Anal incontinence disease treatment with controlled wireless energy supply

• US 7,666,132 B2
• Filed: 10/15/2002
• Issued: 02/23/2010
• Est. Priority Date: 08/12/1999
• Status: Expired due to Fees

• Current Assignee: Obtech Medical AG
• Original Assignee: Obtech Medical AG
• Inventors: Forsell, Peter
• Primary Examiner(s): Gilbert; Samuel G
• Application Number:
  US10/270,168
• Publication Number:
  US 20030092962A1
• Time in Patent Office: 2,688 Days
• Field of Search: 600 29- 31, 600/37, 128897-898, 128/DIG.25
• US Class Current: 600/29
• CPC Class Codes: A61F 2/0009 placed in or outside the body opening close to the surface of the body plugging an opening in the wall of a hollow or tubular organ A61B17/0057
• CPC Class Codes: A61F 2/0036 implantable A61F2/0018 takes precedence
• CPC Class Codes: A61F 2/004 inflatable
• CPC Class Codes: A61N 1/3787 from an external energy source

Abstract

A anal incontinence disease treatment apparatus and method include and use an operable restriction device implanted in a patient and engaging the colon or engaging the rectum to form a restricted fecal passageway in the colon or the rectum. A source of energy external to the patient'"'"'s body and a control device for releasing wireless energy from the source of energy from outside the patient'"'"'s body are provided. The released wireless energy is used in connection with the operation of the restriction device, to enlarge or contract the restricted fecal passageway.

Claims

1. An anal incontinence treatment apparatus, comprising:

a restriction device for engaging the colon or rectum of a patient to form a restricted fecal passageway in the colon or rectum, the restriction device being operable to open and close the fecal passageway,

an external source of energy intended to be external to the patient'"'"'s body when the restriction device is implanted therein, the external source of energy being adapted to release wireless energy, said energy being used in connection with the operation of the restriction device to open and close the fecal passageway,

a control device operable from outside the patient'"'"'s body for releasing wireless energy from said external source of energy, said wireless energy being used in connection with the operation of said restriction device, said control device comprising;

a first control unit operable from outside the patient'"'"'s body for providing a control signal, and

a second control unit implantable in the patient, and adapted to control the restriction device in response to the control signal, and

a sensor for sensing pressure, the patient'"'"'s position or a physical parameter.

2. The apparatus according to claim 1, further comprising:

an implantable energy transfer device for transferring said wireless energy into storable energy; and

an internal source of energy implantable in the patient for storing said storable energy.

3. The apparatus according to claim 2, wherein, said control device is adapted to control the internal source of energy to supply energy for the operation of the restriction device.

4. The apparatus according to claim 3, wherein said control device is adapted to control the transfer of wireless energy to storable energy in said internal source of source of energy.

5. The apparatus according to claim 4, wherein said internal source of energy is a rechargeable battery.

6. The apparatus according to claim 1, wherein said second control unit is programmable.

7. The apparatus according to claim 6, wherein said second control unit is programmable by said first control unit.

8. The apparatus according to claim 7, wherein said first control unit loads said second control unit with data in accordance with a loading mode only authorized for a doctor.

9. The apparatus according to claim 7, wherein said first control unit controls said second control unit in accordance with a doctor mode only authorized for a doctor.

10. The apparatus according to claim 1, wherein said first control unit controls said second control unit in accordance with a patient mode permitted for the patient.

11. The apparatus according to claim 6, wherein said second control unit is programmable for controlling said restriction device over time.

12. The apparatus according to claim 11, wherein said second control unit controls said restriction device over time in accordance with an activity schedule program.

13. The apparatus according to claim 6, wherein said second control unit comprises a microprocessor.

14. The apparatus according to claim 1, further comprising an operation device implanted in the patient for operating said restriction device, wherein said control device controls said operation device to operate said restriction device.

15. The apparatus according to claim 1, wherein said wireless energy released from said external source of energy is directly used for operation of said restriction device.

16. The apparatus according to claim 15, wherein said wireless energy is directly used for operation of said restriction device in a non-magnetic manner.

17. The apparatus according to claim 15, wherein said wireless energy is directly used for operation of said restriction device in a non-mechanical manner.

18. The apparatus according to claim 15, further comprising an operation device for operating said restriction device, wherein said wireless energy directly or indirectly powers said operation device.

19. The apparatus according to claim 18, wherein said control device controls said operation device.

20. The apparatus according to claim 19, wherein said operation device comprises a motor.

21. The apparatus according to claim 20, wherein said motor comprises a rotary motor, and said control device controls said rotary motor to rotate a desired number of revolutions.

