公开(公告)号：US09554797B2

公开(公告)日：2017-01-31

申请号：US13740129

申请日：2013-01-11

Applicant: Boston Scientific Scimed, Inc.

Inventor： Bretton Swope ,  Tyler Grubb ,  Daniel Balbierz ,  Craig Purdy ,  David Cole

IPC: A61B17/068 ,  A61B17/08 ,  A61B17/072 ,  A61F5/00 ,  A61B17/02 ,  A61B17/115 ,  A61B17/00 ,  A61B17/29 ,  A61B17/30

CPC classification number: A61F5/0086 ,  A61B17/0206 ,  A61B17/0218 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/08 ,  A61B17/115 ,  A61B17/30 ,  A61B2017/00818 ,  A61B2017/07271 ,  A61B2017/2927 ,  A61B2017/306

Abstract: Described herein is an improved device and method for acquiring, and optionally, fastening a tissue fold. The device has an improved configuration for forming a single, two-layer tissue fold.

Abstract translation: 本文描述了用于获取和任选地紧固组织折叠的改进的装置和方法。 该装置具有用于形成单层双层组织折叠的改进构型。

公开(公告)号：US20140231489A1

公开(公告)日：2014-08-21

申请号：US14259781

申请日：2014-04-23

Applicant: Boston Scientific Scimed, Inc.

Inventor： Daniel J. Balbierz ,  Pablo R. Hambly ,  Jason S. Stewart ,  David Cole

IPC: A61B17/068

CPC classification number: A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  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。

公开(公告)号：US20130299549A1

公开(公告)日：2013-11-14

申请号：US13869932

申请日：2013-04-24

Applicant: Boston Scientific Scimed, Inc.

Inventor： Samuel Crews ,  Bretton Swope ,  Justen England ,  David Cole ,  Carlos Castro

IPC: A61B17/068

CPC classification number: A61B17/068 ,  A61B17/00234 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/0684 ,  A61B17/07292 ,  A61B17/1155 ,  A61B2017/00539 ,  A61B2017/00818 ,  A61B2017/2927 ,  A61B2017/306 ,  A61B2217/005 ,  A61B2217/007

Abstract: An improvement in a stapling device and method designed to capture a tissue fold between first and second members in the device to staple and cut the fold to form a stapled tissue plication with a hole therein. The improvement includes an engagement assembly in the first member movable from a retracted position in the first member to an extended position in the second member, and releasably attached to second member, an anchor assembly that includes the anchor, wherein (i) movement of the engagement assembly from the retracted to extended position, through a tissue fold captured in the device, is operable to engage the anchor assembly, and (ii) movement of the engagement assembly, with the anchor assembly engaged therewith, to its retracted position, is effective to pull at least a portion of the assembly through the hole in the stapled tissue plication.

Abstract translation: 缝合装置和方法的改进被设计成捕获装置中的第一和第二构件之间的组织折叠以缝合和切割折痕以形成其中具有孔的缝合组织褶皱。 该改进包括第一构件中的接合组件，其可从第一构件中的缩回位置移动到第二构件中的延伸位置，并且可释放地附接到第二构件，包括锚固件的锚固组件，其中（i） 接合组件从缩回到延伸位置，通过在装置中捕获的组织折叠，可操作以接合锚固组件，并且（ii）接合组件与锚固组件与其接合到其缩回位置的移动是有效的 通过缝合组织浸润中的孔拉动组件的至少一部分。

公开(公告)号：US10368862B2

公开(公告)日：2019-08-06

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 ,  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.

公开(公告)号：US10285838B2

公开(公告)日：2019-05-14

申请号：US15373127

申请日：2016-12-08

Applicant: Boston Scientific Scimed, Inc.

Inventor： Bretton Swope ,  Tyler Grubb ,  Daniel Balbierz ,  Craig Arthur Purdy ,  David Cole

IPC: A61F2/00 ,  A61F5/00 ,  A61B17/08 ,  A61B17/068 ,  A61B17/072 ,  A61B17/30 ,  A61B17/02 ,  A61B17/115 ,  A61B17/00 ,  A61B17/29

Abstract: Described herein is an improved device and method for acquiring, and optionally, fastening a tissue fold. The device has an improved configuration for forming a single, two-layer tissue fold.

公开(公告)号：US09636114B2

公开(公告)日：2017-05-02

申请号：US14487936

申请日：2014-09-16

Applicant: Boston Scientific Scimed, Inc.

Inventor： David Cole ,  Andrew Smith

IPC: A61B17/072 ,  A61B17/115 ,  A61B17/064 ,  A61B17/3205 ,  A61B17/00 ,  A61B17/30 ,  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.

公开(公告)号：US09545249B2

公开(公告)日：2017-01-17

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 ,  A61B1/00 ,  A61B1/005 ,  A61B1/273

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。

公开(公告)号：US09451956B2

公开(公告)日：2016-09-27

申请号：US14259781

申请日：2014-04-23

Applicant: Boston Scientific Scimed, Inc.

Inventor： Daniel J. Balbierz ,  Pablo R. Hambly ,  Jason S. Stewart ,  David Cole

IPC: A61B17/068 ,  A61B17/115 ,  A61F5/00 ,  A61B17/072

CPC classification number: A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  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。