Abstract: An implantable penile prosthesis inflation apparatus includes a manual pump, and a pressure amplifier. The pressure amplifier includes a first sub-amplifier having a first chamber and a piston assembly contained in the first chamber. The first chamber includes an input port that is fluidically coupled to the manual pump, and an output port. The piston assembly is configured to move along a central axis.

Abstract: A male impotence treatment apparatus comprises an adjustable prosthesis device (2) 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 (246), which may include servo means, operates the adjustment device.

Abstract: A method of implanting a prosthetic in a penis includes moving a dilation portion of a dilator in a distal direction and in a proximal direction within the corpora cavernosum, dilating a first portion of tissue in the corpora cavernosum, and leaving a second grooved portion of the tissue in the corpora cavernosum un-dilated and vascularized.

Abstract: This document provides methods and systems for penile surgery. For example, methods and systems for implanting penile prostheses to treat ED are provided. The methods and systems provided herein can include scaffolding for penile stabilization, imaging techniques to facilitate accurate tunneling of the corpora cavernosa, corporal fibrotic tissue removal devices, and penile prostheses configured for over-the-wire installation.

Abstract: An implantable penile prosthetic has a fluid distribution manifold connected between and in fluid communication with a cylinder and a base. Both of the cylinder and the base are expandable by liquid inflation.

Abstract: Embodiments are directed to an implantable penile prosthesis cylinder comprising an outer tube member and an inner tube member. The outer tube member has a longitudinal axis. The inner tube member is contained within the outer tube member. The inner tube member includes a plurality of inflatable chamber sections each defined by an exterior wall facing the outer tube member and an interior wall. Inflation of the chamber sections expands a girth of the outer tube member.

Abstract: A pump adapted for use with an implantable penile prosthetic includes an inlet flow path formed in a pump body having a first portion communicating between a reservoir and an inlet valve and a second portion communicating between the inlet valve and the pump bulb. The inlet valve includes a spherical part having a groove formed on an exterior surface of the spherical part.

Abstract: A tool adapted for inserting a penile prosthesis into a penis includes a first neck connected to a first end of a handle and a second neck connected to a second end of a handle, and a first guide connected to the first neck and a second guide connected to the second neck. The first guide has a first cylinder cradle and the second guide has a second cylinder cradle.

Abstract: A method of providing a patient with an implanted penile prosthetic adapted to provide improved flow of blood to a glans penis dilating a first portion of tissue in the corpora cavernosum and creating a first space and leaving a segment of vascularized tissue in the corpora cavernosum un-dilated and undisturbed, and engaging a channel formed in an exterior surface of a penile prosthetic with the segment of vascularized tissue.

Abstract: A system for implanting a penile prosthetic into a penis with an insertion tool includes a penile implant, a tow suture, and a delivery cap. The implant has a proximal end insertable into a crus penis and a distal end insertable into a glans penis. The tow suture is coupled to the distal end of the penile implant. The delivery cap is coupled to the tow suture and a portion of the delivery cap is shaped as a hemispherical dome. The delivery cap has an aperture that is formed in the hemispherical dome, with the aperture sized to allow the needle of the insertion tool to pass through the aperture.

Abstract: A treatment strategy for treatment of elevated pressure in a body conduit, such as a pulmonary vein, with a prosthetic partitioning device for placement in and/or about pulmonary veins is described, as well as delivery systems, and strategies for use thereof. A control device is configured to transmit signals to the prosthetic device to effectuate the repetitive transition between a first, less restricted flow configuration and a second, restricted flow configuration are described. A sensor device may be provided for monitoring physiological parameters of the patient, and can provide signals to the control device for effectuating the transition between the first and second configuration.

Abstract: A male impotence prosthesis apparatus comprises an operable penile prosthesis (4) implanted in an impotent patient's corpus cavernosum to provide flaccid or erect states of the patient's penis. An energy transmission device (10) for wireless transmission of energy from outside the patient's body to inside the patient's body is provided body for use in connection with the operation of the penile prosthesis.

