US20220323222A1 - Inflatable penile prosthesis having a cylinder with a porous portion - Google Patents
Inflatable penile prosthesis having a cylinder with a porous portion Download PDFInfo
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- US20220323222A1 US20220323222A1 US17/809,157 US202217809157A US2022323222A1 US 20220323222 A1 US20220323222 A1 US 20220323222A1 US 202217809157 A US202217809157 A US 202217809157A US 2022323222 A1 US2022323222 A1 US 2022323222A1
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- Prior art keywords
- inflatable member
- implant
- lumen
- inflatable
- pump
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Classifications
-
- 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
- A61F2/26—Penis implants
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0069—Three-dimensional shapes cylindrical
-
- 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
- A61F2240/00—Manufacturing or designing of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2240/001—Designing or manufacturing processes
-
- 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
- A61F2250/0003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having an inflatable pocket filled with fluid, e.g. liquid or gas
-
- 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
- A61F2250/0013—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 fluid pressure
Definitions
- This disclosure relates generally to bodily implants and more specifically to bodily implants, such as penile prostheses that include inflatable members.
- One treatment for male erectile dysfunction is the implantation of a penile prosthesis that mechanically erects the penis.
- Some existing penile prostheses include inflatable cylinders or members that can be inflated or deflated using a pump mechanism.
- the inflatable cylinder or member requires a relatively large amount of force to inflate.
- the pump mechanism may require many sequential squeezes or activations to inflate the cylinder or member.
- the inflatable cylinder or member may assume a flat, unnatural shape when in a deflated configuration.
- a bodily implant such as a penile prosthesis
- an improved cylinder or member that can be more easily inflated
- a bodily implant such as a penile prosthesis, that includes an inflatable cylinder or member that may assume a natural shape when in the deflated configuration.
- an implant includes an inflatable member and a pump assembly configured to facilitate a transfer of a fluid from the reservoir to the inflatable member.
- the inflatable member has a sidewall that defines a lumen and a porous structure disposed within the lumen.
- the porous structure defines a plurality of cavities.
- the inflatable member defines a longitudinal axis, the porous structure extends along the longitudinal axis.
- the sidewall includes an outer surface, the outer surface of the sidewall is substantially smooth.
- the inflatable member is configured to be placed in an inflated configuration and a deflated configuration. In some embodiments, the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member having a tubular shape when in the deflated configuration. In some embodiments, the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member having a tubular shape when in the inflated configuration. In some embodiments, the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member having a tubular shape when in the deflated configuration and having a tubular shape when in the inflated configuration.
- the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member configured to extend along a longitudinal axis of the inflatable member when placed in the inflated configuration. In some embodiments, the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member configured to extend in a direction transverse to a longitudinal axis of the inflatable member when placed in the inflated configuration.
- the porous structure defines a plurality of cavities, the fluid being configured to be disposed within the plurality of cavities when the inflatable member is placed in an inflated configuration.
- the implant includes a first cap coupled to a first end portion of the sidewall and a second cap coupled to a second end portion of the sidewall.
- the implant includes a first cap coupled to a first end portion of the sidewall and a second cap coupled to a second end portion of the sidewall.
- the porous structure being disposed between the first cap and the second cap.
- the implant includes a reservoir configured to retain the fluid, and the pump is configured to help facilitate a transfer of the fluid from the reservoir to the inflatable member when the implant is in an inflation mode.
- the pump assembly includes a valve body and a pump bulb member.
- a method includes disposing a first material within a lumen of a sheath; disposing a second material within the lumen of the sheath, the second material being different than the first material; and removing the first material from with lumen of the sheath while leaving the second material disposed within the sheath.
- the first material is water-soluble
- the second material is non-soluble in water.
- the removing the first material from the lumen includes passing a liquid through the lumen of the sheath.
- the second material is disposed within the lumen of the sheath after the first material is disposed within the sheath.
- the method includes disposing tubular members within the lumen of the sheath.
- FIG. 1 schematically illustrates a penile prosthesis according to an embodiment.
- FIG. 2 illustrates a penile prosthesis according to another embodiment.
- FIG. 3 illustrates the penile prosthesis of FIG. 2 implanted within a patient according to an embodiment.
- FIG. 4 is a cross-sectional view of the cylinder or inflatable member of the penile prosthesis of FIG. 2 .
- FIG. 5 is an end view of the cylinder or inflatable member of the penile prosthesis of FIG. 2 .
- FIGS. 6-10 illustrate cylinder or inflatable member being formed according to an embodiment.
- FIG. 11 is a flow chart of a method of making a cylinder or inflatable member of a penile prosthesis according to an embodiment.
- the embodiments are directed to medical devices such as penile prostheses or other bodily implants.
- the term patient or user may hereafter be used for a person who benefits from the medical device or the methods disclosed in the present disclosure.
- the patient can be a person whose body is implanted with the medical device or the method disclosed for operating the medical device by the present disclosure.
- the patient may be a human male, a human female, or any other mammal.
- the embodiments discussed herein may improve the performance of an inflatable member of the device.
- the inflatable member may have improved stiffness or rigidity, improved reliability, or improved deflation or inflation times.
- inflating the inflatable member may be facilitated by requiring less force, less pressure, or less fluid transfer to inflate the inflatable member.
- the inflatable member may retain or maintain a tubular shape when the inflatable member is placed in its deflated configuration.
- the embodiments may include an inflatable penile prosthesis having a pump assembly, an inflatable member, and a reservoir.
- the inflatable member may be implanted into the corpus cavernosae of a patient or user, the reservoir may be implanted in the user's abdomen, and the pump assembly may be implanted in the scrotum.
- the pump assembly may switch between an inflation position and a deflation position such that a user can operate the device to place the inflatable penile prosthesis in either an inflation mode to transfer fluid from the reservoir to the inflatable member or a deflation mode to transfer the fluid from the inflatable member back to the reservoir.
- FIG. 1 schematically illustrates an inflatable penile prosthesis 100 according to an aspect.
- the inflatable penile prosthesis 100 may include a reservoir 102 , a cylinder or inflatable member 104 , and a pump assembly 101 configured to transfer fluid between the reservoir 102 and the inflatable member 104 .
- the inflatable member 104 may be implanted into the corpus cavernosae of the user
- the reservoir 102 may be implanted in the abdomen or pelvic cavity of the user (e.g., the reservoir 102 may be implanted in the lower portion of the user's abdominal cavity or the upper portion of the user's pelvic cavity)
- the pump assembly 101 may be implanted in the scrotum of the user.
- the inflatable member 104 may be capable of expanding upon the injection of fluid into a cavity of the inflatable member 104 .
- the inflatable member 104 may increase its length and/or width, as well as increase its rigidity.
- the inflatable member 104 may include a pair of cylinders or at least two cylinders, e.g., a first cylinder member and a second cylinder member.
- the volumetric capacity of the inflatable member 104 may depend on the size of the cylinders.
- the volume of fluid in each cylinder may vary from about 10 milliliters in smaller cylinders and to about 50 milliliters in larger sizes.
- the first cylinder member may be larger than the second cylinder member. In other examples, the first cylinder member may have the same size as the second cylinder member.
