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B-BandGastric Bypass Band

enforcing the restrictive effect of gastric bypass surgery

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Gastric Bypass Surgery

> Surgical weight loss procedure for high-BMI patients- several variations exist, most

common: Roux-en-Y

> Reduction of stomach size by more than 90%

> EWL approx. 65%

> Complications include:- anastomotic leakage

- pouch dilatation

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EWL Gastric Bypass (approx. 65%)

EWL (%)

timeapprox. 9-16 months

approx. 65%

On average, results of gastric bypasssurgery aregood

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The Average ... derived from many individuals

time

EWL (%)

approx. 9-16 months

approx. 65%average

above

below

approximately10-15% of gastricbypass patients have insufficient long-term EWL

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Improvements to Gastric Bypass Surgery are Possible

“Stomal dilation has been long recognized as one of the causes of weight regain after ... gastric bypass” Fobi, 2001

A band placed around the gastric pouch to control stoma dilation:- promotes more weight loss- in more patients- over a longer period of time.

The B-Band is particularly effectivefor these types of patients.

EWL (%)

approx. 9-16 months

approx. 65%

EWL (%)

approx. 9-16 months

approx. 65%

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B-Band Position

2 cm

B-Band is placedapproximately

2 cm above theanastomosis.

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New B-Band – the Product

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B-Band – the Product

Soft and Pre-Shaped

> Pre-curved shape facilitates placement

> Soft silicone material- rounded edges- softness prevents

band erosion

> Three ears are used to secure the B-Band to the stomach

- implant can’t move during the first few weeks

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B-Band – the Product

Closing Mechanism

> Pre marked dimensions ( 5,5, 6,5 and , 7,5) with adjustment's steps 2 mm

> Closing mechanism ispatent-pending ???

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Summary B-Band

> Improves outcome of gastric bypass surgery in terms of- average EWL (thereby improving clinic’s results)- EWL over a longer period of time

> Patients with secondary weight regain have a second chance.

> B-Band- pre-curved- soft- closing mechanism variable diameter adjustment- widest adjustment range: 5.5 , 6.5 , 7,5 steps 2 mm

Surgeon Statements in Portugal

> A good calibrated pouch doesn't need a ring> Ring is better to use in initial surgery> Ring is better to use after pouch dilatation> Not good at all> I am afraid of erosion> Better then to do a conversion bypass to duodenal

switch> Problems start after 3 years implantation

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Present Discuss about way to use ring:

> Leave it loosen > 6,5 women> 7,5 men

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Competition in Portugal

> Fobi Ring – needs 3 different references in stock> > Minimizer – adjustable

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Minimizer Ring

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Fobi Ring

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