US20040215216A1 - Method and device for use in tissue approximation and fixation - Google Patents

Method and device for use in tissue approximation and fixation Download PDF

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Publication number
US20040215216A1
US20040215216A1 US10829019 US82901904A US2004215216A1 US 20040215216 A1 US20040215216 A1 US 20040215216A1 US 10829019 US10829019 US 10829019 US 82901904 A US82901904 A US 82901904A US 2004215216 A1 US2004215216 A1 US 2004215216A1
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Prior art keywords
tissue
device
fastening
stomach
invention
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Abandoned
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US10829019
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Jamy Gannoe
Gary Weller
Craig Gerbi
Douglas Sutton
Gilbert Mata
J. Scott
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Ethicon Inc
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Jamy Gannoe
Gary Weller
Craig Gerbi
Sutton Douglas S.
Gilbert Mata
Scott J. Stephen
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013Implantable devices or invasive measures
    • A61F5/0083Reducing the size of the stomach, e.g. gastroplasty
    • A61F5/0086Reducing the size of the stomach, e.g. gastroplasty using clamps, folding means or the like
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0643Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/30Surgical pincettes without pivotal connections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00561Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated creating a vacuum
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00818Treatment of the gastro-intestinal system
    • A61B2017/00827Treatment of gastro-esophageal reflux
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B2017/081Tissue approximator
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2927Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
    • A61B2017/2929Details of heads or jaws the angular position of the head being adjustable with respect to the shaft with a head rotatable about the longitudinal axis of the shaft
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2932Transmission of forces to jaw members
    • A61B2017/2944Translation of jaw members
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/30Surgical pincettes without pivotal connections
    • A61B2017/306Surgical pincettes without pivotal connections holding by means of suction

Abstract

Methods and devices for use in tissue approximation and fixation are described herein. The present invention provides, in part, methods and devices for acquiring tissue folds from the anterior and posterior portions of a hollow body organ, e.g., a stomach, positioning the tissue folds for affixing within a fixation zone of the stomach, preferably to create a pouch or partition below the esophagus, and fastening the tissue folds such that a tissue bridge forms excluding the pouch from the greater stomach cavity. The present invention further provides devices for performing a transoral, endoscopic hollow organ division, including a tissue acquisition device capable of acquiring the desired tissue, a tensioning device for positioning the acquired tissue, and a fastening element to secure the outer layers of the acquired tissue such that the desired healing response is achieved.

