Obesity treatment tools and methods

• US 8,080,025 B2
• Filed: 05/10/2007
• Issued: 12/20/2011
• Est. Priority Date: 05/30/2001
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Deem, Mark E., Sutton, Douglas S., Gifford, Hanson S. III, Andreas, Bernard H., French, Ronald G.
• Primary Examiner(s): Nguyen, Victor
• Application Number:
  US11/801,475
• Publication Number:
  US 20070219570A1
• Time in Patent Office: 1,685 Days
• Field of Search: 606/152, 606/153, 606/232, 606/233, 606/139, 606/151, 604 8- 9, 623/23.64, 623/23.65, 623/23.63, 623/23.68, 128/898
• US Class Current: 606/153
• 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 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/122 Clamps or clips , e.g. for the umbilical cord for the vas deferens A61F6/206
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/306 holding by means of suction
• CPC Class Codes: A61B 2090/395 with marking agent for marking skin or other tissue
• CPC Class Codes: A61F 5/0083 Reducing the size of the stomach, e.g. gastroplasty surgical interventions A61B17/00
• CPC Class Codes: A61F 5/0086 using clamps, folding means or the like

Abstract

Various obesity treatment tools and methods are described herein, as well as treatments for other gastric-related diseases, e.g., GERD. Treatment includes reducing the size of the stomach pouch to limit the caloric intake as well as to provide an earlier feeling of satiety. This may be done by creating a smaller gastric pouch within the stomach directly from the interior of the stomach itself. The smaller pouches may be made through the use of individual anchoring devices, rotating probes, or volume reduction devices. A pyloroplasty procedure may also be performed to render the pyloric sphincter incompetent. A gastric bypass procedure may additionally be performed using atraumatic magnetic anastomoses devices so that sugars and fats are passed directly to the bowel while bypassing the stomach. Many of these procedures may be done in a variety of combinations. Treatment may create enforced behavioral modifications by discouraging the ingestion of high-caloric foods.

Claims

1. A method for forming a lumen from within an hollow body organ, comprising:

releasably adhering a first area of tissue to a first region of a tissue positioning device such that the first area of tissue is positioned within a first region of the tissue positioning device;

releasably adhering a second area of tissue to a second region of the tissue positioning device such that the second area of tissue is positioned within a second region of the tissue positioning device;

removing a septum which separates the first region from the second region on the tissue positioning device; and

fastening the first area of tissue to the second area of tissue such that the lumen is formed within the hollow body organ.

2. The method of claim 1, wherein releasably adhering the first area of tissue comprises adhering the first area of tissue via a plurality of openings defined along the first region.

3. The method of claim 1, wherein removing the septum comprises contacting the first area of tissue against the second area of tissue.

4. The method of claim 1, wherein removing the septum further comprises abrading at least the first area of tissue or the second area of tissue.

5. The method of claim 1, wherein removing the septum and fastening the first area of tissue to the second area of tissue occurs simultaneously.