JP4514183B2 - Endoscope gripping device - Google Patents

Description

The present invention, when excising the lesion under endoscopic observation, using a magnetic anchor inducible by the magnetic field, about the endoscope holding device for holding the lesion of the patient.

  As one aspect of the operation using an endoscope, there has been conventionally known a technique of lifting and excising a lesion using a magnetic anchor. In this method, a magnetic anchor and a clip for gripping a lesioned part are introduced into the patient's body and used for gripping the lesioned part at the time of excision of the lesioned part.

  However, in this example, since the lesioned part is gripped by a clip having a sharp tip shape, the lesioned part and its peripheral part may be unnecessarily damaged.

Japanese Patent Application No. 2002-268239

  SUMMARY OF THE INVENTION An object of the present invention is to provide an endoscope holding apparatus and a magnetic anchor remote guidance system that are less likely to unnecessarily damage a lesioned part and its peripheral part in a patient.

In order to solve the above problems, the endoscope holding device of the present invention includes a holding member that holds a target portion inside the object, and an anchor that pulls the holding member via a connecting member, The holding member includes a suction cup part having a contact part that makes contact with the target site in a closed curve and a hollow part that forms a closed space when the contact part is closed, and the suction cup part has a negative effect on the hollow part. A negative pressure generating means for generating a pressure, and the anchor is a magnetic anchor and is movable by an external magnetic field.

It is preferable that the negative pressure generating means is an elastic deformation part formed on a part of the wall surface forming the hollow part of the suction cup part .

  It is preferable to provide a suction part that sucks the elastic deformation part and makes the inside of the hollow part have a negative pressure.

As the negative pressure means, the contact portion is closed by the closing membrane, constituting you inside hollow portion to advance the negative pressure is also possible, it closed film preferably by enzyme are melt.

  It is preferable that an annular fastening portion that shrinks by heat to reduce the volume in the hollow portion is disposed in at least a part of the outer periphery of the hollow portion because the symmetrical portion can be reliably held.

<First Embodiment>
(1) Configuration Hereinafter, a first embodiment according to the present invention will be described in detail with reference to the drawings. The endoscope holding apparatus 1 according to the first embodiment includes a holding member 10, a magnetic anchor 30, a connecting member 20, and the like.

  The magnetic anchor 30 shown in FIGS. 1 and 2 is made of a spherical ferromagnetic material. Examples of the magnetic material used for the magnetic anchor 30 include magnets such as platinum magnets, rare earth magnets, terbium / dysprosium / iron alloys in addition to pure iron and iron alloys.

  One end of a linear connecting member 20 for connecting the magnetic anchor 30 and the holding member 10 is fixed to the magnetic anchor 30. The connecting member 20 may be a rigid body, an elastic material, or a flexible material, and a spring, rubber, or the like can also be used. The other end of the connecting member 20 is fixed to the holding member 10.

  The holding member 10 shown in detail in FIGS. 2 and 3 sucks and absorbs a lesioned part (target site) 70 (FIG. 1) in a patient (target) body, and at least a part of the lesioned part 70 is hollow. The suction cup portion 11 can be held.

  The suction cup portion 11 is made of a bottomed substantially cylindrical elastic material having one opening (contact portion) 11a, and a protrusion for preventing the lesioned portion 70 held inside from falling off on the inner wall 11b. 11c is provided, and a suction member connecting portion 11e to which the tip of the suction portion 26 for negatively setting the inside of the holding member 10 can be screwed is provided at an upper portion of the outer periphery (outer) 11d. When the opening 11a contacts the lesioned part 70 with a closed curve determined by its shape, a closed space is formed in the interior (hollow part) 14 of the suction cup part 11 where the opening 11a is closed. The protruding portion 11 c has a ring shape that protrudes toward the bottom surface 11 f of the suction cup portion 11.

  The central portion of the bottom surface 11f is composed of a balloon (negative pressure means, elastic deformation portion) 12 made of an elastic material having a lower elastic modulus than the material constituting the suction cup portion 11 and thinner than the suction cup portion 11 (FIG. 3). The balloon 12 does not have to have a low elastic modulus as long as it is more deformable than the material constituting the suction cup part 11, and may be made of the same or thick material as the suction cup part 11.

