US20090216256A1 - Method of and apparatus for prevention of adjustable gastric band slips - Google Patents
Method of and apparatus for prevention of adjustable gastric band slips Download PDFInfo
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- US20090216256A1 US20090216256A1 US12/434,940 US43494009A US2009216256A1 US 20090216256 A1 US20090216256 A1 US 20090216256A1 US 43494009 A US43494009 A US 43494009A US 2009216256 A1 US2009216256 A1 US 2009216256A1
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- gastric band
- stomach
- adjustable gastric
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-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
- A61F5/0013—Implantable devices or invasive measures
- A61F5/005—Gastric bands
- A61F5/0066—Closing devices for gastric bands
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/132—Tourniquets
- A61B17/135—Tourniquets inflatable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
- A61F5/0013—Implantable devices or invasive measures
- A61F5/003—Implantable devices or invasive measures inflatable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
- A61F5/0013—Implantable devices or invasive measures
- A61F5/005—Gastric bands
- A61F5/0053—Gastric bands remotely adjustable
- A61F5/0056—Gastric bands remotely adjustable using injection ports
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06166—Sutures
Definitions
- This invention relates generally to the treatment of morbid obesity by means of adjustable gastric bands, and more particularly to a method of and apparatus for preventing gastric band slips during the treatment procedure.
- the adjustable gastric band 12 typically includes an outer flexible, substantially non-extendable layer 14 and an inner expandable layer which is secured to the outer layer 14 .
- the adjustable gastric band 12 is extended around the stomach 10 at the location shown in FIG. 1 .
- the adjustable gastric band 12 is then secured in place by joining the opposite ends of the flexible, substantially non-extendable layer 14 utilizing a latch.
- the stomach is divided into a relatively small upper portion 16 and a relatively larger lower portion 18 .
- the adjustable gastric band 12 is provided with a tube 20 which extends through an incision made in the abdominal wall of the patient to a location outside of the abdominal cavity. Sterile saline is directed through the tube 20 , through a valve, and into the expandable inner layer of the adjustable gastric band 12 thereby causing the expandable inner layer to balloon inwardly. In this manner the passage of food from the upper portion 16 to the lower portion 18 of the stomach 10 is restricted.
- the upper portion 16 of the stomach 10 and/or the adjacent lower region of the esophagus contains nerve endings which trigger a “full” feeling when the stomach 10 is full.
- the adjustable gastric band 12 When the adjustable gastric band 12 is positioned as illustrated in FIG. 1 and when the flexible inner wall of the adjustable gastric band is inflated, food accumulates in the upper portion 16 and in the adjacent lower region of the esophagus. This causes the patient to experience a “full” feeling even though the lower portion 18 of the stomach 10 is in fact not full. Because the patient experiences a “full” feeling after consuming a relatively small amount of food the patient's total caloric intake is reduced thereby facilitating control of the patient's obesity.
- the inner flexible layer of the adjustable gastric band 12 is further expanded as the obesity treatment progresses thereby further restricting the passage of food from the upper portion 16 to the lower portion 18 of the stomach 10 .
- an adjustable gastric band 12 moves downwardly relative to the stomach 10 , an occurrence known as a slip.
- a slip When an anterior slip occurs the adjustable gastric band moves into the improper vertical orientation illustrated in FIG. 2 as opposed to the proper angular orientation illustrated in FIG. 1 .
- a slip of the type illustrated in FIG. 2 is dangerous because it results in food accumulating in the upper portion 16 of the stomach 10 rather than flowing smoothly from the upper portion 16 to the lower portion 18 of the stomach 10 albeit at a slower than normal rate. Accumulation of food in the upper portion 16 of the stomach 10 can cause the patient to experienced frequent vomiting. More importantly, a slip directly restricts blood flow to the herniated portion of the stomach which can cause necrosis thereof which can lead to a surgical emergency and possibly death.
- a posterior slip of the adjustable gastric band 12 relative to the stomach 10 can also occur.
- the undesirable results of a posterior slip are substantially the same as those described above in conjunction with the slip illustrated in FIG. 2 .
- FIG. 3 illustrates a prior art technique for preventing movement of the adjustable gastric band 12 relative to the stomach 10 .
