Ethicon Endo-surgery, Inc.

Ethicon Endo—srugery, Inc.

Daniel F Dlugos, Jr

Mark S Ortiz

David N Plescia

Amy L Marcotte

David C Yates

Randal T Byrum

William L Hassler, Jr

Frederick E Shelton, IV

Jason L Harris

Mark S Zeiner

Sean P Conlon

David T Krumanaker

Jeffrey David Messerly

Michael J Stokes

Lauren S Weaner

Rocco Crivelli

Jeffrey S Swayze

Anil K Nalagatla

Daniel J Mumaw

Bret William Smith

Kevin Ross Doll

Donna L Korvick

Alec Ginggen

Patrick J Swindon

Dean L Garner

Christopher J Hess

Mark D Overmyer

Jeffrey L Aldridge

James Walden Voegele

Galen C Robertson

Kyle P Moore

Michael S Cropper

Geoffrey C Hueil

Christopher W Widenhouse

Prasanna Malaviya

James A Woodard, Jr

Thomas Edward Albrecht

Eric W Thompson

Alessandro Pastorelli

Toralf Bork

Tamara S Vetro Widenhouse

Denzel Z Herrera-Davis

Amy L Poeppelman

William Bruce Weisenburgh, Ii

Foster B Stulen

Richard William Timm

Wells D Haberstich

Andrew M Zwolinski

Scott A Woodruff

Thomas E Adams

Mark Tsonton

Dustin R Jensen

Timothy P Lessek

Christine H Chen

Janna M Burrell

Peter Brockmeier

Matthew A Berger

Gaspar M Gayoso

Kevin L Houser

Thomas W Huitema

James R Giordano

John V Hunt

Anthony T Nguyen

Mark S Leuenberger

Annie L Ferreri

Glenda C Marsh

Mario Gutierrez

Alec J Ginggen

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.

Implantable restriction system tension release mechanism

An apparatus for regulating the functioning of a patient's organ or duct. The apparatus includes an elongated member having first end and second ends. 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 ring around the organ or duct. A tension element is slidably disposed within the elongated member. A drive element is 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. An antenna/controller pod is releasably coupled to the elongated member for control of the drive element.

Detachable antenna for remote band

Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems and ingestible pills. In one embodiment, a method of producing satiety comprising the steps of accessing a gastrointestinal tract of a patient and implanting an intraintestinal therapeutic substance eluting implant. The implant is capable of eluting a satiety inducing substance selected from at least one of a nutrient, a specific satiety inducing bio-active substance, pancreatic polypeptides, free fatty acids, cholecystokinin, amino acids, glutamine, lipids, linoleic acid, or a combination thereof, from the implant into the gastrointestinal tract.

Intestinal brake inducing intraluminal therapeutic substance eluting devices and methods

An implantable restriction device can be configured to provide a restriction in a patient, for example as a function of the pressure of fluid. The implantable restriction device can include one or more sensors configured to sense a variety of parameters, such as pressure of the fluid within the implantable restriction device, pulse width, pulse amplitude, pulse count, pulse duration, or frequency, electrical characteristics, or other parameters. Data obtained by the one or more sensors (for example, the data representing pressure, pulse characteristics, and so on) may be communicated to a device located external to the patient, such as a data logger, using telemetry coils or other communicators. The data logger may store the data, and may communicate the data to a remote location via a network such as the Internet. A docking station may be provided to couple the data logger to a network and/or to recharge a cell in the data logger. The logged data may be analyzed and/or displayed using a variety of techniques to assess and/or track the condition of the restriction device or of the patient, to monitor patient physiology, or for other purposes.

GUI for an implantable restriction device and a data logger

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. The elongated member has a compressible ventral surface and a substantially rigid dorsal periphery, wherein the elongated member includes a fluid bladder positioned along the ventral surface. 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. Alternate embodiments are also disclosed.

Tissue interface for implantable restriction system

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 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. A release mechanism is provided for the tension element.

