Gastric band devices and drive systems

• US 8,961,393 B2
• Filed: 11/15/2010
• Issued: 02/24/2015
• Est. Priority Date: 11/15/2010
• Status: Expired due to Fees

• Current Assignee: Apollo Endosurgery US, Inc. (Boston Scientific Corporation)
• Original Assignee: Apollo Endosurgery, Inc. (Boston Scientific Corporation)
• Inventors: Rion, Julien, Mosimann, Laurent, Fridez, Pierre, Bertolote, Tiago, Crottet, Denis, Aeschlimann, Marcel, Vaucher, Vincent
• Primary Examiner(s): Matthews, Christine
• Assistant Examiner(s): LANNU, JOSHUA DARYL DEANON
• Application Number:
  US12/946,757
• Publication Number:
  US 20120123196A1
• Time in Patent Office: 1,562 Days
• Field of Search: 600 29- 32, 600/37, 128897-899
• US Class Current: 600/37
• CPC Class Codes: A61F 2/0036 implantable A61F2/0018 takes precedence
• CPC Class Codes: A61F 5/0053 remotely adjustable

Abstract

Gastric banding devices, and drive systems designed to operate gastric banding devices, are disclosed. The gastric banding devices and drive systems intend to increase performance, durability, and simplicity over known gastric banding systems. Embodiments include transmission systems configured to output a variable force. Embodiments also include banding structures biased to apply a constrictive force to a patient'"'"'s stomach. Supporting, or skeletal, structures are also disclosed. Various drive systems designed to improve power efficiency are also disclosed.

Claims

1. A gastric band device for the treatment of obesity, suitable for placement around the stomach of a patient and constriction of the stomach of the patient, comprising:

a band configured to form a loop around a portion of the stomach of the patient; and

a plurality of lever devices, each lever device is configured to apply a degree of constriction to the stomach of the patient, each lever device having a first end and a second end, the first end of each lever device being coupled to the band, and the second end of each lever device being positioned at a distance from the band, the distance being variable and defining the degree of constriction applied by each lever device to the stomach of the patient;

wherein each lever device comprises a first lever arm and a second lever arm, and a first pivot device couples the first lever arm to the second lever arm, the first lever arm being coupled to the band and the second lever arm being coupled to the band, the first lever arm being coupled to the second lever arm to form an angle, a size of the angle being variable and defining the distance of the second end of each lever device from the band.

2. The gastric band device of claim 1, wherein a second pivot device couples the first lever arm to the band and a third pivot device couples the second lever arm to the band.

3. The gastric band device of claim 1, wherein an interior region on the band is bounded by the first lever arm and the second lever arm and the band, the interior region having a substantially triangular shape.

4. The gastric band device of claim 3, wherein a size of the interior region is variable and is defined by the size of the angle formed between the first lever arm and the second lever arm.

5. The gastric band device of claim 4, wherein each lever device has a substantially triangular shape.

6. The gastric band device of claim 1, wherein the first lever arm has a substantially columnar shape and the second lever arm has a substantially columnar shape.

7. The gastric band device of claim 1, wherein the first lever arm has a first end and a second end, the first end of the first lever arm being coupled to the band and the second end of the first lever arm comprising the second end of the lever device.

8. The gastric band device of claim 7, wherein the second lever arm has a first end and a second end, the first end of the second lever arm being coupled to the band and the second end of the second lever arm being coupled to the second end of the first lever arm to form the angle.

9. The gastric band device of claim 8, wherein the band comprises a first band and a second band, the first band being positioned concentric with the second band and being slidably clamped to an interior surface of the second band.

10. The gastric band device of claim 9, wherein the first end of the first lever arm is coupled to the first band and the first end of the second lever arm is coupled to the second band.

11. The gastric band device of claim 10, further comprising a motor coupled to the first band, the motor configured to apply a force to the first band during operation of the motor, the force varying the angle formed between the first lever arm and the second lever arm.

12. The gastric band device of claim 11, wherein the second band has an outer diameter that remains substantially constant during the operation of the motor.

13. The gastric band device of claim 11, wherein a constant force applied by the motor to the first band during the operation of the motor varies the distance of the second end of each lever device from the band at a variable speed.

14. The gastric band device of claim 10, further comprising a motor coupled to the first band and the second band, the motor configured to apply a force to the first band and the second band during operation of the motor, the force varying the angle formed between the first lever arm and the second lever arm.

15. The gastric band device of claim 7, wherein the second lever arm has a first end and a second end, the first end of the second lever arm being coupled to the band and the second end of the second lever arm being coupled to a midpoint of the first lever arm to form the angle.

16. The gastric band device of claim 7, wherein the first end of the first lever arm has a substantially forked shape and the first end of the second lever arm has a substantially forked shape.

17. The gastric band device of claim 1, further comprising a plurality of pads, each pad coupled to the second end of a corresponding lever device.

18. The gastric band device of claim 1, further comprising a membrane substantially covering the gastric band device.

19. The gastric band device of claim 1, wherein the band has a first end and a second end, the first end of the band configured to couple to the second end of the band to form the loop around the portion of the patient'"'"'s stomach.

