A bariatric device and procedure configured to control the amount of food and nutrients entering a person's duodenum and reduce the weight of the person, in one aspect, comprises a gastrostomy tube having a proximal end and a distal end; a feeding tube assembly, said assembly including a feeding tube having a proximal end and a distal end; a gastrostomy tube anchor for securing the distal end of said gastrostomy tube inside the stomach; and a first feeding tube anchor designed to be expanded after the pyloric sphincter so as to anchor the distal end of said feeding tube in the duodenum.

A gastrostomy tube for insertion through an abdomen and into a stomach, including a cylindrical outer tube including a first proximal opening and a first distal opening, a flange surrounding the first proximal opening of the outer tube, a detachable cylindrical inner tube including a second proximal opening and a second distal opening, and one or more spokes attached to a distal end of the gastrostomy tube, wherein the one or more spokes include an actuatable portion configured to rotate the one or more spokes between a retracted position and an expanded position, wherein the inner tube is insertable into the first proximal opening of the outer tube, wherein the one or more spokes are rotatable into the expanded position when the inner tube is inserted through the first distal opening of the outer tube, and wherein the one or more spokes are substantially perpendicular to the outer tube in the expanded position.

A system and methods for the delivery of oxygen through a body cavity of a subject using oxygen microbubbles. Through circulation of oxygen microbubbles through the body cavity, oxygen and carbon dioxide exchange may occur. Overall improvement in extending survival rate time during emergency situations caused by pulmonary or similar oxygen-intake restricting injury and/or failure may be achieved through use of the invented system and methods.

A FORS feeding tube system employing a feeding tube (30) for channeling a fluid flow from a proximal end and a distal end of the feeding tube (30), and further employing a FORS sensor (40) for generating sensing data informative of a shape reconstruction of a segment or an entirety of FORS sensor (40). The feeding tube (30) and the FORS sensor (40) are integrated to configure a FORS feeding tube (20), and the sensing data is further informative of a shape of a segment or an entirety of FORS feeding tube (20) derived from the integration of feeding tube (30) and FORS sensor (40). The FORS feed tube system may further employ a navigation controller to control a tracking of a positioning of a segment or an entirety of the FORS feeding tube (20) within an anatomical tract (e.g., a gastrointenstinal tract).

A method and system of and for securing a lumen or catheter, after placement in a patient, to prevent unwanted removal or dislodgement of the lumen or catheter caused by patient movement and/or further medical interventions such as cardiopulmonary chest compressions, electrical defibrillation, surgical procedures, and the like. The method and system comprising simple and sterile materials that preclude the use of excessive suturing and ineffective ad-hoc methods with tape and gauze. The catheter is secured by a rubber on plastic frictional force and will resist external forces while preventing the tube structure from bending and subsequent occlusion. The device can be comfortably attached to the patient in all of the anatomical locations typically targeted for large catheter installment. The method of securement is rapid and requires only a single personnel to handle the device and the catheter tube simultaneously.

Systems, methods, and apparatus for gastric pressure relief, flow regulation, location, gastric residual volume, a placement reminder, bidirectional fluid flow markings, reintroducing gastric material, collection reservoir raising, collection reservoir hanging, a drain port, setting tube length, and vent membranes. A gastric pressure relief system is used in connection with an enteral feeding system, which includes a feeding container, administration tubing and a delivery tube, where the gastric pressure relief system is interposed between the administration tubing and the delivery tube. The gastric pressure relief system includes a collection reservoir with a gas vent to ambient atmosphere, relief tubing secured to both the collection reservoir and a multi-way connector. The multi-way connector joins the administration tubing to the relief tubing and a delivery tube at a point below a patient's stomach, which is designated on a placement reminder apparatus.

In some embodiments a PEG feeding device includes a tube sized to bridge a channel between a stomach and an outer abdominal surface; an internal bolster, and an external bolster. Optionally the bolsters are connected to the tube. The internal bolster may be sized to resist movement out of the stomach through the stoma. The external bolster may be sized to resist movement into the stoma from the outer abdominal surface. The external bolster may include an underside which extends from the tube in a radial direction between the external bolster and the outer abdominal surface. The underside of the outer bolster may contact the outer abdominal surface at a distance from an external opening of the stoma. Optionally the distance between the internal bolster and the external bolster is adjustable. Optionally an angle between one or both of the bolsters and the tube is adjustable.

A medical check valve includes a main body with an inlet and an outlet. A poppet valve base in the main body may include a first conduit to enable fluid flow between the inlet and the outlet in a normal operating position and a second conduit to enable fluid flow between the outlet and a top portion of the poppet valve base in a bypass operating position. A poppet cap with a neck portion inserted into the poppet valve base may be moved between an open position and a closed position. In the open position, fluid flow is permitted into an aperture in the cap, e.g., via a syringe, in the bypass operating position such that the fluid in the syringe is delivered to the outlet. In the closed position, and fluid flow is disabled, preventing possible splash back events.

The present invention provides a system and method for creating a percutaneous fluidic connection. In one embodiment, the system includes an endoscope having an end cap with a tube that defines a distal cavity and an internal magnet circumferentially arranged around the distal end of the tube. The internal magnet is delivered into the patient's stomach and pressed against an inner wall of the stomach. An external magnet is placed on an external surface of the patient's skin corresponding to the location of the internal magnet and the inner and external magnets are coupled together. An incision is made through the skin to access the distal cavity, and an overtube containing a PEG device is inserted into the distal cavity. The magnets are decoupled and removed, leaving the overtube in place, which is subsequently retracted from the PEG device, allowing the PEG device to be anchored in place.

A dual-tube feeding tube assembly for single-procedure placement inside the body of a patient, the assembly having a tubing unit including a gastric tube and jejunal tube adjacent one another such that the proximal end of the tubing unit is positioned outside the patient's body and the distal end is positioned inside the patient's body. A pointed tip attachment piece on the proximal end of the tubing unit allows the tubing unit to be pulled orally through the patient's esophagus and stomach until the pointed tip attachment piece extends through an abdominal incision. A set of bumpers on opposite sides of the abdomen wall maintain the position of the tubing unit such that the distal end remains inside the body and the proximal end remains outside the body so that medicine, food, and other substances can be supplied to the patient through the tubing unit.