  Further, a fastening portion 13 made of a ring-shaped heat shrink material is disposed at the lower portion of the outer periphery 11d. As the heat-shrinkable material, for example, a shape memory material that returns to its original shape by heating can be used. When the tightening portion 13 contracts by heating, the suction cup portion 11 having elasticity is also deformed (FIG. 3B). Therefore, the inner diameter of the circular opening 11a can be reduced. When the lesioned part 70 is received inside the suction cup part 11 by the tightening part 13, the effect of preventing the lesioned part 70 from falling off can be further improved in combination with the action of the protrusion part 11c.

  As shown in FIG. 3A, the suction part 26 having elasticity includes a connection part 26b that is screwed into the suction member connection part 11e of the suction cup part 11 on the inner surface of the tip part 26a. As shown in FIG. 4, the suction part 26 can be connected to a tube 28 connected to a vacuum pump 27. By driving the vacuum pump 27 in a connected state, the inside of the suction part 26 can be set to a negative pressure.

  On the other hand, the magnetic anchor remote guidance system 50 includes a magnetic guidance member 52 that controls the magnetic anchor 30 to be attracted outside the body (which allows the magnetic anchor 30 to move). In the magnetic induction member 52, an electromagnet 52c having a structure in which a coil is wound around an iron core is disposed on a base 52a (FIG. 5). The magnetic induction member 52 may be a combination of a permanent magnet and an electromagnet, or a combination of two or more permanent magnets and electromagnets.

  As shown in FIG. 5, the magnetic induction member 52 has an electromagnet 52c slidable on a frame / rail (in-plane moving mechanism) 54 disposed so as to surround the bed 56 on which the patient 80 lies. It is placed so as to face the patient 80. The frame / rail 54 is composed of two U-shaped rails 54a and 54b arranged in parallel in one plane, and two XY stages (one-way moving mechanism) are parallel to the width direction of the floor plate 56a of the bed 56. ) 58. Further, the two XY stages 58 are relatively movable in a direction perpendicular to the plane on which the frame / rail 54 is provided. With the above-described configuration, the magnetic guiding member 52 can move between the two XY stages 58 by the base 52a sliding on the frame / rail 54. The magnetic guiding member 52 is disposed on the rail 54a on the side close to the patient 80 of the two parallel rails 54a and 54b of the frame / rail 54.

  A counterweight 60 for maintaining the weight balance of the entire frame / rail 54 is disposed on the rail 54b on the side far from the patient 80 of the frame / rail 54 so as to be slidable on the rail 54b. The counterweight 60 changes its position according to the position of the magnetic induction member 52. For example, when the magnetic guiding member 52 is in front of the patient 80, the counterweight 60 is disposed on the back of the patient 80, and when the magnetic guiding member 52 is on the back of the patient 80, the counterweight 60 is on the front of the patient 80. To balance the weight of the entire frame / rail 54.

  As described above, by arranging the magnetic guiding member 52, the XY stage 58, the frame / rail 54, and the like, the magnetic guiding member 52 can be disposed at an optimum position for excision of the lesioned part 70. Therefore, in order to lift the lesioned part so as to be easily excised, it is possible to suck the magnetic anchor 30 and the holding member 10 and arrange them at an appropriate position.

(2) Preparation for Performing Resection Prior to performing resection using the magnetic anchor remote guidance system 50, first, a patient 80 that has undergone local anesthesia is laid on the bed 56. At this time, the frame / rail 54 is retracted to the side where the head 80a of the patient 80 comes by the XY stage 58, and the magnetic guiding member 52 and the counterweight 60 are arranged at predetermined positions. When the patient 80 lies on the bed 56, the frame / rail 54 is placed in front of the affected area of the patient 80 by operating the XY stage 58, and then the magnetic guiding member 52 is rubbed on the frame / rail 54. Place it at the start of the resection.

(3) Introduction operation of the magnetic anchor 30, the holding member 10, and the connecting member 20 into the body The introduction of the magnetic anchor 30, the holding member 10, and the connecting member 20 into the body will be described with reference to FIGS. 7 and 8 are shown together with an enlarged view of the distal end portion 43 of the endoscope 41. FIG. In the present embodiment, description of the entire endoscope 41 is omitted.

  An overtube 45 is inserted in and out of the body of the patient 80 in advance, and the insertion portion of the endoscope 41 is repeatedly put in and out through the overtube 45. At the distal end portion 43 of the insertion portion, an air / water supply nozzle 43a for sending air and purified water at the time of excision of the lesioned portion 70, an illumination window 43b for illuminating the excision portion and its periphery, and the excision portion and its periphery are observed. Are provided with an observation window 43c in which an objective lens is disposed, and a forceps channel 43d.

