The technical disclosure herein relates to a penile compression device. More particularly, this disclosure relates to an external penile compression cuff and method for the same that externally compresses the penis to occlude the urethra and prevent or at least significantly reduce urinary leakage.
Penile compression clamps are well known and widely used to prevent urine leakage. In particular, penile clamps have been applied externally onto the penis for clamping the same. Such external penile clamps have been produced both as long-term reusable devices and also as short-term devices limited to one-week use. Typically, such devices have been employed for use in the inspection and treatment of diseases, wounds and other abnormal conditions of the bodies of humans and lower animals.
For example, Bard, Inc. produces the Cunningham clamp. The Cunningham clamp provides two pivoting arms connected by a single-hinge. Clamp arm surfaces that face the penis are padded for intended comfort. The Cunningham employs a ratcheted latch to clamp the two arms closer together and compress the penis. This clamp is reported to be reusable, however, the large clamping forces often lead to pain, swelling, and penile skin break down.
The Squeezer Klip™ disclosed in U.S. Pat. No. 6,463,932 provides a padded top and bottom arm in a pivoting configuration. Like the Cunningham, the Squeezer Klip™ is a hinged, reusable clamp. The dorsal and ventral arms include pressure-applying projections intended to contact the urethra, and preferentially apply pressure between the dorsal veins and arteries. The Squeezer Klip™ avoids direct compression of the neurovascular bundle. Patients are often incapable, however, of repeatedly applying the pressure-applying projections to the appropriate location to effect urethral closure. A screw mechanism clamps the penis using a fine compression adjustment via a threaded adjustment knob. The screw mechanism, however, requires a higher degree of manual dexterity to adjust compression, which can be difficult for older arthritic men.
The C3 clamp disclosed in U.S. Pat. No. 5,184,629 provides a clamp intended for use that is limited to approximately one week. The C3 is constructed from a co-extruded and thermoformed polyolefin sheet. The resultant component has two clam shelled halves connected by a hinge. The penis is placed through a portal between the two halves and the halves are folded over to compress the penis. The clam shells are held closed by a Velcro® strap. Force is localized on the urethra by presence of a raised bump on the bottom clam shell half. The C3 is available in only two fixed sizes. As there is great penile anatomical variation requiring multiple clamp sizes, a clamp frequently may be improperly selected. Further, the ability to operate the strapping system is often difficult for older, arthritic men. Such inconsistencies in sizing and the user dependent strapping system have made the C3 less reliable in its ability to control leakage.
None of the clamps above entirely eliminated urinary leakage.
Other clamps have been disclosed in U.S. Pat. Nos. 6,609,522, 6,289,895 B1, 6,609,522 B2, and 6,234,174 B1. These patents, however, provide detailed straps, latches, hinges and mechanisms for “dialing” in required urethral pressure. Experience with the C3 and such clamps indicate that users may be confused by the added complexity of such components.
Experience with such penile clamps indicates that urine leakage still occurs despite penile compression and urethral occlusion. This leakage is due to clamp movement resulting from bodily movement and rubbing against undergarments. Leakage is also likely to occur during placement and removal of the clamp from the penis. As a result, it has been disclosed in a previous application of GT Urological, LLC, the Assignee of the instant application, to use an absorbent attachment as described U.S. patent application Ser. No. 11/122,395 for “Penile Compression Device,” which is now published as U.S. Patent Application Publication No. 2005-0256365 having the same title.
While such clamps and devices as described above provide some advancement for controlling urinary dysfunction and protecting against bladder malfunction, improvements may yet be made on urethral compression devices for males experiencing stress urinary incontinence. There is a further need for a device that provides optimum comfort and that is easy to apply and remove, while sufficiently preventing urinary leakage. Improvements may still be made to a device for urethral compression that provides an absorbent mechanism that can be conveniently and comfortably attached to the compression device.
It is a purpose of the technical disclosure herein to overcome such difficulties described above, thereby providing an improved penile compression device. The penile compression device described herein provides a cuff structure that can compress the penis and the urethra. In the compression position, the cuff structure can sufficiently impart compression on the male urethra to occlude the urethra and prevent urinary leakage. The penile compression device described herein also includes an absorbent structure that can be conveniently and comfortably attached to the cuff structure. The absorbent structure can absorb and hold any inadvertent urine leakage.
