公开(公告)号：US20190231466A1

公开(公告)日：2019-08-01

申请号：US16378074

申请日：2019-04-08

Applicant: Boston Scientific Scimed, Inc.

Inventor： Barry WEITZNER ,  Paul J. SMITH ,  John B. GOLDEN ,  Brian J. INTOCCIA ,  Naroun SUON ,  Katie KRUEGER ,  Brian TINKHAM ,  Michal WEISMAN ,  Brett A. KRUEGER

IPC: A61B34/00 ,  A61B34/10 ,  A61B1/00 ,  A61B1/005 ,  A61B1/018 ,  A61B17/04 ,  A61B17/29 ,  A61B17/02 ,  A61B1/12 ,  A61B1/04 ,  A61B17/32 ,  A61B17/00 ,  A61B1/313

CPC classification number: A61B1/00039 ,  A61B1/00087 ,  A61B1/0014 ,  A61B1/00147 ,  A61B1/00154 ,  A61B1/00165 ,  A61B1/00183 ,  A61B1/0052 ,  A61B1/0057 ,  A61B1/018 ,  A61B1/04 ,  A61B1/12 ,  A61B1/3132 ,  A61B10/06 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/29 ,  A61B17/320016 ,  A61B34/10 ,  A61B34/70 ,  A61B34/71 ,  A61B34/74 ,  A61B90/11 ,  A61B2017/00212 ,  A61B2017/00287 ,  A61B2017/003 ,  A61B2017/00323 ,  A61B2017/00331 ,  A61B2017/0034 ,  A61B2017/00353 ,  A61B2017/00362 ,  A61B2017/00398 ,  A61B2017/00469 ,  A61B2017/00876 ,  A61B2017/00973 ,  A61B2017/0225 ,  A61B2017/2905 ,  A61B2017/2906 ,  A61B2017/2931 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2090/0811 ,  A61B2090/374

Abstract: Disclosed herein are various systems and methods for guiding, supporting, and/or housing instruments. One exemplary system includes a guide tube having a manipulation section and mated with rails carrying instrument control members. Moving the rails with respect to the guide tube, or another point of reference, can control movement of the manipulation section.

公开(公告)号：US20180098771A1

公开(公告)日：2018-04-12

申请号：US15723989

申请日：2017-10-03

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Joseph W. KING ,  Naroun SUON ,  Laurie A. LEHTINEN ,  Shawn RYAN ,  Norman C. MAY ,  Ramon ESTEVEZ

IPC: A61B17/128 ,  A61B17/122

Abstract: A system for treating tissue includes an applicator having a bushing and a control member and a clip assembly having a capsule with a channel extending therethrough. The channel includes proximal and distal portions. The distal portion extends distally from the proximal portion and flaring outward in a single plane to form opposing flared sections. The assembly also includes clip arms include proximal ends slidably received within the channel to move the arms between tissue receiving and tissue clipping configurations. The assembly further includes a yoke including a distal portion connected to the arms and a proximal portion configured to be connected to the member so that longitudinal movement of the member relative to the capsule moves the arms between the tissue receiving and clipping configurations. The yoke is positioned in the capsule so that the yoke is deformable in the plane in which the capsule flares outward.

公开(公告)号：US20180035997A1

公开(公告)日：2018-02-08

申请号：US15669005

申请日：2017-08-04

Applicant: Boston Scientific Scimed, Inc.

Inventor： Paul SMITH ,  Ryan V. WALES ,  Kevin James McELWEE ,  Naroun SUON ,  Samuel RAYBIN ,  Alexander Joseph BURNHAM ,  Ray Hewenson TONG ,  Mary Ann CORNELL ,  Niklas ANDERSSON ,  John B. GOLDEN ,  Scott E. BRECHBIEL

IPC: A61B17/04 ,  A61B17/00 ,  A61B17/128 ,  A61B17/02 ,  A61B17/122

Abstract: In one aspect of the present disclosure, a tissue retraction system may include a first anchor, a second anchor, and an elongate coupling member extending between the first anchor and the second anchor. The system also may include a holder for receiving the first anchor, the second anchor, and the elongate coupling element. The holder may include a proximal portion and a distal portion. The distal portion may have a smaller width than the proximal portion such that the distal portion exerts a force on a proximal end of the first anchor during deployment of the first anchor from the holder. The force may move the first anchor into an open configuration for receiving tissue.

