IMPLANTABLE DRAINAGE DEVICE

• US 20170304597A1
• Filed: 07/03/2017
• Published: 10/26/2017
• Est. Priority Date: 01/28/2008
• Status: Active Grant

• Current Assignee: Peter Forsell
• Original Assignee: Peter Forsell
• Inventors: Forsell, Peter
• Granted Patent: US 11,253,684 B2
• Time in Patent Office: Days
• CPC Class Codes: A61F 2/0036 implantable A61F2/0018 takes precedence
• CPC Class Codes: A61F 2/482 Electrical means
• CPC Class Codes: A61F 2/484 Fluid means, i.e. hydraulic or pneumatic
• CPC Class Codes: A61F 2250/0001 Means for transferring electromagnetic energy to implants
• CPC Class Codes: A61F 2250/0002 for data transfer
• CPC Class Codes: A61M 1/71 Suction drainage systems containers therefor A61M1/60, A61M1/64; negative pressure wound therapy systems A61M1/90
• CPC Class Codes: A61M 1/72 Cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 1/79 Filters for solid matter specially adapted for dental use A61C17/065
• CPC Class Codes: A61M 1/82 Membrane pumps, e.g. bulbs
• CPC Class Codes: A61M 2027/004 with at least a part of the circuit outside the body
• CPC Class Codes: A61M 2205/10 with powered movement mechanisms
• CPC Class Codes: A61M 2205/3331 Pressure; Flow
• CPC Class Codes: A61M 2205/3523 using telemetric means
• CPC Class Codes: A61M 2205/7554 with means for unclogging or regenerating filters
• CPC Class Codes: A61M 2210/1021 Abdominal cavity
• CPC Class Codes: A61M 2210/1078 Urinary tract
• CPC Class Codes: A61M 27/002 Implant devices for drainage of body fluids from one part of the body to another intraocular A61F9/00781; middle ear A61F11/202
• CPC Class Codes: A61M 27/006 Cerebrospinal drainage; Accessories therefor, e.g. valves
• CPC Class Codes: A61M 60/00 Blood pumps; Devices for mechanical circulatory actuation; Balloon pumps for circulatory assistance heart stimulation A61H31/00; heart stimulators for electrotherapy A61N1/362
• CPC Class Codes: A61M 60/122 Implantable pumps or pumping devices, i.e. the blood being pumped inside the patient's body
• CPC Class Codes: A61M 60/50 : Details relating to control
• CPC Class Codes: A61M 60/857 : Implantable blood tubes
• CPC Class Codes: A61M 60/871 : Energy supply devices; Converters therefor
• CPC Class Codes: B01D 46/66 : Regeneration of the filtering material or filter elements inside the filter B01D46/04, B01D46/48 take precedence
• CPC Class Codes: B01D 46/68 : by means acting on the cake side involving movement with regard to the filter elements
• CPC Class Codes: B01D 46/681 : by scrapers, brushes or the like
• CPC Class Codes: B01D 46/79 : by liquid process
• CPC Class Codes: B01D 46/86 : Cleaning the filter surface by interrupting suction so that the filter cake falls by gravity
• CPC Class Codes: B01D 46/88 : Replacing filter elements
• CPC Class Codes: B01D 46/90 : Devices for taking out of action one or more units of multi-unit filters, e.g. for regeneration or maintenance

Abstract

An implantable drainage device is provided. The device is adapted to move body fluid from one part of the body of a patient to another part of the body.

Claims

1. An apparatus for drainage of a body fluid in a human or mammal patient, comprising:

a drainage device,

an energy source adapted to supply energy to said drainage device, and

at least one connecting tube connected to said drainage device, the drainage device and the tube forming a drainage arrangement, wherein

the drainage arrangement is adapted to be implanted inside the body of the patient, and wherein said tube interconnects one part of the body with another part of the body and said drainage device is adapted to suck body fluid from the one part of the body via the connecting tube to the other part of the body and wherein the device includes an expanding reservoir comprising;

a bellow having an inlet with an inlet return valve and an outlet with an outlet return valve,

a member adapted to move the bellow to expand to suck fluid, and

a motor adapted to compress the bellow and move fluid out, wherein said drainage device is adapted to repeat the sucking and moving of fluid to substantially constantly suck fluid when not moving fluid to the other part of the body.

2. The apparatus according to claim 1, wherein the connecting tube is adapted to have the size, shape and configuration adapted to a specific treatment area of the one and/or the other part of the body.

3. The apparatus according to claim 1, wherein the drainage device includes a pump comprising a bellow provided with one inlet having an inlet return valve and one outlet having an outlet return valve and further comprising a motor adapted to move the bellow to compress the bellow and pump out via the outlet.

4. An apparatus according to claim 1, wherein the drainage device includes a pump comprising a bellow provided with one inlet having an inlet return valve and one outlet with an outlet return valve and further comprising a motor adapted to expand the bellow to suck from the inlet.

5. The apparatus according to claim 1, wherein said drainage device constantly sucks fluid using a pre-tensioned load when not moving fluid to the other part of the body.

6. The apparatus according to claim 5, wherein said pre-tensioned load comprises a spring loaded by a motor.

7. The apparatus according to claim 1, further, comprising

an energy source adapted to supply energy to said bellow.