- the inflatable member 104 or cylinder includes a sidewall, an outer sheath or tubular member and an internal structural member.
- the outer sheath or tubular member of the inflatable member 104 defines a lumen and the structural member is disposed within the lumen.
- the structural member is porous such that it is configured to allow a fluid to pass through it.
- the structural member defines a series or a plurality of cavities and/or channels.
- the structural member includes a sponge-like structure.
- the inflatable member 104 includes end caps or end tip members.
- the end tip members may be coupled to the end portions of the outer sheath.
- the structural member is disposed within the lumen defined by the outer sheath and is disposed between the end caps or end tip members.
- the structural member may allow the inflatable member to be inflated at a relatively low pressure. In some embodiments, this may allow the user to inflate the inflatable member 104 with less pumps or activations of the pump or may allow the user to apply less force to the pump to inflate the inflatable member 104 . Details of the pump assembly 101 are described below. Additionally, in some embodiments, the structural member of the inflatable member 104 may allow the inflatable member 104 to retain or maintain a tubular shape (or a more anatomically correct shape) when the inflatable member 104 is in its deflated configuration.
- the reservoir 102 may include a container having an internal chamber configured to hold or house fluid that is used to inflate the inflatable member 104 .
- the volumetric capacity of the reservoir 102 may vary depending on the size of the inflatable penile prosthesis 100 . In some examples, the volumetric capacity of the reservoir 102 may be 3 to 150 cubic centimeters.
- the reservoir 102 is constructed from the same material as the inflatable member 104 . In other examples, the reservoir 102 is constructed from a different material than the inflatable member 104 .
- the inflatable penile prosthesis 100 may include a first conduit connector 103 and a second conduit connector 105 .
- Each of the first conduit connector 103 and the second conduit connector 105 may define a lumen configured to transfer the fluid to and from the pump assembly 101 .
- the first conduit connector 103 may be coupled to the pump assembly 101 and the reservoir 102 such that fluid can be transferred between the pump assembly 101 and the reservoir 102 via the first conduit connector 103 .
- the first conduit connector 103 may define a first lumen configured to transfer fluid between the pump assembly 101 and the reservoir 102 .
- the first conduit connector 103 may include a single or multiple tube members for transferring the fluid between the pump assembly 101 and the reservoir 102 .
- the second conduit connector 105 may be coupled to the pump assembly 101 and the inflatable member 104 such that fluid can be transferred between the pump assembly 101 and the inflatable member 104 via the second conduit connector 105 .
- the second conduit connector 105 may define a second lumen configured to transfer fluid between the pump assembly 101 and the inflatable member 104 .
- the second conduit connector 105 may include a single or multiple tube members for transferring the fluid between the pump assembly 101 and the inflatable member 104 .
- the first conduit connector 103 and the second conduit connector 105 may include a silicone rubber material.
- the pump assembly 101 may switch between an inflation mode in which the fluid in the reservoir 102 is transferred to the inflatable member 104 through the pump assembly 101 in a first direction (e.g., inflation direction) and a deflation mode in which the fluid in the inflatable member 104 is transferred back to the reservoir 102 through the pump assembly 101 in a second direction (e.g., deflation direction).
- a first direction e.g., inflation direction
- a deflation mode in which the fluid in the inflatable member 104 is transferred back to the reservoir 102 through the pump assembly 101 in a second direction (e.g., deflation direction).
- the pump assembly 101 includes a pump (also referred to as a pump bulb member) 106 and a valve body 107 .
- the valve body 107 also includes a selection member 109 .
- the selection member 109 may be used to select or change the mode in which the pump assembly is in. For example, the selection member 109 may be moved from a first position to a second position to place the device in its deflation mode. The selection member 109 may then be moved back to its first position to place the device in its inflation mode.
- the selection member 109 is movable with respect to the valve body 107 .
- the selection member 109 is slidably coupled or slidable with respect to the valve body 107 .
- the pump 106 may be squeezed or depressed by the user in order to facilitate the transfer of fluid from the reservoir 102 to the inflatable member 104 .
- the pump 106 may receive the fluid from the reservoir 102 , and then output the fluid to the inflatable member 104 .
- the user switches to the deflation mode, at least some of the fluid can automatically be transferred back to the reservoir 102 (due to the difference in pressure from the inflatable member 104 to the reservoir 102 ). Then, the user may squeeze the inflatable member 104 to facilitate the further transfer of fluid through the pump 106 to the reservoir 102 .
- the pump 106 may include a flexible member defining a cavity.
- the pump 106 may define a pump shell having a flexible bulb and a valve body connector, where the valve body connector is designed to fit at least partially over the valve body 107 .
- the pump 106 may include a squeeze pump.
- the pump 106 may include a portion that is round or substantially round.
- the pump 106 may include ribbing or dimples to aid the user in gripping the pump 106 .
- the pump 106 may use suction and pressure to move the fluid in and out of the cavity of the pump 106 in the inflation mode.
- the user may depress or squeeze the pump 106 to expel the fluid out of the cavity, and, when the flexible member returns to its original shape, the resulting suction pushes the fluid into the cavity of the pump 106 .
- the pump 106 may have a bulb spring rate that is designed to refill the pump 106 in a selected time frame.
- the selection member 109 may be used to select or change the mode in which the pump assembly is in.
- the selection member 109 may be placed in the inflate position and the user may then operate the pump 106 to inflate the inflatable member 104 (i.e., move the fluid from the reservoir 102 to the inflatable member 104 ).
- the user may repeatedly depress or squeeze the pump 106 until the desired rigidity is achieved.
- the fluid may automatically flow out of the reservoir 102 and into the inflatable member 104 without the user depressing or squeezing the pump 106 until the pressure is at least partially equalized between the reservoir 102 and the inflatable member 104 .
- the user when the user wants to deflate the inflatable member 104 , the user moves selection member 109 to its deflated position.
- the user may then operate the pump 106 to deflate the inflatable member 104 (i.e., move the fluid from the inflatable member 104 to the reservoir 102 ).
- the pump 106 may then return to its original form, which provides a suction force causing fluid to be drawn into the pump 106 from the inflation member 104 .
- the fluid from the inflation member 104 fills the pump 106 (or at least partially fills the pump 106 ). This pump cycle is repeated until the inflatable member 104 is deflated.
- the fluid may automatically (upon movement of the selection member 109 to its deflate position) flow out of the inflatable member 104 and into the reservoir 102 without the user depressing or squeezing the pump 106 until the pressure is at least partially equalized between the reservoir 102 and the inflatable member 104 .
- the pump 106 may be squeezed to place the pump in a contracted position or configuration.
- FIG. 2 illustrates a penile prosthesis 200 according to an aspect.
- FIG. 3 schematically illustrates the penile prosthesis 200 placed within a body of the user or patient.
- the penile prosthesis 200 may include a pair of cylinders 204 , and the pair of cylinders or inflatable members 204 are implanted in a penis 214 .
- one of the cylinders 204 may be disposed on one side of the penis 214 .
- the other cylinder 204 (not shown in FIG. 3 ) of the pair of cylinders may be disposed on the other side of the penis 214 .
