METHODS AND DEVICES FOR THE SURGICAL CREATION OF SATIETY AND BIOFEEDBACK PATHWAYS

• US 20110224714A1
• Filed: 05/23/2011
• Published: 09/15/2011
• Est. Priority Date: 03/23/2004
• Status: Abandoned Application

• Current Assignee: Michael E. Gertner
• Original Assignee: Michael E. Gertner
• Inventors: Gertner, Michael E.
• Application Number:
  US13/113,852
• Publication Number:
  US 20110224714A1
• Time in Patent Office: Days
• US Class Current: 606/191
• 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 devices and systems which to sense parameters related to the mechanical forces imposed on devices implanted in the stomach. The parameters of the system are further translated into patient feedback systems to create satiety inducing pathways in the stomach.

Claims

1. A device to treat obesity comprising:

a restrictive balloon adapted to circumscribe the stomach and which defines a restrictive volume of the stomach; and

an integral sensor located with the balloon wherein the sensor is responsive to changes in the restrictive volume of the stomach.

2. The device of claim 1, wherein a portion of the restrictive balloon is attached to the abdominal wall.

3. The device of claim 2, wherein the restrictive balloon is attached to the abdominal wall by an anchor.

4. The device of claim 1 further comprising a wireless transmitter configured to transmit information from said integral sensor.

5. The device of claim 1 further comprising a system efferent pathway with a first end and a second end;

wherein the first end of said system efferent pathway is attached to said device to treat obesity and the second end of said system efferent pathway is configured to be attached to a patient afferent pathway.

6. The device of claim 5 wherein said patient afferent pathway is a visceral nervous pathway.

7. The device of claim 5 wherein said patient afferent pathway is a vagal nerve pathway.

8. The device of claim 5 wherein said patient afferent pathway is a layer of the stomach.

9. The device of claim 5 wherein said patient afferent pathway is a cutaneous nervous pathway.

10. A method of inducing satiety in a patient comprising:

implanting a restrictive balloon to circumscribe the stomach of a patient wherein the restrictive balloon defines a restricting volume and wherein the restrictive balloon further comprises an integral sensor to detect changes in the restricting volume;

detecting changes in a restricted volume defined by the restrictive balloon; and

transmitting the detected changes of the restricted volume to a device efferent pathway and thence to a patient afferent pathway for stimulation, wherein the stimulation induces satiety in the patient.

11. The method of claim 10, wherein a portion of the restrictive balloon is attached to the abdominal wall.

12. The method of claim 11, wherein the restrictive balloon is attached to the abdominal wall by an anchor.