公开(公告)号：US20160270785A1

公开(公告)日：2016-09-22

申请号：US15165425

申请日：2016-05-26

Applicant: Boston Scientific Scimed, Inc.

Inventor： Daniel BALBIERZ ,  David COLE ,  Bretton SWOPE ,  Pablo R. HAMBLY ,  Justen ENGLAND ,  Samuel T. CREWS ,  Craig Arthur PURDY

IPC: A61B17/072 ,  A61B17/064

CPC classification number: A61B17/07207 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/0682 ,  A61B17/0684 ,  A61B17/0686 ,  A61B17/072 ,  A61B2017/00818 ,  A61B2017/07214 ,  A61B2017/081 ,  A61B2017/2926 ,  A61B2017/306 ,  A61F5/0086

Abstract: Devices and methods for acquiring and fastening tissues folds within an internal organ, such as the stomach, and for applying the methods and devices to producing reductions in organ volume or repair of bariatric procedures, are disclosed. An exemplary method for forming a continuous laterally extending tissue fold involves forming a succession of laterally extending folds having adjacent overlapping fold portions. One exemplary tissue-acquisition device has an open-end roller-and-arm structure that allows individual tissue folds to be formed and fastened, then advanced to an adjacent region within the stomach, for capture of a new fold that will form an extension of the existing fold(s).

Abstract translation: 公开了用于获取和紧固内部器官（例如胃）内的组织折叠的装置和方法，并且用于施加所述方法和装置以减少器官体积或减轻手术的修复。 用于形成连续横向延伸的组织折叠的示例性方法包括形成具有相邻重叠折叠部分的一系列横向延伸的折叠。 一个示例性的组织采集装置具有允许形成和紧固单个组织褶皱的开放端的辊和臂结构，然后前进到胃内的相邻区域，以捕获将形成延伸的新折叠 现有的折叠。

公开(公告)号：US20180140297A1

公开(公告)日：2018-05-24

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 ,  A61B17/115 ,  A61B17/072 ,  A61B17/00 ,  A61B17/30

CPC classification number: A61B17/068 ,  A61B17/07292 ,  A61B17/1155 ,  A61B2017/00539 ,  A61B2017/00876 ,  A61B2017/07271 ,  A61B2017/306

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.

公开(公告)号：US20210007739A1

公开(公告)日：2021-01-14

申请号：US16990234

申请日：2020-08-11

Applicant: Boston Scientific Scimed, Inc.

Inventor： Daniel BALBIERZ ,  David COLE ,  Bretton SWOPE ,  Pablo R. HAMBLY ,  Justen ENGLAND ,  Samuel T. CREWS ,  Craig Arthur PURDY

IPC: A61B17/072 ,  A61B17/064 ,  A61B17/068 ,  A61F5/00

Abstract: Devices and methods for acquiring and fastening tissues folds within an internal organ, such as the stomach, and for applying the methods and devices to producing reductions in organ volume or repair of bariatric procedures, are disclosed. An exemplary method for forming a continuous laterally extending tissue fold involves forming a succession of laterally extending folds having adjacent overlapping fold portions. One exemplary tissue-acquisition device has an open-end roller-and-arm structure that allows individual tissue folds to be formed and fastened, then advanced to an adjacent region within the stomach, for capture of a new fold that will form an extension of the existing fold(s).

公开(公告)号：US20170086999A1

公开(公告)日：2017-03-30

申请号：US15373127

申请日：2016-12-08

Applicant: Boston Scientific Scimed, Inc.

Inventor： Bretton SWOPE ,  Tyler GRUBB ,  Daniel BALBIERZ ,  Craig Arthur PURDY ,  David COLE

IPC: A61F5/00 ,  A61B17/30 ,  A61B17/068 ,  A61B17/072

CPC classification number: A61F5/0086 ,  A61B17/0206 ,  A61B17/0218 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/08 ,  A61B17/115 ,  A61B17/30 ,  A61B2017/00818 ,  A61B2017/07271 ,  A61B2017/2927 ,  A61B2017/306

Abstract: Described herein is an improved device and method for acquiring, and optionally, fastening a tissue fold. The device has an improved configuration for forming a single, two-layer tissue fold.

公开(公告)号：US20160250055A1

公开(公告)日：2016-09-01

申请号：US15150784

申请日：2016-05-10

Applicant: Boston Scientific Scimed, Inc.

