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    OVERTUBE INTRODUCER FOR USE IN ENDOSCOPIC BARIATRIC SURGERY
    5.
    发明申请
    OVERTUBE INTRODUCER FOR USE IN ENDOSCOPIC BARIATRIC SURGERY 审中-公开
    OVERTUBE引言用于内镜手术

    公开(公告)号：US20140046139A1

    公开(公告)日：2014-02-13

    申请号：US13964890

    申请日：2013-08-12

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： David COLE ,  Melanie L. HARRIS ,  Carlos E. CASTRO ,  Jason S. STEWART ,  Samuel T. CREWS ,  Daniel J. BALBIERZ

    IPC: A61B17/02

    CPC classification number: A61B17/0218 ,  A61B1/00078 ,  A61B1/00135 ,  A61B1/0051 ,  A61B1/2736

    Abstract: This application describes an overtube device that gives diagnostic and/or therapeutic access to body cavities using natural orifices of the body. The overtube includes an elongate flexible body having a distal portion deflectable in response to activation of a control cable. Proximal features of the overtube include an insufflations port and seals for minimizing loss of insufflations pressure around the shafts of instruments passed through the tube. In some embodiments, retractor elements are including on the distal portion of the overtube.

    Abstract translation: 该应用描述了一种使用身体天然孔的诊断和/或治疗进入体腔的外套管装置。 外套管包括细长的柔性体，其具有响应于控制电缆的启动而可偏转的远侧部分。 外套管的近端特征包括吹入口和密封件，用于使穿过管的仪器的轴周围的吸入压力最小化。 在一些实施例中，牵开器元件包括在外套管的远端部分上。

    SYSTEM FOR CONTROLLING A TISSUE-STAPLING OPERATION
    6.
    发明申请
    SYSTEM FOR CONTROLLING A TISSUE-STAPLING OPERATION 审中-公开

    公开(公告)号：US20200029967A1

    公开(公告)日：2020-01-30

    申请号：US16593343

    申请日：2019-10-04

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： Carlos CASTRO ,  Amador HALLARE ,  Hollie POPE ,  David COLE

    IPC: A61B17/072 ,  A61B17/068 ,  A61B17/00 ,  A61B17/115

    Abstract: An endoscopic stapler is disclosed. The stapler includes a staple member and an anvil member. The staple member may include a staple housing and the staple holder may include one or more staples. The anvil member may be spaced apart from the staple member and may configured to relatively move towards one another. A controller may be fluidly coupled to the staple member through a plurality of conduits. The controller may be configured to (a) direct a pressurized fluid to the staple member through a first conduit of the plurality of conduits to relatively move the staple member and the anvil member towards one another, and (b) direct the pressurize fluid through a second conduit of the plurality of conduits to eject one or more staples from the staple holder.

    DEVICES AND METHODS FOR STOMACH PARTITIONING
    7.
    发明申请
    DEVICES AND METHODS FOR STOMACH PARTITIONING 审中-公开
    设备和方法进行分离

    公开(公告)号：US20160262921A1

    公开(公告)日：2016-09-15

    申请号：US15071229

    申请日：2016-03-16

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： Daniel BALBIERZ ,  David COLE ,  Samuel CREWS ,  Bretton SWOPE ,  Justen ENGLAND

    IPC: A61F5/00 ,  A61B17/068

    CPC classification number: A61F5/0086 ,  A61B17/0643 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/10 ,  A61B17/1155 ,  A61B17/29 ,  A61B2017/00349 ,  A61B2017/0647 ,  A61B2017/07228 ,  A61B2017/2905 ,  A61B2017/306 ,  A61F5/0083 ,  A61F5/0089

    Abstract: A device and method for remodeling or partitioning a body cavity, hollow organ or tissue tract includes graspers operable to engage two or more sections of tissue within a body cavity and to draw the engaged tissue between a first and second members of a tissue remodeling tool. The two or more pinches of tissue are held in complete or partial alignment with one another as staples or other fasteners are driven through the pinches, thus forming a four-layer tissue plication. Over time, adhesions formed between the opposed serosal layers create strong bonds that can facilitate retention of the plication over extended durations, despite the forces imparted on them by stomach movement. A cut or cut-out may be formed in the plication during or separate from the stapling step to promote edge-to-edge healing effects that will enhance tissue knitting/adhesion.

    Abstract translation: 用于重建或分隔体腔，中空器官或组织道的装置和方法包括可操作以接合体腔内的组织的两个或更多个部分并且将所接合的组织在组织重塑工具的第一和第二构件之间拉动的抓握器。 当钉或其它紧固件通过夹持物驱动时，两个或更多个组织的夹持件彼此完全或部分地对准，从而形成四层组织折叠。 随着时间的推移，在相对的浆膜层之间形成的粘连产生强力的粘合，尽管通过胃运动赋予它们的力，也可以有助于在延长的持续时间内保持脓肿。 可以在缝合步骤期间或与缝合步骤分开形成切口或切口，以促进边缘到边缘愈合效果，从而增强组织编织/粘合。

    STAPLER FOR FORMING MULTIPLE TISSUE PLICATIONS
    8.
    发明申请
    STAPLER FOR FORMING MULTIPLE TISSUE PLICATIONS 有权
    用于形成多组织装置的包装机

    公开(公告)号：US20140374465A1

    公开(公告)日：2014-12-25

    申请号：US14479542

    申请日：2014-09-08

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： David COLE ,  Jesica FERRO ,  Bretton SWOPE ,  Tyler GRUBB ,  Daniel BALBIERZ

