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.

    Retrievable stent and method of use thereof
    3.
    发明授权
    Retrievable stent and method of use thereof 有权
    可检索的支架及其使用方法

    公开(公告)号:US06821291B2

    公开(公告)日:2004-11-23

    申请号:US09904926

    申请日:2001-07-13

    IPC分类号: A61F206

    摘要: A removable stent system and method for extraction of a removable stent from a target site is disclosed. The removable stent includes a removable stent having a collapsible end and a collapsing element configured for coupling with a removal tool. The collapsing element can be configured as a lasso or can be movable between two positions when deployed at a target site in vivo. The removable stent overcomes disadvantages and limitations of previous types of stents as well as overcoming complications during or following stent deployment in vivo. The removable stent further includes features that increase its ease of use and reduce the maneuvering required of devices or tools used to remove the stent. This then decreases the amount of effort required by the physician, the procedure time, and the level of discomfort experienced by a patient during the procedure.

    摘要翻译: 公开了一种用于从目标部位提取可移除支架的可移除支架系统和方法。 可拆卸支架包括具有可折叠端部的可拆卸支架和被构造成与拆卸工具联接的塌缩元件。 折叠元件可以被配置为套索,或者当在体内部署在目标部位时可以在两个位置之间移动。 可移除的支架克服了先前支架类型的缺点和局限性,并克服了体内支架展开期间或之后的并发症。 可拆卸支架还包括增加其易用性并减少用于移除支架的装置或工具所需的操纵的特征。 这样就减少了医师所需的努力量,手术时间以及患者在手术过程中所遇到的不适程度。

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

    公开(公告)号:US6056687A

    公开(公告)日:2000-05-02

    申请号:US984976

    申请日:1997-12-04

    IPC分类号: A61F5/37 A61F2/00

    CPC分类号: A61F2/0009 Y10S128/25

    摘要: A device for treating leakage from an external orifice in the body of a patient 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: 一种用于治疗来自患者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表面,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。

    Urinary continence device and methods for urinary control
    5.
    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。

    Device for alleviating urinary incontinence
    6.
    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。

    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。

    Anastomosis device having improved safety features
    10.
    发明授权
    Anastomosis device having improved safety features 有权
    具有改善的安全特征的吻合装置

    公开(公告)号:US08066725B2

    公开(公告)日:2011-11-29

    申请号:US11873888

    申请日:2007-10-17

    IPC分类号: A61B17/08

    摘要: An anastomosis device providing increased functionality, reliability and safety through the use of designs addressing potential puncture of an inflation balloon being used to hold and approximate tissue. The anastomosis device can include bladder retention structures configured to engage and retain tissue without pointed or sharpened surfaces that can rupture the inflation balloon. The anastomosis device can include a reinforced or otherwise protected inflation balloon to resist puncturing by a bladder retention structure. The anastomosis device can include a catheter wall profile selected to physically prevent bladder retention structures from being forcibly bent back so as to avoid potential contact with and puncture of the inflation balloon. The anastomosis device can include a catheter funnel with an internal spring for preventing kinking of the catheter lumen while providing for flexibility and stretch of the funnel to absorb pulling or shock force which can rupture the inflation balloon.

    摘要翻译: 一种吻合装置,通过使用针对用于保持和近似组织的充气球囊的潜在穿刺的设计来提供增强的功能性,可靠性和安全性。 吻合装置可以包括构造成接合和保持组织的膀胱保持结构,而没有可以破裂充气气球的尖锐或锐化的表面。 吻合装置可以包括加强的或以其他方式保护的充气气囊以抵抗由膀胱保持结构引起的穿刺。 吻合装置可以包括选择用于物理地防止膀胱保持结构被强制弯曲的导管壁轮廓,以避免膨胀球囊的潜在接触和穿刺。 吻合装置可以包括具有用于防止导管内腔扭结的内部弹簧的导管漏斗,同时提供漏斗的柔性和拉伸以吸收可以破坏充气气囊的拉力或冲击力。