Method and system to restrict stomach size

• US 8,123,768 B2
• Filed: 10/24/2005
• Issued: 02/28/2012
• Est. Priority Date: 10/24/2005
• Status: Active Grant

• Current Assignee: Gil Vardi
• Original Assignee: Gil Vardi
• Inventors: Vardi, Gil
• Primary Examiner(s): Severson, Ryan
• Assistant Examiner(s): NGUYEN, TIN DUC
• Application Number:
  US11/257,336
• Publication Number:
  US 20070093861A1
• Time in Patent Office: 2,318 Days
• Field of Search: 606/139, 606/151, 606/153, 606/157, 606/144, 606/211, 606/219, 606/232, 623/1.13, 623/23.65
• 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 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 17/062 Needle manipulators
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 2017/00867 shape memory effect
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0419 H-fasteners
• CPC Class Codes: A61B 2017/0454 the anchor being crimped or clamped on the suture
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/048 for reducing heart wall tension, e.g. sutures with a pad on each extremity
• CPC Class Codes: A61B 2017/06052 Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
• CPC Class Codes: A61B 2017/081 Tissue approximator A61B2017/1103, A61B17/8866 take precedence
• CPC Class Codes: A61B 2017/306 holding by means of suction
• CPC Class Codes: A61F 2/2487 Devices within the heart chamber, e.g. splints

Abstract

An implantable device for restricting a cross-sectional area of a cavity formed by a stomach wall includes a member. The member has a first end connected with respect to a first portion of the stomach wall and an opposing second end connected with respect to a second portion of the stomach wall. The member has shape memory properties and is adapted to move the first end towards the second end.

Claims

1. A system for restricting a cross-sectional area of a cavity formed by a stomach wall, said system comprising:

a delivery sheath;

a catheter within said delivery sheath, said catheter comprising a passage extending therethrough;

a first member initially positioned within said passage and movable with respect to said catheter along a length of said passage;

a first fastener extending from a proximal end of said first member, said first fastener movable between a retracted configuration and a deployed configuration, in the deployed configuration said first fastener attachable to a first portion of the stomach wall;

a second member initially positioned within said passage and movable with respect to said catheter along a length of said passage; and

a second fastener extending from a proximal end of said second member, said second fastener movable independent of said first fastener between a retracted configuration and a deployed configuration, in the deployed configuration said second fastener attachable to a second portion of the stomach wall, wherein said catheter comprises a plurality of grooves extending partially inward from an outer surface of said catheter without providing communication with said passage, said plurality of grooves retaining distal ends of said first and second fasteners on said outer surface of said catheter when said fasteners are in the retracted configuration and said catheter is within said delivery sheath, said catheter twistable to release said distal ends from said grooves to urge said fastener to the deployed configuration when said catheter is beyond said delivery sheath.

2. A system in accordance with claim 1, wherein said first fastener comprises a plurality of flexible hooks, each flexible hook of said plurality of flexible hooks retained within a corresponding groove of said plurality of grooves when said first fastener is in the retracted configuration.

3. A system in accordance with claim 1 wherein each of said first member and said second member is independently translatable with respect to a length of said catheter to move one of said first fastener and said second fastener in said deployed configuration with respect to a center point of the cross-sectional area of the cavity.

4. A system in accordance with claim 1 wherein said first fastener is configured to be attached to the stomach wall at a first position radially offset with respect to a second position of said second fastener.

5. A system in accordance with claim 1 wherein, in said deployed configuration, each of said first fastener and said second fastener configured to extend through the stomach wall and contact an outer surface of the stomach wall.

6. A system in accordance with claim 1 wherein each of said first fastener and said second fastener comprises at least one of a needle, a hook, a staple and a suture.

7. A system in accordance with claim 1 further comprising a first magnet positioned with respect to said first fastener and a second magnet positioned with respect to said second fastener, said first magnet and said second magnet configured to move said first fastener toward said second fastener and restrict the cross-sectional area of the cavity when said first fastener and said second fastener are in said deployed configuration.