- the cylinder 204 may include a second end portion 224 , a cavity or inflation chamber 222 , and a first end portion 228 having a rear tip 232 .
- the penile prosthesis 200 may include a pump assembly 201 , which may be implanted into the patient's scrotum 218 .
- a pair of conduit connectors 205 may attach the pump assembly 201 to the pair of inflatable members or cylinders 204 such that the pump assembly 201 is in fluid communication with the pair of inflatable members or cylinders 204 .
- the pump assembly 201 may be in fluid communication with a reservoir 202 via a conduit connector 203 .
- the reservoir 202 may be implanted into the user's abdomen 219 .
- the inflation chamber or portion 222 of the cylinder 204 may be disposed within the penis 214 .
- the second end portion 224 of the cylinder 204 may be at least partially disposed within the crown portion 226 or glands of the penis 214 .
- the first end portion 228 may be implanted into the patient's pubic region PR with the rear tip 232 proximate the pubic bone PB.
- the surgeon In order to implant the inflatable members or cylinders 204 , the surgeon first prepares the patient. The surgeon often makes an incision in the penoscrotal region, e.g., where the base of the penis 214 meets with the top of the scrotum 218 . From the penoscrotal incision, the surgeon may dilate the patient's corpus cavernosae 240 to prepare the patient to receive the pair of inflatable members or cylinders 204 .
- the corpus cavernosum is one of two parallel columns of erectile tissue forming the dorsal part of the body of the penis 214 , e.g., two slender columns that extend substantially the length of the penis 214 .
- the surgeon will also dilate two regions of the pubic area (first corpora cavernosae) to prepare the patient to receive the first end portion 228 .
- the surgeon may measure the length of the first and second corpora cavernosae from the incision and the dilated region of the pubic area to determine an appropriate size of the inflatable members or cylinders 204 to implant.
- the penile prosthesis 200 is implanted into the patient.
- the second tip of the second end portion 224 of each cylinder 204 may be attached to a suture.
- the other end of the suture may be attached to a needle member (e.g., Keith needle).
- the needle member is inserted into the incision and into the dilated corpus cavernosum.
- the needle member is then forced through the crown or glands of the penis 226 .
- the surgeon tugs on the suture to pull the cylinder 204 into the corpus cavernosum. This is done for each cylinder of the pair of cylinders 204 .
- the surgeon may remove the suture from the second tip.
- the surgeon then inserts the first end portion 228 .
- the surgeon inserts the rear end of the cylinder 204 into the incision and forces the first end portion 228 toward the pubic bone PB until each cylinder 204 is in place.
- each of the inflatable members or cylinders 204 is structurally and functionally similar. Accordingly, only one of the inflatable members or cylinders will be discussed in detail.
- FIG. 4 is a cross-sectional view of the cylinder or inflatable member 204 .
- FIG. 5 is an end view of the cylinder or inflatable member 204 .
- the inflatable member 204 may be capable of expanding upon the injection of fluid into a cavity of the inflatable member 204 .
- the inflatable member 204 may increase its length and/or width, as well as increase its rigidity.
- the volumetric capacity of the inflatable member 204 may depend on the size of the cylinders. In some examples, the volume of fluid in each cylinder may vary from about 10 milliliters in smaller cylinders and to about 50 milliliters in larger sizes.
- the inflatable member or cylinder 204 includes a sidewall, an outer sheath or tubular member 292 and an internal structural member 294 .
- the outer sheath or tubular member 292 of the inflatable member 204 defines a lumen 293 and the structural member 294 is disposed within the lumen 293 .
- the structural member 294 is porous such that it is configured to allow a fluid to pass through it.
- the structural member 294 defines a series or a plurality of cavities and/or channels 295 .
- the cavities and/or channels 295 are configured to allow passage of fluid through the structural member 294 and thus through the lumen 293 of the tubular member 292 .
- the structural member includes a sponge-like structure.
- the inflatable member or cylinder 204 includes a second end portion or tip member 224 and a first end portion or tip member 232 .
- the tip members 224 and 232 are coupled to the end portions of the outer sheath or tubular member 292 .
- the structural member 294 is disposed between the tip members 224 and 232 .
- the structural member 294 may allow the inflatable member 204 to be inflated at a relatively low pressure. In some embodiments, this may allow the user to inflate the inflatable member 204 with less pumps or activations of the pump or may allow the user to apply less force to the pump to inflate the inflatable member 204 . Details of the pump assembly 201 are described below. Additionally, in some embodiments, the structural member 294 of the inflatable member 204 may allow the inflatable member 204 to retain or maintain a tubular shape (or a more anatomically correct shape) when the inflatable member 204 is in its deflated configuration.
- the outer sheath 292 includes an outer surface 296 that is smooth. In other embodiments, the outer surface 296 includes grooves or ridges or is otherwise not smooth. In the illustrated embodiment, the outer sheath 292 has a thickness T. In some embodiment, the thickness T is less or smaller than a radius of the outer sheath 292 .
- the outer sheath 292 is formed or silicone, urethane or a thermoplastic elastomer. In other embodiments, the outer sheath 292 is formed of another biocompatible material. In some embodiments, the structural member 294 is formed of a low durometer silicone, urethane, or a thermoplastic elastomer. In other embodiments, the structural member 294 is formed of another biocompatible material.
- the pump assembly 201 may switch between an inflation mode in which the fluid in the reservoir 202 is transferred to the inflatable member 204 (or inflatable members) through the pump assembly 201 in a first direction (e.g., inflation direction) and a deflation mode in which the fluid in the inflatable member 204 (or inflatable members) is transferred back to the reservoir 202 through the pump assembly 201 in a second direction (e.g., deflation direction).
- a first direction e.g., inflation direction
- a deflation mode in which the fluid in the inflatable member 204 (or inflatable members) is transferred back to the reservoir 202 through the pump assembly 201 in a second direction (e.g., deflation direction).
- the pump assembly 201 includes a pump bulb member or pump 231 , a valve body 233 , and a selection member 239 .
- the selection member may be used to select or change the mode in which the pump assembly 201 is in. For example, the selection member 239 may be moved from a first position to a second position to place the device in its deflation mode. The selection member 239 may then be moved back to its first position to place the device in its inflation mode.
- the selection member 239 is movable with respect to the valve body 233 .
- the selection member 239 may be slidably coupled or slidable with respect to the valve body 233 .
- the selection member 239 includes stop members, such as shoulders or detents that engage members of the valve body 233 to lock or help retain the selection member 239 in one of its first and second positions. In other embodiments, the selection member 239 may be disposed or coupled to another portion of the device.
- the pump 231 may be squeezed or depressed by the user in order to facilitate the transfer of fluid from the reservoir 202 to the inflatable member 204 .
- the pump 231 may receive the fluid from the reservoir 202 , and then output the fluid to the inflatable member 204 .
- the user switches to the deflation mode, at least some of the fluid can automatically be transferred back to the reservoir 202 (due to the difference in pressure from the inflatable member 204 to the reservoir 202 ). Then, the user may squeeze the inflatable member 204 to facilitate the further transfer of fluid through the pump 231 to the reservoir 202 .
