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    Medical manipulator, treatment system, and treatment method
    1.
    发明授权
    Medical manipulator, treatment system, and treatment method 有权
    医疗器械，治疗系统和治疗方法

    公开(公告)号：US08834353B2

    公开(公告)日：2014-09-16

    申请号：US12500950

    申请日：2009-07-10

    申请人： Takumi Dejima ,  Ken Yamatani ,  Ayano Ishioka ,  Kosuke Motai ,  Kazushi Murakami ,  Takayasu Mikkaichi

    发明人： Takumi Dejima ,  Ken Yamatani ,  Ayano Ishioka ,  Kosuke Motai ,  Kazushi Murakami ,  Takayasu Mikkaichi

    IPC分类号： A61B1/00 ,  A61B17/29 ,  A61B1/313 ,  A61B1/04 ,  A61B17/34 ,  A61B19/00 ,  A61B17/00

    CPC分类号： A61B17/29 ,  A61B1/04 ,  A61B1/3132 ,  A61B2017/00323 ,  A61B2017/2906 ,  A61B2017/291 ,  A61B2017/2927 ,  A61B2017/3447 ,  A61B2090/034

    摘要： A medical manipulator which includes: a plurality of arms formed in a cylindrical shape a distal end portion of which is made of a rigid member having a bending portion capable of bending; an insertion portion made of a rigid member having a plurality of channels in which base ends of the plurality of arms are connected to a distal end of the insertion portion so as to connect lumens of the arms to the plurality of channels; a photographic device provided at the distal end of the insertion portion; an operation portion that operates the bending portion; and a transmission member that connects the bending portion and the operation portion, in which the bending portion has: a first bending portion that is capable of bending in a predetermined direction by an operation of the operation portion, and a second bending portion provided in a base end than the first bending portion that is capable of fixing the plurality of arms in a bent state so as to mutually separate, and the transmission portion has: a first region which is flexible, and a second region which is rigid and connected to a base end portion of the first region.

    摘要翻译： 一种医疗机械手，包括：多个臂，其形成为圆筒状，其前端部由具有能够弯曲的弯曲部的刚性构件构成; 由具有多个通道的多个通道制成的插入部分，其中所述多个臂的基端连接到所述插入部分的远端，以将所述臂的内腔连接到所述多个通道; 设置在所述插入部的前端的摄影装置; 操作所述弯曲部的操作部; 以及传递构件，其连接弯曲部和操作部，弯曲部具有：能够通过操作部的操作而能够沿预定方向弯曲的第一弯曲部和设置在所述操作部的第二弯曲部 基部端部比能够将多个臂固定成弯曲状态的第一弯曲部分相互分离，并且传动部分具有：柔性的第一区域和刚性连接到第一区域的第二区域， 第一区域的基端部分。

    SELECTIVE CANNULATION METHOD AND ENDOSCOPIC TREATMENT INSTRUMENT USED FOR LUMENAL TISSUE HAVING BRANCH SECTION
    2.
    发明申请
    SELECTIVE CANNULATION METHOD AND ENDOSCOPIC TREATMENT INSTRUMENT USED FOR LUMENAL TISSUE HAVING BRANCH SECTION 有权
    选择性肛门方法和内分泌治疗仪用于分支部分的组织

    公开(公告)号：US20100179383A1

    公开(公告)日：2010-07-15

    申请号：US12354188

    申请日：2009-01-15

    申请人： Kosuke Motai ,  Ayano Ishioka

    发明人： Kosuke Motai ,  Ayano Ishioka

    IPC分类号： A61B1/018 ,  A61B1/01 ,  A61B1/04

    CPC分类号： A61B1/0051 ,  A61B1/018

    摘要： A selective cannulation method for a lumenal tissue's branch section includes: a first step for guiding an endoscope having a channel to an aperture section of the lumenal tissue; a second step for inserting a distal end of an endoscopic treatment instrument through the channel into the aperture section of the lumenal tissue; a third step for having the distal end of the endoscopic treatment instrument make contact with a pipe wall extending from the aperture section of the lumenal tissue to the branch section at two opposed points on the pipe wall by deforming the distal end of the endoscopic treatment instrument; a fourth step for sliding and moving the distal end of the endoscopic treatment instrument to the branch section while having the distal end of the endoscopic treatment instrument make contact with the pipe wall; and a fifth step for inserting the distal end of the endoscopic treatment instrument into a predetermined branch lumen divided from the branch section.