Abstract: A male sexual impotence treatment apparatus comprises an operable restriction device (56) implanted in a patient and engaging the penile tissue (58) or the prolongation thereof to form a restrictable blood flow passageway through which blood flow leaves the penis. The restriction device is operable by an implanted operation device (60) to change the restriction of the blood flow passageway. A control device (62 and 64) is provided for controlling a source of energy, which may or may not be implanted, from outside the patient's body, to release energy for use in connection with the operation of the restriction device, i.e. to power the operation device. The patient uses the control device to restrict the blood flow leaving the penis to achieve erection.

Abstract: A lockout valve assembly of an implantable penile prosthetic includes a body and a lockout valve. The body is attachable between a reservoir and a pump of the implantable penile prosthetic. The lockout valve includes a core rotatably disposed inside the body, an inflation channel formed through a portion of the core, a deflation pathway separate from the inflation channel and formed through a diameter of the core, and a one-way check valve disposed in the deflation pathway of the core.

Abstract: A base for a penile prosthetic implant is disclosed. The base includes a fluid distribution manifold attached to and in fluid communication with an inflatable cylinder sized for implantation into a corpora cavernosum of a penis. The fluid distribution manifold is also connected to a core sized for implantation into a crus of the penis and in fluid communication with an inflatable bladder. The inflatable bladder provides an outer surface of the base between a proximal end of the core and a proximal end of the fluid distribution manifold. A penile prosthetic system is also disclosed.

Abstract: A pump includes a pump bulb connected to a pump body. An exhaust valve assembly is disposed in the pump body within an exit flow path communicating between the pump bulb and the cylinder. An inlet valve is rotatably disposed in the pump body within an inlet flow path communicating between the reservoir and the pump bulb. The inlet valve includes a spherical part retained in a seat formed by the pump body, an inlet flange connected to and extending radially away from the spherical part, and a lockout flange connected to and extending radially away from the spherical part. A channel is formed through a portion of the spherical part of the inlet valve. The channel includes an outlet hole that is blocked from the inlet flow path by the seat formed in the pump body and opened to the inlet flow path by rotation of the inlet valve.

Abstract: A subcutaneous prosthesis for a penis provides two sides of an elongated cylinder, the sides hinged along a top longitudinal edges of the sides. One end of the prosthesis has a gauze sheath providing a means to secure the prosthesis from moving relative to the corpora cavernosa around which it is placed. When the penis is erect it grows in girth thereby causing the two sides of the cylindrical prosthesis to spread divergently and forcing a press-rib against the deep dorsal vein of the penis, thereby restricting blood flow.

Abstract: An intragastric obesity treatment implant promotes a feeling of satiety in the patient by contacting the insides of the stomach wall, reducing the space in the stomach, or otherwise reducing the amount of food consumed. One intragastric obesity treatment implant two inflatable balloons coupled via a flow restrictor through which fluid may flow in response to peristaltic motions of a patient's stomach. Additionally, one implant comprises a pumping chamber coupled to a reservoir, where the pumping chamber moves stomach fluids into the reservoir in response to peristaltic motions of the patient's stomach.

Abstract: A surgical assembly includes a tensioner having a first end and a second end. A tension member extends from the first end of the tensioner. A mounting member is connected to the second end of the tensioner. An arm extends from the first end of the tensioner and includes a series of relatively moveable links that define an axial bore configured for disposal of the tension member. Each link defines a first mating surface and a second mating surface disposed in a configuration such that tensioning of the tension member interlocks the first mating surface with the second mating surface of an adjacent link in the series to selectively fix the links in a selected orientation.

Abstract: An implant for use inside a human body including a biocompatible self-supporting base material, such as silicone, having surfaces exposed to aggressive body cells, when the implant is implanted in the human body. A cell barrier coating, such as Parylene® or a biocompatible metal, is coated on the surfaces of the base material to prevent body cells from breaking down the base material.

Abstract: A medical device, said medical device, comprises: a first component having a non-biological material; a second component having a cloned biological material, said second component being attached to said first component, wherein said first component and said second component are operatively associated in a non-living medical device for at least one of treatment, diagnosis, cure, mitigation and prevention of disease, injury, handicap or condition in a living organism. In another aspect, a method comprises: preparing a cloned biological material from a tissue or an organ; attaching said biological material to a medical device; interfacing said biological material with the non-biological material; providing treatment, diagnosis, cure, mitigation and prevention of disease, injury, handicap or condition in a living organism.