- the user moves selection member 239 to its deflated position.
- the user may then operate the pump 231 to deflate the inflatable members 204 (i.e., move the fluid from the inflatable members 204 to the reservoir 202 ).
- the user may repeatedly depress or squeeze the pump 231 until the deflation is completed.
- the pump 231 may then return to its original form, which provides a suction force causing fluid to be drawn into the pump 231 from the inflation members 204 .
- the fluid from the inflation members 204 fills the pump 231 (or at least partially fills the pump 231 ). This pump cycle is repeated until the inflatable members 204 are deflated.
- the fluid may automatically (upon movement of the selection member 239 to its deflate position) flow out of the inflatable member 204 and into the reservoir 202 without the user depressing or squeezing the pump 231 until the pressure is at least partially equalized between the reservoir 202 and the inflatable member 204 .
- the pump 231 may be squeezed to place the pump in a contracted position or configuration.
- FIGS. 6-10 illustrate cylinder or inflatable member being formed according to an embodiment.
- FIGS. 6 and 7 illustrate an outer sheath member 392 .
- the outer sheath member 392 is a tubular member that defines a lumen.
- the lumen is filled or packed with a material.
- the lumen is filled with a material that is water-soluble.
- the lumen may be filled with salt or wax particles.
- the lumen is packed or filled with a different water-soluble material.
- the sheath member 392 is filled with fine particles of salt 397 .
- the sheath member 392 is filled with coarse salt particles 399 .
- elongate members 281 are inserted into the lumen. As illustrated in FIG. 8 , a plurality of elongate members 281 are inserted into the lumen such that the elongate members extend along or in the same direction as the longitudinal axis of the sheath 292 . The elongate members 281 are surrounded by the water-soluble material (such as the salt). In some embodiments, the elongate members 281 facilitate the removal of the salt. Specifically, after the elongate members 281 are disposed within the lumen, the material of the structural member may be injected or inserted into the lumen.
- FIG. 9 is a perspective view of the sheath member 292 and the structural member 294 disposed within the lumen of the sheath member 292 .
- FIG. 10 is a cross-sectional view of the outer sheath 292 with salt crystals disposed within the lumen of the outer sheath 292 .
- FIG. 11 is a flow chart of a method 400 of forming an inflatable member according to an embodiment.
- a first material is disposed within a lumen of a sheath or elongate member.
- a second material is disposed within the lumen of the sheath or elongate member. In some embodiments, the second material is different than the first material. In some embodiments, the first material is a water-soluble material.
- the first material is removed from the lumen. In some embodiments, the second material remains within the lumen after the first material is removed.
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- Reproductive Health (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Prostheses (AREA)
Abstract
According to an aspect, an implant includes an inflatable member and a pump assembly configured to facilitate a transfer of a fluid from the reservoir to the inflatable member. The inflatable member has a sidewall that defines a lumen and a porous structure disposed within the lumen.
Description
- This application is a continuation of, and claims priority to, U.S. patent application Ser. No. 16/374,238, filed on Apr. 3, 2019, entitled “INFLATABLE PENILE PROSTHESIS HAVING A CYLINDER WITH A POROUS PORTION”, which claims priority to U.S. Patent Application No. 62/655,378, filed on Apr. 10, 2018, entitled “INFLATABLE PENILE PROSTHESIS HAVING A CYLINDER WITH A POROUS PORTION”, the disclosures of which are incorporated by reference herein in their entirety.
- This disclosure relates generally to bodily implants and more specifically to bodily implants, such as penile prostheses that include inflatable members.
- One treatment for male erectile dysfunction is the implantation of a penile prosthesis that mechanically erects the penis. Some existing penile prostheses include inflatable cylinders or members that can be inflated or deflated using a pump mechanism. In some existing devices, the inflatable cylinder or member requires a relatively large amount of force to inflate. Additionally, in some existing devices, the pump mechanism may require many sequential squeezes or activations to inflate the cylinder or member. Furthermore, in some existing devices, the inflatable cylinder or member may assume a flat, unnatural shape when in a deflated configuration.
- Accordingly, it would be useful to provide a bodily implant, such as a penile prosthesis, that includes an improved cylinder or member that can be more easily inflated. Additionally, it would be useful to provide a bodily implant, such as a penile prosthesis, that includes an inflatable cylinder or member that may assume a natural shape when in the deflated configuration.
- According to an aspect, an implant includes an inflatable member and a pump assembly configured to facilitate a transfer of a fluid from the reservoir to the inflatable member. The inflatable member has a sidewall that defines a lumen and a porous structure disposed within the lumen.
- In some embodiments, the porous structure defines a plurality of cavities. In some embodiments, the inflatable member defines a longitudinal axis, the porous structure extends along the longitudinal axis. In some embodiments, the sidewall includes an outer surface, the outer surface of the sidewall is substantially smooth.
- In some embodiments, the inflatable member is configured to be placed in an inflated configuration and a deflated configuration. In some embodiments, the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member having a tubular shape when in the deflated configuration. In some embodiments, the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member having a tubular shape when in the inflated configuration. In some embodiments, the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member having a tubular shape when in the deflated configuration and having a tubular shape when in the inflated configuration.
- In some embodiments, the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member configured to extend along a longitudinal axis of the inflatable member when placed in the inflated configuration. In some embodiments, the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member configured to extend in a direction transverse to a longitudinal axis of the inflatable member when placed in the inflated configuration.
- In some embodiments, the porous structure defines a plurality of cavities, the fluid being configured to be disposed within the plurality of cavities when the inflatable member is placed in an inflated configuration.
- In some embodiments, the implant includes a first cap coupled to a first end portion of the sidewall and a second cap coupled to a second end portion of the sidewall.
- In some embodiments, the implant includes a first cap coupled to a first end portion of the sidewall and a second cap coupled to a second end portion of the sidewall. The porous structure being disposed between the first cap and the second cap.
- In some embodiments, the implant includes a reservoir configured to retain the fluid, and the pump is configured to help facilitate a transfer of the fluid from the reservoir to the inflatable member when the implant is in an inflation mode.
- In some embodiments, the pump assembly includes a valve body and a pump bulb member.
- According to another aspect, a method, includes disposing a first material within a lumen of a sheath; disposing a second material within the lumen of the sheath, the second material being different than the first material; and removing the first material from with lumen of the sheath while leaving the second material disposed within the sheath.
- In some embodiments, the first material is water-soluble, the second material is non-soluble in water. In some embodiments, the removing the first material from the lumen includes passing a liquid through the lumen of the sheath.
- In some embodiments, the second material is disposed within the lumen of the sheath after the first material is disposed within the sheath.
- In some embodiments, the method includes disposing tubular members within the lumen of the sheath.
