Devices and methods for tissue restoration
Devices and methods for tissue restoration. In an exemplary embodiment of an implantable restraining device of the present disclosure, the device comprises a first engaging component and a second engaging component at least substantially parallel to one another, a first swivel arm, comprising a first fixed arm, a first expandable arm, and a first hub, and a second swivel arm, comprising a second fixed arm, a second expandable arm, and a second hub.
1. An implantable restraining device, comprising:
a first engaging component and a second engaging component at least substantially parallel to one another;
a first swivel arm, comprising:
a first fixed arm,
a first expandable arm, and
a first hub,
wherein the first fixed arm is pivotally connected to the first engaging component at or near a first fixed arm first end and is coupled to the first hub at or near a first fixed arm second end, and wherein the first expandable arm is pivotally connected to the second engaging component at or near a first expandable arm first end and is connected to the first hub at or near a first expandable arm second end by way of a first hub bracket;
a second swivel arm, comprising:
a second fixed arm,
a second expandable arm, and
a second hub,
wherein the second fixed arm is pivotally connected to the first engaging component at or near a second fixed arm first end and is coupled to the second hub at or near a second fixed arm second end, and wherein the second expandable arm is pivotally connected to the second engaging component at or near a second expandable arm first end and is connected to the second hub at or near a second expandable arm second end by way of a second hub bracket; and
a first strap positioned at a first end of the first engaging component and at a first end of the second engaging component and fixedly coupled to one of the first end of the first engaging component or the first end of the second engaging component by way of at least one suture, the first strap configured to limit movement of the first engaging component and the second engaging component when the first strap is coupled to the first engaging component and the second engaging component;
wherein the first expandable arm and the second expandable are capable of movement relative to the first hub and the second hub respectively so that a distance between the first engaging component and the second engaging component may change relative to movement of the first expandable arm and the second expandable arm.
2. The device of claim 1 , wherein the first swivel arm is capable of rotation in a first direction, and wherein the second swivel arm is capable of rotation in an opposing second direction.
3. The device of claim 2 , wherein the first swivel arm and the second swivel arm are capable of rotation so that the first swivel arm, the second swivel arm, the first engaging component, and the second engaging component share a common linear axis.
4. The device of claim 2 , wherein the first swivel arm and the second swivel arm are capable of rotation so that the first swivel arm and the second swivel arm are substantially or fully perpendicular to the first engaging component and the second engaging component.
5. The device of claim 1 , wherein the first fixed arm is relatively shorter than the second fixed arm, and wherein the first expandable arm is relatively shorter than the second expandable arm.
6. The device of claim 1 , further comprising:
a first arm flange at or near the first expandable arm second end, the first arm flange configured to limit expansion of the first expandable arm relative to the first fixed arm; and
a second arm flange at or near the second expandable arm second end, the second arm flange configured to limit expansion of the second expandable arm relative to the second fixed arm.
7. The device of claim 1 , wherein the device is sized and shaped to fit within a laparoscopic bodily port.
8. The device of claim 1 , wherein the first strap has at least one suture aperture defined therethrough, and wherein at least one of the first engaging component and the second engaging component has at least one plate aperture defined therethrough, the at least one suture aperture and the at least one plate aperture configured to permit a suture to be placed therethrough to couple the first strap to either the first engaging component or the second engaging component.
9. The device of claim 1 , further comprising:
a first pad coupled to one or both of the first fixed arm and the first expandable arm; and
a second pad coupled to one or both of the second fixed arm and the second expandable arm;
wherein the first pad and the second pad are configured to engage at least a portion of a mammalian bodily organ positioned therebetween.
10. The device of claim 1 , wherein the first engaging component and the second engaging component are configured to engage a targeted tissue therebetween when the first swivel arm and the second swivel arm are in a configuration relatively perpendicular to the first engaging component and the second engaging component.
11. The device of claim 1 , wherein the first engaging component, the second engaging component, the first swivel arm, and the second swivel arm each comprise a material suitable to resist corrosion selected from the group consisting of polyurethane, polyethylene, polytetrafluoroethylene, polyaryletherketone, carbothane, tecothane, nitinol, silastic, titanium, and stainless steel.
12. The device of claim 1 , wherein each of the first engaging component and the second engaging component define one or more facets along at least part of a length of said engaging components, said facets providing a generally arcuate profile of said engaging components.
13. The device of claim 1 , wherein each of the first engaging component and the second engaging component comprise a configuration chosen from a straight bar configuration, a curved configuration, or a circular configuration.
14. The device of claim 1 , wherein the first engaging component and the second engaging component are flexible or semi-flexible.
15. The device of claim 1 , wherein the device does not apply any meaningful pressure against a stomach when positioned upon portions of the stomach.
