WO2005065598A1 - Prothese penienne munie de languettes d'ancrage et sa methode d'implantation - Google Patents

Prothese penienne munie de languettes d'ancrage et sa methode d'implantation Download PDF

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Publication number
WO2005065598A1
WO2005065598A1 PCT/US2003/038633 US0338633W WO2005065598A1 WO 2005065598 A1 WO2005065598 A1 WO 2005065598A1 US 0338633 W US0338633 W US 0338633W WO 2005065598 A1 WO2005065598 A1 WO 2005065598A1
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WO
WIPO (PCT)
Prior art keywords
longitudinally
penis
incision
penile
space
Prior art date
Application number
PCT/US2003/038633
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English (en)
Inventor
James J. Elist
Original Assignee
James J. Elist Trustee
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by James J. Elist Trustee filed Critical James J. Elist Trustee
Priority to AU2003293402A priority Critical patent/AU2003293402A1/en
Priority to PCT/US2003/038633 priority patent/WO2005065598A1/fr
Publication of WO2005065598A1 publication Critical patent/WO2005065598A1/fr

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/26Penis implants

Definitions

  • TITLE Penile Prosthesis with Anchoring Tabs and Method of Surgical Implantation
  • This invention relates generally to surgical implants for the enhancement of appearance and operation of organs and more particularly to a penile implant and method of surgical insertion enabling a damaged penis or penis function to be restored.
  • the present invention of this application is an improvement of Elist, U.S. 6,537,204 which teaches a shape and use of the invention but absent the suture web and improved surgical implantation procedure, of the present invention.
  • the present invention distinguishes over U.S. 6,537,204 in the use of a tab critical for attachment of the device.
  • a penile implant apparatus has an arced, elongated body providing a wall thickness varying circumferentially from a maximum thickness at a top longitudinally directed surface, to a minimum thickness along a pair of bottom, longitudinally directed and spaced apart edges.
  • the body may be constructed as a single integral form or as two mirror image related half portions which are joined during implantation.
  • the wall thickness further varies longitudinally from the maximum thickness at a proximal circumferential edge to the minimum thickness at a distal circumferential edge.
  • the apparatus is preferably made of silicone rubber, has a length and size enabling implantation subcutaneously and provides sufficient rigidity for enabling coitus.
  • U.S. 3,893,456 describes a prosthesis for implantation in the penis to provide a flaccid penis with rigidified dimensions of length and of width, and with the property of flexural stiffness.
  • the prosthesis is used in pairs, each of which is a one- piece member that includes a composite rod having a dimension of axial length and, for the major proportion of its length, is composed of two physically distinct bodies which are integrally joined to each other, one of which is more resistant to bending and to compressive deformation than the other, and a prong extending from said rod, said prong decreasing in lateral cross-section as it extends away from the rod.
  • One of the bodies is stiffly flexible.
  • the first of the bodies is a tube of solid material having an inner wall and an outer wall, the inner wall defining an axially extending cavity, the second body filling the cavity, the said first body being the one which is stiffly flexible.
  • the second body is preferably made of a gel or of a foam.
  • Timm et al. U.S. 3,987,789 describes a prosthesis adapted to be implanted in the penis for simulating an erection is disclosed herein.
  • the prosthesis includes an elongated, malleable rod portion which is housed within a generally tubular, physiologically inert plastic body.
  • the malleable rod portion enables the prosthesis to be conformed to a variety of shapes by bending or twisting same.
  • the prosthesis will maintain the penis in an erectile state, and afterwards the penis may be positioned and maintained by the prosthesis in a convenient, comfortable position.
  • U.S. 4,204,530 describes an implantable sleeve for increasing the penile diameter including a flexible sheet of soft, physiologically acceptable implantable material, said sheet being of sufficient length when formed in the general shape of a cylindrical sleeve to extend from the glans penis to the base of the penis and of a width which is insufficient to completely encircle the penis, but sufficient to cover the corpora cavernosa.
  • the sheet preferably has edges which are rounded and tapered side edges.
  • the sleeve also includes suturing strips on the inside wall of the sleeve adjacent the side edges of the sheet which facilitate the suturing of the sheet to the tunica albuginea.
  • the sleeve further includes porous patches located on the interior of the inside wall of the sleeve into which fibroblasts from the underlying tissues can grow to further anchor the sleeve to the tunica albuginea.
  • the sheet is of very soft, medical grade silicone elastomer, and suturing strips are of Dacron fabric and the porous patches are of Dacron fabric or fluff.
  • U.S. 4,483,331 describes an improved rod-type penile implant having a relatively stiff proximal portion for positioning inside the corpus cavernosum adjacent the pubis for supporting the implant, a longer relatively stiff distal portion for positioning in the corpus cavernosum of the pendulous penis and a hinge separating the distal and proximal portions, the improvement which comprises a distal portion including a reinforced inner core having a main body of relatively stiff material which is united to an outer tubular sleeve of fabric having a relatively high tensile strength so that the main body and fabric sleeve act together to increase the stiffness of the inner core.
