HRP20210971T1 - Uređaj za kontrulu protoka u tjelesnom organu - Google Patents
Uređaj za kontrulu protoka u tjelesnom organu Download PDFInfo
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- HRP20210971T1 HRP20210971T1 HRP20210971TT HRP20210971T HRP20210971T1 HR P20210971 T1 HRP20210971 T1 HR P20210971T1 HR P20210971T T HRP20210971T T HR P20210971TT HR P20210971 T HRP20210971 T HR P20210971T HR P20210971 T1 HRP20210971 T1 HR P20210971T1
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- 210000000056 organ Anatomy 0.000 title claims 16
- 230000000638 stimulation Effects 0.000 claims 31
- 238000011144 upstream manufacturing Methods 0.000 claims 23
- 239000012530 fluid Substances 0.000 claims 8
- 239000000126 substance Substances 0.000 claims 7
- 239000007788 liquid Substances 0.000 claims 4
- 230000000750 progressive effect Effects 0.000 claims 4
- 230000008602 contraction Effects 0.000 claims 2
- 230000003213 activating effect Effects 0.000 claims 1
- 230000002572 peristaltic effect Effects 0.000 claims 1
- 238000005096 rolling process Methods 0.000 claims 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
- A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
- A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
- A61F2/004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable inflatable
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- A—HUMAN NECESSITIES
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- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0507—Electrodes for the digestive system
- A61N1/0509—Stomach and intestinal electrodes
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- A—HUMAN NECESSITIES
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- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/36007—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
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- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/372—Arrangements in connection with the implantation of stimulators
- A61N1/37211—Means for communicating with stimulators
- A61N1/37235—Aspects of the external programmer
- A61N1/37247—User interfaces, e.g. input or presentation means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2002/045—Stomach, intestines
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0001—Means for transferring electromagnetic energy to implants
- A61F2250/0002—Means for transferring electromagnetic energy to implants for data transfer
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
- A61F2250/001—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting a diameter
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- 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
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/02—Compresses or poultices for effecting heating or cooling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0551—Spinal or peripheral nerve electrodes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
- A61N1/36564—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by blood pressure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
- A61N1/36578—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by mechanical motion of the heart wall, e.g. measured by an accelerometer or microphone
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/40—Applying electric fields by inductive or capacitive coupling ; Applying radio-frequency signals
- A61N1/403—Applying electric fields by inductive or capacitive coupling ; Applying radio-frequency signals for thermotherapy, e.g. hyperthermia
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- Medical Informatics (AREA)
- Human Computer Interaction (AREA)
- Electrotherapy Devices (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
- External Artificial Organs (AREA)
- Percussion Or Vibration Massage (AREA)
- Sampling And Sample Adjustment (AREA)
- Massaging Devices (AREA)
- Selective Calling Equipment (AREA)
Claims (15)
1. Uređaj za kontrolu protoka tekućine i/ili druge tjelesne tvari u lumenu koji je stvoren od stijenke tkiva pacijentovog organa, naznačen time što uređaj sadrži:
implantabilni uređaj za stezanje (2,27) prilagođen za nježno stezanje najmanje jednog dijela stijenke tkiva (8) radi utjecaja na protok u lumenu, pri čemu se dio stijenke tkiva proteže između uzvodnog i nizvodnog kraja dijela stijenke s obzirom na smjer strujanja u lumenu,
uređaj za stimulaciju (3) prilagođen da stimulira suženi dio stijenke tkiva električnim impulsima dok uređaj za sužavanje sužava dio stijenke, tako da uzrokuje stezanje dijela stijenke da dalje utječe na protok u lumenu, i
kontrolni uređaj (4) prilagođen za upravljanje najmanje jednim od uređaja za sužavanje i stimulaciju koji utječu na dio stijenke tako da se tekućina i/ili druge tjelesne tvari aktivno premještaju u lumen, i pri čemu je kontrolni uređaj prilagođen za upravljanje uređajem za stezanje i stimulaciju međusobno neovisno, te istovremeno.
