CA2195215C - Malleable penile prosthesis - Google Patents
Malleable penile prosthesis Download PDFInfo
- Publication number
- CA2195215C CA2195215C CA002195215A CA2195215A CA2195215C CA 2195215 C CA2195215 C CA 2195215C CA 002195215 A CA002195215 A CA 002195215A CA 2195215 A CA2195215 A CA 2195215A CA 2195215 C CA2195215 C CA 2195215C
- Authority
- CA
- Canada
- Prior art keywords
- core
- sleeve
- prosthesis
- tube
- outer tube
- 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.)
- Expired - Fee Related
Links
- 238000000034 method Methods 0.000 claims abstract description 11
- 210000003899 penis Anatomy 0.000 claims abstract description 3
- 239000013536 elastomeric material Substances 0.000 claims abstract 5
- 239000000560 biocompatible material Substances 0.000 claims abstract 3
- 210000005226 corpus cavernosum Anatomy 0.000 claims abstract 2
- 239000000463 material Substances 0.000 claims description 16
- 229910052751 metal Inorganic materials 0.000 claims description 16
- 239000002184 metal Substances 0.000 claims description 16
- 239000010935 stainless steel Substances 0.000 claims description 7
- 229910001220 stainless steel Inorganic materials 0.000 claims description 7
- 230000015572 biosynthetic process Effects 0.000 claims description 5
- 229920000728 polyester Polymers 0.000 claims description 4
- 239000007787 solid Substances 0.000 claims description 4
- 229920002379 silicone rubber Polymers 0.000 claims description 3
- 239000004945 silicone rubber Substances 0.000 claims description 3
- 238000009954 braiding Methods 0.000 claims description 2
- 238000002788 crimping Methods 0.000 claims description 2
- -1 polyethylene Polymers 0.000 claims description 2
- 239000004698 Polyethylene Substances 0.000 claims 1
- 238000000748 compression moulding Methods 0.000 claims 1
- 229920000573 polyethylene Polymers 0.000 claims 1
- 238000004804 winding Methods 0.000 claims 1
- 238000005452 bending Methods 0.000 description 7
- 239000000853 adhesive Substances 0.000 description 6
- 230000001070 adhesive effect Effects 0.000 description 6
- 238000000465 moulding Methods 0.000 description 4
- 229920001296 polysiloxane Polymers 0.000 description 3
- 229910045601 alloy Inorganic materials 0.000 description 2
- 239000000956 alloy Substances 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 150000002739 metals Chemical class 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 229910052709 silver Inorganic materials 0.000 description 2
- 239000004332 silver Substances 0.000 description 2
- 206010021118 Hypotonia Diseases 0.000 description 1
- 241000282320 Panthera leo Species 0.000 description 1
- 229910001069 Ti alloy Inorganic materials 0.000 description 1
- 239000000969 carrier Substances 0.000 description 1
- VNNRSPGTAMTISX-UHFFFAOYSA-N chromium nickel Chemical compound [Cr].[Ni] VNNRSPGTAMTISX-UHFFFAOYSA-N 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 239000000806 elastomer Substances 0.000 description 1
- 208000017561 flaccidity Diseases 0.000 description 1
- 201000001881 impotence Diseases 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 230000018052 penile erection Effects 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 238000005086 pumping Methods 0.000 description 1
- 229910000601 superalloy Inorganic materials 0.000 description 1
- 229910052715 tantalum Inorganic materials 0.000 description 1
- GUVRBAGPIYLISA-UHFFFAOYSA-N tantalum atom Chemical compound [Ta] GUVRBAGPIYLISA-UHFFFAOYSA-N 0.000 description 1
- 229910052720 vanadium Inorganic materials 0.000 description 1
- LEONUFNNVUYDNQ-UHFFFAOYSA-N vanadium atom Chemical compound [V] LEONUFNNVUYDNQ-UHFFFAOYSA-N 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
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S623/00—Prosthesis, i.e. artificial body members, parts thereof, or aids and accessories therefor
- Y10S623/901—Method of manufacturing prosthetic device
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T29/00—Metal working
- Y10T29/49—Method of mechanical manufacture
- Y10T29/49826—Assembling or joining
- Y10T29/49863—Assembling or joining with prestressing of part
- Y10T29/4987—Elastic joining of parts
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T29/00—Metal working
- Y10T29/49—Method of mechanical manufacture
- Y10T29/49826—Assembling or joining
- Y10T29/49908—Joining by deforming
- Y10T29/49925—Inward deformation of aperture or hollow body wall
- Y10T29/49927—Hollow body is axially joined cup or tube
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T29/00—Metal working
- Y10T29/49—Method of mechanical manufacture
- Y10T29/49826—Assembling or joining
- Y10T29/49947—Assembling or joining by applying separate fastener
- Y10T29/49954—Fastener deformed after application
Abstract
A malleable penile prosthesis adapted to be implanted in a corpus cavernosum of a penis comprising an elongated core (1) which is bendable about its longitudinal axis with the capability of holding the configuration to which it is bent and is substantially rigid when in the unbent straight configuration, a sleeve (4) of braided biocompatible material, having an inner surface and an outer surface, enveloping the core with the inner surface of the sleeve in contact with the core and t he sleeve and core being accommodated within an outer tube (8) of elastomeric material, which tube has a substantially rounded smooth outer surface and an inner surface having a profile formed of alternate grooves (14) and ribs (15) in a substantially helical arrangement. A method of forming a malleable prosthesis is also disclosed.
Description
wo s6/04865 2 1 9 5 2 1 5 This invention relates to a malleable penile prosthesis. More particularly, the invention is concerned with a penile prosthesis comprising a malleable core enveloped t in a sleeve, which sleeve and core are 6C~,v~ ' ' ' within an outer tube of .,~,,iu material. The invention also relates to a method of making a malleable 10penile prosthesis. All the materials used in the prosthesis are Livcc,,,,u_'ible.
As used herein the temm ~malleable' means bendable, with the capacity of holding the resulting configuration until a subsequent step of bending or ~I"~I ,t~:"i"g is perfommed. The malleable core of the prosthesis of this invention ' "" )~1:) has the ch_.c.~.l.,,i,iic of being substantially rigid when not being subjected to bending, and 15particularly when in the unbent straight cu"19 l ,.
Impotence or inability to achieve penile erection is quite prevalent and many solutions have been proposed and are available in the art to cure or cc"",u~"__'.u for the condition. In particular, various types of penile prostheses are Cvl"..,t"~ 'Iy available.
20The majority of penile prostheses fall into two types. These two types are theinflatable, ;~,u'_,lt~Llu prosthesis and the simple i,..~ ,lt~Lle inherently stiff or substantially rigid prosthesis. The inflatable prosthesis Is normally implanted in pairs withil~i the corpora cavennosa and connected to hydraulic pumping means, also implanted within the patienrs body, which means enable the prosthesis to be inflated 25 for erection and deflated for flaccidity. The simple or non-inflatable, prosthesis is also generally implanted in pairs in the corpora cavemosa and, in view of its inherent stiffness, provides a generally constant erection. Hence, it is desirable to provide pc ~,a;vn ' "~i so that the erection may be at le&st ~artially concealed by the patient.
r. n ~ ~y iS generally achieved by making the simple prosthesis bendable or 30 malleable and the prosthesis provided by the present invention is of this simple type, herein designated as a malleable prosthesis.