Generally, a penile compression device includes a cuff component and an absorbent component attached to the cuff component. In one embodiment, the cuff component is adapted to compress a penis and impart compression on the urethra of the penis, to press a portion of the absorbent component against the penis when the cuff component compresses the penis, and to occlude the urethra when the cuff component compresses the penis. The cuff component and the absorbent component prevent urine leakage and spillage from the urethra and penis.
In one embodiment, the cuff component is adapted to surround the penis and to apply an even circumferential compression on the penis.
In another embodiment, the cuff component is adapted to apply a localized compression on the penis. In yet another embodiment, the cuff component is adapted to apply a localized compression of the penis by activating a hydraulic compression mechanism to expand for example an occluding member.
In yet another embodiment, the cuff component is adapted to compress the penis when the cuff component is manually tightened, or when an electro-mechanical compression mechanism is activated to tighten the cuff component.
In yet another embodiment, the cuff component is intrinsically biased toward a compressive position. The cuff component is configured to be expanded in a non-compressive position so as to be adapted to allow placement on or removal from the penis. The cuff component is configured to return to the compressive position so as to be adapted to allow placement on and compression of the penis.
In one embodiment of an absorbent component, the absorbent component is configured to be removably attached or permanently attached to the cuff component.
In another embodiment, the absorbent component is constructed and arranged to allow a portion of the penis to not be wrapped by the absorbent component.
In one embodiment of a method of externally compressing a penis, a cuff component and an absorbent component are applied onto a penis. The step of applying the cuff component onto the penis includes compressing the penis and imparting compression on the urethra of the penis. The step of applying the cuff component and the absorbent component onto the penis includes pressing a portion of the absorbent component against the penis. The urethra is then occluded when the cuff component imparts a compression on the urethra.
In one embodiment, the step of applying the cuff component on the penis includes surrounding the penis, and the step of compressing the penis includes one of applying an even circumferential compression on the penis or applying a localized compression on the penis.
In one embodiment, the step of applying the cuff component onto the penis includes one of manually tightening the cuff component or electromechanically tightening the cuff component. In yet another embodiment, the step of applying the cuff component onto the penis includes expanding the cuff component, from an intrinsically contracted compressive position to an expanded non-compressive position so as to allow placement on or removal of the cuff component from the penis, and returning the cuff component to the compressive position so as to allow compression of the penis.
The penile compression device of the present application provides suitable neurovascular load distribution that can also impart localized compression on the urethra. The penile compression device can be universally fitting, while improving user comfort and urine leakage prevention effect.
These and other various advantages and features of novelty are pointed out in the following detailed description. For better understanding of the technical disclosure, its advantages and benefits obtained by its use, reference should also be made to the drawings which form a further part hereof, and to accompanying descriptive matter, in which there are illustrated and described specific examples of an apparatus in accordance with inventive concepts.
Like reference numbers generally indicate corresponding elements in the Figures. The embodiments illustrated are exemplary only and are in accordance with the inventive concepts disclosed herein.
The device is shown in the compression position.
A penile compression device is described herein that provides a cuff structure, which can compress the penis and the urethra from an initial rest position of the device to a compression position. In the compression position, the devices described herein can sufficiently compress the male urethra to prevent or at least significantly reduce urinary leakage. A penile compression device as described herein can provide improved comfort, and that can be easy to apply and remove. Further, a penile compression device as described herein can provide a convenient and comfortable absorbent mechanism.
Generally, a penile compression device as described herein includes a cuff component and an absorbent component attached to the cuff component.
The cuff component 12 is constructed as a securing member having free ends 13 that can be brought together or proximate of each other in a generally loop-like configuration. The generally loop-like configuration is configured so that a penis can be inserted through the “loop” and is capable of being tightened, or the opening therein is further closed, when compression of the penis and urethra is desired. A retaining member 16 can hold portions of the securing member of the cuff component 12 together, and particularly portions of the securing member proximate the free ends 13.
