Methods and devices for intragastrointestinal prostheses

• US 8,038,720 B2
• Filed: 11/08/2005
• Issued: 10/18/2011
• Est. Priority Date: 10/18/2005
• Status: Active Grant

• Current Assignee: Donald Coelho Jr, Gregory Amante, Jeffrey M. Wallace, Peter J. Lukin
• Original Assignee: Donald Coelho Jr, Gregory Amante, Jeffrey M. Wallace, Peter J. Lukin
• Inventors: Lukin, Peter J., Wallace, Jeffrey M., Amante, Gregory, Coelho, Donald Jr.
• Primary Examiner(s): Stewart; Alvin J.
• Application Number:
  US11/269,394
• Publication Number:
  US 20080221702A1
• Time in Patent Office: 2,170 Days
• Field of Search: 623/23.64, 623/23.65, 623/23.67, 623/23.7, 623/1.24, 623/1.26, 623/2.14, 623/2.18, 604/8, 604/909
• US Class Current: 623/23.65
• CPC Class Codes: A61B 17/12036 partial occlusion
• CPC Class Codes: A61B 17/12099 characterised by the location of the occluder
• CPC Class Codes: A61B 17/12136 Balloons
• CPC Class Codes: A61F 2/04 Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts A61F2/18, A61F2/20 take precedence; devices, other than stent-grafts, providing patency to, or preventing collapsing of, tubular structures of the body other than stent-grafts, e.g. stents A61F2/82; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95
• CPC Class Codes: A61F 2002/045 Stomach, intestines
• CPC Class Codes: A61F 2250/0003 having an inflatable pocket filled with fluid, e.g. liquid or gas
• CPC Class Codes: A61F 5/0079 Pyloric or esophageal obstructions

Abstract

An intragastric and/or intragastrointestinal device may include a prosthesis, which may reside within the gastrointestinal tract lumen. The device may include a restrictive element that constricts or restricts the gastrointestinal tract lumen, limiting the amount of food and/or fluid an individual consumes.

Claims

1. An intragastrointestinal device comprising:

a body portion that is configured to be placed within at least a portion of a gastrointestinal tract lumen, the body portion having at least one device lumen extending therethrough that provides a restrictive element to restrict passage of food and/or fluid through the body portion, at least one dimension of the device lumen being manually adjustable by a user to any one of a plurality of different dimensions to vary a rate of flow through the device lumen; and

at least one fixation element located at a first end of the body portion, the fixation element being manually adjustable by the user to a plurality of states having different dimensions to aid in the fixation of the body portion in the gastrointestinal tract lumen, the fixation element being adjustable separate from the device lumen.

2. An intragastrointestinal device as in claim 1, wherein at least a portion of the body portion is configured to be positioned in proximity to a stricture point.

3. An intragastrointestinal device as in claim 2, wherein the stricture point is selected from a group comprising:

a naturally occurring narrowing of a gastrointestinal tract lumen, a narrowing formed by at least a portion of a band of material wrapped around at least a portion of the gastrointestinal tract, an anastomosis between at least two lumens or cavities, a surgical opening between at least two lumens or cavities, and a constriction or restriction of at least a portion of a gastrointestinal tract lumen caused by at least a portion of a pathology.

4. An intragastrointestinal device as in claim 2, further comprising at least one flanged portion located at a second end of the body portion that is adapted to at least aid in the fixation of the device in proximity to the stricture point.

5. An intragastrointestinal device as in claim 2, wherein the at least one device lumen is adjustable such that no intragastrointestinal content, including swallowed food and/or fluid, can pass through the stricture point.

6. An intragastrointestinal device as in claim 1, wherein the at least one dimension of the device lumen comprises a diameter of the device lumen.

7. An intragastrointestinal device as in claim 1, further comprising at least one expandable reservoir that is manually adjustable to a plurality of different states to adjust the dimension of the device lumen.

8. An intragastrointestinal device as in claim 7, further comprising a reservoir port that at least partially allows the adjustment of the device lumen dimension, wherein the reservoir port is configured and arranged to be located at least one location selected from a group comprising:

a location partially within the gastrointestinal lumen, and a location partially outside the gastrointestinal lumen.

