Abstract: Embodiment of the invention provide a permanent implanted support for e.g. the urethral neck of the bladder, substantially preventing urinary leakage caused by transmission of intra-abdonminal pressure pulse waves. The support is implanted in a straightforward manner without the significant complexity and invasiveness associated with known surgical techniques. Pelvic trauma is dramatically reduced. Embodiments of the invention can be used in treament of stress incontinence, and other types of incontinence, in both males and females.

Abstract: The incontinence control device of the present invention as described includes a cloth strap adapted to encircle a penis, the strap having cooperative pressure adherence layers on portions of the inner and outer surfaces so that the strap can form a circumference when the inner adherence layer is engaged with the outer adherence layer of the strap. The inner surface of the strap also has a compressible pad adjacent the pressure adherence layer and another compressible pad in fixed relation to the first pad. An inflatable sac is affixed to the strap between the two compressible pads. A tube passes through the strap to communicate with the interior of the inflatable sac at one end of the tube. A check valve is attached at the other end of the tube. A syringe is adapted to engage the check valve so that air in the syringe can be injected through the tube into the sac to inflate the sac.

Abstract: An apparatus for preventing uncontrolled discharge of urinary fluid from a patient urethra includes a pressure sensor operable for sensing intra-abdominal pressure when implanted in a patient and operable for generating a pressure signal in response to said sensed pressure, An actuating device is operably coupled to the pressure sensor and is responsive for generating an electrical signal in response to the pressure signal. A controller is operably coupled to the actuating device and configured for engaging a urethra to selectively compress the urethra and prevent incontinence. The controller includes a plate adapted to be positioned on one side of the urethra and an element adapted to be positioned on another side of the urethra and is operable for varying the distance between the element and the plate in response to said electrical signal to compress the urethra therebetween so that incontinence is prevented when intra-abdominal pressure is experienced by a patient.

Abstract: A clamp is disclosed, which prevents penile leakage. The clamp includes a generally convex lower bow; a generally concave upper bow; and a hinge which pivotally joins the bows at one end. A releasable, preferably removable latch at the opposite end is used to hold the bows closed about the penis. When the clamp is closed, the bows form an enclosure having center and side regions which together approximate the area of the uncompressed penis. The bows are spaced apart a small distance at approximately their center, for compressively closing the urethra. The musculus expands into the side regions of the enclosure to permit blood circulation to the head. One or both of the bows may be a one-piece member of rigid, yet flexible material. Preferably, the hinge and latch are adjustable, to provide spacing between the bows and adjustable compression of the penis. Alternatively, one or both of the bows may comprise a frame member and a tubular cover.

Abstract: A device for managing urinary incontinence comprises a resilient body that engages the external genitalia and sealingly occludes the urethral meatus. In female embodiments, the body fits between the labia minora and the floor of the vulval vestibule, occluding the meatus. An adhesive on the body provides a sealing engagement with the meatus. In a first female embodiment, the body has a base with an adhesive layer that seats against the vestibule floor. A pair of flexible, lateral flaps engage the labia minora. A layer of super-absorbent material may be situated between the base and the adhesive layer, and/or a layer of scrim material may be so situated. The body may have a longitudinal ridge with a posterior edge having a finger hole to facilitate installation and removal of the device. In a second female embodiment, the body is substantially tubular, with the adhesive on the exterior surface of the body.

Abstract: Device (1) for holding a covering (12) in front of the pubic area of a user, for example a textile covering such as a tanga, comprising a bracket (2) for engaging the groin area of the user on either side of the pubic area and the os sacrum and for supporting a covering, and securing means (4) which can be brought into securing engagement with the proximal side of the sphincter of the user so as to thereby be secured into place, wherein the securing means are substantially rigidly connected to the bracket.

