초록 ▼

An artificial sphincter includes an implantable clamp which selectively pinches closed or opens a vessel in a living body. The clamp includes a spring member and a shape memory member that has a memory configuration. Either the vessel opening operation or vessel closing operation is effected by defo

An artificial sphincter includes an implantable clamp which selectively pinches closed or opens a vessel in a living body. The clamp includes a spring member and a shape memory member that has a memory configuration. Either the vessel opening operation or vessel closing operation is effected by deforming the shape memory member from the memory configuration thereof, the other operation being effected by heat recovering the shape memory member to the memory configuration thereof. The shape memory member is heated by means of an AC source external to the body, the source inducing a heat-generating current, via a coil, in the shape memory member or in a resistive heater element which transfers heat to the shape memory element. The coil is preferably positioned near the surface of the body and is connected with leads to the shape memory member or resistive heater element which may be at a distance form the body surface. The clamp further includes a spongy inner layer which cushions the vessel and distributes the forces thereagainst.

대표청구항 ▼

1. An artificial sphincter comprising: a shape memory implantable about a substance-carrying vessel in a living body; and deforming for urging said shape memory member to a deformed configuration from a memory configuration thereof; said shape memory being heat recoverable to the memory configu

1. An artificial sphincter comprising: a shape memory implantable about a substance-carrying vessel in a living body; and deforming for urging said shape memory member to a deformed configuration from a memory configuration thereof; said shape memory being heat recoverable to the memory configuration thereof after being deformed therefrom by said deforming means, and heater means for heating said shape memory member to heat recoverable temperatures; said shape memory member at least partially clamping the vessel in one of said configurations. 2. An aritifical sphincter according to claim 1 wherein said shape memory member, said deforming means, and said heater means each comprise a layer in a curved multilayer structure having a concave inner surface; and wherein said concave inner surface pinches the wall of the vessel closed when said shape memory member is in the memory configuration thereof; and wherein said concave inner surface is displaced to permit the wall of the vessel to expand when said shape memory member is deformed from the memory configuration thereof. 3. An artifical sphincter according to claim 2 further comprising: alternating current source means external to the living body for inducing current in the layer comprising said heater means; said heater means comprising a resistive heater which heats said shape memory member to heat recovery temperatures responsive to said source means inducing current therein. 4. An artificial sphincter according to claim 3 wherein said multilayer structure further comprises a layer of thermally conductive electrical insulation sandwiched between said shape memory member layer and said heater means layer. 5. An artificial sphincter according to claim 3 wherein said multilayer structure further comprises a spongy inner layer having an inner surface corresponding to said concave inner surface; said shape memory member forming the outer layer of said multilayer structure; and said heater means and layer of insulation forming layers interposed between said spongy inner layer and the outer layer. 6. An artificial sphincter according to claim 5 wherein said multilayer structure comprises a plurality of coaxial layers. 7. An artificial sphincter according to claim 2 wherein said multilayer structure has a U-shape which is contracted inwardly when said shape memory member is in the memory configuration thereof and which is expanded outwardly when said shape memory member is deformed from the memory configuration thereof. 8. An artificial sphincter according to claim 2 wherein said multilayer structure has a coil shape which is contracted inwardly when said shape memory member is in the memory configuration thereof and which is expanded outwardly when said shape memory member is deformed from the memory configuration thereof. 9. An artificial sphincter according to claim 2 wherein said multilayer structure further comprises a spongy inner layer having an inner surface corresponding to said concave inner surface; said shape memory member forming the outer layer of said multilayer structure; and said heater means forming a layer interposed between said spongy inner layer and the outer layer. 10. An artificial sphincter according to claim 3 wherein said multilayer structure comprises a plurality of coaxial layers. 11. An artificial sphincter according to claim 2 wherein said multilayer structure comprises a plurality of stacked layers. 12. An artificial sphincter according to claim: 2 wherein said deforming means comprises a resilient layer which is flexed when said shape memory member layer is in the memory configuration thereof, said resilient layer unflexing to deform said shape memory member at temperatures below heat recovery temperatures. 13. An aritificial sphincter according to claim 2 further comprising: alternating current means external to the living body for inducing current in the layer comprising said heater means. 14. An artificial sphincter comprising: a clamp implantable about a substance-carrying vessel in a living body, said clamp comprising: a shape memory member having a memory configuration; and deforming means for urging said shape memory member to a deformed configuration from a memory configuration thereof; said shape memory member being heat recoverable to the memory configuration after being deformed therefrom by said deforming means; wherein said clamp is dimensioned to permit substance flow through the vessel when implanted and when said shape memory member is in the memory configuration thereof and wherein said clamp is dimensioned to pinch the vessel closed when implanted and when the shape memory member is deformed from the memory configuration thereof by said deforming means, and heater means for heating said shape memory member to heat recoverable temperatures. 