Abstract: An artificial urinary sphincter (AUS) system includes a cuff, a pump, and a conduit attachable between the cuff and the pump. The cuff is integrated to include a first compartment and a storage compartment. The first compartment is configured to contact the urethra and the storage compartment communicates with the first compartment. The pump is operable to move the liquid between the first compartment and the storage compartment. The cuff is a pressurizable reservoir that is sized to be placed around a urethra of a user and configured to coapt the urethra in treating urinary incontinence.

Abstract: A medical implant system for implantation in a patient to treat erectile dysfunction includes a first fluid path, an inflatable penile prosthesis cylinder, an electric pump, and implant controller, and an implantable power supply. The inflatable penile prosthesis cylinder is in fluid communication with the first fluid path and is configured for implantation in a corpus cavernosum of a patient. The electric pump is in fluid communication with the first fluid path. The implant controller is electrically coupled to the pump and is configured to activate the pump to drive a flow of fluid through the first fluid path and into the cylinder. The implantable power supply provides electrical power to the pump.

Abstract: A reservoir is described that is adapted to hold a liquid for transfer to and inflation of an implantable penile prosthetic. The reservoir includes opposed end walls, opposed side walls, and an opening that communicates with the implantable penile prosthetic through tubing. The reservoir has a first major surface formed between the opposed end walls and the opposed side walls that is located opposite from a second major surface formed between the opposed end walls and the opposed side walls. The first major surface and the second major surface are both concave. The first major surface is less concave than the second major surface.

Abstract: A pump adapted to be attached between a reservoir and an inflatable penile implant of an implantable penile prosthesis includes a pump body connected between a pump bulb and tubing that is attachable to the reservoir and to the inflatable penile implant. An inlet valve and an exhaust valve are disposed within the pump body between the pump bulb and the tubing. A deflate valve is disposed within the pump body between the inlet valve and the tubing. The deflate valve includes a valve stem connected between a spring stabilizer and a valve surface. An aperture is formed to extend entirely through the deflate valve.

Abstract: Penile implant and system comprising such an implant. The penile implant comprises a number of features which improves the function of the penile implant, e.g. a certain surface structure and portions with specific functions.

Abstract: A dual poppet valve assembly for a pump assembly of an implantable penile prosthesis having a suction poppet engagable by a plurality of fingers allowing free travel of the poppet and to prevent vacuum lockup of the pump assembly. The suction poppet can also include an elongated shaft receivable within a corresponding bore of a cylinder poppet to prevent the suction poppet from becoming misaligned during the operation of the pump assembly.

Abstract: An implantable penile prosthesis having an inflatable cylinder with at least one piezoelectric pump for transferring fluid between an integrated reservoir and pressure chamber within the inflatable cylinder. The piezoelectric pump includes an actuator powered by an inductor coil integrated into the inflatable cylinder allowing for wireless control of the inflation and deflation of the inflatable cylinder. An external control system having a corresponding inductive coil can be used to supply a magnetic field for creating a current in the inductor coil integrated into the inflatable cylinder.

Abstract: Penile implant and system comprising such an implant. The penile implant comprises a number of features which improves the function of the penile implant, e.g. a certain surface structure and portions with specific functions.

Abstract: A system for implanting a catheter in a urethra. The system includes a catheter having a valve disposed at a distal portion of the catheter. The valve may be operable in response to an external magnetic field. The system also includes a tool having a tip member extending into an opening at the distal portion of the catheter to couple the tool to the catheter. the system also includes an element extending from the tool. The catheter has an internal path that provides a conduit for the element to be extended through the valve to engage a proximal portion of the catheter. The tool is adapted use the element to stress the catheter and stiffen the catheter along the length of the catheter. Stiffening the catheter facilitates implantation of the catheter in the urethra by enabling pull forces, push forces, and torque forces to be transmitted from the tool through the catheter to the proximal portion of the catheter without undue stress on the urethra.

Abstract: A Peyronie's treatment implant includes a skeletal framework having reinforcing components. Also included are one or more sheath components that are attached to the reinforcing components to provide support for penile tissue. The skeletal framework of the implant allows for elongation of the implant during erection of the penis and for contraction of the implant when the penis is returning to its flaccid state. Also included is at least one attachment mechanism for securing the implant to the penis, the attachment mechanism having a needle for penetrating through the targeted penile tissue and at least one anchor for attachment to the penile tissue.

