Adjustable implants and methods of implanting the same

Patent metadata

Field	Value
Publication number	US-9402615-B2
Application number	US-201113190229-A
Country	US
Kind code	B2
Filing date	Jul 25, 2011
Priority date	Aug 5, 2010
Publication date	Aug 2, 2016
Grant date	Aug 2, 2016

Abstract

In one embodiment, an implant includes a support member configured to be placed within a body of a patient and provide support to a portion of the body of the patient, a tether coupled to an end portion of the support member; and an anchor configured to be disposed within a tissue of the body of the patient to help retain the implant in place within the body of the patient. The tether is coupled to the anchor such that the tether may move with respect to the anchor in a first direction but is retrained from moving in a second direction. In one embodiment, a method of placing an implant within a body of a patient includes making an incision in the body of the patient, inserting the implant into the body of the patient through the incision, placing the implant within the body of the patient such that a support member provides support to a portion of the body and an anchor helps retain the implant in place within the body of the patient, closing the incision, and adjusting the tension of the implant after closing the incision.

First claim

What is claimed is:

1. An implant, comprising:
a support member configured to be placed within a body of a patient and provide support to a portion of the body of the patient;
a tether coupled to an end portion of the support member;
an anchor configured to be disposed within a tissue of the body of the patient to help retain the implant in place within the body of the patient; and
a lock member disposed within a cavity of the anchor, the tether being movably coupled to the lock member such that a portion of the tether may move with respect to the anchor in a first direction but is restrained from moving in a second direction,
the lock member including a first lumen, a second lumen, a third lumen, and a fourth lumen substantially parallel to a central axis of the lock member, the tether extending through the first lumen, the second lumen, the third lumen, and the fourth lumen,
the tether being looped through the first lumen and the second lumen thereby forming a first looped portion, the tether being looped through the third lumen and the fourth lumen thereby forming a second looped portion, the second looped portion configured to contact the first looped portion,
a portion of the lock member being a cylinder having a radius extending from the central axis to an outer surface of the portion of the lock member, wherein the first lumen, the second lumen, the third lumen, and the fourth lumen are disposed between the central axis and the outer surface such that the outer surface fully surrounds the first lumen, the second lumen, the third lumen, and the fourth lumen.

2. The implant of claim 1 , wherein the second direction is opposite the first direction.

3. The implant of claim 1 , wherein the first lumen, the second lumen, the third lumen, and the fourth lumen are parallel to each other.

4. The implant of claim 1 , wherein the first lumen, the second lumen, the third lumen, and the fourth lumen are completely circular through-holes.

5. The implant of claim 1 , wherein the second looped portion is configured to apply pressure on the first looped portion in response to a force being applied to the tether in the second direction.

6. The implant of claim 1 , wherein a first end portion of the tether is coupled to the support member and a second end portion of the tether is configured to be disposed proximal a bodily incision when the support member is disposed within the body of the patient.

7. An implant, comprising:
a support member configured to be placed within a body of a patient and provide support to a portion of the body of the patient;
a tether coupled to an end portion of the support member; and
an anchor configured to be disposed within a tissue of the body of the patient to help retain the implant in place within the body of the patient, the anchor including a lock member having a first portion and a second portion, the first portion pivotally coupled to the second portion via a hinge or flexible member, the lock member having a first configuration and a second configuration,
the second portion of the lock member including a first lumen, a second lumen, a third lumen, and a fourth lumen, the tether being looped through the first lumen and the second lumen thereby forming a first looped portion, the tether being looped through the third lumen and the fourth lumen thereby forming a second looped portion;
the first portion of the lock member defining a fifth lumen configured to receive the second looped portion,
the tether being coupled to the lock member such that a portion of the tether may move with respect to the lock member in a first direction but is restrained from moving in a second direction when the lock member is in its first configuration, the tether being coupled to the lock member such that the portion of the tether may move with respect to the lock member in the first direction and the second direction when the lock member is in its second configuration.

8. The implant of claim 7 , the implant further comprising:
an activation member coupled to the first portion of the lock member.

9. The implant of claim 7 , wherein the first looped portion is disposed between the first portion of the lock member and the second portion of the lock member.

10. The implant of claim 7 , wherein the first portion of the lock member is configured to contact the first looped portion when the lock member is in its first configuration and a force in the second direction is applied to the tether.

11. A method of placing an implant within a body of a patient, comprising:
making an incision in the body of the patient;
inserting the implant into the body of the patient through the incision, the implant including a support member, an anchor, and a lock member disposed within a cavity of the anchor, a tether being movably coupled to the lock member such that a portion of the tether may move with respect to the anchor in a first direction but is restrained from moving in a second direction, the lock member including a first lumen, a second lumen, a third lumen, and a fourth lumen parallel to a central axis of the lock member, a portion of the lock member being a cylinder having a radius extending from the central axis to an outer surface of the portion of the lock member, wherein the first lumen, the second lumen, the third lumen, and the fourth lumen are disposed between the central axis and the outer surface such that the outer surface fully surrounds the first lumen, the second lumen, the third lumen, and the fourth lumen, the tether extending through the first lumen, the second lumen, the third lumen, and the fourth lumen;
placing the implant within the body of the patient such that the support member provides support to a portion of the body of the patient;
closing the incision; and
adjusting the tension of the implant after closing the incision including moving the portion of the tether with respect to the anchor in the first direction.

12. The method of claim 11 , wherein the adjusting includes applying a force to a portion of the tether that extends from the implant and is coupled to the lock member.

13. The method of claim 11 , wherein the adjusting includes applying a force to an activation member that is coupled to the portion of the lock member and applying a force to the portion of the body supported by the support member.

14. The method of claim 11 , wherein a first end portion of the tether is coupled to the support member, and the placing includes placing a second end portion of the tether proximal to the incision.

Assignees

• Ostrovsky Isaac
• Slanda Jozef
• Li Jamie
• Boston Scient Scimed Inc

Inventors

• Ostrovsky Isaac
• Slanda Jozef
• Li Jamie

Classifications

• A61B2017/0459

  Multiple holes in the anchor through which the suture extends and locking the suture when tension is applied · CPC title

• A61F2/0811

  Fixation devices for tendons or ligaments · CPC title

• A61B2017/0448

  Additional elements on or within the anchor · CPC title

• A61F2/0045 Primary

  Support slings · CPC title

• A61B17/0401 Primary

  Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors (A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811) · CPC title