Methods and devices for tissue reconfiguration
First Claim
Patent Images
1. A tissue shaping instrument, comprising:
- an elongated member having a distal effector portion and a proximal controlling portion, the elongated member being of adjustable length to enable an operator to access an interior of a hollow organ of a subject with the distal effector portion while the proximal controlling portion remains outside of the subject;
a first tissue engaging device disposed on the distal effector portion of the elongated member and operably connected to the proximal controlling portion, the first tissue engaging device being structured for releasably engaging at least the inner surface of the hollow organ; and
a second tissue engaging device also disposed on the distal effector portion of the elongated member and operably connected to the proximal controlling portion, the second tissue engaging device comprising opposed articulable arms with a tissue piercing element disposed at a distal end of at least one said arm, said articulable arms each configured for releasably engaging the interior of the hollow organ, with said second tissue engaging device being movable relative to the first tissue engaging device and hingedly pivotable relative to a long-axis of the elongated member,wherein the proximal controlling portion of the elongated member is structured to actuate the tissue engaging devices.
1 Assignment
0 Petitions
Accused Products
Abstract
Methods and devices are provided for reconfiguring a tissue within a hollow body organ using an entirely endoscopic approach in order to effectively reduce flow of fluid contents into a second hollow body organ in fluid communication with the first.
368 Citations
51 Claims
-
1. A tissue shaping instrument, comprising:
-
an elongated member having a distal effector portion and a proximal controlling portion, the elongated member being of adjustable length to enable an operator to access an interior of a hollow organ of a subject with the distal effector portion while the proximal controlling portion remains outside of the subject; a first tissue engaging device disposed on the distal effector portion of the elongated member and operably connected to the proximal controlling portion, the first tissue engaging device being structured for releasably engaging at least the inner surface of the hollow organ; and a second tissue engaging device also disposed on the distal effector portion of the elongated member and operably connected to the proximal controlling portion, the second tissue engaging device comprising opposed articulable arms with a tissue piercing element disposed at a distal end of at least one said arm, said articulable arms each configured for releasably engaging the interior of the hollow organ, with said second tissue engaging device being movable relative to the first tissue engaging device and hingedly pivotable relative to a long-axis of the elongated member, wherein the proximal controlling portion of the elongated member is structured to actuate the tissue engaging devices. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
-
-
13. A tissue shaping instrument, comprising:
-
an elongated member having an inner tubular member and an outer tubular member concentrically disposed around the inner tubular member and a proximal controlling portion, the elongated member being of adjustable length to enable an operator to access an interior of a hollow organ of a subject with a distal portion of the elongated member while the proximal controlling portion remains outside of the subject; a first tissue engaging device disposed on one of the inner and the outer tubular member and operably connected to the proximal controlling portion, the first tissue engaging device being structured for releasably engaging at least the inner surface of the hollow organ; a second tissue engaging device disposed on one of the inner and the outer tubular member and operably connected to the proximal controlling portion, the second tissue engaging device comprising opposed articulable arms with a tissue piercing element disposed at a distal end of at least one said arm, said articulable arms each configured for (a) releasably engaging the interior of the hollow organ and for manipulating tissue thus engaged so as to reconfigure a portion of the interior of at least the interior of the hollow organ, (b) moving together relative to the first tissue engaging device, and (c) working cooperatively with a tissue securing device; and a tissue securing device operably connected to the proximal controlling portion, wherein the tissue securing device is effective for fixing tissue of the hollow organ in a reconfigured state; wherein the proximal controlling portion of the instrument is structured to actuate the tissue engaging devices and the tissue securing device. - View Dependent Claims (14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29)
-
-
30. An apparatus, comprising:
-
means for transorally engaging a plurality of regions of stomach tissue with a plurality of members from within the stomach, at least one of the members configured to move toward another member to reconfigure tissue, wherein the plurality of members include a first member positioned on a central longitudinal axis and having a first securing part configured to engage a first stomach tissue section and a second member positioned on a central longitudinal axis and having a second securing part configured to engage a second stomach tissue section, the first and second members being positioned on the same central longitudinal axis, said means comprising an actuating mechanism operatively linking the first and second members to facilitate simultaneous independent movement of said members to draw together the first and second stomach tissue sections; and means for pulling tissue located between the plurality of regions of tissue prior to engaging the plurality of regions of tissue. - View Dependent Claims (31, 32, 33, 34, 35, 36, 37, 38, 39)
-
-
40. Apparatus comprising:
- a substantially rigid elongated member having an adjustable length and being configured for transoral placement in the stomach and having a distal region including first and second movable members configured to be moved toward one another to reconfigure stomach tissue, the first movable member being positioned on a central longitudinal axis and the second movable member being positioned on a central longitudinal axis, the distal region being steerable as a unit, and means for deploying an implant from at least one of the members to secure the reconfigured tissue, wherein the first and second movable members are positioned on the same longitudinal central axis.
- View Dependent Claims (41, 42, 43, 44, 45, 46, 47, 48, 49, 50)
-
51. An apparatus, comprising:
-
an elongated member defining a central longitudinal axis and having an adjustable length; a plurality of tissue engaging members having at least a first member positioned on a central longitudinal axis and having with a first securing part configured to engage a first stomach tissue section and at least a second member positioned on the central longitudinal axis and having a second securing part configured to engage a second stomach tissue section, the first and second members being positioned on the same central longitudinal axis; and an actuating mechanism operatively linking the first and second members to facilitate simultaneous independent movement of the members to draw together first and second stomach tissue sections, wherein the apparatus is configured for transorally engaging a plurality of regions of stomach tissue with the plurality of members from within the stomach and wherein at least one of the members is configured to move toward another member to reconfigure tissue.
-
Specification