ARTIFICIAL STOMACH

• US 20140303746A1
• Filed: 04/14/2014
• Published: 10/09/2014
• Est. Priority Date: 10/10/2008
• Status: Active Grant

• Current Assignee: Peter Forsell
• Original Assignee: Peter Forsell
• Inventors: Forsell, Peter
• Granted Patent: US 9,763,768 B2
• Time in Patent Office: Days
• US Class Current: 623/23.65
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/076 Permanent implantations telemetry using implanted circuitry A61B5/0031; implanted stimulators for therapy A61N1/3605, A61N1/362, A61N1/372
• CPC Class Codes: A61B 5/1107 Measuring contraction of parts of the body, e.g. organ, muscle apparatus for measuring work or force in general G01L
• 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 2002/045 Stomach, intestines
• CPC Class Codes: A61F 2220/0033 made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2250/0001 Means for transferring electromagnetic energy to implants
• CPC Class Codes: A61F 2250/0004 adjustable
• CPC Class Codes: A61F 5/0013 Implantable devices or invasive measures

Abstract

A method for surgically placing an artificial stomach in a patient is disclosed. The artificial stomach for replacing the normal stomach of a patient comprises a food reservoir adapted to collect food, an inlet connected to a first opening of the food reservoir and further being adapted to upstream connect to the patient'"'"'s gastrointestinal tract, and an outlet connected to a second opening of the food reservoir and further being adapted to downstream connect to the patient'"'"'s gastrointestinal tract.

Claims

1. A method for surgically placing an artificial stomach in a patient, the method comprising the steps of

cutting an opening in the abdominal wall of the patient,

dissecting the area around the stomach,

placing an artificial stomach in the dissected area in the abdomen, comprising:

a food reservoir adapted to collect food,

an inlet connected to a first opening of the food reservoir and further being adapted to upstream connect to the patient'"'"'s gastrointestinal tract,

an outlet connected to a second opening of the food reservoir and further being adapted to downstream connect to the patient'"'"'s gastrointestinal tract, and

an inlet valve connected between the patient'"'"'s gastrointestinal tract and the first opening of the food reservoir,

connecting the inlet with the inlet valve and the first opening of the food reservoir upstream to the patient'"'"'s gastrointestinal tract, and

connecting the outlet with the second opening of the food reservoir downstream to the patient'"'"'s gastrointestinal tract.

2. The method for placing an artificial stomach according to claim 1, comprising a surgical method via a laparoscopic abdominal approach, wherein the step of cutting the skin further comprise the method steps of:

inserting a needle like tube into the abdomen of the patient'"'"'s body,

using the tube to fill the abdomen with gas thereby expanding the abdominal cavity,

placing at least two laparoscopic trocars in the patient'"'"'s body, and

inserting a camera through one of the trocars into the abdomen,

wherein the step of dissecting the area around the stomach further comprise the method step of;

inserting at least one dissecting tool through a trocar and dissecting at least one abdominal area of the patient, and

wherein the step of connecting to the inlet and outlet further comprising the method step of;

connecting the inlet and outlet of the artificial stomach to the oesophagus, intestine, or stomach and intestine.

3. The method according to claim 1, wherein the step of connecting to the inlet and outlet further comprise the method steps of:

connecting the inlet to the oesophagus or intestine, and

connecting the outlet to the intestine.

4. The method according to claim 1, comprising the step of implanting a source of energy in the patient, adapted to be charged non-invasively with wireless energy, and adapted to be controlled to release energy for use in connection with the operation of the artificial stomach.

5. The method according to claim 2, comprising the step of implanting a source of energy in the patient, adapted to be charged non-invasively with wireless energy, and adapted to be controlled to release energy for use in connection with the operation of the artificial stomach.

6. The method according to claim 1, comprising the steps of:

implanting a source of energy in the patient,

providing an external source of energy,

controlling the external source of energy to release wireless energy,

charging non-invasively the implanted source of energy with the wireless energy,

controlling the implanted source of energy from outside the patient'"'"'s body or by an internal control unit, and

releasing energy for use in connection with the operation of the artificial stomach.

7. The method according to claim 2, comprising the steps of:

implanting a source of energy in the patient,

providing an external source of energy,

controlling the external source of energy to release wireless energy,

charging non-invasively the implanted source of energy with the wireless energy,

controlling the implanted source of energy from outside the patient'"'"'s body or by an internal control unit, and

releasing energy for use in connection with the operation of the artificial stomach.