  • Masters, U.S. 4,669,456 describes an implantable, positionable penile prosthesis which comprises an elastomeric rod and a metal wire coil coaxially imbedded within at least a portion of the rod.
  • the coil has a radius, number of turns per unit length, and wire diameter which combines with the elastomeric rod for substantially retaining the position into which the prosthesis is bent and for inhibiting fatigue of the metal wire coil when the prosthesis is repeatedly bent for positioning.
  • U.S. 5,512,033 describes a malleable penile prosthesis adapted to be implanted in a corpus cavernosum of a penis comprising an elongated core which is bendable about its longitudinal axis with the capability of holding the configuration to which it is bent and is substantially rigid when in the unbent straight configuration, a sleeve of braided biocompatible material, having an inner surface and an outer surface, enveloping the core with the inner surface of the sleeve in contact with the core and the sleeve and core being accommodated within an outer tube of elastomeric material, which tube has a substantially rounded smooth outer surface and an inner surface having a profile formed of alternate grooves and ribs in a substantially helical arrangement.
  • a method of forming a malleable prosthesis is also disclosed.
  • U.S. 6,015,380 describes an extra cavernosal penile implant which can be used to increase penile volume.
  • the implant includes two cheeks independent from one another which are adapted to cover the outer lateral sides of the corpus cavernosum without covering the upper and lower sides thereof.
  • Each of the cheeks has a crescent- shaped or hemicylindrical vertical cross-section.
  • Each cheek also includes a distal end which is adapted to conform to the anatomy of the sulcus of the glans and includes for this purpose an oblique planar end surface which slants from the distal end toward the proximal end of the implant in a direction from the outer surface to the inner surface of the implant which is designed to cover the corpus cavernosum.
  • WO 86/01398 describes a penile rigidity prosthesis for the treatment of erectile impotence in men including at least one penile implant comprising an elongated malleable cylindrical body adapted to be surgically implanted in the corpus cavernosum of the penis; said body having a rounded front tip and an anatomical design at the end; the outer sheet of the cylinder is made of harder elastic material while the inner of considerably softer one; embedded in this material there is a core of twisted metal wires.
  • the wires are fixed into a screw, allowing intermediate small cylinder extensions and a tail end to be screwed all together.
  • the prior art teaches the use of a subcutaneously implanted devices to rigidize the penis, but does not teach the use of a forward tab providing attachment advantages.
  • the present invention fulfills these needs and provides further related advantages as described in the following summary.
  • the present invention teaches certain benefits in construction and use which give rise to the objectives described below.
  • Penile implants are presently utilized to overcome impotency.
  • the invention introduces, the use of a suture web in a subcutaneous penile implant made of a proprietary silicone material, designed specifically for treatment of impotency and physical penile enhancement.
  • the invention also teaches a surgical method for insertion of the implant.
  • the design of the prosthesis and the location of the implant in the penis does not interfere with the structural integrity and normal functions of the penis.
  • the procedure can be reversible, i.e., the implant can be removed without permanent damage to the structure of the penis or its function. The procedure does not leave any unsightly scars, nor does it compromise, in any way, the aesthetic look of the penis or other parts of the patient's body. Results of the procedure may be permanent, and is achieved without any further surgical procedures, discomfort or undue expense to the patient.
  • Penis girth enhancement may be achieved according to the patient's desires.
  • the procedure is less traumatic to the patient.
  • the procedure can be performed under local anesthesia on an outpatient basis.
  • the implant comprises an arced, elongated body providing a wall thickness varying circumferentially from a maximum thickness at a top longitudinally directed surface, to a minimum thickness along a pair of bottom, longitudinally directed and spaced apart edges.
  • the wall thickness further varies longitudinally from the maximum thickness at a proximal circumferential edge to the minimum thickness at a distal circumferential edge.
  • the apparatus is preferably made of silicone rubber, has a length and size enabling implantation subcutaneously within the human penis and provides sufficient rigidity for enabling coitus while still being flexible enough to be conveniently positioned when not involved in coitus.
  • a top longitudinally aligned tab is provided for necessary support in anchoring the implant.
  • a primary objective of the present invention is to provide an apparatus and method of use of such apparatus that provides advantages not taught by the prior art.