- a flap comprising part of the lower portion 18 of the stomach 10 is secured to the upper portion 16 by a plurality of sutures 22 . So long as the flap remains sutured to the upper portion 16 of the stomach 10 the adjustable gastric band 12 is secured against significant movement relative to the stomach.
- various occurrences can cause the flap to become disengaged from the upper portion 16 of the stomach 10 .
- the sutures 22 can simply tear loose. It is also possible that the knots which secure the sutures 22 in place will fail either by becoming untied or due to breakage. It is also possible that the sutures will deteriorate under the action of fluids contained within the stomach 10 and/or within the body cavity.
- the present invention comprises a method of and apparatus for preventing movement of an adjustable gastric band relative to the stomach upon which the adjustable gastric is installed.
- an adjustable gastric band is positioned on a stomach in the conventional manner and is thereafter sutured to the stomach thereby eliminating the possibility of movement of the adjustable gastric band relative to the stomach.
- a plurality of tabs are formed integrally with the flexible, substantially non-extendable layer of an adjustable gastric band and are provided with suture receiving holes to facilitate suturing of the adjustable gastric band to the stomach.
- lengths of suture material secured to the flexible, substantially non-extendable outer layer of an adjustable gastric band to facilitate suturing of the adjustable gastric band to the stomach.
- the flexible, substantially non-extendable layer of an adjustable gastric band is provided with a plurality of tabs each having a suture receiving hole formed therein and with a plurality of loops formed from suture material for facilitating suturing of the adjustable gastric band to the stomach.
- a plurality of tabs are secured to the flexible, substantially non-extendable layer of an adjustable gastric band and are provided with suture receiving apertures thereby facilitating suturing of the adjustable gastric band to the stomach.
- a length of fabric is secured to the flexible, substantially non-extendable layer of an adjustable gastric band and is provided with a plurality of apertures extending therethrough for facilitating suturing of the adjustable gastric band to the stomach.
- FIG. 1 is an illustration of an adjustable gastric band properly installed on a stomach
- FIG. 2 is an illustration of an adjustable gastric band slip
- FIG. 3 is an illustration of the use of a stomach flap to secure an adjustable gastric band against movement relative to the stomach;
- FIG. 4 is a perspective view illustrating a first embodiment of the invention
- FIG. 5 is a perspective view illustrating a second embodiment of the invention.
- FIG. 6 is a perspective view illustrating a third embodiment of the invention.
- FIG. 7 is perspective view illustrating a fourth embodiment of the invention.
- FIG. 8 is perspective view illustrating the use of the first, second, third, and fourth embodiments of the invention in conjunction with a stomach;
- FIG. 9 is perspective view illustrating a fifth embodiment of the invention.
- FIG. 10 is perspective view illustrating the use of a fifth embodiment of the invention in conjunction with a stomach.
- an adjustable gastric band 30 comprising a first embodiment of the invention.
- INAMDED® the Lap Band® adjustable gastric band distributed by INAMDED®
- SAGB Swedish Adjustable Gastric Band
- MIDBAND adjustable gastric band distributed by Médical Innovation Développement
- AMI Soft Gastric Band distributed by C.J. Medical.
- the adjustable gastric band 30 comprises a flexible, substantially non-extendable outer layer 32 and an inner flexible layer 34 .
- a tube 36 is connected to the inner flexible layer 34 of the adjustable gastric band 30 through a one way valve for use in inflating the flexible layer 34 thereby causing the layer 34 to balloon inwardly.
- the adjustable gastric band 30 further includes a latching mechanism 38 which is employed to initially secure the adjustable gastric band 30 around the stomach of a patient.
- the flexible, substantially non-extendable layer 32 has a plurality of tabs 40 formed integrally therewith.
- Each of the tabs 40 has a suture receiving aperture 42 formed therethrough.
- an adjustable gastric band 50 comprising a second embodiment of the invention.
- the adjustable gastric band 50 comprises a flexible, substantially non-extendable outer layer 52 and an inner flexible layer 54 .
- a tube 56 is connected to the inner flexible layer 54 of the adjustable gastric band 50 through a one way valve for use in inflating the flexible layer 54 thereby causing the layer 54 to balloon inwardly.
