An insufflator (3) is operable to insufflate a cavity selectively and alternately at a first pressure and a second pressure lower than the first pressure. The insufflator (3) is responsive to a signal generated by a foot pedal operated switch (72) to change the pressure at which the insufflating gas is supplied from the one of the first and second pressures at which the insufflating gas is currently being supplied to the other one of the first and second pressures. The insufflator (3) comprises an output valve (47) having first and second output ports (49, 50) through which insufflating gas is selectively supplied. The first output port (49) is connectable to an instrument channel (10) of an endoscope (5), and the second output port (50) is connected to an insufflating channel (12) of the endoscope (5). An instrument sensor (22) detects an instrument in the instrument channel (10) of the endoscope (5) and produces a signal indicative of an instrument in the instrument channel (10) for so long as the instrument remains in the instrument channel (10). The insufflator (3) is responsive to a signal from the instrument sensor (22) indicative of an instrument in the instrument channel (10) for switching the output valve (47) so that the delivery of insufflating gas from the insufflator (1) is switched from the instrument channel (10) to the insufflating channel (12) while an instrument is in the instrument channel (10). A input valve (57) switches a pressure sensor (55) from monitoring the pressure in the cavity through the insufflating channel (12) to the instrument channel (10) while the instrument is detected in the instrument channel (10).

A surgical stapler for stapling the tissue of a patient is disclosed. The surgical stapler comprises a handle, a shaft extending from the handle, and an end effector. The end effector comprises a tissue compression surface, a plurality of staples, and an anvil comprising staple forming pockets, wherein the anvil is movable toward the tissue compression surface during a closing stroke to clamp the patient tissue against and tissue compression surface. The surgical stapler further comprises an anvil closing system configured to move the anvil through the closing stroke, a staple firing system configured to deploy the staples during a staple firing stroke, and means for clamping and holding the patient tissue during the staple firing stroke and moving the end effector relative to the patient tissue after the staple firing stroke.

An implant configured for ingestion by a patient. After the implant has been swallowed by the patient and is disposed within the target location, e.g. the patient's stomach, an inflation subcomponent causes the implant to expand from a compact delivery state to an expanded, volume-occupying, deployed state. In the deployed state the implant creates a sensation of satiety in the patient stomach and thereby aids in limiting food intake and obesity. After a predetermined time a deflation subcomponent is actuated and the implant reduces in size so as to allow it to pass through the remainder of the patient's digestive track. The device may further incorporate tracking and visualization subcomponents, as well as pharmaceutical delivery subcomponents.

A method for performing a sleeve gastrectomy includes providing a first medical device including a tube for insertion into an interior of a stomach, the tube having a proximal end and a distal end, and a shaping portion positioned at the distal end of the tube, providing an inflation lumen, and providing a second medical device, the second medical device being a stapler or clamp positioned externally on the stomach laterally adjacent to the first medical device. The method also includes introducing positive pressure into the stomach via the inflation lumen, defining a resection line for the sleeve gastrectomy, and clamping the stomach using the second medical device. The resection line is defined at least partially by the position of the second medical device relative to the first medical device when a predetermined positive pressure range is provided via the inflation lumen.

An apparatus for the treatment of acid reflux disease comprising two or more movement restriction device segments adapted to be movement restriction device of a controlled size. The movement restriction device can at least partly be invaginated by a patient's stomach fundus wall. A substantial part of the outer surface of the movement restriction device is adapted to rest against the stomach wall without injuring the latter in a position between the patient's diaphragm and at least a portion of the lower part of the invaginated stomach fundus wall, such that movement of the cardiac notch of the patient's stomach towards the patient's diaphragm is restricted, to thereby prevent the cardia from sliding through the patient's diaphragm opening into the patient's thorax, so as to maintain the supporting pressure against the patient's cardia sphincter muscle exerted from the patient's abdomen.

Devices and methods of endolumenal formation of gastric sleeves are described. Some embodiments allow templating of a gastric sleeve by a gastric bougie, exposing a selected amount of tissue for suturing access, while maintaining sufficient internal working space for suturing within the template lumen.

A method is used to reduce a volume of a stomach of a patient. The method includes inverting a portion of a stomach wall to thereby create an inverted portion. An expandable member is positioned adjacent to the outer surface of the inverted portion. The expandable member is expanded to thereby expand the inverted portion. The expanded expandable member has a first outer diameter. A base region of the inverted portion is cinched to thereby capture the expanded expandable member in the expanded inverted portion. The expanded expandable member has a first outer diameter. Expanding and cinching provide a cinch diameter to first outer diameter ratio from approximately 0.5:1 to approximately 0.9:1.

A gastroscopic method and instrument for treating obesity of a patient, using a device adapted to stretch a part of the stomach wall of said patient. The method comprises the steps of: inserting the device into the stomach through the esophagus, placing the device in contact with the stomach wall, and fixating the device to the stomach wall such that the device can stretch a part of the stomach wall.

A biocompatible implant for a method of treating a reflux disease in a patient by preventing the cardia sphincter from sliding through the patient's diaphragm hiatus opening into the patient's thorax, so as to maintain a pressure support from the patient's abdomen that supports the patient's cardia sphincter. The biocompatible implant has a rigid shape, a circumference of at least 15 mm and is configured to be introduced into the patent's abdomen through a trocar, be fully invaginatable in the patient's fundus wall, and function as an implantable movement restricting device preventing the cardia sphincter from sliding through the patient's diaphragm, when implanted.

A surgical stapler for stapling the tissue of a patient is disclosed. The surgical stapler comprises a handle, a shaft extending from the handle, a plurality of staple clusters, and an end effector. The end effector comprises a tissue compression surface and an anvil movable toward the tissue compression surface during a closing stroke, an anvil closing system configured to move the anvil through the closing stroke, and a staple firing system configured to deploy a staple cluster positioned in the end effector during a staple firing stroke. The surgical stapler further comprises a tissue cutting system configured to cut the patient tissue during a tissue cutting stroke and a propulsion system configured to move the end effector relative to the patient tissue during a propulsion stroke.