As shown in
That is, when the penis 1 is inserted through the cuff component 12 and the securing member is tightened, the occlusive protrusion 14 can compress the penis. As a result, such compression can be imparted on the urethra to occlude the urethra and prevent or substantially reduce urine leakage. In one embodiment of operation,
Turning back to the securing member of the cuff component 12, in one embodiment the securing member is a draw string or strap-like part. It will be appreciated that the securing member is not limited to the specific structure shown, so long as the securing member can be configured to support an occlusive protrusion and/or be capable of being secured to facilitate compression of the penis and compression of the urethra. In one embodiment, the occlusive protrusion 14 is a single bump or other structure of increased dimension. It will be appreciated that the occlusive protrusion is configured to contact the underside of the penis, so that compression can be imparted on the urethra when it is pressed against the penis. It further will be appreciated that the occlusive protrusion 14 is not limited to the specific structure shown, so long as the occlusive protrusion 14 can provide the compressive functionality when pressed against the penis 1.
In one embodiment, the retaining member 16 is a retaining buckle or ring. It will be appreciated that the retaining member 16 is not limited to the specific structure shown, so long as the retaining member 16 can facilitate holding the cuff component 12 and particularly portions proximate the free ends 13 of the securing member.
Regarding the absorbent component 15, any inadvertent urine leakage can be captured and retained by the absorbent component 15. The absorbent component 15 may be constructed as an absorbent sleeve, pocket, shield or pad which is integral to, or detachable from, the cuff component 12. It will be appreciated that the absorbent component 15 can be attached, either integrally or removably, in a variety of ways as one skilled in the art can employ to accomplish such function, and is not limited to the specific configuration shown.
When the absorbent component 15 is integral with the cuff component, 12, such a configuration would allow a user to dispose of the entire unit or clean it and reuse it. When the absorbent component 15 is releasably attached from the cuff component 12, such a configuration 15A would allow a user the option to re-use the cuff component 12 and dispose of the used detachable absorbent component 15.
As shown, the securing member of the cuff component 12 along with the absorbent component 15 form the open region 18 circumferentially, so that when the retaining member 16 is pushed down along the free ends 13, a circumferential compression of the penis 1 occurs. In one embodiment, the retaining member 16 holds together the free ends 13 and portions proximate the free ends 13. In such a configuration, the cuff component 12 is in its occlusive condition, such as by a frictional fit with the retaining member 16.
In one embodiment, the cuff component 12 may be disposed within the absorbent component 15 (as shown by phantom line of
During tightening of the securing member, the occlusive protrusion 14 can be pressed or pushed against the base of the penis 1 to localize compression of the urethra and stop urine leakage. The occlusive protrusion 14 may be disposed within the absorbent component 15, or the absorbent component may include an opening corresponding to a position where the occlusive protrusion should be placed. It will be appreciated that the occlusive protrusion may be disposed on the absorbent component, rather than on the securing member of the cuff component 12.
In the compression position, the absorbent component 15 surrounds the penis 1 and can provide a fluid tight barrier between inner and outer surfaces of the absorbent component 15. As an example, the absorbent component 15 includes an absorbent material, which can absorb leaked urine to prevent spillage and to maintain a dry penile surface. As some examples only, the absorbent component 15 may include absorbent and liquid barrier layers. The absorbent layer may be constructed of materials including but not limited to woven or non-woven constructions of cotton, other cellulosics, nylon, polyester, polyethylene or polypropylene materials. The liquid barrier layer may be constructed of materials including but not limited to woven or non-woven nylon, polyester, polyethylene or polypropylene materials. It will be appreciated that the absorbent component 15 may be composed of a variety of material, so long as the material accomplishes the function of absorbing inadvertent leakage and being retained with the cuff component 12 when in use.
Members 106 are attached to the cuff component 102. By manually retracting the members 106 or pulling them away, the cuff component 202 can be expanded from its free ends 103. As a result, the cuff component 102 is expanded from its normally contracted mode to allow insertion of the penis 1 through open region 108 defined by the cuff component 102 and the absorbent component 105.
As shown, portions of the free ends 103 overlap in the contracted mode, where in the expanded mode the free ends 103 have less overlap. In one embodiment, retracting the members 106 allows the free ends 103 of cuff component 102 to slide over one another to increase the circumference of the open region 108 and allow insertion of the penis 1. Releasing the members 106 allows the cuff component 102 to return toward its normal contracted shape under its intrinsic biasing force. It will be appreciated that the amount of overlap of the free ends 103 may be modified as necessary or suitable, so long as the cuff component 102 can be expanded to allow penis insertion therethrough. It further will be appreciated that the cuff component 102 may be a closed loop rather than including the free ends 103, where the cuff component 102 is still constructed to be expandable to allow penis insertion therethrough.