Description

    CROSS-REFERENCE TO RELATED APPLICATIONS
  • [0001]
    This application is a divisional of U.S. patent application Ser. No. 10/188,547 filed Jul. 2, 2002, which is incorporated herein by reference in its entirety.
  • FIELD OF THE INVENTION
  • [0002]
    The present invention relates generally to medical apparatus and methods and more particularly to devices and methods for dividing a hollow body organ or otherwise restricting or partitioning a certain section of that organ, particularly a stomach, intestine or gastrointestinal tract for purposes of reducing the volume of the hollow body organ. In addition, such tools and techniques may be used to exclude specified tissue sections within a hollow body organ either to reduce volume, or to exclude the portion of tissue that is clinically undesirable, such as in the case of gastroesophogeal reflux disease (GERD) or exclusion of certain sections of the stomach relating to the nuero hormonal pathways for hunger. These devices may be used alone or in conjunction with each other and may be permanently implanted, or removed once they have served their purpose, e.g., the desired tissue effect has occurred (healing), or the clinical benefit has been achieved, for example, the patient has lost the directed or desired amount of weight, or the patient is no longer experiencing reflux.
  • BACKGROUND OF THE INVENTION
  • [0003]
    In cases of severe obesity, patients may currently undergo several types of surgery either to tie off or staple portions of the large or small intestine or stomach, and/or to bypass portions of the same to reduce the amount of food desired by the patient, and the amount absorbed by the gastrointestinal tract. The procedures currently available include laparoscopic banding, where a device is used to “tie off” or constrict a portion of the stomach, vertical banded gastroplasty (VBG), or a more invasive surgical procedure known as a Roux-En-Y gastric bypass to effect permanent surgical reduction of the stomach's volume and subsequent bypass of the intestine.
  • [0004]
    Typically, these stomach reduction procedures are performed surgically through an open incision and staples or sutures are applied externally to the stomach or hollow body organ. Such procedures can also be performed laparoscopically, through the use of smaller incisions, or ports, through trocars and other specialized devices. In the case of laparoscopic banding, an adjustable band is placed around the proximal section of the stomach reaching from the lesser curve (LC) of the stomach around to the greater curve (GC), thereby creating a constriction or “waist” in a vertical manner between the esophagus (ES) and the pylorus (PY) (See Prior Art FIG. 1). During a VBG (See Prior Art FIG. 2) a small pouch (P) (approximately 20 cc in volume) is constructed by forming a vertical partition from the gastroesophageal junction (GEJ) to midway down the lesser curvature of the stomach by externally applying staples, and optionally dividing or resecting a portion of the stomach, followed by creation of a stoma (ST) at the outlet of the partition to prevent dilation of the outlet channel and restrict intake. In a Roux-En-Y gastric bypass (see Prior Art FIG. 3), the stomach is surgically divided into a smaller upper pouch connected to the esophageal inflow, and a lower portion, detached from the upper pouch but still connected to the intestinal tract for purposes of secreting digestive juices. A resected portion of the small intestine is then anastomosed using an end-to-side anastomosis to the upper pouch, thereby bypassing the majority of the intestine and reducing absorption of caloric intake and causing rapid “dumping” of highly caloric or “junk foods”.
  • [0005]
    Although the outcome of these stomach reduction surgeries leads to patient weight loss because patients are physically forced to eat less due to the reduced size of their stomach, several limitations exist due to the invasiveness of the procedures, including time, general anesthesia, healing of the incisions and other complications attendant to major surgery. In addition, these procedures are only available to a small segment of the obese population (morbid obesity, Body Mass Index ≧40) due to their complications, leaving patients who are considered obese or moderately obese with few, if any, interventional options.
  • [0006]
    In addition to surgical procedures, certain tools exist for approximating or otherwise securing tissue such as the stapling devices used in the above-described surgical procedures and others such as in the treatment of gastroesophogeal reflux (GERD). These devices include the GIA® device (Gastrointestinal Anastomosis device manufactured by Ethicon Endosurgery, Inc. and a similar product by USSC), and certain clamping and stapling devices as described in U.S. pat. Nos. 5,897,562 and 5,571,116 and 5,676,674, Non-Invasive Apparatus for Treatment of Gastroesophageal Reflux Disease (Bolanos, et al) and Pat. No. 5,403,326 Method for Performing a Gastric Wrap of the Esophagus for Use in the Treatment of Esophageal Reflux (Harrison et al) for methods and devices for fundoplication of the stomach to the esophagus for treatment of gastro esophageal reflux (GERD). In addition, certain tools as described in U.S. Pat. No. 5,788,715 Telescoping Serial Elastic Band Ligator (Watson et al), U.S. Pat. No. 5,947,983 Tissue Cutting and Stitching Device and Method (Solar et al) detail an endoscopic suturing device that is inserted through an endoscope and placed at the site where the esophagus and the stomach meet. Vacuum is then applied to acquire the adjacent tissue, and a series of stitches are placed to create a pleat in the sphincter to reduce the backflow of acid from the stomach up through the esophagus. These devices can also be used transorally for the endoscopic treatment of esophageal varices (dilated blood vessels within the wall of the esophagus).
  • [0007]
    Further, certain devices are employed to approximate tissue such as in bowel anastomosis, via traditional suturing or stapling, or employing tools such as the commercially available Valtrac (Devis & Geck Company) and the AKA 2 (see British Journal of Surgery, Vol 87, Iss 8, Page 1071, August 2000), which are circular clamping devices used to affect “compression anastomosis” (e.g. once sufficient clamping force is applied, tissue of the bowel heals together and the device is no longer essential to the joining of the tissue). See also U.S. Pat. No. 5,250,058 Absorbable Anastomotic Fastener Means (Miller et al) and U.S. Pat. No. 5,697,943 Apparatus and Method for Performing Compressional Anastomosis (Sauer et al) and PCT Publication No. WO 99/17662 Anastomosis Ring Insertion Device (Phillips et al).
  • [0008]
    There is a need for improved devices and procedures. In addition, because of the invasiveness of most of the surgeries used to treat obesity, and the limited success of others, there remains a need for improved devices and methods for more effective, less invasive hollow organ restriction procedures.
  • SUMMARY OF THE INVENTION
  • [0009]
    The present invention provides for improved methods and apparatus for the transoral, or endoscopic, division of a hollow body organ, such as the creation of a small stomach pouch. In the case of the present invention, the surgeon or endoscopist may insert devices as described below through the patient's mouth, down the esophagus and into the stomach or intestine as appropriate. The procedure can be performed entirely from within the patient's stomach or other organ, and does not require any external incision. The end result of the procedure is the formation of a variety of organ divisions or plications that serve as barriers or “partitions” or “pouches” that are substantially sealed off from the majority of the organ cavity. For example, in the case of dividing the stomach, the “pouch” or partitions that are created may seal a small portion of the stomach just below the esophagus to allow only small amounts of food or liquid to be consumed by the patient. This pouch or partition will mimic the section of stomach sealed off from the majority of the organ in a traditional obesity surgery heretofore described; however, it can be formed and secured entirely from inside the stomach endoscopically, obviating the need for a prolonged procedure, external incisions, and in some cases, general anesthesia.
  • [0010]
    The methods and tools of the present invention may also be used in treating GERD in that stomach folds just below the esophagus can be acquired and fastened to create a desired “pleat”, thereby effectively extending the length of the esophagus and preventing reflux. A single fold of tissue, or a dual fold of tissue can be acquired. Further, features of the present invention would assist in the longevity of the GE Junction (GEJ)/Esophageal pleat as compared to current devices and techniques as the plication would include a more significant amount of muscular tissue. In addition, the devices and methods of the present invention may be used to revise or repair failures seen in current surgical procedures, such as dilation of the pouch and/or stoma (stomata) formed in a traditional Roux-En-Y gastric bypass, or VBG. In these cases, when the stoma dilates or shifts, the tools of the present invention would be useful to apply pleats at the site of dilation to narrow it, thereby making the stoma functional again, or by further reducing the volume of an existing pouch which has dilated.
  • [0011]
    The devices shown and described herein can be used to form a pouch or partition by the approximation and fixation of two folds of organ tissue, one fold created in the anterior wall of the organ, and one fold created in the posterior wall of the organ using a tissue acquisition device inserted minimally invasively or transorally into the target organ, e.g., the stomach. A calibration balloon on the end of the tissue acquisition device may also be employed to size the pouch or partition and to position the tools correctly to determine where the folds will be created. Alternatively, the tissue acquisition device may be adapted to receive a standard endoscope to allow viewing of the target region at various points during the procedure.
  • [0012]
    The devices shown and described herein can also create the tissue folds using vacuum to acquire tissue from both walls using an endoscopic tissue acquisition device having windows or openings spaced apart from each other, preferably 180 degrees from one another. Once the tissue folds are acquired, an optional mechanical retraction/tensioning mechanism may be employed to engage and tension the folds within the tissue acquisition device. Said mechanical retraction or tensioning mechanism securely approximates the tissue folds such that a consistent and substantial fold of muscular tissue is presented for fixing the tissue folds together.
  • [0013]
    A fastening element or fastening assembly may also be employed to secure the tissue folds and create the division or divisions within the organ. Additionally, it may be preferable for the fastening assembly to clamp the tissue folds together prior to delivering the fastening elements to enhance the durability of the fastened section.
  • [0014]
    In similar fashion, a tissue acquisition device may be employed to secure tissue together, either in a dual fold (acquisition of a fold from both the anterior and posterior side of the organ), or single fold configuration (acquisition of one fold of tissue), at the GEJ to create an effective lengthening of the esophagus for treatment of GERD. A single or dual fold of tissue may be acquired at the cardiac notch (portion between the GEJ and the esophagus of the patient) and fastened to form a staple line parallel to the LC of the stomach.
  • [0015]
    Several aspects of the present invention were arrived at after experimentation with stomach and other body tissue and the challenges of acquiring and securing such tissue reliably. In particular, it is preferable for the device of the present invention to consistently approximate the tissue and tension it such that when the fixation elements or fasteners of the present invention are delivered, they consistently reach the outer fibrous layers of the organ wall, such as the muscularis and serosa of the stomach. Once these fibrous layers are secured appropriately according to the present invention, they will adhere, fuse or scar over to affect the desired fastening of the tissue folds. The devices of the present invention will likely need to maintain apposition of the two folds for 24 weeks, but that fusion of the tissue may take place as soon as 5-10 days following the procedure, or as long as 8-10 weeks. If tissue folds are secured inconsistently, or if insufficient compression is applied at the time of securement, complications such as rapid ischemic necrosis, gastric erosion, ulceration, and failure of the secured walls may result.
  • [0016]
    Various devices and methods for securing the tissue folds once they are approximated, may also include a stapling device, clamp or other fasteners. The fastening assembly may further be a flexible endoscopic stapler device, capable of being deployed within the lumen of the tissue acquisition device once the tissue folds are tensioned, said stapler then rotationally or longitudinally adjusted or automatically aligned within the tissue acquisition device to ensure correct alignment with the tissue folds, and clamped to deploy a staple line. This stapler is preferably deployed with force sufficient to displace much of the mucosal tissue out of the targeted fixation region prior to securing the two tissue folds together. A clamp device may be alternatively deployed instead of a staple to achieve both the clamping function and the fixation function. Said clamp device may include teeth or treads to allow tissue perfusion and cell growth for healing at the fixation region once the clamp is deployed. Fasteners such as rivets or clips may be deployed to secure the tissue.
  • [0017]
    Any of the fastening devices described herein may be bioabsorbable or biofragmentable, such that once the desired tissue healing has occurred, they dissolve or otherwise degrade leaving only the fixation region, now a tissue “bridge” (TB) sufficiently adhered or healed together to maintain the integrity of the pouch or partition, similar in some ways to the compression anastomosis tools referred to above. In addition, they may include coatings or other secondary features to aid healing, such as resorbable meshes, surgical felt, or tissue grafts.
  • [0018]
    The procedure of the present invention may be permanent in that the pouch or partitions would restrict the stomach indefinitely, or may be reversible (once weight loss is achieved, or reflux minimized) or revised (in the event pouch side needs to be modified). Further, if the physician so desires, techniques of the present invention may be augmented or assisted by the use of other techniques such as laparoscopy. Optionally, techniques of the present invention may be combined with other procedures such as the treatment of GERD or the transoral placement of a bypass prosthesis or other type of liner in the intestine to bypass of the hormonally active portion of the small intestine.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • [0019]
    [0019]FIG. 1 depicts the prior art procedure commonly known as laparoscopic banding;
  • [0020]
    [0020]FIG. 2 depicts the prior art procedure commonly known as the vertical banded gastroplasty or “VBG”;
  • [0021]
    [0021]FIG. 3 depicts the prior art procedure commonly know as surgical Roux En Y procedure;
  • [0022]
    [0022]FIGS. 4A-4H depict schematic drawings of the objects of the present invention for dividing and restricting, or partitioning a hollow body organ, namely the stomach as viewed from outside and inside the organ;
  • [0023]
    [0023]FIG. 5 shows a schematic depiction of a cross section of two tissue folds (anterior and posterior stomach wall) as they would be acquired and tensioned by the tissue acquisition device of the present invention (devices deleted for clarity);
  • [0024]
    [0024]FIG. 6 depicts a cross sectional view of the clamping of the two tissue folds to ensure approximation of the fibrous tissue layers, and the positioning of a clamp or fastener of the present invention;
  • [0025]
    [0025]FIG. 7 depicts a cross section of the divided organ, showing the pouch excluded from the majority of the organ cavity by a healed in tissue bridge as constructed by the present invention;
  • [0026]
    [0026]FIGS. 8, 8A, 8B, 9, 9A, 10, 11, 11A and 11B depict an example of sequential procedural steps for performing an organ division or restriction as taught by the present invention. Restriction of the stomach is used for illustrative purposes;
  • [0027]
    [0027]FIGS. 12, 12A, 12B and 12C depict one embodiment of a tissue acquisition device of the present invention, including detail on an articulating feature used as a tensioning device to further approximate the acquired tissue folds;
  • [0028]
    [0028]FIG. 13 depicts another embodiment of a tissue acquisition and tensioning device of the present invention;
  • [0029]
    [0029]FIG. 14 depicts another embodiment of a tissue acquisition and tensioning device of the present invention (only one arm of the device is shown for clarity);
  • [0030]
    [0030]FIGS. 15 and 15A depict a fastening assembly of the present invention, including a clamping device and a fastening device.
  • [0031]
    [0031]FIG. 16 depicts the operation of the fastening assembly of FIG. 15 through the tissue acquisition device (distal end omitted for clarity) to clamp and fasten tissue folds as taught by the present invention;
  • [0032]
    [0032]FIG. 17 depicts one embodiment of a fastening device of the present invention;
  • [0033]
    [0033]FIGS. 18A and 18B depict another embodiment of a fastening device of the present invention in an undeployed and deploying configuration;
  • [0034]
    [0034]FIG. 19 depicts yet another embodiment of a fastening device of the present invention;
  • [0035]
    [0035]FIGS. 20A and 20B depict a cross sectional, perspective view of representative fastening devices of the present invention deployed to approximate two tissue folds of a target organ to be divided or restricted.
  • DETAILED DESCRIPTION OF THE INVENTION
  • [0036]
    The present invention provides, in part, for methods and devices for hollow organ division and restriction, more particularly providing methods and devices to perform a transoral, endoscopically mediated stomach reduction for purposes of, e.g., treating obesity.
  • [0037]
    As previously discussed, the results of some clinical procedures of the prior art are shown in FIGS. 1-3, from a perspective external to the stomach. An example of a result of the procedure in one embodiment of the present invention is shown in FIG. 4A, depicting an external anterior view of a stomach organ 400, having an esophagus 410 (cut away to reveal the esophageal lumen 420), and further depicting a fastening line, or staple line 430, producing a pouch (P). Fastening line 430 is preferably positioned as close to the gastroesophageal junction (GEJ) at the base of the esophagus, and angled toward the lesser curve of the stomach (LC), leaving an approximate 1 cm gap between the LC and the end of fastening line. This gap, or stoma 440, operates to restrict food from emptying from the pouch, while still allowing communication between the pouch and the greater stomach volume for purposes of passage of digestive fluids and secretions. FIG. 4B depicts the organ division of FIG. 4A as a transparent section to further depict the cross section of the resulting division (pouch “P”) created by fastening line 430 at section line S.
  • [0038]
    [0038]FIGS. 4C-4H represent alternative placements of the fastening line 430 to achieve various configurations of organ division, each having a potential clinical application depending on the preference of the physician and clinical needs of the patient. FIG. 4C depicts the same organ model as described in FIG. 4A, but with a plurality of fastening lines 430 placed in a funnel configuration to create partitions in the organ that form a pouch P between the fastening lines. In this embodiment, it may be desirable to leave several stomas or openings 440 to assist in organ function (e.g. digestion of food), while still restricting the volume of the pouch P. FIG. 4D depicts the organ division of FIG. 4C as a transparent section to further depict the cross section of the resulting division (pouch “P”) created by fastening line 430 at section line S.
  • [0039]
    [0039]FIG. 4E depicts a further configuration of fastening lines 430, creating partitions within the organ for forming a restriction or pouch P. By using several fastening points or lines within the organ that fan out, intake can be restricted while still allowing the organ to function. Similarly FIG. 4F depicts the organ division of FIG. 4E as a transparent section to further depict the cross section of the resulting division (pouch “P”) created by fastening line 430 at section line S. In yet another embodiment of the present invention, FIG. 4G depicts the placement of one fastening line 430 close to the GEJ and substantially parallel to the lesser curve of the stomach (LC) thereby forming a pouch or partition excluding the section of stomach below the esophagus from the majority of the stomach organ. An additional fastening line 450 may also be formed at or near the outlet of the pouch or partition, by either creating an additional dual fold fastening line to create a stoma, or by just acquiring one tissue fold, either the anterior or posterior wall of the stomach to create a pleat 460, thereby also narrowing the outlet or creating a stoma. Such a division and single fold tissue pleat 460 are depicted in FIG. 4H showing a transparent sectioning of a divided stomach.
  • [0040]
    It is anticipated that the placement of fastening lines 430, may vary from those depicted herein, as is necessary for a physician to achieve a desired clinical effect, or to overcome variations in the anatomy of the patient. Such configurations that utilize the methods and devices of the present invention are contemplated to be within the scope of this disclosure. In addition, a fastening line 430 as referred to herein, may be a line of fastening elements placed simultaneously or serially until the desired result is achieved. They may also be in the form of a clamp or other fastening element, as described herein, or as known in the art for securing tissue together.
  • [0041]
    [0041]FIGS. 5, 6 and 7 depict cross sectional schematic views of the procedure of the present invention from the perspective of the tissue being manipulated. In FIG. 5, the posterior wall of the stomach (PW) and the anterior wall of the stomach (AW) are shown in the configuration they will take once the tissue acquisition device of the present invention has been activated (device not shown for clarity). Tissue layers represented are the serosal layer (SL), the muscularis or fibrous muscular layer (ML), and the mucosal layer (MUC). One feature of the present invention is to acquire the tissue such that it is positioned with a certain amount of fibrous tissue overlap (Overlap) prior to fastening in a configuration akin to a lap joint. The amount of the overlap can vary and needs only to be sufficient enough to result in healing of the fastened sections, thereby creating a tissue bridge (TB) along the length of the fastened tissue. Said tissue bridge may be formed of various layers of the stomach and may include scar tissue and other elements of effective wound healing.
  • [0042]
    In addition, it may be advantageous to further approximate the Overlap section by clamping the tissue to be fastened as depicted in FIG. 6. When clamps 610 applies a clamping force to the overlapped section, the less fibrous lining of the stomach, the mucosa (MUC), is compressed and squeezed thin to minimize its presence within the fixation zone. In doing so, the fibrous muscularis and serosal layers that are more responsive to healing can be more closely approximated. Finally, FIG. 7 illustrates the formation of a tissue bridge (TB) between the two tissue folds, demonstrating that each pouch or lumen is re-paved with mucosal tissue and fasteners are covered by mucosa such that only the mucosa is exposed to the acids of the stomach, but the tissue bridge itself is formed of the various fibrous tissue layers, including scar tissue.
  • [0043]
    Devices
  • [0044]
    [0044]FIG. 12 shows the tissue acquisition device 120 of the present invention having a proximal and distal end and a main lumen 121 therebetween. Device 120 has a handle portion 122, and a main body portion 123 having one or more lumens (not shown) and terminating in a distal end, said distal end preferably segmenting into first and second jaw members 124 and 125 respectively, each jaw member having a tissue acquisition port 132 housed therein. Each port 132 is in fluid communication with one of the lumens of the main body portion 123 and connected to filler port 133 located on handle portion 122.
  • [0045]
    Main body portion 123 may be bendable, having a shaft made of resilient plastic such as polyurethane, silicone, PVC or a laminate all optionally reinforced with a wire, or made of a composite construction of more than one material, or articulable, such as formed of a slotted tube connected to a pull wire in the proximal handle (not shown), to allow the operator to achieve flexion of the main body portion or distal tip by operating the pull wire. Such flexibility allows for smooth introduction down the esophagus and into the stomach, as well as optimal positioning within the stomach prior to tissue acquisition. In addition, handle portion 122, preferably includes a main port 126, through which various devices such as an endoscope or fastening assembly of the present invention may be passed to monitor and complete the procedure of the present invention.
  • [0046]
    It may be necessary or desirable to employ a further tensioning mechanism at device 120 distal end to assist the use of vacuum to acquire the desired tissue. The embodiment depicted in FIGS. 12A and 12B, shows first and second hinging members 130 and 131, respectively, formed as part of main body 123 and connected to each of distal end jaws 124 and 125. Hinging members 130, 131 can be formed in multiple ways, but are shown in FIG. 12 as being formed by two crescent shaped cutaways 134 spaced longitudinally along the shaft of main body 123 and at 180 degree rotations from one another. In operation, a lever 127 is pivotally connected to the main handle body 122 by pin 135. Pull cables 128 (only one shown) are fixedly connected to lever 127 and jaws 124 and 125 such that when lever 127 is deployed jaws 124 and 125 separate in a scissoring motion as depicted in FIG. 12B. Actuation of hinging members 130 and 131 act to further tension the tissue already acquired in vacuum ports 132 and ensuring the fixation zone (FZ) includes the appropriate amount of serosal overlap as depicted in FIG. 12C. Optional guide rods 136, may be affixed to jaws 124 or 125 or both, to assist in tissue tensioning and manipulation (tissue shown here as T).
  • [0047]
    [0047]FIG. 13 depicts a more detailed showing of the jaws 124 and 125 of tissue acquisition device 120, including an alternative embodiment of a guide rod mechanism. Each jaw (124, 125) is equipped with a vacuum port 132, each located at 180 degrees from the other to allow tissue to be acquired from opposite sides of the organ while allowing the maximum axial depth within the jaw body. Port opening 132 may extend approximately 1 inch longitudinally along the jaw body, and approximately 0-5 cm into the jaw body, depending on the amount of tissue to be acquired (dotted lines depict various depths of the port). It is also within the scope of the present invention for such vacuum ports 132 to be configured in the form of suction cups, or formed of fenestrations within the jaw. Vacuum ports 132, are in fluid communication with tubes 138A and 138B, which run the length of the tissue acquisition device main body, and terminate at filler port 133 as earlier described to allow vacuum to be activated at the ports. In this alternative embodiment, each jaw (124, 125) is equipped with a guide rod 137A, 137B consisting of a rigid bar members affixed to respective tubes 138A and 138B proximal of the communication between the tubes 138A and 138B and each respective jaw body, and further curved to extend longitudinally along the jaw body 180 degrees from port opening 135 on respective jaws. Guide rods act as a stay to further assist in tissue manipulation and tensioning. This embodiment functions similarly to that already described in FIGS. 12, 12A and 12B.
  • [0048]
    [0048]FIG. 14 shows yet another embodiment of the distal end of the tissue acquisition device of the present invention, incorporating both the hinging members 130, 131 (not shown) of FIG. 12, and an additional mechanical post 145 inserted down the lumen of tissue acquisition device 120 once tissue has been acquired in vacuum port 132, but prior to activating the hinging members 130, 131, to act like a skewer and further secure the acquired tissue in place.
  • [0049]
    In some cases, the jaws 124, 125 and preferred tensioning mechanism of tissue acquisition device 120 are adapted such that the insertion of fastening assembly 150 through the distal end of tissue acquisition device 120, activates (by spreading or displacing) the tensioning mechanism. This passive activation of the tensioning mechanism obviates the need for additional pull wires, cables or levers to control the tensioning process. It is also within the scope of the present invention that the tensioning mechanism involves twisting of the tissue folds once they are approximated by the tissue acquisition device.
  • [0050]
    [0050]FIG. 15 shows fastening assembly 150, consisting of a fastening assembly handle 151, fastening assembly main body 152, and fastening assembly clamping portion 153, having clamping jaws 154A and 154B. FIG. 15A depicts fastening assembly clamping portion 153 in an open configuration (its default setting). In use, handle 151 is slightly engaged to bring jaws 154A and 154B of clamping portion 153 together such that fastening assembly 150 can be inserted into the main port 126 of tissue acquisition device 120. Once inserted, FIG. 16 depicts placement of jaws of fastening assembly inserted within distal end of tissue acquisition device 120 (distal end shown in dotted line configuration). Following insertion of the fastening assembly down the main lumen 121 of the tissue acquisition device 120, fastening assembly handle 151 is actuated to fully engage jaws 154A and 154B into acquired tissue T. Once tissue is clamped, fastening elements can be deployed into the clamped tissue (fixation zone (FZ)) as further described below.
  • [0051]
    [0051]FIGS. 17-18 show various embodiments of fastening elements deployed by the fastening assembly of the present invention. FIG. 17 depicts an implantable clamp member 170, including a penetrating clamp portion 171 having post portions 175, and a receiving clamp portion 172, having receiving members or holes 176 adapted for interface with posts 175. One or other of said clamp members may include a patterned or protruding surface on tissue engaging surface 174 to lessen the potential for tissue necrosis and aid in healing. In addition, tissue engaging surface 174 may include spikes or other penetrating elements (not shown) to minimize slippage while clamping. In further embodiments, implantable clamp member 170 may be formed in a curved configuration to assist in creating optimal pouch geometry. Further, implantable clamp member may be formed of various materials that are either permanent or biofragmentable such as Delrin®, polyglycolic acid, lactomer, polyester, polydiaxinon, steel, titanium or NiTi.
  • [0052]
    In operation, penetrating clamp portion 171 and a receiving clamp portion 172 would be loaded into the respective jaws of fastening assembly 150 prior to insertion of the fastening assembly into the tissue acquisition device, and deployed into the acquired tissue upon clamping of the fastening assembly onto the deployed tissue. It should be further noted that penetrating clamp portion 171 and a receiving clamp portion 172 may be deployed as two separate pieces, or may be hingedly connected in a similar fashion to the clamp jaws 154A and 154B of the fastening assembly 150.
  • [0053]
    [0053]FIG. 18A depicts fastening elements 180 consisting of discrete rivets having a penetrating rivet portion 181, having a post portion 183 and a body portion 184, and a receiving rivet portion 182, having a receiving element 185 and a body element 186. Such rivets can be formed of materials that are either permanent or biofragmentable such as Delrin®, polyglycolic acid, lactomer, polyester, polydiaxinon, steel, titanium or NiTi, and can be deployed in parallel with other rivets or sequentially, depending on the desired outcome. FIG. 18B depicts the fastening element of the present invention in it's deployed state. As shown in FIG. 19, fastening elements or rivets may be coupled with a material 190 to assist in tissue ingrowth and healing. Such materials may be meshes, grafts, microporous membranes or biomaterials such as collagen or porcine biointestinal submucosa (Biosis®, Cook, Inc.) In operation, such materials may either be adhered to the fastening element, or provided as a separate element to be placed within the fastening assembly jaws prior to clamping and deploying fastening elements.
  • [0054]
    [0054]FIGS. 20A and 20B represent depictions of the final result of tissue fold fixation contemplated by the present invention showing a perspective view of the inside of the restricted organ and the resultant fixation zone, using fastening elements 201 or 202 respectively. Although various embodiments have been disclosed, it is contemplated by this description of the devices used for creating the pouch of the present invention, that the fastening assembly will be a flexible endoscopic stapler and that the fastening elements will be staples, preferably formed of titanium or steel, but it is within the scope of this method to use any of the fastening devices disclosed herein to accomplish the same result.
  • [0055]
    Method of Hollow Organ Volume Reduction
  • [0056]
    A clinical work-up, including a physical and mental assessment of the patient may be performed to determine whether a transoral stomach reduction clinically indicated. This assessment may include inspecting the esophagus and stomach of the patient to determine whether any contraindications exist for undertaking the procedure such as ulcerations, obstructions, or other conditions that may preclude treatment. Once the procedure has been determined to be appropriate, as depicted in FIG. 8, either in an operating room with the patient under general anesthesia, or in an endoscopy suite with the patient under sedation, the operator can introduce tissue acquisition device 810 down the patient's esophagus and into the stomach to a location just beyond the GE Junction. Once in place, an optional calibration device 820, such as a balloon or bougie can be inflated or deployed to assist in correctly sizing the pouch to be created. The operator may gently pull on the tissue acquisition device 810 until the calibration balloon contacts the GEJ. The operator can determine, by tactile feedback (resistance) as the calibration balloon snugs up against the GEJ and esophagus, where to place the tissue acquisition device to optimally position it longitudinally between the GEJ and the LC. Alternatively, the physician may opt to use direct vision and place an endoscope through the main lumen of the tissue acquisition device to view the site of entry and resultant treatment zone.
  • [0057]
    The operator may then orient the tissue acquisition device axially to ensure that the vacuum ports of tissue acquisition device, once activated, will contact the anterior and posterior regions of the stomach thereby acquiring tissue in the appropriate configuration to create the desired pouch or partition. This is done by aligning an indicator emblem (not shown) with, e.g., the patient's nose (patient should be lying on his or her back with nose pointed directly at the ceiling). The endoscope, if still inserted, can be removed and the distal end of the tissue acquisition device can be articulated to approximate the ultimate fixation zone, and locked or otherwise secured in place (See detail in FIGS. 8A and 8B). The operator may then attach a vacuum source similar to the wall suction units found in general operating suites (not shown) to the filler port of the tissue acquisition device, checking to make sure that the vacuum source is delivering approximately 600 mm/hg vacuum. The operator may then open the tissue acquisition device stopcock to allow vacuum pressure to develop in the lumens attached to the vacuum ports. As depicted in FIGS. 9 and 9A, tissue folds will begin to invaginate within the vacuum ports 132 and into the main lumen of the tissue acquisition device. Once vacuum pressure has stabilized (i.e. a seal has developed between the device and the tissue), if desired, a mechanical tensioning mechanism of the present invention can be actuated to assist in mechanical tissue acquisition as earlier described. At this point, the operator may want to reinsert the scope to confirm that the tissue folds are equally within the vacuum ports and that the tensioning members are holding the folds consistent with the schematic depiction in FIG. 10. FIG. 10 depicts an end on view of the main lumen of tissue acquisition device 810, including guide posts 840 and vacuum ports 830. Tissue T is approximated and read to be secured by a fastening component of the present invention.
  • [0058]
    Once this is confirmed, the operator may insert the fastening assembly of the present invention through the main lumen making sure to align the fastening assembly with an indicator on the tissue acquisition device indicating that the jaws of the fastening assembly are passing on either side of the approximated dual folds of tissue within the tissue acquisition device main lumen as previously described and depicted in FIG. 16. The fastening assembly will snap into place with the tissue acquisition device at the correct alignment. As noted previously, to accomplish the correct placement of the jaws around the tissue, the operator may deploy the fastening assembly handle to close the jaws sufficient to pass on either side of the acquired tissue. Once in place, the operator-may deploy the fastening assembly handle to clamp the jaws down on the acquired tissue. As referenced earlier, the clamping function, followed by the firing of the fasteners, allows the system to apply sufficient force to the acquired tissue to flatten the tissue to be fastened so that the critical external stomach layers (muscularis and serosa) of both tissue folds are contained within the fixation zone and mucosal tissue is minimized within this zone.
  • [0059]
    Following the clamping, the operator may then actuate the handle 151 of fastening assembly 150 to deploy fastening elements through the acquired tissue. Once fasteners are deployed, the operator may disengage the actuation mechanism to back off the fastener driver mechanism (not shown). Similarly, the operator may then disengage the clamp jaws of the fastening assembly, unclamping the fastened tissue folds. If utilized, the calibration balloon can then be deflated and the tissue acquisition device and fastening assembly can be withdrawn from the patient. The operator can then redeploy the endoscope to inspect the resultant pouch. The end result of the procedure is schematically depicted in FIG. 11, including a cross section of the stomach prior to reduction (FIG. 11A), a cross section of the stomach post reduction (FIG. 11B) showing pouch lumen P, and an internal view of the fixation zone (FZ) within the greater geometry of the stomach organ (FIG. 11).
  • [0060]
    The steps of performing the method of the preferred embodiment of organ division or reduction (transoral stomach reduction) are used to illustrate in detail the method of the present invention, however the present invention is not limited thereby. Use of these steps and the tools deployed therein may be varied to achieve a similar result in other hollow body organs and it is anticipated that such techniques can be employed to divide or restrict other hollow body organs such as organs of the gastrointestinal tract such as bowel, stomach or intestine, bladder, uterus, and heart (such as in ventricular reduction or treatment of chronic heart failure). In addition, as previously mentioned, other procedures such as the treatment of GERD may also benefit from the methods and devices disclosed herein. While certain embodiments have been illustrated and described in detail, those having ordinary skill in the art will appreciate that various alternatives, modifications, and equivalents may be used and that the invention is not intended to be limited to the specifics of these embodiments.

