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:
A tissue fastening instrument that fastens a first biological tissue and a second biological tissue that is adjacent to the first biological tissue so as to come into close contact, provided with a first tissue fixing portion that consists of an elastic wire that is wound into a coil shape and engaged on the first biological tissue; a second tissue fixing portion that consists of an elastic wire that is wound into a coil shape, is connected to a first end portion of the first tissue fixing portion and engaged on the second biological tissue; and a peripheral spring portion that is connected to a second end portion of the first tissue fixing portion and extends toward the second tissue fixing portion while forming a loop on the outside of the first tissue fixing portion and the second tissue fixing portion, in which the peripheral spring portion has a spring portion that is connected to the second end portion of the first tissue fixing portion and extends toward the second tissue fixing portion, and an end turn portion that is connected to the spring portion and forms, on the outside of the spring portion, a loop that is approximately parallel with a base loop that the first tissue fixing portion and the second tissue fixing portion form; and the base loop, the loop that the spring portion forms, and the loop that the end turn portion forms are disposed so as not to mutually overlap in the diameter direction of the base loop.
摘要:
A tissue fastening apparatus includes a tissue fastening tool, with fastens a first biological tissue and a second biological tissue so as to bring the tissues into close contact and an applicator for indwelling the tissue fastening tool. The tissue fastening tool is made of an elastic wire rod and is wound in a coil shape. The applicator includes a needle tube accommodated in an inner cavity with the tissue fastening tool stretched, a stylet inserted into the inner cavity of the needle tube nearer to the proximal side than the tissue fastening tool, and a rotating mechanism that rotates the stylet around an axis when the stylet is moved toward a distal end of the needle tube. The tissue fastening tool and the stylet are disengageably engaged with each other and integrally and rotatably connected with each other. The rotating mechanism rotates the stylet in a direction opposite to the winding direction of the tissue fastening tool as seen from the proximal side.