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    • 2. 发明授权
    • Lymph node removing method
    • 淋巴结清除法
    • US08211007B2
    • 2012-07-03
    • US13217770
    • 2011-08-25
    • Kenichi NishinaShinichi TsutakiTakeharu NakazatoTetsuya Yamamoto
    • Kenichi NishinaShinichi TsutakiTakeharu NakazatoTetsuya Yamamoto
    • A61B1/00
    • A61B1/018A61B1/05A61B1/267A61B1/2733A61B8/12A61B10/0233A61B10/04A61B17/0057A61B17/24A61B2017/00663A61B2017/3413A61B2090/08021A61B2090/3925
    • 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.
    • 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。
    • 8. 发明申请
    • PROCEDURE
    • 程序
    • US20080161641A1
    • 2008-07-03
    • US11965199
    • 2007-12-27
    • Takeharu NAKAZATOTetsuya YAMAMOTOTakumi DEJIMA
    • Takeharu NAKAZATOTetsuya YAMAMOTOTakumi DEJIMA
    • A61B1/018
    • A61B1/018A61B17/3478A61B2017/00278
    • A procedure for forming an opening in a luminal organ surface while observing images from an endoscope introduced into a luminal organ through a natural orifice, and performing observation and treatment of an organ in an abdominal cavity through the opening, including the steps of: inserting an endoscope into a target luminal organ through a natural orifice of a subject; checking and identifying a region without other organs or blood vessels under observation by the endoscope; inserting a perforating treatment instrument for perforating the target luminal organ under observation by the endoscope; perforating the region where safety in an abdominal cavity outside the target luminal organ is checked in the checking step, using the perforating treatment instrument; inserting the endoscope into the abdominal cavity through the perforated portion; inserting a surgical treatment instrument for performing treatment of the organ in the abdominal cavity through the perforated portion; performing surgery under observation by the endoscope; removing the endoscope and the surgical treatment instrument from the perforated portion; inserting a suturing instrument for suturing the perforated portion under observation by the endoscope; and suturing the perforated portion using the suturing instrument under observation by the endoscope, wherein the endoscope is replaced by an ultrasonic endoscope in at least one of the steps.
    • 在通过自然孔口观察引导到管腔器官的内窥镜的图像的同时在腔内器官表面形成开口的步骤,并且通过开口对腹腔中的器官进行观察和处理,包括以下步骤: 内窥镜通过受试者的自然孔口进入目标腔内器官; 检查并识别内窥镜未观察其他器官或血管的区域; 在内窥镜观察下插入用于穿孔目标管腔器官的穿孔治疗仪; 使用穿孔处理器,在检查步骤中检查在目标腔内器官外部的腹腔中的安全性的区域; 通过穿孔部将内窥镜插入腹腔内; 插入用于通过所述穿孔部分对所述器官进行处理的手术治疗器具; 在内窥镜观察下进行手术; 从穿孔部分移除内窥镜和手术治疗仪器; 在内窥镜观察下插入用于缝合穿孔部的缝合器具; 以及在利用所述内窥镜观察的情况下使用所述缝合器缝合所述穿孔部,其中,所述内窥镜在至少一个所述步骤中由超声波内窥镜代替。
    • 9. 发明申请
    • PROCEDURE
    • 程序
    • US20120226223A1
    • 2012-09-06
    • US13438452
    • 2012-04-03
    • Takeharu NAKAZATOTetsuya YAMAMOTOTakumi DEJIMA
    • Takeharu NAKAZATOTetsuya YAMAMOTOTakumi DEJIMA
    • A61M13/00A61B17/34
    • A61B1/018A61B17/3478A61B2017/00278
    • A procedure for forming an opening in a tubular organ surface while observing images from an endoscope introduced into a tubular organ through a natural opening, and performing observation and treatment of an organ in an abdominal cavity through the opening, including the steps of: inserting an endoscope into a target tubular organ through a natural opening of a subject; checking and identifying a region without other organs or blood vessels; inserting a perforating treatment instrument; perforating with the perforating treatment instrument; inserting the endoscope into the abdominal cavity through the perforated portion; inserting a surgical treatment instrument through the perforated portion; performing surgery; inserting a suturing instrument; and suturing the perforated portion, wherein the endoscope is replaced by an ultrasonic endoscope in at least one of the steps.
    • 一种在从管状器官表面形成开口的过程,同时通过自然开口观察从引入管状器官的内窥镜的图像,并通过开口对腹腔中的器官进行观察和处理,包括以下步骤: 内窥镜通过受试者的自然开放进入目标管状器官; 检查和识别没有其他器官或血管的区域; 插入穿孔治疗仪器; 穿孔治疗仪穿孔; 通过穿孔部将内窥镜插入腹腔内; 通过穿孔部分插入手术治疗器具; 执行手术 插入缝合器具; 并缝合穿孔部分,其中在至少一个步骤中用超声波内窥镜代替内窥镜。