Methods and instruments for treating GERD and haital hernia
First Claim
1. An intraluminar method of treating a reflux disease in a patient by implanting a device comprising a non encircling implantable movement restriction device that, when implanted in a patient, restricts the movement of the stomach notch in relation to the diaphragm muscle preventing the cardia to slide up through the diaphragm hiatus opening, comprising the steps of:
- introducing a gastroscope in the esophagus and into the stomach of the patient;
introducing an instrument through the esophagus and into the stomach of the patient,creating a hole in the stomach wall of the patient, using said instrument;
introducing the implantable movement restriction device into the abdominal cavity, through the hole in the stomach wall;
placing the non encircling movement restriction device on the outside of the stomach fundus wall, such that it does not encircle the esophagus or stomach, in the abdominal cavity;
affixing the non encircling movement restriction device to the outside of the stomach fundus wall, thereby preventing the cardia from sliding thrugh the patient'"'"'s diaphragm opening into the patient'"'"'s thorax and thus reducing reflux disease in the patient without encircling the esophagus or stomach.
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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.
17 Citations
20 Claims
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1. An intraluminar method of treating a reflux disease in a patient by implanting a device comprising a non encircling implantable movement restriction device that, when implanted in a patient, restricts the movement of the stomach notch in relation to the diaphragm muscle preventing the cardia to slide up through the diaphragm hiatus opening, comprising the steps of:
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introducing a gastroscope in the esophagus and into the stomach of the patient; introducing an instrument through the esophagus and into the stomach of the patient, creating a hole in the stomach wall of the patient, using said instrument; introducing the implantable movement restriction device into the abdominal cavity, through the hole in the stomach wall; placing the non encircling movement restriction device on the outside of the stomach fundus wall, such that it does not encircle the esophagus or stomach, in the abdominal cavity; affixing the non encircling movement restriction device to the outside of the stomach fundus wall, thereby preventing the cardia from sliding thrugh the patient'"'"'s diaphragm opening into the patient'"'"'s thorax and thus reducing reflux disease in the patient without encircling the esophagus or stomach. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20)
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Specification