# US 11,298,136 B2 · Implantable sphincter assistance device with deformable elements > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,298,136 B2 - Document ID: US11298136B2 - Status: Granted - Kind: B2 - Application number: 16/225,643 - Filed: 2018-12-19 - Published: 2020-06-25 - Granted: 2022-04-12 - Earliest claimed: 2018-12-19 - Assignees: Cilag GmbH International - Applicants: Ethicon LLC - Inventors: Frederick E. Shelton, IV; Kevin M. Fiebig; Joshua D. Young - Web page: https://patentgrep.com/patent/US11298136B2 ## CPC - A61B 17/12099: {characterised by the location of the occluder} - A61B 17/0293: {with ring member to support retractor elements} - A61B 17/12009: {Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot} - A61B 17/12013: {for use in minimally invasive surgery, e.g. endoscopic surgery} - A61B 90/02: {Devices for expanding tissue, e.g. skin tissue (implements for holding wounds open, surgical tractors A61B17/02; implantable mammary prosthesis A61F2/12; dilators A61M29/00)} - A61F 2/04: Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts (A61F2/18, A61F2/20 take precedence; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95) - A61B 2017/00827: {Treatment of gastro-esophageal reflux} - A61B 2017/00862: {elastic or resilient} - A61B 2017/00876: {magnetic} - A61B 2017/12018: {Elastic band ligators} - A61F 2002/044: {Oesophagi or esophagi or gullets} - A61F 2250/0007: for adjusting length - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C) ## Abstract A sphincter augmentation device includes a plurality of interlinked bodies and a pair of device ends configured to releasably couple together to secure the bodies in a loop formation sized to fit around an internal anatomical passageway of a patient. The device further includes a plurality of resilient members, with each resilient member extending between an adjacent pair of the bodies. The resilient members are configured to elastically deform to permit the device to transition between a radially contracted state and a radially expanded state. The resilient members bias the device toward the radially contracted state in which the device exerts an inwardly directed force on the anatomical passageway to selectively limit passage of fluids therethrough. The device further includes an expansion limiting member that extends between and is slidably received by an adjacent pair of the bodies, and is configured to limit radial expansion of the device. ## Claims ### Claim 1 A sphincter augmentation device, comprising: (a) a plurality of interlinked bodies; (b) a pair of device ends configured to releasably couple together to secure the bodies in a loop formation sized to fit around an internal anatomical passageway of a patient; (c) a plurality of resilient members, wherein each resilient member extends between an adjacent pair of the bodies, wherein the resilient members are configured to elastically deform to permit the device to transition between a radially contracted state and a radially expanded state, wherein the resilient members are configured to bias the device toward the radially contracted state in which the device is configured to exert an inwardly directed force on the anatomical passageway to selectively limit passage of fluids therethrough, wherein the plurality of resilient members comprises a plurality of first resilient members that exhibit a first spring rate, and a plurality of second resilient members that exhibit a second spring rate; and (d) an expansion limiting member extending between an adjacent pair of the bodies, wherein the expansion limiting member is slidably received by at least one of the bodies, wherein the expansion limiting member is configured to limit radial expansion of the device. ### Claim 2 (depends on 1) The sphincter augmentation device of claim 1, wherein each of the resilient members includes a first member end and a second member end, wherein the first member end is retained by a first body of the bodies, and wherein the second member end is retained externally of the first body. ### Claim 3 (depends on 2) The sphincter augmentation device of claim 2, wherein the first member end is housed within the first body, wherein the second member end is housed within an adjacent second body. ### Claim 4 (depends on 1) The sphincter augmentation device of claim 1, wherein the plurality of resilient members comprises a plurality of extension springs. ### Claim 5 (depends on 4) The sphincter augmentation device of claim 4, wherein each extension spring comprises a first end retained within a body of the bodies, and an opposed second that extends externally of the body, wherein the first end is coupled with a compression spring housed within the body. ### Claim 6 (depends on 1) The sphincter augmentation device of claim 1, wherein the plurality of resilient members comprises a plurality of spiral springs, wherein each spiral spring is at least partially housed within a respective body of the bodies. ### Claim 7 (depends on 1) The sphincter augmentation device of claim 1, further comprising a plurality of magnets housed within the bodies, wherein the magnets are configured to magnetically attract one another