Abstract: The invention refers to a device for correcting penis curvature. The device includes at least two first rules linked together by a junction and adjustable therebetween along a hypothetical plan containing the first rules, which has rotation and translation between the first rules. A flexible measurement element is connected to the junction of the first rules. At least two second rules each of which being respectively fixed to one of the first rules, and perpendicularly to the first rules. The second rules are able to move in translation along the second rules lengths. The first rules permit a determination of a central penis axis and tangential lines on a penis. The second rules are used in a determination of perpendicular lines on the penis.

Abstract: A miniature drug delivery pump utilizes a shape memory Ni—Ti alloy. A flow restrictor is provided and the pump is refillable.

Abstract: The Surgically Installed Harrison Human Male Permanent Penile Erection and Extension Device (HHMPEED) is shown schematically in FIGS. 1, 2, 3, and 4 of this patent application. The (HHMPEED) consists of two (2) basic front and rear extender units as shown, plus three (3) optional extension units which allow optional lengthening of the penis by some four (4) inches or more [up to some 12 inches or more], depending upon the capability to be stretched or extended by the penis nerves [particularly the nerves controlling the penis organism and ejaculation], as well as the blood arteries and veins to also be stretched or extended. The primary objective of the HHMPSED is to help married couples, who may be having difficulty impregnating the wife for the purpose of having a baby or perhaps multiple babies.

Abstract: An implantable pump with a plurality of protrusions and grooves is described.

Abstract: A surgically implantable device is a single unit comprised of a hydraulically activated extendable cavernosal component and a manually controlled fluid transfer system composed of a pump. Flow from the pump is directed by a one way valve interposed between a bypass from an included elastic reservoir, the pump and a second one way valve interposed between the pump and the cavernosal unit. A manually controlled release valve, interposed between the outlet of the cavernosal unit and the reservoir, permits de-activation of the cavernosal unit and returns fluid to the reservoir. These components are housed by a molded tailpiece which stabilizes the device against the symphysis pubis, positions the cavernosal implant properly within the shaft of the penis and presents the controls for easy access. An access port permits adjustment of the fluid volume. The unit has utility as a tissue expander and penile re-construction in event of congenital or traumatic deformity.

Abstract: A prosthetic device comprises a column formed of resilient material and having a proximal end and a distal end. The prosthetic device comprises a bladder having a liquid cavity at the distal end. The bladder is inflatable and deflatable to increase and decrease a girth at the distal end of the prosthetic device. The prosthetic device comprises a liquid supply system that couples along the column to the bladder for selectively controlling liquid flow to the bladder to increase and decrease the girth.

Abstract: A method for treating erectile dysfunction in a subject includes providing an expandable support member for engaging a wall of a blood vessel. The expandable support member includes at least one electrode connected with the expandable support member and arranged to selectively deliver electric current to modulate the autonomic nervous system (ANS). The expandable support member includes and an insulative material attached to at least a portion of the expandable support member for isolating blood flowing through the vessel from the electric current delivered by the at least one electrode. The expandable support member is implanted intravascularly so that at least a portion of the expandable support member is positioned substantially adjacent a desired location where modulation of the ANS is effective to improve erectile function. After implanting the expandable support member, electric current is delivered to the at least one electrode to effect a change in the ANS.

Abstract: Pumps for use with inflatable implantable penile prostheses in accordance with the invention include features that can provide for free fluid flow during inflation and deflation modes of the pump. Pumps may also include a bypass chamber that is fluidly connected to the fluid passageway by a bypass input channel and a bypass output channel. The bypass chamber comprises a bypass check valve biased toward a closed position.

Abstract: An implantable penile prosthesis system includes a penile prosthesis and an insertion tool. The penile prosthesis includes a cylinder extending between a distal tip and a proximal tip. At least one of the distal tip and the proximal tip has a pocket accessible by an opening, where the pocket is formed to extend laterally beyond a perimeter of the opening. The insertion tool extends between a distal end and a proximal end and includes an expansion mechanism coupled to the distal end. The opening in the tip(s) is sized to receive the distal end of the insertion tool and the expansion mechanism is configured to expand into the pocket to couple the insertion tool with the penile prosthesis.

Abstract: A method of implanting a penile prosthesis into a patient includes inserting a distal end of an insertion tool into an opening formed in a tip of the penile prosthesis, expanding a mechanism from the distal end of the insertion tool into a pocket formed in the tip of the penile prosthesis, and inserting the penile prosthesis into a corpora cavernosum of the patient with the insertion tool.

