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：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：US20170000637A1

公开(公告)日：2017-01-05

申请号：US15267520

申请日：2016-09-16

Applicant: Boston Scientific Scimed, Inc.

Inventor： Samuel CREWS ,  Bretton SWOPE ,  Justen ENGLAND

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

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。

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。