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1. 发明授权

US07575548B2 Endoscopic treatment instrument, endoscopic treatment system and supporting adaptor 有权
标题翻译：内镜治疗仪，内镜治疗系统及配套适配器
公开(公告)号：US07575548B2
公开(公告)日：2009-08-18
申请号：US11208388
申请日：2005-08-19
申请人： Shotaro Takemoto , Tetsuya Yamamoto , Yoshio Onuki , Koichi Kawashima , Yuji Sakamoto
发明人： Shotaro Takemoto , Tetsuya Yamamoto , Yoshio Onuki , Koichi Kawashima , Yuji Sakamoto
IPC分类号： A61B1/00
CPC分类号： A61B1/018 , A61B1/00087 , A61B1/0014 , A61B17/00234 , A61B90/50 , A61B2017/00296
摘要： In an endoscopic treatment instrument having a plurality of sheaths, a supporting member for directly and indirectly supporting the plurality of sheaths, and a connecting member for directly/indirectly bringing the sheaths and an endoscope in a connected state are provided. The supporting member constrains a relative position of the plurality of sheaths and the connecting member can change the connecting state. Therefore, when an operator changes the connecting state of the connecting member, the positional relation of the endoscope and the plurality of sheaths can be changed, while the positional relation of the plurality of sheaths is still constrained. Accordingly, for example, left and right sheaths can be easily exchanged.
摘要翻译：在具有多个护套的内窥镜处理器械中，设置有用于直接和间接地支撑多个护套的支撑构件，以及用于直接/间接地使护套和连接状态的内窥镜的连接构件。支撑构件限制多个护套的相对位置，并且连接构件可以改变连接状态。因此，当操作者改变连接构件的连接状态时，可以改变内窥镜与多个护套的位置关系，同时多个护套的位置关系仍受到限制。因此，例如，左右护套可以容易地更换。

2. 发明申请

US20060069304A1 Endoscopic treatment instrument, endoscopic treatment system and supporting adaptor 有权
公开(公告)号：US20060069304A1
公开(公告)日：2006-03-30
申请号：US11208388
申请日：2005-08-19
申请人： Shotaro Takemoto , Tetsuya Yamamoto , Yoshio Onuki , Koichi Kawashima , Yuji Sakamoto
发明人： Shotaro Takemoto , Tetsuya Yamamoto , Yoshio Onuki , Koichi Kawashima , Yuji Sakamoto
IPC分类号： A61B1/00
CPC分类号： A61B1/018 , A61B1/00087 , A61B1/0014 , A61B17/00234 , A61B90/50 , A61B2017/00296
摘要： In an endoscopic treatment instrument having a plurality of sheaths, a supporting member for directly and indirectly supporting the plurality of sheaths, and a connecting member for directly/indirectly bringing the sheaths and an endoscope in a connected state are provided. The supporting member constrains a relative position of the plurality of sheaths and the connecting member can change the connecting state. Therefore, when an operator changes the connecting state of the connecting member, the positional relation of the endoscope and the plurality of sheaths can be changed, while the positional relation of the plurality of sheaths is still constrained. Accordingly, for example, left and right sheaths can be easily exchanged.

