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.

INTRALUMINAL DEVICE AND METHOD OF FIXATION

An intraluminal device and method of fixation of an intraluminal device at a recipient having an esophagus, a stomach with a cardiac portion and a GE junction between the esophagus and the cardiac portion of the stomach includes deploying the intraluminal device to the recipient. The intraluminal device has a wall defining a cardiac member that is configured to the size and shape of the cardiac portion of the stomach and deployed to the cardiac portion of the stomach and an esophageal member that is configured to the size and shape of a portion of the esophagus and deployed to the esophagus. The intraluminal device having a connector connected with the esophageal portion and cardiac portion and deployed to the GE junction. The wall is fixed to the recipient to resist distal migration of the wall. The fixing includes the wall having a wall characteristic that is configured to facilitate tissue ingrowth. The wall is temporarily fixed to the recipient to resist distal migration of the wall while tissue ingrowth occurs at the wall characteristic. 1. An intraluminal device adapted to be deployed at a recipient having an esophagus , a stomach with a cardiac portion and a GE junction between the esophagus and the cardiac portion of the stomach , the intraluminal device comprising:a wall defining a cardiac member that is configured to the size and shape of the cardiac portion of the stomach and an esophageal member that is configured to the size and shape of a portion of the esophagus;a connector connected with said esophageal member and said cardiac member;a fixation system configured to resist distal migration of said wall, said fixation system comprising a wall characteristic of said wall that is configured to facilitate tissue ingrowth; andsaid fixation system further comprising temporary fixation configured to at least temporarily resist distal migration of said wall while tissue ingrowth occurs at said wall characteristic.2. The intraluminal device as claimed in ...

Bariatric device and method for recipient with altered anatomy

A bariatric device and method of causing at least partial satiety in a recipient that either has or is presently undergoing a procedure that alters the anatomy of the recipient includes deploying a bariatric device to the recipient having an altered anatomy. The bariatric device includes a cardiac member having a cardiac surface that is configured to generally conform to the shape and size of a portion of the cardiac region of the stomach of the recipient. The cardiac member stimulates receptors with the cardiac surface in order to influence a neurohormonal mechanism in the recipient sufficient to cause at least partial satiety by augmenting fullness caused by food and simulating fullness in the absence of food.

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.

Bariatric device and method

A bariatric device includes an esophageal member having an esophageal surface that is configured to generally conform to the shape and size of a portion of the esophagus and an anchoring technique anchoring the esophageal member to the portion of the esophagus. The bariatric device includes a cardiac member having a cardiac surface that is configured to generally conform to the shape and size of a portion of the cardiac portion of the stomach and a connector connected with the esophageal member and the cardiac member to cause strain to be applied by the cardiac member to the cardiac portion of the stomach. The strain applied by the cardiac member to the cardiac portion of the stomach causes satiety in the absence of food. The connector is adapted to pass through the gastroesophageal junction while leaving a continuous portion of the gastroesophageal junction substantially unrestrained.

Intraluminal device delivery technique

A technique for deploying an intraluminal device, such as a bariatric device, in a mammalian lumen, such as the gastrointestinal tract, includes positioning a visualization device through an orifice, such as a natural orifice, into the mammalian lumen. A deployment device having the intraluminal device mounted thereto is guided to the mammalian lumen. The intraluminal device, which has a lumen wall that is configured to the size and shape of a portion of the mammalian lumen, is at least partially deployed from the deployment device in the mammalian lumen. The at least partially deployed intraluminal device is positioned with the deployment device while a position of said intraluminal device is visualized with the visualization device.

INTRALUMINAL DEVICE AND METHOD

An intraluminal device and method includes positioning an intraluminal device in the recipient including positioning the intraluminal device in a lumen that experiences peristalsis. The intraluminal device has a surface defined by a wall. The surface is configured to generally conform to the shape and size of a portion of the lumen. The wall is adapted to reduce luminal spasm resulting from the peristalsis. 147-. (canceled)48. The method as claimed in including applying a stress with said esophageal surface claim 61 , wherein said reducing esophageal spasm includes said wall having a transition zone at an end portion of said wall claim 61 , including applying a different stress on the esophagus at said transition zone than inward of said transition zone.49. The method as claimed in including applying a lower stress at said transition zone than inward of said transition zone.50. The method as claimed in wherein said wall includes an outwardly expanding internal mesh claim 49 , said mesh having a non-uniform cell structure.51. The method as claimed in wherein said cell structure is less dense at said transition zone than inward of said transition zone thereby defining said transition zone at least in part.52. The method as claimed in wherein said esophageal member includes a cover over said mesh claim 51 , said cover extending proximally beyond said mesh thereby defining said transition zone at least in part.53. The method as claimed in wherein said transition zone is at at least one chosen from a proximal end portion of said wall and a distal end portion of said wall.54. The method as claimed in wherein said esophageal wall having an edge portion claim 61 , said edge portion defining angulations therein claim 61 , said angulations minimizing spasm of the esophagus.55. The method as claimed in wherein said angulations comprise a bevel.56. The method as claimed in wherein said angulations comprise a scalloped shape.57. The method as claimed in wherein said edge portion ...

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.

BARIATRIC DEVICE AND METHOD

A bariatric device and method of causing at least partial satiety includes a body having a wall defining a lumen. The wall is configured to generally conform to the shape and size of i) the abdominal portion of the esophagus and/or ii) the proximal cardiac portion of the stomach. The wall is adapted to exert a force on the i) abdominal portion of the esophagus and/or ii) the proximal cardiac portion of the stomach thereby influencing a neurohormonal feedback mechanism to cause at least partial satiety by augmenting fullness caused by food and simulating fullness in the absence of food. A fixation system is included to resist distal migration of the body. The fixation system includes at least a portion of the wall having a tissue ingrowth characteristic to promote ingrowth of tissue in the wall. 1. A bariatric device comprising:a body having a wall defining a lumen, said wall configured to generally conform to the shape and size of at least one chosen from i) the abdominal portion of the esophagus and ii) the proximal cardiac portion of the stomach, said wall adapted to exert a force on the at least one chosen from i) the abdominal portion of the esophagus and ii) the proximal cardiac portion of the stomach thereby influencing a neurohormonal feedback mechanism to cause at least partial satiety by augmenting fullness caused by food and simulating fullness in the absence of food, anda fixation system to resist distal migration of said body, said fixation system including at least a portion of said wall adapted to promote ingrowth of tissue in said wall.2. The bariatric device as claimed in wherein said fixation system includes at least one opening in said wall to promote ingrowth of tissue.3. The bariatric device as claimed in wherein said at least one opening comprises a plurality of discrete openings.4. The bariatric device as claimed in wherein said at least one opening comprises a lattice of openings.5. The bariatric device as claimed in wherein said at least one ...

