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US20050101977A1 - Method and device for use in endoscopic organ procedures - Google Patents

Method and device for use in endoscopic organ procedures Download PDF

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Publication number
US20050101977A1
US20050101977A1 US10975627 US97562704A US2005101977A1 US 20050101977 A1 US20050101977 A1 US 20050101977A1 US 10975627 US10975627 US 10975627 US 97562704 A US97562704 A US 97562704A US 2005101977 A1 US2005101977 A1 US 2005101977A1
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Prior art keywords
tissue
portion
device
distal
inner
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Abandoned
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US10975627
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Jamy Gannoe
Craig Gerbi
Gary Weller
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Ethicon Inc
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Jamy Gannoe
Craig Gerbi
Gary Weller
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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
    • A61F5/0076Implantable devices or invasive measures preventing normal digestion, e.g. Bariatric or gastric sleeves
    • 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
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • 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
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003Steerable
    • A61B2017/00318Steering mechanisms
    • A61B2017/00323Cables or rods
    • 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
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • 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
    • A61B2017/2901Details of shaft
    • A61B2017/2905Details of shaft flexible
    • 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 in a circumferential configuration within 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 ring, or stomas, 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 circumferentially, and a fixation mechanism to secure the muscular layers of the acquired tissue such that the desired healing response is achieved.

Description

    FIELD OF THE INVENTION
  • [0001]
    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, such as a stomach, intestine or gastrointestinal tract.
  • BACKGROUND OF THE INVENTION
  • [0002]
    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.
  • [0003]
    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”.
  • [0004]
    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.
  • [0005]
    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 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. 5,947,983 Tissue Cutting and Stitching Device and Method (Solar et al), detail an endoscopic suturing device (C.R. Bard, Inc., Billerica, Mass.) 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).
  • [0006]
    Further, certain devices are employed to approximate tissue such as in U.S. Pat. No. 5,355,897 (Pietrafitta) describing the use of a circular stapler to perform a pyloroplasty to create a narrowing at the pylorus. In addition, intraluminal anastomosis, such as bowel anastomosis, use suturing or stapling and employ tools such as the circular stapler, such as that described in U.S. Pat. Nos. 5,309,927 (Welch), 5,588,579 (Schnut et al), 5,639,008 (Gallagher et al), 5,697,943 (Sauer), 5,839,639 (Sauer), 5,860,581 (Robertson et al), and 6,119,913 (Adams et al). Such circular staplers are available from Ethicon Endosurgery, Cincinnati, Ohio (Proximate™ and EndoPath Stealth™ staplers, see www.surgicalstapling.com), Power Medical Interventions, New Hope, Pa., and United States Surgical, a unit of Tyco Healthcare Group LP, Norwalk, Conn.
  • [0007]
    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
  • [0008]
    The present invention provides for improved methods and apparatus for the transoral, or endoscopic, restriction 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, minimizing the risk of infections, and in some cases, general anesthesia.
  • [0009]
    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. Preferably, multiple folds of tissue can be acquired to effect this end. 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 circumferentially gather tissue 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.
  • [0010]
    The devices shown and described herein can be used to form a pouch or partition by the approximation and fixation of a circular section of tissue acquired circumferentially from the walls of the target organ. The tissue acquisition device and fastener may include an acquisition feature (utilizing, e.g., a vacuum, and/or some other mechanical method for acquiring a circumferential “bite” of tissue), a fixation element (such as a stapling mechanism) and possibly a cutting element. In addition, the device may be adapted to receive a standard endoscope to allow viewing of the target region at various points during the procedure. The devices may be articulatable through a variety of conventional methods; alternatively, they may be articulated by a endoscope or other articulation device inserted within.
  • [0011]
    The fastening assembly of the present invention may employ a similar design and function to those circular staplers heretofore referenced, taking advantage of their ability to deploy multiple rows of staples with one actuation, and their relative clinical efficacy in performing other types of fastening (e.g. anastomoses procedures, hemorrhoid plication, etc.). Such devices can be adapted to perform the novel procedures described herein. Such devices may be adapted to incorporate a tissue acquisition system within the stapler body to allow sufficient tissue to be acquired during a procedure, and other modifications may be done to enable use of the stapler in these novel procedures.
  • [0012]
    In the procedures of the present invention relating to treatment of gastric disorders such as gastroesophageal reflux disease (GERD), or in cases of treating obesity, a flexible circular stapler may be inserted transorally down the patient's esophagus and into the stomach at the region of the GEJ. Tissue may then be acquired circumferentially about the stapler device, or at least partially about the circumference of the stapler device at some point less than 360 degrees (possibly in a 180 degree formation) relative to a longitudinal axis of the device such that the tissue acquisition creates a “waist” within the organ volume. Subsequently, the tissue fixation element may then be deployed to fix the tissue in a manner to promote healing.
  • [0013]
    As set forth in U.S. patent application Ser. No. 10/188,547 filed Jul. 2, 2002, which is fully incorporated herein by reference in its entirety, the layered tissue structure of, e.g., the stomach, and the amount of desirable tissue acquisition and approximation is described in further detail. The devices and procedures of the present invention would allow the operator to reliably acquire and secure the necessary type of tissue, such as the muscularis, in creating the circumferential or curved tissue plication desirable to ensure a lasting clinical result.
  • [0014]
    Any of the fastening devices described herein may employ, e.g., bioabsorbable or biofragmentable staples or fixation element. Such fastening devices would typically dissolve or otherwise degrade leaving only the fixation region once the desired tissue healing has occurred. The remaining healed tissue, now a tissue “ring” (TR), would be sufficiently adhered or healed together to maintain the integrity of the pouch and stoma. In addition, the fastening devices may include coatings or other secondary features to aid healing, such as resorbable meshes, sclerosing agents, surgical felt, or tissue grafts.
  • [0015]
    The pouch or partitions may be created by a procedure of the present invention to remain permanently within the stomach to restrict it indefinitely. Alternatively, the creation of the pouch or partitions may be reversible (e.g., once weight loss is achieved, or reflux minimized) or revised (in the event pouch side needs to be modified). Reversal can also be achieved via various methods such as dilation of the restricted section, or, e.g., using an electro-surgical device such as a bovie to cut the restricted section to free the tissue folds. 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 for the treatment of GERD or the transoral placement of a bypass prosthesis or other type of liner in the intestine to bypass the hormonally active portion of the small intestine. Such a liner may be tubular in construction and made to match the diameter of the stoma created by the present invention such that they can be hooked together to achieve the desired clinical effect.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • [0016]
    FIG. 1 depicts the prior art procedure commonly known as laparoscopic banding;
  • [0017]
    FIG. 2 depicts the prior art procedure commonly known as the vertical banded gastroplasty or “VBG”;
  • [0018]
    FIG. 3 depicts the prior art procedure commonly know as surgical Roux-En-Y procedure;
  • [0019]
    FIG. 4A-4B depicts one variation on a procedure of the present invention, showing a cut-away section of the tissue being acquired by the distal tip of the device of the present invention, and the resulting modification to the body organ (creation of a “pouch” within the stomach);
  • [0020]
    FIGS. 5A-5D depict one variation of procedural steps of performing the methods of the present invention, by showing a cross section of an organ (stomach) and the placement of the device to create a narrowing or “pouch” within the organ;
  • [0021]
    FIG. 5E depicts one variation of a result of the present invention, including a bypassing sleeve installed to bridge from the point of the stoma at the GEJ, to the pylorus, or further into the intestine.
  • [0022]
    FIGS. 6A-6D shows a schematic depiction of an organ (stomach) following completion of one variation on a procedure of the present invention and the resulting cross sectional view of the treated region in various configurations;
  • [0023]
    FIGS. 7A-7F show a variation on the circular tissue acquisition and fixation device of the present invention, including details on the inner working elements and flexible shaft thereof;
  • [0024]
    FIG. 8 depicts details of one variation on the distal portion of the circular tissue acquisition and fixation device of the present invention showing an angled annular acquisition space;
  • [0025]
    FIG. 9 depicts another variation of the tissue acquisition mechanism of the circular tissue acquisition and fixation device of the present invention;
  • [0026]
    FIGS. 10A-10B depict variations of the distal working end of the distal tip of the circular tissue acquisition and fixation device of the present invention, detailing an anvil designed to be intraprocedurally manipulated to assist in removal of the circular tissue acquisition and fixation device of the present invention once the desired tissue has been acquired and fixed according to the present invention.
  • DETAILED DESCRIPTION OF THE INVENTION
  • [0027]
    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.
  • [0028]
    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 variation of the present invention is shown in FIG. 4A, which depicts an external anterior view of a stomach organ 100, having an esophagus 101 (cut away to reveal the esophageal lumen 102), and further depicting a circumferential orifice or stoma 103, configured from staple line 104, producing a pouch (P). Orifice 103 is preferably positioned close to and on the distal side of the gastroesophageal junction (GEJ) at the base of the esophagus, and angled toward the lesser curve of the stomach (LC), leaving a stoma or opening having a diameter of approximately 1 cm between the pouch (P) and the remaining stomach volume. A desirable pouch (P) volume is between 15-100 cc, preferably 15-20 cc. The orifice 103 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 and absorption of nutrients. FIG. 4B depicts an example of a cross sectional view of the esophagus where it joins the stomach, and further depicts one variation of a tissue acquisition device of the present invention 105, actively engaging the tissue to be fastened in a circumferential fashion.