    摘要翻译： 用于管腔组织分支部的选择性插管方法包括：第一步骤，用于将具有通道的内窥镜引导至所述内腔组织的孔部; 第二步骤，用于将内窥镜治疗器械的远端通过所述通道插入所述内腔组织的孔部; 第三步骤是使内窥镜治疗仪器的前端与从管腔组织的开口部延伸到管壁的管壁与管壁上的两个相对的点接触，使内窥镜治疗仪器的前端变形 ; 使内窥镜治疗器具的前端与管壁接触的同时将内窥镜治疗器具的前端滑动并移动到分支部的第四步骤; 以及第五步骤，用于将内窥镜处理器具的远端插入从分支部分分割的预定分支内腔中。

    Selective cannulation method for luminal tissue having branch section
    3.
    发明授权
    Selective cannulation method for luminal tissue having branch section 有权
    具有分支部分的管腔组织的选择性插管方法

    公开(公告)号：US08545394B2

    公开(公告)日：2013-10-01

    申请号：US12354188

    申请日：2009-01-15

    申请人： Kosuke Motai ,  Ayano Ishioka

    发明人： Kosuke Motai ,  Ayano Ishioka

    IPC分类号： A61B1/00 ,  A61B1/04

    CPC分类号： A61B1/0051 ,  A61B1/018

    摘要： A selective cannulation method for a lumenal tissue's branch section includes: a first step for guiding an endoscope having a channel to an aperture section of the lumenal tissue; a second step for inserting a distal end of an endoscopic treatment instrument through the channel into the aperture section of the lumenal tissue; a third step for having the distal end of the endoscopic treatment instrument make contact with a pipe wall extending from the aperture section of the lumenal tissue to the branch section at two opposed points on the pipe wall by deforming the distal end of the endoscopic treatment instrument; a fourth step for sliding and moving the distal end of the endoscopic treatment instrument to the branch section while having the distal end of the endoscopic treatment instrument make contact with the pipe wall; and a fifth step for inserting the distal end of the endoscopic treatment instrument into a predetermined branch lumen divided from the branch section.

    摘要翻译： 用于管腔组织分支部的选择性插管方法包括：第一步骤，用于将具有通道的内窥镜引导至所述内腔组织的孔部; 第二步骤，用于将内窥镜治疗器械的远端通过所述通道插入所述内腔组织的孔部; 第三步骤是使内窥镜治疗仪器的前端与从管腔组织的开口部延伸到管壁的管壁与管壁上的两个相对的点接触，使内窥镜治疗仪器的前端变形 ; 使内窥镜治疗器具的前端与管壁接触的同时将内窥镜治疗器具的前端滑动并移动到分支部的第四步骤; 以及第五步骤，用于将内窥镜处理器具的远端插入从分支部分分割的预定分支内腔中。

    Endoscope treatment instrument
    5.
    发明授权
    Endoscope treatment instrument 有权
    内窥镜治疗仪

    公开(公告)号：US08728089B2

    公开(公告)日：2014-05-20

    申请号：US12057841

    申请日：2008-03-28

    申请人： Tsutomu Okada ,  Kosuke Motai

    发明人： Tsutomu Okada ,  Kosuke Motai

    IPC分类号： A61B1/00

    CPC分类号： A61B17/29 ,  A61B18/1492 ,  A61B2017/2905 ,  A61B2017/2906 ,  A61B2017/291 ,  A61B2017/2929 ,  A61B2018/00916 ,  A61B2018/1422 ,  A61B2018/1475

    摘要： An endoscope treatment instrument provided with a flexible transmitting member, a treatment portion that is attached to the distal end of the transmitting member, and an actuator which is attached to the proximal end of the transmitting member and is for operating the treatment portion, this endoscope treatment instrument being designed to transmit the action of the actuator to the treatment portion via the transmitting member. The transmitting member consists of the connection in the longitudinal direction of a first coil sheath that has excellent rotation follow-up and good relative bending properties, and a second coil sheath that has excellent rotation follow-up and good ease of motion in the relative longitudinal direction.