STRESS REDUCTION DEVICE AND METHOD

A stress reduction device and method includes positioning a device at the gastro-esophageal region of the patient. The device has a wall that is generally configured to the anatomy at the gastro-esophageal region of the patient. A strain is applied with the wall at the gastro-esophageal region, thereby increasing generation of at least one neuro-humoral transmitter. 1. A method of reducing stress in a patient , said method comprising:positioning a device at the gastro-esophageal region of the patient, said device having a wall that is generally configured to the anatomy at the gastro-esophageal region of the patient; andapplying a strain with said wall at the gastro-esophageal region thereby increasing generation of at least one neuro-humoral transmitter.2. The method as claimed in wherein said device includes a cardiac member having a cardiac surface and positioning said cardiac member against the cardiac portion of the stomach.3. The method as claimed in wherein said device includes an esophageal member having an esophageal surface and positioning said esophageal member within the distal portion of the esophagus adjacent the gastro-esophageal (GE) junction.4. The method as claimed in wherein said device includes a connector claim 3 , said connector connected with the esophageal member and the cardiac member.5. The method as claimed in including positioning said connector at the GE junction with a contiguous portion of the GE junction substantially unrestrained.6. The method as claimed in including positioning at least a portion of said connector within the pseudo-sphincter comprising the GE junction.7. The method as claimed in including positioning at least a portion of said connector outside of the pseudo-sphincter comprising the GE junction.8. The method as claimed in including affecting the angle of HIS of the patient by positioning said cardiac member with respect to said esophageal member with said connector.9. The method as claimed in wherein said ...

MEDICAL DEVICE FIXATION TOOL AND METHOD OF FIXATION OF A MEDICAL DEVICE

A device fixation tool and method of fixation of a medical device within a hollow organ or cavity through a natural orifice includes providing a needle driver and a shaft. The needle driver is adapted for use with at least one needle. At least a portion of the needle driver is positioned with the shaft at a hollow organ or cavity through the natural orifice. Sufficient force is transmitted with the needle driver to the at least one needle to penetrate mammalian tissue and a portion of the medical device. 1. A method of fixing a bariatric device against distal migration , said bariatric device having an esophageal member with an esophageal wall that is configured to the shape and size of a portion of the esophagus and a cardiac member having a cardiac wall that is configured to generally conform to the shape and size of a portion of the cardiac portion of the stomach , said method comprising:positioning the bariatric device with the esophageal member at the abdominal portion of the esophagus and the cardiac member at the cardiac portion of the stomach;passing a tether through the esophageal wall of the esophageal member, through a wall of the esophagus, through a wall of the stomach and through the cardiac wall of the cardiac member, one end portion of the tether restrained at the esophageal wall and an opposite end portion of the tether restrained at the cardiac wall.2. The method as claimed in wherein said passing a tether includes passing a needle assembly through the esophageal wall of the esophagus member claim 1 , through the wall of the esophagus claim 1 , through the wall of the stomach and through the cardiac wall of the cardiac member claim 1 , said tether connected with said needle assembly.3. The method as claimed in wherein said needle assembly includes a tubular member having a sharpened end portion at a distal end thereof and a T-shaped device in a cavity in said needle assembly claim 2 , said tether attached to said T-shaped device claim 2 , said ...

INTRALUMINAL DEVICE AND METHOD

An intraluminal device and method includes positioning an intraluminal device in the recipient including positioning the intraluminal device in a lumen that experiences peristalsis. The intraluminal device has a surface defined by a wall. The surface is configured to generally conform to the shape and size of a portion of the lumen. The wall is adapted to reduce luminal spasm resulting from the peristalsis. 115.-. (canceled)16. A bariatric device , comprising:an esophageal member having an esophageal surface defined by an esophageal wall, said esophageal surface being configured to generally conform to the shape and size of a portion of the esophagus;a cardiac member having a cardiac wall defining a cardiac surface that is configured to generally conform to the shape and size of a portion of the cardiac region of the stomach in order to influence a neurohormonal mechanism in the recipient sufficient to cause at least partial satiety by augmenting fullness caused by food and simulating fullness in the absence of food; anda connector connected with said esophageal member and said cardiac member;wherein said esophageal wall is adapted to reduce esophageal spasm resulting from peristalsis including minimizing progression of the peristalsis at said wall.17. (canceled)18. The bariatric device as claimed in wherein said esophageal surface is adapted to apply a stress to the esophagus and wherein said wall has a transition zone at an end portion of said wall claim 16 , wherein said surface applies different stress on the esophagus at said transition zone than inward of said transition zone.19. The bariatric device as claimed in wherein said surface applies a lower stress at said transition zone than inward of said transition zone.20. The bariatric device as claimed in wherein said wall includes an outwardly expanding internal mesh claim 18 , said mesh having a non-uniform cell structure.21. The bariatric device as claimed in wherein said cell structure is less dense at said ...