Abstract: A reservoir is described that is adapted to hold a liquid for transfer to and inflation of an implantable penile prosthetic. The reservoir includes opposed end walls, opposed side walls, and an opening that communicates with the implantable penile prosthetic through tubing. The reservoir has a first major surface formed between the opposed end walls and the opposed side walls that is located opposite from a second major surface formed between the opposed end walls and the opposed side walls. The first major surface and the second major surface are both concave. The first major surface is less concave than the second major surface.

Abstract: In a service providing system, a client includes a transmitting unit configured to transmit specification information associated with specifications of the client to the management server, a receiving unit configured to receive registration completion information from a management server, a transmitting unit configured to transmit a request for service information to a service providing server, and a service prohibition unit configured to prevent receipt of the service information from the service providing server until the registration completion information is received after transmission of the specification information.

Abstract: A pump adapted to be attached between a reservoir and an inflatable penile implant of an implantable penile prosthesis includes a pump body connected between a pump bulb and tubing that is attachable to the reservoir and to the inflatable penile implant. An inlet valve and an exhaust valve are disposed within the pump body between the pump bulb and the tubing. A deflate valve is disposed within the pump body between the inlet valve and the tubing. The deflate valve includes a valve stem connected between a spring stabilizer and a valve surface. An aperture is formed to extend entirely through the deflate valve.

Abstract: A malleable penile prosthetic device for implantation within a penis of a user includes a columnar body and a plurality of malleable cores within the columnar body. The columnar body has a proximal end, a distal end, and a central axis extending from the proximal end to the distal end. Each of the plurality of malleable cores extends along the central axis, is angularly displaced about the central axis from neighboring malleable cores, and includes a bundle of wires surrounded by a sleeve.

Abstract: A surgical method of treating erectile dysfunction includes implanting a penile prosthetic in a patient. The penile prosthetic includes an inflatable portion implantable into a penis that is attachable to a liquid reservoir, a pump, and a deflation assembly. The method includes implanting the deflation assembly in contact with an exterior surface of a pelvis of the patient, and positioning an activation surface of the deflation assembly away from the exterior surface of the pelvis. The method thus allows the patient to palpate the activation surface through skin.

Abstract: An implantable penile prosthetic has an inflatable member that is sized for implantation into a penis of a user, a reservoir that is implantable in an abdomen, and a pump that is intraoperatively attached between the inflatable member and the reservoir. The pump includes a pump bulb having an internal cavity formed by a side surface connected between a bottom surface of the pump bulb and a top surface of the pump bulb. The side surface of the pump bulb provides an outside circumference of the pump bulb and includes at least two concave side walls. Each concave side wall is connected between two adjacent convex lobes of the pump bulb.

Abstract: An empty reservoir empty of liquid is useful with an implantable penile prosthetic. The empty reservoir includes a first major surface separated from a second major surface by a side wall. The first major surface and the second major surface each include a depression having a complex concave curvature with a lateral concave curvature formed between opposed sides of the side wall and a longitudinal concave curvature formed between an end and a neck of the empty reservoir.

Abstract: An apparatus and a system for treating a sexual dysfunctional male patient comprise an implanted at least one vibrator adapted to stimulate at least a part of the sexually responsive tissue of the penis of the patient by vibration of said vibrator and contact between said vibrator and at least one area of the sexually responsive tissue. There is also provided a surgical method comprising the apparatus and the system.

Abstract: A penile prosthetic includes an inflatable member that is implantable into a penis of a user, a reservoir that is implantable in an abdomen, and a pump. The pump is configured to be attached between the inflatable member and the reservoir and is implantable in a scrotum. The pump includes a pump bulb having an internal cavity formed by a side surface connected between a bottom surface and a top surface of the pump bulb. The side surface provides an outside circumference of the pump bulb and includes at least two concave side walls with each concave side wall connected between two adjacent convex lobes of the pump bulb.