A number of prior art prostheses deal with the requirement of F ~ y by '' providing various forms of ss".. :"tt,d or articulated structures. Such stnuctures are disclosed, for example, in U.S. Patent Nos. 4,665,902; 4,666,428 and 4,807,608 and 35 4,881,531.
Wo 96/04865 Another form of F~ " ,GLle prosthesis comprises an t:l~lu,,,_,iu rod and a metal wire coil coaxiaily embedded within at!east a portion of the rod, as disclosed in U.S. Patent No. 4,669,456.
U.S. Patent No. 4,392,562 discloses a limited bend malleable penile prosthesis t 5 comprising an elongated maileable element having bend limiting means comprising a plurality ot _. ,,u~cl,u,_~le adjacent elements positioned in co-operative j~ p~ n with said malleable element.
U.S. Patent No. 3,987,789 discloses a malleable penile prosthesis comprising an elongated malleable rod portion housed within a generaily tubular, ~ ulogi~ A'IJ
10 inert plastic body; and U.S. Patent No. 4,594,998 discloses a similar type of prosthesis but having a somewhat more elaborate and improved structure.
U,S. Patent No. 4,988,357 discloses a penile prosthesis comprising an b~ t~ flexible rod member fommed by a core porbon comprising a plurality of metailic wires, typicaily high-purity silver, and an outer casing comprising ;"",1_., ' ' 15 plastic materiai around the core portion.
It has now been found that an improved maileable penile prosthesis of the type having a malleable core ac~,u",... ' ' within a tubular sheath may be provided as hereinafter described, which prosthesis has improved F ", ' ty and improved F~l l.,l l l l~.. I,~e.
In accu"J.. ,ce with the invention there is provided a malleable penile prosthesis :
adapted to be implanted in a corpus cavemosum of a penis comprising an elongatedcore having an unbent straight cu"qg ~ _ ~ about a longitudinal axis, a distai end and a proximai end, which core is bendable about said axis with the capability of holding a ~,u~ ,q_ ~ to ~,vhich it is bent and is substantially rigld when in the unbent straight 25 ~,u"q~ " a sleeve of braided L: ., ' ' material, having an inner sur~ace and an outer surface, enveloping said core with the inner surface of the sleeve in contact with the core and an outer tube of s' "." i.. material containing the sleeve and core, said tube having a wall with an outer surface and an inner surface, a distai end and a proximal end, each of said ends having a substantiaily rounded smooth outer surface, 30 said outer surface of the wail being substanUally smooth and said inner surface having a prolile fommed of aitemate grooves and ribs in a substantially helicai GllClllU~Ille,,i.
In n preferred e. . li u-li" ,~"t of the prosthesis according to the invention the core is formed from a pluraiity of metai wires, especiaily stainless steel wires, twisted wo s6/04s6s 2 1 9 5 2 ~ 5 together and secured at each end with a solid metai cap to form an integral malleable element.
Preferably the sleeve enveloping the core comprises a pluraiity of layers, preferablythree,ofbraidedpolymericmaterial. Whiletheoutsidediameterotthesleeve 5 is matched with the internal diameter of the outer tube as defined by the crests of the ribs in the inner surface of the wall of the outer tube, there is a smail clearance, of the order of 0.010 to 0.050 inch, between the outer surface of the sleeve and the surfaces of said crests when the prosthesis is in a straight configuration. The stated surfaces tend to come into contact with each other when the prosthesis is subjected to bending.
10 The small clearance contributes toward F ~ , ' ty without kinking.
A preferred material for the braided sleeve is a biu~.u,,l~,~.'ible polyester, particulariy F 9y_ h~l ,e ~ htl l ' The invention aiso provides a method of forming a malleable penile prosthesis comprising an elongated core, a sleeve enveloping said core and an outer tube 15 accu""" ' ,g said sleeve and core, which method comprises forming said core, enveloping said core with a sleeve of braided i,iu.,u,, ,, ' material, forming a tube of ' i~. material having a wall with an inner surface and an outer sur~ace and a bore definQd by the inner surface of the wall, which inner surface has a profile fommed ot aiternate grooves and ribs in a substantially helical ~,,u ~y_..~_. ,t, and inserting said sleeve and core within said bore so that the crest of each rib is matched closely to the outer surface of the sleeve. The close matching of the outer surface ot the sleeve with the inner surface ot the outer tube so as to leave a small clearance between said surfaces when the prosthesis is In a straight co"99 1 r, provides a prosthesis with column strength" , ' ty and naturai feel.
In perfomming the method of the invention the elongated core is preterably tormed by twisting together a pluraiity ot metai wires, initiaily positioned in side-by-side longitudinal ,~' nsl,i~,, to form a substantially rigid but bendable integral bundle having a distai end and a proximai end, and securing the integrity cf said core by ~' crimping a solid metal cap to each end ot the twisted bundle ot metal wires.
Preferably, the sleeve ot braided material comprises a pluraiity ot layers ot braided polymeric materiai and the sleeve is positioned around the core by braiding the layers, preterably three, tightly around the core to torm an integral sleeve in intimate contact with the core.
WO 96/04865 I ~
The prosthesis of the invention comprises, in cor"Li"~lion, a malleable core enveloped in a sleeve of braided material and an outer tube of el.~ llelk, materiai having an internal surface with a distinctive profile.
Although a fewer number of wires with consequential larger diameter may be 5 used, in a preferred u.oLOdi",e~t the core is made by twisting together a pluraiity of metal wires, for example from 100 to 150 wires, each having a diameter of from 0.006 to 0.010 inch. A particularly preferred o..lLOdi",e,lt comprises a core made trom 134 wires of stainless steel, each having a diameter of about 0.008 inch.
The metal wires are typically made by drawing and usually are of circular cross-10 section, both for ease of fabrication and interactive contact. However, othercu"9~, ~ ,s, for example, unifomm hexagons, are possible, providing the resulting bundle has the required F ~ " , ' "'y af~er twisting.
Twisting of the bundle of wires is necessary to provide ~ " r, ' "ty without kinking or other distortion and to overcome resistance to bending. The proper degree 15 ot twisting to achieve optimum F ~ y and cycle life may be detelll ,i, led by the lay of the wire and is preferably of the order of 1.45 to 1.65 inches.
~ Stainless steel is the metai of choice for the wires over other metais or ailoys which might be used because it possesses a cv"lLi" h of desirable .,I, ..~,le,iDli....
Thus, it is prefenred over, for example, silver, tantalum, an alloy of titanium, aiuminum 20 and vanadium, and chromium-nickel super alloy, which metals and alloys have been suggested for malleable prostheses.
The other metals and alloys mentioned above tend to exhibit elther more wire-to-wire gailing, i.e., friction interaction, than stainless steel, or other loss in p "' , ' "'y and/or cycie life.
26 The prefenred twisted wire core described above has better wire-to-wireinteraction than previous ~ ' " in _.,_._ ,9 metal wires. By using a greater number of wires, of smailer diameter, than used hitherto and controlling the degree of twist of the wires with little work-hardenin,q a great L,,~u,.:. d in Fr , ' "~ is obtained. This, together with increased wire-to-wire contact while ",~.,' ,i"g an extended cycle life provides an improved malleable core.
