公开(公告)号：US10980554B2

公开(公告)日：2021-04-20

申请号：US15410819

申请日：2017-01-20

Applicant: Boston Scientific Scimed, Inc.

Inventor： Erik Sperry ,  Ronald Ciulla ,  Aaron Kirkeom ,  Mark Hera ,  Sebastian Koerner

IPC: A61B17/221 ,  A61B17/22 ,  A61B17/00 ,  A61B17/3207 ,  A61B17/34

Abstract: This disclosure concerns systems and methods for removal of material from the body of a patient, and particularly for percutaneous nephrolithotomy. Systems according to the various embodiments of the disclosure include one or more of nested first and second components, for instance a scope nested within a suction or irrigation catheter, guidewires with self-expanding distal tips, and wash-out elements to facilitate rapid removal of stones through an access sheath.

公开(公告)号：US20170196590A1

公开(公告)日：2017-07-13

申请号：US15400214

申请日：2017-01-06

Applicant: Boston Scientific Scimed, Inc.

Inventor： Erik E Sperry ,  Jerry T Long ,  Ronald Ciulla ,  Timothy P Harrah ,  Aaron K Kirkemo ,  Mark A Hera ,  Kenneth P Reever ,  Brandon W Craft ,  Elizabeth A Stokley ,  Sebastian Koerner ,  Chad Schneider

IPC: A61B17/34 ,  A61B17/221 ,  A61B17/00

Abstract: Devices for guiding an instrument into a body of a patient, at a targeted point of entry and along an insertion path at a targeted insertion angle, are described herein, such as a guide for an access needle in a PCNL procedure for accessing the kidney to remove kidney stones, the devices comprising a base component, a guide assembly, and optionally an insertion mechanism. The base component is aligned in use with the point of entry and the guide assembly cooperates with the base component to allow for the instrument to be aligned and fixed at any circumferential angle around an axis perpendicular to the point of entry and at any vertical angle ranging from 0 to 45 degrees away from the axis in a direction toward the body. The optional mechanism allows for mechanical insertion once the instrument is aligned and fixed. Devices and methods disclosed herein allow a medical professional to accurately and stably guide an instrument at a targeted point and angle and to a desired depth, while minimizing the exposure to radiation in the surgical field that is used to image the insertion path.

公开(公告)号：US11311311B2

公开(公告)日：2022-04-26

申请号：US15400214

申请日：2017-01-06

Applicant: Boston Scientific Scimed, Inc.

Inventor： Erik E Sperry ,  Jerry T Long ,  Ronald Ciulla ,  Timothy P Harrah ,  Aaron K Kirkemo ,  Mark A Hera ,  Kenneth P Reever ,  Brandon W Craft ,  Elizabeth A Stokley ,  Sebastian Koerner ,  Chad Schneider

IPC: A61B17/34 ,  A61B17/28 ,  A61B34/20 ,  A61B90/00

Abstract: Devices for guiding an instrument into a body of a patient, at a targeted point of entry and along an insertion path at a targeted insertion angle, are described herein, such as a guide for an access needle in a PCNL procedure for accessing the kidney to remove kidney stones, the devices comprising a base component, a guide assembly, and optionally an insertion mechanism. The base component is aligned in use with the point of entry and the guide assembly cooperates with the base component to allow for the instrument to be aligned and fixed at any circumferential angle around an axis perpendicular to the point of entry and at any vertical angle ranging from 0 to 45 degrees away from the axis in a direction toward the body. The optional mechanism allows for mechanical insertion once the instrument is aligned and fixed. Devices and methods disclosed herein allow a medical professional to accurately and stably guide an instrument at a targeted point and angle and to a desired depth, while minimizing the exposure to radiation in the surgical field that is used to image the insertion path.

公开(公告)号：US11167077B2

公开(公告)日：2021-11-09

申请号：US16451627

申请日：2019-06-25

Applicant: Boston Scientific Scimed, Inc.

Inventor： Jerry Long ,  Timothy Harrah ,  Aaron Kirkemo ,  Brandon Craft ,  Elizabeth Stokley ,  Sebastian Koerner ,  Chad Schneider

IPC: A61M3/00 ,  A61B17/22 ,  A61M3/02 ,  A61M25/10 ,  A61B5/20 ,  A61M25/00 ,  A61B6/00 ,  A61M39/02 ,  A61B6/12

Abstract: Irrigation devices, methods, and systems are disclosed. The system comprises a catheter with one or more lumens and an expandable portion. One or more pumps are used to supply a mixture of contrasting and dilating agents in an interior kidney volume and flush a portion of the mixture out of the interior kidney volume. The method comprises placing a catheter into the interior kidney volume through a ureter, occluding a portion of the ureter with a distal end of the catheter, forming an exit port through an exterior kidney surface, flowing the contrasting and dilating agents through the one or more lumens to supply the mixture in the interior kidney volume, and flushing a portion of the mixture out of the exit port.

