WO1999030636A1 - Manually operated artificial sphincter partly or completly inserted around an internal hollow organ - Google Patents
Manually operated artificial sphincter partly or completly inserted around an internal hollow organ Download PDFInfo
- Publication number
- WO1999030636A1 WO1999030636A1 PCT/DK1998/000499 DK9800499W WO9930636A1 WO 1999030636 A1 WO1999030636 A1 WO 1999030636A1 DK 9800499 W DK9800499 W DK 9800499W WO 9930636 A1 WO9930636 A1 WO 9930636A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- opening
- cuff
- closing device
- ring
- plug
- Prior art date
Links
Classifications
-
- 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
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
-
- 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
-
- 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
- A61F2/0054—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 with pressure applied to urethra by an element placed around the penis, e.g. penis clamp
-
- 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
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
- A61B2017/12018—Elastic band ligators
Definitions
- the invention relates to an i plantable or partly im- plantable manually operated opening and closing device which as a cuff or a ring encircles a tubular organ in animals or humans.
- the device is of the kind consisting of a dividable ring or cuff which is passed round the tubular organ.
- a plug in the form of an ellipsoid body with an impression round its middle (hourglass-shaped) can also be introduced into the lumen of the cuff or the ring. The impression can retain the plug in the cuff or the ring, and the wedged in plug compresses the tubular organ.
- the plug is introduced if the device is only partly implanted in that section of the cuff or the ring which, as an arc, projects externally through two openings .
- the known devices can open and close the tubular organs of animals and humans.
- the hydraulically acting device requires that an expandable pouch is filled and emptied through associated tubes con- nected to a reservoir tank and a pumping device, which at the implantation calls for a major surgical intervention, and consequently increased risk of complications. In use, it has turned out that the complicated system has many malfunctions with consequent reoperations .
- the device acting by way of an electromagnet is not used in practice .
- an opening and closing device of the type mentioned in the preamble which does not call for connection to a reservoir tank or a pumping device, whereby the surgical intervention gets less severe, resulting in reduced risk of complications, and which device in use does not offer the same possibility for malfunctions.
- an opening and closing device of the kind mentioned in the preamble which is characterized in that the wall and consequently the lumen of the tubular organ are compressed by simple manual wedging in of an ellipsoid body with an impression round its middle, which as plug is passed along the longitudinal direction of the tubular organ into the lumen of the cuff or the dividable ring.
- the impression entails that the plug is retained in the cuff or the ring, and additionally serves the purpose that the plug presses against two sites on the tubular organ with a force directed oppositely to that which is exerted by the cuff or the dividable ring, whereby the tubular organ is not only compressed but also kinked.
- the device can be wholly implanted.
- fig. 1 shows a longitudinal section of the opening and closing device in open state
- fig. 2 shows the same, but in closed state, two cohering spheres having been pushed into the lumen of the cuff or the dividable ring, and due to the impression they are retained in the lumen of the cuff or the ring,
- fig. 3 shows two cohering spheres provided with an eye which can be pulled over the cuff or the dividable ring,
- fig. 4 shows a sketch of the dividable ring with example or snap locks
- fig. 5 shows spheres arranged in series with increasing volume for stepwise wedging in of the plug
- fig. 6 shows a sketch of a penis where two cohering spheres have been introduced into the external lumen of the cuff or the ring, whereby the urethra is compressed. The impression between the two cohering spheres retains the plug.
- Fig. 1 and fig. 2 show the cuff 1 or the dividable ring 1 encircling the walls 2 and the lumen 3 of the tubular organ.
- Fig. 2 shows wedging in of a plug 4 consisting of two cohering spheres 4 in the external lumen of the cuff 1 or the dividable ring 1, whereby the wall 2 of the tubular organ is compressed, so that the lumen 3 of the tubular organ is compressed and closed.
- Fig. 3 shows a plug 4 provided with an eye, the lumen 5 of which can encircle the cuff 1 or the dividable ring 1, thus allowing it to rotate into and out of the lumen of the divisible ring 1 or the cuff 1.
- Fig. 1 and fig. 2 show the cuff 1 or the dividable ring 1 encircling the walls 2 and the lumen 3 of the tubular organ.
- Fig. 2 shows wedging in of a plug 4 consisting of two cohering spheres 4 in the external lume
- Fig. 4 shows a sketch of a ring 1 provided with snap locks, where the male part 7 can be pressed into the female part 6.
- Fig. 6 shows a penis where two cohering spheres 4 are wedged into the external lumen of the cuff 1 or the ring 1, whereby the urethra is compressed.
- the cuff it is designed to encircle the tubular organ.
- it is introduced round the tubular organ through a small cleavage which is obtained by minor surgery, whereby two incisions are made, after which the cuff is passed in round the tubular organ and out as a tape through the two incisions.
- the cuff is closed round the tubular organ, preferably by simple sowing together or by closing with snap locks.
- the dividable ring In case of the partial implantation of the dividable ring, it is introduced round the tubular organ through a small cleavage which is obtained by minor surgery, whereby two incisions are made, after which a section of the arc of the ring is introduced round the tubular organ, in through one of the incisions and out through the other incision, whereafter the ring is assembled with the remaining ring arc, preferably by means of snap locks (inserted as a "piercing-ring").
- the cuff according to the invention is preferably made of a tissue-friendly, im- plantable material which is flexible and essentially non-elastic.