Claims (29)

    We claim:
  1. 1. A tissue acquisition device, comprising:
    an elongate main body having a proximal end, a distal end, and a length therebetween;
    a first jaw member and a second jaw member each pivotally connected to the distal end of the main body,
    wherein the first and the second jaw members are adapted to move from a first configuration to a second expanded configuration in which the jaw members are translationally positioned into apposition with each other, and
    wherein the first and the second jaw members each define an opening for acquiring tissue therewithin, each opening being in fluid communication with at least one lumen defined in the main body.
  2. 2. The device of claim 1 wherein the main body defines additional lumens within the length.
  3. 3. The device of claim 1 further comprising at least one wire disposed within the main body for reinforcing the main body.
  4. 4. The device of claim 1 further comprising at least one pull wire disposed within the main body and attached along the length for selectively articulating the device.
  5. 5. The device of claim 1 further comprising at least one push rod disposed within the main body and attached along the length for selectively articulating the device.
  6. 6. The device of claim 1 further comprising a handle attached to the proximal end of the main body, the handle defining a main port therethrough which is in communication with the at least one lumen defined in the main body.
  7. 7. The device of claim 6 wherein the handle further comprises a lever for actuating the first and the second jaw member in a scissoring motion.
  8. 8. The device of claim 1 wherein the first and the second jaw members are connected to the main body via first and second hinging members, respectively.
  9. 9. The device of claim 8 wherein each hinging member comprises two crescent-shaped cutaways spaced longitudinally along the length of the main body at 180° from one another.
  10. 10. The device of claim 1 wherein each opening on the first and the second jaw members are each defined at 180° from one another.
  11. 11. The device of claim 1 wherein each opening has a length of about 1 in. longitudinally along each jaw member.
  12. 12. The device of claim 1 wherein each opening extends about 0-5 cm. into each jaw member.
  13. 13. The device of claim 1 further comprising at least one guide rod affixed to at least the first or the second jaw member, wherein the guide rod is adapted to tension the tissue when acquired within the opening.
  14. 14. The device of claim 13 wherein the guide rod comprises a rigid bar member affixed to the first and the second jaw member.
  15. 15. The device of claim 13 wherein the guide rod is curved to extend longitudinally adjacent to the first or the second jaw member.
  16. 16. The device of claim 1 further comprising a mechanical post adapted to be inserted down the lumen of the main body for securing the tissue.
  17. 17. The device of claim 1 further comprising a fastening assembly having a handle, a delivery body, and a clamping portion with clamping jaws attached to a distal end of the delivery body, the fastening assembly being adapted to be inserted through the main body.
  18. 18. The device of claim 17 further comprising at least one fastening element releasably disposed within the clamping jaws.
  19. 19. The device of claim 18 wherein the fastening element comprises a staple.
  20. 20. The device of claim 18 wherein the fastening element comprises a rivet and a receiving rivet portion for attachably receiving the rivet.
  21. 21. The device of claim 18 wherein the fastening element comprises an implantable clamp having a penetrating clamp portion for interfacing with a receiving clamp portion.
  22. 22. The device of claim 21 wherein the penetrating clamp portion comprises a patterned or textured tissue engagement surface.
  23. 23. The device of claim 21 wherein the receiving clamp portion comprises a patterned or textured tissue engagement surface.
  24. 24. The device of claim 21 wherein the implantable clamp has a curved configuration.
  25. 25. The device of claim 21 wherein the implantable clamp further comprises a hinge pivotally connecting the penetrating clamp portion to the receiving clamp portion.
  26. 26. The device of claim 18 wherein the fastening element is comprised of a material adapted to assist in tissue ingrowth and healing.
  27. 27. The device of claim 26 wherein the material is selected from the group consisting of meshes, grafts, microporous membranes, and biomaterials, collagen, and porcine biointestinal submucosa.
  28. 28. The device of claim 1 wherein the opening in the first and the second jaw members comprise a plurality of fenestrations defined along each of the jaw members.
  29. 29. The device of claim 1 wherein the opening in the first and the second jaw members comprise at least one fenestration.
US10829019 2002-07-02 2004-04-20 Method and device for use in tissue approximation and fixation Abandoned US20040215216A1 (en)

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Cited By (86)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030093117A1 (en) * 1999-06-25 2003-05-15 Vahid Saadat Implantable artificial partition and methods of use
US20040162568A1 (en) * 1999-06-25 2004-08-19 Usgi Medical Apparatus and methods for forming and securing gastrointestinal tissue folds
US20040225595A1 (en) * 2002-12-30 2004-11-11 Fannie Mae System and method for processing data pertaining to financial assets
US20050037451A1 (en) * 2003-08-14 2005-02-17 Bo-Cun Chen Method of using potassium permanganate in water analysis
US20050119671A1 (en) * 2003-11-13 2005-06-02 Usgi Medical Inc. Apparatus and methods for endoscopic suturing
US20050192629A1 (en) * 1999-06-25 2005-09-01 Usgi Medical Inc. Methods and apparatus for creating and regulating a gastric stoma
US20050234296A1 (en) * 2004-04-14 2005-10-20 Usgi Medical Inc. Method and apparatus for obtaining endoluminal access
US20050251202A1 (en) * 2004-05-07 2005-11-10 Usgi Medical Inc. Interlocking tissue anchor apparatus and methods
US20050272977A1 (en) * 2004-04-14 2005-12-08 Usgi Medical Inc. Methods and apparatus for performing endoluminal procedures
US20060036267A1 (en) * 2004-08-11 2006-02-16 Usgi Medical Inc. Methods and apparatus for performing malabsorptive bypass procedures within a patient's gastro-intestinal lumen
US20060157067A1 (en) * 2005-01-14 2006-07-20 Usgi Medical Inc. Attenuation of environmental parameters on a gastric lumen
US20060217745A1 (en) * 2005-03-23 2006-09-28 Wilk Patent, Llc Surgical closure method and associated device
US20080249566A1 (en) * 2007-03-13 2008-10-09 Harris Peter S Methods and devices for reducing gastric volume
US20080319455A1 (en) * 2007-03-13 2008-12-25 Harris Peter S Methods and devices for reducing gastric volume
US20090318936A1 (en) * 2007-03-13 2009-12-24 Longevity Surgical, Inc. Methods, devices and systems for approximation and fastening of soft tissue
US7645285B2 (en) 2004-05-26 2010-01-12 Idx Medical, Ltd Apparatus and methods for occluding a hollow anatomical structure
US7704264B2 (en) 1999-06-25 2010-04-27 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US7703459B2 (en) 2004-03-09 2010-04-27 Usgi Medical, Inc. Apparatus and methods for mapping out endoluminal gastrointestinal surgery
US7736374B2 (en) 2004-05-07 2010-06-15 Usgi Medical, Inc. Tissue manipulation and securement system
US20100160933A1 (en) * 2008-12-24 2010-06-24 Boston Scientific Scimed, Inc. Methods of surgically modifying the duodenum
US7833280B2 (en) 2001-08-27 2010-11-16 Barosense, Inc. Satiation devices and methods
US7892292B2 (en) 2001-08-27 2011-02-22 Synecor, Llc Positioning tools and methods for implanting medical devices
US7909223B2 (en) 2008-03-18 2011-03-22 Barosense, Inc. Endoscopic stapling devices and methods
US7918869B2 (en) 2004-05-07 2011-04-05 Usgi Medical, Inc. Methods and apparatus for performing endoluminal gastroplasty
US7918845B2 (en) 2003-01-15 2011-04-05 Usgi Medical, Inc. Endoluminal tool deployment system
US7922063B2 (en) 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
US7934631B2 (en) 2008-11-10 2011-05-03 Barosense, Inc. Multi-fire stapling systems and methods for delivering arrays of staples
US7942898B2 (en) 2002-12-11 2011-05-17 Usgi Medical, Inc. Delivery systems and methods for gastric reduction
US7942884B2 (en) 2002-12-11 2011-05-17 Usgi Medical, Inc. Methods for reduction of a gastric lumen
US7955340B2 (en) 1999-06-25 2011-06-07 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US7981162B2 (en) 2001-08-27 2011-07-19 Barosense, Inc. Satiation devices and methods
US7997468B2 (en) 2008-05-05 2011-08-16 Tyco Healthcare Group Lp Surgical instrument with clamp
US8029455B2 (en) 2003-01-16 2011-10-04 Barosense, Inc. Satiation pouches and methods of use
US8066719B2 (en) 2002-12-11 2011-11-29 Ewers Richard C Apparatus and methods for forming gastrointestinal tissue approximations
US8109895B2 (en) 2006-09-02 2012-02-07 Barosense, Inc. Intestinal sleeves and associated deployment systems and methods
US8206456B2 (en) 2003-10-10 2012-06-26 Barosense, Inc. Restrictive and/or obstructive implant system for inducing weight loss
US8216252B2 (en) 2004-05-07 2012-07-10 Usgi Medical, Inc. Tissue manipulation and securement system
US8216260B2 (en) 2002-12-11 2012-07-10 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US8216253B2 (en) 2004-05-07 2012-07-10 Usgi Medical, Inc. Apparatus for manipulating and securing tissue
US8236009B2 (en) 2004-05-07 2012-08-07 Usgi Medical, Inc. Needle assembly for tissue manipulation
US8241202B2 (en) 2004-04-26 2012-08-14 Barosense, Inc. Restrictive and/or obstructive implant for inducing weight loss
US8257394B2 (en) 2004-05-07 2012-09-04 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US8277373B2 (en) 2004-04-14 2012-10-02 Usgi Medical, Inc. Methods and apparaus for off-axis visualization
US8298291B2 (en) 2005-05-26 2012-10-30 Usgi Medical, Inc. Methods and apparatus for securing and deploying tissue anchors
US8337566B2 (en) 2002-04-08 2012-12-25 Barosense, Inc. Method and apparatus for modifying the exit orifice of a satiation pouch
US20120330329A1 (en) * 2011-06-21 2012-12-27 Harris Jason L Methods of forming a laparoscopic greater curvature plication using a surgical stapler
US20130066344A1 (en) * 2011-09-09 2013-03-14 Richard Romley Methods and devices for manipulating and fastening tissue
US8444657B2 (en) 2004-05-07 2013-05-21 Usgi Medical, Inc. Apparatus and methods for rapid deployment of tissue anchors
US8469977B2 (en) 2005-10-03 2013-06-25 Barosense, Inc. Endoscopic plication device and method
US20130178698A1 (en) * 2012-01-08 2013-07-11 Vibrynt, Inc. Methods, instruments and devices for extragastic reduction of stomach volume
US8562516B2 (en) 2004-04-14 2013-10-22 Usgi Medical Inc. Methods and apparatus for obtaining endoluminal access
US8568488B2 (en) 2001-08-27 2013-10-29 Boston Scientific Scimed, Inc. Satiation devices and methods
US8636754B2 (en) 2010-11-11 2014-01-28 Atricure, Inc. Clip applicator
US8726909B2 (en) * 2006-01-27 2014-05-20 Usgi Medical, Inc. Methods and apparatus for revision of obesity procedures
US8784500B2 (en) 2003-10-10 2014-07-22 Boston Scientific Scimed, Inc. Devices and methods for retaining a gastro-esophageal implant
US8852218B2 (en) 2008-07-21 2014-10-07 AtriCore, Inc. Apparatus and methods for occluding an anatomical structure
US8870916B2 (en) 2006-07-07 2014-10-28 USGI Medical, Inc Low profile tissue anchors, tissue anchor systems, and methods for their delivery and use
US8876820B2 (en) 2004-10-20 2014-11-04 Atricure, Inc. Surgical clamp
US8926634B2 (en) 2004-05-07 2015-01-06 Usgi Medical, Inc. Apparatus and methods for manipulating and securing tissue
US8945167B2 (en) 2007-12-31 2015-02-03 Boston Scientific Scimed, Inc. Gastric space occupier systems and methods of use
US8961539B2 (en) 2009-05-04 2015-02-24 Boston Scientific Scimed, Inc. Endoscopic implant system and method
US8992547B2 (en) 2012-03-21 2015-03-31 Ethicon Endo-Surgery, Inc. Methods and devices for creating tissue plications
US9017349B2 (en) 2010-10-27 2015-04-28 Atricure, Inc. Appendage clamp deployment assist device
US9066741B2 (en) 2010-11-01 2015-06-30 Atricure, Inc. Robotic toolkit
US9113868B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9113879B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US9265486B2 (en) 2011-08-15 2016-02-23 Atricure, Inc. Surgical device
US9282973B2 (en) 2012-01-20 2016-03-15 Atricure, Inc. Clip deployment tool and associated methods
US9314361B2 (en) 2006-09-15 2016-04-19 Boston Scientific Scimed, Inc. System and method for anchoring stomach implant
US9358007B2 (en) 2005-01-25 2016-06-07 Endogastric Solutions, Inc. Slitted tissue fixation devices and assemblies for deploying the same
US9393023B2 (en) 2009-01-13 2016-07-19 Atricure, Inc. Apparatus and methods for deploying a clip to occlude an anatomical structure
US9408659B2 (en) 2007-04-02 2016-08-09 Atricure, Inc. Surgical instrument with separate tool head and method of use
US9414832B2 (en) 2005-08-12 2016-08-16 Endogastric Solutions, Inc. Apparatus and method for securing the stomach to the diaphragm for use, for example, in treating hiatal hernias and gastroesophageal reflux disease
US9421006B2 (en) 2007-01-08 2016-08-23 Endogastric Solutions, Inc. Connected fasteners, delivery device and method
US9456825B2 (en) 2007-07-18 2016-10-04 Boston Scientific Scimed, Inc. Endoscopic implant system and method
US9526500B2 (en) 2004-11-30 2016-12-27 Endogastric Solutions, Inc. Flexible transoral endoscopic gastroesophageal flap valve restoration device and method
US9545249B2 (en) 2007-07-18 2017-01-17 Boston Scientific Scimed, Inc. Overtube introducer for use in endoscopic bariatric surgery
US9572571B2 (en) 2011-09-09 2017-02-21 Endogastric Solutions, Inc. Methods and devices for manipulating and fastening tissue
US9585651B2 (en) 2005-05-26 2017-03-07 Usgi Medical, Inc. Methods and apparatus for securing and deploying tissue anchors
US9675360B2 (en) 2005-10-18 2017-06-13 Endogastric Solutions, Inc. Invaginator for gastroesophageal flap valve restoration device
US9700308B2 (en) 2004-02-20 2017-07-11 Endogastric Solutions, Inc. Tissue fixation devices and assemblies for deploying the same
US9713471B2 (en) 2009-01-26 2017-07-25 Ethicon Endo-Surgery, Inc. Surgical device with tandem fasteners
US9713468B2 (en) 2009-01-26 2017-07-25 Ethicon Endo-Surgery, Inc. Surgical stapler for applying a large staple through a small delivery port and a method of using the stapler to secure a tissue fold
US9955957B2 (en) 2011-09-09 2018-05-01 Endogastric Solutions, Inc. Methods and devices for manipulating and fastening tissue
US9980716B2 (en) 2015-03-27 2018-05-29 Ethicon Llc Methods and devices for creating tissue plications