In further operation when penile compression is desired, releasing the members 106 allows the cuff component 102 to collapse onto the penis 1 and bias back toward its initial contracted position. As a result, the penis can be compressed circumferentially to impart compression on the urethra and occlude the urethra and prevent urine leakage. Further manual retraction of the members 106 once again releases penile compression of the cuff component 102, and allows the device 100 to be removed, including the cuff component 102 and the absorbent component 105.
In one embodiment, the members 106 are constructed as pull tabs or loops. As shown, two members 106 are employed. It will be appreciated that the number of members 106 is non-limiting, as one or more than two members could be employed as desired and/or necessary. It further will be appreciated that the members are not limited to the specific structure shown. It further will be recognized that a variety of modifications may be made by one of skill in the art, so long as the resulting member structure can accomplish the function of expanding and contracting the cuff component 102.
The absorbent component 105 can be similarly constructed as described. The absorbent component 105 may be further modified from the absorbent component 15, where slots or openings 107 are also disposed in side positions of the absorbent component 105, so as to be suitable for operating the members 106.
Any of the penile compression devices described herein can be manufactured by a variety of automated, high volume processes, and employing concepts such as those used to produce diapers and absorbent pads. As some illustrative examples, the securing member of the cuff component may be manufactured from woven or non-woven constructions of cotton, nylon polyester, polyethylene, or polypropylene materials. Further, the members may be manufactured, for example, from thermoplastic or thermosetting materials which are injection or transfer molded, or die cut from sheets of these base materials. As described, the absorbent component may include both absorbent and liquid barrier layers. Examples of materials for the absorbent layer may include woven or non-woven constructions of cotton, other cellulosics, nylon, polyester, polyethylene or polypropylene materials. Examples of materials for the liquid barrier may include a construction of woven or non-woven nylon, polyester, polyethylene or polypropylene materials.
In further examples, when the cuff component is an elastomeric band, the cuff component may be manufactured from various elastomeric materials including but not limited to silicone, latex and neoprene rubbers, polyurethane, or other thermoplastic elastomers. In yet other examples, the elastomeric band may be replaced by a circumferential biased metal, such as but not limited to, stainless steel, nickel titanium alloy or rigid thermoplastic material.
In one embodiment, the retaining members 206 may be configured in a variety of ways, such as a material employing Velcro®, or a button, or a mechanical snap closure, or the like. It will be appreciated that the retaining members 206 are not limited to the specific structure shown, so long as the free ends 203 are configured to close the cuff component 202 at the open region 208.
The absorbent component 205 is attached to the cuff component 202. It will be appreciated that the absorbent component 205 may be integrally or detachably connected to the cuff component 202. In one embodiment, the absorbent component 205 includes free portions 209 along one longitudinal axis, such that the absorbent component 205 can be opened from the side. As shown, the free portions extend proximate the open region 208 from one end, and terminate before reaching the opposite end. In such a configuration, the absorbent component 205 can allow the penis to be easily placed within the absorbent component 205 without the need to insert it first through a closed loop.
In one embodiment, the free portions 209 of the absorbent component 205 can come together or can overlap each other forming a seam 207. The amount of overlap between the free portions 209 of the absorbent component 205 and/or the free ends 203 of the cuff component 202 may vary as necessary and/or desirable. As one example, the position or seam where the free portions 209 of the absorbent component 205 come together is offset from the position or seam where the free ends 203 of the cuff component 202 come together. In such a configuration, the penile compression device can be better secured. It will be appreciated that the configuration for making the free portions 209 come together, including the specific overlap and/or offset, can be accomplished in a variety of ways. It further will be appreciated that the free portions 209 and seam 207 are not limited to the specific structure shown, so long as the absorbent component can be closed along the side.
In one embodiment, attachment of the absorbent component 205 to the cuff component 202 can be configured, such that manual tensioning of the cuff component 202 pulls one free portion 209 of the absorbent component 205, allowing it to overlap the other free portion 209. In such a configuration, a liquid barrier can be created to prevent leakage.
In operation,
The cuff component 302 is a securing member that may be a strap or belt-like part. It will be appreciated that the cuff component 302 is not limited to the specific structure shown, and may be constructed a number of ways, so long as it can wrap around a penis and allow a penis to be inserted therethrough.