8. 8. The apparatus according to claim 1, wherein the connecting tube is adapted to have the size, shape and configuration adapted to a specific treatment area of the one and/or the another part of the body.

9. The apparatus according to claim 8, wherein said bellow comprises an inlet with an inlet return valve and an outlet with an outlet return valve and further comprising a passive spring adapted to move the bellow to expand to suck from the inlet, the bellow further being associated with a motor adapted to compress the bellow and move fluid out from the outlet and thereby pre-tensioning said spring, said drainage device further being adapted to repeat the sucking and moving of fluid to substantially constantly suck fluid when not moving fluid to another part of the body.

46. An apparatus for drainage of a body fluid in a human or mammal patient, according to any of claims 1, 10, 12, 19, 26, 32 or 39 wherein the energy source comprising an internal energy source and external energy source transmitting wireless energy and further comprising an energy transmitter transmitting wireless energy from the external energy source to charge said internal energy source and the apparatus further adapted to send feedback information from inside the body to the outside thereof to give feed back related to any functional parameter of the device or physical parameter of the patient.

47. The apparatus according to claim 46, wherein the functional parameter of the device is correlated to the transfer of energy for charging the internal energy source.

48. The apparatus according to claim 46, further comprising a device adapted to receive transmitted wireless ultra sonic energy.

49. The apparatus according to claim 46, further comprising a device adapted to receive transmitted wireless inductive energy.

50. The apparatus according to claim 46, further comprising a device adapted to receive transmitted wireless light energy.

51. The apparatus according to claim 46, further comprising a device adapted to transmit feedback information.

52. The apparatus according to any claim 1, 10, 12, 19, 26, 32 or 39, wherein said drainage device comprises a bellow comprising an inlet with an inlet return valve and an outlet with an outlet return valve and further comprising a passive spring adapted to move the bellow to expand to suck from the inlet, the bellow further being associated with a motor adapted to compress the bellow and move fluid out from the outlet and thereby pre-tensioning said spring, said drainage device further being adapted to repeat the sucking and moving of fluid to substantially constantly suck fluid when not moving fluid to another part of the body.

53. The apparatus according to any of claim 1, 10, 12, 19, 26, 32 or 39, comprising a backward release member adapted to generate a backward pressure of fluid or air in the tube for removing or preventing a possible occlusion in the tube.

54. The apparatus according to claim 53, wherein said backward release member is adapted to generate the backward pressure repeatedly according to a predetermined time schedule.

55. The apparatus according to claim 53, wherein said release member comprises a pre-pressurized reservoir of air and a valve adapted to release a puff of air in the tube.

56. The apparatus according to claim 53, comprising a pump adapted to move fluid or air in the tube in the reversed direction.

57. The apparatus according to claim 56, further comprising a reservoir, said reservoir being pre-pressurized by said pump, the apparatus further comprising a valve adapted to release a puff of fluid or air in the tube extending from the pre-pressurized reservoir when the pressure has reached a predetermined level.

58. The apparatus according to claim 1, 10, 12, 19, 26, 32 or 39, wherein the drainage device is adapted to be placed subcutaneously via surgery.

59. The apparatus according to claim 1, 10, 12, 19, 26, 32 or 39 wherein the drainage device is adapted to be placed in the abdomen.

60. The apparatus according to any of claim 1, 10, 12, 19, 26, 32 or 39, further comprising a subcutaneous switch, the switch being adapted to manually and non-invasively control any function of the drainage device.

61. The apparatus according to any of claims 1, 10, 12, 19, 26, 32 or, further comprising a hydraulic device, comprising a hydraulic reservoir, wherein the drainage device is adapted to non-invasively be regulated by manually pressing said reservoir.

62. The apparatus according to any of claim 1, 10, 12, 19, 26, 32 or 39, further comprising a wireless remote control, wherein the drainage device is adapted to non-invasively have any of its functions regulated by said remote control.

63. The apparatus according to any of claims, 1, 10, 12, 19, 26, 32 or, comprising a wireless energy transmitter, wherein the drainage device is adapted to non-invasively have any of its functions regulated by said energy transmitter.

64. The apparatus according to any of claims 1, 10, 12, 19, 26, 32 or, wherein the energy source is adapted to power the drainage device to adjust any of it functions.

65. The apparatus according to claim 64, wherein said energy source comprise an internal energy source.

66. The apparatus according to claim 64, wherein said energy source is adapted to receive energy from an external energy source transmitting energy in a wireless mode.

67. The apparatus according to claim 66, wherein the internal energy source is chargeable.

68. The apparatus according to any of claims 1, 10, 12, 19, 26, 32 or, comprising an operation device for operating the drainage device.

69. The apparatus according to claim 68, wherein the operation device comprises a motor or a pump.

70. The apparatus according to claim 68, wherein the operation device comprises an electrically powered operation device.

71. The apparatus according to claim 68, wherein the operation device comprises a hydraulic operation device.

72. The apparatus according to claim 69, wherein the operation device comprises an electric motor.

73. The apparatus according to any claim 1, 10, 12, 19, 26, 32 or 39, further comprising a sensor sensing a physical parameter of the patient.

74. The apparatus according to any of claim 1, 10, 12, 19, 26, 32 or 39, further comprising a sensor sensing a functional parameter of the drainage device.