2. Uređaj prema patentnom zahtjevu 1, naznačen time što je uređaj za stezanje prilagođen da steže cijeli dio stijenke između njegovog uzvodnog i nizvodnog kraja kako bi se ograničio protok u lumenu, a kontrolni uređaj je prilagođen da
- kontrolira uređaj za stimulaciju tako da progresivno stimulira suženi dio stijenke u smjeru nizvodno ili uzvodno od lumena tako da uzrokuje progresivno stezanje dijela stijenke radi pomicanja tekućine i/ili druge tjelesne tvari u lumenu, ili
- kontrolira uređaj za stimulaciju radi stimuliranja suženog dijela stijenke da zatvori lumen ili na uzvodnom kraju ili nizvodnom kraju dijela stijenke i da istodobno kontrolira uređaj za suženje kako bi povećao stezanje cijelog dijela stijenke radi premještanja tekućine i/ili druge tjelesne tvari u lumenu.
3. Uređaj u skladu s bilo kojim od patentnih zahtjeva 1-2, naznačen time što je kontrolni uređaj prilagođen za upravljanje uređajem za stezanje kako bi se variralo stezanje dijela stijenke i istodobno upravljanje uređajem za stimulaciju da progresivno stimulira suženi dio stijenke u nizvodnom ili uzvodnom smjeru lumena da uzrokuje progresivno stezanje dijela stijenke radi pomicanja tekućine i/ili druge tjelesne tvari u lumenu.
4. Uređaj prema patentnom zahtjevu 1, naznačen time što je kontrolni uređaj prilagođen za upravljanje uređajem za stimulaciju za stimuliranje dijela stijenke i za istovremeno upravljanje uređajem za stezanje kako bi se variralo stezanje različitih područja dijela stijenke tako da je dio stijenke postupno stegnut u nizvodnom ili uzvodnom smjeru lumena, te pri čemu
- kontrolni uređaj je prilagođen za upravljanje uređajem za stimulaciju za progresivnu stimulaciju suženog dijela stijenke u skladu s progresivnim stezanjem dijela stijenke koje provodi uređaj za stezanje, ili
- kontrolni uređaj je prilagođen da kontrolira izduženi element za stezanje uređaja za stezanje koji se proteže duž dijela stijenke kako bi se progresivno stezao dio stijenke u nizvodnom ili uzvodnom smjeru lumena, pri čemu izduženi element za stezanje sadrži kontaktne površine dimenzionirane tako da dodiruju duljinu dijela stijenke, kada je uređaj za stezanje prilagođen za stezanje dijela stijenke, te uređaj za stimulaciju sadrži mnoštvo elemenata za stimulaciju raspoređenih duž kontaktnih površina, tako da elementi za stimulaciju stimuliraju različita područja dijela stijenke duž duljine dijela stijenke, kada kontrolni uređaj upravlja uređajem za stimulaciju za stimuliranje dijela stijenke.
5. Uređaj prema patentnom zahtjevu 1, naznačen time što je uređaj za stezanje prilagođen da steže bilo koji od niza dijelova stijenke stijenke tkiva kako bi barem ograničio protok u lumenu, uređaj za stimulaciju je prilagođen za stimuliranje dijela stijenke sužene s uređajem za stezanje radi zatvaranja lumena, a kontrolni uređaj upravlja uređajem za stezanje tako da uzastopno sužava dijelove stijenke iz niza dijelova stijenke radi pomicanja tekućine i/ili druge tjelesne tvari u lumenu na peristaltički način, te pri čemu uređaj za stezanje sadrži najmanje jedan element za stezanje koji se može pomicati duž organa radi uzastopnog sužavanja dijelova stijenke iz niza dijelova stijenke organa, i uređaj za stimulaciju sadrži najmanje jedan element za stimulaciju postavljen na element za stezanje radi stimuliranja dijela stijenke koji je sužen elementom za stezanje radi zatvaranja lumena.
