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公开(公告)号:US10178942B2
公开(公告)日:2019-01-15
申请号:US15245940
申请日:2016-08-24
Applicant: BOSTON SCIENTIFIC SCIMED, INC.
Inventor: Aaron Germain , Michael D. Walker , Jacob Roland , Jan Echeverry
IPC: A61M3/02 , A61B1/00 , A61B1/015 , A61B18/14 , A61B1/303 , A61M5/168 , A61M5/172 , A61B18/00 , A61B90/00
Abstract: Systems, devices, and methods for fluid management in an endoscopic procedure are disclosed. In one embodiment, a fluid management device may comprise a pair of electrodes and a controller connected to the pair of electrodes. In at least some embodiments, the controller may be configured to receive signals from the pair of electrodes and determine whether a fluid in a fluid reservoir is an ionic fluid or a non-ionic fluid based on signals received from the pair of electrodes. In at least some additional embodiments, the controller may be further configured to automatically set a fluid deficit alarm threshold based on the determination of whether the fluid in the fluid reservoir is an ionic fluid or a non-ionic fluid.
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公开(公告)号:US20170056102A1
公开(公告)日:2017-03-02
申请号:US15245586
申请日:2016-08-24
Applicant: BOSTON SCIENTIFIC SCIMED, INC.
Inventor: Aaron Germain , Michael D. Walker , Jacob Roland , Jan Echeverry
IPC: A61B18/14
CPC classification number: A61B18/1485 , A61B2017/320028 , A61B2017/4216 , A61B2018/00083 , A61B2018/00166 , A61B2018/00196 , A61B2018/00559 , A61B2018/00601 , A61B2018/00982 , A61B2018/142 , A61B2018/162 , A61B2218/002 , A61B2218/007
Abstract: Devices, systems, and methods for resecting tissue are disclosed. In some embodiments, a tissue resecting device may comprise an elongated structure having a longitudinal axis, the elongated structure comprising an outer sleeve with a distal window configured to receive uterine polyp tissue and an inner sleeve configured to move between a proximal position and a distal position relative to the window. In some further embodiments, the device may also comprise an electrode element coupled to the inner sleeve. In some even further embodiments, the device may include an insulative layer covering at least a portion of the inner sleeve, wherein the tissue resecting device is configured to fail when used to resect tissue more fibrous than uterine polyp tissue.
Abstract translation: 公开了用于切除组织的装置,系统和方法。 在一些实施例中,组织切除装置可以包括具有纵向轴线的细长结构,所述细长结构包括具有构造成接收子宫息肉组织的远端窗口的外套筒和构造成在近端位置和远端位置之间移动的内套筒 相对于窗口。 在一些另外的实施例中,装置还可以包括联接到内套筒的电极元件。 在一些甚至进一步的实施例中,该装置可以包括覆盖内套筒的至少一部分的绝缘层,其中组织切除装置被配置为在用于切除比子宫息肉组织更纤维的组织时失败。
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公开(公告)号:US11986203B2
公开(公告)日:2024-05-21
申请号:US16940781
申请日:2020-07-28
Applicant: BOSTON SCIENTIFIC SCIMED, INC.
Inventor: Kyle Klein , Aaron Germain , Csaba Truckai , Michael D. Walker
IPC: A61M1/00 , A61B17/32 , A61B18/14 , A61M3/02 , A61B1/012 , A61B1/303 , A61B17/42 , A61B18/00 , A61B18/12 , A61B18/16 , A61B90/00
CPC classification number: A61B17/32002 , A61B17/32 , A61B18/1485 , A61M1/774 , A61M1/777 , A61M3/0208 , A61M3/0212 , A61M3/022 , A61M3/0229 , A61B1/012 , A61B1/303 , A61B2017/4216 , A61B2018/00559 , A61B2018/00601 , A61B2018/00625 , A61B2018/1213 , A61B2018/162 , A61B2090/064 , A61B2217/005 , A61B2217/007 , A61M1/79 , A61M3/0266 , A61M2202/0021 , A61M2202/0028 , A61M2205/3344 , A61M2205/75 , A61M2205/7545 , A61M2210/1433
Abstract: A surgical fluid management system delivers fluid for distending a uterine cavity to allow cutting and extraction of uterine fibroid tissue, polyps and other abnormal uterine tissue. The system comprises a fluid source, fluid deliver lines, one or more pumps, and a filter for re-circulating the distension fluid between the source and the uterine cavity. A controller can monitor fluid retention by the patient.
