公开(公告)号：US20080051655A1

公开(公告)日：2008-02-28

申请号：US11845396

申请日：2007-08-27

申请人： Masatoshi SATO ,  Kunihide KAJI ,  Takayuki SUZUKI ,  Junji SHIONO ,  Takayasu MIKKAICHI ,  Shinichi TSUTAKI ,  Toshihiro SHIZUKA ,  Takeharu NAKAZATO ,  Sunao SATO ,  Akiko MIZUNUMA

发明人： Masatoshi SATO ,  Kunihide KAJI ,  Takayuki SUZUKI ,  Junji SHIONO ,  Takayasu MIKKAICHI ,  Shinichi TSUTAKI ,  Toshihiro SHIZUKA ,  Takeharu NAKAZATO ,  Sunao SATO ,  Akiko MIZUNUMA

IPC分类号： A61B8/00

CPC分类号： A61B1/0051 ,  A61B1/00039 ,  A61B1/00089 ,  A61B1/00101 ,  A61B1/018 ,  A61B8/12 ,  A61B8/445 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/3478 ,  A61B2017/0417 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/306 ,  A61B2090/3929

摘要： An ultrasonic endoscope includes an insertion section, an operation section, an optical observation system, and an ultrasonic observation system. The optical observation system is disposed in the insertable section, and has an objective lens located on a face of a distal end of the insertion section. The ultrasonic observing system is disposed in the insertion section, and has an ultrasonic transducer disposed on the face of the distal end of the insertion section or further forward than the distal end.

摘要翻译： 超声波内窥镜包括插入部，操作部，光学观察系统和超声波观察系统。 光学观察系统设置在可插入部分中，并且具有位于插入部分的远端的表面上的物镜。 超声波观察系统设置在插入部分中，并且具有设置在插入部分的远端的表面上或远离远端的超声波换能器。

公开(公告)号：US20090227866A1

公开(公告)日：2009-09-10

申请号：US12042731

申请日：2008-03-05

申请人： Takeharu NAKAZATO ,  Shinichi TSUTAKI ,  Sunao SATO ,  Akiko MIZUNUMA

发明人： Takeharu NAKAZATO ,  Shinichi TSUTAKI ,  Sunao SATO ,  Akiko MIZUNUMA

IPC分类号： A61B1/313 ,  A61B8/13

CPC分类号： A61B8/12 ,  A61B1/018 ,  A61B1/2736 ,  A61B8/4416 ,  A61B17/0401 ,  A61B17/1114 ,  A61B17/29 ,  A61B2017/00818 ,  A61B2017/0404 ,  A61B2017/0417 ,  A61B2017/1135 ,  A61B2017/1139 ,  A61B2017/22061 ,  A61B2090/3782

摘要： In an ultrasound endoscopic intraluminal organ treatment method according to the present invention, a surgeon forms a first opening in a wall of a first luminal organ while observing an optical image and an ultrasound image formed by an ultrasound endoscope led into the first luminal organ through a natural orifice, pulls a part of a desired second luminal organ adjacent to the first luminal organ into the inside of the first luminal organ from the first opening through an abdominal cavity, and applies treatment to the second luminal organ in the inside of the first luminal organ.

摘要翻译： 在根据本发明的超声内窥镜腔内器官治疗方法中，外科医生在观察光学图像的同时在第一管腔器官的壁中形成第一开口，并且通过引导到第一管腔器官的超声波内窥镜形成的超声图像通过 自然孔口，将与第一管腔器官相邻的期望的第二管腔器官的一部分从第一开口通过腹腔拉至第一管腔器官的内部，并将治疗施用于第一管腔内的第二管腔器官 器官。

公开(公告)号：US20100063401A1

公开(公告)日：2010-03-11

申请号：US12207150

申请日：2008-09-09

申请人： Kenichi NISHINA ,  Masatoshi SATO ,  Takeharu NAKAZATO ,  Sunao SATO ,  Takuya IMAHASHI ,  Shinichi TSUTAKI

