Devices and methods for treating morbid obesity

• US 20050177181A1
• Filed: 12/29/2004
• Published: 08/11/2005
• Est. Priority Date: 11/01/2002
• Status: Abandoned Application

• Current Assignee: Daniel Mitchell, Gerard von Hoffmann, Greg Fluet, Jonathan Kagan, Mary Lynn Wilmore, Paul Swain, Richard Thomas, Sayeed Ikramuddin
• Original Assignee: Daniel Mitchell, Gerard von Hoffmann, Greg Fluet, Jonathan Kagan, Mary Lynn Wilmore, Paul Swain, Richard Thomas, Sayeed Ikramuddin
• Inventors: Wilmore, Mary Lynn, Dann, Mitchell, Thomas, Richard, Fluet, Greg, Swain, Paul, Kagan, Jonathan, Hoffmann, Gerard von, Ikramuddin, Sayeed
• Application Number:
  US11/025,364
• Publication Number:
  US 20050177181A1
• Time in Patent Office: Days
• US Class Current: 606/151
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00296 mounted on an endoscope
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2017/00991 Telescopic means
• CPC Class Codes: A61B 2017/0404 Buttons
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0454 the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61F 2/04 Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts A61F2/18, A61F2/20 take precedence; devices, other than stent-grafts, providing patency to, or preventing collapsing of, tubular structures of the body other than stent-grafts, e.g. stents A61F2/82; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95
• CPC Class Codes: A61F 2/848 having means for fixation to the vessel wall, e.g. barbs
• CPC Class Codes: A61F 5/0076 preventing normal digestion, e.g. Bariatric or gastric sleeves
• CPC Class Codes: A61F 5/0086 using clamps, folding means or the like

Abstract

The present invention provides devices and methods for attachment of an implanted device, such as an artificial stoma device, a gastrointestinal sleeve device or an attachment cuff, within a patient'"'"'s digestive tract for treatment of obesity. Special surgical fasteners provide a lasting and durable attachment to the gastrointestinal tissue without causing excessive pressure that could result in tissue erosion and detachment of the implanted device. Fastener delivery devices that facilitate peroral placement and deployment of fasteners and secondary devices are also provided. Also described are implantable devices and attachment means that avoid causing excessive pressure within the tissue by having compliance that is compatible with the gastrointestinal tissues where it is attached.

Claims

1. A gastrointestinal implant, comprising:

an elongate, tubular body, having a proximal end, a distal end, a length adapted to extend distally from gastroesophageal junction, and

a diameter less than the diameter of the gastrointestinal lumen;

an attachment ring about the proximal end of the elongate, tubular body; and

a plurality of tissue fasteners extending from the attachment ring, wherein each tissue fastener comprises;

an elongate member adapted to enter a tissue wall adjacent to the attachment ring; and

a transverse retention element joined to the elongate member for resisting movement of the elongate member.

2. The gastrointestinal implant of claim 1, wherein the transverse retention element has a circular configuration.

3. The gastrointestinal implant of claim 1, wherein the transverse retention element has a linear configuration.

4. A gastrointestinal implant, comprising:

an elongate, tubular body, having a proximal end, a distal end, a length of at least about 60 cm and a diameter less than about 4 cm;

an attachment ring about the proximal end of the elongate, tubular body; and

a plurality of tissue fasteners extending from the attachment ring, wherein each tissue fastener comprises;

an elongate member adapted to interface with a tissue wall adjacent to the attachment ring; and

a transverse retention element joined to the elongate member for resisting movement of the elongate member.

5. The gastrointestinal implant of claim 4, wherein the transverse retention element has a circular configuration.

6. The gastrointestinal implant of claim 4, wherein the transverse retention element has a linear configuration.