16. An implantable restraining device, comprising:
a first engaging component and a second engaging component at least substantially parallel to one another;
a first swivel arm, comprising:
a first fixed arm,
a first expandable arm, and
a first hub,
wherein the first fixed arm is pivotally connected to the first engaging component at or near a first fixed arm first end and is coupled to the first hub at or near a first fixed arm second end, and wherein the first expandable arm is pivotally connected to the second engaging component at or near a first expandable arm first end and is connected to the first hub at or near a first expandable arm second end by way of a first hub bracket;
a second swivel arm, comprising:
a second fixed arm,
a second expandable arm, and
a second hub,
wherein the second fixed arm is pivotally connected to the first engaging component at or near a second fixed arm first end and is coupled to the second hub at or near a second fixed arm second end, and wherein the second expandable arm is pivotally connected to the second engaging component at or near a second expandable arm first end and is connected to the second hub at or near a second expandable arm second end by way of a second hub bracket; and
a first strap positioned at one or both of a first end of the first engaging component and at a first end of the second engaging component and fixedly coupled to one of the first end of the first engaging component or the first end of the second engaging component by way of at least one suture, the first strap configured to limit movement of the first engaging component and the second engaging component when the first strap is coupled to the first engaging component and the second engaging component;
wherein the first expandable arm and the second expandable are capable of movement relative to the first hub and the second hub respectively so that a distance between the first engaging component and the second engaging component may change relative to movement of the first expandable arm and the second expandable arm; and wherein the first swivel arm is capable of rotation in a first direction so that the first swivel arm, the second swivel arm, the first engaging component, and the second engaging component share a common linear axis, and
wherein the second swivel arm is capable of rotation in an opposing second direction so that the first swivel arm and the second swivel arm are substantially or fully perpendicular to the first engaging component and the second engaging component.
17. The device of claim 16 , wherein the first swivel arm is capable of rotation in a first direction, and wherein the second swivel arm is capable of rotation in an opposing second direction.
18. The device of claim 16 , further comprising:
a first pad coupled to one or both of the first fixed arm and the first expandable arm; and
a second pad coupled to one or both of the second fixed arm and the second expandable arm;
wherein the first pad and the second pad are configured to engage at least a portion of a mammalian bodily organ positioned therebetween.
19. A method for restoring a targeted tissue, the method comprising the steps of:
inserting an implantable restraining device into a body cavity of a mammalian body, the implantable restraining device comprising:
a first engaging component and a second engaging component at least substantially parallel to one another;
a first swivel arm, comprising:
a first fixed arm,
a first expandable arm, and
a first hub,
wherein the first fixed arm is pivotally connected to the first engaging component at or near a first fixed arm first end and is coupled to the first hub at or near a first fixed arm second end, and wherein the first expandable arm is pivotally connected to the second engaging component at or near a first expandable arm first end and is connected to the first hub at or near a first expandable arm second end by way of a first hub bracket;
a second swivel arm, comprising:
a second fixed arm,
a second expandable arm, and
a second hub,
wherein the second fixed arm is pivotally connected to the first engaging component at or near a second fixed arm first end and is coupled to the second hub at or near a second fixed arm second end, and wherein the second expandable arm is pivotally connected to the second engaging component at or near a second expandable arm first end and is connected to the second hub at or near a second expandable arm second end by way of a second hub bracket; and
a first strap positioned at a first end of the first engaging component and at a first end of the second engaging component and fixedly coupled to one of the first end of the first engaging component or the first end of the second engaging component by way of at least one suture, the first strap configured to limit movement of the first engaging component and the second engaging component when the first strap is coupled to the first engaging component and the second engaging component;
wherein the first expandable arm and the second expandable are capable of movement relative to the first hub and the second hub respectively so that a distance between the first engaging component and the second engaging component may change relative to movement of the first expandable arm and the second expandable arm;
advancing the implantable restraining device to a location within the mammalian body adjacent to a targeted tissue;
swiveling the first swivel arm and the second swivel arm so that the first swivel arm and the second swivel arm are substantially perpendicular to the first engaging component and the second engaging component; and
positioning the first engaging component and the second engaging component over the targeted tissue such that at least a portion of the targeted tissue is positioned therebetween, wherein when the targeted tissue expands in a direction between the first engaging component and the second engaging component, the targeted tissue exerts a force upon the first engaging component and the second engaging component so that the first expandable arm moves relative to the first hub and so that the second expandable arm moves relative to the second hub.
20. The method of claim 19 , wherein the targeted tissue is a stomach, and wherein expansion of the stomach, with said device positioned thereon, functionally divides the stomach into a first stomach portion and a second stomach portion.