8. The method according to claim 1, for postoperatively and non-invasively regulating the artificial stomach comprising the steps of;

moving food slowly out from the food reservoir into the intestine, step by step in small portions, being a procedure powered by an energy source, the method further comprising

repeating the procedure according to a pre-programmed time-schedule, and/or

repeating the procedure at least partly controlled by an internal control unit, and

getting input to the internal control unit from a sensor sensing any physical parameter of the patient or any functional parameter of the device, and

controlling the procedure by the internal control unit based on said parameter.

9. The method according to claim 1, comprising a servo reservoir to regulated the size of the food reservoir, the method further comprising the steps of:

filling the servo reservoir with fluid step by step in small steps, thereby

emptying the food reservoir in small steps, thereby allowing to receive food in a intestine in small subsequent portions.

10. The method according to claim 1, further comprising a food handling system, wherein the method further comprising at least one of the following steps:

handling the food mechanically,

handling the food chemically,

moving the food around in the food reservoir.

cutting the food like in an mixer incorporated in the food reservoir,

handling the food includes mechanically squeezing the food in the food reservoir,

treating the food with chemicals released in the food reservoir,

treating the food with an anti-bacterial system,

treating the food with chemicals comprising an acid released in the food reservoir,

treating with antibacterial treatment into the food reservoir,

releasing a liquid into the food reservoir comprised at least one special container,

injecting antibacterial treatment in at least one injection port,

injecting acid in at least one injection port,

injecting cleaning fluid in at least one injection port,

injecting fluid visible on x-ray, and

cutting the food by rotating knifes.

11. The method according to claim 2, further comprising a food handling system, wherein the method further comprising at least one of the following steps:

handling the food mechanically,

handling the food chemically,

moving the food around in the food reservoir.

cutting the food like in an mixer incorporated in the food reservoir,

handling the food includes mechanically squeezing the food in the food reservoir,

treating the food with chemicals released in the food reservoir,

treating the food with an anti-bacterial system,

treating the food with chemicals comprising an acid released in the food reservoir,

treating with antibacterial treatment into the food reservoir,

releasing a liquid into the food reservoir comprised at least one special container,

injecting antibacterial treatment in at least one injection port,

injecting acid in at least one injection port,

injecting cleaning fluid in at least one injection port,

injecting fluid visible on x-ray, and

cutting the food by rotating knifes.

12. The method according to claim 1, further comprising directly using electrical energy in connection with the operation of the artificial stomach, as a energy transforming device transforms the wireless energy into the electrical energy.

13. The method according to claim 1, programming the device from outside the patients body.

14. The method according to claim 1, comprising the steps of

sensing a physical parameter of the patient or a functional parameter of the device, and

sending sensing information to an internal control unit adapted for controlling said artificial stomach, or

sending sensing information to a control unit adapted for regulating a wireless charging of an internal source of energy.

15. The method according to claim 1, implanting an apparatus comprising:

at least one connector, adapted to be connected to the oesophagus or the intestine of a patient, the connector comprising a conduit fixedly attached at a first, proximal end on the outside the artificial stomach and in fluid connection to the food passageway, where the proximal part of the conduit is formed like a tube, and distal to the tube a bulge is formed, and

a blocking ring to each connector arranged to be pushed against the bulge, the ring having an inner diameter less than the outer diameter of said bulge but large enough to allow the intestinal/oesophageal wall to be placed between said ring and said tube, thereby adapted to stop said intestinal/oesophageal wall from slipping away from the tube,

the method comprising the steps of;

connecting the at least one connector using the blocking ring for each connector, to the intestine, esophagus or esophagus and intestine.

16. A method for surgically placing an artificial stomach in a patient, the method comprising the steps of:

cutting an opening in the abdominal wall of the patient,

dissecting the area around the stomach,

placing an artificial stomach in the dissected area in the abdomen, comprising;

a food reservoir adapted to collect food,

an inlet connected to a first opening of the food reservoir and further being adapted to upstream connect to the patient'"'"'s gastrointestinal tract,

an outlet connected to a second opening of the food reservoir and further being adapted to downstream connect to the patient'"'"'s gastrointestinal tract,

and

a servo reservoir for regulating the size of the food reservoir,

wherein an outer wall encloses both the food reservoir and the servo reservoir, the food reservoir and the servo reservoir being separated by a flexible inner wall, and

wherein both a wall of the food reservoir and a wall of the servo reservoir comprise parts of the outer wall and the flexible inner wall.

connecting the inlet and the first opening of the food reservoir upstream to the patient'"'"'s gastrointestinal tract, and

connecting the outlet with the second opening of the food reservoir downstream to the patient'"'"'s gastrointestinal tract.