3. 发明授权

US07704261B2 Ligature and suture device for medical application, ligature and suture system for medical application, and ligaturing and suturing method for medical application 有权
标题翻译：用于医疗应用的连接和缝合装置，用于医疗应用的结扎和缝合系统，以及用于医疗应用的结扎和缝合方法
公开(公告)号：US07704261B2
公开(公告)日：2010-04-27
申请号：US11099303
申请日：2005-04-05
申请人： Yuji Sakamoto , Yoshio Onuki , Koh Kimura , Satoshi Miyamoto , Pankaj Jay Pasricha , Takayuki Suzuki , Koichi Kawashima
发明人： Yuji Sakamoto , Yoshio Onuki , Koh Kimura , Satoshi Miyamoto , Pankaj Jay Pasricha , Takayuki Suzuki , Koichi Kawashima
IPC分类号： A61B17/10
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B2017/00469 , A61B2017/0406 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/0472 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/2905 , A61B2017/306
摘要： A ligature and suture device for medical application that ligatures or sutures biomedical tissue that has been suctioned by a suction device using a suturing member. The ligature and suture device includes an insertion portion having a lumen into which an endoscope can be inserted, and a distal end portion that is connected to the lumen and in which at least one side aperture is provided, at least one hollow needle that is able to support inside itself the suturing member, and that is placed inside the insertion portion such that a tip of the hollow needle is able to move between a first position, which is on a base end side of the side aperture, and a second position, which is on a distal end side of the side aperture, an operating section that performs an operation to move the needle, and at least one pledget that can be penetrated by the needle, and that is placed in a vicinity of the distal end of the side aperture so as to be freely removable from the distal end portion.
摘要翻译：用于医疗应用的结扎和缝合装置，其连接或缝合已由使用缝合构件的抽吸装置抽吸的生物医学组织。连线和缝合装置包括具有内窥镜可被插入的内腔的插入部分和连接到内腔并且至少设置有至少一个侧孔的远端部分，至少一个中空针头能够将其固定在缝合部件的内侧，并将其放置在插入部内，使得中空针头的前端能够在侧孔的基端侧的第一位置与第二位置之间移动，位于所述侧孔的前端侧的操作部，所述操作部进行所述针的移动操作，以及至少一个能够被针刺入的毛发，并且被放置在所述针的前端的附近从而能够从前端部自由地移除。

4. 发明申请

US20050251153A1 Ligature and suture device for medical application, ligature and suture system for medical application, and ligaturing and suturing method for medical application 有权
标题翻译：用于医疗应用的连接和缝合装置，用于医疗应用的结扎和缝合系统，以及用于医疗应用的结扎和缝合方法
公开(公告)号：US20050251153A1
公开(公告)日：2005-11-10
申请号：US11099303
申请日：2005-04-05
申请人： Yuji Sakamoto , Yoshio Onuki , Koh Kimura , Satoshi Miyamoto , Pankaj Pasricha , Takayuki Suzuki , Koichi Kawashima
发明人： Yuji Sakamoto , Yoshio Onuki , Koh Kimura , Satoshi Miyamoto , Pankaj Pasricha , Takayuki Suzuki , Koichi Kawashima
IPC分类号： A61B17/06 , A61B1/00 , A61B17/00 , A61B17/04 , A61B17/10 , A61B17/24 , A61B17/28 , A61B17/30
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B2017/00469 , A61B2017/0406 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/0472 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/2905 , A61B2017/306
摘要： A ligature and suture device for medical application that ligatures or sutures biomedical tissue that has been suctioned by a suction device using a suturing member. The ligature and suture device includes an insertion portion having a lumen into which an endoscope can be inserted, and a distal end portion that is connected to the lumen and in which at least one side aperture is provided, at least one hollow needle that is able to support inside itself the suturing member, and that is placed inside the insertion portion such that a tip of the hollow needle is able to move between a first position, which is on a base end side of the side aperture, and a second position, which is on a distal end side of the side aperture, an operating section that performs an operation to move the needle, and at least one pledget that can be penetrated by the needle, and that is placed in a vicinity of the distal end of the side aperture so as to be freely removable from the distal end portion.
摘要翻译：用于医疗应用的结扎和缝合装置，其连接或缝合已由使用缝合构件的抽吸装置抽吸的生物医学组织。连线和缝合装置包括具有内窥镜可被插入的内腔的插入部分和连接到内腔并且至少设置有至少一个侧孔的远端部分，至少一个中空针头能够将其固定在缝合部件的内侧，并将其放置在插入部内，使得中空针头的前端能够在侧孔的基端侧的第一位置与第二位置之间移动，位于所述侧孔的前端侧的操作部，所述操作部进行所述针的移动操作，以及至少一个能够被针刺入的毛发，并且被放置在所述针的前端的附近从而能够从前端部自由地移除。