  • Another objective is to provide such an invention capable of providing rigidity to the human penis so as to enable coitus without the aid of normal erectile function and which does not interfere with normal erectile function.
  • a further objective is to provide such an invention capable of providing the necessary rigidity to the penis while providing an appropriate tapered appearance.
  • a still further objective is to provide such an invention capable of being cut to length to fit a wide range of penis conformations.
  • a still further objective is to enable surgical implantation without removal of existing organ portions or related tissues.
  • the procedure is fully reversible.
  • a still further objective is to enable a surgical implantation which achieves enlargement in both radial and lateral direction of the penis when moving into the erect state.
  • a still further objective is to enable a surgical implantation whose design and location of implant in the penis does not interfere with structural integrity and normal function of the penis.
  • a still further objective is to enable a surgical implantation that does not interfere with a patients' natural sensation or the ability to have an erection.
  • a still further objective is to enable a surgical implantation enabling girth enhancement of the flaccid penis as well as the erect penis.
  • a still further objective is to enable a surgical implantation under the penile skin instead of in the cavity of the corpus cavernosum.
  • Figure 1 is a perspective view from the proximal end of a first embodiment of the present invention shown as a single integral prosthesis;
  • Figure 2 is a perspective view from the proximal end of a second embodiment of the present invention shown as two mirror image portions which together form the prosthesis, and Fig. 1 is a fair representation of the two portions when brought together after insertion under the penis covering;
  • Figure 3 is a side elevational view of the second embodiment thereof.
  • Figures 4 and 5 are proximal-end and distal-end views respectively of the second embodiment thereof showing the tabs 85 trimmed to finished length, i.e., shortened, and in Fig. 4, a reverse suture 85a is shown;
  • Figure 6 is a vertical cross-sectional view of a penis and surrounding abdominal structure showing a proximal transverse incision and a circumferential incision adjacent the penile corona made during surgical implantation;
  • Figure 7 is a perspective view of the penis showing the method of expanding the penile covering in preparation of insertion of the prosthesis;
  • Figure 8 is a perspective view of the penis showing the method of prosthesis insertion;
  • Figure 9 is a perspective view of the penis showing the method of suture placement for fixing the prosthesis in place;
  • Figure 10 is a perspective view of the penis showing the completed implant with suture closures.
  • the invention is a penile implant apparatus comprising, a body 10 of a desired length and formed as a modified cylinder with arcuate walls both outside and inside, open at its ends 20, 30 and open also along an underside longitudinal portion 40 extending the full length of the modified cylinder.
  • the body 10 may be formed as a single integral part, as shown in Fig. 1, or as a pair of halves 10A, 10B, as shown in Fig. 2. In the latter case, the halves are mirror images of each other in form, and are joined when the apparatus is surgically implanted.
  • the implantation process is taught in principal only, by Finney, US 4202530 which is hereby incorporated into the present application by reference.
  • the present apparatus is of a size, shape and has a wall thickness adapted for implantation within the human penis between the penile skin and the dorsum of the corpora cavernosa, i.e., under the dartas facia.
  • the apparatus is intended to extend from the glans penis at its distal end 30, to the base of the penis at its proximal end 20.
  • An inside surface 50 of the apparatus as well as the abutting longitudinal edges 60 of the two halves have a silicon netting 70 imbedded as shown in the figures, and this netting is extended upward above a top longitudinal surface 80 of the body 10. This netting 70 is used for fastening sutures for joining the two halves.
  • the apparatus provides one or more distal longitudinally extensive tabs 85' which are critical to the anchoring of the apparatus.
  • the tabs 85' are extensions of the silicon netting, and they are anchored using sutures to the tips of the corpora cavernosa. This tab 85' holds the apparatus in place and allows the penis to move from its flaccid state to its erect state by sliding over the corpora cavernosa.
  • the apparatus either the single integral embodiment of Fig. 1, or the joined dual halves of Fig. 2, provides a wall thickness that varies circumferentially from a maximum thickness along a top longitudinally directed surface 80, to a minimum thickness along a pair of spaced apart bottom longitudinally directed edges 90. It should be clear that Fig.
  • the joining line 100 is as shown in Fig. 1.
  • the wall thickness further varies longitudinally from the maximum thickness at a proximal circumferential edge 110, which defines the proximal end 20 adjacent the pubic bone, to the minimum thickness at a distal circumferential edge 120 which defines the distal end 30.
  • the bottom longitudinally directed edges 90 are spaced apart as best shown in Fig. 1.
  • the apparatus is constructed of silicone rubber or a similar material compatible with the human biosystem and is of a length and size adapted for the human penis.
