the detailed embodiment of the present invention is disclosed herein . it should be understood , however , that the disclosed embodiment is merely exemplary of the invention , which may be embodied in various forms . therefore , the details disclosed herein are not to be interpreted as limiting , but merely as the basis for the claims and as a basis for teaching one skilled in the art how to make and / or use the invention . with reference to fig1 to 4 , a balloon based gastric band 10 in accordance with the present invention is disclosed . the gastric band 10 is shaped and dimensioned to circumscribe the stomach 12 at a predetermined location reducing the size of the stomach . a fluid supply tube 14 fluidly communicating with gastric band 10 is in fluid communication with a remotely located fluid injection port 16 . the gastric band 10 generally comprises an outer tension carrying belt 18 having an inflatable balloon 20 affixed to the inner surface 22 thereof . when the gastric band 10 is in place , the balloon 20 is inflated , restricting the volume of stomach . to inflate the balloon 20 , a filling solution is injected into the injection port 16 and the filling solution is conveyed to the balloon 20 by way of the supply tube 14 . referring to fig1 , the gastric band 10 is shown wrapped around an upper portion of a stomach 12 . the gastric band 10 is kept in place by attaching the first and second ends 24 , 26 of the band 10 together and extending a portion of the stomach 12 over the gastric band 10 by suturing a portion to the stomach 12 . referring now to fig2 to 4 , the gastric band 10 in accordance with the present invention is disclosed in greater detail . as briefly mentioned above , the gastric band 10 includes a tension carrying belt 18 , a fluid supply tube 14 in fluid communication with a balloon 20 and a remotely located fluid injection port 16 . the inflatable balloon 20 is carried along the inner surface 22 of the belt 18 . the balloon 20 is secured to the inner surface 22 of the belt 18 in any well known manner , or even made of unitary construction with the belt 18 , although the belt 18 is typically formed separately . a distal end 28 of the fluid supply tube 14 is in fluid communication with the internal cavity 30 of the balloon 20 and the proximal end 27 is in fluid communication with an internal cavity ( not shown ) of the remote injection port 16 . the balloon 20 is an elongated structure with a first end 32 and a second end 34 . the balloon 20 is preferably of a length of about 11 cm . however , those skilled in the art will appreciate the balloon 20 may be of any length which would provide sufficient compression of the stomach 12 . the balloon 20 is preferably comprised of material with a thickness between about 0 . 3 mm and 0 . 7 mm and more preferably about 0 . 64 mm . the thickness of the material is dependent on the balloon material and it should be appreciated the thickness of the balloon may vary depending on the balloon composition . in accordance with a preferred embodiment of the present invention , the balloon 20 is manufactured from medical grade silicone , although other known materials , for example , implantable polyurethane , may be used without departing from the spirit of the present invention . in accordance with a preferred embodiment of the present invention , the balloon 20 is an elongated body with a single cavity . however , various balloon designs could be used within the spirit of the present invention . for example , a multiple segmented balloon as disclosed in u . s . patent application publication no . 2005 / 0070937 , entitled “ segmented gastric band ”, which is incorporated herein by reference , could be employed without departing from the spirit of the present invention . as best shown in fig2 to 4 , the balloon 20 is formed with first and second creased sections 36 , 38 . the first and second creased sections 36 , 38 are formed at diametrically opposed locations along the circumference of the balloon 20 . as will be discussed below in greater detail , the creased sections 36 , 38 allow for a reduction in the size of the balloon 20 in a manner improving the insertion of the balloon 20 through a trocar . the creased sections 36 , 38 extend along the length of the balloon 20 and , thereby , allow for the compression of the balloon 20 to a low profile configuration during insertion without adjusting the fill volume of the fully expanded balloon 20 . the creased sections 36 , 38 provide a controlled compression point along the length of the balloon 20 , allowing the balloon 20 to be compressed in a controlled and reliable manner along the length of the balloon . each of the creased sections 36 , 38 is composed of opposed walls 36 a , 36 b , 38 a , 38 b linked by a hinged section 36 c , 38 c . in this way , the creased sections 36 , 38 open and close in the same manner as an accordion . by providing for the increased compression of the balloon 20 in a controlled manner , potential damage to the balloon 20 is decreased during the gastro - gastric suturing step of the application procedure . in addition , the lower profile design allows for use of the present gastric band with small diameter trocars ( for example , 12 mm ), which previously had difficulty in delivering such balloon , based gastric bands in a reliable and controlled manner . as those skilled in the art will certainly appreciate , the creases may be formed in a variety of configurations without departing from the spirit of the present invention . for example , more than 2 creases could be employed