    摘要翻译： 该内窥镜处理器具具有柔性传递部件，安装在传递部件的前端的处理部和安装在传递部件的基端并用于操作处理部的致动器，该内窥镜 治疗仪器被设计成经由传递构件将致动器的动作传递到治疗部分。 传动部件由具有优异的旋转跟随性和良好的相对弯曲性能的第一线圈护套的纵向方向的连接构成，第二线圈护套具有优异的旋转跟随性和在纵向上具有良好的运动性 方向。

    Tranlumen endoscope insertion surgery
    6.
    发明授权
    Tranlumen endoscope insertion surgery 有权
    Tranlumen内窥镜插入手术

    公开(公告)号：US08870778B2

    公开(公告)日：2014-10-28

    申请号：US11963935

    申请日：2007-12-24

    申请人： Shinichi Tsutaki ,  Hidemichi Aoki ,  Takeharu Nakazato ,  Kosuke Motai ,  Toshihiro Shizuka

    发明人： Shinichi Tsutaki ,  Hidemichi Aoki ,  Takeharu Nakazato ,  Kosuke Motai ,  Toshihiro Shizuka

    IPC分类号： A61B1/018 ,  A61B8/00 ,  A61B8/14 ,  A61B1/273 ,  A61B1/04 ,  A61B8/12

    CPC分类号： A61B1/04 ,  A61B1/2736 ,  A61B8/12

    摘要： An intraluminal endoscope inserting method according to the present invention is a method of forming a first opening in a wall of a first luminal organ while observing optical and ultrasonic images formed by an ultrasonic endoscope inserted into a first luminal organ through a natural opening, forming a second opening in a wall of a desired second luminal organ adjacent to the first luminal organ through an abdominal cavity space from the first opening, leading the ultrasonic endoscope into a second luminal organ from a second opening and performing observation and treatment, and after the treatment and the like, stitching the openings. This makes it possible to insert the endoscope with a skill same as that required for a normal endoscope test and makes it easy to insert the endoscope even into luminal organs irregularly connected to with one another in a body cavity.

    摘要翻译： 根据本发明的管腔内窥镜插入方法是在观察通过自然开口插入到第一管腔器官中的超声波内窥镜形成的光学和超声波图像时，在第一管腔器官的壁上形成第一开口的方法， 通过第一开口的腹腔空间在与第一管腔器官相邻的期望的第二管腔器官的壁的第二开口处，将超声内窥镜从第二开口导入第二管腔器官并进行观察和治疗，并且在治疗之后 等等，缝合开口。 由此，能够以与通常的内窥镜检查相同的技术来插入内窥镜，并且容易将内窥镜插入到体腔内彼此不规则地连接的腔内器官。

    Medical instrument
    7.
    发明授权
    Medical instrument 有权
    医疗仪器

    公开(公告)号：US09198686B2

    公开(公告)日：2015-12-01

    申请号：US13445198

    申请日：2012-04-12

    申请人： Kosuke Motai ,  Masatoshi Sato ,  Kunihide Kaji

    发明人： Kosuke Motai ,  Masatoshi Sato ,  Kunihide Kaji

    IPC分类号： A61B17/34 ,  A61B17/3205 ,  A61B10/02 ,  A61B17/08 ,  A61B17/00 ,  A61B17/30

    CPC分类号： A61B17/32053 ,  A61B10/0233 ,  A61B10/0283 ,  A61B17/083 ,  A61B17/29 ,  A61B2010/045 ,  A61B2017/00269 ,  A61B2017/00358 ,  A61B2017/306 ,  A61B2017/3405

    摘要： A medical instrument includes a medical needle configured to puncture a tissue, and a tissue-supporting member configured to be inserted into the lumen of the medical needle and supports the tissue. The medical needle includes an insertion portion that has a longitudinal axis, a lumen that is formed along the direction of the longitudinal axis of the insertion portion, an opening portion that is formed at the distal end of the insertion portion while being connected to the lumen, and a puncturing portion that is formed in the periphery of the opening portion and has a pair of projections sharply protruding in a direction extending toward the distal end from the proximal end of the insertion portion.

    摘要翻译： 医疗器械包括构造成刺穿组织的医用针，以及构造成插入到医疗针的内腔中并支撑组织的组织支撑构件。 医疗用针具有：插入部，其具有纵轴线，沿着插入部的纵轴方向形成的内腔，形成于插入部的前端的开口部，同时与内腔连接 以及穿刺部，其形成在所述开口部的周围，并且具有从所述插入部的近端朝向所述前端延伸的方向突出地突出的一对突起。