Artificial urinary diversion device

Abstract

An artificial urinary diversion device containing a urinary bladder is provided including first, second and third portions having respective cross-sectional surfaces such that the second portion is disposed between the first and third portions, and the first and second cross-sectional surfaces are smaller than the third cross-sectional surfaces, and a dislocator for sensing or controlling the artificial urinary diversion device.

1 . An artificial urinary diversion device comprising a urinary bladder, having an axial direction and comprising at least one first portion having a plurality of first cross-sectional areas perpendicular to said axial direction defining both the outer surface and the inner volume of said first portion, said at least one first portion including at least one largest first cross-sectional area and at least one outlet, at least one second portion having a plurality of second cross-sectional areas perpendicular to said axial direction defining both the outer surface and the inner volume of said second portion, said at least one second portion including at least one largest second cross-sectional area, and at least one third portion having a plurality of third cross-sectional areas perpendicular to said axial direction defining both the outer surface and the inner volume of said at least one third portion, said at lest one third portion including at least one largest third cross-sectional area and at least one inlet for attachment to the renal urethra of a patient, said at least one second portion being arranged between said at least one first portion and said at least one third portion, a sphincter mechanism for opening and closing said at least one outlet and being disposed at at least one of said at least one first, second or third portions, and control means for controlling said opening and closing of said sphincter mechanism for emptying said urinary bladder.  
   
   
       2 . The artificial urinary diversion device according to  claim 1  wherein said largest first cross-sectional area is larger than said largest second cross-sectional area.  
   
   
       3 . The artificial urinary diversion device according to  claim 1  including fluid guidance means for guiding fluid from said urinary bladder through said at least one third portion, said at least one second portion and said at least one first portion.  
   
   
       4 . The urinary diversion device according to  claim 1  including an actuator for actuating said urinary bladder.  
   
   
       5 . The artificial urinary diversion device according to  claim 4  wherein said actuator comprises a pump.  
   
   
       6 . The artificial urinary diversion device according to  claim 5  wherein said pump is disposed in said at least one third portion.  
   
   
       7 . The artificial urinary diversion device according to  claim 5  wherein said pump comprises a telescopic pump device.  
   
   
       8 . The artificial urinary diversion device according to  claim 5  wherein said pump comprises a leveler pump including two chambers.  
   
   
       9 . The artificial urinary diversion device according to  claim 5  wherein said pump comprises a screw pump.  
   
   
       10 . The artificial urinary diversion device according to  claim 1  including control means for controlling said sphincter mechanism.  
   
   
       11 . The artificial urinary diversion device according to  claim 10  including a pump, wherein said control means controls said pump.  
   
   
       12 . The artificial urinary diversion device according to  claim 11  including secondary batteries, and wherein said control means controls the recharge of said secondary batteries.  
   
   
       13 . The artificial urinary diversion device according to  claim 1  including a sensor system for monitoring the filling level of said urinary bladder.  
   
   
       14 . The artificial urinary diversion device according to  claim 13  including signal means whereby said sensor system produces a signal when reaching a predetermined filling level of said urinary bladder.  
   
   
       15 . The artificial urinary diversion device according to  claim 14  wherein said signal comprises an audible or a vibratory signal.  
   
   
       16 . The artificial urinary diversion device according to  claim 13  wherein said sensor system is controlled by the nerves responsible for natural urinary bladder control.  
   
   
       17 . The artificial urinary diversion device according to  claim 1  including a power supply.  
   
   
       18 . The artificial urinary diversion device according to  claim 17  including an external recharge device whereby said external recharge device cooperates with said power supply.  
   
   
       19 . The artificial urinary diversion device according to  claim 18  wherein said external recharge device cooperates inductively with said power supply.  
   
   
       20 . The artificial urinary diversion device according to  claim 17  wherein said power supply comprises primary batteries integrated into said artificial urinary diversion device.  
   
   
       21 . The artificial urinary diversion device according to  claim 1  including an actor system for executing the removal of urine from said artificial urinary diversion device.  
   
   
       22 . The artificial urinary diversion device according to  claim 1  wherein said at least one third portion is divided into two parts which can be separated from each other depending on the filling level of said urinary bladder.  
   
   
       23 . The artificial urinary diversion device according to  claim 1  wherein said at least one third portion includes either one or two inlets.  
   
   
       24 . The artificial urinary diversion device according to  claim 1  including at least one anti-reflux valve.  
   
   
       25 . The artificial urinary diversion device according to  claim 24  wherein said at least one anti-reflux valve is disposed in said at least one third portion.  
   
