METHOD FOR CONTROLLING FLOW IN A BODILY ORGAN

• US 20110066254A1
• Filed: 04/12/2010
• Published: 03/17/2011
• Est. Priority Date: 10/11/2007
• Status: Active Grant

• Current Assignee: Kirk Promotion Ltd.
• Original Assignee: Kirk Promotion Ltd.
• Inventors: FORSELL, Peter
• Granted Patent: US 8,992,409 B2
• Time in Patent Office: Days
• US Class Current: 623/23.64
• CPC Class Codes: A61F 2/04 Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts A61F2/18, A61F2/20 take precedence; devices, other than stent-grafts, providing patency to, or preventing collapsing of, tubular structures of the body other than stent-grafts, e.g. stents A61F2/82; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95
• CPC Class Codes: A61F 2002/045 Stomach, intestines
• CPC Class Codes: A61M 2205/8243 by induction
• CPC Class Codes: A61M 60/148 in line with a blood vessel using resection or like techniques, e.g. permanent endovascular heart assist devices
• CPC Class Codes: A61M 60/161 mechanically acting upon the outside of the patient's blood vessel structure, e.g. compressive structures placed around a vessel
• CPC Class Codes: A61M 60/196 replacing the entire heart, e.g. total artificial hearts [TAH]
• CPC Class Codes: A61M 60/268 the displacement member being flexible, e.g. membranes, diaphragms or bladders
• CPC Class Codes: A61M 60/284 Linear peristaltic pumps
• CPC Class Codes: A61M 60/289 Devices for mechanical circulatory actuation assisting the residual heart function by means mechanically acting upon the patient's native heart or blood vessel structure, e.g. direct cardiac compression [DCC] devices
• CPC Class Codes: A61M 60/427 the force acting on the blood contacting member being hydraulic or pneumatic
• CPC Class Codes: A61M 60/468 the force acting on the actuation means being hydraulic or pneumatic
• CPC Class Codes: A61M 60/515 Regulation using real-time patient data
• CPC Class Codes: A61M 60/531 using blood pressure data, e.g. from blood pressure sensors
• CPC Class Codes: A61M 60/538 Regulation using real-time blood pump operational parameter data, e.g. motor current
• CPC Class Codes: A61M 60/859 Connections therefor
• CPC Class Codes: A61M 60/873 specially adapted for wireless or transcutaneous energy transfer [TET], e.g. inductive charging
• CPC Class Codes: A61N 1/0507 Electrodes for the digestive system
• CPC Class Codes: A61N 1/0509 Stomach and intestinal electrodes
• CPC Class Codes: A61N 1/0517 Esophageal electrodes
• CPC Class Codes: A61N 1/0521 Genital electrodes
• CPC Class Codes: A61N 1/056 : Transvascular endocardial electrode systems
• CPC Class Codes: A61N 1/36007 : of urogenital or gastrointestinal organs, e.g. for incontinence control
• CPC Class Codes: A61N 1/3605 : Implantable neurostimulators for stimulating central or peripheral nerve system
• CPC Class Codes: A61N 1/36085 : Eating disorders or obesity
• CPC Class Codes: A61N 1/36107 : Sexual dysfunction stimulating genital organs A61N1/36007
• CPC Class Codes: A61N 1/36514 : controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by two or more physical parameters A61N1/36585
• CPC Class Codes: A61N 1/36564 : controlled by blood pressure
• CPC Class Codes: A61N 1/36578 : controlled by mechanical motion of the heart wall, e.g. measured by an accelerometer or microphone
• CPC Class Codes: A61N 1/403 : for thermotherapy, e.g. hyperthermia

Abstract

There is provided a method for controlling a flow of fluid and/or other bodily matter in a lumen formed by a tissue wall of a patient'"'"'s organ. The method comprises gently constricting (i.e., without substantially hampering the blood circulation in the tissue wall) at least one portion of the tissue wall to influence the flow in the lumen, and stimulating the constricted wall portion to cause contraction of the wall portion to further influence the flow in the lumen. The method can be used for restricting or stopping the flow in the lumen, or for actively moving the fluid in the lumen, with a low risk of injuring the organ. Such an organ may be the esophagus, stomach, intestines, urine bladder, urethra, ureter, renal pelvis, aorta, corpus cavernosum, exit veins of erectile tissue, uterine tube, vas deferens or bile duct, or a blood vessel.

Claims

10. A method for controlling a flow of fluid and/or other bodily matter in a lumen formed by a tissue wall of a patient'"'"'s organ, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the organ,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the organ,

using the constriction device to gently constrict the wall portion of the organ to influence the flow in the lumen, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further influence the flow in the lumen.

11. A method for controlling a flow of fluid and/or other bodily matter in a lumen formed by a tissue wall of a patient'"'"'s organ, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the organ,

placing a stimulation device in the dissected area in operative engagement with the organ, and

using the stimulation device to stimulate the wall portion to cause contraction of the wall portion to influence the flow in the lumen.

12. A method for controlling a flow of fluid and/or other bodily matter in a lumen formed by a tissue wall of a patient'"'"'s organ, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the organ,

placing a constriction device in the dissected area in operative engagement with the organ,

using the constriction device to constrict the wall portion of the organ to influence the flow in the lumen.

13. A method for controlling a flow of fluid and/or other bodily matter in a lumen formed by a tissue wall of a patient'"'"'s organ, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the organ,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the organ,

using the constriction device to gently constrict the wall portion of the organ to influence the flow in the lumen, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further influence the flow in the lumen.

14. A method for controlling a flow of fluid and/or other bodily matter in a lumen formed by a tissue wall of a patient'"'"'s organ, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the organ,

placing a stimulation device in the dissected area in operative engagement with the organ, and

using the stimulation device to stimulate the wall portion to cause contraction of the wall portion to influence the flow in the lumen.

15. A method for controlling a flow of fluid and/or other bodily matter in a lumen formed by a tissue wall of a patient'"'"'s organ, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the organ,

placing a a constriction device in the dissected area in operative engagement with the organ, and

using the constriction device to constrict the wall portion of the organ to influence the flow in the lumen.

17. A method for controlling a flow of intestinal contents in the intestinal passageway of a patient'"'"'s intestines, the method comprising (a) gently constricting at least one portion of the tissue wall of the patient'"'"'s intestines to influence the flow of intestinal contents in the intestinal passageway, and (b) stimulating the constricted wall portion to cause contraction of the wall portion to further influence the flow in the intestinal passageway.

18. The method according to claim 17, wherein step (a) is performed by constricting the wall portion, so that the flow of intestinal contents in the intestinal passageway is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of intestinal contents in the intestinal passageway is further restricted but not stopped.

19. The method according to claim 17, wherein step (a) is performed by constricting the wall portion, so that the flow of intestinal contents in the intestinal passageway is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of intestinal contents in the intestinal passageway is stopped.

20. The method according to claim 17, wherein step (a) is performed by constricting the wall portion, so that the flow of intestinal contents in the intestinal passageway is stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of intestinal contents in the intestinal passageway remains stopped when a pressure increase occurs in the lumen.

21. The method according to claim 17, wherein steps (a) and (b) are co-operated to move the intestinal contents in the intestinal passageway.

22. The method according to claim 21, wherein step (a) is performed by constricting the wall portion to restrict the flow in the intestinal passageway, and step (b) is performed by progressively stimulating the constricted wall portion to cause progressive contraction of the wall portion to move the intestinal contents in the intestinal passageway.

23. A method for controlling a flow of intestinal contents in the passageway of a patient'"'"'s intestines, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the intestines,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the intestines,

using the constriction device to gently constrict the wall portion of the intestines to influence the flow in the intestinal passageway, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further influence the flow in the intestinal passageway.

24. A method for controlling a flow of intestinal contents in the passageway of a patient'"'"'s intestines, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the intestines,

placing a stimulation device in the dissected area in operative engagement with the intestines, and

using the stimulation device to stimulate the wall Portion to cause contraction of the wall portion to influence the flow in the intestinal passageway.

25. A method for controlling a flow of intestinal contents in the passageway of a patient'"'"'s intestines, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the intestines,

placing a constriction device in the dissected area in operative engagement with the intestines,

using the constriction device to constrict the wall portion of the intestines to influence the flow in the intestinal passageway.

26. A method for controlling a flow of intestinal contents in the passageway of a patient'"'"'s intestines, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the intestines,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the intestines,

using the constriction device to gently constrict the wall portion of the intestines to influence the flow in the intestinal passageway, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further influence the flow in the intestinal passageway.

27. A method for controlling a flow of intestinal contents in the passageway of a patient'"'"'s intestines, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the intestines,

placing a stimulation device in the dissected area in operative engagement with the intestines, and

using the stimulation device to stimulate the wall portion to cause contraction of the wall portion to influence the flow in the intestinal passageway.

28. A method for controlling a flow of intestinal contents in the passageway of a patient'"'"'s intestines, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the intestines,

placing a constriction device in the dissected area in operative engagement with the intestines, and

using the constriction device to constrict the wall portion of the intestines to influence the flow in the intestinal passageway.

30. A method for controlling a flow of urine in the urinary passageway of a patient'"'"'s urethra, ureter, renal pelvis or bladder, the method comprising (a) gently constricting at least one portion of the tissue wall of the patient'"'"'s urethra, ureter, renal pelvis or bladder to influence the flow of urine in the urinary passageway, and (b) stimulating the constricted wall portion to cause contraction of the wall portion to further influence the flow in the urinary passageway.

31. The method according to claim 30, wherein step (a) is performed by constricting the wall portion, so that the flow of urine in the urinary passageway is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of urine in the urinary passageway is further restricted but not stopped.

32. The method according to claim 30, wherein step (a) is performed by constricting the wall portion, so that the flow of urine in the urinary passageway is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of urine in the urinary passageway is stopped.

33. The method according to claim 30, wherein step (a) is performed by constricting the wall portion, so that the flow of urine in the urinary passageway is stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of urine in the urinary passageway remains stopped when a pressure increase occurs in the urinary passageway.

34. The method according to claim 30, wherein steps (a) and (b) are co-operated to move the urine in the urinary passageway.

35. The method according to claim 34, wherein step (a) is performed by constricting the wall portion to restrict the flow in the urinary passageway, and step (b) is performed by progressively stimulating the constricted wall portion to cause progressive contraction of the wall portion to move the urine in the urinary passageway.

36. A method for controlling a flow of urine in the passageway of a patient'"'"'s urethra, ureter, renal pelvis or bladder, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the urethra, ureter, renal pelvis or bladder,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the urethra, ureter, renal pelvis or bladder,

using the constriction device to gently constrict the wall portion of the urethra, ureter, renal pelvis or bladder to influence the flow in the urinary passageway, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further influence the flow in the urinary passageway.

37. A method for controlling a flow of urine in the passageway of a patient'"'"'s urethra, ureter, renal pelvis or bladder, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the urethra, ureter, renal pelvis or bladder,

placing a stimulation device in the dissected area in operative engagement with the urethra, ureter, renal pelvis or bladder, and

using the stimulation device to stimulate the wall portion to cause contraction of the wall portion to influence the flow in the urinary passageway.

38. A method for controlling a flow of urine in the passageway of a patient'"'"'s urethra, ureter, renal pelvis or bladder, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the urethra, ureter, renal pelvis or bladder,

placing a constriction device in the dissected area in operative engagement with the urethra, ureter, renal pelvis or bladder,

using the constriction device to constrict the wall portion of the urethra, ureter, renal pelvis or bladder to influence the flow in the urinary passageway.

39. A method for controlling a flow of urine in the passageway, of a patient'"'"'s urethra, ureter, renal pelvis or bladder, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the urethra, ureter, renal pelvis or bladder,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the urethra, ureter, renal pelvis or bladder,

using the constriction device to gently constrict the wall portion of the urethra, ureter, renal pelvis or bladder to influence the flow in the urinary passageway, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further influence the flow in the urinary passageway.

40. A method for controlling a flow of urine in the passageway of a patient'"'"'s urethra, ureter, renal pelvis or bladder, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the urethra, ureter, renal pelvis or bladder,

placing a stimulation device in the dissected area in operative engagement with the urethra, ureter, renal pelvis or bladder, and

using the stimulation device to stimulate the wall portion to cause contraction of the wall portion to influence the flow in the urinary passageway.

41. A method for controlling a flow of urine in the passageway of a patient'"'"'s urethra, ureter, renal pelvis or bladder, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the urethra, ureter, renal pelvis or bladder,

placing a constriction device in the dissected area in operative engagement with the urethra, ureter, renal pelvis or bladder, and

using the constriction device to constrict the wall portion of the urethra, ureter, renal pelvis or bladder to influence the flow in the urinary passageway.

43. A method for controlling a flow of fluid in a food passageway formed by a tissue wall of a patient'"'"'s stomach, the method comprising a) gently constricting at least one portion of the tissue wall to influence the flow in the stomach, and b) stimulating at least one portion of the tissue wall to cause contraction of the wall portion to further influence the flow in the food passageway.

1. A method for controlling a flow of fluid and/or other bodily matter in a lumen formed by a tissue wall of a patient'"'"'s organ, the method comprising:

a) gently constricting at least one portion of the tissue wall to influence the flow in the lumen, using a constriction device, or

b) stimulating at least one portion of the tissue wall to cause contraction of the wall portion to influence the flow in the lumen, using a stimulation device.

2. The method according to claim 1, wherein step (a) is performed so that the flow in the lumen at least is restricted.

3. The method according to claim 1, wherein step (b) is performed so that the flow in the lumen at least is restricted.

4. The method according to claim 1, comprising the steps of:

a) gently constricting the tissue wall portion to influence the flow in the lumen, and

b) stimulating the constricted wall portion to cause contraction of the wall portion to further influence the flow in the lumen.

5. The method according to claim 4, wherein step (a) is performed by constricting the wall portion, so that the flow in the lumen is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow in the lumen is further restricted but not stopped.

6. The method according to claim 4, wherein step (a) is performed by constricting the wall portion, so that the flow in the lumen is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow in the lumen is stopped.

7. The method according to claim 4, wherein step (a) is performed by constricting the wall portion, so that the flow in the lumen is stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow in the lumen remains stopped when a pressure increase occurs in the lumen.

8. The method according to claim 4, wherein steps (a) and (b) are co-operated to move the fluid and/or other bodily matter in the lumen.

9. The method according to claim 8, wherein step (a) is performed by constricting the wall portion to restrict the flow in the lumen, and step (b) is performed by progressively stimulating the constricted wall portion to cause progressive contraction of the wall portion to move the fluid and/or other bodily matter in the lumen.

44. The method according to claim 43, wherein step (a) is performed by constricting the wall portion, so that the flow in the food passageway is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow in the food passageway is further restricted but not stopped.

45. The method according to claim 43, wherein step (a) is performed by constricting the wall portion, so that the flow in the food passageway is stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow in the food passageway remains stopped when a pressure increase occurs in the food passageway.

46. The method according to claim 43;

wherein steps (a) and (b) are co-operated to move the fluid in the food passageway.

47. The method according to claim 46, wherein step (a) is performed by constricting the wall portion to restrict the flow in the food passageway, and step (b) is performed by progressively stimulating the constricted wall portion to cause progressive contraction of the wall portion to move the fluid in the food passageway.

394. A method of treating a patient having a disorder related to the passageway of the patient'"'"'s intestines, the method comprising the steps of:

i. cutting an opening through the patient'"'"'s skin and abdominal wall and passing a portion of the patient'"'"'s intestines through the opening creating a stoma,

ii. cutting the intestines to separate a short piece of the intestines forming the stoma from the remaining part of the intestines while keeping blood vessels of the mesentery connected to the short piece of the intestines, to ensure blood supply to the short piece of the intestines,

iii. dissecting an area at the short piece of the intestines,

iv. placing an artificial intestinal piece in the dissected area and surgically joining it to the short piece of the intestines and to the remaining part of the intestines to form a continuous passageway of the intestines through the remaining part of the intestines, the artificial intestinal piece and the short piece of the intestines, the artificial intestinal piece forming a selected portion of the patient'"'"'s intestines,

v. providing an apparatus as recited in claim 1,

vi. placing the pump of the apparatus in operative engagement with the artificial intestinal piece, and

vii. using the pump to pump intestinal contents through the passageway of the intestines and out of the stoma.

Intestinal Disorder (V) “

Pump for Emptying Reservoir of Natural Intestine”

44-1. The method according to claim 43, wherein step (a) is performed by constricting the wall portion, so that the flow in the food passageway is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow in the food passageway is stopped.

48. A method for controlling a flow of fluid in a food passageway formed by a tissue wall of a patient'"'"'s stomach, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the stomach,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the stomach,

using the constriction device to gently constrict the wall portion of the stomach to influence the flow in the food passageway, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further influence the flow in the food passageway.

50. The method according to claim 48, wherein the cavity constitutes an abdominal cavity of the patient.

Obesity VBG

49. A method for controlling a flow of fluid in a food passageway formed by a tissue wall of a patient'"'"'s stomach, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the stomach,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the stomach,

using the constriction device to gently constrict the wall portion of the stomach to influence the flow in the food passageway, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further influence the flow in the food passageway.

51. A method for controlling the food flow in the stomach of an obese patient surgically modified by any one of the group of operations called Vertical Banded Gastroplasty, wherein the stomach is compartmentalized into a smaller proximal compartment adjacent the esophagus and a larger distal compartment, the smaller proximal compartment communicating with the larger distal compartment via a narrow outlet opening, the method comprising:

a) gently constricting at least one portion of the tissue wall to influence the flow in a food passageway extending in the smaller proximal compartment through the narrow outlet opening, and

b) stimulating the wall portion of the tissue wall to cause contraction of the wall portion to further influence the flow in the food passageway.

52. The method according to claim 51, wherein step (a) is performed by constricting the wall portion, so that the flow in the food passageway is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow in the food passageway is further restricted but not stopped.