Abstract: A device for the treatment of human urinary incontinence with a catheter which can be inserted into the urethra and carries a balloon arrangement which can be filled with fluid to close off the urinary bladder and to hold the catheter in the lumen of the urethra. The fluid can be admitted to and discharged from this balloon arrangement via at least one closed channel running along the catheter wall which is closed off at the distal end of the catheter, and via a valve mounted at one proximal end section of the catheter in inserted condition. The length of the catheter is dimensioned such that its distal end in inserted condition lies within the urethra. A hydraulic actuating mechanism, also located in the lumen of the urinary bladder, is assigned to the self-closing valve.

Abstract: The present invention comprises a device for adjusting the height and supporting internal anatomical organs. The device comprises a chamber having elastic properties, the volume of which varies in accordance with the amount of fluid in the container. To increase or decrease the volume, a capsule connected by a tube to the container is provided which is adapted to be located near the skin of the patient. A hypodermic needle can extract or introduce fluid into the capsule thereby to change the volume of the chamber. A thread is connected to one base of the chamber and the other base is adapted to sit on an anatomical region in the body. The thread is adapted to surround the selected organ whereby changes in the volume of the chamber changes the distance between the bases thereby to move the organ.

Abstract: Apparatus and methods for treating urinary and fecal incontinence, urinary drainage, and prolapse. In the first preferred embodiment, the invention comprises a device body insertable into an anatomical passageway and includes a stimulus-producing device disposed therein to provide a signal to the user to perform pelvic strengthening exercises or alternatively, an exercise monitoring device for monitoring exercise activity. In an embodiment for facilitating urinary drainage, there is provided an annular base panel coupled to an anchor member, the latter being designed to anchor the device within an anatomical passageway, such as the vagina. A port formed on the annular panel is provided to mate with the urethral meatus so that a continuous conduit is formed between the urethral meatus and the port. The various embodiments disclosed may further be utilized as pessary devices to provide structural support to the pelvis or utilized to construct customized pessary devices.

Abstract: An involuntary urine control device (IUCD) having an inflatable collar membrane. The IUCD is inserted a short distance into the distal end of the urethra of a subject user. The IUCD includes the collar membrane which comprises an open ended tube of inflatable membrane material, typically about 30% to 90% of the length of the device. The collar membrane, in its inflated state, serves the purpose of providing sealing between the periphery of the urine control device and the urethra wall. The collar membrane is inflated to move radially outward once the urine control device is inserted into the distal end of the urethra of a patient by the external supply of a fluid. The collar membrane in its deflated state, namely with the inflating fluid removed, is substantially flush with the external diameters of the outer jacket of the urine control device to accommodate the thickness of the collar membrane.

Abstract: A urinary tract irrigating assembly for flushing a TURP-treated prostate gland having a surgically created central cavity. The assembly includes an elongated catheter having a drain port for draining the bladder contents; a discharge port for discharging prostate-irrigating fluid into the cavity; and a second drain port for draining spent prostate-irrigating fluid and other fluids from the cavity. Positioning means are provided for positioning the catheter with the first port located in the bladder and the second and third ports located within the prostate cavity.In use, a predetermined amount of irrigating fluid at predetermined time intervals is discharged into the prostate cavity through the discharge port while draining urine through the first drain port and spent prostate treating agent through the second drain port.

Abstract: A method for alleviating female urinary incontinence especially during episodes of increased intra-abdominal pressure is disclosed. The method includes the steps of providing a non-absorbent urinary incontinence device having an initial cross-sectional area, an insertion end and a trailing end. The urinary incontinence device also contains a compressed resilient member which is capable of increasing the cross-section area of the urinary incontinence device when expanded. The urinary incontinence device is inserted into a woman's vagina with the insertion end entering first. The vagina is a canal with an inner periphery made up of right and left lateral walls, an anterior wall and a posterior wall. The urinary incontinence device is inserted such that it contacts at least two of the walls. The urinary incontinence device is positioned in the middle third of the length of the vaginal canal with the insertion end aligned adjacent to a woman's urethral sphincter muscle.

