Devices and methods for treatment of obesity

Abstract

Methods, devices, tools, instruments and systems for treating a patient to induce weight loss. In one method embodiment, a device, including an expandable member in a collapsed configuration, is passed through an opening in the skin of the patient, and into the abdominal cavity of the patient. At least a portion of the expandable member is anchored relative to at least one structure in the abdominal cavity, without piercing the stomach. The expandable member is expanded to an expanded configuration in a space in the abdominal cavity to perform at least one of: prevention of expansion of the stomach of the patient into the space; and compression of a portion of the stomach.

1 - 145 . (canceled)  
   
   
       146 . A method of treating a patient, said method comprising: 
 passing a device including an expandable member through the skin of the patient, through the abdominal wall of the patient and into the abdominal cavity of the patient;    expanding the expandable member in a space in the abdominal cavity to perform at least one of: prevention of expansion of the stomach of the patient into the space; and compression of a portion of the stomach; and    anchoring the expanded expandable member against the abdominal wall of the patient.    
   
   
       147 . The method of  claim 146 , further comprising anchoring at least a portion of the expandable member, relative to at least one structure in the abdominal cavity, without piercing the stomach.  
   
   
       148 . The method of  claim 146 , wherein said anchoring against the abdominal wall comprises threading a lock nut against an external surface of the abdominal wall and over a conduit extending out of the abdominal wall that is in fluid communication with said expandable member.  
   
   
       149 . The method of  claim 148 , further comprising providing a layer of material that enhances tissue ingrowth between at least one of: the lock nut and the external surface of the abdominal wall; and the expandable member and the inner surface of the abdominal wall.  
   
   
       150 . The method of  claim 148 , wherein said anchoring comprises: 
 drawing at least one ratcheted tooth through a small opening in the abdominal wall, wherein a plurality of said ratcheted teeth are attached to a conduit at locations internal of the abdominal wall and wherein said conduit extends out of the abdominal wall and is in fluid communication with said expandable member, wherein said ratcheted teeth are configured to be retractable out of the abdominal cavity but are prevented from passing back into the abdominal cavity.    
   
   
       151 - 184 . (canceled)