and the creases could be configured to overlap in a mating configuration , such as , with pleats on pants . the tension - carrying belt 18 is slightly longer than the balloon 20 and may be of any suitable length sufficient to accommodate the type of latching mechanism 40 employed . as with the balloon 20 itself , the carrying belt 18 is composed of medical grade silicone polymer but may be composed of any flexible biocompatible material , for example , implantable polyurethane , without departing from the spirit of the present invention . the gastric band 10 , and more particularly , the tension carrying belt 18 , is provided with a latching mechanism 40 so that the gastric band 10 may be releasably secured in an encircled position around a portion of the stomach 12 . various latching mechanism may be used within the spirit of the present invention . some of these latching mechanisms are disclosed in u . s . published patent application nos . 2005 / 0002984 , entitled “ implantable band with attachment mechanism having dissimalr material prorperties ”, 2004 / 0267291 , entitled “ implantable band with non - mechanical attachment mechanism ”, 2004 / 0267292 , entitled “ implantable band with transverse attachment mechanism ”, 2004 / 0267288 , entitled “ implantable band having improved attachment mechanism ”, and 2004 / 0267293 , entitled “ implantable band with attachment mechanism ”, which are incorporated herein by reference . as mentioned above , the balloon 20 is provided with a fluid supply tube 14 coupled to a remote injection port 16 . the fluid supply tube 14 includes inlets 42 providing access to the internal cavity 30 of the balloon 20 . the remote injection port 16 includes a silicone septum . at the time the adjustable gastric band 10 is implanted around a portion of the stomach 12 , the remote injection port 16 is also implanted at a suitable location , usually within the rectus sheaths , for transcutaneous access via a huber needle . examples of injection port structures which may employed in accordance with the present invention are disclosed in u . s . patent application publication nos . 2004 / 0254536 , entitled “ subcutaneous self attaching injection port with integral fasteners ”, and 2004 / 0254537 , entitled “ subcutaneous self attaching injection port with integral moveable retention members ”, which are incorporated by reference . the internal cavity 30 of the balloon 20 is evacuated prior to installation . the fluid supply tube 14 and the internal cavity of the remote injection port 16 are preferably supplied with physiologically compatible fluids , such as a saline or radiopaque solutions , during postoperative adjustment . postoperative adjustment of the perimeter enclosed by the balloon 20 , and therefore the size of the stoma , is accomplished by the addition or removal of fluid from the internal cavity 30 of the balloon 20 by inserting a huber needle percutaneously into the silicone septum of the injection port 16 . installation of the gastric band 10 is accomplished by first inserting the band 10 into the patient &# 39 ; s abdomen through a trocar . next , a tunnel is created behind the stomach 12 near the esophagogastric junction using a blunt dissection device . the gastric band 10 is then grasped by an instrument , such as a grasper or blunt dissection device , and wrapped around the patient &# 39 ; s stomach 12 through the created tunnel . the latching mechanism 40 is then engaged . the injection port 16 is then attached to the gastric band 10 and the injection port 16 is secured subcutaneously in the abdomen or other suitable location . a suitable filling solution , such as saline , is then injected into injection port 16 whereby the solution is conveyed to the internal cavity 30 of the balloon by way of inlets 42 in fluid supply tube 14 . if necessary either at the time the gastric band 10 is installed or at some time in the future , a predetermined quantity of the filling solution may be withdrawn for the balloon 20 by inserting a syringe into the injection port 16 and withdrawing the solution . although the present invention is described for use in conjunction with gastric bands , those skilled in the art will appreciate the above invention has equally applicability to other types of implantable bands . for example , bands are used for the treatment of fecal incontinence . one such band is described in u . s . pat . no . 6 , 461 , 292 . bands can also be used to treat urinary incontinence . one such band is described in u . s . patent application publication no . 2003 / 0105385 . bands can also be used to treat heartburn and / or acid reflux . one such band is described in u . s . pat . no . 6 , 470 , 892 . bands can also be used to treat impotence . one such band is described in u . s . patent application publication no . 2003 / 0114729 . while the preferred embodiments have been shown and described , it will be understood that there is no intent to limit the invention by such disclosure , but rather , is intended to cover all modifications and alternate constructions falling within the spirit and scope of the invention .
a gastric band includes a belt and a balloon secured to the belt . the balloon and belt being shaped and dimensioned to circumscribe the stomach at a predetermined location . the balloon includes a longitudinally extending body with at least one crease formed therein , the crease extending along a longitudinal axis of the body for providing the balloon with a reduced noninflated profile without reducing the fill volume of the fully expanded balloon .