    IPC: A61B17/068

    CPC classification number: A61B17/068 ,  A61B17/07292 ,  A61B17/1155 ,  A61B2017/00539 ,  A61B2017/00876 ,  A61B2017/07271 ,  A61B2017/306

    Abstract: A stapling device for forming multiple tissue plications without needing to reload the device between plications is described. The device includes staple and anvil housings that move toward and away from a tissue-capture position. A cartridge holder in the staple housing supports a cartridge with multiple groups of offset staple slots, where the slots in each group are circularly arrayed about a cartridge center axis. A staple driver in the staple housing carries a plurality of arms for engaging and ejecting the staples in a first group of staples in the cartridge, when a tissue fold is captured between the cartridge assembly and anvil in the anvil housing. When the staple driver is retracted, after a tissue plication is formed, the cartridge assembly and tissue drive are indexed to eject the next-up group of staples.

    Abstract translation: 描述了一种用于形成多个组织浸润而不需要在穿刺之间重新装载装置的吻合装置。 该装置包括朝向和远离组织捕获位置移动的缝钉和砧座壳体。 钉仓壳体中的墨盒支架支撑具有多组胶印缝隙槽的墨盒，其中每组中的槽围绕墨盒中心轴线圆形排列。 当钉盒组件和砧座壳体中的砧座之间抓住组织折叠时，订书钉壳体中的订书钉驱动器承载多个臂，用于接合和弹出钉仓中的第一组订书钉中的订书钉。 当订书钉驱动器缩回时，在组织折痕形成之后，盒组件和纸巾驱动器被索引以排出下一组订书钉。

    MULTI-FIRE STAPLING METHODS
    9.
    发明申请
    MULTI-FIRE STAPLING METHODS 审中-公开
    多消防方式

    公开(公告)号：US20160361059A1

    公开(公告)日：2016-12-15

    申请号：US15246384

    申请日：2016-08-24

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： Daniel J. BALBIERZ ,  Pablo R. HAMBLY ,  Jason S. STEWART ,  David COLE

    IPC: A61B17/068 ,  A61B17/072

    CPC classification number: A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B2017/00398 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07271 ,  A61F5/0086

    Abstract: A staple housing includes an array of staples each in a staple delivery position or “ready position” ready to be fired into target tissue. A staple driver is advanceable to drive the ready position staples from the staple head into the tissue using staple pushers. During use, the staples in the ready positions are simultaneously fired into the target tissue using the staple pushers, forming an array of staples in the target tissue. After the array has been fired, one or more feed mechanisms within the staple housing advance a second group of staples from one or more staple storage locations into the ready positions in preparation for firing of the second group of staples.

    Abstract translation: 订书钉壳体包括各自位于钉送出位置的订书钉阵列或准备好被烧制到目标组织中的“就绪位置”。 订书钉驱动器是可前进的，以使用订书钉推动器将准备好的订书钉从订书钉头驱动到组织中。 在使用期间，准备位置中的订书钉使用订书钉推动器同时被烧制到目标组织中，从而在目标组织中形成一排钉。 在阵列被点火之后，钉仓壳体内的一个或多个进给机构将第二组订书钉从一个或多个订书钉存储位置推进到就绪位置，以准备第二组钉的点火。

    ENDOSCOPIC STAPLING DEVICES
    10.
    发明申请
    ENDOSCOPIC STAPLING DEVICES 有权
    内窥镜装置

    公开(公告)号：US20150001274A1

    公开(公告)日：2015-01-01

    申请号：US14487936

    申请日：2014-09-16

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： David COLE ,  Andrew Smith

    IPC: A61B17/072 ,  A61F5/00

    CPC classification number: A61B17/072 ,  A61B17/064 ,  A61B17/115 ,  A61B17/32053 ,  A61B2017/00539 ,  A61B2017/00818 ,  A61B2017/07271 ,  A61B2017/306 ,  A61F5/0013 ,  A61F5/0083

    Abstract: Described herein are endoscopic staplers and methods used to apply one or more fasteners to body tissue. In one embodiment, a fastener-applying device, which is preferably a stapler, is passed transorally into the stomach to plicate stomach tissue by engaging tissue from inside the stomach and drawing it inwardly. In the disclosed embodiments, the tissue is drawn into a tissue chamber, causing sections of serosal tissue to be positioned facing one another. The disclosed staplers allow opposed sections of tissue to be moved into contact with another, and preferably deliver staples for maintaining contact between tissue sections at least until serosal bonds form. Each of these steps may be performed wholly from the inside of the stomach and thus can eliminate the need for any surgical or laparoscopic intervention, After one or more plications are formed, medical devices may optionally be coupled to the plication(s) for retention within the stomach.

    Abstract translation: 本文描述的是用于将一个或多个紧固件应用于身体组织的内窥镜缝合器和方法。 在一个实施例中，优选为吻合器的紧固件施加装置通过从胃内部接合组织并将其向内拉以将其经腹部通过胃进入胃组织。 在所公开的实施例中，组织被抽吸到组织室中，使得浆膜组织的部分彼此相对定位。 所公开的吻合器允许组织的相对部分移动与另一部分接触，并且优选地递送用于维持组织部分之间的接触的钉，至少直到形成浆膜粘结。 这些步骤中的每一个可以完全从胃内部进行，因此可以消除对任何手术或腹腔镜干预的需要。在形成一个或多个脓肿之后，医疗装置可以可选地耦合到脓肿以保持在 肚子

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