Non-invasive treatment of gastroesophageal reflux disease

• US 5,676,674 A
• Filed: 11/04/1996
• Issued: 10/14/1997
• Est. Priority Date: 10/02/1994
• Status: Expired due to Term

• Current Assignee: Henry Bolanos, Jeffrey J. Blewett, Timothy O Van Leeuwen
• Original Assignee: Henry Bolanos, Jeffrey J. Blewett, Timothy O Van Leeuwen
• Inventors: Van Leeuwen, Timothy O., Bolanos, Henry, Blewett, Jeffrey J.
• Primary Examiner(s): Jackson, Gary
• Application Number:
  US08/743,595
• Time in Patent Office: 344 Days
• Field of Search: 606/139, 606/143, 606/151, 606/219, 227/19, 227/175-180
• US Class Current: 606/139
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/00827 Treatment of gastro-esophageal reflux
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/0725 with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
• CPC Class Codes: A61B 2017/2926 Details of heads or jaws
• CPC Class Codes: A61B 2017/301 with three legs
• CPC Class Codes: A61B 2018/00553 Sphincter

Abstract

Instrumentation for transoral treatment of gastroesophageal reflux disease (GERD) are disclosed. In a preferred embodiment, an instrument includes a remotely operable invagination device for atraumatically approximating the lower esophagus and fundus of the stomach and for invaginating the gastroesophageal junction into the stomach thereby involuting the surrounding fundic wall. The same or a separate instrument includes a remotely operable surgical fastening instrument for fastening together the invaginated lower esophagus and fundic wall. A method of surgically treating GERD is also disclosed.

Claims

1. A surgical stapler comprising:

a staple carrying cartridge having at least three rows of staples;

at least three staple ejecting members longitudinally slidably disposed within the staple carrying cartridge, each staple ejecting member being independently movable to fire one or more said rows of staples, wherein when one said staple ejecting members is moved to fire staples, the other staple ejecting members remain stationary.