Methods and systems for treating hiatal hernias
First Claim
1. A method for treating a hiatal hernia which extends into a patient'"'"'s esophagus and restoring a GEV and the angle of His, said method comprising:
- moving the hiatal hernia downwardly to capture a crus muscle between a lower esophageal wall and a gastric fundus;
visually confirming that the crus muscle is located between the lower esophageal wall and the gastric fundus at a target site; and
fastening at least the lower esophageal wall to the gastric fundus with a fastener that passes through the crus muscle at a target site to restore the GEV and the angle of His.
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Accused Products
Abstract
The present invention relates generally to medical methods and systems used to restore the angle of His and treat hiatal hernias and other conditions of the lower esophagus. More particularly, the present invention relates to a method and system that allows fixation of the distal esophagus and fundus of the stomach directly to the diaphragmatic crus muscle. The present invention provides a method where the diaphragmatic crus muscle is identified and precisely located from within and through the gastrointestinal lumen followed by the placement of a translumenal anchor which connects and secures the esophagus and stomach to the diaphragmatic crus muscle. This procedure reduces the hiatal hernia, restores the normal anatomy and treats conditions associated with the lower esophagus.
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Citations
30 Claims
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1. A method for treating a hiatal hernia which extends into a patient'"'"'s esophagus and restoring a GEV and the angle of His, said method comprising:
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moving the hiatal hernia downwardly to capture a crus muscle between a lower esophageal wall and a gastric fundus; visually confirming that the crus muscle is located between the lower esophageal wall and the gastric fundus at a target site; and fastening at least the lower esophageal wall to the gastric fundus with a fastener that passes through the crus muscle at a target site to restore the GEV and the angle of His. - View Dependent Claims (2, 3, 4, 5, 29, 30)
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6. A method for restoring a GEV and the angle of His, said method comprising:
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positioning an instrument in the esophagus; visually confirming a crus muscle is captured between the lower esophageal wall and the gastric fundus at a target site; and fastening the lower esophageal wall to the gastric fundus with a fastener that passes through the diaphragmatic crus muscle at the target site to restore the GEV and the angle of His. - View Dependent Claims (7, 8, 9, 10, 11, 12, 13)
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14. A method for treating a hiatal hernia and restoring a GEV and the angle of His, said method comprising:
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visually identifying a target site through the lower esophageal wall and the gastric fundus where the crus muscle is positioned therebetween; and fastening the lower esophageal wall to the gastric fundus with a fastener that passes through the diaphragmatic crus muscle to restore the GEV and the angle of His. - View Dependent Claims (15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28)
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Specification