75. The apparatus according to claim 73, further comprising an internal control unit acting in response to the sensor sending information.

76. The apparatus according to claim 74, further comprising an internal control unit acting in response to the sensor sending information.

77. The apparatus according to claim 73, wherein the sensor is a pressure sensor.

78. The apparatus according to any claim 1, 10, 12, 19, 26, 32 or 39, comprising a filtering device for removing particles from a fluid of a patient, the filtering device being implantable in the patient'"'"'s body and comprising:

a filter connected to a tube for filtering any particles passing through the tube.

79. The apparatus according to claim 78 further comprising a cleaning device for cleaning the filter.

80. The apparatus according to claim 79, wherein the cleaning device is powered by a motor.

81. The apparatus according to claim 79, wherein the cleaning device is adapted to move any particles away from the fluid passageway.

82. The apparatus according to claim 79, wherein the cleaning device is adapted to move particles to a location within the body of the patient.

83. The apparatus according to claim 79, wherein the cleaning device is adapted to take into account the fibrotic capsula covering the cleaning device when implanted.

84. The apparatus according to claim 79, wherein the filter comprises a rotating member.

85. The apparatus according to claim 79, wherein the cleaning device is adapted to slice, push or scratch away any particles from the filter.

86. The apparatus according to claim 79, wherein the cleaning device is adapted to suck away any particles from the filter.

87. The apparatus according to claim 79, wherein the cleaning device comprises a first piston.

88. The apparatus according to claim 87, wherein an outer end portion of the first piston is provided with a first recess.

89. The apparatus according to claim 87, wherein the first piston is provided with a plurality of channels for accommodating the filter in an extended position of said first piston.

90. The apparatus according to claim 87, wherein the first piston is movable in a direction perpendicular to the direction of the flow passageway.

91. The apparatus according to claim 90, wherein the first piston during movement is arranged to take away any particles from the filter.

92. The apparatus according to claim 87, comprising a source of pressurized fluid controlling the movement of the first piston.

93. The apparatus according to claim 87, comprising an electric motor controlling the movement of the first piston.

94. The apparatus according to claim 87, comprising a solenoid controlling the movement of the first piston.

95. The apparatus according to claim 87, comprising a second piston provided across the flow passageway from the first piston.

96. The apparatus according to claim 95, wherein the second piston is movable in a direction essentially perpendicular to the direction of the flow passageway

97. The apparatus according to claim 95, wherein the second piston is spring biased in the direction of the first piston.

98. The apparatus according to claim 95, wherein an outer end portion of the second piston is provided with a second recess.

99. The apparatus according to claim 95, comprising a third piston, which is movable in a direction perpendicular to both the direction of the flow passageway and the direction of movement of the first piston and of the second piston.

100. The apparatus according to claim 79, wherein the filter is of biocompatible material.

101. The apparatus according to claim 79, wherein the filter comprises a plurality of strips.

102. The apparatus according to claim 101, wherein the plurality of strips are equally spaced.

103. The apparatus according to any claim 1, 10, 12, 19, 26, 32 or 39, wherein the tube end in the delivery area is provided with a net structure.

104. The apparatus according to claim 103, wherein the net structure is sealed around the tube.

105. The apparatus according to claim 103, wherein the net structure is provided with holes having a diameter that will be overgrown by tissue.

106. The apparatus according to claim 105, wherein the diameter of the holes is smaller than 2.5 mm.

123. A method of using the apparatus according to any of claim 1, 10, 12, 19, 26, 32 or 39, wherein an operation device is used for operating the drainage device.

124. The method according to claim 123, wherein the operation device comprises an electrical powered operation device.

125. The method according to claim 123, wherein the operation device comprises a hydraulic operation device.

126. The method according to claim 124, wherein the operation device comprises an electric motor.

127. A method of using the apparatus according to any claim 1, 10, 12, 19, 26, 32 or 39, wherein at least one function of the device is regulated from outside the human or mammal body.

128. The method according to claim 127, wherein the non-invasively regulation are performed by manually pressing a subcutaneous switch.

129. The method according to claim 127, when the apparatus comprises a hydraulic regulated drainage device and a hydraulic reservoir connected to said constriction device, wherein non-invasively regulation are performed by manually pressing said reservoir.

130. The method according to claim 127, when the apparatus comprises a wireless remote control, wherein the non-invasively regulation is performed using said remote control.

131. The method according to claim 127, when the apparatus comprises a wireless energy transmitter, wherein the non-invasively regulation is performed using said energy transmitter.

132. The method according to claim 127, wherein the energy source is used for powering said drainage device adapted to adjust any of its functions.

133. The method according to any of claim 1, 10, 12, 19, 26, 32 or 39, wherein the energy source used comprises an internal energy source.

134. The method according to claim 133, wherein said energy source is associated with an external energy source transmitting wireless energy.

135. The method according to claim 134, further comprising transmitting energy from the external energy source to charge said internal energy source.

136. The method according to claim 135, further comprising feedback information being sent from inside the body to the outside thereof to give feed back related to the functional parameters of the device or physical parameters of the patient.

137. The method according to claim 136, wherein the functional parameter of the device is correlated to the transfer of energy for charging the internal energy source.