- the adjustable gastric band 50 further includes a latching mechanism 58 which is employed to initially secure the adjustable gastric band 50 around the stomach of a patient.
- the flexible, substantially non-extendable layer 52 has a plurality of loops 60 secured thereto.
- Each of the loops 60 comprises a length of suture material which is secured to the outer layer 52 by conventional means such as the use of a suitable adhesive, welding, sewing, stapling, etc.
- an adjustable gastric band 70 comprising a third embodiment of the invention.
- the adjustable gastric band 70 comprises a flexible, substantially non-extendable outer layer 72 and an inner flexible layer 74 .
- a tube 76 is connected to the inner flexible layer 74 of the adjustable gastric band 70 through a one way valve for use in inflating the flexible layer 74 thereby causing the layer 34 to balloon inwardly.
- the adjustable gastric band 70 further includes a latching mechanism 78 which is employed to initially secure the adjustable gastric band 70 around the stomach of a patient.
- the adjustable gastric band 70 comprises the tabs 40 of the adjustable gastric band 30 of FIG. 4 and the loops 60 of the adjustable gastric band 50 of FIG. 5 . It is theorized that the use of the loops 60 on the posterior side of the adjustable gastric band 70 will lessen the drag that would otherwise be experienced in positioning the band 70 around the stomach of a patient.
- an adjustable gastric band 80 comprising a fourth embodiment of the invention.
- the adjustable gastric band 80 comprises a flexible, substantially non-extendable outer layer 82 and an inner flexible layer 84 .
- a tube 86 is connected to the inner flexible layer 84 of the adjustable gastric band 80 through a one way valve for use in inflating the flexible layer 84 thereby causing the layer 84 to balloon inwardly.
- the adjustable gastric band 80 further includes a latching mechanism 88 which is employed to initially secure the adjustable gastric band 80 around the stomach of a patient.
- the flexible, substantially non-extendable layer 32 is provided with a plurality of tabs 90 .
- the tabs 90 are secured to the flexible, substantially non-extendable outer layer of the adjustable gastric band 80 by means of a suitable adhesive, welding, sewing, stapling, etc.
- Each of the tabs 90 has a suture receiving aperture 92 formed therethrough.
- FIG. 8 illustrates the utilization of the embodiments of the invention shown in FIGS. 4 , 5 , 6 , and 7 and described hereinabove in conjunction therewith.
- an adjustable gastric band 110 comprising a fifth embodiment of the invention.
- the adjustable gastric band 110 comprises a flexible, substantially non-extendable outer layer 112 and an inner flexible layer 114 .
- a tube 116 is connected to the inner flexible layer 114 of the adjustable gastric band 110 through a valve for use in inflating the flexible layer 114 thereby causing the layer 114 to balloon outwardly.
- the adjustable gastric band 110 further includes a latching mechanism 118 which is employed to initially secure the adjustable gastric band 110 around the stomach of a patient.
- a fabric layer 120 is secured to the flexible, substantially non-extendable layer 112 of the adjustable gastric band 110 .
- the layer 120 is preferably pleated as illustrated in FIG. 9 .
- the layer 120 may be secured to the flexible, substantially non-extendable layer 112 by any of a variety of conventional techniques such as utilizing a suitable adhesive, welding, sewing, stapling, etc.
- a plurality of suture receiving aperture 122 extend through the layer 120 adjacent the lower edge thereof.
- FIG. 10 illustrates the utilization of the embodiment of the invention shown in FIG. 9 and described hereinabove in conjunction therewith.
Abstract
A gastric restrictive device positionable around a human stomach to limit the flow of food therethrough is provided with structure for facilitating suturing of the gastric restrictive device to the stomach and thereby preventing movement of the gastric restrictive device relative to the stomach.
Description
- This application is a continuation patent application of U.S. patent application Ser. No. 11/421,946 filed Jun. 2, 2006, which claims priority to U.S. Provisional Patent Application Ser. No. 60/745,584 filed Apr. 25, 2006, the entire content of which is incorporated herein by reference.
- This invention relates generally to the treatment of morbid obesity by means of adjustable gastric bands, and more particularly to a method of and apparatus for preventing gastric band slips during the treatment procedure.
