Coupling assembly for implantable sphincter assistance device

Patent metadata

Field	Value
Publication number	US-11071619-B2
Application number	US-201816221813-A
Country	US
Kind code	B2
Filing date	Dec 17, 2018
Priority date	Dec 17, 2018
Publication date	Jul 27, 2021
Grant date	Jul 27, 2021

Abstract

An artificial sphincter and method closing the artificial sphincter includes a plurality of bodies, a plurality of links, a coupling body, and a coupling assembly. The plurality of bodies each have respective magnets and are arranged from a first terminal body to a second terminal body. The plurality of links respectively resiliently extend and connect between the plurality of bodies. The coupling body has a first end segment and a second end segment respectively connected to a first terminal link and a second terminal link respectively extending from the first and second end segments. The coupling assembly has a clasp configured to close to form a closed loop and a coupling guide configured to be manipulated to thereby orient portions of the clasp to a predetermined orientation for connection in the connected state.

First claim

We claim:

1. An artificial sphincter, comprising:
(a) a plurality of bodies including a first terminal body and a second terminal body successively arranged from the first terminal body to the second terminal body, wherein each of the plurality of bodies respectively includes a body magnet such that each of the plurality of bodies are magnetically attracted toward each other;
(b) a plurality of links including a first terminal link and a second terminal link, wherein the plurality of links respectively resiliently extend and connect between the plurality of bodies and the first and second terminal links respectively extend from the first and second terminal bodies;
(c) a coupling body having a first end segment and a second end segment respectively connected to the first and second terminal links wherein the coupling body defines a central longitudinal axis; and
(d) a coupling assembly, including:
(i) a clasp having a first clasp portion and a second clasp portion respectively on the first and second end segments, wherein the first and second clasp portions are configured to connect together from a disconnected state to a connected state in a predetermined orientation such that the plurality of bodies and the coupling body define a closed loop in a contracted state, wherein the closed loop is configured to resiliently expand from the contracted state toward an expanded state and is biased toward the contracted state, and
(ii) a coupling guide having a first guide portion on the first end segment and a second guide portion on the second end segment, wherein one of the first and second guide portions is configured to be translated along the central longitudinal axis toward the other of the first and second guide portions while in an unlocked configuration and is configured to be subsequently rotated about the central longitudinal axis into locking engagement with the other of the first and second guide portions at the predetermined orientation.

2. The artificial sphincter of claim 1 , wherein the closed loop in the contracted state surrounds a predetermined minimum open interior configured to receive an anatomy of a patient, and wherein the closed loop in the expanded state surrounds an enlarged open interior having a larger area than the predetermined minimum open interior and is configured to accommodate the anatomy of the patient as the anatomy expands within the closed loop.

3. The artificial sphincter of claim 1 , wherein the first clasp portion includes a first U-shape, the second clasp portion includes a second U-shape, and the first and second U-shapes are configured to longitudinally interlock in the connected state.

4. The artificial sphincter of claim 1 , wherein the first guide portion includes a detent slot in the first end segment, wherein the second guide portion includes a resilient clip attached to the second end segment, and wherein the detent slot is configured to receive the resilient clip to thereby position the first clasp portion relative to the second clasp portion in the predetermined orientation.

5. The artificial sphincter of claim 4 , wherein the first clasp portion includes a first U-shape, the second clasp portion includes a second U-shape, and the first and second U-shapes are configured to longitudinally interlock in the connected state.

6. The artificial sphincter of claim 1 , wherein the first guide portion includes a longitudinal extension extending from the first end segment, wherein the second guide portion includes a longitudinal slot within the second end segment, and wherein the longitudinal slot receives the longitudinal extension to thereby position the first clasp portion relative to the second clasp portion in the predetermined orientation.

7. The artificial sphincter of claim 6 , wherein the first clasp portion includes a radial bayonet slot extending through the longitudinal extension, wherein the second clasp portion includes a radial tab extending radially inward into the longitudinal slot, and wherein the radial bayonet slot receives the radial tab to longitudinally interlock in the connected state.

8. The artificial sphincter of claim 7 , wherein the first guide portion includes a first detent magnet attached to the first end segment, wherein the second guide portion includes a second detent magnet attached to the second end segment, and wherein the first and second detent magnets cooperatively urge the longitudinal extension into the longitudinal slot to direct the radial tab further along the radial bayonet slot toward the connected state.

9. The artificial sphincter of claim 8 , wherein the second clasp portion includes a biasing element configured to be biased due to a magnetic attraction between the first and second detent magnets.

10. The artificial sphincter of claim 6 , wherein the first clasp portion includes a radial tab extending radially outward from the longitudinal extension, wherein the second clasp portion includes a radial bayonet slot in communication with the longitudinal slot, and wherein the radial bayonet slot receives the radial tab to longitudinally interlock in the connected state.

11. The artificial sphincter of claim 6 , wherein the longitudinal extension extends from the first end segment along the central longitudinal axis.

12. A method of closing an artificial sphincter to form a closed loop, wherein the artificial sphincter includes (a) a plurality of bodies including a first terminal body and a second terminal body successively arranged from the first terminal body to the second terminal body, wherein each of the plurality of bodies respectively includes a body magnet such that each of the plurality of bodies are magnetically attracted toward each other; (b) a plurality of links including a first terminal link and a second terminal link, wherein the plurality of links respectively resiliently extend and connect between the plurality of bodies and the first and second terminal links respectively extend from the first and second terminal bodies; (c) a coupling body having a first end segment and a second end segment respectively connected to the first and second terminal links; and (d) a coupling assembly, including: (i) a clasp having a first clasp portion and a second clasp portion respectively on the first and second end segments, wherein the first and second clasp portions are configured to connect together along a central longitudinal axis such that the plurality of bodies and the coupling body define a closed loop in a contracted state, wherein the closed loop is configured to resiliently expand from the contracted state toward an expanded state and is biased toward the contracted state, and (ii) a coupling guide having a first guide portion on the first end segment and a second guide portion on the second end segment, the method comprising:
(a) translating the first guide portion relative to the second guide portion along the central longitudinal axis so that the first clasp portion contacts the second clasp portion in an unlocked configuration; and
(b) subsequently rotating the first guide portion relative to the second guide portion in a first direction about the central longitudinal axis from the unlocked configuration to a predetermined orientation in a locked configuration to connect the first clasp portion to the second clasp portion in the predetermined orientation to form the closed loop around an anatomy of a patient.

13. The method of claim 12 , further comprising rotating the first guide portion relative to the second guide portion in a second direction that is opposite the first direction along a central longitudinal axis from the locked configuration to the unlocked configu

Assignees

• Ethicon Llc
• Cilag Gmbh Int

Inventors

• Shelton Iv Frederick E
• Fiebig Kevin M

Classifications

• A61B17/12013

  for use in minimally invasive surgery, e.g. endoscopic surgery · CPC title

• A61B17/12099

  characterised by the location of the occluder · CPC title

• A61F2002/044

  Oesophagi or esophagi or gullets · CPC title

• A61B2017/00876

  magnetic · CPC title

• A61F2210/009

  magnetic · CPC title