Families Citing this family (243)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7563267B2 (en) * 1999-04-09 2009-07-21 Evalve, Inc. Fixation device and methods for engaging tissue
US6821285B2 (en) 1999-06-22 2004-11-23 Ndo Surgical, Inc. Tissue reconfiguration
US8287554B2 (en) 1999-06-22 2012-10-16 Ethicon Endo-Surgery, Inc. Method and devices for tissue reconfiguration
US6663639B1 (en) 1999-06-22 2003-12-16 Ndo Surgical, Inc. Methods and devices for tissue reconfiguration
US6835200B2 (en) 1999-06-22 2004-12-28 Ndo Surgical. Inc. Method and devices for tissue reconfiguration
US7846180B2 (en) * 1999-06-22 2010-12-07 Ethicon Endo-Surgery, Inc. Tissue fixation devices and methods of fixing tissue
ES2435094T3 (en) 2000-05-19 2013-12-18 C.R. Bard, Inc. Device and method for capturing and suture tissue
US7399304B2 (en) 2000-03-03 2008-07-15 C.R. Bard, Inc. Endoscopic tissue apposition device with multiple suction ports
EP1301626A4 (en) * 2000-05-08 2004-06-02 Qtl Biosystems Llc Improvements to the fluorescent polymer-qtl approach to biosensing
US7737109B2 (en) 2000-08-11 2010-06-15 Temple University Of The Commonwealth System Of Higher Education Obesity controlling method
WO2002013854A1 (en) * 2000-08-11 2002-02-21 Temple University Of The Commonwealth System Of Higher Education Obesity controlling method
US7033373B2 (en) * 2000-11-03 2006-04-25 Satiety, Inc. Method and device for use in minimally invasive placement of space-occupying intragastric devices
US7083629B2 (en) * 2001-05-30 2006-08-01 Satiety, Inc. Overtube apparatus for insertion into a body
US6558400B2 (en) 2001-05-30 2003-05-06 Satiety, Inc. Obesity treatment tools and methods
US6773440B2 (en) * 2002-07-02 2004-08-10 Satiety, Inc. Method and device for use in tissue approximation and fixation
US6746460B2 (en) 2002-08-07 2004-06-08 Satiety, Inc. Intra-gastric fastening devices
US7033384B2 (en) 2002-08-30 2006-04-25 Satiety, Inc. Stented anchoring of gastric space-occupying devices
US7214233B2 (en) 2002-08-30 2007-05-08 Satiety, Inc. Methods and devices for maintaining a space occupying device in a relatively fixed location within a stomach
US20040158125A1 (en) 2002-09-06 2004-08-12 Aznoian Harold M. Integrated endoscope and accessory treatment device
EP1572007B1 (en) * 2002-09-09 2011-12-28 Brian Kelleher Device for endoluminal therapy
US8449558B2 (en) * 2002-09-09 2013-05-28 Brian Kelleher Device and method for endoluminal therapy
US7220237B2 (en) * 2002-10-23 2007-05-22 Satiety, Inc. Method and device for use in endoscopic organ procedures
US7229428B2 (en) * 2002-10-23 2007-06-12 Satiety, Inc. Method and device for use in endoscopic organ procedures
US7037344B2 (en) * 2002-11-01 2006-05-02 Valentx, Inc. Apparatus and methods for treatment of morbid obesity
US9060844B2 (en) 2002-11-01 2015-06-23 Valentx, Inc. Apparatus and methods for treatment of morbid obesity
US6656194B1 (en) * 2002-11-05 2003-12-02 Satiety, Inc. Magnetic anchoring devices
US20040133147A1 (en) * 2002-11-06 2004-07-08 Woo Sang Hoon Intestinal bypass device to treat obesity
US7678068B2 (en) 2002-12-02 2010-03-16 Gi Dynamics, Inc. Atraumatic delivery devices
US7025791B2 (en) 2002-12-02 2006-04-11 Gi Dynamics, Inc. Bariatric sleeve
CA2512203C (en) 2002-12-02 2012-10-23 Gi Dynamics, Inc. Bariatric sleeve
US7695446B2 (en) 2002-12-02 2010-04-13 Gi Dynamics, Inc. Methods of treatment using a bariatric sleeve
US7608114B2 (en) 2002-12-02 2009-10-27 Gi Dynamics, Inc. Bariatric sleeve
US8900253B2 (en) 2003-03-11 2014-12-02 Covidien Lp Clip applying apparatus with angled jaw
US7175638B2 (en) * 2003-04-16 2007-02-13 Satiety, Inc. Method and devices for modifying the function of a body organ
CA2525275C (en) 2003-05-16 2012-02-07 C.R. Bard, Inc. Single intubation, multi-stitch endoscopic suturing system
WO2005009216A3 (en) * 2003-07-16 2005-10-27 Tyco Healthcare Surgical stapling device with tissue tensioner
US8192455B2 (en) * 2003-08-13 2012-06-05 Board Of Supervisors Of Louisiana State University And Agricultural And Mechanical College Compressive device for percutaneous treatment of obesity
US8211142B2 (en) * 2003-09-30 2012-07-03 Ortiz Mark S Method for hybrid gastro-jejunostomy
US7452363B2 (en) * 2003-09-30 2008-11-18 Ethicon Endo-Surgery, Inc. Applier for fastener for single lumen access anastomosis
US20050080444A1 (en) * 2003-10-14 2005-04-14 Kraemer Stefan J.M. Transesophageal gastric reduction device, system and method
US7914543B2 (en) 2003-10-14 2011-03-29 Satiety, Inc. Single fold device for tissue fixation
US7097650B2 (en) * 2003-10-14 2006-08-29 Satiety, Inc. System for tissue approximation and fixation
EP1708641A1 (en) 2003-12-09 2006-10-11 GI Dynamics, Inc. Intestinal sleeve
US8057420B2 (en) 2003-12-09 2011-11-15 Gi Dynamics, Inc. Gastrointestinal implant with drawstring
US20050149072A1 (en) * 2003-12-31 2005-07-07 Devries Robert B. Devices and methods for tissue invagination
US20050177176A1 (en) * 2004-02-05 2005-08-11 Craig Gerbi Single-fold system for tissue approximation and fixation
EP1713402A2 (en) 2004-02-13 2006-10-25 Satiety, Inc. Methods for reducing stomach volume
WO2005084592A2 (en) 2004-02-27 2005-09-15 Satiety, Inc. Methods and devices for reducing hollow organ volume
US8252009B2 (en) 2004-03-09 2012-08-28 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US9028511B2 (en) 2004-03-09 2015-05-12 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US8628547B2 (en) 2004-03-09 2014-01-14 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US8449560B2 (en) 2004-03-09 2013-05-28 Satiety, Inc. Devices and methods for placement of partitions within a hollow body organ
US7255675B2 (en) * 2004-03-23 2007-08-14 Michael Gertner Devices and methods to treat a patient
US20060142790A1 (en) * 2004-03-23 2006-06-29 Michael Gertner Methods and devices to facilitate connections between body lumens
US7946976B2 (en) * 2004-03-23 2011-05-24 Michael Gertner Methods and devices for the surgical creation of satiety and biofeedback pathways
US20070233170A1 (en) * 2004-03-23 2007-10-04 Michael Gertner Extragastric Balloon
US20060195139A1 (en) * 2004-03-23 2006-08-31 Michael Gertner Extragastric devices and methods for gastroplasty
WO2006049725A3 (en) * 2004-03-23 2007-06-14 Minimus Surgical Systems Surgical systems and devices to enhance gastric restriction therapies
US20050228415A1 (en) * 2004-03-23 2005-10-13 Michael Gertner Methods and devices for percutaneous, non-laparoscopic treatment of obesity
EP1901664A2 (en) * 2005-05-10 2008-03-26 GERTNER, Michael Obesity treatment systems
EP1750627A2 (en) * 2004-03-26 2007-02-14 Satiety, Inc. Systems and methods for treating obesity
US8425539B2 (en) 2004-04-12 2013-04-23 Xlumena, Inc. Luminal structure anchoring devices and methods
US7520884B2 (en) * 2004-05-07 2009-04-21 Usgi Medical Inc. Methods for performing gastroplasty
US7931661B2 (en) 2004-06-14 2011-04-26 Usgi Medical, Inc. Apparatus and methods for performing transluminal gastrointestinal procedures
EP1768618B1 (en) 2004-07-09 2011-04-20 GI Dynamics, Inc. Devices for placing a gastrointestinal sleeve
US8172857B2 (en) 2004-08-27 2012-05-08 Davol, Inc. Endoscopic tissue apposition device and method of use
EP1799145B1 (en) 2004-09-17 2016-12-21 GI Dynamics, Inc. Gastrointestinal anchor
US8052592B2 (en) 2005-09-27 2011-11-08 Evalve, Inc. Methods and devices for tissue grasping and assessment
US8409222B2 (en) 2004-10-08 2013-04-02 Covidien Lp Endoscopic surgical clip applier
WO2006042110A3 (en) 2004-10-08 2009-04-09 Tyco Healthcare Apparatus for applying surgical clips
US7819886B2 (en) 2004-10-08 2010-10-26 Tyco Healthcare Group Lp Endoscopic surgical clip applier
EP2774552A3 (en) 2004-10-08 2015-04-01 Covidien LP Endoscopic surgical clip applier
US9763668B2 (en) 2004-10-08 2017-09-19 Covidien Lp Endoscopic surgical clip applier
KR101696006B1 (en) 2004-10-15 2017-01-13 비에프케이더블유, 엘엘씨 Bariatric device and method for recipient with altered anatomy
ES2582334T3 (en) 2004-10-15 2016-09-12 Bfkw, Llc bariatric device
US20060106288A1 (en) 2004-11-17 2006-05-18 Roth Alex T Remote tissue retraction device
EP1858396A4 (en) 2004-12-08 2015-11-25 Inc Xlumena Method and apparatus for performing needle guided interventions
WO2006068970A3 (en) * 2004-12-21 2007-01-18 Mitchell Roslin Anastomotic outlet revision
US7766973B2 (en) 2005-01-19 2010-08-03 Gi Dynamics, Inc. Eversion resistant sleeves
US7771382B2 (en) * 2005-01-19 2010-08-10 Gi Dynamics, Inc. Resistive anti-obesity devices
US7438208B2 (en) 2005-01-25 2008-10-21 Entrigue Surgical, Inc. Septal stapler apparatus
US7674271B2 (en) * 2005-05-04 2010-03-09 InTailor Surgical, Inc. Endoluminal gastric ring and method
US20060276810A1 (en) * 2005-05-09 2006-12-07 Brian Kelleher Methods and apparatus for excising tissue and creating wall-to-wall adhesions from within an organ
US20060264982A1 (en) * 2005-05-20 2006-11-23 Viola Frank J Gastric restrictor assembly and method of use
US7666180B2 (en) * 2005-05-20 2010-02-23 Tyco Healthcare Group Lp Gastric restrictor assembly and method of use
US7691053B2 (en) * 2005-05-20 2010-04-06 Tyco Healthcare Group Lp Gastric restrictor assembly and method of use
US7976488B2 (en) 2005-06-08 2011-07-12 Gi Dynamics, Inc. Gastrointestinal anchor compliance
US8784437B2 (en) 2005-06-09 2014-07-22 Xlumena, Inc. Methods and devices for endosonography-guided fundoplexy
US8777967B2 (en) 2005-06-09 2014-07-15 Xlumena, Inc. Methods and devices for anchoring to tissue
US7628796B2 (en) * 2005-06-13 2009-12-08 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus with anti-backup system
US8641728B2 (en) * 2005-06-13 2014-02-04 Ethicon Endo-Surgery, Inc. Attachment apparatus for coupling with an endoscope
US7846169B2 (en) * 2005-06-13 2010-12-07 Ethicon Endo-Surgery, Inc. Adjustable vacuum chamber for a surgical suturing apparatus
US7615060B2 (en) * 2005-06-13 2009-11-10 Ethicon-Endo Surgery, Inc. Endoscopic suturing device
US7828812B2 (en) * 2005-06-13 2010-11-09 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus with needle release system
US9545191B2 (en) * 2005-06-13 2017-01-17 Ethicon Endo-Surgery, Inc. Method for suture lacing
US7766925B2 (en) * 2005-06-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus
US20070005080A1 (en) * 2005-06-29 2007-01-04 Esophyx, Inc. Bolt action fastener delivery assembly
US8906040B2 (en) * 2005-07-13 2014-12-09 Creighton University Systems and techniques for minimally invasive gastrointestinal procedures
US8641729B2 (en) * 2005-07-13 2014-02-04 Creighton University Systems and techniques for minimally invasive gastrointestinal procedures
US20100114124A1 (en) * 2005-08-03 2010-05-06 Brian Kelleher Method and apparatus for partioning an organ within the body
US7779845B2 (en) * 2005-08-05 2010-08-24 Ethicon Endo-Surgery, Inc. Method and apparatus for endoscopically performing gastric reduction surgery
US8715294B2 (en) * 2005-08-05 2014-05-06 Ethicon Endo-Surgery, Inc. Gastric instrument sleeve to prevent cross contamination of stomach content and provide fixation and repeatable path
US8029522B2 (en) * 2005-08-05 2011-10-04 Ethicon Endo-Surgery, Inc. Method and apparatus for sealing a gastric opening
US8147506B2 (en) 2005-08-05 2012-04-03 Ethicon Endo-Surgery, Inc. Method and clamp for gastric reduction surgery
US8029535B2 (en) * 2005-08-05 2011-10-04 Ethicon Endo-Surgery, Inc. Fasteners for use with gastric restriction
US7896894B2 (en) * 2005-08-05 2011-03-01 Ethicon Endo-Surgery, Inc. Apparatus for single pass gastric restriction
US8252006B2 (en) * 2005-08-05 2012-08-28 Ethicon Endo-Surgery, Inc. Single pass gastric restriction with a corkscrew style wall anchor
US7771440B2 (en) * 2005-08-18 2010-08-10 Ethicon Endo-Surgery, Inc. Method and apparatus for endoscopically performing gastric reduction surgery in a single pass
US7896890B2 (en) * 2005-09-02 2011-03-01 Ethicon Endo-Surgery, Inc. Method and apparatus for endoscopically performing gastric reduction surgery in a single step
US20090125040A1 (en) * 2006-09-13 2009-05-14 Hambly Pablo R Tissue acquisition devices and methods
WO2007050546A3 (en) * 2005-10-26 2007-10-11 Brigham & Womens Hospital Devices and methods for treating mitral valve regurgitation
US7798992B2 (en) * 2005-11-04 2010-09-21 Ethicon Endo-Surgery, Inc. Lumen traversing device
US20070112361A1 (en) * 2005-11-07 2007-05-17 Schonholz Steven M Surgical repair systems and methods of using the same
US7651017B2 (en) * 2005-11-23 2010-01-26 Ethicon Endo-Surgery, Inc. Surgical stapler with a bendable end effector
US20070123917A1 (en) * 2005-11-29 2007-05-31 Ortiz Mark S Anastomotic device promoting tissue necrosis
US20070191871A1 (en) * 2006-02-10 2007-08-16 Endogastric Solutions, Inc. Transesophageal gastric reduction method and device for reducing the size of a previously formed gastric reduction pouch
US8221438B2 (en) * 2006-02-17 2012-07-17 Ethicon Endo-Surgery, Inc. Lumen reduction methods and devices
US20070198032A1 (en) * 2006-02-22 2007-08-23 Ethicon Endo-Surgery, Inc. Methods and devices for fastener removal
US20070225556A1 (en) * 2006-03-23 2007-09-27 Ethicon Endo-Surgery, Inc. Disposable endoscope devices
US7615004B2 (en) 2006-03-30 2009-11-10 Ethicon Endo-Surgery, Inc. Endoscopic ancillary attachment devices
US7686831B2 (en) * 2006-03-31 2010-03-30 Ethicon Endo-Surgery, Inc. Method for securing a suture
US20070239206A1 (en) * 2006-03-31 2007-10-11 Shelton Frederick E Iv Suture with adhesive/sealant delivery mechanism
US20070239179A1 (en) * 2006-03-31 2007-10-11 Ethicon Endo-Surgery, Inc. Compliant Gastroplasty: Devices And Methods
US8118820B2 (en) * 2006-03-31 2012-02-21 Ethicon Endo-Surgery, Inc. Method for instrument insertion through a body orifice
US7763036B2 (en) * 2006-03-31 2010-07-27 Ethicon Endo-Surgery, Inc. Endoscopic instrument with secondary vacuum source
US20110172767A1 (en) * 2006-04-19 2011-07-14 Pankaj Rathi Minimally invasive, direct delivery methods for implanting obesity treatment devices
US8070768B2 (en) * 2006-04-19 2011-12-06 Vibrynt, Inc. Devices and methods for treatment of obesity
US8187297B2 (en) 2006-04-19 2012-05-29 Vibsynt, Inc. Devices and methods for treatment of obesity
US8585733B2 (en) * 2006-04-19 2013-11-19 Vibrynt, Inc Devices, tools and methods for performing minimally invasive abdominal surgical procedures
US20090281376A1 (en) * 2006-04-19 2009-11-12 Acosta Pablo G Devices, system and methods for minimally invasive abdominal surgical procedures
US8342183B2 (en) * 2006-04-19 2013-01-01 Vibrynt, Inc. Devices and methods for treatment of obesity
US20090281386A1 (en) * 2006-04-19 2009-11-12 Acosta Pablo G Devices, system and methods for minimally invasive abdominal surgical procedures
US20090272388A1 (en) * 2006-04-19 2009-11-05 Shuji Uemura Minimally-invasive methods for implanting obesity treatment devices
EP2066272A2 (en) 2006-12-28 2009-06-10 Vibrynt, Inc. Devices and methods for treatment of obesity
US7976554B2 (en) * 2006-04-19 2011-07-12 Vibrynt, Inc. Devices, tools and methods for performing minimally invasive abdominal surgical procedures
US20090275972A1 (en) * 2006-04-19 2009-11-05 Shuji Uemura Minimally-invasive methods for implanting obesity treatment devices
US20090287227A1 (en) * 2006-04-19 2009-11-19 Newell Matthew B Minimally invasive ,methods for implanting obesity treatment devices
US8398668B2 (en) 2006-04-19 2013-03-19 Vibrynt, Inc. Devices and methods for treatment of obesity
US20090281498A1 (en) * 2006-04-19 2009-11-12 Acosta Pablo G Devices, system and methods for minimally invasive abdominal surgical procedures
US7862582B2 (en) * 2006-05-02 2011-01-04 Ethicon Endo-Surgery, Inc. Suture management
EP2015681B1 (en) 2006-05-03 2018-03-28 Datascope Corp. Tissue closure device
CA2650287C (en) * 2006-05-03 2015-11-17 Indiana University Research & Technology Corporation Methods and apparatuses for reshaping the esophagus and other body lumens
US20070293946A1 (en) * 2006-05-12 2007-12-20 Entrigue Surgical, Inc. Middle Turbinate Medializer
US7635373B2 (en) * 2006-05-25 2009-12-22 Ethicon Endo-Surgery, Inc. Absorbable gastric restriction devices and methods
US20070276409A1 (en) * 2006-05-25 2007-11-29 Ethicon Endo-Surgery, Inc. Endoscopic gastric restriction methods and devices
US7819836B2 (en) 2006-06-23 2010-10-26 Gi Dynamics, Inc. Resistive anti-obesity devices
US20080058840A1 (en) * 2006-09-01 2008-03-06 Albrecht Thomas E Implantable coil for insertion into a hollow body organ
CA2605135C (en) 2006-10-17 2014-12-30 Tyco Healthcare Group Lp Apparatus for applying surgical clips
US8167906B2 (en) 2006-11-01 2012-05-01 Depuy Mitek, Inc. Suture anchor with pulley
EP1938758A3 (en) 2006-12-28 2008-07-30 Olympus Medical Systems Corp. Endoscopic treatment tool and suturing method using the same
US20080249404A1 (en) * 2006-12-28 2008-10-09 Olympus Medical Systems Corp. Gastric therapy system and method for suturing gastric wall
WO2008097586A3 (en) * 2007-02-06 2008-12-24 Univ Ohio State Res Found Endolumenal restriction method and apparatus
WO2008100984A3 (en) * 2007-02-14 2008-10-16 Sentinel Group Llc Mucosal capture fixation of medical device
US20080215090A1 (en) * 2007-02-14 2008-09-04 Entrigue Surgical, Inc. Method and System for Tissue Fastening
US8529431B2 (en) * 2007-02-14 2013-09-10 Bfkw, Llc Bariatric device and method
US8092472B2 (en) * 2007-02-22 2012-01-10 Cerier Jeffrey C Methods and devices for endoscopic treatment of organs
US8801647B2 (en) 2007-02-22 2014-08-12 Gi Dynamics, Inc. Use of a gastrointestinal sleeve to treat bariatric surgery fistulas and leaks
US20080228199A1 (en) * 2007-03-16 2008-09-18 Ethicon Endo-Surgery, Inc. Endoscopic tissue approximation method
US20080228202A1 (en) * 2007-03-16 2008-09-18 Ethicon Endo-Surgery, Inc. Endoscopic tissue approximation system
US20080234703A1 (en) * 2007-03-23 2008-09-25 Ethicon Endo-Surgery, Inc. Tissue approximation system
US8852216B2 (en) * 2007-03-23 2014-10-07 Ethicon Endo-Surgery, Inc. Tissue approximation methods
ES2645490T3 (en) 2007-03-26 2017-12-05 Covidien Lp Endoscopic surgical clip applier
US7803166B2 (en) * 2007-04-04 2010-09-28 Ethicon Endo-Surgery, Inc. Method for plicating and fastening gastric tissue
US7799040B2 (en) * 2007-04-04 2010-09-21 Ethicon Endo-Surgery, Inc. Device for plicating and fastening gastric tissue
US7803165B2 (en) * 2007-04-04 2010-09-28 Ethicon Endo-Surgery, Inc. Device for plicating and fastening gastric tissue
US7951159B2 (en) * 2007-04-04 2011-05-31 Ethicon Endo-Surgery, Inc. Method for plicating and fastening gastric tissue
US7815653B2 (en) * 2007-04-04 2010-10-19 Ethicon Endo-Surgery, Inc. Method for plicating and fastening gastric tissue
US7722628B2 (en) * 2007-04-04 2010-05-25 Ethicon Endo-Surgery, Inc. Device for plicating and fastening gastric tissue
CN102327136B (en) 2007-04-11 2014-04-23 柯惠Lp公司 Surgical clip applier
US20080294179A1 (en) * 2007-05-12 2008-11-27 Balbierz Daniel J Devices and methods for stomach partitioning
US8435203B2 (en) * 2007-06-20 2013-05-07 Covidien Lp Gastric restrictor assembly and method of use
US20100191264A1 (en) * 2007-09-21 2010-07-29 Cvd Devices, Llc Devices, systems and methods for diagnosing and delivering therapeutic interventions in the peritoneal cavity
WO2009005625A1 (en) * 2007-07-03 2009-01-08 Synecor, Llc Satiation devices and methods for controlling obesity
US8157816B2 (en) * 2007-08-31 2012-04-17 Kimberly-Clark Worldwide, Inc. Gastropexy kit
US7867253B2 (en) * 2007-08-31 2011-01-11 Kimberly-Clark Worldwide, Inc. Suture retention hub
US20090062742A1 (en) 2007-08-31 2009-03-05 John Anthony Rotella Blunted Safety Needle
US8882801B2 (en) * 2007-09-14 2014-11-11 Depuy Mitek, Llc Dual thread cannulated suture anchor
US8702754B2 (en) * 2007-09-14 2014-04-22 Depuy Mitek, Llc Methods for anchoring suture to bone
US8556925B2 (en) * 2007-10-11 2013-10-15 Vibrynt, Inc. Devices and methods for treatment of obesity
US8192448B2 (en) 2007-11-19 2012-06-05 Tyco Healthcare Group Lp Natural orifice bariatric procedure and apparatus for use therewith
EP3072480A1 (en) * 2008-01-29 2016-09-28 Kirk Promotion LTD. Apparatus for treating gerd comprising a stimulation device
WO2009126744A3 (en) * 2008-04-08 2009-12-03 John Mark Provenza Apparatus and method for gastric reduction
US8454632B2 (en) 2008-05-12 2013-06-04 Xlumena, Inc. Tissue anchor for securing tissue layers
US8236022B2 (en) * 2008-06-27 2012-08-07 Ethicon Endo-Surgery, Inc. Implantable device for the treatment of obesity
US8863748B2 (en) * 2008-07-31 2014-10-21 Olympus Medical Systems Corp. Endoscopic surgical operation method
US8056565B2 (en) 2008-08-25 2011-11-15 Tyco Healthcare Group Lp Surgical clip applier and method of assembly
US8465502B2 (en) 2008-08-25 2013-06-18 Covidien Lp Surgical clip applier and method of assembly
US8409223B2 (en) 2008-08-29 2013-04-02 Covidien Lp Endoscopic surgical clip applier with clip retention
US8585717B2 (en) 2008-08-29 2013-11-19 Covidien Lp Single stroke endoscopic surgical clip applier
US9358015B2 (en) 2008-08-29 2016-06-07 Covidien Lp Endoscopic surgical clip applier with wedge plate
US8267944B2 (en) 2008-08-29 2012-09-18 Tyco Healthcare Group Lp Endoscopic surgical clip applier with lock out
WO2010033682A1 (en) 2008-09-17 2010-03-25 Entrigue Surgical, Inc. Methods and systems for medializing a turbinate
US8911346B2 (en) * 2008-12-05 2014-12-16 Onclomed, Inc. Gastric restriction devices with fillable chambers and ablation means for treating obesity
US8357081B2 (en) * 2008-12-05 2013-01-22 Onciomed, Inc. Method and apparatus for gastric restriction of the stomach to treat obesity
US20100249822A1 (en) * 2009-03-31 2010-09-30 Raj Nihalani Method and apparatus for treating obesity and controlling weight gain using adjustable intragastric devices
US8100932B2 (en) 2009-03-31 2012-01-24 Onciomed, Inc. Method and apparatus for treating obesity and controlling weight gain using self-expanding intragastric devices
US9364259B2 (en) 2009-04-21 2016-06-14 Xlumena, Inc. System and method for delivering expanding trocar through a sheath
US20100276469A1 (en) * 2009-05-01 2010-11-04 Barosense, Inc. Plication tagging device and method
US20110137394A1 (en) * 2009-05-29 2011-06-09 Xlumena, Inc. Methods and systems for penetrating adjacent tissue layers
US8357193B2 (en) 2009-05-29 2013-01-22 Xlumena, Inc. Apparatus and method for deploying stent across adjacent tissue layers
US8734469B2 (en) 2009-10-13 2014-05-27 Covidien Lp Suture clip applier
US20110118650A1 (en) * 2009-11-18 2011-05-19 Anteromed, Inc. Method and apparatus for treating obesity and controlling weight gain and absorption of glucose in mammals
US9186136B2 (en) 2009-12-09 2015-11-17 Covidien Lp Surgical clip applier
US8545486B2 (en) 2009-12-15 2013-10-01 Covidien Lp Surgical clip applier
US8328061B2 (en) 2010-02-02 2012-12-11 Covidien Lp Surgical instrument for joining tissue
US20110208212A1 (en) 2010-02-19 2011-08-25 Zergiebel Earl M Surgical clip applier
US8403945B2 (en) 2010-02-25 2013-03-26 Covidien Lp Articulating endoscopic surgical clip applier
WO2011136336A1 (en) 2010-04-30 2011-11-03 味の素株式会社 Liquid preparation for oral administration which can be used in ct colonography, and composition for imaging of digestive tract
US9526648B2 (en) 2010-06-13 2016-12-27 Synerz Medical, Inc. Intragastric device for treating obesity
US8403946B2 (en) 2010-07-28 2013-03-26 Covidien Lp Articulating clip applier cartridge
US8968337B2 (en) 2010-07-28 2015-03-03 Covidien Lp Articulating clip applier
US9011464B2 (en) 2010-11-02 2015-04-21 Covidien Lp Self-centering clip and jaw
US9186153B2 (en) 2011-01-31 2015-11-17 Covidien Lp Locking cam driver and jaw assembly for clip applier
US9775623B2 (en) 2011-04-29 2017-10-03 Covidien Lp Surgical clip applier including clip relief feature
CN103619281B (en) 2011-05-20 2016-02-24 Bfkw有限公司 Intraluminal device having enhanced anti-migration
US9364239B2 (en) 2011-12-19 2016-06-14 Covidien Lp Jaw closure mechanism for a surgical clip applier
US9364216B2 (en) 2011-12-29 2016-06-14 Covidien Lp Surgical clip applier with integrated clip counter
US9314362B2 (en) 2012-01-08 2016-04-19 Vibrynt, Inc. Methods, instruments and devices for extragastric reduction of stomach volume
WO2013134227A1 (en) 2012-03-06 2013-09-12 Bfkw, Llc Intraluminal device delivery technique
US9408610B2 (en) 2012-05-04 2016-08-09 Covidien Lp Surgical clip applier with dissector
EP2854654A4 (en) 2012-05-17 2016-03-16 Xlumena Inc Methods and devices for access across adjacent tissue layers
US9050168B2 (en) 2012-05-31 2015-06-09 Valentx, Inc. Devices and methods for gastrointestinal bypass
US9681975B2 (en) 2012-05-31 2017-06-20 Valentx, Inc. Devices and methods for gastrointestinal bypass
US9532787B2 (en) 2012-05-31 2017-01-03 Covidien Lp Endoscopic clip applier
US9451960B2 (en) 2012-05-31 2016-09-27 Valentx, Inc. Devices and methods for gastrointestinal bypass
CN104955404A (en) 2012-10-19 2015-09-30 柯惠Lp公司 Devices and methods facilitating sleeve gastrectomy procedures
US9968362B2 (en) 2013-01-08 2018-05-15 Covidien Lp Surgical clip applier
US9113892B2 (en) 2013-01-08 2015-08-25 Covidien Lp Surgical clip applier
US9750500B2 (en) 2013-01-18 2017-09-05 Covidien Lp Surgical clip applier
US9757264B2 (en) 2013-03-13 2017-09-12 Valentx, Inc. Devices and methods for gastrointestinal bypass
US9775624B2 (en) 2013-08-27 2017-10-03 Covidien Lp Surgical clip applier
US9456917B2 (en) 2013-08-28 2016-10-04 Ethicon Endo-Surgery, Inc. Endoscopic transoral duodenal sleeve applier
US9801748B2 (en) 2013-11-08 2017-10-31 Covidien Lp Devices and methods for facilitating sleeve gastrectomy procedures
US9655758B2 (en) 2013-11-11 2017-05-23 Covidien Lp Devices and methods facilitating sleeve gastrectomy procedures
US9918863B2 (en) 2013-11-13 2018-03-20 Covidien Lp Steerable gastric calibration tube
WO2015095333A1 (en) * 2013-12-17 2015-06-25 Standard Bariatrics, Inc. Resection line guide for a medical procedure and method of using same
US9775735B2 (en) 2014-01-31 2017-10-03 Covidien Lp Gastric calibration tube
US9936953B2 (en) 2014-03-29 2018-04-10 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US9724096B2 (en) 2014-03-29 2017-08-08 Standard Bariatrics, Inc. End effectors, surgical stapling devices, and methods of using same
US9414947B2 (en) 2014-05-13 2016-08-16 Covidien Lp Gastric tubes having tethered plugs and methods of use
US9629741B2 (en) 2014-07-18 2017-04-25 Covidien Lp Gastric tubes and methods of use
US9931124B2 (en) 2015-01-07 2018-04-03 Covidien Lp Reposable clip applier
WO2017139635A1 (en) * 2016-02-12 2017-08-17 Sanford Health Mesh for hiatal hernia repair and deployment device

