Abstract: 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.

Abstract: An apparatus is operable to communicate fluid. An exemplary apparatus comprises a housing and a fluid reservoir within the housing. An actuator is operationally engaged with the fluid reservoir. The actuator is operable to effect communication of fluid from or into the fluid reservoir. A sensor is in fluid communication with the fluid reservoir. The sensor is operable to sense a physical parameter of fluid that is in communication with the fluid reservoir as the fluid is communicated from or into the fluid reservoir. An indicator is in communication with the sensor. The indicator is operable to display the physical parameter sensed by the sensor. The apparatus may be used to inject fluid into or withdraw fluid from an implanted gastric band system or for a variety of other uses. Fluid pressure may be adjusted and sensed, and resulting data may be displayed, by a single, integrated instrument.

Abstract: 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 is a micro-electro-mechanical systems (MEMS) device effective to create pumping action to move fluid through the pump.

Abstract: An external pressure sensing system may include an attachment for a syringe. The attachment may comprise a connector positioned between the barrel and the needle of the syringe. A pressure sensor may be in fluid communication with the connector, such that the pressure sensor may sense the pressure of fluid within the connector as the syringe is used to add fluid to or withdraw fluid from an injection port. Where an injection port is a component of an adjustable fluid-based gastric band system, pressure data obtained with the pressure sensor may be indicative of the pressure of fluid within the gastric band. The pressure sensor may communicate pressure data to a display device. A user may adjust the pressure of fluid within the gastric band using the syringe while viewing the display device for pressure-related readings.

Abstract: An implantable restriction device is configured to provide a restriction in a patient as a function of the pressure of fluid. The implantable restriction device includes one or more pressure sensors configured to sense pressure of the fluid within the implantable restriction device. Pressure data obtained by the one or more pressure sensors 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 pressure data, and may communicate the pressure 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.

Abstract: A pressure sensor may be used to determine the pressure of fluid within an implantable gastric restriction device. An accelerometer may be used to measure movement of the patient in which the gastric restriction device is implanted, such that the movement may be accounted for when evaluating data from the pressure sensing system. For instance, movement data from the accelerometer may be used to identify pressure data that should be ignored. A display may annotate a pressure graph to show changes in pressure associated with patient movement; or may otherwise influence the display of pressure data based on patient movement. The pressure sensor and accelerometer may be incorporated into an adapter placed between a syringe and needle that are used to adjust the fluid pressure in the gastric restriction device. Upon examination of pressure data in relation to movement data, the implantable gastric restriction may be adjusted as needed.

Abstract: A merely exemplary external pressure sensing system comprises a connecting member and a pressure sensor. The connecting member is operable to connect to a syringe barrel and a needle. The connecting member comprises a conduit permitting communication of fluid from the syringe barrel to the needle when the connecting member is connected to the syringe barrel and the needle. The pressure sensor is in communication with the conduit. The pressure sensor is configured to sense pressure of fluid within the connecting member. The connecting member is configured to permit the pressure sensor to sense the pressure of the fluid while the fluid is communicated from the barrel to the needle. The pressure sensor is configured to provide a visual indication of sensed pressure. The visual indication may be provided by a variety of components, including but not limited to a diaphragm, a disc, a needle, or a slider.

Abstract: 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.

Abstract: 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.

Abstract: 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.

Abstract: 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.

Abstract: 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.

Abstract: 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.

Abstract: An implantable restriction device includes a belt and a balloon secured to the belt for engagement with tissue when the implantable restriction device is positioned about an organ. A protective member is associated with the balloon for positioning between the balloon and a tissue surface defining a band tissue interface.

Abstract: An implantable restriction device includes a belt and a balloon secured to the belt for engagement with tissue when the implantable restriction device is positioned about the stomach. A spacer is associated with the belt for maintaining the restriction device in a spaced relation with a staple line employed during gastric reduction surgery.

Abstract: An apparatus comprises an implantable mechanically adjustable band configured to form a restriction in a patient. The band defines an inner diameter. The mechanical adjustability of the band is configured to permit the inner diameter defined by the band to be selectively varied. The apparatus further comprises an adjustment mechanism in communication with the band. The adjustment mechanism is operable to provide the mechanical adjustability of the band. The apparatus further comprises a sensor in communication with one or both of the mechanically adjustable band or the adjustment mechanism. The sensor is configured to sense a physical parameter associated with operation of the band. The physical parameter sensed by the sensor varies with the inner diameter defined by the band. The band may be used as a gastric band, among other potential uses.

Abstract: 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.

Abstract: An implantable restriction device is configured to provide a restriction in a patient as a function of the pressure of fluid. The implantable restriction device includes one or more pressure sensors configured to sense pressure of the fluid within the implantable restriction device. Pressure data obtained by the one or more pressure sensors may be communicated to a device located external to the patient, which may process the pressure data, and may further provide a display to a user including information relating to the processed pressure data. Where the implantable restriction device comprises an adjustable gastric band, the one or more pressure sensors may be located in any number of the following locations: an injection port, an interface between the injection port and a catheter, in a catheter, in-line with a catheter, adjacent to a catheter, in a gastric band, in a gastric band buckle, or elsewhere.

Abstract: A sense head comprises a plurality of coils and a needle window. The sense head is operable to receive RF signals communicated from a needle target such as an injection port located within a patient. A user interface is configured to visually display an indication to a user relating to the positioning and orientation of the sense head relative to the needle target. The positioning and orientation may be determined based on RF signals received by the coils in the sense head. With the sense head positioned based on information provided through the visual display, the user may insert a needle through the needle window to reach the needle target. The sense head may also receive communications relating to the pressure of fluid in an implanted device. The user interface may further display information relating to the fluid pressure in the implanted device.

Abstract: A device, including a display and an implant for placement within a hollow body organ, the device includes a member having an undeployed shape for delivery within a hollow body and one or more deployed shapes for implantation therein. The member having sufficient rigidity in its deployed shape to exert an outward force against an interior of the hollow body so as to bring together two substantially opposing surfaces of the hollow body. The device includes a means for changing the deployed shape of the member while implanted within the hollow body. The device also includes a wireless device, external to a body of a patient, for controlling the means and for changing the deployed shape of the member while implanted within the hollow body.