5. 发明授权

US08142448B2 Endoscopic instruments for suturing tissues in a body cavity 有权
标题翻译：用于在体腔缝合组织的内窥镜器械
公开(公告)号：US08142448B2
公开(公告)日：2012-03-27
申请号：US10303265
申请日：2002-11-25
申请人： Pankaj Jay Pasricha , Keiichi Arai , Koichi Kawashima , Keita Suzuki , Koh Kimura , Tsukasa Kobayashi , Yoshihiko Sugi , Tetsuya Yamamoto , Yoshio Onuki
发明人： Pankaj Jay Pasricha , Keiichi Arai , Koichi Kawashima , Keita Suzuki , Koh Kimura , Tsukasa Kobayashi , Yoshihiko Sugi , Tetsuya Yamamoto , Yoshio Onuki
IPC分类号： A61B17/10
CPC分类号： A61B17/0469 , A61B17/0467 , A61B17/0482 , A61B17/0483 , A61B17/0485 , A61B17/32056 , A61B2017/0409 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/0496 , A61B2017/06052 , A61B2017/061 , A61B2017/2905
摘要： A tissue puncturing system used to suture tissues in a body cavity including: an endoscope; a flexible sheath having a distal portion provided with at least a side opening and a lumen, through which an endoscope may pass; at least one mechanism for puncturing tissue disposed in the flexible sheath, and having a pointed end, which is movable from a first position to a second position; and an operation mechanism for moving the mechanism for puncturing between the first and second positions.
摘要翻译：一种用于缝合体腔中的组织的组织穿刺系统，包括：内窥镜; 柔性护套，其具有设置有至少侧开口和内腔的远侧部分，内窥镜可以通过该内窥镜; 至少一个用于穿刺设置在所述柔性护套中的组织的机构，并且具有可从第一位置移动到第二位置的尖端; 以及用于在第一和第二位置之间移动用于穿刺的机构的操作机构。

6. 发明授权

US07144401B2 Suturing device for endoscope 有权
公开(公告)号：US07144401B2
公开(公告)日：2006-12-05
申请号：US10162640
申请日：2002-06-06
申请人： Tetsuya Yamamoto , Sydney Sheung Chee Chung , Koichi Kawashima , Junichi Muramatsu , Keita Suzuki , Yoshio Onuki , Yoshihiko Sugi , Tsukasa Kobayashi
发明人： Tetsuya Yamamoto , Sydney Sheung Chee Chung , Koichi Kawashima , Junichi Muramatsu , Keita Suzuki , Yoshio Onuki , Yoshihiko Sugi , Tsukasa Kobayashi
IPC分类号： A61B17/04
CPC分类号： A61B1/0008 , A61B1/018 , A61B17/0469 , A61B2017/00292 , A61B2017/003 , A61B2017/06042 , A61B2090/306 , A61B2090/3614
摘要： A suturing device for an endoscope includes a curved needle rotatably attached on the distal end of the suturing device. A rotary member is provided on the rotation axis of the curved needle for rotating said curved needle and a connecting arm connects the curved needle to the rotary member. The center of curvature of the curved needle is aligned with the rotation axis of the curved needle and engaging means are provided at least at the pointed end of the curved needle for receiving thread.

