The present invention is generally directed to a pump system for an implantable penile prosthesis. Specifically, the present invention is directed to a suction poppet assembly for an implantable penile prosthesis pump system.
Implantation of an implantable penile prosthesis (IPP) is a common surgical procedure for treating erectile dysfunction and other penile ailments. An IPP comprises an inflatable cylinder connected by a pump to a separate reservoir for holding the quantity of fill liquid via kink resistant tubing. This version of the IPP is available under the trade name AMBICOR from American Medical Systems of Minnetonka, Minn. Typically, the entire IPP is implanted into the patient's body with the inflatable cylinder being placed in the corpus cavernosum and the pump being placed within the scrotum. The reservoir can also be placed within the scrotum or placed elsewhere within the pelvic region. To operate the IPP, the pump is manually actuated to transfer fill liquid from the integrated or implanted reservoir into the inflatable cylinder to fill and pressurize the inflatable cylinder.
A typical pump system for an IPP comprises a pump bulb that can be compressed to draw fluid from a reservoir and push the inflation fluid into the inflatable cylinder. Generally, the pump is compressed and released to draw fluid from the reservoir into the pump. The pump is compressed again to force fluid from the pump into the inflatable cylinder. Two selective poppet 5 valves are positioned along the flow path between reservoir and inflatable cylinder to control the direction of the fluid flow through the pump system.
Typically, the IPP and the pump system are provided to the medical personnel without any working fluid within the system. Prior to implantation, each component of the IPP is filled or nearly filed with the working fluid by the medical personnel. The medical personnel also often test the operation of the IPP to insure that the all the components of the IPP are functioning properly prior to implantation. However, if too much air remains in the IPP when the pump system is operated by the medical personnel or the patient, the air within the system can cause pump to lock up. Specifically, the pump bulb can remain compressed after being actuated rather than re-expanding to draw additional fluid into the pump bulb.
Another drawback of the pump system is that the poppet valves can become misaligned during filling and operation of the IPP and pump system. If the poppet becomes misaligned, uncontrolled leakage can occur allowing fluid to travel through the fluid pathway. Similarly, the misaligned poppet can become stuck preventing any operation of the poppet.
As such, there is a need for a pump system for an IPP that can be operated by medical personnel with a reduced risk of damage or malfunction during test operation.
The present invention is directed to an IPP having a valve assembly comprising a dual poppet design. The valve assembly is integrated into a pump assembly comprising a pump bulb that can be actuated to transfer working fluid from a reservoir to at least one inflatable cylinder. The valve assembly defines a valve flow path, for example, a generally linear flow path, between the reservoir and the inflatable cylinder. The valve flow path intersects the opening to the pump bulb such that actuating the pump bulb moves fluid along the flow path. In one aspect, the valve flow path also defines a suction annulus positioned in the valve flow path between the reservoir and the pump bulb. Similarly, the valve flow path can also define a cylinder annulus positioned between the pump bulb and the cylinder.
In one aspect, the valve assembly comprises a suction poppet engagable to the suction annulus and a cylinder poppet engagable to the cylinder annulus. Each poppet is movable along a central axis defined by the flow path between an engaged position in which the poppet is engaged to its corresponding annulus to prevent the flow of working fluid through the annulus and a disengaged positioned wherein the poppet is positioned to allow working fluid to pass through the corresponding annulus. In one aspect, the poppets are both biased to the engaged position to prevent flow of working fluid until the pump bulb is actuated. The suction poppet is positioned on the pump bulb side of the suction annulus such that releasing the compressed pump bulb creates a suction that pulls the suction poppet into the disengaged position and draws a quantity of working fluid through the suction annulus into the pump bulb. In contrast, the cylinder poppet is positioned on the opposite side of the cylinder annulus from the pump bulb, wherein compressing the pump bulb creates a positive pressure pushing the cylinder poppet into the disengaged position and a forcing a quantity of working fluid through the cylinder annulus into the inflatable cylinder.