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公开(公告)号:US10786619B2
公开(公告)日:2020-09-29
申请号:US15913223
申请日:2018-03-06
Applicant: BOSTON SCIENTIFIC SCIMED, INC.
Inventor: Aaron Germain , Kyle Klein
Abstract: A hysteroscopic fluid management system includes a saline source with an electrolyte concentration, at least one pressure mechanism for circulating saline to and from a targeted site and through a filter having filter characteristics back to the source, and a controller. The controller provides a saline inflow in a first flow path to the site and a saline outflow in a second flow path from the site through the filter and back to the source at a controlled flow rate. A diagnostic or therapeutic procedure is performed at the site in the presence of the saline. The filter characteristics and the controlled flow rate are selected to (1) cause substantially no change in the electrolyte concentration in the saline, (2) to prevent hemolysis of greater than 5% of filtered red blood cells exposed to the saline, and/or (3) to minimize effect on prothrombin time of plasma exposed to the filter.
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公开(公告)号:US10537227B2
公开(公告)日:2020-01-21
申请号:US15245775
申请日:2016-08-24
Applicant: BOSTON SCIENTIFIC SCIMED, INC.
Inventor: Aaron Germain , Michael D. Walker , Jacob Roland , Jan Echeverry
Abstract: A sheath adapter may be used within a medical device to provide one or more additional lumens. One sheath for use with a medical device may comprise a C-shaped elongate shaft extending from a proximal end to a distal end, the C-shaped elongate shaft configured to fit onto a shaft of the medical device and a lumen extending at least partially along a length of the elongate shaft, the lumen having a first port disposed proximate the distal end of the C-shaped elongate shaft and a second port disposed proximate the proximal end of the C-shaped elongate shaft.
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公开(公告)号:US10441353B2
公开(公告)日:2019-10-15
申请号:US15816423
申请日:2017-11-17
Applicant: BOSTON SCIENTIFIC SCIMED, INC.
Inventor: Aaron Germain , Kyle Klein , Benedek Orczy-Timko , John H. Shadduck , Michael D. Walker , Csaba Truckai , Balazs Lesko
Abstract: The tissue cutting device comprises an elongated assembly including both an outer sleeve and an inner sleeve. The outer sleeve has a tissue-receiving window, and the inner sleeve has a distal end which cuts tissue as the inner sleeve is advanced past the window. The tissue is received into a lumen of the inner sleeve, and the inner sleeve lumen is typically enlarged in a proximal direction to reduce the tendency of resected tissue to lodge therein. The tissue displacement member is optionally provided at a distal end of the outer sleeve to further aid in dislodging tissue which becomes captured in a distal end of the inner sleeve of the lumen.
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公开(公告)号:US20180140756A1
公开(公告)日:2018-05-24
申请号:US15876403
申请日:2018-01-22
Applicant: BOSTON SCIENTIFIC SCIMED, INC.
Inventor: Kyle Klein , Aaron Germain , Csaba Truckai , Michael D. Walker
IPC: A61M1/00 , A61B18/14 , A61M3/02 , A61B17/32 , A61B18/16 , A61B18/12 , A61B18/00 , A61B17/42 , A61B1/303 , A61B1/012 , A61B90/00
Abstract: A surgical fluid management system delivers fluid for distending a uterine cavity to allow cutting and extraction of uterine fibroid tissue, polyps and other abnormal uterine tissue. The system comprises a fluid source, fluid deliver lines, one or more pumps, and a filter for re-circulating the distension fluid between the source and the uterine cavity. A controller can monitor fluid retention by the patient.
