METHOD AND INSTRUMENT FOR TREATING OBESITY

• US 20170165092A1
• Filed: 12/23/2016
• Published: 06/15/2017
• Est. Priority Date: 01/29/2008
• Status: Active Grant

• Current Assignee: Forsell Peter
• Original Assignee: Forsell Peter
• Inventors: Peter, Forsell
• Granted Patent: US 10,449,076 B2
• Time in Patent Office: Days
• CPC Class Codes: A61B 1/04 combined with photographic or television appliances
• CPC Class Codes: A61B 1/06 with illuminating arrangements
• CPC Class Codes: A61B 1/2736 Gastroscopes
• CPC Class Codes: A61B 1/3132 for laparoscopy
• CPC Class Codes: A61B 1/32 Devices for opening or enlarging the visual field, e.g. of a tube of the body dilators A61M29/00
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/064 Surgical staples, i.e. penetrating the tissue
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• 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: A61B 17/30 Surgical pincettes without pivotal connectionsfor holding suture needles or materials A61B17/0483; wound clamps A61B17/08 ; hand-held gripping tools without pivotal connections in general B25B9/02
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: A61B 17/3474 Insufflating needles, e.g. Veress needles
• CPC Class Codes: A61B 17/3478 Endoscopic needles, e.g. for infusion biopsy needles A61B10/0233; catheters with injection needles A61M25/0067
• CPC Class Codes: A61B 2017/00278 Transorgan operations, e.g. transgastric
• CPC Class Codes: A61B 2017/00561 creating a vacuum
• CPC Class Codes: A61B 2017/00818 Treatment of the gastro-intestinal system
• CPC Class Codes: A61B 2017/00827 : Treatment of gastro-esophageal reflux
• CPC Class Codes: A61B 2017/081 : Tissue approximator A61B2017/1103, A61B17/8866 take precedence
• CPC Class Codes: A61B 2017/306 : holding by means of suction
• CPC Class Codes: A61B 2017/308 : with suction cups
• CPC Class Codes: A61F 2/04 : Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts A61F2/18, A61F2/20 take precedence; devices, other than stent-grafts, providing patency to, or preventing collapsing of, tubular structures of the body other than stent-grafts, e.g. stents A61F2/82; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95
• CPC Class Codes: A61F 2002/044 : Oesophagi or esophagi or gullets
• CPC Class Codes: A61F 2002/045 : Stomach, intestines
• CPC Class Codes: A61F 2005/0016 : comprising measuring means
• CPC Class Codes: A61F 2005/002 : for sensing mechanical parameters
• CPC Class Codes: A61F 2005/0023 : for sensing chemical parameters
• CPC Class Codes: A61F 2250/0001 : Means for transferring electromagnetic energy to implants
• CPC Class Codes: A61F 2250/0004 : adjustable
• CPC Class Codes: A61F 5/0003 : Apparatus for the treatment of obesity; Anti-eating devices surgical instruments or methods for treatment of obesity, devices specially adapted therefor A61B17/00; hollow or tubular parts of organs A61F2/04
• CPC Class Codes: A61F 5/0013 : Implantable devices or invasive measures
• CPC Class Codes: A61F 5/0026 : Anti-eating devices using electrical stimulation
• CPC Class Codes: A61F 5/003 : inflatable
• CPC Class Codes: A61F 5/0033 : with more than one chamber
• CPC Class Codes: A61F 5/0036 : Intragastrical devices
• CPC Class Codes: A61F 5/004 : remotely adjustable
• CPC Class Codes: A61F 5/0043 : using injection ports
• CPC Class Codes: A61F 5/0046 : with wireless means
• CPC Class Codes: A61F 5/005 : Gastric bands
• CPC Class Codes: A61F 5/0063 : wrapping the stomach
• CPC Class Codes: A61F 5/0069 : in the wall of the stomach
• CPC Class Codes: A61F 5/0073 : in the abdominal cavity, e.g. not attached to the stomach
• CPC Class Codes: A61F 5/0076 : preventing normal digestion, e.g. Bariatric or gastric sleeves
• CPC Class Codes: A61F 5/0079 : Pyloric or esophageal obstructions
• CPC Class Codes: A61F 5/0083 : Reducing the size of the stomach, e.g. gastroplasty surgical interventions A61B17/00
• CPC Class Codes: A61F 5/0086 : using clamps, folding means or the like
• CPC Class Codes: A61F 5/0089 : Instruments for placement or removal
• CPC Class Codes: A61N 1/36007 : of urogenital or gastrointestinal organs, e.g. for incontinence control

Abstract

A gastroscopic method of treating obesity of a patient using a device adapted to stretch a part of the stomach wall of said patient. The method comprising the steps of: inserting said device into the stomach of said patient through the esophagus, placing said device in contact with the stomach wall and fixating said device to the stomach wall such that said device can stretch a part of said stomach wall.

