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    ENDOSCOPIC PLICATION DEVICES AND METHODS
    1.
    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。

    MULTI-FIRE STAPLING SYSTEMS
    4.
    发明申请
    MULTI-FIRE STAPLING SYSTEMS 有权
    多消防系统

    公开(公告)号：US20140231489A1

    公开(公告)日：2014-08-21

    申请号：US14259781

    申请日：2014-04-23

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： Daniel J. Balbierz ,  Pablo R. Hambly ,  Jason S. Stewart ,  David Cole

    IPC: A61B17/068

    CPC classification number: A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07271 ,  A61F5/0086

    Abstract: A staple housing includes an array of staples each in a staple delivery position or “ready position” ready to be fired into target tissue. A staple driver is advanceable to drive the ready position staples from the staple head into the tissue using staple pushers. During use, the staples in the ready positions are simultaneously fired into the target tissue using the staple pushers, forming an array of staples in the target tissue. After the array has been fired, one or more feed mechanisms within the staple housing advance a second group of staples from one or more staple storage locations into the ready positions in preparation for firing of the second group of staples.

    Abstract translation: 订书钉壳体包括各自位于钉送出位置的订书钉阵列或准备好被烧制到目标组织中的“就绪位置”。 订书钉驱动器是可前进的，以使用订书钉推动器将准备好的订书钉从订书钉头驱动到组织中。 在使用期间，准备位置中的订书钉使用订书钉推动器同时被烧制到目标组织中，从而在目标组织中形成一排钉。 在阵列被点火之后，钉仓壳体内的一个或多个进给机构将第二组订书钉从一个或多个订书钉存储位置推进到就绪位置，以准备第二组钉的点火。

    Multi-fire stapling methods
    7.
    发明授权
    Multi-fire stapling methods 有权

    公开(公告)号：US10368862B2

    公开(公告)日：2019-08-06

    申请号：US15246384

    申请日：2016-08-24

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： Daniel J. Balbierz ,  Pablo R. Hambly ,  Jason S. Stewart ,  David Cole

    IPC: A61B17/068 ,  A61B17/072 ,  A61B17/115 ,  A61F5/00 ,  A61B17/00

    Abstract: A staple housing includes an array of staples each in a staple delivery position or “ready position” ready to be fired into target tissue. A staple driver is advanceable to drive the ready-position staples from the staple head into the tissue using staple pushers. During use, the staples in the ready positions are simultaneously fired into the target tissue using the staple pushers, forming an array of staples in the target tissue. After the array has been fired, one or more feed mechanisms within the staple housing advance a second group of staples from one or more staple storage locations into the ready positions in preparation for firing of the second group of staples.

    Overtube introducer for use in endoscopic bariatric surgery
    9.
    发明授权
    Overtube introducer for use in endoscopic bariatric surgery 有权
    Overtube导引器用于内镜减肥手术

    公开(公告)号：US09545249B2

    公开(公告)日：2017-01-17

    申请号：US13964890

    申请日：2013-08-12

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： David Cole ,  Melanie L. Harris ,  Carlos E. Castro ,  Jason S. Stewart ,  Samuel T. Crews ,  Daniel J. Balbierz

    IPC: A61B17/02 ,  A61B1/00 ,  A61B1/005 ,  A61B1/273

    CPC classification number: A61B17/0218 ,  A61B1/00078 ,  A61B1/00135 ,  A61B1/0051 ,  A61B1/2736

    Abstract: This application describes an overtube device that gives diagnostic and/or therapeutic access to body cavities using natural orifices of the body. The overtube includes an elongate flexible body having a distal portion deflectable in response to activation of a control cable. Proximal features of the overtube include an insufflations port and seals for minimizing loss of insufflations pressure around the shafts of instruments passed through the tube. In some embodiments, retractor elements are including on the distal portion of the overtube.

    Abstract translation: 该应用描述了一种使用身体天然孔的诊断和/或治疗进入体腔的外套管装置。 外套管包括细长的柔性体，其具有响应于控制电缆的启动而可偏转的远侧部分。 外套管的近端特征包括吹入口和密封件，用于使穿过管的仪器的轴周围的吸入压力最小化。 在一些实施例中，牵开器元件包括在外套管的远端部分上。

    Multi-fire stapling systems
    10.
    发明授权
    Multi-fire stapling systems 有权
    多火装订系统

    公开(公告)号：US09451956B2

    公开(公告)日：2016-09-27

    申请号：US14259781

    申请日：2014-04-23

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： Daniel J. Balbierz ,  Pablo R. Hambly ,  Jason S. Stewart ,  David Cole

    IPC: A61B17/068 ,  A61B17/115 ,  A61F5/00 ,  A61B17/072

    CPC classification number: A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07271 ,  A61F5/0086

    Abstract: A staple housing includes an array of staples each in a staple delivery position or “ready position” ready to be fired into target tissue. A staple driver is advanceable to drive the ready position staples from the staple head into the tissue using staple pushers. During use, the staples in the ready positions are simultaneously fired into the target tissue using the staple pushers, forming an array of staples in the target tissue. After the array has been fired, one or more feed mechanisms within the staple housing advance a second group of staples from one or more staple storage locations into the ready positions in preparation for firing of the second group of staples.

    Abstract translation: 订书钉壳体包括各自位于钉送出位置的订书钉阵列或准备好被烧制到目标组织中的“就绪位置”。 订书钉驱动器是可前进的，以使用订书钉推动器将准备好的订书钉从订书钉头驱动到组织中。 在使用期间，准备位置中的订书钉使用订书钉推动器同时被烧制到目标组织中，从而在目标组织中形成一排钉。 在阵列被点火之后，钉仓壳体内的一个或多个进给机构将第二组订书钉从一个或多个订书钉存储位置推进到就绪位置，以准备第二组钉的点火。

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