The malleable core is enveloped in a sleeve of braided material, preferably a L;OCG~ U--I;LIe polyester, such as F B yelhy'. .,,D ~ Jh tl, '..t~,.
Wo96/04865 2 1 ~ 5 2 1 5 .~1~1, s .
ln a preferred elllLOdi",~ "I the braid is formed from a yam of about 200-250 denier, 50 filament, 2-ply braided on 16 carriers having 43-50 picks per inch with improved tightness over prior braids. The sleeve preferably comprises three layers of the braid, and the new sleeve is a distinct ;~ over prior art sleeves.
J . 5 The core enveloped in the sleeve is accu" " " ' ' within an outer tube made of: ' ,t" k, materiai, for example, silicone nubber. The outer tube has a distal end and a proximal end, each of which has a substantially rounded smooth outer surface.
The outer tube defines a central longitudinal bore which, to facilitate formation of the prosthesis, initially has an open side port set back from the distal end and is open at the proximal end. The proximal open end allows insertion of the core and sleeve therethrough, as well as withdrawal of the groove-forming mandrel, which withdrawai is aided by the open side port, as hereinafter described. After formation of thsprosthesis the open side port and proximai open end are seaied by filling with asilicone adhesive.
The outer tube has a wail with a substantiaily smooth outer surface and an innersurface having a profile fommed of aitemate grooves and ribs in a substantially helical ~ L When the sleeve-covered core is &CCullllll_ ' ~ ' within the outer tube there is a small clearance between the crest of each rlb on the inner surface of the wail of the tube and the outer surface of the sleeve. When the prosthesis is subjected to 20 bending each crest in the proximity of the bend tends to come into touching contact with the outer surface of the sleeve. The preferred manner in which the grooves and ribs are formed on the inner surface of the wail of the outer tube is described hereinafter.
Preferred ~."i~Odi"n:";~ of the invention are illustrated in the acc~""~,_.,y;.,g 25 drawings, in which:
Fig. 1 is a side elevation, partly in section, of one e:"lLOdi",~"~t of a prosthesis according to the invention;
Fig. 2 is an enlarged sectional side view of the distai portion of the e"lLo ii..,.",l of Fig. 1;
Fig. 3 is an enlarged sectional side view of the proximal portion of the c..-Lodi..,.",t of Fig. 1;
Fi~. 4 is an enlar~ed sectional side view of an altemative version of the distalportion of a prosthesis according to the invention;
W096/04865 r. ~
21952~5 Fig. 5 is a cross-sedion, partly enlarged, through line V-V of Fig. 1 without the outer sheath;
Fig. 6 is a view ot the inside of the outer tube of the ~"~Lod;"~ t of Fig. 1 showing the helical ~u~,gt""~"l of the ribs and grooves;
6 Fig. 7 is a side elevation, partly in section of the core and sleeve during fommation thereof;
Fg. 8 is a side elevation, partly in section, of another ulllLo.li,,,, "1, and hg. 9 is a side elevation of a mandrel used in the formation of the e",Lod;..,~"t of Fig. 8.
Fig . 1 of the acc-," ",.. ,J;. ,g drawings illustrates one ~" ILodi, "_. ,t of a prosthesis according to the invention. The prosthesis comprises a central core 1 extending about the longitudinal axis of the prosthesis.
The core is made from a plurality of metal wires twisted together and secured to form an integral element by metal caps at the distal end 2 and proximal end 3 of the 1 6 core.
The metal wire malleable core 1 is enveloped in a sleeve 4 (See Fig. 2, 3 and 4) made up from three layers of braided material, preferably a polyester much aspolyuth,' ,e l~ yl,tl ' ' As shown in Fig. 7 the three layers 5, 6, 7 of material are braided around the core ~n situ.
Thec~ vac~,"lL;" " ,is~scc-"""_' ' 'withinanelongatedoutertube8 hnving a substantially rounded smooth surface distal end 9 and a substantially rounded smooth surhce proximal end 10.
The elongated outer tube has a central bore which 6CCul 111.1- ' ' the core and sleeve. The end of the bore at the proximal end 10 of the tube is open during formation of the prosthesis (as described h~,uil '' ) and is closed with a plug of adhesive 11, preferably silicone, when the prosthesis is completed.
The outer surface 12 of the wall of the tube 8 is substantially smooth. In a preferred e"lLo,li..,u"l of the invention the outer tube is enveloped in an outer sheath 13 of t' ' ,~ material. This outer sheath is useful for increasing the 30 diameter of the prosthesis. The inner surface of the wall of the tube has a profile formed of a!ternate grooves 14 and ribs 15. There is a small clearance 16 (Fig. 2) between the crest of each rib and the outer surface of the sleeve 4 and this clearance allows bending and ~ ht~,,i,,9 of the prosthesis without kinking of the wire bundle W096/0~865 2 1 9;2 1 5 P~,ll..,,_,~' while restricting bending to a desirable limit. The alternate grooves 14 and ribs 15 are formed in a substantially helical ~,~.~ "" "l as illustrated for example in Fig. 6.
The outer tube 8 is made from a moldable elastomer, for example a silicone rubber, and the groove/rib profile is formed by c,."~ si ", moulding over a pre-formed mandrel at an elevated temperature, for example, about 117~C.
The helical grooves are preferably at an angle of about 45 ~ and are formed froma seven stalt mould mandrel which provides a seven-start structure of helical grooves, which has been found to be the optimum number for longitudinal rigidity and lateral strength. The width and depth of the grooves and ribs are balanced so as to provide optimum stiffness and bendability and the helical profile gives a more natural feel to the prosthesis without detracting from the bendability.
The braided sleeve contributes to the F - , ~ of the malleable core, and the use of three layers in the braid has been found to be enough to contain the wires in the core and to match the outer diameter of the sleeve with the inner diameter of the 16 helix, defined by the crests of the ribs.
Refening to Fig. 7 of the drawings the malleable core is fommed by u " ,9 a plurality of metal wires, preferably about 134 wires of stainless steel, each having a diameter of about 0.008 inch, in side-by-side " I,I ,i~, fomming each end of the wire bundle into a loop 17 to enable the assembly to be connected to a suitable twisting apparatus, for example a lathe, so that the wires may be twisted together.
When the desired degree of twisting for optimum pclf .""~ce has been achieved, the core is removed from the twisting apparatus, the sleeve is braided around the core and the loops at each end are removed so that each end may be capped tosecure the twisted wires.
The sleeve covered core 1 is then inserted into the central bore of the outer tube through the open end at the proximal end of the tube and the open end is then closed with a plug of adhesive silicone 11 to complete the desired prosthesis.
A preferred: ~nt of the prosthesis according to the invention is illustrated in Fig. 8. In this ~" ,bodi" ,_"l the various features are substanUally similar to thoseofthee",Lo.li",,"lillustratedinFig. 1 butthehelicalcu,G"~p"" ",1ofgrooves 18 and ribs 19 is slightly modified.
