Stomach invagination method and apparatus

• US 7,749,235 B2
• Filed: 10/20/2006
• Issued: 07/06/2010
• Est. Priority Date: 10/20/2006
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Sheets, John Wesley Jr., Ortiz, Mark S., Shelton, Fredrick E. IV
• Primary Examiner(s): Ho; (Jackie) Tan-Uyen T
• Assistant Examiner(s): DANG, PHONG SON H
• Application Number:
  US11/551,406
• Publication Number:
  US 20080147112A1
• Time in Patent Office: 1,355 Days
• Field of Search: 606/139
• US Class Current: 606/139
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/30 Surgical pincettes without pivotal connectionsfor holding suture needles or materials A61B17/0483; wound clamps A61B17/08 ; hand-held gripping tools without pivotal connections in general B25B9/02
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/306 holding by means of suction
• CPC Class Codes: A61F 5/0086 using clamps, folding means or the like

Abstract

A system for creating an invaginated portion in a stomach comprises a suction device and a securing member. The suction device comprises a suction head operable to provide suction, a shaft connected to the suction head, and a vacuum lumen in fluid communication with the suction head. The suction head and vacuum lumen are operable to induce a vacuum adjacent to tissue. The suction device is further operable to create an invaginated portion with the tissue. The securing member is operable to substantially maintain the configuration of the invaginated portion of tissue. The suction device may comprise gripping jaw members having teeth. The securing member may comprise an adhesive and/or sutures and the like. The system may be used to create invaginated portions within a stomach. Such invaginated portions may reduce stomach volume to address obesity or other conditions.

Claims

1. A system for creating an invaginated portion in a stomach, the system comprising:

(a) a suction device, wherein the suction device comprises;

(i) a suction head operable to provide suction,

(ii) a shaft, wherein the suction head is connected to the shaft,

(iii) a vacuum lumen positioned within the shaft and in fluid communication with the suction head,

wherein the suction device is configured for the suction head to be placed adjacent to tissue inside a patient'"'"'s stomach, wherein the suction head and vacuum lumen are operable to induce a vacuum adjacent to the tissue, wherein the suction device is further operable to create an invaginated portion with the tissue, and

(iv) a plurality of gripping jaw members that extend from the shaft of the suction device, each of the gripping jaw members having a cup-like configuration and further comprising a joint portion defining a generally spherically-shaped concavity, the concavity of a first joint portion being complementary to the concavity of a second joint portion, wherein the gripping jaw members are operable to be placed in an open position or a closed position by being pivotable about the joint portions, and wherein at least part of the complementary generally spherically-shaped concavities of the joint portions overlap within the shaft when the gripping jaw members are in an open position, and wherein the cup-like configuration of each of the gripping jaw members provides a vacuum chamber in fluid communication with the vacuum lumen such that a vacuum can be provided within the vacuum chamber through the lumen; and

(b) a securing member, wherein the securing member is operable to substantially maintain the configuration of the invaginated portion of tissue, wherein the securing member comprises an adhesive positioned on the exterior surface of the patient'"'"'s stomach.

2. The system of claim 1, wherein the suction head has an annular, outwardly flared rim.

3. The system of claim 1, wherein the suction device further comprises a vacuum port positioned near the gripping jaw members.

4. The system of claim 1, wherein the adhesive comprises one or both of a cyanoacrylate or an isocyanate.

5. The system of claim 1, wherein the securing member further comprises an activator configured to activate the adhesive.

6. The system of claim 5, wherein the securing member further comprises a matrix, wherein the activator is provided within the matrix.

7. The system of claim 1, wherein the securing member comprises one or more of a suture, a staple, or a clip.

8. The system of claim 1, wherein the securing member is configured to be applied endoscopically.

9. The system of claim 1, wherein the shaft has an interior wall, wherein the vacuum lumen is provided by the interior wall of the shaft.

10. A system for creating an invaginated portion in a stomach, the system comprising:

(a) a means for inducing a vacuum adjacent tissue;

(b) a means for creating an invaginated portion of the tissue, wherein the means for creating an invaginated portion is configured to be introduced into the interior of a patient'"'"'s stomach, wherein the means for creating an invaginated portion is configured to be actuated to engage tissue inside the patient'"'"'s stomach, wherein the means for creating an invaginated portion is configured to appose two portions of the exterior surface of the patient'"'"'s stomach; and

(c) a means for maintaining the configuration of the invaginated portion of the tissue created by the means for creating an invaginated portion, wherein the means for maintaining the configuration comprises an adhesive applied to the two portions of the exterior surface of the patient'"'"'s stomach;

wherein when the means for inducing a vacuum and the means for creating an invaginated portion of the tissue is placed adjacent to the tissue inside the stomach and opposite the two portions of the exterior surface of the stomach having the adhesive applied thereon, and a vacuum is induced adjacent to the tissue, and the means for creating an invaginated portion of the tissue is actuated, an invaginated portion of the stomach is created with the adhesive positioned on the two portions of the exterior surface of the stomach being drawn into the invaginated portion to promote adhesion between the two apposed exterior surfaces of the patient'"'"'s stomach.

11. A system for creating an invaginated portion in a stomach, wherein the stomach comprises an inner portion and an outer portion opposite the inner portion, the system comprising:

(a) a suction device comprising a vacuum port, a shaft extending from the vacuum port, a lumen in fluid communication with the shaft, and a suction head having an annular, outwardly flared rim in fluid communication with the lumen; and

(b) an adhesive applier, wherein the adhesive applier is configured to be positioned proximate to the outer portion of the stomach, wherein the adhesive applier is operable to apply adhesive to the outer portion of the stomach;

wherein the vacuum port and suction head are configured to be positioned proximate to the inner portion of the stomach, wherein the rim of the suction head is configured to sealingly engage the inner portion of the stomach, wherein the vacuum port and lumen are operable to induce a vacuum adjacent to the inner portion of the stomach to cause part of the inner portion of the stomach to be drawn into the vacuum port of the suction device, thereby apposing parts of the outer portion of the stomach and causing the adhesive applied to the outer portion of the stomach to be sandwiched in between the apposing parts to promote adhesion between the apposed parts of the outer portion of the stomach.

12. The system of claim 11, further comprising a matrix cloth configured to be positioned between the apposed parts of the outer portion of the stomach.

13. The system of claim 12, wherein the matrix cloth is configured to react with the adhesive, wherein the adhesive is operable to adhere the apposed parts of the outer portion of the stomach when the adhesive is placed in contact with the matrix cloth.