53. The method according to claim 51, wherein step (a) is performed by constricting the wall portion, so that the flow in the food passageway is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow in the food passageway is stopped.

54. The method according to claim 51, wherein step (a) is performed by constricting the wall portion, so that the flow in the food passageway is stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow in the food passageway remains stopped when a pressure increase occurs in the food passageway.

55. The method according to claim 51, wherein steps (a) and (b) are co-operated to move the fluid in the food passageway.

56. The method according to claim 55, wherein step (a) is performed by constricting the wall portion to restrict the flow in the food passageway, and step (b) is performed by progressively stimulating the constricted wall portion to cause progressive contraction of the wall portion to move the fluid in the food passageway.

57. A method for controlling a flow of fluid in a food passageway formed by a tissue wall of the stomach of a patient treated with VBG, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the stomach,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the stomach,

using the constriction device to gently constrict the wall portion of the stomach to influence the flow in the food passageway, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further influence the flow in the food passageway.

59. The method according to claim 57, wherein the cavity constitutes the abdominal cavity.

Male Sexual Dysfunction

58. A method for controlling a flow of fluid in a food passageway formed by a tissue wall of the stomach of a patient treated with VBG, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the stomach,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the stomach,

using the constriction device to gently constrict the wall portion of the stomach to influence the flow in the food passageway, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further influence the flow in the food passageway.

60. A method for treating a male impotent patient, the method comprising stimulating at least one portion of the patient'"'"'s normal penile tissue or the prolongation thereof to at least restrict the blood flow leaving the penis to achieve erection.

61. The method according to claim 60, further comprising a) gently constricting the penile portion or the prolongation thereof to restrict the venous blood flow in the penile portion, and then b) stimulating the constricted penile portion to cause contraction of the penile portion to at least further restrict the blood flow leaving the penis to achieve erection.

62. The method according to claim 61, wherein step (a) is performed by constricting the wall portion, so that the penile venous blood flow is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the penile venous blood flow is further restricted but not stopped.

63. The method according to claim 61, wherein step (a) is performed by constricting the wall portion, so that the penile venous blood flow is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the penile venous blood flow is stopped.

64. The method according to claim 61, wherein step (a) is performed by constricting the wall portion, so that the penile venous blood flow is stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the penile venous blood flow remains stopped when a pressure increase occurs in the penile veins.

65. The method according to claim 61, wherein the penile portion is constricted to a constricted state, in which the blood circulation in the constricted penile portion is substantially unrestricted and the venous blood flow in the penile portion is at least restricted, and the constricted penile portion is stimulated when it is in the constricted state to at least further restrict the venous blood flow in the penile portion.

66. A method for treating a male impotent patient, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the penile portion,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the penile portion,

using the constriction device to gently constrict the penile portion of the penile portion to restrict the venous blood flow in the penile portion, and

using the stimulation device to stimulate the constricted penile portion to cause contraction of the penile portion to further restrict the venous blood flow in the penile portion to achieve erection.

67. A method for treating a male impotent patient, the method comprising the steps of

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the penile portion,

placing a stimulation device in the dissected area in operative engagement with the penile portion, and

using the stimulation device to stimulate the penile portion to cause contraction of the penile portion to restrict the venous blood flow in the penile portion to achieve erection.

68. A method for treating a male impotent patient, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the penile portion,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the penile portion,

using the constriction device to gently constrict the penile portion of the penile portion to restrict the venous blood flow in the penile portion, and

using the stimulation device to stimulate the constricted penile portion to cause contraction of the penile portion to further influence the venous blood flow in the penile portion to achieve erection.

69. A method for treating a male impotent patient, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the penile portion,

placing a stimulation device in the dissected area in operative engagement with the penile portion, and

using the stimulation device to stimulate the penile portion to cause contraction of the penile portion to restrict the venous blood flow in the penile portion to achieve erection.

71. A method for treating sexual dysfunction of a female patient, the method comprising stimulating at least one portion of the patient'"'"'s female erectile tissue to at least restrict the blood flow leaving the erectile tissue to obtain engorgement with blood of the female erectile tissue.

72. The method according to claim 71, further comprising:

a) gently constricting the erectile portion to restrict the venous blood flow in the erectile portion, and then

b) stimulating the constricted erectile portion to cause contraction of the erectile portion to at least further restrict the blood flow leaving the erectile tissue to obtain engorgement with blood of the female erectile tissue.

73. The method according to claim 72, wherein step (a) is performed by constricting the wall portion, so that the venous blood flow in the erectile tissue is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the venous blood flow in the erectile tissue is further restricted but not stopped.

74. The method according to claim 72, wherein step (a) is performed by constricting the wall portion, so that the venous blood flow in the erectile tissue is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the venous blood flow in the erectile tissue is stopped.

75. The method according to claim 72, wherein step (a) is performed by constricting the wall portion, so that the venous blood flow in the erectile tissue is stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the venous blood flow in the erectile tissue remains stopped when a pressure increase occurs in the erectile blood vessels.

76. The method according to claim 72, wherein the erectile portion is constricted to a constricted state, in which the blood circulation in the constricted erectile portion is substantially unrestricted and the venous blood flow in the erectile portion is at least restricted, and the constricted erectile portion is stimulated when it is in the constricted state to at least further restrict the venous blood flow in the erectile portion.

77. A method for treating sexual dysfunction of a female patient, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the I cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the erectile portion,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the erectile portion,

using the constriction device to gently constrict the erectile portion of the erectile portion to restrict the venous blood flow in the erectile portion, and

using the stimulation device to stimulate the constricted erectile portion to cause contraction of the erectile portion to further restrict the venous blood flow in the erectile portion to obtain engorgement with blood of the female erectile tissue.

83. The method according to claim 77, wherein the cavity comprises at least one of an abdominal cavity, a cavity in the pelvic region, a cavity in human soft tissue, or muscle, or fat or fibrotic tissue.

Pregnancy Promotion—

Egg Movement

78. A method for treating sexual dysfunction of a female patient, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the erectile portion,

placing a stimulation device in the dissected area in operative engagement with the erectile portion, and

using the stimulation device to stimulate the erectile portion to cause contraction of the erectile portion to restrict the venous blood flow in the erectile portion to obtain engorgement with blood of the female erectile tissue.

79. A method for treating sexual dysfunction of a female patient, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the erectile portion,

placing a a constriction device in the dissected area in operative engagement with the erectile portion,

using the constriction device to constrict the erectile portion of the erectile portion to restrict the venous blood flow in the erectile portion to obtain engorgement with blood of the female erectile tissue.

80. A method for treating sexual dysfunction of a female patient, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the erectile portion,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the erectile portion,

using the constriction device to gently constrict the erectile portion of the erectile portion to restrict the venous blood flow in the erectile portion, and

using the stimulation device to stimulate the constricted erectile portion to cause contraction of the erectile portion to further influence the venous blood flow in the erectile portion to obtain engorgement with blood of the female erectile tissue.

81. A method for treating sexual dysfunction of a female patient, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the erectile portion,

placing a stimulation device in the dissected area in operative engagement with the erectile portion, and

using the stimulation device to stimulate the erectile portion to cause contraction of the erectile portion to restrict the venous blood flow in the erectile portion to obtain engorgement with blood of the female erectile tissue.

82. A method for treating sexual dysfunction of a female patient, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the erectile portion,

placing a constriction device in the dissected area in operative engagement with the erectile portion, and

using the constriction device to constrict the erectile portion of the erectile portion to restrict the venous blood flow in the erectile portion to obtain engorgement with blood of the female erectile tissue.

84. A method for controlling a flow of eggs in a uterine tube of a female patient, the method comprising:

a) gently constricting at least one portion of the uterine tube wall, to cause contraction of the uterine tube wall portion, to influence the flow of eggs in the uterine tube, using a constriction device, or

b) stimulating at least one portion of the uterine tube wall to cause contraction of the uterine tube wall portion to influence the flow of eggs in the uterine tube, using a stimulation device.

85. The method according to claim 84, wherein step (a) is performed so that the flow of eggs in the uterine tube at least is restricted.

86. The method according to claim 84, wherein step (b) is performed so that the flow of eggs in the uterine tube at least is restricted.

87. The method according to claim 84, comprising the steps of:

a) gently constricting the uterine tube wall portion to influence the flow of eggs in the uterine tube, and

b) stimulating the constricted wall portion to cause contraction of the uterine tube wall portion to further influence the flow of eggs in the uterine tube.

88. The method according to claim 87, wherein step (a) is performed by constricting the wall portion, so that the flow of eggs in the uterine tube is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of eggs in the uterine tube is further restricted but not stopped.

89. The method according to claim 87, wherein step (a) is performed by constricting the wall portion, so that the flow of eggs in the uterine tube is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of eggs in the uterine tube is stopped.

90. The method according to claim 87, wherein step (a) is performed by constricting the wall portion, so that the flow of eggs in the uterine tube is stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of eggs in the uterine tube remains stopped when a pressure increase occurs in the uterine tube.

91. The method according to claim 87, wherein the uterine tube wall portion is constricted to a constricted state, in which the blood circulation in the constricted wall portion is substantially unrestricted and the flow of eggs in the uterine tube is at least restricted, and the constricted wall portion is stimulated when it is in the constricted state to at least further restrict the flow of eggs in the uterine tube.

92. A method for controlling a flow of eggs in a uterine tube formed by a uterine tube wall of a patient'"'"'s uterine tube, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the uterine tube wall of the uterine tube,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the uterine tube,

using the constriction device to gently constrict the uterine tube wall portion of the uterine tube to influence the flow of eggs in the uterine tube, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the uterine tube wall portion to further influence the flow of eggs in the uterine tube.

98. The method according to claim 92, wherein the cavity constitutes at least one of an abdominal cavity, a cavity in the pelvic region, a thoraxial cavity, a cavity in a limb, a cavity in human soft tissue, muscle, fat or fibrotic tissue.

Pregnancy Inhibition or Promotion—

Sperm Movement

93. A method for controlling a flow of eggs in a uterine tube formed by a uterine tube wall of a patient'"'"'s uterine tube, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopic trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the uterine tube wall of the uterine tube,

placing a stimulation device in the dissected area in operative engagement with the uterine tube, and

using the stimulation device to stimulate the uterine tube wall portion to cause contraction of the uterine tube wall portion to influence the flow of eggs in the uterine tube.

94. A method for controlling a flow of eggs in a uterine tube formed by a uterine tube wall of a patient'"'"'s uterine tube, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopic trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the uterine tube wall of the uterine tube,

placing a constriction device in the dissected area in operative engagement with the uterine tube,

using the constriction device to constrict the uterine tube wall portion of the uterine tube to influence the flow of eggs in the uterine tube.

95. A method for controlling a flow of eggs in a uterine tube formed by a uterine tube wall of a patient'"'"'s uterine tube, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the uterine tube wall of the uterine tube,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the uterine tube,

using the constriction device to gently constrict the uterine tube wall portion of the uterine tube to influence the flow of eggs in the uterine tube, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the uterine tube wall portion to further influence the flow of eggs in the uterine tube.

96. A method for controlling a flow of eggs in a uterine tube formed by a uterine tube wall of a patient'"'"'s uterine tube, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the uterine tube wall of the uterine tube,

placing a stimulation device in the dissected area in operative engagement with the uterine tube, and

using the stimulation device to stimulate the uterine tube wall portion to cause contraction of the uterine tube wall portion to influence the flow of eggs in the uterine tube.

97. A method for controlling a flow of eggs in a uterine tube formed by a uterine tube wall of a patient'"'"'s uterine tube, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the uterine tube wall of the uterine tube,

placing a constriction device in the dissected area in operative engagement with the uterine tube, and

using the constriction device to constrict the uterine tube wall portion of the uterine tube to influence the flow of eggs in the uterine tube.

99. A method for controlling a flow of sperms in a uterine tube of a female patient, the method comprising:

a) gently constricting at least one portion of the uterine tube wall, to cause contraction of the uterine tube wall portion, to influence the flow of sperms in the uterine tube, using a constriction device, or

b) stimulating at least one portion of the uterine tube wall to cause contraction of the uterine tube wall portion to influence the flow of sperms in the uterine tube, using a stimulation device.

100. The method according to claim 99, wherein step (a) is performed so that the flow of sperms in the uterine tube at least is restricted.

101. The method according to claim 99, wherein step (b) is performed so that the flow of sperms in the uterine tube at least is restricted.

102. The method according to claim 99, comprising the steps of:

a) gently constricting the uterine tube wall portion to influence the flow of sperms in the uterine tube, and

b) stimulating the constricted wall portion to cause contraction of the uterine tube wall portion to further influence the flow of sperms in the uterine tube.

103. The method according to claim 102, wherein step (a) is performed by constricting the wall portion, so that the flow of sperms in the uterine tube is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of sperms in the uterine tube is further restricted but not stopped.

104. The method according to claim 102, wherein step (a) is performed by constricting the wall portion, so that the flow of sperms in the uterine tube is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of sperms in the uterine tube is stopped.

105. The method according to claim 102, wherein step (a) is performed by constricting the wall portion, so that the flow of sperms in the uterine tube is stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of sperms in the uterine tube remains stopped when a pressure increase occurs in the uterine tube.

106. The method according to claim 102, wherein the uterine tube wall portion is constricted to a constricted state, in which the blood circulation in the constricted wall portion is substantially unrestricted and the flow of sperms in the uterine tube is at least restricted, and the constricted wall portion is stimulated when it is in the constricted state to at least further restrict the flow of sperms in the uterine tube.

107. A method for controlling a flow of sperms in a uterine tube formed by a uterine tube wall of a patient'"'"'s uterine tube, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopic trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the uterine tube wall of the uterine tube,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the uterine tube,

using the constriction device to gently constrict the uterine tube wall portion of the uterine tube to influence the flow of sperms in the uterine tube, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the uterine tube wall portion to further influence the flow of sperms in the uterine tube.

113. The method according to claim 107, wherein the cavity constitutes at least one of an abdominal cavity, a cavity in the pelvic region, a tho raxial cavity, a cavity in a limb, a cavity in human soft tissue, muscle, fat or fibrotic tissue.

Blood Flow Control

108. A method for controlling a flow of sperms in a uterine tube formed by a uterine tube wall of a patient'"'"'s uterine tube, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopic trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the uterine tube wall of the uterine tube,

placing a stimulation device in the dissected area in operative engagement with the uterine tube, and

using the stimulation device to stimulate the uterine tube wall portion to cause contraction of the uterine tube wall portion to influence the flow of sperms in the uterine tube.

109. A method for controlling a flow of sperms in a uterine tube formed by a uterine tube wall of a patient'"'"'s uterine tube, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopic trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the uterine tube wall of the uterine tube,

placing a constriction device in the dissected area, in operative engagement with the uterine tube,

using the constriction device to constrict the uterine tube wall portion of the uterine tube to influence the flow of sperms in the uterine tube.

110. A method for controlling a flow of sperms in a uterine tube formed by a uterine tube wall of a patient'"'"'s uterine tube, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the uterine tube wall of the uterine tube,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the uterine tube,

using the constriction device to gently constrict the uterine tube wall portion of the uterine tube to influence the flow of sperms in the uterine tube, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the uterine tube wall portion to further influence the flow of sperms in the uterine tube.

111. A method for controlling a flow of sperms in a uterine tube formed by a uterine tube wall of a patient'"'"'s uterine tube, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the uterine tube wall of the uterine tube,

placing a stimulation device in the dissected area in operative engagement with the uterine tube, and

using the stimulation device to stimulate the uterine tube wall portion to cause contraction of the uterine tube wall portion to influence the flow of sperms in the uterine tube.

112. A method for controlling a flow of sperms in a uterine tube formed by a uterine tube wall of a patient'"'"'s uterine tube, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the uterine tube wall of the uterine tube,

placing a constriction device in the dissected area in operative engagement with the uterine tube, and

using the constriction device to constrict the uterine tube wall portion of the uterine tube to influence the flow of sperms in the uterine tube.

114. A method for controlling a flow of blood and/or other bodily matter in a blood vessel, the method comprising:

a) gently constricting at least one portion of the wall of the blood vessel to influence the flow in the blood vessel, or

b) stimulating the constricted wall portion to cause contraction of the at least one portion of the wall to influence the flow in the blood vessel.

115. The method according to claim 114, further comprising:

a) gently constricting at least one portion of the wall of the blood vessel to influence the flow in the blood vessel, and

b) stimulating the constricted wall portion to cause contraction of the at least one portion of the wall to further influence the flow in the blood vessel.

116. The method according to claim 114, wherein step (a) is performed so that the blood flow in the blood vessel at least is restricted.

117. The method according to claim 114, wherein step (b) is performed so that the blood flow in the blood vessel at least is restricted.

118. The method according to claim 117, wherein step (a) is performed by constricting the wall portion, so that the blood flow in the blood vessel is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the blood flow in the blood vessel is further restricted but not stopped.

119. The method according to claim 117, wherein step (a) is performed by constricting the wall portion, so that the blood flow in the blood vessel is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the blood flow in the blood vessel is stopped.

120. The method according to claim 117, wherein step (a) is performed by constricting the wall portion, so that the blood flow in the blood vessel is stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the blood flow in the blood vessel remains stopped when a pressure increase occurs in the blood vessel.

121. The method according to claim 115, wherein steps (a) and (b) are co-operated to move the blood and/or other bodily matter in the lumen of the blood vessel.

122. The method according to claim 121, wherein step (a) is performed by constricting the wall portion to restrict the flow in the lumen, and step (b) is performed by progressively stimulating the constricted wall portion to cause progressive contraction of the wall portion to move the blood and/or other bodily matter in the lumen of the blood vessel.

123. The method according to claim 114, wherein step (a) is performed by constricting any wall portions of a series of wall portions of the organ'"'"'s tissue wall, respectively.