Abstract: A magnetic nerve stimulator system is comprised of a core constructed from a material having a high field saturation with a coil winding. A thyrister capacitive discharge circuit pulses the device. A rapidly changing magnetic field is guided by the core, preferably vanadium permendur. For task specific excitation of various nerve groups, specially constructed cores allow for excitation of nerves at deeper levels with higher efficiency than is possible with air-core stimulators. Among the applications possible with this invention are treatment of incontinence, rehabilitation of large muscle groups in the leg and arm, and excitation of abdominal wall muscle groups to aid in weight loss and metabolic rate increase. A C-shape is employed for focussing the stimulation as desired.

Abstract: An occlusive apparatus and method for reversibly occluding fluid conveying vessels in the body. In one embodiment, the occlusive apparatus includes an occlusive member adapted for at least partially encircling a vessel, with the occlusive member including an intrinsic spring force therein for exerting an occluding pressure on the vessel while the occlusive member at least partially encircles the vessel. A control mechanism is operatively connected to the occlusive member, with the control mechanism being arranged and configured to counteract the intrinsic spring force of the occlusive member and thereby remove the occluding pressure on the vessel while the occlusive member is at least partially encircling the vessel.

Abstract: A device, system and method for treating female urinary incontinence is provided. A flexible sheath having distally deployed wings and proximal retainer contains a flow control valve unit within. The wings can be tucked into side access holes to reduce the profile of the sheath for insertion distally into a female urethra. Once inserted sufficiently distally into a female urethra, the wings can be deployed by inserting the flow control valve within sufficiently far to force the tucked wings out of the constraining access holes.

Abstract: An intraurethral magnetic valve for insertion in the human urethra of a person suffering from incontinence. The intraurethral magnetic valve includes a nonferromagnetic cylindrical housing, a valve seat assembly attached to one end of the housing, a spherical magnetic valve element disposed for universal movement in the housing, and a ring for retaining the valve element which is attached at the other end of the housing. The valve seat assembly has a nonferromagnetic valve seat sealing surface and ferromagnetic ring, each having concentric apertures for passage of fluid. The valve element is maintained in closed check position against the valve seat by attraction to the ferromagnetic ring, restricting the flow of fluid through the valve. An external magnet is used to impart magnetic torque and attraction to the valve element displacing it from the valve seat and opening the valve for fluid flow. On removal of the external magnet, the valve element returns to its closed check position on the valve seat.

Abstract: A device for treating leakage from an external orifice in the body of a patient which comprises a first member having a body-contacting first surface and an opposing second surface about an aperture, which first surface is attachable to the patient with said aperture positioned over said orifice, and a second member integral with said second surface, which second member comprises a valve mounted over said aperture, which valve has a closed position which prevents leakage of fluid through the device and an open position which allows fluid to flow through said aperture when desired, the closed and open positions being achievable without removing the device from the body of the patient.

Abstract: An indwelling urinary catheter having a palpitatable multi-axial dome-type discharge valve with protective shoulders. The protective shoulders are preferably raised above other unprotected portions of an outer surface of the valve. In preferred embodiments, the valve wall is made substantially of a first material and each of the protective shoulders include an elongated thickness of a second material which is more rigid than the first material. The valve has a peripheral trough to maximize drainage. Valve openings traverse an arcuate pathway, and adjacent valve elements are separated by an intermediate rib to ensure a reliable closure.

Abstract: An implantable device and method for adjustably restricting a selected body lumen such as the urethra of a patient to treat urinary incontinence. The device includes an expandable element or membrane such as a balloon attached pressure-tightly to a flexible conduit at its forward end and includes a rear port portion containing an elastic septum and flow connected to the expandable element by a first passageway. The conduit contains a second passageway which allows it to be slid along an elongated guide probe initially inserted surgically into a patient's body adjacent the body lumen which is to be adjustably restricted. A suitable flowable material is injected from a syringe source into the device rear port sufficient to expand the membrane element and restrict the body lumen to the desired degree. The syringe and guide probe are removed and the skin incision is closed over the rear port end of the implanted device.

