公开(公告)号：US10052101B2

公开(公告)日：2018-08-21

申请号：US14338589

申请日：2014-07-23

Applicant: Boston Scientific Scimed, Inc.

Inventor： Juergen A. Kortenbach ,  Michael Sean McBrayer ,  Alan Weisenborn ,  Robert B. DeVries ,  William H. Stahley ,  Jeff Wendlandt ,  Mark L. Adams ,  William J. Shaw

IPC: A61B17/068 ,  A61B17/064 ,  A61B17/00 ,  A61F2/30

CPC classification number: A61B17/068 ,  A61B17/00491 ,  A61B17/0643 ,  A61B17/0644 ,  A61B2017/00004 ,  A61B2017/00827 ,  A61B2017/00867 ,  A61B2017/0641 ,  A61B2017/0647 ,  A61F2002/30467 ,  A61F2220/0083

Abstract: The invention in certain aspects relates to a surgical fastener for fastening tissue segments having tissue surfaces. The fastener includes a first fastener member having a base and a piercing element connected to the base for piercing the tissue segments to be fastened, a second fastener member having an opening for receiving and retaining the piercing element of the first fastener member such that the tissue segments to be fastened are retained between the first and second fastening members, and means for promoting adhesion between the tissue surfaces. The invention also relates to related methods and devices for promoting adhesion of tissue segments and preventing fastener migration, especially in an endoscopic procedure for the treatment of GERD.

公开(公告)号：US08685048B2

公开(公告)日：2014-04-01

申请号：US13863494

申请日：2013-04-16

Applicant: Boston Scientific Scimed, Inc. ,  Theresa A. Durgin

Inventor： Mark L. Adams ,  Russell F. Durgin ,  Vincent Turturro ,  Justin Grant ,  Norman May ,  Roy H. Sullivan

IPC: A61B17/122

CPC classification number: A61B17/1285 ,  A61B17/083 ,  A61B17/122 ,  A61B17/1227 ,  A61B90/03 ,  A61B2017/0034 ,  A61B2017/00477 ,  A61B2017/00778 ,  A61B2017/00818 ,  A61B2017/12004 ,  A61B2090/037 ,  A61B2090/3916

Abstract: Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers.

公开(公告)号：US20140058338A1

公开(公告)日：2014-02-27

申请号：US14071913

申请日：2013-11-05

Applicant: Boston Scientific Scimed, Inc.

Inventor： Mark L. Adams ,  Todd Beaupre ,  Christopher L. Nardone ,  Mark Girard ,  Raymond Lareau

IPC: A61M25/00

CPC classification number: A61M25/0021 ,  A61M25/0023 ,  A61M25/0043 ,  A61M25/0054 ,  A61M25/0068 ,  A61M25/007 ,  A61M25/008

Abstract: A catheter shaft including a metallic tubular member including a plurality of apertures formed in the tubular wall of the metallic tubular member to provide a desired degree of flexibility to the metallic tubular member. The metallic tubular member includes a tapered region intermediate a region and a second, reduced diameter region relative to the first region.

Abstract translation: 一种导管轴，包括金属管状构件，其包括形成在金属管状构件的管状壁中的多个孔，以向金属管状构件提供期望程度的柔性。 金属管状构件包括相对于第一区域的中间区域和第二减小直径区域的锥形区域。

公开(公告)号：US10172624B2

公开(公告)日：2019-01-08

申请号：US15009358

申请日：2016-01-28

Applicant: BOSTON SCIENTIFIC SCIMED, INC. ,  Theresa A. Durgin

Inventor： Mark L. Adams ,  Russell F. Durgin ,  Vincent Turturro ,  Justin Grant ,  Norman May ,  Roy H. Sullivan, III

IPC: A61B17/122 ,  A61B17/128 ,  A61B17/08 ,  A61B90/00 ,  A61B17/00 ,  A61B17/12

Abstract: Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers.

公开(公告)号：US09480478B2

公开(公告)日：2016-11-01

申请号：US14467997

申请日：2014-08-25

Applicant: Boston Scientific Scimed, Inc.

Inventor： Mark L. Adams

IPC: A61B17/10 ,  A61B17/12 ,  A61B17/122 ,  A61B17/128

CPC classification number: A61B17/12013 ,  A61B17/122 ,  A61B17/1285

Abstract: A clipping device includes (a) a shaft defining a lumen therethrough from a proximal end which, during a procedure remains outside the body accessible to a user and a distal end including a distal opening which, during a procedure is inserted into the body to a position adjacent to target tissue; (b) a flexible clip deployable from the distal opening, when in an unconstrained state, the clip assuming a shape selected to clip tissue and prevent a flow of fluid therethrough wherein, while residing within the lumen the clip is held substantially straight by an inner diameter of the lumen; (c) a control wire extending through the lumen from the proximal end to the distal end thereof; and (d) a release mechanism connecting the control wire to the clip during deployment of the clip and disconnecting the control wire from the clip after deployment thereof.

