Boston Scientific Medical Device Limited (Ireland)
Inventor
Davies, Gareth
Urbanski, John Paul
Abou-Marie, Rund
Abstract
Embodiments of medical devices and methods are disclosed. The medical devices typically comprise a flexible elongate member defining a lumen, and a support spine affixed to the distal end and extending proximally therefrom within the elongate member lumen. In some embodiments, the support spine is pre-shaped such that the support spine biases the distal region of the elongate member to adopt a straight configuration, or the support spine biases at least a portion of the distal region of the elongate member to adopt a curved shape to form a curved portion. Some embodiments include apertures at or near the distal end for enabling fluid communication between the lumen and the outside environment. In some embodiments, the support wire extends proximally from the distal end within a distal portion of the lumen such that a proximal portion of the lumen is substantially unobstructed.
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 5/0215 - Measuring pressure in heart or blood vessels by means inserted into the body
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
Boston Scientific Medical Device Limited (Ireland)
Inventor
Purohit, Hitendra
Sharma, Deepak Kumar
Debnath, Madhurima
Abstract
A medical device comprising a handle, a shaft extending from the handle, and an inflatable module at a distal portion of the shaft, the module including a camera, wherein the shaft includes a body defining a first channel extending between a first end configured to be in fluid communication with a fluid source, and a second end in fluid communication with the module, and wherein inflation of the module alters a viewing angle of the camera relative to an axis of the distal portion of the shaft.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
3.
ABLATION CATHETERS WITH ELECTROPLATED HEATING ELEMENT TO TREAT VARICOSE VEINS
Boston Scientific Medical Device Limited (Ireland)
Inventor
Wang, Yinghua
Luo, Mengxiang
Xie, Mingfeng Frank
Zhang, Cheng
Cai, Longsheng
Pan, Linshanzi
Abstract
At least some embodiments of the present disclosure are directed to a catheter for use in varicose vein treatment including a handle, an elongated shaft connected to the handle, and a heating element disposed near the distal end of the shaft. In some embodiments, the heating element includes an electrically conductive trace defining a plurality of parallel segments arranged along a length of the tubular polymeric member, and an arcuate segment disposed between and connecting the parallel segments.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Bansal, Shobhit
Abstract
Medical devices, medical systems, and related methods for providing traction to tissue are disclosed herein. The disclosure includes a medical device. The medical device includes a plurality of rings. Each of the plurality of rings includes a rim that defines an opening. Each of the plurality of rings includes an element that extends through the opening of each of the plurality of rings from a first side of the opening to a second side of the opening. A first side of the element is coupled to a first side of the rim, and a second side of the element is coupled to a second side of the rim.
A61B 17/02 - Surgical instruments, devices or methods for holding wounds open, e.g. retractorsTractors
A61B 17/122 - Clamps or clips, e.g. for the umbilical cord
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A61B 17/00 - Surgical instruments, devices or methods
5.
MEDICAL DEVICES, MEDICAL SYSTEMS, AND RELATED METHODS FOR PROVIDING TRACTION TO TISSUE
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Bansal, Shobhit
Abstract
Medical devices, medical systems, and related methods for providing traction to tissue are disclosed herein. The disclosure includes a medical device. The medical device includes a plurality of rings. Each of the plurality of rings includes a rim that defines an opening. Each of the plurality of rings includes an element that extends through the opening of each of the plurality of rings from a first side of the opening to a second side of the opening. A first side of the element is coupled to a first side of the rim, and a second side of the element is coupled to a second side of the rim.
Boston Scientific Medical Device Limited (Ireland)
Inventor
Sharma, Deepak Kumar
Aradhye, Charudatta Chandrakant
Bagley, Kevin L.
Abstract
Disclosed is a medical device comprising: a handle; a shaft extending from a distal end of the handle, the shaft defining a lumen; a pull wire disposed in the lumen of the shaft; and an agent delivery member connected to a distal end of the pull. The agent delivery member may comprise an expandable member and an absorbent member. The expandable member may be configured to transition from a collapsed configuration to an expanded configuration, and the expandable member may be biased to the expanded configuration.
A61B 17/12 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
A61B 17/00 - Surgical instruments, devices or methods
7.
MEDICAL SYSTEMS, DEVICES, AND METHODS FOR DELIVERING ONE OR MORE TREATMENT AGENTS
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Kumar Sharma, Deepak
Aradhye, Charudatta Chandrakant
Bagley, Kevin L.
Abstract
Disclosed is a medical device comprising: a handle; a shaft extending from a distal end of the handle, the shaft defining a lumen; a pull wire disposed in the lumen of the shaft; and an agent delivery member connected to a distal end of the pull. The agent delivery member may comprise an expandable member and an absorbent member. The expandable member may be configured to transition from a collapsed configuration to an expanded configuration, and the expandable member may be biased to the expanded configuration.
Boston Scientific Medical Device Limited (Ireland)
Inventor
Aneja, Harchetan S.
Bharos, Amit
Upadhyay, Swami
Rajarathnam, Boopathi
Abstract
The present disclosure relates generally to the field of medical devices. In particular, the present disclosure relates to valve configurations providing scalable access for medical instruments to a working channel, such as a working channel for an endoscope.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/015 - Control of fluid supply or evacuation
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61B 10/02 - Instruments for taking cell samples or for biopsy
A61B 10/04 - Endoscopic instruments, e.g. catheter-type instruments
B29D 99/00 - Subject matter not provided for in other groups of this subclass
9.
DEVICES, SYSTEMS, AND METHODS FOR MULTIPLE BIOPSY COLLECTION
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Gole, Nachiket
Morey, Subodh
Jain, Samriddhi
Adhikarath Balan, Arun
Raut, Shrikant Vasant
Dhingra, Nidhi
Abstract
Devices, systems and methods for multiple biopsy collection are described. The medical device may include a shaft defining a working channel extending from a proximal portion of the shaft to an opening at a distal tip of the shaft. A distalmost face of the distal tip may include an imaging device and a light source proximate the opening. The working channel may have a first size at the opening and a second size proximal to the imaging device and the light source, e.g., the second size being greater than the first size. At least a portion of the shaft around the opening may comprise an elastic material such that the opening is expandable in a direction away from the imaging device and the light source.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Gole, Nachiket
Jain, Samriddhi
Adhikarath Balan, Arun
Morey, Subodh
Raut, Shrikant Vasant
Dhingra, Nidhi
Abstract
Medical devices and related methods useful for cryoablation are described. The medical device may include a shaft defining a lumen and having a distal end portion that includes an inflatable balloon; and a tube movable along the lumen. The tube may be in fluid communication with the balloon and configured to supply a cryogenic fluid to a needle closing a distal end of the shaft and to the balloon. The medical device may be movable between a first configuration in which a distal end of the tube abuts a proximal end of the needle while the balloon is deflated, and a second configuration in which the distal end of the tube is proximal to the balloon, wherein supplying the cryogenic fluid through the tube inflates the balloon in the second configuration.
A61B 18/02 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Gole, Nachiket
Morey, Subodh
Jain, Samriddhi
Adhikarath Balan, Arun
Raut, Shrikant Vasant
Dhingra, Nidhi
Abstract
Devices, systems and methods for multiple biopsy collection are described. The medical device may include a shaft defining a working channel extending from a proximal portion of the shaft to an opening at a distal tip of the shaft. A distalmost face of the distal tip may include an imaging device and a light source proximate the opening. The working channel may have a first size at the opening and a second size proximal to the imaging device and the light source, e.g., the second size being greater than the first size. At least a portion of the shaft around the opening may comprise an elastic material such that the opening is expandable in a direction away from the imaging device and the light source.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
BOSTON SCIENTIFIC SCIMED, INC. (USA)
Inventor
Adhikarath Balan, Arun
Singh, Rajivkumar
Sharma, Deepak Kumar
Smith, Paul
Shaikh, Junaid Mohammed
Abstract
A system for treating tissue includes a cap mounted over a distal end of an endoscope, a clip mountable over the cap and including first and second jaws movably connected to one another between an insertion configuration, in which the first and second jaws extend over the cap to receive a target tissue therebetween, a review configuration, in which at least a portion of the clip extends into a field of view of the optical system of an endoscope, and a deployed configuration in which the clip is moved distally off of the cap so that the first and second jaws are drawn toward one another. A control element is configured so that movement proximally through the cap via a first distance moves the clip from the insertion configuration to the review configuration and a second distance moves the clip from the review configuration to the deployed configuration.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
13.
DEVICES, SYSTEMS, AND METHODS FOR TISSUE COLLECTION
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Aradhye, Charudatta Chandrakant
Adhikarath Balan, Arun
Gole, Nachiket
Dhingra, Nidhi
Morey, Subodh
Raut, Shrikant Vasant
Jain, Samriddhi
Abstract
Medical systems and related methods useful for the retrieval of multiple tissue samples are described. The system may include a sleeve defining a lumen and an aperture proximate a distal end of the sleeve, an inner guide slidable along the lumen of the sleeve and rotatable relative to the sleeve via a handle at a proximal end of the inner guide. A distal end of the inner guide may have a closed atraumatic tip. The inner guide may define at least two cavities each having a shape corresponding to the aperture of the sleeve. The inner guide may be rotatable relative to the sleeve to align one of the at least two cavities with the sleeve to retrieve a tissue sample by proximal or distal movement of the inner guide relative to the sleeve.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Sharma, Deepak Kumar
Abstract
A clipping device includes a cap having inner and outer bodies separated by a gap, a clip, a control wire extending from proximal to distal ends, and first and second sheaths. The clip is mounted on a structure and biased toward a closed configuration. The clip is received on the inner body with the arms separated to draw tissue. The first sheath receives the wire and extends to a distal end movable between insertion and extended positions. The second sheath slidably receives the first sheath and extends from a proximal end to a distal end fixed relative to the inner body. The structure extends beyond a distal end of the inner body to engage a central portion of the clip as the clip is drawn toward the cap so that the structure forces the arms apart to draw the clip into the gap.
