865 results about "Stoma" patented technology

Apparatus and methods are described for treatment of morbid obesity using minimally invasive techniques. The apparatus includes a system of components that may be used separately or in combination for effectively reducing stomach volume, bypassing a portion of the stomach and / or small intestines, reducing nutrient absorption in the stomach and / or small intestines and / or depositing minimally or undigested food farther than normal into the intestines, thereby stimulating intestinal responses. The components described include an artificial stoma device, a gastric sleeve device, an intestinal sleeve device and a combined gastrointestinal sleeve device.

A system for tissue approximation and fixation is described herein. A device is advanced in a minimally invasive manner within a patient's body to create one or several divisions or plications within a hollow body organ. The system comprises a stapler assembly having a tissue acquisition member and a tissue fixation member. The stapler assembly approximates tissue from within the hollow body organ with the acquisition member and then affixes the approximated tissue with the fixation member. In one method, the system can be used as a secondary procedure to reduce the size of a stoma within the hollow body organ.

The present invention provides devices and methods for attachment of an implanted device, such as an artificial stoma device, a gastrointestinal sleeve device or an attachment cuff, within a patient's digestive tract for treatment of obesity. Special surgical fasteners provide a lasting and durable attachment to the gastrointestinal tissue without causing excessive pressure that could result in tissue erosion and detachment of the implanted device. Fastener delivery devices that facilitate peroral placement and deployment of fasteners and secondary devices are also provided. Also described are implantable devices and attachment means that avoid causing excessive pressure within the tissue by having compliance that is compatible with the gastrointestinal tissues where it is attached.

The present invention provides devices and methods for attachment of an implanted device, such as an artificial stoma device, a gastrointestinal sleeve device or an attachment cuff, within a patient's digestive tract for treatment of obesity. Special surgical fasteners provide a lasting and durable attachment to the gastrointestinal tissue without causing excessive pressure that could result in tissue erosion and detachment of the implanted device. Fastener delivery devices that facilitate peroral placement and deployment of fasteners and secondary devices are also provided. Also described are implantable devices and attachment means that avoid causing excessive pressure within the tissue by having compliance that is compatible with the gastrointestinal tissues where it is attached.

The invention discloses a sandwiched stapler type alimentary tract anastomosis dissecting sealer, relating to the surgical instruments. The invention provides a sandwiched stapler type alimentary tract anastomosis dissecting sealer which can prevent the alimentary tract anastomotic stoma from tearing, leaking and errhysis from the cut section in surgical operations. The sandwiched stapler type alimentary tract anastomosis dissecting sealer is provided with a nail anvil (which is also called as a bottom needle holder), a nail cartridge (which is also called as a nail anvil box), a sealer body, a movable handle, an adjusting button, a cutter cushion and an anastomosing nail (which is also called as a suturing nail), wherein the nail anvil is connected with the front end of the sealer body, the adjusting button is arranged at the tail part of the sealer body, the movable handle is arranged at the back of the sealer body, a safety button is arranged at the connection of the movable handle and the sealer body, the cutter cushion is arranged on the nail anvil, the anastomosing nail is arranged at the front end part of the sealer body, a membrane is arranged on the surface of the nail anvil (which is also called as the bottom needle holder), and a membrane is also arranged on the surface of the nail cartridge (which is also called as the nail anvil box); and after stapling, a sandwich structure consisting of the membrane, an intestinal wall and the membrane is formed.

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 for a liner or bypass conduit which is affixed at a proximal end either to the tissue ring or through some other fastening mechanism. The distal end of the conduit is left either unanchored or anchored within the intestinal tract. This bypass conduit also includes a fluid bypass conduit which allows the stomach and a portion of the intestinal tract to communicate.

A system for tissue approximation and fixation is described herein. A device is advanced in a minimally invasive manner within a patient's body to create one or several divisions or plications within a hollow body organ. The system comprises a stapler assembly having a tissue acquisition member and a tissue fixation member. The stapler assembly approximates tissue from within the hollow body organ with the acquisition member and then affixes the approximated tissue with the fixation member. In one method, the system can be used as a secondary procedure to reduce the size of a stoma within the hollow body organ.

The present invention provides devices and methods for attachment of an endolumenal gastrointestinal device, such as an artificial stoma device, a gastrointestinal bypass sleeve or other therapeutic or diagnostic device, within a patient's digestive tract. In one application of the invention, an endolumenal bypass sleeve is removeably attached in the vicinity of the gastroesophageal junction to treat obesity and / or its comorbidities, such as diabetes. The bypass sleeve may be at least partially deployed by eversion.