公开(公告)号：US20170319821A1

公开(公告)日：2017-11-09

申请号：US15660623

申请日：2017-07-26

Applicant: Boston Scientific Scimed, Inc.

Inventor： Naroun SUON ,  Dan BACON ,  Ra NAM ,  Paul SMITH ,  John GOLDEN ,  Barry WEITZNER ,  Gary KAPPEL

IPC: A61M25/00 ,  A61M25/01 ,  A61B17/29 ,  A61B17/00

CPC classification number: A61M25/0043 ,  A61B17/2909 ,  A61B2017/003 ,  A61B2017/00323 ,  A61B2017/0046 ,  A61B2017/2905 ,  A61B2017/291 ,  A61B2017/292 ,  A61B2017/2929 ,  A61M25/0009 ,  A61M25/0113 ,  A61M25/0133 ,  A61M25/0136 ,  A61M25/0147 ,  Y10T29/49826

Abstract: This invention is directed to a medical device having a longitudinal axis, and including a handle and a catheter. The handle can include a body having a proximal end and a distal end, an actuator moveably coupled to the body, and a handle control member coupled to the actuator, wherein the actuator can be configured to move relative to the body to move the handle control member. The catheter can include a shaft having a proximal end and a distal end, wherein the proximal end of the shaft and the distal end of the body can be configured for releasable coupling. The catheter can also include a steering section located along the shaft and a catheter control member coupled to the steering section, wherein the catheter control member can be configured to move relative to the shaft to move the steering section relative to the longitudinal axis. The medical device can also include a securing member configured to move relative to at least one of the handle and the catheter to releasably couple the handle control member to the catheter control member.

公开(公告)号：US20160309988A1

公开(公告)日：2016-10-27

申请号：US15200271

申请日：2016-07-01

Applicant: Boston Scientific Scimed, Inc.

Inventor： Paul SMITH ,  Barry WEITZNER ,  Naroun SUON ,  Ruth CHENG ,  Samuel RAYBIN

IPC: A61B1/00 ,  A61B17/32 ,  A61B17/34 ,  A61B1/005 ,  A61B1/018 ,  A61B1/015

Abstract: Embodiments of the disclosure may include a medical device comprising a flexible elongate member including a longitudinal axis and a tool connected to the elongate member near a pivot, wherein the tool may be configured for at least one of suction and infusion, and wherein the tool may be configured to pivot towards both sides of the longitudinal axis relative to the elongate member at the pivot.

公开(公告)号：US20160228113A1

公开(公告)日：2016-08-11

申请号：US15134561

申请日：2016-04-21

Applicant: Boston Scientific Scimed, Inc.

Inventor： Barry WEITZNER ,  Paul J. SMITH ,  John B. GOLDEN ,  Brian J. INTOCCIA ,  Naroun SUON ,  William J. SHAW

IPC: A61B17/00 ,  A61B17/32 ,  A61B1/04 ,  A61B1/005 ,  A61B1/12 ,  A61B17/29 ,  A61B1/00

CPC classification number: A61B34/74 ,  A61B1/00039 ,  A61B1/00087 ,  A61B1/0014 ,  A61B1/00147 ,  A61B1/00154 ,  A61B1/00165 ,  A61B1/00183 ,  A61B1/0052 ,  A61B1/0057 ,  A61B1/018 ,  A61B1/04 ,  A61B1/12 ,  A61B1/3132 ,  A61B10/06 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/29 ,  A61B17/320016 ,  A61B34/10 ,  A61B34/70 ,  A61B34/71 ,  A61B90/11 ,  A61B2017/00212 ,  A61B2017/00287 ,  A61B2017/003 ,  A61B2017/00323 ,  A61B2017/00331 ,  A61B2017/0034 ,  A61B2017/00353 ,  A61B2017/00362 ,  A61B2017/00398 ,  A61B2017/00469 ,  A61B2017/00876 ,  A61B2017/00973 ,  A61B2017/0225 ,  A61B2017/2905 ,  A61B2017/2906 ,  A61B2017/2931 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2090/0811 ,  A61B2090/374

Abstract: Disclosed herein are various systems and methods for facilitating control of a tool or tools. The systems can allow a user to control multiple degrees of freedom. One such system allows a user to control multiple degrees of freedom of two tools simultaneously. Another such system allows a user to control multiple degrees of freedom with a single hand. Frames and rails for supporting and/or constraining movement of a tool or tools are also described herein.