  The introduction of the holding member 10, the magnetic anchor 30, and the connecting member 20 into the patient 80 is performed using the introduction tube 42 inserted through the forceps channel 43d. That is, the suction portion 26 and the holding member 10 which are screwed together in advance and the connecting member 20 fixed to the holding member 10 are sequentially arranged in the introduction tube 42 and the magnetic anchor 30 connected to the connecting member 20 is introduced. It arrange | positions so that the front-end | tip 42a of the pipe | tube 42 may be contact | abutted. The introduction tube 42 in this state is inserted from the forceps channel 43 d into the distal end portion 43, and the rear end 42 b is extended to the outside from the forceps insertion port 41 a and disposed in the endoscope 41. At this time, the suction portion 26 extends to the outside from the rear end 42 b, and the holding member 10 and the magnetic anchor 30 are moved into the body of the patient 80 by inserting and removing the distal end portion 26 a of the extended suction portion 26 into and from the introduction tube 42. In addition, the screwing between the suction portion 26 and the holding member 10 can be released by twisting the distal end portion 26a.

  As shown in FIG. 7, the holding member 10 is pushed out from the forceps channel 43 d into the patient 80 by operating the suction unit 26, and is brought into contact with or close to the lesioned part 70. In this state, when the suction part 26 is connected to the vacuum pump 27 via the tube 28 and the vacuum pump 27 is driven, the inside of the suction part 26 becomes negative pressure, so that the balloon 12 is drawn into the suction part 26. Then, since the suction cup portion 11 also has a negative pressure, the lesioned portion 70 is drawn into the suction cup portion 11. Thereafter, the suction portion 26 is twisted to release the screwing between the suction portion 26 and the suction cup portion 11, and the suction portion 26 is pulled out from the introduction tube 42.

  Since the protruding portion 11c is provided to prevent the lesioned portion 70 from coming off, the lesioned portion 70 is held in the sucker portion 11 even if the screwing between the suction portion 26 and the suction cup portion 11 is released. . Further, if hot water is jetted from the forceps channel 43d and the tightening portion 13 is heated and shrunk, the inner diameter of the opening 11a is reduced, so that the effect of preventing dropout can be enhanced (FIG. 3B). During the above operation, it is easy to work if the magnetic field generated from the magnetic induction member 52 is weakened.

  Subsequently, by strengthening the magnetic field generated by the magnetic induction member 52, the magnetic anchor 30 is attracted and the connecting member 20 is tensioned (see FIG. 8). By adjusting the state of the connecting member 20 in this manner, the movement of the magnetic guiding member 52 is easily transmitted to the holding member 10, and therefore, the lesioned part 70 can be easily lifted by a desired amount by adjusting the magnetic field.

  In the magnetic anchor remote guidance system configured as described above, since the lesioned part 70 can be lifted sufficiently high, a sufficient excision of the boundary between the lesioned part 70 and the normal tissue can be taken, and the lesioned part 70 is flattened. Even if it is a simple shape, it is possible to create a cut portion. Further, since the holding member 10 can be arranged at an arbitrary position, the excised lesioned part 70 does not hinder the view of the endoscope.

(4) Excision Step The excision process of the lesioned part 70 using the magnetic anchor guidance system configured as described above will be described. FIGS. 8 and 9 are views showing the excision process of the lesioned part 70 using the magnetic anchor remote guidance system 50 according to the present embodiment.

  First, physiological saline is injected from the periphery of the lesioned part 70 with an injection needle inserted into the submucosal layer 71, and the lesioned part 70 is lifted from the intrinsic muscle layer 72. Further, the magnetic guiding member 52 is arranged at a preset position near the lesioned part 70. In this state, the holding member 10 is set at the position most suitable for excising the lesioned part 70 as described above. When set in this way, the lesioned part 70 is lifted by the attractive force between the magnetic guiding member 52 and the magnetic anchor 30. If the lifted amount of the lesioned part 70 is insufficient or too large, the position of the magnetic guiding member 52 is increased. Is adjusted by shifting or weakening the magnetic field generated by the magnetic induction member 52.

  Subsequently, an incision tool such as a high-frequency knife 46 is introduced into the body through the forceps channel 43d, and the lesioned part 70 is excised together with the mucous membrane from the end part 70a. At this time, since the lesioned part 70 is lifted by the holding member 10, a sufficient excised part can be taken, and the already excised lesioned part 70 can also be prevented from falling on the proper muscle layer 72. Further, since the excised lesioned part 70 can be further lifted by gradually shifting the position of the magnetic guiding member 52, it is easy to confirm the distal end position 46a of the high-frequency knife 46, and the excision work can be performed smoothly.

