Intragastric device for treating obesity
A gastrointestinal device for treating obesity includes a three-dimensional porous structure configurable between a compressed pre-deployment configuration to facilitate delivery and an expanded post-deployment configuration. The porous structure includes a first opening at its proximal end and a larger second opening at its distal end. The porous structure also includes a sleeve coupled to its distal end. Optionally, the device further includes a suture at the proximal end of the wire mesh structure to facilitate retrieval and an anti-migration component positioned at the junction of the porous structure with the sleeve. The porous structure is deployed in a patient's stomach such that the anti-migration component sits proximal to the patient's pylorus and prevents migration of the entirety of the device into and through the pylorus. The sleeve extends through the pylorus, into the duodenum and ends in the duodenum or jejunum. Food enters the device from the first opening at the proximal end of the porous structure, passes through the porous structure and sleeve, and exits at the distal end of the sleeve. The device treats obesity by providing a relatively immovable volume occupying structure in the stomach and a bypass for food past the pylorus and proximal portion of the small intestine. Optionally, the device further acts to slow the passage of food through the digestive tract. Patients with the device experience satiety more quickly and have a prolonged sensation of satiety.
1. A medical device comprising:
a porous mesh structure comprising a top, a bottom, and an interior and having a pre-deployment shape with a first volume and a substantially ovoid post-deployment shape with a second volume greater than said first volume, wherein, in said post-deployment shape, said porous structure includes at least one first opening proximate said top through which food is configured to enter and at least one second opening proximate said bottom through which the food is configured to exit, such that the food captured by the device is sequestered within the porous mesh structure for a period of time;
an anti-migration component positioned proximate said bottom of said porous mesh structure, wherein said anti-migration component comprises a compressed pre-deployment configuration and an expanded post-deployment configuration, wherein said anti-migration component is an extension of said porous mesh structure, and wherein said anti-migration component has a bumper shape where the porous mesh extends distally, curls outward, and extends back proximally; and
an elongate sleeve coupled to an outer edge of said anti-migration component.
2. The medical device of claim 1 , wherein the elongate sleeve comprises a flexible elongate body, a proximal end with a third opening, a distal end with a fourth opening, and a sleeve interior, wherein said sleeve is coupled to said porous structure such that food exiting said at least one second opening enters said sleeve through said third opening, passes through said sleeve interior, and exits said sleeve through said fourth opening.
3. The medical device of claim 2 , wherein said at least one first opening does not direct food into said sleeve interior such that food exiting said interior of said porous structure through said at least one first opening does not enter said sleeve and said at least one second opening does direct food into said sleeve interior such that food exiting said interior of said porous structure through said at least one second opening does enter said sleeve.
4. The medical device of claim 2 , wherein a first surface area defined by said at least one first opening is greater than a second surface area defined by said at least one second opening.
5. The medical device of claim 2 , wherein a first surface area defined by said at least one first opening is less than a second surface area defined by said at least one second opening.
6. The medical device of claim 1 , wherein, when in said post-deployment configuration, the diameter of said porous structure is greater than the diameter of an open pylorus.
7. The medical device of claim 1 , wherein the porous structure comprises a wire mesh structure.
8. The medical device of claim 1 , wherein said porous structure is coated with a corrosion-resistant material preventing exposure of said porous structure to gastric acid, further wherein said corrosion-resistant material covers said porous structure and does not cover said openings of said porous structure.
9. The medical device of claim 8 , wherein said corrosion-resistant material comprises any one or combination of silicone, polyester, polyether ether ketone (PEEK), a medical grade epoxy, ceramic, or metal.
10. The medical device of claim 1 , wherein, when in said post-deployment configuration, said anti-migration component has a width that is greater than the diameter of the porous structure.
11. The medical device of claim 1 , wherein, when in said post-deployment configuration, said anti-migration component has a radial strength that is greater than the compressive force of a patient's stomach.
12. The medical device of claim 1 , wherein said anti-migration component is comprised of metal.
13. The medical device of claim 12 , wherein said metal is a shape memory metal.
14. The medical device of claim 12 , wherein said metal is temperature sensitive.
15. The medical device of claim 1 , wherein said anti-migration component is coated with a corrosive resistant material.
16. The medical device of claim 15 , wherein said corrosive resistant material is any one or combination of silicone, polyester, a medical grade epoxy, ceramic, or metal.
17. The medical device of claim 1 , wherein the medical device is an intragastric device.