Abstract: A urethral valve system includes a valve balloon that inflates to provide continence and deflates to allow urine to flow around the balloon and an attached catheter that extends through the urethra, and out of the body through the meatus. The urine cleanses the valve balloon, the catheter and the urethra of bacteria, and thus, minimizes infection. The catheter includes a check valve at the end that is accessible to the user. To inflate the balloon, the user attaches to the check valve a small pump that supplies air or a liquid such as water to inflate the balloon. To deflate the balloon, the user manipulates the check valve to allow the water or air to drain from the balloon. The valve balloon may be positioned in the bladder. To retain the system in the bladder when urine flows around the balloon and the catheter, the balloon deflates to a shape that is wider than the diameter of the neck of the bladder.

Abstract: A urethral occlusion device having a very malleable, flexible, deformable polymer occlusion band which may be easily wrapped about the exterior of the penis to provide sufficient pressure to prevent urine flow, but without restricting blood circulation. The occlusion band includes a silicone rubber shell with silicone gel liner surfaces which provide a washable, reusable, skin-sensitive bond when wrapped, and allow the band to be tightened to the patient's desired degree of compression. A plurality of pliant, deformable ribs are positioned on the occlusion band and oriented along the underside of the penis to mildly stretch the urethra to an occluded position.

Abstract: A female continence augmentor stops involuntary urine loss due to transient increases in bladder pressure but allows urine flow when automatically opened by transmitted bladder pressure during voluntary voiding. The augmentor improves coaptation and increases midurethral resistance to opening with a resilient mount releasably adhered adhesively to the body in position to prevent inadvertent urine loss. An intralumenal part on the mount has a resilient portion extending into the urethra for urging the dorsal midurethral wall in a dorsal direction for stretching and/or reshaping the midurethral lumen to an arc. The portion has a member located to engage the midurethral wall. A coaptation improver on the member engages with the adjacent midurethra. The improver carries biocompatible hydrophilic material adapted to coact with mucus and mucosa within the urethra. A coated biocompatible hydrophilic membrane can be the member with opposed generally rectangular major surfaces and is circumscribed by an edge.

Abstract: A device and method for treating urinary as well as fecal incontinence by using proprioceptive neuromuscular facilitation. The device is adapted to be compressively positioned against the crotch of the user to thus identify target pelvic floor muscles and muscle groups responsible for urinary and/or fecal continence and provide periodic stimulus thereto by way of pressure, stretching, resistance, vibration, and/or heat. The frequency, duration, and extent of the stimulus may be varied as desired for exercise regimens.

Abstract: A male urinary incontinence device includes a U-shaped body member supporting a bar extending across the ends of the body member. The bar, which is pivotally connected to one end of the body member and releasably latched to the opposite end, supports a shaft for reciprocative movement relative to a curved compression reaction portion of the body member. A pad on an end of the shaft is shaped to compress a penis between the pad and the compression reaction portion with sufficient pressure to stop flow of urine, but without discomfort. The shaft is advanced toward the compression reaction portion by pressing on a free end of the shaft and is held in position by engagement of a pawl with a rachet on the shaft. The shaft, which is prevented from rotation, is released to fall away from the compression reaction portion of the body member by withdrawing the pawl from the rachet.

Abstract: A urethra control device has a control valve and is used for controlling fluid flow. The control valve is adapted to be inserted a short distance with the open distal end of the urethra of a subject. The control valve has a valve jacket to be positioned in the urethra and a valve within the valve jacket. A collar on the outer surface of the valve jacket engages an inner surface of the urethra to secure the valve jacket relative to the urethra.

