Continence augmentor and methods for urinary control

    公开(公告)号:US6030337A

    公开(公告)日:2000-02-29

    申请号:US126670

    申请日:1998-07-30

    CPC分类号: A61F2/0009 Y10S128/25

    摘要: A female continence augmentor stops involuntary urine loss due to transient increases in bladder pressure but allows urine flow when automatically opened by transmitted bladder pressure during voluntary voiding. The augmentor improves coaptation and increases midurethral resistance to opening with a resilient mount releasably adhered adhesively to the body in position to prevent inadvertent urine loss. An intralumenal part on the mount has a resilient portion extending into the urethra for urging the dorsal midurethral wall in a dorsal direction for stretching and/or reshaping the midurethral lumen to an arc. The portion has a member located to engage the midurethral wall. A coaptation improver on the member engages with the adjacent midurethra. The improver carries biocompatible hydrophilic material adapted to coact with mucus and mucosa within the urethra. A coated biocompatible hydrophilic membrane can be the member with opposed generally rectangular major surfaces and is circumscribed by an edge. The hydrophilic membrane is bowed along the edge transverse between sides thereof for bearing against the inside of the midurethral walls. The membrane has a mesh of flexible polymer and an arc shape between the sides so the opposed major surfaces are concave and convex. Two struts can extend from the sides to the portion. A method of making the augmentor has the steps of forming the mount of resilient material. The resilient material adheres to the body to support the augmentor in position to prevent inadvertent urine loss through the midurethral lumen. The part on the mount extends into the urethra. Connecting the part to the mount and locating the member on the portion for placement relative to the mount intralumenally is a step. The method step of forming includes molding the mount of a polymer. The step of locating the member uses at least one or two struts. The method has the step of adding an adhesive to the mount and increasing coaptation of the portion with a material. A method of using the augmentor has the steps of inserting the part into the urethra so that the member is within the midurethral lumen and placing the mount adjacent to the urethral exit to retain the member therein. Applying resistance inside the urethra with the member by the portion is a step of using. Urging the dorsal midurethral wall in a dorsal direction and engaging the urethral wall, especially the midurethral wall to remove laxity therein are steps of using.

    Implantable penile prosthesis
    3.
    发明授权
    Implantable penile prosthesis 失效
    植入式阴茎假体

    公开(公告)号:US5263981A

    公开(公告)日:1993-11-23

    申请号:US873473

    申请日:1992-04-24

    IPC分类号: A61F2/26 A61F5/41

    CPC分类号: A61F2/26

    摘要: A penile prosthesis for alleviating erectile impotency includes a generally tubular enclosure which is implantable within the corpus cavernosum. The tubular enclosure includes a generally non-distensible pressurizable chamber which when filled with fluid substantially to capacity will transform the prosthesis from the flaccid to an erect state, and a unique inflation valve assembly comprising two valves in longitudinally sequential relationship which will open or close under sequentially applied pressure differential conditions. The prosthesis includes a pump implantable in the body apart from the tubular enclosure, preferably in the scrotum, and a deflation valve.

    摘要翻译: 用于减轻勃起功能的阴茎假体包括可植入海绵体内的大致管状外壳。 管状外壳包括通常不可扩张的可加压室,当充满液体时,其基本上能够将假体从松弛变形转变为直立状态,以及独特的充气阀组件,其包括纵向顺序关系的两个阀,其将在下面打开或关闭 顺序施加压差条件。 假体包括可离开管状外壳,优选地在阴囊内植入体内的泵,以及放气阀。

    Device for alleviating urinary incontinence
    4.
    发明授权
    Device for alleviating urinary incontinence 有权
    减轻尿失禁的装置

    公开(公告)号:US06461291B1

    公开(公告)日:2002-10-08

    申请号:US09560946

    申请日:2000-04-28

    IPC分类号: A61F200

    CPC分类号: A61F2/0009 Y10S128/25

    摘要: A device for treating leakage from an external orifice in the body of a patent which comprises a first member having a body-contacting first surface and an opposing second surface about an aperture, which first surface is attachable to the patient with said aperture positioned over said orifice, and a second member integral with said second surface, which second member comprises a valve mounted over said aperture, which valve has a closed position which prevents leakage of fluid through the device and an open position which allows fluid to flow through said aperture when desired, the closed and open positions being achievable without removing the device from the body of the patient.