15. An artificial sphincter according to claim 14 wherein said shape memory member, said deforming means, and said heater means each comprise a layer in a curved multilayer structure having a concave inner surface; and wherein said concave inner surface presses against the wall of the vessel to effect closure thereof when said shape memory member is deformed from the memory configuration thereof; and wherein said concave inner surface is displaced to permit the wall of the vessel to open when said shape memory member is in the the memory configuration thereof. 16. An artificial sphincter according to claim 15 further comprising: induced A.C. source means external to the living body for inducing current in the layer comprising said heater means; said heater means comprising a resistive heater which heats said shape memory member to heat recovery temperatures responsive to said source means inducing current therein. 17. An artificial sphincter according to claim 16 wherein said multilayer structure further comprises a layer of thermally conductive electrical insulation sandwiched between said shape memory member layer and said heater means layer. 18. An artificial sphincter according to claim 17 wherein said multilayer structure further comprises a spongy inner layer having an inner surface corresponding to said concave inner surface; said shape memory member forming the outer layer of said multilayer structure; and said heater means and layer of insulation forming layers interposed between said spongy inner layer and the outer layer. 19. An artificial sphincter according to claim 15 wherein said multilayer structure has a U-shape which is contracted inwardly when said shape memory member is deformed from the memory configuration thereof and which is expanded outwardly when said shape memory member is in the memory configuration thereof. 20. An artificial sphincter according to claim 15 wherein said multilayer structure has a coil shape which is contracted inwardly when said shape memory member is deformed from the memory configuratiin thereof and which is expanded outwardly when said shape memory member is in the memory configuration thereof. 21. An artificial sphincter according to claim 15 wherein said multilayer structure further comprises a spongy inner layer having an inner surface corresponding to said concave inner surface; said shape memory member forming the outer layer of said multilayer structure; and said heater means forming a layer interposed between said spongy inner layer and the outer layer. 22. An artificial sphincter according to claim 15 wherein said deforming means comprises a resilient layer which is flexed when said shape memory member layer is in the memory configuration thereof, said resilient layer unflexing to deform said shape memory member at temperatures below heat recovery temperatures. 23. A method of selectively clamping a vessel in a living body closed including the steps of: implanting a shape memory member at least partially about the vessel; selectively expanding and contracting the implanted shape memory member to respectively open and close the vessel to the flow of substance therethrough; said selective expanding and contracting including the steps of selectively (a) deforming the shape memory member from a memory configuration thereof and (b) heat recovering the shape memory member to the memory configuration thereof. 24. A method according to claim 23 wherein said expanding corresponds to said deforming step and wherein said contracting corresponds to said heat recovering step. 25. A method according to claim 24 wherein said contracting corresponds to said deforming step and wherein said expanding corresponds to said heat recovering step. 26. A method according to claim 23 wherein said implanting step includes the step of coiling the shape memory member about the vessel. 27. A method according to claim 23 wherein said selective expanding and contracting step further includes the step of: repetitively controllably expanding and contracting the implanted shape memory member. 28. An artificial sphincter comprising: a clamp disposed about a vessel in a living body, said clamp including: a spring member biasing said clamp to pinch the vessel closed; and a shape memory recoverable to a membory configuration when heated to recovery tempertures; wherein said shape memory member opposes the vessel closing bias of said spring member to enable the vessel to pass a substance therethrough responsive to recovery of said shape memory member to the memory configuration thereof, and means, external to the body, for non-invasively heating said shape memory member to recovery temperatures. 29. An artifical sphincter according to claim 28 further comprising: a heater layer which transfers heat to said shape memory member in response to current flow through said heater layer; and coil means, connected to said heater layer, for picking up induced A.C. power transmitted thereto and providing current to said heater layer in response to said coil means picking up A.C. power. 30. An artificial sphincter comprising: a shape memory member implatable about a substance carrying vessel in a living body; deforming means for urging said shape memory member to a deformed configuration from a memory configuration thereof; said shape memory member changing its configuration after being deformed upon a change of temperature thereof; wherein said shape memory member is dimensioned to clamp the vessel in one of said configurations and to permitting substance to flow through the vessel in the other of said configurations, and means for changing the temperature of said shape memory member.