Implantable tissue fastener and system for treating gastroesophageal reflux disease
First Claim
1. An implantable fastener for fastening layers of tissue together, comprising:
- an elongated support;
a distal anchor member having a first end portion connected to the support and a second end portion movable on the support, the distal anchor member being configured to be movable from a reduced profile position to a deployed position when a spacing between the first and second end portions is reduced;
a proximal anchor member having first and second end portions movable on the support, the proximal anchor member being configured to be movable from a reduced profile position to a deployed position when a spacing between the first and second end portions of the proximal anchor member is reduced, the proximal anchor member being spaced from the distal anchor member a distance sufficient to position the layers of tissue together between the proximal and distal anchor members; and
at least one retainer on a proximal end portion of the support, the retainer engaging one of the end portions of the proximal anchor member when at least the proximal anchor member is in the deployed position.
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Accused Products
Abstract
A system including an implantable fastener for fastening layers of tissue is disclosed. In one embodiment, the fastener includes a proximal anchor member and a distal anchor member each being movable from a reduced profile position to a deployed position. The anchor members are mesh structures capable of moving to the deployed position by reducing the axial spacing between opposite ends of the anchor members.
Methods of treating gastroesophageal reflux disease (GERD) are also disclosed. One of the methods includes placing the distal anchor member through a hole formed in the wall of the esophagus and through a hole formed in the gastric wall. The distal anchor member and the proximal anchor member are then placed in their deployed positions to fasten the wall of the esophagus and the gastric wall together between the anchor members.
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Citations
42 Claims
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1. An implantable fastener for fastening layers of tissue together, comprising:
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an elongated support;
a distal anchor member having a first end portion connected to the support and a second end portion movable on the support, the distal anchor member being configured to be movable from a reduced profile position to a deployed position when a spacing between the first and second end portions is reduced;
a proximal anchor member having first and second end portions movable on the support, the proximal anchor member being configured to be movable from a reduced profile position to a deployed position when a spacing between the first and second end portions of the proximal anchor member is reduced, the proximal anchor member being spaced from the distal anchor member a distance sufficient to position the layers of tissue together between the proximal and distal anchor members; and
at least one retainer on a proximal end portion of the support, the retainer engaging one of the end portions of the proximal anchor member when at least the proximal anchor member is in the deployed position. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. An implantable, fastener for fastening layers of tissue together, comprising:
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a first anchor member having a distal end portion and a proximal end portion, the first anchor member being configured to be movable from a reduced profile position to a deployed position when a spacing between the proximal and distal end portions is reduced;
a second anchor member having a proximal end portion and a distal end portion, the second anchor member being configured to be movable from a reduced profile position to a deployed position when a spacing between the proximal and distal end portions of the second anchor member is reduced;
a connecting section connecting the proximal end portion of the first anchor member to the distal end portion of the second anchor member, the connecting section having a length sufficient to position the layers of tissue together between the first and second anchor members;
an elongated support connected to the distal end portion of the first anchor member, the support being movable proximally in the proximal end portion of the first anchor member, in the connecting section, and in the second anchor member to place the first and second anchor members in the deployed positions; and
at least one retainer on a proximal end portion of the support, the retainer engaging the proximal end portion of the second anchor member when the first and second anchor members are in the deployed positions. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18, 19, 20)
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21. An implantable fastener for fastening layers of tissue together, comprising:
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an elongated body having a lumen and at least one aperture in a distal end portion of the body;
a balloon on the distal end portion of the body, an interior of the balloon being flow connected to the lumen of the body via the aperture so that the balloon is capable of being inflatable from a reduced profile position to an inflatable position;
a seal on the body to maintain inflating fluid in the balloon;
a cap member configured to be positioned on a proximal end of the body; and
at least one retainer on the proximal end portion of the body for retaining the cap member on the body when the tissue layers are between the balloon and the cap member. - View Dependent Claims (22, 23, 24, 25, 26, 27, 29, 30, 31, 32, 33, 34, 35, 36, 38, 40, 41, 42)
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28. A method of treating gastroesophageal reflux disease using at least one implantable fastener including a distal anchor member configured to be movable from a reduced profile position to a deployed position, and a proximal anchor member configured to be movable from a reduced profile position to a deployed position, comprising:
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passing the implantable fastener transorally through the esophagus to a position near the junction between the esophagus and the stomach;
inserting the distal anchor member through a hole formed in the wall of the esophagus and through a hole formed in the gastric wall while the distal anchor member is in the reduced profile position;
placing the distal anchor member in the deployed position; and
placing the proximal anchor member in the deployed position to fasten the wall of the esophagus and the gastric wall together between the deployed distal anchor member and the deployed proximal anchor member.
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37. A method of treating gastroesophageal reflux disease using a fastener including an elongated body, a balloon on the body, and a cap member, the method comprising:
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passing the fastener transorally through the esophagus to a position near the junction between the esophagus and the stomach;
inserting the balloon through a hole formed in the wall of the esophagus and a hole formed in the gastric wall while the balloon is in a reduced profile position;
inflating the balloon; and
retaining the cap member on the body of the fastener to fasten the wall of the esophagus and the gastric wall together between the cap member and the inflated balloon.
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39. A method of fastening at least two layers of tissue together, comprising:
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introducing an adhesion inducing agent between first and second tissue layers in a body;
inserting an implantable fastener in the body; and
holding the first and second tissue layers together with the implantable fastener while the adhesion inducing agent is between the first and second tissue layers.
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Specification