Methods and devices for placement of an intra-abdominal or intra-thoracic appliance through a natural body orifice
Natural orifice transenteric surgical methods and devices for placing a semi-circumferential appliance around a hollow bodily organ such as the stomach. In one alternative embodiment, such an appliance is placed in order to reduce the inner volume of the stomach.
1. A method of placing a semi-circumferential appliance on a wall surface of a hollow bodily organ, comprising
placing a manipulable device through a natural body opening into a hollow bodily organ, said manipulable device including at a distal end a deployable semi-circumferential appliance extending in a plane that is angularly oriented relative to a longitudinal axis of said manipulable device;
moving said semi-circumferential appliance through a wall surface of the hollow bodily organ to another surface of the wall;
closing the semi-circumferential appliance around at least a portion of the hollow bodily organ to capture a portion thereof;
detaching the semi-circumferential appliance from the manipulable device; and
removing the manipulable device from the hollow bodily organ.
2. The method as in claim 1 , wherein the hollow bodily organ is one of the stomach, intestine, airway, and esophagus.
3. The method as in claim 1 , wherein moving through the wall comprises piercing, cutting, injecting and/or burning through the wall to create on opening passage to the other surface of the wall.
4. The method as in claim 1 , wherein moving through the wall occurs at a location of the placing the appliance on the wall surface.
5. The method as in claim 1 , wherein moving through the wall occurs at a location away from the placing the appliance on the wall surface.
6. The method as in claim 1 , further comprising affixing the semi-circumferential appliance to the organ wall.
7. The method as in claim 6 , wherein affixing includes at least one of the following actions: suturing, stapling, gluing, tissue-welding, encapsulating, marcupializing, engulfing with tissue, tacking, and tethering.