6. Uređaj prema patentnom zahtjevu 5, naznačen time što je kontrolni uređaj prilagođen za upravljanje uređajem za stezanje da ciklično pomiče element za stezanje duž dijelova stijenke iz niza dijelova stijenke.
7. Uređaj prema patentnom zahtjevu 5, naznačen time što uređaj za stezanje sadrži mnoštvo elemenata za stezanje, od kojih se svaki može pomicati duž organa za uzastopno stezanje dijelova stijenke iz niza dijelova stijenke organa, pri čemu uređaj za stimulaciju obuhvaća elemente za stimulaciju postavljene na elementima za stezanje radi stimuliranja dijelova stijenke koji su stegnuti s elementima za stezanje radi zatvaranja lumena, pri čemu je kontrolni uređaj prilagođen za upravljanje uređajem za stezanje da ciklički pomiče elemente za stezanje jedan za drugim duž dijelova stijenke iz niza dijelova stijenke organa, pri čemu uređaj za stezanje sadrži rotor (207) koji nosi elemente za stezanje (208A-208C), a kontrolni uređaj upravlja rotorom okretanjem rotora tako da svaki element za stezanje ciklički sužava dijelove stijenke iz niza dijelova stijenke organa, te pri čemu svaki element za stezanje sadrži valjak za kotrljanje na organu radi stezanja potonjeg.
8. Uređaj prema patentnom zahtjevu 1, naznačen time što uređaj za stezanje sadrži prvi element za stezanje za stezanje dijela stijenke organa na njegovom uzvodnom kraju, drugi element za stezanje za stezanje dijela stijenke na njegovom nizvodnom kraju, i treći element za stezanje za stezanje dijela stijenke između njegovog uzvodnog i nizvodnog kraja, a kontrolni uređaj je prilagođen za upravljanje prvim, drugim i trećim elementom za stezanje radi stezanja i otpuštanja dijelova stijenke neovisno jednog o drugom, te pri čemu
- kontrolni uređaj je prilagođen za upravljanje prvim ili drugim elementom za stezanje radi stezanja dijela stijenke na njegovom uzvodnom ili nizvodnom kraju radi zatvaranja lumena i za upravljanje trećim elementom za stezanje radi stezanja dijela stijenke između njegovog uzvodnog i nizvodnog kraja, pri čemu se tekućina ili druga tjelesna tvar sadržana u dijelu stijenke između njegovog uzvodnog i nizvodnog kraja pomiče nizvodno ili uzvodno u lumenu, kontrolni uređaj upravlja uređajem za stimulaciju radi stimuliranja dijela stijenke između njegovog uzvodnog i nizvodnog kraja, kada treći element za stezanje steže dio stijenke, ili
- kontrolni uređaj je prilagođen za upravljanje prvim elementom za stezanje za stezanje dijela stijenke na njegovom uzvodnom kraju radi ograničavanja protoka u lumenu i upravljanje uređajem za stimulaciju za stimuliranje suženog dijela stijenke na uzvodnom kraju radi zatvaranja lumena, i pri čemu je kontrolni uređaj prilagođen za upravljanje trećim elementom za stezanje radi stezanja dijela stijenke između njegovog uzvodnog i nizvodnog kraja, pri čemu se tekućina i/ili druga tjelesna tvar sadržana u dijelu stijenke između njegovog uzvodnog i nizvodnog kraja pomiče nizvodno u lumen, ili
- kontrolni uređaj je prilagođen za upravljanje drugim elementom za stezanje za stezanje dijela stijenke na njegovom nizvodnom kraju kako bi se ograničio protok u lumenu i upravlja uređajem za stimulaciju za stimuliranje suženog dijela stijenke na nizvodnom kraju radi zatvaranja lumena, a kontrolni uređaj je prilagođen za upravljanje trećim elementom za stezanje radi stezanja dijela stijenke između njegovog uzvodnog i nizvodnog kraja, pri čemu se tekućina i/ili druga tjelesna tvar sadržana u dijelu stijenke između njegovog uzvodnog i nizvodnog kraja premješta uzvodno u lumen.