The grooves and ribs of the outer tube of the :" Ibo.li", "t of Fig. 8 are formed by moulding about a mandrel 20 such as that illustrated in hg. 9. The mandrel Wo 96/04865 : 21 9~21 5 comprises an elongated groove and rib forming main portion 21, a distal end portion 22 end e proximal end portion 23.
Theoutertubeisformedbycu,,,~ ,siul)moulding,atanelevatedtemperature of a suitable . ' "el i-, polymer, for example, silicone rubber, over the mandrel. The 5 moulding operaUon fonms the outer tube with a longitudinal bore which matches the profile of the mandrel wherein the inner surface of the central portion has a helical ~, .,"5~c,, "~."1 of grooves and ribs. The moulded tube is provided with an open hole or port 24 in a side wall of the distal portion. In an altemative e"lLodi",~ "I, as illustrated in Fig. 4, the hole or port 25 extends dio ~l~bi-,all~ across the tube. The bore has an 10 open end 11 at the proximal portion of the tube, formed by the proximal portion 23 of the mandrel.
When the mouldins operation is completed an air pipe is attached to Uhe hole 24 or 25 and the bore is distended by air pressure so that the mandrel may be removed through the open proximal end of the bore, and the formed outer tube is then allowed 15 to cool. The malleable core and sleeve Is then placed In the bore and anchored to prevent Internal twisting by adhesive 26 at the distal end and adhesive 27 at the proximal end. The holes 24 or 25 at the distal end and the hole 11 at the proximal end are filled with adhesive to complete the formaUon of the prosthesis.
As used herein the temm ~malleable' means bendable, with the capacity of holding the resulting configuration until a subsequent step of bending or ~I"~I ,t~:"i"g is perfommed. The malleable core of the prosthesis of this invention ' "" )~1:) has the ch_.c.~.l.,,i,iic of being substantially rigid when not being subjected to bending, and 15particularly when in the unbent straight cu"19 l ,.
Impotence or inability to achieve penile erection is quite prevalent and many solutions have been proposed and are available in the art to cure or cc"",u~"__'.u for the condition. In particular, various types of penile prostheses are Cvl"..,t"~ 'Iy available.
20The majority of penile prostheses fall into two types. These two types are theinflatable, ;~,u'_,lt~Llu prosthesis and the simple i,..~ ,lt~Lle inherently stiff or substantially rigid prosthesis. The inflatable prosthesis Is normally implanted in pairs withil~i the corpora cavennosa and connected to hydraulic pumping means, also implanted within the patienrs body, which means enable the prosthesis to be inflated 25 for erection and deflated for flaccidity. The simple or non-inflatable, prosthesis is also generally implanted in pairs in the corpora cavemosa and, in view of its inherent stiffness, provides a generally constant erection. Hence, it is desirable to provide pc ~,a;vn ' "~i so that the erection may be at le&st ~artially concealed by the patient.
r. n ~ ~y iS generally achieved by making the simple prosthesis bendable or 30 malleable and the prosthesis provided by the present invention is of this simple type, herein designated as a malleable prosthesis.
A number of prior art prostheses deal with the requirement of F ~ y by '' providing various forms of ss".. :"tt,d or articulated structures. Such stnuctures are disclosed, for example, in U.S. Patent Nos. 4,665,902; 4,666,428 and 4,807,608 and 35 4,881,531.
Wo 96/04865 Another form of F~ " ,GLle prosthesis comprises an t:l~lu,,,_,iu rod and a metal wire coil coaxiaily embedded within at!east a portion of the rod, as disclosed in U.S. Patent No. 4,669,456.
U.S. Patent No. 4,392,562 discloses a limited bend malleable penile prosthesis t 5 comprising an elongated maileable element having bend limiting means comprising a plurality ot _. ,,u~cl,u,_~le adjacent elements positioned in co-operative j~ p~ n with said malleable element.
U.S. Patent No. 3,987,789 discloses a malleable penile prosthesis comprising an elongated malleable rod portion housed within a generaily tubular, ~ ulogi~ A'IJ
10 inert plastic body; and U.S. Patent No. 4,594,998 discloses a similar type of prosthesis but having a somewhat more elaborate and improved structure.
U,S. Patent No. 4,988,357 discloses a penile prosthesis comprising an b~ t~ flexible rod member fommed by a core porbon comprising a plurality of metailic wires, typicaily high-purity silver, and an outer casing comprising ;"",1_., ' ' 15 plastic materiai around the core portion.
It has now been found that an improved maileable penile prosthesis of the type having a malleable core ac~,u",... ' ' within a tubular sheath may be provided as hereinafter described, which prosthesis has improved F ", ' ty and improved F~l l.,l l l l~.. I,~e.
In accu"J.. ,ce with the invention there is provided a malleable penile prosthesis :
adapted to be implanted in a corpus cavemosum of a penis comprising an elongatedcore having an unbent straight cu"qg ~ _ ~ about a longitudinal axis, a distai end and a proximai end, which core is bendable about said axis with the capability of holding a ~,u~ ,q_ ~ to ~,vhich it is bent and is substantially rigld when in the unbent straight 25 ~,u"q~ " a sleeve of braided L: ., ' ' material, having an inner sur~ace and an outer surface, enveloping said core with the inner surface of the sleeve in contact with the core and an outer tube of s' "." i.. material containing the sleeve and core, said tube having a wall with an outer surface and an inner surface, a distai end and a proximal end, each of said ends having a substantiaily rounded smooth outer surface, 30 said outer surface of the wail being substanUally smooth and said inner surface having a prolile fommed of aitemate grooves and ribs in a substantially helicai GllClllU~Ille,,i.
In n preferred e. . li u-li" ,~"t of the prosthesis according to the invention the core is formed from a pluraiity of metai wires, especiaily stainless steel wires, twisted wo s6/04s6s 2 1 9 5 2 ~ 5 together and secured at each end with a solid metai cap to form an integral malleable element.
Preferably the sleeve enveloping the core comprises a pluraiity of layers, preferablythree,ofbraidedpolymericmaterial. Whiletheoutsidediameterotthesleeve 5 is matched with the internal diameter of the outer tube as defined by the crests of the ribs in the inner surface of the wall of the outer tube, there is a smail clearance, of the order of 0.010 to 0.050 inch, between the outer surface of the sleeve and the surfaces of said crests when the prosthesis is in a straight configuration. The stated surfaces tend to come into contact with each other when the prosthesis is subjected to bending.
10 The small clearance contributes toward F ~ , ' ty without kinking.
A preferred material for the braided sleeve is a biu~.u,,l~,~.'ible polyester, particulariy F 9y_ h~l ,e ~ htl l ' The invention aiso provides a method of forming a malleable penile prosthesis comprising an elongated core, a sleeve enveloping said core and an outer tube 15 accu""" ' ,g said sleeve and core, which method comprises forming said core, enveloping said core with a sleeve of braided i,iu.,u,, ,, ' material, forming a tube of ' i~. material having a wall with an inner surface and an outer sur~ace and a bore definQd by the inner surface of the wall, which inner surface has a profile fommed ot aiternate grooves and ribs in a substantially helical ~,,u ~y_..~_. ,t, and inserting said sleeve and core within said bore so that the crest of each rib is matched closely to the outer surface of the sleeve. The close matching of the outer surface ot the sleeve with the inner surface ot the outer tube so as to leave a small clearance between said surfaces when the prosthesis is In a straight co"99 1 r, provides a prosthesis with column strength" , ' ty and naturai feel.
