Methods and devices for maintaining a space occupying device in a relatively fixed location within a stomach

• US 8,083,756 B2
• Filed: 01/23/2007
• Issued: 12/27/2011
• Est. Priority Date: 08/30/2002
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Gannoe, James, Gerbi, Craig
• Primary Examiner(s): WOO, JULIAN W
• Application Number:
  US11/656,625
• Publication Number:
  US 20070118160A1
• Time in Patent Office: 1,799 Days
• Field of Search: 606/151, 606/157, 606/192, 606/195, 606/197, 606/153, 600/207, 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 17/0293 with ring member to support retractor elements
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/12 for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord specially adapted for vas deferens or fallopian tubes A61F6/20; materials for ligaturing blood vessels A61L17/00
• CPC Class Codes: A61B 2017/0647 having one single leg, e.g. tacks
• CPC Class Codes: A61B 2017/22051 with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation A61B2017/22048, A61B2017/3486 take precedence
• CPC Class Codes: A61F 5/003 inflatable
• CPC Class Codes: A61F 5/0036 Intragastrical devices
• CPC Class Codes: A61F 5/0076 preventing normal digestion, e.g. Bariatric or gastric sleeves

Abstract

Methods and devices for maintaining a space-occupying device in a fixed relationship relative to a patient'"'"'s stomach by manipulation of the stomach. In one variation, two or more regions of the stomach wall are brought into approximation with one another and secured together in a manner that secures a space-occupying device within the stomach of the patient. In another variation, two or more regions of the stomach wall are wrapped around a space-occupying device to maintain the position of the space-occupying device relative to the stomach wall. In another variation, a system having a space-occupying member and a locking member capable holding the space-occupying member against the inner wall of the stomach are provided. In a further variation, a pouch is created within the stomach that receives and retains a space-occupying device.

Claims

1. A method of maintaining an expandable space-occupying device within a patient'"'"'s stomach comprising the steps of:

creating a food-receiving pouch within the stomach; and

implanting an expandable intragastric balloon into the food-receiving pouch such that food can pass around the expandable intragastric balloon and out of the food-receiving pouch,

wherein the food-receiving pouch is dimensioned to receive the expandable intragastric balloon and maintain the expandable intragastric balloon within the food-receiving pouch.

2. The method of claim 1 wherein the pouch is created by laparoscopic banding.

3. The method of claim 1 wherein the pouch is created by plication of the stomach wall.

4. A method of maintaining an expandable space-occupying device within a patient'"'"'s stomach comprising the steps of:

creating a pouch within the stomach; and

introducing an expandable intragastric balloon into the pouch,

wherein the pouch is dimensioned to receive the expandable intragastric balloon and maintain the expandable intragastric balloon within the pouch, and wherein the pouch is created by a gastric bypass procedure.

5. A method of maintaining an expandable space-occupying device within a patient'"'"'s stomach comprising the steps of:

creating a pouch within the stomach; and

introducing an expandable intragastric balloon into the pouch,

wherein the pouch is dimensioned to receive the expandable intragastric balloon and maintain the expandable intragastric balloon within the pouch, and wherein the pouch is created by a vertical banded gastroplasty.