7. 发明授权

US06988987B2 Guide tube 有权
公开(公告)号：US06988987B2
公开(公告)日：2006-01-24
申请号：US10390365
申请日：2003-03-17
申请人： Masahiro Ishikawa , Keita Suzuki , Koichi Kawashima , Tetsuya Yamamoto , Yoshio Onuki , Ryuta Sekine , Anthony Nicholas Kalloo , Sergey Veniaminovich Kantsevoy
发明人： Masahiro Ishikawa , Keita Suzuki , Koichi Kawashima , Tetsuya Yamamoto , Yoshio Onuki , Ryuta Sekine , Anthony Nicholas Kalloo , Sergey Veniaminovich Kantsevoy
IPC分类号： A61B1/00
CPC分类号： A61B1/00082 , A61B1/00135 , A61B1/00154 , A61B17/0057 , A61B17/0401 , A61B17/0482 , A61B2017/00278 , A61B2017/003 , A61B2017/00557 , A61B2017/00575 , A61B2017/0458 , A61B2017/0464 , A61B2017/0472 , A61B2017/0496 , A61B2017/22054 , A61B2017/22067 , A61B2017/22069 , A61B2017/2905 , A61B2090/061 , A61B2090/062
摘要： There is provided a flexible guide tube which guides an endoscope or a therapeutic device into an abdominal cavity through the mouth and stomach to conduct an observation or a therapeutic treatment in the abdominal cavity. The guide tube includes an insertion section which has a distal end, a peripheral section, and a central axis, and which is capable of being inserted into a body through the mouth, and two expandable and shrinkable balloons arranged in the vicinity of the distal end at a predetermined distance from each other in the axial direction on the periphery of the insertion section. The predetermined distance is preferably set to 3 to 8 mm, and the length of the insertion section is preferably set to about 600 to 1000 mm.

8. 发明授权

US07662089B2 Endoscope suitable to body cavity 有权
标题翻译：内镜适合体腔
公开(公告)号：US07662089B2
公开(公告)日：2010-02-16
申请号：US10914730
申请日：2004-08-09
申请人： Yuta Okada , Yoshio Onuki , Hideki Shimonaka , Koichi Kawashima
发明人： Yuta Okada , Yoshio Onuki , Hideki Shimonaka , Koichi Kawashima
IPC分类号： A61B1/00
CPC分类号： A61B1/018 , A61B1/0005 , A61B1/00087 , A61B1/00089 , A61B1/00135 , A61B1/042 , A61B8/12 , A61B8/4416 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/072 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/07214 , A61B2017/2906
摘要： An endoscope for treatment suitable to the treatment in a body cavity comprises an elongated soft observing optical unit having at least an observing optical system; and a unit inserting tool having a unit inserting channel in which the observing optical unit is inserted and a treatment tool inserting channel in which a treatment tool is inserted. The unit inserting channel of the unit inserting tool has a branching portion at which the unit inserting channel is branched into a first inserting channel and a second inserting channel. An observing window which is arranged at the end opening of the first inserting channel is provided in a surface at the distal-end and an observing window which is arranged at the end opening of the second inserting channel is provided in a surface at the halfway portion. The unit inserting tool comprises an optical unit guiding port for guiding the observing optical unit and at least one treatment tool lead-in port in which a treatment tool is inserted at the proximal end portion and a treatment tool lead-out port which is communicated with the treatment tool inserting channel that extends from the treatment tool lead-in port at least in one of the surface at the distal-end and the surface at the halfway portion.
摘要翻译：一种适合于在体腔内治疗的治疗用内窥镜，包括至少具有观察光学系统的细长的软观察光学单元; 以及具有插入观察光学单元的单元插入通道的单元插入工具和插入有处理工具的处理工具插入通道。单元插入工具的单元插入通道具有分支部分，单元插入通道在该分支部分分支成第一插入通道和第二插入通道。布置在第一插入通道的端部开口处的观察窗设置在远端的表面中，并且布置在第二插入通道的端部开口处的观察窗设置在中间部分的表面中。单元插入工具包括用于引导观察光学单元的光学单元引导口和至少一个治疗工具引入口，其中处理工具在基端部分插入，处理工具引出口与处理工具插入通道，其从处理工具引入口延伸至少在远端的表面和中途部分的表面之一。