Apparatus for fitting to the head of a patient for supply of gas to the nose at a positive pressure for treatment of snoring and sleep apnea comprises headgear for fitting to the head of a patient. A mask support forms part of said headgear and is held, in use, by portions of said headgear in a stable position above the nose of the patient. The mask support includes a manifold chamber, a first connector opening above said manifold chamber for attachment of a gas supply line and a second connector depending from said manifold chamber. The above apparatus may be used with a novel nasal mask which is a nares seal that may be removably connected to said second connector by a third connector forming part of said seal and having an air orifice formed therethrough. The seal further comprises first and second laterally spaced delivery tubes connecting with said air orifice and defining between them a generally triangular open space which extends, when in use, downwardly to a point below the nose of a patient. The delivery tubes thence curves inwardly and upwardly to approach the nose of a patient and supports first and second nostril tubes connected with said delivery tubes for insertion into the nares of a patient. Wire support for said laterally spaced tubes extends from the connector to about where said tubes curve inwardly and upwardly.

A medical device for clamping the stomach in morbid obesity surgery consists of a silicone frame that is essentially U-shaped, having opposing legs self-hinged to a bight portion interconnecting the legs. The opposing legs have sufficient stiffness to permit limited bending and have inner surfaces that sealingly carry an inflatable balloon which can be selectively inflated or aspirated after the device has been clamped to the stomach to adjust the gastric restriction stoma. A flexible latch member carried by one of the legs has at least one serration which is inserted into a latch cavity of the opposing leg to lock the opposing legs in fixed spaced relationship. Lumens within the legs communicate with a fluid supply source and respective inflatable balloon for selective inflation or aspiration of the inflatable balloons.

Apparatus and methods are described for treatment of morbid obesity using minimally invasive techniques. The apparatus includes a system of components that may be used separately or in combination for effectively reducing stomach volume, bypassing a portion of the stomach and / or small intestines, reducing nutrient absorption in the stomach and / or small intestines and / or depositing minimally or undigested food farther than normal into the intestines, thereby stimulating intestinal responses. The components described include an artificial stoma device, a gastric sleeve device, an intestinal sleeve device and a combined gastrointestinal sleeve device.

A combination device for gastrostomy or jejunostomy usage having a retaining member, an elongated member having a gastrostomy lumen and a jejustomy lumen, and an inflatable balloon mounted on the elongated member. The retaining member is of a low profile and is arranged to be located on the skin adjacent a stoma in the abdominal wall through which the elongated member extends. The balloon seals the stoma about the elongated member. The retaining member includes at least one access port to communicate with respective ones of the lumens. The device, related compositions, and processes can prevent and / or treat granulomas.

This disposable device for securing an ostomy bag to a stoma created in a patient, of the type comprising means for joining the ostomy bag to an adhesive seal (5) which is applied on the patient via a contact face, a through-passage (8) communicating with the stoma being formed in the adhesive seal (5), of which the contact face on the patient is at least partially covered by an adhesive composition, is characterized in that the adhesive seal (5) additionally comprises means (15, 16, 17, 18, 19) for detecting wetness of the adhesive composition and means for triggering an alarm when a predetermined level of wetness is reached in the adhesive composition.

An apparatus and method for implanting a surgical apparatus including a first flange having an opening, a second flange having an opening, and a shaft having a lumen connecting the first and second flange openings. The surgical apparatus is inserted into a stoma formed in the trachea of a patient. The surgical apparatus receives and secures an oxygen supply line for patients who have difficulty breathing.

A continent ostomy port device has a face plate defining an aperture alignable with the opening of a stoma in the user's body and a closure adjacent to the aperture is adapted to permit covering and uncovering of the aperture in the face plate. A catheter extends from one side of the face plate proximally, and one end of the catheter is disposed within the ostomy site when the port device is in use. The catheter has continuous exterior and interior side walls, the latter defining a major lumen and is sized and shaped for non-surgical insertion through a stoma to a sufficient distance that the presence of the catheter within the stoma provides a barrier which reduces the incidence of prolapse, without the use of extraneous, externally applied materials or additional surgery. A removable cartridge fits snugly and slideably within the major lumen of the catheter of the device so as to prevent inadvertent escape of body waste material from the stoma when the cartridge is in place, without use of an ostomy bag, and to clean the interior side wall of the catheter as the cartridge is pressed into the major lumen. An anti-reflux valve is activated to prevent escape of body waste and deactivated for passage of fluid. Retaining structure is connected to the catheter, and is non-surgically, snugly fittable into the stoma, to cause the port device to be self-retaining in a normal use position within a stoma, without surgery or fixation materials.

