Artificial urinary diversion device

• US 20070073413A1
• Filed: 10/24/2006
• Published: 03/29/2007
• Est. Priority Date: 03/18/1999
• Status: Abandoned Application

• Current Assignee: Dritte Patentportfolio Beteiligungsgeselischaft Mbh & Co. KG
• Original Assignee: Dritte Patentportfolio Beteiligungsgeselischaft Mbh & Co. KG
• Inventors: Jocham, Dieter, Wassermann, Helmut
• Application Number:
  US11/586,280
• Publication Number:
  US 20070073413A1
• Time in Patent Office: Days
• US Class Current: 623/23.650
• CPC Class Codes: A61F 2/02 Prostheses implantable into the body closure means for urethra or rectum or for artificial body openings therefor A61F2/0004
• CPC Class Codes: A61F 2/042 Urinary bladders

Abstract

An artificial urinary diversion device containing a urinary bladder is provided including first, second and third portions having respective cross-sectional surfaces such that the second portion is disposed between the first and third portions, and the first and second cross-sectional surfaces are smaller than the third cross-sectional surfaces, and a dislocator for sensing or controlling the artificial urinary diversion device.

Claims

1. An artificial urinary diversion device comprising a urinary bladder, having an axial direction and comprising at least one first portion having a plurality of first cross-sectional areas perpendicular to said axial direction defining both the outer surface and the inner volume of said first portion, said at least one first portion including at least one largest first cross-sectional area and at least one outlet, at least one second portion having a plurality of second cross-sectional areas perpendicular to said axial direction defining both the outer surface and the inner volume of said second portion, said at least one second portion including at least one largest second cross-sectional area, and at least one third portion having a plurality of third cross-sectional areas perpendicular to said axial direction defining both the outer surface and the inner volume of said at least one third portion, said at lest one third portion including at least one largest third cross-sectional area and at least one inlet for attachment to the renal urethra of a patient, said at least one second portion being arranged between said at least one first portion and said at least one third portion, a sphincter mechanism for opening and closing said at least one outlet and being disposed at at least one of said at least one first, second or third portions, and control means for controlling said opening and closing of said sphincter mechanism for emptying said urinary bladder.

2. The artificial urinary diversion device according to claim 1 wherein said largest first cross-sectional area is larger than said largest second cross-sectional area.

3. The artificial urinary diversion device according to claim 1 including fluid guidance means for guiding fluid from said urinary bladder through said at least one third portion, said at least one second portion and said at least one first portion.

4. The urinary diversion device according to claim 1 including an actuator for actuating said urinary bladder.

5. The artificial urinary diversion device according to claim 4 wherein said actuator comprises a pump.

6. The artificial urinary diversion device according to claim 5 wherein said pump is disposed in said at least one third portion.

7. The artificial urinary diversion device according to claim 5 wherein said pump comprises a telescopic pump device.

8. The artificial urinary diversion device according to claim 5 wherein said pump comprises a leveler pump including two chambers.

9. The artificial urinary diversion device according to claim 5 wherein said pump comprises a screw pump.

10. The artificial urinary diversion device according to claim 1 including control means for controlling said sphincter mechanism.

11. The artificial urinary diversion device according to claim 10 including a pump, wherein said control means controls said pump.

12. The artificial urinary diversion device according to claim 11 including secondary batteries, and wherein said control means controls the recharge of said secondary batteries.

13. The artificial urinary diversion device according to claim 1 including a sensor system for monitoring the filling level of said urinary bladder.

14. The artificial urinary diversion device according to claim 13 including signal means whereby said sensor system produces a signal when reaching a predetermined filling level of said urinary bladder.

15. The artificial urinary diversion device according to claim 14 wherein said signal comprises an audible or a vibratory signal.

16. The artificial urinary diversion device according to claim 13 wherein said sensor system is controlled by the nerves responsible for natural urinary bladder control.

17. The artificial urinary diversion device according to claim 1 including a power supply.

18. The artificial urinary diversion device according to claim 17 including an external recharge device whereby said external recharge device cooperates with said power supply.

19. The artificial urinary diversion device according to claim 18 wherein said external recharge device cooperates inductively with said power supply.

20. The artificial urinary diversion device according to claim 17 wherein said power supply comprises primary batteries integrated into said artificial urinary diversion device.