发明人： Kenichi NISHINA ,  Masatoshi SATO ,  Takeharu NAKAZATO ,  Sunao SATO ,  Takuya IMAHASHI ,  Shinichi TSUTAKI

IPC分类号： A61B8/14

CPC分类号： A61B8/12 ,  A61B1/018 ,  A61B8/445

摘要： When an ultrasound endoscope arrives at an objective area, a puncture needle is located in a scan area of a first ultrasound image. Thereby, an image of the puncture needle is delineated on the first ultrasound image. Furthermore, an ultrasound probe is inserted into the puncture needle and an ultrasound transducer of the ultrasound probe is arranged in the objective area through the puncture needle. Then, the ultrasound probe is driven and a second ultrasound image is delineated. Detailed observation inside the objective area in which the puncture needle is punctured is possible with the second ultrasound image.

摘要翻译： 当超声波内窥镜到达目标区域时，穿刺针位于第一超声波图像的扫描区域中。 由此，在第一超声波图像上描绘穿刺针的图像。 此外，将超声波探头插入穿刺针中，并且超声波探头的超声波换能器通过穿刺针布置在目标区域中。 然后，驱动超声波探头并描绘第二超声波图像。 利用第二超声波图像可以在穿刺针穿刺的目标区域内进行详细的观察。

公开(公告)号：US20120265057A1

公开(公告)日：2012-10-18

申请号：US13523357

申请日：2012-06-14

申请人： Kenichi NISHINA ,  Masatoshi SATO ,  Takeharu NAKAZATO ,  Sunao SATO ,  Takuya IMAHASHI ,  Shinichi TSUTAKI

发明人： Kenichi NISHINA ,  Masatoshi SATO ,  Takeharu NAKAZATO ,  Sunao SATO ,  Takuya IMAHASHI ,  Shinichi TSUTAKI

IPC分类号： A61B1/018 ,  A61B8/12

CPC分类号： A61B8/12 ,  A61B1/018 ,  A61B8/445

摘要： When an ultrasound endoscope arrives at an objective area, a puncture needle is located in a scan area of a first ultrasound image. Thereby, an image of the puncture needle is delineated on the first ultrasound image. Furthermore, an ultrasound probe is inserted into the puncture needle and an ultrasound transducer of the ultrasound probe is arranged in the objective area through the puncture needle. Then, the ultrasound probe is driven and a second ultrasound image is delineated. Detailed observation inside the objective area in which the puncture needle is punctured is possible with the second ultrasound image.

摘要翻译： 当超声波内窥镜到达目标区域时，穿刺针位于第一超声波图像的扫描区域中。 由此，在第一超声波图像上描绘穿刺针的图像。 此外，将超声波探头插入穿刺针中，并且超声波探头的超声波换能器通过穿刺针布置在目标区域中。 然后，驱动超声波探头并描绘第二超声波图像。 利用第二超声波图像可以在穿刺针穿刺的目标区域内进行详细的观察。

公开(公告)号：US20090163767A1

公开(公告)日：2009-06-25

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

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。

公开(公告)号：US20110313246A1

公开(公告)日：2011-12-22

申请号：US13217770

申请日：2011-08-25

申请人： Kenichi NISHINA ,  Shinichi TSUTAKI ,  Takeharu NAKAZATO ,  Tetsuya YAMAMOTO

发明人： Kenichi NISHINA ,  Shinichi TSUTAKI ,  Takeharu NAKAZATO ,  Tetsuya YAMAMOTO

IPC分类号： A61B1/00

CPC分类号： A61B1/018 ,  A61B1/05 ,  A61B1/267 ,  A61B1/2733 ,  A61B8/12 ,  A61B10/0233 ,  A61B10/04 ,  A61B17/0057 ,  A61B17/24 ,  A61B2017/00663 ,  A61B2017/3413 ,  A61B2090/08021 ,  A61B2090/3925