公开(公告)号：US20170196576A1

公开(公告)日：2017-07-13

申请号：US15402946

申请日：2017-01-10

Applicant: Boston Scientific Scimed, Inc.

Inventor： Jerry Long ,  Timothy Harrah ,  Aaron Kirkemo ,  Brandon Craft ,  Elizabeth Stokley ,  Sebastian Koerner ,  Chad Schneider

IPC: A61B17/22 ,  A61B5/20 ,  A61B6/00 ,  A61M25/10 ,  A61M25/00 ,  A61M3/02

CPC classification number: A61B17/22 ,  A61B5/201 ,  A61B6/12 ,  A61B6/481 ,  A61B6/487 ,  A61B2017/22067 ,  A61B2017/22079 ,  A61B2017/22084 ,  A61B2217/005 ,  A61B2217/007 ,  A61M3/005 ,  A61M3/0204 ,  A61M3/0208 ,  A61M3/022 ,  A61M3/0295 ,  A61M25/10 ,  A61M2025/1052 ,  A61M2039/0276 ,  A61M2205/3331 ,  A61M2205/3344 ,  A61M2205/3379 ,  A61M2205/50 ,  A61M2210/005 ,  A61M2210/1078 ,  A61M2210/1082 ,  A61M2210/1085 ,  A61M2210/1089

Abstract: Irrigation devices, methods, and systems are disclosed. The system comprises a catheter with one or more lumens and an expandable portion. One or more pumps are used to supply a mixture of contrasting and dilating agents in an interior kidney volume and flush a portion of the mixture out of the interior kidney volume. The method comprises placing a catheter into the interior kidney volume through a ureter, occluding a portion of the ureter with a distal end of the catheter, forming an exit port through an exterior kidney surface, flowing the contrasting and dilating agents through the one or more lumens to supply the mixture in the interior kidney volume, and flushing a portion of the mixture out of the exit port.

公开(公告)号：US20220218388A1

公开(公告)日：2022-07-14

申请号：US17708339

申请日：2022-03-30

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Erik E. Sperry ,  Jerry T. Long ,  Ronald Ciulla ,  Timothy P. Harrah ,  Aaron K. Kirkemo ,  Mark A. Hera ,  Kenneth P. Reever ,  Brandon W. Craft ,  Elizabeth A. Stokley ,  Sebastian Koerner ,  Chad Schneider

IPC: A61B17/34

Abstract: Devices for guiding an instrument into a body of a patient, at a targeted point of entry and along an insertion path at a targeted insertion angle, are described herein, such as a guide for an access needle in a PCNL procedure for accessing the kidney to remove kidney stones. The devices include base component aligned with a point of entry, and a guide assembly which cooperates with the base component to allow an instrument to be aligned and fixed at various circumferential and vertical angles. The devices and methods allow a medical professional to accurately and stably guide an instrument at a targeted point and angle and to a desired depth, while minimizing the exposure to radiation used to image the insertion path.

公开(公告)号：US10368884B2

公开(公告)日：2019-08-06

申请号：US15402946

申请日：2017-01-10

Applicant: Boston Scientific Scimed, Inc.

Inventor： Jerry Long ,  Timothy Harrah ,  Aaron Kirkemo ,  Brandon Craft ,  Elizabeth Stokley ,  Sebastian Koerner ,  Chad Schneider

IPC: A61B17/22 ,  A61M25/00 ,  A61M3/02 ,  A61M25/10 ,  A61B5/20 ,  A61B6/00 ,  A61M39/02

Abstract: Irrigation devices, methods, and systems are disclosed. The system comprises a catheter with one or more lumens and an expandable portion. One or more pumps are used to supply a mixture of contrasting and dilating agents in an interior kidney volume and flush a portion of the mixture out of the interior kidney volume. The method comprises placing a catheter into the interior kidney volume through a ureter, occluding a portion of the ureter with a distal end of the catheter, forming an exit port through an exterior kidney surface, flowing the contrasting and dilating agents through the one or more lumens to supply the mixture in the interior kidney volume, and flushing a portion of the mixture out of the exit port.

