# US 9,867,733 B2 · Tissue adjustment implant

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- Number: US 9,867,733 B2
- Document ID: US9867733B2
- Status: Granted
- Kind: B2
- Application number: 14/449,195
- Filed: 2014-08-01
- Published: 2015-02-05
- Granted: 2018-01-16
- Earliest claimed: 2013-08-01
- Assignees: Cook Medical Technologies LLC; Cook Biotech Incorporated
- Applicants: Cook Medical Technologies LLC; Cook Biotech Incorporated
- Inventors: P. Arun Mohan; Christine Bronikowski; Ryan Bernstein; Joseph Obermiller; Patrick C. Melder
- Web page: https://patentgrep.com/patent/US9867733B2

## CPC

- A61F 5/56: Devices for preventing snoring
- A61F 5/566: {Intra-oral devices}
- A61F 2005/563: {Anti-bruxisme}
- 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

Tissue adjustment implants useful for adjusting a position of tissue in a patient are described. In an embodiment, a tissue adjustment implant includes a main body having a series of outwardly-extending projections. The tissue adjustment implants can be used in a variety of treatments, such as in the treatment of Obstructive Sleep Apnea and snoring.

## Claims

### Claim 1

A tissue adjustment implant comprising:
a main body extending along a lengthwise axis and having first and second opposing ends, a longitudinal midpoint, first and second opposing sides, first and second opposing surfaces, and a first width extending from the first side to the second side orthogonally to the longitudinal axis and through the longitudinal midpoint;
a first anchor portion disposed on the first end, the first anchor portion having a second width extending orthogonally to the longitudinal axis, the second width being greater than the first width; and
a series of projections disposed on the first side, each projection of the series of projections extending away from the second end and the longitudinal axis of the main body;
further comprising a throat portion that extends from the main body to the first anchor portion and transitions from the first width to the second width.

### Claim 2 (depends on 1)

The tissue adjustment implant of claim 1, wherein the second side contains no projections.

### Claim 3 (depends on 1)

The tissue adjustment implant of claim 1, wherein the first anchor portion defines an arrowhead having a first arrowhead side oriented at an angle to a second arrowhead side.

### Claim 4 (depends on 3)

The tissue adjustment implant of claim 3, wherein the angle is an acute angle.

### Claim 5 (depends on 4)

The tissue adjustment implant of claim 4, wherein the acute angle comprises an angle between about 35 degrees and about 90 degrees.

### Claim 6 (depends on 4)

The tissue adjustment implant of claim 4, wherein the acute angle comprises an angle of about 45 degrees.

### Claim 7 (depends on 4)

The tissue adjustment implant of claim 4, wherein the acute angle comprises an angle of 45 degrees.

### Claim 8 (depends on 3)

The tissue adjustment implant of claim 3, wherein the angle is an obtuse angle.

### Claim 9 (depends on 3)

The tissue adjustment implant of claim 3, wherein the angle is a right angle.

### Claim 10 (depends on 3)

The tissue adjustment implant of claim 3, wherein the arrowhead defines a terminal point; and
wherein the terminal point comprises a rounded point.

### Claim 11 (depends on 1)

The tissue adjustment implant of claim 1, wherein at least one projection of the series of projections comprises a wing-shaped member having a base and an end, the base having a base width that extends parallel to the longitudinal axis of the main body and the end having an end width that extends parallel to the longitudinal axis of the main body; and
wherein the base width is greater than the end width.

### Claim 12 (depends on 1)

The tissue adjustment implant of claim 1, wherein each projection of the series of projections comprises a wing-shaped member having a base and an end, the base having a base width that extends parallel to the longitudinal axis of the main body and the end having an end width that extends parallel to the longitudinal axis of the main body and that is less than the base width.

### Claim 13 (depends on 1)

The tissue adjustment implant of claim 1, wherein said tissue adjustment implant comprises a bioremodelable material.

### Claim 14 (depends on 13)

The tissue adjustment implant of claim 13, wherein the bioremodelable material comprises an extracellular matrix (ECM) material.

### Claim 15 (depends on 14)

The tissue adjustment implant of claim 14, wherein the extracellular matrix material comprises small intestine submucosa (SIS).

### Claim 16 (depends on 1)

The tissue adjustment implant of claim 1, wherein said tissue adjustment implant comprises an integral, multi-laminate construct comprising layers of small intestine submucosa (SIS).

### Claim 17 (depends on 1)

The tissue adjustment implant of claim 1, wherein the throat portion is only on the first side.

### Claim 18 (depends on 17)

The tissue adjustment implant of claim 17, wherein the second side contains no projections.

### Claim 19 (depends on 1)

The tissue adjustment implant of claim 1, wherein the main body, the first anchor portion, the series of projections, and the throat portion is formed as an integral unit.

### Claim 20

A tissue adjustment implant comprising:
a main body extending along a lengthwise axis and having first and second opposing ends, a longitudinal midpoint, first and second opposing sides, first and second opposing surfaces, and a first width extending from the first side to the second side orthogonally to the longitudinal axis and through the longitudinal midpoint;
a first anchor portion disposed on the first end, the first anchor portion defining an arrowhead having a first arrowhead side oriented at an acute angle to a second arrowhead side and having a second width extending orthogonally to the longitudinal axis;
a throat portion that extends from the main body to the first anchor portion and transitions from the first width to the second width; and
a series of projections disposed only on the first side, each projection of the series of projections extending away from the second end and the longitudinal axis of the main body and comprising a wing-shaped member having a base and an end, the base having a base width that extends parallel to the longitudinal axis of the main body and the end having an end width that extends parallel to the longitudinal axis of the main body and that is less than the base width.
