公开(公告)日：2005-10-13

申请号：US11104883

申请日：2005-04-13

申请人： Yuta Okada ,  Ryuta Sekine ,  Raifu Matsui

发明人： Yuta Okada ,  Ryuta Sekine ,  Raifu Matsui

IPC分类号： A61B19/00 ,  A61B1/00 ,  A61B1/005 ,  A61B1/018 ,  A61B17/00 ,  A61B17/28 ,  A61B17/34 ,  A61M25/00 ,  A61M25/01 ,  A61M25/02

CPC分类号： A61B17/3421 ,  A61B1/00071 ,  A61B1/00087 ,  A61B1/00133 ,  A61B1/00135 ,  A61B1/018 ,  A61B34/70 ,  A61B2017/00398 ,  A61B2017/2905 ,  A61B2017/2906 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/3445 ,  A61B2017/347

摘要： In an endoscope therapeutic device having a plurality of introduction guide tubes for introducing a treatment tool into a body cavity, the introduction guide tubes are mutually joined at a position more proximal than bending portions thereof. Accordingly, the effects caused by the movement of the plurality of the introduction guide tubes are mutually invalidated at a joint portion as a fulcrum, so that the position of the introduction guide tube is relatively stabilized in the body cavity. As joining methods, there are integration, usage of a joint tool, and usage of an over tube. The operability is improved when the introduction guide tube is provided at the distal end thereof with a mechanism for retaining and/or rotating a distal end of a treatment tool inserted therethrough.

摘要翻译： 在具有用于将治疗工具引入体腔的多个引导引导管的内窥镜治疗装置中，引导引导管在比其弯曲部更靠近的位置处相互连接。 因此，由于多个导入导管的运动引起的效果在作为支点的关节部分相互无效，使得导入导管的位置在体腔内相对稳定。 作为接合方法，存在联合工具的集成，使用和过管的使用。 当引导导管在其远端处设置有用于保持和/或旋转插入其中的治疗工具的远端的机构时，可操作性得到改善。

公开(公告)号：US20060011698A1

公开(公告)日：2006-01-19

申请号：US11179215

申请日：2005-07-12

申请人： Yuta Okada ,  Ryuta Sekine

发明人： Yuta Okada ,  Ryuta Sekine

IPC分类号： A61B17/04

CPC分类号： A61B17/115 ,  A61B17/07207 ,  A61B17/1114 ,  A61B2017/00398 ,  A61B2017/2905 ,  A61B2017/2926 ,  A61B2017/306 ,  A61B2017/320052

摘要： A position information transmitting member for transmitting position information to a staple receiving portion is provided in a tissue stapler having a staple receiving portion which comprises the anvil of the stapler. Thereby, an operator can easily locate the position of and grasp the staple receiving portion located within a tissue to swiftly execute stapling. The tissue stapler includes a stapling portion provided with an endoscope inserting tube path, a stapling portion provided with a staple injecting portion arranged on a distal end side of the inserting portion, and a staple receiving member (anvil) arranged separately from the inserting portion, to be grasped by a treatment tool introduced via the inserting portion in a state when it is opposed to the stapling portion via a tissue, to bend a distal end portion of a staple pressed out from the staple injecting portion of the stapling portion which has penetrated through the tissue.

摘要翻译： 一种用于将位置信息传送到订书钉容纳部分的位置信息传送部件设置在具有包括订书机的砧座的订书钉接收部分的组织缝合器中。 因此，操作者可以容易地定位位于组织内的订书钉接收部分的位置并快速地执行装订。 组织缝合器包括具有内窥镜插入管路的装订部，设置有插入部的前端侧的缝钉注入部的装订部以及与插入部分别配置的缝合钉接收部件（砧座） 在经由组织与装订部相对的状态下，通过插入部引导的处理工具被抓住，使从被钉入的缝合部的钉注入部压出的钉的前端部弯曲 通过组织。

公开(公告)号：US20050222495A1

公开(公告)日：2005-10-06

申请号：US11093824

申请日：2005-03-30

申请人： Yuta Okada ,  Ryuta Sekine ,  Raifu Matsui

发明人： Yuta Okada ,  Ryuta Sekine ,  Raifu Matsui

IPC分类号： G02B23/24 ,  A61B1/00 ,  A61B1/018 ,  A61B17/00 ,  A61B19/00

CPC分类号： A61B1/018 ,  A61B1/0008 ,  A61B1/00135 ,  A61B1/00149 ,  A61B5/14539 ,  A61B90/50 ,  A61B2017/2906 ,  A61B2017/347

摘要： In a medical system including an over-tube for inserting a tool, the medical system includes a restraining mechanism for restraining at least one of a relative movement between the tool to be inserted through the over-tube and the over-tube and a relative movement between the over-tube and the body cavity. The restraining mechanism includes a mechanism for engaging the tool with the distal end of the over-tube, a mechanism for supporting the over-tube outside the body cavity, and a mechanism for connecting the endoscope to the distal end of the over-tube. When engaging the tool with the distal end of the over-tube, a resilient strip or a balloon can be used. When supporting the over-tube outside the body cavity, at least two holders can be used.