  • [0000]
    Method of Hollow Organ Volume Reduction
  • [0029]
    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 assessment has been completed, 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 a tissue acquisition and fixation device, as shown in FIGS. 5A-5D, down the patient's esophagus and into the stomach to a location just beyond the GE Junction (GEJ). Once in place, an optional calibration device (not shown) such as a balloon or bougie can be inflated or deployed proximally or adjacently to the GE Junction (GEJ) to assist in correctly sizing the pouch to be created. 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.
  • [0030]
    FIGS. 5A through 5D depict cross sectional schematic views of the procedure of the present invention showing tissue being manipulated within a hollow organ, the stomach. FIG. 5A depicts the esophagus (ES) the stomach cavity (SC), including the landmarks of the lesser curve of the stomach (LC), the gastroesophageal junction (GEJ), and the pylorus (PY). Tissue layers represented are the serosal layer (SL), the muscularis or fibrous muscular layer (ML), and the mucosal layer (MUC). Further, FIG. 5A shows the tissue acquisition device 105 positioned within the esophagus at a location within the stomach cavity (SC) between the lesser curve (LC) of the stomach and the GEJ.
  • [0031]
    The device 105, includes a main body 106 having at least one lumen therethrough (not shown), an outer portion 107, having a distal end 108 containing a fixation mechanism and a proximal end (not shown). The device 105 further comprises an inner portion 109, which has a distal portion 110 containing a fixation mechanism and a proximal portion (not shown) received therein. Once device 105 is positioned in the preferred anatomical location, outer portion distal end 108 and inner portion distal end 110 are separated by relative movement of inner portion 109 within outer portion 107, to expose opening 112. As described in further detail later below, opening 112 is operatively connected to at least one lumen within the main body 106 and provides a force, e.g., a vacuum force, to facilitate tissue acquisition. Such a force may be provided by a vacuum or by a mechanical element.
  • [0032]
    As shown in FIG. 5B, in the case of vacuum, once the opening 112 is exposed to the surrounding tissue within the stomach cavity (SC), the vacuum may be activated and tissue 111 may be drawn into the opening 112 in an entirely circumferential manner or a substantially circumferential manner, i.e., at least partially about the circumference of the device at some point less than 360 degrees (possibly in a 180 degree formation) relative to a longitudinal axis of the device. The amount of tissue 111 acquired can vary, but the amount drawn is preferably sufficient enough to result in healing of the fastened sections, thereby creating a tissue ring (TR) around the circumference of the fastened tissue. Said tissue ring may be formed of various layers of the stomach and may include scar tissue and other elements of effective wound healing.
  • [0033]
    FIG. 5C further depicts the device 105 after the desired amount of tissue 111 has been acquired, outer portion distal end 108 and inner portion distal end 110 may be moved towards one another such that the acquired tissue 111 is clamped therebetween. Device 105 is then actuated to engage at least one fastening element (not shown) through the acquired tissue 111 thereby fastening it in place in a circumferential fashion. This fastening step may also include a cutting step to score or otherwise abrade the acquired tissue 111 after it is fastened to enhance the healing response of the tissue 111 to increase the durability of the tissue ring. In addition, bulking agents, such as collagen, may be injected at the time the stoma is formed, or thereafter, to aid in healing and durability of the tissue. Once the tissue 111 has been fastened or fixed, the tissue acquisition device 105 is then removed. In doing so, the inner portion distal end 110 of the device may be carefully pulled through the newly-created tissue ring or stoma created by the procedure so as to minimize stretching of the ring or stoma. Finally, FIG. 5D depicts the stomach showing the final result and placement of a circumferential tissue ring (TR) or stoma (ST).
  • [0034]
    As depicted in FIG. 5E, it is also contemplated that the procedural steps described above may be followed by the placement of an optional bypass conduit 113 to create a bypass from the newly created pouch (P) directly to the pylorus (PY) or beyond into the small intestine. Such a bypass would channel food directly from the pouch (P) into the small intestines to achieve a malabsorptive effect in cases where such an effect may enhance weight loss. Such a bypass conduit 113 may be formed of any suitable biocompatible graft material such as polyester or PTFE, and may be secured to the newly created tissue ring (TR) or stoma (ST) endoscopically using a clip or stent like structure at the anchored end to produce an interference fit within the stoma. Alternatively, the bypass conduit could be placed over the acquisition device of the present invention, and secured by the same fastening elements, and at the same time as the formation of the stoma. In doing so, the end of the bypass graft to be anchored may be placed over the tissue acquisition device such that the end of the graft coincided with the tissue acquisition device opening 112, allowing it to be acquired into the device and fastened along with the surrounding tissue. Similarly, the bypass conduit may be anchored in the pylorus (PY) or intestine by similar methods, or may just be left unanchored in the intestine to allow for movement due to peristalsis of the intestinal wall.
  • [0035]
    FIGS. 6A-6D depict variations of the tissue rings and pouches created using the method, and variations thereof, described herein. FIGS. 6A and 6B depict the results of utilizing the procedure described above, showing a complete circumferential ring, in this variation, created just distal from the where the esophagus (ES) and the stomach join each other. FIG. 6B shows a cross section of the stomach and tissue ring (TR) and further depicts the resulting tissue folds 114 acquired by the device 105 and the fixation elements 115 deployed to fix the acquired tissue. This cross section further depicts a cut zone or abraded zone 116 as described above. FIGS. 6C and 6D depict another variation in which fixation of the acquired tissue in a position centered between the lesser curve of the stomach (LC) and the greater curve (GC) in such a manner that multiple lumens 117, 118 result as shown in FIG. 6D. Although only two additional lumens 117, 118 are shown in this variation, a number of lumens may be created in other variations depending upon the number of times and positions the tissue is affixed.
  • [0036]
    One method of the present invention is to use the device 105, or a variation thereof, to modify or otherwise assist in other procedures that utilize stomach or organ plication such as those described in co-pending U.S. patent application Ser. No. 10/188,547 earlier incorporated herein by reference, which describes, in part, in further detail methods and devices for stapling regions of the stomach in a linear fashion. In cases where a zone of the stomach is linearly stapled, the device 105 may be employed to create circular stomas at either end of the linear staple line so as to enhance the efficacy of a volume reduction procedure or to enhance durability of the staple line. It may also be advantageous to place semi-circular or partially circumferential fixation zones at various locations within the target hollow organ. The devices and methods described herein are particularly well-suited for this because of their ability to “gather” the tissue and create a circumferential restriction that acts to limit the flow of matter, such as food, through the organ.
  • [0000]
    Devices
  • [0037]
    FIG. 7 depicts a cross-sectioned view of one variation of tissue acquisition device 120. As shown, device 120 has a main body portion 123 which has a proximal end, a distal end, and a main lumen 121 defined therethrough. Device 120 also has a grip portion 122′ and an opposing handle portion 122 which may be pivotally attached to main body portion 123 such that handle portion 122 is angularly positionable relative to grip portion 122′. Main body portion 123 may further define one or more circumferentially defined lumens along its length such that these lumens terminate at the distal end of body portion 123 at outer distal portion 124. Main body portion 123 further houses main body inner portion 125, which may be an elongate tubular member configured to be slidably positioned within main body lumen 121 defined through the length of main body portion 123. At the distal end of inner portion 125, an inner body distal portion 126 may be attached thereto. This distal portion 126 may be integrally formed onto inner portion 125 or attached separately and may be used as a clamping member to facilitate the mechanical retention of tissue invaginated into the device 120. Distal portion 126 may also function as an anvil for reconfiguring fastening members inserted into the tissue, as further described below. The proximal end of inner portion 125 may terminate proximally of main body portion 123 in a fluid port 127, which may be utilized for fluid connection to, e.g., a vacuum pump (not shown). Alternatively, distal portion 126 may function as the staple housing and outer distal portion 124 may function as the opposing anvil. In this variation, the fasteners, as positioned within distal portion 126, may be deployed through inner face 128 into the tissue using an actuation device, as known in the art.
  • [0038]
    Inner body distal portion 126 may further comprises an inner face 128 which may define an anvil or fastener element detent 129. Where inner portion 125 joins with distal portion 126, one or more distal ports 132 may be defined which are in fluid communication through inner portion 125 with fluid port 127. To actuate device 120, handle portion 122 may be urged to pivot relative to grip portion 122′. Slider pins 130 may be fixedly attached to main body inner portion 125 and configured to extend perpendicularly relative to inner portion 125, as shown in FIG. 7B. Pins 130 may be operatively connected with handle 122 such that rotation or movement of handle 122 is translated into the linear motion of inner portion 125. Pins 130 may be positioned within slot 131 which are defined longitudinally within main body portion 123. Slots 131 may be configured to allow limited translational movement of pins 130 thereby limiting the overall translational distance traveled by inner portion 125.
  • [0039]
    Actuation of handle 122 in a first direction may urge pins 130 to slide within slots 131 a first direction, e.g., distally, thereby moving inner portion 125 distally, and actuation of handle 122 in a second direction may urge pins 130 to slide in a second direction, e.g., proximally, thereby moving inner portion 125 proximally. Main body inner portion 125 may be actuated to linearly move inner body distal portion 126 relative to outer distal portion 124 to a desired distance between the two. When the two portions 124, 126 are moved into apposition to one another, a circumferential tissue acquisition chamber or space 200 may be created about or defined between the outer surface of inner portion 125, inner distal portion 126, and outer distal portion 124. Space 200 may be in fluid communication with distal port 132 and/or optionally through main body lumen 121. In operation, a vacuum force may be applied through distal port 132 and/or main body lumen 121 to invaginate or draw tissue into space 200 such that the tissue is held or configured to then receive at least one fastening element to affix the tissue configuration.
