公开(公告)号：US20090125039A1

公开(公告)日：2009-05-14

申请号：US12057971

申请日：2008-03-28

申请人： Takayasu MIKKAICHI ,  Masayuki IWASAKA ,  Takayuki SUZUKI ,  Kunihide KAJI ,  Junji SHIONO ,  Kensuke HAYASHI ,  Masatoshi SATO

发明人： Takayasu MIKKAICHI ,  Masayuki IWASAKA ,  Takayuki SUZUKI ,  Kunihide KAJI ,  Junji SHIONO ,  Kensuke HAYASHI ,  Masatoshi SATO

IPC分类号： A61B17/062

CPC分类号： A61B17/0057 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/0487 ,  A61B2017/00278 ,  A61B2017/0034 ,  A61B2017/00557 ,  A61B2017/00575 ,  A61B2017/0225 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0454 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2017/047 ,  A61B2017/06095

摘要： A suture instrument that is inserted into a body and ejects an elongated anchor to which a suture thread that sutures a perforation is connected and which is placed on tissue, including a base that extends from a proximal end on a hand side to a remote end that is introduced to tissue and has flexibility; an anchor holding instrument that is disposed at the remote end of the base, is capable of housing a plurality of the anchors inside, and whose distal end that ejects the anchors is approximately pointed in the direction of the proximal end of the base; a tip position changing mechanism that is provided for changing the tip position of the anchor holding instrument and causes the anchor holding instrument to move in a direction that intersects with the axial line of the lengthwise direction of the base; and a position operation device that operates the tip position changing mechanism at the hand side and operates the tip position of the anchor holding instrument.

摘要翻译： 一种缝合器械，其插入到体内并喷射细长的锚固件，缝合穿孔的缝合线被连接到细长的锚固件上，并且其被放置在组织上，包括从手侧的近端延伸到远端的基部， 被引入组织并具有灵活性; 设置在基座的远端的锚固器具能够将多个锚固体容纳在内部，并且其顶出锚定器的远端大致指向基部的近端的方向; 一种刀头位置改变机构，用于改变所述锚固件保持器械的尖端位置，并使所述锚定保持器具沿与所述基座的长度方向的轴线相交的方向移动; 以及位置操作装置，其操作手柄侧的前端位置改变机构，并且操作锚固器保持器械的尖端位置。

公开(公告)号：US20080243148A1

公开(公告)日：2008-10-02

申请号：US12057604

申请日：2008-03-28

申请人： Takayasu MIKKAICHI ,  Takayuki SUZUKI ,  Kunihide KAJI ,  Junji SHIONO ,  Kensuke HAYASHI ,  Masatoshi SATO ,  Masayuki IWASAKA

发明人： Takayasu MIKKAICHI ,  Takayuki SUZUKI ,  Kunihide KAJI ,  Junji SHIONO ,  Kensuke HAYASHI ,  Masatoshi SATO ,  Masayuki IWASAKA

IPC分类号： A61B17/04

CPC分类号： A61B17/0057 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/0487 ,  A61B2017/00278 ,  A61B2017/0034 ,  A61B2017/00557 ,  A61B2017/00575 ,  A61B2017/0225 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0454 ,  A61B2017/0458 ,  A61B2017/0464 ,  A61B2017/047 ,  A61B2017/06095

摘要： A suture instrument that is inserted into a body and ejects an elongated anchor to be engaged to tissue, consisting of: an elongated member that extends from a proximal end on a hand side to a remote end that is introduced to tissue and has flexibility; a needle that is provided at the remote end of the elongated member, has at the distal end a sharp tip that is capable of puncturing tissue, is capable of housing a plurality of the anchors inside, and is provided with a side hole through which the anchors are capable of passing; a pusher whose remote end abuts the anchor that is housed in the needle and is disposed in a manner to be capable of moving in the axial direction of the elongated member; and a push-out control portion that is provided in the needle or the pusher and changes the movement direction of the anchor that has been moved to a formation position of the side hole by the pusher from the length-wise direction of the needle to a direction heading toward the side hole.