138. A method of using the apparatus according to any of claim 1, 10, 12, 19, 26, 32 or 39, wherein wireless energy is transmitted for powering the operation device.

139. A method of using the apparatus according to any of claim 1, 10, 12, 19, 26, 32 or 39, comprising the steps of:

implanting a source of energy in the patient,

providing an external source of energy,

controlling the external source of energy to release wireless energy,

charging non-invasively the implanted source of energy with the wireless energy,

controlling the implanted source of energy from outside the patient'"'"'s body, and

releasing energy for use in connection with the operation of the drainage device.

140. The method according to claim 139, wherein the wireless energy is stored in the implantable source of energy.

141. The method according to claim 123, comprising the steps of:

providing a source of energy outside the patient'"'"'s body, and

controlling the external source of energy from outside the patient'"'"'s body to release wireless energy, and using the released wireless energy for operating the operation device.

142. The method according to claim 141, comprising transforming the wireless energy into electrical energy inside the patient'"'"'s body using an implanted energy-transforming device and using the electrical energy when operating the drainage device.

143. The method according to claim 142, further comprising directly using the electrical energy in connection with the operation of the drainage device, as a transforming device transforms the wireless energy into the electrical energy.

144. The method according to claim 139, further comprising the steps of:

controlling the external source of energy from outside the patient'"'"'s body to release non-magnetic wireless energy, and

using the released non-magnetic wireless energy for operating the drainage device.

145. The method according to claim 139, further comprising the steps of

controlling the external source of energy from outside the patient'"'"'s body to release electromagnetic wireless energy, and

using the released electromagnetic wireless energy for operating the drainage device.

150. An operation method for surgically placing the apparatus according to any of claim 1, 10, 12, 19, 26, 32 or 39, in a patient, comprising the steps of:

cutting the skin,

dissecting a treatment area

dissecting a placement area

placing the drainage device in the placement area, and

placing the tube leading from the placement area to the treatment area

151. An operation method for surgically placing the apparatus according to any of claim 1, 10, 12, 19, 26, 32 or 39, in a patient, comprising the steps of:

cutting the skin,

dissecting a treatment area

dissecting a placement area

dissecting a delivery area

placing the drainage device in the placement area

placing the tube leading from the placement area to the treatment area

placing a second tube leading from the placement area to the delivery area

152. The method according to claim 151, comprising

sensing a physical parameter of the patient or a functional parameter of the device, and

sending sensing information to a control unit adapted for regulating said drainage device.

153. A method of powering the apparatus according to any of claim 1, 10, 12, 19, 26, 32 or 39, comprising the steps of;

transmitting wireless energy,

storing said wireless energy in a internal source of energy

powering said drainage device with said stored energy

154. A surgical method for treating a patient needing drainage of an area in the body, comprising the steps of;

cutting an opening in the abdominal wall,

dissecting at least two intended areas,

placing a drainage device according to any of claim 1, 10, 12, 19, 26, 32 or 39, comprising and at least one tube in the dissected areas, and

suturing the abdominal wall

155. A method using an apparatus according to any of claim 1, 10, 12, 19, 26, 32 or 39, for postoperatively and non-invasively regulating the drainage device comprising the steps of;

moving fluid away from one area of the human or mammal body,

moving fluid to another part of the body.

156. A method for placing a drainage device according to any of claim 1, 10, 12, 19, 26, 32 or 39, comprising a surgical method via a laparoscopic abdominal approach, the method comprising the steps of:

inserting a needle like tube into the abdomen of the patients body,

using the tube to fill the abdomen with gas thereby expanding the abdominal cavity,

placing at least two laparoscopic trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the abdomen,

inserting at least one dissecting tool through a trocar and dissecting at two intended areas of the patient,

placing at least one drainage device in the abdomen

157. The method according to claim 156, wherein the device is adjusted from outside the patients body.

158. The method according to claim 156, comprising the steps of

sensing a physical parameter of the patient or a functional parameter of the device, and

sending sensing information to a control unit adapted for regulating said drainage device.

159. A method of placing a drainage device according to any of claim 1, 10, 12, 19, 26, 32 or 39, comprising a surgical method via a laparoscopic thoraxial approach, the method comprising the steps of:

inserting a needle like tube into the thorax of the patients body,

using the tube to fill the thorax with gas thereby expanding the thoraxical cavity,

placing at least two laparoscopic trocars in the patient'"'"'s body,

inserting a camera through one of the trocars into the thorax,

inserting at least one dissecting tool through a trocar and dissecting at two intended areas of the patient,

placing at least one drainage device in the thorax

moving fluid away from one part of the body post operatively to another part of the body

powering the device with a source of energy, and

160. The method according to claim 159, wherein the device is adjusted from outside the body of the patient.

161. The method according to claim 159, comprising the steps of

sensing a physical parameter of the patient or a functional parameter of the device, and

sending sensing information to a control unit adapted for regulating said drainage device.

10. An apparatus for drainage of a body fluid with the body of a human or mammal patient, comprising:

a pump,

an energy source adapted to supply energy to said pump,

at least one tube connected to said pump the tube and pump are adapted to be placed inside the body without any mechanical connection to the outside through the skin, and wherein said pump is adapted to pump body fluid from on part of the body, in a fluid passageway, to another part of the body using power from said energy source, wherein said fluid passageway is provided with a cleaning device.