    摘要翻译: 一种用于处理来自专利体内的外部孔的泄漏的装置,其包括具有身体接触的第一表面的第一构件和围绕孔的相对的第二表面的第一构件,所述第一表面可附接到患者,所述孔定位在所述 孔和与所述第二表面成一体的第二构件,所述第二构件包括安装在所述孔上的阀,所述阀具有闭合位置,其阻止流体通过所述装置的泄漏和允许流体流过所述孔的打开位置, 期望的是,可以实现闭合和打开位置,而不会将装置从患者的身体移除。

    Implantable sphincter system utilizing lifting means
    5.
    发明授权
    Implantable sphincter system utilizing lifting means 失效
    采用提升手段的植入式括约肌系统

    公开(公告)号:US5518504A

    公开(公告)日:1996-05-21

    申请号:US174531

    申请日:1993-12-28

    申请人: Mark Polyak

    发明人: Mark Polyak

    IPC分类号: A61F2/00 A61F2/48

    CPC分类号: A61F2/0036 Y10S128/25

    摘要: An implantable artificial sphincter system for reversibly occluding a body passageway, preferably the urethra, enables the body passageway to be opened and closed in sequence due to the action of a lifting and lowering device which is adapted to be in integral contact with or disposed about the body passageway. An actuating device is operably connected to the lifting and lowering device, and a pump capable of being volitionally operated is in fluid communication with the actuating device to provide a pressurized flow of fluid into the actuating device.

    摘要翻译: 用于可逆地封闭身体通道(优选尿道)的可植入人造括约肌系统使得身体通路能够由于升降装置的作用而依次打开和关闭,所述提升和降低装置适于与 身体通道。 致动装置可操作地连接到提升和降低装置,并且能够被永久地操作的泵与致动装置流体连通以提供加压的流体流入致动装置。

    Hydraulic brush for teeth and gums
    6.
    发明授权
    Hydraulic brush for teeth and gums 失效
    用于牙齿和牙龈的液压刷

    公开(公告)号:US4660244A

    公开(公告)日:1987-04-28

    申请号:US751793

    申请日:1985-07-03

    申请人: Mark Polyak

    发明人: Mark Polyak

    IPC分类号: A61C17/30 A46B13/02

    CPC分类号: A61C17/30

    摘要: A hydraulic brush for teeth and gum cleaning and massaging, having a rotating cylindrical, spiral, disc or cupped-shape brush with radially projected ultrathin bristles and simultaneous liquid jets supply to the teeth and gums.

    摘要翻译: 用于牙齿和牙龈清洁和按摩的液压刷,具有旋转的圆柱形,螺旋形,盘形或杯形刷,其具有径向突出的超薄刷毛和同时的液体喷射供应到牙齿和牙龈。

    Apparatus and method for interstitial laser treatment
    8.
    发明授权
    Apparatus and method for interstitial laser treatment 失效
    间质激光治疗的装置和方法

    公开(公告)号:US5672171A

    公开(公告)日:1997-09-30

    申请号:US268358

    申请日:1994-06-30

    摘要: An apparatus for delivering laser energy to a target through a radiation-transmitting waveguide having a distal end terminating in a tip which is in contact with the target during delivery, while protecting the tip from heat damage, which apparatus comprises a waveguide for transmitting laser radiation and having a distal end terminating in a tip adapted to be placed in contact with the target to deliver laser energy directly to the target at the site of contact, and means for delivering a controlled small amount of liquid to the target adjacent to the tip, which small amount is just sufficient to limit the temperature at the target to not more than the failure temperature of the tip. An apparatus assembly for performing ILC incorporating a waveguide and a method for protecting the tip of a waveguide from damage is also disclosed.

