Methods and devices for percutaneous, non-laparoscopic treatment of obesity

• US 20050228415A1
• Filed: 06/09/2005
• Published: 10/13/2005
• Est. Priority Date: 03/23/2004
• Status: Abandoned Application

• Current Assignee: Michael Gertner
• Original Assignee: Michael Gertner
• Inventors: Gertner, Michael
• Application Number:
  US11/148,519
• Publication Number:
  US 20050228415A1
• Time in Patent Office: Days
• US Class Current: 606/153
• 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 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• 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 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00827 Treatment of gastro-esophageal reflux
• CPC Class Codes: A61B 2017/00871 polymeric
• CPC Class Codes: A61B 2017/0404 Buttons
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61B 2017/0454 the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0456 Surface features on the anchor, e.g. ribs increasing friction between the suture and the anchor
• 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 2017/0488 Instruments for applying suture clamps, clips or locks
• CPC Class Codes: A61B 2017/0496 for tensioning sutures
• CPC Class Codes: A61B 2017/06052 Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
• 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

Disclosed are methods and devices to apply therapies to the walls of an organ such as the stomach. Visualization means and access means are disclosed as are devices and apparatus which can be used to perform the disclosed procedures and methods.

Claims

1. A method to treat an obese patient comprising;

Providing a means for visualizing the exterior of the stomach without insufflation of the abdominal cavity;

Passing at least one device through the skin of a patient to contact at least the exterior surface of the stomach without insufflation of the abdominal cavity;

Implanting the at least one device in the abdominal cavity wherein at least one surface of the at least one device is fixtured to the exterior of the stomach.

2. The method of claim 1 wherein said means for visualizing comprises an ultrasound transducer.

3. The device of claim 2 wherein said ultrasound transducer is an endoscopic ultrasound transducer.

4. the method of claim 1 wherein said means for visualizing is a fluoroscopic system.

5. The method of claim 1 wherein said means for visualizing comprises a CT Scan.

6. The method of claim 1 wherein said means for visualizing comprises an MRI scan.

7. The method of claim 1 wherein said means for visualizing comprises a laparoscope.

8. The method of claim 1 wherein said means for visualizing comprises a laparoscope and an endoscope.

9. The method of claim 1 wherein said means for visualizing comprises a laparoscopic ultrasound system.

10. The method of claim 1 wherein said implanting step does not involve penetration of the mucosal layer of the stomach.

11. The method of claim 1 wherein said at least one device is an electrical stimulator.

12. The method of claim 1 wherein said at least one device is a flow restrictor.

13. The method of claim 1 wherein said at least one device is a fastener.

14. The method of claims 1 wherein said at least one device is a balloon.

15. The method of claim 1 wherein said implanting step further involves fixturing said at least one device to the abdominal wall.

16. The method of claim 1 wherein said at least one device is a sensor.

17. A method to treat an obese patient comprising;

Passing at least one device through the skin of a patient without insufflation of the abdominal cavity;

Providing a means for visualizing the exterior surface of the stomach without insufflation of the abdominal cavity;

Contacting a region of the stomach without insufflation of the abdominal cavity;

Activating said at least one device to deliver energy to the region of the stomach;

Removing said at least one device.

18. The method of claim 17 wherein said visualizing means is one of:

A Cat Scan;

A fluoroscopy machine;

An MRI scan;

An endoscope;

An endoscope and a laparoscope;

A laparoscope; and

An ultrasonic transducer.

19. The method of claim 17 wherein said device is one of:

A radiofrequency generating device;

A light emitting diode emitting device;

A laser energy source;

A microwave source of energy; and

a

A high frequency ultrasonic source of energy.