Abstract: The invention is of valid use in the field of the treatment of anal sphincter pathologies, especially for the treatment of fissures and sphincter hypertonia. The procteurynter in question consists of a bag (1) made of plastic material and a sheath (2) that is internally crossed by two tubes: one tube (3) for the flow of water or air and a second tube (4) for the eventual introduction of an ultrasonoscope. Once the bag (1) is filled with water or air through the holes (2.6) made in the wall (2.5) of the sheath (2), it takes on an hourglass shape: two cones with a central neck or constriction.The distal part of the sheath (2) has a plug (2.3) inside it to completely occlude the internal lumen whereas the inner portion of proximal part of the sheath (2) has a disk (2.4) whose central hole is crossed by a tube (4); one of the ends of tube (3) is lodged in a second hole that lies acentrically on the said disk (2.4).

Abstract: A sling device for implant in a human body as a bladder support includes a rectangular, flexible strip of cloth with stiffening members extending across each of the two shorter sides. The stiffening members at each end include a pair of spaced, parallel beams, integrally connected at their ends. Marginal end portions of the flexible strip are passed through the space between the beam around one of the beams, and folded back upon and affixed to the opposing surface of the flexible strip. A flexible suture is attached to a loop at the midpoint of the other beam.

Abstract: A bladder control apparatus retaining device for placement within the urethra of a patient. The device includes a sheath having distal and proximal ends and an internal lumen for receiving a bladder control apparatus. Disposed at opposite ends are first and second retainers. The sheath and retainers are preferably a flexible polymer which can be coated or impregnated with an antibiotic.

Abstract: A urinary incontinence device includes an occluding member, such as a tampon or plug, that is retained by magnetic forces acting between a support and magnetic inserts located adjacent the uretha. The inserts may be implanted or injected and hold the occluding member in place.

Abstract: A method of monitoring patient bedding zone means, which include providing monitoring means spaced from the bedding zone means; providing ducting communicating between the bedding zone means and the monitoring means; effecting air flow via the ducting from the bedding zone means to the monitoring means, and operating the monitoring means to detect waste gaseous contents in the air flow.

Abstract: A device for managing urinary incontinence comprises a resilient body that engages the external genitalia and sealingly occludes the urethral meatus. In female embodiments, the body fits between the labia minora and the floor of the vulval vestibule, occluding the meatus. An adhesive on the body provides a sealing engagement with the meatus. In a first female embodiment, the body has a base with an adhesive layer that seats against the vestibule floor. A pair of flexible, lateral flaps engage the labia minora. A layer of super-absorbent material may be situated between the base and the adhesive Layer, and/or a layer of scrim material may be so situated. The body may have a longitudinal ridge with a posterior edge having a finger hole to facilitate installation and removal of the device. In a second female embodiment, the body is substantially tubular, with the adhesive on the exterior surface of the body.

Abstract: A urethral cap is provided for alleviating urinary incontinence when attached to the body of the user. The cap has at least a partially deformable cap body with a hand gripping portion and a body contacting encircling surface. The body defines a chamber so as to allow for a vacuum seal when applied to the body so that there is an atmospheric air pressure seal between the urethral cap and the body to prevent urinary flow beyond the urethral cap.

Abstract: Balloons are shaped and adapted for use in hollow body orifices. The balloons can be inflated and expanded within the body cavity in such a way as to prevent bleeding in the area, to apply pressure to the area or to allow application of medicine in the region. Each of these application can be performexd without disturbing bodily functioning in the area of application.

Abstract: A bladder prosthesis having a silicone bag with radiused lower corners and a band of anchoring fabric at the upper side, the fabric being densely looped to allow body tissue ingrowth to hold the artificial bladder in place. For entry of the urine into the bladder and emptying thereof, the bladder has in its lower part a valve communicating with a funnel-shaped conduit. The valve includes an adapter with fittings for connection to nephrostomic catheters, a valve body contained inside the adapter and having urine inlet and outlet openings and a deformable diaphragm-type elastic valve member to open and close the communication between the inside of the artificial bladder and the inside of the valve body.