Citations (97)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6179837B2 (en) *
US2108206A (en) * 1937-03-09 1938-02-15 Lillian Pearl Mecker Tenaculum
US3807406A (en) * 1971-06-25 1974-04-30 Bio Medicus Inc Instrument surgical with suction device
US4133315A (en) * 1976-12-27 1979-01-09 Berman Edward J Method and apparatus for reducing obesity
US4134405A (en) * 1977-01-10 1979-01-16 Smit Julie A Catheter and intestine tube and method of using the same
US4198982A (en) * 1978-03-31 1980-04-22 Memorial Hospital For Cancer And Allied Diseases Surgical stapling instrument and method
US4246893A (en) * 1978-07-05 1981-01-27 Daniel Berson Inflatable gastric device for treating obesity
US4315509A (en) * 1977-01-10 1982-02-16 Smit Julie A Insertion and removal catheters and intestinal tubes for restricting absorption
US4501264A (en) * 1978-06-02 1985-02-26 Rockey Arthur G Medical sleeve
US4646722A (en) * 1984-12-10 1987-03-03 Opielab, Inc. Protective endoscope sheath and method of installing same
US4648383A (en) * 1985-01-11 1987-03-10 Angelchik Jean P Peroral apparatus for morbid obesity treatment
US4716900A (en) * 1986-05-09 1988-01-05 Pfizer Hospital Products Group, Inc. Intraintestinal bypass graft
US4723547A (en) * 1985-05-07 1988-02-09 C. R. Bard, Inc. Anti-obesity balloon placement system
US4739758A (en) * 1986-05-19 1988-04-26 Criticare Systems, Inc. Apparatus for stomach cavity reduction
US4803985A (en) * 1986-02-14 1989-02-14 Hill Carl W Gastroplasty method
US4899747A (en) * 1981-12-10 1990-02-13 Garren Lloyd R Method and appartus for treating obesity
US4905693A (en) * 1983-10-03 1990-03-06 Biagio Ravo Surgical method for using an intraintestinal bypass graft
US5080663A (en) * 1990-09-26 1992-01-14 Univerity College London Sewing device
US5084061A (en) * 1987-09-25 1992-01-28 Gau Fred C Intragastric balloon with improved valve locating means
US5197649A (en) * 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
US5219354A (en) * 1989-07-13 1993-06-15 Choudhury Vijay K Dissecting-cum haemostapling scissors
US5297536A (en) * 1992-08-25 1994-03-29 Wilk Peter J Method for use in intra-abdominal surgery
US5300087A (en) * 1991-03-22 1994-04-05 Knoepfler Dennis J Multiple purpose forceps
US5301658A (en) * 1992-04-27 1994-04-12 Loma Linda University Medical Center Membrane endoscopic retractor
US5306300A (en) * 1992-09-22 1994-04-26 Berry H Lee Tubular digestive screen
US5382231A (en) * 1993-02-02 1995-01-17 Shlain; Leonard M. Method for transesophageal retraction of the stomach
US5395367A (en) * 1992-07-29 1995-03-07 Wilk; Peter J. Laparoscopic instrument with bendable shaft and removable actuator
US5403326A (en) * 1993-02-01 1995-04-04 The Regents Of The University Of California Method for performing a gastric wrap of the esophagus for use in the treatment of esophageal reflux
US5403312A (en) * 1993-07-22 1995-04-04 Ethicon, Inc. Electrosurgical hemostatic device
US5486183A (en) * 1990-10-09 1996-01-23 Raychem Corporation Device or apparatus for manipulating matter
US5489058A (en) * 1994-05-02 1996-02-06 Minnesota Mining And Manufacturing Company Surgical stapler with mechanisms for reducing the firing force
US5503635A (en) * 1993-11-12 1996-04-02 United States Surgical Corporation Apparatus and method for performing compressional anastomoses
US5601604A (en) * 1993-05-27 1997-02-11 Inamed Development Co. Universal gastric band
US5603443A (en) * 1993-12-06 1997-02-18 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5603724A (en) * 1995-02-13 1997-02-18 Tnco, Inc. Suction punch
US5624381A (en) * 1994-08-09 1997-04-29 Kieturakis; Maciej J. Surgical instrument and method for retraction of an anatomic structure defining an interior lumen
US5707382A (en) * 1995-03-24 1998-01-13 Ethicon Endo Surgery, Inc. Surgical dissector
US5722990A (en) * 1995-11-08 1998-03-03 Sugar Surgical Technologies, Inc. Tissue grasping device
US5728178A (en) * 1993-03-25 1998-03-17 The Ohio State University Guide tube for gastrostomy tube placement
US5735848A (en) * 1993-07-22 1998-04-07 Ethicon, Inc. Electrosurgical stapling device
US5861036A (en) * 1995-03-28 1999-01-19 Biomedix S.A. Switzerland Medical prosthesis for preventing gastric reflux in the esophagus
US5860581A (en) * 1994-03-24 1999-01-19 United States Surgical Corporation Anvil for circular stapler
US5868760A (en) * 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US5868141A (en) * 1997-05-14 1999-02-09 Ellias; Yakub A. Endoscopic stomach insert for treating obesity and method for use
US5876448A (en) * 1992-05-08 1999-03-02 Schneider (Usa) Inc. Esophageal stent
US5879371A (en) * 1997-01-09 1999-03-09 Elective Vascular Interventions, Inc. Ferruled loop surgical fasteners, instruments, and methods for minimally invasive vascular and endoscopic surgery
US5887594A (en) * 1997-09-22 1999-03-30 Beth Israel Deaconess Medical Center Inc. Methods and devices for gastroesophageal reflux reduction
US5888196A (en) * 1990-03-02 1999-03-30 General Surgical Innovations, Inc. Mechanically expandable arthroscopic retractors
US5893846A (en) * 1996-05-15 1999-04-13 Symbiosis Corp. Ceramic coated endoscopic scissor blades and a method of making the same
US6015378A (en) * 1995-09-20 2000-01-18 Medtronic, Inc. Method and apparatus for temporarily immobilizing a local area tissue
US6030364A (en) * 1997-10-03 2000-02-29 Boston Scientific Corporation Apparatus and method for percutaneous placement of gastro-intestinal tubes
US6030392A (en) * 1995-01-18 2000-02-29 Motorola, Inc. Connector for hollow anatomical structures and methods of use
US6042538A (en) * 1998-11-18 2000-03-28 Emory University Device for endoscopic vessel harvesting
WO2000054662A1 (en) * 1999-03-16 2000-09-21 The University Of Sydney Device for use in surgery
US6168605B1 (en) * 1999-07-08 2001-01-02 Ethicon Endo-Surgery, Inc. Curved laparoscopic scissor having arcs of curvature
US6179195B1 (en) * 1998-06-19 2001-01-30 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6179837B1 (en) * 1995-03-07 2001-01-30 Enable Medical Corporation Bipolar electrosurgical scissors
US6179022B1 (en) * 1999-03-22 2001-01-30 Jinghua Schneider Molded one-piece weighing funnel
US6186942B1 (en) * 1997-04-23 2001-02-13 St. Jude Medical Cardiovascular Group, Inc. Medical grafting methods and apparatus
US6186985B1 (en) * 1997-10-03 2001-02-13 Boston Scientific Corporation Gastro-intestinal tube with dissolvable support bolster
US6197022B1 (en) * 1996-07-30 2001-03-06 James A. Baker Medical instruments and techniques for treatment of gastro-esophageal reflux disease
US6200318B1 (en) * 1997-04-10 2001-03-13 Technion Research And Development Foundation, Ltd. Kit for sternum fixation in chest surgery
US6206893B1 (en) * 1993-11-08 2001-03-27 Perclose, Inc. Device and method for suturing of internal puncture sites
US6206822B1 (en) * 1996-03-22 2001-03-27 Sdgi Holdings, Inc. Devices and methods for percutaneous surgery
US6338345B1 (en) * 1999-04-07 2002-01-15 Endonetics, Inc. Submucosal prosthesis delivery device
US20020022851A1 (en) * 2000-08-17 2002-02-21 Johns Hopkins University Gastric reduction endoscopy
US6358197B1 (en) * 1999-08-13 2002-03-19 Enteric Medical Technologies, Inc. Apparatus for forming implants in gastrointestinal tract and kit for use therewith
US20020035361A1 (en) * 1999-06-25 2002-03-21 Houser Russell A. Apparatus and methods for treating tissue
US6506196B1 (en) * 1999-06-22 2003-01-14 Ndo Surgical, Inc. Device and method for correction of a painful body defect
US20030040808A1 (en) * 2001-08-27 2003-02-27 Stack Richard S. Satiation devices and methods
US20030040804A1 (en) * 2001-08-27 2003-02-27 Stack Richard S. Satiation devices and methods
US6535764B2 (en) * 2001-05-01 2003-03-18 Intrapace, Inc. Gastric treatment and diagnosis device and method
US20040006351A1 (en) * 2002-07-02 2004-01-08 Jamy Gannoe Method and device for use in tissue approximation and fixation
US20040010271A1 (en) * 1997-11-03 2004-01-15 Symbiosis Corporation Flexible endoscopic surgical instrument for invagination and fundoplication
US20040009224A1 (en) * 2000-08-11 2004-01-15 Miller Larry S Obesity controlling method
US6682520B2 (en) * 1999-08-23 2004-01-27 Bistech, Inc. Tissue volume reduction
US20040024386A1 (en) * 2001-05-30 2004-02-05 Deem Mark E. Obesity treatment tools and methods
US6689062B1 (en) * 1999-11-23 2004-02-10 Microaccess Medical Systems, Inc. Method and apparatus for transesophageal cardiovascular procedures
US6692485B1 (en) * 1998-02-24 2004-02-17 Endovia Medical, Inc. Articulated apparatus for telemanipulator system
US20040037865A1 (en) * 2000-08-11 2004-02-26 Miller Larry Sherwin Obesity controlling method
US20040039452A1 (en) * 2002-08-26 2004-02-26 Marc Bessler Endoscopic gastric bypass
US20040049209A1 (en) * 2000-05-12 2004-03-11 Salomon Benchetrit Adjustable gastroplastry ring comprising a grip tab
US20040059349A1 (en) * 2002-09-20 2004-03-25 Robert Sixto Instrument for applying a surgical fastener particularly for the transoral treatment of gastroesophageal reflux disease (GERD)
US20040059354A1 (en) * 2002-09-20 2004-03-25 Smith Kevin W. Surgical fastener particularly for the treatment of gastroesophageal reflux disease (GERD)
US20040059358A1 (en) * 2002-09-20 2004-03-25 Kortenbach Juergen A. Methods for the surgical application of a fastener and the endoluminal treatment of gastroesphageal reflux disease (GERD)
US6837848B2 (en) * 2003-01-15 2005-01-04 Medtronic, Inc. Methods and apparatus for accessing and stabilizing an area of the heart
US6840423B2 (en) * 1998-06-19 2005-01-11 Scimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US20050049718A1 (en) * 2002-11-01 2005-03-03 Valentx, Inc. Gastrointestinal sleeve device and methods for treatment of morbid obesity
US20050055039A1 (en) * 2003-07-28 2005-03-10 Polymorfix, Inc. Devices and methods for pyloric anchoring
US20050055038A1 (en) * 2002-09-09 2005-03-10 Brian Kelleher Device and method for endoluminal therapy
US6981978B2 (en) * 2002-08-30 2006-01-03 Satiety, Inc. Methods and devices for maintaining a space occupying device in a relatively fixed location within a stomach
US20060020276A1 (en) * 2004-07-23 2006-01-26 Usgi Medical Inc. Apparatus and methods for achieving prolonged maintenance of gastrointestinal tissue folds
US20060020254A1 (en) * 2004-05-10 2006-01-26 Hoffmann Gerard V Suction assisted tissue plication device and method of use
US20060020247A1 (en) * 2002-11-01 2006-01-26 Jonathan Kagan Devices and methods for attaching an endolumenal gastrointestinal implant
US6991643B2 (en) * 2000-12-20 2006-01-31 Usgi Medical Inc. Multi-barbed device for retaining tissue in apposition and methods of use
US20060036267A1 (en) * 2004-08-11 2006-02-16 Usgi Medical Inc. Methods and apparatus for performing malabsorptive bypass procedures within a patient's gastro-intestinal lumen
US7020531B1 (en) * 2001-05-01 2006-03-28 Intrapace, Inc. Gastric device and suction assisted method for implanting a device on a stomach wall