9. Uređaj prema bilo kojem od patentnih zahtjeva 1-8, naznačen time što je uređaj za stezanje podesiv, te nadalje sadrži radni uređaj (34) za upravljanje podesivim uređajem za stezanje radi promjene stezanja dijela stijenke organa pacijenta pri čemu radni uređaj mehanički ili hidraulički upravlja uređajem za stezanje.
10. Uređaj prema patentnom zahtjevu 9, naznačen time što je radni uređaj prilagođen za mehaničko upravljanje uređajem za stezanje, te uređaj za stezanje sadrži najmanje dva izdužena stezna elementa (20a,20b) koji se protežu duž organa u smjeru protoka u pacijentovom lumenu na različitim stranama organa, a radni uređaj upravlja steznim elementima radi stezanja dijela stijenke između steznih elemenata kako bi stegnuo dio stijenke.
11. Uređaj prema patentnom zahtjevu 1, naznačen time što je kontrolni uređaj prilagođen za upravljanje uređajem za stezanje radi zatvaranja lumena, bilo na uzvodnom kraju ili nizvodnom kraju dijela stijenke, te za upravljanje uređajem za stezanje kako bi stegnuo preostali dio dijela stijenke radi pomicanja tekućine i/ili druge tjelesne tvari u lumenu, te pri čemu je kontrolni uređaj prilagođen za upravljanje uređajem za stimulaciju radi stimuliranja dijela stijenke dok uređaj za stezanje sužava preostali dio dijela stijenke.
12. Uređaj prema patentnom zahtjevu 1, naznačen time što je uređaj za stezanje prilagođen za stezanje dijela stijenke kako bi ograničio, ali ne i zaustavio protok u lumenu, a kontrolni uređaj je prilagođen za upravljanje uređajem za stimulaciju za stimuliranje dijela stijenke sužene s uređajem za stezanje radi zatvaranja lumena, bilo na uzvodnom kraju ili nizvodnom kraju dijela stijenke, i istovremeno upravljanje uređajem za stezanje kako bi se povećalo stezanje dijela stijenke radi pomicanja tekućine i/ili druge tjelesne tvari u lumenu.
13. Uređaj prema patentnom zahtjevu 1, naznačen time što uređaj za stezanje sadrži mnoštvo odvojenih elemenata za stezanje prilagođenih za stezanje bilo kojeg dijela stijenke iz niza dijelova stijenke, odnosno organa, a kontrolni uređaj je prilagođen za upravljanje uređajem za stezanje radi nasumičnog aktiviranja elemenata za stezanje ili u skladu s unaprijed određenim redoslijedom.
14. Uređaj prema patentnom zahtjevu 13, naznačen time što uređaj za stimulaciju sadrži elemente za stimulaciju smještene na elementima za stezanje, i pri čemu je kontrolni uređaj prilagođen za upravljanje uređajem za stimulaciju radi aktiviranja stimulacijskih elemenata za stimuliranje bilo kojeg dijela iz niza dijelova stijenke koji su stegnuti elementima za stezanje.
15. Uređaj prema patentnom zahtjevu 14, naznačen time što je kontrolni uređaj prilagođen za upravljanje uređajem za stezanje za aktiviranje elemenata za stezanje
- radi stezanja dijelova stijenke iz niza dijelova stijenke bez potpunog zatvaranja lumena, te za upravljanje uređajem za stimulaciju radi aktiviranja stimulacijskih elemenata za stimuliranje stegnutih dijelova stijenke jednog za drugim, tako da se dijelovi stijenke iz niza dijelova stijenke uzastopno stežu uzduž organa radi pomicanja tekućine i/ili druge tjelesne tvari u lumenu, ili
- radi stezanja svih dijelova stijenke iz niza dijelova stijenke, i za upravljanje uređajem za stimulaciju radi aktiviranja stimulacijskih elemenata za stimuliranje bilo kojeg suženog dijela stijenke nasumično ili u skladu s unaprijed određenim redoslijedom kako bi se zatvorio lumen organa.
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