Method and apparatus for adjusting a gastrointestinal restriction device
A gastrointestinal implant system includes an adjustable restriction device having a contact surface configured for at least partially engaging a surface of a gastrointestinal tract of a mammal. The implant system further includes an implantable interface including a first driving element, the first driving element being moveable and operatively coupled to the adjustable restriction device by an actuator configured to change the dimension or configuration of the contact surface in response to movement of the first driving element. The system also includes an external adjustment device having a second driving element configured to non-invasively engage the first driving element of the implantable interface from a location external to the mammal. In the system, actuation of the second driving element of the external adjustment device produces movement in the first driving element of the implantable interface and results in a change in the dimension or configuration of the contact surface.
1. A gastrointestinal implant, comprising:
a flexible adjustable body comprising a contact surface configured for at least partially engaging a surface of a gastrointestinal tract of a mammal, the contact surface having a first perimeter;
an opposing surface, radially opposed to the contact surface, the opposing surface having a second perimeter, the contact surface having undulating increases and decreases in radius along the first perimeter and the opposing surface having substantially matched increases and decreases in radius along the second perimeter;
an actuator configured to change the configurations of the contact surface and the opposing surface in response to rotational movement of an implantable interface operatively coupled to the actuator via a drive transmission, the actuator comprising a tensile member having a proximal end and distal end, the tensile member coupled to the flexible adjustable body;
an external adjustment device configured to non-invasively couple to the implantable interface from a location external to the mammal;
wherein movement of at least a portion of the implantable interface results in a change in the dimension or configuration of the contact surface;
wherein the actuator is disposed at least partially within the flexible adjustable body about a plurality of ribs contained therein, wherein the ribs include holes; and
wherein the actuator passes through at least a plurality of the holes.
2. The gastrointestinal implant of claim 1 , wherein a rotatable lead screw is operatively coupled to a magnetic element contained in the implantable interface.
3. The gastrointestinal implant of claim 2 , wherein the magnetic element comprises a permanent magnet.
4. The gastrointestinal implant of claim 1 , wherein the tensile member comprises a filament or tape.
5. The gastrointestinal implant of claim 1 , wherein the tensile member comprises NITINOL wire.
6. The gastrointestinal implant of claim 1 , wherein the tensile member is slidably disposed within a protective sheath.
7. The gastrointestinal implant of claim 1 , wherein the change in the configuration of the contact surface is adapted to change the effective internal dimension of the gastrointestinal tract.
8. The gastrointestinal implant of claim 1 , wherein the flexible adjustable body is configured to change shape in a substantially uniform manner.
9. The gastrointestinal implant of claim 1 , wherein the tensile member is coupled to a spring, the spring configured for allowing an increase in the effective length of the actuator in response to an acute event within the gastrointestinal tract.
10. The gastrointestinal implant of claim 9 , wherein the acute event comprises a pressure in excess of 200 mm Hg.
11. The gastrointestinal implant of claim 1 , wherein the flexible adjustable body contains a recess.
12. The gastrointestinal implant of claim 1 , wherein the flexible adjustable body comprises silicone.