Family Cites Families (51)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3870048A (en) * 1973-07-30 1975-03-11 In Bae Yoon Device for sterilizing the human female or male by ligation
US4343066A (en) 1979-10-15 1982-08-10 Illinois Tool Works Tube clamp
US4402445A (en) * 1981-10-09 1983-09-06 United States Surgical Corporation Surgical fastener and means for applying same
US4458681A (en) 1982-06-10 1984-07-10 Hopkins Donald A Stomach clamp for and method of proximal gastric partitioning
US4547192A (en) 1982-11-12 1985-10-15 Superior Plastic Products Corp. Gastroenteric feeding tube
US4558699A (en) 1983-01-03 1985-12-17 Bashour Samuel B Method of and apparatus for restricting the passage of food through the stomach
US4610383A (en) 1983-10-14 1986-09-09 Senmed, Inc. Disposable linear surgical stapler
GB8422863D0 (en) 1984-09-11 1984-10-17 Univ London Sewing machine
US4790294A (en) 1987-07-28 1988-12-13 Welch Allyn, Inc. Ball-and-socket bead endoscope steering section
US5053047A (en) 1989-05-16 1991-10-01 Inbae Yoon Suture devices particularly useful in endoscopic surgery and methods of suturing
US5250058A (en) 1991-01-17 1993-10-05 Ethicon, Inc. Absorbable anastomosic fastener means
US5368601A (en) 1992-04-30 1994-11-29 Lasersurge, Inc. Trocar wound closure device
US5263629A (en) 1992-06-29 1993-11-23 Ethicon, Inc. Method and apparatus for achieving hemostasis along a staple line
US5327914A (en) 1992-09-02 1994-07-12 Shlain Leonard M Method and devices for use in surgical gastroplastic procedure
US5345949A (en) 1992-09-02 1994-09-13 Shlain Leonard M Methods for use in surgical gastroplastic procedure
JP3559561B2 (en) 1993-04-30 2004-09-02 ユナイテッド・ステイツ・サージカル・コーポレイション Surgical instrument with a joint jaw structure and a removable knife
US5549621A (en) 1993-05-14 1996-08-27 Byron C. Sutherland Apparatus and method for performing vertical banded gastroplasty
US5437291A (en) 1993-08-26 1995-08-01 Univ Johns Hopkins Method for treating gastrointestinal muscle disorders and other smooth muscle dysfunction
US5376095A (en) 1993-11-04 1994-12-27 Ethicon Endo-Surgery Endoscopic multi-fire flat stapler with low profile
US5452837A (en) 1994-01-21 1995-09-26 Ethicon Endo-Surgery, Inc. Surgical stapler with tissue gripping ridge
GB9405790D0 (en) * 1994-03-23 1994-05-11 Univ London Sewing device
US5582616A (en) 1994-08-05 1996-12-10 Origin Medsystems, Inc. Surgical helical fastener with applicator
US5571116A (en) 1994-10-02 1996-11-05 United States Surgical Corporation Non-invasive treatment of gastroesophageal reflux disease
US5549636A (en) * 1994-10-05 1996-08-27 Li Medical Technologies Inc. Surgical grasper with articulated fingers
EP0754012B1 (en) 1995-02-07 2002-10-16 C.R. Bard, Inc. Telescoping serial elastic band ligator
US5690656A (en) 1995-06-27 1997-11-25 Cook Incorporated Method and apparatus for creating abdominal visceral anastomoses
DE60133476T2 (en) * 2000-10-02 2009-05-07 Medtronic, Inc., Minneapolis Device for temporal immobilization of defined areas of tissue
US5651769A (en) 1995-10-16 1997-07-29 The Beth Israel Hospital Association Method for retrieving pancreatic juice utilizing and endoscopically wire-guided catheter
US5827298A (en) 1995-11-17 1998-10-27 Innovasive Devices, Inc. Surgical fastening system and method for using the same
US5897534A (en) 1996-08-29 1999-04-27 Team Medical, Llc Body fluids and solids drainage system
US5964782A (en) 1997-09-18 1999-10-12 Scimed Life Systems, Inc. Closure device and method
ES2218861T3 (en) 1997-10-02 2004-11-16 Sherwood Services Ag Device for inserting a anastomosis ring through the anus.
US5976161A (en) 1998-01-07 1999-11-02 University Of New Mexico Tissue everting apparatus and method
US5947983A (en) 1998-03-16 1999-09-07 Boston Scientific Corporation Tissue cutting and stitching device and method
US6136009A (en) * 1998-05-06 2000-10-24 Ensurg, Inc. Ligating band dispenser
US6113609A (en) 1998-05-26 2000-09-05 Scimed Life Systems, Inc. Implantable tissue fastener and system for treating gastroesophageal reflux disease
US6067991A (en) 1998-08-13 2000-05-30 Forsell; Peter Mechanical food intake restriction device
JP2002531169A (en) 1998-08-31 2002-09-24 ウイルソンークック メディカル インク. Anti-reflux esophageal prosthesis
US6159146A (en) 1999-03-12 2000-12-12 El Gazayerli; Mohamed Mounir Method and apparatus for minimally-invasive fundoplication
US6494888B1 (en) 1999-06-22 2002-12-17 Ndo Surgical, Inc. Tissue reconfiguration
US6821285B2 (en) 1999-06-22 2004-11-23 Ndo Surgical, Inc. Tissue reconfiguration
US6506149B2 (en) * 1999-09-07 2003-01-14 Origin Medsystems, Inc. Organ manipulator having suction member supported with freedom to move relative to its support
US6231561B1 (en) 1999-09-20 2001-05-15 Appriva Medical, Inc. Method and apparatus for closing a body lumen
US6471644B1 (en) * 2000-04-27 2002-10-29 Medtronic, Inc. Endoscopic stabilization device and method of use
US6592596B1 (en) * 2000-05-10 2003-07-15 Scimed Life Systems, Inc. Devices and related methods for securing a tissue fold
US20020082621A1 (en) * 2000-09-22 2002-06-27 Schurr Marc O. Methods and devices for folding and securing tissue
US7083629B2 (en) * 2001-05-30 2006-08-01 Satiety, Inc. Overtube apparatus for insertion into a body
DE10126467A1 (en) 2001-05-31 2003-01-02 Norddeutsche Affinerie A device for holding of heating elements
WO2003007796A3 (en) 2001-07-18 2004-01-15 Ndo Surgical Inc Methods and devices for tissue reconfiguration
US6755869B2 (en) * 2001-11-09 2004-06-29 Boston Scientific Corporation Intragastric prosthesis for the treatment of morbid obesity
WO2004004545A3 (en) 2002-07-03 2004-02-19 Darrell C Brett Ribbon epidural thermal posterior annuloplasty