BARIATRIC DEVICE AND METHOD

A bariatric device includes an esophageal member having an esophageal surface that is configured to generally conform to the shape and size of a portion of the esophagus and an anchoring technique anchoring the esophageal member to the portion of the esophagus. The bariatric device includes a cardiac member having a cardiac surface that is configured to generally conform to the shape and size of a portion of the cardiac portion of the stomach and a connector connected with the esophageal member and the cardiac member to cause strain to be applied by the cardiac member to the cardiac portion of the stomach. The strain applied by the cardiac member to the cardiac portion of the stomach causes satiety in the absence of food. The connector is adapted to pass through the gastroesophageal junction while leaving a continuous portion of the gastroesophageal junction substantially unrestrained. 1. A bariatric device for use with a recipient having an esophagus , a stomach with a cardiac portion and a gastroesophageal junction between the esophagus and the stomach , said bariatric device comprising:an esophageal member having an esophageal surface that is configured to generally conform to the shape and size of a portion of the esophagus, an anchoring technique that is adapted to anchor said esophageal member to the portion of the esophagus;a cardiac member having a cardiac surface that is configured to generally conform to the shape and size of a portion of the cardiac portion of the stomach; anda connector connected with said esophageal member and said cardiac member to cause strain to be applied by said cardiac member to the cardiac portion of the stomach, the strain applied by the cardiac member to the cardiac portion of the stomach causing satiety in the absence of food, wherein said connector is adapted to pass through the gastroesophageal junction while leaving a continuous portion of the gastroesophageal junction substantially unrestrained.2. The bariatric device as ...

INTRALUMINAL DEVICE AND METHOD WITH ANTI-MIGRATION

An intraluminal device and method of resisting migration of a device in a lumen, the lumen having muscle defining an intraluminal sphincter includes a device having a body with a size and shape of a portion of the lumen. The device further includes at least one tine extending distally from the body. The at least one tine is rigid or semi rigid. The device is deployed in the lumen with the body proximal the sphincter with respect to peristaltic movement of the lumen and with the at least one tine penetrating the muscle of the sphincter to resist distal migration. 1. A method of resisting migration of a device in a lumen , said lumen having an esophagus , a stomach and a muscle defining the gastro-esophageal (EG) sphincter between the esophagus and the stomach , said method comprising:said device having a body with a size and shape of a portion of the lumen wherein said device body is coupled with another body with a connector, wherein said body comprises an esophageal member configured to the size and shape of the distal portion of the esophagus wherein said another body comprises a cardiac member distal of the gastro-esophageal (EG) sphincter and configured to the size and shape of a portion of the cardiac portion of the stomach wherein said connector passes through the and EG sphincterthe device further includes at least one tine extending distally from the body, said at least one tine being rigid or semi rigid, wherein said at least one tine is configured to penetrate the muscle of the EG sphincter sufficiently to resist separation of the at least one tine from the muscle due to peristalsis; anddeploying the device in the lumen with the body proximal the sphincter with respect to peristaltic movement of the lumen with the at least one tine penetrating the muscle of the sphincter.2. The method as claimed in wherein said at least one tine comprises at least two tines that are axially spaced around the body with respect to the lumen.34-. (canceled)5. The method as ...

INTRALUMINAL DEVICE DELIVERY TECHNIQUE

A technique for deploying an intraluminal device, such as a bariatric device, in a mammalian lumen, such as the gastrointestinal tract, includes positioning a visualization device through an orifice, such as a natural orifice, into the mammalian lumen. A deployment device having the intraluminal device mounted thereto is guided to the mammalian lumen. The intraluminal device, which has a lumen wall that is configured to the size and shape of a portion of the mammalian lumen, is at least partially deployed from the deployment device in the mammalian lumen. The at least partially deployed intraluminal device is positioned with the deployment device while a position of said intraluminal device is visualized with the visualization device. 113-. (canceled)14. A method of deploying a bariatric device in a mammal , said bariatric device having an esophageal member with an esophageal wall defining an esophageal surface that is configured to generally conform to the shape and size of a portion of the esophagus , a cardiac member with a cardiac wall defining a cardiac surface that is configured to generally conform to the shape and size of a portion of the cardiac region of the stomach and a connector connected with said esophageal member and said cardiac member , said method comprising:positioning a visualization device transorally in the stomach;guiding a deployment device having the bariatric device mounted thereto to the stomach;deploying the cardiac member from said deployment device in the stomach; andpositioning the cardiac member with said deployment device while visualizing a position of said bariatric device with said visualization device including orienting the cardiac member in the stomach by rotating said deployment device.15. The method as claimed in including guiding said deployment device transorally into the stomach with said visualization device.16. The method as claimed in wherein said deployment device comprises a guidance wall surrounding an opening ...

BARIATRIC DEVICE AND METHOD

A bariatric device and method of causing at least partial satiety in a patient, 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 at least the abdominal portion of the esophagus and 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 patient 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 , said wall configured to generally conform to the shape and size of at least the abdominal portion of the esophagus and the proximal cardiac portion of the stomach , wherein said wall is adapted to exert force on the abdominal portion of the esophagus and the proximal cardiac portion of the stomach in the absence of food thereby activating receptors located in the abdominal portion of the esophagus and 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.2. The bariatric device as claimed in claimed in wherein said wall is adapted to exert force at least on the abdominal portion of the esophagus and the proximal cardiac portion of the stomach in the absence of food.3. The bariatric device as claimed in wherein said wall includes a self-expanding portion that is adapted to exert force and a substantially non-self-expanding portion that is adapted to not exert force claim 2 , wherein said non-self-expanding portion is adapted to be positioned at the gastro-esophageal sphincter.4. The bariatric device as claimed in wherein said ...

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; anda 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 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 ...

MUCOSAL CAPTURE FIXATION OF MEDICAL DEVICE

A medical device adapted to be fixed in a hollow organ or cavity lined with mucosa includes a wall having an outer surface with a size and shape that is configured to a portion of a cavity or hollow organ lined with mucosa and a fixation mechanism. The fixation mechanism is adapted to fix the wall with the portion of the cavity or hollow organ. The fixation mechanism has at least two adjacent openings in the wall between proximal and distal ends of the wall. The openings being large enough to receive a section of the mucosa extending in the openings when said wall is positioned in the hollow organ or cavity. The openings are separated by a bridge and are close enough together that the mucosa that extends into the openings comes together over the bridge to fix the medical device in the hollow organ or cavity. 1. A medical device adapted to be fixed in a hollow organ or cavity lined with mucosa , said medical device comprising:an expandable wall defining a lumen with proximal and distal ends thereof and configured to the size and shape of a portion of the organ or cavity;said wall configured to press against the mucosa of the hollow organ or cavity when expanded in the portion of the hollow organ or cavity;said wall having at least two adjacent openings separated by a bridge, said at least two adjacent openings being between said proximal and distal ends, each of said openings having a size that is large enough to cause the mucosa to bulge into that opening in a manner that maintains perfusion of the mucosa when said wall is expanded in the portion of the hollow organ or cavity; andsaid adjacent openings being close enough together that the mucosa that bulges into said openings comes together over said bridge to fix said medical device in said hollow organ or cavity.2. The medical device as claimed in including at least one retainer adapted to apply to the mucosa that bulges into said openings claim 1 , said at least one retainer comprising at least one chosen from (i ...

