Methods for the endoluminal treatment of gastroesophageal reflux disease (GERD)
First Claim
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1. A medical method, comprising:
- a) sliding a clip over body tissue, said clip having two arms and a bridge coupling the two arms, such that said body tissue is located between said two arms and such that said clip applies force to said body tissue; and
b) bending at least one of said two arms through more than one half a thickness of said body tissue.
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Abstract
Methods of the invention include delivering a grasper, a clip applier, and an endoscope transorally to the site of fundoplication; grasping the fundus with the grasper (or similar device, e.g. corkscrew) and pulling it into the jaws of the clip applier; closing the jaws of the clip applier over the fundus and applying a clip to the fundus.
348 Citations
25 Claims
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1. A medical method, comprising:
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a) sliding a clip over body tissue, said clip having two arms and a bridge coupling the two arms, such that said body tissue is located between said two arms and such that said clip applies force to said body tissue; and
b) bending at least one of said two arms through more than one half a thickness of said body tissue. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 14, 15, 16, 17, 18, 20, 21, 22, 23, 24, 25)
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13. A medical method, comprising:
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a) sliding two substantially straight unconnected arms over a fold of body tissue such that a first of said two arms contacts a first portion of said fold and a second of said two arms contacts a second portion of said fold; and
b) bending each of said two arms completely through said fold such that both of said two arms compress said first and second portions of said fold into contact with each other.
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19. A medical method, comprising:
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a) inserting an endoscope transorally through the esophagus to the stomach;
b) inserting a grasping device transorally through the esophagus to the stomach;
c) inserting a surgical clip applier having at least one clip transorally through the esophagus to the stomach;
d) invaginating the fundus of the stomach with the grasping device;
e) using the clip applier to first slide the clip over the invaginated fundus and then to apply force to bend at least one end of the clip to pass through the invaginated fundus in order to plicate the fundus.
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Specification