Medical apparatus and methods for treating sliding hiatal hernias
First Claim
1. Apparatus for the repair of sliding hiatal hernias through laparoscopic techniques comprising:
- a tubular sleeve;
a conically shaped guide with an essentially pointed forward end positionable within the sleeve;
a prosthesis coupled to the guide; and
means for securing the prosthesis around the esophagus of a patient immediately beneath the patient'"'"'s diaphragm whereby the prosthesis assumes a generally torus shape.
3 Assignments
0 Petitions
Accused Products
Abstract
Methods and apparatus for the repair of sliding hiatal hernias through laparoscopic techniques comprising a tubular sleeve; a conically shaped guide with an essentially pointed forward end positionable within the sleeve; a prosthesis coupled to the guide; and means for securing the prosthesis around the esophagus of a patient immediately beneath the patient'"'"'s diaphragm whereby the prosthesis assumes a generally torus shape. The prosthesis may be pre-inflated and wherein the sleeve is axially splitable after the initiation of insertion of the guide. The prosthesis may be inflatable and further including a hose to inflate the prosthesis after positioning.
160 Citations
35 Claims
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1. Apparatus for the repair of sliding hiatal hernias through laparoscopic techniques comprising:
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a tubular sleeve; a conically shaped guide with an essentially pointed forward end positionable within the sleeve; a prosthesis coupled to the guide; and means for securing the prosthesis around the esophagus of a patient immediately beneath the patient'"'"'s diaphragm whereby the prosthesis assumes a generally torus shape. - View Dependent Claims (2, 3, 4, 5, 6)
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7. A method for the repair of sliding hiatal hernias through laparoscopic techniques comprising:
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providing a tubular sleeve; providing a conically shaped guide with an essentially pointed forward end; providing a prosthesis coupled to the guide, the prosthesis having coupling means; inserting the guide into the sleeve; inserting the sleeve into the patient; advancing the guide and prosthesis to interior of the patient; positioning the prosthesis around the stomach of a patient immediately beneath the patient'"'"'s diaphragm whereby the prosthesis assumes a generally torus shape; and securing the coupling means to properly shape and position the prosthesis. - View Dependent Claims (8, 9)
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10. Apparatus for the repair of sliding hiatal hernias through laparoscopic techniques comprising:
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a tubular sleeve separable into two linear halves; a conically shaped guide with an essentially pointed forward end of a diameter to facilitate insertion of the forward end of the guide into the sleeve; a prosthesis having a forward portion coupled to a trailing portion of the guide; and means at the ends of the prosthesis for securing the prosthesis around the esophagus of a patient immediately beneath the patient'"'"'s diaphragm whereby the prosthesis assumes a torus shape. - View Dependent Claims (11, 12, 13)
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14. A method for the repair of sliding hiatal hernias through a laparoscopic techniques comprising:
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positioning a tubular sleeve in a patient'"'"'s incision; providing a conically shaped guide with an essentially pointed forward end; providing a pre-inflated prosthesis coupled to the guide, the prosthesis having coupling means; initially inserting the guide into the sleeve; axially splitting the sleeve after the initiation of insertion of the guide; removing the split sleeve; advancing the guide and prosthesis to interior of the patient; positioning the prosthesis around the esophagus of a patient immediately beneath the patient'"'"'s diaphragm whereby the prosthesis assumes a generally torus shape; providing coupling means with ties; and securing the coupling means to properly shape and position the prosthesis. - View Dependent Claims (15)
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16. Apparatus for the repair of sliding hiatal hernias through laparoscopic techniques comprising:
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a tubular sheath having a forward end and rearward end; a prosthesis with a leading end and a trailing end, the prosthesis located within and movable with respect to the sheath; a conically shaped guide within the sheath adjacent to the forward end of the sheath; coupling means secured to the leading and trailing ends of the prosthesis; and a plunger located partially within the sheath adjacent to the rearward end of the sheath for pushing the guide from the sheath. - View Dependent Claims (17, 18, 19, 20, 21, 22)
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23. A method for repairing sliding hiatal hernias through laparoscopic techniques comprising:
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providing a tubular sheath having a forward end and a rearward end; positioning an inflatable prosthesis within and movable along the length of the sheath, the prosthesis having a leading end and a trailing end; positioning a conically shaped guide with an essentially pointed leading end within the sheath; positioning a plunger partially within the sheath adjacent to the rearward end of the sheath; inserting the sheath into a sleeve extending from exterior to interior of a patient; pushing the plunger to move the guide from the sheath; positioning the prosthesis around the esophagus of the patient immediately beneath the diaphragm; and coupling the prosthesis in position by ties at the leading and trailing ends of the prosthesis.
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24. A system for the repair of sliding hiatal hernias through laparoscopic techniques comprising:
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a trocar sleeve having a forward end and a rearward end; a tubular sheath positionable within the sleeve, the sheath having a forward end and a rearward end; a prosthesis located within and movable with respect to the sheath, the prosthesis having a leading end and a trailing end; a conically shaped guide within the sheath adjacent to the forward end of the sheath; coupling means secured to the leading and trailing ends of the prosthesis; and a plunger located partially within the sheath adjacent to the rearward end of the sheath for pushing the guide from the sheath, a coaxial circular hole through the plunger with a filler hose extending through the hole for inflating the prosthesis, the hose extending to interior of the prosthesis through a self sealing valve, the valve being located at the trailing end of the prosthesis.
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- 25. An inflatable prosthesis for repair of a sliding hiatal hernia positionable around a patient'"'"'s esophagus immediately beneath the diaphragm, the prosthesis being hollow and formed of an elastomeric material, the prosthesis having a self sealing valve for its inflation and coupling means at its opposite ends for retaining the prosthesis into a torus shape.
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29. Apparatus for the repair of sliding hiatal hernias through laparoscopic techniques comprising:
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a tubular sleeve; a conically shaped guide with an essentially pointed forward end positionable within the sleeve; a prosthesis coupled to the guide; and means for securing the prosthesis. - View Dependent Claims (30, 31)
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32. Apparatus for use in laparoscopic techinques comprising:
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a tubular sleeve; a conically shaped guide positionable within the sleeve; an inflatable prosthesis coupled to the guide; a tube for inflating the prosthesis; and a plug at the end of the tube within the prosthesis for sealing the prosthesis.
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33. Apparatus for use in laparoscopic techniques comprising:
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a tubular sleeve; a conically shaped guide with a rearward end and an essentially pointed forward end positionable within the sleeve; and a prosthesis coupled to the rearward end of the guide.
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34. Apparatus for use in laparoscopic techniques comprising:
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a tubular sleeve; a guide with a rearward end and a forward end positionable within the sleeve; and a prosthesis removably coupled to the rearward end of the guide for movement therewith.
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35. Apparatus for use in laparoscopic techniques comprising:
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a tubular sleeve; a guide with a rearward end and a forward end positionable within the sleeve; an inflatable prosthesis coupled to the guide, the prosthesis having a leading end and a trailing end; a tube positionable in the rearward end of the prosthesis; and a valve within the trailing end of the prosthesis coaxial with the tube.
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Specification