Incontinent prothesis and method

• US 5,163,897 A
• Filed: 10/25/1989
• Issued: 11/17/1992
• Est. Priority Date: 10/25/1989
• Status: Expired due to Fees

• Current Assignee: Lester Persky
• Original Assignee: Lester Persky
• Inventors: Persky, Lester
• Primary Examiner(s): Isabella, David J.
• Assistant Examiner(s): GUALTIERI, GINA
• Application Number:
  US07/427,002
• Time in Patent Office: 1,119 Days
• Field of Search: 600/30, 600/31, 600/29, 128/DIG. 25, 623/12
• US Class Current: 600/31
• CPC Class Codes: A61F 2/004 inflatable
• CPC Class Codes: Y10S 128/25 Artificial sphincters and devices for controlling urinary incontinence

Abstract

A urinary incontinence prosthesis in the form of an inflatable implant. The implant includes a uniquely configured balloon having a central portion for positioning adjacent the patient'"'"'s urethra and pairs of claw like arms partially circumscribing the patient'"'"'s corpus cavernosa. The process for use comprises implanting the balloon and suturing apertured tabs to a patient'"'"'s tunica to maintain the prosthesis device in its desired position. A pump/reservoir is positioned in the patient'"'"'s scrotum and connected in fluid communication with the prosthesis by a suitable tube. The entire device is made of biocompatible implantable material.

Claims

1. A urinary incontinence prosthesis for a male patient comprising:

(a) a pump of biocompatible material; and

(b) an inflatable balloon of biocompatible material, means connecting the balloon in fluid communication with the pump, the pump including a reservoir for inflating and deflating the balloon, the balloon comprising;

(i) a relatively elongate urethra compressing portion adapted for implantation adjacent a urethra and when inflated to close such urethra to the passage of urine and to deflate upon actuation of the pump to permit the passage of urine; and

(ii) a pair of curved anchoring portions projecting transversely and oppositely from the compressing portion, the curved portions being respectively adapted to partially circumscribe a corresponding corpus cavernosum, the curved portions being in fluid communication with the compression portion and adapted to inflate concurrently and thereby respectively coact against the corresponding corpus cavernosum and supply a force additive to that of the compression portion to close such urethra.

2. The prosthesis of claim 1 wherein there are a plurality of pairs of anchoring portions.

3. The prosthesis of claim 2 wherein the pairs are spaced from one another.

4. The prosthesis of claim 1 wherein the anchoring portions project in a diametric opposition from the compressing portion.

5. The prosthesis of claim 1 wherein the balloon includes projections for suturing to the tunica of a patient'"'"'s corpus cavernosum.

6. The prosthesis of claim 1 further including a pair of biocompatible support members adapted for implantation in a patient'"'"'s corpora cavernosa to coact with the anchoring portions in providing such additive force.

7. An inflatable implant for controlling urinary incontinence in a male patient:

(a) an elongated, inflatable proximal portion having a fluid supply opening near one end, the opening being adapted for connection to a pump mechanism;

(b) a plurality of pairs of inflatable, curved, anchoring portions connected to the proximal portion, the anchoring portions of each pair projecting laterally and oppositely from the proximal portion;

(c) the pairs of anchoring portions being longitudinally spaced from one another along the proximal portion;

(d) the portions collectively defining an internal fluid chamber and collectively having, apart from the supply opening, imperforate fluid containing walls and, the portions being formed of a biocompatible implantable material.

8. The implant of claim 7 wherein the anchoring portions are of a configuration curved in transverse cross section and adapted when inflated and in use to engage the corpus cavernosa of a patient in compressive relationship whereby to establish a force additive to that of the concurrently inflated proximal portion to compress and close off the patient'"'"'s urethra.

9. The implant of claim 7 wherein the implant includes projections for suturing to the tunica of a patient'"'"'s corpus cavernosum.

10. The implant of claim 7 wherein each anchoring portion has an apertured projection adapted to be sutured to the tunica of a patient'"'"'s corpus cavernosa without rupture of the imperforate walls.

11. The prosthesis of claim 7 wherein the proximal portion includes an enlarged part adjacent the supply opening.

12. A method of implanting urinary incontinence in a male patient which comprises implanting an inflatable balloon in the penis of a patient including the steps of:

(a) positioning an elongate, inflatable proximal portion adjacent the urethra;

(b) positioning a pair of laterally and oppositely directed inflatable arm portions of the balloon respectively in partially circumscribing relationship with an associated corpora cavernosum; and

(c) suturing tabs projecting from certain of the inflatable portions to the tunica of the patient'"'"'s corpora cavernosum to secure the balloon in its implanted position.

13. The method of claim 12 including the further step of implanting a pump in the patient'"'"'s scrotum and providing a fluid connection between the pump and the balloon for transferring fluid from one to the other and return.

14. The method of claim 12 including the further step of respectively implanting a pair of biocompatible support members in the patient'"'"'s corpora cavernosa.