US5403326A
Expired / Lapsed
US
⏱️ 0.0 years remaining
Method for performing a gastric wrap of the esophagus for use in the treatment of esophageal reflux
Assignee: University of California
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Filing: 1993-02-01
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Granted: 1995-04-04
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Expires: 2013-02-01
Abstract
Abstract The invention provides a method of fundoplication of the stomach to the esophagus comprising introducing an esophageal manipulator (72) into the stomach lumen (10), maneuvering the manipulator within the lumen so as to create an intussusception (48) of the esophagus (14) into the stomach, introducing a stapler (68) to the lumen of the stomach, and stapling the intussuscepted esophagus to the stomach operation of the stapler is from within the lumen of the stomach. The invention also provides a medical or surgical stapler comprising an elongated body (80) having a passageway (70) which is adapted to receive a medical component such as a forceps (72) or fluid.
Inventors
- 👤 Michael R. Harrison
- 👤 Russell W. Jennings
- 👤 Alan W. Flake
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 00:16
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/28; A61B17/29; A61B17/064; A61B17/0643; A61B17/068; A61B17/072; A61B17/07207; A61B17/10; A61B17/00234; A61B2017/00353; A61B2017/0647; A61B2017/07214; A61B17/22; A61B2017/22072
Claims Analysis
Total Claims: 14
Claim 1
Independent Claim
84 words
A method of fundoplication of a stomach to an esophagus of a patient comprising: a. introducing an esophageal manipulator through a percutaneous endoscopic gastrostomy and into a lumen of the stomach; b. maneuvering the manipulator within the lumen so as to create an intussusception of the esophagus into the stomach; c. introducing a tissue securing device to the lumen of the stomach; and d. securing the intussuscepted esophagus to the stomach using the tissue securing device operating from within the lumen of the stomach.
Claim 2
Independent Claim
84 words
A method of fundoplication of a stomach to an esophagus of a patient comprising: a. introducing an esophageal manipulator through a percutaneous endoscopic gastrostomy and into a lumen of the stomach; b. maneuvering the manipulator within the lumen so as to create an intussusception of the esophagus into the stomach; c. introducing a tissue securing device to the lumen of the stomach; and d. securing the intussuscepted esophagus to the stomach using the tissue securing device operating from within the lumen of the stomach.
Claim 3
Dependent Claim
30 words
The method of claim 1 further comprising the step of using endoscopic guidance to assist with positioning of at least one of the esophageal manipulator and the tissue securing device.
Claim 4
Dependent Claim
13 words
The method of claim 1 wherein the tissue securing device is a stapler.
Claim 5
Dependent Claim
39 words
The method of claim 1 wherein the tissue securing device introducing step is carried out using a stapler having a longitudinally extending passageway, and further comprising the step of introducing the esophageal manipulator through said passageway in the stapler.
Claim 6
Dependent Claim
17 words
The method of claim 4 further comprising the step of arranging the staples in a T-shaped pattern.
Claim 7
Dependent Claim
22 words
The method of claim 4 further comprising the step of positioning the staples substantially parallel to a long axis of the esophagus.
Claim 8
Independent Claim
75 words
A method of plication of a viscus of a patient comprising: a. making an incision in the wall of the viscus; b. introducing a tissue manipulator through the incision and into a lumen of the viscus; c. maneuvering the manipulator so as to create an intussusception of a proximate structure into the viscus; d. introducing a tissue securing device to the lumen of the viscus; and e. securing the intussuscepted viscus to the proximate structure.
Claim 9
Independent Claim
75 words
A method of plication of a viscus of a patient comprising: a. making an incision in the wall of the viscus; b. introducing a tissue manipulator through the incision and into a lumen of the viscus; c. maneuvering the manipulator so as to create an intussusception of a proximate structure into the viscus; d. introducing a tissue securing device to the lumen of the viscus; and e. securing the intussuscepted viscus to the proximate structure.
Claim 10
Dependent Claim
13 words
The method of claim 7 wherein the tissue securing device is a stapler.
Claim 11
Independent Claim
110 words
A method of fundoplication of a stomach to an esophagus of a patient comprising: a. creating a first incision in an abdomen of the patient; b. approaching the stomach wall of the patient through the abdominal wall incision; c. creating a second incision in the stomach wall of the patient; d. introducing through the first and second incisions and into a lumen of the stomach an esophageal manipulator; e. engaging esophageal tissue by the manipulator; f. maneuvering the manipulator so as to create an intussusception of the esophagus into the stomach; g. introducing a stapler to the lumen of the stomach; and h. stapling the intussuscepted esophagus to the stomach.
Claim 12
Independent Claim
110 words
A method of fundoplication of a stomach to an esophagus of a patient comprising: a. creating a first incision in an abdomen of the patient; b. approaching the stomach wall of the patient through the abdominal wall incision; c. creating a second incision in the stomach wall of the patient; d. introducing through the first and second incisions and into a lumen of the stomach an esophageal manipulator; e. engaging esophageal tissue by the manipulator; f. maneuvering the manipulator so as to create an intussusception of the esophagus into the stomach; g. introducing a stapler to the lumen of the stomach; and h. stapling the intussuscepted esophagus to the stomach.
Claim 13
Independent Claim
90 words
A method of fundoplication of a stomach to an esophagus of a patient comprising: a. introducing an esophageal manipulator into a lumen of the stomach; b. maneuvering the manipulator within the lumen so as to create an intussusception of the esophagus into the stomach; c. introducing a stapler, having a longitudinally extending passageway, to the lumen of the stomach; d. introducing the esophageal manipulator through said passageway in the stapler; and e. stapling the intussuscepted esophagus to the stomach using the stapler operating from within the lumen of the stomach.
Claim 14
Independent Claim
90 words
A method of fundoplication of a stomach to an esophagus of a patient comprising: a. introducing an esophageal manipulator into a lumen of the stomach; b. maneuvering the manipulator within the lumen so as to create an intussusception of the esophagus into the stomach; c. introducing a stapler, having a longitudinally extending passageway, to the lumen of the stomach; d. introducing the esophageal manipulator through said passageway in the stapler; and e. stapling the intussuscepted esophagus to the stomach using the stapler operating from within the lumen of the stomach.
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USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 1998-04-03 | 1998-10-03 | 1999-04-04 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2002-04-03 | 2002-10-03 | 2003-04-04 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2006-04-03 | 2006-10-03 | 2007-04-04 | $7700.00 | Window Closed / Lapsed |