22. The apparatus according to claim 20, wherein said motor comprises a linear motor.

23. The apparatus according to claim 20, wherein said motor comprises a hydraulic or pneumatic fluid motor, and said control device controls the fluid flow through said fluid motor.

24. The apparatus according to claim 20, wherein said motor comprises an electric motor having electrically conductive parts made of plastics.

25. The apparatus according to claim 19, wherein said control device releases polarized energy from said source of energy.

26. The apparatus according to claim 19, wherein said control device shifts polarity of said released energy to reverse said operation device.

27. The apparatus according to claim 18, wherein said operation device comprises an electric motor and said released energy comprises electric energy.

28. The apparatus according to claim 1, wherein said restriction device is operable to perform a reversible function.

29. The apparatus according to claim 1, wherein the sensor senses at least one physical parameter of the patient.

30. The apparatus according to claim 1, wherein said sensor comprises a pressure sensor for directly or indirectly sensing the pressure in said fecal passageway.

31. The apparatus according to claim 1, further comprising a transceiver or transmitter combined with the sensor for sending information or data related to the restriction device from inside the patients body to the outside thereof.

32. The apparatus according to claim 1, wherein said control device controls said restriction device in response to signals from said sensor.

33. The apparatus according to claim 32, wherein the second control unit of said control device controls said restriction device in response to signals from said sensor.

34. The apparatus according to claim 32, wherein the first control unit of said control device controls said restriction device in response to signals from said sensor.

35. The apparatus according to claim 34, wherein said first control unit stores information on said physical parameter sensed by said sensor and is manually operated to control said restriction device based on said stored information.

36. The apparatus according to claim 1, further comprising at least one implanted sender for sending information on said physical parameter sensed by said sensor.

37. The apparatus according to claim 1, further comprising an external data communicator outside the patient'"'"'s body and an internal data communicator implanted in the patient for communicating with said external communicator, wherein said implanted communicator feeds data related to the patient back to said external communicator or said external communicator feeds data to said internal communicator.

38. The apparatus according to claim 37, wherein said implanted communicator feeds data related to said implanted restriction device.

39. The apparatus according to claim 37, wherein said implanted communicator feeds data related to at least one physical signal of the patient.

40. The apparatus according to claim 1, wherein said restriction device controls the cross-sectional area of said fecal passageway.

41. The apparatus according to claim 40, wherein said restriction device is operable to open and close said fecal passageway.

42. The apparatus according to claim 40, wherein said restriction device steplessly controls the cross-sectional area of said fecal passageway.

43. The apparatus according to claim 1, wherein said restriction device is non-inflatable.

44. The apparatus according to claim 1, wherein said control device releases energy for a determined time period.

45. The apparatus according to claim 1, wherein said control device releases energy in a determined number of energy pulses.

46. The apparatus according to claim 1, wherein said control device releases energy from said source of energy in a non-invasive manner.

47. The apparatus according to claim 1, wherein the first control unit of said control device comprises a wireless remote control transmitting at least one wireless control signal for controlling said restriction device.

48. The apparatus according to claim 47, wherein said remote control is capable of obtaining information on the condition of said implanted restriction device and to control said restriction device in response to said information.

49. The apparatus according to claim 47, wherein said wireless remote control comprises at least one external signal transmitter or transceiver and at least one internal signal receiver or transceiver implanted in the patient.

50. The apparatus according to claim 47, wherein said wireless remote control comprises at least one external signal receiver or transceiver and at least one internal signal transmitter or transceiver implanted in the patient.

51. The apparatus according to claim 47, wherein said remote control is capable of sending information related to said restriction device from inside the patient'"'"'s body to the outside thereof.

52. The apparatus according to claim 51, wherein said remote control controls said restriction device in response to said information.

53. The apparatus according to claim 47, wherein said remote control transmits a carrier signal for carrying said control signal.

54. The apparatus according to claim 53, wherein said carrier signal is frequency, amplitude or frequency and amplitude modulated.

55. The apparatus according to claim 53, wherein said carrier signal is digital, analog or digital and analog.

56. The apparatus according to claim 53, wherein said control signal used with said carrier signal is frequency, amplitude or frequency and amplitude modulated.

57. The apparatus according to claim 47, wherein said control signal comprises a wave signal comprising one of a sound wave signal including an ultrasound wave signal, an electromagnetic wave signal including an infrared light signal, a visible light signal, an ultra violet light signal and a laser light signal, a micro wave signal, a radio wave signal, an x-ray radiation signal, and a gamma radiation signal.

