Obesity treatment tools and methods

• US 7,288,099 B2
• Filed: 12/05/2002
• Issued: 10/30/2007
• Est. Priority Date: 05/30/2001
• Status: Expired due to Term

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Satiety, Inc.
• Inventors: Sutton, Douglas S., Gifford, Hanson S. III, Andreas, Bernard H., Deem, Mark E., French, Ronald G
• Primary Examiner(s): Nguyen; Anhtuan T.
• Assistant Examiner(s): NGUYEN, TUAN VAN
• Application Number:
  US10/313,394
• Publication Number:
  US 20030120265A1
• Time in Patent Office: 1,790 Days
• Field of Search: 606139-143, 606151-153, 606/213, 128/898
• US Class Current: 606/151
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/306 holding by means of suction
• CPC Class Codes: A61B 2090/395 with marking agent for marking skin or other tissue
• CPC Class Codes: A61F 5/0083 Reducing the size of the stomach, e.g. gastroplasty surgical interventions A61B17/00
• CPC Class Codes: A61F 5/0086 using clamps, folding means or the like

Abstract

Various obesity treatment tools and methods are described herein, as well as treatments for other gastric-related diseases, e.g., GERD. Treatment includes reducing the size of the stomach pouch to limit the caloric intake as well as to provide an earlier feeling of satiety. This may be done by creating a smaller gastric pouch within the stomach directly from the interior of the stomach itself. The smaller pouches may be made through the use of individual anchoring devices, rotating probes, or volume reduction devices. A pyloroplasty procedure may also be performed to render the pyloric sphincter incompetent. A gastric bypass procedure may additionally be performed using a traumatic magnetic anastomoses devices so that sugars and fats are passed directly to the bowel while bypassing the stomach. Many of these procedures may be done in a variety of combinations. Treatment may create enforced behavioral modifications by discouraging the ingestion of high-caloric foods.

Claims

1. A method of creating a narrowing of an hollow body organ having a main lumen, comprising:

adhering a portion of an interior wall of the hollow body organ to a device via a vacuum created in at least one opening defined along the device;

the device being adapted to rotate about a longitudinal axis defined by the device;

rotating the device about the longitudinal axis while maintaining adherence to the portion of interior wall thereby rotating the portion of the interior wall and creating a narrowing of the hollow body organ; and

fastening the portion of interior wall to the hollow body organ such that the narrowing of the hollow body organ is maintained.

2. The method of claim 1 wherein the device comprises a tube having a proximal end and a distal end with a lumen defined therebetween, the tube defining an opening proximal of the distal end.

3. The method of claim 2 further comprising adhering the portion of interior wall to the device via a plurality of attachment points disposed adjacent to the opening.

4. The method of claim 3 wherein the attachment points are selected from the group consisting of tines, barbs, and hooks.

5. The method of claim 1 wherein the portion of interior wall is fastened to the hollow body organ by a mechanical fastener selected from the group consisting of staples, blind staples, clips, tags, screws, and adhesives.

6. The method of claim 1 wherein rotating the device comprises rotating the device up to 360°

.

7. The method of claim 1 wherein rotating the device comprises rotating the device 360°

or more.

8. The method of claim 1, wherein the device is inserted into the hollow body organ endoscopically via an esophageal passageway.

9. The method of claim 1, wherein the portion of the interior wall of the organ is drawn up via a vacuum developed in a lumen in the device.

10. The method of claim 9, wherein a clip is inserted into the lumen.

11. The method of claim 10, wherein fastening the portion of interior wall to the hollow body organ includes piercing the wall with a pair of distal ends of the clip.

12. The method of claim 1, wherein a plurality of fastening devices fasten the portion of interior while juxtaposed linearly to form a continuous fixation line.

13. The method of claim 1, wherein the device defines a slot in fluid communication with a lumen in the device, further comprising drawing a portion of the interior wall of the hollow body organ into the slot.