Patent Citations (102)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6179837B2 (en) *
US2108206A (en) * 1937-03-09 1938-02-15 Lillian Pearl Mecker Tenaculum
US3807406A (en) * 1971-06-25 1974-04-30 Bio Medicus Inc Instrument surgical with suction device
US4133315A (en) * 1976-12-27 1979-01-09 Berman Edward J Method and apparatus for reducing obesity
US4134405A (en) * 1977-01-10 1979-01-16 Smit Julie A Catheter and intestine tube and method of using the same
US4315509A (en) * 1977-01-10 1982-02-16 Smit Julie A Insertion and removal catheters and intestinal tubes for restricting absorption
US4198982A (en) * 1978-03-31 1980-04-22 Memorial Hospital For Cancer And Allied Diseases Surgical stapling instrument and method
US4641653A (en) * 1978-06-02 1987-02-10 Rockey Arthur G Medical sleeve
US4501264A (en) * 1978-06-02 1985-02-26 Rockey Arthur G Medical sleeve
US4246893A (en) * 1978-07-05 1981-01-27 Daniel Berson Inflatable gastric device for treating obesity
US4899747A (en) * 1981-12-10 1990-02-13 Garren Lloyd R Method and appartus for treating obesity
US4905693A (en) * 1983-10-03 1990-03-06 Biagio Ravo Surgical method for using an intraintestinal bypass graft
US4646722A (en) * 1984-12-10 1987-03-03 Opielab, Inc. Protective endoscope sheath and method of installing same
US4648383A (en) * 1985-01-11 1987-03-10 Angelchik Jean P Peroral apparatus for morbid obesity treatment
US4723547A (en) * 1985-05-07 1988-02-09 C. R. Bard, Inc. Anti-obesity balloon placement system
US4803985A (en) * 1986-02-14 1989-02-14 Hill Carl W Gastroplasty method
US4716900A (en) * 1986-05-09 1988-01-05 Pfizer Hospital Products Group, Inc. Intraintestinal bypass graft
US4739758A (en) * 1986-05-19 1988-04-26 Criticare Systems, Inc. Apparatus for stomach cavity reduction
US5084061A (en) * 1987-09-25 1992-01-28 Gau Fred C Intragastric balloon with improved valve locating means
US5219354A (en) * 1989-07-13 1993-06-15 Choudhury Vijay K Dissecting-cum haemostapling scissors
US5888196A (en) * 1990-03-02 1999-03-30 General Surgical Innovations, Inc. Mechanically expandable arthroscopic retractors
US5080663A (en) * 1990-09-26 1992-01-14 Univerity College London Sewing device
US5486183A (en) * 1990-10-09 1996-01-23 Raychem Corporation Device or apparatus for manipulating matter
US5300087A (en) * 1991-03-22 1994-04-05 Knoepfler Dennis J Multiple purpose forceps
US5197649A (en) * 1991-10-29 1993-03-30 The Trustees Of Columbia University In The City Of New York Gastrointestinal endoscoptic stapler
US5301658A (en) * 1992-04-27 1994-04-12 Loma Linda University Medical Center Membrane endoscopic retractor
US5876448A (en) * 1992-05-08 1999-03-02 Schneider (Usa) Inc. Esophageal stent
US5395367A (en) * 1992-07-29 1995-03-07 Wilk; Peter J. Laparoscopic instrument with bendable shaft and removable actuator
US5297536A (en) * 1992-08-25 1994-03-29 Wilk Peter J Method for use in intra-abdominal surgery
US5306300A (en) * 1992-09-22 1994-04-26 Berry H Lee Tubular digestive screen
US5403326A (en) * 1993-02-01 1995-04-04 The Regents Of The University Of California Method for performing a gastric wrap of the esophagus for use in the treatment of esophageal reflux
US5382231A (en) * 1993-02-02 1995-01-17 Shlain; Leonard M. Method for transesophageal retraction of the stomach
US5728178A (en) * 1993-03-25 1998-03-17 The Ohio State University Guide tube for gastrostomy tube placement
US5601604A (en) * 1993-05-27 1997-02-11 Inamed Development Co. Universal gastric band
US5735848A (en) * 1993-07-22 1998-04-07 Ethicon, Inc. Electrosurgical stapling device
US5403312A (en) * 1993-07-22 1995-04-04 Ethicon, Inc. Electrosurgical hemostatic device
US6206893B1 (en) * 1993-11-08 2001-03-27 Perclose, Inc. Device and method for suturing of internal puncture sites
US5503635A (en) * 1993-11-12 1996-04-02 United States Surgical Corporation Apparatus and method for performing compressional anastomoses
US5603443A (en) * 1993-12-06 1997-02-18 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5607094A (en) * 1993-12-06 1997-03-04 Ethicon, Inc. Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft
US5860581A (en) * 1994-03-24 1999-01-19 United States Surgical Corporation Anvil for circular stapler
US5489058A (en) * 1994-05-02 1996-02-06 Minnesota Mining And Manufacturing Company Surgical stapler with mechanisms for reducing the firing force
US5624381A (en) * 1994-08-09 1997-04-29 Kieturakis; Maciej J. Surgical instrument and method for retraction of an anatomic structure defining an interior lumen
US5868760A (en) * 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
US6030392A (en) * 1995-01-18 2000-02-29 Motorola, Inc. Connector for hollow anatomical structures and methods of use
US5603724A (en) * 1995-02-13 1997-02-18 Tnco, Inc. Suction punch
US6179837B1 (en) * 1995-03-07 2001-01-30 Enable Medical Corporation Bipolar electrosurgical scissors
US5707382A (en) * 1995-03-24 1998-01-13 Ethicon Endo Surgery, Inc. Surgical dissector
US5861036A (en) * 1995-03-28 1999-01-19 Biomedix S.A. Switzerland Medical prosthesis for preventing gastric reflux in the esophagus
US6015378A (en) * 1995-09-20 2000-01-18 Medtronic, Inc. Method and apparatus for temporarily immobilizing a local area tissue
US5722990A (en) * 1995-11-08 1998-03-03 Sugar Surgical Technologies, Inc. Tissue grasping device
US6206822B1 (en) * 1996-03-22 2001-03-27 Sdgi Holdings, Inc. Devices and methods for percutaneous surgery
US5893846A (en) * 1996-05-15 1999-04-13 Symbiosis Corp. Ceramic coated endoscopic scissor blades and a method of making the same
US6197022B1 (en) * 1996-07-30 2001-03-06 James A. Baker Medical instruments and techniques for treatment of gastro-esophageal reflux disease
US5879371A (en) * 1997-01-09 1999-03-09 Elective Vascular Interventions, Inc. Ferruled loop surgical fasteners, instruments, and methods for minimally invasive vascular and endoscopic surgery
US6200318B1 (en) * 1997-04-10 2001-03-13 Technion Research And Development Foundation, Ltd. Kit for sternum fixation in chest surgery
US6186942B1 (en) * 1997-04-23 2001-02-13 St. Jude Medical Cardiovascular Group, Inc. Medical grafting methods and apparatus
US5868141A (en) * 1997-05-14 1999-02-09 Ellias; Yakub A. Endoscopic stomach insert for treating obesity and method for use
US5887594A (en) * 1997-09-22 1999-03-30 Beth Israel Deaconess Medical Center Inc. Methods and devices for gastroesophageal reflux reduction
US6030364A (en) * 1997-10-03 2000-02-29 Boston Scientific Corporation Apparatus and method for percutaneous placement of gastro-intestinal tubes
US6186985B1 (en) * 1997-10-03 2001-02-13 Boston Scientific Corporation Gastro-intestinal tube with dissolvable support bolster
US20040010271A1 (en) * 1997-11-03 2004-01-15 Symbiosis Corporation Flexible endoscopic surgical instrument for invagination and fundoplication
US6692485B1 (en) * 1998-02-24 2004-02-17 Endovia Medical, Inc. Articulated apparatus for telemanipulator system
US6179195B1 (en) * 1998-06-19 2001-01-30 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6343731B1 (en) * 1998-06-19 2002-02-05 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
US6840423B2 (en) * 1998-06-19 2005-01-11 Scimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US6042538A (en) * 1998-11-18 2000-03-28 Emory University Device for endoscopic vessel harvesting
WO2000054662A1 (en) * 1999-03-16 2000-09-21 The University Of Sydney Device for use in surgery
US6179022B1 (en) * 1999-03-22 2001-01-30 Jinghua Schneider Molded one-piece weighing funnel
US6338345B1 (en) * 1999-04-07 2002-01-15 Endonetics, Inc. Submucosal prosthesis delivery device
US6506196B1 (en) * 1999-06-22 2003-01-14 Ndo Surgical, Inc. Device and method for correction of a painful body defect
US20020035361A1 (en) * 1999-06-25 2002-03-21 Houser Russell A. Apparatus and methods for treating tissue
US6168605B1 (en) * 1999-07-08 2001-01-02 Ethicon Endo-Surgery, Inc. Curved laparoscopic scissor having arcs of curvature
US6358197B1 (en) * 1999-08-13 2002-03-19 Enteric Medical Technologies, Inc. Apparatus for forming implants in gastrointestinal tract and kit for use therewith
US6682520B2 (en) * 1999-08-23 2004-01-27 Bistech, Inc. Tissue volume reduction
US6689062B1 (en) * 1999-11-23 2004-02-10 Microaccess Medical Systems, Inc. Method and apparatus for transesophageal cardiovascular procedures
US20040049209A1 (en) * 2000-05-12 2004-03-11 Salomon Benchetrit Adjustable gastroplastry ring comprising a grip tab
US20040037865A1 (en) * 2000-08-11 2004-02-26 Miller Larry Sherwin Obesity controlling method
US20040009224A1 (en) * 2000-08-11 2004-01-15 Miller Larry S Obesity controlling method
US20020022851A1 (en) * 2000-08-17 2002-02-21 Johns Hopkins University Gastric reduction endoscopy
US6991643B2 (en) * 2000-12-20 2006-01-31 Usgi Medical Inc. Multi-barbed device for retaining tissue in apposition and methods of use
US7020531B1 (en) * 2001-05-01 2006-03-28 Intrapace, Inc. Gastric device and suction assisted method for implanting a device on a stomach wall
US6535764B2 (en) * 2001-05-01 2003-03-18 Intrapace, Inc. Gastric treatment and diagnosis device and method
US20040024386A1 (en) * 2001-05-30 2004-02-05 Deem Mark E. Obesity treatment tools and methods
US6675809B2 (en) * 2001-08-27 2004-01-13 Richard S. Stack Satiation devices and methods
US6845776B2 (en) * 2001-08-27 2005-01-25 Richard S. Stack Satiation devices and methods
US20030040804A1 (en) * 2001-08-27 2003-02-27 Stack Richard S. Satiation devices and methods
US20030040808A1 (en) * 2001-08-27 2003-02-27 Stack Richard S. Satiation devices and methods
US20040006351A1 (en) * 2002-07-02 2004-01-08 Jamy Gannoe Method and device for use in tissue approximation and fixation
US20040039452A1 (en) * 2002-08-26 2004-02-26 Marc Bessler Endoscopic gastric bypass
US6981978B2 (en) * 2002-08-30 2006-01-03 Satiety, Inc. Methods and devices for maintaining a space occupying device in a relatively fixed location within a stomach
US20050055038A1 (en) * 2002-09-09 2005-03-10 Brian Kelleher Device and method for endoluminal therapy
US20040059349A1 (en) * 2002-09-20 2004-03-25 Robert Sixto Instrument for applying a surgical fastener particularly for the transoral treatment of gastroesophageal reflux disease (GERD)
US20040059358A1 (en) * 2002-09-20 2004-03-25 Kortenbach Juergen A. Methods for the surgical application of a fastener and the endoluminal treatment of gastroesphageal reflux disease (GERD)
US20040059354A1 (en) * 2002-09-20 2004-03-25 Smith Kevin W. Surgical fastener particularly for the treatment of gastroesophageal reflux disease (GERD)
US20060020247A1 (en) * 2002-11-01 2006-01-26 Jonathan Kagan Devices and methods for attaching an endolumenal gastrointestinal implant
US20050049718A1 (en) * 2002-11-01 2005-03-03 Valentx, Inc. Gastrointestinal sleeve device and methods for treatment of morbid obesity
US6837848B2 (en) * 2003-01-15 2005-01-04 Medtronic, Inc. Methods and apparatus for accessing and stabilizing an area of the heart
US20050055039A1 (en) * 2003-07-28 2005-03-10 Polymorfix, Inc. Devices and methods for pyloric anchoring
US20060020254A1 (en) * 2004-05-10 2006-01-26 Hoffmann Gerard V Suction assisted tissue plication device and method of use
US20060020276A1 (en) * 2004-07-23 2006-01-26 Usgi Medical Inc. Apparatus and methods for achieving prolonged maintenance of gastrointestinal tissue folds
US20060036267A1 (en) * 2004-08-11 2006-02-16 Usgi Medical Inc. Methods and apparatus for performing malabsorptive bypass procedures within a patient's gastro-intestinal lumen