  • [0040]
    Main body portion 123 may further house driver element 133 within circumferentially-shaped fastener lumen 134. Driver element 133 may be a tubularly shaped member which is configured to traverse longitudinally within fastener lumen 134. Disposed distally of driver element 133 within fastener lumen 134 are fasteners 135 and fastener pusher mechanism 136. Fasteners 135 may comprise any variety of staples or mechanical fasteners which are made from a biocompatible material, e.g., stainless steel, platinum, titanium, etc., and fastener retention mechanism 136 may also comprise any variety of staple retainer which is configured to hold fasteners 135 within fastener lumen 134 until fasteners 135 have been pushed or urged out of the lumen 134 and into the tissue. The proximal end of driver element 133 abuts driver actuator 137 in handle portion 122. Handle portion 122 may define a threaded cavity 138 at its proximal end which is configured to correspondingly receive and is in operative communication with driver actuator 137, which may also define a threaded insertion surface for mating with threaded cavity 138. In operation, upon tissue acquisition within circumferential space 200 and approximation of main body inner distal portion 126 and main body outer distal portion 124, driver actuator 137 may be rotated in a first direction so as to matingly engage the threads of handle portion threaded cavity 138 and thereby engage the proximal end of driver element 133 to cause driver element 133 to move distally. As driver element 133 is advanced longitudinally in a corresponding manner as driver actuator 137 is rotated, the distal end of driver element 133 may contact fastener pusher mechanism 136 and actuating fastener 135 to distally advance and deploy fastener 135 into any acquired tissue.
  • [0041]
    Main body portion 123 may be bendable as depicted in FIG. 7C. As shown, the device 201 may be seen in one configuration in which main body portion 123 may be configured in an infinite number of different configurations for negotiating pathways within a body. This particular variation 201 shows handle grip 202 having an opposing actuation handle 203 for actuating movement of inner body distal portion 126. Also shown is an optional scope lumen 204 in the handle 202 which may be used for visualizing the tissue region being treated during deployment or actual treatment. The flexibility of the main body portion 123 may be imparted, in part, by the use of, e.g., linking multiple rings 211, as shown in the isometric view in FIG. 7D. A portion 210 of the main body 123 is shown with the covering, control mechanisms, etc., omitted for clarity. Although this variation shows the use of stacked multiple rings, other variations may also be used as known in the art for flexible and/or articulatable elongate devices, e.g., endoscopes, etc. A plurality of individual rings 211 may be aligned with one another to create a length of the main body portion 123. Any number of rings 211 may be used depending upon the overall desired length of the device or the desired length of a flexible portion of the device. Each of the rings 211 may have at least one main channel or lumen 212, which when individual rings 211 are aligned as a whole, create a main channel throughout the length of the device. Each of the rings 213 may also have a number of spacers or protrusions 213 defined on or around the circumference of the device for creating pivotable sections for facilitating relative motion between adjacent rings 211, as known in the art. Although the rings 211 are shown with two oppositely positioned protrusions 213, any number of protrusions 213 may be used as practicable depending upon the degree of relative motion desired between adjacent rings 211. Alternatively, device main body 123 may be constructed in part of, e.g., a coil spring, to achieve a similar functional result. Coil springs may be made of superelastic materials, e.g., nitinol, or spring steels made, e.g, from stainless steels. The main body 123 or main body segments may be constructed of various biocompatible materials, such as stainless steel, Delrin or other engineering thermoplastics, etc.
  • [0042]
    FIG. 7E depicts a single ring 211 having the main lumen 212 defined therethrough. Main lumen 212 may be modified and enlarged to provide a channel having a large enough diameter to receive a conventional endoscope for possible use with the present device. One example of such a device may have a lumen diameter of, e.g., 10 mm, with an outer diameter of, e.g., 18 mm. One or more of such lumens may be created within the annular section 211 to enable linkage of each section 211 to one another by one or several cables or flexible wires (not shown) adapted to be positioned through the lumens. These wires or cables may be routed through the length of the device and fixed at the proximal end of the main body portion 123.
  • [0043]
    As shown in FIG. 7F, an optional sheath or thin film 221 may be placed over the device or at least along a portion 210 of the device to encapsulate the linkages and create a smooth shaft surface, while still maintaining its flexibility. The sheath or thin film 221 may be made of a variety of biocompatible materials, e.g., heatshrink polymers, plastics, etc.
  • [0044]
    FIG. 8 depicts another variation on the distal end of a tissue acquisition device. The inner distal portion 230 is shown defining an inner face 231 and device outer distal portion 232 having an inner face 233. The inner distal portion inner face 231 and the outer distal portion inner face 233 may be formed to face one another in apposition and both faces 231, 233 may each be formed at an angle (A) relative to a longitudinal axis of the device main body 123. The angle (A) may range anywhere from 0-90 degrees, but is preferably in the range of 15-45 degrees, depending on the desired angle of the resulting tissue fixation zone. This variation may be used to allow the operator to position the tissue acquisition device perpendicularly to a surface of the organ to be treated (for ease of use) while acquiring and fixing the tissue at an angle relative to the tissue surface. In doing so, the operator may fashion the resulting fixation zone to more closely approximate a curvature of the organ, such as the curvature between the GEJ and the LC of the stomach. FIG. 9 depicts a further variation 240 of the tissue acquisition device in which fenestrations or ports 241 may be defined over the surface of the device inner distal portion 242. Additional fenestrations or ports 243 may be defined over a portion of the device outer distal portion 232, and additional fenestrations or ports 244 may also be defined over a surface of body inner portion 245. These additional ports may allow this variation 240 to acquire tissue along a length of the distal end of the tissue acquisition device 240 at multiple locations therealong. In practice, this method of tissue acquisition may allow the operator some freedom to manipulate the acquired tissue by the relative movement of device inner distal portion 242 and the device outer distal portion 232. This technique can also assist in positioning the tissue to be fixed, and/or assuring that the required amount of tissue (e.g. some muscular layers of the organ wall), have been uniformly acquired prior to fixation.
  • [0045]
    Following fixation, the tissue acquisition device of the present invention is withdrawn from the organ. In doing so, care should be used not to over-dilate or stretch the newly created tissue ring or stoma. To mitigate any dilation or stretching, the inner distal portion may also be modified. FIGS. 10A and 10B depict variations 250, 260 of the tissue acquisition inner distal portion that are adaptable to effectively reduce in cross sectional area to allow for easier removal of the tissue acquisition device from the organ once the circumferential fixation zone has been created. FIG. 10A depicts tissue acquisition device inner distal end 251 which is pivotally mounted on main body inner portion 253 about pin 252. Activation of the pivoting action may be controlled by release of an interface between pin 252 and a stay (not shown) housed within main body inner portion to activate rotation of inner distal end 251, e.g., in a direction 256. The inner distal end 251 may be rotated by any angle such the inner face 254 is angled or parallel relative to the longitudinal axis 255 of the device.
  • [0046]
    FIG. 10B depicts another variation 260 on tissue acquisition inner portion distal end which may have a segmented configuration. In this variation 260, the inner portion distal end may be made of a plurality of individual segments 262 which when collapsed, reduces the diameter of inner portion distal end to facilitate removal. Thus, during tissue acquisition and/or fixation, the expanded inner distal portion 264 may be utilized and after the procedure, it may then be compressed radially 265 about a pivot 263 to reduce the cross-sectional profile for removal from the area.
  • [0047]
    The steps of performing the method of organ division or reduction (transoral stomach reduction) are used to illustrate in detail the method and devices 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, or in procedures in the bladder (treatment for incontinence by reinforcing the bladder sphincter) or uterus, etc. 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 variations.

Claims (15)

  1. 1-29. (canceled)
  2. 30. A tissue approximation and fixation apparatus, comprising:
    an elongate outer tubular member defining at least a first lumen therethrough;
    an elongate inner tubular member defining at least a second lumen therethrough and slidingly disposed throughout the first lumen such that a distal portion of the inner tubular member extends partially beyond a distal end of the outer tubular member;
    a fastening device attached to the distal end of the inner tubular member, wherein the fastening device defines a circumferential receiving surface about the inner tubular member, and wherein the fastening device further defines at least one port in fluid communication with the second lumen of the inner tubular member,
    wherein an enclosable channel is defined about the distal portion of the inner tubular member when the receiving surface of the fastening device is positioned adjacently to the distal end of the outer tubular member.
  3. 31. The apparatus of claim 30 further comprising a vacuum pump in fluid communication with the fastening device through the second lumen.
  4. 32. The apparatus of claim 30 wherein the inner tubular member is positioned concentrically within the outer tubular member.
  5. 33. The apparatus of claim 30 wherein the inner tubular member has a translational travel distance limited by pins defined along the inner tubular member.
  6. 34. The apparatus of claim 30 wherein the distal portion defines the at least one port in fluid communication with the second lumen.
  7. 35. The apparatus of claim 34 wherein the distal portion defines a plurality of additional ports.
  8. 36. The apparatus of claim 30 wherein the distal portion is rotatable about a pivot relative to a longitudinal axis of the inner tubular member.