58. The apparatus according to claim 47, wherein said control signal comprises an electric, magnetic or electric and magnetic field.

59. The apparatus according to claim 47, wherein said control signal is digital, analog or digital and analog.

60. The apparatus according to claim 59, wherein said remote control transmits an electromagnetic carrier wave signal for carrying said digital or analog control signal.

61. The apparatus according to claim 47, wherein said control signal is transmitted in pulses by said wireless remote control.

62. The apparatus according to claim 1, wherein said control device releases energy from said source of energy in a non-invasive manner.

63. The apparatus according to claim 1, wherein said control device releases electromagnetic energy.

64. The apparatus according to claim 1, wherein said control device releases energy from said external source of energy in a non-mechanical manner.

65. The apparatus according to claim 1, wherein signals from the sensor representing a physical parameter are sent to the outside of the patient'"'"'s body.

66. An anal incontinence treatment apparatus comprising:

a restriction device for engaging the colon or rectum of a patient to form a restricted fecal passageway in the colon or rectum, the restriction device being operable to open and close the fecal passageway,

an external source of energy intended to be external to the patient'"'"'s body when the restriction device is implanted therein, the external source of energy being adapted to release wireless energy, said energy being used in connection with the operation of the restriction device to open and close the fecal passageway, and

a control device operable from outside the patient'"'"'s body for releasing wireless energy from said external source of energy, said wireless energy being used in connection with the operation of said restriction device, and the control device comprising;

a first control unit operable from outside the patient'"'"'s body for providing a control signal, and

a second control unit implantable in the patient, adapted to control the restriction device in response to the control signal, and

wherein the restriction device is non-inflatable.

67. The apparatus according to claim 66, further comprising:

an implantable energy transfer device for transferring said wireless energy into storable energy; and

an internal source of energy implantable in the patient for storing said storable energy.

68. The apparatus according to claim 67, wherein, said control device is adapted to control the internal source of energy to supply energy for the operation of the restriction device.

69. The apparatus according to claim 67, wherein said second control unit is programmable.

70. The apparatus according to claim 69, wherein said second control unit is programmable by said first control unit.

71. The apparatus according to claim 70, wherein said first control unit loads said second control unit with data in accordance with a loading mode only authorized for a doctor.

72. The apparatus according to claim 70, wherein said first control unit controls said second control unit in accordance with a doctor mode only authorized for a doctor.

73. The apparatus according to claim 70, wherein said first control unit controls said second control unit in accordance with a patient mode permitted for the patient.

74. The apparatus according to claim 69, wherein said second control unit is programmable for controlling said restriction device over time.

75. The apparatus according to claim 74, wherein said second control unit controls said restriction device over time in accordance with an activity schedule program.

76. The apparatus according to claim 69, wherein said second control unit comprises a microprocessor.

77. The apparatus according to claim 66, further comprising an operation device implanted in the patient for operating said restriction device, wherein said control device controls said operation device to operate said restriction device.

78. The apparatus according to claim 66, wherein said wireless energy released from said external source of energy is directly used for operation of said restriction device.

79. The apparatus according to claim 78, wherein said wireless energy is directly used for operation of said restriction device in a non-magnetic manner.

80. The apparatus according to claim 78, wherein said wireless energy is directly used for operation of said restriction device in a non-mechanical manner.

81. The apparatus according to claim 78, further comprising an operation device for operating said restriction device, wherein said wireless energy directly or indirectly powers said operation device.

82. The apparatus according to claim 81, wherein said control device controls said operation device.

83. The apparatus according to claim 82, wherein said operation device comprises a motor.

84. The apparatus according to claim 83, wherein said motor comprises a rotary motor, and said control device controls said rotary motor to rotate a desired number of revolutions.

85. The apparatus according to claim 83, wherein said motor comprises a linear motor.

86. The apparatus according to claim 83, wherein said motor comprises a hydraulic or pneumatic fluid motor, and said control device controls the fluid flow through said fluid motor.

87. The apparatus according to claim 83, wherein said motor comprises an electric motor having electrically conductive parts made of plastics.

88. The apparatus according to claim 82, wherein said control device releases polarized energy from said source of energy.

89. The apparatus according to claim 82, wherein said control device shifts polarity of said released energy to reverse said operation device.

90. The apparatus according to claim 81, wherein said operation device comprises an electric motor and said released energy comprises electric energy.

91. The apparatus according to claim 66, wherein said restriction device is operable to perform a reversible function.

92. The apparatus according to claim 66, further comprising at least one implanted sensor for sensing at least one physical parameter of the patient.

