Hydraulic anal incontinence treatment
First Claim
Patent Images
1. An anal incontinence disease treatment apparatus, comprising:
- an operable restriction device adapted to be implanted in a patient to engage the colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, said restriction device being operable to perform a reversible function,an energy transmission device for wireless transmission of energy from outside the patient'"'"'s body,an energy transfer device adapted to be implanted in the patient for transferring energy transmitted by said energy transmission device into a different form of energy, said restriction device being operable in response to said different form of energy to vary the restriction of the restricted fecal passageway, anda powered operation device adapted to be implanted in the patient for operating said restriction device, whereinsaid different form of energy is used for powering said powered operation device to reversibly operate said restriction device to close the fecal passageway to prevent feces to pass therethrough and to enlarge the fecal passageway to allow feces to readily pass therethrough.
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Abstract
An anal incontinence treatment apparatus and method includes and uses an adjustable restriction device implanted in a patient, who suffers from anal incontinence. The restriction device engages the rectum of the patient to restrict the fecal passageway. An adjustment device is adapted to adjust the restriction device such that the rectum is temporarily released, in order to open the fecal passageway when the patient wishes to achieve defaecation.
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Citations
199 Claims
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1. An anal incontinence disease treatment apparatus, comprising:
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an operable restriction device adapted to be implanted in a patient to engage the colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, said restriction device being operable to perform a reversible function, an energy transmission device for wireless transmission of energy from outside the patient'"'"'s body, an energy transfer device adapted to be implanted in the patient for transferring energy transmitted by said energy transmission device into a different form of energy, said restriction device being operable in response to said different form of energy to vary the restriction of the restricted fecal passageway, and a powered operation device adapted to be implanted in the patient for operating said restriction device, wherein said different form of energy is used for powering said powered operation device to reversibly operate said restriction device to close the fecal passageway to prevent feces to pass therethrough and to enlarge the fecal passageway to allow feces to readily pass therethrough. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71)
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72. An anal incontinence disease treatment apparatus, comprising:
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an operable restriction device adapted to be implanted in a patient to engage the colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, an energy transmission device for wireless transmission of energy from outside the patient'"'"'s body, an energy transfer device adapted to be implanted in the patient for transferring energy transmitted by said energy transmission device into a different form energy, an energy storage device adapted to be implanted in the patient for storing said different form energy and for supplying energy for operation of said restriction device, and a switch adapted to be implanted in the patient for directly or indirectly switching the supply of energy from said energy storage device, wherein said switch is inoperable by permanent magnets. - View Dependent Claims (73, 74, 75, 76)
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77. An anal incontinence disease treatment apparatus, comprising:
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an operable restriction device adapted to be implanted in a patient to engage the colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, an energy transmission device for wireless transmission of energy from outside the patient'"'"'s body, an energy transfer device adapted to be implanted in the patient for transferring energy transmitted by said energy transmission device into a different form of energy, a switch adapted to be implanted in the patient for switching the operation of said restriction device, and a source of energy adapted to be implanted in the patient for supplying energy for the operation of said restriction device, wherein said switch is operable by said different form of energy supplied by said energy transfer device to switch from an off mode, in which said source of energy is not in use, to an on mode, in which said source of energy supplies energy for the operation of said restriction device.
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78. An anal incontinence disease treatment apparatus, comprising:
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an operable restriction device adapted to be implanted in a patient to engage the colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, an energy transmission device for wireless transmission of energy from outside the patient'"'"'s body, an energy transfer device adapted to be implanted in the patient for transferring energy transmitted by said energy transmission device into a different form of energy, a switch adapted to be implanted in the patient for switching the operation of said restriction device, a source of energy adapted to be implanted in the patient for supplying energy for the operation of said restriction device, and a remote control for controlling the supply of energy of said source of energy, wherein said switch is operable by said different form energy supplied by said energy transfer device to switch from an off mode, in which said remote control is prevented from controlling said source of energy and said source of energy is not in use, to a standby mode, in which said remote control is permitted to control said source of energy to supply energy for the operation of said restriction device.
