Obesity treatment tools and methods

• US 8,137,367 B2
• Filed: 05/10/2007
• Issued: 03/20/2012
• 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:
  US11/801,474
• Publication Number:
  US 20070213740A1
• Time in Patent Office: 1,776 Days
• Field of Search: 606/152, 606/153, 606/232, 606/233, 606/142, 606/151, 623/23.64, 623/23.65, 600/37, 604/8, 227/175.1
• 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 method for forming a lumen from an interior surface of an organ comprising:

inserting a marking device into the organ;

delineating a first point of the lumen on a first area and a second point of the lumen on a second area of the interior surface of the organ with the marking device, where the delineating does not involve breaking the interior surface of the organ at the first and second points;

removing the marking device from the organ;

placing at least a first anchor at the first point;

placing at least a second anchor at the second point;

fixing at least the first anchor and at least the second anchor together such that the lumen is formed;

wherein placing at least the first anchor and at least the second anchor in proximity includes passing a suture through each of the anchors and pulling the suture such that the first area and the second area of the interior surface are drawn together; and

wherein the suture is passed through each of the anchors in a zig-zag manner.

2. The method of claim 1, wherein the first anchor comprises a fastener selected from the group consisting of staples, ratcheted wires, zip ties, clips, tags, eyelets, crimps, and screws.

3. The method of claim 1, wherein the second anchor comprises a fastener selected from the group consisting of staples, ratcheted wires, zip ties, clips, tags, eyelets, crimps, and screws.

4. The method of claim 1, wherein the first anchor and the second anchor each comprise a crimping member.

5. The method of claim 4, wherein each of the crimping members are configured to interlock together.

6. The method of claim 1, wherein inserting the marking device into the organ, the marking device includes an elongate member having a proximal end and a distal end with a length therebetween, the length defining a shape which approximates the lumen to be formed from the interior, the length further defining a dye port, the dye port being configured to contact an area of the interior surface and deliver dye.

7. A method for forming a lumen from an interior surface of an organ comprising:

inserting a marking device into the organ, the marking device including an elongate member having a proximal end and a distal end with a length therebetween, the length defining a shape which approximates the lumen to be formed from the interior;

reducing a volume of the organ such that the interior surface contacts the elongate member;

delineating a first point of the lumen on a first area of the interior surface of the organ and a second point of the lumen on a second area of the interior surface of the organ with the marking device, the first area being opposed to the second area, where the delineating does not involve breaking the interior surface of the organ at the first and second points;

removing the marking device from the organ;

fixing the first and second points together such that the lumen is formed;

wherein placing at least the first point and at least the second point in proximity includes passing a suture through each of the points and pulling the suture such that the first area and the second area of the interior surface are drawn together; and

wherein the suture is passed through each of the points in a zig-zag manner.

8. The method of claim 7, wherein fixing the first and second points together includes placing a first anchor at the first point and placing a second anchor at the second point, and fixing the first and second anchors together.