摘要翻译： 在包括用于插入工具的上管的医疗系统中，医疗系统包括限制机构，用于限制要穿过上管的工具与外管之间的相对运动中的至少一个以及相对运动 在上管和体腔之间。 限制机构包括用于将工具与上管的远端接合的机构，用于将外管支撑在体腔外的机构，以及用于将内窥镜连接到上管的远端的机构。 当将工具与上管的远端接合时，可以使用弹性带或气球。 当在体腔外部支撑过管时，可以使用至少两个保持器。

公开(公告)号：US20050119524A1

公开(公告)日：2005-06-02

申请号：US10635044

申请日：2003-08-05

申请人： Ryuta Sekine ,  Raifu Matsui ,  Yuta Okada

发明人： Ryuta Sekine ,  Raifu Matsui ,  Yuta Okada

IPC分类号： A61B17/28 ,  A61B1/00 ,  A61B1/018 ,  A61B17/04 ,  A61B17/06 ,  A61B17/064 ,  A61B17/072 ,  A61B17/11 ,  A61B17/221 ,  A61B17/32 ,  A61B17/34 ,  A61B19/00

CPC分类号： A61B1/00135 ,  A61B1/018 ,  A61B17/0482 ,  A61B17/0644 ,  A61B17/072 ,  A61B17/1114 ,  A61B17/29 ,  A61B17/320016 ,  A61B17/32056 ,  A61B2017/00269 ,  A61B2017/0419 ,  A61B2017/0472 ,  A61B2017/06052 ,  A61B2017/320052 ,  A61B2017/347 ,  A61B2090/306

摘要： An endoscopic treatment system is designed to suture or resect a lesion while ensuring the ease of insertion into a deep region in the large intestine. The endoscopic treatment system comprises an endoscope and a therapeutic instruments insertion aid into which the endoscope is inserted. The endoscopic treatment system further comprises: a pair of clamp forceps that clamps and lifts a living-body tissue; a lateral hole formed in the therapeutic instruments insertion aid and used to control the position of the living-body tissue clamped and lifted by the pair of clamp forceps or to control the lifting thereof; a ligature used to ligate the living-body tissue whose position or lifting is controlled by the lateral hole; and a cutter used to resect the living-body tissue at a position between a region ligated with the ligature and a region clamped and lifted with the pair of clamp forceps.

摘要翻译： 内窥镜治疗系统设计用于缝合或切除病变，同时确保易于插入大肠的深部区域。 内窥镜治疗系统包括内窥镜和插入有内窥镜的治疗仪器插入辅助装置。 内窥镜治疗系统还包括：一对夹钳和提升活体组织的夹钳; 形成在治疗仪器插入辅助件中的侧孔，并用于控制由一对钳夹钳夹住和提起的活体组织的位置，或者控制其提升; 用于连接由侧孔控制其位置或提升的活体组织的结扎; 以及用于在与结扎连接的区域与用一对钳夹钳夹和提起的区域之间的位置切除活体组织的刀具。

公开(公告)号：US06352503B1

公开(公告)日：2002-03-05

申请号：US09354011

申请日：1999-07-15

申请人： Raifu Matsui ,  Ryuta Sekine ,  Keiichi Arai

发明人： Raifu Matsui ,  Ryuta Sekine ,  Keiichi Arai

IPC分类号： A61B100

CPC分类号： A61B1/00147 ,  A61B1/00071 ,  A61B1/00082 ,  A61B1/00098 ,  A61B1/00135 ,  A61B1/00154 ,  A61B1/015 ,  A61B1/018 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/1285 ,  A61B17/29 ,  A61B17/32056 ,  A61B90/50 ,  A61B2017/00269 ,  A61B2017/00296 ,  A61B2017/00353 ,  A61B2017/2905 ,  A61B2017/2906 ,  A61B2017/2927 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2018/1407

摘要： The present invention is directed to an endoscopic surgery apparatus for performing treating operation in a body cavity of a patient with the use of treating tools in combination with an endoscope, in which insertion sections allowing the insertion of treating tools are externally arranged in a side-by-side fashion with an insertion section of the endoscope set between these insertion sections and a balloon is provided near a distal end of the insertion section of the endoscope to adjust a relative distance between the insertion sections relative to the insertion section of the endoscope. The balloon is provided on the insertion section of the endoscope and, when the endoscope and treating tools are introduced into the body cavity of the patient, it is possible to easily and properly lead the endoscope and treating tools to a region of interest of the patient.

摘要翻译： 本发明涉及一种内窥镜手术装置，其使用与内窥镜组合的治疗工具进行患者的体腔内的治疗操作，其中允许治疗工具插入的插入部分外侧设置在侧面， 在内窥镜的插入部的前端附近设置有在这些插入部之间设置的内窥镜的插入部和气球的并列方式，以调节插入部之间相对于内窥镜的插入部的相对距离。 气囊设置在内窥镜的插入部上，并且当将内窥镜和治疗工具引入患者的体腔时，可以容易且适当地将内窥镜和治疗工具引导到患者感兴趣的区域 。