Cited By (151)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7704264B2 (en) 1999-06-25 2010-04-27 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US20040162568A1 (en) * 1999-06-25 2004-08-19 Usgi Medical Apparatus and methods for forming and securing gastrointestinal tissue folds
US20030093117A1 (en) * 1999-06-25 2003-05-15 Vahid Saadat Implantable artificial partition and methods of use
US7955340B2 (en) 1999-06-25 2011-06-07 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US7160312B2 (en) 1999-06-25 2007-01-09 Usgi Medical, Inc. Implantable artificial partition and methods of use
US20050192629A1 (en) * 1999-06-25 2005-09-01 Usgi Medical Inc. Methods and apparatus for creating and regulating a gastric stoma
US8343175B2 (en) 1999-06-25 2013-01-01 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US7744613B2 (en) 1999-06-25 2010-06-29 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US8574243B2 (en) 1999-06-25 2013-11-05 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US9180036B2 (en) 2001-08-27 2015-11-10 Boston Scientific Scimed, Inc. Methods for implanting medical devices
US9107727B2 (en) 2001-08-27 2015-08-18 Boston Scientific Scimed, Inc. Satiation devices and methods
US8992457B2 (en) 2001-08-27 2015-03-31 Boston Scientific Scimed, Inc. Gastrointestinal implants
US7981162B2 (en) 2001-08-27 2011-07-19 Barosense, Inc. Satiation devices and methods
US8845753B2 (en) 2001-08-27 2014-09-30 Boston Scientific Scimed, Inc. Satiation devices and methods
US9872786B2 (en) 2001-08-27 2018-01-23 Boston Scientific Scimed, Inc. Gastro-esophageal implants
US9844453B2 (en) 2001-08-27 2017-12-19 Boston Scientific Scimed, Inc. Positioning tools and methods for implanting medical devices
US9788984B2 (en) 2001-08-27 2017-10-17 Boston Scientific Scimed, Inc. Satiation devices and methods
US9138340B2 (en) 2001-08-27 2015-09-22 Boston Scientific Scimed, Inc. Gastro-esophageal implants
US9358144B2 (en) 2001-08-27 2016-06-07 Boston Scientific Scimed, Inc. Gastrointestinal implants
US8568488B2 (en) 2001-08-27 2013-10-29 Boston Scientific Scimed, Inc. Satiation devices and methods
US9254214B2 (en) 2001-08-27 2016-02-09 Boston Scientific Scimed, Inc. Satiation devices and methods
US7892292B2 (en) 2001-08-27 2011-02-22 Synecor, Llc Positioning tools and methods for implanting medical devices
US7833280B2 (en) 2001-08-27 2010-11-16 Barosense, Inc. Satiation devices and methods
US8784354B2 (en) 2001-08-27 2014-07-22 Boston Scientific Scimed, Inc. Positioning tools and methods for implanting medical devices
US8337566B2 (en) 2002-04-08 2012-12-25 Barosense, Inc. Method and apparatus for modifying the exit orifice of a satiation pouch
US8066719B2 (en) 2002-12-11 2011-11-29 Ewers Richard C Apparatus and methods for forming gastrointestinal tissue approximations
US7942884B2 (en) 2002-12-11 2011-05-17 Usgi Medical, Inc. Methods for reduction of a gastric lumen
US7942898B2 (en) 2002-12-11 2011-05-17 Usgi Medical, Inc. Delivery systems and methods for gastric reduction
US8216260B2 (en) 2002-12-11 2012-07-10 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US8262676B2 (en) 2002-12-11 2012-09-11 Usgi Medical, Inc. Apparatus and methods for forming gastrointestinal tissue approximations
US20040225595A1 (en) * 2002-12-30 2004-11-11 Fannie Mae System and method for processing data pertaining to financial assets
US7918845B2 (en) 2003-01-15 2011-04-05 Usgi Medical, Inc. Endoluminal tool deployment system
US8029455B2 (en) 2003-01-16 2011-10-04 Barosense, Inc. Satiation pouches and methods of use
US20050037451A1 (en) * 2003-08-14 2005-02-17 Bo-Cun Chen Method of using potassium permanganate in water analysis
US8206456B2 (en) 2003-10-10 2012-06-26 Barosense, Inc. Restrictive and/or obstructive implant system for inducing weight loss
US9445791B2 (en) 2003-10-10 2016-09-20 Boston Scientific Scimed, Inc. Systems and methods related to gastro-esophageal implants
US8784500B2 (en) 2003-10-10 2014-07-22 Boston Scientific Scimed, Inc. Devices and methods for retaining a gastro-esophageal implant
US9248038B2 (en) 2003-10-10 2016-02-02 Boston Scientific Scimed, Inc. Methods for retaining a gastro-esophageal implant
US9180035B2 (en) 2003-10-10 2015-11-10 Boston Scientific Scimed, Inc. Devices and methods for retaining a gastro-esophageal implant
US20050119671A1 (en) * 2003-11-13 2005-06-02 Usgi Medical Inc. Apparatus and methods for endoscopic suturing
US7736372B2 (en) 2003-11-13 2010-06-15 Usgi Medical, Inc. Apparatus and methods for endoscopic suturing
US9510817B2 (en) 2003-12-12 2016-12-06 Usgi Medical, Inc. Apparatus for manipulating and securing tissue
US9700308B2 (en) 2004-02-20 2017-07-11 Endogastric Solutions, Inc. Tissue fixation devices and assemblies for deploying the same
US7703459B2 (en) 2004-03-09 2010-04-27 Usgi Medical, Inc. Apparatus and methods for mapping out endoluminal gastrointestinal surgery
US20050272977A1 (en) * 2004-04-14 2005-12-08 Usgi Medical Inc. Methods and apparatus for performing endoluminal procedures
US8562516B2 (en) 2004-04-14 2013-10-22 Usgi Medical Inc. Methods and apparatus for obtaining endoluminal access
US8512229B2 (en) 2004-04-14 2013-08-20 Usgi Medical Inc. Method and apparatus for obtaining endoluminal access
US20050234296A1 (en) * 2004-04-14 2005-10-20 Usgi Medical Inc. Method and apparatus for obtaining endoluminal access
US20060183975A1 (en) * 2004-04-14 2006-08-17 Usgi Medical, Inc. Methods and apparatus for performing endoluminal procedures
US8277373B2 (en) 2004-04-14 2012-10-02 Usgi Medical, Inc. Methods and apparaus for off-axis visualization
US8241202B2 (en) 2004-04-26 2012-08-14 Barosense, Inc. Restrictive and/or obstructive implant for inducing weight loss
US8926634B2 (en) 2004-05-07 2015-01-06 Usgi Medical, Inc. Apparatus and methods for manipulating and securing tissue
US8216252B2 (en) 2004-05-07 2012-07-10 Usgi Medical, Inc. Tissue manipulation and securement system
US8828027B2 (en) 2004-05-07 2014-09-09 U.S.G.I. Medical, Inc. Tissue manipulation and securement system
US8216253B2 (en) 2004-05-07 2012-07-10 Usgi Medical, Inc. Apparatus for manipulating and securing tissue
US8236009B2 (en) 2004-05-07 2012-08-07 Usgi Medical, Inc. Needle assembly for tissue manipulation
US7918869B2 (en) 2004-05-07 2011-04-05 Usgi Medical, Inc. Methods and apparatus for performing endoluminal gastroplasty
US8444657B2 (en) 2004-05-07 2013-05-21 Usgi Medical, Inc. Apparatus and methods for rapid deployment of tissue anchors
US8257394B2 (en) 2004-05-07 2012-09-04 Usgi Medical, Inc. Apparatus and methods for positioning and securing anchors
US7736374B2 (en) 2004-05-07 2010-06-15 Usgi Medical, Inc. Tissue manipulation and securement system
US20050251202A1 (en) * 2004-05-07 2005-11-10 Usgi Medical Inc. Interlocking tissue anchor apparatus and methods
US7645285B2 (en) 2004-05-26 2010-01-12 Idx Medical, Ltd Apparatus and methods for occluding a hollow anatomical structure
US20060036267A1 (en) * 2004-08-11 2006-02-16 Usgi Medical Inc. Methods and apparatus for performing malabsorptive bypass procedures within a patient's gastro-intestinal lumen
US8876820B2 (en) 2004-10-20 2014-11-04 Atricure, Inc. Surgical clamp
US9526500B2 (en) 2004-11-30 2016-12-27 Endogastric Solutions, Inc. Flexible transoral endoscopic gastroesophageal flap valve restoration device and method
US8087413B2 (en) * 2005-01-14 2012-01-03 Usgi Medical Inc. Attenuation of environmental parameters on a gastric lumen
US20060157067A1 (en) * 2005-01-14 2006-07-20 Usgi Medical Inc. Attenuation of environmental parameters on a gastric lumen
US9572578B2 (en) 2005-01-25 2017-02-21 Endogastric Solutions, Inc. Slitted tissue fixation devices and assemblies for deploying the same
US9358007B2 (en) 2005-01-25 2016-06-07 Endogastric Solutions, Inc. Slitted tissue fixation devices and assemblies for deploying the same
US8685058B2 (en) 2005-03-23 2014-04-01 Wilk Patent, Llc Surgical closure method and associated device
US20060217745A1 (en) * 2005-03-23 2006-09-28 Wilk Patent, Llc Surgical closure method and associated device
US9585651B2 (en) 2005-05-26 2017-03-07 Usgi Medical, Inc. Methods and apparatus for securing and deploying tissue anchors
US8298291B2 (en) 2005-05-26 2012-10-30 Usgi Medical, Inc. Methods and apparatus for securing and deploying tissue anchors
US9414832B2 (en) 2005-08-12 2016-08-16 Endogastric Solutions, Inc. Apparatus and method for securing the stomach to the diaphragm for use, for example, in treating hiatal hernias and gastroesophageal reflux disease
US8469977B2 (en) 2005-10-03 2013-06-25 Barosense, Inc. Endoscopic plication device and method
US9055942B2 (en) 2005-10-03 2015-06-16 Boston Scienctific Scimed, Inc. Endoscopic plication devices and methods
US9675360B2 (en) 2005-10-18 2017-06-13 Endogastric Solutions, Inc. Invaginator for gastroesophageal flap valve restoration device
US20140257351A1 (en) * 2006-01-27 2014-09-11 Usgi Medical, Inc. Methods and apparatus for revision of obesity procedures
US8726909B2 (en) * 2006-01-27 2014-05-20 Usgi Medical, Inc. Methods and apparatus for revision of obesity procedures
US9545255B2 (en) * 2006-01-27 2017-01-17 Usgi Medical, Inc. Methods and apparatus for revision of obesity procedures
US8870916B2 (en) 2006-07-07 2014-10-28 USGI Medical, Inc Low profile tissue anchors, tissue anchor systems, and methods for their delivery and use
US9687334B2 (en) 2006-09-02 2017-06-27 Boston Scientific Scimed, Inc. Intestinal sleeves and associated deployment systems and methods
US8109895B2 (en) 2006-09-02 2012-02-07 Barosense, Inc. Intestinal sleeves and associated deployment systems and methods
US9314361B2 (en) 2006-09-15 2016-04-19 Boston Scientific Scimed, Inc. System and method for anchoring stomach implant
US9421006B2 (en) 2007-01-08 2016-08-23 Endogastric Solutions, Inc. Connected fasteners, delivery device and method
US9788829B2 (en) 2007-01-08 2017-10-17 Endogastric Solutions, Inc. Connected fasteners, delivery device and method
US8920437B2 (en) 2007-03-13 2014-12-30 Longevity Surgical, Inc. Devices for reconfiguring a portion of the gastrointestinal tract
US8057490B2 (en) 2007-03-13 2011-11-15 Longevity Surgical, Inc. Devices and systems for manipulating tissue
US8414600B2 (en) 2007-03-13 2013-04-09 Peter S. HARRIS Methods and devices for reducing gastric volume
US8469972B2 (en) 2007-03-13 2013-06-25 Longevity Surgical, Inc. Methods and devices for reducing gastric volume
US20080319455A1 (en) * 2007-03-13 2008-12-25 Harris Peter S Methods and devices for reducing gastric volume
US20090318936A1 (en) * 2007-03-13 2009-12-24 Longevity Surgical, Inc. Methods, devices and systems for approximation and fastening of soft tissue
US9521995B2 (en) 2007-03-13 2016-12-20 Longevity Surgical, Inc. Devices and systems for approximation and fastening of soft tissue
US8500777B2 (en) 2007-03-13 2013-08-06 Longevity Surgical, Inc. Methods for approximation and fastening of soft tissue
US8979872B2 (en) 2007-03-13 2015-03-17 Longevity Surgical, Inc. Devices for engaging, approximating and fastening tissue
US20080249566A1 (en) * 2007-03-13 2008-10-09 Harris Peter S Methods and devices for reducing gastric volume
US20110009887A1 (en) * 2007-03-13 2011-01-13 Longevity Surgical, Inc. Methods for reducing gastric volume
US20110066167A1 (en) * 2007-03-13 2011-03-17 Longevity Surgical, Inc. Devices and systems for manipulating tissue
US8142450B2 (en) 2007-03-13 2012-03-27 Longevity Surgical, Inc. Methods for reducing gastric volume
US8100921B2 (en) 2007-03-13 2012-01-24 Longevity Surgical, Inc. Methods for reducing gastric volume
US9408659B2 (en) 2007-04-02 2016-08-09 Atricure, Inc. Surgical instrument with separate tool head and method of use
US9456825B2 (en) 2007-07-18 2016-10-04 Boston Scientific Scimed, Inc. Endoscopic implant system and method
US9545249B2 (en) 2007-07-18 2017-01-17 Boston Scientific Scimed, Inc. Overtube introducer for use in endoscopic bariatric surgery
US8201721B2 (en) 2007-10-31 2012-06-19 Tyco Healthcare Group Lp Powered surgical instrument
US9668731B2 (en) 2007-10-31 2017-06-06 Covidien Lp Powered surgical instrument
US9241712B2 (en) 2007-10-31 2016-01-26 Covidien Lp Powered surgical instrument
US8925783B2 (en) 2007-10-31 2015-01-06 Covidien Lp Powered surgical instrument
US9113876B2 (en) 2007-10-31 2015-08-25 Covidien Lp Powered surgical instrument
US7922063B2 (en) 2007-10-31 2011-04-12 Tyco Healthcare Group, Lp Powered surgical instrument
US8945167B2 (en) 2007-12-31 2015-02-03 Boston Scientific Scimed, Inc. Gastric space occupier systems and methods of use
US9636114B2 (en) 2008-03-18 2017-05-02 Boston Scientific Scimed, Inc. Endoscopic stapling devices
US7913892B2 (en) 2008-03-18 2011-03-29 Barosense, Inc. Endoscopic stapling devices and methods
US7909219B2 (en) 2008-03-18 2011-03-22 Barosense, Inc. Endoscopic stapling devices and methods
US8020741B2 (en) 2008-03-18 2011-09-20 Barosense, Inc. Endoscopic stapling devices and methods
US7922062B2 (en) 2008-03-18 2011-04-12 Barosense, Inc. Endoscopic stapling devices and methods
US7909222B2 (en) 2008-03-18 2011-03-22 Barosense, Inc. Endoscopic stapling devices and methods
US7909223B2 (en) 2008-03-18 2011-03-22 Barosense, Inc. Endoscopic stapling devices and methods
US8864008B2 (en) 2008-03-18 2014-10-21 Boston Scientific Scimed, Inc. Endoscopic stapling devices and methods
US7997468B2 (en) 2008-05-05 2011-08-16 Tyco Healthcare Group Lp Surgical instrument with clamp
US8256653B2 (en) 2008-05-05 2012-09-04 Tyco Healthcare Group Lp Surgical instrument with clamp
US8852218B2 (en) 2008-07-21 2014-10-07 AtriCore, Inc. Apparatus and methods for occluding an anatomical structure
US9451956B2 (en) 2008-11-10 2016-09-27 Boston Scientific Scimed, Inc. Multi-fire stapling systems
US7934631B2 (en) 2008-11-10 2011-05-03 Barosense, Inc. Multi-fire stapling systems and methods for delivering arrays of staples
US8747421B2 (en) 2008-11-10 2014-06-10 Boston Scientific Scimed, Inc. Multi-fire stapling systems and methods for delivering arrays of staples
US20100160933A1 (en) * 2008-12-24 2010-06-24 Boston Scientific Scimed, Inc. Methods of surgically modifying the duodenum
US9393023B2 (en) 2009-01-13 2016-07-19 Atricure, Inc. Apparatus and methods for deploying a clip to occlude an anatomical structure
US9713471B2 (en) 2009-01-26 2017-07-25 Ethicon Endo-Surgery, Inc. Surgical device with tandem fasteners
US9713468B2 (en) 2009-01-26 2017-07-25 Ethicon Endo-Surgery, Inc. Surgical stapler for applying a large staple through a small delivery port and a method of using the stapler to secure a tissue fold
US8961539B2 (en) 2009-05-04 2015-02-24 Boston Scientific Scimed, Inc. Endoscopic implant system and method
US9017349B2 (en) 2010-10-27 2015-04-28 Atricure, Inc. Appendage clamp deployment assist device
US9066741B2 (en) 2010-11-01 2015-06-30 Atricure, Inc. Robotic toolkit
US8636754B2 (en) 2010-11-11 2014-01-28 Atricure, Inc. Clip applicator
US20120330329A1 (en) * 2011-06-21 2012-12-27 Harris Jason L Methods of forming a laparoscopic greater curvature plication using a surgical stapler
US9265486B2 (en) 2011-08-15 2016-02-23 Atricure, Inc. Surgical device
US20130066344A1 (en) * 2011-09-09 2013-03-14 Richard Romley Methods and devices for manipulating and fastening tissue
US9955957B2 (en) 2011-09-09 2018-05-01 Endogastric Solutions, Inc. Methods and devices for manipulating and fastening tissue
US9861360B2 (en) 2011-09-09 2018-01-09 Endogastric Solutions, Inc. Methods and devices for manipulating and fastening tissue
US9572571B2 (en) 2011-09-09 2017-02-21 Endogastric Solutions, Inc. Methods and devices for manipulating and fastening tissue
US9113866B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9113867B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9113879B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9173657B2 (en) 2011-12-15 2015-11-03 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9119615B2 (en) 2011-12-15 2015-09-01 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9113868B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US9155528B2 (en) * 2012-01-08 2015-10-13 Vibrynt, Inc. Methods, instruments and devices for extragastic reduction of stomach volume
US20130178698A1 (en) * 2012-01-08 2013-07-11 Vibrynt, Inc. Methods, instruments and devices for extragastic reduction of stomach volume
US9282973B2 (en) 2012-01-20 2016-03-15 Atricure, Inc. Clip deployment tool and associated methods
US8992547B2 (en) 2012-03-21 2015-03-31 Ethicon Endo-Surgery, Inc. Methods and devices for creating tissue plications
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US9610088B2 (en) 2012-04-17 2017-04-04 A-Base Korlatolt Felelossegu Tarsasag Manipulator for grasping tissue
US9980716B2 (en) 2015-03-27 2018-05-29 Ethicon Llc Methods and devices for creating tissue plications

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US6773440B2 (en) 2004-08-10 grant
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