11. The apparatus according to claim 10, wherein the connecting tube is adapted to have the size, shape and configuration adapted to a specific treatment area of the one and/or the another part of the body.

12. An apparatus for drainage of a body fluid within the body of a human or mammal patient, comprising:

a drainage device,

a cleaning device

an energy source adapted to supply energy to said drainage device,

at least one first connecting tube connected to said drainage device adapted to drain urine from the urine accumulating renal part of the kidney, and

a second connecting tube adapted to be connected to the urine bladder, the first and second connecting tubes and the drainage device being implantable in the body adapted to move urine from the renal kidney to the urine bladder, using power from said energy source.

13. The apparatus according to claim 12, wherein the energy source is adapted to receive energy via wireless ultrasound transmission.

14. The apparatus according to claim 12, wherein the cleaning device is adapted to move away cleaned matter.

15. The apparatus according to claim 12, wherein the tube end in the delivery area is provided with a net structure,

16. The apparatus according to claim 15, wherein the net structure is sealed around the tube,

17. The apparatus according to claim 15, wherein the net structure is provided with holes having a diameter adapted to be overgrown by tissue.

18. The apparatus according to claim 12, wherein the at least one first connecting tube is adapted to have the size, shape and configuration adapted to have the size, shape and configuration to drain urine from the urine accumulating renal part of the kidney.

162. An operation method for surgically placing the apparatus according to any of claim 12 comprising the steps of:

cutting the skin,

dissecting an area around the renal part of the kidney area

dissecting a placement area where to place the drainage device inside the abdomen or retroperitoneal or subcutaneously

dissecting a delivery area around the urine bladder

placing the drainage device in the placement area

placing the tube leading from the placement area to the renal kidney

placing a second tube leading from the placement area to the urine bladder.

163. A method according to claim 162, comprising the steps of

sensing a physical parameter of the patient or a functional parameter of the device, and

sending sensing information to a control unit adapted for regulating said drainage device when moving fluid to said urine bladder.

170. A method of using the apparatus according to claim 12, the apparatus comprising a bellow having an inlet with an inlet return valve and an outlet with an outlet return valve and further comprising a spring, the method comprising the steps of:

moving the bellow to expand itself,

sucking from the inlet and further from the renal part of the kidney,

accumulating fluid in the bellow,

compressing said bellow and

moving fluid out from the outlet to the urine bladder and thereby,

pre-tensioning said spring, and

repeating the sucking and moving of urine to substantially constantly being sucking urine when not moving fluid to the urine bladder

171. The method according to claim 170, comprising the step of:

repeatedly moving fluid to the urine bladder in response to a signal generated by a pressure sensor.

19. An apparatus for drainage of a body fluid in a human or mammal patient, comprising:

a drainage a device

an energy source adapted to supply energy to said drainage device

at least one first connecting tube connected to said drainage device adapted to drain liquid from the a hydrocephalus in the brain area, and

at least one second connecting tube adapted to be connected to the abdomen, the at least one first and second connecting tubes and the drainage device being adapted to be implanted inside the body, the drainage device further being adapted to move liquid from the hydrocephalus to the abdomen, using power from said energy source.

20. The apparatus according to claim 19, wherein the at least one first connecting tube is adapted to have the size, shape and configuration adapted to drain liquid from the hydrocephalus in the brain area.

21. The apparatus according to claim 19, further comprising a cleaning device.

22. The apparatus according to claim 21, wherein the cleaning device is adapted to move away cleaned matter.

23. The apparatus according to claim 21, wherein the tube end in the delivery area is provided with a net structure.

24. The apparatus according to claim 23, wherein the net structure is sealed around the tube.

25. The apparatus according to claim 23, wherein the net structure is provided with holes having a diameter adapted to be overgrown by tissue.

164. An operation method for surgically placing the apparatus according to claim 19 comprising the steps of:

cutting the skin,

dissecting an area in the brain

dissecting a placement area where to place the drainage device inside the abdomen or retroperitoneal or subcutaneously

dissecting a delivery area in the abdomen

placing the drainage device in the placement area

placing the tube leading from the placement area to the brain

placing a second tube leading from the placement area to the abdomen

165. A method according to claim 164, comprising the steps of

sensing a physical parameter of the patient or a functional parameter of the device, and

sending sensing information to a control unit adapted for regulating said drainage device.

172. A method using the apparatus according to claim 19, the apparatus comprising a bellow having an inlet with an inlet return valve and an outlet with an outlet return valve and further comprising a spring, the method comprising the steps of:

moving the bellow to expand itself,

sucking from the inlet and further from the brain,

accumulating fluid in the bellow,

compressing said bellow,

moving fluid out from the outlet into the abdomen and thereby pre-tensioning said spring, and

repeating the sucking and moving of fluid to substantially constantly being sucking fluid when not moving fluid to the abdomen.

173. The method according to claim 172, comprising the step of:

repeatedly moving fluid to the abdomen in response to a signal generated by a pressure sensor.

