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.

公开(公告)号：US10299796B2

公开(公告)日：2019-05-28

申请号：US14707637

申请日：2015-05-08

Applicant: Boston Scientific Scimed, Inc.

Inventor： Daniel J. Balbierz ,  David H. Cole ,  Samuel T. Crews ,  Bretton Swope ,  Andrew C. Smith ,  John P. Lunsford ,  Fiona Sander

IPC: A61B17/115 ,  A61B17/068 ,  A61B17/072 ,  A61B17/128 ,  A61B17/11 ,  A61F5/00 ,  A61B17/02 ,  A61B17/00 ,  A61B17/30

Abstract: Described herein are endoscopic plicators passed transorally into the stomach and used to plicate stomach tissue by engaging tissue from inside of the stomach and drawing it inwardly. In the disclosed embodiments, the tissue is drawn inwardly into a vacuum chamber, causing sections of serosal tissue on the exterior of the stomach to be positioned facing one another. The disclosed plicators allow the opposed sections of tissue to be moved into contact with one another, and preferably deliver sutures, staples or other means for maintaining contact between the tissue sections at least until serosal bonds form between them. 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 is formed, medical devices may be coupled to the plication(s) for retention within the stomach.