A ring or rings adapted for endoluminal placement within the stomach, other hollow organ or vessel, and a method for deploying the rings is described. The rings create a small pouch with a reinforced stoma in the stomach for the treatment and control of obesity. An endoluminal suturing device for deploying a circumferential line of interrupted mattress suture bites is inserted into the patient's stomach via the patient's mouth. The distal gastric ring is preloaded on the distal end of the suturing device and is incorporated with suture loops from the double-armed sutures contained within the device. The suturing device can have an expandable area at its distal end that can expand its diameter to between approximately 10 mm and 150 mm. The circumference of this expanded area has a suction opening that is used to draw in tissue when a vacuum is applied to the device. Flexible cannulas containing long flexible suture needles are positioned radially around the circumference of the suction opening. The long needles are are adapted to be advanced through the drawn in tissue incorporating their attached suture material. The expandable area of the device is collapsed, and the device is withdrawn from the patient. With the distal ring anchoring the sutures beneath the incorporated tissue folds, a column of sutures exits the device's suction port as the device is withdrawn. A second, proximal ring is then incorporated with the sutures and may then be endoscopically lowered into the patient's stomach and positioned proximal to the distal ring. The sutures are endoscopically secured and cut, thereby fixing the two rings together with tissue incorporated between them.

The present invention provides devices and methods for attachment of an endolumenal gastrointestinal device, such as an artificial stoma device, a gastrointestinal bypass sleeve or other therapeutic or diagnostic device, within a patient's digestive tract. In one application of the invention, an endolumenal bypass sleeve is removeably attached in the vicinity of the gastroesophageal junction to treat obesity and / or its comorbidities, such as diabetes. The bypass sleeve may be at least partially deployed by eversion.

The present invention provides devices and methods for attachment of an endolumenal gastrointestinal device, such as an artificial stoma device, a gastrointestinal bypass sleeve or other therapeutic or diagnostic device, within a patient's digestive tract. In one application of the invention, an endolumenal bypass sleeve is removeably attached in the vicinity of the gastroesophageal junction to treat obesity and / or its comorbidities, such as diabetes. The bypass sleeve may be at least partially deployed by eversion.

Devices and methods are provided for ablational treatment of regions of the digestive tract in post-bariatric surgery patients who fail to achieve or maintain the desired weight loss. Bariatric procedures include Roux-en-Y gastric bypass, biliopancreatic diversion, and sleeve gastrectomy. These procedures reconstruct gastrointestinal tract features, creating pouches, stoma, and tubes that restrict and / or divert the digestive flow. Post-surgical dilation of altered structures is common and diminishes their bariatric effectiveness. Ablation of compromised structures can reduce their size and compliance, restoring bariatric effectiveness. Ablation, as provided the invention, starts at the mucosa and penetrates deeper into the gastrointestinal wall in a controlled manner. Control may also be provided by a fractional ablation that ablates some tissue within a target region and leaves a portion substantially unaffected. Embodiments of the device include an ablational electrode array that spans 360 degrees and an array that spans an arc of less than 360 degrees.

The present invention provides devices and methods for attachment of an endolumenal gastrointestinal device, such as an artificial stoma device, a gastrointestinal bypass sleeve or other therapeutic or diagnostic device, within a patient's digestive tract. In one application of the invention, an endolumenal bypass sleeve is removeably attached in the vicinity of the gastroesophageal junction to treat obesity and / or its comorbidities, such as diabetes. The bypass sleeve may be at least partially deployed by eversion.

Artificial stoma formed with multilayered structures that actuate with humidity, temperature, chemical environment or light. These actuators can be incorporated into shoes, apparel, fuel cells, machinery, and buildings to control fluid flow or diffusion to regulate humidity, temperature, chemical environment, or light. These actuators can be used as sensors, modify structure, or appearance for greater function, comfort, or aesthetics.

The present invention provides a nostril plug which can reduce functional articulatory disorder by closing a nostril thereby preventing the leaking of exhalation from the nostril and can be used with substantially no discomfort.The nostril plug being inserted into a nostril for suppressing the leaking of exhalation from a nose includes a valve unit for suppressing only passage of exhalation in breathing and support bodies for supporting the valve unit mounting the valve unit thereon and being arranged in the nostrils. The support body is formed of a tubular body inscribed in the nostril, and the valve unit is removably fitted in the support bodies. When the pressure in the nostril reaches a predetermined level or more through exhalation, the valve unit can be separated from the support bodies by the pressure.

