Obesity treatment tools and methods

• US 8,123,765 B2
• Filed: 06/04/2007
• Issued: 02/28/2012
• 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:
  US11/757,943
• Publication Number:
  US 20070250083A1
• Time in Patent Office: 1,730 Days
• Field of Search: 606/139, 606/142, 606/151, 606/153, 623/23.64, 623/1.23, 623/23.68
• US Class Current: 606/151
• 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 device for forming a lumen from an interior surface of an organ comprising:

a tissue adhering member having a proximal end and a distal end with a length therebetween, the tissue adhering member having a first rotatable section having a first radius and a second rotatable section having a second radius equal to the first radius, the first and second rotatable sections are configured to rotate from an open configuration to a closed configuration, wherein the first and second rotatable sections form a cylindrical body in the closed configuration;

a first attachment point in connection with the first rotatable section, and the first attachment point configured to grasp a first area of the interior surface of the organ; and

a second attachment point in connection with the second rotatable section, and the second attachment point configured to grasp a second area of the interior surface of the organ;

wherein rotating the first and second rotatable sections from the open configuration to the closed configuration with the first attachment point grasping the first area of the interior surface and the second attachment point grasping the second area of the interior surface positions the first area adjacent to the second area and forms a lumen within the organ.

2. The device of claim 1, wherein the first area of the interior surface is in apposition to the second area of the interior surface.

3. The device of claim 1, wherein the first and second rotatable sections rotate about a pivot.

4. The device of claim 3, wherein the pivot extends along a longitudinal length of the tissue adhering member.

5. The device of claim 1, wherein the first and second rotatable sections are free from each other.

6. The device of claim 1, wherein the first and second attachment points are tines, barbs, or hooks.

7. The device of claim 1, wherein the first and second attachment points include an opening adapted to grasp tissue via a vacuum.

8. The device of claim 1, further comprising a plurality of attachment points connected to the first and second rotatable sections.

9. The device of claim 1, wherein the tissue adhering member defines a lumen between the proximal end and the distal end.

10. The device of claim 1, further comprising an opening disposed on the tissue adhering member adapted to grasp tissue via a vacuum.

11. The device of claim 1, wherein the first rotatable section has a semicircular cross-sectional shape, and the second rotatable section has a semicircular cross-sectional shape.

12. The device of claim 1, wherein walls of the lumen formed within the organ are formed from the interior surface of the organ.

13. The device of claim 1, wherein the first and second attachment points are separated by a first distance when the first and second rotatable sections are in the open configuration, and the first and second attachment points are separated by a second, smaller distance when the first and second rotatable sections are in the closed configuration.

14. A device for forming a lumen from an interior of an organ comprising:

a cylindrical tube longitudinally split into a first half and a second half, wherein the first half and the second half are able to rotate from an open configuration to a closed configuration;

a first attachment point in connection with the first half, and the first attachment point configured to grasp a first area of the interior of the organ; and

a second attachment point in connection with the second half, and the second attachment point configured to grasp a second area of the interior of the organ;

wherein rotating the first half and the second half from the open configuration to the closed configuration after grasping the interior of the organ with the first and second attachment points positions the first area of the interior adjacent to the second area of the interior to form a lumen within the organ.

15. The device of claim 14, wherein the first area of the interior is in apposition to the second area of the interior.

16. The device of claim 14, wherein the first half and the second half of the cylindrical tube are joined together at a pivot.

17. The device of claim 16, wherein the pivot extends along a longitudinal length of the cylindrical tube.

18. The device of claim 14, wherein the first half and second half are free from each other.

19. The device of claim 14, wherein the first and second attachment points are tines, barbs, or hooks.

20. The device of claim 14, wherein the first and second attachment points include openings adapted to grasp tissue via a vacuum.

21. The device of claim 14, further comprising an opening disposed on the cylindrical tube adapted to grasp tissue via a vacuum.

22. The device of claim 14, further comprising a plurality of attachment points connected to the first half and the second half.

23. The device of claim 14, wherein the first half and the second half are rotatable about a longitudinal axis of the tube.

24. The device of claim 14, further comprising a plurality of additional first attachment points in connection with the first half, each of the plurality of additional first attachment points being configured to grasp the interior of the organ, and the first attachment point and the plurality of additional first attachment points being longitudinally aligned along the cylindrical tube;

and

a plurality of additional second attachment points in connection with the second half, each of the plurality of additional second attachment points being configured to grasp the interior of the organ, and the second attachment point and the plurality of additional second attachment points being longitudinally aligned along the cylindrical tube.