Mentor Corporation

Robert S Bley

Bobby K Purkait

Dennis E Condon

Patricia Altavilla

Julie Maddock

Method and apparatus for filling mammary prostheses and tissue expanders using pumping systems are disclosed. In accordance with the method, a pumping system is used to deliver flow at the desired flow rate or pressure through a tube to the injection needle, allowing the surgeon to concentrate his attention on the injection itself to fill the inflatable mammary prosthesis or the tissue expander without having to operate and count filling syringes, all in a much faster manner than in the prior art. The pumping system used may include fluid volume measuring capabilities, pressure measuring capabilities, and other capabilities such as the capability, for viscosity reduction purposes, of heating the fluid to a temperature still compatible with injection. By providing the fluid in an appropriate bag with flexible tubing attached thereto, all in a sterile condition, the injection system and method of the invention provides a substantially closed system allowing fast and accurate filling of a mammary prosthesis or tissue expander with minimal opportunity for infection. Alternate methods and apparatus are disclosed.

Method and apparatus for filling mammary prostheses and tissue expanders

A factory preassembled, preferably partially prefilled three piece penile prosthesis that can be implanted in a patient as one pre-assembled unit and filled without any required further connection or purging of air. The prosthesis has a pair of inflatable cylinders that can be implanted into the corpora cavernosa regions of the penis, the inflatable cylinders preferably being attached to a solid rear portion to which the various tubing is connected. The prosthesis also has a reservoir for implantation into the abdomen, a pump for implantation into the scrotum for transferring fluid from the reservoir into the cylinders, and a controllable valve associated with the pump for retaining the fluid within the cylinders and for controllably allowing it to escape from the cylinders back into the reservoir when desired. When fluid is pumped into the cylinders, the cylinders are inflated to to encourage the penis to an erect position. When the fluid is subsequently released from the cylinders, the cylinders deflate to allow the penis to return to a relaxed position. The volume of fluid within the preoperative prosthesis assembly is such that sufficient fluid may be readily displaced from the reservoir into the pump and cylinders to allow the reservoir to be inserted into the pelvic cavity of a patient without disconnecting the pump and cylinders. An alternate embodiment contemplates an unfilled prosthesis assembly, retaining the advantages of a preassembled unit in implantation time required and elimination of the potential for eventual connector failure.

Unitary inflatable penile prosthesis

The present invention comprises a prostate dilation balloon disposed on a urethral catheter, a fixation balloon also disposed on said catheter, wherein said catheter is partially or completely transparent, and a fiber optic endoscope disposed within said catheter. The scope is arranged so that it can visualize the area outside the catheter in order to determine whether the dilation balloon and fixation balloon are properly located within their respective targets within the urethra and/or bladder. The scope is also capable of focusing on objects which may be present in and along the urethra.

Transparent prostate dilation balloon and scope

A scope and stent system, the scope providing visibility not only through the urethra but also through the ureter during the insertion and placement of a ureteral stent. The scope is in the form of a fiber optic bundle having an appropriate provision for lighting and lensing thereof, and preferably having a video camera and monitor responsive to the image formed at the opposite end of the scope for viewing during the scope insertion process. The fiber optic bundle itself is made sufficiently small so that the entire scope may be fabricated with the appropriate dimensions of a typical stent guide wire and made sufficiently flexible for negotiating a tortuous path as required. The scope may be first inserted through an open-ended stent and through the urethra, the bladder and the ureter, and then the stent inserted thereover through the use of an appropriate stent pusher, or alternatively the scope, stent and stent pusher may be advanced together, the scope allowing observation of the procedure and the nature and extent of any obstructions encountered in the insertion process. Alternate embodiments include the provision of an additional working channel within the stent to allow an additional instrument such as a laser lithotriptor to be utilized in conjunction with the placement of the stent, as well as alternate forms of scope systems.

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Goleta, CA, United States of America

Robert S Bley