EP0656768A1 - Implant penien a charge triglyceridique - Google Patents
Implant penien a charge triglyceridiqueInfo
- Publication number
- EP0656768A1 EP0656768A1 EP93920240A EP93920240A EP0656768A1 EP 0656768 A1 EP0656768 A1 EP 0656768A1 EP 93920240 A EP93920240 A EP 93920240A EP 93920240 A EP93920240 A EP 93920240A EP 0656768 A1 EP0656768 A1 EP 0656768A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- penile implant
- bladder
- reservoir
- implant
- hydraulic
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
- 239000007943 implant Substances 0.000 title claims abstract description 71
- UFTFJSFQGQCHQW-UHFFFAOYSA-N triformin Chemical compound O=COCC(OC=O)COC=O UFTFJSFQGQCHQW-UHFFFAOYSA-N 0.000 title claims abstract description 11
- 239000000463 material Substances 0.000 claims abstract description 18
- 239000012530 fluid Substances 0.000 claims abstract description 14
- 239000003550 marker Substances 0.000 claims 3
- 238000001514 detection method Methods 0.000 abstract description 9
- 210000003899 penis Anatomy 0.000 abstract description 6
- 206010062575 Muscle contracture Diseases 0.000 abstract description 4
- 208000006111 contracture Diseases 0.000 abstract description 4
- 210000003932 urinary bladder Anatomy 0.000 description 20
- 210000000481 breast Anatomy 0.000 description 12
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 6
- 239000002775 capsule Substances 0.000 description 6
- 239000011780 sodium chloride Substances 0.000 description 6
- 230000000694 effects Effects 0.000 description 5
- 239000000945 filler Substances 0.000 description 5
- 231100000241 scar Toxicity 0.000 description 5
- 239000000306 component Substances 0.000 description 4
- 238000009607 mammography Methods 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 229920001296 polysiloxane Polymers 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 241000196324 Embryophyta Species 0.000 description 2
- 206010028980 Neoplasm Diseases 0.000 description 2
- 235000019483 Peanut oil Nutrition 0.000 description 2
- 210000001015 abdomen Anatomy 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 201000011510 cancer Diseases 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 230000001351 cycling effect Effects 0.000 description 2
- 230000006866 deterioration Effects 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 239000000312 peanut oil Substances 0.000 description 2
- 229920002545 silicone oil Polymers 0.000 description 2
- 239000003549 soybean oil Substances 0.000 description 2
- 235000012424 soybean oil Nutrition 0.000 description 2
- 230000002381 testicular Effects 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 238000006165 Knowles reaction Methods 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 210000000577 adipose tissue Anatomy 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000003190 augmentative effect Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 210000000038 chest Anatomy 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 210000005226 corpus cavernosum Anatomy 0.000 description 1
- 239000002537 cosmetic Substances 0.000 description 1
- 230000003203 everyday effect Effects 0.000 description 1
- 230000009931 harmful effect Effects 0.000 description 1
- 230000001771 impaired effect Effects 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 230000009545 invasion Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 238000005461 lubrication Methods 0.000 description 1
- 230000037323 metabolic rate Effects 0.000 description 1
- 238000005086 pumping Methods 0.000 description 1
- 210000004706 scrotum Anatomy 0.000 description 1
- 150000003626 triacylglycerols Chemical class 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/26—Penis implants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0095—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof radioactive
Definitions
- Implantable penile prostheses are well known in the art and generally include a pair of bladder-like penile implants for implantation into the two corpora cavernosa, a fluid transfer system including a reservoir for containing 50 c.c. of a hydraulic liquid fill, and a pump with a set of valves in fluid lines interconnecting the implants with the reservoir.
- the fluid transfer system is generally constructed of elastomeric compo- nents, including tubing and connectors, and silicone is a typical material used for their construction. Because of its size, the reservoir is generally implanted in the abdomen while the pump is generally bulb-shaped and is typically implanted within the male scrotum.
- Erection is typically achieved by pumping the bulb-like pump to transfer fluid from the reservoir into the bladder-like penile implants. Examples of these devices are shown in the following U.S. Patents: Patent No. 3,954,102; Patent No. 4,360,010; Patent No. 4,424,807; Patent No. 4,558,693; Patent No. 4,881,530; and Patent No. 5,101,813.
- the hydraulic fluid generally used in the prior art includes silicone oil, saline, water, and other kinds of non-specific "biocompatible filler". These materials are generally chosen because of their presumed biocompat- ability and/or lubricity.
- a biocompatible fill is suggested which may be doctored with a biocompatible radiopaque dye in order to facili ⁇ tate the tracing of any leaks from the system to thereby localize and minimize the required surgical intrusion to correct the leak.
