INTRAGASTRIC BALLOON GEOMETRIES
The present application provides intragastric devices for the treatment of obesity. The intragastric devices advantageously act as a volume-occupying device, and is able to survive implantation in a patient's stomach for a year or longer. In addition, the intragastric devices may provide additional benefits. For example, the intragastric device may be configured to stimulate an inner stomach wall and/or temporarily block the pylorus to slow gastric emptying and/or be rotationally variant, thereby encouraging different stimulation points on the inner wall of the stomach and limiting the stomach's ability to adapt over long term implantation.
1 .- 20 . (canceled)
21 . An intragastric device for occupying space in a patient's stomach and for treating obesity, the intragastric device comprising:
a plurality of round protrusions attached to one another and projecting outward from a center of the intragastric device, the protrusions configured to permit rotation of the intragastric device as stomach muscles contracts, wherein each protrusion can substantially block the entrance of the pylorus to the stomach, without residing within the pylorus, thereby impeding flow of food into the stomach, the device capable of remaining in the stomach and functioning therein for at least one year to treat obesity.
22 . The intragastric device of claim 21 , wherein the protrusions are relatively large partial-spheres.
23 . The intragastric device of claim 21 , wherein the protrusions are each sized to temporarily block the pylorus of the patient when the protrusion contacts the pylorus but are too large to fit within the pyloris opening.
24 . The intragastric device of claim 21 , wherein there are a total of six protrusions.
25 . The intragastric device of claim 21 , wherein the protrusions are placed in an asymmetrical pattern around the intragastric device.
26 . The intragastric device of claim 21 , wherein the intragastric device is hollow and filled with air.
27 . The intragastric device of claim 21 , wherein the intragastric device is hollow and filled with a liquid gel.
28 . The intragastric device of claim 21 , wherein an exterior surface of each protrusion is not smooth but has a plurality of mini surface stimulation features thereon.
29 . An intragastric device for occupying space in a patient's stomach and for treating obesity, the intragastric device comprising:
a plurality of legs attached to one another and projecting outward from a center of the intragastric device, the plurality of legs configured such that the intragastric device is rotationally variant depending on natural contractions of the patient's stomach, wherein each leg terminates in a leg end larger than the rest of the leg and sized to temporarily block the pylorus of the patient when the leg end contacts the pylorus but being too large to fit within the pyloris opening, the device further configured to be functional inside the patient's stomach for a year or more.
30 . The intragastric device of claim 29 , wherein there are a total of four legs.
31 . The intragastric device of claim 29 , wherein the legs are placed in an asymmetrical pattern around the intragastric device.
32 . The intragastric device of claim 29 , wherein the intragastric device is hollow and filled with air.
33 . The intragastric device of claim 29 , wherein the intragastric device is hollow and filled with a liquid gel.
34 . The intragastric device of claim 29 , wherein an exterior surface of each leg end is not smooth but has a plurality of mini surface stimulation features thereon.
35 . An intragastric device for occupying space in a patient's stomach, the intragastric device comprising:
a hollow body having an interior chamber and an exterior surface defined by a wall of the hollow body, wherein the exterior surface is not smooth but has a plurality of mini surface stimulation features thereon, the body further configured to be functional inside the patient's stomach for a year or more.
36 . The intragastric device of claim 35 , wherein the mini surface stimulation features comprises rounded protruding portions alternating with non-protruding portions.
37 . The intragastric device of claim 36 , wherein at least 3 of the plurality of protrusions have different heights and diameters than other of the protrusions.
38 . The intragastric device of claim 35 , wherein the mini surface stimulation features comprises a plurality of quill-like extensions.
39 . The intragastric device of claim 38 , wherein at least two of the plurality of the quill-like extensions have different flexibilities than other of the quill-like extensions.
40 . The intragastric device of claim 38 , wherein each of the quill-like extensions has a diameter of less than 5 mm.
41 . The intragastric device of claim 35 , wherein the mini surface stimulation features comprise a plurality of dimpled recesses having a thinner wall thickness than surrounding flat portions of the hollow body wall.
42 . The intragastric device of claim 41 , wherein the flat portions have a wall thickness of about half the wall thickness of the dimpled recesses.