Methods and apparatus for treating body tissue sphincters and the like

• US 7,695,427 B2
• Filed: 06/07/2005
• Issued: 04/13/2010
• Est. Priority Date: 04/26/2002
• Status: Active Grant

• Current Assignee: Torax Medical, Inc. (Johnson & Johnson)
• Original Assignee: Torax Medical, Inc. (Johnson & Johnson)
• Inventors: Swanson, William J, Kugler, Chad J, Berg, Todd A, Grudem, Jerome K Jr.
• Primary Examiner(s): Stewart; Alvin J
• Application Number:
  US11/147,801
• Publication Number:
  US 20050283235A1
• Time in Patent Office: 1,771 Days
• Field of Search: 623/23.64, 623/23.65, 623/23.66, 623/23.68, 606/153, 600 28- 31
• 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: A61B 17/12013 for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 2017/00827 Treatment of gastro-esophageal reflux
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2017/12018 Elastic band ligators
• CPC Class Codes: A61F 2/0036 implantable A61F2/0018 takes precedence
• CPC Class Codes: A61F 5/005 Gastric bands
• CPC Class Codes: A61F 5/0069 in the wall of the stomach

Abstract

A plurality of structures that resiliently attract one another are provided for implanting in a patient around a body tissue structure of the patient. For example, the body tissue structure may be the esophagus, and the plurality of structures may be implanted in an annulus around the outside of the esophagus, the annulus being substantially coaxial with the esophagus. The attraction may be between annularly adjacent ones of the structures in the annulus, and it may be provided, for example, by magnets or springs. The array of structures is preferably self-limiting with respect to the smallest area that it can encompass, and this smallest area is preferably large enough to prevent the apparatus from applying excessive pressure to tissue passing through that area.

Claims

1. A prosthetic device for implantation around a body tissue structure in a patient in order to resiliently apply radially inwardly directed forces to the body tissue structure only when the body tissue structure has a circumferential size that is greater than a predetermined non-zero circumferential size comprising:

a plurality of magnetic bodies arranged in a series so that each magnetic body is magnetically attracted to the next adjacent magnetic bodies in the series; and

a plurality of link members, each link member extending from a respective one of the magnetic bodies into an interior of a next adjacent magnetic body in the series along an axis of magnetic attraction between the magnetic bodies between which that link member extends, each link member being movable by a limited amount into and out of the interior of the magnetic body into which that link member extends, such movement being parallel to the axis along which that link member extends, and each link member having a stop in the interior of the magnetic body into which that link member extends for cooperating with that magnetic body to stop, at a predetermined point, movement of that link member outward from that magnetic body, wherein each of the link members extends into the interior of the next adjacent magnetic body through an aperture in an exterior surface of that magnetic body, wherein the stop of that link member is larger than that aperture, wherein the interior of each magnetic body defines an open space that is larger than (1) the link member extending into that interior and (2) the stop of that link member when the open space, the link member, and the stop are measured perpendicular to the axis along which the link member extends, and wherein the aperture is larger than the link member extending through that aperture but smaller than the stop of that link member when the aperture, the link member, and the stop are measured perpendicular to the axis along which the link member extends.

2. The prosthetic device defined in claim 1 further comprising:

closure structures adjacent each end of the series for facilitating shaping the series into a closed loop in which the ends are adjacent and connected to one another.

3. The prosthetic device defined in claim 2 wherein each closure structure is a loop structure that extends from the adjacent end of the series.

4. The prosthetic device defined in claim 1 wherein each of the magnetic bodies comprises:

a housing structure; and

a magnet disposed in the housing structure.

5. The prosthetic device defined in claim 4 wherein the magnet of each of the magnetic bodies is completely enclosed within the housing structure of that magnetic body.

6. A prosthetic device for implantation around a body tissue structure in a patient in order to resiliently apply radially inwardly directed forces to the body tissue structure only when the body tissue structure has a circumferential size that is greater than a predetermined non-zero circumferential size comprising:

a plurality of magnetic bodies arranged in a series so that each magnetic body is magnetically attracted to the next adjacent magnetic bodies in the series; and

a plurality of link members, each link member extending from a respective one of the magnetic bodies into an interior of a next adjacent magnetic body in the series along an axis of magnetic attraction between the magnetic bodies between which that link member extends, each link member being movable by a limited amount into and out of the interior of the magnetic body into which that link member extends, such movement being parallel to the axis along which that link member extends, and each link member having a stop in the interior of the magnetic body into which that link member extends for cooperating with that magnetic body to stop, at a predetermined point, movement of that link member outward from that magnetic body, wherein each link member that extends from a respective one of the magnetic bodies also extends into an interior of that magnetic body along the axis of magnetic attraction between the magnetic bodies between which that link member extends, each link member being movable by a limited amount into and out of the interior of each magnetic body into which that link member extends, such movement being parallel to the axis along which that link member extends, and each link member having a stop in the interior of each magnetic body into which that link member extends for cooperating with that magnetic body to stop, at a predetermined point, movement of that link member outward from that magnetic body.