  • the material of construction is of such a rigidity as to enable the penis, so implanted, to enjoy the act of coitus without being aided by the normal stiffening associated with the erectile function of the penis, i.e., for men with erectile dysfunction.
  • the thicker wall near the base of the penis provides an advantage in improved rigidity of the apparatus in terms of directing the penis outwardly in the appropriate direction for coitus.
  • the thinner wall near, or inserted under the glans penis allows for improved flexibility of the glans penis.
  • the uniform taper from proximal 110 to distal 129 edges provides a more natural penile conformation, improved blood flow toward the glans penis and improved flexibility of the organ when not engaged in coitus.
  • the Thicker wall at the top 80 of the apparatus provides greater structural strength where the highest compressive forces occur during coitus.
  • the uniform taper from the top of the apparatus, around the sides, to the bottom provides improved flexibility of the penis and a more natural penile conformation.
  • the apparatus may be quite thin near the glans penis without loosing necessary rigidity.
  • the important result of the conformation of the present invention is the use of the least material while achieving maximum rigidity and blood flow.
  • the use of a netting 70 imbedded within the interior surface of the apparatus provides maximum flexibility as to placement of sutures.
  • the use of the split halves 10A, 10B greatly facilitates implantation and also provides the opportunity to use asymmetrical halves as necessary for repair of damaged or misshaped organs.
  • the space between the bottom longitudinal edges 90 allows the corpus spongeosum of the urethra to remain free of any pressure.
  • the elongated body defines an interior space 130, as shown in Fig. 4.
  • This interior space 130 is preferably oblate with height greater than width and preferably has an aspect ratio of approximately 1:1.2. It has been discovered that this form provides for improved blood flow and fit to the natural tissue conformations of the human penis.
  • the silicone netting extends upwardly from the top longitudinal surface 80 forming one or more tabs 85.
  • Tab 85 finds critical use in joining the two halves 10A and 10B together. In the embodiment of Fig. 1, a single long tab 85 is provided. It is intended that the tab 85 be cut to any size necessary for improved mutual attachment of the two halves 10A and 10B, and for improved positioning of the apparatus within the penis and around the corpora cavernosa. Further, each half, or each side, of the apparatus provides a longitudinally extensive second at least one tab 85', as previously described, for fastening the apparatus to the distal tip of the corpora cavernosa.
  • the method for applying the above described subcutaneous penile implant is illustrated in Figs. 6-10 and includes producing the two separate mirror image halves 10 A, 10B, each of the halves providing one or more topper, longitudinally extensive integral suture webs 85 and these are used to fasten the two halves to each other.
  • the method further includes the step of placing a transverse incision 200 (Fig. 8), preferably one inch above the pubic bone, in the suprapubic area of the penis and through this incision 200, severing the forward suspensory ligament 205 (Fig. 6). This enables the implant 10 to slide into the penile cavity when the penis is flaccid.
  • a circumferential incision 210 Fig.
  • a space is formed, opened and expanded between the dartis fascia 230 and the corpus cavernosum 240 (Figs. 6 and 7) of the penis and is made to be fully extensive longitudinally from the suprapubic incision 200 to the penile corona incision 210.
  • This space is made suitable in size for insertion of the penile implant 10, see Fig. 7.
  • the suture webs 85 on each of the two halves 10 A, 10B are trimmed to a size just enabling suture threading therethrough as shown in Fig. 9.
  • the two separate halves 10A, 10B of the penile implant 10 are next inserted, one at a time, into the formed space through the suprapubic incision 200, with the two separate halves 10 A, 10B abutting longitudinally at the 12 o'clock position (Figs. 8 and 9).
  • the tabs 85' of the separate halves 10A, 10B are sutured to distal tips 242 of the corpus cavernosum 240 so as to anchor the halves 10A, 10B at the distal end adjacent the penis glans 250.
  • the epidermal covering 230 (Dartis fascia and epidermis) is next pulled back toward the transverse incision, as shown in Fig. 9, thereby exposing the suture webs 85 of the penile implant 10 and the separate halves 10 A, 10B are suture fastened distally and medially through the suture webs 85, the sutures being reversed such that the tie-offs are below the webs and not noticeable to the patient as bumps through the skin.
  • the proximal tabs 85 are also sutured together.
  • the incisions 200, 210 are closed.
  • Standard operating room procedures are used in the above procedure including those of controlling bleeding after each incision and irrigating incisions and opened spaces with an antibiotic solution.
  • the words used in this specification to describe the invention and its various embodiments are to be understood not only in the sense of their commonly defined meanings, but to include by special definition in this specification: structure, material or acts beyond the scope of the commonly defined meanings. Thus if an element can be understood in the context of this specification as including more than one meaning, then its use must be understood as being generic to all possible meanings supported by the specification and by the word or words describing the element.

