Abstract:
Provided is an endoscope including an inserted portion that has, sequentially from a distal-end side, a distal-end portion, a bending portion, and a flexible portion; a wire that has an exposed portion that is disposed outside the distal-end portion of the flexible portion along the longitudinal direction and whose positions, at a first position and a second position that is separated from the first position on the base-end side, are restrained with respect to the distal-end portion of the flexible portion in a radial direction; and a wire adjusting portion that changes the length between the first position and the second position of the wire.
Abstract:
A pericardial-cavity observing method including: a step of inserting an endoscope sheath and an endoscope into a space between the heart and the pericardium; a step of disposing a protruding portion closer to the pericardium than an optical member is so that an angle that is formed between a centerline that passes through a center of the protruding portion and a center of the optical member and a tangent of the pericardium that passes through a foot of a perpendicular line drawn, from the center of the optical member of the endoscope, to the pericardium sagging down from the protruding portion toward the heart becomes greater than an angle formed between the centerline and an external common tangent of the protruding portion and the optical member; and a step of observing the heart by means of the endoscope.
Abstract:
A medical instrument including: an elongated insertion portion having flexibility and being insertable into a living body; a suctional attachment section provided on an outer circumferential surface of the insertion portion at an intermediate position in a longitudinal direction of the insertion portion and having a suction opening at an outer side in a radial direction relative to the insertion portion, opening in the radial direction, and suctionally attaching tissue in the living body; and a rotation mechanism that attaches the suctional attachment section to the insertion portion in such a manner as to be rotatable about an axis in a direction substantially the same as the radial direction.
Abstract:
An optical fiber scanner including: an optical fiber that guides light produced by a light source; an actuator that is fixed at an intermediate position of the optical fiber in the long-axis direction and that displaces a distal end of the optical fiber through a bending vibration; and an electrically conductive detection wire member that extends in a state in which it is attached to the outer periphery of the optical fiber at least between the actuator and the distal end of the optical fiber, over a predetermined range in the long-axis direction.
Abstract:
This optical fiber scanner has an elongated optical fiber, a vibration transmission member which has a column-like shape and has a penetrating hole through which the optical fiber penetrates, and a piezoelectric element provided on an outer surface of the vibration transmission member, wherein the penetrating hole is a fitted hole which is formed from a proximal end of the vibration transmission member to a middle of the vibration transmission member and the optical fiber is fitted, and the penetrating hole is an accommodation hole which is formed from the middle to a distal end of the vibration transmission member, which has a large inner diameter than an outer diameter of the optical fiber, and which accommodates a distal end portion of the optical fiber with a gap between the optical fiber and the accommodation hole.
Abstract:
A medical device is provided. The medical device includes a puncture needle that is inserted into body tissue from outside a body and pierces membranous tissue near pulsating tissue inside the body tissue; a tubular protection member that is disposed on the outer side of the puncture needle; a pulse-information acquisition portion that acquires pulse information of the pulsating tissue; and a driving unit that moves the puncture needle and the protection member relative to each other in synchronization with the pulse information of the pulsating tissue acquired by the pulse-information acquisition portion, in such a manner that a tip of the puncture needle is retracted toward a proximal end from a distal end of the protection member when the pulsating tissue expands and that the tip of the puncture needle is projected farther forward from the distal end of the protection member when the pulsating tissue contracts.
Abstract:
An endoscope sheath includes: a sheath body through which an endoscope channel is formed; a projecting portion extending in the longitudinal direction from the distal end of the sheath body and provided at a portion in the circumferential direction, on the radially outer side the endoscope channel; a nozzle from which the cleaning fluid is jetted radially inward of the sheath body and that is provided at the distal end portion of the projecting portion; and a fluid channel through which the cleaning fluid is supplied to the nozzle. At the distal end of the sheath body, the side opposite the nozzle with the endoscope channel therebetween in the radial direction is open.
Abstract:
Provided is an endoscope sheath including an elongated body having flexibility, the body having a first lumen through which an endoscope passes in a longitudinal direction of the body and a second lumen through which a guide wire passes in the longitudinal direction. A direction in which the second lumen opens at the distal end of the body gradually diverges from a direction in which the first lumen opens at the distal end, in a forward direction from the distal end.
Abstract:
An optical fiber scanner includes: an elongated optical fiber; driving piezoelectric elements that are provided on an outer circumferential surface of the optical fiber and produce bending oscillation at a distal-end portion of the optical fiber as a result of an alternating voltage being applied thereto; detecting piezoelectric elements provided on the outer circumferential surface at the distal-end portion of the optical fiber; and a control unit that controls an alternating voltage to be applied to the driving piezoelectric elements on the basis of the voltages produced by the detecting piezoelectric elements.
Abstract:
An atrial-appendage ligation treatment tool including: a shaft provided with a lumen having, at a distal end thereof, an opening having an opening diameter that allows passage of a thread of a ligation loop formed in a ring shape, which can be tightened, by connecting an end of the thread at an intermediate position by means of a knot and that does not allow passage of the knot; and a cutting part that is provided at a distal end of the shaft and that cuts, at an inner side of the opening and in the vicinity of the opening, the thread passing through the lumen.