In one aspect, the flow path further defines an annular ring positioned between the suction annulus and the pump bulb opening. If the pump bulb is actuated too quickly and/or air is present within the pump bulb opening such as, for example, during the initial installation, the suction poppet can become wedged against the annular ring blocking all flow and creating a vacuum condition essentially locking the pump bulb in the compressed state. In one aspect, the suction poppet can further comprise a head extending through the suction annulus. The head can define a lip engagable by a plurality of fingers extending from the suction annulus. The fingers engage the lip when the suction poppet is slid into the disengaged position to prevent the suction poppet from engaging the annular ring and creating vacuum lock up. The fingers allow for a controlled travel distance of the suction poppet preventing vacuum lock up of the pump bulb.
In one aspect, the suction puppet can further comprise an elongated suction poppet shaft extending through the cylinder annulus. In this configuration, a cylinder poppet can define defines a cylinder poppet bore for slidably receiving the elongated suction poppet shaft. If the suction poppet becomes misaligned, the suction poppet may not properly engage the suction annulus allowing working fluid to leak through the suction annulus. The cylinder poppet bore guides the suction poppet to maintain an axial alignment of the suction poppet along a valve chamber axis as the suction poppet moves between the engaged position and the disengaged position relative to suction annulus.
In one aspect, the valve assembly can further comprise a release button that can be pressed against an elongated head of the suction poppet to push the suction poppet to the disengaged position along the valve chamber axis without operating the pump bulb. The elongated suction poppet shaft can be used to push against an end of the cylinder poppet bore such that both the suction poppet and the cylinder poppet are positioned in the disengaged position allowing free flow through the valve flow path. The release button can be used to return the working fluid to the reservoir from the inflatable cylinder. The release button can also be used to reset the operation of the valve assembly.
A method of preventing vacuum lock up of the pump bulb, according to an aspect of the present invention, can comprise providing a suction poppet positioned between the suction annulus leading to the reservoir and the pump bulb, wherein the suction poppet further comprises an elongated head extending through the suction annulus. The method can further comprise defining a plurality of fingers extending from the suction annulus to limit the travel distance of the suction poppet and prevent uncontrolled engagement of the suction poppet to other features within the valve assembly.
The above summary of the various representative embodiments of the invention is not intended to describe each illustrated embodiment or every implementation of the invention. Rather, the embodiments are chosen and described so that others skilled in the art can appreciate and understand the principles and practices of the invention. The figures in the detailed description that follow more particularly exemplify these embodiments.
The invention can be completely understood in consideration of the following detailed description of various embodiments of the invention in connection with the accompanying drawings, in which:
While the invention is amenable to various modifications and alternative forms, specifics thereof have been shown by way of example in the drawings and will be described in detail. It should be understood, however, that the intention is not to limit the invention to the particular embodiments described. On the contrary, the intention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the invention as defined by the appended claims.
As shown in
As shown in
As shown in
In one aspect, the suction poppet 16 further comprises an elongated head 40 extending through the suction annulus 28 and defining a lip 42 engagable by the plurality of fingers 34 when the suction poppet 16 moves toward the disengaged position limiting the travel distance of the suction poppet 16 and preventing the suction poppet 16 from engaging the annular ring 30.
As shown in
In one aspect, the cylinder poppet 18 further comprises an elongated cylinder poppet shaft 46 and defines a lip 48. In this configuration, the valve flow path 14 further defines a cylinder journal 50 defining a journal bore 52 for receiving the elongated cylinder poppet shaft 46. The journal bore 52 guides the cylinder poppet 18 along the central valve chamber axis a-a during movement of the cylinder poppet 18 between the engaged and disengaged position such that the cylinder poppet 18 is prevented from moving along an axis transverse to the central valve chamber axis a-a. The cylinder journal 50 also engages the lip 48 of the cylinder poppet 18 when the poppet 18 moves to the disengaged position to limit the travel of the cylinder poppet 18.