21. The artificial urinary diversion device according to claim 1 including an actor system for executing the removal of urine from said artificial urinary diversion device.

22. The artificial urinary diversion device according to claim 1 wherein said at least one third portion is divided into two parts which can be separated from each other depending on the filling level of said urinary bladder.

23. The artificial urinary diversion device according to claim 1 wherein said at least one third portion includes either one or two inlets.

24. The artificial urinary diversion device according to claim 1 including at least one anti-reflux valve.

25. The artificial urinary diversion device according to claim 24 wherein said at least one anti-reflux valve is disposed in said at least one third portion.

26. The artificial urinary diversion device according to claim 1 including a fixing element for fixing said artificial urinary diversion device within said patient.

27. The artificial urinary diversion device according to claim 26 including a dovetail joint, and wherein said fixing element is connected with said artificial urinary diversion device by means of said dovetail joint.

28. The artificial urinary diversion device according to claim 26 including a guide rail means whereby said fixing element can be removably included and locked at a predetermined position.

29. The artificial urinary diversion device according to claim 28 wherein said guide rail means is integrated into said at least one third portion.

30. The artificial urinary diversion device according to claim 26 wherein said fixing element comprises a splay or expanding element.

31. The artificial urinary diversion device according to claim 26 wherein said fixing element is composed of a biocompatible, elastic material.

32. The artificial urinary diversion device according to claim 31 wherein said biocompatible, elastic material comprises silicone.

33. An artificial organ having an axial direction and comprising at least a first portion having a first cross-sectional surface perpendicular to said axial direction, a second portion having a second cross-sectional surface perpendicular to said axial direction, and a third portion having a third cross-sectional surface perpendicular to said axial direction, an inlet to said artificial organ, an outlet from said artificial organ, electronic operating means disposed within said artificial organ for operating preselected functions of said artificial organ, and a dislocation device for sensing or controlling said electronic operating means, said dislocation device being disposed remotely from said artificial organ.

34. The artificial organ according to claim 33 wherein said dislocation device includes control means.

35. The artificial organ according to claim 34 including a pump, and wherein said control means controls said pump.

36. The artificial organ according to claim 35 including secondary batteries and wherein said control means controls the recharge of said secondary batteries.

37. The artificial organ according to claim 33 including a sensor system for monitoring said electronic operating means.

38. The artificial organ according to claim 37 including signal means whereby said sensor system produces a signal when reaching a predetermined parameter for said electronic operating means.

39. The artificial organ according to claim 38 wherein said signal comprises an audible or a vibratory signal.

40. The artificial organ according to claim 33 including a power supply.

41. The artificial organ according to claim 40 including an external recharge device whereby said external recharge device cooperates with said power supply.

42. The artificial organ according to claim 41 wherein said external recharge device cooperates inductively with said power supply.

43. The artificial organ according to claim 40 wherein said power supply comprises secondary batteries integrated into said artificial organ.

44. The artificial organ according to claim 40 wherein said power supply comprises primary batteries integrated into said artificial organ.

45. The artificial organ according to claim 41 wherein said external recharge device is disposed within said dislocation device.

46. The artificial organ according to claim 45 wherein said dislocation device includes a display for indicating said dislocation.

47. The artificial organ according to claim 46 wherein said display includes a level indicator for a fluid level within said artificial organ.

48. The artificial organ according to claim 33 wherein said dislocation device comprises an abdominal bandage and includes a separate control mechanism.

49. The artificial organ according to claim 33 wherein said dislocation device is integrated into a garment.

50. The artificial organ according to claim 46 including an ultrasonic transmitter and a receiver device for controlling said display.

51. The artificial organ according to claim 50 wherein said ultrasonic transmitter and receiver device includes external Reed contacts, a Hall generator, and a charging current unit of measurement or a power sensor.

52. The artificial organ according to claim 33 including an actor system for executing the removal of a liquid from said artificial organ.

53. The artificial organ according to claim 33 including a fixing element for fixing said artificial organ within a patient.

54. The artificial organ according to claim 53 including a dovetail joint, and wherein said fixing element is connected with said artificial organ by means of said dovetail joint.

55. The artificial organ according to claim 53 including guide rail means whereby said fixing element can be removably included and locked at a predetermined position.