-
FIG. 1 schematically illustrates a penile prosthesis according to an embodiment. -
FIG. 2 illustrates a penile prosthesis according to another embodiment. -
FIG. 3 illustrates the penile prosthesis ofFIG. 2 implanted within a patient according to an embodiment. -
FIG. 4 is a cross-sectional view of the cylinder or inflatable member of the penile prosthesis ofFIG. 2 . -
FIG. 5 is an end view of the cylinder or inflatable member of the penile prosthesis ofFIG. 2 . -
FIGS. 6-10 illustrate cylinder or inflatable member being formed according to an embodiment. -
FIG. 11 is a flow chart of a method of making a cylinder or inflatable member of a penile prosthesis according to an embodiment. - Detailed embodiments are disclosed herein. However, it is understood that the disclosed embodiments are merely examples, which may be embodied in various forms. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the embodiments in virtually any appropriately detailed structure. Further, the terms and phrases used herein are not intended to be limiting, but to provide an understandable description of the present disclosure.
- The terms “a” or “an,” as used herein, are defined as one or more than one. The term “another,” as used herein, is defined as at least a second or more. The terms “including” and/or “having”, as used herein, are defined as comprising (i.e., open transition). The term “coupled” or “movably coupled,” as used herein, is defined as connected, although not necessarily directly and mechanically.
- In general, the embodiments are directed to medical devices such as penile prostheses or other bodily implants. The term patient or user may hereafter be used for a person who benefits from the medical device or the methods disclosed in the present disclosure. For example, the patient can be a person whose body is implanted with the medical device or the method disclosed for operating the medical device by the present disclosure. For example, in some embodiments, the patient may be a human male, a human female, or any other mammal.
- The embodiments discussed herein may improve the performance of an inflatable member of the device. For example, the inflatable member may have improved stiffness or rigidity, improved reliability, or improved deflation or inflation times. In some embodiments, inflating the inflatable member may be facilitated by requiring less force, less pressure, or less fluid transfer to inflate the inflatable member. Additionally, in some embodiments, the inflatable member may retain or maintain a tubular shape when the inflatable member is placed in its deflated configuration.
- The embodiments may include an inflatable penile prosthesis having a pump assembly, an inflatable member, and a reservoir. The inflatable member may be implanted into the corpus cavernosae of a patient or user, the reservoir may be implanted in the user's abdomen, and the pump assembly may be implanted in the scrotum. The pump assembly may switch between an inflation position and a deflation position such that a user can operate the device to place the inflatable penile prosthesis in either an inflation mode to transfer fluid from the reservoir to the inflatable member or a deflation mode to transfer the fluid from the inflatable member back to the reservoir.
-
FIG. 1 schematically illustrates aninflatable penile prosthesis 100 according to an aspect. The inflatablepenile prosthesis 100 may include areservoir 102, a cylinder orinflatable member 104, and apump assembly 101 configured to transfer fluid between thereservoir 102 and theinflatable member 104. In some examples, theinflatable member 104 may be implanted into the corpus cavernosae of the user, thereservoir 102 may be implanted in the abdomen or pelvic cavity of the user (e.g., thereservoir 102 may be implanted in the lower portion of the user's abdominal cavity or the upper portion of the user's pelvic cavity), and thepump assembly 101 may be implanted in the scrotum of the user. - The
inflatable member 104 may be capable of expanding upon the injection of fluid into a cavity of theinflatable member 104. For instance, upon injection of the fluid into theinflatable member 104, theinflatable member 104 may increase its length and/or width, as well as increase its rigidity. In some examples, theinflatable member 104 may include a pair of cylinders or at least two cylinders, e.g., a first cylinder member and a second cylinder member. The volumetric capacity of theinflatable member 104 may depend on the size of the cylinders. In some examples, the volume of fluid in each cylinder may vary from about 10 milliliters in smaller cylinders and to about 50 milliliters in larger sizes. In some examples, the first cylinder member may be larger than the second cylinder member. In other examples, the first cylinder member may have the same size as the second cylinder member. - In some embodiments, the
inflatable member 104 or cylinder includes a sidewall, an outer sheath or tubular member and an internal structural member. In some embodiments, the outer sheath or tubular member of theinflatable member 104 defines a lumen and the structural member is disposed within the lumen. - In some embodiments, the structural member is porous such that it is configured to allow a fluid to pass through it. In some embodiments, the structural member defines a series or a plurality of cavities and/or channels. In some embodiments, the structural member includes a sponge-like structure.
- In some embodiments, the
inflatable member 104 includes end caps or end tip members. The end tip members may be coupled to the end portions of the outer sheath. In some embodiments, the structural member is disposed within the lumen defined by the outer sheath and is disposed between the end caps or end tip members. - In some embodiments, the structural member may allow the inflatable member to be inflated at a relatively low pressure. In some embodiments, this may allow the user to inflate the
inflatable member 104 with less pumps or activations of the pump or may allow the user to apply less force to the pump to inflate theinflatable member 104. Details of thepump assembly 101 are described below. Additionally, in some embodiments, the structural member of theinflatable member 104 may allow theinflatable member 104 to retain or maintain a tubular shape (or a more anatomically correct shape) when theinflatable member 104 is in its deflated configuration. - The
reservoir 102 may include a container having an internal chamber configured to hold or house fluid that is used to inflate theinflatable member 104. The volumetric capacity of thereservoir 102 may vary depending on the size of the inflatablepenile prosthesis 100. In some examples, the volumetric capacity of thereservoir 102 may be 3 to 150 cubic centimeters. In some examples, thereservoir 102 is constructed from the same material as theinflatable member 104. In other examples, thereservoir 102 is constructed from a different material than theinflatable member 104. - The inflatable
penile prosthesis 100 may include afirst conduit connector 103 and asecond conduit connector 105. Each of thefirst conduit connector 103 and thesecond conduit connector 105 may define a lumen configured to transfer the fluid to and from thepump assembly 101. Thefirst conduit connector 103 may be coupled to thepump assembly 101 and thereservoir 102 such that fluid can be transferred between thepump assembly 101 and thereservoir 102 via thefirst conduit connector 103. For example, thefirst conduit connector 103 may define a first lumen configured to transfer fluid between thepump assembly 101 and thereservoir 102. Thefirst conduit connector 103 may include a single or multiple tube members for transferring the fluid between thepump assembly 101 and thereservoir 102. - The
second conduit connector 105 may be coupled to thepump assembly 101 and theinflatable member 104 such that fluid can be transferred between thepump assembly 101 and theinflatable member 104 via thesecond conduit connector 105. For example, thesecond conduit connector 105 may define a second lumen configured to transfer fluid between thepump assembly 101 and theinflatable member 104. Thesecond conduit connector 105 may include a single or multiple tube members for transferring the fluid between thepump assembly 101 and theinflatable member 104. In some examples, thefirst conduit connector 103 and thesecond conduit connector 105 may include a silicone rubber material. - The
pump assembly 101 may switch between an inflation mode in which the fluid in thereservoir 102 is transferred to theinflatable member 104 through thepump assembly 101 in a first direction (e.g., inflation direction) and a deflation mode in which the fluid in theinflatable member 104 is transferred back to thereservoir 102 through thepump assembly 101 in a second direction (e.g., deflation direction). - The