- the tracing of leaks is an important consideration for prior art penile implants because of their regular use and resulting significant incidence of failure. In performance of the intended use of penile implants, there is a regular cycling of the hydraulic fill from the reservoir to the bladders and then back again.
- This invention is a good and valuable invention which enhances the chances for early detection of cancer in performing mammographies on female breasts which are augmented with this breast implant.
- the inventors herein are also aware of pending U.S. Application Serial No. 07/952,687 filed September 29, 1992 entitled Breast Implant With Radiolucent Shell , the rights to which are owned by the assignee of the present invention and the disclosure of which is incorpo- rated herein by reference, which discloses and claims a breast implant having a shell made with radiolucent mate ⁇ rials instead of the silicone shell predominantly found in the prior art.
- radiolucent materials in the shell eliminates the last vestiges of artifacts which might otherwise appear on a radiograph when a mammograph is taken of a breast with an implant having radiolucent fill only. This is an important and valuable invention which improves on the '882 patent and demonstrates its usefulness in those implants for which mammography is customarily used for the early detection of cancer.
- the inventors herein have developed a penile implant using triglyceride as the hydraulic fill, partial radiolucency of the im- plant structure to enhance leak detection, a radiopaque dye for the fill which does not metabolize too rapidly to hinder leak detection, and texturing to eliminate failure of otherwise failure prone implant parts.
- Significant advantages have been obtained on several grounds.
- the radiolucency of the fill and bladder permits the utilization of an x-ray technique having greatly reduced intensities and exposure times to view at least the blad ⁇ der portion in the patient's penile shaft for leak detec ⁇ tion.
- the implant bladders may be made of radiolucent material, and a radi ⁇ opaque dye added to the triglyceride fill.
- Texturing may also be used in the implant bladders to decrease the tendency for fold flaw failure as the texturing will enhance the inte- gration of the bladder surface with the surrounding tis ⁇ sue thereby preventing kinking or accute folding upon deflation.
- the figure is a cross-sectional view of a penile implant with hydraulic system implanted in a patient. Detailed Description of the Preferred Embodiment
- a penile implant 12 is implanted in the penis 10 of a male patient that includes a bladder 14 having surface texturing on the exterior surface thereof.
- the bladder 14 may be made from any of the radiolucent materials previously disclosed in the related application cross-referenced above.
- a tubing 16 interconnects the bladder 14 with a pump 18 filled with a hydraulic fill 20 which may be any suitable triglyceride, such as peanut oil or soybean oil. Any suitable bio- compatible material demonstrating the same approximate degree of lubricity and metabolic rate to enhance leak detection may be used. Generally, these materials com ⁇ prise triglycerides.
- Another tubing 22 connects the pump 18 with a reservoir 24 implanted in the abdomen 28 area of a patient's body, with the exterior surface of reser ⁇ voir 24 having texturing 26.
- the surface texturing of the bladder and reservoir helps resolve different problems previously experienced in prior art penile implants.
- the surface texturing helps to prevent the kink ⁇ ing in the bladder as tissue grows into the fold general ⁇ ly created as the bladder 14 deflates and the penis 10 fold over or bends downwardly to become less obtrusive.
- the reservoir 24 as mentioned above a scar capsule can form around the reser ⁇ voir 24 and contract which would impede its being re ⁇ filled with hydraulic filler as required to deflate the implant.