56. An artificial urinary diversion device containing a urinary bladder, having an axial direction and comprising at least one first portion having a first cross-sectional surface perpendicular to said axial direction and including at least one outlet, a second portion having a second cross-sectional surface perpendicular to said axial direction, and a third portion having a third cross-sectional surface perpendicular to said axial direction, and including at least one inlet for accommodating said urinary bladder, said second portion being arranged between said first portion and said third portion, said first and second cross-sectional surfaces being smaller than said third cross-sectional surface, and a dislocation device for sensing or controlling said artificial urinary diversion device.

57. The artificial urinary diversion device according to claim 56 including fluid guidance means for guiding a fluid from said urinary bladder through said third portion, said second portion, and said first portion.

58. The artificial urinary diversion device according to claim 56 including an actuator for actuating said urinary bladder.

59. The artificial urinary diversion device according to claim 58 wherein said actuator comprises a pump.

60. The artificial urinary diversion device according to claim 59 wherein said pump is disposed in said third portion.

61. The artificial urinary diversion device according to claim 56 including a sphincter mechanism.

62. The artificial urinary diversion device according to claim 61 wherein said sphincter mechanism is disposed in said first portion.

63. The artificial urinary diversion device according to claim 56 wherein said dislocation device includes control means.

64. The artificial urinary diversion device according to claim 63 including a sphincter mechanism, and wherein said control means controls said sphincter mechanism.

65. The artificial urinary diversion device according to claim 63 including a pump, and wherein said control means controls said pump.

66. The artificial urinary diversion device according to claim 63 including secondary batteries, and wherein said control means controls the recharge of said secondary batteries.

67. The artificial urinary diversion device according to claim 56 including a sensor system for monitoring the filling level of said urinary bladder.

68. The artificial urinary diversion device according to claim 67 including signal means whereby said sensor system produces a signal when reaching a predetermined filling level of said urinary bladder.

69. The artificial urinary diversion device according to claim 68 wherein said signal comprises an audible or a vibratory signal.

70. The artificial urinary diversion device according to claim 67 wherein said sensor system is controlled by the nerves responsible for natural urinary bladder control.

71. The artificial urinary diversion device according to claim 56 including a power supply.

72. The artificial urinary diversion device according to claim 71 including an external recharge device whereby said external recharge device cooperates with said power supply.

73. The artificial urinary diversion device according to claim 72 wherein said external recharge device cooperates inductively with said power supply.

74. The artificial urinary diversion device according to claim 71 wherein said power supply comprises secondary batteries integrated into said artificial urinary diversion device.

75. The artificial urinary diversion device according to claim 71 wherein said power supply comprises primary batteries integrated into said artificial urinary diversion device.

76. The artificial urinary diversion device according to claim 72 wherein said external recharge device is disposed in said dislocation device.

77. The artificial urinary diversion device according to claim 76 wherein said dislocation device includes a display for indicating said dislocation.

78. The artificial urinary diversion device according to claim 77 wherein said display includes a level indicator.

79. The artificial urinary diversion device according to claim 76 wherein said dislocation device comprises an abdominal bandage and includes a separate control mechanism.

80. The artificial urinary diversion device according to claim 56 wherein said dislocation device is integrated into a garment.

81. The artificial urinary diversion device according to claim 77 including an ultrasonic transmitter and a receiver device for controlling said display.

82. The artificial urinary diversion device according to claim 81 wherein said ultrasonic transmitter and receiver device includes external Reed contacts, a Hall generator, and a charging current unit of measurement or a power sensor.

83. The artificial urinary diversion device according to claim 56 including an actor system for executing the removal of urine from said artificial urinary diversion device.

84. The artificial urinary diversion device according to claim 56 including at least one anti-reflux valve.

85. The artificial urinary diversion device according to claim 83 wherein said actor is controlled by an encoded signal.

86. A method for implanting the artificial urinary diversion device of claim 56 including the steps of:

(a) selecting a modular unit which has an external contour corresponding to said artificial urinary diversion device;

(b) exchanging said modular unit for one of said first, second or third portions to obtain a matching implantable artificial urinary diversion device;

(c) assembling said artificial urinary diversion device in correspondence with said modular unit; and

(d) implanting said assembled artificial urinary diversion device.