   
       26 . The artificial urinary diversion device according to  claim 1  including a fixing element for fixing said artificial urinary diversion device within said patient.  
   
   
       27 . The artificial urinary diversion device according to  claim 26  including a dovetail joint, and wherein said fixing element is connected with said artificial urinary diversion device by means of said dovetail joint.  
   
   
       28 . The artificial urinary diversion device according to  claim 26  including a guide rail means whereby said fixing element can be removably included and locked at a predetermined position.  
   
   
       29 . The artificial urinary diversion device according to  claim 28  wherein said guide rail means is integrated into said at least one third portion.  
   
   
       30 . The artificial urinary diversion device according to  claim 26  wherein said fixing element comprises a splay or expanding element.  
   
   
       31 . The artificial urinary diversion device according to  claim 26  wherein said fixing element is composed of a biocompatible, elastic material.  
   
   
       32 . The artificial urinary diversion device according to  claim 31  wherein said biocompatible, elastic material comprises silicone.  
   
   
       33 . An artificial organ having an axial direction and comprising at least a first portion having a first cross-sectional surface perpendicular to said axial direction, a second portion having a second cross-sectional surface perpendicular to said axial direction, and a third portion having a third cross-sectional surface perpendicular to said axial direction, an inlet to said artificial organ, an outlet from said artificial organ, electronic operating means disposed within said artificial organ for operating preselected functions of said artificial organ, and a dislocation device for sensing or controlling said electronic operating means, said dislocation device being disposed remotely from said artificial organ.  
   
   
       34 . The artificial organ according to  claim 33  wherein said dislocation device includes control means.  
   
   
       35 . The artificial organ according to  claim 34  including a pump, and wherein said control means controls said pump.  
   
   
       36 . The artificial organ according to  claim 35  including secondary batteries and wherein said control means controls the recharge of said secondary batteries.  
   
   
       37 . The artificial organ according to  claim 33  including a sensor system for monitoring said electronic operating means.  
   
   
       38 . The artificial organ according to  claim 37  including signal means whereby said sensor system produces a signal when reaching a predetermined parameter for said electronic operating means.  
   
   
       39 . The artificial organ according to  claim 38  wherein said signal comprises an audible or a vibratory signal.  
   
   
       40 . The artificial organ according to  claim 33  including a power supply.  
   
   
       41 . The artificial organ according to  claim 40  including an external recharge device whereby said external recharge device cooperates with said power supply.  
   
   
       42 . The artificial organ according to  claim 41  wherein said external recharge device cooperates inductively with said power supply.  
   
   
       43 . The artificial organ according to  claim 40  wherein said power supply comprises secondary batteries integrated into said artificial organ.  
   
   
       44 . The artificial organ according to  claim 40  wherein said power supply comprises primary batteries integrated into said artificial organ.  
   
   
       45 . The artificial organ according to  claim 41  wherein said external recharge device is disposed within said dislocation device.  
   
   
       46 . The artificial organ according to  claim 45  wherein said dislocation device includes a display for indicating said dislocation.  
   
   
       47 . The artificial organ according to  claim 46  wherein said display includes a level indicator for a fluid level within said artificial organ.  
   
   
       48 . The artificial organ according to  claim 33  wherein said dislocation device comprises an abdominal bandage and includes a separate control mechanism.  
   
   
       49 . The artificial organ according to  claim 33  wherein said dislocation device is integrated into a garment.  
   
   
       50 . The artificial organ according to  claim 46  including an ultrasonic transmitter and a receiver device for controlling said display.  
   
   
       51 . The artificial organ according to  claim 50  wherein said ultrasonic transmitter and receiver device includes external Reed contacts, a Hall generator, and a charging current unit of measurement or a power sensor.  
   
   
       52 . The artificial organ according to  claim 33  including an actor system for executing the removal of a liquid from said artificial organ.  
   
   
       53 . The artificial organ according to  claim 33  including a fixing element for fixing said artificial organ within a patient.  
   
   
       54 . The artificial organ according to  claim 53  including a dovetail joint, and wherein said fixing element is connected with said artificial organ by means of said dovetail joint.  
   
   
       55 . The artificial organ according to  claim 53  including guide rail means whereby said fixing element can be removably included and locked at a predetermined position.  
   
   
       56 . An artificial urinary diversion device containing a urinary bladder, having an axial direction and comprising at least one first portion having a first cross-sectional surface perpendicular to said axial direction and including at least one outlet, a second portion having a second cross-sectional surface perpendicular to said axial direction, and a third portion having a third cross-sectional surface perpendicular to said axial direction, and including at least one inlet for accommodating said urinary bladder, said second portion being arranged between said first portion and said third portion, said first and second cross-sectional surfaces being smaller than said third cross-sectional surface, and a dislocation device for sensing or controlling said artificial urinary diversion device.  
   