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/10 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for applying or removing wound clampsWound clamp magazines
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Sharma, Deepak Kumar
Abstract
A clipping device includes a cap having inner and outer bodies separated by a gap, a clip, a control wire extending from proximal to distal ends, and first and second sheaths. The clip is mounted on a structure and biased toward a closed configuration. The clip is received on the inner body with the arms separated to draw tissue. The first sheath receives the wire and extends to a distal end movable between insertion and extended positions. The second sheath slidably receives the first sheath and extends from a proximal end to a distal end fixed relative to the inner body. The structure extends beyond a distal end of the inner body to engage a central portion of the clip as the clip is drawn toward the cap so that the structure forces the arms apart to draw the clip into the gap.
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/122 - Clamps or clips, e.g. for the umbilical cord
A61B 17/30 - Surgical pincettes, i.e. surgical tweezers
16.
DEVICES, SYSTEMS, AND METHODS FOR TISSUE COLLECTION
Boston Scientific Medical Device Limited (Ireland)
Inventor
Aradhye, Charudatta Chandrakant
Adhikarath Balan, Arun
Gole, Nachiket
Dhingra, Nidhi
Morey, Subodh
Raut, Shrikant Vasant
Jain, Samriddhi
Abstract
Medical systems and related methods useful for the retrieval of multiple tissue samples are described. The system may include a sleeve defining a lumen and an aperture proximate a distal end of the sleeve, an inner guide slidable along the lumen of the sleeve and rotatable relative to the sleeve via a handle at a proximal end of the inner guide. A distal end of the inner guide may have a closed atraumatic tip. The inner guide may define at least two cavities each having a shape corresponding to the aperture of the sleeve. The inner guide may be rotatable relative to the sleeve to align one of the at least two cavities with the sleeve to retrieve a tissue sample by proximal or distal movement of the inner guide relative to the sleeve.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Gole, Nachiket
Jain, Samriddhi
Adhikarath Balan, Arun
Morey, Subodh
Raut, Shrikant Vasant
Dhingra, Nidhi
Abstract
Medical devices and related methods useful for cryoablation are described. The medical device may include a shaft defining a lumen and having a distal end portion that includes an inflatable balloon; and a tube movable along the lumen. The tube may be in fluid communication with the balloon and configured to supply a cryogenic fluid to a needle closing a distal end of the shaft and to the balloon. The medical device may be movable between a first configuration in which a distal end of the tube abuts a proximal end of the needle while the balloon is deflated, and a second configuration in which the distal end of the tube is proximal to the balloon, wherein supplying the cryogenic fluid through the tube inflates the balloon in the second configuration.
A61B 18/02 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
18.
DISTAL TIPS AND ELEVATORS FOR MEDICAL DEVICES AND RELATED METHODS
Boston Scientific Medical Device Limited (Ireland)
Inventor
Dhanotiya, Aditya
Raut, Shrikant Vasant
Kulkarni, Pooja Bhuvanesh
Weldon, James
Abstract
Distal tips and elevators for medical devices, and related methods are described. A medical device may include a shaft having a working channel and a distal tip coupled to the shaft. The distal tip may include a housing having a slot in communication with the working channel. The slot may include a bottom opening formed in a bottom wall of the housing. The medical device may further include an elevator positioned within the slot. In a fully lowered configuration of the elevator, at least a portion of the elevator may extend through the bottom opening.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
G., Sharma, Kumar
Sharma, Deepak, Kumar
Bagley, Kevin, L.
Abstract
A fluid delivery system having a fluid delivery device configured to deliver a fluid in a spray form. The fluid may be a first fluid and a second fluid mixed together in a manner causing the first fluid to be delivered in a spray form. The first fluid may be a viscous fluid, such as a hemostatic agent, and the second fluid may be a pressurized fluid. The second fluid may be directed at the first fluid to cause the first fluid to be delivered in a spray form. The fluid delivery device may be adjustable to adjust the spray form. The lumens through the fluid delivery device and through the fluid delivery system are formed by channel walls and are uninterrupted by additional / separate components (e.g., valves, etc.) therein affecting fluid flow through the lumens.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Dhanotiya, Aditya
Kulkarni, Pooja Bhuvanesh
Raut, Shrikant Vasant
Weldon, James
Abstract
Elevators for medical devices and related methods are described, including an elevator having a first side wall, a second side wall, and a guide surface for contacting an accessory device. The guide surface may extend between the first side wall and the second side wall. A distal portion of the second side wall may extend further upward in a direction perpendicular to a longitudinal axis of the elevator than a distal portion of the first side wall.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
Boston Scientific Medical Device Limited (Ireland)
Inventor
Dhanotiya, Aditya
Kulkarni, Pooja Bhuvanesh
Raut, Shrikant Vasant
Weldon, James
Abstract
Elevators for medical devices and related methods are described, including an elevator having a first side wall, a second side wall, and a guide surface for contacting an accessory device. The guide surface may extend between the first side wall and the second side wall. A distal portion of the second side wall may extend further upward in a direction perpendicular to a longitudinal axis of the elevator than a distal portion of the first side wall.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
22.
MEDICAL DEVICES FOR DELIVERING ENERGY AND/OR FLUID
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Narvaez Nuñez, Katherin
Ortiz Garcia, Juan Pablo
Hayashi, Kensuke
Kobayashi, Takahiro
Abstract
A medical device for delivering energy and/or fluid may comprise: a handle including: a hub for electrically connecting the medical device to an energy source; and a fluid port configured to receive fluid from a fluid source; a shaft including a lumen for transmitting the fluid from the fluid source and a conductor for transmitting energy from the energy source; and an electrode at a distal end of the shaft. The electrode may be electrically coupled to the conductor to deliver energy from the energy source to a tissue. The electrode may include a lumen having a distal opening for delivering fluid from the fluid source to the tissue. The electrode may be immovable relative to the distal end of the shaft.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Dhanotiya, Aditya
Raut, Shrikant Vasant
Kulkarni, Pooja Bhuvanesh
Weldon, James
Abstract
Distal tips and elevators for medical devices, and related methods are described. A medical device may include a shaft having a working channel and a distal tip coupled to the shaft. The distal tip may include a housing having a slot in communication with the working channel. The slot may include a bottom opening formed in a bottom wall of the housing. The medical device may further include an elevator positioned within the slot. In a fully lowered configuration of the elevator, at least a portion of the elevator may extend through the bottom opening.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
24.
MEDICAL DEVICES AND RELATED METHODS FOR DELIVERING ENERGY AND/OR FLUID
Boston Scientific Medical Device Limited (Ireland)
Inventor
Narvaez Nuñez, Katherin
Ortiz Garcia, Juan Pablo
Hayashi, Kensuke
Kobayashi, Takahiro
Abstract
A medical device for delivering energy and/or fluid may comprise: a handle including: a hub for electrically connecting the medical device to an energy source; and a fluid port configured to receive fluid from a fluid source; a shaft including a lumen for transmitting the fluid from the fluid source and a conductor for transmitting energy from the energy source; and an electrode at a distal end of the shaft. The electrode may be electrically coupled to the conductor to deliver energy from the energy source to a tissue. The electrode may include a lumen having a distal opening for delivering fluid from the fluid source to the tissue. The electrode may be immovable relative to the distal end of the shaft.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
BOSTON SCIENTIFIC SCIMED, INC. (USA)
Inventor
Sharma, Deepak Kumar
Favreau, John Thomas
Abstract
A combination guidewire and tome shaft (24) comprising three wires (200, 210, 220). The upper wire (200) is manipulated relatively to the middle wire (210) to actively steer the shaft (24), while the lower wire (220) creates a bowed region for cutting tissue. The middle wire (210) has an upper surface, a lower surface, and a distal region defined by an eccentric cut in the upper surface and ending at a distal tip; the upper wire (200) has a distal region ending in a distal tip attached to the distal tip of the middle wire and the lower wire (200) is attached along the lower surface of the middle wire and has a distal region defined by an eccentric cut in the lower wire and ending in a distal tip that is attached to the middle wire at a point proximal of the distal region of the middle wire.
Boston Scientific Medical Device Limited (Ireland)
Boston Scientific Scimed, Inc. (USA)
Inventor
Sharma, Deepak Kumar
Favreau, John Thomas
Abstract
Devices, systems, and methods for a combination guidewire and tome shaft comprising three wires. The upper wire is manipulated to actively steer the shaft, while the lower wire creates a bowed region for cutting tissue. Insulating sheaths may cover the end of the shaft other than the bowed region of the lower wire. A voltage source allows electrification of the lower wire during cutting.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
27.
DEVICES, SYSTEMS AND METHODS FOR DELIVERING FLUIDS
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
G., Sharath Kumar
Sharma, Deepak Kumar
Bagley, Kevin L.
Abstract
A fluid delivery system having a fluid delivery device configured to deliver a fluid in a spray form. The fluid may be a first fluid and a second fluid mixed together in a manner causing the first fluid to be delivered in a spray form. The first fluid may be a viscous fluid, such as a hemostatic agent, and the second fluid may be a pressurized fluid. The second fluid may be directed at the first fluid to cause the first fluid to be delivered in a spray form. The fluid delivery device may be adjustable to adjust the spray form. The lumens through the fluid delivery device and through the fluid delivery system are formed by channel walls and are uninterrupted by additional/separate components (e.g., valves, etc.) therein affecting fluid flow through the lumens.
Boston Scientific Medical Device Limited (Ireland)
Inventor
Morey, Subodh
Gole, Nachiket
Jain, Samriddhi
Dhingra, Nidhi
Raut, Shrikant Vasant
Adhikarath Balan, Arun
Abstract
Medical devices and related methods are described. The medical device may include a handle and a shaft extending distally from the handle. The shaft may have a longitudinal axis and a lumen that terminates at a distal end of the shaft, the distal end including an imaging device. A distal end portion of the shaft may include a transparent or translucent material, and may include a light source, a mirror, and/or a reflector. The light source may be proximal to the distal end of the shaft. The mirror may be longitudinally between the light source and the reflector. The reflector may be proximal to the imaging device.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/012 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements
29.