  Further, when the excision work is completed as described above, the magnetic anchor 30 is attracted to the magnetic guiding member 52 in a state where the lesioned part 70 is attached to the holding member 10, and therefore it is possible to prevent the lesioned part 70 from being lost. When the excised lesioned part 70 is recovered, the magnetic anchor 30, the holding member 10, the connecting member 20, and a part of the lesioned part 70 that are still connected are grasped by the grasping forceps 40 (FIG. 10) inserted from the forceps channel 43d. In this state, the supply of current to the magnetic induction member 52 is stopped, and the endoscope 41 is recovered as it is. Thereafter, treatments such as suturing and disinfection are performed.

  The magnetic anchor 30 may be pulled using gravity.

<Second Embodiment>
Next, a second embodiment of the present invention will be described in detail with reference to the drawings. The endoscope holding device 100 according to the second embodiment includes a holding member 110, a connecting member 120, and a magnetic anchor 130. In the second embodiment, the same reference numerals are used for the same members as in the first embodiment.

  The holding member 110 shown in detail in FIG. 11 has a suction cup 111 that sucks the lesioned part 70 (FIG. 12) in the patient 80 and can hold at least a part of the lesioned part 70 therein.

  The suction cup portion 111 is made of a bottomed substantially cylindrical elastic material having one opening (contact portion) 111a, and the inner wall 111b has a protruding portion for preventing the lesioned portion 70 held therein from falling off. 111c is provided. The opening 111a contacts the lesioned part 70 with a closed curve determined by its shape. The protrusion 111c has a ring shape protruding toward the bottom surface 111f of the suction cup 111.

  A fastening portion 113 made of a ring-shaped heat shrink material is fixed to the lower portion of the outer periphery 111d of the holding member 110. As the heat-shrinkable material, for example, a shape memory material that returns to its original shape by heating can be used. When the tightening portion 113 contracts by heating, the suction cup portion 111 having elasticity is also deformed in the same manner as the suction cup portion 11 is deformed when the tightening portion 13 contracts in the first embodiment. Therefore, the inner diameter of the circular opening 111a can be reduced. When the lesioned part 70 is received inside the suction cup part 111, the effect of preventing the lesioned part 70 from falling off can be further improved in combination with the action of the protrusion 111c.

  A hole 111 h for connecting the connecting member 120 is provided on the upper surface 111 g of the suction cup 111.

The suction cup portion 111 is introduced into the body of the patient 80 while maintaining a negative pressure in the inside in advance.
First, in order to make the suction cup portion 111 have a negative pressure, the holding member 110 is put in a vacuum chamber (not shown), and the inside of the vacuum chamber is made a negative pressure by a vacuum device (not shown) connected thereto. As a result, the suction cup 111 of the holding member 110 in the vacuum chamber also has a negative pressure.

  In this state, the opening 111a is sealed by bonding and fixing a molten film (closing film) 112 to the opening 111a in the vacuum chamber. Then, a closed space is formed in the inside (hollow part) 114 of the suction cup part 111 in which the opening 111a is closed. The molten film 112 has such a strength that it cannot be broken even if the holding member 110 in a negative pressure state is returned to atmospheric pressure. In addition, the melted film 112 is melted by an enzyme (for example, pepsinogen, chymosin (renin, milk coagulase), lipase, pepsinogen B, C, D, gastricsin) contained in a secretion fluid from an organ such as gastric juice of the patient 80. It is composed of substances (eg, protein, agar). Therefore, the suction cup portion 111 can maintain a negative pressure during introduction into the patient 80 and gastric juice that wets the surface of the lesioned portion 70 when the molten film 112 is pressed against the lesioned portion 70 such as the stomach and brought into close contact therewith. The melted film 112 is melted due to the above, and the lesioned part 70 is drawn into the sucker part 111 by the negative pressure in the sucker part 111.

  On the other hand, the magnetic anchor 130 in the second embodiment has a configuration in which a hole 130b for connecting to the connecting member 120 is provided in a main body 130a made of a spherical ferromagnetic material (FIG. 15). Examples of the magnetic material used for the magnetic anchor 130 include magnets such as platinum magnets, rare earth magnets, terbium / dysprosium / iron alloys in addition to pure iron and iron alloys.

