Problem to be solved: to provide a power transmission adapter and a medical manipulator system which are easy to suppress an increase in dimension along the straight motion direction.Solution: one side of the frame 51 and the frame part 51 disposed between the fixture 10 and the power part 40, and one side faces the clean area Cr, and the other side faces the filthy area ur, and the clean region Cr and the dirty region ur are separated A separation part 61 is provided, and the separating part 61 is inserted into the insertion hole 61 in which the drive part 44 which moves in the axial direction is movably inserted, the abutting part 63 which abuts against the driving part 44 and abuts against the driven part 21 and the separation part HoleThe surrounding portion and the abutting portion 63 are characterized in that the contact portion 63 is movably connected in the axial direction and the connecting portion 42 for separating the clean area Cr and the filthy area ur is connected.Diagram【課題】直動方向に沿った寸法の増大を抑制することが容易な動力伝達アダプタおよび医療用マニピュレータシステムを提供する。【解決手段】術具10および動力部40の間に配置される枠部51と、枠部51の内側に配置され、一方の面が清潔領域CRと対向するとともに他方の面が不潔領域URと対向し、清潔領域CRおよび不潔領域URを分離する分離部61と、が設けられ、分離部61は、軸線方向に沿って移動する駆動部44が移動可能に挿通される挿通孔62と、駆動部44と当接するとともに従動部21と当接する当接部63と、分離部61における挿通孔62の周囲および当接部63を、当接部63が軸線方向に移動可能につなぐとともに、清潔領域CRおよび不潔領域URを分離してつなぐ接続部42と、を有することを特徴とする。【選択図】 図2