MEDICAL DEVICES AND RELATED SYSTEMS AND METHODS OF USE
Boston Scientific Medical Device Limited (Ireland)
Inventor
Dhanotiya, Aditya
Vikharankar, Yogesh Kishor
Mishra, Sucheta
Patil, Snehal
Purohit, Hitendra
Abstract
Medical systems are described, including systems comprising a first medical device, e.g., which may comprise a handle assembly including an actuator; a shaft extending longitudinally from the handle assembly to a distal end; and a wire assembly extending through the shaft. The wire assembly may comprise a proximal portion coupled to the handle assembly; a first distal extension extending distally from the proximal portion, and a second distal extension extending distally from the proximal portion. The shaft may include a proximal section extending around the proximal portion, a first distal section extending around the first extension, a second distal section extending around the second extension, and a basket portion. The basket portion may be configured to transition from a first retracted configuration to a first expanded configuration.
A61B 17/221 - Calculus gripping devices in the form of loops or baskets
A61B 1/012 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor
A61B 1/307 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for the urinary organs, e.g. urethroscopes, cystoscopes
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
30.
SYSTEM, DEVICE, AND METHOD COMBINING BIOABSORBABLE FOAM WITH VACUUM TECHNOLOGY FOR NEOPLASTIC CYSTS
Boston Scientific Medical Device Limited (Ireland)
Inventor
Purohit, Hitendra
Mishra, Agrim
Sharma, Deepak K.
Morey, Subodh
Bhowmick, Nabarun
Abstract
A device for draining cysts includes a catheter system configured to deploy an absorbent material, including but not limited to a foam, into a cyst. The absorbent material advantageously absorbs fluid contained within the cyst, for example fluid that may remain following aspiration, reducing the potential for cyst recurrence. In various embodiments, the absorbent material may be bioabsorbable, radiolucent, echogenic, drug eluting, or a combination thereof. In some embodiments the device may further include or be coupled to a vacuum source which applies negative pressure to the cyst during foam delivery, thereby reduce the overall size and/or profile of the cyst.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Morey, Subodh
Gole, Nachiket
Jain, Samriddhi
Dhingra, Nidhi
Raut, Shrikant Vasant
Adhikarath Balan, Arun
Abstract
Medical devices and related methods are described. The medical device may include a handle and a shaft extending distally from the handle. The shaft may have a longitudinal axis and a lumen that terminates at a distal end of the shaft, the distal end including an imaging device. A distal end portion of the shaft may include a transparent or translucent material, and may include a light source, a mirror, and/or a reflector. The light source may be proximal to the distal end of the shaft. The mirror may be longitudinally between the light source and the reflector. The reflector may be proximal to the imaging device.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/06 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements
32.
MEDICAL DEVICES AND RELATED SYSTEMS AND METHODS OF USE
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Dhanotiya, Aditya
Vikharankar, Yogesh Kishor
Mishra, Sucheta
Patil, Snehal
Purohit, Hitendra
Abstract
Medical systems are described, including systems comprising a first medical device, e.g., which may comprise a handle assembly including an actuator (211); a shaft (205) extending longitudinally from the handle assembly to a distal end; and a wire assembly extending through the shaft. The wire assembly may comprise a proximal portion (263) coupled to the handle assembly; a first distal extension (216) extending distally from the proximal portion, and a second distal extension (217) extending distally from the proximal portion. The shaft may include a proximal section (261) extending around the proximal portion, a first distal section (222) extending around the first extension (216), a second distal section (223) extending around the second extension (217), and a basket portion (225). The basket portion may be configured to transition from a first retracted configuration to a first expanded configuration.
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
A61B 17/221 - Calculus gripping devices in the form of loops or baskets
A61B 17/00 - Surgical instruments, devices or methods
33.
MEDICAL DEVICES FOR DELIVERY OF TREATMENT AGENT(S)
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Sharma, Deepak Kumar
Bagley, Kevin L.
Abstract
Medical systems, devices, and related methods for delivery of treatment agent(s) are described. The medical device includes a container. The container includes a chamber and a distal cap. The distal cap of the container includes one or more holes therethrough. The chamber includes a balloon or a pouch, and a fluid cavity. The balloon or pouch radially surrounds the fluid cavity. Transitioning the balloon or pouch from a deflated configuration to an inflated configuration or from the inflated configuration to the deflated configuration urges a fluid within the fluid cavity through one or more holes of the distal cap.
Boston Scientific Medical Device Limited (Ireland)
Inventor
Bhowmick, Nabarun
Sharma, Deepak Kumar
Raut, Shrikant Vasant
Morey, Subodh
Dhanotiya, Aditya
Abstract
A medical device that includes a body and an arm extending from the body and configured to receive a first device such that the first device is suspended relative to the body. Translation of the arm relative to the body is configured to move the first device relative to the body. The medical device includes a receiver extending from the body and configured to receive a second device such that the second device is suspended relative to the body.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
35.
MEDICAL SYSTEMS, DEVICES, AND RELATED METHODS FOR DELIVERY OF TREATMENT AGENT(S)
Boston Scientific Medical Device Limited (Ireland)
Inventor
Sharma, Deepak Kumar
Bagley, Kevin L.
Abstract
Medical systems, devices, and related methods for delivery of treatment agent(s) are described. The medical device includes a container. The container includes a chamber and a distal cap. The distal cap of the container includes one or more holes therethrough. The chamber includes a balloon or a pouch, and a fluid cavity. The balloon or pouch radially surrounds the fluid cavity. Transitioning the balloon or pouch from a deflated configuration to an inflated configuration or from the inflated configuration to the deflated configuration urges a fluid within the fluid cavity through one or more holes of the distal cap.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Khan, Shoeb
Chabra, Anshul
Tomar, Peeyush
Kumar, Amit
Konduru, Jahnavi
Singh, Pallavi
Maurya, Ashutosh
Abstract
A tissue traction device configured to apply traction to a target tissue within a patient's body by attaching an end of the tissue traction device to anchoring tissue spaced apart from the target tissue. The tissue traction device includes at least one weakened region facilitating severing of the tissue traction device therealong, as compared with surrounding non-weakened regions. The at least one weakened region may be visually identifiable to facilitate severing of the tissue traction device therealong within the patient. The tissue traction device may be formed of distinctly-formed sections, such as, without limitation, enclosed shapes with an aperture therethrough, such as loops.
Boston Scientific Medical Device Limited (Ireland)
Inventor
Davies, Gareth
Urbanski, John Paul
Abou-Marie, Rund
Abstract
An electrosurgical device comprises an electrically conductive elongate member for traversing body vasculature defining a hollow lumen with one or more apertures at or near its distal end, wherein electrical energy can flow through the wall of the elongate member; and an energy delivery device in electrical communication with the elongate member is located distal to the end of the elongate member. The energy delivery device includes an electrode for delivering energy. Methods of using the electrosurgical device include cutting through occlusions and creating transseptal punctures.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Khan, Shoeb
Chabra, Anshul
Tomar, Peeyush
Kumar, Amit
Konduru, Jahnavi
Singh, Pallavi
Maurya, Ashutosh
Abstract
A tissue traction device configured to apply traction to a target tissue within a patient's body by attaching an end of the tissue traction device to anchoring tissue spaced apart from the target tissue. The tissue traction device includes at least one weakened region facilitating severing of the tissue traction device therealong, as compared with surrounding non-weakened regions. The at least one weakened region may be visually identifiable to facilitate severing of the tissue traction device therealong within the patient. The tissue traction device may be formed of distinctly-formed sections, such as, without limitation, enclosed shapes with an aperture therethrough, such as loops.
A61B 17/02 - Surgical instruments, devices or methods for holding wounds open, e.g. retractorsTractors
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/00 - Surgical instruments, devices or methods
Boston Scientific Medical Device Limited (Ireland)
Inventor
Leung, Charlene
Davies, Gareth
Abstract
An adaptable dilator for use with a crossing device is provided herein. The dilator comprises a dilator hub housing defining a distal end and a proximal end. the dilator further comprises a dilator body extending distally from the dilator hub housing. The dilator further comprises a locking feature disposed adjacent the proximal side of the dilator hub housing. The locking feature being movable between a neutral position defining a first diameter and a second position defining a second diameter. The locking feature also defines an engaged position defining an engaged diameter, the engaged position between the neutral position and the second position and the engaged diameter between the first diameter and the second diameter. The engaged diameter is variable such that the engaged position is configured to engage an inner diameter of a therapy sheath hub.
Boston Scientific Medical Device Limited (Ireland)
Inventor
Dicicco, Matthew
Moriyama, Eduardo
Balkovec, Christian
Davies, Gareth
Abstract
An electrosurgical device for discretely cutting target tissue that is adjacent non-target tissue includes an elongate shaft having a proximal portion including a proximal end and a distal portion including a distal end. At least one electrode is configured to cut the target tissue. The at least one electrode has a surface area and is located on the distal portion. The distal portion is electrically insulated from the at least one electrode and has a surface area significantly larger than the surface area of the at least one electrode. The distal portion is configured to prevent movement of the distal portion into a cut or puncture formed in the target tissue by application of energy to the at least one electrode.
