Obesity treatment systems

• US 7,832,407 B2
• Filed: 12/06/2005
• Issued: 11/16/2010
• Est. Priority Date: 03/23/2004
• Status: Expired due to Fees

• Current Assignee: Michael Gertner
• Original Assignee: Michael Gertner
• Inventors: Gertner, Michael
• Primary Examiner(s): Gilbert; Samuel G
• Application Number:
  US11/295,281
• Publication Number:
  US 20060089571A1
• Time in Patent Office: 1,806 Days
• Field of Search: 604/8, 604/9, 600 29- 32, 600/37, 606/191, 606/192, 606/196
• US Class Current: 128/898
• 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 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/3417 Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating syringe needles A61M5/32; dilators A61M29/00
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00827 Treatment of gastro-esophageal reflux
• CPC Class Codes: A61B 2017/0404 Buttons
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0419 H-fasteners
• CPC Class Codes: A61B 2017/0445 cannulated, e.g. with a longitudinal through-hole for passage of an instrument
• CPC Class Codes: A61B 2017/0454 the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0456 Surface features on the anchor, e.g. ribs increasing friction between the suture and the anchor
• CPC Class Codes: A61B 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/0462 One way system, i.e. also tensioning the suture
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/0488 : Instruments for applying suture clamps, clips or locks for applying suture anchors A61B2017/0409; for applying wound clamps A61B17/10; for applying ligaturing clamps or clips A61B17/128
• CPC Class Codes: A61B 2017/0496 : for tensioning sutures
• CPC Class Codes: A61B 2017/06052 : Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle hollow suture needles A61B2017/061
• CPC Class Codes: A61B 2017/1135 : End-to-side connections, e.g. T- or Y-connections Y-shaped blood vessel prostheses A61F2002/065
• CPC Class Codes: A61F 2002/044 : Oesophagi or esophagi or gullets
• CPC Class Codes: A61F 5/0083 : Reducing the size of the stomach, e.g. gastroplasty surgical interventions A61B17/00
• CPC Class Codes: A61N 1/36007 : of urogenital or gastrointestinal organs, e.g. for incontinence control

Abstract

In some embodiments, methods to sense parameters associated with restriction procedures and/or devices are disclosed. In some embodiments, the parameters are sensed directly from the region of the procedure and/or device and in other embodiments, associated neural pathways are sensed. Methods for further optimization of the obesity treatment regimens are also disclosed.

Claims

1. A method of quantifying the effectiveness of a gastric restriction in a patient undergoing treatment for obesity comprising:

Sensing a parameter associated with the stress on a gastric restriction with an implantable parameter sensing device wherein the gastric restriction is created through a surgical bypass procedure.

2. The method of claim 1 further comprising;

Interpreting the parameter in relation to the patient'"'"'s treatment plan.

3. The method of claim 1 further comprising:

Changing the treatment plan of the patient based on the parameter to improve upon weight loss for the patient.

4. The method of claim 1 wherein the gastric restriction further comprises an adjustable restriction device.

5. The method of claim 4 wherein the adjustable restriction device is a band which encircles the fundus of the stomach.

6. The method of claim 1 wherein the gastric restriction further comprises a transgastric anchoring assembly.

7. The method of claim 1 further comprising:

generating an output signal.

8. The method of claim 7 further comprising:

storing the output signal.

9. The method of claim 7 wherein the output signal is a wireless signal.

10. The method of claim 1 further comprising an electrical stimulator, coupled to the parameter to modulate the treat of obesity.

11. A method of quantifying the effectiveness of a stomach restriction device in a patient undergoing treatment for obesity comprising:

Sensing a parameter associated with the stress on the stomach restriction device;

Sensing a signal generated by a body structure in relation to the parameter wherein the structure generating the signal is an enteric nervous structure or a visceral nervous structure.

12. The method of claim 11 further comprising:

delivering the signal related to the parameter to a communicator.

13. The method of claim 11 wherein the parameter is sensed on a port in fluid communication with the gastric restriction device.

14. The method of claim 13 wherein the parameter is pressure.

15. The method of claim 11 wherein the enteric nervous structure is in the wall of the stomach and wherein the method further comprises the step of delivering a physiologic electrical sensor to the wall of the stomach.

16. The method of claim 11 wherein the visceral nervous structure is a vagus nerve.

17. The method of claim 11 wherein the visceral nervous structure is a sympathetic nervous structure.

18. The method of claim 11 wherein the gastric restriction device is a circumferential band placed around the stomach.

19. The method of claim 11 wherein the gastric restriction device is an extragastric inflateable device which does not fully surround the stomach.

20. The method of claim 11 wherein the gastric restriction device is a transgastric anchor assembly.