- the ring is preferably made of a tissue-friendly, im- plantable material, such as e.g. pure gold, which also has the advantage of being slightly bacteriostatic.
- a tissue-friendly, im- plantable material such as e.g. pure gold
- it consists of two spheres which have been glued or welded together, at least one of the spheres having a diameter enabling it to be introduced through the lumen of the cuff or the ring.
- the plug is preferably made of a tissue-friendly mate ⁇ rial, which may either be hard or soft and elastic. If also the plug is to be implanted, it will be made of an implantable material.
- the plug in a second special embodiment, it consists of a chain of spheres or ellipsoid bodies with increasing volume, thus allowing a stepwise wedging in of the plug.
- the plug is preferably made of a tissue-friendly material, which may either be hard or soft and elastic. If also the plug is to be implanted, it will be made of an implantable material.
- the plug in a third special embodiment, consists of two cohering spheres, where the joint between the two spheres is provided with an eye which can encircle the cuff or the ring, thus allowing the spheres to be tilted into and out of the external arc-shaped lumen of the cuff or the ring.
- the plug is preferably made of a tissue-friendly material, which may either be hard or soft and elastic. If also the plug is to be implanted, it will be made of an implantable material .
- the plug in a fourth special embodiment of the plug according to the invention, it is an ellipsoid body provided with an eye which can encircle the cuff or the ring, thus allow- ing the ellipsoid body to be tilted into or out of the external arc-shaped lumen of the cuff or the ring.
- the plug is preferably made of a tissue-friendly material, which may either be hard or soft and elastic. If also the plug is to be implanted, it will be made of an implantable material.
- a special use of the invention is as artificial sphincter round the urethra for humans and animals.
- a second special use of the invention is as opening and closing device in the passage between an artery and a vein.
- a third special use of the invention is as opening and closing device round a colostomy, enterosto y, or uros- tomy in humans and animals.
- a fourth special use of the invention is as opening and closing device for spermatic cords in humans and animals.
- the opening and closing device is intended for whole or partial implantation round tubular organs 2 which are easily palpated through the skin of animals and humans.
- the cuff 1 or the dividable ring 1 has been introduced through an incision in the skin and further on through a cleavage provided round the tubular organ 2 and the cuff, or the ring has been passed further on out through the skin.
- the cuff 1 or the ring 1 has been assembled externally so as to form an arc.
- a suitable plug 4 preferably consisting of an ellipsoid body with an impression round its middle, the impression is caught in the arc- shaped part of the cuff 1 or the ring 1, whereby the tissue round the tubular organ 2 is compressed, and as a result the lumen 3 of the tubular organ is closed.
Abstract
Description
Claims
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP98956819A EP1035809A1 (en) | 1997-12-01 | 1998-11-30 | Manually operated artificial sphincter partly or completly inserted around an internal hollow organ |
AU13330/99A AU1333099A (en) | 1997-12-01 | 1998-11-30 | Manually operated artificial sphincter partly or completly inserted around an internal hollow organ |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DK1384/97 | 1997-12-01 | ||
DK138497A DK138497A (en) | 1997-12-01 | 1997-12-01 | Manually operated open and close compression device mounted as a ring about a pipe member. |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1999030636A1 true WO1999030636A1 (en) | 1999-06-24 |
Family
ID=8104273
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/DK1998/000499 WO1999030636A1 (en) | 1997-12-01 | 1998-11-30 | Manually operated artificial sphincter partly or completly inserted around an internal hollow organ |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP1035809A1 (en) |
AU (1) | AU1333099A (en) |
DK (1) | DK138497A (en) |
WO (1) | WO1999030636A1 (en) |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4731083A (en) * | 1982-09-21 | 1988-03-15 | The Johns Hopkins University | Manually actuated hydraulic sphincter |
EP0292162A1 (en) * | 1987-05-22 | 1988-11-23 | E.R. Squibb & Sons, Inc. | Penile clamp |
US4942886A (en) * | 1989-02-22 | 1990-07-24 | Timmons John W | External incontinency device |
WO1998014146A1 (en) * | 1996-10-03 | 1998-04-09 | Radojevic, Borka | A male incontinence guard |
-
1997
- 1997-12-01 DK DK138497A patent/DK138497A/en not_active Application Discontinuation
-
1998
- 1998-11-30 EP EP98956819A patent/EP1035809A1/en not_active Withdrawn
- 1998-11-30 AU AU13330/99A patent/AU1333099A/en not_active Abandoned
- 1998-11-30 WO PCT/DK1998/000499 patent/WO1999030636A1/en not_active Application Discontinuation
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4731083A (en) * | 1982-09-21 | 1988-03-15 | The Johns Hopkins University | Manually actuated hydraulic sphincter |
EP0292162A1 (en) * | 1987-05-22 | 1988-11-23 | E.R. Squibb & Sons, Inc. | Penile clamp |
US4942886A (en) * | 1989-02-22 | 1990-07-24 | Timmons John W | External incontinency device |
WO1998014146A1 (en) * | 1996-10-03 | 1998-04-09 | Radojevic, Borka | A male incontinence guard |
Also Published As
Publication number | Publication date |
---|---|
DK138497A (en) | 1999-06-02 |
AU1333099A (en) | 1999-07-05 |
EP1035809A1 (en) | 2000-09-20 |
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