Boston Scientific Medical Device Limited (Ireland)
Inventor
Leung, Jackie
Macdonald, Matthew
Mathur, Prateek
Montgomery, Miles
Avivi, Doran
Ma, Brian
Bonnell, Esme
Abstract
Sheaths and method of manufacturing sheaths are disclosed. The sheath includes an elongated shaft defining a major lumen along a longitudinal axis and having a distal section opposite a proximal section. The shaft including a signal layer. The signal layer includes an electrically insulative substrate, an electrically conductive lead trace disposed on the electrically insulative substrate, and an interface pad exposed on a radially outward surface of the signal layer in the distal section and electrically coupled to the lead trace. The lead trace extends in a curvilinear serpentine route from the proximal section to the distal section. An electrode is exposed on the shaft and electrically coupled to the interface pad.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Dicicco, Matthew
Moriyama, Eduardo
Balkovec, Christian
Davies, Gareth
Abstract
An electrosurgical device for discretely cutting target tissue that is adjacent non-target tissue includes an elongate shaft having a proximal portion including a proximal end and a distal portion including a distal end. At least one electrode is configured to cut the target tissue. The at least one electrode has a surface area and is located on the distal portion. The distal portion is electrically insulated from the at least one electrode and has a surface area significantly larger than the surface area of the at least one electrode. The distal portion is configured to prevent movement of the distal portion into a cut or puncture formed in the target tissue by application of energy to the at least one electrode.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Leung, Charlene
Leung, Linus Hoi Che
Choi, Matthew L.
Abstract
An adaptable dilator hub (202, 320) comprises a dilator hub housing (321, 421) defining a hub lumen (325) extending through the dilator hub housing. The dilator hub housing defines an outer diameter, and the hub lumen defines an inner diameter. The dilator hub comprises a locking mechanism (322, 323) disposed within the dilator hub housing, the locking mechanism engages with the hub lumen, and configured to secure a guidewire therein. A hub feature (427, 435, 436, 437) is disposed on an outer surface of the dilator hub housing defining a feature dimeter. The feature diameter being larger than the outer diameter of the hub housing.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Leung, Jackie
Macdonald, Matthew
Mathur, Prateek
Avivi, Doran
Ma, Brian
Bonnell, Esme
Montgomery, Miles
Abstract
Sheaths and method of manufacturing sheaths are disclosed. The sheath includes an elongated shaft defining a major lumen along a longitudinal axis and having a distal section opposite a proximal section. The shaft including a signal layer. The signal layer includes an electrically insulative substrate, an electrically conductive lead trace disposed on the electrically insulative substrate, and an interface pad exposed on a radially outward surface of the signal layer in the distal section and electrically coupled to the lead trace. The lead trace extends in a curvilinear serpentine route from the proximal section to the distal section. An electrode is exposed on the shaft and electrically coupled to the interface pad.
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
Boston Scientific Medical Device Limited (Ireland)
Inventor
Kinio, Steven
Davies, Gareth
Murtescu, Laurentiu
Abstract
A system of medical devices includes a first medical device, a second medical device, an RLC circuit, a processor, and an output device. The first medical device includes an elongate member having a lumen. The second medical device includes a needle advanceable through the lumen. The RLC circuit includes an excitation voltage source, a resistor, a capacitor, an inductor, and an output voltage sensor. The inductor includes a coil that is supported by the first medical device and wound around the lumen. As the needle is advanced through the lumen, an output voltage of the RLC circuit is an indicator of a longitudinal position of the needle with respect to the elongate member. The voltage sensor is configured to sense the output voltage, and the processor and output device are configured to generate an output that is an indicator of the longitudinal position of the needle.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Ramadan, Sherif
Davies, Gareth
Koon, Lauren
Choi, Matthew
Abstract
A radiofrequency perforation device for perforating a tissue is disclosed. The radiofrequency perforation device includes an elongate member defining a lumen and extending from a proximal portion including a hub to a distal portion, the distal portion including an open port housing having at least one aperture and an open port outer diameter. The radiofrequency perforation device also includes a functional distal tip located at the distal portion of the elongate member having a distal face and including a distal tip electrode and a distal tip outer diameter. The distal portion further includes a tapered arm connecting the open port housing to the functional distal tip, wherein the open port housing is proximal to the functional distal tip and wherein the functional distal tip outer diameter is less than the open port housing outer diameter. The distal face is a half-dome shape such that it reduces coring of the tissue.
Boston Scientific Medical Device Limited (Ireland)
Inventor
Purohit, Hitendra
Mishra, Agrim
Rohilla, Rohit
Basu, Abhishek
Abstract
A biopsy forceps includes an end effector with opposing first and second jaws coupled together and configured to move from an open configuration to a closed configuration. Each of the first jaw and the second jaw includes a plurality of teeth having a base. The bases of two adjacent teeth of the first jaw are spaced apart to form a first gap, and the bases of two adjacent teeth on the second jaw are spaced apart to form a second gap. The end effector in the closed configuration may define one or more windows between edges of the first and the second jaws. And, at least one of these windows may include at least a portion of one or both of the first and second gaps.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
BOSTON SCIENTIFIC SCIMED, INC. (USA)
Inventor
Johnson, Austin, Grant
Singh, Rajivkumar
Harris, Colby
Lewitzky, Jennifer
Abstract
A system includes a cap, a clip having jaws movable between open and closed configurations, a tubing system, and a control assembly. The cap includes proximal and distal portions. The tubing system includes a proximal structure and distal structures. A proximal end of each of the structures is connected to a distal end of the structure via a bifurcation such that the structures are in communication with the structure. The distal end of each of the structures is connected to the cap. The assembly includes wires extending through the structure and a corresponding one of the structures to be releasably coupled to the clip, and overtubes received within the structures to extend over a portion of the wires. The wires and the overtubes longitudinally move relative to the cap to move the clip between insertion, closed and review configurations.
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A61B 17/122 - Clamps or clips, e.g. for the umbilical cord
Boston Scientific Medical Device Limited (Ireland)
Inventor
Ramadan, Sherif
Davies, Gareth
Koon, Lauren
Choi, Matthew
Abstract
A radiofrequency perforation device for perforating a tissue is disclosed. The radiofrequency perforation device includes an elongate member defining a lumen and extending from a proximal portion including a hub to a distal portion, the distal portion including an open port housing having at least one aperture and an open port outer diameter. The radiofrequency perforation device also includes a functional distal tip located at the distal portion of the elongate member having a distal face and including a distal tip electrode and a distal tip outer diameter. The distal portion further includes a tapered arm connecting the open port housing to the functional distal tip, wherein the open port housing is proximal to the functional distal tip and wherein the functional distal tip outer diameter is less than the open port housing outer diameter. The distal face is a half-dome shape such that it reduces coring of the tissue.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
BOSTON SCIENTIFIC SCIMED, INC. (USA)
Inventor
Johnson, Austin Grant
Singh, Rajivkumar
Harris, Colby
Lewitzky, Jennifer
Abstract
A system includes a cap, a clip having jaws movable between open and closed configurations, a tubing system, and a control assembly. The cap includes proximal and distal portions. The tubing system includes a proximal structure and distal structures. A proximal end of each of the structures is connected to a distal end of the structure via a bifurcation such that the structures are in communication with the structure. The distal end of each of the structures is connected to the cap. The assembly includes wires extending through the structure and a corresponding one of the structures to be releasably coupled to the clip, and overtubes received within the structures to extend over a portion of the wires. The wires and the overtubes longitudinally moves relative to the cap to move the clip between insertion, closed and review configurations.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61F 2/856 - Single tubular stent with side portal passage
Boston Scientific Medical Device Limited (Ireland)
Inventor
Aswatha Narayana, Balaji
Insull, Jeff
Kshatriya, Vijay
Abstract
According to one aspect, a hand assist device may be configured for use with an endoscope. The hand assist device may comprise a body configured to removably couple to a handle of the endoscope. The body may comprise a recess configured to receive the handle of the endoscope. The recess may extend from a proximal end of the body to a distal end of the body. The body may also comprise a palm support portion and a finger support portion proximal to the palm support portion. The body may further comprise a base support portion distal to the palm support portion.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
B25G 1/10 - Handle constructions characterised by material or shape
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Bharos, Amit
Gupta, Priyanshu
Singh, Mahendra Pratap
Garg, Neeraj
Abstract
A biopsy cap assembly may include a housing and a sleeve positioned within the housing. The sleeve may include a first plurality of threads. The biopsy cap assembly may also include a knob positioned around the sleeve. The knob may include a second plurality of threads that engage with the first plurality of threads. Rotation of the knob relative to the housing and the sleeve may cause a portion of the sleeve to decrease in diameter.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/31 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor for the rectum, e.g. proctoscopes, sigmoidoscopes
A61B 17/00 - Surgical instruments, devices or methods
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
A61B 1/07 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres
Boston Scientific Medical Device Limited (Ireland)
Inventor
Bharos, Amit
Gupta, Priyanshu
Singh, Mahendra Pratap
Garg, Neeraj
Abstract
A biopsy cap assembly may include a housing and a sleeve positioned within the housing. The sleeve may include a first plurality of threads. The biopsy cap assembly may also include a knob positioned around the sleeve. The knob may include a second plurality of threads that engage with the first plurality of threads. Rotation of the knob relative to the housing and the sleeve may cause a portion of the sleeve to decrease in diameter.
A61B 10/04 - Endoscopic instruments, e.g. catheter-type instruments
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Hayashi, Kensuke
Ortiz Garcia, Juan Pablo
Narvaez Nuñez, Katherin
Abstract
A medical device includes a fluid supply port, a handle assembly including an operator mechanism, and a scissors assembly. The scissor assembly includes a first shear including a gripping portion, a cutting portion, and a lever portion. The scissor assembly also includes a first actuation link including a distal end and a proximal end and operatively coupled to the first shear at the lever portion. The scissor assembly includes a second shear including a gripping portion, a cutting portion, and a lever portion. The scissor assembly includes a second actuation link including a distal end and a proximal end and operatively coupled to the second shear at the lever portion, and the scissor assembly also includes an operating arm operatively coupled to the distal ends of the first actuation link and the second actuation link.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Aneja, Harchetan Singh
Bharos, Amit
Upadhyay, Swami
Rajarathnam, Boopathi
Abstract
The present disclosure relates generally to the field of medical instruments. In particular, the present disclosure relates to a biopsy cap and endoscope biopsy cap housing with improved stability and stress distribution to securely and removably attach to an endoscope biopsy port. In one example, a biopsy cap housing may include a first center-split half comprising a first half of an upper and lower chamber and first pivot member, and a second center-split half comprising a second half of an upper and lower chamber, and second pivot member, wherein mating surfaces of the first and second center-split halves may be configured to interlock to define the upper and lower chambers.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/015 - Control of fluid supply or evacuation
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61B 10/02 - Instruments for taking cell samples or for biopsy
A61B 10/04 - Endoscopic instruments, e.g. catheter-type instruments
B29D 99/00 - Subject matter not provided for in other groups of this subclass
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Aneja, Harchetan Singh
Rajarathnam, Boopathi
Upadhyay, Swami
Rawat, Shalin Singh
Neelamegam, Venkatesh
Abstract
Attachments for endoscopes as well as methods for making and using attachments are disclosed. An example attachment may include a housing. One or more angled locking members may extend from an inner surface of the housing. The angled locking members may be designed to engage a biopsy port of an endoscope. One or more stabilizing members may extend from the inner surface of the housing. A locking apparatus may be coupled to the housing. A sealing member may be disposed within the housing.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/015 - Control of fluid supply or evacuation
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61B 10/02 - Instruments for taking cell samples or for biopsy
A61B 10/04 - Endoscopic instruments, e.g. catheter-type instruments
B29D 99/00 - Subject matter not provided for in other groups of this subclass
57.
