Ligature and suture device for medical application

A ligature and suture device for medical application includes a distal end insertion portion (7), a needle body (14), a ligature tool (40), and an operation section (2). The operation section (2) includes a housing (3) that is provided in a base end portion of the distal end insertion portion (7), a puncture handle (20) that is provided in the housing (3) so as to be able to move freely backwards and forwards and that drives the needle body (14), a pressing handle (30) that is provided in the housing (3) so as to be able to move freely backwards and forwards and that drives a pressing member (13), a ligature tool operation unit (41) that is provided in the housing (3) so as to be able to move freely backwards and forwards and that drives a ligature sheath (43), and a ligature handle (55) that is provided in the ligature tool operation unit (41) so as to be able to move freely backwards and forwards and that drives an engaging portion (45).