公开(公告)号：US20220323731A1

公开(公告)日：2022-10-13

申请号：US17845057

申请日：2022-06-21

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Eran Shlomovitz ,  Peter L. Dayton ,  Katharine Eckerline ,  Bryan Bannon ,  Barry Weitzner ,  Thomas DeSimio ,  Lee LeRay Swanstrom

IPC: A61M27/00 ,  A61F2/04 ,  A61B90/00 ,  A61B17/00 ,  A61B17/11 ,  A61F2/848

Abstract: The present disclosure relates generally to the field of devices and procedures for placement of a medical device between adjacent tissue structures. In particular, the present disclosure relates to systems and methods for percutaneous placement of a drainage stent between the gallbladder and gastric lumen (e.g., cholecystogastrostomy), or gallbladder and duodenum (cholecystoduodenostomy).

公开(公告)号：US11141236B2

公开(公告)日：2021-10-12

申请号：US16139644

申请日：2018-09-24

Applicant: Boston Scientific Scimed, Inc.

Inventor： Gary Kappel ,  Barry Weitzner ,  Paul Smith ,  Erin Daly

IPC: A61B50/20 ,  A61B90/11 ,  A61B1/00 ,  A61B90/50 ,  A61B17/00

Abstract: A support mechanism for a medical device may include an adjustable support that includes a plurality of elongate members movable relative to one another. The support mechanism may also include a bracket coupled to the adjustable support. The bracket may be adapted to be coupled to a first medical device that extends along a longitudinal axis. The support mechanism may also include an instrument holder that extends along a central axis. The instrument holder may be movably coupled to the bracket and adapted to be coupled to a second medical device. The bracket and the instrument holder may be oriented such that central axis of the instrument holder intersects the longitudinal axis at an angle.

公开(公告)号：US20210153868A1

公开(公告)日：2021-05-27

申请号：US17164329

申请日：2021-02-01

Applicant: Boston Scientific Scimed, Inc.

Inventor： Todd Baron ,  Peter L. Dayton ,  Bryan Bannon ,  Barry Weitzner ,  Thomas Desimio

IPC: A61B17/11 ,  A61F2/95

Abstract: A system for forming an anastomosis between first and second sections of a digestive tract includes Optical Scope Device (“OSD”) having a lumen extending therethrough and positioned at a first target site within the first section, OSD including an imaging component at a distal end thereof for viewing the first target site; First Endoscope (“FE”) including a working channel extending therethrough and positioned at a second target site within the second section; Capture Device (“CD”) extending from a proximal end to a distal end including a loop, CD extends through the lumen; First Flexible Element (“FFE”) extends through FE, FFE including a coupling element which passes through the loop to couple FFE to CD, connecting the first and second sections, the coupling element moving between insertion and locking configurations; and Stent having a lumen extending therethrough which provides fluid communication between the first and second sections.

公开(公告)号：US10952733B2

公开(公告)日：2021-03-23

申请号：US16244859

申请日：2019-01-10

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Todd Baron ,  Peter L. Dayton ,  Bryan Bannon ,  Barry Weitzner ,  Thomas Desimio

IPC: A61B17/11 ,  A61F2/95

Abstract: A system for forming an anastomosis between first and second sections of a digestive tract includes Optical Scope Device (“OSD”) having a lumen extending therethrough and positioned at a first target site within the first section, OSD including an imaging component at a distal end thereof for viewing the first target site; First Endoscope (“FE”) including a working channel extending therethrough and positioned at a second target site within the second section; Capture Device (“CD”) extending from a proximal end to a distal end including a loop, CD extends through the lumen; First Flexible Element (“FFE”) extends through FE, FFE including a coupling element which passes through the loop to couple FFE to CD, connecting the first and second sections, the coupling element moving between insertion and locking configurations; and Stent having a lumen extending therethrough which provides fluid communication between the first and second sections.

公开(公告)号：US10939807B2

公开(公告)日：2021-03-09

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

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.

公开(公告)号：US10881279B2

公开(公告)日：2021-01-05

申请号：US16668124

申请日：2019-10-30

Applicant: Boston Scientific Scimed, Inc.

Inventor： Barry Weitzner

IPC: A61B1/00 ,  A61B1/018 ,  A61B34/00 ,  A61B17/00 ,  A61B17/29 ,  A61B90/00

Abstract: An instrument for use with an endoscope may include an elongate section configured to move exterior to the endoscope. The elongate section may include a distal end and a proximal end. The instrument may also include an end effector attached to the distal end of the elongate section, and an actuation device attached to the proximal end of the elongate section. The actuation device may be configured to operate the end effector. The instrument may also include a guiding member coupled to the elongate section. The guiding member may be configured to be coupled to an external surface of the endoscope to permit the guiding member to move longitudinally relative to the endoscope. The guiding member may be coupled to the elongate section such that the end effector may extend past a distal end of the endoscope and move in a transverse direction independent of the movement of the distal end of the endoscope.

公开(公告)号：US10687691B2

公开(公告)日：2020-06-23

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 ,  A61B1/018 ,  A61B1/015 ,  A61B1/005 ,  A61B1/01 ,  A61B17/32 ,  A61M1/00 ,  A61B17/34 ,  A61B17/00 ,  A61B17/29 ,  A61B17/30

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：US20200155799A1

公开(公告)日：2020-05-21

申请号：US16752711

申请日：2020-01-27

Applicant: Boston Scientific Scimed, Inc.

Inventor： Gary Kappel ,  Ra Nam ,  Naroun Suon ,  Dan Bacon ,  Paul Smith ,  John Golden ,  Barry Weitzner

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

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：US10588707B2

公开(公告)日：2020-03-17

申请号：US15210460

申请日：2016-07-14

Applicant: Boston Scientific Scimed, Inc.

Inventor： Paul Smith ,  Barry Weitzner ,  Kurt Geitz

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

Abstract: Described herein are various method of using a direct drive system to perform procedures at a distance. One exemplary method include tying a knot or suturing at a distance with a first and second end effector. The direct drive system can enable sufficient end effector dexterity, including the ability to control various degrees of freedom of end effector movement, and allow a user to perform complicated task at a distance. In one aspect the direct drive system includes flexible tools that permit access to surgical site via a natural orifice.

公开(公告)号：US20190298401A1

公开(公告)日：2019-10-03

申请号：US16361733

申请日：2019-03-22

Applicant: Boston Scientific Scimed, Inc.

Inventor： Saurav V. Gupta ,  Camron Hagemeyer ,  Marc A. Barthet ,  Jean-Michel Gonzalez ,  Barry Weitzner ,  Dan Bacon ,  Kenneth R. Keene ,  John B. Golden ,  Jeffrey V. Bean

IPC: A61B17/29 ,  A61B1/018 ,  A61B1/273 ,  A61F5/00 ,  A61B17/11

Abstract: According to exemplary embodiments of the present disclosure, devices, systems, and methods for endoscopic procedures may include an end effector of a grasping system having a first arm and a second arm. The first and second arms may extend from a common proximal joint. The first and second arms may be formed of a self-expanding material and may have a spring force to set the arms in an unconstrained open position. The first and second arms may have an arc shape such that a distal tip of each first and second arm are configured to close as the first and second arms are actuated to a constrained closed position. A catheter may include a locating element at a distal end of a flexible tube. The locating element may be configured for locating the grasping system.