DEVICES, SYSTEMS AND METHODS FOR A BIOPSY CAP AND HOUSING
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Aneja, Harchetan Singh
Bharos, Amit Sharad
Upadhyay, Swami
Rajarathnam, Boopathi
Rawat, Shalin Singh
Neelamegam, Venkatesh
Abstract
The present disclosure relates generally to the field of medical instruments. More particularly, the present disclosure pertains to medical instruments for use with an endoscope, such as a biopsy cap and a biopsy cap housing with improved stability and stress distribution, for example, to securely attach to an endoscope biopsy port.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/015 - Control of fluid supply or evacuation
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
A61B 10/02 - Instruments for taking cell samples or for biopsy
A61B 10/04 - Endoscopic instruments, e.g. catheter-type instruments
B29D 99/00 - Subject matter not provided for in other groups of this subclass
58.
MEDICAL DEVICES, COMPONENTS, AND METHODS FOR REUSABLE DEVICES OR COMPONENTS
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Kulkarni, Pooja Bhuvanesh
Weitzner, Barry
Sharma, Deepak Kumar
Raut, Shrikant Vasant
Dhanotiya, Aditya
Gole, Nachiket
Morey, Subodh
Abstract
A medical device is disclosed herein. The medical device including a disposable portion. The disposable portion including a sheath and a wire disposed within a lumen of the sheath. The medical device further including a handle. The handle including a main body with a slot and a releasably engageable moveable body. The moveable body is formed by a first component and a second component. The first component and the second component are releasably engageable with both the slot and a proximal portion of the disposable portion. Movement of the moveable body is configured to move the wire.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
BOSTON SCIENTIFIC SCIMED, INC. (USA)
Inventor
Lund, Jonathan J.
Bostrom, John Anders
Gindele, Paul John
Hareland, Matthew T.
Imsdahl, Sheri
Kumar, Amit
Mujwid, James Ryan
Nelson, Matthew Lee
Goddard, James M.
Anderson, Brittany
Tassoni, Jr., Anthony Frank
Devisetty, Harshitavenkat
Torraca, Theresa
Yatim, Mazen
Goshen, Samuel
Masson, Laura Elizabeth
Abstract
An ostomy system includes an adapter. The adapter includes a body defined via a first surface configured to be positioned. When the adapter is in an operative configuration, facing toward a skin of a living body, and a second surface configured to be positioned when the adapter is in the operative configuration, facing away from the skin, an opening extending through the body from the first surface to the second surface, the opening being configured so that, when adapter is in the operative configuration, the body is positioned relative to a stoma such that a portion of the stoma is received within the opening, the body including a chamber configured to receive an odor-absorbing filter and a channel extending between the opening and the chamber to facilitate odor-absorption from intestinal contents passing through the opening into the chamber.
A61F 5/44 - Devices worn by the patient for reception of urine, faeces, catamenial or other dischargeColostomy devices
A61F 5/441 - Devices worn by the patient for reception of urine, faeces, catamenial or other dischargeColostomy devices having deodorant means, e.g. filters
A61F 5/443 - Devices worn by the patient for reception of urine, faeces, catamenial or other dischargeColostomy devices having hydrocolloid type seals, e.g. gels, starches, karaya gums
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Boston Scientific Scimed, Inc. (USA)
Inventor
Kulkarni, Pooja Bhuvanesh
Weitzner, Barry
Sharma, Deepak Kumar
Raut, Shrikant Vasant
Dhanotiya, Aditya
Gole, Nachiket
Morey, Subodh
Abstract
A medical device is disclosed herein. The medical device including a disposable portion. The disposable portion including a sheath and a wire disposed within a lumen of the sheath. The medical device further including a handle. The handle including a main body with a slot and a releasably engageable moveable body. The moveable body is formed by a first component and a second component. The first component and the second component are releasably engageable with both the slot and a proximal portion of the disposable portion. Movement of the moveable body is configured to move the wire.
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/12 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
61.
MEDICAL SYSTEMS, DEVICE, AND RELATED METHODS THEREOF
Boston Scientific Medical Device Limited (Ireland)
Inventor
Sharma, Deepak Kumar
Scutti, James J.
Abstract
A medical device comprising a handle extending between a first end and a second end, a first actuator coupled to the first end of the handle, a first shaft coupled to the second end of the handle, and a second shaft extending from the first shaft, the second shaft including a first articulation section and a second articulation section, wherein an articulation of the first actuator relative to the handle is configured to articulate the first articulation section, an articulation of the handle relative to the first shaft is configured to articulate the second articulation section, and the first articulation section and the second articulation section are restricted to articulating only in a first plane.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Delaloye, Stephane
Essinger, Jacques
Hefti, Jean-Luc
Biadillah, Youssef
Mantanus, Luc
Lombardi, Fabien
Abstract
Some embodiments of the present disclosure provide a stent-valve for transcatheter implantation to replace a cardiac valve. In some embodiments, the stent valve being compressible to a compressed state for delivery, and expandable to an operative state for implantation. In some embodiments, the stent-valve comprises a stent, a plurality of leaflets for defining a prosthetic valve, an inner skirt, an outer skirt, and a paravalve seal for sealing against surrounding tissue. In some embodiments, the paravalve seal comprising material that swells in response to contact with blood or components thereof.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
BOSTON SCIENTIFIC SCIMED, INC. (USA)
Inventor
Lund, Jonathan J.
Bostrom, John Anders
Gindele, Paul John
Hareland, Matthew T.
Imsdahl, Sheri
Kumar, Amit
Mujwid, James Ryan
Nelson, Matthew Lee
Goddard, James M.
Anderson, Brittany
Tassoni, Jr., Anthony Frank
Devisetty, Harshitavenkat
Torraca, Theresa
Yatim, Mazen
Goshen, Samuel
Masson, Laura Elizabeth
Abstract
An ostomy system includes an adapter. The adapter includes a body defined via a first surface configured to be positioned. When the adapter is in an operative configuration, facing toward a skin of a living body, and a second surface configured to be positioned when the adapter is in the operative configuration, facing away from the skin, an opening extending through the body from the first surface to the second surface, the opening being configured so that, when adapter is in the operative configuration, the body is positioned relative to a stoma such that a portion of the stoma is received within the opening, the body including a chamber configured to receive an odor-absorbing filter and a channel extending between the opening and the chamber to facilitate odor-absorption from intestinal contents passing through the opening into the chamber.
A61F 5/44 - Devices worn by the patient for reception of urine, faeces, catamenial or other dischargeColostomy devices
A61F 5/441 - Devices worn by the patient for reception of urine, faeces, catamenial or other dischargeColostomy devices having deodorant means, e.g. filters
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Rajarathnam, Boopathi
Randhawa, Nishant
Aradhye, Charudatta Chandrakant
Upadhyay, Swami
Mani, Vasanthan
Aneja, Harchetan Singh
Narayana, Balaji Aswatha
Badadamath, Sharath
Beesetty, Ramakanteswararao
Abstract
Endoscope assemblies, biopsy caps, and methods for making and using the same. An example endoscope assembly may include an endoscope having a channel formed therein and a port that provides access to the channel. A cap may be coupled to the port. The cap may include a base having a securing member for securing the cap to the port, an outer shell and a brush section disposed within the interior volume adjacent the disk shutter section, the brush section including a plurality of brushes arranged in a helical fashion.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/018 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
BOSTON SCIENTIFIC SCIMED, INC. (USA)
Inventor
Adhikarath Balan, Arun
Singh, Rajivkumar
Sharma, Deepak Kumar
Smith, Paul
Abstract
A clipping system includes a cap configured to be mounted over a distal end of an endoscope. A clip mountable over the cap to move between an insertion configuration, in which first and second jaws extend over opposing portions of the cap so that the first and second jaws are separated from one another, a review configuration, in which the clip is moved distally relative to the cap so that a portion of the clip extends distally until at least a portion of the clip extends into a field of view of the optical system of an endoscope on which the cap is mounted, and a deployed configuration in which the clip is moved distally off of the clip so that the first and second jaws are drawn toward one another under the bias of the at least one hinge to close over tissue received therebetween.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/122 - Clamps or clips, e.g. for the umbilical cord
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
BOSTON SCIENTIFIC SCIMED, INC. (USA)
Inventor
Dhanotiya, Aditya
Adhikarath Balan, Arun
Kulkarni, Pooja Bhuvanesh
Baviskar, Nitesh Ghananil
Sharma, Deepak Kumar
G, Sharath Kumar
Purohit, Hitendra
Arias Alpizar, Marco Vinicio
Gamboa Bastos, Gabriela
Valerio Guerrero, Fernando
Padilla Castro, Carolina
Víquez Gonzalez, Mauro
Zúñiga Vargas, Valeria
Abstract
An ostomy device includes an implant including a body sized and shaped for implantation in a stoma. The body includes a first portion defining a channel extending from a first end to a second end. The first end is configured to interface with a lumen interior to an abdomen. The second end is configured to provide a path from the lumen through the channel to an exterior of the abdomen. The implant further includes a flange attached to an exterior of the body. The flange includes a collar extending from a first rim attached to an exterior of the body to a second rim attachable to a skin adjacent to the stoma.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
BOSTON SCIENTIFIC SCIMED, INC. (USA)
Inventor
Dhanotiya, Aditya
Adhikarath Balan, Arun
Kulkarni, Pooja Bhuvanesh
Baviskar, Nitesh Ghananil
Sharma, Deepak Kumar
G, Sharath Kumar
Purohit, Hitendra
Arias Alpizar, Marco Vinicio
Gamboa Bastos, Gabriela
Valerio Guerrero, Fernando
Padilla Castro, Carolina
Víquez Gonzalez, Mauro
Zúñiga Vargas, Valeria
Abstract
An ostomy device includes an implant including a body sized and shaped for implantation in a stoma. The body includes a first portion defining a channel extending from a first end to a second end. The first end is configured to interface with a lumen interior to an abdomen. The second end is configured to provide a path from the lumen through the channel to an exterior of the abdomen. The implant further includes a flange attached to an exterior of the body. The flange includes a collar extending from a first rim attached to an exterior of the body to a second rim attachable to a skin adjacent to the stoma.