Abstract translation: 本文公开了用于促进对工具或工具的控制的各种系统和方法。 这些系统可以允许用户控制多个自由度。 一个这样的系统允许用户同时控制两个工具的多个自由度。 另一个这样的系统允许用户用单手控制多个自由度。 这里还描述了用于支撑和/或约束工具或工具的运动的框架和轨道。

公开(公告)号：US20160081532A1

公开(公告)日：2016-03-24

申请号：US14959058

申请日：2015-12-04

Applicant: Boston Scientific Scimed, Inc.

Inventor： Paul SMITH ,  Naroun SUON ,  Samuel RAYBIN ,  John B. GOLDEN

IPC: A61B1/00 ,  A61B1/015 ,  A61B18/14 ,  A61B1/005

CPC classification number: A61B1/00133 ,  A61B1/00098 ,  A61B1/005 ,  A61B1/0051 ,  A61B1/015 ,  A61B1/018 ,  A61B18/1442 ,  A61B18/1477 ,  A61B18/1492 ,  A61B2017/00327 ,  A61B2017/0034 ,  A61B2018/00595 ,  A61B2218/002 ,  A61M25/0662

Abstract: Embodiments of the disclosure may include a medical device comprising a flexible elongate member including a longitudinal axis and a tool connected to the elongate member at a pivot axis, wherein the tool may be configured to conduct electricity and deliver a fluid, and wherein the tool may be configured to pivot towards either side of the longitudinal axis relative to the elongate member at the pivot axis.

公开(公告)号：US20160066902A1

公开(公告)日：2016-03-10

申请号：US14842417

申请日：2015-09-01

Applicant: Boston Scientific Scimed, Inc.

Inventor： Paul SMITH ,  Justin ELFMAN ,  Samuel RAYBIN ,  Liam K. P. M. ROLLE ,  Naroun SUON ,  John B. GOLDEN

IPC: A61B17/04

CPC classification number: A61B17/0625 ,  A61B2017/0417 ,  A61B2017/06047 ,  A61B2017/0609

Abstract: A device for passing a needle and suture longitudinally through a target tissue includes a proximal jaw including a proximal recess and a proximal retention mechanism for releasably engaging a first end of a needle received within the proximal recess and a distal jaw movably coupled to the proximal jaw such that the proximal and distal jaws are longitudinally movable relative to one another. The distal jaw includes a distal recess and a distal retention mechanism for releasably engaging a second end of the needle received within the distal recess. The proximal and distal jaws are movable between a first state, in which the proximal retention mechanism is in a locked configuration and the distal retention mechanism is in an unlocked configuration, and a second state, in which the proximal retention mechanism is in an unlocked configuration and the distal retention mechanism is in a locked configuration.

Abstract translation: 用于使针穿过针缝合并缝合穿过目标组织的装置包括近端钳口，其包括近侧凹部和近端保持机构，用于可释放地接合容纳在近侧凹部内的针的第一端和可移动地联接到近端颌的远侧钳口 使得近端和远端钳口可相对于彼此纵向移动。 远端钳口包括远端凹部和用于可释放地接合容纳在远端凹部内的针的第二端的远侧保持机构。 近端和远端钳口可以在第一状态和第二状态之间移动，在第一状态中，近端保持机构处于锁定构型并且远端保持机构处于未锁定构型，第二状态中，近侧保持机构处于未锁定构型 并且远端保持机构处于锁定构型。

公开(公告)号：US20160051252A1

公开(公告)日：2016-02-25

申请号：US14830349

申请日：2015-08-19

Applicant: Boston Scientific Scimed, Inc.