Fixation of intraluminal device

An intraluminal device adapted to be positioned in a lumen that experiences peristalsis and method of fixation of an intraluminal device in the lumen, includes a wall configured to the size and shape of a portion of the lumen and at least one core. The at least one core is removably connected with a portion of the device wall. The at least one core is configured to be positioned against the lumen when the wall is positioned in the lumen. In this manner tissue envelopes the core during implantation of the intraluminal device. The at least one core is configured to be axially removable in situ from the tissue enveloping the core after the device has been deployed by disconnecting the core from the portion of the wall in order to explant the intraluminal device from lumen.

INTRALUMINAL DEVICE AND METHOD WITH ENHANCED ANTI-MIGRATION

An intraluminal device and method includes positioning the intraluminal device, such as a bariatric device, in a lumen that is subject to peristaltic waves, such as the GI tract. The intraluminal device includes a surface defined by a wall having opposite end portions. The surface is configured to generally conform to the shape and size of a portion of the lumen. The end portions are spaced apart along an axis in the direction of peristaltic movement along the lumen. The cover has at least one opening therein between the end portions in order to resist peristaltic waves causing distal migration of the device. 1. An intraluminal device , comprising:a surface defined by a wall having opposite end portions, said surface being configured to generally conform to the shape and size of a portion of the lumen with said end portions spaced apart along an axis in the direction of peristaltic movement along the lumen;said wall having at least two openings therein between said end portions in order to resist peristaltic waves causing distal migration of the device wherein said at least two openings are spaced apart along said axis a distance that is at least on the order of magnitude of a wavelength of a peristaltic wave in the lumen wherein at least one of said openings is engaging the lumen as the peristaltic wave passes the device.2. (canceled)3. The intraluminal device as claimed in wherein said wall is generally cylindrical with respect to the axis and wherein each of said at least two openings comprise a plurality of openings that are distributed radially around a circumference of said wall.4. The intraluminal device as claimed in wherein each of said plurality of openings are distributed radially around a circumference of said wall in a pattern.5. The intraluminal device as claimed in wherein each of said patterns are arranged generally perpendicular to the axis.6. The intraluminal device as claimed in wherein said patterns are spaced apart a distance that is at least on ...

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. An intraluminal device adapted to be deployed in a recipient having a gastro-intestinal (GI) tract comprising an esophagus , a stomach with a cardiac portion and an esophageal gastric (EG) junction having a sphincter between the esophagus and the cardiac portion of the stomach , the intraluminal device comprising:a body having a wall defining a lumen, said wall having an esophageal wall portion configured to generally conform to the shape and size of the abdominal portion of the esophagus; said wall adapted to exert force in the absence of food to a portion of the GI tract of the recipient to thereby influence 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; andsaid wall including a fixation system at an outer surface of said esophageal wall portion that is adapted to resist distal migration of said body, said fixation system comprising a plurality of anchors comprising at least one chosen from distally directed appendages, distally directed barbs and distally directed hooks.2. The intraluminal device as claimed in wherein said wall further having an EG wall portion that is sized to generally conform to the size and shape of the EG junction and a cardiac wall portion that is sized to generally ...

Single member intraluminal device and method of fixation

An intraluminal device and method of deploying an intraluminal device in a portion of a lumen includes the device having a body with a wall defining a surface. The surface is configured to a portion of a lumen. An anchor system made up of a plurality of anchors fixes the body to an inner wall of the lumen. At least intermittent pressure with the surface to the inner wall of the lumen. A tissue fold of the inner wall of the lumen is formed. Thee tissue fold is adjacent the body wall and transmits a force between the inner wall of the lumen and the device body.

BARIATRIC DEVICE AND METHOD

A bariatric device includes an esophageal member having an esophageal surface that is configured to generally conform to the shape and size of a portion of the esophagus and an anchoring technique anchoring the esophageal member to the portion of the esophagus. The bariatric device includes a cardiac member having a cardiac surface that is configured to generally conform to the shape and size of a portion of the cardiac portion of the stomach and a connector connected with the esophageal member and the cardiac member to cause strain to be applied by the cardiac member to the cardiac portion of the stomach. The strain applied by the cardiac member to the cardiac portion of the stomach causes satiety in the absence of food. The connector is adapted to pass through the gastroesophageal junction while leaving a continuous portion of the gastroesophageal junction substantially unrestrained. 1. A method of deploying a bariatric device in a recipient having an esophagus and a stomach , the bariatric device having an esophageal member that is configured to generally conform to the shape and size of a portion of the esophagus , a cardiac member that is configured to generally conform to the shape and size of a cardiac portion of the stomach , and a connector connected with the esophageal member and the cardiac member , said method comprising:guiding a distal end portion of a deployment device to the stomach, wherein at least a portion of the bariatric device is disposed at the distal end portion;at least partially deploying the bariatric device including the cardiac member from the deployment device in the stomach;positioning the cardiac member of the bariatric device against the cardiac portion of the stomach; andfurther deploying the bariatric device from the deployment device in the esophagus.2. The method as claimed in claim 1 , including guiding the deployment device transorally into the stomach via a guide wire.3. The method as claimed in claim 1 , wherein the ...

