Method and instrument for treating obesity

• US 9,526,649 B2
• Filed: 01/29/2009
• Issued: 12/27/2016
• Est. Priority Date: 10/10/2008
• Status: Active Grant

• Current Assignee: Kirk Promotion Ltd.
• Original Assignee: Kirk Promotion Ltd.
• Inventors: Forsell, Peter
• Primary Examiner(s): Matthews, Howie
• Application Number:
  US12/865,015
• Publication Number:
  US 20100331616A1
• Time in Patent Office: 2,889 Days
• Field of Search: 600/37, 606/191, 623/23.64
• US Class Current: 1/1
• 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. A gastroscopic method of implanting a device for treating obesity of a patient by the device being postoperatively and non-invasively regulated to actively stretch a portion of the stomach wall of said patient to actively create a feeling of satiety, the device comprising a stretching device and a control unit for postoperatively and non-invasively regulating said stretching device, the method comprising the steps of:

a. inserting said stretching device into the stomach of said patient through the esophagus,

b. inserting said control unit into the body of the patient, said control unit being adapted to be connected to the stretching device,

c. placing said stretching device in contact with the stomach wall,

d. fixating said stretching device to the stomach wall such that the control unit can regulate the device for actively stretching the portion of said stomach wall to actively create a feeling of satiety in the patient.

2. The method according to claim 1, wherein the step of fixating said stretching device comprises the steps of:

a. fixating a first portion of said stretching device to a first portion of said stomach wall, and

b. fixating a second portion of said stretching device to a second portion of said stomach wall.

3. The method according to claim 2, wherein the step of fixating said first and second portion of said stretching device comprises the steps of invaginating said first portion of the stretching device in said first portion of the stomach wall, and said second portion of the stretching device in said second portion of the stomach wall, by means of stomach to stomach sutures or staplers.

4. The method according to claim 1, wherein said device is a first stretching device and said portion of the stomach wall is a first portion of the stomach wall, said method comprising the additional steps of:

a. placing a second stretching device, adapted to actively stretch a second portion of the stomach wall, in contact with the second portion of the stomach wall,

b. fixating said second stretching device to the second portion of the stomach wall,

c. stretching said first portion of the stomach wall using said first stretching device, and

d. stretching said second portion of the stomach wall using said second stretching device.

5. The method according to claim 1, wherein said method further comprises the steps of:

a. inserting a gastroscope into the stomach of the patient,

b. pushing a portion of said stomach wall to prepare a pouch protruding from the stomach wall,

c. inserting said stretching device into said pouch, placed on the inside of the stomach wall,

d. suturing or stapling to enclose said device in said pouch before or after the insertion of said stretching device into said pouch.

6. The method according to claim 1, wherein said method further comprises the steps of:

a. inserting a gastroscope into the stomach of the patient,

b. pulling a portion of said stomach wall to prepare a pouch surrounded by said stomach wall,

c. creating a hole in said stomach wall into said pouch,

d. inserting said stretching device into said pouch, through said hole in the stomach wall

e. suturing or stapling said pouch, before or after the insertion of the stretching device through said hole.

7. The method according to claim 1, wherein said method comprises the additional step of postoperatively and non-invasively regulating said stretching device to stretch the portion of said stomach wall to affect the appetite of the patient.

8. The method according to claim 7, wherein the step of postoperatively and non-invasively regulating said stretching device to actively stretch the portion of said stomach wall comprises the step of increasing the distance between a first portion of said stomach wall and a second portion of said stomach wall.

9. The method according to claim 7, wherein the step of postoperatively and non-invasively regulating said device to actively stretch the portion of said stomach wall comprises postoperatively and non-invasively regulating said stretching device to actively stretch the portion of said stomach wall in connection with the patient eating, such that satiety is created.

15. The method according to claim 1, wherein said method further comprises the steps of:

a. inserting a gastroscope into the stomach of the patient,

b. pulling a portion of said stomach wall to prepare a pouch surrounded by said stomach wall,

c. creating a hole in said stomach wall into said pouch,

d. inserting said stretching device into said pouch, through said hole in the stomach wall

e. suturing or stapling said pouch, before or after the insertion of the stretching device through said hole.

10. A gastroscopic method of implanting a stretching device for treating obesity of a patient, the stretching device being adapted to be postoperatively and non-invasively regulated to actively stretch a portion of a stomach wall of said patient to actively create a feeling of satiety, the method comprising the steps of:

a. inserting said stretching device into the stomach of said patient through the esophagus,

b. placing said stretching device in contact with the stomach wall,

c. fixating said stretching device to the stomach wall such that said device can actively stretch the portion of said stomach wall,

d. placing a control unit in the body of the patient, for postoperatively and non-invasively regulating said stretching device to actively stretch the portion of said stomach wall to actively create a feeling of satiety in the patient, and

e. guiding a conduit or electrical lead for enabling the attachment of the conduit or electrical lead to said control unit.

11. The method according to claim 10, wherein the step of fixating said stretching device comprises the steps of:

a. fixating a first portion of said stretching device to a first portion of said stomach wall, and

b. fixating a second portion of said stretching device to a second portion of said stomach wall.

12. The method according to claim 11, wherein the step of fixating said first and second portion of said stretching device comprises the steps of invaginating said first portion of the stretching device in said first portion of the stomach wall, and said second portion of the stretching device in said second portion of the stomach wall, by means of with stomach to stomach sutures or staplers.

13. The method according to claim 10, wherein said device is a first stretching device and said portion of the stomach wall is a first portion of the stomach wall, said method comprising the additional steps of:

a. placing a second stretching device adapted to actively stretch a second portion of the stomach wall in contact with the second portion of the stomach wall,

b. fixating said second stretching device to the second portion of the stomach wall,

c. stretching said first portion of the stomach wall using said first stretching device, and

d. stretching the second portion of the stomach wall using said second stretching device.

14. The method according to claim 10, wherein said method further comprises the steps of:

a. inserting a gastroscope into the stomach of the patient,

b. pushing a portion of said stomach wall to prepare a pouch protruding from the stomach wall,

c. inserting said stretching device into said pouch, placed on the inside of the stomach wall,

d. suturing or stapling to enclose said stretching device in said pouch.

16. The method according to claim 10, wherein said method comprises the additional step of postoperatively and non-invasively regulating said stretching device to stretch said portion of said stomach wall to affect the appetite of the patient.

17. The method according to claim 16, wherein the step of postoperatively and non-invasively regulating said stretching device to actively stretch said portion of said stomach wall comprises the step of increasing the distance between a first portion of said stomach wall and a second portion of said stomach wall.

18. The method according to claim 16, wherein the step of postoperatively and non-invasively regulating said stretching device to actively stretch the portion of said stomach wall comprises postoperatively and non-invasively regulating said stretching device to actively stretch the portion of said stomach wall in connection with the patient eating, such that satiety is created.