A61F 2/90 - Stents in a form characterised by wire-like elementsStents in a form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
A61F 5/44 - Devices worn by the patient for reception of urine, faeces, catamenial or other dischargeColostomy devices
68.
SYSTEMS, DEVICES, AND RELATED METHODS FOR FASTENING TISSUE
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Purohit, Hitendra
Vikharankar, Yogesh Kishor
Abstract
Disclosed is a medical device including an end effector having an upper arm including: a first plurality of teeth and a second plurality of teeth; a lower arm including a third plurality of teeth, a fourth plurality of teeth, and an anvil. The third plurality of teeth may be on a first lateral side of the anvil and the fourth plurality of teeth may be on a second lateral side of the anvil. A cartridge may be positioned in a cavity of the upper arm, such that the first plurality of teeth are on a first lateral side of the cartridge and the second plurality of teeth are on the second lateral side of the cartridge. Further, a shaft may be coupled to the end effector; and an operation portion may be coupled to the shaft.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Gole, Nachiket
Baviskar, Nitesh Ghananil
Sukhatme, Mihir
Abstract
Embodiments herein relate to therapeutic fluid delivery devices with features to indicate and/or measure flow rate therefrom. In an embodiment, a therapeutic fluid delivery device is included having a barrel and a plunger. The plunger is configured to move within the barrel to expel a fluid from the barrel. The therapeutic fluid delivery device can include a rotatable element, wherein movement of the plunger relative to the barrel causes the rotatable element to rotate. The therapeutic fluid delivery device can be configured to measure a rotation speed of the rotatable element. Other embodiments are also included herein.
A61M 5/315 - PistonsPiston-rodsGuiding, blocking or restricting the movement of the rodAppliances on the rod for facilitating dosing
A61M 5/48 - Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular wayAccessories therefor, e.g. filling or cleaning devices, arm rests having means for varying, regulating, indicating or limiting injection pressure
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Raab, David
Mcghee, Scott
Gole, Nachiket
Baviskar, Nitesh Ghananil
Fullerton, Bruce
Maas, Randall
Gedwillo, Anthony
Sukhatme, Mihir
Abstract
Embodiments herein relate to flow rate control devices and methods for use with cancer treatment systems. In an embodiment, a flow rate control device for cancer therapy systems can be included having a housing configured to engage with a fluid delivery device and a visual indicator bar. The visual indicator bar can be disposed on the housing and the flow rate control device can be configured to cause the visual indicator bar to visually change to indicate a target plunger depression pace of a plunger of the fluid delivery device. Other embodiments are also included herein.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Sukhatme, Mihir
Gole, Nachiket
Baviskar, Nitesh Ghananil
Fullerton, Bruce
Gedwillo, Anthony
Maas, Randall
Abstract
Embodiments herein relate to flow rate measurement systems with features to indicate and/or measure flow rate therefrom. In an embodiment, a flow rate measurement device is included having a base receiver, a plunger holder, and a movement sensor. The base receiver is configured to engage with a barrel of a fluid delivery device. The plunger holder is configured to engage with a plunger of the fluid delivery device. The movement sensor is configured to detect a movement speed of the plunger holder relative to the base receiver. The flow rate measurement device can be configured to generate a signal related to the movement speed of the plunger holder relative to the base receiver. Other embodiments are also included herein.
A61M 5/145 - Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. by means of pistons
A61M 5/48 - Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular wayAccessories therefor, e.g. filling or cleaning devices, arm rests having means for varying, regulating, indicating or limiting injection pressure
Boston Scientific Medical Device Limited (Ireland)
Inventor
Gole, Nachiket
Baviskar, Nitesh Ghananil
Sukhatme, Mihir
Abstract
Embodiments herein relate to therapeutic fluid delivery devices with features to indicate and/or measure flow rate therefrom. In an embodiment, a therapeutic fluid delivery device is included having a barrel and a plunger. The plunger is configured to move within the barrel to expel a fluid from the barrel. The therapeutic fluid delivery device can include a rotatable element, wherein movement of the plunger relative to the barrel causes the rotatable element to rotate. The therapeutic fluid delivery device can be configured to measure a rotation speed of the rotatable element. Other embodiments are also included herein.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
BOSTON SCIENTIFIC SCIMED, INC. (USA)
Inventor
Singh, Rajivkumar
Gole, Nachiket
Sharma, Deepak Kumar
G, Sharath Kumar
Harris, Colby
Johnson, Austin Grant
Abstract
A system includes Adapter, Clip, Member, Wire and Mechanism. Adapter includes a proximal portion mounted over a distal end of an insertion device and a distal portion extending distally from the proximal portion. Clip includes Jaws to move between insertion configuration, in which Jaws extend about Adapter and are separated to receive tissue, and initial configuration, in which Clip is moved distally off of Adapter so that Jaws grip tissue. Member is releasably coupled to Clip and movably connected to Adapter. Member extends from a proximal portion to remain, in an operative configuration, outside body to a distal portion to be coupled to the distal end. Wire is received within Member and extends to a distal end releasably coupled to Clip via Link when predetermined force is applied. Mechanism selectively locks the distal portion of Member against proximal movement relative to Adapter during release of Link.
Boston Scientific Medical Device Limited (Ireland)
Inventor
Raab, David
Mcghee, Scott
Gole, Nachiket
Baviskar, Nitesh Ghananil
Fullerton, Bruce
Maas, Randall
Gedwillo, Anthony
Sukhatme, Mihir
Abstract
Embodiments herein relate to flow rate control devices and methods for use with cancer treatment systems. In an embodiment, a flow rate control device for cancer therapy systems can be included having a housing configured to engage with a fluid delivery device and a visual indicator bar. The visual indicator bar can be disposed on the housing and the flow rate control device can be configured to cause the visual indicator bar to visually change to indicate a target plunger depression pace of a plunger of the fluid delivery device. Other embodiments are also included herein.
Boston Scientific Medical Device Limited (Ireland)
Inventor
Sukhatme, Mihir
Gole, Nachiket
Baviskar, Nitesh Ghananil
Fullerton, Bruce
Gedwillo, Anthony
Maas, Randall
Abstract
Embodiments herein relate to flow rate measurement systems with features to indicate and/or measure flow rate therefrom. In an embodiment, a flow rate measurement device is included having a base receiver, a plunger holder, and a movement sensor. The base receiver is configured to engage with a barrel of a fluid delivery device. The plunger holder is configured to engage with a plunger of the fluid delivery device. The movement sensor is configured to detect a movement speed of the plunger holder relative to the base receiver. The flow rate measurement device can be configured to generate a signal related to the movement speed of the plunger holder relative to the base receiver. Other embodiments are also included herein.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Abrol, Sanchita
Abstract
A medical device includes a connection member for connecting a homeostasis clip to the medical device; a biasing member, wherein the biasing member biases the medical device toward a compressed configuration; and a needle with at least one barb. The connection member is connected to the biasing member such that, with the needle inserted into tissue past the at least one barb and the biasing member pulled toward a tensioned configuration by the homeostasis clip connected to the connection member, the needle and the at least one barb pull the tissue in a direction parallel to a direction of tension placed on the biasing member.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Abrol, Sanchita
Abstract
A medical device includes a connection member for connecting a homeostasis clip to the medical device; a biasing member, wherein the biasing member biases the medical device toward a compressed configuration; and a needle with at least one barb. The connection member is connected to the biasing member such that, with the needle inserted into tissue past the at least one barb and the biasing member pulled toward a tensioned configuration by the homeostasis clip connected to the connection member, the needle and the at least one barb pull the tissue in a direction parallel to a direction of tension placed on the biasing member.
Boston Scientific Medical Device Limited (Ireland)
Inventor
Gole, Nachiket
Baviskar, Nitesh Ghananil
Sukhatme, Mihir
Mcghee, Scott
Abstract
Embodiments herein relate to flow measurement devices used with cancer therapy systems and related methods. In an embodiment, a flow measurement device for cancer therapy is included having a housing that defines an internal volume along with an ingress port and an egress port. The flow measurement device can further include a sliding marker, wherein the sliding marker is configured to slide within the internal volume of the housing. The sliding marker can be mechanically biased in a first direction in the absence of fluid flow through the internal volume of the housing then slide in a second direction opposite the first direction as a result of fluid flow through the internal volume of the housing. The position of the sliding marker can be indicative of the fluid flow rate through the flow measurement device. Other embodiments are also included herein.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Purohit, Hitendra
Vikharankar, Yogesh Kishor
Abstract
Disclosed is a medical device including an end effector having an upper arm including: a first plurality of teeth and a second plurality of teeth; a lower arm including a third plurality of teeth, a fourth plurality of teeth, and an anvil. The third plurality of teeth may be on a first lateral side of the anvil and the fourth plurality of teeth may be on a second lateral side of the anvil. A cartridge may be positioned in a cavity of the upper arm, such that the first plurality of teeth are on a first lateral side of the cartridge and the second plurality of teeth are on the second lateral side of the cartridge. Further, a shaft may be coupled to the end effector; and an operation portion may be coupled to the shaft.