INTRALUMINAL DEVICE AND METHOD OF FIXATION

An intraluminal device and method of fixation of an intraluminal device at a recipient having an esophagus, a stomach with a cardiac portion and a GE junction between the esophagus and the cardiac portion of the stomach includes deploying the intraluminal device to the recipient. The intraluminal device has a wall defining a cardiac member that is configured to the size and shape of the cardiac portion of the stomach and deployed to the cardiac portion of the stomach and an esophageal member that is configured to the size and shape of a portion of the esophagus and deployed to the esophagus. The intraluminal device having a connector connected with the esophageal portion and cardiac portion and deployed to the GE junction. The wall is fixed to the recipient to resist distal migration of the wall. The fixing includes the wall having a wall characteristic that is configured to facilitate tissue ingrowth. The wall is temporarily fixed to the recipient to resist distal migration of the wall while tissue ingrowth occurs at the wall characteristic. 1. An intraluminal device adapted to be deployed in a lumen that is subject to peristaltic waves , the intraluminal device comprising:a wall defining configured to the size and shape of a portion of the lumen;a fixation system configured to resist distal migration of said wall;said fixation system including a wall characteristic of the wall that is configured to facilitate tissue ingrowth to the wall; andsaid fixation system further comprising temporary fixation configured to at least temporarily resist distal migration of said wall while tissue ingrowth occurs at said wall characteristic.2. The intraluminal device as claimed in claim 1 , wherein said wall comprising a mesh and a cover over said mesh and wherein said wall characteristic comprising at least one opening in said cover adapted to expose a portion of said mesh to facilitate tissue ingrowth to said mesh.3. The intraluminal device as claimed in claim 1 , wherein said ...

Method and device for treating metabolic disease

A method of treating metabolic disease includes applying stress to a portion of the gastrointestinal tract of a patient diagnosed with metabolic disease to treat the metabolic disease. A metabolic disease treatment device includes a surface that is shaped to a portion of the gastrointestinal tract that is adapted to apply stress to the portion of the gastrointestinal tract. A control causes the surface to apply stress intermittently to the portion of the gastrointestinal tract in a manner that treats the metabolic disease without causing substantial loss of body mass.

ENDOSCOPIC FIXATION OF A MEDICAL DEVICE USING MUCOSAL CAPTURE

An endoscopic method of fixing an intraluminal device in a lumen or hollow organ lined with mucosa includes positioning the intraluminal device in the lumen or hollow organ lined with mucosa and having a fixation device at a distal end portion of the endoscope. A fixation device at a distal end of an endoscope includes a body having a distal sealing portion. The sealing portion is positioned against the wall of the intraluminal device over a mucosal capture opening. Suction is applied through the endoscope and body to at least partially draw mucosa into the mucosal capture opening. The mucosa is retained in the mucosal capture opening. 1. An endoscopic intraluminal device fixation device that is adapted to fix an intraluminal device in a lumen or hollow organ lined with mucosa , said intraluminal device having a device wall and at least one mucosal capture opening in said wall , said endoscopic intraluminal device fixation device comprising:a body having a proximal support portion and a distal sealing portion defining a distal surface;said support portion has sufficient strength to support said body from a distal end of an endoscope and said sealing portion configured to form a fluid seal with the wall of the intraluminal device; andsaid body defining a suction passage, said suction passage adapted to communicate suction from the endoscope to said distal surface to at least partially draw mucosa into the mucosal capture opening.2. The fixation device as claimed in wherein said distal surface is at an angle to an axis of the endoscope.3. The fixation device as claimed in wherein said angle is between approximately 30 degrees and approximately 60 degrees.4. The fixation device as claimed in wherein said body provides a generally unobstructed visual passage to visualize the mucosal capture opening.5. The fixation device as claimed in wherein said suction passage is defined by a generally tubular member and wherein said visual passage is through said generally tubular ...

METHOD OF INTERACTING WITH POSITION ANALYSIS AND DEVICE FOR DISPLAYING INFORMATION WITH REGARD TO SAME

Methods and systems for interacting with volumetric position analysis by means of graphical, tabular, and summary tools are disclosed. The tools aid users to quickly understand information about a portfolio of trades, and to quickly identify positions that may need to be hedged with financial and/or physical instruments and/or commodities. 1. A method of presenting volumetric position analysis for a portfolio of commodities , the method comprising:receiving at least one input corresponding to a selection of a relevant date range;receiving information corresponding to a trade position series with respect to a commodity during the selected range;receiving information corresponding to a native position series with respect to the commodity during the selected range; andrendering the trade position series and the native position series in a single graph.2. The method of claim 1 , wherein the commodity is electrical power and the trade position series corresponds to electrical power purchased for delivery during the relevant date range.3. The method of claim 2 , wherein the native position series corresponds to electrical power anticipated to be demanded by at least one consumer user during the relevant date range.4. The method of claim 2 , wherein the native position series corresponds to electrical power contractually purchased during the relevant date range.5. The method of claim 1 , wherein a length of the relevant date range is one month.6. A method of presenting a volumetric position analysis for a portfolio of commodities trades and hedging needs claim 1 , in graphical claim 1 , tabular claim 1 , and summarized form claim 1 , so as to draw attention to the important information inherent in the analysis claim 1 , the method comprising:entering individual trades representative of a position with respect to a commodity;calculating contents of individual trades with respect to the commodity to determine at least one volume of trades for the commodity during specific ...

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.

FIXATION OF INTRALUMINAL DEVICE

An intraluminal device and method of fixation of an intraluminal device to resist distal migration in a mammalian lumen or hollow organ that is subject to peristalsis, according to an aspect of the invention, includes spaced apart wall portions connected with a connector. The wall portions are configured to the size and shape of a portion of the lumen or hollow organ and the connector is configured to be positioned against a wall of the lumen or hollow organ. The intraluminal device is positioned in a mammalian lumen or hollow organ that is subject to peristalsis. The device is fixed in the lumen or hollow organ against distal migration, wherein tissue lining the lumen or hollow organ bridges over the connector. The device is explanted after tissue bridges over the connector including separating the connector from one or both of the wall portions and withdrawing the connector axially from the tissue bridging over the connector. 1. A method of fixing an intraluminal device in the GI tract of a recipient , said method comprising:deploying in the esophagus an intraluminal device having a wall that is configured to the size and shape of a portion of the esophagus, said wall comprising a mesh and a cover over said mesh, said intraluminal device further having a filament with an enlarged portion that is connected directly with the mesh and extends in the esophagus proximate of the wall; andengaging tissue of the esophagus with a mechanical fastener, said mechanical fastener capturing said filament with an enlarged portion against the esophagus between the mechanical fastener and the esophagus as said mechanical fastener engages the tissue of the esophagus in order to fix the intraluminal device against distal migration.2. The method as claimed in wherein said filament with the enlarged portion comprising at least one closed polygon that is captured by the mechanical fastener as said mechanical fastener engages the tissue of the esophagus.3. The method as claimed in ...

