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Apparatus for treating GERD comprising a stimulation device

  • US 9,277,920 B2
  • Filed: 01/29/2009
  • Issued: 03/08/2016
  • Est. Priority Date: 01/29/2008
  • Status: Active Grant
First Claim
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1. An apparatus for treating reflux disease of a human or animal mammal patient, the apparatus comprising an implantable movement restriction device adapted to be at least partly invaginated by the patient'"'"'s stomach fundus wall and having an outer surface that includes a bio compatible material, wherein a substantial part of the outer surface of the movement restriction device is adapted to rest against the stomach wall without injuring the latter in a position between the patient'"'"'s diaphragm and at least a portion of the lower part of the invaginated stomach fundus wall, such that movement of the cardiac notch of the patient'"'"'s stomach towards the patient'"'"'s diaphragm is restricted, when the movement restriction device is invaginated, to thereby prevent the cardia from sliding through the patient'"'"'s diaphragm opening into the patient'"'"'s thorax, wherein the movement restriction device is adapted to contact directly or indirectly the diaphragm muscle to prevent such sliding of the cardia through the patient'"'"'s diaphragm, so as to maintain the supporting pressure against the patient'"'"'s cardia sphincter muscle exerted from the patient'"'"'s abdomen, the movement restriction device having a size of at least 125 mm3 and a circumference of at least 15 mm, further comprising an implantable stimulation device adapted to engage with the cardia sphincter of a patient, and a control device for controlling the stimulation device to stimulate the cardia sphincter, wherein the stimulation of the cardia sphincter is made with energy pulses to increase sphincter tonus so that the cardia closes and said control device is operable by the patient in that it can be set out of operation, wherein the control device is further operable by the patient to set the stimulation device into operation, in which operational state the stimulation device continuously alternates at a time when the patient does not swallow between an operation mode, in which the cardia sphincter is stimulated with said energy pulses, and a rest mode, in which the cardia sphincter is not stimulated.

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