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79. An anal incontinence disease treatment apparatus, comprising:
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an operable restriction device adapted to be implanted in a patient to engage the colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, an energy transmission device for wireless transmission of energy from outside the patient'"'"'s body, an energy transfer device adapted to be implanted in the patient for transferring energy transmitted by said energy transmission device into a different form energy, wherein said restriction device is adapted to be directly and reversibly operated to vary the restriction of the restricted fecal passageway, in response to said different form energy transferred by said energy transfer device, as said energy transmission device transmits energy. - View Dependent Claims (80, 81, 82, 83)
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84. An anal incontinence disease treatment apparatus, comprising:
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an operable restriction device adapted to be implanted in a patient to engage the colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, a source of energy adapted to be implanted in the patient for supplying energy to be used in connection with the operation of said restriction device, an energy transfer device for transferring wireless energy into an energy form suited for charging said source of energy, a control device operable from outside the patient'"'"'s body to control said energy transfer device to charge said internal source of energy with transferred wireless energy and to control said source of energy to release energy, and at least one implantable sensor for sensing at least one physical parameter of the patient, wherein said control device comprises a first, external control unit operable from the outside of the patient'"'"'s body for providing a control signal and second electrical internal control unit adapted to be implanted in the patient, said internal control unit directly controlling said restriction device in response to signals from said sensor. - View Dependent Claims (198)
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85. An anal incontinence disease treatment apparatus, comprising:
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an operable restriction device adapted to be implanted in a patient to engage the colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, a source of energy adapted to be implanted in the patient for supplying energy to be used in connection with the operation of said restriction device, an energy transfer device for transferring wireless energy into an energy form suited for charging said source of energy, a control device operable from outside the patient'"'"'s body to control said energy transfer device to charge said internal source of energy with transferred wireless energy and to control said source of energy to release energy, and at least one implantable sensor for sensing at least one physical parameter of the patient, wherein said control device comprises a first, external control unit operable from the outside of the patient'"'"'s body for providing a control signal and a second, internal control unit adapted to be implanted in the patient, said internal control unit communicating with said external control unit in response to signals from said sensor and is adapted to control the restriction device in response to the control signal.
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86. An anal incontinence disease treatment apparatus, comprising:
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an operable restriction device adapted to be implanted in a patient to engage the colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, a source of energy adapted to be implanted in the patient for supplying energy to be used in connection with the operation of said restriction device, a control device operable from outside the patient'"'"'s body for releasing energy from said source of energy, said released energy being used in connection with the operation of said restriction device, wherein said control device comprises a wireless remote control transmitting at least one wireless control signal for controlling said restriction device to close the fecal passageway to prevent feces from passing therethrough and enlarge the fecal passageway to allow feces to readily pass therethrough, and an internal control unit adapted to be implanted in the patient for receiving the wireless control signal. - View Dependent Claims (199)
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87. An anal incontinence disease treatment apparatus, comprising:
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an operable restriction device adapted to be implanted in a patient to engage the colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, an implantable powered operation device for operating said restriction device, a source of energy external to the patient'"'"'s body, a control device operable from outside the patient'"'"'s body to control said external source of energy to release wireless energy, an implantable energy transfer device adapted to transfer said wireless energy into storable energy, and an implantable internal source of energy adapted to store said storable energy and power said operation device with said storable energy, wherein said control device comprises a wireless remote control transmitting at least one wireless control signal for controlling said restriction device to close the fecal passageway to prevent feces from passing therethrough and enlarge the fecal passageway to allow feces to readily pass therethrough, and an internal control unit adapted to be implanted in the patient for recevint the wireless control signal. - View Dependent Claims (88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161)
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162. An anal incontinence disease treatment apparatus, comprising:
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an operable restriction device adapted to be implanted in a patient to engage the colon or rectum or the prolongation thereof to form a restricted fecal passageway, an implantable powered operation device for operating said restriction device, a source of energy external to the patient'"'"'s body, a control device operable from outside the patient'"'"'s body to control said external source of energy to release electromagnetic wireless energy for use in the powering of said operation device, an implantable energy transfer device for transferring said electromagnetic wireless energy into another form of energy usable by said operation device, wherein said control device comprises a first, external control unit operable from the outside of the body for providing a control signal a second, internal unit adapted to control the restriction device in response to a control signal to close the fecal passageway to prevent feces from passing therethrough and to enlarge the fecal passageway to allow feces to readily pass therethrough. - View Dependent Claims (163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, 174, 175, 176, 177, 178, 179, 180, 181, 182, 183)
