公开(公告)号：US20100048992A1

公开(公告)日：2010-02-25

申请号：US12612461

申请日：2009-11-04

申请人： Yuta Okada ,  Ryuta Sekine ,  Raifu Matsui

发明人： Yuta Okada ,  Ryuta Sekine ,  Raifu Matsui

IPC分类号： A61B1/018

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：US20090212088A1

公开(公告)日：2009-08-27

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： A61B17/068

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：US08221306B2

公开(公告)日：2012-07-17

申请号：US12612461

申请日：2009-11-04

申请人： Yuta Okada ,  Ryuta Sekine ,  Raifu Matsui

发明人： Yuta Okada ,  Ryuta Sekine ,  Raifu Matsui

IPC分类号： A61B1/00

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：US07341554B2

公开(公告)日：2008-03-11

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： A61B1/00 ,  A61B1/04

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：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。