    摘要翻译: 一种用于通过辐射透射波导将激光能量传递到目标的装置,所述辐射透射波导的远端终止于在输送期间与靶接触的尖端,同时保护尖端免受热损伤,该装置包括用于发射激光辐射的波导 并且其远端终止于适于被放置成与靶接触的尖端,以在接触部位处将激光能量直接传递到靶,以及用于将受控的少量液体输送到邻近尖端的靶上的装置, 其量少至足以将目标温度限制在不超过尖端的故障温度。 还公开了一种用于执行包含波导的ILC和用于保护波导的尖端不受损的方法的装置组件。

    Urinary continence device and methods for urinary control
    9.
    发明授权
    Urinary continence device and methods for urinary control 失效
    尿路控制装置及方法

    公开(公告)号:US06387040B1

    公开(公告)日:2002-05-14

    申请号:US09499158

    申请日:2000-02-07

    IPC分类号: A61F200

    CPC分类号: A61F2/0009 Y10S128/25

    摘要: A design and method of manufacture are disclosed for a female continence augmentor device used to alleviate urinary incontinence. The female continence augmentor includes a mount formed of a resilient material, an intralumenal part carried on the mount and a resilient portion carried on the intralumenal part of device. The mount adheres to the female body about the urethral exit to support the female augmentor into position to prevent inadvertent urine loss. The intralumenal part of the device extends from the mount into the urethral lumen at least to the mid-urethra. In particular, the resilient portion of the intralumenal part extends into the urethra and is adapted to at least urge the dorsal urethral wall in the dorsal direction to stretch and/or reshape the mid-urethral lumen to have a more arcuate shape. Thus, the mid-urethral lumen in cross-section would preferably exhibit a crescent shape of smaller radius. As such, the female continence augmentor enables a patient to void voluntarily with normal muscle control and without requiring conscious action to operate the device. Following voiding, the continence augmentation function of the device resumes automatically thereby increasing urethral resistance to opening and preventing inadvertent urine loss.

    摘要翻译: 公开了一种用于减轻尿失禁的雌性节育器装置的设计和制造方法。 雌性连续增强器包括由弹性材料形成的支架,承载在支架上的腔内部分和承载在装置的腔内部分上的弹性部分。 安装座附着在尿道出口处的女性身体,以支撑女性增强器到位,以防止无意中的尿液流失。 装置的腔内部分至少延伸到尿道中部至尿道内。 特别地,腔内部分的弹性部分延伸到尿道中并且适于至少促使背侧方向的背侧尿道壁拉伸和/或重塑中部尿道腔以具有更弓形的形状。 因此,横截面的中间尿道内腔将优选呈现较小半径的月牙形。 因此,女性控制增强器使得患者能够在正常的肌肉控制下自愿消失,并且不需要有意识的操作来操作该装置。 排尿后,装置的连续增大功能自动恢复,从而增加尿道对开放的抵抗力,防止无意中的尿液流失。

    Mechanical penile prosthesis
    10.
    发明授权
    Mechanical penile prosthesis 失效
    机械阴茎假体

    公开(公告)号:US5468213A

    公开(公告)日:1995-11-21

    申请号:US310918

    申请日:1994-09-22

    申请人: Mark Polyak

    发明人: Mark Polyak

    IPC分类号: A61F2/26

    CPC分类号: A61F2/26

    摘要: A mechanical penile prosthesis which comprises an elongated, tubular, prestretched, elastic outer sheath having a distal tip, a proximal tip and an intermediate portion defining a hollow tubular chamber having positioned therein a central core anchored at each of its ends to a tip, and an articulated member positioned about the flexible core, which articulated member comprises a plurality of alternating rings and discs, each of the rings being defined by a toroid having a curved surface, a substantially circular cross-section and an outer circumference, each of the discs being defined by a toroid having a flattened upper surface and a flattened lower surface, each surface having a peripheral portion which has a tapered or convex profile which contacts the curved surface of the adjacent rings.

    摘要翻译: 一种机械阴茎假体,其包括细长的,管状的,预拉伸的弹性外护套,其具有远端,近端和限定中空管状室的中间部分,其中定位在其中的每个端部处固定到尖端的中心芯,以及 铰接构件围绕柔性芯定位,所述铰接构件包括多个交替的环和盘,每个环由具有弯曲表面,基本圆形横截面和外周的环形线圈限定,每个盘 由具有平坦的上表面和平坦的下表面的环形面限定,每个表面具有周向部分,该周边部分具有接触相邻环的弯曲表面的锥形或凸形轮廓。