26. An apparatus for drainage of a body fluid in a human or mammal patient, comprising:

a drainage a device

an energy source adapted to supply energy to said drainage device

at least one first connecting tube connected to said drainage device adapted to drain liquid from ascites in the abdomen, and

at least one second connecting tube adapted to be connected to the lymphatic system of the body, the at least one first and second connecting tubes and the drainage device being adapted to be implanted inside the body, the drainage device further being adapted to move liquid from the ascites in the abdomen into the lymphatic system, using power from said energy source.

27. The apparatus according to claim 26, further comprising a cleaning device.

28. The apparatus according to claim 27, wherein the cleaning device is adapted to move away cleaned matter.

29. The apparatus according to claim 27, wherein the tube end in the delivery area is provided with a net structure,

30. The apparatus according to claim 29, wherein the net structure is sealed around the tube,

31. The apparatus according to claim 29, wherein the net structure is provided with holes having a diameter adapted to be overgrown by tissue.

166. An operation method for surgically placing the apparatus according to claim 26 comprising the steps of:

cutting the skin,

dissecting an area in the abdomen

dissecting a placement area where to place the drainage device inside the abdomen or retroperitoneal or subcutaneously

dissecting a delivery area around the lymphatic system

placing the drainage device in the placement area

placing the tube leading from the placement area to the abdomen

placing a second tube leading from the placement area to the lymphatic system.

167. A method according to claim 166, comprising the steps of

sensing a physical parameter of the patient or a functional parameter of the device, and

sending sensing information to a control unit adapted for regulating said drainage device when moving fluid to the lymphatic system.

174. A method of using an apparatus according to claim 26, the apparatus comprising a bellow having an inlet with an inlet return valve and an outlet with an outlet return valve and further comprising a spring,

moving the bellow to expand itself,

sucking from the inlet and further from the abdomen,

accumulating fluid in the bellow,

compressing said bellow

moving fluid out from the outlet into the lymphatic system and thereby pre-tensioning said spring, and

repeating the sucking and moving of fluid to substantially constantly being sucking fluid when not moving fluid to the lymphatic system.

175. The method according to claim 174, comprising the step of:

repeatedly moving fluid to the lymphatic system in response to a signal generated by a pressure sensor.

32. An apparatus for drainage of a body fluid in a human or mammal patient, comprising:

a drainage a device,

a cleaning device

an energy source adapted to supply energy to said drainage device

at least one first connecting tube connected to said drainage device adapted to drain liquid from ascites in the abdomen, and

at least one second connecting tube adapted to be connected to the lymphatic system of the body, the at least one first and second connecting tubes and the drainage device being adapted to be implanted inside the body, the drainage device further being adapted to move liquid from the ascites in the abdomen into the urine bladder, using power from said energy source.

33. The apparatus according to claim 32, wherein the energy source is adapted to receive energy via wireless ultrasound transmission.

34. The apparatus according to claim 32, wherein the cleaning device is adapted to move away cleaned matter.

35. The apparatus according to claim 32, wherein the tube end in the delivery area is provided with a net structure,

36. The apparatus according to claim 35, wherein the net structure is sealed around the tube,

37. The apparatus according to claim 35, wherein the net structure is provided with holes having a diameter adapted to be overgrown by tissue.

38. The apparatus according to claim 32, wherein the at least one first connecting tube is adapted to have the size, shape and configuration adapted to have the size, shape and configuration to drain liquid from the ascites in the abdomen.

168. An operation method for surgically placing the apparatus according to claim 32 comprising the steps of:

cutting the skin,

dissecting an area in the thorax

dissecting a placement area where to place the drainage device inside the abdomen or thorax or retroperitoneal or subcutaneously

dissecting a delivery in around the abdomen

placing the drainage device in the placement area

placing the tube leading from the placement area to the thorax

placing a second tube leading from the placement area to the abdomen.

169. A method according to claim 168, comprising the steps of

sensing a physical parameter of the patient or a functional parameter of the device, and

sending sensing information to a control unit adapted for regulating said drainage device when moving fluid to the abdomen.

176. A method of using an apparatus according to claim 32, the apparatus comprising a bellow having an inlet with an inlet return valve and an outlet with an outlet return valve and further comprising a spring,

moving the bellow to expand itself,

sucking from the inlet and further from the thorax,

accumulating fluid in the bellow,

compressing said bellow and

moving fluid out from the outlet into the abdomen and thereby pre-tensioning said spring, and

repeating the sucking and moving of fluid to substantially constantly being sucking fluid when not moving fluid to the abdomen.

177. The method according to claim 176, comprising the step of:

repeatedly moving fluid to the abdomen in response to a signal generated by a pressure sensor.

39. An apparatus for drainage of a body fluid in a human or mammal patient, comprising:

a drainage a device

an energy source adapted to supply energy to said drainage device

at least one first connecting tube connected to said drainage device adapted to drain liquid from the thoraxial cavity, and

at least one second connecting tube adapted to be connected to the abdomen, the at least one first and second connecting tubes and the drainage device being adapted to be implanted inside the body, the drainage device further being adapted to move liquid from the thorax to the abdomen, using power from said energy source.

40. The apparatus according to claim 39, further comprising a cleaning device.

41. The apparatus according to claim 40, wherein the cleaning device is adapted to move away cleaned matter.

42. The apparatus according to claim 40, wherein the tube end in the delivery area is provided with a net structure,

43. The apparatus according to claim 42, wherein the net structure is sealed around the tube,

44. The apparatus according to claim 42, wherein the net structure is provided with holes having a diameter adapted to be overgrown by tissue.