- Referring to the Drawings, and particularly to
FIG. 1 thereof, there is shown ahuman stomach 10 having an adjustablegastric band 12 secured therearound. As is well known to those skilled in the art, the adjustablegastric band 12 typically includes an outer flexible, substantiallynon-extendable layer 14 and an inner expandable layer which is secured to theouter layer 14. - In use, the adjustable
gastric band 12 is extended around thestomach 10 at the location shown inFIG. 1 . The adjustablegastric band 12 is then secured in place by joining the opposite ends of the flexible, substantiallynon-extendable layer 14 utilizing a latch. When the adjustablegastric band 12 is thus secured in place the stomach is divided into a relatively smallupper portion 16 and a relatively largerlower portion 18. - The adjustable
gastric band 12 is provided with atube 20 which extends through an incision made in the abdominal wall of the patient to a location outside of the abdominal cavity. Sterile saline is directed through thetube 20, through a valve, and into the expandable inner layer of the adjustablegastric band 12 thereby causing the expandable inner layer to balloon inwardly. In this manner the passage of food from theupper portion 16 to thelower portion 18 of thestomach 10 is restricted. - It is theorized that the
upper portion 16 of thestomach 10 and/or the adjacent lower region of the esophagus contains nerve endings which trigger a “full” feeling when thestomach 10 is full. When the adjustablegastric band 12 is positioned as illustrated inFIG. 1 and when the flexible inner wall of the adjustable gastric band is inflated, food accumulates in theupper portion 16 and in the adjacent lower region of the esophagus. This causes the patient to experience a “full” feeling even though thelower portion 18 of thestomach 10 is in fact not full. Because the patient experiences a “full” feeling after consuming a relatively small amount of food the patient's total caloric intake is reduced thereby facilitating control of the patient's obesity. As is understood by those skilled in the art, the inner flexible layer of the adjustablegastric band 12 is further expanded as the obesity treatment progresses thereby further restricting the passage of food from theupper portion 16 to thelower portion 18 of thestomach 10. - In between about 3% and about 5% of the 40,000+ cases annually in which an adjustable gastric band is used in the treatment of morbid obesity the adjustable
gastric band 12 moves downwardly relative to thestomach 10, an occurrence known as a slip. When an anterior slip occurs the adjustable gastric band moves into the improper vertical orientation illustrated inFIG. 2 as opposed to the proper angular orientation illustrated inFIG. 1 . A slip of the type illustrated inFIG. 2 is dangerous because it results in food accumulating in theupper portion 16 of thestomach 10 rather than flowing smoothly from theupper portion 16 to thelower portion 18 of thestomach 10 albeit at a slower than normal rate. Accumulation of food in theupper portion 16 of thestomach 10 can cause the patient to experienced frequent vomiting. More importantly, a slip directly restricts blood flow to the herniated portion of the stomach which can cause necrosis thereof which can lead to a surgical emergency and possibly death. - As is also well known to those skilled in the art a posterior slip of the adjustable
gastric band 12 relative to thestomach 10 can also occur. The undesirable results of a posterior slip are substantially the same as those described above in conjunction with the slip illustrated inFIG. 2 . -
FIG. 3 illustrates a prior art technique for preventing movement of the adjustablegastric band 12 relative to thestomach 10. A flap comprising part of thelower portion 18 of thestomach 10 is secured to theupper portion 16 by a plurality ofsutures 22. So long as the flap remains sutured to theupper portion 16 of thestomach 10 the adjustablegastric band 12 is secured against significant movement relative to the stomach. However, as is well known to those skilled in the art, various occurrences can cause the flap to become disengaged from theupper portion 16 of thestomach 10. For example, thesutures 22 can simply tear loose. It is also possible that the knots which secure thesutures 22 in place will fail either by becoming untied or due to breakage. It is also possible that the sutures will deteriorate under the action of fluids contained within thestomach 10 and/or within the body cavity. - The present invention comprises a method of and apparatus for preventing movement of an adjustable gastric band relative to the stomach upon which the adjustable gastric is installed. In accordance with the broader aspects of the invention, an adjustable gastric band is positioned on a stomach in the conventional manner and is thereafter sutured to the stomach thereby eliminating the possibility of movement of the adjustable gastric band relative to the stomach.