In one aspect, the suction poppet 16 can further comprise an elongated suction poppet shaft 54 extending through the cylinder annulus 32. In this configuration the cylinder poppet 18 further defines a cylinder poppet bore 56 for receiving the elongated suction poppet shaft 54. The cylinder poppet bore 56 guides the elongated suction poppet shaft 54 along the central valve chamber axis a-a during movement of the suction poppet 16 between the engaged and disengaged position such that the suction poppet 16 is prevented from moving along an axis transverse to the central valve chamber axis a-a. The elongated suction poppet shaft 54 can also be used to engage the end of the cylinder poppet bore 56 to push the cylinder poppet 18 into the disengaged position.
In operation, compressing the pump bulb 12 creates a positive pressure pushing working fluid and/or air within the pump bulb 12 out of the pump bulb opening 26 into the valve flow path 14. The positive pressure also pushes against the cylinder poppet 18 moving the cylinder poppet 18 into the disengaged position forcing the fluid and/or air into the inflatable cylinder 4. Releasing the compressed pump bulb 12 allows the pump bulb 12 to expand and creates a vacuum pulling the cylinder poppet 18 into the engaged position and the suction poppet 16 into the disengaged position allowing working fluid to be drawn from the reservoir 6 into the pump bulb 12. The process can be repeated to continuously draw working fluid from the reservoir 6 to inflate the inflatable cylinder 4.
In one aspect, the valve assembly 10 can further comprise a release button 58 for allowing fluid to flow in reverse through the valve flow path 14. The release button 58 can be actuated to push against the elongated head 40 to push the suction poppet 16 into the disengaged position. In this configuration, the elongated suction poppet shaft 54 is adapted to engage the end of the cylinder poppet bore 56 to push the cylinder poppet 18 into the disengaged position. With both the suction poppet 16 and the cylinder poppet 18 are in the disengaged position with respect to the their corresponding annulus, the pressure of the working fluid within the inflatable cylinder 4 pushes working fluid through the valve flow path 14 back to the reservoir 6.
As shown in
While the invention is amenable to various modifications and alternative forms, specifics thereof have been shown by way of example in the drawings and described in detail. It is understood, however, that the intention is not to limit the invention to the particular embodiments described. On the contrary, the intention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the invention as defined by the appended claims.
This application is a Continuation of, and claims priority to, U.S. patent application Ser. No. 14/805,567, filed on Jul. 22, 2015, entitled “AUTOMATED IMPLANTABLE PENILE PROSTHESIS PUMP SYSTEM”, which, in turn, is a continuation of U.S. patent application Ser. No. 13/804,000, filed on Mar. 14, 2013, entitled “AUTOMATED IMPLANTABLE PENILE PROSTHESIS PUMP SYSTEM”, now U.S. Pat. No. 9,089,426, which, in turn, claims priority to U.S. Patent Application No. 61/613,770, filed on Mar. 21, 2012, entitled “AUTOMATED IMPLANTABLE PENILE PROSTHESIS PUMP SYSTEM”, the disclosures of which are incorporated by reference herein in their entirety.