8. A system for restricting a cross-sectional area of a cavity formed by a stomach wall, said system comprising:

a delivery sheath;

a catheter within said delivery sheath, said catheter comprising a passage extending therethrough;

a first member initially positioned within said passage and movable with respect to said catheter along a length of said passage;

a first fastener extending from a proximal end of said first member, said first fastener movable between a retracted configuration and a deployed configuration, in the deployed configuration said first fastener attachable to a first portion of the stomach wall;

a second member initially positioned within said passage and movable with respect to said catheter along a length of said passage;

a second fastener extending from a proximal end of said second member, said second fastener movable independent of said first fastener between a retracted configuration and a deployed configuration, in the deployed configuration said second fastener attachable to a second portion of the stomach wall;

a plurality of grooves defined in an outer surface of said catheter, each groove of the plurality of grooves extending partially inward from an outer surface of said catheter without providing communication with said passage, and retaining a respective end of said first fastener and said second fastener in the respective retracted configuration when said catheter is within said delivery sheath, said catheter twistable to release said respective end of said first fastener and said second fastener from each groove to urge said first fastener and said second fastener to the respective deployed configuration when said catheter is beyond said delivery sheath; and

a retainer member configured to move along, and relative to, said first fastener and said second member and restrict the cross-sectional area of the cavity when said first fastener and said second fastener are in the respective deployed configuration.

9. A method for restricting a cross-sectional area of a cavity formed by a stomach wall, said method comprising:

twisting a first member to release distal ends of a first fastener from a first groove of a plurality of grooves to urge the first fastener to deployed configuration when a catheter is beyond a delivery sheath, the first groove extending partially inward from an outer surface of the catheter without providing communication with a passage defined by the catheter, the first groove retaining the distal ends on the outer surface when the first fastener is in a retracted configuration and the catheter is within the delivery sheath;

attaching the first fastener to a first portion of the stomach wall;

twisting a second member to release distal ends of a second fastener from a second groove of the plurality of grooves to urge the second fastener to a deployed configuration independent of the first fastener when the catheter is beyond the delivery sheath, the second groove extending partially inward from an outer surface of the catheter without providing communication with a passage defined by the catheter, the second groove retaining the distal ends on the outer surface when the second fastener is in a retracted configuration and the catheter is within the delivery sheath;

attaching the second fastener to a second portion of the stomach wall;

urging the first portion towards the second portion to restrict the cross-sectional area of the cavity; and

maintaining the first portion urged towards the second portion to secure the cavity in a restricted position.

10. A method in accordance with claim 9 further comprising:

inserting a catheter into the cavity, the catheter initially housing the first member and the second member; and

removing the catheter from within the cavity upon attachment of the first fastener to the first portion and attachment of the second fastener to the second portion to urge the first portion towards the second portion, and restrict the cross-sectional area of the cavity.

11. A method in accordance with claim 9 further comprising:

inserting a catheter percutaneously through an anterior portion of the stomach wall;

attaching the first fastener to an opposing posterior portion of the stomach wall;

pushing a collar against an outer surface of the anterior portion to urge the anterior portion towards the posterior portion to restrict the cross-sectional area of the cavity; and

attaching at least one of the second fastener, a suture and a clip to the anterior portion.

12. A system for use with a delivery sheath to restrict a cross-sectional area of a cavity formed by a wall, said system comprising:

a catheter positionable within the delivery sheath, said catheter comprising a passage extending therethrough and a plurality of grooves extending partially inward from an outer surface of said catheter without providing communication with said passage,

a first member initially positioned within said passage and movable with respect to said catheter along a length of said passage;

a first fastener extending from a proximal end of said first member, said first fastener movable between a retracted configuration and a deployed configuration, in the deployed configuration said first fastener attachable to a first portion of the wall, wherein said plurality of grooves retain distal ends of said first fastener on said outer surface of said catheter when said first fastener is in the retracted configuration and said catheter is within said delivery sheath, and said catheter is twistable to release said distal ends from said plurality of grooves to urge said first fastener to the deployed configuration when said catheter is beyond said delivery sheath;

a second member initially positioned within said passage and movable with respect to said catheter along a length of said passage; and

a second fastener extending from a proximal end of said second member, said second fastener movable independent of said first fastener between a retracted configuration and a deployed configuration, in the deployed configuration said second fastener attachable to a second portion of the wall, wherein said plurality of grooves retain distal ends of said second fastener on said outer surface of said catheter when said second fastener is in the retracted configuration and said catheter is within said delivery sheath, and said catheter is twistable to release said distal ends from said plurality of grooves to urge said second fastener to the deployed configuration when said catheter is beyond said delivery sheath.