pump assembly 101 includes a pump (also referred to as a pump bulb member) 106 and avalve body 107. Thevalve body 107 also includes aselection member 109. Theselection member 109 may be used to select or change the mode in which the pump assembly is in. For example, theselection member 109 may be moved from a first position to a second position to place the device in its deflation mode. Theselection member 109 may then be moved back to its first position to place the device in its inflation mode. In some embodiments, theselection member 109 is movable with respect to thevalve body 107. For example, in some embodiments, theselection member 109 is slidably coupled or slidable with respect to thevalve body 107. - The
pump 106 may be squeezed or depressed by the user in order to facilitate the transfer of fluid from thereservoir 102 to theinflatable member 104. For example, in the inflation mode, while the user is operating thepump 106, thepump 106 may receive the fluid from thereservoir 102, and then output the fluid to theinflatable member 104. When the user switches to the deflation mode, at least some of the fluid can automatically be transferred back to the reservoir 102 (due to the difference in pressure from theinflatable member 104 to the reservoir 102). Then, the user may squeeze theinflatable member 104 to facilitate the further transfer of fluid through thepump 106 to thereservoir 102. - In some examples, the
pump 106 may include a flexible member defining a cavity. In some examples, thepump 106 may define a pump shell having a flexible bulb and a valve body connector, where the valve body connector is designed to fit at least partially over thevalve body 107. In some examples, thepump 106 may include a squeeze pump. In some examples, thepump 106 may include a portion that is round or substantially round. In some examples, thepump 106 may include ribbing or dimples to aid the user in gripping thepump 106. Thepump 106 may use suction and pressure to move the fluid in and out of the cavity of thepump 106 in the inflation mode. For example, the user may depress or squeeze thepump 106 to expel the fluid out of the cavity, and, when the flexible member returns to its original shape, the resulting suction pushes the fluid into the cavity of thepump 106. In some examples, thepump 106 may have a bulb spring rate that is designed to refill thepump 106 in a selected time frame. - As discussed above, the
selection member 109 may be used to select or change the mode in which the pump assembly is in. For example, in one embodiment, theselection member 109 may be placed in the inflate position and the user may then operate thepump 106 to inflate the inflatable member 104 (i.e., move the fluid from thereservoir 102 to the inflatable member 104). For example, the user may repeatedly depress or squeeze thepump 106 until the desired rigidity is achieved. - In some examples, if the
reservoir 102 is at least partially pressurized, the fluid may automatically flow out of thereservoir 102 and into theinflatable member 104 without the user depressing or squeezing thepump 106 until the pressure is at least partially equalized between thereservoir 102 and theinflatable member 104. - Then, when the user wants to deflate the
inflatable member 104, the user movesselection member 109 to its deflated position. The user may then operate thepump 106 to deflate the inflatable member 104 (i.e., move the fluid from theinflatable member 104 to the reservoir 102). Thepump 106 may then return to its original form, which provides a suction force causing fluid to be drawn into thepump 106 from theinflation member 104. The fluid from theinflation member 104 fills the pump 106 (or at least partially fills the pump 106). This pump cycle is repeated until theinflatable member 104 is deflated. - In some examples, the fluid may automatically (upon movement of the
selection member 109 to its deflate position) flow out of theinflatable member 104 and into thereservoir 102 without the user depressing or squeezing thepump 106 until the pressure is at least partially equalized between thereservoir 102 and theinflatable member 104. - In some examples, after the
inflation member 104 has been deflated, thepump 106 may be squeezed to place the pump in a contracted position or configuration. -
FIG. 2 illustrates apenile prosthesis 200 according to an aspect.FIG. 3 schematically illustrates thepenile prosthesis 200 placed within a body of the user or patient. - The
penile prosthesis 200 may include a pair ofcylinders 204, and the pair of cylinders orinflatable members 204 are implanted in apenis 214. For example, one of thecylinders 204 may be disposed on one side of thepenis 214. The other cylinder 204 (not shown inFIG. 3 ) of the pair of cylinders may be disposed on the other side of thepenis 214. Thecylinder 204 may include asecond end portion 224, a cavity orinflation chamber 222, and afirst end portion 228 having arear tip 232. - The
penile prosthesis 200 may include apump assembly 201, which may be implanted into the patient'sscrotum 218. A pair ofconduit connectors 205 may attach thepump assembly 201 to the pair of inflatable members orcylinders 204 such that thepump assembly 201 is in fluid communication with the pair of inflatable members orcylinders 204. Also, thepump assembly 201 may be in fluid communication with areservoir 202 via aconduit connector 203. Thereservoir 202 may be implanted into the user's abdomen 219. The inflation chamber orportion 222 of thecylinder 204 may be disposed within thepenis 214. Thesecond end portion 224 of thecylinder 204 may be at least partially disposed within thecrown portion 226 or glands of thepenis 214. Thefirst end portion 228 may be implanted into the patient's pubic region PR with therear tip 232 proximate the pubic bone PB. - In order to implant the inflatable members or
cylinders 204, the surgeon first prepares the patient. The surgeon often makes an incision in the penoscrotal region, e.g., where the base of thepenis 214 meets with the top of thescrotum 218. From the penoscrotal incision, the surgeon may dilate the patient'scorpus cavernosae 240 to prepare the patient to receive the pair of inflatable members orcylinders 204. The corpus cavernosum is one of two parallel columns of erectile tissue forming the dorsal part of the body of thepenis 214, e.g., two slender columns that extend substantially the length of thepenis 214. The surgeon will also dilate two regions of the pubic area (first corpora cavernosae) to prepare the patient to receive thefirst end portion 228. The surgeon may measure the length of the first and second corpora cavernosae from the incision and the dilated region of the pubic area to determine an appropriate size of the inflatable members orcylinders 204 to implant. - After the patient is prepared, the
penile prosthesis 200 is implanted into the patient. The second tip of thesecond end portion 224 of eachcylinder 204 may be attached to a suture. The other end of the suture may be attached to a needle member (e.g., Keith needle). The needle member is inserted into the incision and into the dilated corpus cavernosum. The needle member is then forced through the crown or glands of thepenis 226. The surgeon tugs on the suture to pull thecylinder 204 into the corpus cavernosum. This is done for each cylinder of the pair ofcylinders 204. Once theinflation chamber 222 is in place, the surgeon may remove the suture from the second tip. The surgeon then inserts thefirst end portion 228. The surgeon inserts the rear end of thecylinder 204 into the incision and forces thefirst end portion 228 toward the pubic bone PB until eachcylinder 204 is in place. - In the illustrated embodiment, each of the inflatable members or
cylinders 204 is structurally and functionally similar. Accordingly, only one of the inflatable members or cylinders will be discussed in detail. -
FIG. 4 is a cross-sectional view of the cylinder orinflatable member 204.FIG. 5 is an end view of the cylinder orinflatable member 204. - The
inflatable member 204 may be capable of expanding upon the injection of fluid into a cavity of theinflatable member 204. For instance, upon injection of the fluid into theinflatable member 204, theinflatable member 204 may increase its length and/or width, as well as increase its rigidity. The volumetric capacity of theinflatable member 204 may depend on the size of the cylinders. In some examples, the volume of fluid in each cylinder may vary from about 10 milliliters in smaller cylinders and to about 50 milliliters in larger sizes. - In the illustrated embodiment, the inflatable member or
