Symmetrical drive system for an implantable restriction device

• US 8,617,049 B2
• Filed: 09/18/2009
• Issued: 12/31/2013
• Est. Priority Date: 09/18/2009
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Dlugos, Daniel F. Jr., Bork, Toralf, Chen, Christine H., Crivelli, Rocco, Korvick, Donna L., Krumanaker, David T., Lessek, Timothy P., Marcotte, Amy L., Messerly, Jeffrey D., Mumaw, Daniel J., Nalagatla, Anil K., Plescia, David N., Shelton, Frederick E. IV, Swayze, Jeffrey S., Swindon, Patrick J., Tsonton, Mark, Woodruff, Scott A.
• Primary Examiner(s): Matthews, Christine
• Assistant Examiner(s): Reddy, Sunita
• Application Number:
  US12/562,250
• Publication Number:
  US 20110071557A1
• Time in Patent Office: 1,565 Days
• Field of Search: 600/37, 600/30, 600/29, 606/158, 606151-157, 623/23.64, 623/14.13
• US Class Current: 600/37
• CPC Class Codes: A61B 17/12009 Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
• CPC Class Codes: A61F 2/0036 implantable A61F2/0018 takes precedence
• CPC Class Codes: A61F 2250/0002 for data transfer
• CPC Class Codes: A61F 5/003 inflatable
• CPC Class Codes: A61F 5/0053 remotely adjustable
• CPC Class Codes: A61F 5/0056 using injection ports
• CPC Class Codes: A61F 5/0059 with wireless means

Abstract

An apparatus for regulating the functioning of a patient'"'"'s organ or duct includes an elongated member having a first end and a second end. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A symmetrical drive system including a drive element associated with and engaging the tension element for causing the tension element to control the tension applied by the elongated member against a patient'"'"'s body organ or duct is further provided. In accordance with an alternate embodiment an apparatus for regulating the functioning of a patient'"'"'s organ or duct including an elongated member having a first end and a second end. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. The tension element is composed of a flexible first member and a flexible second member, wherein the flexible first member is movable relative to the flexible second member. A drive element is associated with and engages the tension element for causing the tension element to control the tension applied by the elongated member against a patient'"'"'s body organ or duct.

Claims

1. Apparatus for regulating the functioning of a patient'"'"'s organ or duct, comprising:

an elongated member having a first end and a second end;

a fastener disposed on the first end of the elongated member, the fastener configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct;

a tension element disposed for movement within the elongated member, the tension element having opposite first and second ends, wherein the first end includes a flexible first member and the second end includes a flexible second member; and

a symmetrical drive system including a single motor directionally controlling the flexible first member and the flexible second member for simultaneously loosening or tightening the flexible first member and the flexible second member, the symmetrical drive system being coupled to the tension element such that the tension element and the symmetrical drive system define a complete circular loop, the symmetrical drive system including a drive element associated with and engaging the tension element for causing the tension element to control the tension applied by the elongated member against a patient'"'"'s body organ or duct such that applied tension is uniformly distributed along the tension element, wherein the symmetrical drive system draws the tension element at both the first end of the tension element and the second end of the tension element, and simultaneously applies pressure to the first end of the tension element and the second end of the tension element, thereby uniformly distributing the applied tension along a length of the tension element starting at the first end of the tension element and ending at the second end of the tension element.

2. The apparatus according to claim 1, wherein the flexible first member is a flexible first threaded member and the flexible second member is a flexible second threaded member.

3. The apparatus according to claim 2, wherein the motor includes a first actuated drive and a second actuated dove.

4. The apparatus according to claim 3, wherein the first actuated drive and the second actuated drive are simultaneously controlled by the motor.

5. The apparatus according to claim 3, wherein the flexible first member includes a first end and a second end, the first end of the flexible first member being secured to the first end of the tension element and the second end of the flexible first member is fed into the first actuated drive of the motor, and the flexible second member includes a first end and a second end, the first end of the flexible second member being secured to the second end of the tension element and the second end of the flexible second member is fed into the second actuated drive of the motor, wherein the flexible first member is either drawn into or pushed further out of the first actuated drive and the flexible second member is either drawn into or pushed further out of the second actuated drive to either reduce or increase a diameter of the tension element.

6. The apparatus according to claim 3, wherein the first actuated drive employs a nut upon which a threaded surface of the flexible first member rides so as to push or pull the flexible first member through the first actuated drive and the second actuated drive employs a nut upon which a threaded surface of the flexible second member ride so as to push or pull the flexible second member through the second actuated drive.

7. Apparatus for regulating the functioning of a patient'"'"'s organ or duct, comprising:

an elongated member having a first end and a second end;

a fastener disposed on the first end of the elongated member, the fastener configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct;

a tension element disposed for movement within the elongated member, the tension element being composed of a flexible first member and a flexible second member, wherein the flexible first member is movable relative to the flexible second member;

wherein the flexible first member is a hollow shaft at a first end of the tension element and the flexible second member is a threaded shaft at a second end of the tension element, the hollow shaft includes a free end and a coupled end and the threaded shaft includes a free end and a coupled end, the coupled end of the hollow shaft is secured to the coupled end of the threaded shaft and the free end of the threaded shaft is movably coupled to a drive motor secured at the free end of the hollow shaft for controlling movement of the first end of the tension element relative to the second end of the tension element;

a drive element associated with and engaging the tension element for causing the tension element to control the tension applied by the elongated member against a patient'"'"'s body organ or duct.

8. The apparatus according to claim 7, wherein the drive motor includes an input passageway shaped and dimensioned to guide the threaded shaft therethrough and into a cavity defined by the hollow shaft.

9. The apparatus according to claim 7, wherein the elongated member includes a first segment and a second segment, the first segment includes a first end and a second end and the second segment includes a first end and a second end, the second end of the first segment and the second end of second segment are linked via a quick connect coupling.