  The connecting member 120 that connects the magnetic anchor 130 and the holding member 110 includes hook portions 120b and 120c at both ends of the main body portion 120a. The connection is performed by hooking the hole 130b of the magnetic anchor 130 and the hole 111h of the holding member 110 to the hooks 120b and 120c, respectively. 120a may be any of a rigid body, an elastic material, and a flexible material. A spring, rubber, or the like may be used, and the hook portions 120b and 120c may be provided with a feeding mechanism so that the length can be adjusted. The holding member 110 and the magnetic anchor 130 may be directly connected without using the connecting member 120, or the holding member 110 and the magnetic anchor 130 may be integrally formed.

  The suction control of the magnetic anchor 130 is performed using the magnetic anchor remote guidance system 50 as in the first embodiment.

Next, introduction of the magnetic anchor 130, the holding member 110, and the connecting member 120 into the body will be described with reference to FIGS.
The introduction of the holding member 110, the connecting member 120, and the magnetic anchor 130 into the patient 80 is performed by repeatedly inserting and removing the insertion portion of the endoscope 41 into and from the overtube 45 previously inserted into the patient 80. The holding member 110, the connecting member 120, and the magnetic anchor 130 are inserted through the overtube 45 while being held by the grasping forceps 40 inserted through the forceps channel 43 d of the distal end portion 43 of the endoscope 41, so that the inside of the patient 80. To be introduced.

  First, the grasping forceps 40 grasping the hole 111h of the holding member 110 is inserted into the overtube 45 with the endoscope 41 inserted through the forceps channel 43d, and the holding member 110 is introduced into the body as shown in FIG. . Next, by operating the grasping forceps 40 extending from the forceps insertion opening 41 a, the molten film 112 of the holding member 110 is brought into close contact with the desired position of the lesioned part 70. Then, the molten film 112 is melted by gastric juice or the like that wets the surface of the lesioned part 70, and the lesioned part 70 is drawn into the sucker part 111 by the negative pressure in the sucker part 111 (FIG. 13).

  Since the protruding portion 111 c is provided to prevent the lesioned portion 70 from falling off, the lesioned portion 70 is held in the suction cup portion 111. Further, if hot water is jetted from the forceps channel 43d and the tightening portion 113 is heated and contracted, the inner diameter of the opening 111a is reduced, so that the effect of preventing dropout can be enhanced (FIG. 13).

  Subsequently, the endoscope 41 is once pulled out, and the endoscope 41 in a state where the grasping forceps 40 grasping the connecting member 120 is inserted through the forceps channel 43d is again inserted into the overtube 45, whereby FIG. As shown, the connecting member 120 is introduced into the body. Next, by operating the grasping forceps 40 extending from the forceps insertion opening 41a, the hook portion 120c is hooked on the hole portion 111h (see FIG. 15).

  Finally, the endoscope 41 is pulled out once, and the endoscope 41 in a state where the grasping forceps 40 grasping the hole 130b of the magnetic anchor 130 is inserted through the forceps channel 43d is inserted into the overtube 45 again. As shown in FIG. 15, the magnetic anchor 130 is introduced into the body. Next, by operating the grasping forceps 40 extended from the forceps insertion opening 41a, the hole 130b is hooked on the hook 120b (FIG. 16), and the magnetic anchor magnetic anchor 130, the holding member 110, and the connecting member 120 are connected. Finish introduction into the body. Subsequently, by strengthening the magnetic field generated by the magnetic induction member 52, the magnetic anchor 130 is attracted and the connecting member 120 is tensioned (FIG. 16). By adjusting the state of the connecting member 120 in this manner, the movement of the magnetic guiding member 52 is easily transmitted to the holding member 110. Therefore, the lesioned portion 70 can be easily lifted by a desired amount by adjusting the magnetic field.

  Subsequently, an incision tool such as a high-frequency knife 46 is introduced into the body through the forceps channel 43d, and the lesioned part 70 is excised from the end part 70a together with the mucous membrane as in the first embodiment.

  The excised lesioned part 70 is recovered in a state where the magnetic anchor 30, the holding member 10, the connecting member 20, and a part of the lesioned part 70 that are still connected are held by the grasping forceps 40 inserted from the forceps channel 43 d. The current supply to 52 is stopped, and the endoscope 41 is withdrawn as it is to collect the current. Thereafter, treatments such as suturing and disinfection are performed.

  Other configurations, operations, and effects are the same as those in the first embodiment.

  Although the present invention has been described with reference to the above embodiment, the present invention is not limited to the above embodiment, and can be improved or changed within the scope of the purpose of the improvement or the idea of the present invention.