In perfomming the method of the invention the elongated core is preterably tormed by twisting together a pluraiity ot metai wires, initiaily positioned in side-by-side longitudinal ,~' nsl,i~,, to form a substantially rigid but bendable integral bundle having a distai end and a proximai end, and securing the integrity cf said core by ~' crimping a solid metal cap to each end ot the twisted bundle ot metal wires.
Preferably, the sleeve ot braided material comprises a pluraiity ot layers ot braided polymeric materiai and the sleeve is positioned around the core by braiding the layers, preterably three, tightly around the core to torm an integral sleeve in intimate contact with the core.
WO 96/04865 I ~
The prosthesis of the invention comprises, in cor"Li"~lion, a malleable core enveloped in a sleeve of braided material and an outer tube of el.~ llelk, materiai having an internal surface with a distinctive profile.
Although a fewer number of wires with consequential larger diameter may be 5 used, in a preferred u.oLOdi",e~t the core is made by twisting together a pluraiity of metal wires, for example from 100 to 150 wires, each having a diameter of from 0.006 to 0.010 inch. A particularly preferred o..lLOdi",e,lt comprises a core made trom 134 wires of stainless steel, each having a diameter of about 0.008 inch.
The metal wires are typically made by drawing and usually are of circular cross-10 section, both for ease of fabrication and interactive contact. However, othercu"9~, ~ ,s, for example, unifomm hexagons, are possible, providing the resulting bundle has the required F ~ " , ' "'y af~er twisting.
Twisting of the bundle of wires is necessary to provide ~ " r, ' "ty without kinking or other distortion and to overcome resistance to bending. The proper degree 15 ot twisting to achieve optimum F ~ y and cycle life may be detelll ,i, led by the lay of the wire and is preferably of the order of 1.45 to 1.65 inches.
~ Stainless steel is the metai of choice for the wires over other metais or ailoys which might be used because it possesses a cv"lLi" h of desirable .,I, ..~,le,iDli....
Thus, it is prefenred over, for example, silver, tantalum, an alloy of titanium, aiuminum 20 and vanadium, and chromium-nickel super alloy, which metals and alloys have been suggested for malleable prostheses.
The other metals and alloys mentioned above tend to exhibit elther more wire-to-wire gailing, i.e., friction interaction, than stainless steel, or other loss in p "' , ' "'y and/or cycie life.
26 The prefenred twisted wire core described above has better wire-to-wireinteraction than previous ~ ' " in _.,_._ ,9 metal wires. By using a greater number of wires, of smailer diameter, than used hitherto and controlling the degree of twist of the wires with little work-hardenin,q a great L,,~u,.:. d in Fr , ' "~ is obtained. This, together with increased wire-to-wire contact while ",~.,' ,i"g an extended cycle life provides an improved malleable core.
The malleable core is enveloped in a sleeve of braided material, preferably a L;OCG~ U--I;LIe polyester, such as F B yelhy'. .,,D ~ Jh tl, '..t~,.
Wo96/04865 2 1 ~ 5 2 1 5 .~1~1, s .
ln a preferred elllLOdi",~ "I the braid is formed from a yam of about 200-250 denier, 50 filament, 2-ply braided on 16 carriers having 43-50 picks per inch with improved tightness over prior braids. The sleeve preferably comprises three layers of the braid, and the new sleeve is a distinct ;~ over prior art sleeves.
J . 5 The core enveloped in the sleeve is accu" " " ' ' within an outer tube made of: ' ,t" k, materiai, for example, silicone nubber. The outer tube has a distal end and a proximal end, each of which has a substantially rounded smooth outer surface.
The outer tube defines a central longitudinal bore which, to facilitate formation of the prosthesis, initially has an open side port set back from the distal end and is open at the proximal end. The proximal open end allows insertion of the core and sleeve therethrough, as well as withdrawal of the groove-forming mandrel, which withdrawai is aided by the open side port, as hereinafter described. After formation of thsprosthesis the open side port and proximai open end are seaied by filling with asilicone adhesive.
The outer tube has a wail with a substantiaily smooth outer surface and an innersurface having a profile fommed of aitemate grooves and ribs in a substantially helical ~ L When the sleeve-covered core is &CCullllll_ ' ~ ' within the outer tube there is a small clearance between the crest of each rlb on the inner surface of the wail of the tube and the outer surface of the sleeve. When the prosthesis is subjected to 20 bending each crest in the proximity of the bend tends to come into touching contact with the outer surface of the sleeve. The preferred manner in which the grooves and ribs are formed on the inner surface of the wail of the outer tube is described hereinafter.
Preferred ~."i~Odi"n:";~ of the invention are illustrated in the acc~""~,_.,y;.,g 25 drawings, in which:
Fig. 1 is a side elevation, partly in section, of one e:"lLOdi",~"~t of a prosthesis according to the invention;
Fig. 2 is an enlarged sectional side view of the distai portion of the e"lLo ii..,.",l of Fig. 1;
Fig. 3 is an enlarged sectional side view of the proximal portion of the c..-Lodi..,.",t of Fig. 1;
Fi~. 4 is an enlar~ed sectional side view of an altemative version of the distalportion of a prosthesis according to the invention;
W096/04865 r. ~
21952~5 Fig. 5 is a cross-sedion, partly enlarged, through line V-V of Fig. 1 without the outer sheath;
Fig. 6 is a view ot the inside of the outer tube of the ~"~Lod;"~ t of Fig. 1 showing the helical ~u~,gt""~"l of the ribs and grooves;
6 Fig. 7 is a side elevation, partly in section of the core and sleeve during fommation thereof;
Fg. 8 is a side elevation, partly in section, of another ulllLo.li,,,, "1, and hg. 9 is a side elevation of a mandrel used in the formation of the e",Lod;..,~"t of Fig. 8.
Fig . 1 of the acc-," ",.. ,J;. ,g drawings illustrates one ~" ILodi, "_. ,t of a prosthesis according to the invention. The prosthesis comprises a central core 1 extending about the longitudinal axis of the prosthesis.
The core is made from a plurality of metal wires twisted together and secured to form an integral element by metal caps at the distal end 2 and proximal end 3 of the 1 6 core.
The metal wire malleable core 1 is enveloped in a sleeve 4 (See Fig. 2, 3 and 4) made up from three layers of braided material, preferably a polyester much aspolyuth,' ,e l~ yl,tl ' ' As shown in Fig. 7 the three layers 5, 6, 7 of material are braided around the core ~n situ.
Thec~ vac~,"lL;" " ,is~scc-"""_' ' 'withinanelongatedoutertube8 hnving a substantially rounded smooth surface distal end 9 and a substantially rounded smooth surhce proximal end 10.
The elongated outer tube has a central bore which 6CCul 111.1- ' ' the core and sleeve. The end of the bore at the proximal end 10 of the tube is open during formation of the prosthesis (as described h~,uil '' ) and is closed with a plug of adhesive 11, preferably silicone, when the prosthesis is completed.