Claims

1-116. -116. (canceled)

117. An instrument for placing a device adapted to stretch a part of the stomach wall of a patient in connection with said stomach wall, on the outside thereof, said instrument comprising:

a. a holding member adapted to releaseably hold said device, and

b. a fixating member, adapted to assist in the fixation of said device to the stomach wall, on the outside thereof.

118. The instrument according to claim 117, wherein said instrument further comprises an optical member for viewing in the area of the stomach.

119. The instrument according to claim 117, wherein said fixation member is adapted to suturing or stapling said device to the stomach wall, on the outside thereof.

120. The instrument according to claim 117 wherein said fixation member is adapted for invaginating at least a part of said device in the stomach wall with stomach-to-stomach sutures, on the outside thereof.

121. The instrument according to claim 117, wherein said fixation member is adapted for invaginating at least a part of said device in the stomach wall with stomach-to-stomach staplers, on the outside thereof.

122. An instrument for placing a device adapted to stretch a part of the stomach wall of a patient in connection with said stomach wall, on the inside thereof, said instrument comprising:

a. a holding member adapted to releaseably hold said device,

b. an insertion member adapted to insert said device through said stomach wall, and

c. a fixating member, adapted to assist in the fixation of said device to the stomach wall, on the inside thereof.

123. The instrument according to claim 122, wherein said instrument further comprises a cutting member for cutting a hole in the stomach wall.

124. The instrument according to claim 122, wherein said instrument further comprises an optical member for viewing in the area of the stomach.

125. The instrument according to claim 122, wherein said fixation member is adapted for suturing or stapling said device to the stomach wall, on the inside thereof.

126. The instrument according to claim 122, wherein said fixation member is adapted for invaginating at least a part of said device in the stomach wall with stomach-to-stomach sutures, on the inside thereof.

127. The instrument according to claim 122, wherein said fixation member is adapted for invaginating at least a part of said device in the stomach wall with stomach-to-stomach staplers, on the inside thereof.

128. A laparoscopic instrument for implanting a stretching device in a human patient to treat obesity, the instrument comprising:

an elongated member having a proximal end and a distal end, the elongated member being adapted to be introduced into the patient'"'"'s abdomen during a laparoscopic operation by means of a laparoscopic trocar,

a stomach pushing device adapted to create a recess in the stomach wall, the pushing device being adapted to place a stretching device in the recess for subsequent invagination in the stomach wall.

129. The instrument according to claim 128, wherein the stomach pushing device comprises a vacuum sucking device adapted to suck the stomach wall to form the recess in the stomach wall.

130. The instrument according to claim 128, wherein the vacuum passageway exhibits a plurality of openings adapted to suck the stomach wall portion so that it adherers to the pushing device.

131. The instrument according to claim 128, comprising an insertion device adapted to introduce the stretching device into the recess.

132. The instrument according to claim 128, comprising at least one clamping device for holding an opening of the recess substantially closed by clamping together portions of the stomach wall in said opening, wherein the instrument is adapted to place the at least one clamping device at the opening of the recess to allow subsequent suturing of the opening.

133. The instrument according to claim 128, wherein the instrument comprises an inflation device for inflating the stretching device when it has been placed in the recess.

134. The instrument according to claim 128, comprising a suturing device adapted to suture the opening of the recess with stomach to stomach sutures for creating at least partly a closed space enclosing the stretching device.

135. The instrument according to claim 134, wherein the suturing device comprises a first and a second suture positioning member provided on the elongated member at the distal end thereof, and

an operation device adapted to adjust the first and second suturing members in a position in which the first and second suture positioning members are in front of each other with the stomach wall on both sides of the open end of the cup like portion, and adapted to suture the open end of the cup like portion of the stomach wall with a row of stomach to stomach sutures.

136. The instrument according to claim 134, wherein the suturing device comprises a reloading device adapted to reload the suturing device from outside the patient'"'"'s body.