Devices and methods for endoluminal plication
First Claim
1. A method of gastric volume reduction, comprising:
- advancing an end effector of a surgical device endoscopically through an esophagus and into a stomach with first and second jaws of the end effector being in a closed position;
articulating the end effector of the device to a first position in the fundus of the stomach;
moving the first and second jaws in the stomach from the closed position to an open position to increase a space between facing tissue-contacting surfaces of the first and second jaws; and
moving a tissue acquisition member of the end effector away from the first and second jaws in the open position, thereby drawing tissue into the space between the facing tissue-contacting surfaces of the first and second jaws and forming a first fold of tissue.
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Abstract
Devices and methods are provided for forming and securing a tissue plication. More particularly, the devices and methods of the present invention can be used to create multiple tissue folds on an anterior and posterior wall of a stomach cavity to reduce the volume thereof. In one aspect, a method of gastric volume reduction is disclosed that includes advancing a tissue acquisition and fixation device endoscopically into a stomach, manipulating the device to form a first fold of tissue on an interior surface of an anterior wall of the stomach, and manipulating the device to form a second fold of tissue on an interior surface of a posterior wall of the stomach, where the second fold is not attached to the first fold.
512 Citations
19 Claims
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1. A method of gastric volume reduction, comprising:
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advancing an end effector of a surgical device endoscopically through an esophagus and into a stomach with first and second jaws of the end effector being in a closed position; articulating the end effector of the device to a first position in the fundus of the stomach; moving the first and second jaws in the stomach from the closed position to an open position to increase a space between facing tissue-contacting surfaces of the first and second jaws; and moving a tissue acquisition member of the end effector away from the first and second jaws in the open position, thereby drawing tissue into the space between the facing tissue-contacting surfaces of the first and second jaws and forming a first fold of tissue. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19)
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Specification