Detrusor myoplasty and neuro-muscular electrical stimulation

A - Human Necessities – 61 – N

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A61N 1/36 (2006.01)

Patent

CA 2178904

An implantable micturition inducer is dis- closed. The device comprises an implantable ac- tuable signal generator (15) that comprises one or more switches (17) and a power source, and at least one electrical lead (16) having one end con- nected to the signal generator and the other end adapted to be connected to muscle (14) transected to form a muscle bag around an individual's blad- der. Actuation of the switch or switches results in the delivery of a series of stimulus pulses from the signal generator to the muscle bag which are sufficient to cause the muscle bag to contract and thereby induce micturition on demand. Methods for inducing micturition in patients with areflexic bladders of an otherwise diminished capacity to in- tentionally micturate are disclosed.

Un déclencheur de miction pouvant être implanté comprend un générateur de signal (15) pouvant être actionné et implanté, équipé d'au moins un interrupteur (17) et d'une source d'énergie, ainsi que d'un conducteur électrique (16) dont l'une des extrémités est raccordée au générateur de signal tandis que l'autre est conçue pour être raccordée au muscle (14) sectionné transversalement afin de former une poche musculaire autour d'une vessie. Une fois le commutateur actionné, le générateur de signal émet en direction de la poche musculaire une série d'impulsions de stimulus suffisante pour entraîner la contraction de la poche musculaire et déclencher ainsi la miction à la demande. L'invention décrit des procédés destinés à déclencher la miction chez des patients souffrant d'aréflexie de la vessie ou d'incapacité à uriner intentionnellement.

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