124. The method according to claim 123, wherein the wall portions of the series of wall portions are successively constricted along the blood vessel to move the fluid and/or other bodily matter in the lumen of the blood vessel or to prevent the fluid and/or other bodily matter to move in the lumen of the blood vessel.

125. The method according to claim 115, wherein step (a) is performed by constricting all of the wall portions of the series of wall portions, and step (b) is performed by stimulating any constricted wall portions so that the wall portions of the series of wall portions are further constricted.

126. The method according to claim 125, wherein the wall portions of the series of wall portions are successively further constricted by the stimulation device along the organ to move the blood and/or other bodily matter in the lumen of the blood vessel or to prevent the blood and/or other bodily matter to move in the lumen of the blood vessel.

127. A method for controlling a flow of blood and/or other bodily matter in a blood vessel, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the wall of the blood vessel,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the blood vessel,

using the constriction device to gently constrict the at least one portion of the wall of the blood vessel to influence the flow in the blood vessel, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the at least one portion of the wall to further influence the flow in the blood vessel.

133. The method according to claim 127, wherein the cavity comprising;

at least one of an abdominal cavity, a cavity in the pelvic region, a thoraxial cavity, a cavity in a limb, a cavity in human soft tissue, or muscle, or fat or fibrotic tissue.

Aneurysm

128. A method for controlling a flow of blood in a blood vessel, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one wall portion of a blood vessel,

placing a flow influence device comprising, a stimulation device in the dissected area in operative engagement with the blood vessel, and

using the stimulation device to stimulate the wall portion of the blood vessel to cause contraction of the wall portion to influence the flow in the blood vessel.

129. A method for controlling a flow of blood in a blood vessel, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one wall portion of the blood vessel,

placing a flow influence device comprising, a constriction device in the dissected area in operative engagement with the blood vessel,

using the constriction device to constrict the wall portion of the blood vessel to influence the flow in the lumen.

130. The method for controlling a flow blood in a lumen formed by a tissue wall of a patient'"'"'s blood vessel, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the blood vessel,

placing a flow influence device comprising, a constriction device and a stimulation device in the dissected area in operative engagement with the blood vessel,

using the constriction device to gently constrict the wall portion of the organ to influence the flow in the lumen of the blood vessel, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion of the blood vessel to further influence the flow in the lumen.

131. A method for controlling a flow of blood in a lumen formed by a tissue wall of a patient'"'"'s blood vessel, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the blood vessel,

placing a flow influence device comprising, a stimulation device in the dissected area in operative engagement with the blood vessel, and

using the stimulation device to stimulate the wall portion to cause contraction of the wall portion of the blood vessel to influence the flow in the lumen.

132. A method for controlling a flow of blood in a lumen formed by a tissue wall of a patient'"'"'s blood vessel, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the blood vessel,

placing a flow influence device comprising, a constriction device in the dissected area in operative engagement with the blood vessel, and

using the constriction device to constrict the wall portion of the blood vessel to influence the flow in the lumen.

134. A method for treating a vascular aneurysm of a blood vessel in a human or mammal patient, the method comprising:

a) gently constricting a portion of the tissue wall of the blood vessel extending along the aneurysm to reduce the bulge of the blood vessel caused by the aneurysm, and

b) stimulating the constricted wall portion of the blood vessel tissue wall to cause contraction of the wall portion to further reduce the bulge of the blood vessel and strengthen the blood vessel tissue wall.

135. The method according to claim 134, further comprising calibrating the reduction of the bulge of the blood vessel by stimulating the constricted wall portion while adjusting the constriction of the wall portion until the desired reduction of the bulge caused by the aneurysm is obtained.

136. The method according to claim 134, further comprising increasing the stimulation intensity of the wall portion in response to a sensed pressure increase in the blood vessel, so that the reduction of the bulge of the blood vessel is maintained.

137. The method according to claim 134, further comprising increasing the stimulation intensity of the wall portion in response to a sensed pressure decrease in the blood vessel or bulge reduction of the aneurysm, so that the blood flow is stopped.

138. A method for treating a vascular aneurysm of a blood vessel in a human or mammal patient, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the abdominal cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the blood vessel,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the blood vessel,

using the constriction device to gently constrict the wall portion of the blood vessel extending along the aneurysm to reduce the bulge of the blood vessel caused by the aneurysm, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further reduce the bulge of the blood vessel and strengthen the blood vessel tissue wall.

144. The method according to claim 138, wherein the cavity comprising;

at least one of an abdominal cavity, a cavity in the pelvic region, a thoraxial cavity, a cavity in a limb, a cavity in human soft tissue such as muscle, fat and fibrotic tissue.

Male Contraception

139. A method for treating a vascular aneurysm of a blood vessel in a human or mammal patient, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the blood vessel,

placing a flow influence device comprising, a stimulation device in the dissected area in operative engagement with the blood vessel, and

using the stimulation device to stimulate the wall portion to cause contraction of the wall portion to reduce the bulge of the blood vessel caused by the aneurysm.

140. A method for treating a vascular aneurysm of a blood vessel in a human or mammal patient, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the blood vessel,

placing a flow influence device comprising, a constriction device in the dissected area in operative engagement with the blood vessel,

using the constriction device to constrict the wall portion of the blood vessel to reduce the bulge of the blood vessel caused by the aneurysm.

141. A method for treating a vascular aneurysm of a blood vessel in a human or mammal patient, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the blood vessel,

placing a flow influence device comprising, a constriction device and a stimulation device in the dissected area in operative engagement with the blood vessel,

using the constriction device to gently constrict the wall portion of the blood vessel to reduce the bulge of the blood vessel caused by the aneurysm, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further reduce the bulge of the blood vessel and strengthen the blood vessel tissue wall.

142. A method for treating a vascular aneurysm of a blood vessel in a human or mammal patient, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the blood vessel,

placing a flow influence device comprising, a stimulation device in the dissected area in operative engagement with the blood vessel, and

using the stimulation device to stimulate the wall portion to cause contraction of the wall portion to reduce the bulge of the blood vessel and strengthen the blood vessel tissue wall.

143. A method for treating a vascular aneurysm of a blood vessel in a human or mammal patient, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the blood vessel,

placing a flow influence device comprising, a constriction device in the dissected area in operative engagement with the blood vessel, and

using the constriction device to constrict the wall portion of the blood vessel to caused by the aneurysm.

145. A male contraception method, comprising influencing the flow of sperms in the lumen of a male patient'"'"'s vas deferens so that any sperm is prevented from flowing from the vas deferens to the male patient'"'"'s urethra, when the patient is sexually active.

146. The method according to claim 145, wherein the flow influencing step comprises restricting the lumen of the vas deferens in the region downstream the ampulla, so that any sperm is prevented from flowing in the vas deferens lumen.

147. The method according to claim 145, further comprising providing a constriction device configured to constrict the vas deference, and operating the constriction device to constrict the vas deferens to restrict the vas deferens lumen so that any sperm is prevented from flowing in the vas deferens lumen.

148. The method according to claim 145, further comprising providing a stimulation device configured to stimulate the vas deference, and operating the stimulation device to constrict the vas deferens to restrict the vas deferens lumen so that any sperm is prevented from flowing in the vas deferens lumen.

149. The method according to claim 145, wherein the flow influencing step comprises:

a) gently constricting at least one portion of a tissue wall of vas deferens to influence the flow in the vas deferens, using a constriction device, or

b) stimulating at least one portion of the tissue wall of vas deferens to cause contraction of the wall portion of vas deferens, to influence the flow in the vas deferens, using a stimulation device.

150. The method according to claim 149, wherein step (a) is performed so that the flow in the vas deferens at least is restricted.

151. The method according to claim 149, wherein step (b) is performed so that the flow in the vas deferens at least is restricted.

152. The method according to claim 145, wherein the flow influencing step comprises the steps of:

a) gently constricting the tissue wall portion of vas deferens to influence the flow in the lumen, and

b) stimulating the constricted wall portion of vas deferens to cause contraction of the wall portion to further influence the flow in the lumen.

153. The method according to claim 152, wherein step (a) is performed by constricting the wall portion, so that the flow in the vas deferens is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow in the vas deferens is stopped.

154. The method according to claim 152, wherein step (a) is performed by constricting the wall portion, so that the flow in the vas deferens is stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow in the vas deferens remains stopped when a pressure increase occurs in the vas deferens.

155. The method according to claim 152, wherein steps (a) and (b) are co-operated to move a flow of sperms appearing in the vas deferens.

156. The method according to claim 155, wherein step (a) is performed by constricting the wall portion to restrict the flow in the vas deferens in the vas deferens, and step (b) is performed by progressively stimulating the constricted wall portion to cause progressive contraction of the wall portion to move any sperm appearing in the vas deferens lumen.

157. A method for controlling a flow of fluid in the vas deferens of a male patient, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of vas deferens,

placing a constriction device and a stimulation device in the dissected area in operative engagement with vas deferens,

using the constriction device to gently constrict the wall portion of the vas deferens to influence the flow in the vas deferens, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further influence the flow in the vas deferens.

163. The method according to claim 157, wherein the cavity constitutes at least one of an abdominal cavity, a cavity in the pelvic region, a cavity subperitoneally, a cavity in scrotum, a cavity downstream the vas deferens ampulla close to the prostatae, a cavity in human soft tissue, muscle, fat and/or fibrotic tissue.

460. The method of claim 163, wherein a first part of a control unit for controlling at least one energy consuming part of the system is implanted inside the patient'"'"'s body, the method further comprising the step of using an external second part of the control unit adapted to cooperate with the first part from outside the patient'"'"'s body to transmit data to the implanted first part of the control unit.

461. The method of claim 460, wherein the data are transmitted wirelessly via a wireless control signal.

462. The method of claim 460, comprising the step of programming the implanted first part of the control unit via the external second part of the control unit.

463. The method of claim 460, comprising the step of transmitting a feedback signal from the implanted first part of the control unit to the external second part of the control unit.

Sensor

158. A method for controlling a flow of fluid in the vas deferens of a male patient, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of vas deferens,

placing a stimulation device in the dissected area in operative engagement with vas deferens, and

using the stimulation device to stimulate the wall portion to cause contraction of the wall portion to influence the flow in the vas deferens.

164. The method according to claim 158, wherein the step of placing the device involves placing it in operative engagement with vas deferens or it'"'"'s prolongation downstream the ampulla close to the prostate gland, that'"'"'s to say downstream the ampulla where the sperm are collected and ready to be released into urethra at the level of the prostate gland, thus achieving a shortterm stop in sperm release into urethra during ejaculation without affecting release from the prostate gland.

Gallstones

159. A method for controlling a flow of fluid in the vas deferens of a male patient, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of vas deferens,

placing a constriction device in the dissected area in operative engagement with vas deferens,

using the constriction device to constrict the wall portion of the vas deferens to influence the flow in the vas deferens.

160. A method for controlling a flow of fluid in the vas deferens of a male patient, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of vas deferens,

placing a constriction device and a stimulation device in the dissected area in operative engagement with vas deferens,

using the constriction device to gently constrict the wall portion of vas deferens to influence the flow in the vas deferens, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further influence the flow in the vas deferens.

161. A method for controlling a flow of fluid in the vas deferens of a male patient, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of vas deferens,

placing a stimulation device in the dissected area in operative engagement with vas deferens, and

using the stimulation device to stimulate the wall portion to cause contraction of the wall portion to influence the flow in the vas deferens.

162. A method for controlling a flow of fluid in the vas deferens of a male patient, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of vas deferens,

placing a a constriction device in the dissected area in operative engagement with vas deferens, and

using the constriction device to constrict the wall portion of vas deferens to influence the flow in the lumen.

165. A method for enhancing the movement of gallstones in the biliary duct of a patient suffering from gallstone trouble, the method comprising a) gently constricting at least one portion of the wall of the patient'"'"'s biliary duct to influence the movement of bile and/or gallstones in the biliary duct, or b) stimulating the constricted wall portion to cause contraction of the wall portion to influence the movement of bile and/or gallstones in the biliary duct.

166. The method according to claim 165, further comprising a) gently constricting at least one portion of the wall of the patient'"'"'s biliary duct to influence the movement of bile and/or gallstones in the biliary duct, and b) stimulating the constricted wall portion to cause contraction of the wall portion to further influence the movement of bile and/or gallstones in the biliary duct.

167. The method according to claim 166, wherein step (a) is performed by constricting the wall portion, so that the movement of bile and/or gallstones in the biliary duct is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the movement of bile and/or gallstones in the biliary duct is further restricted but not stopped.

168. The method according to claim 166, wherein step (a) is performed by constricting the wall portion, so that the movement of bile and/or gallstones in the biliary duct is restricted but not stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the movement of bile and/or gallstones in the biliary duct is stopped.

169. The method according to claim 166, wherein step (a) is performed by constricting the wall portion, so that the movement of bile and/or gallstones in the biliary duct is stopped, and step (b) is performed by stimulating the constricted wall portion to cause contraction thereof, so that the movement of bile and/or gallstones in the biliary duct remains stopped when a pressure increase occurs in the biliary duct.

170. The method according to claim 166, wherein the wall portion is constricted, so that the movement of bile and/or gallstones in the biliary duct at least is restricted and the constricted wall portion is stimulated to at least further restrict the movement of bile and/or gallstones in the biliary duct.

171. The method according to claim 166, wherein steps (a) and (b) are co-operated to move the bile and/or gall stones in the biliary duct.

172. The method according to claim 171, wherein step (a) is performed by constricting the wall portion to restrict the movement of bile and/or gallstones in the biliary duct, and step (b) is performed by progressively stimulating the constricted wall portion to cause progressive contraction of the wall portion to move the bile and/or gall stones in the biliary duct.

173. A method for enhancing the movement of gallstones in the biliary duct of a patient suffering from gallstone trouble, the method comprising the steps of:

inserting a needle like tube into the abdomen of the patients body, using the needle like tube to fill the abdomen with gas thereby expanding the abdominal cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the abdomen,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the tissue wall of the biliary duct,

placing a constriction device and a stimulation device in the dissected area in operative engagement with the biliary duct,

using the constriction device to gently constrict the wall portion of the biliary duct to influence the movement of bile and/or gallstones in the biliary duct, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion to further influence the movement of bile and/or gallstones in the biliary duct.

179. The method according to claim 173, wherein the cavity comprising;

at least one of an abdominal cavity, a cavity in the pelvic region, a thoraxial cavity, a cavity in a limb, a cavity in human soft tissue, or muscle, or fat or fibrotic tissue.

Pregnancy Promotion

174. A method for enhancing the movement of gallstones in the biliary duct of a patient suffering from gallstone trouble, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one wall portion of a biliary duct,

placing a flow influence device comprising, a stimulation device in the dissected area in operative engagement with the biliary duct, and

using the stimulation device to stimulate the wall portion of the biliary duct to cause contraction of the wall portion to influence the movement of bile and/or gallstones in the biliary duct.

175. A method for enhancing the movement of gallstones in the biliary duct of a patient suffering from gallstone trouble, the method comprising the steps of:

inserting a needle like tube into a cavity of the patients body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopical trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one wall portion of the biliary duct,

placing a flow influence device comprising, a constriction device in the dissected area in operative engagement with the biliary duct,

using the constriction device to constrict the wall portion of the biliary duct to influence the movement of bile and/or gallstones in the biliary duct.

176. A method for enhancing the movement of gallstones in the biliary duct of a patient suffering from gallstone trouble, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the biliary duct,

placing a flow influence device comprising, a constriction device and a stimulation device in the dissected area in operative engagement with the biliary duct,

using the constriction device to gently constrict the wall portion of the biliary duct to influence the movement of bile and/or gallstones in the lumen of the biliary duct, and

using the stimulation device to stimulate the constricted wall portion to cause contraction of the wall portion of the biliary duct to further influence the movement of bile and/or gallstones in the biliary duct.

177. A method for enhancing the movement of gallstones in the biliary duct of a patient suffering from gallstone trouble, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the biliary duct,

placing a flow influence device comprising, a stimulation device in the dissected area in operative engagement with the biliary duct, and

using the stimulation device to stimulate the wall portion to cause contraction of the wall portion of the biliary duct to influence the movement of bile and/or gallstones in the biliary duct.

178. A method for enhancing the movement of gallstones in the biliary duct of a patient suffering from gallstone trouble, the method comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the tissue wall of the biliary duct,

placing a flow influence device comprising, a constriction device in the dissected area in operative engagement with the biliary duct, and

using the constriction device to constrict the wall portion of the biliary duct to influence the movement of bile and/or gallstones in the biliary duct.

180. A method for promoting pregnancy of a female patient, comprising the steps of:

restricting the lumen of an oviduct of the patient to accumulate at least one egg released from the ovary in the oviduct for a predetermined period of time, and

ceasing restricting the oviduct lumen to admit the egg in the oviduct to be transported to the uterus, when convenient for the patient to increase the likelihood for getting pregnant.

181. The method according to claim 180, further comprising providing a constriction device configured to constrict a wall portion of the oviduct to restrict or vary the flow in the oviduct and a stimulation device configured to stimulate the constricted wall portion of the oviduct, and controlling the stimulation device to progressively stimulate the constricted wall portion, in the downstream or upstream direction of the oviduct, to cause progressive contraction of the wall portion to move the egg downstream in the oviduct or to prevent further transportation of the egg to the uterus.

182. The method according to claim 180, further comprising only partly restricting the oviduct lumen so that a sperm is able to pass in the oviduct lumen, creating peristaltic wave like movements of a part of the oviduct wall to prevent an egg released from the ovary from being transported in the oviduct lumen to the uterus, accumulating the egg in the oviduct lumen for a predetermined period of time, whereby a sperm appearing in the oviduct lumen is able to reach the egg during the time the egg is accumulated, and ceasing restricting the oviduct lumen to release the egg, so that the egg is allowed to be transported in the oviduct lumen to the uterus.

