公开(公告)号：US11864751B2

公开(公告)日：2024-01-09

申请号：US16701276

申请日：2019-12-03

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Vladimir Mitelberg ,  Thomas Neudeck ,  Ryan Gilkey ,  Naser Ahmad ,  Andrew Gant ,  Donald K. Jones

IPC: A61B17/04 ,  A61B17/00

CPC classification number: A61B17/0469 ,  A61B17/0401 ,  A61B2017/00004 ,  A61B2017/0437 ,  A61B2017/0441 ,  A61B2017/0443

Abstract: A deployment system includes a sheath, a torque able shaft having a handle positioned at its proximal end, a detachable helical first suture anchor positioned at the shafts distal end and an elongate suture fixedly coupled to the suture anchor. The deployment system can be positioned at a first tissue, and the shaft rotated to advance the helical first suture anchor into engagement with the first tissue. The shaft is detached from the first suture anchor thereby deploying it at the first tissue location. Then, the deployment system is removed from the patient, and a second suture anchor is coupled to the distal end of the shaft. The deployment system is re-inserted into the patient and the distal end of the system is moved adjacent a second tissue location, and the process is repeated for a second suture anchor at the second tissue location. A suture extends between the first and second fasteners, and tension is applied to the suture to draw the first and second tissues toward each other to reconfigure the tissue.

公开(公告)号：US20240164768A1

公开(公告)日：2024-05-23

申请号：US18515150

申请日：2023-11-20

Applicant: Boston Scientific Scimed, Inc.

Inventor： John Mims ,  Luis Amador, JR. ,  Jason Mehta ,  Thomas Neudeck ,  Michael Fries ,  Vladimir Mitelberg

IPC: A61B17/04 ,  A61B34/20

CPC classification number: A61B17/0469 ,  A61B34/20 ,  A61B2017/00818

Abstract: Flexible robotic systems are provided for guidance and to facilitate reliable suturing within the gastrointestinal tract. Such robotic systems provide assistance, assurance, and/or validation to compensate for the level of skill and experience of the operator, and to expedite completion of bariatric procedures approached from within the stomach.

公开(公告)号：US20240122593A1

公开(公告)日：2024-04-18

申请号：US18532338

申请日：2023-12-07

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Vladimir Mitelberg ,  Thomas Neudeck ,  Ryan Gilkey ,  Naser Ahmad ,  Andrew Gant ,  Donald K. Jones

IPC: A61B17/04

CPC classification number: A61B17/0469 ,  A61B17/0401 ,  A61B2017/00004 ,  A61B2017/0437 ,  A61B2017/0443

Abstract: A deployment system includes a sheath, a torque able shaft having a handle positioned at its proximal end, a detachable helical first suture anchor positioned at the shafts distal end and an elongate suture fixedly coupled to the suture anchor. The deployment system can be positioned at a first tissue, and the shaft rotated to advance the helical first suture anchor into engagement with the first tissue. The shaft is detached from the first suture anchor thereby deploying it at the first tissue location. Then, the deployment system is removed from the patient, and a second suture anchor is coupled to the distal end of the shaft. The deployment system is re-inserted into the patient and the distal end of the system is moved adjacent a second tissue location, and the process is repeated for a second suture anchor at the second tissue location. A suture extends between the first and second fasteners, and tension is applied to the suture to draw the first and second tissues toward each other to reconfigure the tissue.

公开(公告)号：US20250160819A1

公开(公告)日：2025-05-22

申请号：US19029207

申请日：2025-01-17

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Vladimir Mitelberg ,  Thomas Neudeck ,  John Mims

IPC: A61B17/04 ,  A61B1/00 ,  A61B1/018 ,  A61B17/00 ,  A61B17/06 ,  A61B17/062 ,  A61B17/30

Abstract: An endoscopic suturing system includes an endoscope, a suturing device, a needle assembly movable through tissue by the suturing device, and first and second devices used in association with the suturing device. The cap assembly includes a rotatable needle arm supporting the needle assembly and actuatable by a proximal handle via a transmission assembly. First and second separate lumen extends outside the endoscope from the cap assembly to a proximal handle to advance instruments therethrough to engage the needle assembly and target the tissue. The cap assembly is retained at an end of the endoscope by a securing arm. The securing arm may be resilient or rotatable. Ancillary clips are also provided about the first and second lumen and transmission assembly to couple them to the endoscope.

公开(公告)号：US20250040923A1

公开(公告)日：2025-02-06

申请号：US18793101

申请日：2024-08-02

Applicant: Boston Scientific Scimed, Inc.

Inventor： John Mims ,  Luis Amador, JR. ,  Jason N. Mehta ,  Thomas Neudeck ,  Michael Fries ,  Vladimir Mitelberg ,  Andrew MacLeod ,  Douglas Ivan Jennings

IPC: A61B17/04 ,  A61B17/06 ,  A61B34/30

Abstract: A robotic system has a flexible portion adapted for insertion into the gastrointestinal tract and includes a suturing system with a needle holder. An actuator is coupled to the needle holder and is adapted to act on the needle holder arm and needle such that the needle can be repeatedly moved through a path. The actuator is driven by a drive mechanism from the robotic system.

公开(公告)号：US20240277426A1

公开(公告)日：2024-08-22

申请号：US18582284

申请日：2024-02-20

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： John Mims ,  Luis Amador, JR. ,  Jason N. Mehta ,  Thomas Neudeck ,  Michael Fries ,  Vladimir Mitelberg ,  Andrew MacLeod ,  Douglas Ivan Jennings

IPC: A61B34/30 ,  A61B17/00 ,  A61B17/04

CPC classification number: A61B34/30 ,  A61B17/0469 ,  A61B2017/00477 ,  A61B2034/301

Abstract: Mounting systems configured to operably couple a tool module with respect to a component of a medical instrument. In some aspects, the component to which the tool module is operably coupled is an elongate member that is suitable for passage through a natural orifice of the patient. The tool module may include a replaceable end cap having a needle holder adapted to pass a needle through tissue, and an actuator adapted to control movement of the needle holder arm. A suture needle with suture may be removably coupled to the needle holder. The instrument may be operably associated with a robotic system for robotic control of the component of the instrument with which the tool module is operably coupled, and/or the tool module.