As shown in
The penile compression device 300 also includes a reusable compression mechanism 306. The compression mechanism 306 is configured to compress the penis and thereby impart compression on the urethra to provide an occlusive effect. In this regard, the compression mechanism 306 takes the place of and functions similar to the retaining members or occlusive protrusion previously described. In some embodiments, the compression mechanism 306 may be suited for use as an electromechanical or electro-hydraulic compression mechanism, and includes a housing that contains the retaining member or occluding components.
The compression mechanism 306 also includes slots 307 in its housing so that the cuff component 302 can connect with the compression mechanism 306. It will be appreciated that the cuff component 302 can be connected to the compression mechanism 306 by a number of ways. It further will be appreciated that the connection between the cuff component 302 and the compression mechanism 306 is not limited to the specific structure shown, so long as the connection allows cooperation of the compression mechanism 306 and the cuff component 302 to achieve urethral occlusion.
As shown, the compression mechanism 406 is an electromechanical compression mechanism. In one embodiment, the cuff component 402 is a flexible, non-distensible belt or strap-like member, which can surround the penis. When compression is desired, the cuff component 402 is drawn within a housing of the compression mechanism 406 by operating an actuator 417. In one embodiment, the actuator 417 is a switch. It will be appreciated that the actuator 417 is not limited to the specific structure shown, so long as the actuator 417 can function to operate the compression mechanism 406 to draw the cuff component 402 into the housing of the compression mechanism 406.
When the compression mechanism 406 is operated to draw the cuff component 402 into the housing, the cuff component 402 can apply an amount of compression on the penis. In some examples, the amount of compression applied can be either a pre-determined amount of compression on the penis or an amount of compression determined by the user. As a result, the amount of compression applied can impart compression on the urethra and provide the occlusive effect to prevent urinary leakage or at least substantially reduce it. In one embodiment, the compression applied is an even circumferential compression, which tightens the cuff component 402 on the penis.
In
Pushing the actuator a first time can activate the motor component 419 and move the take-up component 418 to draw the cuff component 402 into the housing of the compression mechanism 406. Pushing the actuator 417 a second time reverses the motor component 419 and take-up component 418 to remove compression from the penis and occlusive pressure on the urethra. It will be appreciated that the actuator 417 may be single element, such as a button, switch, or the like, and that such single element is operable for putting the cuff component in the compressive and non-compressive positions. It will further be appreciated that the actuator 417 may comprise multiple elements to carry out putting the cuff component in the compressive and non-compressive positions if necessary or desired.
As an example, the take-up component 418 is a spool, while the motor component 419 is an electric motor. In one embodiment, the power supply 420 is a battery. It will be appreciated that the components of the compression mechanism 406 are not limited to the specific structures shown. It further will be appreciated that the electromechanical components of the compression mechanism 406 can be accomplished in a variety of ways, so long as the compression mechanism 406 is capable of providing the amount of compression suitable to give the occlusive effect on the urethra.
As in
When the compression mechanism 506 is operated, the occlusive member 504 is activated from the housing and can apply an amount of compression on the penis, which thereby imparts localized occlusion of the urethra. In some examples, the amount of compression applied by the occlusive member 504 can be either a pre-determined amount of compression on the penis or an amount of compression determined by the user. As a result, the amount of compression applied can impart compression on the urethra to provide the occlusive effect and prevent urinary leakage or at least substantially reduce it. It will be appreciated that an occlusive member may not be employed and that the entire cuff component may be configured to be expanded if desired or necessary. In such a configuration, urethral occlusion may be achieved through an even circumferential compression, rather than by localized compression.
In
The occlusive member 504 is further connected to an expanding component 518, which is powered using a power supply 520. Pushing the actuator 517 a first time can activate the expanding component 518 and expand the occlusive member 504 to provide the necessary amount of compression on the penis. Pushing the actuator 517 a second time reverses the expanding component 518, so that the occlusive member 504 can be contracted to remove compression from the penis and occlusive pressure on the urethra.
As with the actuator 417 described in
As an example, the occlusive member 504 is a balloon that can be inflated and deflated with fluid to provide the respective occlusion effect and compression release. In one embodiment, the expanding component 518 is a pump, where the power supply 520 is a battery. The pump further includes a fluid reservoir 518a. In operation, depressing the switch a first time can put fluid into the balloon and expand the balloon to provide the necessary amount of compression on the penis. Depressing the switch a second time reverses the pump, pulling fluid out of the balloon and returning it to the fluid reservoir 518a, so as to allow normal urinary flow. In one embodiment, the fluid used for inflation may be water, saline, air, other gas(es), combinations of these fluids, or the like.