183. The method according to claim 180, wherein the restricting step is performed postoperatively, further comprising controlling the restricting and ceasing restricting steps from outside the patients body.

184. A method for promoting pregnancy of a female patient, comprising the steps of:

inserting a needle like tube into the abdomen of the patients body,

using the tube like needle like to fill the abdomen with gas thereby expanding the abdominal cavity,

placing at least two laparoscopic trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the abdomen,

inserting at least one dissecting tool through a trocar and dissecting an area of at least one portion of the two oviducts of the patient,

placing two restriction devices on the two oviducts, respectively,

adjusting the restriction devices after the operation at a time convenient to get pregnant,

controlling the adjusting step from outside the patients body, and

post-operatively restricting and releasing the two oviduct lumens to increase the likelihood of getting pregnant.

185. The method of claim 184, wherein the restricting step comprises

restricting the oviduct lumen at a first place of the oviduct to accumulate at least one egg released from the ovary in the oviduct lumen for a predetermined period of time,

restricting the oviduct lumen at a second place of the oviduct,

ceasing restricting the oviduct lumen at the first place of the oviduct, and

allowing the oviduct shorter restriction periods at each restriction place.

186. The method of claim 185, further comprising the step of:

ceasing restricting the oviduct lumen at the second place of the oviduct, allowing transport of the egg down to the uterus.

187. The method of claim 185, further comprising the steps of

restricting the oviduct lumen at a third place of the oviduct,

ceasing restricting the oviduct lumen at the second place of the oviduct,

allowing the oviduct shorter restriction periods at each restriction place.

188. The method of claim 187, further comprising the step of:

ceasing restricting the oviduct lumen at the third place of the oviduct,

allowing transport of the egg down to the uterus.

189. The method of claim 187, further comprising the steps of:

restricting the oviduct lumen at a fourth place of the oviduct,

ceasing restricting the oviduct lumen at the third place of the oviduct,

allowing the oviduct shorter restriction periods at each restriction place.

190. The method of claim 189, further comprising the step of:

ceasing restricting the oviduct lumen at the fourth place of the oviduct,

allowing transport of the egg down to the uterus.

191. The method of claim 184, further comprising:

restricting the oviduct lumen at places on the oviduct in consecutive order starting at a place on the oviduct closest to the ovary,

then restricting the oviduct lumen at any new place on the oviduct one step closer to the uterus, and

overlapping in time the restriction of the oviduct lumen at more than one place on the oviduct to restrict the oviduct lumen without interferring with any egg accumulated in the oviduct lumen.

192. The method of claim 191, further comprising only postoperatively varying the restriction places on the oviduct independently of order, to allow the oviduct to recover or to avoid any damage from the restriction of the oviduct while the oviduct lumen is kept restricted.

193. The method of claim 184, further comprising the following steps:

causing a peristaltic like restriction wave movement of a portion of the oviduct wall to prevent at least one egg appearing in the oviduct lumen from being transported in the oviduct lumen to the uterus while only partly restricting the oviduct lumen,

accumulating the egg in the oviduct lumen for a predetermined period of time,

allowing a sperm to reach the egg during the time the egg is accumulated, and

post-operatively controlling from the outside the human body the oviduct wall wave movement to cease, whereby the egg is released and is transported to the uterus.

194. A method for promoting pregnancy of a female patient, comprising the steps of:

inserting a tube like needle into the abdomen of the patients body,

using the tube like needle like to fill the abdomen with gas thereby expanding the abdominal cavity,

placing at least two laparoscopic trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the abdomen,

inserting at least one dissecting tool through a trocar and dissecting an area of at least one portion of the two oviducts of the patient,

placing two restriction devices on the two oviducts, respectively,

finishing the operation and withdrawing the instruments after eventual suturing, and thereafter postoperatively;

controlling from outside the patient'"'"'s body the restriction devices to restrict the oviduct lumens at a time relevant to achieve pregnancy,

controlling the restriction devices to cause peristaltic like wave movements of portions of the oviduct walls towards the ovary to prevent an egg appearing in the oviduct lumen from being transported to the uterus for a predetermined period of time without fully restricting the oviduct lumen,

accumulating any egg released from the ovary in at least one of the oviduct lumens,

allowing any sperm appearing in the oviduct lumen to reach the egg during the time the egg is accumulated, and

controlling from outside the patient'"'"'s body the restriction devices to cease the peristaltic like wave movements to release the egg in any of the oviduct lumens to allow the egg to be transported in a normal way to the uterus.

195. A method for promoting pregnancy of a female patient, comprising:

restricting the lumen of an oviduct of the patient at places on the oviduct in consecutive order starting at a place on the oviduct closest to the ovary,

then restricting the oviduct lumen at any new place on the oviduct one step closer to the uterus, and

overlapping in time the restriction of the oviduct lumen at more than one place on the oviduct to restrict the oviduct lumen without interferring with any egg accumulated in the oviduct lumen.

196. A method for promoting pregnancy of a female patient, comprising the following steps:

causing a peristaltic like restriction wave movement of a portion of the oviduct wall to prevent at least one egg appearing in the oviduct lumen from being transported in the oviduct lumen to the uterus while only partly restricting the oviduct lumen,

accumulating the egg in the oviduct lumen for a predetermined period of time,

allowing a sperm to reach the egg during the time the egg is accumulated, and

post-operatively controlling from the outside the human body the oviduct wall wave movement to cease, whereby the egg is released and is transported to the uterus.

197. A method for promoting pregnancy of a female patient, comprising the following steps:

restricting a first part of an oviduct lumen of the patient to accumulate at least one egg released from the ovary in the oviduct lumen for a predetermined period of time,

moving the accumulated egg by an implanted movement device away in the oviduct lumen towards the ovary from the restriction area,

allowing a second part of the oviduct lumen closer to the ovary to be restricted without interferring with any accumulated egg

ceasing restricting the first part of the oviduct lumen,

repeating restricting the first part of the oviduct lumen,

ceasing restricting the second part of the oviduct lumen, and

allowing the oviduct to recover between restriction intervals.

Pregnancy Inhibition

198. A pregnancy inhibition method comprising the steps of:

restricting the lumen of an oviduct of the patient to accumulate at least one egg released from the ovary in the oviduct for a predetermined period of time, and

ceasing restricting the oviduct lumen to admit the egg in the oviduct to be transported to the uterus, when convenient for the patient to avoid pregnancy.

70. The method according to claim 201, wherein the cavity comprising;

at least one of an abdominal cavity, a cavity in the pelvic region, a cavity in human soft tissue, or muscle, or fat or fibrotic tissue.

Female Sexual Dysfunction (I)

199. The method according to claim 198, wherein the restricting step is performed so that the lumen of the oviduct is completely closed to stop any sperm from passing in the oviduct lumen.

200. The method according to claim 198, further comprising providing a constriction device configured to constrict a wall portion of the oviduct to restrict or vary the flow in the oviduct and a stimulation device configured to stimulate the constricted wall portion of the oviduct, and controlling the stimulation device to progressively stimulate the constricted wall portion, in the downstream or upstream direction of the oviduct, to cause progressive contraction of the wall portion to move the egg downstream in the oviduct or to prevent further transportation of the egg to the uterus.

201. The method of claim 198, wherein the step of restricting the oviduct lumen is performed postoperatively, further comprising controlling the restricting and ceasing restricting steps from outside the patients body.

203. The method according to claim 198, further comprising the steps of:

restricting the oviduct lumen at a first place of the oviduct to accumulate at least one egg released from the ovary in the oviduct lumen for a predetermined period of time,

restricting the oviduct lumen at a second place of the oviduct,

ceasing restricting the oviduct lumen at the first place of the oviduct, and

allowing the oviduct shorter restriction periods at each restriction place.

204. The method of claim 203, further comprising the steps of:

ceasing restricting the oviduct lumen at the second place of the oviduct, allowing transport of the egg down to the uterus.

205. The method of claim 203, further comprising the steps of:

restricting the oviduct lumen at a third place of the oviduct,

ceasing restricting the oviduct lumen at the second place of the oviduct,

allowing the oviduct shorter restriction periods at each restriction place.

206. The method of claim 205, further comprising:

ceasing restricting the oviduct lumen at the third place of the oviduct,

allowing transport of the egg down to the uterus

207. The method of claim 205, further comprising:

restricting oviduct lumen at a fourth place of the oviduct,

ceasing restricting the oviduct lumen at the third place of the oviduct,

allowing the oviduct shorter restriction periods at each restriction place.

208. The method of claim 207, further comprising:

ceasing restricting the oviduct lumen at the fourth place of the oviduct,

allowing transport of the egg down to the uterus

209. The method of claim 198, further comprising the steps of:

restricting the oviduct lumen at places on the oviduct in consecutive order starting at a place on the oviduct closest to the ovary,

then restricting the oviduct lumen at any new place on the oviduct one step closer to the uterus, and

overlapping in time the restriction of the oviduct lumen at more than one place on the oviduct to restrict the oviduct lumen without interferring with any egg accumulated in the oviduct lumen.

210. The method of claim 198, further comprising the steps of:

causing a peristaltic like restriction wave movement of a portion of the oviduct wall to prevent at least one egg appearing in the oviduct lumen from being transported in the oviduct lumen to the uterus while restricting the oviduct lumen at all times,

accumulating the egg in the oviduct lumen for a predetermined period of time,

preventing any sperm to reach the egg during the time the egg is accumulated, and

post-operatively controlling from the outside the human body the oviduct wall wave movement to cease, whereby the egg is released and is transported to the uterus.

202. A pregnancy inhibition method, comprising the steps of:

inserting a needle like tube into the abdomen of a patients body,

using the tube like needle like to fill the abdomen with gas thereby expanding the abdominal cavity,

placing at least two laparoscopic trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the abdomen,

inserting at least one dissecting tool through a trocar and dissecting an area of at least one portion of the two oviducts of the patient,

placing two restriction devices on the two oviducts, respectively,

adjusting the restriction devices after the operation at a time convenient to avoid pregnancy,

controlling the adjusting step from outside the patients body, and

post-operatively restricting the two oviduct lumens to avoid pregnancy.

211. A pregnancy inhibition method, comprising the steps of:

inserting a tube like needle into the abdomen of the patients body,

using the tube like needle like to fill the abdomen with gas thereby expanding the abdominal cavity,

placing at least two laparoscopic trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the abdomen,

inserting at least one dissecting tool through a trocar and dissecting an area of at least one portion of the two oviducts of the patient,

placing two restriction devices on the two oviducts, respectively,

finishing the operation and withdrawing the instruments after eventual suturing, and thereafter postoperatively;

controlling from outside the patient'"'"'s body the restriction devices to restrict the oviduct lumens at a time relevant to avoid pregnancy,

controlling the restriction devices to cause peristaltic like wave movements of portions of the oviduct walls towards the ovary to prevent an egg appearing in the oviduct lumen from being transported to the uterus for a predetermined period of time,

accumulating any egg released from the ovary in at least one of the oviduct lumens,

preventing any sperm from reaching the egg during the time the egg is accumulated, and

controlling from outside the patient'"'"'s body the restriction devices to cease the peristaltic like wave movements to release the egg in any of the oviduct lumens to allow the egg to be transported in a normal way to the uterus, when the risk of pregnancy is low.

212. A pregnancy inhibition method, comprising the following steps:

restricting a first part of an oviduct lumen of the patient to accumulate at least one egg released from the ovary in the oviduct lumen for a predetermined period of time,

moving the accumulated egg by an implanted movement device away in the oviduct lumen towards the ovary from the restriction area,

allowing a second part of the oviduct lumen closer to the ovary to be restricted without interferring with any accumulated egg

ceasing restricting the first part of the oviduct lumen,

repeating restricting the first part of the oviduct lumen,

ceasing restricting the second part of the oviduct lumen, and

allowing the oviduct to recover between restriction intervals.

213. The method of claim 212, further comprising the steps of:

repeating moving any accumulated egg by the movement device away in the oviduct towards the ovary from the restricted first part,

repeating restricting a second part of the oviduct closer to the ovary without interferring with any accumulated egg.

214. The method of claim 212, further comprising the steps of:

repeating moving any accumulated egg by the movement device away in the oviduct lumen towards the ovary from the restricted first part of the oviduct lumen,

allowing a second part of the oviduct lumen closer to the ovary to be restricted without interferring with any accumulated egg,

repeating ceasing restricting the first part of the oviduct lumen,

repeating all the preceding steps to allow the oviduct to recover between restriction intervals.

Female Sexual Dysfunction (II)

215. A female sexual dysfunction treatment method, comprising providing a stimulation device configured to stimulate a female patient'"'"'s erectile tissue, implanting the stimulation device in the patient'"'"'s body, and operating the stimulation device from outside the patient'"'"'s body to stimulate the erectile tissue so that the erectile blood flow passageway is affected to increase the amount of blood in the female erectile tissue to obtain engorgement with blood of the female erectile tissue.

16. The method according to any claim 228, wherein the cavity constitutes at least one of an abdominal cavity, a cavity in the pelvic region, a thoraxial cavity, a cavity in a limb, a cavity in human soft tissue, muscle, fat or fibrotic tissue.

Intestinal Dysfunction

29. The method according to claim 225, wherein the cavity comprising;

at least one of an abdominal cavity, a cavity in the pelvic region, a thoraxial cavity, a cavity in a limb, a cavity in human soft tissue, or muscle, or fat or fibrotic tissue.

Urinary Dysfunction

42. The method according to claim 225, wherein the cavity constitutes an abdominal cavity or a cavity in the pelvic region.

Obesity AGB

222. The method of claim 215, further comprising using the stimulation device to restrict venous blood flow leaving the female erectile tissue.

223. The method of claim 215, further comprising engaging by the stimulation device at least one venous blood vessel leading from the female erectile tissue, corpus cavernosum, vestibular bulbs or a muscle affecting such blood flow that drains the female erectile tissue, and operating the stimulation device to stimulate venous blood vessel or muscle to temporarily and at least partially restrict the erectile blood flow in the venous blood vessel.

224. The method of claim 215, further comprising providing two or more post-operatively and non-invasively adjustable stimulation devices.

225. The method of claim 215, further comprising generating an alarm signal in response to the lapse of a predetermined time period during which the stimulation device has been operating.

226. The method of claim 215, further comprising operating the stimulation device to stimulate the erectile tissue to increase the arterial blood flow reaching the female erectile tissue to obtain engorgement with blood of the female erectile tissue, wherein the stimulation device is operated to stimulate at least one artery to enlarge the cross-sectional area of the blood flow passageway in the artery, and wherein the stimulation device is configured to stimulate the artery by heating the artery.

227. The method of claim 215, further comprising operating the stimulation device to stimulate a muscle related to the arterial blood flow reaching the female erectile tissue, wherein the stimulation device is operated to stimulate the muscle to cause relaxation of the muscle to increase the arterial blood flow.

228. The method of claim 215, further comprising operating the stimulation device to stimulate a muscle related to the venous blood flow leaving the female erectile tissue, so that the muscle is caused to contract to restrict the erectile venous blood flow.

Female Sexual Dysfunction (III)

216. A female sexual dysfunction treatment method. comprising the steps of:

a) creating an opening in the skin or vaginal wall of a female patient, b) dissecting at least one area of the female erectile tissue, c) placing a stimulation device configured to stimulate the female patient'"'"'s erectile tissue within said area, and d) on patient command, postoperatively operating the stimulation device to stimulate the female erectile tissue to obtain engorgement with blood of the female erectile tissue.

217. The method of claim 216, further comprising post-operatively and non-invasively controlling the stimulation device from outside the body.

218. The method of claim 216, further comprising e) placing a power source for powering the stimulation device within the body, and f) placing a control unit for performing step d) and a rechargeable battery for powering the control unit remote from the stimulation device.

219. The method of claim 218, wherein step (c) includes placing in the patient'"'"'s body an integrated unit comprising the stimulation device and power source.

220. The method of claim 218, wherein step (c) includes placing in the patient'"'"'s body electrical electrodes and an electrical wire connected to the power source.

221. The method of claim 216, wherein step (a) further comprises the steps of:

inserting a tube or needle into the patients body,

filling the body through the tube or needle with a gas and thereby expanding a cavity within the female patients body,

inserting at least two laparoscopic trocars into said cavity,

inserting at least one camera trough at least one laparoscopic trocar, and

inserting at least one dissecting tool through at least one laparoscopic trocar.

229. A female sexual dysfunction treatment method, comprising increasing the amount of blood in a female patient'"'"'s erectile tissue to obtain engorgement with blood of the female erectile tissue.

230. The method of claim 229, further comprising providing an adjustable restriction device configured to restrict the venous blood flow leaving the female erectile tissue, implanting the restriction device in the patient'"'"'s body, and operating the restriction device from outside the patient'"'"'s body

to constrict at least one venous blood vessel, which drains the female erectile tissue, to temporarily and at least partially restrict the venous blood flow leaving the female erectile tissue to obtain engorgement with blood of the female erectile tissue, or

to constrict the female erectile tissue to temporarily and at least partially restrict the venous blood flow leaving the female erectile tissue to obtain engorgement with blood of the female erectile tissue.

231. The method of claim 229, further comprising providing an adjustable restriction device configured to constrict the corpus cavernosum or vestibular bulbs that drains the female erectile tissue tissue to obtain engorgement with blood of the female erectile tissue.

232. The method of claim 229, further comprising the steps of:

a) creating an opening in the skin or vaginal wall of a female patient, b) dissecting at least one area of the female erectile tissue, c) placing a restriction device within said area, and d) postoperatively operating on patient command the restriction device to restrict the female erectile tissue to obtain engorgement with blood of the female erectile tissue.

233. The method of claim 232, further comprising post-operatively and non-invasively controlling the restriction device from outside the body.

234. The method of claim 232, further comprising e) placing a power source for powering the stimulation device within the body, and f) placing a control unit for performing step d) and a rechargeable battery for powering the control unit remote from the stimulation device.