The outer surface 12 of the wall of the tube 8 is substantially smooth. In a preferred e"lLo,li..,u"l of the invention the outer tube is enveloped in an outer sheath 13 of t' ' ,~ material. This outer sheath is useful for increasing the 30 diameter of the prosthesis. The inner surface of the wall of the tube has a profile formed of a!ternate grooves 14 and ribs 15. There is a small clearance 16 (Fig. 2) between the crest of each rib and the outer surface of the sleeve 4 and this clearance allows bending and ~ ht~,,i,,9 of the prosthesis without kinking of the wire bundle W096/0~865 2 1 9;2 1 5 P~,ll..,,_,~' while restricting bending to a desirable limit. The alternate grooves 14 and ribs 15 are formed in a substantially helical ~,~.~ "" "l as illustrated for example in Fig. 6.
The outer tube 8 is made from a moldable elastomer, for example a silicone rubber, and the groove/rib profile is formed by c,."~ si ", moulding over a pre-formed mandrel at an elevated temperature, for example, about 117~C.
The helical grooves are preferably at an angle of about 45 ~ and are formed froma seven stalt mould mandrel which provides a seven-start structure of helical grooves, which has been found to be the optimum number for longitudinal rigidity and lateral strength. The width and depth of the grooves and ribs are balanced so as to provide optimum stiffness and bendability and the helical profile gives a more natural feel to the prosthesis without detracting from the bendability.
The braided sleeve contributes to the F - , ~ of the malleable core, and the use of three layers in the braid has been found to be enough to contain the wires in the core and to match the outer diameter of the sleeve with the inner diameter of the 16 helix, defined by the crests of the ribs.
Refening to Fig. 7 of the drawings the malleable core is fommed by u " ,9 a plurality of metal wires, preferably about 134 wires of stainless steel, each having a diameter of about 0.008 inch, in side-by-side " I,I ,i~, fomming each end of the wire bundle into a loop 17 to enable the assembly to be connected to a suitable twisting apparatus, for example a lathe, so that the wires may be twisted together.
When the desired degree of twisting for optimum pclf .""~ce has been achieved, the core is removed from the twisting apparatus, the sleeve is braided around the core and the loops at each end are removed so that each end may be capped tosecure the twisted wires.
The sleeve covered core 1 is then inserted into the central bore of the outer tube through the open end at the proximal end of the tube and the open end is then closed with a plug of adhesive silicone 11 to complete the desired prosthesis.
A preferred: ~nt of the prosthesis according to the invention is illustrated in Fig. 8. In this ~" ,bodi" ,_"l the various features are substanUally similar to thoseofthee",Lo.li",,"lillustratedinFig. 1 butthehelicalcu,G"~p"" ",1ofgrooves 18 and ribs 19 is slightly modified.
The grooves and ribs of the outer tube of the :" Ibo.li", "t of Fig. 8 are formed by moulding about a mandrel 20 such as that illustrated in hg. 9. The mandrel Wo 96/04865 : 21 9~21 5 comprises an elongated groove and rib forming main portion 21, a distal end portion 22 end e proximal end portion 23.
Theoutertubeisformedbycu,,,~ ,siul)moulding,atanelevatedtemperature of a suitable . ' "el i-, polymer, for example, silicone rubber, over the mandrel. The 5 moulding operaUon fonms the outer tube with a longitudinal bore which matches the profile of the mandrel wherein the inner surface of the central portion has a helical ~, .,"5~c,, "~."1 of grooves and ribs. The moulded tube is provided with an open hole or port 24 in a side wall of the distal portion. In an altemative e"lLodi",~ "I, as illustrated in Fig. 4, the hole or port 25 extends dio ~l~bi-,all~ across the tube. The bore has an 10 open end 11 at the proximal portion of the tube, formed by the proximal portion 23 of the mandrel.
When the mouldins operation is completed an air pipe is attached to Uhe hole 24 or 25 and the bore is distended by air pressure so that the mandrel may be removed through the open proximal end of the bore, and the formed outer tube is then allowed 15 to cool. The malleable core and sleeve Is then placed In the bore and anchored to prevent Internal twisting by adhesive 26 at the distal end and adhesive 27 at the proximal end. The holes 24 or 25 at the distal end and the hole 11 at the proximal end are filled with adhesive to complete the formaUon of the prosthesis.
Claims
CLAIMS:
1. A malleable penile prosthesis adapted to be implanted in a corpus cavernosum of a penis comprising an elongated core having an unbent straight configuration about a longitudinal axis, a distal end and a proximal end, which core is bendable about said axis with the capability of holding a configuration to which it is bent and is substantially rigid when in the unbent straight configuration, a sleeve of braided biocompatible material having an inner surface and an outer surface enveloping said core with the inner surface of the sleeve in contact with the core and an outer tube of elastomeric material containing the sleeve and core, said tube having a wall with an outer surface and an inner surface, a distal end and a proximal end, each of said ends having a substantially rounded smooth outer surface, said outer surface of the wall being substantially smooth and said inner surface having a profile formed of alternate grooves and ribs in a substantially helical arrangement.
2. The prosthesis according to claim 1, characterized in that the core is formed from a plurality of metal wires twisted together and secured at each of said core distal end and core proximal end with a solid metal tip to form an integral malleable element.
3. The prosthesis according to claim 1 or 2, characterized in that the sleeve comprises a plurality of layers of braided polmeric material having an outside diameter which matches an internal diameter defined by crests of the ribs in the outer tube, said crests having surfaces, a small clearance being provided between the outer surface of the sleeve and the surfaces of said crests when the prosthesis is in a straight configuration.
4. The prosthesis according to any one of claims 1 to 3, characterized in that the core comprises about 100 to 150 wires of stainless steel each having a diameter of from about 0.006 to 0.010 inch, twisted together and being enveloped in a sleeve comprising at least three layers of braided polyester.
5. The prosthesis according to any one of claims 1 to 4, characterized in that the grooves in the inner surface of the wall of the outer tube are defined by a seven-start structure of helical grooves having a helix angle of about 45À and the elastomeric material of the tube is silicone rubber.
6. The prosthesis according to any one of claims 1 to 5, characterized in that an outer sheath envelopes the outer tube.
7. A method of forming a malleable penile prosthesis comprising an elongated core, a sleeve enveloping said core and an outer tube accommodating said sleeve and core, characterized in that the method comprises forming said core, enveloping said core with a sleeve of braided biocompatible material, forming a tube of elastomeric material having a wall with an inner surface and an outer surface and a bore defined by the inner surface of the wall, which inner surface has a profile formed of alternate grooves and ribs in a substantially helical arrangement, and inserting said sleeve and core within said bore.
8. The method according to claim 7, characterized in that the elongated core is formed by twisting together a plurality of metal wires, initially positioned in side-by-side relationship, to form a substantially rigid, bendable, integral bundle having a distal end and a proximal end, and securing the integrity thereof by crimping a solid metal cap to each end of the bundle.
9. The method according to claim 7 or 8, characterized in that a sleeve comprising a plurality of layers of braided polymeric material is positioned around the core by winding the layers tightly around the core to form an integral sleeve in intimate contact with the core.
l0. The method according to any one of claims 7 to 9;
characterized in that the core is made from stainless steel wires and the sleeve is formed by braiding three layers of polyethylene terphthalate yarn around the core.