9. 发明申请

US20070135822A1 Apparatus for ligating/suturing living tissues and system for resecting/suturing living tissues 有权
标题翻译：用于结扎/缝合生物组织的装置和用于切割/缝合生物组织的系统
公开(公告)号：US20070135822A1
公开(公告)日：2007-06-14
申请号：US11657328
申请日：2007-01-24
申请人： Yoshio Onuki , Satoshi Miyamoto , Koichi Kawashima , Pankaj Pasricha
发明人： Yoshio Onuki , Satoshi Miyamoto , Koichi Kawashima , Pankaj Pasricha
IPC分类号： A61B17/10
CPC分类号： A61B17/0469 , A61B17/0467 , A61B17/0482 , A61B17/0483 , A61B17/0487 , A61B17/32056 , A61B2017/0404 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/0419 , A61B2017/0458 , A61B2017/0464 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/0477 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/061 , A61B2017/2905
摘要： In the case where the living tissues in the patient's body is resected as well, it is possible to suture the resected portion immediately without replacement with another treatment device after resection. Thus, prevention of bleeding from the resected portion or earlier repair of an ulcer that occurs with the resected portion can be carried out for the patent lowly invasively and easily.
摘要翻译：在患者体内的活组织也被切除的情况下，可以在切除后立即缝合切除部分而不用另外的治疗装置。因此，可以防止来自切除部分的出血或对切除部分发生的溃疡的较早修复，对于专利可以低侵入地和容易地进行。

10. 发明申请

US20050090709A1 Endoscope suitable to body cavity 有权
标题翻译：内镜适合体腔
公开(公告)号：US20050090709A1
公开(公告)日：2005-04-28
申请号：US10914730
申请日：2004-08-09
申请人： Yuta Okada , Yoshio Onuki , Hideki Shimonaka , Koichi Kawashima
发明人： Yuta Okada , Yoshio Onuki , Hideki Shimonaka , Koichi Kawashima
IPC分类号： A61B17/28 , A61B1/00 , A61B1/012 , A61B1/018 , A61B1/04 , A61B8/12 , A61B17/04 , A61B17/06 , A61B17/072
CPC分类号： A61B1/018 , A61B1/0005 , A61B1/00087 , A61B1/00089 , A61B1/00135 , A61B1/042 , A61B8/12 , A61B8/4416 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/072 , A61B2017/0417 , A61B2017/0458 , A61B2017/0464 , A61B2017/047 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/07214 , A61B2017/2906
摘要： An endoscope for treatment suitable to the treatment in a body cavity comprises an elongated soft observing optical unit having at least an observing optical system; and a unit inserting tool having a unit inserting channel in which the observing optical unit is inserted and a treatment tool inserting channel in which a treatment tool is inserted. The unit inserting channel of the unit inserting tool has a branching portion at which the unit inserting channel is branched into a first inserting channel and a second inserting channel. An observing window which is arranged at the end opening of the first inserting channel is provided in a surface at the distal-end and an observing window which is arranged at the end opening of the second inserting channel is provided in a surface at the halfway portion. The unit inserting tool comprises an optical unit guiding port for guiding the observing optical unit and at least one treatment tool lead-in port in which a treatment tool is inserted at the proximal end portion and a treatment tool lead-out port which is communicated with the treatment tool inserting channel that extends from the treatment tool lead-in port at least in one of the surface at the distal-end and the surface at the halfway portion.
摘要翻译：一种适合于在体腔内治疗的治疗用内窥镜，包括至少具有观察光学系统的细长的软观察光学单元; 以及具有插入观察光学单元的单元插入通道的单元插入工具和插入有处理工具的处理工具插入通道。单元插入工具的单元插入通道具有分支部分，单元插入通道在该分支部分分支成第一插入通道和第二插入通道。布置在第一插入通道的端部开口处的观察窗设置在远端的表面中，并且布置在第二插入通道的端部开口处的观察窗设置在中间部分的表面中。单元插入工具包括用于引导观察光学单元的光学单元引导口和至少一个治疗工具引入口，其中处理工具在基端部分插入，处理工具引出口与处理工具插入通道，其从处理工具引入口延伸至少在远端的表面和中途部分的表面之一。

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