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    ENDOSCOPIC PLICATION DEVICES AND METHODS
    2.
    发明申请
    ENDOSCOPIC PLICATION DEVICES AND METHODS 审中-公开
    内窥镜装置和方法

    公开(公告)号：US20150238193A1

    公开(公告)日：2015-08-27

    申请号：US14707637

    申请日：2015-05-08

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： Daniel J. Balbierz ,  David H. Cole ,  Samuel T. Crews ,  Bretton Swope ,  Andrew C. Smith ,  John P. Lunsford ,  Fiona Sander

    IPC: A61B17/115 ,  A61B17/11 ,  A61F5/00 ,  A61B17/068

    CPC classification number: A61B17/1155 ,  A61B17/0218 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07292 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1285 ,  A61B2017/00535 ,  A61B2017/00827 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/1139 ,  A61B2017/1157 ,  A61B2017/306 ,  A61F5/0036

    Abstract: Described herein are endoscopic plicators passed transorally into the stomach and used to plicate stomach tissue by engaging tissue from inside of the stomach and drawing it inwardly. In the disclosed embodiments, the tissue is drawn inwardly into a vacuum chamber, causing sections of serosal tissue on the exterior of the stomach to be positioned facing one another. The disclosed plicators allow the opposed sections of tissue to be moved into contact with one another, and preferably deliver sutures, staples or other means for maintaining contact between the tissue sections at least until serosal bonds form between them. 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 is formed, medical devices may be coupled to the plication(s) for retention within the stomach.

    Abstract translation: 这里描述的是内窥镜检查器，其通过经腹部通过胃并用于通过从胃内部接合组织并将其向内抽吸来摧毁胃组织。 在所公开的实施例中，将组织向内拉入真空室，使得胃外部的浆膜组织的部分彼此相对定位。 所公开的调节器允许组织的相对部分彼此移动接触，并且优选地递送缝合线，缝钉或其它装置，用于保持组织切片之间的接触，至少在它们之间形成浆膜粘结。 这些步骤中的每一个可以完全从胃内进行，因此可以消除对任何手术或腹腔镜干预的需要。 在形成一个或多个脓肿之后，医疗装置可以连接到脓液以保持在胃中。

    Endoscopic implant system and method
    4.
    发明授权
    Endoscopic implant system and method 有权
    内镜植入系统及方法

    公开(公告)号：US09456825B2

    公开(公告)日：2016-10-04

    申请号：US13764707

    申请日：2013-02-11

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： Samuel Crews ,  Bretton Swope ,  Justen England

    IPC: A61F5/00 ,  A61B17/128 ,  A61B17/064 ,  A61B17/00

    CPC classification number: A61F5/0086 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/128 ,  A61B2017/00862 ,  A61B2017/0647 ,  A61F5/0003 ,  A61F5/0079 ,  A61F5/0083 ,  A61F5/0089

    Abstract: Disclosed is a system for endoscopically implanting a medical implant, including an anchor, within a body cavity such as adjacent the gastroesophageal junction in a human stomach. The system includes one or more anchors positionable within one or more openings formed in tissue within the body cavity, such as cutouts formed in plicated body tissue. Tools are disclosed for positioning the anchors within the openings, and for coupling a food restrictor to the anchors.

    Abstract translation: 公开了一种用于内窥镜植入包括锚固体在内的体腔内的医学植入物的系统，例如邻近胃中的胃食管结。 该系统包括可定位在形成在体腔内的组织中的一个或多个开口内的一个或多个锚固件，例如形成在穿孔的身体组织中的切口。 公开了用于将锚固件定位在开口内并用于将食物限制器联接到锚定件的工具。

    PLICATION TAGGING DEVICE AND METHOD
    6.
    发明申请
    PLICATION TAGGING DEVICE AND METHOD 审中-公开
    电子标签设备和方法

    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。

    DEVICES AND METHODS FOR STOMACH PARTITIONING
    8.
    发明申请
    DEVICES AND METHODS FOR STOMACH PARTITIONING 审中-公开
    设备和方法进行分离

    公开(公告)号：US20130306704A1

    公开(公告)日：2013-11-21

    申请号：US13745715

    申请日：2013-01-18

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： Daniel Balbierz ,  David Cole ,  Samuel Crews ,  Bretton Swope ,  Justen England

    IPC: A61B17/072

    CPC classification number: A61F5/0086 ,  A61B17/0643 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/10 ,  A61B17/1155 ,  A61B17/29 ,  A61B2017/00349 ,  A61B2017/0647 ,  A61B2017/07228 ,  A61B2017/2905 ,  A61B2017/306 ,  A61F5/0083 ,  A61F5/0089

    Abstract: A device and method for remodeling or partitioning a body cavity, hollow organ or tissue tract includes graspers operable to engage two or more sections of tissue within a body cavity and to draw the engaged tissue between a first and second members of a tissue remodeling tool. The two or more pinches of tissue are held in complete or partial alignment with one another as staples or other fasteners are driven t9hrough the pinches, thus forming a four-layer tissue plication. Over time, adhesions formed between the opposed serosal layers create strong bonds that can facilitate retention of the plication over extended durations, despite the forces imparted on them by stomach movement. A cut or cut-out may be formed in the plication during or separate from the stapling step to promote edge-to-edge healing effects that will enhance tissue knitting/adhesion.

    Abstract translation: 用于重建或分隔体腔，中空器官或组织道的装置和方法包括可操作以接合体腔内的组织的两个或更多个部分并且将所接合的组织在组织重塑工具的第一和第二构件之间拉动的抓握器。 当钉或其他紧固件通过夹持器被驱动时，两个或更多个组织的夹子彼此完全或部分对准，从而形成四层组织折叠。 随着时间的推移，在相对的浆膜层之间形成的粘连产生强力的粘合，尽管通过胃运动赋予它们的力，也可以有助于在延长的持续时间内保持脓肿。 可以在缝合步骤期间或与缝合步骤分开形成切口或切口，以促进边缘到边缘愈合效果，从而增强组织编织/粘合。

    Stapler for forming multiple tissue plications
    10.
    发明授权
    Stapler for forming multiple tissue plications 有权

    公开(公告)号：US10743869B2

    公开(公告)日：2020-08-18

    申请号：US15873078

    申请日：2018-01-17

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： David H. Cole ,  Jesica Ferro ,  Bretton Swope ,  Tyler Grubb ,  Daniel Balbierz

    IPC: A61B17/068 ,  A61B17/072 ,  A61B17/115 ,  A61B17/00 ,  A61B17/30

    Abstract: A stapling device for forming multiple tissue plications without needing to reload the device between plications is described. The device includes staple and anvil housings that move toward and away from a tissue-capture position. A cartridge holder in the staple housing supports a cartridge with multiple groups of offset staple slots, where the slots in each group are circularly arrayed about a cartridge center axis. A staple driver in the staple housing carries a plurality of arms for engaging and ejecting the staples in a first group of staples in the cartridge, when a tissue fold is captured between the cartridge assembly and anvil in the anvil housing. When the staple driver is retracted, after a tissue plication is formed, the cartridge assembly and tissue drive are indexed to eject the next-up group of staples.

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