93. The apparatus according to claim 92, further comprising at least one implanted sender for sending information on said physical parameter sensed by said sensor.

94. The apparatus according to claim 92, wherein said sensor comprises a pressure sensor for directly or indirectly sensing the pressure in said fecal passageway.

95. The apparatus according to claim 92, wherein said control device controls said restriction device in response to signals from said sensor.

96. The apparatus according to claim 95, wherein the second control unit of said control device controls said restriction device in response to signals from said sensor.

97. The apparatus according to claim 95, wherein the first control unit of said control device controls said restriction device in response to signals from said sensor.

98. The apparatus according to claim 97, wherein said first control unit stores information on said physical parameter sensed by said sensor and is manually operated to control said restriction device based on said stored information.

99. The apparatus according to claim 66, further comprising an external data communicator outside the patient'"'"'s body and an internal data communicator implanted in the patient for communicating with said external communicator, wherein said implanted communicator feeds data related to the patient back to said external communicator or said external communicator feeds data to said internal communicator.

100. The apparatus according to claim 99, wherein said implanted communicator feeds data related to said implanted restriction device.

101. The apparatus according to claim 99, wherein said implanted communicator feeds data related to at least one physical signal of the patient.

102. The apparatus according to claim 66, wherein said restriction device controls the cross-sectional area of said fecal passageway.

103. The apparatus according to claim 102, wherein said restriction device is operable to open and close said fecal passageway.

104. The apparatus according to claim 102, wherein said restriction device steplessly controls the cross-sectional area of said fecal passageway.

105. The apparatus according to claim 66, wherein said restriction device is non-inflatable.

106. The apparatus according to claim 66, wherein said control device releases energy for a determined time period.

107. The apparatus according to claim 66, wherein said control device releases energy in a determined number of energy pulses.

108. The apparatus according to claim 66, wherein said control device releases energy from said source of energy in a non-invasive manner.

109. The apparatus according to claim 66, wherein the first control unit of said control device comprises a wireless remote control transmitting at least one wireless control signal for controlling said restriction device.

110. The apparatus according to claim 109, wherein said remote control is capable of obtaining information on the condition of said implanted restriction device and to control said restriction device in response to said information.

111. The apparatus according to claim 109, wherein said wireless remote control comprises at least one external signal transmitter or transceiver and at least one internal signal receiver or transceiver implanted in the patient.

112. The apparatus according to claim 109, wherein said wireless remote control comprises at least one external signal receiver or transceiver and at least one internal signal transmitter or transceiver implanted in the patient.

113. The apparatus according to claim 109, wherein said remote control is capable of sending information related to said restriction device from inside the patient'"'"'s body to the outside thereof.

114. The apparatus according to claim 113, wherein said remote control controls said restriction device in response to said information.

115. The apparatus according to claim 109, wherein said remote control transmits a carrier signal for carrying said control signal.

116. The apparatus according to claim 115, wherein said carrier signal is frequency, amplitude or frequency and amplitude modulated.

117. The apparatus according to claim 115, wherein said carrier signal is digital, analog or digital and analog.

118. The apparatus according to claim 115, wherein said control signal used with said carrier signal is frequency, amplitude or frequency and amplitude modulated.

119. The apparatus according to claim 109, wherein said control signal comprises a wave signal comprising one of a sound wave signal including an ultrasound wave signal, an electromagnetic wave signal including an infrared light signal, a visible light signal, an ultra violet light signal and a laser light signal, a micro wave signal, a radio wave signal, an x-ray radiation signal, and a gamma radiation signal.

120. The apparatus according to claim 109, wherein said control signal comprises an electric, magnetic or electric and magnetic field.

121. The apparatus according to claim 109, wherein said control signal is digital, analog or digital and analog.

122. The apparatus according to claim 121, wherein said remote control transmits an electromagnetic carrier wave signal for carrying said digital or analog control signal.

123. The apparatus according to claim 109, wherein said control signal is transmitted in pulses by said wireless remote control.

124. The apparatus according to claim 66, wherein said control device releases energy from said source of energy in a non-invasive manner.

125. The apparatus according to claim 66, wherein said control device releases electromagnetic energy.

126. The apparatus according to claim 66, wherein said control device releases energy from said external source of energy in a non-mechanical manner.

127. The apparatus according to claim 68, wherein said control device is adapted to control the transfer of wireless energy to storable energy in said internal source of source of energy.

128. The apparatus according to claim 127, wherein said internal source of energy is a rechargeable battery.