Implantable helical cuff

• US 4,881,939 A
• Filed: 02/19/1985
• Issued: 11/21/1989
• Est. Priority Date: 02/19/1985
• Status: Expired due to Fees

• Current Assignee: Johns Hopkins University
• Original Assignee: Johns Hopkins University
• Inventors: Newman, Arnold L.
• Primary Examiner(s): Thaler, Michael H.
• Application Number:
  US06/702,570
• Time in Patent Office: 1,736 Days
• Field of Search: 128/326, 128/325, 128/327, 128/DIG. 25, 128/DIG. 20, 128/346, 128/303 A, 128/344, 600/29, 600/30, 600/31
• US Class Current: 600/31
• CPC Class Codes: A61B 17/12009 Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
• CPC Class Codes: A61B 2017/00557 inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 5/02233 Occluders specially adapted therefor tourniquets A61B17/132
• CPC Class Codes: A61B 5/42 Detecting, measuring or recording for evaluating the gastrointestinal, the endocrine or the exocrine systems A61B1/00, A61B5/4857, A61B5/486, A61B5/4866, A61B5/4869 take precedence
• CPC Class Codes: A61B 5/6876 Blood vessel
• CPC Class Codes: A61B 5/6884 Clamps or clips
• CPC Class Codes: A61B 90/06 Measuring instruments not otherwise provided for
• CPC Class Codes: Y10S 128/25 Artificial sphincters and devices for controlling urinary incontinence

Abstract

The invention concerns an implantable, inflatable helical cuff which is wrapped about a tubular body member such as a nerve cord, esophagus, colon, intestine, or blood vessel in a pressure transferring relationship. The cuff may be completely inflated to function as an occluder, or partially inflated to function as a pressure sensor or transducer in an appropriate system.

Claims

1. An implantable inflatable cuff which intimately engages the exterior of an elongated body member, the implantable inflatable cuff comprising:

a coil which follows a spiral axis and turns about a central axis, said coil having a cross sectional shape that remains constant throughout its length, an elastic inside wall facing said central axis, a lumen within said coil and eccentric to said spiral axis and a fluid contained within said lumen; and

a retaining means which is removably positioned about and extends across a plurality of turns of said coil for maintaining said coil in said spiral axis.

2. An apparatus as in claim 1, the retaining means comprising a sleeve which is slipped over the cuff.

3. An apparatus as in claim 2, including a comparing means, and a reference pressure means which generates a reference pressure value to the comparing means, the cuff detecting pressure within the elongated member and generating a sensed pressure value to the comparing means which generates an actual pressure value dependent on the reference pressure value and the sensed pressure value.

4. An apparatus as in claim 2, including a driving means connected to the cuff, causing the cuff to transduce energy waves through the elongated member.

5. An apparatus as in claim 1, the retaining means comprising a wrap which is integral with one end of the cuff and is folded over the coil.

6. An apparatus as in claim 5, including a comparing means, and a reference pressure means-which generates a reference pressure value to the comparing means, the cuff detecting pressure within the elongated member and generating a sensed pressure value to the comparing means which generates an actual pressure value dependent on the reference pressure value and the sensed pressure value.

7. An apparatus as in claim 5, including a driving means connected to the cuff, causing the cuff to transduce energy waves through the elongated member.

8. An apparatus as in claim 1, the retaining means comprising a winding member which is wound about the cuff counter to the cuff coil.

9. An apparatus as in claim 8, including a comparing means, and a reference pressure means which generates a reference pressure value to the comparing means, the cuff detecting pressure within the elongated member and generating a sensed pressure value to the comparing means which generates an actual pressure value dependent on the reference pressure value and the sensed pressure value.

10. An apparatus as in claim 8, including a driving means connected to the cuff, causing the cuff to transduce energy waves through the elongated member.

11. An apparatus as in claim 1, including a comparing means, and a reference pressure means which generates a reference pressure value to the comparing ;

means, the cuff detecting pressure within the elongated member and generating a sensed pressure value to the comparing means which generates an actual pressure value dependent on the reference pressure value and the sensed pressure value.

12. An apparatus as in claim 11, the reference pressure means comprising a pressure reservoir bulb implanted in the vicinity of the cuff.

13. An apparatus as in claim 11, the reference pressure means comprising a pressure reservoir having a rigid structure, the internal pressure of which is maintained at a predetermined value.

14. An apparatus as in claim 11, wherein the cuff is coiled about an artery, the reference pressure means comprising a venous helical cuff which is coiled about a vein.

15. An apparatus as in claim 11, including a fluid pump connected to pump fluid to and from the cuff such that the elastic inside wall expands and contracts.

16. An apparatus as in claim 15, including a valve connected between the cuff and the pump for maintaining fluid in and releasing fluid from the cuff.

17. An apparatus as in claim 11, including a needle which pierces the cuff to add and remove fluid.

18. An apparatus as in claim 11, including a diaphragm member connected to the cuff for forcing fluid to and from the cuff.

19. An apparatus as in claim 1, including a driving means connected to the cuff, causing the cuff to transduce energy waves through the elongated member.

20. An apparatus as in claim 19, wherein the cuff transduces sound waves.

21. An apparatus as in claim 19, wherein the cuff transduces ultrasonic waves.

22. An apparatus as in claim 19, including a fluid pump connected to pump fluid to and from the cuff such that the elastic inside wall expands and contracts.

23. An apparatus as in claim 19, including a needle which pierces the cuff to add and remove fluid.

24. An apparatus as in claim 19, including a diaphragm member connected to the cuff for forcing fluid to and from the cuff.

25. An apparatus as in claim 1, including a fluid pump connected to pump fluid to and from the cuff such that the elastic inside wall expands and contracts.

26. An apparatus as in claim 1, including a needle which pierces the cuff to add and remove fluid.

27. An apparatus as in claim 1, including a diaphragm member connected to the cuff for forcing fluid to and from the cuff.

28. An apparatus as in claim 1, wherein said retaining means comprises a guide element in which said coil is threaded to follow the spiral axis.

29. An apparatus as in claim 28, including a clipping means, the tube having a bead at one end and an annular slot at another end which is engaged by the clipping means to secure the tube to the guide element.

30. An apparatus as in claim 29, the guide element having a curved surface which contacts the exterior of the elongated body member, and a coil orienting means which retains the tube along the spiral axis.

31. An apparatus as in claim 30, the flanged member comprising a plate, and the coil orienting means comprising holes through which the tube is threaded.

32. An apparatus as in claim 30, the flanged member comprising a series of rings which are integral with the curved surface, and through which the tube is threaded.

33. An apparatus as in claim 30, the flanged member having two faces angularly joined, and a series of holes which connect the two faces, the tube being threaded through the series of holes.

34. An apparatus as in claim 30, the flanged member having a series of clip-rings by which the tube is helically secured about the elongated body member.

35. An apparatus as in claim 30, including a comparing means, and a reference pressure means which generates a reference pressure value to the comparing means, the cuff detecting pressure within the elongated member and generating a sensed pressure value to the comparing means which generates an actual pressure value dependent on the reference pressure value and the sensed pressure value.

36. An apparatus as in claim 35, including an inflating means which connects to the tube to add fluid to and subtract fluid from the lumen.

37. An apparatus as in claim 36, including a driving means connected to the cuff, causing the cuff to transduce energy waves through the elongated member.

38. An apparatus as in claim 30, including a driving means connected to the cuff, causing the cuff to transduce energy waves through the elongated member.