Abstract

L'invention porte sur un implant pénien présentant un corps (10) arqué allongé dont l'épaisseur de la paroi varie le long de la circonférence d'un maximum à sa surface longitudinale supérieure (80) à un minimum à l'extrémité inférieure de ses deux bords (90) longitudinaux séparés. Le corps (10) peut être fait d'une seule pièce ou de deux moitiés symétriques que l'on joint pendant l'implantation. L'épaisseur de la paroi varie selon la longueur, maximale à l'extrémité proximale (110), elle est minimale à l'extrémité distale (120). Le dispositif, fait de préférence de caoutchouc de silicone, présente une longueur et une taille permettant son implantation sous-cutanée et présente une rigidité suffisante pour permettre le coït; il comporte par ailleurs une languette longitudinale (85) en facilitant l'ancrage. Le corps (10) de l'implant est d'abord inséré dans une incision pubienne, puis ancré par son extrémité avant.
PCT/US2003/038633 2003-12-03 2003-12-03 Prothese penienne munie de languettes d'ancrage et sa methode d'implantation WO2005065598A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
AU2003293402A AU2003293402A1 (en) 2003-12-03 2003-12-03 Penile prosthesis with anchoring tabs
PCT/US2003/038633 WO2005065598A1 (fr) 2003-12-03 2003-12-03 Prothese penienne munie de languettes d'ancrage et sa methode d'implantation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US2003/038633 WO2005065598A1 (fr) 2003-12-03 2003-12-03 Prothese penienne munie de languettes d'ancrage et sa methode d'implantation

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WO2005065598A1 true WO2005065598A1 (fr) 2005-07-21

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Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007096354A1 (fr) * 2006-02-21 2007-08-30 Didier Tytgadt Implant corporel à volume variable
EP3001980A1 (fr) * 2014-09-30 2016-04-06 Coloplast A/S Insert de prothèse pénienne avec un corps présentant un canal
US9498333B2 (en) 2014-09-30 2016-11-22 Coloplast A/S Penile prosthetic insert with a body having a channel and a method for implantation of a penile prosthetic
WO2017116489A1 (fr) 2015-12-31 2017-07-06 Menova International, Inc. Prothèse pour fonction pénienne améliorée
US10729546B2 (en) 2017-02-02 2020-08-04 Coloplast A/S Inflatable penile prosthetic system
WO2020236505A1 (fr) * 2019-05-20 2020-11-26 Loria Products Llc Dispositifs de manchon pénien et garniture pénienne, et leurs procédés de fabrication
KR20210048494A (ko) * 2018-07-23 2021-05-03 오그멘타, 엘엘씨 조직 확장을 용이하게 하는 음경 및 기타 임플란트
CN113648126A (zh) * 2021-08-17 2021-11-16 上海交通大学医学院附属第九人民医院 一种温敏支架
US11432929B2 (en) 2015-12-31 2022-09-06 Menova International, Inc. Prosthesis for improved penis function

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US4204530A (en) * 1979-03-29 1980-05-27 Medical Engineering Corp. Sleeve implant
US4602625A (en) * 1983-03-04 1986-07-29 Medical Engineering Corporation Penile erectile system
US4611584A (en) * 1980-05-15 1986-09-16 Medical Engineering Corp. Expandable penile implant
US6537204B1 (en) * 2001-12-10 2003-03-25 James Elist Structural penile implant