Abstract translation: 夹持装置包括（a）从近端限定通过其的内腔的轴，其在过程期间保持在使用者可接近的身体外部，并且远端包括远端开口，所述远端在过程中被插入到身体内 邻近目标组织的位置; （b）当处于非约束状态时，从所述远端开口展开的柔性夹子，所述夹具具有选定的夹持组织的形状并防止流体通过其中，其中，当所述夹具保持在所述内腔内时基本上保持为直线状， 管腔直径; （c）控制线，其从所述内腔的近端延伸到其远端; 以及（d）释放机构，其在展开所述夹子期间将所述控制线连接到所述夹子，并且在展开之后将所述控制线与夹子断开连接。

公开(公告)号：US09339628B2

公开(公告)日：2016-05-17

申请号：US14071913

申请日：2013-11-05

Applicant: Boston Scientific Scimed, Inc.

Inventor： Mark L. Adams ,  Todd Beaupre ,  Christopher L. Nardone ,  Mark Girard ,  Raymond Lareau

IPC: A61M25/00

CPC classification number: A61M25/0021 ,  A61M25/0023 ,  A61M25/0043 ,  A61M25/0054 ,  A61M25/0068 ,  A61M25/007 ,  A61M25/008

Abstract: A catheter shaft including a metallic tubular member including a plurality of apertures formed in the tubular wall of the metallic tubular member to provide a desired degree of flexibility to the metallic tubular member. The metallic tubular member includes a tapered region intermediate a region and a second, reduced diameter region relative to the first region.

公开(公告)号：US09339173B2

公开(公告)日：2016-05-17

申请号：US14073660

申请日：2013-11-06

Applicant: Boston Scientific Scimed, Inc.

Inventor： John O. McWeeney ,  Benjamin E. Morris ,  David W. Robertson ,  David I. Freed ,  James F. Schuerman ,  John B. Golden ,  Jozef Slanda ,  Brian Keith Wells ,  Jesse Leonard Farris, III ,  Michael S. H. Chu ,  Oscar R. Carrillo, Jr. ,  Todd A. Hall ,  Yem Chin ,  Mark L. Adams

IPC: A61B1/00 ,  A61B1/04 ,  A61B1/018 ,  A61B1/005 ,  A61B1/015 ,  A61B1/06 ,  A61B1/07 ,  A61B1/008 ,  A61B1/012 ,  A61B1/273 ,  A61B1/307 ,  A61M25/06

CPC classification number: A61B1/00117 ,  A61B1/00071 ,  A61B1/00103 ,  A61B1/00135 ,  A61B1/00154 ,  A61B1/00165 ,  A61B1/0052 ,  A61B1/008 ,  A61B1/0125 ,  A61B1/015 ,  A61B1/018 ,  A61B1/04 ,  A61B1/0607 ,  A61B1/07 ,  A61B1/273 ,  A61B1/307 ,  A61B6/06 ,  A61M25/0068 ,  A61M25/0136 ,  A61M25/0147 ,  A61M25/0662

Abstract: Several embodiments of the present invention are generally directed to medical visualization systems that comprise combinations of disposable and reusable components, such as catheters, functional handles, hubs, optical devices, etc. Other embodiments of the present invention are generally directed to features and aspects of an in-vivo visualization system that comprises an endoscope having a working channel through which a catheter having viewing capabilities is routed. the catheter may obtain viewing capabilities by being constructed as a vision catheter or by having a fiberscope or other viewing device selectively routed through one of its channels. The catheter is preferably of the steerable type so that the distal end of the catheter may be steered from its proximal end as it is advanced with the body. A suitable use for the in-vivo visualization system includes but is not limited to diagnosis and/or treatment of the duodenum, and particularly the biliary tree.

公开(公告)号：US09271731B2

公开(公告)日：2016-03-01

申请号：US14199609

申请日：2014-03-06

Applicant: Boston Scientific Scimed, Inc.

Inventor： Mark L. Adams ,  Russell F. Durgin ,  Vincent Turturro ,  Justin Grant ,  Norman May ,  Roy H. Sullivan, III

IPC: A61B17/08 ,  A61B17/122 ,  A61B17/128 ,  A61B17/00 ,  A61B19/00 ,  A61B17/12

CPC classification number: A61B17/1285 ,  A61B17/083 ,  A61B17/122 ,  A61B17/1227 ,  A61B90/03 ,  A61B2017/0034 ,  A61B2017/00477 ,  A61B2017/00778 ,  A61B2017/00818 ,  A61B2017/12004 ,  A61B2090/037 ,  A61B2090/3916

Abstract: Medical device used to cause hemostasis of blood vessels using a clip arrangement delivered to a target region through an endoscope. Method for using the device to cause hemostasis of a blood vessel through an endoscope. Medical device including a reversibly closeable clip, a locking arrangement, a control wire, a sheath, and a handle with an actuating trigger. Through the endoscope, hemostatic clipping device that is fully reversible and lockable. Hemostatic clip that reversibly targets and clips bleeding ulcers.

