An endoscope includes a distal end portion main body arranged at a distal end portion of an insertion portion, the distal end portion main body including a recess, the distal end portion main body including at least one screw hole in at least one of a periphery of the recess or an interior of the recess, a lid configured to cover an opening of the recess, the lid including at least one through-hole at a position corresponding to the screw hole, a resin configured to fill a gap between the lid and the distal end portion main body, at least one screw configured to fix the lid to the distal end portion main body, the screw being inserted through the through-hole and screwed into the screw hole, at least one screw cover having an insulation property and configured to cover an upper surface of the screw, the screw cover being disposed closer to a proximal end side than to the recess, and a distal end cover configured to cover a part of the distal end portion main body.

An electronic module includes a three-dimensional wiring board including a cavity portion in which a bottom surface and four wall surfaces are formed, a plurality of electrodes being provided on the bottom surface, and a plurality of electronic components mounted on the plurality of electrodes and including a plurality of chip components and an image pickup module configured to pick up an image in an opening section direction of the cavity portion. A wall surface among the four wall surfaces that corresponds to a direction in which the plurality of chip components are arrayed is an inclined surface having an inclination with respect to the bottom surface.

An electronic module includes a three-dimensional wiring board including a cavity portion in which a bottom surface and four wall surfaces are formed, a plurality of electrodes being provided on the bottom surface, and a plurality of electronic components mounted on the plurality of electrodes and including a plurality of chip components and an image pickup module configured to pick up an image in an opening section direction of the cavity portion. A wall surface among the four wall surfaces that corresponds to a direction in which the plurality of chip components are arrayed is an inclined surface having an inclination with respect to the bottom surface.

A cover member includes: a sheath that is formed in a cylindrical shape for receiving a shaft; and a tubular portion that is attached to a distal end of the sheath. The tubular portion being formed such that an outer dimension of a distal end portion of the tubular portion in a first direction is smaller than an outer dimension of a proximal end portion of the tubular portion in the first direction and/or an outer dimension of the distal end portion in a second direction is smaller than an outer dimension of the proximal end portion in the second direction.

A cover member includes: a sheath that is formed in a cylindrical shape for receiving a shaft; and a tubular portion that is attached to a distal end of the sheath. The tubular portion being formed such that an outer dimension of a distal end portion of the tubular portion in a first direction is smaller than an outer dimension of a proximal end portion of the tubular portion in the first direction and/or an outer dimension of the distal end portion in a second direction is smaller than an outer dimension of the proximal end portion in the second direction.

An endoscopic suturing system and method are disclosed as are devices for use with the system and method such as a suture dispenser, a cinch device, and a tissue grasper. In one embodiment the suturing system includes a cap assembly arranged at the distal end portion of an endoscope or guide member, with the cap assembly including a rotatable needle holder. The needle holder is actuated through a transmission element extending outside the endoscope or guide member. A needle capture device may be inserted through a channel of the endoscope or guide member in order to capture a needle held in the needle holder when the needle holder is rotated so that the needle punctures tissue.

An endoscopic suturing system and method are disclosed as are devices for use with the system and method such as a suture dispenser, a cinch device, and a tissue grasper. In one embodiment the suturing system includes a cap assembly arranged at the distal end portion of an endoscope or guide member, with the cap assembly including a rotatable needle holder. The needle holder is actuated through a transmission element extending outside the endoscope or guide member. A needle capture device may be inserted through a channel of the endoscope or guide member in order to capture a needle held in the needle holder when the needle holder is rotated so that the needle punctures tissue.

An endoscope for removing tissue at a surgical site includes an elongated tubular body insertable within a mammalian cavity of a patient. An instrument channel extends between a first opening at a distal end and a second opening at a proximal end of the tubular body and is sized and configured to receive a surgical cutting assembly that includes an aspiration channel configured to remove material entering the endoscope via a distal end of the surgical cutting assembly. A torque generation component configured to generate torque is positioned within the distal end and configured to provide the generated torque to a coupling component. The coupling component is positioned at the distal end of the elongated tubular member and configured to actuate a cutting component of the surgical cutting assembly responsive to actuation of the torque generation component.

An endoscope for removing tissue at a surgical site includes an elongated tubular body insertable within a mammalian cavity of a patient. An instrument channel extends between a first opening at a distal end and a second opening at a proximal end of the tubular body and is sized and configured to receive a surgical cutting assembly that includes an aspiration channel configured to remove material entering the endoscope via a distal end of the surgical cutting assembly. A torque generation component configured to generate torque is positioned within the distal end and configured to provide the generated torque to a coupling component. The coupling component is positioned at the distal end of the elongated tubular member and configured to actuate a cutting component of the surgical cutting assembly responsive to actuation of the torque generation component.

An image processing apparatus includes a processor including hardware, the processor being configured to: estimate, based on image information from a medical device that includes at least an endoscope, a plurality of procedure actions of an operator of the endoscope; perform different supports respectively for procedures by the operator, according to an estimation result of the procedure actions; and output a display for the supports to a display.