公开(公告)号：US10265088B2

公开(公告)日：2019-04-23

申请号：US14975005

申请日：2015-12-18

Applicant: Boston Scientific Scimed, Inc.

Inventor： Ronald Ciulla ,  Timothy James McCaslin

IPC: A61B17/00 ,  A61B18/24 ,  A61B17/221 ,  A61B17/50 ,  A61B1/00 ,  A61B1/005

Abstract: An apparatus may include a handle having a first portion and a second portion. The second portion may extend at an angle from the first portion. The handle may also include a passage configured to receive a medical device therethrough and defined by the first portion. Further, the handle may include an actuator operably coupled to the first portion. The apparatus may also include an endoscopic insertion device coupled to and extending distally of the first portion of the handle. Further, manipulation of the actuator may be configured to deflect a distal portion of the insertion device.

公开(公告)号：US10231718B2

公开(公告)日：2019-03-19

申请号：US14719623

申请日：2015-05-22

Applicant: Boston Scientific Scimed, Inc.

Inventor： Ronald Ciulla ,  Kenneth P. Reever ,  Jozef Slanda

IPC: A61B17/122 ,  A61B17/00 ,  A61B90/00 ,  A61B18/24 ,  A61B18/00 ,  A61B17/06 ,  A61B17/12 ,  A61B17/128 ,  A61B17/29

Abstract: A marking device may include a body. The body may be configured to transition between a closed configuration and an open configuration. The body may further include two arms. A distal end of each arm may be coupled to a distal end of the body. The marking device may further include a suture coupled to the body. Application of a force on a proximal end of each arm may be configured to cause the body to transition between the closed configuration and the open configuration.

公开(公告)号：US20170196577A1

公开(公告)日：2017-07-13

申请号：US15398938

申请日：2017-01-05

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Erik E. Sperry ,  Jerry T. Long, Jr. ,  Ronald Ciulla ,  Aaron K. Kirkemo ,  Kenneth P. Reever ,  Brandon W. Craft ,  Elizabeth A. Stokley ,  Anant Subramaniam

IPC: A61B17/221 ,  A61M29/02

CPC classification number: A61B17/221 ,  A61B17/22 ,  A61B2017/22038 ,  A61B2017/22042 ,  A61B2017/22047 ,  A61B2017/22049 ,  A61B2017/22051 ,  A61B2017/22082 ,  A61M29/02

Abstract: A guidewire including an elongate inner member having a proximal portion and a distal portion, an elongate outer member disposed about the elongate inner member, wherein one of the elongate inner member and the elongate outer member is more flexible relative to the other of the elongate inner member or the elongate outer member, and the elongate inner member is movable relative to the elongate outer member.

公开(公告)号：US20130338667A1

公开(公告)日：2013-12-19

申请号：US13914915

申请日：2013-06-11

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Kenneth J. Daignault ,  Kevin Newell ,  Ronald Ciulla

IPC: A61B18/14

CPC classification number: A61B18/1485 ,  A61B18/149 ,  A61B2018/00547 ,  A61B2018/00601 ,  A61B2018/00625 ,  A61B2018/126 ,  A61B2018/1407 ,  A61B2018/1417 ,  A61B2018/144 ,  A61B2018/1467 ,  A61B2018/1475 ,  A61B2090/3966

Abstract: A medical device includes a sheath extending from a proximal end to a distal end and having a lumen extending therethrough and an end-effector disposed at the distal end of the sheath including a first resection loop configured to resect tissue and a secondary tool including one of a second resection loop and a tissue-vaporizing structure mounted distally to the first resection loop.

Abstract translation: 医疗装置包括护套，其从近端延伸到远端并且具有延伸穿过其中的内腔，以及设置在鞘的远端处的末端执行器，其包括构造成切除组织的第一切除回路和包括 第二切除回路和组织蒸发结构，其向远端安装到第一切除回路。

公开(公告)号：US10980554B2

公开(公告)日：2021-04-20

申请号：US15410819

申请日：2017-01-20

Applicant: Boston Scientific Scimed, Inc.

Inventor： Erik Sperry ,  Ronald Ciulla ,  Aaron Kirkeom ,  Mark Hera ,  Sebastian Koerner

IPC: A61B17/221 ,  A61B17/22 ,  A61B17/00 ,  A61B17/3207 ,  A61B17/34

Abstract: This disclosure concerns systems and methods for removal of material from the body of a patient, and particularly for percutaneous nephrolithotomy. Systems according to the various embodiments of the disclosure include one or more of nested first and second components, for instance a scope nested within a suction or irrigation catheter, guidewires with self-expanding distal tips, and wash-out elements to facilitate rapid removal of stones through an access sheath.

公开(公告)号：US10292761B2

公开(公告)日：2019-05-21

申请号：US13914915

申请日：2013-06-11

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Kenneth J. Daignault ,  Kevin Newell ,  Ronald Ciulla

IPC: A61B18/14 ,  A61B18/00 ,  A61B18/12 ,  A61B90/00

Abstract: A medical device includes a sheath extending from a proximal end to a distal end and having a lumen extending therethrough and an end-effector disposed at the distal end of the sheath including a first resection loop configured to resect tissue and a secondary tool including one of a second resection loop and a tissue-vaporizing structure mounted distally to the first resection loop.