公开(公告)号：US20140228864A1

公开(公告)日：2014-08-14

申请号：US14200303

申请日：2014-03-07

Applicant: Boston Scientific Scimed, Inc.

Inventor： Kristin A. JUGENHEIMER ,  Russell F. Durgin ,  Mark L. Adams ,  Mark Monroe

IPC: A61B17/122 ,  A61B17/128

CPC classification number: A61B17/122 ,  A61B17/0057 ,  A61B17/083 ,  A61B17/10 ,  A61B17/1227 ,  A61B17/1285 ,  A61B2017/00539 ,  A61B2017/00544 ,  A61B2017/00557 ,  A61B2017/12004

Abstract: A system and method for delivering a surgical clip to a surgical site within a patient's body to compress body, tissue is disclosed. In one embodiment for the system of the present invention, the system includes an endoscopic device that has an endoscope cap disposed on a distal end of the endoscopic device. A surgical clip is removably disposed on an outside surface of the endoscope cap. A deployment device is associated with the surgical clip for deploying the surgical clip from the endoscope cap to the body tissue that is to be compressed. The surgical clip can be a deformable clip that is deployed in a non deformed configuration, and is then deformed so as to apply compression on selected tissue. The surgical clip can be a multi-legged clip, having a plurality of legs that can be locked in a closed position to apply compression to body tissue.

Abstract translation: 公开了一种用于将手术夹子递送到患者身体内的手术部位以压缩身体，组织的系统和方法。 在本发明的系统的一个实施例中，该系统包括内窥镜装置，其具有设置在内窥镜装置的远端上的内窥镜盖。 外科夹可拆卸地设置在内窥镜盖的外表面上。 展开装置与手术夹具相关联，用于将手术夹子从内窥镜盖部署到待压缩的身体组织。 手术夹可以是以非变形构型部署的可变形夹子，然后变形以便对所选择的组织施加压缩。 手术夹可以是多腿夹，具有可以锁定在关闭位置中的多个腿以对身体组织施加压力。

公开(公告)号：US11819192B2

公开(公告)日：2023-11-21

申请号：US18155105

申请日：2023-01-17

Applicant: Boston Scientific Scimed, Inc.

Inventor： John O. McWeeney ,  Michael S. H. Chu ,  Jozef Slanda ,  Benjamin E. Morris ,  David W. Robertson ,  David I. Freed ,  James F. Schuermann ,  John B. Golden ,  Brian Keith Wells ,  Jesse Leonard Farris, III ,  Oscar R. Carrillo, Jr. ,  Todd A. Hall ,  Yem Chin ,  Mark L. Adams

IPC: A61B1/005 ,  A61B1/00 ,  A61B1/015 ,  A61B1/04 ,  A61B1/06 ,  A61B1/07 ,  A61B1/008 ,  A61B1/012 ,  A61B1/018 ,  A61B1/273 ,  A61B1/307 ,  A61M25/06 ,  A61B6/06 ,  A61M25/00 ,  A61M25/01

CPC classification number: A61B1/0057 ,  A61B1/008 ,  A61B1/0052 ,  A61B1/00071 ,  A61B1/00103 ,  A61B1/00117 ,  A61B1/00135 ,  A61B1/00154 ,  A61B1/00165 ,  A61B1/015 ,  A61B1/018 ,  A61B1/0125 ,  A61B1/04 ,  A61B1/0607 ,  A61B1/07 ,  A61B1/273 ,  A61B1/307 ,  A61B6/06 ,  A61M25/0068 ,  A61M25/0136 ,  A61M25/0147 ,  A61M25/0662

Abstract: Several embodiments of the present invention are generally directed to medical visualization systems that comprise combinations of disposable and reusable components, such as catheters, functional handles, hubs, optical devices, etc. Other embodiments of the present invention are generally directed to features and aspects of an in-vivo visualization system that comprises an endoscope having a working channel through which a catheter having viewing capabilities is routed. the catheter may obtain viewing capabilities by being constructed as a vision catheter or by having a fiberscope or other viewing device selectively routed through one of its channels. The catheter is preferably of the steerable type so that the distal end of the catheter may be steered from its proximal end as it is advanced with the body. A suitable use for the in-vivo visualization system includes but is not limited to diagnosis and/or treatment of the duodenum, and particularly the biliary tree.