Methods and apparatus for the endoluminal revision of previously performed obesity procedures which have failed are described. One or more endoluminal instruments may be advanced per-orally into the previously formed failed pouch where a number of different procedures can be performed. One or more tissue folds can be formed and secured to reduce the size of the pouch, or the stoma connecting the pouch to the intestinal tract can be reduced in size using endoluminally deployed tissue anchors. These procedures can be performed entirely from within the pouch lumen or upon the exterior surface of the pouch via transgastric entry of the instruments into the peritoneal cavity of a patient. Alternatively, the interior tissue within the pouch can be injured or sclerosed to shrink the pouch lumen. In another alterative, a length of the Roux limb can be shortened endoluminally to create a malabsorptive region.

A self-regulating gastric band apparatus for adjusting stoma size. The apparatus includes an adjustable gastric band that has an inner ring expanding with injected fluid. A band adjustment assembly is provided for implanting with the gastric band that includes a sensor for sensing fluid pressure in the inner ring. The band adjustment assembly further includes a pump assembly connected to the expandable inner ring and to a controller that can operate the pump assembly to adjust the volume of the fluid in the band based on the sensed fluid pressure. The band adjustment assembly includes memory storing an operating range relative to a target fluid pressure, and the pump assembly is operated to maintain the sensed band pressure within the operating range. The target pressure being set to maintain pressure variations below a predefined variation limit generally corresponding with satiated fill volumes for a particular patient and implanted band. An elongated fluid reservoir may extend along a substantial part of a fill tube. A balloon-like expandable fluid reservoir in fluid communication with the pump assembly may store a volume of the fluid for adjusting the volume of fluid in the lumen. A protective outer sheath may be provided around the exterior of an expandable fluid reservoir in both a first, deflated state, and a second, inflated state of the reservoir.

A continent ostomy port device has a generally planar face plate defining a selectively sealable aperture which is alignable with the opening of a stoma formed in the body of a user of the device. A closure portion is connected to the generally planar face plate adjacent to the aperture and is adapted to permit selective and repeatable covering and uncovering of the aperture in the generally planar face plate. A catheter portion extends from one side of the face plate and extends proximally, and one end of the catheter portion is disposed interior of the user's body, within the ostomy site, when the port device is in normal use position. The catheter portion has continuous and generally cylindrical exterior and interior side walls, the latter defining a major lumen. The catheter portion is sized and shaped appropriately for non-surgical insertion through a stoma to a sufficient distance that the presence of the catheter portion within the stoma provides a physical barrier which reduces the incidence of stoma prolapse, without the use of extraneous, externally applied materials or additional surgery. A removable cartridge is sized and shaped to fit snugly and slideably within the major lumen of the catheter portion of the device so as to be liquid-tight and to thereby prevent inadvertent escape of body waste material from the stoma through the device when the cartridge is in place, so that the user is not required to wear an ostomy bag, and to further thereby clean the interior side wall of the catheter portion as the cartridge is pressed into the major lumen of the catheter. A selectively operable anti-reflux valve that is attached internally of the proximal end of the catheter portion and is activated when it is desired to prevent escape of body waste through the port device, and deactivated when it is desired to permit passage of fluid through the port device. Retaining structure is connected to the catheter, and is non-surgically, snugly fittable into the stoma, to cause the port device to be self-retaining in a normal use position within a stoma of the user, without the need for special surgery and extraneous, external fixation materials such as tape, belts, and adhesives.

An inflatable gastric band incorporates a fluid channel within an outer surface of the band and an inflatable bladder on a stomach-facing side of the band. The gastric band attaches to a double lumen catheter, which communicates with a dual infusion port. One lumen communicates with the fluid channel and one port, while the other lumen communicates with the inflatable bladder and a second port. Injection of fluid into one chamber of the infusion port expands inflatable bladder, allowing adjustment to the diameter of the stoma. Injection of drugs or therapeutic agents into the second chamber allows the infusion of drugs or agents directly into the abdominal cavity of a gastric band recipient. The inflatable bladder can be continuous or segmented. A segmented bladder reduces pinching and / or folding of the inner surface of the gastric band during expansion / contraction, thereby lessening stomach pinching and / or irritation.

A flange for a medical collecting bag having an aperture allowing bodily fluids or exudates to enter the bag. The flange has an inner rim delimiting the aperture therein, and a central area encircling the aperture, which area has a predetermined weakening line pattern. The force needed for removing the bag flange from the skin or a body side member is smaller than the force needed for breaking the weakening lines which enables a simple gradual enlargement of the aperture of an ostomy device for adaptation of the aperture to the size of the stoma or for adaptation of the aperture to the size of a wound, as well as a complete removal of the bag flange when substituting the bag.