摘要翻译： 一种缝合器械，其被插入到主体中并且弹出细长的锚固件以与组织接合，该细长构件由从手侧的近端延伸到被引入组织的远端具有柔性的细长构件; 设置在细长构件的远端的针在远端具有能够刺穿组织的尖端，能够将多个锚固体容纳在内部，并且设置有侧孔，通过该侧孔， 锚点能够通过; 其远端抵靠容纳在针中的锚固件并以能够在细长构件的轴向方向上移动的方式设置的推动器; 以及推出控制部，其设置在针或推动器中，并且通过推动器将已经移动到侧孔的形成位置的锚的移动方向从针的长度方向改变为 方向朝向侧孔。

公开(公告)号：US20120238817A1

公开(公告)日：2012-09-20

申请号：US13408331

申请日：2012-02-29

申请人： Yasunori OHTA ,  Tsuyoshi ASHIDA ,  Takayuki NAKAMURA ,  Shinichi YAMAKAWA ,  Masayuki IWASAKA

发明人： Yasunori OHTA ,  Tsuyoshi ASHIDA ,  Takayuki NAKAMURA ,  Shinichi YAMAKAWA ,  Masayuki IWASAKA

IPC分类号： A61B1/00

CPC分类号： A61B1/00156 ,  A61B1/00135 ,  A61B1/0016 ,  A61B1/05

摘要： A propelling unit of a self-propellable apparatus is attached to a front end portion of an insert section of an electronic endoscope. The propelling unit includes feeding rollers disposed at its front. On each feeding roller, one end of a belt is wound. A winding roller and a worm wheel are provided behind each feeding roller. When the worm wheel rotates, the belt is drawn out from the feeding roller, and wound up onto the winding roller. The belts move while making contact with an interior wall of a body lumen, and hence produce propulsive force to the front end portion of the insert section. When the contact between the belts and the interior wall is insufficient, a balloon is inflated to press the belts against the interior wall.

摘要翻译： 自推进装置的推进装置安装在电子内窥镜的插入部的前端部。 推进单元包括设置在其前部的进给辊。 在每个进给辊上，带的一端被卷绕。 每个进料辊后面都设有卷绕辊和蜗轮。 当蜗轮旋转时，皮带从进料辊中拉出，卷绕到卷绕辊上。 皮带在与体腔的内壁接触的同时移动，因此对插入部的前端部产生推进力。 当皮带和内壁之间的接触不足时，气球被充气以将皮带压靠内壁。

公开(公告)号：US20120238805A1

公开(公告)日：2012-09-20

申请号：US13423007

申请日：2012-03-16

申请人： Masayuki IWASAKA ,  Tomohiro Ohki

发明人： Masayuki IWASAKA ,  Tomohiro Ohki

IPC分类号： A61B1/018

CPC分类号： A61B1/00098 ,  A61B1/0008 ,  A61B1/0055 ,  A61B1/018 ,  A61B1/05

摘要： An endoscopic device provided with an observation window in a distal end face of an insertion part to be inserted into a subject, an observational direction from the observation window being substantially identical with a longitudinal axis of the insertion part, the endoscope comprising: a concave guide surface disposed in a distal lateral portion of the insertion part so as to extend along a longitudinal direction of the insertion part; and a bending part configured to be bendable with the guide surface inside, wherein a treatment instrument fed from a distal end exit of a treatment instrument passage disposed closer to a proximal end of the insertion part than the guide surface is guided along the guide surface when the bending part is bent.

摘要翻译： 一种内窥镜装置，其在插入对象的插入部的前端面设置有观察窗，所述观察窗的观察方向与所述插入部的纵轴基本相同，所述内窥镜包括：凹形引导件 表面设置在所述插入部的远端侧部，以沿着所述插入部的长度方向延伸; 以及弯曲部，其构造成能够与所述引导面内侧弯曲，其中，从所述插入部的比所述引导面靠近的所述处置器具通道的远端出口供给的治疗器具沿着所述引导面被引导， 弯曲部弯曲。

公开(公告)号：US20120184816A1

公开(公告)日：2012-07-19

申请号：US13341677

申请日：2011-12-30

申请人： Tsuyoshi ASHIDA ,  Takayuki NAKAMURA ,  Shinichi YAMAKAWA ,  Yasunori OHTA ,  Masayuki IWASAKA

发明人： Tsuyoshi ASHIDA ,  Takayuki NAKAMURA ,  Shinichi YAMAKAWA ,  Yasunori OHTA ,  Masayuki IWASAKA