Abstract: A cap configured to be attached to a cylinder of an implantable penile prosthesis includes a body section and a tip section. The body section defines a recess that is attachable to an end of the cylinder of the implantable penile prosthesis and the tip section terminates in a tip having a curved exterior surface. The tip section defines at least one slot formed therein that extends away from the body section and has a slot axis that intersects with a longitudinal axis of the cap.

Abstract: A cap configured to be attached to a cylinder of an implantable penile prosthesis includes a body section and a tip section. The body section defines a recess that is attachable to an end of the cylinder of the implantable penile prosthesis and the tip section terminates in a tip having a curved exterior surface. The tip section defines at least one slot formed therein that extends away from the body section and has a slot axis that intersects with a longitudinal axis of the cap.

Abstract: The present disclosure relates to nitric oxide sensors and systems. In some embodiments one or more devices are provided that include one or more nitric oxide sensors; one or more transmitters; and one or more controllers configured to transmit using the one or more transmitters one or more signals that are associated with controlling one or more nitric oxide generators.

Abstract: A penile prosthetic system includes a pump connected between a reservoir and an inflatable penile implant. The inflatable penile implant includes a cylinder and a distal end portion connected to a distal end of the cylinder along a major longitudinal axis of the cylinder. The distal end portion forms a fluid chamber that is in fluid communication with the cylinder, and a fluid conduit is integrally formed to communicate with the fluid chamber in the distal end portion. The fluid conduit has a minor longitudinal axis that forms an angle with the major longitudinal axis of 5 degrees or less.

Abstract: An implantable pump with a plurality of protrusions and grooves is described.

Abstract: An anatomical augmentation device configured to augment a tubular member of a human body includes an inflatable bladder, a support coupled to the inflatable bladder, and a pump coupleable with the inflatable bladder. The support includes a first connection line and a second connection line that are each attachable to soft tissue to position the inflatable bladder relative to the tubular member of the human body. The device is a body-implantable device and the pump is configured to selectively inflate the inflatable bladder to occlude the tubular member of the human body.

Abstract: The present disclosure relates to substrates associated with nitric oxide.

Abstract: A low profile rear tip for inflatable penile prostheses comprises a proximal end portion, and a distal end portion that is capable of being coupled to a cylinder of an IPP along a major longitudinal axis between the proximal end portion, the distal end portion, and the cylinder. A fluid chamber is provided in the distal end portion, in fluid communication with the cylinder. A fluid conduit is integrally formed with the distal end portion, having a minor longitudinal axis and being in fluid communication with the fluid chamber in the distal end portion, wherein an angle between the minor longitudinal axis and the major longitudinal axis does not exceed 5 degrees.

Abstract: In some embodiments of the present invention, apparatus is provided for treating erectile dysfunction of a subject. The apparatus includes one or more electrodes configured to be coupled to a vicinity of a blood vessel that carries blood into or out of a penis of the subject, and a control unit configured to facilitate erection of the penis by peristaltically pumping blood in the blood vessel by stimulating nitric oxide (NO) production in the vicinity, by driving the electrodes to drive a current into the vicinity. Additional embodiments are also described.

Abstract: The invention refers to a device for correcting penis curvature. The device includes at least two first rules linked together by a junction and adjustable therebetween along a hypothetical plan containing the first rules, which has rotation and translation between the first rules. A flexible measurement element is connected to the junction of the first rules. At least two second rules each of which being respectively fixed to one of the first rules, and perpendicularly to the first rules. The second rules are able to move in translation along the second rules lengths. The first rules permit a determination of a central penis axis and tangential lines on a penis. The second rules are used in a determination of perpendicular lines on the penis.

Abstract: The invention refers to a surgical method to correct penis curvature, as well as a method to determine the location of the main incision line, method to determine the geometrical distribution and size of forked ends of the main incision line and a method to determine dimensions of a defect, being all methods geometrical and auxiliary to a surgical intervention to correct penis curvature. Furthermore, the invention also refers to an auxiliary device for the surgery to correct penis curvature.

Abstract: An implantable penile prosthesis having a protective surface protecting an inflatable cylinder from damage caused by repeated contact with kink resistant tubing. The protective surface is fabricated of a low friction material to reduce abrasive damage caused by the kink resistant tubing repeatedly rubbing against the inflatable cylinder. The protective surface can have cushioning or force distributing qualities to reduce impact forces caused by the kink resistant tubing repeatedly impacting the inflatable cylinder. The protective surface can be adapted to expand and contract with the inflation or deflation of the inflatable cylinder such that the protective surface does not deform the inflatable cylinder nor does the protective surface separate from the inflatable cylinder as the inflatable cylinder changes in size.