cylinder 204 includes a sidewall, an outer sheath ortubular member 292 and an internalstructural member 294. The outer sheath ortubular member 292 of theinflatable member 204 defines alumen 293 and thestructural member 294 is disposed within thelumen 293. - In the illustrated embodiment, the
structural member 294 is porous such that it is configured to allow a fluid to pass through it. In the illustrated embodiment, thestructural member 294 defines a series or a plurality of cavities and/orchannels 295. The cavities and/orchannels 295 are configured to allow passage of fluid through thestructural member 294 and thus through thelumen 293 of thetubular member 292. In some embodiments, the structural member includes a sponge-like structure. - In the illustrated embodiment, the inflatable member or
cylinder 204 includes a second end portion ortip member 224 and a first end portion ortip member 232. Thetip members tubular member 292. In the illustrated embodiment, thestructural member 294 is disposed between thetip members - In some embodiments, the
structural member 294 may allow theinflatable member 204 to be inflated at a relatively low pressure. In some embodiments, this may allow the user to inflate theinflatable member 204 with less pumps or activations of the pump or may allow the user to apply less force to the pump to inflate theinflatable member 204. Details of thepump assembly 201 are described below. Additionally, in some embodiments, thestructural member 294 of theinflatable member 204 may allow theinflatable member 204 to retain or maintain a tubular shape (or a more anatomically correct shape) when theinflatable member 204 is in its deflated configuration. - In the illustrated embodiment, the
outer sheath 292 includes anouter surface 296 that is smooth. In other embodiments, theouter surface 296 includes grooves or ridges or is otherwise not smooth. In the illustrated embodiment, theouter sheath 292 has a thickness T. In some embodiment, the thickness T is less or smaller than a radius of theouter sheath 292. - In some embodiments, the
outer sheath 292 is formed or silicone, urethane or a thermoplastic elastomer. In other embodiments, theouter sheath 292 is formed of another biocompatible material. In some embodiments, thestructural member 294 is formed of a low durometer silicone, urethane, or a thermoplastic elastomer. In other embodiments, thestructural member 294 is formed of another biocompatible material. - The
pump assembly 201 may switch between an inflation mode in which the fluid in thereservoir 202 is transferred to the inflatable member 204 (or inflatable members) through thepump assembly 201 in a first direction (e.g., inflation direction) and a deflation mode in which the fluid in the inflatable member 204 (or inflatable members) is transferred back to thereservoir 202 through thepump assembly 201 in a second direction (e.g., deflation direction). - The
pump assembly 201 includes a pump bulb member or pump 231, avalve body 233, and aselection member 239. The selection member may be used to select or change the mode in which thepump assembly 201 is in. For example, theselection member 239 may be moved from a first position to a second position to place the device in its deflation mode. Theselection member 239 may then be moved back to its first position to place the device in its inflation mode. In some embodiments, theselection member 239 is movable with respect to thevalve body 233. For example, theselection member 239 may be slidably coupled or slidable with respect to thevalve body 233. In some embodiments, theselection member 239 includes stop members, such as shoulders or detents that engage members of thevalve body 233 to lock or help retain theselection member 239 in one of its first and second positions. In other embodiments, theselection member 239 may be disposed or coupled to another portion of the device. - The
pump 231 may be squeezed or depressed by the user in order to facilitate the transfer of fluid from thereservoir 202 to theinflatable member 204. For example, in the inflation mode, while the user is operating thepump 231, thepump 231 may receive the fluid from thereservoir 202, and then output the fluid to theinflatable member 204. When the user switches to the deflation mode, at least some of the fluid can automatically be transferred back to the reservoir 202 (due to the difference in pressure from theinflatable member 204 to the reservoir 202). Then, the user may squeeze theinflatable member 204 to facilitate the further transfer of fluid through thepump 231 to thereservoir 202. - Then, when the user wants to deflate the
inflatable members 204, the user movesselection member 239 to its deflated position. The user may then operate thepump 231 to deflate the inflatable members 204 (i.e., move the fluid from theinflatable members 204 to the reservoir 202). For example, the user may repeatedly depress or squeeze thepump 231 until the deflation is completed. Thepump 231 may then return to its original form, which provides a suction force causing fluid to be drawn into thepump 231 from theinflation members 204. The fluid from theinflation members 204 fills the pump 231 (or at least partially fills the pump 231). This pump cycle is repeated until theinflatable members 204 are deflated. - In some examples, the fluid may automatically (upon movement of the
selection member 239 to its deflate position) flow out of theinflatable member 204 and into thereservoir 202 without the user depressing or squeezing thepump 231 until the pressure is at least partially equalized between thereservoir 202 and theinflatable member 204. - In some examples, after the
inflation member 204 has been deflated, thepump 231 may be squeezed to place the pump in a contracted position or configuration. -
FIGS. 6-10 illustrate cylinder or inflatable member being formed according to an embodiment.FIGS. 6 and 7 illustrate anouter sheath member 392. Theouter sheath member 392 is a tubular member that defines a lumen. The lumen is filled or packed with a material. In some embodiments, the lumen is filled with a material that is water-soluble. For example, the lumen may be filled with salt or wax particles. In other embodiments, the lumen is packed or filled with a different water-soluble material. As illustrated inFIG. 6 thesheath member 392 is filled with fine particles ofsalt 397. As illustrated inFIG. 7 , thesheath member 392 is filled with coarse salt particles 399. - In some embodiments, once the lumen is filled with the water-soluble material,
elongate members 281 are inserted into the lumen. As illustrated inFIG. 8 , a plurality ofelongate members 281 are inserted into the lumen such that the elongate members extend along or in the same direction as the longitudinal axis of thesheath 292. Theelongate members 281 are surrounded by the water-soluble material (such as the salt). In some embodiments, theelongate members 281 facilitate the removal of the salt. Specifically, after theelongate members 281 are disposed within the lumen, the material of the structural member may be injected or inserted into the lumen. Once the material of the structural member has hardened, theelongate members 281 can be removed from the lumen. Water or another fluid, can then be passed through the lumen, including through the spaces or channels where theelongate members 281 were located. As the water passes through the lumen, the water-soluble material will also exit the lumen, leaving just the structural member disposed within the lumen.FIG. 9 is a perspective view of thesheath member 292 and thestructural member 294 disposed within the lumen of thesheath member 292. -
FIG. 10 is a cross-sectional view of theouter sheath 292 with salt crystals disposed within the lumen of theouter sheath 292. -
FIG. 11 is a flow chart of amethod 400 of forming an inflatable member according to an embodiment. At 410, a first material is disposed within a lumen of a sheath or elongate member. At 420, a second material is disposed within the lumen of the sheath or elongate member. In some embodiments, the second material is different than the first material. In some embodiments, the first material is a water-soluble material. At 430, the first material is removed from the lumen. In some embodiments, the second material remains within the lumen after the first material is removed. - While certain features of the described implementations have been illustrated as described herein, many modifications, substitutions, changes and equivalents will now occur to those skilled in the art. It is, therefore, to be understood that the appended claims are intended to cover all such modifications and changes as fall within the scope of the embodiments.