Number | Name | Date | Kind |
---|---|---|---|
525020 | Ernst | Aug 1894 | A |
734498 | Bachler | Jul 1903 | A |
1044191 | Kops | Nov 1912 | A |
2455859 | Foley | Dec 1948 | A |
2533924 | Foley | Dec 1950 | A |
3538917 | Selker | Nov 1970 | A |
3642005 | McGinnis | Feb 1972 | A |
3720200 | Laird | Mar 1973 | A |
3744063 | McWhorter | Jul 1973 | A |
3750194 | Summers | Aug 1973 | A |
3853122 | Freed | Dec 1974 | A |
3863622 | Buuck | Feb 1975 | A |
4222377 | Burton | Sep 1980 | A |
4224370 | Heinemann | Sep 1980 | A |
RE31121 | Reinicke | Jan 1983 | E |
4386601 | Trick | Jun 1983 | A |
4408597 | Tenney, Jr. | Oct 1983 | A |
4412530 | Burton | Nov 1983 | A |
4417567 | Trick | Nov 1983 | A |
4419985 | Trick | Dec 1983 | A |
4502159 | Woodroof | Mar 1985 | A |
4549531 | Trick | Oct 1985 | A |
4550720 | Trick | Nov 1985 | A |
4553533 | Leighton | Nov 1985 | A |
4584990 | Haber | Apr 1986 | A |
4634443 | Haber | Jan 1987 | A |
4682583 | Burton | Jul 1987 | A |
4708140 | Baron | Nov 1987 | A |
4829990 | Thuroff | May 1989 | A |
4834115 | Stewart | May 1989 | A |
4878889 | Polyak | Nov 1989 | A |
4969474 | Schwarz | Nov 1990 | A |
4994020 | Polyak | Feb 1991 | A |
5012822 | Schwarz | May 1991 | A |
5078676 | Bailly | Jan 1992 | A |
5088980 | Leighton | Feb 1992 | A |
5097848 | Schwarz | Mar 1992 | A |
5141509 | Burton | Aug 1992 | A |
5370690 | Barrett | Dec 1994 | A |
5562598 | Whalen | Oct 1996 | A |
5570690 | Yoon | Nov 1996 | A |
5634878 | Grundei | Jun 1997 | A |
5782916 | Pintauro | Jul 1998 | A |
5851176 | Willard | Dec 1998 | A |
5893826 | Salama | Apr 1999 | A |
5989288 | Pintauro | Nov 1999 | A |
6013102 | Pintauro | Jan 2000 | A |
6063119 | Pintauro | May 2000 | A |
6095969 | Karram | Aug 2000 | A |
6171233 | Willard | Jan 2001 | B1 |
6183520 | Pintauro | Feb 2001 | B1 |
6328687 | Karram | Dec 2001 | B1 |
6354991 | Gross | Mar 2002 | B1 |
6432038 | Bakane | Aug 2002 | B1 |
6432040 | Meah | Aug 2002 | B1 |
6443887 | Derus | Sep 2002 | B1 |
6464999 | Huo | Oct 2002 | B1 |
6533719 | Kuyava | Mar 2003 | B2 |
6652449 | Gross | Nov 2003 | B1 |
6659937 | Polsky | Dec 2003 | B2 |
6689046 | Sayet | Feb 2004 | B2 |
6712772 | Cohen | Mar 2004 | B2 |
6723042 | Almli | Apr 2004 | B2 |
6730017 | Kuyava | May 2004 | B2 |
6749556 | Banik | Jun 2004 | B2 |
6862480 | Cohen | Mar 2005 | B2 |
6896651 | Gross | May 2005 | B2 |
6915165 | Forsell | Jul 2005 | B2 |
6921360 | Banik | Jul 2005 | B2 |
6935847 | Kuyava | Aug 2005 | B2 |
6991601 | Kuyava | Jan 2006 | B2 |
7169103 | Ling | Jan 2007 | B2 |
7244227 | Morningstar | Jul 2007 | B2 |
7250026 | Kuyava | Jul 2007 | B2 |
7350538 | Kuyava | Apr 2008 | B2 |
7387603 | Gross | Jun 2008 | B2 |
7400926 | Forsell | Jul 2008 | B2 |
7407482 | Kuyava | Aug 2008 | B2 |
7874978 | Kuyava | Jan 2011 | B2 |
9089426 | Henkel | Jul 2015 | B2 |
9522065 | Henkel | Dec 2016 | B2 |
20040167574 | Kuyava | Aug 2004 | A1 |
20050075534 | Kuyava | Apr 2005 | A1 |
20080114202 | Kuyava | May 2008 | A1 |
20090132043 | George | May 2009 | A1 |
20130253265 | Henkel | Sep 2013 | A1 |
