Calibrating apparatus and method of using same for gastric banding surgery

• US 4,696,288 A
• Filed: 08/14/1985
• Issued: 09/29/1987
• Est. Priority Date: 08/14/1985
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Lubomyr I. Kuzmak, Robert E. Hoyt
• Inventors: Hoyt, Robert E., Kuzmak, Lubomyr I.
• Primary Examiner(s): Truluck, Dalton L.
• Assistant Examiner(s): Costantino, Mario
• Application Number:
  US06/766,091
• Time in Patent Office: 776 Days
• Field of Search: 128/1 R, 128/774, 128/775, 128/778, 128/780, 128/748, 128/673, 128/675, 128/344, 128/780, 128/348.1, 128/DIG. 25, 604/97
• US Class Current: 128/898
• CPC Class Codes: A61B 17/12 for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord specially adapted for vas deferens or fallopian tubes A61F6/20; materials for ligaturing blood vessels A61L17/00
• CPC Class Codes: A61F 5/0003 Apparatus for the treatment of obesity; Anti-eating devices surgical instruments or methods for treatment of obesity, devices specially adapted therefor A61B17/00; hollow or tubular parts of organs A61F2/04

Abstract

A calibrating apparatus adapted to be inserted into and proceeded within the stomach of human body which includes a single-lumen tubing terminating in a proximal portion and a distal tip each of which have an orifice and wherein the single-lumen tubing has a first opening extending therethrough which is located at a selected distance from the proximal portion and a second opening which extends therethrough and which is located a predetermined distance from the distal tip, an elongated, thin-walled sensor having a circular-cross section and a cavity within the interior thereof and which is operatively coupled in a sealing relationship to the distal tip wherein the thin-walled sensor is capable of having its cross-sectional diameter varied in response to a force applied to the exterior of the sensor to vary the pressure of a fluid within the cavity, a balloon surrounding the exterior of said single-lumen tubing at the preselected location which encloses the second opening and an elongated tubing member which extends through the single-lumen tubing, through the first opening and into communication with the second opening is shown. A method for performing a gastric banding operation on the stomach of a human being utilizing the calibrating apparatus is also shown.

Claims

1. A method for performing a gastric banding operation on the stomach of a human body comprising the steps of

inserting into the opening of the stomach of a human body a calibrating apparatus comprising a single-lumen tubing which has a first orifice at the proximal portion thereof and a second orifice at the distal tip thereof which is operatively coupled to an elongated thin-walled sensor having a circular cross-section and which defines a cavity within the interior thereof and wherein the thin-walled sensor is capable of having its cross-sectional diameter varied in response to a variable force being applied to the exterior of the sensor, a toroidal-shaped balloon operatively coupled to and surrounding the exterior of the single-lumen tubing at a preselected location near the distal tip and an elongated tubing which extends from a location exterior to the single-lumen tubing, through the interior of the single-lumen tubing, and into communication with the interior of the balloon and proceeding the calibrating apparatus into the interior of the stomach;

inflating the balloon while the calibrating apparatus is within the stomach by passing a fluid under pressure through said elongated tubing to expand the balloon to a selected expanded dimension and retrograding the inflated balloon against the stomach opening;

constricting the stomach located immediately below the expanded balloon by applying a adjustable gastric band around the periphery of the stomach and urging the interior of the stomach into engagement with and around the exterior of the sensor;

tightening the adjustable band around the periphery of the stomach, which in turn applies pressure around the periphery of the exterior of the sensor, until a selected pressure is detected as being applied to the sensor and suturing the band to form a passageway between the inner walls of the stomach wherein the passageway has a diameter which is substantially equal to the cross-sectional diameter of the sensor at the applied pressure developed by the adjustable band to establish an upper cavity having a volume which is substantially equal to the selected expanded dimension of the balloon and a lower cavity which communiates with the first cavity through said passageway having said predetermined cross-sectional area;

suturing together the sidewalls of the stomach forming the upper and lower cavities enclosing the adjustable gastric band to defining an annular-shaped opening around the adjustable gastric band; and

withdrawing the fluid from the interior of the balloon, collapsing the same, and retrograding the calibrating apparatus through the opening of the first cavity and out of the human body.

2. The method of claim 1 further comprising the step of

monitoring the air pressure within the interior of the single-lumen tubing and in the cavity of said sensor with a monitoring means which indicates when the pressure being applied to said sensor by the adjustable gastric band urging the inner walls of the stomach against the sensor is within a predetermined range of forces representing variances in the geometrical dimension of the cross-sectional diameter of the sensor.

3. The method of claim 2 wherein said monitoring means includes means for indicating when the pressure is in excess of a maximum predetermined pressure representing a geometrical dimension of the cross-sectional diameter which is smaller than a predetermined diameter, for indicating when the pressure is less than a minimum predetermined pressure, representing a geometrical dimension of the cross-sectional area which is larger than a predetermined diameter and for indicating when the pressure is at the predetermined pressure wherein the geometrical dimension of the cross-sectional diameter is at said predetermined diameter, and further comprising the step of:

indicating with a signal means the pressure being monitored by said monitoring means.

4. The method of claim 3 wherein said monitoring means includes a transducer operatively coupled to the single-lumen tubing of said calibrating apparatus at said first orifice which senses a change in pressure of a fluid within the interior of said single-lumen tubing and comprising the step of

converting the pressure detected by said sensor into a visual light signal on a monitoring apparatus.

5. The method of claim 4 further comprising the steps of

applying the change of pressure detected by said monitoring apparatus to pressure responsive switching means which selectively energizes light emitting diodes indicating whether the pressure being applied to said sensor is at least one of greater than, less than and equal to a predetermined pressure.

6. The method of claim 3 wherein said predetermined diameter is in a range of about 10 millimeters to about 13 millimeters.

7. The method of claim 1 wherein the selected expanded dimension of the balloon has a volume of about one ounce.

8. The method of claim 1 wherein said adjustable gastric band comprises a dacron reinforced mesh band having a tongue at one end thereof and a fastening member at the other end thereof and wherein said fastening member includes a slot which is adapted to receive and pass the tongue end of the adjustable band, further comprising the step of passing the tongue end of the adjustable band through the slot to the fastening member and tightening the same to the predetermined diameter.