Implantable restriction system with release mechanism

• US 8,672,830 B2
• Filed: 09/18/2009
• Issued: 03/18/2014
• 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., Adams, Thomas E., Byrum, Randal T., Bork, Toralf, Chen, Christine H., Conlon, Sean P., Crivelli, Rocco, Garner, Dean L., Ginggen, Alec J., Krumanaker, David T., Marcotte, Amy L., Nalagatla, Anil K., Smith, Bret W., Swayze, Jeffrey S., Timm, Richard W.
• Primary Examiner(s): Matthews, Christine
• Assistant Examiner(s): Reddy, Sunita
• Application Number:
  US12/562,310
• Publication Number:
  US 20110071341A1
• Time in Patent Office: 1,642 Days
• Field of Search: 600/37, 600/29, 128897-899, 606/151
• US Class Current: 600/37
• CPC Class Codes: A61F 2/0036 implantable A61F2/0018 takes precedence
• 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 drive element is 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. A release mechanism is provided for the tension element.

Claims

1. Apparatus for regulating the function 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;

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; and

a release mechanism associated with the tension element and the drive element for selectively releasing the tension element from engagement with the drive element;

and wherein the tension element includes a free end and a fixed end, the fixed end is secured to the drive element via the release mechanism allowing the fixed end of the tension element to be selectively released from the drive element for release of tension being applied by the elongated member, the release mechanism including a jaw mechanism that selectively engages the fixed end of the tension element.

2. The apparatus according to claim 1, wherein the release mechanism is associated with a fluid filling mechanism applying fluid to a bladder formed in the elongated member upon actuation of the release mechanism.

3. The apparatus according to claim 1, wherein the release mechanism is a fracture mechanism securing the fixed end of the tension element in position.

4. 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;

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; and

a release mechanism associated with the tension element and the drive element for selectively releasing the tension element from engagement with the drive element;

wherein the tension element includes a free end and a fixed end, the fixed end is secured to the drive element via the release mechanism allowing the fixed end of the tension element to be selectively released from the drive element for release of tension being applied by the elongated member, the release mechanism including a jaw mechanism that selectively engages the fixed end of the tension element; and

wherein the jaw mechanism includes a fixed jaw member and a movable jaw member, and a jaw drive element is positioned between the fixed jaw member and the movable jaw member.

5. The apparatus according to claim 4, wherein the jaw drive element is a balloon selectively expanded for engagement with the fixed jaw member and the movable jaw member in a manner selectively moving the movable jaw member to its release orientation relative to the fixed jaw member.

6. The apparatus according to claim 4, wherein the jaw drive element is a shape memory allow spring positioned between the fixed jaw member and the movable jaw member.

7. The apparatus according to claim 6, wherein the shape memory alloy spring is linked to a source of electricity, and upon application of a voltage and/or current across the shape memory alloy spring, the shape memory alloy spring will change shape and thereby force the fixed jaw member and movable jaw member apart in a manner moving the jaw mechanism to its release orientation.

8. 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;

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; and

a release mechanism associated with the tension element and the drive element for selectively releasing the tension element from engagement with the drive element;

wherein the tension element includes a free end and a fixed end, the fixed end is secured to the drive element via the release mechanism allowing the fixed end of the tension element to be selectively released from the drive element for release of tension being applied by the elongated member, the release mechanism including a jaw mechanism that selectively engages the fixed end of the tension element; and

wherein the jaw mechanism includes a first movable jaw member and a second movable jaw member, the first movable jaw member and the second movable jaw member being pivotally connected with a jaw drive element positioned between the first movable jaw member and the second movable jaw member.

9. The apparatus according to claim 8, wherein the jaw drive element is a balloon selectively expanded for engagement with the first movable jaw member and the second movable jaw member in a manner selectively moving the first movable jaw member and the second movable jaw member to their release orientation.

10. 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;

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; and

a release mechanism associated with the tension element and the drive element for selectively releasing the tension element from engagement with the drive element;

wherein the tension element includes a free end and a fixed end, the fixed end is secured to the drive element via the release mechanism allowing the fixed end of the tension element to be selectively released from the drive element for release of tension being applied by the elongated member, the release mechanism includes a jaw mechanism that selectively engages the fixed end of the tension element; and

wherein the release mechanism is a fracture mechanism securing the fixed end of the tension element in position and the fixed end of the tension element is secured to an elongated coupling element extending within a shape memory alloy tube, and wherein upon heating or cooling of the shape memory alloy tube, the tube will change shape in a manner fracturing the elongated coupling element and permitting release of the fixed end of the tension element.

11. The apparatus according to claim 10, wherein a heating coil is positioned about the shape memory alloy tube for selective heating of the shape member alloy tube.

12. The apparatus according to claim 10, wherein a cooling coil is positioned about the shape memory alloy tube for selective cooling of the shape member alloy tube.

13. 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;

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; and

a release mechanism associated with the tension element and the drive element for selectively releasing the tension element from engagement with the drive element;

wherein the tension element includes a free end and a fixed end, the fixed end is secured to the drive element via the release mechanism allowing the fixed end of the tension element to be selectively released from the drive element for release of tension being applied by the elongated member, the release mechanism including a jaw mechanism that selectively engages the fixed end of the tension element; and

wherein the release mechanism is a fracture mechanism securing the fixed end of the tension element in position and the release mechanism is associated with a fluid source in conjunction with a fluid filling mechanism applying fluid to a bladder formed in the elongated member upon actuation of the release mechanism.

14. 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 dlat the elongated member forms a loop around the organ or duct;

a tension element disposed for movement within the elongated member;

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; and

a release mechanism associated with the tension element and the drive element for selectively releasing the tension element from engagement with the drive element;

wherein the tension element includes a free end and a fixed end, the fixed end is secured to the drive element via the release mechanism allowing the fixed end of the tension element to be selectively released from the drive element for release of tension being applied by the elongated member, the release mechanism including a jaw mechanism that selectively engages the fixed end of the tension element; and

wherein the release mechanism is a fracture mechanism securing the fixed end of the tension element in position and the release mechanism is associated with a fluid source that when actuated releases fluid from a bladder formed in the elongated member upon actuation of the release mechanism.