20160015519 | Henkel | Jan 2016 | A1 |
Number | Date | Country |
---|---|---|
0051420 | May 1982 | EP |
0065853 | Dec 1982 | EP |
0137752 | Apr 1985 | EP |
2160777 | Jan 1986 | GB |
2192546 | Jan 1988 | GB |
8000302 | Mar 1980 | WO |
8500513 | Feb 1985 | WO |
8601398 | Mar 1986 | WO |
9404095 | Mar 1994 | WO |
8604865 | Feb 1996 | WO |
02051339 | Jul 2002 | WO |
2005032428 | Apr 2005 | WO |
2005034815 | Apr 2005 | WO |
2006066199 | Jun 2006 | WO |
Entry |
---|
Ferguson,“Prospective Long-term Results and quality-of-life Assessment after Dura-II Penile Prosthesis Placement”, Urology vol. 61, 2003, pp. 437-441. |
Henry, “Advances in Penile Prosthesis Design”, Current Sexual Health Reports, vol. 4,, 2007, pp. 15-19. |
Kardar, et al., “An Unusual Complication of Penile Prosthesis Following Urethroplasty”, Scand J. Ural. Nephrol, vol. 36,, 2002, pp. 89-90. |
Kaufman, “Use of implantable prostheses for the treatment of urinary incontinence and impotence”, Am. J. Surg, US30 (2), Aug. 1975, pp. 244-250. |
Khoudary, et al., “Design considerations in penile prosthesis: the american medical system product line”, J. Long-term effects of Medical Implants, vol. 7, No. 1, 1997, pp. 55-64. |
Lazarou, et al., “Technical advances in penile prosthses”, J. Long-term effects of Medical Implants, vol. 6, No. 3, 2006, pp. 235-247. |
Merino, “Penile prosthesis for the treatment of erectile dysfunciton”, Actas Urol Esp, vol. 30, No. 2,, 2006, pp. 159-169. |
Minervini, “Outcome of penile prosthesis implantation for treating erectile dysfunction: experience with 504 procedures”, BJU Int. 97 ,, 2005, pp. 129-133. |
Montague, et al., “Clinical guidelines panel on erectile dysfunciton: summary report on the treatment of organic erectile dysfunction”, J. Urology, vol. 156, Dec. 1996, pp. 2007-2011. |
Montague, et al., “Current status of penile prosthesis implantation”, Current Urology Reports, 2000, pp. 291-296. |
Montague, et al., “Penile Prosthesis Implantation”, Chapter 85,, pp. 712-719. |
Montague, “Penile prosthesis implantation for end-stage erectile dysfunction after radial prostatectomy”, MedReviews, Inc., 2005,, pp. S51-S57. |
Montague and Angermeier, “Contemporary aspects of penile prosthesis Implantation”, Urol Int., vol. 70,, 2003, pp. 141-146. |
Montague and Angermeier, “Surgical approaches for penile prosthesis implantation: penoscrotal vs infrapubic”, Int. J. Impotence Research, vol. 15, Supp 5,, 2003, pp. S134-S135. |
Mulcahy, “Another look at the role of penile prostheses in the management of impotence”, Urology Annual 11, 1997, pp. 169-185. |
Randrup “Penile implant surgery: rear tip extender that stays behind”, Urology, vol. XXXIX, No. 1., Jan. 1992, 1 page. |
Number | Date | Country | |
---|---|---|---|
20170056177 A1 | Mar 2017 | US |
Number | Date | Country | |
---|---|---|---|
61613770 | Mar 2012 | US |
Number | Date | Country | |
---|---|---|---|
Parent | 14805567 | Jul 2015 | US |
Child | 15347466 | US | |
Parent | 13804000 | Mar 2013 | US |
Child | 14805567 | US |