   
       57 . The artificial urinary diversion device according to  claim 56  including fluid guidance means for guiding a fluid from said urinary bladder through said third portion, said second portion, and said first portion.  
   
   
       58 . The artificial urinary diversion device according to  claim 56  including an actuator for actuating said urinary bladder.  
   
   
       59 . The artificial urinary diversion device according to  claim 58  wherein said actuator comprises a pump.  
   
   
       60 . The artificial urinary diversion device according to  claim 59  wherein said pump is disposed in said third portion.  
   
   
       61 . The artificial urinary diversion device according to  claim 56  including a sphincter mechanism.  
   
   
       62 . The artificial urinary diversion device according to  claim 61  wherein said sphincter mechanism is disposed in said first portion.  
   
   
       63 . The artificial urinary diversion device according to  claim 56  wherein said dislocation device includes control means.  
   
   
       64 . The artificial urinary diversion device according to  claim 63  including a sphincter mechanism, and wherein said control means controls said sphincter mechanism.  
   
   
       65 . The artificial urinary diversion device according to  claim 63  including a pump, and wherein said control means controls said pump.  
   
   
       66 . The artificial urinary diversion device according to  claim 63  including secondary batteries, and wherein said control means controls the recharge of said secondary batteries.  
   
   
       67 . The artificial urinary diversion device according to  claim 56  including a sensor system for monitoring the filling level of said urinary bladder.  
   
   
       68 . The artificial urinary diversion device according to  claim 67  including signal means whereby said sensor system produces a signal when reaching a predetermined filling level of said urinary bladder.  
   
   
       69 . The artificial urinary diversion device according to  claim 68  wherein said signal comprises an audible or a vibratory signal.  
   
   
       70 . The artificial urinary diversion device according to  claim 67  wherein said sensor system is controlled by the nerves responsible for natural urinary bladder control.  
   
   
       71 . The artificial urinary diversion device according to  claim 56  including a power supply.  
   
   
       72 . The artificial urinary diversion device according to  claim 71  including an external recharge device whereby said external recharge device cooperates with said power supply.  
   
   
       73 . The artificial urinary diversion device according to  claim 72  wherein said external recharge device cooperates inductively with said power supply.  
   
   
       74 . The artificial urinary diversion device according to  claim 71  wherein said power supply comprises secondary batteries integrated into said artificial urinary diversion device.  
   
   
       75 . The artificial urinary diversion device according to  claim 71  wherein said power supply comprises primary batteries integrated into said artificial urinary diversion device.  
   
   
       76 . The artificial urinary diversion device according to  claim 72  wherein said external recharge device is disposed in said dislocation device.  
   
   
       77 . The artificial urinary diversion device according to  claim 76  wherein said dislocation device includes a display for indicating said dislocation.  
   
   
       78 . The artificial urinary diversion device according to  claim 77  wherein said display includes a level indicator.  
   
   
       79 . The artificial urinary diversion device according to  claim 76  wherein said dislocation device comprises an abdominal bandage and includes a separate control mechanism.  
   
   
       80 . The artificial urinary diversion device according to  claim 56  wherein said dislocation device is integrated into a garment.  
   
   
       81 . The artificial urinary diversion device according to  claim 77  including an ultrasonic transmitter and a receiver device for controlling said display.  
   
   
       82 . The artificial urinary diversion device according to  claim 81  wherein said ultrasonic transmitter and receiver device includes external Reed contacts, a Hall generator, and a charging current unit of measurement or a power sensor.  
   
   
       83 . The artificial urinary diversion device according to  claim 56  including an actor system for executing the removal of urine from said artificial urinary diversion device.  
   
   
       84 . The artificial urinary diversion device according to  claim 56  including at least one anti-reflux valve.  
   
   
       85 . The artificial urinary diversion device according to  claim 83  wherein said actor is controlled by an encoded signal.  
   
   
       86 . A method for implanting the artificial urinary diversion device of  claim 56  including the steps of: 
 (a) selecting a modular unit which has an external contour corresponding to said artificial urinary diversion device;    (b) exchanging said modular unit for one of said first, second or third portions to obtain a matching implantable artificial urinary diversion device;    (c) assembling said artificial urinary diversion device in correspondence with said modular unit; and    (d) implanting said assembled artificial urinary diversion device.