20. A gastric band device for the treatment of obesity, suitable for placement around the stomach of a patient and constriction of the stomach of the patient, comprising:

a band configured to form a loop around a portion of the stomach of the patient; and

a plurality of lever devices, each lever device is configured to apply a degree of constriction to the stomach of the patient, each lever device having a first end and a second end, the first end of each lever device being coupled to the band, and the second end of each lever device being positioned at a distance from the band, the distance being variable and defining the degree of constriction applied by each lever device to the stomach of the patient;

wherein each lever device comprises a first lever arm and a second lever arm, the first lever arm being coupled to the band and the second lever arm being coupled to the band, and an interior region on the band is bounded by the first lever arm and the second lever arm and the band, the interior region having a substantially triangular shape, the first lever arm being coupled to the second lever arm to form an angle, a size of the angle being variable and defining the distance of the second end of each lever device from the band.

21. The gastric band device of claim 20, wherein a size of the interior region is variable and is defined by the size of the angle formed between the first force lever arm and the second lever arm.

22. The gastric band device of claim 21, wherein each lever device has a substantially triangular shape.

23. The gastric band device of claim 20, further comprising a membrane substantially covering the gastric band device.

24. The gastric band device of claim 20, wherein the band has a first end and a second end, the first end of the band configured to couple to the second end of the band to form the loop around the portion of the patient'"'"'s stomach.

25. A gastric band device for the treatment of obesity, suitable for placement around the stomach of a patient and constriction of the stomach of the patient, comprising:

a band configured to form a loop around a portion of the stomach of the patient; and

a plurality of lever devices, each lever device is configured to apply a degree of constriction to the stomach of the patient, each lever device having a first end and a second end, the first end of each lever device being coupled to the band, and the second end of each lever device being positioned at a distance from the band, the distance being variable and defining the degree of constriction applied by each lever device to the stomach of the patient;

wherein each lever device comprises a first lever arm and a second lever arm, the first lever arm has a first end and a second end, the first end of the first lever arm being coupled to the band and the second end of the first lever arm comprising the second end of each lever device, and the second lever arm being coupled to the band, the first lever arm being coupled to the second lever arm to form an angle, a size of the angle being variable and defining the distance of the second end of each lever device from the band.

26. The gastric band device of claim 25, wherein the second lever arm has a first end and a second end, the first end of the second lever arm being coupled to the band and the second end of the second lever arm being coupled to the second end of the first lever arm to form the angle.

27. The gastric band device of claim 26, wherein the band comprises a first band and a second band, the first band being positioned concentric with the second band and being slidably clamped to an interior surface of the second band.

28. The gastric band device of claim 27, wherein the first end of the first lever arm is coupled to the first band and the first end of the second lever arm is coupled to the second band.

29. The gastric band device of claim 28, further comprising a motor coupled to the first band, the motor configured to apply a force to the first band during operation of the motor, the force varying the angle formed between the first lever arm and the second lever arm.

30. The gastric band device of claim 29, wherein the second band has an outer diameter that remains substantially constant during the operation of the motor.

31. The gastric band device of claim 29, wherein a constant force applied by the motor to the first band during the operation of the motor varies the distance of the second end of the lever device from the band at a variable speed.

32. The gastric band device of claim 28, further comprising a motor coupled to the first band and the second band, the motor configured to apply a force to the first band and the second band during operation of the motor, the force varying the angle formed between the first lever arm and the second lever arm.

33. The gastric band device of claim 25, wherein the second lever arm has a first end and a second end, the first end of the second lever arm being coupled to the band and the second end of the second lever arm being coupled to a midpoint of the first lever arm to form the angle.

34. The gastric band device of claim 25, wherein the first end of the first lever arm has a substantially forked shape and a first end of the second lever arm has a substantially forked shape.

35. The gastric band device of claim 25, further comprising a membrane substantially covering the gastric band device.

36. The gastric band device of claim 25, wherein the band has a first end and a second end, the first end of the band configured to couple to the second end of the band to form the loop around the portion of the patient'"'"'s stomach.

37. A gastric band device for the treatment of obesity, suitable for placement around the stomach of a patient and constriction of the stomach of the patient, comprising:

a band configured to form a loop around a portion of the stomach of the patient;

a plurality of lever devices, each lever device is configured to apply a degree of constriction to the stomach of the patient, each lever device having a first end and a second end, the first end of each lever device being coupled to the band, and the second end of each lever device being positioned at a distance from the band, the distance being variable and defining the degree of constriction applied by each lever device to the stomach of the patient; and

a plurality of pads, each pad coupled to the second end of a corresponding lever device,

wherein each lever device comprises a first lever arm and a second lever arm, the first lever arm being coupled to the band and the second lever arm being coupled to the band, the first lever arm being coupled to the second lever arm to form an angle, a size of the angle being variable and defining the distance of the second end of each lever device from the band.

38. The gastric band device of claim 37, further comprising a membrane substantially covering the gastric band device.

39. The gastric band device of claim 37, wherein the band has a first end and a second end, the first end of the band configured to couple to the second end of the band to form the loop around the portion of the patient'"'"'s stomach.