Device for selectively opening and closing tubular organs of the body

• US 4,643,169 A
• Filed: 10/26/1984
• Issued: 02/17/1987
• Est. Priority Date: 11/02/1983
• Status: Expired due to Term

• Current Assignee: Koss Walter
• Original Assignee: Walter Koss
• Inventors: Jonas, Udo, Koss, Walter
• Primary Examiner(s): Truluck, Dalton L.
• Application Number:
  US06/665,107
• Time in Patent Office: 844 Days
• Field of Search: 128/1 R, 128/DIG. 25, 128/346, 6/326, 6/327, 251/4, 251/342
• US Class Current: 600/31
• CPC Class Codes: A61F 2/0036 implantable A61F2/0018 takes precedence
• CPC Class Codes: Y10S 128/25 Artificial sphincters and devices for controlling urinary incontinence

Abstract

Described is an implantable device for selectively opening and closing tubular organs of the body such as the urethra. The device comprises a sleeve of an elastomeric plastic material, being of a stiff or rigid shape. The sleeve has a slit-like opening for receiving the organ, while the width of the opening is such that the organ is at least partially closed off in the rest condition of the device. Pressure can be applied manually, possibly by way of a remote operating means, to cause the opening to be temporarily enlarged whereby the organ which extends through the opening is also opened. The device may also have a continuously open position which is produced by means of a ball which can be displaced into a retaining seat to hold the opening of the device in an open position.

Claims

1. A device such as an implantable device for selectively opening and at least partially closing tubular organs of the body, comprising a sleeve of elastomeric plastic material adapted to embrace the organ, wherein the sleeve has a slit-like through opening for the organ, the width of the opening being such that the organ is at least partially closed off;

said slit-like opening defining a plane through said sleeve, and said organ defining a first direction of fluid flow through said organ which lies in said plane; and

wherein the elastomeric plastic material of said sleeve is relatively stiff but manually resiliently deformable in a second direction in said plane of said slit-like opening and transverse to said direction of flow through said organ, so that said opening expands upon the manual application of pressure to said sleeve in said second direction.

2. A device as set forth in claim 1 wherein the sleeve comprises first and second half shell portions having first and second ends, a hinge means connecting said half shell portions together at their first ends, and means at said second ends of said half shell portions for connecting them together after the sleeve has been fitted around a said organ.

3. A device as set forth in claim 2 wherein said hinge means comprises a reduced-thickness portion of the sleeve.

4. A device as set forth in claim 3 wherein said reduced-thickness portion is a film hinge.

5. A device as set forth in claim 2 wherein said means at said second ends of said half shell portions comprise tabs which are adapted to be sewn together.

6. A device as set forth in claim 2 wherein said second ends of said half shell portions, on the outside thereof, each have a receiving groove for accommodating a clamping connecting member.

7. A device as set forth in claim 2 wherein a magnetic closure means is disposed at said second ends of said half shell portions.

8. A device as set forth in claim 2 wherein a press fastener closure means is disposed at said second ends of said half shell portions.

9. A device as set forth in claim 2 wherein said second end of one of said half shell portions has a strip-like extension portion having detent means thereon and the second end of the other half shell portion has an aperture adapted to receive said strip-like extension portion.

10. A device as set forth in claim 1 wherein said sleeve is of annular configuration and is provided on the inside thereof with gel-filled pads for defining said opening therebetween.

11. A device as set forth in claim 1 wherein said sleeve is of oval configuration and is provided on the inside thereof with gel-filled pads for defining said opening therebetween.

12. A device as set forth in claim 1 wherein said sleeve is of substantially rectangular cross-section and has two oppositely disposed wall portions defining said opening therebetween.

13. A device as set forth in claim 12 wherein said sleeve has narrow sides extending parallel to said opening, and wherein gripping depressions are provided in said narrow sides.

14. A device as set forth in claim 1 wherein said opening is enlarged in a funnel-like configuration at the entry end of the sleeve as considered in the direction of flow through said organ.

15. A device as set forth in claim 1 wherein a wall portion defining said opening has at least one raised portion thereon, extending transversely with respect to said opening.

