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。

公开(公告)号：US11950778B2

公开(公告)日：2024-04-09

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 ,  A61B17/00 ,  A61B17/08 ,  A61B17/29 ,  A61B17/30

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

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：US10299796B2

公开(公告)日：2019-05-28

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 ,  A61B17/068 ,  A61B17/072 ,  A61B17/128 ,  A61B17/11 ,  A61F5/00 ,  A61B17/02 ,  A61B17/00 ,  A61B17/30

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.

公开(公告)号：US10285836B2

公开(公告)日：2019-05-14

申请号：US15234515

申请日：2016-08-11

Applicant: Boston Scientific Scimed, Inc.

Inventor： Richard S. Stack ,  Daniel J. Balbierz ,  William L. Athas ,  John Lunsford ,  Kevin Van Bladel ,  Ashik Mohan ,  Samuel T. Crews ,  Shuji Uemura ,  Robert T. Hawes

IPC: A61F5/00 ,  A61B17/00 ,  A61M25/01

Abstract: The present application describes an implant system useable for positioning an implant device such as a device useful for restricting passage of ingested food into the stomach. In one embodiment, the disclosed system includes a plurality of anchors that may be coupled to tissue within the stomach, or to a tissue tunnel formed by plicating stomach wall tissue. The anchor includes a loop. During use, the implant device is inserted through the loop and expanded such that it retains its position within the loop until removed. Instruments for implanting and explanting the implant device are also described.

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。