Inventor： Paul SMITH ,  Gary S. KAPPEL ,  Samuel RAYBIN ,  John B. GOLDEN ,  Liam ROLLE ,  Jason WEINER ,  Paul MANNION ,  Thomas JONES ,  Michael K. FORD ,  Kirsten VIERING ,  Kerry L. GRANT ,  Naroun SUON ,  Michael POWERS

IPC: A61B17/04 ,  A61B17/10 ,  A61B17/08

CPC classification number: A61B17/0466 ,  A61B17/0401 ,  A61B17/083 ,  A61B17/105 ,  A61B17/1227 ,  A61B17/1285 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0417 ,  A61B2017/0419 ,  A61B2017/0437 ,  A61B2017/044 ,  A61B2017/0446 ,  A61B2017/0464

Abstract: A system for treating tissue includes a first anchoring device including a first anchoring element at a distal end thereof for anchoring the first anchoring device in a first target portion of tissue extending about a periphery of a tissue defect to be treated and a first suture receiving feature at a proximal end thereof. The system also includes a second anchoring device including a second anchoring element at a distal end thereof for anchoring the second anchoring device in a second target portion of tissue about the periphery of the tissue defect and a second suture receiving feature at a proximal end thereof. Furthermore, the system includes a suture configured to be passed through the first and second suture receiving features such that a tension applied to the suture draws the first and second anchoring devices toward one another to close the tissue defect.

Abstract translation: 用于治疗组织的系统包括第一锚定装置，其包括在其远端处的第一锚定元件，用于将第一锚定装置锚定在围绕要治疗的组织缺损的周边延伸的组织的第一目标部分中，以及第一缝合线接收特征 在其近端。 该系统还包括第二锚定装置，其包括在其远端处的第二锚定元件，用于将第二锚定装置固定在围绕组织缺损的周边的组织的第二目标部分中，以及在其近端处的第二缝合线接收特征。 此外，该系统包括构造成穿过第一和第二缝合线接收特征的缝合线，使得施加到缝合线的张力将第一和第二锚固装置朝向彼此拉紧以闭合组织缺损。

公开(公告)号：US20240260814A1

公开(公告)日：2024-08-08

申请号：US18625566

申请日：2024-04-03

Applicant: Boston Scientific Scimed, Inc.

Inventor： Barry WEITZNER ,  Paul J. SMITH ,  John B. GOLDEN ,  Brian J. INTOCCIA ,  Naroun SUON ,  Katie KRUEGER ,  Brian TINKHAM ,  Michal WEISMAN ,  Brett A. KRUEGER

IPC: A61B1/00 ,  A61B1/005 ,  A61B1/018 ,  A61B1/12 ,  A61B1/313 ,  A61B10/06 ,  A61B17/00 ,  A61B17/02 ,  A61B17/04 ,  A61B17/29 ,  A61B17/32 ,  A61B17/34 ,  A61B34/00 ,  A61B34/10 ,  A61B90/00 ,  A61B90/11

CPC classification number: A61B1/00042 ,  A61B1/00087 ,  A61B1/00147 ,  A61B1/00154 ,  A61B1/00165 ,  A61B1/018 ,  A61B1/0014 ,  A61B1/00183 ,  A61B1/0052 ,  A61B1/0057 ,  A61B1/12 ,  A61B1/3132 ,  A61B10/06 ,  A61B2017/00212 ,  A61B17/00234 ,  A61B2017/00287 ,  A61B2017/003 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00331 ,  A61B2017/0034 ,  A61B2017/00353 ,  A61B2017/00362 ,  A61B2017/00371 ,  A61B2017/00398 ,  A61B2017/00469 ,  A61B2017/00876 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/29 ,  A61B2017/2905 ,  A61B2017/2906 ,  A61B2017/2931 ,  A61B17/320016 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B34/10 ,  A61B34/70 ,  A61B34/71 ,  A61B34/74 ,  A61B2090/0811 ,  A61B90/11 ,  A61B2090/374

Abstract: A medical system including an instrument. The instrument may have a rigid guide tube with a pre-formed shape and at least one change in direction between a proximal end and a distal end of the guide tube. The guide tube may include a first channel extending between the proximal end and the distal end and a second channel extending alongside the first channel. The first channel may include a first opening extending along a side of the guide tube so that the first channel is at least partially exposed. The guide tube may further include an optical device integrally formed with the body. A cross-section of a proximal portion of the guide tube may be greater than a cross-section of a distal portion of the guide tube.