Bariatric device and method
A bariatric device and method of causing at least partial satiety in a recipient includes positioning a body in a recipient, the body having a wall defining a lumen, the wall configured to generally conform to the shape and size of the proximal cardiac portion of the stomach. Force is exerted with the wall on the proximal cardiac portion of the stomach in the absence of food thereby activating receptors located in the proximal cardiac portion of the stomach, thereby influencing a neurohormonal feedback mechanism of the recipient to cause at least partial satiety by augmenting fullness caused by food and simulating fullness in the absence of food.
1. A bariatric device, comprising:
a body having a wall defining a lumen for the passage of food;
wherein said wall has an esophageal portion that is configured to the size and shape of a portion of the esophagus and a cardiac portion that is configured to generally the shape and size of the proximal cardiac portion of the stomach;
a connector connected with said esophageal portion and said cardiac portion, said connector configured to be positioned at the gastro-esophageal junction;
said cardiac portion adapted to exert a radial pressure on the proximal cardiac portion of the stomach thereby influencing a neurohormonal feedback mechanism of the patient to cause at least partial satiety by augmenting fullness caused by food and simulating fullness in the absence of food; and
a fixation system that is adapted to position said cardiac portion of said wall against the cardiac portion of the stomach, said fixation system at least partially positioned at said connector and configured to secure the device at the gastro-esophageal junction of the recipient.
2. The bariatric device as claimed in claim 1 wherein said connector is configured to not exert any significant radial pressure on the gastro-esophageal junction of the recipient to allow the gastro-esophageal junction of the recipient to function normally.
3. The bariatric device as claimed in claim 1 wherein said connector comprises at least one tension member between said esophageal and cardiac portions.
4. The bariatric device as claimed in claim 3 wherein said connector comprises a plurality of tension members between said esophageal and cardiac portions.
5. The bariatric device as claimed in claim 4 wherein said plurality of tension members are generally evenly spaced around the perimeter of said body.
6. The bariatric device as claimed in claim 4 wherein said tension members each comprise a relatively stiff material embedded in silicone.
7. The bariatric device as claimed in claim 1 wherein said fixation system includes at least one chosen from barbs, V-shaped appendages, metallic anchors extending radially from said body, staples and sutures.
8. The bariatric device as claimed in claim 1 wherein said fixation system includes at least a portion of said body being adapted to facilitate tissue ingrowth.
9. The bariatric device as claimed in claim 1 wherein said body being generally frusto-conical in shape.
10. The bariatric device as claimed in claim 1 wherein said esophageal portion is configured to exert a radial pressure on the abdominal portion of the esophagus.
11. The bariatric device as claimed in claim 1 wherein said wall is adapted to exert a generally consistent pressure on the cardiac portion of the stomach.
12. The bariatric device as claimed in claim 1 wherein said wall is at least partially absorbable.
13. The bariatric device as claimed in claim 1 wherein said wall is made from a self-extendable silicone-coated material.
14. The bariatric device as claimed in claim 1 wherein said wall is compressible for deployment through the esophagus.
15. The bariatric device as claimed in claim 14 including a delivery system comprising a tube into which the wall is compressed, said tube being flexible and sized to fit within the esophagus of the recipient.
16. The bariatric device as claimed in claim 15 wherein said delivery system includes a deployment mechanism to retract the bariatric device from the tube.
17. A method of causing at least partial satiety in a recipient, comprising:
positioning a body in the recipient, the body having a wall defining a lumen for the passage of food;
wherein said wall has an esophageal portion that is configured to the size and shape of a portion of the esophagus of the recipient and a cardiac portion that is configured to generally the shape and size of the proximal cardiac portion of the stomach, said body including a connector connected with said esophageal portion and said cardiac portion and configured to be positioned at the gastro-esophageal junction of the recipient;
said positioning including positioning said esophageal portion at said portion of the esophagus and said cardiac portion at the cardiac portion of the stomach to exert a radial pressure on the proximal cardiac portion of the stomach, thereby influencing a neurohormonal feedback mechanism of the patient to cause at least partial satiety by augmenting fullness caused by food and simulating fullness in the absence of food; and
fixing the cardiac portion of the wall to the cardiac portion of the stomach of the recipient, said fixing at least in part comprises fixing said connector at the gastro-esophageal junction of the recipient.
18. The method as claimed in claim 17 wherein said connector is configured to not exert any significant radial pressure on the gastro-esophageal junction of the recipient to allow the gastro-esophageal junction of the recipient to function normally.
19. The method as claimed in claim 17 wherein said connector comprises at least one tension member between said esophageal and cardiac portions.
20. The method as claimed in claim 19 wherein said connector comprises a plurality of tension members between said esophageal and cardiac portions.
21. The method as claimed in claim 20 wherein said plurality of tension members are generally evenly spaced around the perimeter of said body.
22. The method as claimed in claim 20 wherein said tension members each comprise a relatively stiff material embedded in silicone.
23. The method as claimed in claim 17 wherein said fixing includes using at least one chosen from barbs, V-shaped appendages, metallic anchors extending radially from said body, staples and sutures.
24. The method as claimed in claim 17 wherein said fixing includes at least a portion of said body being adapted to facilitate tissue ingrowth.
25. The method as claimed in claim 17 wherein said body being generally frusto-conical in shape.
26. The method as claimed in claim 17 wherein said esophageal portion is configured to exert a radial pressure on the abdominal portion of the esophagus.
27. The method as claimed in claim 17 wherein said wall is adapted to exert a generally consistent pressure on the cardiac portion of the stomach of the recipient.
28. The method as claimed in claim 17 wherein said wall is at least partially absorbable.
29. The method as claimed in claim 17 wherein said wall is made from a self-extendable silicone-coated material.
30. The method as claimed in claim 17 wherein said wall is compressible for deployment through the esophagus.
31. The method as claimed in claim 30 including a delivery system comprising a tube into which the wall is compressed, said tube being flexible and sized to fit within the esophagus of the recipient.
32. The method as claimed in claim 31 wherein said delivery system includes a deployment mechanism and further including retracting the bariatric device from the tube with the deployment mechanism.