FIXATION OF INTRALUMINAL DEVICE

An intraluminal device and method of fixation of an intraluminal device in a mammalian lumen or hollow organ that experiences peristalsis includes a fixation system that is adapted to resist distal migration of the intraluminal device in the lumen or hollow organ. The intraluminal device has a wall surface configured to the size and shape of a mammalian lumen or hollow organ. A fixation system is adapted to resist distal migration of the body in the lumen or hollow organ. The fixation system includes a bio-absorbable material around at least one of the elongated members. 1. An intraluminal device , comprising:a body having a wall defining a surface, said wall surface configured to the size and shape of a mammalian lumen or hollow organ; anda fixation system that is adapted to resist distal migration of the body in the lumen or hollow organ;said wall defining a cardiac portion that is configured to the size and shape of a cardiac portion of a stomach, an esophageal portion that is configured to the size and shape of a portion of a esophagus, and a connector comprising elongated members connected with said esophageal portion and said cardiac portion;said fixation system comprising a bio-absorbable material around at least one of said elongated members.2. The intraluminal device as claimed in claim 1 , wherein said bio-absorbable material comprises a sleeve around said at least one of said elongated members.3. The intraluminal device as claimed in claim 1 , wherein said bio-absorbable material comprises a coating applied to said at least one of said elongated members.4. The intraluminal device as claimed in claim 1 , wherein said bio-absorbable material comprises a strip that is wound around said at least one of said elongated members.5. The intraluminal device as claimed in wherein said bio-absorbable material is eluded from said at least one of said elongated members.5. The intraluminal device as claimed in including mucosal ablation applied at said at least one of ...

FIXATION OF INTRALUMINAL DEVICE

An intraluminal device that is adapted to be positioned at the gastro-esophageal (GE) region of a recipient includes a wall defining 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 the size and shape of the cardiac portion of the stomach. A connector is connected with the esophageal and cardiac portions and configured to be positioned at the GE junction. A separable portion of the connector is separable from the esophageal portion and/or the cardiac portion. The separable portion of the connector is separably connected with the wall with a removable attachment that is adapted to be separated in situ. 1. An intraluminal device adapted to be positioned at the gastro-esophageal (GE) region of a recipient , comprising:a wall defining 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 the size and shape of the cardiac portion of the stomach; anda connector connected with said esophageal and cardiac portions said connector configured to be positioned at the GE junction, wherein a separable portion of said connector being separable from at least one chosen from said esophageal portion and said cardiac portion, said separable portion of said connector being separably connected with said wall with a removable attachment that is adapted to be separated in situ.2. The device as claimed in claim 1 , wherein said connector is separably connected with said cardiac portion.3. The device as claimed in claim 1 , wherein said connector is separably connected with said esophageal portion.4. The device as claimed in claim 1 , wherein the separable portion of said connector extends along said wall and wherein said removable attachment comprises a severable filament between said separable portion and said wall.5. The device as claimed in claim 4 , wherein said wall comprises a structural mesh defining intersections ...

Fixation of intraluminal device

An intraluminal device and method of fixation of an intraluminal device to resist distal migration in a mammalian lumen or hollow organ that is subject to peristalsis, according to an aspect of the invention, includes spaced apart wall portions connected with a connector. The wall portions are configured to the size and shape of a portion of the lumen or hollow organ and the connector is configured to be positioned against a wall of the lumen or hollow organ. The intraluminal device is positioned in a mammalian lumen or hollow organ that is subject to peristalsis. The device is fixed in the lumen or hollow organ against distal migration, wherein tissue lining the lumen or hollow organ bridges over the connector. The device is explanted after tissue bridges over the connector including separating the connector from one or both of the wall portions and withdrawing the connector axially from the tissue bridging over the connector.

BARIATRIC DEVICE AND METHOD

A bariatric device includes an esophageal member having an esophageal surface that is configured to generally conform to the shape and size of a portion of the esophagus and an anchoring technique anchoring the esophageal member to the portion of the esophagus. The bariatric device includes a cardiac member having a cardiac surface that is configured to generally conform to the shape and size of a portion of the cardiac portion of the stomach and a connector connected with the esophageal member and the cardiac member to cause strain to be applied by the cardiac member to the cardiac portion of the stomach. The strain applied by the cardiac member to the cardiac portion of the stomach causes satiety in the absence of food. The connector is adapted to pass through the gastroesophageal junction while leaving a continuous portion of the gastroesophageal junction substantially unrestrained. 1. A bariatric system for use with a recipient having an esophagus and a stomach with a cardiac portion , said bariatric system comprising:a bariatric device having an esophageal member with an esophageal surface that is configured to generally conform to the shape and size of a portion of the esophagus, a cardiac member with a cardiac surface that is configured to generally conform to the shape and size of the cardiac portion of the stomach, and a connector connected with the esophageal member and the cardiac member; anda deployment device configured to insert at least a portion of the bariatric device to the stomach of the recipient wherein the deployment device comprises a tubular member and wherein the bariatric device is folded into the tubular member;wherein the deployment device is configured to at least partially deploy the bariatric device in the stomach in a manner that positions the cardiac member against the cardiac portion of the stomach and further deploys the esophageal member in the esophagus.2. The bariatric system as claimed in claim 1 , wherein the deployment device ...

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. An intraluminal device adapted to be deployed in a recipient having a gastro-intestinal (GI) tract comprising an esophagus , a stomach with a cardiac portion and an esophageal gastric (EG) junction having a sphincter between the esophagus and the cardiac portion of the stomach , the intraluminal device comprising:a body having a wall defining a lumen, said wall having at least one selected from (i) an esophageal wall portion configured to generally conform to the shape and size of the abdominal portion of the esophagus (ii) an EG wall portion that is sized to generally conform to the size and shape of the EG junction and (iii) a cardiac wall portion that is sized to generally conform to the size and shape of the cardiac portion of the stomach; andsaid at least one selected from said esophageal wall portion, said EG wall portion and said cardiac wall portion adapted to exert force in the absence of food to a portion of the GI tract of the recipient to thereby influence 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.2. The intraluminal device as claimed in wherein said wall has said cardiac wall portion claim 1 , wherein said cardiac wall portion is adapted to exert force at least on the cardiac ...