235. The method of claim 234, wherein step (c) includes placing in the patient'"'"'s body an integrated unit comprising the restriction device and power source.

236. The method of claim 234, wherein step (c) includes placing in the patient'"'"'s body electrical electrodes and an electrical wire connected to the power source.

237. The method of claim 232, wherein step (a) further comprises the steps of:

inserting a tube or needle into the patients body,

filling the body through the tube or needle with a gas and thereby expanding a cavity within the female patients body,

inserting at least two laparoscopic trocars into said cavity,

inserting at least one camera trough at least one laparoscopic trocar, and

inserting at least one dissecting tool through at least one laparoscopic trocar.

Intestinal Disorder (I)—

“

Artificial Reservoir”

238. An intestinal disorder treatment method for treating a patient having a disorder related to the patient'"'"'s intestine, comprising providing an artificial or artificially modified reservoir, implanting the reservoir in the patient'"'"'s body, and receiving and temporarily collecting therein intestinal contents.

239. The method of claim 238, further comprising emptying the reservoir while remaining within the patient'"'"'s body.

240. The method of claim 238, further comprising implanting in the patient'"'"'s body an at least partly artificial flow control device and controlling by the control device the flow of intestinal contents from the reservoir.

241. A surgical method of treating a patient, comprising the steps of:

cutting the patient'"'"'s skin and abdominal wall,

dissecting an area of the patient'"'"'s intestine,

surgically creating an opening in the dissected intestinal area,

affixing to the opening a reservoir so as to receive and temporarily collect therein intestinal contents from the patient'"'"'s intestine, involving

introducing a conduit into said opening, further involving

covering at least partly the intestine introduced onto the conduit with a sleeve,

implanting a flow control device so as to permanently reside inside the patient'"'"'s body and adapted to control flow of intestinal contents from the reservoir to outside the patient'"'"'s body, and

suturing the abdominal wall and skin.

249. The method of claim 241, wherein the flow control device comprises an exit valve preventing intestinal contents to flow through the valve in its closed position and wherein the step of implanting the flow control device comprises:

cutting at least one portion of the patient'"'"'s intestine so as to create at least one artificial opening in the intestine downstream of the reservoir,

affixing the exit valve to the artificial intestinal opening, and

connecting the exit valve to a pre-existing opening in the patient'"'"'s body.

250. The method of claim 249, wherein the step of connecting the exit valve to a pre-existing opening in the patient'"'"'s body comprises affixing the exit valve to the patient'"'"'s anus or tissue adjacent the patient'"'"'s anus.

251. The method of claim 249, wherein the step of connecting the exit valve to a pre-existing opening in the patient'"'"'s body comprises affixing the exit valve to a portion of the patient'"'"'s intestine leading to the patient'"'"'s anus.

252. The method of claim 249, wherein the step of connecting the exit valve to a pre-existing opening in the patient'"'"'s body comprises surgically creating an artificial stoma in the patient'"'"'s abdominal wall and skin and affixing the exit valve to the surgically created stoma.

253. The method of claim 252, wherein the step of connecting the exit valve to a pre-existing opening in the patient'"'"'s body comprises surgically creating an intestinal stomy in the patient'"'"'s abdominal wall and skin, affixing the exit valve to a portion of the patient'"'"'s intestine and using that portion of the patient'"'"'s intestine to create the stomy.

Lateral Connection (of Reservoir or Exit Valve) to Intestine

254. The method of claim 241, wherein the step of surgically creating an opening in the dissected intestinal area comprises cutting the artificial intestinal opening at a lateral wall of the intestine so as to create a lateral artificial intestinal opening.

255. The method of claim 254, comprising the step of permanently closing the intestine downstream of the artificial intestinal opening.

By-Pass Connection

256. The method of claim 254, wherein two lateral artificial intestinal openings are cut at different locations of the intestine'"'"'s lateral wall, comprising the further step of either cutting the intestine between the two locations and permanently closing the cut ends or permanently closing the intestine between the two locations, wherein the reservoir is affixed in flow connection intermediate the two artificial intestinal openings.

End-Connection (of Reservoir or Exit Valve;

Sleeve/Bulge Connector)

257. The method of claim 241, wherein the step of surgically creating an opening in the dissected intestinal area comprises cutting the artificial intestine completely in a crosswise direction so as to create at least one artificial opening in the intestine, and wherein the step of affixing to the opening comprises:

connecting a conduit to a section of the intestine by inserting an end of the conduit into the artificial intestinal opening, and

placing a flexible sleeve so as to extend over the intestine and conduit such that at least part of the intestine is located intermediate the sleeve and the outer surface of the conduit.

258. The method of claim 257, wherein the flexible sleeve is mounted on the outer surface of the conduit so as to be foldable upon itself and wherein the step of placing the flexible sleeve so as to extend over the intestine and conduit comprises folding the flexible sleeve upon itself such that at least part of the intestine is located intermediate the folded sleeve.

259. The method of claim 241, wherein the step of surgically creating an opening in the dissected intestinal area comprises cutting the artificial intestine completely in a crosswise direction so as to create at least one artificial opening in the intestine, and wherein the step of affixing to the opening comprises:

connecting a conduit having a bulge formed on the outside thereof to a section of the intestine by inserting an end of the conduit into the artificial intestinal opening so that the intestine extends over the bulge from one side of the bulge, and

advancing a blocking ring over the intestine towards the bulge from the respective other side of the bulge such that the intestine is located intermediate the conduit'"'"'s outer surface and the blocking ring.

External Arrangement of Exit Valve

260. The method of claim 241, wherein the flow control device comprises an exit valve preventing intestinal contents flow through the valve in its closed position and wherein the step of implanting the flow control device comprises placing the exit valve outside and adjacent to a section of the intestine downstream of the reservoir so as to allow acting on said intestine section from the outside thereof by means of the exit valve.

Internal Arrangement of Exit Valve

261. The method of claim 241, wherein the flow control device comprises an exit valve preventing intestinal contents flow through the valve in its closed position and the step of providing the flow control device comprises affixing the exit valve within a section of the intestine downstream of the reservoir so as to allow closing said intestine section by means of the exit valve when the valve is in its closed position.

Bond and Suture Connection

262. The method of claim 241, wherein the step of affixing to the opening comprises bonding an element to the intestine so as to surround and close the artificial intestinal opening.

263. The method of claim 241, wherein the step of affixing to the opening comprises suturing or stapling.

Pump

264. The method of claim 241, wherein the flow control device comprises a pump for emptying the reservoir and wherein the step of implanting the flow control device comprises implanting the pump in the patient'"'"'s abdomen separate from but in close proximity to the reservoir so that it can act on the reservoir from the outside thereof.

265. The method of claim 241, wherein the flow control device comprises a pump for emptying the reservoir and wherein the step of implanting the flow control device comprises implanting the pump in the patient'"'"'s abdomen fixedly connected to the reservoir.

266. The method of claim 241, wherein the flow control device comprises a pump for emptying the reservoir and wherein the step of implanting the flow control device comprises implanting the pump in the reservoir so that it can act on the intestinal contents in the reservoir from the inside the reservoir.

Manual Drive

267. The method of claim 241, wherein the flow control device comprises an actuator for manually driving the pump and wherein the step of implanting the flow control device comprises implanting the actuator subcutaneously so as to be operable from outside the patient'"'"'s body.

Motor

268. The method of claim 241, further comprising the step of implanting at least one motor for automatically driving one or more elements of the flow control device.

Switch

269. The method of claim 268, wherein the motor comprises a manually operable switch for activating the motor, the method further comprising the step of implanting the switch subcutaneously so as to be operable from outside the patient'"'"'s body.

Intestinal Disorder (II)—

“

Artificial Accumulator”

242. A laparoscopic surgical method of treating a patient, comprising the steps of:

introducing a needle in the abdominal cavity,

inflating the abdominal cavity with gas,

inserting at least one trocar into the cavity,

introducing a camera through the trocar,

inserting at least one dissecting instrument preferably through a second trocar,

dissecting an area of the intestine,

surgically creating an opening in the dissected intestinal area,

affixing to the opening an artificial reservoir so as to receive and temporarily collect therein intestinal contents from the patient'"'"'s intestine, involving

introducing a conduit into said opening, further involving

covering at least partly the intestine introduced onto the conduit with a sleeve,

implanting a flow control device so as to permanently reside inside the patient'"'"'s body and be adapted to control flow of intestinal contents from the reservoir to outside the patient'"'"'s body,

connecting the intestine to the artificial reservoir with securing means,

extracting the instruments, camera and trocar, and in relation thereto

suturing, if necessary, the abdominal wall and permanently closing the skin.

243. A surgical method of treating a patient, comprising the steps of:

cutting the patient'"'"'s skin and abdominal wall,

dissecting an area of the patient'"'"'s intestine,

dissecting a portion of the dissected intestinal area such that intestinal mesentery connected thereto is opened in such a way that supply of blood through the mesentery to the dissected intestinal area is maintained as much as possible on both sides of the dissected portion,

dividing the patient'"'"'s intestine in the dissected portion so as to create an upstream part of the intestine with a first intestinal opening and a downstream part of the intestine with a second intestinal opening with the mesentery still maintaining a tissue connection between the upstream and downstream intestine parts,

affixing to the first intestinal opening an artificial reservoir so as to receive and temporarily collect therein intestinal contents from the patient'"'"'s intestine, involving

introducing a conduit into said opening, further involving

covering at least partly the intestine introduced onto the conduit with a sleeve,

affixing the reservoir to the second intestinal opening so as to allow for discharging intestinal contents from the reservoir through the second intestinal opening, involving

introducing a conduit into said opening, further involving

covering at least partly the intestine introduced onto the conduit with a sleeve,

implanting a flow control device so as to permanently reside inside the patient'"'"'s body and be adapted to control flow of intestinal contents from the reservoir through the downstream intestine part, and

suturing the abdominal wall and skin.

245. A surgical method of claim 243, further comprising the steps of:

cutting the patient'"'"'s skin and abdominal wall to create an opening for an intestinal stomy,

dissecting the area of the opening,

dividing the downstream intestine part so as to create at the downstream end of the downstream intestine part a third opening,

dissecting the mesentery of the downstream intestine part in the area of the third opening to prepare for creating the intestinal stomy,

advancing the downstream intestine part through the abdominal wall and skin and

suturing the third opening to the skin with the intestinal mucosa turned inside out, thereby achieving the intestinal stomy.

246. The method of claim 243, further comprising the steps of:

dividing the intestine so as to create an upstream natural intestine section having a cross-sectional opening at the downstream end thereof and a downstream natural intestine section leading to the patient'"'"'s anus,

dissecting the area of the patient'"'"'s anus and surgically separating the downstream natural intestine section from the patient'"'"'s anus, whereas the steps of dividing the intestine and separating the intestine section leading to the patient'"'"'s anus can alternatively be carried out in reversed order,

dissecting the mesentery of the upstream natural intestine section in the area of the cross-sectional opening at the downstream end thereof to prepare for connecting the upstream natural intestine section to the patient'"'"'s anus or tissue adjacent the patient'"'"'s anus,

advancing the downstream end of the upstream natural intestine section through the patient'"'"'s anus, and

suturing the cross-sectional opening of the upstream natural intestine section to the patient'"'"'s anus or tissue adjacent the patient'"'"'s anus.

247. The method of claim 243, wherein the second intestinal opening is created in the patient'"'"'s small intestine.

248. The method of claim 243, wherein the second intestinal opening is created in the patient'"'"'s large intestine.

Exit Valve

244. A laparascopic surgical method of treating a patient, comprising the steps of:

making a small opening in the patient'"'"'s skin and abdominal wall,

introducing a needle in the abdominal cavity,

inflating the abdominal cavity with gas,

inserting at least one trocar into the cavity,

introducing a camera through the trocar,

inserting at least one dissecting instrument preferable through at least a second trocar,

dissecting an area of the intestine,

dissecting a portion of the dissected intestinal area such that intestinal mesentery connected thereto is opened in such a way that supply of blood through the mesentery to the dissected intestinal area is maintained as much as possible on both sides of the dissected portion,

dividing the patient'"'"'s intestine in the dissected portion so as to create an upstream part of the intestine with a first intestinal opening and a downstream part of the intestine with a second intestinal opening with the mesentery still maintaining a tissue connection between the upstream and downstream intestine parts,

affixing to the first intestinal opening an artificial reservoir so as to receive and temporarily collect therein intestinal contents from the patient'"'"'s intestine, involving

introducing a conduit into said opening, further involving

covering at least partly the intestine introduced onto the conduit with a sleeve,

affixing the reservoir to the second intestinal opening so as to allow for discharging intestinal contents from the reservoir through the second intestinal opening, involving

introducing a conduit into said opening, further involving

covering at least partly the intestine introduced onto the conduit with a sleeve,

implanting a flow control device so as to permanently reside inside the patient'"'"'s body and be adapted to control flow of intestinal contents from the reservoir to the downstream intestine part,

connecting the intestine to the artificial reservoir with securing means,

extracting the instruments, camera and trocar, and in relation thereto

suturing, if necessary, the abdominal wall and permanently closing the skin.

270. An intestinal disorder treatment method for treating a patient having a disorder related to the patient'"'"'s intestine, the method comprising:

surgically creating at least one opening in the patient'"'"'s intestine,

providing an artificial intestine section having a first open end portion and a second open end portion in fluid communication with one another,

connecting at least the first open end portion of the artificial intestine section to the surgically created opening in the patient'"'"'s intestine,

implanting an accumulator for accumulating energy,

wirelessly charging the accumulator with energy, and

supplying energy from the accumulator directly or indirectly to at least one energy consuming part of the artificial intestine section.

Method of Treatment (Implantation)

271. A surgical method of treating a patient, comprising the steps of:

cutting the patient'"'"'s skin and abdominal wall,

dissecting an area of the patient'"'"'s intestine,

surgically creating at least one opening in the dissected intestinal area so as to create an artificial intestinal opening,

providing an artificial intestine section having a first open end portion and a second open end portion in flow communication with one another and affixing the first open end portion to the artificial intestinal opening so as to be in flow communication therewith,

providing an accumulator adapted to'"'"'be charged wirelessly with energy from outside the patient'"'"'s body and arranging the accumulator inside the patient'"'"'s body so as to allow for supplying energy directly or indirectly from the accumulator to at least one energy consuming part of said artificial intestine section, and

suturing the abdominal wall and skin.

273. The method of claim 271, wherein the accumulator is provided fixedly connected to the artificial intestine section and is arranged inside the patient'"'"'s body along with the artificial intestine section.

274. The method of claim 271, wherein the accumulator is provided separate from the artificial intestine section and is arranged inside the patient'"'"'s body distant to the artificial intestine section.

275. The method of claim 274, comprising the step of galvanically coupling the accumulator to the artificial intestine section for transmitting energy to the at least one energy consuming part of the artificial intestine section in contacting fashion.

Dividing the Intestine

276. The method of claim 271, wherein the step of surgically creating at least one opening in the dissected intestinal area comprises the steps of:

dissecting a portion of the dissected intestinal area downstream of the intestinal opening to be created, such that intestinal mesentery connected to the dissected portion is opened in such a way that supply of blood through the mesentery to the dissected intestinal area is maintained as far as possible on both sides of the dissected portion, and

dividing the patient'"'"'s intestine in the dissected portion so as to create an upstream part of the intestine with an artificial intestinal opening being formed as a cross-sectional opening at the downstream side thereof and a downstream part of the intestine with an artificial intestinal opening being formed as a cross-sectional opening at the upstream side thereof, wherein the mesentery maintains a tissue connection between the upstream and downstream intestine parts.

Frontal Connection at Upstream End

277. The method of claim 276, comprising the step of affixing the first open end portion of the artificial intestine section to the cross-sectional downstream opening of the upstream intestine part so as to be in flow communication therewith.

Frontal Connection at Downstream End

278. The method of claim 276, comprising the steps of affixing the second open end portion of the artificial intestine section to the cross-sectional upstream opening of the downstream intestine part so as to be in flow communication therewith.

Frontal Connection at Both Ends

279. The method of claim 276, comprising the steps of

affixing the first open end portion of the artificial intestine section to the cross-sectional downstream opening of the upstream intestine part so as to be in flow communication therewith and

affixing the second open end portion of the artificial intestine section to the cross-sectional upstream opening of the downstream intestine part so as to be in flow communication therewith.

Frontal Connection Upstream, Lateral Connection Downstream

280. The method of claim 276, comprising the steps of

closing the cross-sectional opening at the downstream side of the upstream intestine part,

surgically creating an opening in a wall of the upstream intestine part so as to create a lateral intestinal opening therein,

affixing the first open end portion of the artificial intestine section to the lateral intestinal opening of the upstream intestine part so as to be in flow communication therewith and

affixing the second open end portion of the artificial intestine section to the cross-sectional upstream opening of the downstream intestine part so as to be in flow communication therewith.

Sleeve/Bulge Connector for Frontal Connection

281. The method of claim 276, wherein the step of affixing the open end portion of the artificial intestine section to the cross-sectional opening of the intestine part comprises:

inserting the open end portion of the artificial intestine section into the cross-sectional opening of the intestine part, and

placing a flexible sleeve so as to extend over both the intestine part and open end portion of the artificial intestine section such that the intestine part is located intermediate the sleeve and the outer surface of the artificial intestine section, wherein the sleeve is adapted to increase the strength of the connection between the intestine section and the patient'"'"'s intestine against axial forces resulting from peristaltic movements of the intestine which tend to pull on the intestine, when said artificial intestine section is long term implanted.

282. The method of claim 281, wherein the flexible sleeve is mounted on the outer surface of the open end portion of the artificial intestine piece so as to be foldable upon itself and wherein the step of placing the flexible sleeve so as to extend over both the intestine part and open end portion of the artificial intestine section comprises folding the flexible sleeve upon itself such that the intestine part is located intermediate the folded sleeve.