Abstract: A device for managing urinary incontinence in a human female comprises a soft, non-porous dome-shaped suction cup like device having a flat annular zone about its periphery and adapted to cooperate with the vestibule floor of female genitalia for blocking the flow of urine without being in physical contact with the urethral meatus.

Abstract: An inflatable cuff used as an artificial sphincter may be used in either of two different ways. The first embodiment involves the cuff encircling the urethra for maintaining pressure on it to occlude it except when voiding the bladder. The second embodiment involves placing a one-way valve in the urethra which is encircled by the inflatable cuff such that the cuff is only inflated when it is desired to void the bladder by opening the valve in the urethra through pressure being applied to the exterior of the valve body. In each embodiment a syringe-type pump bulb is used which is connected to a one-way valve in turn connected to a tube to the inflatable cuff. The bulb side wall has sufficient memory to cause it to return to its normal expanded condition which causes the suction of fluid from the cuff when the manually operated valve is actuated.

Abstract: An improved intraurethral bladder control apparatus including housing means having a fluid flow path therethrough, valve means mounted within the fluid valve path and normally bias closed, the valvings responsive to pressure from fluid within the bladder of the patient for opening to allow fluid flow from the bladder through the apparatus of this invention and out of the urethra. A pair of retaining devices are connected to each of the distal and proximal ends of the intraurethral bladder control apparatus. The retainer at the distal end of the apparatus preferably comprises a leaf spring having a plurality of leaves, in the preferred embodiment described herein the plurality comprising four leaves, with a safety device connected to the tip of each leaf to inhibit piercing of the bladder wall when the leaves of the distal end retainer automatically open within the bladder of the patient after placement of the intraurethral bladder control apparatus.

Abstract: A mechanical sphincter device is to be located in the body for engaging the urethra to control urinary incontinence. The device is formed by a curved piece of flexible material having free ends and a pair of juxtaposed strips of flexible material having their ends connected to the corresponding ends of the curved piece with the urethra disposed between opposing faces of the strips. When the curved piece is in a relaxed state it tensions the strips to apply pressure to the urethra therebetween to restrict flow of urine and when force is applied to the curved piece relaxing the tension on said pair of strips the pressure on the urethra is reduced and permits urine flow.

Abstract: A urinary incontinence device comprising a tubular insert having a free distal end and an opposing proximal end, the insert being configured to be received within the urethra of a patient and being sufficiently flexible to be collapsed under constriction of the urethra. A flange radially projects out from the proximal end of the insert and is configured to seal against the opening of the urethra. An expandable reservoir is attached to the flange on the opposing side of the insert. A fluid channel extends from an opening on the exterior of the insert to the reservoir.

Abstract: The instant invention is a urethral occlusive device designed for insertion into the male urethral opening. The device is effective as a prophylactic and as a male contraceptive device. The device is also useful in treating incontinence and can act as a non-invasive catheter attachment for aiding in the draining of urine from the body.

Abstract: An improved urethral cap for alleviating urinary incontinence when positioned on the body of the user is provided. The improved urethral cap includes a body portion defining an interior chamber, the chamber providing a vacuum therein to hold the urethral cap in contact with the body of the user. The cap further includes at least one flange supported by the body portion, the flange having a thickness of less than 0.75 millimeters, and preferably less than 0.5 millimeters. The improved urethral cap has increased flexibility and therefore provides increased comfort to a user when in place over the urethra.

Abstract: A device, system and method for treating female urinary incontinence is provided. A flexible sheath having distally deployed wings and proximal retainer contains a flow control valve unit within. The wings can be tucked into side access holes to reduce the profile of the sheath for insertion distally into a female urethra. Once inserted sufficiently distally into a female urethra, the wings can be deployed by inserting the flow control valve within sufficiently far to force the tucked wings out of the constraining access holes.