45. The apparatus according to claim 39, wherein the at least one first connecting tube is adapted to have the size, shape and configuration adapted to drain liquid from the thorax.

107. A device for securing a tube through an inner organ of mammal patient, comprising:

a tube having tube end provided with a net structure secured at a distance from the tube end, the tube being adapted to be inserted into an organ with the net structure on the outside.

108. The device according to claim 107, wherein a tube area between the net structure and the organ is adapted to be invaginated in the organ wall.

109. The device according to claim 107, wherein the net structure is sealed around the tube.

110. The device according to claim 107, wherein the net structure is provided with holes having a diameter that will be overgrown by tissue.

111. The device according to claim 110, wherein the diameter of the holes is smaller than 2.5 mm.

112. A connecting tube for use in an implantable drainage device being adapted to suck body fluid from one part of the body, via the at least the connecting tube, using power from an energy source, the connecting tube having a distal end adapted to be located in a specific treatment area of a body of a human or mammal patient for drainage of a body fluid from the treatment area of the human or mammal patient, wherein the distal end of the connecting tube comprises a portion having a flat shape.

113. The tube according to claim 112, wherein the portion having a generally flat shape is provided with openings or is formed by a netlike structure.

114. The tube according to claim 113, wherein the diameter of the openings is in the range 1-10 mm.

115. The tube according to claim 112, wherein the portion having a generally flat shape is generally circular.

116. The tube according to claim 112 wherein the portion having a generally flat shape is generally polygonal.

117. A connecting tube for use in an implantable drainage device being adapted to suck body fluid from one part of the body, via the at least the connecting tube and further adapted to another part of the body, using power from an energy source, the connecting tube having a distal end adapted to be located in a specific treatment area of a body of a human or mammal patient for drainage of a body fluid from the treatment area of the human or mammal patient, wherein the distal end of the connecting tube comprises a portion having a generally cylindrical shape.

118. The tube according to claim 117, wherein the portion having a generally cylindrical shape is provided with openings or is formed by a netlike structure.

119. The tube according to claim 118, wherein the diameter of the openings is in the range 1-10 mm.

120. A connecting tube for use in an implantable drainage device being adapted to suck body fluid from one part of the body, via the at least the connecting tube and further adapted to another part of the body, using power from an energy source, the connecting tube having a distal end adapted to be located in a specific treatment area of a body of a human or mammal patient for drainage of a body fluid from the treatment area of the human or mammal patient, wherein the distal end of the connecting tube comprises a portion is made of a flexible material.

121. The tube according to claim 120, wherein the distal end is provided with openings or is formed by a netlike structure.

122. The tube according to claim 121, wherein the diameter of the openings is in the range 1-10 mm.

146. A method for drainage of a body fluid in a human or mammal patient, comprising the steps of;

implanting a drainage a device comprising an energy source

placing at least one connecting tube connected to said drainage device in the specific treatment area in the human or mammal body,

sucking body fluid from one part of the body, through the tube,

supplying energy to said drainage device from said energy source, and

moving fluid to another part of the body, via a cleaning device using power from said energy source.

147. The method according to claim 146, comprising the steps of:

sensing a physical parameter of the patient or a functional parameter of the device, and

sending sensing information to a control unit adapted for regulating said drainage device.

148. A method for drainage of a body fluid in a human or mammal patient, comprising the steps of;

implanting a drainage a device comprising an energy source and a bellow having an inlet with an inlet return valve and an outlet with an outlet return valve and further comprising a spring,

placing at least one connecting tube connected to said drainage device in the specific treatment area in the human or mammal body,

sucking body fluid from one part of the body, through the tube,

supplying energy to said drainage device from said energy source, and

moving fluid to another part of the body, using power from said energy source.

moving the bellow to expand itself,

sucking from the inlet,

accumulating fluid in the bellow,

compressing said bellow and

moving fluid out from the outlet and thereby,

pre-tensioning said spring, and

repeating the sucking and moving of fluid to substantially constantly being sucking fluid when not moving fluid to another part of the body.

149. A method for drainage of a body fluid in a human or mammal patient, using a pump and an energy source adapted to supply energy to said pump and at least one connecting tube connected to said pump comprising the steps of;

implanting the tube and pump completely inside the body,

pumping body fluid from on part of the body to another part of the body via a cleaning device using power from said energy source.

178. A filtering device for removing particles from a fluid of a patient, the filtering device being implantable in the patient'"'"'s body and comprising:

a tube forming a fluid passageway,

an active filter connected to the tube for filtering any particles passing through the tube.

179. The device according to claim 178, comprising a cassette for changing the filter.

180. The device according to claim 178 or 179, comprising a cleaning device for cleaning the filter.

181. The device according to claim 178 or 179, wherein the filter and or cassette is powered by a motor.

182. The device according to claim 181, wherein the motor is connected to an internal power supply.

183. The device according to claim 182, wherein the power supply is connected to the filter and to the cassette.

184. The device according to claim 182, wherein the power supply is connected to a pump for moving fluid through the fluid passageway.

185. The device according to claim 179, comprising a revolving cylinder revolving over the fluid passage way.

186. The device according to claim 185, wherein the revolving cylinder revolving over the fluid passage way comprises a number of segments.