Bariatric device

Un dispositivo bariátrico (15 - 915) que comprende: un cuerpo (16 - 916) que tiene una pared (17 - 917) que define una luz (18 - 918) para el paso de alimento, dicha pared (17c - 917c) constituida de material revestido autoexpansible en el que dicha pared (17 - 917) está configurada en general a la forma y tamaño de la porción cardíaca proximal del estómago y adaptada para ejercer presión radial sobre la porción cardíaca proximal del estómago, influyendo así sobre un mecanismo de retroalimentación neurohormonal del paciente para que provoque una saciedad al menos parcial aumentando la plenitud causada por el alimento y simulando la plenitud en ausencia de alimento, y en el que el cuerpo tiene un sistema de fijación (21 - 921) que está adaptado para fijar dicha pared contra la porción cardíaca proximal del estómago y en el que dicha luz (18 - 918) está sin restricción. A bariatric device (15-915) comprising: a body (16-916) having a wall (17-917) that defines a light (18-918) for the passage of food, said wall (17c-917c) constituted of self-expanding coated material in which said wall (17-917) is generally configured to the shape and size of the proximal cardiac portion of the stomach and adapted to exert radial pressure on the proximal cardiac portion of the stomach, thereby influencing a mechanism of neurohormonal feedback from the patient to cause at least partial satiety by increasing the fullness caused by the food and simulating the fullness in the absence of food, and in which the body has a fixation system (21-921) that is adapted to fix said wall against the proximal cardiac portion of the stomach and in which said lumen (18-918) is unrestricted.

Bariatric device and method

Gastro-esophageal device and method

A gastroesophageal reflux disease (GERD) reduction device and method includes providing a wall that is generally configured to the anatomy at the gastro-esophageal region of a normal person without reflux The device is positioned at the gastroesophageal region of the patient The anatomy of the patient at the gastro-esophageal region is formed to the anatomy of teh person without reflux Additional applications include reduction of a hiatal hernia and reduction of stress through increasing the generation of at least one neuro-humoral transmitter.

Fixation of intraluminal device

Bariatric device and method

Bariatric device and method

Bariatric device and method

A bariatric device and method of causing satiety in a patient includes providing a body having a wall defining a lumen. The wall is sized to conform to the shape and size of the abdominal portion of the esophagus and/or at the esophageal-gastric junction and/or the proximal cardiac portion of the stomach of the patient. The wall is adapted to exert radial pressure on the abdominal portion of the esophagus and/or the esophageal-gastric junction, and/or the proximal stomach, or cardia, of the patient. This influences the neurohormonal feedback mechanism present at the distal esophagus and the cardia to cause at least partial satiety by augmenting fullness caused by food and simulating fullness in the absence of food.

Bariatric device and method

A bariatric device and method of causing satiety in a patient includes providing a body having a wall defining a lumen. The wall is sized to conform to the shape and size of the abdominal portion of the esophagus and/or at the esophageal-gastric junction and/or the proximal cardiac portion of the stomach of the patient. The wall is adapted to exert radial pressure on the abdominal portion of the esophagus and/or the esophageal-gastric junction, and/or the proximal stomach, or cardia, of the patient. This influences the neurohormonal feedback mechanism present at the distal esophagus and the cardia to cause at least partial satiety by augmenting fullness caused by food and simulating fullness in the absence of food.

Bariatric device

Bariatric device and method

A bariatric device includes a body having a wall defining a lumen, the wall configured to generally conform to the shape and size of at least one chosen from i) the abdominal portion of the esophagus, ii) the esophageal-gastric junction, and iii) the proximal cardiac portion of the stomach, with the wall adapted to exert pressure on the at least one chosen from i) the abdominal portion of the esophagus, ii) the esophageal-gastric junction, and iii) 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.

Medical device fixation tool and method of fixation of a medical device

A device fixation tool and method of fixation of a medical device within a hollow organ or cavity through a natural orifice includes providing a needle driver and a shaft. The needle driver is adapted for use with at least one needle. At least a portion of the needle driver is positioned with the shaft at a hollow organ or cavity through the natural orifice. Sufficient force is transmitted with the needle driver to the at least one needle to penetrate mammalian tissue and a portion of the medical device. The portion of the medical device may have a greater puncture resistance than the mammalian tissue.

Intraluminal device and method with enhanced anti-migration

An intraluminal device and method includes positioning the intraluminal device, such as a bariatric device, in a lumen that is subject to peristaltic waves, such as the GI tract. The intraluminal device includes a surface defined by a wall having opposite end portions. The surface is configured to generally conform to the shape and size of a portion of the lumen. The end portions are spaced apart along an axis in the direction of peristaltic movement along the lumen. The cover has at least one opening therein between the end portions in order to resist peristaltic waves causing distal migration of the device.

Gastro-esophageal reflux disease reduction device and method

A gastroesophageal reflux disease (GERD) reduction device and method includes providing a wall that is generally configured to the anatomy at the gastroesophageal region of a normal person without reflux The device is positioned at the gastroesophageal region of the patient The anatomy of the patient at the gastro-esophageal region is formed to the anatomy of the person without reflux Additional applications include reduction of a hiatal hernia and reduction of stress through increasing the generation of at least one neuro-humoral transmitter.

Intraluminal device and method with enhanced anti-migration

An intraluminal device and method includes positioning the intraluminal device, such as a bariatric device, in a lumen that is subject to peristaltic waves, such as the GI tract. The intraluminal device includes a surface defined by a wall having opposite end portions. The surface is configured to generally conform to the shape and size of a portion of the lumen. The end portions are spaced apart along an axis in the direction of peristaltic movement along the lumen. The cover has at least one opening therein between the end portions in order to resist peristaltic waves causing distal migration of the device.

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.

Bariatric device

Intraluminal device and method with enhanced anti-migration.