Inventor： Richard S. STACK ,  William L. ATHAS ,  Richard A. GLENN ,  Daniel BALBIERZ ,  John LUNSFORD ,  Michael S. WILLIAMS

IPC: A61F5/00

CPC classification number: A61F5/0079 ,  A61F5/0036 ,  A61F5/0076

Abstract: A method for controlling appetite by means of a satiation device is disclosed. The device, which includes a flexible webbing defining proximal and distal openings and a biasing structure, is attached to the patient's stomach with the proximal opening positioned adjacent and below the patient's gastro-esophageal junction. The biasing structure imparts pressure against the wall of the patient's stomach adjacent the gastro-esophageal junction.

Abstract translation: 公开了一种通过饱和装置控制食欲的方法。 包括限定近端和远端开口的柔性织带以及偏置结构的装置被附接到患者的胃，其中邻近开口定位在患者的胃食管结合处。 偏压结构在邻近胃食管交界处施加压力抵靠患者胃壁。

公开(公告)号：US20160262921A1

公开(公告)日：2016-09-15

申请号：US15071229

申请日：2016-03-16

Applicant: Boston Scientific Scimed, Inc.

Inventor： Daniel BALBIERZ ,  David COLE ,  Samuel CREWS ,  Bretton SWOPE ,  Justen ENGLAND

IPC: A61F5/00 ,  A61B17/068

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 through 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。 当钉或其它紧固件通过夹持物驱动时，两个或更多个组织的夹持件彼此完全或部分地对准，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。

公开(公告)号：US20160022464A1

公开(公告)日：2016-01-28

申请号：US14878791

申请日：2015-10-08

Applicant: Boston Scientific Scimed, Inc.

Inventor： Richard S. STACK ,  Richard A. GLENN ,  Daniel BALBIERZ ,  John LUNSFORD ,  William L. ATHAS

IPC: A61F5/00

CPC classification number: A61F5/0089 ,  A61F5/0079

Abstract: Described herein is a positioning tool having an elongate portion for carrying a medical implant. Also described is a method of positioning a medical implant using an elongate positioning tool. One form of the method includes positioning a medical implant on a distal portion of an elongate positioning tool, inserting the positioning tool with the implant thereon into a body cavity manipulating the positioning tool to position the implant into contact with tissue at an attachment location, attaching the implant to surrounding tissue at the attachment location, separating the implant from the positioning tool, and withdrawing the positioning tool from the body. In a preferred embodiment, the position of the implant is visually confirmed using an endoscope before the implant is attached to surrounding tissue. In one embodiment, the implant is a satiation device and the body cavity is the esophagus and/or stomach. In an alternative embodiment, an expansion structure on the distal end of the elongate portion expands and/or contracts the medical implant to facilitate positioning.

Abstract translation: 本文描述的是具有用于承载医用植入物的细长部分的定位工具。 还描述了使用细长定位工具定位医疗植入物的方法。 该方法的一种形式包括将医疗植入物定位在细长定位工具的远侧部分上，将其上的植入物插入定位工具进入体腔以操纵定位工具以将植入物定位在附着位置处与组织接触 植入到附接位置处的周围组织，将植入物与定位工具分离，并将定位工具从身体上取出。 在优选实施例中，在植入物附接到周围组织之前，使用内窥镜在视觉上确认植入物的位置。 在一个实施例中，植入物是饱食装置，并且体腔是食道和/或胃。 在替代实施例中，细长部分的远端上的膨胀结构膨胀和/或收缩医疗植入物以便于定位。

公开(公告)号：US20140374465A1

公开(公告)日：2014-12-25

申请号：US14479542

申请日：2014-09-08

Applicant: Boston Scientific Scimed, Inc.

Inventor： David COLE ,  Jesica FERRO ,  Bretton SWOPE ,  Tyler GRUBB ,  Daniel BALBIERZ

IPC: A61B17/068

CPC classification number: A61B17/068 ,  A61B17/07292 ,  A61B17/1155 ,  A61B2017/00539 ,  A61B2017/00876 ,  A61B2017/07271 ,  A61B2017/306

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.

Abstract translation: 描述了一种用于形成多个组织浸润而不需要在穿刺之间重新装载装置的吻合装置。 该装置包括朝向和远离组织捕获位置移动的缝钉和砧座壳体。 钉仓壳体中的墨盒支架支撑具有多组胶印缝隙槽的墨盒，其中每组中的槽围绕墨盒中心轴线圆形排列。 当钉盒组件和砧座壳体中的砧座之间抓住组织折叠时，订书钉壳体中的订书钉驱动器承载多个臂，用于接合和弹出钉仓中的第一组订书钉中的订书钉。 当订书钉驱动器缩回时，在组织折痕形成之后，盒组件和纸巾驱动器被索引以排出下一组订书钉。