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184. A method of treating anal incontinence disease, comprising:
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implanting in a patient an operable restriction device engaging the colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, implanting in the patient a source of electric energy for energizing the restriction device, transferring wireless energy into electric energy, charging the source of energy with the electric energy, and controlling the source of energy from outside the patient'"'"'s body to release electric energy for use in connection with the operation of the restriction device. - View Dependent Claims (185)
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186. A method of treating anal incontinence disease, comprising the steps of:
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placing at least two laparoscopical trocars in a patient'"'"'s body, inserting a dissecting tool through the trocars and dissecting an area of the colon or rectum or the prolongation thereof, implanting an operable restriction device in the dissected area, so that the restriction device engages the colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, providing an external source of energy, providing a control device, using the control device to control the external source of energy to release wireless energy, implanting an energy transfer device, and using the control device to control the energy transfer device to transfer the released wireless energy into electric energy for use in connection with the operation of the restriction device. - View Dependent Claims (187, 188)
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189. A method of treating anal incontinence disease, comprising the steps of:
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placing at least two laparoscopical trocars in a patient'"'"'s body, inserting a dissecting tool through the trocars and dissecting an area of the colon or rectum or the prolongation thereof, placing an operable restriction device in the dissected area, so that the restriction device engages the colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, implanting a source of electric energy in the patient, transferring wireless energy into electric energy, charging the source of energy with the electric energy, and controlling the implanted source of energy from outside the patient'"'"'s body to release electric energy for use in connection with the operation of the restriction device.
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190. A method of treating a human or animal having anal incontinence disease, comprising:
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(a) surgically implanting in the human or animal an operable restriction device engaging the human'"'"'s or animal'"'"'s colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, (b) implanting an internal source of energy, (c) providing a source of energy external to the human or animal, (d) controlling the external source of energy from outside the human or animal to release wireless energy, (e) transferring the released wireless energy into storable energy and storing the storable energy in the internal source of energy, and (f) controlling the internal source of energy to release energy for operating the restriction device to restrict the fecal passageway to prevent feces from passing therethrough and enlarge the fecal passageway to allow feces to readily pass therethrough. - View Dependent Claims (191, 192, 193, 194)
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195. A method of treating a human or animal having anal incontinence disease, comprising:
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(a) surgically implanting in the human or animal an operable restriction device engaging the human'"'"'s or animal'"'"'s colon or rectum or the prolongation thereof to form a restricted fecal passageway, (b) providing a source of energy external to the patient'"'"'s body, (c) controlling the external source of energy from outside the patient'"'"'s body to release electromagnetic wireless energy, (d) transferring said electromagnetic wireless energy into a different form of energy, (e) using said different form of energy to operate the restriction device, and (f) controlling the restriction device to restrict the fecal passageway to prevent feces from passing therethrough and enlarge the fecal passageway to allow feces to readily pass therethrough.
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196. A method of treating a human or animal having anal incontinence disease, comprising:
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(a) surgically implanting in the human or animal an operable restriction device engaging the human'"'"'s or animal'"'"'s colon or rectum or the prolongation thereof to form a restricted fecal passageway, (b) providing a source of energy external to the patient'"'"'s body, (c) implanting a control unit in the human or animal, (d) controlling the external source of energy from outside the patient'"'"'s body to release wireless energy, (e) transferring said wireless energy into a different form of energy, (f) using the different form of energy to operate the restriction device, and (g) controlling by the implanted control unit the restriction device to restrict the fecal passageway to prevent feces from passing therethrough and enlarge the fecal passageway to allow feces to readily pass therethrough.
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197. A method of treating anal incontinence disease, comprising the steps of:
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placing at least two laparoscopical trocars in a patient'"'"'s body, inserting a dissecting tool through the trocars and dissecting an area of the colon or rectum or the prolongation thereof, placing an operable restriction device in the dissected area, so that the restriction device engages the colon or rectum or the prolongation thereof to form a restricted fecal passageway in the colon or rectum or the prolongation thereof, implanting a source of energy in the patient, and wirelessly controlling the implanted source of energy from outside the patient'"'"'s body to release energy for use in connection with the operation of the restriction device.
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Specification