Se describe un dispositivo y método intraluminal que incluye la colocación del dispositivo intraluminal, tal como un dispositivo bariátrico, en una luz que es sometida a ondas peristálticas, tal como el tracto gastrointestinal. El dispositivo intraluminal incluye una superficie definida por una pared que tiene porciones extremas opuestas. La superficie está configurada para conformarse en general a la forma y al tamaño de una porción de la luz. Las porciones extremas son espaciadas a lo largo de un eje en la dirección del movimiento peristáltico a lo largo de la luz. La cubierta tiene al menos una abertura en ésta entre las porciones extremas, con el fin de resistir las ondas peristálticas que provocan migración distal del dispositivo.

Gastro-intestinal therapeutic device and method

A gastro-intestinal therapeutic device and method includes providing a therapeutic device having a body and an anchoring mechanism. The anchoring mechanism is adapted to resist distal migration of said body in a gastro-intestinal tract. The body is generally configured to a portion of the gastro-intestinal tract and has a first wall portion and a second wall portion. The first wall portion defines a generally sealed membrane. The second wall portion has a scar forming area.

Method and device for treating metabolic disease

A method of treating metabolic disease includes applying stress to a portion of the gastrointestinal tract of a patient diagnosed with metabolic disease to treat the metabolic disease. A metabolic disease treatment device includes a surface that is shaped to a portion of the gastrointestinal tract that is adapted to apply stress to the portion of the gastrointestinal tract. A control causes the surface to apply stress intermittently to the portion of the gastrointestinal tract in a manner that treats the metabolic disease without causing substantial loss of body mass.

Mucosal capture fixation of medical device

An implantable medical device and method of implanting a medical device in a hollow organ or cavity lined with the mucosa includes providing a medical device having a wall configured to the size and shape of a portion of a cavity or hollow organ lined with the mucosa. At least one opening is provided in the wall that is large enough to receive a section of the mucosa extending in the opening. The wall is positioned against the portion of the cavity or hollow organ thereby receiving the section of the mucosa within the opening. A retainer may be provided to retain the section of the mucosa within the opening while maintaining perfusion of the section of the mucosa.

Intraluminal device and method with enhanced anti-migration

An intraluminal device and method includes positioning the intraluminal device, such as a bariatric device, in a lumen that is subject to peristaltic waves, such as the GI tract. The intraluminal device includes a surface defined by a wall having opposite end portions. The surface is configured to generally conform to the shape and size of a portion of the lumen. The end portions are spaced apart along an axis in the direction of peristaltic movement along the lumen. The cover has at least one opening therein between the end portions in order to resist peristaltic waves causing distal migration of the device.

Intraluminal device and method of fixation

An intraluminal device and method of fixation of an intraluminal device at a recipient having an esophagus, a stomach with a cardiac portion and a GE junction between the esophagus and the cardiac portion of the stomach includes deploying the intraluminal device to the recipient. The intraluminal device has a wall defining a cardiac member that is configured to the size and shape of the cardiac portion of the stomach and deployed to the cardiac portion of the stomach and an esophageal member that is configured to the size and shape of a portion of the esophagus and deployed to the esophagus. The intraluminal device having a connector connected with the esophageal portion and cardiac portion and deployed to the GE junction. The wall is fixed to the recipient to resist distal migration of the wall. The fixing includes the wall having a wall characteristic that is configured to facilitate tissue ingrowth. The wall is temporarily fixed to the recipient to resist distal migration of the wall while tissue ingrowth occurs at the wall characteristic.

Method of deploying an intraluminal device and intraluminal system

A method of deploying an intraluminal device to the cardiac region of the stomach and an intraluminal system used to deploy an intraluminal device to the cardiac region of the stomach, wherein the intraluminal device has a wall defining a surface and an open portion of the surface that is adapted to be aligned with the gastroesophageal (GE) junction. The surface and the cardiac portion of the stomach are conformable with each other. The method includes deploying the intraluminal device trans-orally to the stomach with an endoscopic deployment device and retaining the device against the cardiac region of the stomach with the open portion generally aligned with the GE junction. The intraluminal device is fastened to the stomach from the abdominal cavity with at least one laparoscopic instrument while concurrently visualizing the device with an endoscope in the stomach while it is being fastened. The laparoscopic instrument is adapted to respond to the endoscope in order to adjust location between the laparoscopic instrument and intraluminal device while the laparoscopic instrument is fastening the intraluminal device.

Mucosal capture fixation of medical device

An implantable medical device and method of implanting a medical device in a hollow organ or cavity lined with the mucosa includes providing a medical device having a wall configured to the size and shape of a portion of a cavity or hollow organ lined with the mucosa. At least one opening is provided in the wall that is large enough to receive a section of the mucosa extending in the opening. The wall is positioned against the portion of the cavity or hollow organ thereby receiving the section of the mucosa within the opening. A retainer may be provided to retain the section of the mucosa within the opening while maintaining perfusion of the section of the mucosa.

Mucosal capture fixation of medical device

An implantable medical device and method of implanting a medical device in a hollow organ or cavity lined with the mucosa includes providing a medical device having a wall configured to the size and shape of a portion of a cavity or hollow organ lined with the mucosa. At least one opening is provided in the wall that is large enough to receive a section of the mucosa extending in the opening. The wall is positioned against the portion of the cavity or hollow organ thereby receiving the section of the mucosa within the opening. A retainer may be provided to retain the section of the mucosa within the opening while maintaining perfusion of the section of the mucosa.

Mucosal capture fixation of medical device

Method and device for treating metabolic disease

A method of treating metabolic disease includes applying stress to a portion of the gastrointestinal tract of a patient diagnosed with metabolic disease to treat the metabolic disease. A metabolic disease treatment device includes a surface that is shaped to a portion of the gastrointestinal tract that is adapted to apply stress to the portion of the gastrointestinal tract. A control causes the surface to apply stress intermittently to the portion of the gastrointestinal tract in a manner that treats the metabolic disease without causing substantial loss of body mass.

Intraluminal device and method with anti-migration

An intraluminal device and method of resisting migration of a device in a lumen, the lumen having muscle defining an intraluminal sphincter includes a device having a body with a size and shape of a portion of the lumen. The device further includes at least one tine extending distally from the body. The at least one tine is rigid or semi rigid. The device is deployed in the lumen with the body proximal the sphincter with respect to peristaltic movement of the lumen and with the at least one tine penetrating the muscle of the sphincter to resist distal migration.