公开(公告)号：US20170196590A1

公开(公告)日：2017-07-13

申请号：US15400214

申请日：2017-01-06

Applicant: Boston Scientific Scimed, Inc.

Inventor： Erik E Sperry ,  Jerry T Long ,  Ronald Ciulla ,  Timothy P Harrah ,  Aaron K Kirkemo ,  Mark A Hera ,  Kenneth P Reever ,  Brandon W Craft ,  Elizabeth A Stokley ,  Sebastian Koerner ,  Chad Schneider

IPC: A61B17/34 ,  A61B17/221 ,  A61B17/00

Abstract: Devices for guiding an instrument into a body of a patient, at a targeted point of entry and along an insertion path at a targeted insertion angle, are described herein, such as a guide for an access needle in a PCNL procedure for accessing the kidney to remove kidney stones, the devices comprising a base component, a guide assembly, and optionally an insertion mechanism. The base component is aligned in use with the point of entry and the guide assembly cooperates with the base component to allow for the instrument to be aligned and fixed at any circumferential angle around an axis perpendicular to the point of entry and at any vertical angle ranging from 0 to 45 degrees away from the axis in a direction toward the body. The optional mechanism allows for mechanical insertion once the instrument is aligned and fixed. Devices and methods disclosed herein allow a medical professional to accurately and stably guide an instrument at a targeted point and angle and to a desired depth, while minimizing the exposure to radiation in the surgical field that is used to image the insertion path.

公开(公告)号：US20140275745A1

公开(公告)日：2014-09-18

申请号：US14204947

申请日：2014-03-11

Applicant: Boston Scientific Scimed, Inc.

Inventor： Alfred P. Intoccia, JR. ,  Ronald Ciulla ,  Kenneth Daignault ,  Michael F. Weiser

IPC: A61F2/00

CPC classification number: A61F2/0036

Abstract: In some implementations, a medical device includes a clamp component and a strap. The clamp component has a portion configured to be placed around a urethra of a patient. The clamp component includes a first end portion configured to be lockably coupled to a second end portion of the clamp component. The strap has a portion extending between a first portion of the portion of the clamp component and a second portion of the portion of the clamp component.

Abstract translation: 在一些实施方案中，医疗装置包括夹具部件和带子。 夹具部件具有被配置为放置在患者的尿道周围的部分。 夹持部件包括构造成可锁定地联接到夹紧部件的第二端部的第一端部。 所述带具有在所述夹紧部件的所述部分的第一部分和所述夹紧部件的所述部分的第二部分之间延伸的部分。

公开(公告)号：US11806031B2

公开(公告)日：2023-11-07

申请号：US17032164

申请日：2020-09-25

Applicant: Boston Scientific Scimed, Inc.

Inventor： Ronald Ciulla

IPC: A61B17/22 ,  A61B17/221 ,  A61M1/00 ,  A61B17/00

CPC classification number: A61B17/22 ,  A61B17/221 ,  A61M1/84 ,  A61B2017/00296 ,  A61B2017/22079 ,  A61B2217/005

Abstract: A method of using a suction device to remove an object from a subject's body includes extending a suction device into the body through a lumen of a medical device and expanding the suction head from a contracted configuration to an expanded configuration within the body. The suction head may be provided at a distal end of an elongate conduit. The method may also include applying suction to move the object into the expanded suction head, and removing the suction device with the object from the body.

公开(公告)号：US11311311B2

公开(公告)日：2022-04-26

申请号：US15400214

申请日：2017-01-06

Applicant: Boston Scientific Scimed, Inc.

Inventor： Erik E Sperry ,  Jerry T Long ,  Ronald Ciulla ,  Timothy P Harrah ,  Aaron K Kirkemo ,  Mark A Hera ,  Kenneth P Reever ,  Brandon W Craft ,  Elizabeth A Stokley ,  Sebastian Koerner ,  Chad Schneider

IPC: A61B17/34 ,  A61B17/28 ,  A61B34/20 ,  A61B90/00

Abstract: Devices for guiding an instrument into a body of a patient, at a targeted point of entry and along an insertion path at a targeted insertion angle, are described herein, such as a guide for an access needle in a PCNL procedure for accessing the kidney to remove kidney stones, the devices comprising a base component, a guide assembly, and optionally an insertion mechanism. The base component is aligned in use with the point of entry and the guide assembly cooperates with the base component to allow for the instrument to be aligned and fixed at any circumferential angle around an axis perpendicular to the point of entry and at any vertical angle ranging from 0 to 45 degrees away from the axis in a direction toward the body. The optional mechanism allows for mechanical insertion once the instrument is aligned and fixed. Devices and methods disclosed herein allow a medical professional to accurately and stably guide an instrument at a targeted point and angle and to a desired depth, while minimizing the exposure to radiation in the surgical field that is used to image the insertion path.