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公开(公告)号:US09907553B2
公开(公告)日:2018-03-06
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 , A61B17/072 , A61B17/115 , A61B17/00 , A61B17/30
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.
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公开(公告)号:US09579100B2
公开(公告)日:2017-02-28
申请号:US14203951
申请日:2014-03-11
Applicant: Boston Scientific Scimed, Inc.
Inventor: Carlos Castro , Amador Hallare , Hollie Pope , David Cole
IPC: A61B17/068 , A61B17/072 , A61B17/115 , A61B17/00 , A61B17/30
CPC classification number: A61B17/07207 , A61B17/00234 , A61B17/068 , A61B17/072 , A61B17/115 , A61B2017/00128 , A61B2017/00367 , A61B2017/00539 , A61B2017/00818 , A61B2017/07214 , A61B2017/07257 , A61B2017/306 , A61B2090/065
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.
Abstract translation: 公开了一种内窥镜吻合器。 订书机包括订书钉构件和砧构件。 订书钉构件可以包括订书钉壳体,并且订书钉保持器可以包括一个或多个订书钉。 砧构件可以与钉构件间隔开并且可以被配置成相对于彼此相对移动。 控制器可以通过多个管道流体地联接到订书钉构件。 控制器可以被配置为(a)通过多个导管的第一导管将加压流体引导到订书钉构件,以将订书钉构件和砧构件彼此相对移动,并且(b)将加压流体引导通过 多个导管的第二导管,用于从钉仓中弹出一个或多个钉。
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公开(公告)号:US20190321035A1
公开(公告)日:2019-10-24
申请号:US16456546
申请日:2019-06-28
Applicant: Boston Scientific Scimed, Inc.
Inventor: Daniel J. Balbierz , Pablo R. Hambly , Jason S. Stewart , David Cole
IPC: A61B17/068 , A61B17/115 , A61B17/072 , A61F5/00
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.
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公开(公告)号:US09254132B2
公开(公告)日:2016-02-09
申请号:US13710439
申请日:2012-12-10
Applicant: Boston Scientific Scimed, Inc.
Inventor: Samuel Crews , Brett Swope , David Cole , Andrew Smith
IPC: A61B17/08 , A61B17/068 , A61B17/072 , A61B17/115 , A61B17/128 , A61F5/00 , A61B17/02 , A61B17/00 , A61B17/30
CPC classification number: A61B17/068 , A61B17/0218 , A61B17/072 , A61B17/07292 , A61B17/115 , A61B17/1285 , A61B2017/00535 , A61B2017/00827 , A61B2017/1157 , A61B2017/306 , A61F5/0086
Abstract: In a method of stapling layers of tissue within a body cavity, an engaging instrument is passed between a stapler cartridge and anvil and used to engage a region of tissue. The engaging instrument is retracted to move the engaged tissue into the stapling position, and driving staples from the cartridge through at least two layers of the engaged tissue. The method and associated system may be used to form plications in body tissue, such as stomach wall tissue. Staples simultaneously driven through tissue may simultaneously capture a reinforcing elements positioned adjacent the cartridge and/or anvil prior to stapling.
Abstract translation: 在缝合体腔内的组织层的方法中,接合装置在吻合器钉仓和砧之间通过并用于啮合组织区域。 接合装置缩回以将接合的组织移动到装订位置,并且通过至少两层的接合组织从钉仓驱动订书钉。 该方法和相关系统可用于在身体组织如胃壁组织中形成斑点。 通过组织同时驱动的订书钉可以在装订之前同时捕获邻近盒和/或砧座定位的加强元件。
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公开(公告)号:US20140263561A1
公开(公告)日:2014-09-18
申请号:US14203951
申请日:2014-03-11
Applicant: Boston Scientific Scimed, Inc.
Inventor: Carlos CASTRO , Amador Hallare , Hollie Pope , David Cole
IPC: A61B17/068
CPC classification number: A61B17/07207 , A61B17/00234 , A61B17/068 , A61B17/072 , A61B17/115 , A61B2017/00128 , A61B2017/00367 , A61B2017/00539 , A61B2017/00818 , A61B2017/07214 , A61B2017/07257 , A61B2017/306 , A61B2090/065
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.
Abstract translation: 公开了一种内窥镜吻合器。 订书机包括订书钉构件和砧构件。 订书钉构件可以包括订书钉壳体,并且订书钉保持器可以包括一个或多个订书钉。 砧构件可以与钉构件间隔开并且可以被配置成相对于彼此相对移动。 控制器可以通过多个管道流体地联接到订书钉构件。 控制器可以被配置为(a)通过多个导管的第一导管将加压流体引导到订书钉构件,以将订书钉构件和砧构件彼此相对移动,并且(b)将加压流体引导通过 多个导管的第二导管,用于从钉仓中弹出一个或多个钉。
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公开(公告)号:US20130306704A1
公开(公告)日:2013-11-21
申请号:US13745715
申请日:2013-01-18
Applicant: Boston Scientific Scimed, Inc.
Inventor: Daniel Balbierz , David Cole , Samuel Crews , Bretton Swope , Justen England
IPC: A61B17/072
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 t9hrough 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。 当钉或其他紧固件通过夹持器被驱动时,两个或更多个组织的夹子彼此完全或部分对准,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。
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公开(公告)号:US11950778B2
公开(公告)日:2024-04-09
申请号:US16990234
申请日:2020-08-11
Applicant: Boston Scientific Scimed, Inc.
Inventor: Daniel Balbierz , David Cole , Bretton Swope , Pablo R. Hambly , Justen England , Samuel T. Crews , Craig Arthur Purdy
IPC: A61B17/072 , A61B17/064 , A61B17/068 , A61F5/00 , A61B17/00 , A61B17/08 , A61B17/29 , A61B17/30
CPC classification number: A61B17/07207 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/0684 , A61B17/0686 , A61B17/072 , A61F5/0086 , A61B2017/00818 , A61B2017/07214 , A61B2017/081 , A61B2017/2926 , A61B2017/306
Abstract: Devices and methods for acquiring and fastening tissues folds within an internal organ, such as the stomach, and for applying the methods and devices to producing reductions in organ volume or repair of bariatric procedures, are disclosed. An exemplary method for forming a continuous laterally extending tissue fold involves forming a succession of laterally extending folds having adjacent overlapping fold portions. One exemplary tissue-acquisition device has an open-end roller-and-arm structure that allows individual tissue folds to be formed and fastened, then advanced to an adjacent region within the stomach, for capture of a new fold that will form an extension of the existing fold(s).
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公开(公告)号:US11202627B2
公开(公告)日:2021-12-21
申请号:US16456546
申请日:2019-06-28
Applicant: Boston Scientific Scimed, Inc.
Inventor: Daniel J. Balbierz , Pablo R. Hambly , Jason S. Stewart , David Cole
IPC: A61B17/072 , A61B17/068 , A61B17/115 , A61F5/00 , A61B17/00
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.
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公开(公告)号:US11185328B2
公开(公告)日:2021-11-30
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 , A61B17/30 , A61B90/00
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.
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公开(公告)号:US10478184B2
公开(公告)日:2019-11-19
申请号:US15410333
申请日:2017-01-19
Applicant: Boston Scientific Scimed, Inc.
Inventor: Carlos Castro , Amador Hallare , Hollie Pope , David Cole
IPC: A61B17/072 , A61B17/068 , A61B17/00 , A61B17/115 , A61B17/30 , A61B90/00
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.
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