Prosthetic bladder and method of prosthesis implantation

• US 4,976,735 A
• Filed: 04/20/1989
• Issued: 12/11/1990
• Est. Priority Date: 04/20/1989
• Status: Expired due to Term

• Current Assignee: Donald P. Griffith
• Original Assignee: Charles A. Homsy, Donald P. Griffith
• Inventors: Griffith, Donald P., Homsy, Charles A.
• Primary Examiner(s): Frinks, Ronald
• Application Number:
  US07/341,734
• Time in Patent Office: 600 Days
• Field of Search: 623/11, 623/12, 623/14, 623/1, 623/66, 128/DIG. 25, 600/29-31
• US Class Current: 623/23.65
• CPC Class Codes: A61F 2/042 Urinary bladders

Abstract

The present invention relates to a fixed volume prosthetic urinary bladder for use in a human being. The invention, more particularly, concerns a prosthetic urinary bladder comprising a vent channel having a removable cap and a urethral discharge valve. The present invention is intended for implantation in a human being such that the vent channel protrudes through the abdominal wall and the vent cap lies flush with the outer surface of the abdomen.

Claims

1. A prosthetic bladder suitable for implantation in a human patient, comprising:

a fixed volume reservoir made of material that is biologically compatible with organs surrounding the natural bladder;

an inlet channel integrally formed in the top of said reservoir;

a vent channel integrally formed in said reservoir and extending sufficiently outward from the upper front portion of said reservoir to reach through the abdominal wall of the patient in which said bladder is to be implanted;

a removable perforated cap affixed on the end of said vent channel;

a discharge channel integrally formed in the bottom of said reservoir

a discharge valve located in said discharge channel; and

a valve actuator coupled to said discharge valve.

2. The prosthetic bladder of claim 1 wherein said cap comprises an internally housed air permeable water impermeable membrane.

3. The prosthetic bladder of claim 2 further comprising a linkage mechanism coupled at a first end to said discharge valve and coupled at a second end to said valve actuator.

4. The prosthetic bladder of claim 3 further comprising a linkage casing externally mounted on said reservoir and vent channel, enclosing said linkage mechanism.

5. The prosthetic bladder of claim 2 wherein said valve actuator is a squeeze bulb.

6. The prosthetic bladder of claim 2 wherein said valve actuator is a signal transmitter.

7. The prosthetic bladder of claim 6 further comprising:

a signal receiver mounted adjacent to said discharge valve; and

an electromechanical servomechanism coupling said signal receiver to said discharge valve.

8. The prosthetic bladder of claim 2 wherein said membrane is made from a tetrafluoroethylene polymer.

9. The prosthetic bladder of claim 1 wherein said vent channel comprises a removable endpiece having a first male end insertable in said vent channel and a second male end coupled to said cap.

10. The prosthetic bladder of claim 9 wherein the outer surface of said removable endpiece is coated with a tissue ingrowth promoting flexible coating.

11. The prosthetic bladder of claim 1 further comprising an intracutaneous fixation device slideably engaging the outer surface of said vent channel.

12. A prosthetic bladder suitable for implantation in a human patient, comprising:

a fixed volume reservoir made of material that is biologically compatible with organs surrounding the natural bladder;

an inlet channel integrally formed in the top of said reservoir;

a vent channel integrally formed in said reservoir and extending sufficiently outward from the upper front portion of said reservoir to reach through the abdominal wall of the patient in which said bladder is to be implanted;

a removable perforated cap affixed on the end of said vent channel;

a discharge channel integrally formed in the bottom of said reservoir

a discharge valve located in said discharge channel;

a valve actuator coupled to said discharge valve;

a level sensor internally mounted in the upper portion of said reservoir; and

a level alarm electrically coupled to said level sensors such that said level alarm generates a perceivable signal when said level sensor senses a predetermined liquid level in said reservoir.

