Obesity treatment tools and methods

• US 8,794,243 B2
• Filed: 03/19/2013
• Issued: 08/05/2014
• Est. Priority Date: 05/30/2001
• Status: Expired due to Fees

• 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:
  US13/847,040
• Publication Number:
  US 20130296899A1
• Time in Patent Office: 504 Days
• Field of Search: 128/898, 623/23.68, 606/139, 606/153, 606/219, 606/151
• US Class Current: 128/898
• 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 gastric reduction, comprising:

creating a first side-to-side anastomosis between a first portion of a digestive tract and a gastric pouch using an anastomosis device;

creating a second side-to-side anastomosis between a second portion of the digestive tract and a third portion of the digestive tract using the anastomosis device; and

creating a separate gastric lumen within the gastric pouch using a fastening device.

2. The method of claim 1, wherein the first portion of digestive tract comprises a predetermined section selected from a group consisting of a duodenum and a jejunum.

3. The method of claim 1, wherein the second portion of digestive tract comprises a predetermined section of duodenum.

4. The method of claim 1, wherein the third portion of digestive tract comprises a predetermined section of ileum.

5. The method of claim 1, wherein creating a second side-to-side anastomosis further comprises closing off a section of digestive tract disposed intermediate of the first portion and the second portion.

6. The method of claim 5, wherein the section of digestive tract disposed intermediate of the first portion and the second portion comprises a duodenum.

7. The method of claim 1, wherein the first anastomosis is located about 20 to 50 cm from a pylorus of the gastric pouch.

8. The method of claim 1, wherein the second anastomosis is located about 15 to 55 cm from a pylorus of the gastric pouch.

9. The method of claim 1, wherein the second anastomosis is located about 150 to 200 cm along the digestive tract from a pylorus of the gastric pouch.