Claims (20)
1. An implant, comprising:
an inflatable member; and
a pump assembly configured to facilitate a transfer of a fluid from the reservoir to the inflatable member,
the inflatable member having a sidewall that defines a lumen and a porous structure disposed within the lumen.
2. The implant of claim 1 , wherein the porous structure defines a plurality of cavities.
3. The implant of claim 1 , wherein the inflatable member defines a longitudinal axis, the porous structure extends along the longitudinal axis.
4. The implant of claim 1 , wherein the sidewall includes an outer surface, the outer surface of the sidewall is substantially smooth.
5. The implant of claim 1 , wherein the inflatable member is configured to be placed in an inflated configuration and a deflated configuration.
6. The implant of claim 1 , wherein the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member having a tubular shape when in the deflated configuration.
7. The implant of claim 1 , wherein the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member having a tubular shape when in the inflated configuration.
8. The implant of claim 1 , wherein the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member having a tubular shape when in the deflated configuration and having a tubular shape when in the inflated configuration.
9. The implant of claim 1 , wherein the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member configured to extend along a longitudinal axis of the inflatable member when placed in the inflated configuration.
10. The implant of claim 1 , wherein the inflatable member is configured to be placed in an inflated configuration and a deflated configuration, the inflatable member configured to extend in a direction transverse to a longitudinal axis of the inflatable member when placed in the inflated configuration.
11. The implant of claim 1 , wherein the porous structure defines a plurality of cavities, the fluid being configured to be disposed within the plurality of cavities when the inflatable member is placed in an inflated configuration.
12. The implant of claim 1 , further comprising:
a first cap coupled to a first end portion of the sidewall; and
a second cap coupled to a second end portion of the sidewall.
13. The implant of claim 1 , further comprising:
a first cap coupled to a first end portion of the sidewall; and
a second cap coupled to a second end portion of the sidewall,
the porous structure being disposed between the first cap and the second cap.
14. The implant of claim 1 , further comprising:
a reservoir configured to retain the fluid,
wherein the pump is configured to help facilitate a transfer of the fluid from the reservoir to the inflatable member when the implant is in an inflation mode.
15. The implant of claim 1 , wherein the pump assembly includes a valve body and a pump bulb member.
16. A method, comprising:
disposing a first material within a lumen of a sheath;
disposing a second material within the lumen of the sheath, the second material being different than the first material; and
removing the first material from with lumen of the sheath while leaving the second material disposed within the sheath.
17. The method of claim 16 , wherein the first material is water-soluble, the second material is non-soluble in water.
18. The method of claim 16 , wherein the removing the first material from the lumen includes passing a liquid through the lumen of the sheath.
19. The method of claim 16 , wherein the second material is disposed within the lumen of the sheath after the first material is disposed within the sheath.
20. The method of claim 16 , further comprising:
disposing tubular members within the lumen of the sheath.
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US17/809,157 US20220323222A1 (en) | 2018-04-10 | 2022-06-27 | Inflatable penile prosthesis having a cylinder with a porous portion |
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US17/809,157 US20220323222A1 (en) | 2018-04-10 | 2022-06-27 | Inflatable penile prosthesis having a cylinder with a porous portion |
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US17/809,157 Pending US20220323222A1 (en) | 2018-04-10 | 2022-06-27 | Inflatable penile prosthesis having a cylinder with a porous portion |
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US16/374,238 Active 2040-01-16 US11399944B2 (en) | 2018-04-10 | 2019-04-03 | Inflatable penile prosthesis having a cylinder with a porous portion |
Country Status (5)
Country | Link |
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US (2) | US11399944B2 (en) |
EP (1) | EP3773338A1 (en) |
CN (2) | CN111936084B (en) |
AU (3) | AU2019251002A1 (en) |
WO (1) | WO2019199572A1 (en) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11337815B2 (en) * | 2019-05-08 | 2022-05-24 | Boston Scientific Scimed, Inc. | Inflatable member with core members |
ES2923280B2 (en) * | 2022-03-15 | 2023-10-26 | American Erectil Device Srl | PENIS IMPLANT WITH SYNTHETIC CAVERNOUS BODIES AND BACTERICIDAL BARRIER |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5669870A (en) | 1996-06-13 | 1997-09-23 | Elist; James J. | Penile implant for improved appearance |
US5899849A (en) | 1997-09-22 | 1999-05-04 | Elist; James | Subcutaneous penile implant |
US6475137B1 (en) * | 2000-10-13 | 2002-11-05 | James Elist | Subcutaneous penile implant |
US7390296B2 (en) | 2003-06-06 | 2008-06-24 | Ams Research Corporation | Inflatable penile prosthesis with volume displacement materials and devices |
EP1820473A1 (en) | 2006-02-21 | 2007-08-22 | Didier Tytgadt | Refillable and re-inflatable implants |
US7918782B2 (en) * | 2007-11-15 | 2011-04-05 | Ams Research Corporation | Prosthesis with bladder that adjusts girth |
EP2793753B1 (en) | 2011-12-21 | 2017-04-26 | Boston Scientific Scimed, Inc. | Penile prosthesis |
US10980637B2 (en) * | 2017-05-05 | 2021-04-20 | Boston Scientific Scimed, Inc. | Inflatable penile prosthesis with pump bulb |
-
2019
- 2019-04-03 US US16/374,238 patent/US11399944B2/en active Active
- 2019-04-04 CN CN201980021745.7A patent/CN111936084B/en active Active
- 2019-04-04 WO PCT/US2019/025797 patent/WO2019199572A1/en unknown
- 2019-04-04 EP EP19718958.2A patent/EP3773338A1/en active Pending
- 2019-04-04 AU AU2019251002A patent/AU2019251002A1/en not_active Abandoned
- 2019-04-04 CN CN202410142263.XA patent/CN117898861A/en active Pending
-
2021
- 2021-10-13 AU AU2021250888A patent/AU2021250888B2/en active Active
-
2022
- 2022-06-27 US US17/809,157 patent/US20220323222A1/en active Pending
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2023
- 2023-10-12 AU AU2023248154A patent/AU2023248154A1/en active Pending
Also Published As
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AU2019251002A1 (en) | 2020-08-20 |
AU2021250888A1 (en) | 2021-11-11 |
WO2019199572A1 (en) | 2019-10-17 |
AU2021250888B2 (en) | 2023-07-13 |
EP3773338A1 (en) | 2021-02-17 |
CN117898861A (en) | 2024-04-19 |
US11399944B2 (en) | 2022-08-02 |
CN111936084B (en) | 2024-02-02 |
AU2023248154A1 (en) | 2023-11-02 |
US20190307565A1 (en) | 2019-10-10 |
CN111936084A (en) | 2020-11-13 |
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Owner name: BOSTON SCIENTIFIC SCIMED, INC., MINNESOTA Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:MUJWID, JAMES RYAN;FELTON, JESSICA ELIZABETH;FREDRICK, RYAN EARL;AND OTHERS;SIGNING DATES FROM 20181210 TO 20181217;REEL/FRAME:060323/0690 |
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