16. A device as set forth in claim 15 wherein said sleeve has a further wall portion in oppositely disposed relationship to said first-mentioned wall portion, and wherein a recess is provided in said further wall portion, in opposite relationship to said raised portion.

17. A device as set forth in claim 1 wherein said sleeve carries means for facilitating securing it in position.

18. A device as set forth in claim 17 wherein said securing means comprise plastic material threads on said sleeve.

19. A device as set forth in claim 17 wherein said securing means comprise a portion of fabric of plastic material threads on said sleeve.

20. A device as set forth in claim 17 wherein said securing means are embedded into the wall of said sleeve at least on one side of said opening therethrough.

21. A device as set forth in claim 17 wherein said sleeve is of a rectangular cross-section providing narrow sides, and wherein said securing means are embedded in the wall of the sleeve at said narrow sides.

39. A device as set forth in claim 1 wherein said sleeve includes a closed pressure chamber at least at a narrow side of said through opening in the sleeve, and further including a pump means communicating with said pressure chamber, and a pressure fluid filling said pressure chamber and said pump means.

40. A device as set forth in claim 39 and further including a conduit means connecting said pressure chamber to said pump means.

41. A device as set forth in claim 1 wherein said sleeve comprises silicone rubber.

22. A device such as an implantable device for selectively opening and at least partially closing tubular organs of the body, comprising a sleeve of elastomeric plastic material adapted to embrace the organ, wherein the sleeve is relatively stiff and has a slit-like through opening for the organ, the width of the opening being such that the organ is at least partially closed off, and including at least at one narrow side of said through opening in the sleeve, a space which is closed with respect to the exterior, and at least one member which is disposed in said space and which is displaceable from the exterior, thereby to secure the device with its opening in a selected condition.

23. A device as set forth in claim 22 wherein said member in said space is a ball.

24. A device as set forth in claim 22 wherein said space, in a direction towards said opening, has a seat means for retainingly accommodating said displaceable member thereby to secure the device with said opening in a continuously open position.

25. A device as set forth in claim 24 wherein said space extends substantially in the plane of said opening and transversely with respect to the direction of flow in said organ to which said device is fitted.

26. A device as set forth in claim 24 wherein said space extends substantially in the plane of said opening and parallel with respect to the direction of flow in said organ to which said device is fitted.

27. A device as set forth in claim 26 wherein said space has first and second ends, wherein a respective seating means is provided at each of said ends, and wherein said space accommodates balls capable of being retainingly accommodated in respective ones of said seating means.

28. A device as set forth in claim 22 wherein a lubricant is contained in said space.

33. A device as set forth in claim 22 and further including a remote operating means for displacement of said member.

34. A device as set forth in claim 33 wherein said remote operating means comprises a stiff plastic tube which is embedded in silicone rubber, and an actuating member which is slideably mounted in said plastic tube and connected to said member, said actuating member being adapted to be actuated from the exterior.

37. A device as set forth in claim 22 wherein said displaceable member comprises polytetrafluoroethylene.

29. A device such as an implantable device for selectively opening and at least partially closing tubular organs of the body, comprising a sleeve of elastomeric plastic material adapted to embrace the organ, wherein the sleeve is relatively stiff and has a slit-like through opening for the organ, the width of the opening being such that the organ is at least partially closed off;

wherein a space is provided at least in one wall of said through opening in the sleeve, said space being closed off with respect to said opening by a thin skin portion; and

wherein a member is displaceable in said space, thereby to vary the width of said through opening.

30. A device as set forth in claim 29 wherein said member displaceable in said space is a pin.

31. A device as set forth in claim 29 wherein said member dispalceable in said space is a ball.

32. A device as set forth in claim 29 wherein said space defines at least one detent means for retaining said member in a selected position.

35. A device as set forth in claim 29 and further including remote operating means for displacement of said member.

36. A device as set forth in claim 35 wherein said remote operating means comprises a stiff plastic tube which is embedded in silicone rubber, and an actuating member which is slidably mounted in said plastic tube and connected to said member, said actuating member being adapted to be actuated from the exterior.

38. A device as set forth in claim 29 wherein said displaceable member comprises polytetrafluoroethylene.