  9. 37. The apparatus of claim 36 wherein the distal portion is rotatable up to 90°,
  10. 38. The apparatus of claim 30 wherein the distal portion is adapted to collapse about a longitudinal axis of the inner tubular member such that a diameter of the distal portion is reduced.
  11. 39. The apparatus of claim 30 wherein the circumferential receiving surface is angled relative to a longitudinal axis of the inner tubular member.
  12. 40. The apparatus of claim 30 further comprising a tubular drive element slidably disposed within the outer tubular member, the tubular driver element comprising a proximal end in communication with a driver actuator and a distal end.
  13. 41. The apparatus of claim 40 further comprising at least one fastener disposed within the outer tubular member, wherein the fastener is adapted to be urged distally by the distal end of the driver element.
  14. 42. The apparatus of claim 41 further comprising a plurality of additional fasteners circumferentially disposed within the outer tubular member.
  15. 43-49. (canceled)
US10975627 2002-10-23 2004-10-28 Method and device for use in endoscopic organ procedures Abandoned US20050101977A1 (en)

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US10975627 US20050101977A1 (en) 2002-10-23 2004-10-28 Method and device for use in endoscopic organ procedures

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Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20040092892A1 (en) * 2002-11-01 2004-05-13 Jonathan Kagan Apparatus and methods for treatment of morbid obesity
US20050049718A1 (en) * 2002-11-01 2005-03-03 Valentx, Inc. Gastrointestinal sleeve device and methods for treatment of morbid obesity
US20050201759A1 (en) * 2004-02-12 2005-09-15 Wenshen Wang Photonic RF distribution system
US20060015125A1 (en) * 2004-05-07 2006-01-19 Paul Swain Devices and methods for gastric surgery
US20060020247A1 (en) * 2002-11-01 2006-01-26 Jonathan Kagan Devices and methods for attaching an endolumenal gastrointestinal implant
US20070010794A1 (en) * 2002-11-01 2007-01-11 Mitchell Dann Devices and methods for endolumenal gastrointestinal bypass
US20080167629A1 (en) * 2006-09-25 2008-07-10 Valentx, Inc. Methods for toposcopic sleeve delivery
US20090012553A1 (en) * 2007-06-08 2009-01-08 Valentx, Inc. Methods and devices for intragastric support of functional or prosthetic gastrointestinal devices
US20090012544A1 (en) * 2007-06-08 2009-01-08 Valen Tx, Inc. Gastrointestinal bypass sleeve as an adjunct to bariatric surgery
US7881797B2 (en) 2006-04-25 2011-02-01 Valentx, Inc. Methods and devices for gastrointestinal stimulation
US8954165B2 (en) 2012-01-25 2015-02-10 Nevro Corporation Lead anchors and associated systems and methods
US8956318B2 (en) 2012-05-31 2015-02-17 Valentx, Inc. Devices and methods for gastrointestinal bypass
US8992547B2 (en) 2012-03-21 2015-03-31 Ethicon Endo-Surgery, Inc. Methods and devices for creating tissue plications
US9113879B2 (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
US9265935B2 (en) 2013-06-28 2016-02-23 Nevro Corporation Neurological stimulation lead anchors and associated systems and methods
US9451960B2 (en) 2012-05-31 2016-09-27 Valentx, Inc. Devices and methods for gastrointestinal bypass
US9675489B2 (en) 2012-05-31 2017-06-13 Valentx, Inc. Devices and methods for gastrointestinal bypass
US9757264B2 (en) 2013-03-13 2017-09-12 Valentx, Inc. Devices and methods for gastrointestinal bypass

Families Citing this family (199)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020019642A1 (en) * 1996-07-23 2002-02-14 Keith Milliman Anastomosis instrument and method for performing same
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
US6821285B2 (en) * 1999-06-22 2004-11-23 Ndo Surgical, Inc. Tissue reconfiguration
US7846180B2 (en) * 1999-06-22 2010-12-07 Ethicon Endo-Surgery, Inc. Tissue fixation devices and methods of fixing tissue
US6835200B2 (en) 1999-06-22 2004-12-28 Ndo Surgical. Inc. Method and devices for tissue reconfiguration
US8574243B2 (en) 1999-06-25 2013-11-05 Usgi Medical, Inc. Apparatus and methods for forming and securing gastrointestinal tissue folds
US7955340B2 (en) 1999-06-25 2011-06-07 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
DE60127236T2 (en) * 2000-01-18 2007-11-22 Tyco Healthcare Group Lp, Norwalk Instrument for anastomosis
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
US9522217B2 (en) 2000-03-15 2016-12-20 Orbusneich Medical, Inc. Medical device with coating for capturing genetically-altered cells and methods for using same
US8088060B2 (en) 2000-03-15 2012-01-03 Orbusneich Medical, Inc. Progenitor endothelial cell capturing with a drug eluting implantable medical device
WO2002013854A1 (en) * 2000-08-11 2002-02-21 Temple University Of The Commonwealth System Of Higher Education Obesity controlling method
US7737109B2 (en) * 2000-08-11 2010-06-15 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
DE60229263D1 (en) * 2001-05-17 2008-11-20 Wilson Cook Medical Inc Intragastric device for treating obesity
US6558400B2 (en) 2001-05-30 2003-05-06 Satiety, Inc. Obesity treatment tools and methods
US6923819B2 (en) 2001-06-14 2005-08-02 Suturtek Incorporated Apparatus and method for surgical suturing with thread management
US6845776B2 (en) 2001-08-27 2005-01-25 Richard S. Stack Satiation devices and methods
CN101810521B (en) 2001-08-27 2015-05-13 辛尼科有限责任公司 Satiation devices and methods
US6675809B2 (en) 2001-08-27 2004-01-13 Richard S. Stack Satiation devices and methods
US7146984B2 (en) * 2002-04-08 2006-12-12 Synecor, Llc Method and apparatus for modifying the exit orifice of a satiation pouch
US7070083B2 (en) * 2002-04-11 2006-07-04 Tyco Healthcare Group Lp Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces
US7195142B2 (en) * 2003-05-30 2007-03-27 Tyco Healthcare Group Lp End-to-end anastomosis instrument and method for performing same
US6769594B2 (en) * 2002-05-31 2004-08-03 Tyco Healthcare Group, Lp End-to-end anastomosis instrument and method for performing same
US6746460B2 (en) 2002-08-07 2004-06-08 Satiety, Inc. Intra-gastric fastening devices
US7211114B2 (en) * 2002-08-26 2007-05-01 The Trustees Of Columbia University In The City Of New York Endoscopic gastric bypass
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
US7033384B2 (en) 2002-08-30 2006-04-25 Satiety, Inc. Stented anchoring of gastric space-occupying devices
US20040158125A1 (en) 2002-09-06 2004-08-12 Aznoian Harold M. Integrated endoscope and accessory treatment device
US7220237B2 (en) * 2002-10-23 2007-05-22 Satiety, Inc. Method and device for use in endoscopic organ procedures
US20090149871A9 (en) * 2002-11-01 2009-06-11 Jonathan Kagan Devices and methods for treating morbid obesity
US7037344B2 (en) * 2002-11-01 2006-05-02 Valentx, Inc. Apparatus and methods for treatment of morbid obesity
CA2512203C (en) 2002-12-02 2012-10-23 Gi Dynamics, Inc. Bariatric sleeve
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
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
US7416554B2 (en) 2002-12-11 2008-08-26 Usgi Medical Inc Apparatus and methods for forming and securing gastrointestinal tissue folds
US7618426B2 (en) 2002-12-11 2009-11-17 Usgi Medical, Inc. Apparatus and methods for forming gastrointestinal tissue approximations
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
US7637905B2 (en) 2003-01-15 2009-12-29 Usgi Medical, Inc. Endoluminal tool deployment system
US20040143342A1 (en) 2003-01-16 2004-07-22 Stack Richard S. Satiation pouches and methods of use
US7097665B2 (en) 2003-01-16 2006-08-29 Synecor, Llc Positioning tools and methods for implanting medical devices
US20040220682A1 (en) * 2003-03-28 2004-11-04 Gi Dynamics, Inc. Anti-obesity devices
EP1610719B1 (en) * 2003-03-28 2010-01-13 GI Dynamics, Inc. Sleeve for delayed introduction of enzymes into the intestine
US7175638B2 (en) 2003-04-16 2007-02-13 Satiety, Inc. Method and devices for modifying the function of a body organ
US7452363B2 (en) * 2003-09-30 2008-11-18 Ethicon Endo-Surgery, Inc. Applier for fastener for single lumen access anastomosis