Boston Scientific Medical Device Limited (Ireland)
Inventor
Dhanotiya, Aditya
Raut, Shrikant Vasant
Kulkarni, Pooja Bhuvanesh
Weldon, James
Abstract
A distal tip of a duodenoscope may comprise: a first side surface; a second side surface; a top surface; a bottom surface; and a distal surface. The first side surface, the top surface, and the distal surface meet at a first junction. The first side surface, the bottom surface, and the distal surface may meet at a second junction. The second side surface, the bottom surface, and the distal surface may meet at a third junction. The second side surface, the top surface, and the distal surface may meet at a fourth junction. The first junction and the fourth junction may be approximately symmetrical. The second junction and the third junction may be approximately symmetrical. The first junction and the third junction may be approximately symmetrical. The second junction and the fourth junction may be approximately symmetrical.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 1/05 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
BOSTON SCIENTIFIC SCIMED, INC. (USA)
Inventor
Singh, Rajivkumar
Gole, Nachiket
Sharma, Deepak Kumar
G, Sharath Kumar
Harris, Colby
Johnson, Austin Grant
Abstract
A system includes Adapter, Clip, Member, Wire and Mechanism. Adapter includes a proximal portion mounted over a distal end of an insertion device and a distal portion extending distally from the proximal portion. Clip includes Jaws to move between insertion configuration, in which Jaws extend about Adapter and are separated to receive tissue, and initial configuration, in which Clip is moved distally off of Adapter so that Jaws grip tissue. Member is releasably coupled to Clip and movably connected to Adapter. Member extends from a proximal portion to remain, in an operative configuration, outside body to a distal portion to be coupled to the distal end. Wire is received within Member and extends to a distal end releasably coupled to Clip via Link when predetermined force is applied. Mechanism selectively locks the distal portion of Member against proximal movement relative to Adapter during release of Link.
A61B 17/10 - Surgical instruments, devices or methods for closing wounds or holding wounds closedAccessories for use therewith for applying or removing wound clampsWound clamp magazines
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Dhanotiya, Aditya
Raut, Shrikant Vasant
Kulkarni, Pooja Bhuvanesh
Weldon, James
Abstract
A distal tip of a duodenoscope may comprise: a first side surface; a second side surface; a top surface; a bottom surface; and a distal surface. The first side surface, the top surface, and the distal surface meet at a first junction. The first side surface, the bottom surface, and the distal surface may meet at a second junction. The second side surface, the bottom surface, and the distal surface may meet at a third junction. The second side surface, the top surface, and the distal surface may meet at a fourth junction. The first junction and the fourth junction may be approximately symmetrical. The second junction and the third junction may be approximately symmetrical. The first junction and the third junction may be approximately symmetrical. The second junction and the fourth junction may be approximately symmetrical.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
83.
DEVICES, ASSEMBLIES, AND METHODS FOR DELIVERING POWDERED AGENTS
Boston Scientific Medical Device Limited (Ireland)
Inventor
Baviskar, Nitesh Ghananil
Bhowmick, Nabarun
Abstract
A medical delivery device that includes a body, a fluid source configured to store a pressurized fluid, an enclosure configured to store an agent, the enclosure is movably coupled to the body, and a first actuator configured to release the pressurized fluid from the fluid source into the body. The enclosure is configured to move relative to the body between a first position and a second position. The enclosure is fluidly decoupled from the fluid source when in the first position such that the pressurized fluid released into the body is not in fluid communication with the agent stored in the enclosure. The enclosure is fluidly coupled to the fluid source when in the second position such that the pressurized fluid released into the body is in fluid communication with the agent stored in the enclosure.
Boston Scientific Medical Device Limited (Ireland)
Inventor
Luk, Maria
Abstract
A radiofrequency perforation system for accessing a location in or near a patient's heart is disclosed. The system includes a radiofrequency puncture wire having a wire proximal portion and a wire distal portion including an electrically active distal tip. The system further includes an elongated catheter defining a lumen adapted to receive and allow longitudinal translation of the radiofrequency puncture wire therein, the elongated catheter having a proximal portion and a distal portion, the proximal portion including a hub and the distal portion including a distal tip. The distal tip of the elongated catheter includes an inner catheter liner layer, an intermediate flexible heat shielding layer, and an outer radiopaque layer.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
Boston Scientific Medical Device Limited (Ireland)
Inventor
Chen, Jan-Hung
Abstract
A steerable sheath is disclosed. The steerable sheath includes an elongate member, the elongate member having a proximal portion and a distal portion terminating in a deflectable distal tip. The steerable sheath further includes a handle having a handle proximal portion and a handle distal portion that is connected to the proximal portion of the elongate member. The handle of the steerable sheath includes a knob positioned at the distal portion of the handle; a slider running through a portion of the handle having a raised thread and an inverted thread; and a position ring located proximate a position indicator, wherein rotation of the knob acts upon the raised thread to cause a linear movement of the slider which acts upon the inverted thread to cause a rotational movement of the position ring.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
86.
ELECTROSURGICAL TRANSSEPTAL ASSEMBLY WITH MULTIPURPOSE CONTROL
Boston Scientific Medical Device Limited (Ireland)
Inventor
Koon, Lauren
Davies, Gareth
Leung, Jackie
Abstract
An electrosurgical device for use with a radiofrequency (RF) energy source to provide RF energy is disclosed. The electrosurgical device includes a delivery component having an elongate shaft having a distal portion and a proximal portion and forming a lumen. The distal portion includes a delivery component distal end. A crossing member is disposed within the lumen. The crossing member includes a crossing member distal tip extendable from the delivery component distal end to deliver the RF energy from the RF energy source. A handle is coupled to the proximal portion of the shaft. An actuator is coupled to the handle. The actuator extends the crossing member distal tip from the delivery component distal end and couples the RF energy source to the crossing member such that RF energy is delivered to the distal tip of the crossing member.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 18/12 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
87.
MEDICAL TREATMENT DEVICE AND RELATED METHODS THEREOF
Boston Scientific Medical Device Limited (Ireland)
Inventor
Purohit, Hitendra
Mishra, Agrim
Sharma, Deepak Kumar
Abstract
A medical device, comprising a tube including at least one lumen, an absorbent located at a distal portion of the tube, the absorbent being configured to transition from a compressed state to an expanded state, and a structure fixed to the absorbent, wherein the structure is configured to flex into a compressed state and an expanded state simultaneously with the compressed state and the expanded state of the absorbent, and the structure exposes at least a portion of the absorbent.
A61B 17/12 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
A61B 17/00 - Surgical instruments, devices or methods
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
Boston Scientific Medical Device Limited (Ireland)
Inventor
Davies, Gareth
Urbanski, John Paul
Alley, Ferryl
Beca, Bogdan
Abstract
Novel and unique medical devices and associated methods are disclosed, for a medical device for puncturing tissue at a tissue site. The medical device includes an elongate member having a distal section defining a distal section curved portion and a distal section straight portion. The distal section straight portion is distal to the distal section curved portion. An active tip is located at a distal end of the distal section. The active tip is operable to deliver energy to create a puncture through the tissue. The medical device includes a constant diameter layer. The distal section straight portion includes a minimum diameter portion located proximal to a constant diameter portion, and the constant diameter layer surrounds the minimum diameter portion.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
89.
MECHANICAL CIRCULATORY SUPPORT SYSTEM WITH REPOSITIONING SHEATH
Boston Scientific Medical Device Limited (Ireland)
Inventor
Liu, Qian
Sharma, Neeraj Kumar
Abstract
A mechanical circulatory support system may include a blood pump, a housing, an elongate shaft, a first sheath, and a second sheath. The blood pump may be configured to pump blood from a ventricle of a heart of a patient to vasculature of the patient. The elongate shaft may be coupled with the blood pump and extend proximally from the blood pump to the housing. The first sheath may extend over the elongate shaft distal of the housing and include a lumen with an inner diameter. The second sheath may extend over the elongate shaft distal of the housing and include an outer diameter that is less than the inner diameter of the lumen of the first sheath. The first sheath and the second sheath are configured to longitudinally adjust over the elongate shaft and an entirety of the second sheath is configured to adjust through the first sheath.
A61M 25/01 - Introducing, guiding, advancing, emplacing or holding catheters
A61M 25/06 - Body-piercing guide needles or the like
A61M 39/06 - Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
A61M 60/13 - Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient’s body implantable via, into, inside, in line, branching on, or around a blood vessel by means of a catheter allowing explantation, e.g. catheter pumps temporarily introduced via the vascular system
A61M 60/17 - Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient’s body implantable in, on, or around the heart inside a ventricle, e.g. intraventricular balloon pumps
90.
MECHANICAL CIRCULATORY SUPPORT SYSTEM WITH REPOSITIONING SHEATH
Boston Scientific Medical Device Limited (Ireland)
Inventor
Liu, Qian
Sharma, Neeraj Kumar
Abstract
A mechanical circulatory support system may include a blood pump, a housing, an elongate shaft, a first sheath, and a second sheath. The blood pump may pump blood from a ventricle of a heart of a patient to vasculature of the patient. The elongate shaft may couple with the blood pump and extend proximally from the blood pump to the housing. The first sheath may have a first hub and a lumen with an inner diameter. The second sheath may have a second hub and an outer diameter that is less than the inner diameter of the lumen. The first sheath and the second sheath may longitudinally advance over the elongate shaft and a distal end of the second sheath may advance through the lumen and extend distally beyond a distal end of the first sheath.
