Gastric restrictor assembly and method of use

• US 20060264981A1
• Filed: 05/20/2005
• Published: 11/23/2006
• Est. Priority Date: 05/20/2005
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Viola, Frank J.
• Granted Patent: US 7,691,053 B2
• Time in Patent Office: Days
• US Class Current: 606/153
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61F 5/0086 using clamps, folding means or the like

Abstract

A gastric restrictor assembly is provided which includes a first longitudinal member, a second longitudinal member, a first connector and a second connector. The first and second connectors support the first and second longitudinal members in spaced relation. The second longitudinal member is rotatably supported between the first and second connectors and includes a bend or offset. The second longitudinal member is rotatable to rotate the offset in relation to the first longitudinal member to selectively vary the width of a channel defined between the first and second longitudinal members. In one embodiment, the second longitudinal member includes engagement structure for engaging a positioning tool and indexing structure for releasably securing the second longitudinal member at fixed positions of rotation in relation to the first longitudinal member.

Claims

1. A gastric restrictor assembly comprising:

a first longitudinal member defining a first longitudinal axis (A);

a second longitudinal member defining a second longitudinal axis (B), the second longitudinal member having an offset formed therein, the offset defining a recess with the second longitudinal axis;

a first connector adapted to secure a first end of each of the first and second longitudinal member in spaced relation;

a second connector being adapted to secure a second end of each of the first and second longitudinal members in spaced relation;

wherein the first and second longitudinal members are supported in spaced relation to define a channel having a first width defined between the first and second longitudinal axes and a second width between the first longitudinal axis and the offset.

2. A gastric restrictor assembly according to claim 1, wherein the second longitudinal member is rotatably secured between the first connector and the second connector such that the distance between the offset and the first longitudinal axis is adjustable.

3. A gastric restrictor assembly according to claim 2, wherein the first end of the second longitudinal member includes engagement structure adapted to engage a positioning tool for adjusting the distance between the offset and the first longitudinal axis.

4. A gastric restrictor assembly according to claim 2, wherein the first and second ends of the second longitudinal member each include an annular channel and each of the first and second connectors includes a hole for receiving a pin, each pin being positioned within a respective hole in the first and second connectors and extending into a respective one of the annular channels to rotatably secure one of the first and second ends of the second longitudinal member to a respective one of the first and second connectors.

5. A gastric restrictor assembly according to claim 4, wherein the first connector includes a throughbore dimensioned to slidably receive the first end of the second longitudinal member, the first end of the second longitudinal member including the engagement structure to facilitate engagement by a positioning tool.

6. A gastric restrictor assembly according to claim 2, wherein the first end of the second longitudinal member includes at least one recess and the first connector includes at least one detent positioned to be selectively received in the at least one groove to releasably secure the second longitudinal member in a fixed position of rotation.

7. A gastric restrictor assembly according to claim 6, wherein the first and second longitudinal members are substantially rigid rods.

8. A gastric restrictor assembly according to claim 7, wherein the offset includes first and second angled portions and a longitudinal portion, the longitudinal portion being substantially parallel to the second longitudinal axis.

9. A gastric restrictor assembly according to claim 6, wherein the at least one groove includes a plurality of grooves.

10. A gastric restrictor assembly according to claim 9, wherein the at least one detent includes a plurality of detents.

11. A method of restricting a portion of the digestive tract comprising the following steps:

i) providing a gastric restrictor assembly including a first longitudinal member defining a first axis and a second longitudinal member defining a second axis and including an offset, the second longitudinal member being supported in spaced relation to the first longitudinal member to define a channel having a first width defined between the first axis and second axis and a second width defined between the first axis and the offset;

ii) positioning the gastric restrictor assembly about a portion of the digestive tract; and

iii) repositioning the second longitudinal member to change the second width.

12. A method according to claim 11, wherein the repositioning step is performed transorally.

13. A method according to claim 11, wherein the second longitudinal member is rotatable about the second axis.

14. A method according to claim 11, wherein the portion of the digestive tract is the stomach.

15. A method according to claim 12, wherein the portion of the digestive tract is the stomach.

16. A method according to claim 13, wherein the portion of the digestive tract is the stomach.

17. A gastric restrictor assembly comprising:

a first longitudinal member defining a first longitudinal axis;

a second longitudinal member defining a second longitudinal axis, the second longitudinal member having an offset formed therein, the offset defining a recess with the second longitudinal axis;

wherein the first and second longitudinal members are supported in spaced relation to define a channel having a first width defined between the first and second longitudinal axes and a second width between the first longitudinal axis and the offset, the second longitudinal member being movable in relation to the first longitudinal member to selectively change the second width.

18. A gastric restrictor assembly according to claim 17, wherein the second longitudinal member is rotatably secured between a first connector and a second connector such that the distance between the offset and the first longitudinal axis is adjustable.

19. A gastric restrictor assembly according to claim 18, wherein the first end of the second longitudinal member includes engagement structure adapted to engage a positioning tool for adjusting the distance between the offset and the first longitudinal axis.

20. A gastric restrictor assembly according to claim 18, wherein the first and second ends of the second longitudinal member each include an annular channel and each of first and second connectors includes a hole for receiving a pin, each pin being positioned within a respective hole in the first and second connectors and extending into a respective one of the annular channels to rotatably secure one of the first and second ends of the second longitudinal member to a respective one of the first and second connectors.