Anti-obesity devices
Method and apparatus for limiting absorption of food products in specific parts of the digestive system is presented. A gastrointestinal implant device is anchored in the pyloric portion of the gastrointestinal system and extends beyond the ligament of Treitz. All food exiting the stomach is funneled through the device. The gastrointestinal device includes an anchor for anchoring the device in the pyloric portion and a flexible sleeve that extents into the duodenum. The anchor is collapsible for endoscopic delivery and removal.
1. A delivery apparatus for delivering a collapsible gastrointestinal sleeve, the apparatus comprising:
a flexible inner shaft having a distal tip for passage through at least a foot length of the intestines and for delivering the collapsible gastrointestinal sleeve, the flexible inner shaft having a minimum bend radius of less than 0.5 inches without kinking;
a semi-rigid outer tube to receive the flexible inner shaft and to guide movement of the flexible inner shaft through the stomach; and
an atraumatic element coupled to the distal tip of the flexible inner shaft and configured to lead the flexible inner shaft through the intestines.
2. The apparatus of claim 1 , further including the gastrointestinal device coupled to the flexible inner shaft, the gastrointestinal device being shaped and configured for providing a barrier in the digestive tract.
3. The apparatus of claim 1 , wherein the flexible inner shaft is a catheter and further including a moveable element extending along a length of the catheter, and being longitudinally moveable within the catheter.
4. The apparatus of claim 3 , wherein the atraumatic element is releasably coupled to the distal tip of the catheter and the moveable element, and wherein the atraumatic element is released from the distal tip of the catheter and the moveable element by moving the moveable element away from the atraumatic element.
5. The apparatus of claim 3 , wherein the gastrointestinal device is releasably coupled to the catheter and the moveable element, and wherein the gastrointestinal device is released from the catheter and the moveable element by moving the moveable element.
6. The apparatus of claim 1 , wherein the atraumatic element is remotely releasable from the distal tip of the flexible inner shaft.
7. The apparatus of claim 1 , wherein the atraumatic element comprises a ball.
8. The apparatus of claim 1 , wherein the atraumatic element is inflatable.
9. The apparatus of claim 1 , wherein the atraumatic element is larger in diameter than the flexible inner shaft.
10. The apparatus of claim 9 , wherein the atraumatic element is 0.25 inches to 0.75 inches in diameter.
11. The apparatus of claim 1 , wherein the flexible inner shaft is a catheter defining a first lumen.
12. The apparatus of claim 11 , further including a guidewire extending through the first lumen.
13. The apparatus of claim 11 , further including a stiffening wire extending through the first lumen to increase the rigidity of the catheter during introduction of the catheter into the intestines.
14. The apparatus of claim 13 , wherein the catheter defines a second lumen and further including a retention wire extending through the second lumen to hold a distal end of the gastrointestinal device to the catheter.
15. The apparatus of claim 14 , wherein the catheter defines a third lumen to pass fluid into the intestines.
16. A method of delivering a gastrointestinal device comprising:
passing a semi-rigid outer tube through the stomach; and
passing a flexible inner shaft having a distal tip through the outer tube and through a length of the intestines to deliver a gastrointestinal sleeve, the flexible inner shaft extending at least a foot beyond the outer tube, the flexible inner shaft having a minimum bend radius of less than 0.5 inches without kinking, and the flexible inner shaft having an atraumatic element coupled to the distal tip of the flexible inner shaft.
17. The method of claim 16 , wherein the flexible inner shaft is a catheter defining a first lumen, and wherein passing the catheter includes increasing the rigidity of the catheter with a wire extending through the first lumen.
18. The method of claim 17 , wherein a moveable element extends along the length of the catheter via a second lumen in the catheter.
19. The method of claim 18 , wherein the atraumatic element is releasably coupled to the distal tip of the catheter and the moveable element, and further including releasing the atraumatic element from the distal tip of the catheter and the moveable element by moving the moveable element away from the atraumatic element.
20. The method of claim 18 , wherein the gastrointestinal device is releasably coupled to the catheter and the moveable element, and further including releasing the gastrointestinal device from the catheter and the moveable element by moving the moveable element.
21. The method of claim 18 , further including delivering fluid to the distal tip of the catheter via a third lumen.
22. The method of claim 16 , wherein the gastrointestinal device is releasably coupled to the flexible inner shaft, and further including releasing the gastrointestinal device from the flexible inner shaft.