13. The prosthetic bladder of claim 12 wherein said perceivable signal is an audio signal.

14. A prosthetic bladder suitable for implantation in a human patient, comprising:

a fixed volume reservoir made of material that is biologically compatible with organs surrounding the natural bladder;

an inlet channel integrally formed in the top of said reservoir;

a vent channel integrally formed in said reservoir and extending sufficiently outward from the upper front portion of said reservoir to reach through the abdominal wall of the patient in which said bladder is to be implanted;

a removable perforated cap affixed on the end of said vent channel;

a discharge channel integrally formed in the bottom of said reservoir;

a discharge valve located in said discharge channel;

a valve actuator coupled to said discharge valve;

a volume sensor internally mounted in the upper portion of said reservoir; and

a volume alarm electrically coupled to said volume sensors such that said volume alarm generates a perceivable signal when said volume sensor senses a predetermined liquid volume in said reservoir.

15. The prosthetic bladder of claim 14 further comprising a flexible flange slideably engaging the outer surface of said vent channel.

16. The prosthetic bladder of claim 15 wherein said flange comprises a multiplicity of micropores and macropores.

17. The prosthetic bladder of claim 14 wherein said perceivable signal is an audio signal.

18. A prosthetic bladder suitable for implantation in a human patient, comprising:

a reservoir having an inlet, an outlet and a vent channel;

a removable perforated cap affixed on the end of the vent channel; and

a discharge valve installed in the outlet of said reservoir.

19. The prosthetic bladder of claim 18, further comprising an air permeable, water impermeable membrane internally housed in said cap.

20. The prosthetic bladder of claim 19, further comprising:

a valve actuator mounted on the vent channel of said reservoir; and

a hydraulic linkage mechanism linking said valve actuator to said discharge valve.

21. The prosthetic bladder of claim 20 wherein said valve actuator is a hydraulic fluid pressurization device.

22. The prosthetic bladder of claim 20 wherein said valve actuator is a signal transmitter.

23. The prosthetic bladder of claim 22 further comprising:

a signal receiver mounted adjacent to said discharge valve; and

an electromechanical servomechanism coupling said signal receiver to said discharge valve.

24. The prosthetic bladder of claim 20 further comprising:

a level sensor internally mounted in the upper portion of said reservoir; and

a linkage mechanism linking said valve actuator to said discharge valve.

25. A method for implanting a prosthesis in a human patient comprising the steps of:

surgically implanting a deactivated prosthesis in the patient during a first surgical procedure;

making anastomotic unions with the prosthesis and the surrounding internal body regions during the first surgical pocedure;

allowing the deactivated prosthesis to remain in the patient for a period of several weeks during which time fibroblastic bonding occurs; and

making anastomotic union between the prosthesis and the bodily organ to which it is coupled during a second surgical procedure.

26. The method of claim 25 further comprising the steps of:

testing the deactivated prosthesis to ensure its functional operability; and

activating the prosthesis.

27. A method for implanting a prosthetic urinary bladder having a vent channel, an inlet channel, and a discharge channel in a human patient comprising the steps of:

implanting a defunctionalized prosthetic bladder in the patient'"'"'s pelvic cavity;

coupling the discharge channel of the prosthesis to the patient'"'"'s urethra;

allowing the defunctionalized prosthesis to remain in the patient'"'"'s body for a period of at least several days, during which time fibroblastic fixation takes place;

surgically removing a plug of abdominal skin at a position on the patient'"'"'s abdomen located over the opening of the prosthesis vent channel;

inserting a cylindrical endpiece of sufficient length into the vent channel such that the outer end of the endpiece extends beyond the outer surface of the patient'"'"'s abdomen;

waiting a sufficient period of time for the skin and tissue in the vicinity of the endpiece to heal; and

coupling the inlet channel of the prosthesis to the patient'"'"'s intestinal conduit.

28. The method of claim 27 further comprising the steps of:

endoscopically installing a discharge valve in the discharge channel of the prosthesis; and

installing a perforated cap on the outer end of the endpiece.

29. A prosthetic bladder suitable for implantation in a human patient, comprising:

a fixed volume reservoir having an inlet, an outlet and a vent channel integrally formed with said reservoir,

a removable perforated cap affixed on the end of the vent channel; and

a discharge valve installed in the outlet of said reservoir.