# US 2019/0167269 A1 · Methods and apparatus for treating body tissue sphincters and the like > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2019/0167269 A1 - Document ID: US20190167269A1 - Status: Published application - Kind: A1 - Application number: 16/204,043 - Filed: 2018-11-29 - Published: 2019-06-06 - Earliest claimed: 2004-08-05 - Assignees: Torax Medical, Inc. - Applicants: Torax Medical, Inc. - Inventors: Chad J. Kugler; Jerome K. Grudem, JR.; Todd A. Berg; William J. Swanson - Web page: https://patentgrep.com/patent/US20190167269A1 ## CPC - 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} - A61F 2/0036: {implantable (A61F2/0018 takes precedence)} - A61F 5/005: {Gastric bands} - A61F 5/0069: {in the wall of the stomach} - A61B 2017/00827: {Treatment of gastro-esophageal reflux} - A61B 2017/00876: {magnetic} - A61B 2017/12018: {Elastic band ligators} - 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 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 ### Claim at position 1 1-31. (canceled) ### Claim 32 A medical implant, the medical implant comprising: (a) a plurality of beads, wherein each bead comprises: (i) a housing assembly defining a first hollow interior and a second hollow interior positioned concentrically around the first hollow interior, wherein the first hollow interior extends from a first aperture to a second aperture, and (ii) at least one magnet disposed within the second hollow interior; and (b) a plurality of links joining the beads together, wherein portions of the links are slidably disposed in corresponding first hollow interiors of the beads such that the plurality of beads are operable to transition between an constricted configuration and an expanded configuration, wherein the housing assembly of adjacent beads in the plurality of beads are configured to abut against each other in the constricted configuration. ### Claim 33 (depends on 32) The medical implant of claim 32, wherein the first hollow interior is isolated from the second hollow interior. ### Claim 34 (depends on 32) The medical implant of claim 32, wherein the housing assembly of each bead comprises a first housing component and a second housing component, wherein the first housing component and the second housing component are configured to mate together to define the first hollow entire and the second hollow interior. ### Claim 35 (depends on 34) The medical implant of claim 34, wherein the first housing component defines the first aperture, wherein the second housing component defines the second aperture. ### Claim 36 (depends on 35) The medical implant of claim 35, wherein the first housing component further comprises a post, wherein the post defines the first hollow interior. ### Claim 37 (depends on 35) The medical implant of claim 35, wherein the housing assembly further comprises a washer-like cap associated with the second aperture. ### Claim 38 (depends on 34) The medical implant of claim 34, wherein the first housing component comprises a cup shape. ### Claim 39 The medical implant of 32, wherein the at least one magnet comprises a toroidal shape. ### Claim 40 (depends on 32) The medical implant of claim 32, wherein the first aperture is located at a first end of the housing assembly, wherein the second aperture is located at a second end of the housing assembly, wherein the first end comprises a convex profile, wherein the second end comprises a substantially flat profile. ### Claim 41 (depends on 40) The medical implant of claim 40, wherein the at least one magnet of each bead in the plurality of beads biases the plurality of beads toward the constricted configuration, wherein the medical implant is sized to bear radially inwardly against an esophagus in the constricted configuration. ### Claim 42 (depends on 32) The medical implant of claim 32, wherein at least one link in the plurality of links defines a lateral bend. ### Claim 43 (depends on 32) The medical implant of claim 32, wherein at least one link in the plurality of links terminate in a first stop and a second stop on opposite ends. ### Claim 44 (depends on 43) The medical implant of claim 43, wherein the first stop of the at least one link is contained within the first hollow interior of a first bead, wherein the second stop of the at least one link is contained within the first hollow interior of an adjacent bead. ### Claim 45 A medical implant, the medical implant comprising: (a) a plurality of beads, wherein each bead comprises: (i) a housing assembly defining a first hollow interior and a second hollow interior positioned concentrically around the first hollow interior, wherein the first hollow interior extends from a first aperture to a second aperture, and (ii) at least one magnet disposed within the second hollow interior, wherein adjacent beads in the plurality of beads are magnetically attracted to each other; and (b) a plurality of links joining the beads together, wherein the plurality of links each terminate into a stop housed within the first hollow interior, wherein portions of the links are slidably disposed in corresponding first hollow interiors of the beads such that the plurality of beads are operable to transition between an constricted configuration and an expanded configuration, wherein the stop of each link in the plurality of links is configured to abut against either the first aperture or the second aperture in the expanded configuration. ### Claim 46 (depends on 45) The medical implant of claim 45, wherein the housing assembly further comprises a post defining the first hollow interior. ### Claim 47 (depends on 45) The medical implant of claim 45, wherein at least one link in the plurality of links comprise an elongated lateral bend. ### Claim 48 (depends on 45) The medical implant of claim 45, wherein the plurality of beads are configured to radially expand and contract between the constricted configuration and the expanded configuration. ### Claim 49 (depends on 45) The medical implant of claim 45, wherein the housing assembly of adjacent beads are configured to abut against each other in the contracted configuration. ### Claim 50 (depends on 45) The medical implant of claim 45, wherein the housing assembly comprises a first cup shaped housing component and a second cup shaped housing component configured to mate together. ### Claim 51 A medical implant, the medical implant comprising: (a) a plurality of beads, wherein each bead comprises: a housing assembly defining a first hollow interior and a second hollow interior positioned concentrically around the first hollow interior, wherein the first hollow interior extends from a first aperture to a second aperture, and (ii) at least one magnet disposed within the second hollow interior, wherein adjacent bead in the plurality of beads are magnetically attracted to each other; and (b) a plurality of links joining the beads together, wherein the plurality of links each terminated into a stop housed within the first hollow interior, wherein portions of the links are slidably disposed in corresponding first hollow interiors of the beads such that the plurality of beads are operable to transition between an constricted configuration and an expanded configuration, wherein the housing assembly of adjacent beads in the plurality of beads are configured to abut against each other in the constricted configuration, wherein the stop of each link in the plurality of links is configured to abut against either the first aperture or the second aperture in the expanded configuration.