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4204530A (en) * 1979-03-29 1980-05-27 Medical Engineering Corp. Sleeve implant
US4611584A (en) * 1980-05-15 1986-09-16 Medical Engineering Corp. Expandable penile implant
US4602625A (en) * 1983-03-04 1986-07-29 Medical Engineering Corporation Penile erectile system
US6537204B1 (en) * 2001-12-10 2003-03-25 James Elist Structural penile implant

Cited By (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2007096354A1 (fr) * 2006-02-21 2007-08-30 Didier Tytgadt Implant corporel à volume variable
EP3001980A1 (fr) * 2014-09-30 2016-04-06 Coloplast A/S Insert de prothèse pénienne avec un corps présentant un canal
US9498333B2 (en) 2014-09-30 2016-11-22 Coloplast A/S Penile prosthetic insert with a body having a channel and a method for implantation of a penile prosthetic
JP7038384B2 (ja) 2015-12-31 2022-03-18 メノヴァ インターナショナル,インク. 改善された陰茎機能のためのプロステーシス
JP2019500062A (ja) * 2015-12-31 2019-01-10 メノヴァ インターナショナル,インク. 改善された陰茎機能のためのプロステーシス
CN111772884B (zh) * 2015-12-31 2024-04-12 梅诺瓦国际公司 用于改善的阴茎功能的假体
EP3242631A4 (fr) * 2015-12-31 2018-10-10 Menova International, Inc. Prothèse pour fonction pénienne améliorée
EP4151182A3 (fr) * 2015-12-31 2023-06-28 Menova International, Inc. Prothèse pour fonction du pénis améliorée
US10350070B2 (en) 2015-12-31 2019-07-16 Menova International, Inc. Prosthesis for improved penis function
KR102055703B1 (ko) * 2015-12-31 2019-12-13 메노바 인터내셔널, 인코포레이티드 개선된 음경 기능을 위한 인공삽입물
KR20190139331A (ko) * 2015-12-31 2019-12-17 메노바 인터내셔널, 인코포레이티드 개선된 음경 기능을 위한 인공삽입물
CN107205823B (zh) * 2015-12-31 2020-08-04 梅诺瓦国际公司 用于改善的阴茎功能的假体
AU2021261958B2 (en) * 2015-12-31 2022-12-08 Menova International, Inc. Prosthesis for improved penis function
CN111772884A (zh) * 2015-12-31 2020-10-16 梅诺瓦国际公司 用于改善的阴茎功能的假体
KR102461374B1 (ko) 2015-12-31 2022-11-01 메노바 인터내셔널, 인코포레이티드 개선된 음경 기능을 위한 인공삽입물
JP2021007760A (ja) * 2015-12-31 2021-01-28 メノヴァ インターナショナル,インク. 改善された陰茎機能のためのプロステーシス
US11432929B2 (en) 2015-12-31 2022-09-06 Menova International, Inc. Prosthesis for improved penis function
KR20180004706A (ko) * 2015-12-31 2018-01-12 메노바 인터내셔널, 인코포레이티드 개선된 음경 기능을 위한 인공삽입물
CN107205823A (zh) * 2015-12-31 2017-09-26 梅诺瓦国际公司 用于改善的阴茎功能的假体
JP2022084629A (ja) * 2015-12-31 2022-06-07 メノヴァ インターナショナル,インク. 改善された陰茎機能のためのプロステーシス
AU2016380684B2 (en) * 2015-12-31 2021-08-05 Menova International, Inc. Prosthesis for improved penis function
WO2017116489A1 (fr) 2015-12-31 2017-07-06 Menova International, Inc. Prothèse pour fonction pénienne améliorée
KR102359246B1 (ko) * 2015-12-31 2022-02-07 메노바 인터내셔널, 인코포레이티드 개선된 음경 기능을 위한 인공삽입물
KR20220021003A (ko) * 2015-12-31 2022-02-21 메노바 인터내셔널, 인코포레이티드 개선된 음경 기능을 위한 인공삽입물
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KR102650600B1 (ko) 2018-07-23 2024-03-22 오그멘타, 엘엘씨 조직 확장을 용이하게 하는 음경 및 기타 임플란트
CN112930156A (zh) * 2018-07-23 2021-06-08 奥格门塔有限责任公司 促进组织扩张的阴茎植入件和其它植入件
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US11076959B2 (en) 2019-05-20 2021-08-03 Loria Products Llc Penile sleeve devices and penile stocking insert and methods of making the same
US11045320B2 (en) 2019-05-20 2021-06-29 Loria Products Llc Penile sleeve devices and penile stocking insert and methods of making the same
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