to bias the device toward the radially contracted state. ### Claim 8 (depends on 7) The sphincter augmentation device of claim 7, further comprising an elastomeric jacket that encapsulates the magnets, wherein the elastomeric jacket defines the resilient members, wherein the elastomeric jacket is configured to elastically deform to enable the device to transition between the radially contracted state and the radially expanded state. ### Claim 9 (depends on 1) The sphincter augmentation device of claim 1, wherein the expansion limiting member comprises an elongate member that extends continuously between the device ends and through the bodies. ### Claim 10 (depends on 9) The sphincter augmentation device of claim 9, wherein the elongate member includes a resilient portion, wherein the resilient portion is configured to elastically deform when the device transitions from the radially contracted state to the radially expanded state. ### Claim 11 (depends on 1) The sphincter augmentation device of claim 1, further comprising a plurality of expansion limiting members arranged discontinuously between the device ends, where each of the expansion limiting members extends between an adjacent pair of the bodies. ### Claim 12 (depends on 11) The sphincter augmentation device of claim 11, wherein the expansion limiting members are integral with the resilient members. ### Claim 13 (depends on 11) The sphincter augmentation device of claim 11, wherein each expansion limiting member comprises first and second stop elements coupled with a respective one of the resilient members, wherein when the device reaches the radially expanded state, the first stop element is configured to arrest a first portion of the resilient member relative to a first body of the bodies and the second stop element is configured to arrest a second portion of the resilient member relative to an adjacent second body of the bodies. ### Claim 14 (depends on 1) The sphincter augmentation device of claim 1, further comprising a spacer bead configured to provide a predetermined minimum spacing between a pair of adjacent bodies of the plurality of interlinked bodies when the device is in the radially contracted state. ### Claim 15 (depends on 14) The sphincter augmentation device of claim 14, wherein the spacer bead is anchored to the expansion limiting member. ### Claim 16 A sphincter augmentation device, comprising: (a) a plurality of interlinked bodies; (b) a pair of ends configured to releasably couple together to secure the bodies in a loop formation sized to fit around an internal anatomical passageway of a patient; (c) a plurality of first resilient members coupled with the bodies, wherein each of the first resilient members exhibits a first spring rate; and (d) a plurality of second resilient members coupled with the bodies, wherein each of the second resilient members exhibits a second spring rate different than the first spring rate, wherein the first and second resilient members are configured to elastically, deform to permit the device to transition between a radially contracted state and a radially expanded state, and wherein the first and second resilient members are configured to cooperate to bias the device toward the radially, contracted state in which the device is configured to exert an inwardly, directed force on the anatomical passageway to selectively limit passage of fluids therethrough. ### Claim 17 (depends on 16) The sphincter augmentation device of claim 16, wherein the first resilient members comprise at least one of extension springs or spiral springs. ### Claim 18 (depends on 16) The sphincter augmentation device of claim 16, further comprising an elastomeric outer jacket that defines the first resilient members, wherein the second resilient members are housed within the bodies. ### Claim 19 A sphincter augmentation device, comprising: (a) a plurality of interlinked bodies; (b) a pair of ends configured to releasably couple together to secure the bodies in a loop formation sized to fit around an internal anatomical passageway of a patient; (c) a plurality of spacer beads positioned between each adjacent pair of bodies; (c) a plurality of resilient members, wherein each of the resilient members is anchored to a respective spacer bead; and wherein the plurality of resilient members are configured to elastically deform to permit the device to transition between a radially contracted state and a radially expanded state, wherein the spacer beads are configured to provide a predetermined minimum spacing between each adjacent pair of bodies, wherein the plurality of spacer beads and the plurality of bodies collectively define a predefined minimum circumference, and wherein in the radially contracted state, the device is configured to exert an inwardly, directed force on the anatomical passageway to selectively limit passage of fluids therethrough. ### Claim 20 (depends on 19) The sphincter augmentation device of claim 19, wherein the resilient members includes a first member end and a second member end, wherein the first member end is oriented toward a center of body interior, and the second member end is anchored to a respective spacer bead.