System and method to restrict stomach size

• US 8,337,388 B2
• Filed: 03/12/2007
• Issued: 12/25/2012
• Est. Priority Date: 10/24/2005
• Status: Active Grant

• Current Assignee: Vardi, Gil
• Original Assignee: Vardi, Gil
• Inventors: Vardi, Gil
• Primary Examiner(s): Marmor, II, Charles A
• Assistant Examiner(s): KUHLMAN, CATHERINE BURK
• Application Number:
  US11/717,254
• Publication Number:
  US 20070203511A1
• Time in Patent Office: 2,115 Days
• Field of Search: 600/37, 606139-158, 623 11- 154, 623/23.7
• US Class Current: 600/37
• 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 for prostheses A61F2210/0014
• 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 hollow suture needles A61B2017/061
• 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

A device for restricting a cross-sectional area of a cavity formed by a stomach wall includes a band defining a cylindrical wall and a plurality of retaining members formed within the wall. Each retaining member is movable between a retracted position substantially coplanar with an outer surface of the wall and an extended position extending radially outwardly from the wall to facilitate coupling the device to the stomach wall.

Claims

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

a suction device positionable within the cavity to facilitate constricting the stomach wall towards a restricted configuration; and

a band defining a cylindrical wall and a plurality of retaining members formed within said cylindrical wall, said band comprising a plurality of coupled cells, each of said plurality of cells defining a void, each of said plurality of retaining members substantially planar and movable between a retracted position substantially coplanar with an outer surface of said cylindrical wall and disposed within a respective void and an extended position extending radially outwardly from said cylindrical wall, wherein each said retaining member is biased towards the extended position, at least one retaining member of said retaining members comprising a base portion, a tip portion configured to penetrate at least an inner surface of the stomach wall, a barb portion configured to facilitate coupling said device to the stomach wall and retain the stomach wall in the restricted configuration, and a hinge portion configured to facilitate moving said at least one retaining member between the retracted position and the extended position, wherein said tip portion is oriented to generally point in a first direction and said barb portion is oriented to generally point in a second direction that is opposite the first direction, and said hinge portion is between said base portion and said tip portion.

2. A device in accordance with claim 1 wherein said tip portion is configured to extend through the stomach wall and couple to an outer surface of the stomach wall.

3. A device in accordance with claim 1 wherein at least one said retaining member is bendable between the retracted position and the extended position.

4. A device in accordance with claim 1 wherein each said retaining member is substantially perpendicular to said outer surface in the extended position.

5. A device in accordance with claim 1 wherein said band is fabricated at least partially from a shape memory alloy.

6. A device in accordance with claim 1 wherein said band is fabricated at least partially from a polymer material.

7. A device in accordance with claim 1 wherein each said retaining member comprises at least one of a needle, a hook, a staple and a suture.

8. A device in accordance with claim 1 wherein each said retaining member further comprises a plurality of extendable hooks, each extendable hook of said plurality of extendable hooks configured to pass through the stomach wall and interfere with an outer surface of the stomach wall.

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

a suction device positionable within the cavity to facilitate constricting the stomach wall towards a restricted configuration;

a catheter;

a device initially positioned about said catheter, said device comprising a band defining a cylindrical wall and a plurality of retaining members formed within said cylindrical wall, said band comprising a plurality of coupled cells, each of said plurality of cells defining a void, each of said plurality of retaining members substantially planar and movable between a retracted position and an extended position, in the retracted position each said retaining member substantially coplanar with an outer surface of said cylindrical wall and disposed within a respective void such that at least one of the plurality of retaining members does not extend a short distance out from the outer surface of said cylindrical wall, in the extended position each said retaining member extending radially outwardly from said cylindrical wall, wherein each said retaining member is biased towards the extended position, at least one retaining member of said retaining members comprising a base portion, a tip portion configured to penetrate at least an inner surface of the stomach wall, a barb portion configured to facilitate coupling said device to the stomach wall and retain the stomach wall in the restricted configuration, and a hinge portion configured to facilitate moving said at least one retaining member between the retracted position and the extended position wherein said tip portion is oriented to generally point in a first direction and said barb portion is oriented to generally point in a second direction that is opposite the first direction, and said hinge portion is between said base portion and said tip portion; and

a sheath movably positioned about said band to facilitate retaining each said retaining member in the retracted position.

10. A system in accordance with claim 9 wherein, in the extended position, each said retaining member substantially perpendicular to said cylindrical wall.

11. A system in accordance with claim 9 wherein said tip portion is configured to extend through the stomach wall and interfere with an outer surface of the stomach wall.

12. A system in accordance with claim 9 wherein at least one said retaining member is bendable between the retracted position and the extended position.

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

positioning a suction device within the cavity to facilitate constricting the stomach wall towards a restricted configuration;

introducing into the cavity a device configured to restrict the cross-sectional area of the cavity, the device comprising a band defining a cylindrical wall and a plurality of retaining members formed within the cylindrical wall, the band including a plurality of coupled cells, each of the plurality of cells defining a void, each of the plurality of retaining members substantially planar and movable between a retracted position substantially coplanar with an outer surface of the cylindrical wall and disposed within a void and an extended position extending radially outwardly from the cylindrical wall to facilitate coupling the device to the stomach wall, wherein each of the plurality of retaining members is biased towards the extended position, and wherein at least one retaining member of the plurality of retaining members includes a hinge portion configured to facilitate moving the at least one retaining member between the retracted position and the extended position;

collapsing the stomach wall to urge the stomach wall towards the device;

penetrating at least an inner surface of the stomach wall with a tip portion of the at least one retaining member, wherein the hinge portion is between a base portion of the at least one retaining member and the tip portion; and

coupling the device to the stomach wall to secure the cavity in the restricted configuration using a barb portion of the at least one retaining member, wherein the tip portion is oriented to generally point in a first direction, and the barb portion is oriented to generally point in a second direction that is opposite the first direction.

14. A method in accordance with claim 13 wherein introducing into the cavity a device further comprises:

positioning the device about a catheter;

positioning a sheath about at least a portion of the band with the retaining members in the retracted position;

inserting the catheter into the cavity through a patient'"'"'s esophagus; and

removing the sheath from about the band to facilitate the retaining members moving from the retracted position to the extended position.

15. A method in accordance with claim 13 wherein penetrating at least an inner surface of the stomach wall further comprises penetrating at least the inner surface of the stomach wall with a tip portion of a second retaining member of the plurality of retaining members.