IPC分类号： A61B1/00

CPC分类号： A61B1/0016 ,  A61B1/00135

摘要： An endoscope has an elongated tube for entry in a body cavity. A guide assembly includes a shaft sleeve for mounting on the elongated tube. A housing sleeve is supported around the shaft sleeve. Three endless belts are secured to the housing sleeve, for endlessly moving in an axial direction of the elongated tube, and propelling the elongated tube by contacting a cavity wall of the body cavity. A driving device is contained in the housing sleeve, for driving the endless belts. Three curved walls constitute the housing sleeve, and support the endless belts movably and in a transversely curved state. Each of the endless belts includes an upper belt run, curved by the curved walls convexly outwards, for contacting the body cavity. A lower belt run is disposed inside, and tensioned between the driving device and the belt rollers.

摘要翻译： 内窥镜具有用于进入体腔的细长管。 引导组件包括用于安装在细长管上的轴套。 壳体套筒围绕轴套支撑。 三个环形带被固定到壳体套筒上，用于在细长管的轴向方向上不停地移动，并且通过接触体腔的空腔壁来推动细长管。 驱动装置容纳在壳体套筒中，用于驱动环形带。 三个弯曲的壁构成壳体套筒，并且可移动地且以横向弯曲的状态支撑环形带。 每个环形带包括一个上部的皮带，由弯曲的壁向外凸出，用于接触体腔。 较低的皮带行程设置在内部，并在驱动装置和皮带辊之间张紧。

公开(公告)号：US20110245855A1

公开(公告)日：2011-10-06

申请号：US13017410

申请日：2011-01-31

申请人： Yoshiaki MATSUOKA ,  Koji ITOH ,  Masayuki IWASAKA ,  Ryosuke OSAKO

发明人： Yoshiaki MATSUOKA ,  Koji ITOH ,  Masayuki IWASAKA ,  Ryosuke OSAKO

IPC分类号： A61B17/08

CPC分类号： A61B17/122 ,  A61B17/1227 ,  A61B17/1285

摘要： A ligating apparatus includes a clip, a clip connecting member, a clip holding member, an operating wire, an inner sheath member, an outer sheath member and first and second movement restricting portions. The clip ligates a body tissue with arm portions. The clip connecting member connects to a clip base portion. The clip connecting member is inserted through the clip holding member. The operating wire connects to the clip connecting member. The inner sheath member encloses the operating wire to support the clip holding member. The outer sheath member covers an outer periphery of the inner sheath member and freely advances and retreats. The outer sheath member advances and/or retreats to change the degree of opening of the arm portions. The first movement restricting portion restricts the inward movement of the clip holding member. The second movement restricting portion restricts the outward movement of the clip holding member.

摘要翻译： 连接装置包括夹子，夹子连接构件，夹子保持构件，操作线，内部护套构件，外护套构件以及第一和第二移动限制部。 夹子将身体组织与臂部分结合。 夹子连接构件连接到夹子基部。 夹子连接构件插入穿过夹持件。 操作线连接到夹子连接构件。 内护套构件包围操作线以支撑夹持件。 外护套构件覆盖内护套构件的外周并自由前进和后退。 外鞘构件前进和/或后退以改变臂部分的开度。 第一移动限制部分限制夹子保持构件的向内运动。 第二移动限制部分限制夹子保持构件的向外移动。

公开(公告)号：US20110238093A1

公开(公告)日：2011-09-29

申请号：US13017389

申请日：2011-01-31

申请人： Yoshiaki MATSUOKA ,  Masayuki IWASAKA

发明人： Yoshiaki MATSUOKA ,  Masayuki IWASAKA

IPC分类号： A61B17/122

CPC分类号： A61B17/1285 ,  A61B17/1227

摘要： A ligating-apparatus includes a clip, an operating wire, an inner sheath member and an outer sheath member. The clip ligates a body tissue with arms. The operating wire pulls the clip. The inner sheath member encloses the operating wire to support a clip holding member. The outer sheath member advances and retreats while covering the inner sheath member. The outer sheath member changes the degree of opening of the arms by causing each arm to abut on an inner peripheral surface thereof. A pair of arms includes first arm portion and a second arm portion connected continuously to the first arm portion via a bending portion. When the bending portion abuts against an inner peripheral surface end portion of the outer sheath member, the second arm portion is arranged at an inner side in a direction of a radius from an inner peripheral surface of the outer sheath member.