17. The method according to claim 16, comprising a surgical method via a laparoscopic abdominal approach, wherein the step of cutting the skin further comprise the method steps of:

inserting a needle like tube into the abdomen of the patient'"'"'s body,

using the tube to fill the abdomen with gas thereby expanding the abdominal cavity,

placing at least two laparoscopic trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the abdomen, wherein the step of dissecting the area around the stomach further comprise the method steps of;

inserting at least one dissecting tool through a trocar and dissecting at least one abdominal area of the patient, and

wherein the step of connecting to the inlet and outlet further comprising the method steps of;

connecting the inlet and outlet of the artificial stomach to the oesophagus and/or intestine.

18. The method according to claim 16, wherein the step of connecting to the inlet and outlet further comprise the method steps of:

connecting the inlet to the oesophagus or intestine, and

connecting the outlet to the intestine.

19. The method according to claim 16, comprising the step of implanting a source of energy in the patient, adapted to be charged non-invasively with wireless energy, and adapted to be controlled from outside the patient'"'"'s body to release energy for use in connection with the operation of the artificial stomach.

20. The method according to claim 16, programming the device from outside the patients body.

21. The method according to claim 16, comprising the steps of

sensing a physical parameter of the patient or a functional parameter of the device, and

sending sensing information to an internal control unit adapted for controlling said artificial stomach, or

sending sensing information to a control unit adapted for regulating a wireless charging of an internal source of energy.

22. The method according to claim 16, further comprising a food handling system, wherein the method further comprising at least one of the following steps:

handling the food mechanically,

handling the food chemically,

moving the food around in the food reservoir,

cutting the food like in an mixer incorporated in the food reservoir,

handling the food includes mechanically squeezing the food in the food reservoir,

treating the food with chemicals released in the food reservoir,

treating the food with an anti-bacterial system,

treating the food with chemicals comprising an acid released in the food reservoir,

treating with antibacterial treatment into the food reservoir,

releasing a liquid into the food reservoir comprised at least one special container,

injecting antibacterial treatment in at least one injection port,

injecting acid in at least one injection port,

injecting cleaning fluid in at least one injection port,

injecting fluid visible on x-ray, and

cutting the food by rotating knifes.

23. The method according to claim 16, for postoperatively and non-invasively regulating the artificial stomach comprising the steps of;

moving food slowly out from the food reservoir into the intestine step-by step in small portions, being a procedure powered by an energy source,

repeating the procedure according to a pre-programmed time-schedule or

repeating and at least partly controlled by an internal control unit, and

getting input to the internal control unit from a sensor sensing any physical parameter of the patient or any functional parameter of the device, and

controlling the procedure by the internal control unit based on said parameter.

24. The method according to claim 16, comprising a hydraulic fluid reservoir adapted to supply fluid to the servo reservoir, the method comprising the steps of:

moving fluid from the hydraulic fluid reservoir to the servo reservoir in small steps, and

moving of fluid from the servo reservoir to the hydraulic fluid reservoir by the food entering the food reservoir presses on the flexible wall of the servo reservoir thus emptying fluid from the servo reservoir to the hydraulic fluid, or

moving of fluid from the servo reservoir to the hydraulic fluid reservoir when a food sensor sends signals to a pump when food is entering the food reservoir, the pump thus pumping out fluid from the servo reservoir to the hydraulic fluid reservoir corresponding to the amount of food.

25. The method according to claim 16, using an apparatus comprising:

at least one connector, adapted to be connected to the oesophagus or the intestine of a patient, the connector comprising a conduit fixedly attached at a first, proximal end on the outside the artificial stomach and in fluid connection to the food passageway, where the proximal part of the conduit is formed like a tube, and distal to the tube a bulge is formed, and

a blocking ring to each connector arranged to be pushed against the bulge, the ring having an inner diameter less than the outer diameter of said bulge but large enough to allow the intestinal/oesophageal wall to be placed between said ring and said tube, thereby adapted to stop said intestinal/oesophageal wall from slipping away from the tube,

the method comprising the step of;

connecting the at least one connector using the blocking ring for each connector, to the intestine, esophagus or esophagus and intestine.