Abstract: A penile prosthesis implantation device comprises a barrel having a bore, an obturator and a needle clamp. The obturator has a longitudinal axis, a first end and a second end. The second end of the obturator is adapted for slidable insertion into the bore of the barrel. The needle clamp is coupled to the second end of the obturator and comprises first and second pinching surfaces that are separated by a gap.

Abstract: A delivery tool and related methods for transporting a pre-assembled implantable penile prosthesis to an operating room. The delivery tool includes at least a first cap with receptacles for receiving and retaining pre-connected components during transport to prevent shifting, tangling and/or damage to the pre-connected components. The receptacles can be adapted for receiving pre-connected components, tubing used to connect the components, as well as stand-alone components that are utilized during a surgical procedure. The delivery tool can include cushioning elements for protecting the pre-connected components from damage caused by shifting during transport.

Abstract: A fluid reservoir for a penile implant device that includes a body portion having a sleeve from which a tube may extend. The body portion includes support structure positioned at an interior surface of the body portion near an orifice of the reservoir, which orifice leads to a fluid passage of the tube. The support structure may comprise a plurality of protrusions that are arranged around the orifice and that extend from a base portion of the body portion. The invention also relates to a method of manufacturing a fluid reservoir for a penile implant device, which includes positioning a tube in a mold and injection molding a reservoir body onto the tube. More particularly, the method may include providing a mold, positioning a tube in the mold, injecting material into the mold, curing the material, and opening the mold to remove the reservoir body and tube assembly.

Abstract: An adapter is provided for holding a rear tip extender onto the cylinder of a penile prosthesis or onto another rear tip extender.

Abstract: An apparatus for reinforcement of a penile cylinder includes a fixture having a vertical axis, a horizontal axis, a cylinder tip cavity that is substantially aligned with and centered on the vertical axis, and a pin channel in the fixture that is substantially aligned with the horizontal axis. The apparatus also includes a pin that can be removably placed in the pin channel, and a means for depositing a semi-liquid material in the penile cylinder while a tip portion of the penile cylinder is in the cylinder tip cavity of the fixture.

Abstract: A surgically implantable device is a single unit comprised of a hydraulically activated extendable cavernosal component and a manually controlled fluid transfer system composed of a pump. Flow from the pump is directed by a one way valve interposed between a bypass from an included elastic reservoir, the pump and a second one way valve interposed between the pump and the cavernosal unit. A manually controlled release valve, interposed between the outlet of the cavernosal unit and the reservoir, permits de-activation of the cavernosal unit and returns fluid to the reservoir. These components are housed by a molded tailpiece which stabilizes the device against the symphysis pubis, positions the cavernosal implant properly within the shaft of the penis and presents the controls for easy access. An access port permits adjustment of the fluid volume. The unit has utility as a tissue expander and penile re-construction in event of congenital or traumatic deformity.

Abstract: A method of widening a penis wherein a dermal fat graft including a block of fat and attached dermis is excised from the patient, the penis is degloved, the dermal fat graft is sutured to the exposed Bucks fascia and then reducing the penile skin; the method further including the step of following a post-operative treatment regime.

Abstract: Pumps for use with inflatable implantable penile prostheses in accordance with the invention include features that can provide for free fluid flow during inflation and deflation modes of the pump. Pumps may also include a bypass chamber that is fluidly connected to the fluid passageway by a bypass input channel and a bypass output channel. The bypass chamber comprises a bypass check valve biased toward a closed position.

Abstract: A pump and valve assembly for an implantable prosthesis is provided with an internal actuating bar positioned such that when any portion of the housing is compressed, the check valves within are opened allowing for deflation of the cylinders. The pump and valve assembly also includes a textured surface over a portion of the housing to allow for quick identification of the component, as well as to make it easier for the patient to grasp it. The valve assembly further comprising an actuating bar which has ribs to enhance the spring force applied to a flow valve, a support structure to support and appropriately position the actuating bar, and a check valve made of metal with a segment covered with a plastic material.

Abstract: A low profile rear tip for inflatable penile prostheses comprises a proximal end portion, and a distal end portion that is capable of being coupled to a cylinder of an IPP along a major longitudinal axis between the proximal end portion, the distal end portion, and the cylinder. A fluid chamber is provided in the distal end portion, in fluid communication with the cylinder. A fluid conduit is integrally formed with the distal end portion, having a minor longitudinal axis and being in fluid communication with the fluid chamber in the distal end portion, wherein an angle between the minor longitudinal axis and the major longitudinal axis does not exceed 5 degrees.