11. The method according to any one of claims 7 to 10, characterized in that the bore of the outer tube is formed by compression moulding the material of the tube about a pre-formed mandrel at an elevated temperature, distending the bore by air pressure applied through a hole in the distal portion of the tube and thereby removing the mandrel and allowing the resulting moulded formation to cool.
12. The method according to any one of claims 7 to 11, characterized in that the external diameter of the prosthesis is extended by enveloping the outer tube within a sheath of elastomeric material.
1. A malleable penile prosthesis adapted to be implanted in a corpus cavernosum of a penis comprising an elongated core having an unbent straight configuration about a longitudinal axis, a distal end and a proximal end, which core is bendable about said axis with the capability of holding a configuration to which it is bent and is substantially rigid when in the unbent straight configuration, a sleeve of braided biocompatible material having an inner surface and an outer surface enveloping said core with the inner surface of the sleeve in contact with the core and an outer tube of elastomeric material containing the sleeve and core, said tube having a wall with an outer surface and an inner surface, a distal end and a proximal end, each of said ends having a substantially rounded smooth outer surface, said outer surface of the wall being substantially smooth and said inner surface having a profile formed of alternate grooves and ribs in a substantially helical arrangement.
2. The prosthesis according to claim 1, characterized in that the core is formed from a plurality of metal wires twisted together and secured at each of said core distal end and core proximal end with a solid metal tip to form an integral malleable element.
3. The prosthesis according to claim 1 or 2, characterized in that the sleeve comprises a plurality of layers of braided polmeric material having an outside diameter which matches an internal diameter defined by crests of the ribs in the outer tube, said crests having surfaces, a small clearance being provided between the outer surface of the sleeve and the surfaces of said crests when the prosthesis is in a straight configuration.
4. The prosthesis according to any one of claims 1 to 3, characterized in that the core comprises about 100 to 150 wires of stainless steel each having a diameter of from about 0.006 to 0.010 inch, twisted together and being enveloped in a sleeve comprising at least three layers of braided polyester.
5. The prosthesis according to any one of claims 1 to 4, characterized in that the grooves in the inner surface of the wall of the outer tube are defined by a seven-start structure of helical grooves having a helix angle of about 45À and the elastomeric material of the tube is silicone rubber.
6. The prosthesis according to any one of claims 1 to 5, characterized in that an outer sheath envelopes the outer tube.
7. A method of forming a malleable penile prosthesis comprising an elongated core, a sleeve enveloping said core and an outer tube accommodating said sleeve and core, characterized in that the method comprises forming said core, enveloping said core with a sleeve of braided biocompatible material, forming a tube of elastomeric material having a wall with an inner surface and an outer surface and a bore defined by the inner surface of the wall, which inner surface has a profile formed of alternate grooves and ribs in a substantially helical arrangement, and inserting said sleeve and core within said bore.
8. The method according to claim 7, characterized in that the elongated core is formed by twisting together a plurality of metal wires, initially positioned in side-by-side relationship, to form a substantially rigid, bendable, integral bundle having a distal end and a proximal end, and securing the integrity thereof by crimping a solid metal cap to each end of the bundle.
9. The method according to claim 7 or 8, characterized in that a sleeve comprising a plurality of layers of braided polymeric material is positioned around the core by winding the layers tightly around the core to form an integral sleeve in intimate contact with the core.
l0. The method according to any one of claims 7 to 9;
characterized in that the core is made from stainless steel wires and the sleeve is formed by braiding three layers of polyethylene terphthalate yarn around the core.
11. The method according to any one of claims 7 to 10, characterized in that the bore of the outer tube is formed by compression moulding the material of the tube about a pre-formed mandrel at an elevated temperature, distending the bore by air pressure applied through a hole in the distal portion of the tube and thereby removing the mandrel and allowing the resulting moulded formation to cool.
12. The method according to any one of claims 7 to 11, characterized in that the external diameter of the prosthesis is extended by enveloping the outer tube within a sheath of elastomeric material.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/287,439 US5512033A (en) | 1994-08-08 | 1994-08-08 | Malleable penile prosthesis |
US08/287,439 | 1994-08-08 | ||
PCT/IB1995/000596 WO1996004865A1 (en) | 1994-08-08 | 1995-07-31 | Malleable penile prosthesis |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2195215A1 CA2195215A1 (en) | 1996-02-22 |
CA2195215C true CA2195215C (en) | 2002-01-29 |
Family
ID=23102917
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002195215A Expired - Fee Related CA2195215C (en) | 1994-08-08 | 1995-07-31 | Malleable penile prosthesis |
Country Status (10)
Country | Link |
---|---|
US (2) | US5512033A (en) |
EP (1) | EP0774935B1 (en) |
JP (1) | JP3009226B2 (en) |
AT (1) | ATE186194T1 (en) |
AU (1) | AU683399B2 (en) |
CA (1) | CA2195215C (en) |
DE (1) | DE69513181T2 (en) |
ES (1) | ES2141364T3 (en) |
MX (1) | MX9701008A (en) |
WO (1) | WO1996004865A1 (en) |
Families Citing this family (31)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6651670B2 (en) | 1998-02-13 | 2003-11-25 | Ventrica, Inc. | Delivering a conduit into a heart wall to place a coronary vessel in communication with a heart chamber and removing tissue from the vessel or heart wall to facilitate such communication |
WO1999059506A1 (en) * | 1998-05-21 | 1999-11-25 | Children's Medical Center Corporation | Corporal tissue penile reconstruction |
US6346492B1 (en) | 1999-05-06 | 2002-02-12 | American Medical Systems, Inc. | Fabric for use in prosthetics |
CN1196451C (en) * | 2000-02-14 | 2005-04-13 | 波滕西亚医疗公司 | Male impotence prosthesis apparatus with wireless energy supply |
US6558315B1 (en) * | 2000-03-15 | 2003-05-06 | Ams Research Corporation | Parylene-coated components for inflatable penile prosthesis |
US6756007B2 (en) * | 2001-04-04 | 2004-06-29 | Bard Peripheral Vascular, Inc. | Method for preparing an implantable prosthesis for loading into a delivery apparatus |