- In accordance with a first embodiment of the invention a plurality of tabs are formed integrally with the flexible, substantially non-extendable layer of an adjustable gastric band and are provided with suture receiving holes to facilitate suturing of the adjustable gastric band to the stomach. In accordance with a second embodiment of the invention, lengths of suture material secured to the flexible, substantially non-extendable outer layer of an adjustable gastric band to facilitate suturing of the adjustable gastric band to the stomach.
- In accordance with a third embodiment of the invention, the flexible, substantially non-extendable layer of an adjustable gastric band is provided with a plurality of tabs each having a suture receiving hole formed therein and with a plurality of loops formed from suture material for facilitating suturing of the adjustable gastric band to the stomach. In accordance with a fourth embodiment of the invention a plurality of tabs are secured to the flexible, substantially non-extendable layer of an adjustable gastric band and are provided with suture receiving apertures thereby facilitating suturing of the adjustable gastric band to the stomach. In accordance with a fifth embodiment of the invention a length of fabric is secured to the flexible, substantially non-extendable layer of an adjustable gastric band and is provided with a plurality of apertures extending therethrough for facilitating suturing of the adjustable gastric band to the stomach.
- A more complete understanding of the present invention may be had by reference to the following Detailed Description when taken in connection with the accompanying Drawings, wherein:
-
FIG. 1 is an illustration of an adjustable gastric band properly installed on a stomach; -
FIG. 2 is an illustration of an adjustable gastric band slip; -
FIG. 3 is an illustration of the use of a stomach flap to secure an adjustable gastric band against movement relative to the stomach; -
FIG. 4 is a perspective view illustrating a first embodiment of the invention; -
FIG. 5 is a perspective view illustrating a second embodiment of the invention; -
FIG. 6 is a perspective view illustrating a third embodiment of the invention; -
FIG. 7 is perspective view illustrating a fourth embodiment of the invention; -
FIG. 8 is perspective view illustrating the use of the first, second, third, and fourth embodiments of the invention in conjunction with a stomach; -
FIG. 9 is perspective view illustrating a fifth embodiment of the invention; and -
FIG. 10 is perspective view illustrating the use of a fifth embodiment of the invention in conjunction with a stomach. - Referring now to the drawings, and particularly to
FIG. 4 thereof, there is shown an adjustablegastric band 30 comprising a first embodiment of the invention. Although a particular gastric band construction is illustrated in the drawings, those skilled in the art will appreciate that the present invention is applicable to all gastric restrictive devices including but not limited to the Lap Band® adjustable gastric band distributed by INAMDED®, the Swedish Adjustable Gastric Band (SAGB) distributed by Obtech, the MIDBAND adjustable gastric band distributed by Médical Innovation Développement, and the AMI Soft Gastric Band distributed by C.J. Medical. - The adjustable
gastric band 30 comprises a flexible, substantially non-extendableouter layer 32 and an innerflexible layer 34. A tube 36 is connected to the innerflexible layer 34 of the adjustablegastric band 30 through a one way valve for use in inflating theflexible layer 34 thereby causing thelayer 34 to balloon inwardly. The adjustablegastric band 30 further includes alatching mechanism 38 which is employed to initially secure the adjustablegastric band 30 around the stomach of a patient. - In accordance with the present invention, the flexible, substantially
non-extendable layer 32 has a plurality oftabs 40 formed integrally therewith. Each of thetabs 40 has asuture receiving aperture 42 formed therethrough. After the adjustablegastric band 30 has been properly positioned on a stomach and secured in place by thelocking mechanism 38, thetabs 40 are utilized to prevent movement of the adjustablegastric band 30 relative to the stomach. This is accomplished by suturing the adjustablegastric band 30 to the stomach utilizing theapertures 42 extending through thetabs 40. - Referring to
FIG. 5 , there is shown an adjustablegastric band 50 comprising a second embodiment of the invention. The adjustablegastric band 50 comprises a flexible, substantially non-extendableouter layer 52 and an innerflexible layer 54. Atube 56 is connected to the innerflexible layer 54 of the adjustablegastric band 50 through a one way valve for use in inflating theflexible layer 54 thereby causing thelayer 54 to balloon inwardly. The adjustablegastric band 50 further includes alatching mechanism 58 which is employed to initially secure the adjustablegastric band 50 around the stomach of a patient. - In accordance with the present invention, the flexible, substantially