Abstract: An implantable penile prosthesis is attachable to a pump and a reservoir and includes a distal part formed by a rear tip that is connected to a proximal part formed by a cylinder. The cylinder is oriented on a first longitudinal axis, and a distal portion of the rear tip forms a fluid chamber communicating with the cylinder. A tubing junction is integrally formed with the distal portion and communicates with the fluid chamber in the rear tip. A strain relief portion has a bore disposed on a second longitudinal axis, where the second longitudinal axis forms an acute angle relative to the first longitudinal axis, and the acute angle has a measurement that does not exceed 5 degrees. An exterior surface of the rear tip, between the tubing junction and the cylinder, provides the distal portion of the rear tip with a constant outer diameter.

Abstract: A pump adapted to be attached between a fluid reservoir and an inflatable penile cylinder of an inflatable penile prosthesis includes a pump bulb connected to a pump body. The pump body includes a deflate valve chamber communicating with an actuator chamber, a deflate cap attached to the deflate valve chamber, and the actuator chamber including a restriction ring. An inlet valve is disposed within the pump body between the pump bulb and the deflate valve chamber. An exhaust valve is disposed within the pump body between the pump bulb and the actuator chamber. A deflate valve is disposed within the pump body between the inlet valve and the exhaust valve. The restriction ring in the actuator chamber is sized to engage a ring engagement surface of the deflate valve to maintain the deflate valve in the deflate mode.

Abstract: A body implantable penile prosthetic assembly offering a user a one touch to erection (OTTER) capability and a penile implant deflation capability is described. The assembly includes a pump and a release mechanism. The pump is connectable to a pressure reservoir and a penile implant. The pump is operable to pressurize liquid in the pressure reservoir and the pressure reservoir is operable to store the pressurized liquid at a first pressure between 20-50 PSIg that is configured to inflate the penile implant to an erect state. The release mechanism is connectable between the pressure reservoir and the penile implant. The release mechanism is operable to inflate the penile implant with one-touch input from the user where the release mechanism is configured to release the stored pressurized liquid from the pressure reservoir to inflate the penile implant at a second pressure between 10-20 PSIg.

Abstract: Rear tip extenders include a tether attached to a collar that can be mounted onto a respective cylinder forward of a fluid line (that communicates with a scrotal pump) to prevent full separation or detachment from the cylinder during a revision procedure.

Abstract: A penile prosthetic device comprising a column formed of resilient material. The prosthetic device comprises multiple malleable cores arranged inside the column. The multiple malleable cores are spaced apart from one another.

Abstract: A penile prosthesis implantation device includes a barrel having a bore, an obturator and a needle clamp. The obturator has a distal end that is received within. the bore of the barrel and is configured to slide along a longitudinal axis of the bore relative to the barrel. The needle clamp is at the distal end of the obturator and includes opposing pinching members that are displaced from an interior wall of the bore when the needle clamp is retracted within the bore, and a receptacle between the pinching members configured to receive a thread attachment end of a needle and hold the end of the needle through an interference fit with the pinching surfaces.

Abstract: Embodiments are directed to an implantable penile prosthesis cylinder comprising an outer tube member and an inner tube member. The outer tube member has a longitudinal axis. The inner tube member is contained within the outer tube member. The inner tube member includes a plurality of inflatable chamber sections each defined by an exterior wall facing the outer tube member and an interior Inflation of the chamber sections expands a girth of the outer tube member.

Abstract: A penis erection stimulation system comprises a fully implantable drug delivery device for delivering a drug in relation to a penis to achieve erection of the penis. The drug delivery device may comprise a catheter adapted to be implanted in the corpora cavernosa of a penis or in close proximity thereto in order to deliver drugs through said catheter. Alternatively, one or more infusion needles may be disposed within and implanted along with one or more housings adjacent the patient's left and right corpora cavernosa. A reservoir and a pump may also be implanted inside the patient's body to supply the infusion needle with infusion liquid.

Abstract: A male impotence prosthesis apparatus comprises an operable penile prosthesis (4) implanted in an impotent patient's corpus cavernosum to provide flaccid or erect states of the patient's penis. An energy transmission device (10) for wireless transmission of energy from outside the patient's body to inside the patient's body is provided body for use in connection with the operation of the penile prosthesis.

Abstract: A penile prosthetic system includes a reservoir that is configured to be attached to a penile implant. The penile implant includes a first bladder and a second bladder, with the first bladed configured to be attached into fluid communication with the reservoir and the second bladder containing a dilatant liquid.