WO2009126744A3 - Apparatus and method for gastric reduction - Google Patents

Apparatus and method for gastric reduction Download PDF

Info

Publication number
WO2009126744A3
WO2009126744A3 PCT/US2009/039962 US2009039962W WO2009126744A3 WO 2009126744 A3 WO2009126744 A3 WO 2009126744A3 US 2009039962 W US2009039962 W US 2009039962W WO 2009126744 A3 WO2009126744 A3 WO 2009126744A3
Authority
WO
WIPO (PCT)
Prior art keywords
inner portions
assembly
suture
stomach
tissue gathering
Prior art date
Application number
PCT/US2009/039962
Other languages
French (fr)
Other versions
WO2009126744A2 (en
Inventor
John Mark Provenza
Original Assignee
John Mark Provenza
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by John Mark Provenza filed Critical John Mark Provenza
Priority to JP2011504159A priority Critical patent/JP2011517977A/en
Priority to AU2009233764A priority patent/AU2009233764A1/en
Priority to CA2721066A priority patent/CA2721066A1/en
Priority to EP09729395A priority patent/EP2285292A2/en
Priority to MX2010011036A priority patent/MX2010011036A/en
Publication of WO2009126744A2 publication Critical patent/WO2009126744A2/en
Publication of WO2009126744A3 publication Critical patent/WO2009126744A3/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013Implantable devices or invasive measures
    • A61F5/0083Reducing the size of the stomach, e.g. gastroplasty
    • A61F5/0086Reducing the size of the stomach, e.g. gastroplasty using clamps, folding means or the like
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482Needle or suture guides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00818Treatment of the gastro-intestinal system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0419H-fasteners
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06033Means for attaching suture to needle using adhesives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06042Means for attaching suture to needle located close to needle tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/06076Needles, e.g. needle tip configurations helically or spirally coiled
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166Sutures
    • A61B2017/06171Sutures helically or spirally coiled
    • 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

An apparatus (100;1000) and method for gastric reduction is provided comprising a tissue gathering assembly (126; 1020) for applying a force to inner portions of a stomach to collapse the inner portions toward the tissue gathering assembly, and a suture assembly (154; 1070) moveably mounted to the tissue gathering assembly for advancing a suture (520; 1040) into the inner portions to form a gastric sleeve. The tissue gathering assembly may further comprise a vacuum shaft (136; 1160) having sections (1166) of apertures (138; 1168), wherein each section transmits a vacuum force through the apertures to gather a part of the inner portions of the stomach to form a channel that connects an upper pouch to a lower pouch of the stomach. The suture assembly may further comprise a rotatable helical suture for fastening the gathered inner portions to secure the gastric sleeve.
PCT/US2009/039962 2008-04-08 2009-04-08 Apparatus and method for gastric reduction WO2009126744A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
JP2011504159A JP2011517977A (en) 2008-04-08 2009-04-08 Device and method for reducing stomach
AU2009233764A AU2009233764A1 (en) 2008-04-08 2009-04-08 Apparatus and method for gastric reduction
CA2721066A CA2721066A1 (en) 2008-04-08 2009-04-08 Apparatus and method for gastric reduction
EP09729395A EP2285292A2 (en) 2008-04-08 2009-04-08 Apparatus and method for gastric reduction
MX2010011036A MX2010011036A (en) 2008-04-08 2009-04-08 Apparatus and method for gastric reduction.

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US4317808P 2008-04-08 2008-04-08
US61/043,178 2008-04-08

Publications (2)

Publication Number Publication Date
WO2009126744A2 WO2009126744A2 (en) 2009-10-15
WO2009126744A3 true WO2009126744A3 (en) 2009-12-03

Family

ID=40718629

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2009/039962 WO2009126744A2 (en) 2008-04-08 2009-04-08 Apparatus and method for gastric reduction

Country Status (7)

Country Link
US (1) US20090275960A1 (en)
EP (1) EP2285292A2 (en)
JP (1) JP2011517977A (en)
AU (1) AU2009233764A1 (en)
CA (1) CA2721066A1 (en)
MX (1) MX2010011036A (en)
WO (1) WO2009126744A2 (en)

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CA2825186A1 (en) 2010-01-20 2011-07-28 Michael P. Whitman Tissue repair implant and delivery device and method
US10959840B2 (en) 2010-01-20 2021-03-30 Micro Interventional Devices, Inc. Systems and methods for affixing a prosthesis to tissue
US10743854B2 (en) 2010-01-20 2020-08-18 Micro Interventional Devices, Inc. Tissue closure device and method
US9980708B2 (en) 2010-01-20 2018-05-29 Micro Interventional Devices, Inc. Tissue closure device and method
US10058314B2 (en) 2010-01-20 2018-08-28 Micro Interventional Devices, Inc. Tissue closure device and method
WO2011112721A1 (en) * 2010-03-09 2011-09-15 University Of Louisville Research Foundation, Inc. Endoscopic closure device
US9161778B2 (en) 2010-06-11 2015-10-20 Entourage Medical Technologies, Inc. System and method for transapical access and closure
WO2011156782A1 (en) 2010-06-11 2011-12-15 Entourage Medical Technologies, Llc System and method for transapical access and closure
CN103118605B (en) 2010-06-26 2016-07-27 瓦索斯蒂奇股份有限公司 For the method and apparatus entering through the apex of the heart and closing
US20120071921A1 (en) 2010-09-20 2012-03-22 Shanley John F System for providing surgical access
US9314362B2 (en) * 2012-01-08 2016-04-19 Vibrynt, Inc. Methods, instruments and devices for extragastric reduction of stomach volume
US9808368B2 (en) 2012-11-29 2017-11-07 Boehringer Laboratories, Inc. Methods for performing bariatric surgery using gastric sizing systems and instruments
US9452072B2 (en) 2013-06-25 2016-09-27 J. Mark Provenza Apparatus and methods for anchoring in the stomach and the duodenum
WO2015052720A1 (en) 2013-10-10 2015-04-16 Nitinotes Ltd. Endoluminal sleeve gastroplasty
US10779979B2 (en) 2013-10-10 2020-09-22 Nitinotes Ltd. Endoluminal sleeve gastroplasty
CA2929229A1 (en) 2013-10-29 2015-05-07 Entourage Medical Technologies, Inc. System for providing surgical access
US10159425B2 (en) * 2013-11-08 2018-12-25 Covidien Lp Devices and methods facilitating sleeve gastrectomy and other procedures
CN106999177B (en) * 2014-10-08 2020-06-16 尼提努特有限公司 Intraluminal sleeve gastroplasty
US10512460B2 (en) 2014-12-19 2019-12-24 Renzo Cecere Surgical method and system for performing the same
JP7322051B2 (en) 2018-03-15 2023-08-07 リンテック・オヴ・アメリカ,インコーポレイテッド Fabrication of nerve scaffolds on carbon nanofiber yarns
GB2590138B (en) 2019-09-30 2023-08-02 Gyrus Acmi Inc Suturing apparatus and method

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Also Published As

Publication number Publication date
MX2010011036A (en) 2011-02-24
EP2285292A2 (en) 2011-02-23
US20090275960A1 (en) 2009-11-05
AU2009233764A1 (en) 2009-10-15
JP2011517977A (en) 2011-06-23
WO2009126744A2 (en) 2009-10-15
CA2721066A1 (en) 2009-10-15

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