Landscapes
- Health & Medical Sciences (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Veterinary Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Biomedical Technology (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Reproductive Health (AREA)
- Engineering & Computer Science (AREA)
- Chemical & Material Sciences (AREA)
- Dermatology (AREA)
- Medicinal Chemistry (AREA)
- Epidemiology (AREA)
- Prostheses (AREA)
Abstract
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US110307 | 1980-01-08 | ||
| US93260392A | 1992-08-20 | 1992-08-20 | |
| US11030793A | 1993-08-19 | 1993-08-19 | |
| PCT/US1993/007844 WO1994004095A1 (fr) | 1992-08-20 | 1993-08-20 | Implant penien a charge triglyceridique |
| US932603 | 2001-08-17 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| EP0656768A1 true EP0656768A1 (fr) | 1995-06-14 |
| EP0656768A4 EP0656768A4 (fr) | 1996-03-06 |
Family
ID=26807903
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP93920240A Withdrawn EP0656768A4 (fr) | 1992-08-20 | 1993-08-20 | Implant penien a charge triglyceridique. |
Country Status (6)
| Country | Link |
|---|---|
| EP (1) | EP0656768A4 (fr) |
| JP (1) | JPH08500504A (fr) |
| AU (1) | AU5083593A (fr) |
| BR (1) | BR9306919A (fr) |
| CA (1) | CA2142900A1 (fr) |
| WO (1) | WO1994004095A1 (fr) |
Families Citing this family (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6251137B1 (en) * | 1994-03-23 | 2001-06-26 | Mcghan Medical Corporation | Synthetic triglyceride filler material for surgically implanted prostheses |
| EP0682923A1 (fr) * | 1994-05-19 | 1995-11-22 | George Patrick Maxwell | Surface texturée pour prothèse du pénis |
| US6290723B1 (en) | 1994-06-14 | 2001-09-18 | Winston A. Andrews | Method of making a synthetic triglyceride filler material |
| US7011622B2 (en) | 2000-03-15 | 2006-03-14 | Ams Research Corporation | Parylene coated components for artificial sphincters |
| US6558315B1 (en) | 2000-03-15 | 2003-05-06 | Ams Research Corporation | Parylene-coated components for inflatable penile prosthesis |
| US7144911B2 (en) | 2002-12-31 | 2006-12-05 | Deciphera Pharmaceuticals Llc | Anti-inflammatory medicaments |
| US6902544B2 (en) | 2003-01-22 | 2005-06-07 | Codman & Shurtleff, Inc. | Troubleshooting accelerator system for implantable drug delivery pumps |
| US8911350B2 (en) | 2007-10-23 | 2014-12-16 | Ams Research Corporation | Malleable prosthesis with enhanced concealability |
| US9408649B2 (en) | 2008-09-11 | 2016-08-09 | Innovasis, Inc. | Radiolucent screw with radiopaque marker |
| US9433439B2 (en) | 2009-09-10 | 2016-09-06 | Innovasis, Inc. | Radiolucent stabilizing rod with radiopaque marker |
| US8801712B2 (en) | 2010-03-08 | 2014-08-12 | Innovasis, Inc. | Radiolucent bone plate with radiopaque marker |
| US9089426B2 (en) | 2012-03-21 | 2015-07-28 | Ams Research Corporation | Automated implantable penile prosthesis pump system |
| CN106038031B (zh) * | 2016-05-12 | 2018-11-16 | 李明超 | 一种使用电动微泵控制的假体阴茎 |
Family Cites Families (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4197846A (en) * | 1974-10-09 | 1980-04-15 | Louis Bucalo | Method for structure for situating in a living body agents for treating the body |
| US4550720A (en) * | 1983-11-15 | 1985-11-05 | Medical Engineering Corporation | Capacitance device for medical implant |
| US4648880A (en) * | 1984-08-30 | 1987-03-10 | Daniel Brauman | Implantable prosthetic devices |
| EP0177288A3 (fr) * | 1984-10-03 | 1986-08-13 | Baylor College of Medicine | Prothèse mammaire avec marquage et méthodes pour détecter et prédire la rupture de la prothèse |
| US4726360A (en) * | 1986-07-17 | 1988-02-23 | Medical Engineering Corporation | Penile prosthesis |
| US4995882A (en) * | 1989-08-28 | 1991-02-26 | Washington University | Radiolucent breast implant |
-
1993
- 1993-08-20 AU AU50835/93A patent/AU5083593A/en not_active Abandoned
- 1993-08-20 BR BR9306919A patent/BR9306919A/pt not_active Application Discontinuation
- 1993-08-20 JP JP6506551A patent/JPH08500504A/ja active Pending
- 1993-08-20 EP EP93920240A patent/EP0656768A4/fr not_active Withdrawn
- 1993-08-20 CA CA002142900A patent/CA2142900A1/fr not_active Abandoned
- 1993-08-20 WO PCT/US1993/007844 patent/WO1994004095A1/fr not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| EP0656768A4 (fr) | 1996-03-06 |
| CA2142900A1 (fr) | 1994-03-03 |
| JPH08500504A (ja) | 1996-01-23 |
| AU5083593A (en) | 1994-03-15 |
| BR9306919A (pt) | 1999-01-12 |
| WO1994004095A1 (fr) | 1994-03-03 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
Free format text: ORIGINAL CODE: 0009012 |
|
| 17P | Request for examination filed |
Effective date: 19941108 |
|
| AK | Designated contracting states |
Kind code of ref document: A1 Designated state(s): AT BE CH DE DK ES FR GB GR IE IT LI LU MC NL PT SE |
|
| A4 | Supplementary search report drawn up and despatched |
Effective date: 19960117 |
|
| AK | Designated contracting states |
Kind code of ref document: A4 Designated state(s): AT BE CH DE DK ES FR GB GR IE IT LI LU MC NL PT SE |
|
| STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN |
|
| 18D | Application deemed to be withdrawn |
Effective date: 19951215 |