187. The device according to claim 186, wherein segments are adapted to hold a filter.

188. The device according to claim 185, further comprising a magazine adapted to hold a number of cylinders.

189. The device according to claim 180, wherein the cleaning device is adapted to move any particles away from the fluid passageway.

190. The device according to claim 180, wherein the cleaning device is adapted to move particles to a location within the body of the patient.

191. The device according to claim 180, wherein the cleaning device is adapted to take into account the fibrotic capsula covering the cleaning device when implanted.

192. The device according to claim 180, wherein the filter comprises a rotating member.

193. The device according to claim 180, wherein the cleaning device is adapted to slice, push or scratch away any particles from the filter.

194. The device according to claim 180, wherein the active filter is adapted be cleaned by sucking away any particles from the filter.

195. The device according to claim 194, wherein the filter is of biocompatible material.

196. The device according to claim 194, wherein the filter comprises a plurality of strips.

197. The device according to claim 196, wherein the plurality of strips are equally spaced.

198. The device according to claim 178, comprising a collecting volume adapted to collect cleaned matter that has been cleaned from the filter.

199. The device according to claim 198, wherein the collecting volume comprises a reservoir.

200. The device according to claim 178, wherein the filter comprises a net structure.

201. The device according to claim 178, comprising a switch, the switch being adapted to manually and non-invasively control any function of the filtering device.

202. The device according to claim 201, wherein the switch is a subcutaneous switch.

203. The device according to claim 202, wherein the switch is an electric switch.

204. The device according to claim 178, comprising a hydraulic device having a hydraulic reservoir, wherein the filtering device is adapted to non-invasively be regulated by manually pressing said hydraulic reservoir.

205. The device according to claim 178, comprising a wireless remote control, wherein the filtering device is adapted to non-invasively have at least one of its functions regulated by said wireless remote control.

206. The device according to claim 205, wherein the wireless remote control comprises at least one external signal transmitter and an internal signal receiver implantable in the patient.

207. The device according to claim 205, wherein the wireless remote control is adapted to transmit at least one wireless control signal for controlling the filtering device.

208. The device according to claim 207, wherein the wireless control signal comprises a frequency, amplitude, or phase modulated signal or a combination thereof

209. The device according to claim 207, wherein the wireless control signal comprises an analogue or a digital signal, or a combination of an analogue and digital signal.

210. The device according to claim 178, comprising a wireless energy receiver, wherein the filtering device is adapted to non-invasively be energized by said wireless energy receiver.

211. The device according to claim 210, wherein the energy receiver is adapted to receive energy as at least one wireless energy signal.

212. The device according to claim 211, wherein the wireless energy signal comprises an analogue or a digital signal, or a combination of an analogue and digital signal.

213. The device according to claim 178, comprising an internal energy source.

214. The device according to claim 213, wherein the energy source is an internal energy source adapted to receive energy from an external energy source transmitting energy in a wireless mode.

215. The device according to claim 213 wherein the internal energy source is adapted to be charged by energy in a wireless mode.

216. The device according to claim 178, further comprising a sensor for sensing a parameter.

217. The device according to claim 216, wherein the sensor is a functional parameter sensor for sensing a functional parameter of the filtering apparatus.

218. The device according to claim 217, wherein the functional parameter of the apparatus is correlated to the transfer of energy for charging an internal energy source.

219. The device according to claim 216, comprising a feedback device for sending information from inside the patient'"'"'s body to the outside thereof to give feedback information related to a functional parameter.

220. The device according to claim 216, comprising an internal control unit adapted to act in response to a functional parameter sensed by the sensor.

221. The device according to claim 216, wherein the sensor is a physical parameter sensor for sensing a physical parameter of the patient.

222. The device according to claim 221, wherein the physical parameter is at least one of:

body temperature, blood pressure, blood flow, heartbeats and breathing.

223. The device according to claim 221, wherein the physical parameter sensor is a pressure sensor.

224. The device according to claim 221, further comprising an internal control unit adapted to act in response to a physical parameter signal.

225. The device according to claim 178, comprising an operation device for operating the filtering device.

226. The device according to claim 225, wherein the operation device comprises a motor or a pump.

227. The device according to claim 225, wherein the operation device comprises an electric motor.

228. The device according to claim 225, wherein the operation device is electrically powered.

229. The device according to claim 225, wherein the operation device comprises a hydraulic operation device.

230. The device according to claim 225, wherein the operation device comprises a pneumatic operation device.

231. The device according to claim 225, wherein the physical parameter is at least one of:

body temperature, blood pressure, blood flow, heartbeats and breathing.

232. The device according to claim 225, wherein the physical parameter sensor is a pressure sensor.

233. The device according to claim 225, further comprising an internal control unit adapted to act in response to a physical parameter signal.

234. The device according to claim 178, comprising an operation device for operating the filtering device.

235. The device according to claim 225, wherein the operation device comprises a motor or a pump.

236. The device according to claim 225, wherein the operation device comprises an electric motor.

237. The device according to claim 225, wherein the operation device is electrically powered.

238. The device according to claim 225, wherein the operation device comprises a hydraulic operation device.

239. The device according to claim 225, wherein the operation device comprises a pneumatic operation device.