US8211142B2 (en) * 2003-09-30 2012-07-03 Ortiz Mark S Method for hybrid gastro-jejunostomy
US20050247320A1 (en) 2003-10-10 2005-11-10 Stack Richard S Devices and methods for retaining a gastro-esophageal implant
US8206456B2 (en) * 2003-10-10 2012-06-26 Barosense, Inc. Restrictive and/or obstructive implant system for inducing weight loss
US7097650B2 (en) 2003-10-14 2006-08-29 Satiety, Inc. System for tissue approximation and fixation
US7914543B2 (en) 2003-10-14 2011-03-29 Satiety, Inc. Single fold device for tissue fixation
US20050085787A1 (en) * 2003-10-17 2005-04-21 Laufer Michael D. Minimally invasive gastrointestinal bypass
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
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
US8449560B2 (en) 2004-03-09 2013-05-28 Satiety, Inc. Devices and methods for placement of partitions within a hollow body organ
US8252009B2 (en) 2004-03-09 2012-08-28 Ethicon Endo-Surgery, Inc. Devices and methods for placement of partitions within a hollow body organ
US7703459B2 (en) 2004-03-09 2010-04-27 Usgi Medical, Inc. Apparatus and methods for mapping out endoluminal gastrointestinal surgery
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
EP1750627A2 (en) 2004-03-26 2007-02-14 Satiety, Inc. Systems and methods for treating obesity
WO2005105003A1 (en) 2004-04-26 2005-11-10 Synecor, Llc 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
US8216252B2 (en) 2004-05-07 2012-07-10 Usgi Medical, Inc. Tissue manipulation and securement system
US7918869B2 (en) * 2004-05-07 2011-04-05 Usgi Medical, Inc. Methods and apparatus for performing endoluminal gastroplasty
US7736374B2 (en) 2004-05-07 2010-06-15 Usgi Medical, Inc. Tissue manipulation and securement system
US7347863B2 (en) 2004-05-07 2008-03-25 Usgi Medical, Inc. Apparatus and methods for manipulating and securing tissue
US7621925B2 (en) 2004-05-07 2009-11-24 Usgi Medical, Inc. Needle assembly for tissue manipulation
US7361180B2 (en) 2004-05-07 2008-04-22 Usgi Medical, Inc. Apparatus for manipulating and securing tissue
US7520884B2 (en) * 2004-05-07 2009-04-21 Usgi Medical Inc. Methods for performing gastroplasty
US8444657B2 (en) 2004-05-07 2013-05-21 Usgi Medical, Inc. Apparatus and methods for rapid deployment of tissue anchors
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
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
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
US8123764B2 (en) * 2004-09-20 2012-02-28 Endoevolution, Llc Apparatus and method for minimally invasive suturing
EP1791476B1 (en) * 2004-09-20 2015-12-23 Endoevolution, Llc Apparatus for minimally invasive suturing
US20060106288A1 (en) 2004-11-17 2006-05-18 Roth Alex T Remote tissue retraction device
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
US7674271B2 (en) * 2005-05-04 2010-03-09 InTailor Surgical, Inc. Endoluminal gastric ring and method
US20060282107A1 (en) * 2005-05-09 2006-12-14 Kiyoshi Hashiba Intragastric device for treating obesity
US7691053B2 (en) * 2005-05-20 2010-04-06 Tyco Healthcare Group Lp Gastric restrictor assembly and method of use
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
US8298291B2 (en) 2005-05-26 2012-10-30 Usgi Medical, Inc. Methods and apparatus for securing and deploying tissue anchors
US9585651B2 (en) 2005-05-26 2017-03-07 Usgi Medical, Inc. Methods and apparatus for securing and deploying tissue anchors
US7976488B2 (en) 2005-06-08 2011-07-12 Gi Dynamics, Inc. Gastrointestinal anchor compliance
JP2008545508A (en) 2005-06-10 2008-12-18 ウィルソン−クック・メディカル・インコーポレーテッドWilson−Cook Medical Incorporated Ablation catheter
US9545191B2 (en) * 2005-06-13 2017-01-17 Ethicon Endo-Surgery, Inc. Method for suture lacing
US7828812B2 (en) * 2005-06-13 2010-11-09 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus with needle release system
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
US7766925B2 (en) * 2005-06-13 2010-08-03 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus
US8641728B2 (en) * 2005-06-13 2014-02-04 Ethicon Endo-Surgery, Inc. Attachment apparatus for coupling with an endoscope
US7628796B2 (en) * 2005-06-13 2009-12-08 Ethicon Endo-Surgery, Inc. Surgical suturing apparatus with anti-backup system
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
US20070021759A1 (en) * 2005-07-22 2007-01-25 Ethicon Endo-Surgery, Inc. Flexible endoscopic anastomotic ring applier device
US8252006B2 (en) * 2005-08-05 2012-08-28 Ethicon Endo-Surgery, Inc. Single pass gastric restriction with a corkscrew style wall anchor
US7896894B2 (en) * 2005-08-05 2011-03-01 Ethicon Endo-Surgery, Inc. Apparatus for single pass gastric restriction
US8029535B2 (en) * 2005-08-05 2011-10-04 Ethicon Endo-Surgery, Inc. Fasteners for use with gastric restriction
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
US8147506B2 (en) 2005-08-05 2012-04-03 Ethicon Endo-Surgery, Inc. Method and clamp for gastric reduction surgery
US8029522B2 (en) * 2005-08-05 2011-10-04 Ethicon Endo-Surgery, Inc. Method and apparatus for sealing a gastric opening
US7779845B2 (en) * 2005-08-05 2010-08-24 Ethicon Endo-Surgery, Inc. Method and apparatus for endoscopically performing gastric reduction surgery
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
WO2007030829A3 (en) * 2005-09-09 2007-07-12 Biomedix S A Medical device and method for controlling obesity
US9055942B2 (en) 2005-10-03 2015-06-16 Boston Scienctific Scimed, Inc. Endoscopic plication devices and methods
US20090125040A1 (en) * 2006-09-13 2009-05-14 Hambly Pablo R Tissue acquisition devices and methods
US7798992B2 (en) * 2005-11-04 2010-09-21 Ethicon Endo-Surgery, Inc. Lumen traversing device
US20080215076A1 (en) * 2005-11-14 2008-09-04 Sentinel Group, Llc Gastro-intestinal therapeutic device and method
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
US20070142850A1 (en) * 2005-12-15 2007-06-21 David Fowler Compression anastomosis device
US8216268B2 (en) * 2005-12-22 2012-07-10 Cook Medical Technologies Llc Intragastric bag for treating obesity
CA2634614C (en) * 2005-12-22 2011-07-26 Wilson-Cook Medical Inc. Coiled intragastric member for treating obesity
US8726909B2 (en) 2006-01-27 2014-05-20 Usgi Medical, Inc. Methods and apparatus for revision of obesity procedures
CA2640148C (en) * 2006-01-27 2014-09-09 Suturtek Incorporated Apparatus and method for tissue closure
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
US20080228126A1 (en) * 2006-03-23 2008-09-18 The Trustees Of Columbia University In The City Of New York Method of inhibiting disruption of the healing process in a physically modified stomach
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
US7862582B2 (en) * 2006-05-02 2011-01-04 Ethicon Endo-Surgery, Inc. Suture management
CA2650287C (en) * 2006-05-03 2015-11-17 Indiana University Research & Technology Corporation Methods and apparatuses for reshaping the esophagus and other body lumens
US20070276409A1 (en) * 2006-05-25 2007-11-29 Ethicon Endo-Surgery, Inc. Endoscopic gastric restriction methods and devices
US7635373B2 (en) * 2006-05-25 2009-12-22 Ethicon Endo-Surgery, Inc. Absorbable gastric restriction devices and methods
US7819836B2 (en) * 2006-06-23 2010-10-26 Gi Dynamics, Inc. Resistive anti-obesity devices
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
US20080058840A1 (en) * 2006-09-01 2008-03-06 Albrecht Thomas E Implantable coil for insertion into a hollow body organ
EP2572673B1 (en) 2006-09-02 2015-08-19 Boston Scientific Scimed, Inc. Intestinal sleeves and associated deployment systems and methods
WO2008033474A3 (en) 2006-09-15 2008-05-22 Synecor Llc System for anchoring stomach implant
US20080172074A1 (en) * 2007-01-16 2008-07-17 Endogastric Solutions, Inc. Transesophageal gastric reduction method and device for practicing same
US8920305B2 (en) 2007-01-19 2014-12-30 Advanced Bariatric Technology, Llc Vertically oriented band for stomach
WO2008097586A3 (en) * 2007-02-06 2008-12-24 Univ Ohio State Res Found Endolumenal restriction method and apparatus
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
ES2359354T3 (en) 2007-03-07 2011-05-20 Covidien Ag Tacker mucosectomy.