non-extendable layer 52 has a plurality ofloops 60 secured thereto. Each of theloops 60 comprises a length of suture material which is secured to theouter layer 52 by conventional means such as the use of a suitable adhesive, welding, sewing, stapling, etc. After the adjustablegastric band 50 has been properly positioned on a stomach and secured in place by thelocking mechanism 58, theloops 60 are utilized to prevent movement of the adjustablegastric band 50 relative to the stomach. This is accomplished by suturing the adjustablegastric band 50 to the stomach utilizing theloop 60. - Referring to
FIG. 6 , there is shown an adjustablegastric band 70 comprising a third embodiment of the invention. The adjustablegastric band 70 comprises a flexible, substantially non-extendableouter layer 72 and an innerflexible layer 74. Atube 76 is connected to the innerflexible layer 74 of the adjustablegastric band 70 through a one way valve for use in inflating theflexible layer 74 thereby causing thelayer 34 to balloon inwardly. The adjustablegastric band 70 further includes alatching mechanism 78 which is employed to initially secure the adjustablegastric band 70 around the stomach of a patient. - The adjustable
gastric band 70 comprises thetabs 40 of the adjustablegastric band 30 ofFIG. 4 and theloops 60 of the adjustablegastric band 50 ofFIG. 5 . It is theorized that the use of theloops 60 on the posterior side of the adjustablegastric band 70 will lessen the drag that would otherwise be experienced in positioning theband 70 around the stomach of a patient. - Referring to
FIG. 7 thereof, there is shown an adjustablegastric band 80 comprising a fourth embodiment of the invention. The adjustablegastric band 80 comprises a flexible, substantially non-extendableouter layer 82 and an innerflexible layer 84. Atube 86 is connected to the innerflexible layer 84 of the adjustablegastric band 80 through a one way valve for use in inflating theflexible layer 84 thereby causing thelayer 84 to balloon inwardly. The adjustablegastric band 80 further includes a latching mechanism 88 which is employed to initially secure the adjustablegastric band 80 around the stomach of a patient. - In accordance with the present invention the flexible, substantially
non-extendable layer 32 is provided with a plurality oftabs 90. Thetabs 90 are secured to the flexible, substantially non-extendable outer layer of the adjustablegastric band 80 by means of a suitable adhesive, welding, sewing, stapling, etc. Each of thetabs 90 has asuture receiving aperture 92 formed therethrough. After the adjustablegastric band 80 has been properly positioned on a stomach and secured in place by a locking mechanism 88, thetabs 90 are utilized to prevent movement of the adjustablegastric band 80 relative to the stomach. This is accomplished by suturing the adjustablegastric band 80 to the stomach utilizing theapertures 92 extending through thetabs 90. -
FIG. 8 illustrates the utilization of the embodiments of the invention shown inFIGS. 4 , 5, 6, and 7 and described hereinabove in conjunction therewith. After the adjustablegastric band 100 is secured around thestomach 10, it is secured in place by means of tabs orloops 102 secured to the flexible, substantially non-extendableouter layer 104 of the adjustablegastric band 100 andsutures 106 which secure the bands orloops 102 to the wall of thestomach 10. Subsequently a flap comprising part of thelower portion 18 of thestomach 10 may be secured to theupper portion 16 thereof utilizingsutures 108. Use of the present invention provides an added safeguard against slippage of the adjustablegastric band 100 in the event that the flap becomes disengaged from theupper portion 16 of thestomach 10 for any reason. - Referring to
FIG. 9 , there is shown an adjustablegastric band 110 comprising a fifth embodiment of the invention. The adjustablegastric band 110 comprises a flexible, substantially non-extendableouter layer 112 and an innerflexible layer 114. Atube 116 is connected to the innerflexible layer 114 of the adjustablegastric band 110 through a valve for use in inflating theflexible layer 114 thereby causing thelayer 114 to balloon outwardly. The adjustablegastric band 110 further includes alatching mechanism 118 which is employed to initially secure the adjustablegastric band 110 around the stomach of a patient. - In accordance with the present invention a
fabric layer 120 is secured to the flexible, substantiallynon-extendable layer 112 of the adjustablegastric band 110. Thelayer 120 is preferably pleated as illustrated inFIG. 9 . Thelayer 120 may be secured to the flexible, substantiallynon-extendable layer 112 by any of a variety of conventional techniques such as utilizing a suitable adhesive, welding, sewing, stapling, etc. A plurality ofsuture receiving aperture 122 extend through thelayer 120 adjacent the lower edge thereof. -
FIG. 10 illustrates the utilization of the embodiment of the invention shown inFIG. 9 and described hereinabove in conjunction therewith. After the adjustable gastric band is secured around thestomach 10 it is secured in place by means of thelayer 120 and sutures 124 and into engagement with the stomach wall to secure the adjustablegastric band 110 against movement relative to thestomach 10. - Although preferred embodiments of the invention have been illustrated in the accompanying Drawings and described in the foregoing Detailed Description, it will be understood that the invention is not limited to the embodiments disclosed, but is capable of numerous rearrangements, modifications, and substitutions of parts and elements without departing from the spirit of the invention.