Abstract: An implantable fluid device comprises a flexible fluid chamber capable of being in an inflated state and a deflated state. The chamber has a first end, a second end, and a central longitudinal axis from the first end to the second end. The chamber also has, in cross section when deflated, a plurality of alternating protrusions and intermediate portions about the central longitudinal axis. When deflated, the protrusions have a selected height and the intermediate portions have a selected depth. When inflated, the protrusions have the selected height and the intermediate portions have a selected height.

Abstract: There is provided a method for treating a male impotent patient comprising stimulating at least one portion of the patient's normal penile tissue or the prolongation thereof to at least restrict the blood flow leaving the penis to achieve erection. To improve the erection effect the method further comprises gently constricting the penile portion or the prolongation thereof to restrict the venous blood flow in the penile portion, and then stimulating the constricted penile portion to cause contraction of the penile portion to at least further restrict the blood flow leaving the penis to achieve erection.

Abstract: An implantable system for erectile dysfunction treatment includes an implantable pump having an inlet and an outlet port. The inlet port is configured to receive blood from an artery within the body. The outlet port is configured to receive the blood from the inlet port and deliver that blood to an artery having a direct or indirect path to the corpora cavernosa of the penis. Activation of the pump, preferably via manual compression or electrical activation, causes the transfer of blood and ultimately an erection. Upon conclusion of sexual activity, blood drains from the penis in a normal manner and returns the penis to a flaccid state. The pump preferably incorporates a non-return valve to prevent backflow of blood from outlet port to inlet port.

Abstract: A cartilaginous structural member (CSM) for use in penile reconstruction, for the correction of developmental defects, postoperative reconstruction, and for reconstructive preprosthetic surgery. The cartilaginous structural member (CSM) comprise of live cells seeded onto pre-formed shaped structure which may be biodegradable. The live cells may comprise chondrocyte and the cartilaginous structural member (CSM) for use in reconstructive surgery may be constructed of polyglycolic acid. The implant structure is applicable to use for the regeneration and reconstruction or augmentation of semirigid members of the body such as the penis, nose, ear and locations which naturally has cartilage. Further, the cartilaginous structural member (CSM) may be used in plastic surgery such as, for example, breast augmentation or pectoral augmentation.

Abstract: In some embodiments of the present invention, apparatus is provided for treating erectile dysfunction of a subject. The apparatus includes one or more electrodes configured to be coupled to a vicinity of a blood vessel that carries blood into or out of a penis of the subject, and a control unit configured to facilitate erection of the penis by peristaltically pumping blood in the blood vessel by stimulating nitric oxide (NO) production in the vicinity, by driving the electrodes to drive a current into the vicinity. Additional embodiments are also described.

Abstract: A prosthetic device comprises a column formed of resilient material. The column comprises external protrusions that vary a girth of the column. The protrusions are separated by valleys that reduce bulk.

Abstract: An inflatable penile prosthesis cylinder of the present invention includes an inflatable chamber and a constraining sleeve of fabric. The inflatable chamber is configured to expand in response to an increase in pressure within the chamber. The sleeve of fabric constrains the expansion of the chamber, however, the sleeve of fabric includes a corrugation that facilitates some expansion of the sleeve.

Abstract: An inflatable penile prosthesis of the present invention includes a cylinder that has an external wall that defines a pressure chamber. That external wall preferably incorporates a number of corrugations that extend in a longitudinal direction of the cylinder. In a preferred embodiment, the external wall of the cylinder is formed of a polyurethane or of a material having a modulus of elasticity greater than that of silicone. The corrugations enable the cylinder to move from a small, deflated diameter to a much greater diameter in the inflated state.

Abstract: A male sexual impotence treatment apparatus comprises an adjustable non-inflatable restriction device (434) implanted in a male impotent patient. The restriction device directly engages a portion of the normal penile tissue of the patient, such as both of the corpora cavernosa as a single unit or one or more of the exit veins from the penis, to affect the blood flow leaving the penis. An adjustment device (436) mechanically adjusts the restriction device to temporarily restrict the blood flow leaving the penis when the patient wishes to achieve erection.