US8852216B2 (en) 2007-03-23 2014-10-07 Ethicon Endo-Surgery, Inc. Tissue approximation methods
US8007507B2 (en) * 2007-05-10 2011-08-30 Cook Medical Technologies Llc Intragastric bag apparatus and method of delivery for treating obesity
US20080294179A1 (en) * 2007-05-12 2008-11-27 Balbierz Daniel J Devices and methods for stomach partitioning
US20090012356A1 (en) * 2007-06-11 2009-01-08 Valen Tx, Inc. Endoscopic delivery devices and methods
US8435203B2 (en) * 2007-06-20 2013-05-07 Covidien Lp Gastric restrictor assembly and method of use
WO2009005625A1 (en) * 2007-07-03 2009-01-08 Synecor, Llc Satiation devices and methods for controlling obesity
US20090030284A1 (en) * 2007-07-18 2009-01-29 David Cole Overtube introducer for use in endoscopic bariatric surgery
CA2696993C (en) 2007-07-18 2017-01-03 Samuel T. Crews Endoscopic implant system and method
US20090149879A1 (en) * 2007-12-10 2009-06-11 Dillon Travis E Dynamic volume displacement weight loss device
US7883524B2 (en) * 2007-12-21 2011-02-08 Wilson-Cook Medical Inc. Method of delivering an intragastric device for treating obesity
US8016851B2 (en) * 2007-12-27 2011-09-13 Cook Medical Technologies Llc Delivery system and method of delivery for treating obesity
US20090171383A1 (en) 2007-12-31 2009-07-02 David Cole Gastric space occupier systems and methods of use
EP2257227A4 (en) * 2008-03-14 2014-03-26 Safestitch Medical Inc Hernia stapler with integrated mesh manipulator
US8870049B2 (en) * 2008-03-14 2014-10-28 Transenterix, Inc. Hernia stapler
US8020741B2 (en) * 2008-03-18 2011-09-20 Barosense, Inc. Endoscopic stapling devices and methods
WO2009126744A3 (en) * 2008-04-08 2009-12-03 John Mark Provenza Apparatus and method for gastric reduction
US8236022B2 (en) 2008-06-27 2012-08-07 Ethicon Endo-Surgery, Inc. Implantable device for the treatment of obesity
US7976555B2 (en) 2008-07-17 2011-07-12 Endoevolution, Llc Apparatus and method for minimally invasive suturing
US7934631B2 (en) 2008-11-10 2011-05-03 Barosense, Inc. Multi-fire stapling systems and methods for delivering arrays of staples
US8357081B2 (en) * 2008-12-05 2013-01-22 Onciomed, Inc. Method and apparatus for gastric restriction of the stomach to treat obesity
US8911346B2 (en) * 2008-12-05 2014-12-16 Onclomed, Inc. Gastric restriction devices with fillable chambers and ablation means for treating 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
EP2413849B1 (en) 2009-04-03 2014-07-02 Metamodix, Inc. Modular gastrointestinal prostheses
US9278019B2 (en) 2009-04-03 2016-03-08 Metamodix, Inc Anchors and methods for intestinal bypass sleeves
US8702641B2 (en) 2009-04-03 2014-04-22 Metamodix, Inc. Gastrointestinal prostheses having partial bypass configurations
US9173760B2 (en) 2009-04-03 2015-11-03 Metamodix, Inc. Delivery devices and methods for gastrointestinal implants
US20100276469A1 (en) * 2009-05-01 2010-11-04 Barosense, Inc. Plication tagging device and method
US8961539B2 (en) * 2009-05-04 2015-02-24 Boston Scientific Scimed, Inc. Endoscopic implant system and method
WO2011006098A3 (en) 2009-07-10 2011-03-10 Metamodix, Inc. External anchoring configurations for modular gastrointestinal prostheses
US8328062B2 (en) * 2009-07-21 2012-12-11 Covidien Lp Surgical instrument with curvilinear tissue-contacting surfaces
US8413872B2 (en) 2009-10-28 2013-04-09 Covidien Lp Surgical fastening apparatus
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
US8529585B2 (en) 2010-01-29 2013-09-10 Advanced Bariatric Technology, Llc Surgical clamp and surgical clamp installation tool
US8328061B2 (en) 2010-02-02 2012-12-11 Covidien Lp Surgical instrument for joining tissue
US9320509B2 (en) 2010-08-24 2016-04-26 Emory University Suturing devices, systems and methods of using the same
US9775600B2 (en) 2010-10-01 2017-10-03 Endoevolution, Llc Devices and methods for minimally invasive suturing
US7993354B1 (en) 2010-10-01 2011-08-09 Endoevolution, Llc Devices and methods for minimally invasive suturing
US20120123463A1 (en) * 2010-11-11 2012-05-17 Moises Jacobs Mechanically-guided transoral bougie
WO2012158919A3 (en) * 2011-05-18 2013-02-21 Thoratec Corporation Coring knife
US8956377B2 (en) * 2011-06-15 2015-02-17 Empire Technology Development Llc Punch tool
US9265514B2 (en) 2012-04-17 2016-02-23 Miteas Ltd. Manipulator for grasping tissue
US9456917B2 (en) 2013-08-28 2016-10-04 Ethicon Endo-Surgery, Inc. Endoscopic transoral duodenal sleeve applier
US9622897B1 (en) 2016-03-03 2017-04-18 Metamodix, Inc. Pyloric anchors and methods for intestinal bypass sleeves
CN106308866B (en) * 2016-09-29 2018-02-13 浙江大学 Uniaxial compression can absorb bowel anastomosis device

Citations (95)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2108206A (en) * 1937-03-09 1938-02-15 Lillian Pearl Mecker Tenaculum
US3372443A (en) * 1967-02-16 1968-03-12 Scovill Manufacturing Co Magnetic fastening means
US4133315A (en) * 1976-12-27 1979-01-09 Berman Edward J Method and apparatus for reducing obesity
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
US4258705A (en) * 1978-09-15 1981-03-31 Coloplast A/S Magnetic system for use in sealing body openings
US4501264A (en) * 1978-06-02 1985-02-26 Rockey Arthur G Medical sleeve
US4636205A (en) * 1983-10-13 1987-01-13 Craig Medical Products Limited Ostomy bag magnetic coupling
US4643169A (en) * 1983-11-02 1987-02-17 Walter Koss Device for selectively opening and closing tubular organs of the body
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
US5301658A (en) * 1992-04-27 1994-04-12 Loma Linda University Medical Center Membrane endoscopic retractor
US5382231A (en) * 1993-02-02 1995-01-17 Shlain; Leonard M. Method for transesophageal retraction of the stomach
US5395030A (en) * 1992-06-04 1995-03-07 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
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
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
US5855312A (en) * 1996-07-25 1999-01-05 Toledano; Haviv Flexible annular stapler for closed surgery of hollow organs
US5860581A (en) * 1994-03-24 1999-01-19 United States Surgical Corporation Anvil for circular stapler
US5868141A (en) * 1997-05-14 1999-02-09 Ellias; Yakub A. Endoscopic stomach insert for treating obesity and method for use
US5868760A (en) * 1994-12-07 1999-02-09 Mcguckin, Jr.; James F. Method and apparatus for endolumenally resectioning tissue
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
US5888196A (en) * 1990-03-02 1999-03-30 General Surgical Innovations, Inc. Mechanically expandable arthroscopic retractors
US5887594A (en) * 1997-09-22 1999-03-30 Beth Israel Deaconess Medical Center Inc. Methods and devices for gastroesophageal reflux reduction
US5897534A (en) * 1996-08-29 1999-04-27 Team Medical, Llc Body fluids and solids drainage system
US5897562A (en) * 1994-10-02 1999-04-27 United States Surgical Corporation Non-invasive apparatus for treatment of gastroesophageal reflux disease
US6015378A (en) * 1995-09-20 2000-01-18 Medtronic, Inc. Method and apparatus for temporarily immobilizing a local area tissue
US6030392A (en) * 1995-01-18 2000-02-29 Motorola, Inc. Connector for hollow anatomical structures and methods of use
US6030364A (en) * 1997-10-03 2000-02-29 Boston Scientific Corporation Apparatus and method for percutaneous placement of gastro-intestinal tubes
US6042538A (en) * 1998-11-18 2000-03-28 Emory University Device for endoscopic vessel harvesting
US6044847A (en) * 1998-06-23 2000-04-04 Surx, Inc. Tuck and fold fascia shortening for incontinence
US6179195B1 (en) * 1998-06-19 2001-01-30 Scimed Life Systems, Inc. Method and device for full thickness resectioning of an organ
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
US6338737B1 (en) * 1997-07-17 2002-01-15 Haviv Toledano Flexible annular stapler for closed surgery of hollow organs
US20020022851A1 (en) * 2000-08-17 2002-02-21 Johns Hopkins University Gastric reduction endoscopy
US6352543B1 (en) * 2000-04-29 2002-03-05 Ventrica, Inc. Methods for forming anastomoses using magnetic force
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
US20020040226A1 (en) * 1999-06-22 2002-04-04 Laufer Michael D. Tissue reconfiguration
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
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)
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)
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
US20050049614A1 (en) * 2003-08-05 2005-03-03 Cendan Juan C. Methods and instrumentation to treat 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
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
US20060020276A1 (en) * 2004-07-23 2006-01-26 Usgi Medical Inc. Apparatus and methods for achieving prolonged maintenance of gastrointestinal tissue folds
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 (92)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2508690A (en) 1948-07-13 1950-05-23 Schmerl Egon Fritz Gastrointestinal tube
US3395710A (en) 1965-06-14 1968-08-06 Robert A. Stratton Gastro-intestinal tube with inflatable weight releasing means
