Treating urinary retention

• US 6,494,879 B2
• Filed: 05/14/1999
• Issued: 12/17/2002
• Est. Priority Date: 10/15/1998
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Scimed Life Systems Incorporated (Boston Scientific Corporation)
• Inventors: Levine, Andrew H., Lamport, Ronald B., Godshall, Douglas E., Lennox, Charles D., Perlmutter, Aaron, Nordstrom, Steven
• Primary Examiner(s): Snow, Bruce
• Application Number:
  US09/313,563
• Publication Number:
  US 20020055787A1
• Time in Patent Office: 1,313 Days
• Field of Search: 604/8, 604/247, 604/264, 604/27, 604/9, 604/30, 604/104, 606/108, 623/23.66
• US Class Current: 606/8
• CPC Class Codes: A61B 5/205 Determining bladder or urethral pressure
• CPC Class Codes: A61F 2/0018 magnetic
• CPC Class Codes: A61F 2/0022 placed deep in the body opening occluding blood vessels by internal devices A61B17/12022
• CPC Class Codes: A61F 2/0027 inflatable

Abstract

A urethral prosthesis provides relief of urinary retention and has first and second tubular elements with an interposed bridge segment. A valve can be disposed in the second tubular element to control the flow of urine therethrough.

Claims

1. An apparatus comprising,

a first tubular element including, first and second ends spaced apart from each other and a first wall, defining a lumen, extending between the first and second ends, and including at least a first external diameter and an external surface, the external surface including a substantially continuous surface portion,

a drainage hole, located in a portion of the first tubular element, adapted to reside in a patient'"'"'s bladder, and adapted to receive urine from the patient'"'"'s bladder into the first lumen,

a second tubular elements, adapted for residing within a penile urethra of the patient, including first and second ends spaced apart from each other by a second wall, and defining a second lumen extending between the first and second ends of the second tubular element,

a bridge segment extending between the second end of the first tubular element and the first end of the second tubular element, having at least one external diameter less than the first external diameter of the first tubular element, comprising a spring disposed within a pliable, biocompatible material, and adapted for passing through a urinary sphincter of the patient, and for holding the urinary sphincter in an open position to enable urine flow between the first lumen and the second lumen, and

a valve disposed within the second lumen and adapted for controlling urine flow between the first and second ends of the second tubular element.

2. The apparatus according to claim 1, wherein the first wall of the first tubular element includes a plurality of bubbles for rendering the first tubular element echogenic.

3. The apparatus according to claim 1, wherein the second wall of the second tubular element includes a plurality of bubbles for rendering the second tubular element echogenic.

4. The apparatus of claim 1, wherein the pliable, biocompatible material is silicone rubber.

5. The apparatus of claim 1, wherein the valve comprises a magnetically-actuatable valve.

6. The apparatus of claim 5, wherein the magnetically-actuatable valve comprises a ferromagnetic valve seat having an aperture for passage of fluid therethrough and a valve element having a magnet encapsulated in a non-magnetic capsule, the valve element being magnetically attractable to the valve seat to block a flow of fluid through the aperture.

7. The apparatus of claim 1, wherein the first and second tubular elements comprise a pliable, biocompatible material.

8. The apparatus of claim 7, wherein the pliable, biocompatible material is silicone rubber.

9. The apparatus of claim 1 further comprising at least one suture wire attached to the second end of the second tubular element to aid in removing the apparatus from the patient.

10. The apparatus according to claim 1 further comprising,

an inflatable balloon circumscribing at least a portion of at least one of the first tubular element and the second tubular element;

and

an inflation cannula adapted for extending from the inflatable balloon to a point outside of the patient'"'"'s body to facilitate inflation of the inflatable balloon.

11. The apparatus according to 10 further comprising a transducer disposed within the inflatable balloon for monitoring pressure with the inflatable balloon.