摘要： A treatment instrument for endoscope of the present invention includes a puncture needle having a barb. A lymph node removing method of the present invention includes: an insertion step, wherein an endoscope has an insertable insertion portion which is inserted into an esophagus or a trachea being a lumen inside the body of a subject; the step of inserting a distal end portion arranged at the tip of the insertion portion of the endoscope into the lumen; a confirmation step of confirming the position of a mediastinal lymph node by performing ultrasound scanning using an ultrasound transducer arranged at the distal end portion; an anchoring step of placing an anchoring device which has been inserted through a channel inside the insertion portion of the endoscope, on the mediastinal lymph node by performing the ultrasound scanning; a incision step of cutting a wall of the lumen to make a fistula; and a drawing-in step of drawing the mediastinal lymph node into the lumen with the anchoring device.

摘要翻译： 本发明的内窥镜用处理器具具有倒刺针。 本发明的淋巴结清除方法包括：插入步骤，其中内窥镜具有插入到被检体体内的食道或气管内的可插入插入部分; 将布置在内窥镜的插入部的前端的前端部插入内腔的步骤; 通过使用布置在前端部的超声波换能器进行超声波扫描来确认纵隔淋巴结的位置的确认步骤; 锚定步骤，通过执行超声波扫描将已经插入通过内窥镜的插入部分中的通道的锚定装置放置在纵膈淋巴结上; 切割管腔壁以形成瘘口的切口步骤; 以及使用锚定装置将纵膈淋巴结拉入内腔的引入步骤。

公开(公告)号：US20090287080A1

公开(公告)日：2009-11-19

申请号：US12120831

申请日：2008-05-15

申请人： Kenichi NISHINA ,  Shinichi TSUTAKI ,  Takeharu NAKAZATO ,  Tetsuya YAMAMOTO

发明人： Kenichi NISHINA ,  Shinichi TSUTAKI ,  Takeharu NAKAZATO ,  Tetsuya YAMAMOTO

IPC分类号： A61B1/018 ,  A61B8/12

CPC分类号： A61B1/018 ,  A61B1/05 ,  A61B1/267 ,  A61B1/2733 ,  A61B8/12 ,  A61B10/0233 ,  A61B10/04 ,  A61B17/0057 ,  A61B17/24 ,  A61B2017/00663 ,  A61B2017/3413 ,  A61B2090/08021 ,  A61B2090/3925

摘要： A treatment instrument for endoscope of the present invention includes a puncture needle having a barb. A lymph node removing method of the present invention includes: an insertion step, wherein an endoscope has an insertable insertion portion which is inserted into an esophagus or a trachea being a lumen inside the body of a subject; the step of inserting a distal end portion arranged at the tip of the insertion portion of the endoscope into the lumen; a confirmation step of confirming the position of a mediastinal lymph node by performing ultrasound scanning using an ultrasound transducer arranged at the distal end portion; an anchoring step of placing an anchoring device which has been inserted through a channel inside the insertion portion of the endoscope, on the mediastinal lymph node by performing the ultrasound scanning; a incision step of cutting a wall of the lumen to make a fistula; and a drawing-in step of drawing the mediastinal lymph node into the lumen with the anchoring device.

摘要翻译： 本发明的内窥镜用处理器具具有倒刺针。 本发明的淋巴结清除方法包括：插入步骤，其中内窥镜具有插入到被检体体内的食道或气管内的可插入插入部分; 将布置在内窥镜的插入部的前端的前端部插入内腔的步骤; 通过使用布置在前端部的超声波换能器进行超声波扫描来确认纵隔淋巴结的位置的确认步骤; 锚定步骤，通过执行超声波扫描将已经插入通过内窥镜的插入部分中的通道的锚定装置放置在纵膈淋巴结上; 切割管腔壁以形成瘘口的切口步骤; 以及使用锚定装置将纵膈淋巴结拉入内腔的引入步骤。