WO2008019082A3 - Systems and methods for removing ingested material from a stomach - Google Patents

Systems and methods for removing ingested material from a stomach Download PDF

Info

Publication number
WO2008019082A3
WO2008019082A3 PCT/US2007/017368 US2007017368W WO2008019082A3 WO 2008019082 A3 WO2008019082 A3 WO 2008019082A3 US 2007017368 W US2007017368 W US 2007017368W WO 2008019082 A3 WO2008019082 A3 WO 2008019082A3
Authority
WO
WIPO (PCT)
Prior art keywords
stomach
optionally
gastrostomy
patient
systems
Prior art date
Application number
PCT/US2007/017368
Other languages
French (fr)
Other versions
WO2008019082A2 (en
Inventor
Dean Kamen
Kevin L Grant
Eric M Soederberg
David E Altobelli
David Flynn
Kenneth S Solovay
Samuel Klein
Tim Langloss
Original Assignee
Aspiration Medical Technology
Dean Kamen
Kevin L Grant
Eric M Soederberg
David E Altobelli
David Flynn
Kenneth S Solovay
Samuel Klein
Tim Langloss
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Aspiration Medical Technology, Dean Kamen, Kevin L Grant, Eric M Soederberg, David E Altobelli, David Flynn, Kenneth S Solovay, Samuel Klein, Tim Langloss filed Critical Aspiration Medical Technology
Priority to DK07836484.1T priority Critical patent/DK2068969T3/en
Priority to AT07836484T priority patent/ATE516830T1/en
Priority to EP17150519.1A priority patent/EP3192539B1/en
Priority to JP2009522889A priority patent/JP5379001B2/en
Priority to AU2007281951A priority patent/AU2007281951B2/en
Priority to CA2659843A priority patent/CA2659843C/en
Priority to EP07836484A priority patent/EP2068969B1/en
Publication of WO2008019082A2 publication Critical patent/WO2008019082A2/en
Publication of WO2008019082A3 publication Critical patent/WO2008019082A3/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013—Implantable devices or invasive measures
    • A61F5/0076—Implantable devices or invasive measures preventing normal digestion, e.g. Bariatric or gastric sleeves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0089—Instruments for placement or removal
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/77—Suction-irrigation systems
    • A61M1/772—Suction-irrigation systems operating alternately
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/10—Tube connectors; Tube couplings
    • A61M39/1011—Locking means for securing connection; Additional tamper safeties
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22—Valves or arrangement of valves
    • A61M39/26—Valves closing automatically on disconnecting the line and opening on reconnection thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142—Pressure infusion, e.g. using pumps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J15/00—Feeding-tubes for therapeutic purposes
    • A61J15/0015—Gastrostomy feeding-tubes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/0247—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body
    • A61M2039/0255—Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body for access to the gastric or digestive system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/27—General characteristics of the apparatus preventing use
    • A61M2205/276—General characteristics of the apparatus preventing use preventing unwanted use
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A61M2205/52—General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/10—Trunk
    • A61M2210/1042—Alimentary tract
    • A61M2210/1053—Stomach
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0229—Devices operating in a closed circuit, i.e. recycling the irrigating fluid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22—Valves or arrangement of valves
    • A61M39/223—Multiway valves

Abstract

When a patient is fitted with an external gastrostomy connection to the stomach, ingested food can be removed through the gastrostomy connection using a pump-based or siphon-based system to achieve weight loss. The process of removing ingested food can be improved by alternating the infusion of liquid into the stomach with the removal of material from the stomach. Optionally, stomach acid may be captured and returned to the stomach. Optionally, nutritional supplements or medicines may be added to the infused liquid. Optionally, a flush mount connectorized system with a built in valve may be used to simplify the interface with the gastrostomy hardware that remains installed in the patient. Optionally, the system may be configured to disable itself from further use after a triggering event (e.g., the passage of time or a predetermined number of uses) has occurred.
PCT/US2007/017368 2006-08-03 2007-08-03 Systems and methods for removing ingested material from a stomach WO2008019082A2 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
DK07836484.1T DK2068969T3 (en) 2006-08-03 2007-08-03 Systems and methods for removing ingested material from a stomach
AT07836484T ATE516830T1 (en) 2006-08-03 2007-08-03 SYSTEMS AND METHODS FOR REMOVING INGESTED MATERIAL FROM THE STOMACH
EP17150519.1A EP3192539B1 (en) 2006-08-03 2007-08-03 Systems and methods for removing ingested material from a stomach
JP2009522889A JP5379001B2 (en) 2006-08-03 2007-08-03 Device to remove food from the patient's stomach
AU2007281951A AU2007281951B2 (en) 2006-08-03 2007-08-03 Systems and methods for removing ingested material from a stomach
CA2659843A CA2659843C (en) 2006-08-03 2007-08-03 Systems and methods for removing ingested material from a stomach
EP07836484A EP2068969B1 (en) 2006-08-03 2007-08-03 Systems and methods for removing ingested material from a stomach

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US82133306P 2006-08-03 2006-08-03
US60/821,333 2006-08-03
US11/675,525 2007-02-15
US11/675,525 US8414561B2 (en) 2006-08-03 2007-02-15 Systems and methods for removing ingested material from a stomach
US11/675,544 2007-02-15
US11/675,527 2007-02-15
US11/675,527 US7648479B2 (en) 2006-08-03 2007-02-15 Systems and methods for removing ingested material from a stomach
US11/675,544 US8062285B2 (en) 2006-08-03 2007-02-15 Systems and methods for removing ingested material from a stomach

Publications (2)

Publication Number Publication Date
WO2008019082A2 WO2008019082A2 (en) 2008-02-14
WO2008019082A3 true WO2008019082A3 (en) 2008-08-21

Family

ID=38917395

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2007/017368 WO2008019082A2 (en) 2006-08-03 2007-08-03 Systems and methods for removing ingested material from a stomach

Country Status (10)

Country Link
US (6) US8414561B2 (en)
EP (6) EP2422828B1 (en)
JP (6) JP5379001B2 (en)
AT (1) ATE516830T1 (en)
AU (1) AU2007281951B2 (en)
CA (3) CA2659843C (en)
DK (5) DK2422828T3 (en)
ES (4) ES2530439T3 (en)
HK (1) HK1164757A1 (en)
WO (1) WO2008019082A2 (en)

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US9039677B2 (en) 2002-11-04 2015-05-26 Aspire Bariatrics, Inc. Apparatus for treating obesity by extracting food

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US7740624B2 (en) 2002-11-04 2010-06-22 Aspiration Medical Technology, Llc Method for treating obesity by extracting food
US9055995B2 (en) 2002-11-04 2015-06-16 Aspire Bariatrics, Inc. Method for treating obesity by extracting food
CA2656626A1 (en) * 2006-07-05 2008-01-10 Aspiration Medical Technology, Llc Shunt apparatus for treating obesity by extracting food
US20110082442A1 (en) * 2006-07-05 2011-04-07 Solovay Kenneth S Externally reinforced percutaneous gastrostomy tube with customizable smooth tube length
US8414561B2 (en) 2006-08-03 2013-04-09 Aspire Bariatrics, Llc Systems and methods for removing ingested material from a stomach
US8632513B2 (en) 2006-08-03 2014-01-21 Aspire Bariatrics, Inc. Systems and methods for removing ingested material from a stomach
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