US3986493A (en) 1975-07-28 1976-10-19 Hendren Iii William Hardy Electromagnetic bougienage method
US4063561A (en) 1975-08-25 1977-12-20 The Signal Companies, Inc. Direction control device for endotracheal tube
US4057065A (en) 1976-06-21 1977-11-08 Dow Corning Corporation Percutaneous gastrointestinal tube
US4315509A (en) 1977-01-10 1982-02-16 Smit Julie A Insertion and removal catheters and intestinal tubes for restricting absorption
US4134405A (en) 1977-01-10 1979-01-16 Smit Julie A Catheter and intestine tube and method of using the same
US4343066A (en) 1979-10-15 1982-08-10 Illinois Tool Works Tube clamp
US4311146A (en) 1980-05-08 1982-01-19 Sorenson Research Co., Inc. Detachable balloon catheter apparatus and method
US4402445A (en) 1981-10-09 1983-09-06 United States Surgical Corporation Surgical fastener and means for applying same
US4416267A (en) 1981-12-10 1983-11-22 Garren Lloyd R Method and apparatus for treating obesity
US4458681A (en) 1982-06-10 1984-07-10 Hopkins Donald A Stomach clamp for and method of proximal gastric partitioning
US4485805A (en) 1982-08-24 1984-12-04 Gunther Pacific Limited Of Hong Kong Weight loss device and method
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
US4607618A (en) 1983-02-23 1986-08-26 Angelchik Jean P Method for treatment of morbid obesity
US5220928A (en) 1983-08-22 1993-06-22 Stryker Sales Corporation Surgical procedure for joining tissue in an internal body cavity
US4592354A (en) 1983-10-11 1986-06-03 Senmed, Inc. Tissue retention spool for intraluminal anastomotic surgical stapling instrument and methods
US4610383A (en) 1983-10-14 1986-09-09 Senmed, Inc. Disposable linear surgical stapler
US4592345A (en) * 1983-12-14 1986-06-03 Wahl Clipper Corporation Back massager structure
US4671287A (en) 1983-12-29 1987-06-09 Fiddian Green Richard G Apparatus and method for sustaining vitality of organs of the gastrointestinal tract
GB8422863D0 (en) 1984-09-11 1984-10-17 Univ London Sewing machine
US4598699A (en) 1985-06-10 1986-07-08 Garren Lloyd R Endoscopic instrument for removing stomach insert
US4592339A (en) 1985-06-12 1986-06-03 Mentor Corporation Gastric banding device
US4694827A (en) 1986-01-14 1987-09-22 Weiner Brian C Inflatable gastric device for treating obesity and method of using the same
US4773393A (en) 1986-07-03 1988-09-27 C. R. Bard, Inc. Hypodermically implantable genitourinary prosthesis
US4744363A (en) 1986-07-07 1988-05-17 Hasson Harrith M Intra-abdominal organ stabilizer, retractor and tissue manipulator
US5542949A (en) 1987-05-14 1996-08-06 Yoon; Inbae Multifunctional clip applier instrument
US4790294A (en) 1987-07-28 1988-12-13 Welch Allyn, Inc. Ball-and-socket bead endoscope steering section
WO1990000376A1 (en) 1988-07-05 1990-01-25 Cantenys Jose Intragastric balloon
US4925446A (en) 1988-07-06 1990-05-15 Transpharm Group Inc. Removable inflatable intragastrointestinal device for delivering beneficial agents
US4927428A (en) 1988-10-07 1990-05-22 Ophthalmic Ventures Limited Partnership Surgical suturing system and probe assembly
US4969474A (en) 1988-10-11 1990-11-13 Schwarz Gerald R Incontinence bladder control method and apparatus
US5053047A (en) 1989-05-16 1991-10-01 Inbae Yoon Suture devices particularly useful in endoscopic surgery and methods of suturing
US5059193A (en) 1989-11-20 1991-10-22 Spine-Tech, Inc. Expandable spinal implant and surgical method
US5026379A (en) 1989-12-05 1991-06-25 Inbae Yoon Multi-functional instruments and stretchable ligating and occluding devices
US5222961A (en) 1989-12-26 1993-06-29 Naomi Nakao Endoscopic stapling device and related staple
US5156609A (en) 1989-12-26 1992-10-20 Nakao Naomi L Endoscopic stapling device and method
US5331975A (en) 1990-03-02 1994-07-26 Bonutti Peter M Fluid operated retractors
US5171233A (en) 1990-04-25 1992-12-15 Microvena Corporation Snare-type probe
US5250058A (en) 1991-01-17 1993-10-05 Ethicon, Inc. Absorbable anastomosic fastener means
US5112310A (en) 1991-02-06 1992-05-12 Grobe James L Apparatus and methods for percutaneous endoscopic gastrostomy
US5370134A (en) 1991-05-29 1994-12-06 Orgin Medsystems, Inc. Method and apparatus for body structure manipulation and dissection
US5226429A (en) 1991-06-20 1993-07-13 Inamed Development Co. Laparoscopic gastric band and method
US5234454A (en) 1991-08-05 1993-08-10 Akron City Hospital Percutaneous intragastric balloon catheter and method for controlling body weight therewith
US5433721A (en) 1992-01-17 1995-07-18 Ethicon, Inc. Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue
CA2088883A1 (en) 1992-02-13 1993-08-14 David T. Green Endoscopic ligating instrument
US5259399A (en) 1992-03-02 1993-11-09 Alan Brown Device and method of causing weight loss using removable variable volume intragastric bladder
US5355897A (en) 1992-04-16 1994-10-18 Ethicon, Inc. Method of performing a pyloroplasty/pylorectomy using a stapler having a shield
US5368601A (en) * 1992-04-30 1994-11-29 Lasersurge, Inc. Trocar wound closure device
US5658300A (en) * 1992-06-04 1997-08-19 Olympus Optical Co., Ltd. Tissue fixing surgical instrument, tissue-fixing device, and method of fixing tissues
US5246456A (en) 1992-06-08 1993-09-21 Wilkinson Lawrence H Fenestrated gastric pouch
US5254126A (en) 1992-06-24 1993-10-19 Ethicon, Inc. Endoscopic suture punch
US5263629A (en) 1992-06-29 1993-11-23 Ethicon, Inc. Method and apparatus for achieving hemostasis along a staple line
US5330486A (en) 1992-07-29 1994-07-19 Wilk Peter J Laparoscopic or endoscopic anastomosis technique and associated instruments
US5261920A (en) 1992-08-21 1993-11-16 Ethicon, Inc. Anvil bushing for circular stapler
US5458131A (en) 1992-08-25 1995-10-17 Wilk; Peter J. Method for use in intra-abdominal surgery
US5297536A (en) 1992-08-25 1994-03-29 Wilk Peter J Method for use in intra-abdominal surgery
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
US5306300A (en) 1992-09-22 1994-04-26 Berry H Lee Tubular digestive screen
US5309927A (en) 1992-10-22 1994-05-10 Ethicon, Inc. Circular stapler tissue retention spring method
US5259366A (en) 1992-11-03 1993-11-09 Boris Reydel Method of using a catheter-sleeve assembly for an endoscope
US5346501A (en) 1993-02-05 1994-09-13 Ethicon, Inc. Laparoscopic absorbable anastomosic fastener and means for applying
US5449368A (en) 1993-02-18 1995-09-12 Kuzmak; Lubomyr I. Laparoscopic adjustable gastric banding device and method for implantation and removal thereof
US5334210A (en) 1993-04-09 1994-08-02 Cook Incorporated Vascular occlusion assembly
US5467911A (en) 1993-04-27 1995-11-21 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
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
GB9405791D0 (en) * 1994-03-23 1994-05-11 Univ London Device for use in cutting threads
US5551622A (en) 1994-07-13 1996-09-03 Yoon; Inbae Surgical stapler
US5411408A (en) * 1994-08-19 1995-05-02 Molex Incorporated Electrical connector for printed circuit boards
CA2146508C (en) * 1994-08-25 2006-11-14 Robert H. Schnut Anvil for circular stapler
EP0817598B1 (en) * 1995-03-28 1999-07-14 Biomedix SA Prosthesis for preventing gastro-oesophageal reflux
US5651769A (en) * 1995-10-16 1997-07-29 The Beth Israel Hospital Association Method for retrieving pancreatic juice utilizing and endoscopically wire-guided catheter
US5782844A (en) * 1996-03-05 1998-07-21 Inbae Yoon Suture spring device applicator
US5766216A (en) * 1996-05-30 1998-06-16 Gangal; Hanamraddi T. Band applicator for appendicular and meso-appendicular stumps
US5776054A (en) * 1996-08-07 1998-07-07 Bobra; Dilip Apparatus for retracting tissue
US5910105A (en) * 1997-04-14 1999-06-08 C.R. Bard, Inc. Control handle for an endoscope
US5910149A (en) * 1998-04-29 1999-06-08 Kuzmak; Lubomyr I. Non-slipping gastric band
US6740098B2 (en) * 1998-05-11 2004-05-25 Surgical Connections, Inc. Surgical stabilizer devices and methods
US6113609A (en) * 1998-05-26 2000-09-05 Scimed Life Systems, Inc. Implantable tissue fastener and system for treating gastroesophageal reflux disease
WO2001066020A3 (en) * 2000-03-06 2002-04-04 Ernie Aranyi Apparatus and method for performing a bypass procedure in a digestive system
US20020082621A1 (en) * 2000-09-22 2002-06-27 Schurr Marc O. Methods and devices for folding and securing tissue
US6579301B1 (en) * 2000-11-17 2003-06-17 Syntheon, Llc Intragastric balloon device adapted to be repeatedly varied in volume without external assistance
US7083629B2 (en) * 2001-05-30 2006-08-01 Satiety, Inc. Overtube apparatus for insertion into a body
JP2005524485A (en) * 2002-05-09 2005-08-18 ディー.イーガン トマス Bypass prosthesis method of stomach
US7220237B2 (en) * 2002-10-23 2007-05-22 Satiety, Inc. Method and device for use in endoscopic organ procedures
US20040220516A1 (en) * 2002-11-04 2004-11-04 Stephen Solomon Food extraction apparatus and method

Patent Citations (99)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2108206A (en) * 1937-03-09 1938-02-15 Lillian Pearl Mecker Tenaculum
US3372443A (en) * 1967-02-16 1968-03-12 Scovill Manufacturing Co Magnetic fastening means
US4133315A (en) * 1976-12-27 1979-01-09 Berman Edward J Method and apparatus for reducing obesity