283. The method of claim 276, wherein the step of affixing the open end portion of the artificial intestine section to the cross-sectional opening of the intestine part comprises:

inserting the artificial intestine section having a bulge formed on the outside thereof into the cross-sectional opening of the intestine part so that the intestine part extends over the bulge from one side of the bulge, and

advancing a blocking ring over the intestine part towards the bulge from the respective other side of the bulge such that the intestine part is located intermediate the outer surface of the artificial intestine section and the blocking ring.

Lateral Connection Upstream, Frontal Connection Downstream

284. The method of claim 276, comprising the steps of

closing the cross-sectional opening at the upstream side of the downstream intestine part,

surgically creating an opening in a wall of the downstream intestine part so as to create a lateral intestinal opening therein,

affixing the second open end portion of the artificial intestine section to the lateral intestinal opening of the downstream intestine part so as to be in flow communication therewith and

affixing the first open end portion of the artificial intestine section to the cross-sectional downstream opening of the upstream intestine part so as to be in flow communication therewith.

Lateral Connection at Both Ends

285. The method of claim 276, comprising the steps of

closing the cross-sectional opening at the downstream side of the upstream intestine part,

surgically creating an opening in a wall of the upstream intestine part so as to create a lateral intestinal opening therein,

affixing the first open end portion of the artificial intestine section to the lateral intestinal opening of the upstream intestine part so as to be in flow communication therewith

closing the cross-sectional opening at the upstream side of the downstream intestine part,

surgically creating an opening in a wall of the downstream intestine part so as to create a lateral intestinal opening therein and

affixing the second open end portion of the artificial intestine section to the lateral intestinal opening of the downstream intestine part so as to be in flow communication therewith.

Lateral Connection at Both Ends without Dividing Intestine

286. The method of claim 271, wherein the step of surgically creating at least one opening in the dissected intestinal area comprises the steps of surgically creating a first opening in a wall of the intestine so as to create a first lateral intestinal opening and surgically creating a second opening in the wall of the intestine at a location downstream of the first opening so as to create a second lateral intestinal opening, and further comprising the steps of:

permanently closing the patient'"'"'s intestine at a location between the first and second lateral intestinal openings so as to form an upstream intestinal part upstream said permanent closure and a downstream intestinal part downstream said permanent closure,

affixing the first open end portion of the artificial intestine section to the first lateral intestinal opening and

affixing the second open end portion of the artificial intestine section to the second lateral intestinal opening.

Structure of Lateral Attachment

287. The method of claim 276, wherein the step of affixing the open end portion of the artificial intestine section to the lateral intestinal opening so as to be in flow communication therewith comprises connecting a shoulder portion, which is formed around the open end portion of the artificial intestine section, to the patient'"'"'s intestinal wall so as to surround the lateral intestinal opening.

288. The method of claim 287, wherein the step of connecting the shoulder portion comprises attaching the shoulder portion to the patient'"'"'s outer intestinal wall.

289. The method of claim 287, wherein the shoulder portion is split into an upper and a lower shoulder portion with a gap between the upper and lower shoulder portions, and wherein the step of affixing the open end portion of the artificial intestine section to the lateral intestinal opening comprises placing the lower shoulder portion inside the patient'"'"'s intestine and the upper shoulder portion outside the patient'"'"'s intestine such that intestinal wall tissue is accommodated in the gap.

290. The method of claim 287, wherein the step of affixing the open end portion of the artificial intestine section to the lateral intestinal opening comprises gluing the open end portion to the patient'"'"'s intestinal wall.

291. The method of claim 287, wherein the step of affixing the open end portion of the artificial intestine section to the lateral intestinal opening comprises sewing the open end portion to the patient'"'"'s intestinal wall.

292. The method of claim 287, wherein the step of affixing the open end portion of the artificial intestine section to the lateral intestinal opening comprises stapling the open end portion to the patient'"'"'s intestinal wall.

Exit through Stoma

293. The method of claim 271, further comprising the steps of:

cutting the patient'"'"'s skin and abdominal wall so as to create an opening for an intestinal stomy,

dissecting the area of the stomy opening,

dividing the intestine at a location downstream of the artificial intestine section so as to create an upstream natural intestine section having a cross-sectional opening at the downstream end thereof and a downstream natural intestine section,

dissecting the mesentery of the upstream natural intestine section in the area of the cross-sectional opening thereof to prepare for creating the intestinal stomy,

advancing the downstream end of the upstream natural intestine section through the abdominal wall and skin, and

suturing the cross-sectional opening of the upstream natural intestine section to the skin with the intestinal mucosa turned inside out, thereby achieving the intestinal stomy.

Exit through Anus

294. The method of claim 271, further comprising the steps of:

dividing the intestine at a location downstream of the artificial intestine section so as to create an upstream natural intestine section having a cross-sectional opening at the downstream end thereof and a downstream natural intestine section leading to the patient'"'"'s anus,

dissecting the area of the patient'"'"'s anus and surgically separating the downstream natural intestine section from the patient'"'"'s anus, whereas the steps of dividing the intestine and separating the intestine section leading to the patient'"'"'s anus can alternatively be carried out in reversed order,

dissecting the mesentery of the upstream natural intestine section in the area of the cross-sectional opening at the downstream end thereof to prepare for connecting the upstream natural intestine section to the patient'"'"'s anus or tissue adjacent the patient'"'"'s anus,

advancing the downstream end of the upstream natural intestine section through the patient'"'"'s anus, and

suturing the cross-sectional opening of the upstream natural intestine section to the patient'"'"'s anus or tissue adjacent the patient'"'"'s anus.

295. The method of claim 293, wherein the natural intestine section is selected from the patient'"'"'s small intestine.

296. The method of claim 293, wherein the natural intestine section is selected from the patient'"'"'s large intestine.

297. The method of claim 294, wherein the natural intestine section is selected from the patient'"'"'s small intestine.

298. The method of claim 294, wherein the natural intestine section is selected from the patient'"'"'s large intestine.

Invest. Content Interacting Device as an Energy Consuming Part

299. The method of claim 271, comprising the step of implanting along with the artificial intestine section at least one energy consuming part adapted to directly or indirectly interact with intestinal contents contained in the artificial intestine section between the first and second open end portions thereof.

Flow Control Device

300. The method of claim 299, wherein the energy consuming part comprises a flow control device adapted to control flow of intestinal contents from the artificial intestine section through the second open end portion.

Exit Valve

301. The method of claim 300, wherein the flow control device comprises an exit valve preventing intestinal contents flow through the second open end portion in its closed position.

Entry Valve

302. The method of claim 300, wherein the flow control device comprises an entry valve allowing intestinal contents to flow through the first open end portion into the artificial intestine section in its open position.

Pump

303. The method of claim 300, wherein the flow control device comprises a pump for advancing intestinal contents through the second open end portion to outside the artificial intestine section.

Pump with Reservoir

304. The method of claim 303, wherein the at least one element comprises a reservoir between the first and second open end portions for receiving and temporarily collecting therein intestinal contents supplied through the first open end portion, the pump being adapted to empty the reservoir through the second open end portion.

305. The method of claim 303, wherein the pump comprises a manually operable switch for activating the pump, the method further comprising the step of implanting the switch subcutaneously so as to be operable from outside the patient'"'"'s body.

Motor

306. The method of claim 271, wherein the at least one energy consuming part comprises at least one motor arranged for automatically driving at least one further energy consuming part of the artificial intestine section.

307. The method of claim 306, wherein the motor comprises a manually operable switch for activating the motor, the method further comprising the step of implanting the switch subcutaneously so as to be operable from outside the patient'"'"'s body.

Intestinal Disorder (III)—

“

Artificial Intestine Section”

272. A laparoscopic surgical method of treating a patient, comprising the steps of:

making a small opening in the patient'"'"'s skin and abdominal wall,

introducing a needle in the abdominal cavity,

inflating the abdominal cavity with gas,

inserting at least one trocar into the cavity,

introducing a camera through the trocar,

inserting at least one dissecting instrument preferably through a second trocar,

dissecting an area of the intestine,

surgically creating at least one opening in the dissected intestinal area so as to create an artificial intestinal opening,

providing an artificial intestine section having a first open end portion and a second open end portion in flow communication with one another and affixing the first open end portion to the artificial intestinal opening so as to be in flow communication therewith,

providing an accumulator adapted to be charged wirelessly with energy from outside the patient'"'"'s body and arranging the accumulator inside the patient'"'"'s body so as to allow for supplying energy directly or indirectly from the accumulator to at least one energy consuming part of said artificial intestine section, and

extracting the instruments, camera and trocar, and in relation thereto

suturing, if necessary, the abdominal wall and permanently closing the skin.

308. An intestinal disorder treatment method for treating a patient having a disorder related to the patient'"'"'s intestine, the method comprising

surgically creating at least one opening in the patient'"'"'s intestine,

providing an artificial intestine section having a first open end portion and a second open end portion in fluid communication with one another, and

connecting at least the first open end portion of the artificial intestine section to the surgically created opening in the patient'"'"'s intestine.

Method of Treatment (Implantation)

Lateral Connection

309. A surgical method of treating a patient, comprising the steps of:

cutting the patient'"'"'s skin and abdominal wall,

dissecting an area of the patient'"'"'s intestine,

surgically creating at least one opening in a wall of the dissected intestinal area so as to create an artificial lateral intestinal opening,

providing an artificial intestine section having a first open end portion and a second open end portion in flow communication with one another and affixing the first open end portion to the lateral intestinal opening so as to be in flow communication therewith, and

suturing the abdominal wall and skin.

311. The method of claim 309, comprising the steps of:

permanently closing the patient'"'"'s intestine in the dissected portion at a location downstream of the lateral intestinal opening so as to create an upstream part of the intestine including the lateral intestinal opening and a downstream part of the intestine,

affixing the second open end portion of the artificial intestine section to the downstream intestinal part.

312. The method of claim 311, wherein the step of permanently closing the patient'"'"'s intestine comprises sewing or stapling, or sewing and stapling, the intestinal wall so as to form a dead end.

Dividing the Intestine

313. The method of claim 309, comprising the steps of:

dissecting a portion of the dissected intestinal area downstream of the lateral intestinal opening such that intestinal mesentery connected to the dissected portion is opened in such a way that supply of blood through the mesentery to the dissected intestinal area is maintained as far as possible on both sides of the dissected portion,

dividing the patient'"'"'s intestine in the dissected portion so as to create an upstream part of the intestine with the lateral intestinal opening and a downstream part of the intestine, said downstream intestine part being separate from the upstream intestine part and having a cross-sectional opening at the upstream side thereof, wherein the mesentery maintains a tissue connection between the upstream and downstream intestine parts,

affixing the second open end portion of the artificial intestine section to the downstream intestine part, and

permanently closing the upstream intestine part at a location downstream of the lateral intestinal opening.

Lateral Front and Lateral End Connection (By-Pass)

314. The method of claim 311, wherein the step of affixing the second open end portion of the artificial intestine section to the downstream intestinal part comprises the steps of:

surgically creating an opening in a wall of the downstream intestinal part at an upstream end thereof so as to create a second artificial lateral intestinal opening, and

affixing the second open end portion of the artificial intestine section to the second lateral intestinal opening so as to be in flow communication therewith.

315. The method of claim 314, wherein the step of permanently closing the patient'"'"'s intestine comprises sewing the intestinal wall with two rows of sutures or staples and cutting and dividing the intestine between the sutures or staples so as to form two dead ends.

316. The method of claim 313, wherein the step of affixing the second open end portion of the artificial intestine section to the downstream intestinal part comprises the steps of:

surgically creating an opening in a wall of the downstream intestinal part at an upstream end thereof so as to create a second artificial lateral intestinal opening,

affixing the second open end portion of the artificial intestine section to the second lateral intestinal opening so as to be in flow communication therewith, and

permanently closing the cross-sectional opening at the upstream side of the downstream intestine part at a location upstream of the second lateral intestinal opening.

Lateral Front Connection and Straight End Connection

317. The method of claim 313, wherein the step of affixing the second open end portion of the artificial intestine section to the downstream intestinal part comprises the step of:

affixing the second open end portion of the artificial intestine section to the cross-sectional upstream opening of the downstream intestine part so as to be in flow communication therewith.

Sleeve/Bulge Connector

318. The method of claim 317, wherein the step of affixing the second open end portion of the artificial intestine section to the cross-sectional upstream opening of the downstream intestine part comprises:

inserting the second open end portion of the artificial intestine section into the upstream opening of the downstream intestine part, and

placing a flexible sleeve so as to extend over both the downstream intestine part and second open end portion of the artificial intestine section such that the downstream intestine part is located intermediate the sleeve and the outer surface of the artificial intestine section.

319. The method of claim 318, wherein the flexible sleeve is mounted on the outer surface of the second open end portion of the artificial intestine piece so as to be foldable upon itself and wherein the step of placing the flexible sleeve so as to extend over both the downstream intestine part and second open end portion of the artificial intestine section comprises folding the flexible sleeve upon itself such that the downstream intestine part is located intermediate the folded sleeve.

320. The method of claim 317, wherein the step of affixing the second open end portion of the artificial intestine section to the cross-sectional upstream opening of the downstream intestine part comprises:

inserting the artificial intestine section having a bulge formed on the outside thereof into the upstream opening of the downstream intestine part so that the downstream intestine part extends over the bulge from one side of the bulge, and

advancing a blocking ring over the downstream intestine part towards the bulge from the respective other side of the bulge such that the downstream intestine part is located intermediate the outer surface of the artificial intestine section and the blocking ring.

Exit through Stoma

321. The method of claim 309, further comprising the steps of:

cutting the patient'"'"'s skin and abdominal wall so as to create an opening for an intestinal stomy,

dissecting the area of the stomy opening,

dividing the intestine at a location downstream of the artificial intestine piece so as to create an upstream natural intestine section having a cross-sectional opening at the downstream end thereof and a downstream natural intestine section,

dissecting the mesentery of the upstream natural intestine section in the area of the cross-sectional opening thereof to prepare for creating the intestinal stomy,

advancing the downstream end of the upstream natural intestine section through the abdominal wall and skin, and

suturing the cross-sectional opening of the upstream natural intestine section to the skin with the intestinal mucosa turned inside out, thereby achieving the intestinal stomy.

Exit through Anus

322. The method of claim 309, further comprising the steps of:

dividing the intestine at a location downstream of the artificial intestine piece so as to create an upstream natural intestine section having a cross-sectional opening at the downstream end thereof and a downstream natural intestine section leading to the patient'"'"'s anus,

dissecting the area of the patient'"'"'s anus and surgically separating the downstream natural intestine section from the patient'"'"'s anus, whereas the steps of dividing the intestine and separating the intestine section leading to the patient'"'"'s anus can alternatively be carried out in reversed order,

dissecting the mesentery of the upstream natural intestine section in the area of the cross-sectional opening at the downstream end thereof to prepare for connecting the upstream natural intestine section to the patient'"'"'s anus or tissue adjacent the patient'"'"'s anus,

advancing the downstream end of the upstream natural intestine section through the patient'"'"'s anus, and

suturing the cross-sectional opening of the upstream natural intestine section to the patient'"'"'s anus or tissue adjacent the patient'"'"'s anus.

323. The method of claim 321, wherein the natural intestine section is selected from the patient'"'"'s small intestine.

324. The method of claim 321, wherein the natural intestine section is selected from the patient'"'"'s large intestine.

325. The method of claim 322, wherein the natural intestine section is selected from the patient'"'"'s small intestine.

326. The method of claim 322, wherein the natural intestine section is selected from the patient'"'"'s large intestine.

Structure of Attachment

327. The method of claim 309, wherein the step of affixing the first open end portion of the artificial intestine section to the lateral intestinal opening so as to be in flow communication therewith comprises connecting a shoulder portion, which is formed around the first open end portion of the artificial intestine section, to the patient'"'"'s intestinal wall so as to surround the lateral intestinal opening.

328. The method of claim 327, wherein the step of connecting the shoulder portion comprises attaching the shoulder portion to the patient'"'"'s outer intestinal wall.

329. The method of claim 327, wherein the shoulder portion is split into an upper and a lower shoulder portion with a gap between the upper and lower shoulder portions, and wherein the step of affixing the first open end portion of the artificial intestine section to the lateral intestinal opening comprises placing the lower shoulder portion inside the patient'"'"'s intestine and the upper shoulder portion outside the patient'"'"'s intestine such that intestinal wall tissue is accommodated in the gap.

330. The method of claim 327, wherein the step of affixing the first open end portion of the artificial intestine section to the lateral intestinal opening comprises gluing the first open end portion to the patient'"'"'s intestinal wall.

331. The method of claim 327, wherein the step of affixing the first open end portion of the artificial intestine section to the lateral intestinal opening comprises sewing the first open end portion to the patient'"'"'s intestinal wall.

332. The method of claim 327, wherein the step of affixing the first open end portion of the artificial intestine section to the lateral intestinal opening comprises stapling the first open end portion to the patient'"'"'s intestinal wall.

333. The method of claim 327, comprising the step of selecting for the first open end portion at least one biocompatible material from the following group of materials:

titanium, stainless steel, ceramics, biocompatible polymer material.

334. The method of claim 333, comprising the step of selecting for the first open end at least one biocompatible polymer from the following group of polymers:

polytetrafluoroethylene, silicone, polyurethane, expanded polytetrafluoroethylene (ePTFE).

335. The method of claim 327, comprising the step of selecting for the first open end a multilayer material.

336. The method of claim 327, comprising the step of providing the first open end portion with a porous ingrowth layer allowing ingrowth of living tissue.

337. The method of claim 336, comprising the step of choosing the ingrowth layer to have a net-like structure.

Black Box within Artificial Intestine Piece

338. The method claim 309, comprising the step of implanting along with the artificial intestine section at least one element adapted to directly or indirectly interact with intestinal contents contained in the artificial intestine section between the first and second open end portions thereof.