公开(公告)号：US20170189059A1

公开(公告)日：2017-07-06

申请号：US15399139

申请日：2017-01-05

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Jerry T. Long, JR. ,  Timothy P. Harrah ,  Brandon W. Craft ,  Elizabeth A. Stokley ,  Sebastian Koerner ,  Anant Subramaniam

IPC: A61B17/34 ,  A61M29/02 ,  A61B17/22

CPC classification number: A61B17/3403 ,  A61B17/02 ,  A61B17/22 ,  A61B17/3417 ,  A61B17/3421 ,  A61B17/3423 ,  A61B17/3439 ,  A61B2017/00862 ,  A61B2017/00867 ,  A61B2017/0088 ,  A61B2017/00964 ,  A61B2017/320048 ,  A61B2017/3405 ,  A61B2017/3425 ,  A61M29/02

Abstract: Medical devices and methods for using medical devices are disclosed. An access device for accessing a target site comprises a tubular member having a proximal portion and a distal portion. The access device may also include a balloon coupled to the tubular member, the balloon extending between the tubular member proximal portion and the tubular member distal portion. The access device may also include a stylet moveable with respect to the tubular member, wherein the stylet is configured to pierce through the skin of a patient.

公开(公告)号：US11872363B2

公开(公告)日：2024-01-16

申请号：US17497273

申请日：2021-10-08

Applicant: Boston Scientific Scimed, Inc.

Inventor： Jerry Long ,  Timothy Harrah ,  Aaron Kirkemo ,  Brandon Craft ,  Elizabeth Stokley ,  Sebastian Koerner ,  Chad Schneider

IPC: A61M3/00 ,  A61B17/22 ,  A61M3/02 ,  A61M25/10 ,  A61B5/20 ,  A61M25/00 ,  A61B6/00 ,  A61M39/02 ,  A61B6/12

CPC classification number: A61M3/005 ,  A61B5/201 ,  A61B17/22 ,  A61M3/022 ,  A61M3/0204 ,  A61M3/0208 ,  A61M3/0295 ,  A61M25/0017 ,  A61M25/10 ,  A61B6/12 ,  A61B6/481 ,  A61B6/487 ,  A61B2017/22067 ,  A61B2017/22079 ,  A61B2017/22084 ,  A61B2217/005 ,  A61B2217/007 ,  A61M2025/1052 ,  A61M2039/0276 ,  A61M2205/3331 ,  A61M2205/3344 ,  A61M2205/3379 ,  A61M2205/50 ,  A61M2210/005 ,  A61M2210/1078 ,  A61M2210/1082 ,  A61M2210/1085 ,  A61M2210/1089

Abstract: Irrigation devices, methods, and systems are disclosed. The system comprises a catheter with one or more lumens and an expandable portion. One or more pumps are used to supply a mixture of contrasting and dilating agents in an interior kidney volume and flush a portion of the mixture out of the interior kidney volume. The method comprises placing a catheter into the interior kidney volume through a ureter, occluding a portion of the ureter with a distal end of the catheter, forming an exit port through an exterior kidney surface, flowing the contrasting and dilating agents through the one or more lumens to supply the mixture in the interior kidney volume, and flushing a portion of the mixture out of the exit port.

公开(公告)号：US11830604B2

公开(公告)日：2023-11-28

申请号：US17653768

申请日：2022-03-07

Applicant: Boston Scientific Scimed, Inc.

Inventor： Jerry T. Long ,  Timothy P. Harrah ,  Brandon W. Craft ,  Elizabeth A. Stokley ,  Sebastian Koerner ,  Erik Sperry ,  Chad Schneider ,  Mark Hera

IPC: G16H30/20 ,  A61B34/00 ,  A61B34/10 ,  G16H50/50 ,  G16H30/40 ,  G16H20/40 ,  G16H40/60 ,  G16H50/70 ,  A61B90/00 ,  A61B46/00 ,  A61B18/00 ,  A61B90/11

CPC classification number: G16H30/20 ,  A61B34/10 ,  A61B34/25 ,  G16H20/40 ,  G16H30/40 ,  G16H40/60 ,  G16H50/50 ,  G16H50/70 ,  A61B46/00 ,  A61B90/11 ,  A61B2018/00511 ,  A61B2034/105 ,  A61B2034/107 ,  A61B2090/0807 ,  A61B2090/3762 ,  A61B2090/3764 ,  A61B2090/3937

Abstract: Computer systems and computer-implemented analysis methods may be used for assistance in planning and/or performing a medical procedure, such as percutaneous nephrolithotomy or percutaneous nephrolithotripsy. The method may include receiving one or more radiographic images of an anatomical structure of a patient, generating a display of the radiographic image(s), generating at least one request for user input to identify features of the anatomical structure, receiving user input identifying the features of the anatomical structure, identifying at least one access plan based on the received user input, and generating a display of the identified access plan(s) associated with the radiographic image(s). The method may include generating a patient template that indicates an insertion site according to the identified access plan(s).