Methods and devices for soft palate tissue elevation procedures

• US 10,188,384 B2
• Filed: 09/11/2015
• Issued: 01/29/2019
• Est. Priority Date: 06/06/2011
• Status: Active Grant

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Gross, Jeffrey M., Paul, Malcolm D.
• Primary Examiner(s): RODRIQUEZ, KARI KRISTIN
• Application Number:
  US14/851,057
• Publication Number:
  US 20160000435A1
• Time in Patent Office: 1,236 Days
• Field of Search: 606222-228, 606230, 606232, 606139, 606144
• CPC Class Codes: A61B 17/06066 Needles, e.g. needle tip configurations making needles B21G1/00
• CPC Class Codes: A61B 17/06166 Sutures suture materials A61L17/00; manufacture of artificial threads D01D; treatment of threads D06M
• CPC Class Codes: A61B 2017/06176 with protrusions, e.g. barbs
• CPC Class Codes: A61F 5/566 Intra-oral devices

Abstract

A self-retaining suture having particular application for treating obstructive sleep apnea and use thereof. The suture includes rising an elongated suture body having a periphery and first and second tissue-penetrating ends each with a bi-curve needle, and a plurality of first retainers on a first segment and oriented to the first end, and a plurality of second retainers a second segment and oriented to the second end, and a retainer-free transition segment disposed between the pluralities of first and second retainers.

Claims

1. A method of approximating soft palate tissue using a bidirectional self-retaining suture having first and second tissue-penetrating ends, first and second pluralities of tissue retainers oriented towards the first and second ends, respectively, and separated by a retainer-free transition segment, the method comprising:

a. inserting the first end of the suture into a soft palate at an insertion point to one side of a palate midline and between a junction of the hard and soft palates and a posterior end of the soft palate;

b. deploying the first end through the soft palate across the palate midline to a first exit point to the other side of the palate midline and between the junction of the hard and soft palates and the posterior end of the soft palate;

c. urging the first end out of the soft palate at the first exit point and drawing the suture through the soft palate until the second plurality of tissue retainers engage the tissue;

d. re-inserting the first end into the first exit point and deploying the first end through the soft palate posteriorly and away from the palate midline to a second exit point;

e. urging the first end out of the soft palate at the second exit point and drawing the suture out through the second exit point;

f. inserting the second end into the insertion point and deploying the second end through the soft palate posteriorly and away from the palate midline to a third exit point; and

g. urging the second end out of the soft palate at the third exit point and drawing the suture out through the third exit point.

2. The method according to claim 1, further comprising trimming the suture flush with the second and third exit points.

3. The method according to claim 1, further comprising drawing the suture anteriorly and cranially in step “

g”

to increase elevation of the soft palate.

4. The method according to claim 3, whereby the drawing of the suture results in a volumetric increase in an airway of a patient.

5. The method according to claim 1, wherein the first and second tissue penetrating ends of the suture further comprise first and second bi-curved needles attached to first and second ends of the suture respectively.

6. The method according to claim 5, wherein the bi-curved needle has a length of approximately 28-32 mm.