Reservoir

339. The method of claim 338, wherein the at least one element comprises an artificial reservoir between the first and second open end portions for receiving and temporarily collecting therein intestinal contents supplied through the first open end portion.

Flow Control Device

340. The method of claim 338, wherein the at least one element comprises a flow control device adapted to control flow of intestinal contents from the artificial intestine section through the second open end portion.

Exit Valve

341. The method of claim 340, wherein the flow control device comprises an exit valve preventing intestinal contents flow through the second open end portion in its closed position.

Entry Valve

342. The method of claim 340, wherein the flow control device comprises an entry valve allowing intestinal contents to flow through the first open end portion into the artificial intestine section in its open position.

Pump

343. The method of claim 340, wherein the flow control device comprises a pump for advancing intestinal contents through the second open end portion to outside the artificial intestine section.

344. The method of claim 343, wherein the pump comprises a manually operable switch for activating the pump, the method further comprising the step of implanting the switch subcutaneously so as to be operable from outside the patient'"'"'s body.

Motor

345. The method of claim 340, wherein the at least one element comprises at least one motor arranged for automatically driving one or more energy consuming part of the flow control device.

346. The method of claim 345, wherein the motor comprises a manually operable switch for activating the motor, the method further comprising the step of implanting the switch subcutaneously so as to be operable from outside the patient'"'"'s body.

Intestinal Disorder (IV)—

“

Pump Internal”

310. A laparoscopic surgical method of treating a patient, comprising the steps of:

making a small opening in the patient'"'"'s skin and abdominal wall,

introducing a needle in the abdominal cavity,

inflating the abdominal cavity with gas,

inserting at least one trocar into the cavity,

introducing a camera through the trocar,

inserting at least one dissecting instrument preferably through a second trocar,

dissecting an area of the intestine,

surgically creating at least one opening in a wall of the dissected intestinal area so as to create an artificial lateral intestinal opening,

providing an artificial intestine section having a first open end portion and a second open end portion in flow communication with one another and affixing the first open end portion to the lateral intestinal opening so as to be in flow communication therewith,

extracting the instruments, camera and trocar, and in relation thereto

suturing, if necessary, the abdominal wall and permanently closing the skin.

Closing the Intestine by Sewing

347. A method for treating a patient having a disorder related to the passageway of the patient'"'"'s intestines, the method comprising the steps of:

i. constricting a selected portion of the patient'"'"'s intestines to at least substantially reduce the volume of the passageway of the intestines along the selected portion, so that intestinal contents is displaced through the passageway of the intestines in the downstream direction thereof,

ii. releasing the selected portion to increase the volume of the passageway of the intestines along the selected portion, so that intestinal contents in the passageway of the intestines upstream of the selected portion enters the selected portion, and

iii. repeating steps (a) and (b) an optional number of times.

348. The method according to claim 347, further comprising surgically modifying the patient'"'"'s intestines to end in a stoma, and performing steps (a) and (b) to discharge intestinal contents through the stoma.

349. The method according to claim 347, wherein the selected portion of the intestines ends at the patient'"'"'s anus, further comprising performing steps (a) and (b) to discharge intestinal contents through the anus.

350. The method according to claim 347, wherein step (a) is performed by initially constricting the selected portion partially to close the passageway of the intestines at an upstream end of the selected portion and then constricting the entire selected portion.

351. The method according to claim 350, wherein step (b) is performed by initially fully releasing the selected portion except at a downstream end thereof and then releasing the selected portion at the downstream end.

352. The method according to claim 347, wherein step (a) is performed by:

i. partially constricting the selected portion to at least substantially decrease the cross-sectional area of the passageway of the intestines at an upstream end of the selected portion,

ii. electrically stimulating muscle or neural tissue of the constricted selected portion at the upstream end to cause contraction of the constricted selected portion to close the passageway of the intestines at the upstream end of the selected portion, and

iii. then constricting the entire selected portion.

353. The method according to claim 352, wherein step (b) is performed by initially fully releasing the selected portion except at a downstream end thereof and then releasing the selected portion at the downstream end.

354. The method according to claim 347, wherein step (a) is performed by:

i. partially constricting the selected portion to at least substantially decrease the cross-sectional area of the passageway of the intestines at an upstream end of the selected portion,

ii. electrically stimulating muscle or neural tissue of the constricted selected portion at the upstream end to cause contraction of the constricted selected portion to close the passageway of the intestines at the upstream end of the selected portion,

iii. at least partially constricting the entire selected portion, and

iv. then successively stimulating the selected portion from the upstream end to a downstream end thereof to cause progressive contraction of the selected portion, so that intestinal contents is displaced in the passageway of the intestines in a peristaltic manner.

355. The method according to claim 354, wherein step (b) is performed by ceasing stimulating the selected portion and fully releasing the selected portion except at a downstream end thereof, and then releasing the selected portion at the downstream end.

356. The method according to claim 347, wherein step (a) is performed by:

i. partially constricting the selected portion to at least substantially decrease the cross-sectional area of the passageway of the intestines along the entire selected portion, and

ii. successively stimulating the constricted portion from an upstream end to a downstream end thereof to cause progressive contraction of the selected portion, so that intestinal contents is displaced in the passageway of the intestines in a peristaltic manner.

357. The method according to claim 347, wherein step (a) is performed by successively constricting portions of a series of selected portions of the intestines so that intestinal contents is displaced downstream in the passageway of the intestines in a peristaltic manner.

358. The method according to claim 347, wherein step (a) is performed by:

i. successively constricting portions of a series of selected portions of the intestines so that each constricted portion at least substantially decreases the cross-sectional area of the passageway of the intestines, and

ii. electrically stimulating each constricted portion to cause contraction of the constricted intestinal portion to close the passageway of the intestines, whereby intestinal contents is displaced downstream in the passageway of the intestines in a peristaltic manner.

359. The method according to claim 347, wherein step (a) is performed by progressively constricting the selected portion so that intestinal contents is displaced downstream in the passageway of the intestines in a peristaltic manner.

360. The method according to claim 347, wherein step (a) is performed by:

i. electrically stimulating the selected portion to cause contraction thereof, and

ii. progressively constricting the contracted selected portion so that intestinal contents is displaced downstream in the passageway of the intestines in a peristaltic manner.

361. A method for treating a patient having a disorder related to the passageway of the patient'"'"'s intestines, the method comprising:

i. providing a pump including a constriction device engaging a selected portion of the intestines to constrict and release the selected portion,

ii. controlling the pump to operate the constriction device to alternately constrict the selected portion to at least substantially reduce the volume of the passageway of the intestines along the selected portion and release the selected portion to increase the volume of the passageway of the intestines along the selected portion, so that intestinal contents is displaced through the passageway of the intestines.

362. The method according to claim 361, further comprising providing at least one releasable closure engaging the patient'"'"'s intestines, and using the closure to at least substantially close the passageway of the intestines when the pump is not in operation, and to release the intestines when the pump is in operation.

363. The method according to claim 362, further comprising using the closure to constrict the intestines to close the passageway of the intestines.

364. The method according to claim 362, further comprising using the closure to constrict the intestines to at least substantially decrease the cross-sectional area of the passageway of the intestines and electrically stimulating muscle or neural tissue of the intestines to cause contraction of the intestines where the closure constricts the intestines to close the passageway of the intestines.

365. The method according to claim 364, further comprising cooperating the operation of the closure and the electric stimulation of the intestines, to allow for sufficient blood circulation in the blood vessels of the constricted intestines, so that intestinal tissues maintain their integrity following long exposure to the closure, when the pump is not in operation.

366. A method for treating a patient having a disorder related to the passageway of the patient'"'"'s intestines, the method comprising:

i. providing a pump operable on at least one selected portion of the intestines to pump intestinal contents through the passageway of the intestines, wherein the pump includes a constriction device adapted to alternately constrict and release the selected portion to at least substantially reduce the volume of the passageway of the intestines along the selected portion and release the selected portion to increase the volume of the passageway of the intestines along the selected portion, such that intestinal contents is displaced through the passageway of the intestines,

ii. providing a wireless remote control adapted to control the pump from outside the patient'"'"'s body, and

iii. operating the wireless remote control by the patient to start the pump, when the patient wants to defecate, and stop the pump when the patient has finished defecating.

367. A method of treating a patient having a disorder related to the passageway of the intestines, the method comprising the steps of:

i. providing a pump operable on at least one selected portion of the intestines to pump intestinal contents through the passageway of the intestines, wherein the pump includes a constriction device adapted to alternately constrict and release the selected portion to at least substantially reduce the volume of the passageway of the intestines along the selected portion and release the selected portion to increase the volume of the passageway of the intestines along the selected portion, such that intestinal contents is displaced through the passageway of the intestines,

ii. inserting a needle like tube into the abdomen of the patients body,

iii. supplying gas through the tube to fill the abdomen with gas thereby expanding the abdominal cavity,

iv. placing at least two laparoscopical trocars in the patient'"'"'s body,

v. inserting through one of the trocars a camera into the abdomen,

vi. selecting a portion of the patient'"'"'s intestines,

vii. inserting a dissecting tool through one of the trocars and dissecting an area of the selected portion,

viii. placing the pump of the apparatus in the dissected area in operative engagement with the selected portion of the intestines, and

ix. using the pump to pump intestinal contents through the passageway of the intestines.

368. The method according to claim 367, further comprising cutting an opening through the patient'"'"'s skin and abdominal wall and passing the patient'"'"'s intestine through the opening creating a stoma, selecting the portion of the patient'"'"'s intestines in the vicinity of the stoma, wherein step (ix) is performed by discharging the intestinal contents through the stoma.

370. The method according to claim 368, further comprising putting the constriction device of the pump in operative engagement with the selected portion of the intestines, and controlling the pump to operate the constriction device to alternately constrict the selected portion to at least substantially reduce the volume of the passageway of the intestines along the selected portion, and release the selected portion to increase the volume of the passageway of the intestines along the selected portion, so that intestinal contents is displaced through the passageway of the intestines.

371. The method according to claim 370, further comprising implanting at least one releasable closure in operative engagement with the selected portion of the intestines, and using the releasable closure to close the passageway of the intestines when the pump is not in operation and to release the intestines when the pump is in operation.

372. The method according to claim 371, further comprising implanting a powered operation device for operating the releasable closure.

373. The method according to claim 372, wherein the operation device comprises a hydraulic operation device.

374. The method according to claim 372, wherein the operation device is electrically powered.

375. The method according to claim 374, wherein the operation device comprises an electric motor.

376. The method according to claim 372, further comprising transmitting wireless energy for powering the operation device, and when desired to pump intestinal contents through the passageway of the intestines, powering the operation device with the transmitted energy to operate the closure to release the selected portion of the intestines.

377. The method according to claim 372, further comprising implanting a source of energy in the patient, providing an external source of energy, controlling the external source of energy to release wireless energy, transforming the wireless energy into storable energy, non-invasively charging the implanted source of energy with the transformed energy, and controlling the implanted source of energy from outside the patient'"'"'s body to release energy for use in connection with the operation of the pump and/or releasable closure.

378. The method according to claim 377, further comprising surgically modifying the patient'"'"'s intestines to end in a stoma, and when desired to discharge intestinal contents out from the patient'"'"'s body, controlling the implanted source of energy to supply energy for operating the releasable closure to temporarily release the selected portion of the intestines and using the pump to pump intestinal contents in the passageway of the intestines out from the body through the stoma.

379. The method according to claim 377, wherein the wireless energy is transformed into a storable energy different than the wireless energy, and the storable energy is used for operating the pump and/or releasable closure.

380. The method according to claim 379, wherein the storable energy comprises electric energy.

381. The method according to claim 371, further comprising providing an external source of energy outside the patient'"'"'s body, controlling the external source of energy from outside the patient'"'"'s body to release wireless energy, and using the released wireless energy for operating the pump and/or releasable closure.

382. The method according to claim 381, further comprising controlling the external source of energy to release wireless energy directly operating the pump and/or releasable closure.

383. The method according to claim 382, wherein the wireless energy comprises electromagnetic energy.

384. The method according to claim 381, further comprising transforming the wireless energy into electrical energy inside the patient'"'"'s body by an implanted energy-transforming device and using the electrical energy in connection with the operation of the pump and/or releasable closure.

385. The method according to claim 384, further comprising directly operating the pump and/or releasable closure with the electrical energy, as the energy-transforming device transforms the wireless energy into the electrical energy.

386. The method according to claim 384, further comprising directly using the electrical energy in connection with the operation of the pump and/or releasable closure.

387. The method according to claim 381, further comprising controlling the external source of energy to release non-magnetic wireless energy, and using the released non-magnetic wireless energy for operating the pump and/or releasable closure.

388. The method according to claim 381, further comprising controlling the releasable closure to:

i. at least partially restrict the passageway of the intestines in the selected portion to prevent intestinal contents from passing therethrough, or

ii. release the intestines to allow intestinal contents to be pumped therethrough by using the pump.

389. The method according to claim 388, further comprising controlling the releasable closure to partially restrict the passageway of the intestines in the selected portion and electrically stimulating the selected portion of the intestines to cause contraction thereof to further restrict the passageway of the intestines to prevent intestinal contents from passing therethrough.

390. The method according to claim 381, further comprising controlling the external source of energy to release electromagnetic wireless energy, and using the released electromagnetic wireless energy for operating the pump and/or releasable closure.

391. The method according to claim 390, further comprising controlling the releasable closure to:

i. at least partially restrict the passageway of the intestines in the selected portion to prevent intestinal contents from passing therethrough, or

ii. release the intestines to allow intestinal contents to be pumped therethrough by using the pump.

392. The method according to claim 390, further comprising controlling the releasable closure to partially restrict the passageway of the intestines in the selected portion and electrically stimulating the selected portion of the intestines to cause contraction thereof to further restrict the passageway of the intestines to prevent intestinal contents from passing therethrough.

393. The method according to claim 370, further comprising subcutaneously implanting a manually operable switch for starting and stopping the pump.

369. A method of treating a patient having a disorder related to the passageway of the intestines, the method comprising the steps of:

i. providing a pump operable on at least one selected portion of the intestines to pump intestinal contents through the passageway of the intestines, wherein the pump includes a constriction device adapted to alternately constrict and release the selected portion to at least substantially reduce the volume of the passageway of the intestines along the selected portion and release the selected portion to increase the volume of the passageway of the intestines along the selected portion, such that intestinal contents is displaced through the passageway of the intestines,

ii. cutting an opening through the patient'"'"'s skin and abdominal wall,

iii. selecting a portion of the patient'"'"'s intestines,

iv. inserting a dissecting tool through the opening and dissecting an area of the selected portion,

v. placing the pump of the apparatus in the dissected area in operative engagement with the selected portion of the intestines, and

vi. using the pump to pump intestinal contents through the passageway of the intestines.

395. A surgical method of treating a patient, comprising the steps of:

cutting the patient'"'"'s skin and abdominal wall,

dissecting an area of the patient'"'"'s intestine,

cutting the patient'"'"'s intestine along a mutual contact line of laterally adjacent sections of a bent portion thereof and connecting by suturing and/or stapling the resulting upper and lower halves of the intestine so as to form an intestinal wall of a reservoir,

implanting at least a pump as part of a flow control device so as to permanently reside inside the patient'"'"'s body and to act on said intestinal wall so as to reduce the reservoir'"'"'s volume in order to empty intestinal contents from the reservoir to outside the patient'"'"'s body, and

thereafter, permanently closing the abdominal wall and skin.

397. The method according to claim 395, further comprising the steps of:

cutting the patient'"'"'s skin and abdominal wall so as to create an opening for an intestinal stoma,

dissecting the area of the opening,

dividing the intestine downstream of the reservoir so as to maintain an upstream natural intestine section still connected to the reservoir with a cross-sectional opening at the downstream end thereof,

dissecting the mesentery of the upstream natural intestine section in the area of the cross-sectional opening at the downstream end thereof to prepare for creating the intestinal stoma,

advancing the upstream natural intestine section through the abdominal wall and skin and

suturing the upstream natural intestine section in the area of the cross-sectional opening to the skin with the intestinal mucosa turned inside out, thereby achieving the intestinal stoma.

398. The method according to claim 395, further comprising the steps of:

dividing the intestine so as to create an upstream natural intestine section having a cross-sectional opening at the downstream end thereof and a downstream natural intestine section leading to the patient'"'"'s anus,

dissecting the area of the patient'"'"'s anus and surgically separating the downstream natural intestine section from the patient'"'"'s anus, whereas the steps of dividing the intestine and separating the intestine section leading to the patient'"'"'s anus can alternatively be carried out in reversed order,

dissecting the mesentery of the upstream natural intestine section in the area of the cross-sectional opening at the downstream end thereof to prepare for connecting the upstream natural intestine section to the patient'"'"'s anus or tissue adjacent the patient'"'"'s anus,

advancing the downstream end of the upstream natural intestine section through the patient'"'"'s anus, and

suturing the cross-sectional opening of the upstream natural intestine section to the patient'"'"'s anus or tissue adjacent the patient'"'"'s anus.

399. The method according to claim 395, further comprising the step of implanting at least one electrical stimulation device in the vicinity of the intestinal reservoir so as to allow for at least partial contraction of the intestinal reservoir by means of electrical stimulation of muscle or neural tissue with the aid of the electrical stimulation device.

400. The method according to claim 399, further comprising the steps of surgically creating folds from the intestinal wall of the reservoir and implanting components of the electrical stimulation type pump in the folds.

401. The method according to claim 400, comprising the step of closing an open side of the folds by at least one of sewing, bonding and stapling tissue of the intestinal wall together so as to form bags in which the electrical stimulation devices of the pump are placed either after or before the closing of the folds.