A61M 60/289 - Devices for mechanical circulatory actuation assisting the residual heart function by means mechanically acting upon the patient's native heart or blood vessel structure, e.g. direct cardiac compression [DCC] devices
91.
DEVICES, ASSEMBLIES, AND METHODS FOR DELIVERING POWDERED AGENTS
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Baviskar, Nitesh Ghananil
Bhowmick, Nabarun
Abstract
A medical delivery device that includes a body, a fluid source configured to store a pressurized fluid, an enclosure configured to store an agent, the enclosure is movably coupled to the body, and a first actuator configured to release the pressurized fluid from the fluid source into the body. The enclosure is configured to move relative to the body between a first position and a second position. The enclosure is fluidly decoupled from the fluid source when in the first position such that the pressurized fluid released into the body is not in fluid communication with the agent stored in the enclosure. The enclosure is fluidly coupled to the fluid source when in the second position such that the pressurized fluid released into the body is in fluid communication with the agent stored in the enclosure.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Luk, Maria
Abstract
A radiofrequency perforation system for accessing a location in or near a patient's heart is disclosed. The system includes a radiofrequency puncture wire having a wire proximal portion and a wire distal portion including an electrically active distal tip. The system further includes an elongated catheter defining a lumen adapted to receive and allow longitudinal translation of the radiofrequency puncture wire therein, the elongated catheter having a proximal portion and a distal portion, the proximal portion including a hub and the distal portion including a distal tip. The distal tip of the elongated catheter includes an inner catheter liner layer, an intermediate flexible heat shielding layer, and an outer radiopaque layer.
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
93.
MECHANICAL CIRCULATORY SUPPORT SYSTEM WITH REPOSITIONING SHEATH
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Liu, Qian
Sharma, Neeraj Kumar
Abstract
A mechanical circulatory support system may include a blood pump, a housing, an elongate shaft, a first sheath, and a second sheath. The blood pump may pump blood from a ventricle of a heart of a patient to vasculature of the patient. The elongate shaft may couple with the blood pump and extend proximally from the blood pump to the housing. The first sheath may have a first hub and a lumen with an inner diameter. The second sheath may have a second hub and an outer diameter that is less than the inner diameter of the lumen. The first sheath and the second sheath may longitudinally advance over the elongate shaft and a distal end of the second sheath may advance through the lumen and extend distally beyond a distal end of the first sheath.
A61M 60/13 - Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient’s body implantable via, into, inside, in line, branching on, or around a blood vessel by means of a catheter allowing explantation, e.g. catheter pumps temporarily introduced via the vascular system
A61M 60/216 - Non-positive displacement blood pumps including a rotating member acting on the blood, e.g. impeller
A61M 60/34 - Medical purposes thereof other than the enhancement of the cardiac output for enhancement of circulation to the extremities, e.g. the feet
A61M 60/865 - Devices for guiding or inserting pumps or pumping devices into the patient’s body
94.
CATHETER WITH TRANSITIONAL SEGMENT IN WOVEN LAYER FOR ATTACHED TUBE
Boston Scientific Medical Device Limited (Ireland)
Inventor
Montgomery, Miles
Brannick, Ros Thomas
Keaveney, Luke
Abstract
A catheter comprises a shaft defining a lumen and having a distal section. The shaft includes an inner member and a support member disposed on the inner member. The support member includes a proximal woven portion and a distal woven portion separated by an intermediate nonwoven portion. The distal woven portion includes an outer surface. The proximal woven portion is coupled to the distal woven portion by interconnecting threads of the intermediate portion. The shaft further includes an electrode on the distal section of the shaft, a tube extending along the shaft, and a lead conductor disposed within the tube and electrically coupled to the electrode. The tube extends radially underneath the proximal woven portion, extends on the outer surface along the distal woven portion, and extends from underneath the proximal woven portion to the outer surface at the intermediate nonwoven portion through the interconnecting threads.
Boston Scientific Medical Device Limited (Ireland)
Inventor
Urbanski, John Paul
Dicicco, Matthew
Uhm, Yun
Godara, Neil
Rees, David
Klein, James
Abstract
A method and system are disclosed for puncturing tissue, comprising a puncture device for puncturing tissue and a supporting member for supporting the puncture device. The puncture device is capable of being insertable within the supporting member and being selectively usable in co-operation therewith during a portion of a procedure for puncturing tissue and wherein the puncture device is usable independently therefrom during another portion of the procedure.
A61B 17/00 - Surgical instruments, devices or methods
A61B 17/22 - Implements for squeezing-off ulcers or the like on inner organs of the bodyImplements for scraping-out cavities of body organs, e.g. bonesSurgical instruments, devices or methods for invasive removal or destruction of calculus using mechanical vibrationsSurgical instruments, devices or methods for removing obstructions in blood vessels, not otherwise provided for
A61B 18/00 - Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61M 29/00 - Dilators with or without means for introducing media, e.g. remedies
96.
CATHETER WITH TRANSITIONAL SEGMENT IN WOVEN LAYER FOR ATTACHED TUBE
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Montgomery, Miles
Brannick, Ros Thomas
Keaveney, Luke
Abstract
A catheter comprises a shaft defining a lumen and having a distal section. The shaft includes an inner member and a support member disposed on the inner member. The support member includes a proximal woven portion and a distal woven portion separated by an intermediate nonwoven portion. The distal woven portion includes an outer surface. The proximal woven portion is coupled to the distal woven portion by interconnecting threads of the intermediate portion. The shaft further includes an electrode on the distal section of the shaft, a tube extending along the shaft, and a lead conductor disposed within the tube and electrically coupled to the electrode. The tube extends radially underneath the proximal woven portion, extends on the outer surface along the distal woven portion, and extends from underneath the proximal woven portion to the outer surface at the intermediate nonwoven portion through the interconnecting threads.
D03D 13/00 - Woven fabrics characterised by the special disposition of the warp or weft threads, e.g. with curved weft threads, with discontinuous warp threads, with diagonal warp or weft
97.
ELECTROSURGICAL TRANSSEPTAL ASSEMBLY WITH MULTIPURPOSE CONTROL
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Koon, Lauren
Davies, Gareth
Leung, Jackie
Abstract
An electrosurgical device for use with a radiofrequency (RF) energy source to provide RF energy is disclosed. The electrosurgical device includes a delivery component having an elongate shaft having a distal portion and a proximal portion and forming a lumen. The distal portion includes a delivery component distal end. A crossing member is disposed within the lumen. The crossing member includes a crossing member distal tip extendable from the delivery component distal end to deliver the RF energy from the RF energy source. A handle is coupled to the proximal portion of the shaft. An actuator is coupled to the handle. The actuator extends the crossing member distal tip from the delivery component distal end and couples the RF energy source to the crossing member such that RF energy is delivered to the distal tip of the crossing member.
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
Inventor
Liu, Qian
Sharma, Neeraj Kumar
Abstract
A mechanical circulatory support system may include a blood pump, a housing, an elongate shaft, a first sheath, and a second sheath. The blood pump may be configured to pump blood from a ventricle of a heart of a patient to vasculature of the patient. The elongate shaft may be coupled with the blood pump and extend proximally from the blood pump to the housing. The first sheath may extend over the elongate shaft distal of the housing and include a lumen with an inner diameter. The second sheath may extend over the elongate shaft distal of the housing and include an outer diameter that is less than the inner diameter of the lumen of the first sheath. The first sheath and the second sheath are configured to longitudinally adjust over the elongate shaft and an entirety of the second sheath is configured to adjust through the first sheath.
A61M 60/13 - Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient’s body implantable via, into, inside, in line, branching on, or around a blood vessel by means of a catheter allowing explantation, e.g. catheter pumps temporarily introduced via the vascular system
A61M 60/216 - Non-positive displacement blood pumps including a rotating member acting on the blood, e.g. impeller
A61M 60/34 - Medical purposes thereof other than the enhancement of the cardiac output for enhancement of circulation to the extremities, e.g. the feet
A61M 60/865 - Devices for guiding or inserting pumps or pumping devices into the patient’s body
BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED (Ireland)
BOSTON SCIENTIFIC SCIMED, INC. (USA)
Inventor
Sharma, Deepak Kumar
Smith, Paul
G, Sharath Kumar
Singh, Rajivkumar
Adhikarath Balan, Arun
Abstract
A clipping system includes an adapter configured to be mounted over an insertion device and a clip including first and second jaws movable between an insertion configuration and an initial deployed configuration. A first extending member is releasably coupled to the clip and movably connected to the adapter to permit a movement of the clip relative to the adapter from the insertion configuration to the initial deployed configuration. The first extending member is configured to permit withdrawal of the adapter away from the clip to place the system in a review configuration to enhance a visual observation of the clip. The first extending member is operable to retract the clip over the adapter so that the clip is forced open, freeing the clip from tissue on which it has been clipped. The first extending member is configured to release the clip therefrom in a final deployed configuration.
A61B 17/122 - Clamps or clips, e.g. for the umbilical cord
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor
A61B 17/128 - Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
Boston Scientific Medical Device Limited (Ireland)
Inventor
Dhanotiya, Aditya
Raut, Shrikant Vasant
Kulkarni, Pooja Bhuvanesh
Weldon, James
Abstract
An endoscope (e.g., a duodenoscope) includes a bifluidic valve for controlling the flow of a liquid (e.g., water) and a gas (e.g., air) through a flexible tubular probe to respectively irrigate or insufflate an internal cavity of a patient. The bifluidic valve can be a single component, an interconnected assembly of components, or a plurality of separate components. Some examples of the bifluidic valve include a stepped diameter valve spool with radial or circumferential fluid passageways. In some examples, the bifluidic valve includes a tube pincher that can stop the water or other liquid from flowing through a flexible tube by pinching the tube shut. Some example bifluidic valves include a valve housing that is resiliently flexible to urge the valve to a normally closed position. In some examples, selectively covering or uncovering a vent in the valve housing controls the flow of air for insufflation.
A61B 1/00 - Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopesIlluminating arrangements therefor