  As described above, according to the present invention, by adopting a holding member that sucks and holds an affected part instead of a conventional clip, it is possible to reduce the risk of unnecessarily damaging a lesioned part and its peripheral part in a patient. An endoscope holding device can be provided.

It is a figure which shows a state when the holding | maintenance apparatus for endoscopes which concerns on 1st Embodiment of this invention is arrange | positioned in a patient's body. It is a figure which shows the structure of the holding | maintenance apparatus for endoscopes which concerns on 1st Embodiment of this invention, (a) is a top view, (b) is a side view. FIG. 3 is a vertical cross-sectional view taken along line III-III in FIG. 2 showing the configuration of the holding member according to the first embodiment of the present invention, where (a) shows a state in which a suction tool is connected, and (b) shows a balloon being sucked. The tightening member is shown in a contracted state. It is a figure which shows a state when the endoscope holding device which concerns on 1st Embodiment of this invention is set to the endoscope. It is the figure which looked at arrangement | positioning of the bed which mounted the patient when excising a lesion part, a magnetic induction member, etc. from the patient's head side. It is a figure which shows arrangement | positioning in an introduction tube when the holding | maintenance apparatus for endoscopes which concerns on 1st Embodiment of this invention is set to an introduction tube. It is a figure which shows the mode of introduction into the body of the holding | maintenance apparatus for endoscopes which concerns on 1st Embodiment of this invention. It is a figure which shows the excision process of the lesioned part using the holding | maintenance apparatus for endoscopes which concerns on 1st Embodiment of this invention. It is a figure which shows the excision process of the lesioned part using the holding | maintenance apparatus for endoscopes which concerns on 1st Embodiment of this invention. It is a figure which shows the state after excision of the lesioned part using the holding | maintenance apparatus for endoscopes which concerns on 1st Embodiment of this invention. It is a figure which shows the structure of the holding member which concerns on 2nd Embodiment of this invention, (a) is a side view, (b) is sectional drawing in line XIB-XIB of (a). It is a figure which shows the state which introduced the holding member which concerns on 2nd Embodiment of this invention in the patient body. It is sectional drawing in the line XIB-XIB of Fig.11 (a) which shows the state which attracted | sucked the lesioned part inside the holding member which concerns on 2nd Embodiment of this invention. It is a figure which shows the state which introduce | transduced the connection member which concerns on 2nd Embodiment of this invention in a patient body. It is a figure which shows the state which introduce | transduced the magnetic anchor which concerns on 2nd Embodiment of this invention in the patient body. It is a figure which shows the excision process of the lesioned part using the holding | maintenance apparatus for endoscopes which concerns on 2nd Embodiment of this invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Endoscope holding | maintenance apparatus 10 Holding member 11 Suction cup part 11a Opening (contact part)
11d outer circumference (outer)
12 Balloon (negative pressure means, elastic deformation part)
13 Tightening part 14 Inside (hollow part)
20 connecting member 30 magnetic anchor (anchor)
50 Magnetic anchor remote guidance system 70 Lesions (target site)
80 patients (objects)
100 Endoscope Holding Device 110 Holding Member 111 Suction Cup 112 Melted Film (Closed Film)
113 Tightening part 120 Connecting member 130 Magnetic anchor (anchor)

Claims (6)

A holding member for holding a target portion inside the target object;
An anchor that pulls the holding member through a connecting member;
With
The holding member includes a suction cup portion having a contact portion that contacts the target portion with a closed curve, and a hollow portion that forms a closed space when the contact portion is closed,
For the endoscope , the suction cup portion has a negative pressure means for making the hollow portion into a negative pressure, and the anchor is a magnetic anchor and is movable by the external magnetic field. Holding device. The negative pressure means, the hollow portion is elastically deformable portion formed on a part of the wall surface forming the claims 1 endoscope holding apparatus according. The endoscope holding apparatus according to claim 2, further comprising a suction part that sucks the elastic deformation part to create a negative pressure in the hollow part. The endoscope holding apparatus according to claim 1 , wherein the negative pressure generating means is a closing film that closes the contact portion, and the inside of the hollow portion is previously set to a negative pressure. The endoscope holding device according to claim 4 , wherein the closing film can be melted by an enzyme. The internal view according to any one of claims 1 to 5 , wherein an annular tightening portion that contracts by heat to reduce a volume in the hollow portion is disposed in at least a part of an outer periphery of the hollow portion. Mirror holding device.

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