402. The method according to claim 395, comprising the step of implanting a plurality of longitudinal electrical stimulation devices side by side along the intestinal wall of the reservoir so as to be able to stimulate different portions of the intestinal wall over time.

403. The method according to claim 399, comprising the step of implanting a constriction type pump, such as a mechanical pump or a hydraulic pump, so as to allow for at least partial mechanical or hydraulic constriction of the intestinal reservoir by means of the constriction type pump, the constriction type pump being combined with the electrical stimulation type pump so as to allow for adding further constriction of the intestinal reservoir by stimulating sections of the intestinal reservoir with electric pulses.

404. The method according to claim 395, comprising the step of implanting a constriction type pump, such as a mechanical pump or a hydraulic pump, so as to allow for at least partial mechanical or hydraulic constriction of the intestinal reservoir by means of the constriction type pump.

405. The method according to claim 395, comprising the step of implanting an exit valve in addition to the at least one pump for preventing intestinal contents to exit the intestinal reservoir unintentionally.

406. The method according to claim 395, comprising the step of implanting an entry valve for preventing backflow of intestinal contents from the reservoir when the intestinal reservoir is being emptied.

Intestinal Disorder (VI)—

Artificial Reservoir with a Single Opening

396. A laparoscopic surgical method of treating a patient, comprising the steps of:

making a small opening in the patient'"'"'s skin and abdominal wall,

introducing a needle in the abdominal cavity,

inflating the abdominal cavity with gas,

inserting at least one trocar into the cavity,

introducing a camera through the trocar,

inserting at least one dissecting instrument preferably through a second trocar,

dissecting an area of the intestine,

cutting the patient'"'"'s intestine along a mutual contact line of laterally adjacent sections of a bent portion thereof and connecting by suturing and/or stapling the resulting upper and lower halves of the intestine so as to form an intestinal wall of a reservoir,

implanting at least a pump as part of a flow control device so as to permanently reside inside the patient'"'"'s body and to act on said intestinal wall so as to reduce the reservoir'"'"'s volume in order to empty intestinal contents from the reservoir to outside the patient'"'"'s body,

extracting the instruments, camera and trocar, and in relation thereto

suturing, if necessary, the abdominal wall and permanently closing the skin.

407. A surgical method of treating a patient, comprising the steps of:

cutting the patient'"'"'s skin and abdominal wall,

dissecting an area of the patient'"'"'s intestine,

surgically creating an opening in the dissected intestinal area,

affixing to the opening a reservoir with a single opening so as to receive and temporarily collect therein intestinal contents from the patient'"'"'s intestine,

implanting a flow control device so as to permanently reside inside the patient'"'"'s body and adapted to control flow of intestinal contents in the intestine, and

suturing the abdominal wall and skin.

409. A method according to claim 407, wherein the implantation of the flow control device comprising the steps of:

implanting a upstream flow control device outside the intestine on a up-stream part, in relation to the intestinal opening, so as to permanently reside inside the patient'"'"'s body and be adapted to control flow of intestinal contents in the intestine to the reservoir.

410. A method according to claim 407, wherein the implantation of the flow control device comprising the steps of:

implanting a downstream flow control device outside the intestine on a down-stream part, in relation to the intestinal opening, so as to permanently reside inside the patient'"'"'s body and be adapted to control flow of intestinal contents from the reservoir to the downstream intestine part.

411. The method of claim 407, wherein the intestinal opening is created in the patient'"'"'s small intestine.

412. The method of claim 407, wherein the intestinal opening is created in the patient'"'"'s large intestine.

413. The method of claim 410, wherein said downstream flow control device comprise an exit valve, affixing the exit valve to a portion of the patient'"'"'s intestine leading to to a pre-existing opening in the patient'"'"'s body including the patient'"'"'s anus.

414. The method of claim 410, wherein said downstream flow control device comprise an exit valve, affixing the exit valve to a portion of the patient'"'"'s intestine and using that portion of the patient'"'"'s intestine to surgically creating an intestinal stomy in the patient'"'"'s abdominal wall and skin.

Lateral Connection of Intestine to Reservoir

415. The method of claim 407, wherein the step of surgically creating an opening in the dissected intestinal area comprises cutting the artificial intestinal opening at a lateral wall of the intestine so as to create a lateral artificial intestinal opening.

End-Connection (of Reservoir or Exit Valve;

Sleeve/Bulge Connector)

416. The method of claim 407, wherein the step of surgically creating an opening in the dissected intestinal area comprises cutting the artificial intestine completely in a crosswise direction so as to create at least one artificial opening in the intestine, and wherein the step of affixing to the opening comprises:

connecting a conduit to a section of the intestine by inserting an end of the conduit into the artificial intestinal opening, and

placing a flexible sleeve so as to extend over the intestine and conduit such that at least part of the intestine is located intermediate the sleeve and the outer surface of the conduit.

417. The method of claim 416, wherein the flexible sleeve is mounted on the outer surface of the conduit so as to be foldable upon itself and wherein the step of placing the flexible sleeve so as to extend over the intestine and conduit comprises folding the flexible sleeve upon itself such that at least part of the intestine is located intermediate the folded sleeve.

418. The method of claim 407, wherein the step of surgically creating an opening in the dissected intestinal area comprises cutting the artificial intestine completely in a crosswise direction so as to create at least one artificial opening in the intestine, and wherein the step of affixing to the opening comprises:

connecting a conduit having a bulge formed on the outside thereof to a section of the intestine by inserting an end of the conduit into the artificial intestinal opening so that the intestine extends over the bulge from one side of the bulge, and

advancing a blocking ring over the intestine towards the bulge from the respective other side of the bulge such that the intestine is located intermediate the conduit'"'"'s outer surface and the blocking ring.

External Arrangement of Exit Valve

419. The method of claim 407, wherein the flow control device comprises an exit valve preventing intestinal contents flow through the valve in its closed position and wherein the step of implanting the flow control device comprises placing the exit valve outside and adjacent to a section of the intestine downstream of the reservoir so as to allow acting on said intestine section from the outside thereof by means of the exit valve.

Bond and Suture Connection

420. The method of claim 407, wherein the step of affixing to the opening comprises bonding an element to the intestine so as to surround and close the artificial intestinal opening.

421. The method of claim 407, wherein the step of affixing to the opening comprises suturing or stapling.

Pump

422. The method of claim 407, wherein the flow control device comprises a pump for emptying the reservoir and wherein the step of implanting the flow control device comprises implanting the pump in the patient'"'"'s abdomen separate from but in close proximity to the reservoir so that it can act on the reservoir from the outside thereof.

423. The method of claim 407, wherein the flow control device comprises a pump for emptying the reservoir and wherein the step of implanting the flow control device comprises implanting the pump in the patient'"'"'s abdomen fixedly connected to the reservoir.

424. The method of claim 407, wherein the flow control device comprises a pump for emptying the reservoir and wherein the step of implanting the flow control device comprises implanting the pump in the reservoir so that it can act on the intestinal contents in the reservoir from the inside the reservoir.

Manual Drive

425. The method of claim 407, wherein the flow control device comprises an actuator for manually driving the pump and wherein the step of implanting the flow control device comprises implanting the actuator subcutaneously so as to be operable from outside the patient'"'"'s body.

Motor

426. The method of claim 407, further comprising the step of implanting at least one motor for automatically driving one or more elements of the flow control device.

Switch

427. The method of claim 426, wherein the motor comprises a manually operable switch for activating the motor, the method further comprising the step of implanting the switch subcutaneously so as to be operable from outside the patient'"'"'s body.

428. The method of any of claims 422, wherein the pump comprises a manually operable switch for activating the pump, the method further comprising the step of implanting the switch subcutaneously so as to be operable from outside the patient'"'"'s body.

429. The method of claim 407, further comprising the step of implanting inside the patient'"'"'s body an energy source for supplying at least one energy consuming part with energy.

430. The method of claim 407, further comprising the step of implanting an energy transforming device for transforming wireless energy into electric energy.

Control Unit

431. The method of claim 407, further comprising the step of implanting inside the patient'"'"'s body at least a part of a control unit adapted to directly or indirectly control one or more elements of the flow control device.

432. The method of claim 431, wherein the control unit comprises a manually operable switch for activating the control unit, the method further comprising the step of implanting said switch subcutaneously so as to be operable from outside the patient'"'"'s body.

Sensor

433. The method of claim 407, further comprising the step of implanting a physical parameter or functional parameter sensor adapted to directly or indirectly sense a physical parameter inside the patient.

434. The method of claim 433, wherein the sensor is adapted to measure at least one of the following functional parameters of the system:

an electrical parameter such as voltage, current or energy balance or a stimulation parameter in relation to the system, sense movement of the intestine, sense an expansion of the reservoir or intestine, to sense the pressure within the reservoir or intestine.

Exit and Entry Valve

435. The method of claim 413, wherein the flow control device comprises an exit valve preventing intestinal contents flow from the reservoir in its closed position, the method further comprising the steps of opening the exit valve and then emptying the reservoir.

436. The method of claim 435, wherein the flow control device comprises an entry valve allowing intestinal contents to flow towards the reservoir in its open position, the method further comprising the step of closing the entry valve before emptying the reservoir.

437. The method of claim 435, comprising the step of constricting the patient'"'"'s intestine by means of the exit valve so as to prevent intestinal contents flow through the constricted intestine section while the reservoir is not to be emptied.

438. The method of claim 436, comprising the steps of constricting the patient'"'"'s intestine by means of the exit valve so as to prevent intestinal contents flow through the constricted intestine section while the reservoir is not to be emptied and constricting the patient'"'"'s intestine by means of the entry valve so as to prevent intestinal contents flow through the constricted intestine section while the reservoir is to be emptied.

439. The method of claim 438, wherein the step of constricting comprises the step of electrically stimulating muscle or neural tissue of the intestine section to cause at least partial contraction of the intestine section.

440. The method of claim 439, wherein the step of electrical stimulation comprises applying electric pulses to the intestine section.

441. The method of claim 440, wherein the step of electrical stimulation comprises stimulating different portions of the intestine section over time.

442. The method of claim 441, wherein the step of electrical stimulation comprises stimulating, over time, the different portions of the intestine section in a wave like manner in a direction opposite to natural intestinal contents flow.

443. The method of claim 442, wherein the step of constricting comprises the step of mechanically constricting the intestine section at least partly.

444. The method of claim 443, wherein the steps of mechanically constricting and electrically stimulating are performed on the same intestine section.

445. The method of claim 444, comprising the step of pumping intestinal contents along the intestine section by, over time, electrically stimulating different portions of the intestine section in a wave like manner in a direction of natural intestinal contents flow, when said mechanical constriction of the intestine section is released.

446. The method of claim 445, comprising the step of filling or emptying a compartment of at least the exit valve with hydraulic fluid in order to change its open-closed-state.

447. The method of claim 446, comprising the step of inserting a conduit from outside the patient'"'"'s body into the intestine, thereby mechanically urging the exit valve to open, when emptying the reservoir.

Pump

448. The method of treating a patient having an operation according to claim 407, comprising the step of emptying the reservoir by means of a pump.

449. The method of claim 448, comprising the step of acting on a wall of the reservoir by means of the pump so as to reduce the reservoir'"'"'s volume, thereby emptying the reservoir.

450. The method of claim 448, wherein the pump and the reservoir are separate from each other, the pump is implanted in the patient'"'"'s body outside the patient'"'"'s intestine and the pump comprises at least one electrical stimulation device, comprising the steps of electrically stimulating muscle or neural tissue of an intestine section by means of the stimulation device so as to cause at least partial contraction of the intestine section.

451. The method of claim 448, wherein the pump comprises a constriction device for at least partly constricting the intestine section mechanically, wherein the method further comprises the step of pumping intestinal contents along the intestine section by, over time, constricting different portions of an intestine section in a wave like manner in a direction of natural intestinal contents flow.

452. The method of claim 450, wherein the stimulation device is combined with a constriction device for at least partly constricting the intestine section mechanically, wherein the method further comprises the step of pumping intestinal contents along the intestine section by, over time, stimulating the different portions of the intestine section in a wave like manner in a direction of natural intestinal contents flow, when constriction of the intestine section caused by the constriction device is released at the respective portions.

453. The method of claim 452, further comprising the step of activating the pump by manually operating a subcutaneously arranged actuator from outside the patient'"'"'s body.

454. The method of claim 448, wherein the conduit provides a flow passage to an external collecting device and wherein the external collecting device comprises a suction pump, the method further comprising the step of emptying the reservoir by means of the suction pump.

Motor

455. The method of claim 448, comprising the step of driving the pump by means of a motor.

456. The method of claim 455, further comprising the step of manually activating the motor from outside the patient'"'"'s body by operating a subcutaneously arranged switch.

Energy

457. The method of claim 407, further comprising the step of transmitting energy from outside the patient'"'"'s body to at least one implanted energy consuming part of the system.

458. The method of claim 457, further comprising the steps of:

transmitting energy wirelessly,

transforming the wirelessly transmitted energy into electric energy by means of an energy transforming device,

storing the transformed energy in an energy storage means, and

supplying the stored energy from the energy storage means to at least one implanted energy consuming part of the system.

459. The method of claim 458, comprising the step of transforming at least part of the wirelessly transmitted energy into electric energy and using said part of transformed energy for the energy consuming part of the system as said part of the wirelessly transmitted energy is transformed into the electric energy.

Control

464. The method of claim 433, comprising the step of sensing a physical parameter or a functional parameter in the patient'"'"'s body.

465. The method of claim 464, wherein the step of sensing a physical parameter in the patient'"'"'s body comprises sensing at least one of the following physical parameters of the patient:

a pressure within the reservoir, a pressure within the patient'"'"'s intestine, an expansion of the reservoir, a distension of an intestinal wall of the patient'"'"'s intestine, a pressure against a part of the system such as the reservoir, a distension of a part of the system such as a wall of the reservoir, an electrical parameter such as voltage, current or energy balance, a position or movement of a movable part of the system, any stimulation parameter in relation to the system.

466. The method of claim 465, comprising the step of providing a signal when a value for the physical parameter sensed is beyond a predetermined threshold value.

467. The method of claim 466, wherein the step of providing a signal includes at least one of the following types of signals:

a sound signal, a visual signal.

Aneurysm Treatment

408. A laparoscopic surgical method of treating a patient, comprising the steps of:

making a small opening in the patient'"'"'s skin and abdominal wall,

introducing a needle in the abdominal cavity,

inflating the abdominal cavity with gas,

inserting at least one trocar into the cavity,

introducing a camera through the trocar,

inserting at least one dissecting instrument preferably through a second trocar,

dissecting an area of the intestine,

surgically creating an opening in the dissected intestinal area,

affixing to the opening an artificial reservoir with a single opening so as to receive and temporarily collect therein intestinal contents from the patient'"'"'s intestine and

implanting a flow control device so as to permanently reside inside the patient'"'"'s body and be adapted to control flow of intestinal contents in the intestine,

connecting the intestine to the artificial reservoir with securing means,

extracting the instruments, camera and trocar, and in relation thereto

suturing, if necessary, the abdominal wall and permanently closing the skin.

Flow Control Device

468. A method of treating an aneurysm of a mammal patient by providing a stimulation device for treating a vascular aneurysm of a human or mammal patient comprising:

at least one implantable electrode adapted to placed in close connection to the aneurysm, the at least one electrode being adapted to provide an electrical stimulation pulse on a wall portion of the aneurysm,

the method comprising the steps of;

inserting a needle or a tube like instrument into the patient'"'"'s abdominal cavity,

using the needle or tube like instrument to fill a part of the patient'"'"'s body with gas and thereby expanding said abdominal cavity,

placing at least two laparoscopic trocars in said cavity,

inserting a camera through one of the laparoscopic trocars into said cavity,

inserting at least one dissecting tool through one of said at least two laparoscopic trocars,

dissecting an area of an aneurysm of a blood vessel,

placing the device onto said the aneurysmic blood vessel, and

adjusting the stimulation the device exerts onto said aneurysm.

469. A method of treating an aneurysm of a mammal patient by providing a stimulation device for treating a vascular aneurysm of a human or mammal patient comprising:

at least one implantable electrode adapted to placed in close connection to the aneurysm, the at least one electrode being adapted to provide an electrical stimulation pulse on a wall portion of the aneurysm,

the method comprising the steps of;

inserting a needle or a tube like instrument into the patient'"'"'s thoraxial cavity,

using the needle or tube like instrument to fill a part of the patient'"'"'s body with gas and thereby expanding said thoraxial cavity,

placing at least two laparoscopic trocars in said cavity,

inserting a camera through one of the laparoscopic trocars into said cavity,

inserting at least one dissecting tool through one of said at least two laparoscopic trocars,

dissecting an area of an aneurysm of a blood vessel,

placing the device onto said the aneurysmic blood vessel, and

adjusting the stimulation the device exerts onto said aneurysm.

470. A method of treating an aneurysm of a mammal patient by providing a stimulation device for treating a vascular aneurysm of a human or mammal patient comprising:

at least one implantable electrode adapted to placed in close connection to the aneurysm, the at least one electrode being adapted to provide an electrical stimulation pulse on a wall portion of the aneurysm,

the method comprising the steps of;

cutting the skin in the abdominal or thoraxial wall of said mammal patient,

dissecting an area of the aneurysm,

placing said device onto said aneurysm, and

adjusting the stimulation said device exerts onto said aneurysm.

471. A method of treating an aneurysm of a mammal patient by providing a stimulation device for treating a vascular aneurysm of a human or mammal patient comprising:

at least one implantable electrode adapted to placed in close connection to the aneurysm, the at least one electrode being adapted to provide an electrical stimulation pulse on a wall portion of the aneurysm,

the method comprising the steps of;

cutting the skin of said mammal patient,

dissecting an area of the aneurysm,

placing said device onto said aneurysm, and

adjusting the stimulation said device exerts onto said aneurysm.