摘要翻译： 连接装置包括夹子，操作线，内护套构件和外护套构件。 夹子用手臂将身体组织结扎。 操作线拉动夹子。 内护套构件包围操作线以支撑夹持件。 外护套构件在覆盖内护套构件的同时进退。 外鞘构件通过使各臂抵接在其内周面上来改变臂的开度。 一对臂包括经由弯曲部连续地连接到第一臂部的第一臂部和第二臂部。 当弯曲部与外护套构件的内周面端部抵接时，第二臂部从与外护套构件的内周面的半径方向的内侧配置。

公开(公告)号：US20120029282A1

公开(公告)日：2012-02-02

申请号：US13193674

申请日：2011-07-29

申请人： Shinichi YAMAKAWA ,  Takayuki NAKAMURA ,  Masayuki IWASAKA

发明人： Shinichi YAMAKAWA ,  Takayuki NAKAMURA ,  Masayuki IWASAKA

IPC分类号： A61B1/00

CPC分类号： A61B1/00156 ,  A61B1/00154 ,  A61B1/0016

摘要： A guide assembly of a self-propelled type for an endoscope having an elongated tube for entry in a body cavity is provided. First and second self-propelled units are secured to a steering device provided in the elongated tube, arranged in an axial direction of the elongated tube, the second self-propelled unit receiving force for driving from an external drive source. A flexible connector connects the second self-propelled unit to the first self-propelled unit and transmits the force applied to the second self-propelled unit to the first self-propelled unit. Preferably, the connector includes at least two coil springs having diameters different from one another, and combined in such a multi layer form that winding directions thereof are opposite to one another. The force is torque in a rotational direction about an axis of the axial direction.

摘要翻译： 提供了一种用于内窥镜的自推进式导向组件，其具有用于进入体腔的细长管。 第一和第二自走单元固定到设置在细长管中的转向装置中，该转向装置沿细长管的轴向方向布置，第二自推进单元接收力从外部驱动源驱动。 柔性连接器将第二自推进单元连接到第一自推进单元并将施加到第二自推进单元的力传递到第一自推进单元。 优选地，连接器包括至少两个直径彼此不同的螺旋弹簧，并且以这样的多层形式组合，使得其缠绕方向彼此相反。 该力是围绕轴向方向的轴线的旋转方向的扭矩。

公开(公告)号：US20110245615A1

公开(公告)日：2011-10-06

申请号：US13017357

申请日：2011-01-31

申请人： Masayuki IWASAKA

发明人： Masayuki IWASAKA

IPC分类号： A61B1/00

CPC分类号： A61B1/0051 ,  A61B1/00131 ,  A61B1/0055 ,  A61B1/303

摘要： An insertion path securing apparatus includes a bending-insertion assisting instrument and a sheath tube that includes a first lumen where the bending-insertion assisting instrument is inserted. The bending-insertion assisting instrument includes a bendable tip bending portion, an intermediate extension portion being connected to the tip bending portion, and a bending operation portion being disposed at a base end of the intermediate extension portion. The state of the intermediate extension portion can be selectively switched to a variable-shape state where the bent shape of the intermediate extension portion can be freely changed and a shape retaining state where the bent shape of the intermediate extension portion is retained. The sheath tube includes a tube-like insertion portion of which the state can be selectively switched to a variable-shape state and a shape retaining state, and an operation portion that is disposed at a base end of the tube-like insertion portion.

摘要翻译： 插入路径固定装置包括弯曲插入辅助器具和护套管，该护套管包括插入有弯曲插入辅助器具的第一管腔。 弯曲插入辅助仪器包括可弯曲的尖端弯曲部分，连接到尖端弯曲部分的中间延伸部分和设置在中间延伸部分的基端的弯曲操作部分。 中间延伸部分的状态可以选择性地切换到中间延伸部分的弯曲形状可以自由改变的可变形状态，并且保持中间延伸部分的弯曲形状的形状保持状态。 护套管包括其状态可以选择性地切换到可变形状态和形状保持状态的管状插入部分，以及设置在管状插入部的基端部的操作部。