This invention regards the instrument and method in order to form the hole in the tube cavity internal organs wall. The applicator, arrangement expedient (300) in order to arrange the hole formation department and the aforementioned hole formation department in order to form the hole in the internal organs walls and, includes with the opening creation vessel section (500). In addition, the applicator includes the sequence expedient which executes the procedure in order to form the hole in the aforementioned tube cavity internal organs wall by adjusting with the method of continuing the relative operation of the aforementioned opening creation vessel section and the aforementioned hole formation department. The aforementioned sequence expedient furthermore includes the safe latch which is combined with the aforementioned opening creation vessel section and the aforementioned hole formation department operational. The aforementioned safe latch which relates to this invention prevents the damage for the inside of the aforementioned internal organs while forming the aforementioned hole. < Selective figure >Figure 5本発明は管腔臓器壁に穴を形成するための器具及び方法に関する。アプリケータは、臓器壁に穴を形成するための穴形成部と、前記穴形成部を配置するための配置手段(300)と、開創器部(500)とを含む。また、アプリケータは、前記開創器部と前記穴形成部の相対動作を連続した方法で調整することにより、前記管腔臓器壁に穴を形成するための手順を実施するシーケンス手段を含む。前記シーケンス手段は、前記開創器部と前記穴形成部と動作的に組み合わされる安全ラッチ部を更に含む。本発明に係る前記安全ラッチは、前記穴の形成中に前記臓器の内面に対する損傷を防止する。 【選択図】 図5