Implantable restriction system tension release mechanism

• US 9,750,629 B2
• Filed: 09/18/2009
• Issued: 09/05/2017
• 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, Jr., Daniel F., Byrum, Randal T., Bork, Toralf, Crivelli, Rocco, Garner, Dean L., Ginggen, Alec J., Hueil, Geoffrey C., Korvick, Donna L., Krumanaker, David T., Marcotte, Amy L., Messerly, Jeffrey D., Moore, Kyle P., Mumaw, Daniel J., Nalagatla, Anil K., Ortiz, Mark S., Shelton, IV, Frederick E., Smith, Bret W., Swayze, Jeffrey S., Swindon, Patrick J., Timm, Richard W., Thompson, Eric W., Weaner, Lauren S.
• Primary Examiner(s): Natnithithadha, Navin
• Assistant Examiner(s): Reddy, Sunita
• Application Number:
  US12/562,267
• Publication Number:
  US 20110071558A1
• Time in Patent Office: 2,909 Days
• Field of Search: 600 37, 600 30, 606157, 606151, 606155, 606156, 606158, 623 2364, 623 1413
• 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 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. A tension release mechanism is associated with the tension element.

Claims

1. An 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 and in engagement with the elongated member in a manner allowing for the tension element to be released from engagement with 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 tension release mechanism associated with the tension element selectively releasing the tension element from engagement with the elongated member; and

wherein the tension element includes a free end engaged with the drive element and a fixed end secured to the elongated member, and the tension release mechanism includes a release pin extending through the elongated member and in engagement with the fixed end of the tension element.

2. The apparatus according to claim 1, wherein the release pin allows for release of the fixed end of the tension element from engagement with the elongated member.

3. The apparatus according to claim 2, wherein the release pin transversely extends through the elongated member at a position adjacent to the fixed end of the tension element.

4. The apparatus according to claim 1, wherein the drive element is a compression drive assembly.

5. An 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 and in engagement with the elongated member in a manner allowing for the tension element to be released from engagement with 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 tension release mechanism associated with the tension element selectively releasing the tension element from engagement with the elongated member; and

wherein the tension release mechanism includes a split nut associated with the drive element for selectively releasing the tension element from engagement with the drive element and the split nut allows a threaded fixed end of the tension element to slip past the drive element when necessary to allow the elongated member restriction to be increased.

6. The apparatus according to claim 5, wherein the split nut is spring-loaded for release of the threaded fixed end of the tension element.

7. The apparatus according to claim 5, wherein the split nut is activated for release through actuation of a button at a controller.

8. The apparatus according to claim 5, wherein the split nut is composed of plurality of distinct elements forming a central aperture through which the threaded fixed end of the tension element passes.

9. The apparatus according to claim 8, wherein the drive nut is resilient and adapted for biasing to disengage the drive nut from threads formed along an external surface of the threaded fixed end of the tension element.

10. The apparatus according to claim 9, wherein the drive nut is biased by pressure application plates.

11. The apparatus according to claim 9, wherein the drive nut is biased by the application of a change in temperature.

12. An 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 and in engagement with the elongated member in a manner allowing for the tension element to be released from engagement with 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 tension release mechanism associated with the tension element selectively releasing the tension element from engagement with the elongated member; and

wherein the tension release mechanism includes an elliptical nut that pivots on an axis perpendicular to an axis of a threaded fixed end of the tension element for engagement and disengagement of the threaded fixed end of the tension element.

13. The apparatus according to claim 12, wherein the elliptical nut is controlled by a switch/toggle.

14. The apparatus according to claim 12, wherein the tension release mechanism is actuated via a linkage wire extending from the tension release mechanism to a control pod for access by a medical practitioner.

15. An 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 and in engagement with the elongated member in a manner allowing for the tension element to be released from engagement with 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 tension release mechanism associated with the tension element selectively releasing the tension element from engagement with the elongated member; and

wherein the tension release mechanism includes a two-bar linkage assembly secured to the free end of the tension element such that when the tension element is intended for utilization in constriction of the stomach, the two-bar linkage is folded and when the elongated member needs to be released in an emergency, the two-bar linkage is actuated so as to pull the two bar linkage from a folded configuration of the two bar linkage.

16. An 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 and in engagement with the elongated member in a manner allowing for the tension element to be released from engagement with 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 tension release mechanism associated with the tension element selectively releasing the tension element from engagement with the elongated member; and

wherein the tension release mechanism includes a controller for moving opposed rollers of the compression drive assembly apart allowing for free movement of the tension element.