US6579230B2 (en) * | 2001-06-15 | 2003-06-17 | Impetus Ltd. | Penile prosthesis and method of implantation |
US6537204B1 (en) | 2001-12-10 | 2003-03-25 | James Elist | Structural penile implant |
US6991601B2 (en) * | 2002-12-02 | 2006-01-31 | Ams Research Corporation | Implantable pump |
US6808490B1 (en) * | 2003-04-25 | 2004-10-26 | Ams Research Corporation | Penile prosthesis with improved tubing junction |
AU2007247768B2 (en) * | 2006-05-08 | 2012-09-20 | Cathrx Ltd | Shape imparting mechanism insertion |
US8052593B2 (en) | 2006-10-24 | 2011-11-08 | Ams Research Corporation | Implantable malleable penile prosthetic device |
US8114011B2 (en) * | 2007-10-23 | 2012-02-14 | Ams Research Corporation | Corrugated inflatable penile prosthesis cylinder |
US8911350B2 (en) | 2007-10-23 | 2014-12-16 | Ams Research Corporation | Malleable prosthesis with enhanced concealability |
US8123674B2 (en) * | 2007-11-12 | 2012-02-28 | Ams Research Corporation | Corrugated expansion-constraining sleeve for an inflatable penile prosthesis cylinder |
US10070955B2 (en) * | 2007-11-15 | 2018-09-11 | Boston Scientific Scimed, Inc. | Prosthesis with bendable central region |
US8052594B2 (en) * | 2007-11-20 | 2011-11-08 | Ams Research Corporation | Prosthetic device with protrusions for girth |
US7988568B2 (en) * | 2008-01-17 | 2011-08-02 | Nike, Inc. | Golf clubs and golf club heads with adjustable center of gravity and moment of inertia characteristics |
US8702589B2 (en) * | 2008-12-23 | 2014-04-22 | Ams Research Corporation | System to transport components of implantable penile prostheses |
US9801702B2 (en) | 2010-12-16 | 2017-10-31 | Boston Scientific Scimed, Inc. | Artificial sphincter system and method |
US9089426B2 (en) | 2012-03-21 | 2015-07-28 | Ams Research Corporation | Automated implantable penile prosthesis pump system |
US9498333B2 (en) * | 2014-09-30 | 2016-11-22 | Coloplast A/S | Penile prosthetic insert with a body having a channel and a method for implantation of a penile prosthetic |
WO2017070402A1 (en) | 2015-10-20 | 2017-04-27 | Coloplast A/S | Disposable measuring tool |
US11432929B2 (en) | 2015-12-31 | 2022-09-06 | Menova International, Inc. | Prosthesis for improved penis function |
US10952855B2 (en) | 2016-03-24 | 2021-03-23 | Boston Scientific Scimed, Inc. | Inflatable penile prosthesis with reversible flow pump assembly |
EP4233965A3 (en) | 2017-02-02 | 2023-09-20 | Coloplast A/S | Inflatable penile prosthetic system |
WO2019013718A1 (en) | 2017-07-14 | 2019-01-17 | Lueleci Hueseyin | A malleable penile implant |
US10980638B2 (en) | 2017-08-04 | 2021-04-20 | Boston Scientific Scimed, Inc. | Penile implant |
US10980639B2 (en) | 2018-07-23 | 2021-04-20 | Augmenta, LLC | Implants that facilitate tissue expansion |
US11344418B2 (en) * | 2018-11-29 | 2022-05-31 | Jason Kovac | Male prosthesis |
US11311403B2 (en) | 2019-12-02 | 2022-04-26 | Brian Elder | Erectile dysfunction device and method |
Family Cites Families (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3987789A (en) * | 1975-10-28 | 1976-10-26 | American Medical Systems, Inc. | Malleable penile prosthesis |
US4392568A (en) * | 1978-06-22 | 1983-07-12 | Alvey Inc. | Live roller conveyor |
US4483331A (en) * | 1982-09-16 | 1984-11-20 | Medical Engineering Corporation | Rod-type penile implant |
US4669456A (en) * | 1983-05-04 | 1987-06-02 | Mentor Corporation | Positionable penile prosthesis |
US4594998A (en) * | 1983-09-16 | 1986-06-17 | American Medical Systems, Inc. | Penile prosthesis of improved malleable construction |
EP0148369B1 (en) * | 1983-12-08 | 1987-06-10 | Walter Koss | Penis prothesis |
US4666428A (en) * | 1984-10-23 | 1987-05-19 | Stefano Mattioli | Semi-rigid penial prosthesis for the treatment of impotence in the erection |
US4665902A (en) * | 1985-12-04 | 1987-05-19 | C. R. Bard, Inc. | Flexible penile prosthesis |
US4881531A (en) * | 1986-11-21 | 1989-11-21 | Dacomed Corporation | Position stable segmented column penile prosthesis |
US4807608A (en) * | 1987-07-22 | 1989-02-28 | American Medical Systems | Mechanical penile prosthesis |
US5050592A (en) * | 1990-05-07 | 1991-09-24 | Raul Olmedo | Penile prosthesis |
-
1994
- 1994-08-08 US US08/287,439 patent/US5512033A/en not_active Expired - Lifetime
-
1995
- 1995-07-13 US US08/502,614 patent/US5553379A/en not_active Expired - Lifetime
- 1995-07-31 WO PCT/IB1995/000596 patent/WO1996004865A1/en active IP Right Grant
- 1995-07-31 CA CA002195215A patent/CA2195215C/en not_active Expired - Fee Related
- 1995-07-31 AU AU29352/95A patent/AU683399B2/en not_active Ceased
- 1995-07-31 ES ES95925093T patent/ES2141364T3/en not_active Expired - Lifetime
- 1995-07-31 MX MX9701008A patent/MX9701008A/en unknown
- 1995-07-31 JP JP8507154A patent/JP3009226B2/en not_active Expired - Lifetime
- 1995-07-31 DE DE69513181T patent/DE69513181T2/en not_active Expired - Fee Related
- 1995-07-31 AT AT95925093T patent/ATE186194T1/en not_active IP Right Cessation
- 1995-07-31 EP EP95925093A patent/EP0774935B1/en not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
JPH09509871A (en) | 1997-10-07 |
CA2195215A1 (en) | 1996-02-22 |
AU2935295A (en) | 1996-03-07 |
ATE186194T1 (en) | 1999-11-15 |
AU683399B2 (en) | 1997-11-06 |
EP0774935B1 (en) | 1999-11-03 |
ES2141364T3 (en) | 2000-03-16 |
US5512033A (en) | 1996-04-30 |
DE69513181D1 (en) | 1999-12-09 |
DE69513181T2 (en) | 2000-11-23 |
JP3009226B2 (en) | 2000-02-14 |
US5553379A (en) | 1996-09-10 |
WO1996004865A1 (en) | 1996-02-22 |
EP0774935A1 (en) | 1997-05-28 |
MX9701008A (en) | 1997-05-31 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CA2195215C (en) | Malleable penile prosthesis | |
US9572694B2 (en) | Helical graft | |
US5545211A (en) | Stent for expanding a lumen | |
US6068622A (en) | Single piece hub/strain relief that can be injection molded over a shaft | |
US4222384A (en) | Catheter | |
CA2235794C (en) | Bifurcated stent graft | |
AU610119B2 (en) | Balloon catheter and production thereof | |
US5876445A (en) | Medical stents for body lumens exhibiting peristaltic motion | |
US8597366B2 (en) | Anti-reflux stent | |
JPH06210004A (en) | Device to plant naturally expanding type intracorporeal protease in blood vessel | |
US20230381000A1 (en) | Stents and related methods | |
RU2000123558A (en) | Intraluminal Vascular Prosthesis | |
CZ289423B6 (en) | Expandable intravascular stent | |
US9517133B2 (en) | Malleable prosthesis with enhanced concealability | |
EP1175186A1 (en) | Improved ureteral stent system apparatus and method | |
US4988357A (en) | Penis prosthesis | |
WO1997037713A1 (en) | Thin-walled and braid-reinforced catheter | |
EP1603490B1 (en) | Device for placement externally of a body fluid flow conduit | |
US20020156452A1 (en) | Method and apparatus for curving catheter with soft distal end | |
MXPA97010008A (en) | Leaves or laminated films and molded products made out of the mysteries |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
EEER | Examination request | ||
MKLA | Lapsed |