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

• US 8,083,757 B2
• Filed: 03/12/2007
• 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:
  US11/716,901
• Publication Number:
  US 20070167962A1
• Time in Patent Office: 1,751 Days
• Field of Search: 606/153, 606/192, 606195-197, 606/151, 128/898, 600/207, 604/101.01, 604/101.05, 623/23.65, 607/133
• 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 space-occupying device for placement and retention within a patient'"'"'s stomach, the space occupying device having:

a passageway extending through the device, the passageway extending from a proximal inlet to a distal outlet formed on an exterior surface of the device; and

a cavity within the device and in communication with the passageway, the cavity having a defined volume and having a cross-sectional dimension that is greater than a cross-sectional dimension of the passageway;

wherein the cavity is adjustable from a first defined volume to a second defined volume by changing an amount of inflation media in the space-occupying device, the device being deployable such that the passageway is oriented in alignment with the patient'"'"'s esophagus.

2. The device of claim 1 wherein the device further includes a sleeve extending from and in communication with the passageway and being deployable to extend past the patient'"'"'s pylorus.

3. The device of claim 1 wherein the passageway and cavity are rigid.