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
US4258705A (en) * 1978-09-15 1981-03-31 Coloplast A/S Magnetic system for use in sealing body openings
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
US4636205A (en) * 1983-10-13 1987-01-13 Craig Medical Products Limited Ostomy bag magnetic coupling
US4643169A (en) * 1983-11-02 1987-02-17 Walter Koss Device for selectively opening and closing tubular organs of the body
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
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
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
US5395030A (en) * 1992-06-04 1995-03-07 Olympus Optical Co., Ltd. Surgical device for stapling and fastening body tissues
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
US5403312A (en) * 1993-07-22 1995-04-04 Ethicon, Inc. Electrosurgical hemostatic device
US5735848A (en) * 1993-07-22 1998-04-07 Ethicon, Inc. Electrosurgical stapling 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
US5897562A (en) * 1994-10-02 1999-04-27 United States Surgical Corporation Non-invasive apparatus for treatment of gastroesophageal reflux disease
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
US5707382A (en) * 1995-03-24 1998-01-13 Ethicon Endo Surgery, Inc. Surgical dissector
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
US5855312A (en) * 1996-07-25 1999-01-05 Toledano; Haviv Flexible annular stapler for closed surgery of hollow organs
US6197022B1 (en) * 1996-07-30 2001-03-06 James A. Baker Medical instruments and techniques for treatment of gastro-esophageal reflux disease
US5897534A (en) * 1996-08-29 1999-04-27 Team Medical, Llc Body fluids and solids drainage system
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
US6338737B1 (en) * 1997-07-17 2002-01-15 Haviv Toledano Flexible annular stapler for closed surgery of hollow organs
US5887594A (en) * 1997-09-22 1999-03-30 Beth Israel Deaconess Medical Center Inc. Methods and devices for gastroesophageal reflux reduction
US6186985B1 (en) * 1997-10-03 2001-02-13 Boston Scientific Corporation Gastro-intestinal tube with dissolvable support bolster
US6030364A (en) * 1997-10-03 2000-02-29 Boston Scientific Corporation Apparatus and method for percutaneous placement of gastro-intestinal tubes
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
US6840423B2 (en) * 1998-06-19 2005-01-11 Scimed Life Systems, Inc. Integrated surgical staple retainer for a full thickness resectioning device
US6044847A (en) * 1998-06-23 2000-04-04 Surx, Inc. Tuck and fold fascia shortening for incontinence
US6042538A (en) * 1998-11-18 2000-03-28 Emory University Device for endoscopic vessel harvesting
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
US20020040226A1 (en) * 1999-06-22 2002-04-04 Laufer Michael D. Tissue reconfiguration
US20020035361A1 (en) * 1999-06-25 2002-03-21 Houser Russell A. Apparatus and methods for treating tissue
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
US6352543B1 (en) * 2000-04-29 2002-03-05 Ventrica, Inc. Methods for forming anastomoses using magnetic force
US20040049209A1 (en) * 2000-05-12 2004-03-11 Salomon Benchetrit Adjustable gastroplastry ring comprising a grip tab
US20040009224A1 (en) * 2000-08-11 2004-01-15 Miller Larry S Obesity controlling method
US20040037865A1 (en) * 2000-08-11 2004-02-26 Miller Larry Sherwin 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
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)
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)
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
US20050049614A1 (en) * 2003-08-05 2005-03-03 Cendan Juan C. Methods and instrumentation to treat obesity
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 (52)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8012135B2 (en) 2002-11-01 2011-09-06 Valentx, Inc. Attachment cuff for gastrointestinal implant
US20050049718A1 (en) * 2002-11-01 2005-03-03 Valentx, Inc. Gastrointestinal sleeve device and methods for treatment of morbid obesity
US9561127B2 (en) 2002-11-01 2017-02-07 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
US20060020247A1 (en) * 2002-11-01 2006-01-26 Jonathan Kagan Devices and methods for attaching an endolumenal gastrointestinal implant
US20060206064A1 (en) * 2002-11-01 2006-09-14 Jonathan Kagan Methods of adjusting therapy in a patient having an endolumenal bypass to treat obesity
US20060206063A1 (en) * 2002-11-01 2006-09-14 Jonathan Kagan Attachment system for transmural attachment at the gastroesophageal junction
US20060293742A1 (en) * 2002-11-01 2006-12-28 Mitchell Dann Cuff and sleeve system for gastrointestinal bypass
US20070010794A1 (en) * 2002-11-01 2007-01-11 Mitchell Dann Devices and methods for endolumenal gastrointestinal bypass
US20070010864A1 (en) * 2002-11-01 2007-01-11 Mitchell Dann Gastrointestinal implant system
US20070010866A1 (en) * 2002-11-01 2007-01-11 Mitchell Dann Attachment cuff for gastrointestinal implant
US20070010865A1 (en) * 2002-11-01 2007-01-11 Mitchell Dann Everting gastrointestinal sleeve
US20070198074A1 (en) * 2002-11-01 2007-08-23 Mitchell Dann Devices and methods for endolumenal gastrointestinal bypass
US8968270B2 (en) 2002-11-01 2015-03-03 Valentx, Inc. Methods of replacing a gastrointestinal bypass sleeve for therapy adjustment
US8182459B2 (en) 2002-11-01 2012-05-22 Valentx, Inc. Devices and methods for endolumenal gastrointestinal bypass
US20040092892A1 (en) * 2002-11-01 2004-05-13 Jonathan Kagan Apparatus and methods for treatment of morbid obesity
US8070743B2 (en) 2002-11-01 2011-12-06 Valentx, Inc. Devices and methods for attaching an endolumenal gastrointestinal implant
US7794447B2 (en) 2002-11-01 2010-09-14 Valentx, Inc. Gastrointestinal sleeve device and methods for treatment of morbid obesity
US7837669B2 (en) 2002-11-01 2010-11-23 Valentx, Inc. Devices and methods for endolumenal gastrointestinal bypass
US7846138B2 (en) 2002-11-01 2010-12-07 Valentx, Inc. Cuff and sleeve system for gastrointestinal bypass
US8012140B1 (en) 2002-11-01 2011-09-06 Valentx, Inc. Methods of transmural attachment in the gastrointestinal system
US7892214B2 (en) 2002-11-01 2011-02-22 Valentx, Inc. Attachment system for transmural attachment at the gastroesophageal junction
US9839546B2 (en) 2002-11-01 2017-12-12 Valentx, Inc. Apparatus and methods for treatment of morbid obesity
US20050201759A1 (en) * 2004-02-12 2005-09-15 Wenshen Wang Photonic RF distribution system
US20060015125A1 (en) * 2004-05-07 2006-01-19 Paul Swain Devices and methods for gastric surgery
US7881797B2 (en) 2006-04-25 2011-02-01 Valentx, Inc. Methods and devices for gastrointestinal stimulation
US8118774B2 (en) 2006-09-25 2012-02-21 Valentx, Inc. Toposcopic access and delivery devices
US20080167610A1 (en) * 2006-09-25 2008-07-10 Valentx, Inc. Toposcopic methods and devices for delivering a sleeve having axially compressed and elongate configurations
US8808270B2 (en) 2006-09-25 2014-08-19 Valentx, Inc. Methods for toposcopic sleeve delivery
US20080167629A1 (en) * 2006-09-25 2008-07-10 Valentx, Inc. Methods for toposcopic sleeve delivery
US20090012553A1 (en) * 2007-06-08 2009-01-08 Valentx, Inc. Methods and devices for intragastric support of functional or prosthetic gastrointestinal devices
US20090012544A1 (en) * 2007-06-08 2009-01-08 Valen Tx, Inc. Gastrointestinal bypass sleeve as an adjunct to bariatric surgery
US8182441B2 (en) 2007-06-08 2012-05-22 Valentx, Inc. Methods and devices for intragastric support of functional or prosthetic gastrointestinal devices
US9113866B2 (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
US9113879B2 (en) 2011-12-15 2015-08-25 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
US9113867B2 (en) 2011-12-15 2015-08-25 Ethicon Endo-Surgery, Inc. Devices and methods for endoluminal plication
US8954165B2 (en) 2012-01-25 2015-02-10 Nevro Corporation Lead anchors and associated systems and methods
US8992547B2 (en) 2012-03-21 2015-03-31 Ethicon Endo-Surgery, Inc. Methods and devices for creating tissue plications
US8956318B2 (en) 2012-05-31 2015-02-17 Valentx, Inc. Devices and methods for gastrointestinal bypass
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
US9451960B2 (en) 2012-05-31 2016-09-27 Valentx, Inc. Devices and methods for gastrointestinal bypass
US9173759B2 (en) 2012-05-31 2015-11-03 Valentx, Inc. Devices and methods for gastrointestinal bypass
US9566181B2 (en) 2012-05-31 2017-02-14 Valentx, Inc. Devices and methods for gastrointestinal bypass
US9675489B2 (en) 2012-05-31 2017-06-13 Valentx, Inc. Devices and methods for gastrointestinal bypass
US9039649B2 (en) 2012-05-31 2015-05-26 Valentx, Inc. Devices and methods for gastrointestinal bypass
US9757264B2 (en) 2013-03-13 2017-09-12 Valentx, Inc. Devices and methods for gastrointestinal bypass
US9265935B2 (en) 2013-06-28 2016-02-23 Nevro Corporation Neurological stimulation lead anchors and associated systems and methods
US9687649B2 (en) 2013-06-28 2017-06-27 Nevro Corp. Neurological stimulation lead anchors and associated systems and methods

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