Claims (2)
1. In combination with an adjustable gastric band of the type comprising an outer substantially non-extendable layer and an inner expandable layer for encircling a human stomach and thereafter restricting the passage of food through the stomach, the improvement comprising means for facilitating suturing the adjustable gastric band to the stomach and thereby preventing movement of the adjustable gastric band relative to the stomach; and
the means for facilitating suturing of the adjustable gastric band to the stomach comprising a plurality of tabs each non-integrally secured to the outer substantially non-extendable layer of the adjustable gastric band and each having a suture receiving aperture formed therethrough.
2. An adjustable gastric band comprising:
an outer substantially non-extendable layer;
an inner expandable member secured to the outer substantially non-extendable layer;
means for securing the outer substantially non-extendable layer and the inner expandable around a human stomach;
means for thereafter inflating the inner expandable member and thereby restricting the passage of food through the stomach;
means for facilitating suturing of the outer substantially non-extendable layer to the stomach and thereby preventing movement of the adjustable gastric band relative to the stomach; and
the means for facilitating suturing of the adjustable gastric band to the stomach comprising a plurality of tabs each non-integrally secured to the outer substantially non-extendable layer of the adjustable gastric band and each having a suture receiving aperture formed therethrough.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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US12/434,940 US20090216256A1 (en) | 2006-04-25 | 2009-05-04 | Method of and apparatus for prevention of adjustable gastric band slips |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US74558406P | 2006-04-25 | 2006-04-25 | |
US11/421,946 US7566298B2 (en) | 2006-04-25 | 2006-06-02 | Method of and apparatus for prevention of adjustable gastric band slips |
US12/434,940 US20090216256A1 (en) | 2006-04-25 | 2009-05-04 | Method of and apparatus for prevention of adjustable gastric band slips |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
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US11/421,946 Continuation US7566298B2 (en) | 2006-04-25 | 2006-06-02 | Method of and apparatus for prevention of adjustable gastric band slips |
Publications (1)
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US20090216256A1 true US20090216256A1 (en) | 2009-08-27 |
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ID=38620355
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Application Number | Title | Priority Date | Filing Date |
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US11/421,946 Expired - Fee Related US7566298B2 (en) | 2006-04-25 | 2006-06-02 | Method of and apparatus for prevention of adjustable gastric band slips |
US12/434,940 Abandoned US20090216256A1 (en) | 2006-04-25 | 2009-05-04 | Method of and apparatus for prevention of adjustable gastric band slips |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
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US11/421,946 Expired - Fee Related US7566298B2 (en) | 2006-04-25 | 2006-06-02 | Method of and apparatus for prevention of adjustable gastric band slips |
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US (2) | US7566298B2 (en) |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20120088962A1 (en) * | 2010-04-29 | 2012-04-12 | Allergan, Inc. | Self-adjusting gastric band |
US8187164B2 (en) * | 2002-04-26 | 2012-05-29 | Torax Medical, Inc. | Methods and apparatus for treating body tissue sphincters and the like |
WO2012061366A3 (en) * | 2010-11-03 | 2012-08-30 | Ethicon Endo-Surgery, Inc. | Gastric band device and method |