Implantable restriction system with release mechanism

Methods and devices reroute chyme to induce intestinal brake in order to improve the effectiveness of bariatric surgical procedures and to improve comorbidity resolution. A bowel is manipulated to provide a shortened path for chyme to travel to the ileum. These methods and devices of rerouting chyme to induce intestinal brake may include one or more of a surgical procedure, an implanted device, or a combination of an implant with an improved surgical procedure.

Methods and devices for the rerouting of chyme to induce intestinal brake

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 symmetrical drive system including 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 is further provided. In accordance with an alternate embodiment an apparatus for regulating the functioning of a patient's organ or duct including 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. The tension element is composed of a flexible first member and a flexible second member, wherein the flexible first member is movable relative to the flexible second 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.

Symmetrical drive system for an implantable restriction device

Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems, and ingestible pills. In one embodiment, the implantable system comprises a device delivering a therapeutic substance to a target location within the gastrointestinal tract of a patient in order to initiate an intestinal braking effect which would promote sensations of satiety and stimulate excess weight loss for the patient.

Devices and methods for forming a restriction in a patient are disclosed. In one exemplary embodiment, a restriction system is provided including an implantable restriction device, an implantable port in fluid communication with the implantable restriction device, and an implantable pump in fluid communication with the restriction device. In general, the implantable restriction device is adjustable and configured to form a restriction in a patient, and the implantable port is configured to receive fluid from a fluid source external to the patient. The implantable pump has a plurality of actuators configured to change shape upon the application of energy thereto such that sequential activation of the plurality of actuators is effective to create pumping action to move fluid through the pump.

Automatically adjusting band system

Methods and devices are provided for handling data in an implantable restriction system. In general, the methods and devices allow collection, analysis, storage, and transmission of pressure measurements. Pressure measurement data can be compressed before storing it. Additionally, not all pressure data need be recorded or retained, such as data substantially equaling a resting or nominal pressure of an implantable restriction device indicative of little to no pressure variation and data indicative of isolated, non-recurring events. Any pressure measurement data that is recorded can be transmitted to an external device using power telemetrically provided by the external device.

Gastric restriction device data handling devices and methods

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 load monitor ensures that excessive pressure is not applied to a patient's body organ or duct.

Implantable restriction system with load monitor

Methods and devices are provided for diagnosing performance of a gastric restriction system. In general, the methods and devices can enable patients, health care providers, and others to use pressure data as a feedback mechanism to monitor efficacy of an implantable restriction device and to identify, train, and/or prescribe treatment plan options. Pressure data monitoring can be used locally and/or remotely to monitor a restriction in a patient and compare gathered pressure data with a typical pressure of the restriction. Based on the results of the comparison, possible problems related to the patient and the restriction can be identified and diagnosed with possible cause(s) and solution(s). Notice of any detected possible problems, causes, and/or solutions can be provided to a user.

Methods and devices for diagnosing performance of a gastric restriction system

Various powering devices are provided for transferring and/or generating energy from numerous sources to a communicating member implanted in a patient. The energy transferred to or generated by the communicating member can be used to provide power to an implantable restriction system configured to form a restriction in a pathway.

Powering implantable restriction systems using kinetic motion

Methods and devices are provided for gathering impedance data related to implantable restriction devices. In general, the methods and devices can enable patients, health care providers, and others to use gathered data as a feedback mechanism to non-invasively monitor efficacy of an implantable restriction device in a patient and to identify, modify, and/or prescribe a treatment plan for the patient considering the gathered data. Impedance data can be gathered and analyzed for tissue proximate to the restriction device, e.g., a fat pad between a gastric band and the patient's stomach. Electrodes in contact with the tissue can measure an impedance of the tissue, with the impedance between the electrodes changing as the tissue reduces in size (e.g., as fat cells shrink) and/or changes configuration.

Methods and devices for measuring impedance in a gastric restriction system

Growing community of inventors

Middletown, OH, United States of America

Daniel F Dlugos, Jr