Methods and instruments for treating GERD and hiatal hernia
First Claim
1. An intraluminar method of treating a reflux disease in a patient by implanting a device comprising an implantable movement restriction device that is adapted to restrict the movement of the patient'"'"'s stomach notch in relation to the patient'"'"'s diaphragm muscle, preventing the patient'"'"'s cardia from sliding up through the patient'"'"'s diaphragm hiatus opening, when implanted in the patient, the method comprising the steps of:
- introducing a gastroscope in the patient'"'"'s oesophagus and into the patient'"'"'s stomach;
introducing an instrument in the oesophagus and into the stomach of the patient, the instrument being integrated in the gastroscope or being separate from the gastroscope;
providing, by means of the instrument, a pouch from the patient'"'"'s stomach fundus wall for accommodating the device;
invaginating the device in the pouch with sutures or staples to the stomach fundus wall, to thereby prevent the cardia from sliding through the patient'"'"'s diaphragm opening into the patient'"'"'s thorax, so as to maintain the supporting pressure against the patient'"'"'s cardia sphincter muscle exerted from the patient'"'"'s abdomen;
creating, by means of the instrument a pouch of a portion of the stomach fundus wall;
introducing the device into the pouch;
invaginating the device with sutures or staples to the stomach fundus wall; and
injecting a filling fluid into the device so it obtains its filling volume.
3 Assignments
0 Petitions
Accused Products
Abstract
The invention relates to an intraluminar method of treating a reflux disease in a patient by implanting a device comprising an movement restriction device that, when implanted in a patient, fills a volume in the patient'"'"'s abdomen that is close to and at least partially above the patient'"'"'s cardia when the patient is in a standing position. The invention further relates to a method of restoring the location of the cardia in a patient suffering from a reflux disease and to an instrument suitable to use with intraluminar method and/or restoration method. Also disclosed are instruments treating a patient suffering hiatal hernia and providing a movement restriction device to be invaginated in the stomach fundus wall.
141 Citations
27 Claims
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1. An intraluminar method of treating a reflux disease in a patient by implanting a device comprising an implantable movement restriction device that is adapted to restrict the movement of the patient'"'"'s stomach notch in relation to the patient'"'"'s diaphragm muscle, preventing the patient'"'"'s cardia from sliding up through the patient'"'"'s diaphragm hiatus opening, when implanted in the patient, the method comprising the steps of:
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introducing a gastroscope in the patient'"'"'s oesophagus and into the patient'"'"'s stomach; introducing an instrument in the oesophagus and into the stomach of the patient, the instrument being integrated in the gastroscope or being separate from the gastroscope; providing, by means of the instrument, a pouch from the patient'"'"'s stomach fundus wall for accommodating the device; invaginating the device in the pouch with sutures or staples to the stomach fundus wall, to thereby prevent the cardia from sliding through the patient'"'"'s diaphragm opening into the patient'"'"'s thorax, so as to maintain the supporting pressure against the patient'"'"'s cardia sphincter muscle exerted from the patient'"'"'s abdomen; creating, by means of the instrument a pouch of a portion of the stomach fundus wall; introducing the device into the pouch; invaginating the device with sutures or staples to the stomach fundus wall; and injecting a filling fluid into the device so it obtains its filling volume. - View Dependent Claims (10, 11, 12, 13, 14, 16, 18, 19, 21, 22, 24, 25, 26)
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2. An intraluminar method of treating a reflux disease in a patient by implanting a device comprising an implantable movement restriction device that is adapted to restrict the movement of the patient'"'"'s stomach notch in relation to the patient'"'"'s diaphragm muscle preventing the patient'"'"'s cardia from sliding up through the patient'"'"'s diaphragm hiatus opening, when implanted in the patient, the method comprising the steps of:
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introducing a gastroscope in the patient'"'"'s oesophagus and into the patient'"'"'s stomach; introducing an instrument in the oesophagus and into the stomach of the patient, the instrument being integrated in the gastroscope or separate from the gastroscope; providing, by means of the of instrument, a pouch from the patient'"'"'s stomach fundus wall for accommodating the device; invaginating the device in the pouch with sutures or staples to the stomach fundus wall, to thereby prevent the cardia from sliding through the patient'"'"'s diaphragm opening into the patient'"'"'s thorax, so as to maintain the supporting pressure against the patient'"'"'s cardia sphincter muscle exerted from the patient'"'"'s abdomen, creating, by means of the instrument, a pouch of a portion of the stomach fundus wall; introducing the device into the pouch; invaginating the device with sutures or staples to the stomach fundus; and inflating the device to its filling volume.
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3. An intraluminar method of treating a reflux disease in a patient by implanting a device comprising an implantable movement restriction device that is adapted to restrict the movement of the patient'"'"'s stomach notch in relation to the patient'"'"'s diaphragm muscle preventing the patient'"'"'s cardia from sliding up through the patient'"'"'s diaphragm hiatus opening, when implanted in the patient, the method comprising the steps of:
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introducing a gastroscope in the patient'"'"'s oesophagus and into the stomach of the patient; introducing an instrument in the oesophagus and into the patient'"'"'s stomach, the instrument being integrated in the gastroscope or separate from the gastroscope; providing, by means of the instrument, a pouch from the patient'"'"'s stomach fundus wall for accommodating the device; invaginating the device in the pouch with sutures or staples to the stomach fundus wall, to thereby prevent the cardia from sliding through the patient'"'"'s diaphragm opening into the patient'"'"'s thorax, so as to maintain the supporting pressure against the patient'"'"'s cardia sphincter muscle exerted from the patient'"'"'s abdomen; creating a hole in the stomach fundus wall; introducing the device into the stomach; moving the device through the hole and placing it on the outside of the stomach fundus wall; creating, by means of the instrument, a pouch of a portion of the stomach fundus wall on the inside of the stomach cavity, with the device placed against the outside of the stomach fundus wall; invaginating the device in the pouch with sutures or staples to the stomach fundus wall; and sealing the hole with sutures or staples.
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4. An intraluminar method of treating a reflux disease in a patient by implanting a device comprising an implantable movement restriction device that is adapted to restrict the movement of the patient'"'"'s stomach notch in relation to the patient'"'"'s diaphragm muscle preventing the patient'"'"'s cardia from sliding up through the patient'"'"'s diaphragm hiatus opening, when implanted in the patient, the method comprising the steps of:
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introducing a gastroscope in the oesophagus and into the patient'"'"'s stomach; introducing an instrument in the oesophagus and into the stomach of the patient, the instrument being integrated gastroscope or separate from the gastroscope; providing, by means of the instrument, a pouch from the stomach fundus wall for accommodating the device; invaginating the device in the pouch with sutures or staples to the stomach fundus wall, to thereby prevent the cardia from sliding through the patient'"'"'s diaphragm opening into the patient'"'"'s thorax, so as to maintain the supporting pressure against the patient'"'"'s cardia sphincter muscle exerted from the patient'"'"'s abdomen; creating a hole in the stomach fundus wall; creating, by means of said instrument, a pouch of a portion of the stomach fundus wall on the inside of the stomach cavity; introducing the device into the stomach;
moving the device through the hole and placing it on the outside of the stomach fundus wall;introducing the device into the pouch; invaginating the device with sutures or stables to the stomach fundus wall; and
sealing the hole with sutures or staples. - View Dependent Claims (5, 6, 7, 8, 9, 15, 17, 20, 23, 27)
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Specification