9. An intragastrointestinal device as in claim 8, wherein the expandable reservoir contains at least one medium selected from a group comprising:

a fluid, and a gas.

10. An intragastrointestinal device as in claim 9, wherein the reservoir port comprises a membrane, and wherein the medium can be added to or removed from the reservoir through the membrane either endoscopically, percutaneously, or a combination of the two.

11. An intragastrointestinal device as in claim 8, wherein the reservoir port is configured and arranged to be located at least partially outside the gastrointestinal lumen and the adjustment of the at least one device lumen dimension is accomplished percutaneously through the skin with a syringe or needle.

12. An intragastrointestinal device as in claim 1, wherein the device lumen is adjustable to provide a specified rate of flow of food and/or fluid through the gastrointestinal tract lumen.

13. An intragastrointestinal device as in claim 1, wherein the device is configured to be deployed by at least a method selected from a group comprising:

an open surgical procedure, a laparoscopic surgical procedure, and an at least partially flexible endoscopic procedure.

14. An intragastrointestinal device as in claim 1, wherein the device is configured to be used as at least a portion of a medical procedure selected from a group comprising:

a bariatric procedure, a gastrointestinal procedure, a general surgery procedure, and a procedure related to gastric reflux disease.

15. An intragastrointestinal device as in claim 1, further comprising at least one distal portion that is coupled to the body portion and is configured to at least partially act as a malabsorptive device element.

16. An intragastrointestinal device comprising:

a body portion that is configured to be placed within at least a portion of a gastrointestinal tract lumen, the body portion having a device lumen to allow passage of food and/or fluid therethrough, at least a portion of the body portion having an outer surface that defines an outer width thereof and is configured to extend through a stricture point, at least one dimension of the device lumen being manually adjustable by a user to any one of a plurality of different dimensions to vary a rate of flow through the device lumen; and

at least one adjustable portion located at a first end of the body portion and configured to be positioned only on a first side of the stricture point, the adjustable portion being manually adjustable by a user to a plurality of states with different dimensions to vary the size of the first end, at least one of the states setting the size of the first end to be greater than the outer width of the portion of the body portion to at least aid in the fixation of the intragastrointestinal device in proximity to the stricture point.

17. An intragastrointestinal device as in claim 16, wherein the stricture point is selected from a group comprising:

a naturally occurring narrowing of a gastrointestinal tract lumen, a narrowing formed by at least a portion of a band of material wrapped around at least a portion of the gastrointestinal tract, an anastomosis between at least two lumens or cavities, a surgical opening between at least two lumens or cavities, and a constriction or restriction of at least a portion of a gastrointestinal tract lumen caused by at least a portion of a pathology.

18. An intragastrointestinal device as in claim 16, wherein the at least one adjustable portion comprises a flanged portion.

19. An intragastrointestinal device as in claim 16, wherein the at least one adjustable portion is adjustable to at least one of the states selected from a group comprising:

a state wherein the dimensions of the adjustable portion and the body portion together are greater than an inner dimension of the stricture point, and a state wherein the dimensions of the adjustable portion and the body portion together are less than an inner dimension of the stricture point.

20. An intragastrointestinal device as in claim 16, wherein the at least one adjustable portion comprises an expandable reservoir that is manually adjustable to a plurality of different states.

21. An intragastrointestinal device as in claim 16, further comprising a flanged portion located at a second end of the body portion, the flanged portion configured and arranged to be positioned on a second side of the stricture point, the flanged portion having a width that is greater than the outer width of the portion of the body portion to aid in the fixation of the intragastrointestinal device in proximity to the stricture point.

22. An intragastrointestinal device as in claim 16, further comprising at least one adjustable portion located at a second end of the body portion and configured to be positioned only on a second side of the stricture point, the adjustable portion being manually adjustable by a user to a plurality of states with different dimensions to vary the size of the second end, at least one of the states setting the size of the second end to be greater than the outer width of the portion of the body portion to at least aid in the fixation of the intragastrointestinal device in proximity to the stricture point.