Abstract: Insertion apparatus for a female bladder control device including an outer tube for insertion into the urethra of a patient, the outer tube having an inner lumen and a retention collar for limiting the depth of insertion of the outer tube. A dilator probe with a tapered end, the probe sized for slidable movement into the outer tube and the probe having stop means engagable by the first tube to limit the depth of insertion of the probe tapered end into the urethra. An applicator tube sized for slidable positioning within the outer tube and having an inner lumen for removably carrying a bladder control device for placement within the lumen.Also provided is an insertion device for moving the bladder control device into the second tube. The preferred embodiment described in this disclosure includes a spring-type retaining device mounted on one end of the placed bladder control device and an additional retainer on the other end for retaining the placed bladder control device within the urethra.

Abstract: The invention is an improved clamp device to be used by males having little or no control over the leakage of urine. The device can be easily applied and adjusted to the most comfortable fit while achieving its purpose with less discomfort and bulk of present devices.

Abstract: This invention deals with inducing urination and/or defecation through electro-magnetic induction. The claimed method provides a non-invasive procedure to stimulate excretory functions in paraplegic and quadriplegic patients.

Abstract: A laparoscopic bladder neck suture suspension procedure that anchors a suture in Cooper's ligament and, transvaginally, in the anterior vaginal wall to provide upper and lower suspension points and, then, ties and tensions a knot intracorporeally within the retropubic space between the upper and lower suspension points. The laparoscopic bladder neck suture suspension procedure utilizes a surgical instrument that combines a knot tying device mounted over a suture passing device. The suture passer may incorporate a grasper at its tip for purposes of passing a suture through body tissue as desired. The knot tying device is used to suture intracorporeally under tension using sliding knots such that the tension can be increased incrementally as the surgeon tests the elevation of the bladder neck by feel.

Abstract: The device comprises a cylindrical sleeve provided, at one end, with an extension for closing the neck of the bladder, which extension has transverse openings for communicating with the axial hole of the sleeve, and having, at the opposite end, a removable plugging means, for the said axial hole, and in that it also has a semi-rigid rod provided with a rounded end and with a flange and a holding grip at the other end, for the introduction of the cylindrical sleeve until the neck of the bladder has been closed.

Abstract: The female urinary plug (10) of the invention includes a catheter (10) with an infection-protective cap (12) fitted on the distal end (D) of the catheter insertable into the urinary bladder through the urethra (U). The catheter (10) has a soft inflatable balloon (14) on its distal end (D) and a preinflated hard balloon (18) on its proximal end (P). Prior to insertion, the inflation of the soft balloon is prevented by the inner walls of the infection-protective cap (12). The distal end of the cap (12) has a collet-like shape and is provided with expandable petal-like tongues (36a, 36b, and 36c). Normally these resilient tongues are in a closed state.

Abstract: A disc-like valve element in a control valve includes an outer peripheral ring to which leaf elements are integrally connected having a thickness which increases uniformly from the entire outer peripheral ring to the axial center forming a conical shaped valve element when in a closed condition. The side of the valve element facing the inlet end of the chamber is preferably flat functioning as a funnel to discharge urine when the valve element is moved to an open condition. The increased thickness at the axial center of the valve element is preferably the result of the side of the valve element facing the outlet end of the valve chamber increasing in thickness from the ring laterally inwardly and longitudinally outwardly to maximize flexibility of the leaf elements adjacent the ring and sealing at the axial center.

Abstract: An apparatus for treating incontinence includes a substantially tubular body member having a first end and a second end and defining a flow passage, an internal seal member positioned at the first end of the body member, an external retaining member positioned at the second end, at least one member of the internal seal member and the external retaining member being moveable longitudinally with respect to the other member of the internal seal member and the retaining member, ratchet structure for longitudinally securing the at least one member relative to the other member, whereby the tubular body member can be positioned in a urethra with the seal member substantially sealingly positioned in an interior opening of the urethra and with the retaining member positioned at an exterior opening of the urethra, and a valve positioned in the flow passage for controlling flow through the flow passage.