Intra-gastric fastening devices

• US 6,746,460 B2
• Filed: 08/07/2002
• Issued: 06/08/2004
• Est. Priority Date: 08/07/2002
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Satiety, Inc.
• Inventors: Gerbi, Craig, Weller, Gary, Gannoe, Jamy, Sutton, Douglas S.
• Primary Examiner(s): Milano, Michael J.
• Assistant Examiner(s): Pantuck, Bradford C
• Application Number:
  US10/215,070
• Publication Number:
  US 20040030347A1
• Time in Patent Office: 671 Days
• Field of Search: 606/153, 606/192, 606/155, 606/156, 606/151, 606/213, 606/232, 606/219, 606/220, 606/195, 606/216-221, 623/1.36, 623/23.65
• US Class Current: 606/153
• 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 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/0441 the shaft being a rigid coil or spiral
• CPC Class Codes: A61B 2017/06171 helically or spirally coiled for needles A61B2017/06076
• CPC Class Codes: A61B 2017/0649 Coils or spirals
• CPC Class Codes: A61F 5/003 inflatable
• CPC Class Codes: A61F 5/0036 Intragastrical devices

Abstract

Intra-gastric fastening devices are disclosed herein. Expandable devices that are inserted into the stomach of the patient are maintained within by anchoring or otherwise fixing the expandable devices to the stomach walls. Such expandable devices, like inflatable balloons, have tethering regions for attachment to the one or more fasteners which can be configured to extend at least partially through one or several folds of the patient'"'"'s stomach wall. The fasteners are thus affixed to the stomach walls by deploying the fasteners and manipulating the tissue walls entirely from the inside of the organ. Such fasteners can be formed in a variety of configurations, e.g., helical, elongate, ring, clamp, and they can be configured to be non-piercing. Alternatively, sutures can be used to wrap around or through a tissue fold for tethering the expandable devices. Non-piercing biased clamps can also be used to tether the device within the stomach.

Claims

1. A method of anchoring an object to a region of tissue within a hollow body organ, comprising:

grasping the region of tissue from an interior surface of the hollow body organ;

configuring the region of tissue to create at least one fold of tissue; and

securing a fastener to the fold of tissue by partially piercing the fold of tissue with the fastener such that the object fixedly depends from the fastener and is affixed to the fold of tissue within the hollow body organ.

2. The method of claim 1 further comprising advancing an endoscope transorally to the region of tissue.

3. The method of claim 1 wherein grasping the region of tissue comprises holding the tissue with a vacuum force.

4. The method of claim 1 wherein grasping the region of tissue comprises holding the tissue mechanically.

5. The method of claim 1 wherein configuring the region of tissue comprises creating at least two adjacent folds of tissue.

6. The method of claim 1 wherein the fastener is pierced through a first surface of the fold to a second surface of the fold.

7. The method of claim 1 wherein piercing the fold of tissue comprises rotating a helically-shaped fastener at least partially through the fold of tissue.

8. The method of claim 1 wherein securing the fastener further comprises mechanically clamping the fastener over the fold of tissue.

9. The method of claim 1 wherein securing the fastener comprises suturing the object to the fold of tissue.

10. The method of claim 1 wherein securing the fastener to the fold of tissue further comprises damaging the fold of tissue via the fastener.

11. The method of claim 10 wherein damaging the fold of tissue comprises a method selected from the group consisting of cutting, abrading, scoring, heating, freezing, and chemically damaging.

12. A system for occupying a volume within a lumen of a hollow body organ, comprising:

a space-occupying member having a tethering region; and

a fastener adapted to be fully secured by partially piercing the fastener through at least one fold of tissue created from an interior surface of the hollow body organ,

wherein the tethering region of the space-occupying member is secured to the fastener, which is affixed to the fold of tissue within the hollow body organ.

13. The system of claim 12 wherein the space-occupying member is configured to expand to a predetermined diameter.

14. The system of claim 12 wherein the space-occupying member comprises an inflatable balloon.

15. The system of claim 12 wherein the fastener is further adapted to clamp onto the fold of tissue.

16. The system of claim 15 wherein the fastener comprises a helically-shaped fastener having a tapered distal tip.

17. The system of claim 15 wherein the fastener comprises an elongate member having a blunt distal end and a blunt proximal end.

18. The system of claim 15 wherein the fastener comprises an expandable ring.

19. The system of claim 15 wherein the fastener comprises a suture.

20. The system of claim 12 wherein the fastener comprises a clamp.

21. The system of claim 12 wherein the tethering region comprises a rotatable joint.

22. The system of claim 12 wherein the fastener defines a surface thereon adapted to damage the fold of tissue in contact with the fastener.

23. The system of claim 22 wherein the surface of the fastener is adapted to damage the fold of tissue via a method selected from the group consisting of cutting, abrading, scoring, heating, freezing, and chemically damaging.

24. The system of claim 12 wherein the fastener comprises a coating disposed thereon.

25. The system of claim 24 wherein the coating comprises a healing agent or anti-bacterial agent.