It will be appreciated that the components of the compression mechanism 506 are not limited to the specific structures shown. It further will be appreciated that the electro-hydraulic components of the compression mechanism 506 can be accomplished in a variety of ways, so long as the compression mechanism 506 is capable providing the amount of compression suitable to give the occlusive effect on the urethra.
In both electro-mechanical and electro-hydraulic penile compression devices described, additional electrical hardware and software may be added to allow any of the devices to sense sudden increases in abdominal pressure or abdominal muscular activity such as may cause or indicate the potential for urine leakage. Once sensed, the devices would be activated to provide a momentary occlusion of the urethra to prevent urinary leakage. This momentary rather than constant occlusion can maximize user comfort and minimize potential damage to the compressed organ, such that the device would be activated when it is actually needed. That is, occlusion and non-occlusion can be automatically controlled.
As one example, sensing of abdominal pressures could be accomplished through use of intra-abdominal pressure transducers introduced into the bladder, rectum, or surgically implanted into the abdomen.
As another example, sensing muscular activity can be accomplished with skin electrodes used to sense electromyographic signals through the skin.
It will be appreciated that introduction of such sensory or monitoring components, can be achieved by a number of ways that one of skill in the art could employ.
Turning back to the absorbent component, the absorbent components described above are depicted to totally envelop the penis to prevent leakage and wicking of urine from the absorbent material to the user's undergarments. However, reduced urine leakage due to the improved penile compression devices described may make possible that an absorbent structure is not required to totally envelop the penis. That is, an acceptable option can be that an absorbent component may be constructed which does not totally envelop the penis.
Two different non-enveloping absorbent components 605, 705 are shown below in
Before describing the improved absorbent components 605, 705, GT Urological, LLC, the Assignee of the instant application, also discloses a penile compression clamp in its U.S. patent application Ser. No. 11/122,395 for “Penile Compression Device,” which is now published U.S. Patent Application Publication No. 2005-0256365 having the same title and mentioned above.
It is recognized that the non-enveloping absorbent components 605, 705 are shown attached to the arms 44 of the penile compression clamp 40 for exemplary purposes only. As described above, it further is recognized that the non-enveloping absorbent components 605, 705 may be employed with any of the above detailed penile compression devices, so long as such incorporation is consistent with the inventive concept of the particular embodiment.
In one embodiment, the non-enveloping absorbent components 605, 705 require fewer manufacturing steps than a totally enveloping design and lend themselves to high volume manufacturing procedures.
Turning back to the absorbent component structure,
As discussed above, the absorbent layer may be constructed of materials including but not limited to woven or non-woven constructions of cotton, cotton batting, other cellulosics, nylon, polyester, polyethylene or polypropylene materials. The liquid barrier layer may be constructed of materials including but not limited to woven or non-woven nylon, polyester, polyurethane, polyethylene, polypropylene, or silicon materials. It will be appreciated that the absorbent component 1000 may be composed of a variety of material, so long as the material accomplishes the function of absorbing inadvertent leakage and being retained with the cuff component when in use.
It will be appreciated that any of the components of the penile compression devices in
It further will be appreciated that the penile compression device can be universally fitting, so as to be used on a variety of penile sizes and dimensions. That is, the penile compression devices described herein can be modified as necessary and suitable to fit any penis. Any of the penile compression devices described are suitably constructed to provide sufficient pressure on the penis to impart compression of the urethra. In one embodiment, penile compression can be achieved with a pressure in the range of 0.500 kg to 0.850 kg.
The above specification provides a complete description of the composition, manufacture and use of the improved penile compression device in accordance with the principles of the inventive concepts disclosed. Since many embodiments of the penile compression device can be made without departing from its spirit and scope, the invention resides in the claims hereinafter appended.
The present application claims the benefit of U.S. Provisional Patent Application Ser. No. 60/796,946, filed May 3, 2006, and entitled “External Penile Compression Cuff with Disposable Absorbent Pouch”, which is incorporated herewith by reference in its entirety.
Number | Date | Country | |
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60796946 | May 2006 | US |