Abstract: Provided is an inflatable prosthesis for aiding penile erection and augmentation for being disposed between the outer skin and the pair of corpus cavernosa of a patient's penis. The inflatable prosthesis comprises a contractible cylinder body (10) provided with a cavity (11) therein and a liquid passage (12) at the rear portion thereof; a preferably elastic or flexible head ring (20) with an annular body; a means for coupling the head ring with the front portion of the cylinder body (10); and a liquid pump (50) coupled with the liquid passage (12) of the cylinder body (10). According to the present invention, the possibility of causing damage to the penis, particularly the corpus cavernosum, may be reduced.

Abstract: A male impotence treatment apparatus comprises an adjustable prosthesis device implanted in an impotent patient. The prosthesis device engages the corpus cavernosum or penile tissue of the patient to provide flaccid or erect state of the penis. An implanted adjustment device is adapted to adjust the prosthesis such that the penis can be temporarily erected. The prosthesis is preferably controlled with a remote control and an implanted powered operation device, which may include servo means, operates the adjustment device.

Abstract: A male sexual impotence treatment apparatus comprises an adjustable non-inflatable restriction device (434) implanted in a male impotent patient. The restriction device directly engages a portion of the normal penile tissue of the patient, such as both of the corpora cavernosa as a single unit or one or more of the exit veins from the penis, to affect the blood flow leaving the penis. An adjustment device (436) mechanically adjusts the restriction device to temporarily restrict the blood flow leaving the penis when the patient wishes to achieve erection.

Abstract: A pump assembly for a penile implant is provided having a mechanism which prevents spontaneous inflation of the cylinders implanted within the patient. The pump assembly has an actuating bar with ribs to enhance the spring force applied to a flow valve, a support structure to support and appropriately position the actuating bar, and a check valve made of metal with a segment covered with a plastic material. The preventative mechanism uses overpressure generated by the reservoir during unintentional compression to effectively seal the cylinders from unintended fluid flow. The prevention mechanism itself creates all necessary forces to prevent the undesired fluid flow to the cylinders. This is accomplished by incorporating appropriate mechanisms within the pump itself.

Abstract: Penile implant devices and methods are disclosed. A penile implant device in accordance with the present invention includes an implantable penile prosthesis pre-connected to a needle by a suture. The needle and suture may also be at least partially enclosed in a sheath or the like. In accordance with the present invention, a penile prosthesis is connected to a needle by a suture during a pre-operative storage period of the penile implant device. For example, the penile prosthesis may be connected to the needle during manufacture of the penile implant device.

Abstract: A penile prosthesis is provided, which includes a generally cylindrical body portion comprising a cavity with an inner wall, a proximal end, a distal end, and at least one volume-displacing member occupying at least a portion of the cavity, wherein the at least one volume-displacing member is smaller in at least one dimension than the dimensions of the cavity to provide an internal chamber at least partially surrounding the at least one volume-displacing member and adjacent to the inner wall of the cavity. The prosthesis further includes a fluid transfer tube extending from the body portion for transferring fluid to and from the internal chamber, wherein the device is convertible from a flaccid condition to a rigid condition when a sufficient volume of fluid is transferred into the internal chamber to substantially fill the internal chamber.

Abstract: Provided is an inflatable prosthesis for aiding penile erection and augmentation for being disposed between the outer skin and the pair of corpus cavernosa of a patient's penis. The inflatable prosthesis comprises a contractible cylinder body (10) provided with a cavity (11) therein and a liquid passage (12) at the rear portion thereof; a preferably elastic or flexible head ring (20) with an annular body; a means for coupling the head ring with the front portion of the cylinder body (10); and a liquid pump (50) coupled with the liquid passage (12) of the cylinder body (10). According to the present invention, the possibility of causing damage to the penis, particularly the corpus cavernosum, may be reduced.

Abstract: An inflatable penile prosthesis includes an implantable pump having a bypass valve. The bypass valve includes a cavity having a valve seat at a port, a poppet and a spring. The poppet includes a valve member and a stem extending from the valve member. In operation, the poppet includes a sealing position, where the valve member seals the port through contact with the valve seat, and a deflating position, where the valve member is displaced from the valve seat. The spring is configured to bias the valve member toward the valve seat, wherein the spring engages a portion of the stem while the poppet is in the deflating position.

Abstract: A male sexual impotence treatment apparatus comprises an adjustable non-inflatable restriction device (434) implanted in a male impotent patient. The restriction device directly engages a portion of the normal penile tissue of the patient, such as both of the corpora cavernosa as a single unit or one or more of the exit veins from the penis, to affect the blood flow leaving the penis. An adjustment device (436) mechanically adjusts the restriction device to temporarily restrict the blood flow leaving the penis when the patient wishes to achieve erection.