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公开(公告)号:US09839473B2
公开(公告)日:2017-12-12
申请号:US15460810
申请日:2017-03-16
Applicant: Boston Scientific Scimed, Inc.
Inventor: Aaron Germain , Kyle Klein , Benedek Orczy-Timko , John H. Shadduck , Michael D. Walker , Csaba Truckai , Balazs Lesko
CPC classification number: A61B18/1485 , A61B17/32002 , A61B18/1482 , A61B18/18 , A61B2017/320028 , A61B2018/00083 , A61B2018/00196 , A61B2018/00559 , A61B2018/00601 , A61B2018/00982 , A61B2018/142 , A61B2218/002 , A61B2218/007
Abstract: The tissue cutting device comprises an elongated assembly including both an outer sleeve and an inner sleeve. The outer sleeve has a tissue-receiving window, and the inner sleeve has a distal end which cuts tissue as the inner sleeve is advanced past the window. The tissue is received into a lumen of the inner sleeve, and the inner sleeve lumen is typically enlarged in a proximal direction to reduce the tendency of resected tissue to lodge therein. The tissue displacement member is optionally provided at a distal end of the outer sleeve to further aid in dislodging tissue which becomes captured in a distal end of the inner sleeve of the lumen.
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公开(公告)号:US20170333127A1
公开(公告)日:2017-11-23
申请号:US15656386
申请日:2017-07-21
Applicant: BOSTON SCIENTIFIC SCIMED, INC.
Inventor: Aaron Germain , John H. Shadduck , Michael D. Walker , Kyle Klein , Csaba Truckai
CPC classification number: A61B18/18 , A61B1/012 , A61B1/303 , A61B17/32002 , A61B18/08 , A61B18/1482 , A61B2017/320028 , A61B2017/4216 , A61B2018/00196 , A61B2018/00589 , A61B2018/00601 , A61B2018/1475 , A61B2218/002 , A61B2218/007
Abstract: A probe for resecting and coagulating tissue comprises an outer sleeve having a tissue cutting window and an inner sleeve having a tissue cutting distal end. And RF cutting region is formed at the distal end of the inner member and an RF coagulation region is formed on an exterior surface of the inner member immediately proximal to the cutting surface. A single power supply providing a single RF energy mode can be connected to both RF applicator regions to simultaneously cut and coagulate tissue.
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公开(公告)号:US20170055810A1
公开(公告)日:2017-03-02
申请号:US15245940
申请日:2016-08-24
Applicant: BOSTON SCIENTIFIC SCIMED, INC.
Inventor: Aaron Germain , Michael D. Walker , Jacob Roland , Jan Echeverry
CPC classification number: A61B1/00055 , A61B1/00057 , A61B1/015 , A61B1/303 , A61B18/149 , A61B18/1492 , A61B2018/00029 , A61B2018/00601 , A61B2018/00607 , A61B2018/00648 , A61B2018/00666 , A61B2018/00744 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2090/0807 , A61M5/16827 , A61M2205/18 , A61M2205/60
Abstract: Systems, devices, and methods for fluid management in an endoscopic procedure are disclosed. In one embodiment, a fluid management device may comprise a pair of electrodes and a controller connected to the pair of electrodes. In at least some embodiments, the controller may be configured to receive signals from the pair of electrodes and determine whether a fluid in a fluid reservoir is an ionic fluid or a non-ionic fluid based on signals received from the pair of electrodes. In at least some additional embodiments, the controller may be further configured to automatically set a fluid deficit alarm threshold based on the determination of whether the fluid in the fluid reservoir is an ionic fluid or a non-ionic fluid.
Abstract translation: 公开了用于内窥镜程序中的流体管理的系统,装置和方法。 在一个实施例中,流体管理装置可以包括一对电极和连接到该对电极的控制器。 在至少一些实施例中,控制器可以被配置为从一对电极接收信号,并且基于从该对电极接收的信号来确定流体容器中的流体是离子流体还是非离子流体。 在至少一些另外的实施例中,控制器还可以被配置成基于流体容器中的流体是离子流体还是非离子流体的确定来自动设定流体缺陷警报阈值。
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