US9295573B2 (en) | 2010-04-29 | 2016-03-29 | Apollo Endosurgery, Inc. | Self-adjusting gastric band having various compliant components and/or a satiety booster |
Families Citing this family (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8166978B2 (en) * | 2006-10-04 | 2012-05-01 | Ethicon Endo-Surgery, Inc. | Methods and systems for manipulating tissue |
PT2468218E (en) * | 2010-12-23 | 2013-09-10 | Medical Internat Ag Q | Medical restriction device for hollow organs of a body |
KR101329169B1 (en) * | 2012-06-28 | 2013-11-14 | 박윤찬 | Fixing apparatus for stomach band and stomach band comprising the same |
EP2716264A1 (en) * | 2012-10-04 | 2014-04-09 | Chih-Kun Huang | Adjustable gastric band for laparoscopic gastric restrictive surgery |
ITRM20130460A1 (en) * | 2013-08-05 | 2015-02-06 | Urbano Barbabella | DEVICE FOR EXPLORABLE GASTRIC BYPASS |
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US4551862A (en) * | 1982-12-15 | 1985-11-12 | Haber Terry M | Prosthetic sphincter |
US5074868A (en) * | 1990-08-03 | 1991-12-24 | Inamed Development Company | Reversible stoma-adjustable gastric band |
US20060252983A1 (en) * | 2005-02-11 | 2006-11-09 | Lembo Nicholas J | Dynamically adjustable gastric implants and methods of treating obesity using dynamically adjustable gastric implants |
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US5259846A (en) * | 1991-01-07 | 1993-11-09 | United States Surgical Corporation | Loop threaded combined surgical needle-suture device |
US6432040B1 (en) * | 2000-09-14 | 2002-08-13 | Nizam N. Meah | Implantable esophageal sphincter apparatus for gastroesophageal reflux disease and method |
US7615001B2 (en) * | 2005-07-15 | 2009-11-10 | Ethicon Endo-Surgery, Inc. | Precurved gastric band |
-
2006
- 2006-06-02 US US11/421,946 patent/US7566298B2/en not_active Expired - Fee Related
-
2009
- 2009-05-04 US US12/434,940 patent/US20090216256A1/en not_active Abandoned
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4551862A (en) * | 1982-12-15 | 1985-11-12 | Haber Terry M | Prosthetic sphincter |
US5074868A (en) * | 1990-08-03 | 1991-12-24 | Inamed Development Company | Reversible stoma-adjustable gastric band |
US20060252983A1 (en) * | 2005-02-11 | 2006-11-09 | Lembo Nicholas J | Dynamically adjustable gastric implants and methods of treating obesity using dynamically adjustable gastric implants |
Cited By (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8187164B2 (en) * | 2002-04-26 | 2012-05-29 | Torax Medical, Inc. | Methods and apparatus for treating body tissue sphincters and the like |
US10398440B2 (en) | 2002-04-26 | 2019-09-03 | Torax Medical, Inc. | Methods and apparatus for treating body tissue sphincters and the like |
US10874400B2 (en) | 2004-08-05 | 2020-12-29 | Torax Medical, Inc. | Methods and apparatus for treating body tissue sphincters and the like |
US11690627B2 (en) | 2004-08-05 | 2023-07-04 | Torax Medical, Inc. | Methods and apparatus for treating body tissue sphincters and the like |
US20120088962A1 (en) * | 2010-04-29 | 2012-04-12 | Allergan, Inc. | Self-adjusting gastric band |
US9044298B2 (en) * | 2010-04-29 | 2015-06-02 | Apollo Endosurgery, Inc. | Self-adjusting gastric band |
US9295573B2 (en) | 2010-04-29 | 2016-03-29 | Apollo Endosurgery, Inc. | Self-adjusting gastric band having various compliant components and/or a satiety booster |
WO2012061366A3 (en) * | 2010-11-03 | 2012-08-30 | Ethicon Endo-Surgery, Inc. | Gastric band device and method |
US8905914B2 (en) | 2010-11-03 | 2014-12-09 | Ethicon Endo-Surgery, Inc. | Gastric band device and method |
Also Published As
Publication number | Publication date |
---|---|
US7566298B2 (en) | 2009-07-28 |
US20070249894A1 (en) | 2007-10-25 |
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Legal Events
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