摘要:
An endoscope air-supply system comprising: a gas supply device which supplies predetermined gas to a lumen of a subject through an air-supply duct; a pressure measurement device which measures pressure in the lumen and which is connected through a duct for pressure measurement communicating with the lumen; a flushing device which supplies gas for flushing to the duct for pressure measurement; and an instruction device which instructs the pressure measurement device to perform pressure measurement and which instructs the flushing device to supply the gas for flushing in synchronism with the pressure measurement by the pressure measurement device.
摘要:
The guide tube for forming a pneumoperitoneum of the present invention comprising a flexible tube having an inner cavity, has an outer diameter that allows the guide tube to be inserted into a puncture needle, a distal end of the guide tube is closed, the distal end is provided with a tip portion that can be held by holding forceps provided in an endoscope, a proximal end of the guide tube is provided with a connecting portion to an insufflation apparatus, and the guide tube is provided with a side hole region having at least one side hole that can establish communication between the inner cavity of the flexible tube and the outside in a case where the inner cavity is pressurized through insufflation. According to the guide tube for forming a pneumoperitoneum of the present invention, only with single puncture from the body surface into the lumen of a lumen organ, a preliminary pneumoperitoneum can be safely and reliably created without damaging other organs, and, at the same time, the part of the lumen organ wall pierced during formation of the pneumoperitoneum can be used as a route for accessing the peritoneal cavity from the lumen of the lumen organ.
摘要:
The guide tube for forming a pneumoperitoneum of the present invention comprising a flexible tube having an inner cavity, has an outer diameter that allows the guide tube to be inserted into a puncture needle, a distal end of the guide tube is closed, the distal end is provided with a tip portion that can be held by holding forceps provided in an endoscope, a proximal end of the guide tube is provided with a connecting portion to an insufflation apparatus, and the guide tube is provided with a side hole region having at least one side hole that can establish communication between the inner cavity of the flexible tube and the outside in a case where the inner cavity is pressurized through insufflation. According to the guide tube for forming a pneumoperitoneum of the present invention, only with single puncture from the body surface into the lumen of a lumen organ, a preliminary pneumoperitoneum can be safely and reliably created without damaging other organs, and, at the same time, the part of the lumen organ wall pierced during formation of the pneumoperitoneum can be used as a route for accessing the peritoneal cavity from the lumen of the lumen organ.
摘要:
The catheter (1, 11) for an endoscope of the present invention comprises an openings (2, 12) in the vicinity of the tip at a distal end thereof, wherein the opening has a diameter smaller than an inner diameter of the catheter, and a plurality of said openings are provided. The catheter for an endoscope of the present invention can have multiple functions such as irrigation, suction, incision, cauterization, hemostasis by coagulation, and smoke evacuation.
摘要:
A retractor including an excluding portion having an obtuse distal end, an introduction portion extending from the excluding portion, and a handle portion provided at a proximal end of the introduction portion. The excluding portion and the introduction portion each have an outer diameter that allows insertion into a treatment instrument channel of an endoscope. The excluding portion is configured by a movable wire and a plurality of fixed wires, the movable wire extends through the introduction portion, proximal ends of the fixed wires are fixed to a distal end of the introduction portion, and a distal end of the movable wire and distal ends of the fixed wires are joined to each other. A proximal end of the movable wire is pulled with the handle portion toward the handle portion so the excluding portion develops a cocoon shape. The retractor is useful in minimally-invasive surgery.
摘要:
An object of the present invention is to provide means capable of steering a treatment instrument together with an endoscope with good operability in endoscopic surgery. The endoscope overtube of the present invention includes a first insertion passage into which an endoscope is inserted, wherein a wall constituting the first insertion passage includes a second insertion passage into which a treatment instrument is inserted, and a major axis direction of the second insertion passage is different from a major axis direction of the first insertion passage at a distal end of the second insertion passage. Since the treatment instrument insertion passage of the overtube does not extend in a direction along the major axis of the overtube, the treatment instrument is protruded from the distal end of the overtube in a direction different from that of the center of a surgical field, and extends outward, away from a direction along the viewing axis of the overtube. For example, when a grasping forceps is inserted into the insertion passage of the overtube, by adjusting the extent of protrusion of the grasping forceps, it is possible to grip a tissue under an appropriate tension and perform a treatment such as removal with a treatment instrument such as an electrocautery inserted from the treatment instrument channel of the endoscope.