Systems and methods for bariatric therapy
The present invention provides bariatric therapy systems. One system includes a gastrointestinal implant device and a delivery mechanism therefor. The device can include a sleeve for placement into a small intestine and to minimize absorption of nutrients by its walls. An anchoring mechanism coupled to a proximal end of the sleeve and designed to be secured within the stomach can be provided. A passageway extending through the anchoring mechanism and the sleeve can also be provided, along which food can be directed from the stomach to the small intestine. The delivery mechanism can include a housing for accommodating the device, and a deploying balloon situated within the housing and which can be actuated to direct the sleeve of the device from within the housing to the site of implantation. Methods for providing bariatric therapy are also provided by the present invention.
1. A system for bariatric therapy comprising:
a) a gastrointestinal implant device having,
a sleeve for placement into a small intestine and to minimize absorption of nutrients by a wall of the small intestine, the sleeve having an open proximal end and an open distal end;
an anchoring mechanism coupled to the proximal end of the sleeve and designed to be secured within a stomach so as to allow the sleeve to securely extend into the small intestine; and
a passageway extending through the anchoring mechanism and the sleeve, and along which digested food can be directed from the stomach to the small intestine; and
b) a delivery mechanism for directing the device to a site of implantation, the delivery mechanism having,
a housing for accommodating the device, the housing having a delivery end, an opposing proximal end, and a passageway therebetween; and
a deploying balloon for accommodating the sleeve of the device, the balloon having an open end attached to the delivery end of the housing and a closed end situated within the housing, the balloon capable of being actuated to direct the sleeve of the device from within the housing into the small intestine; and
wherein the anchoring mechanism is disposed about the delivery end of the housing and the deploying balloon is in an axial alignment with the passageway of the anchoring mechanism such that actuating the deploying balloon everts the open distal end of the sleeve through the passageway of the anchoring mechanism to implant the device.
2. The system of claim 1 , wherein the sleeve is inverted within the deploying balloon and capable of being everted therefrom.
3. The system of claim 1 , wherein the anchoring mechanism is an inflatable balloon designed to reduce functional volume of the stomach upon inflation.
4. The system of claim 3 , wherein the anchoring mechanism includes a port for inflating the anchoring mechanism.
5. The system of claim 1 , wherein the anchoring mechanism is a self-expanding frame which, upon expansion, is substantially frustoconical in shape for securing against a wall of the stomach while allowing the stomach to maintain a substantially full functional volume.
6. The system of claim 1 , wherein the housing is substantially tubular in shape.
7. The system of claim 1 , wherein the housing is made from a sufficiently flexible material for accommodating the device.
8. The system of claim 1 , wherein the closed end of the deploying balloon is inverted within the housing to accommodate the sleeve, and capable of being everted from within the housing so as to allow the sleeve to extend into the small intestine.
9. The system of claim 1 , wherein the deploying balloon is made from a material capable of withstanding a sufficient force so as to permit eversion of the balloon from within the housing.
10. The system of claim 1 , further including a port through which positive pressure can be introduced into the housing, and an inflation device detachably connected to the port and designed to introduce positive pressure into the housing via the port to deploy the implant device.
11. The system of claim 1 , further including a gastroscope for guiding the system to the site of implantation.