The present disclosure provides methods of bioengineering sphincters having autologous smooth muscle cells isolated from human internal anal sphincter and autologous enteric neurospheres (neural progenitor cells) isolated from human small intestine (jejunum). The isolated neural progenitor cells and smooth muscle cells are co -cultured using dual layered hydrogels and allowed to form circular, intrinsically innervated internal anal sphincter constructs. Such innervated internal anal sphincter constructs, bioengineered internal anal sphincter constructs are useful as additive implants in the treatment of fecal incontinence.

Implantable tube valve for implanting in a human vessel, comprising a tube, having an inner and outer tube wall extending between two axial tube ends and comprising a valve member, connected to a pivot shaft supported by the tube, with the valve member pivotable between an open position and a closed position and comprising an actuator mechanism, mounted on the outer tube wall and comprising a pivot member, arranged for driving the pivot shaft from the outer tube wall by an actuation force from the actuator mechanism and comprising at least one biasing element, connected to the pivot member and arranged for preloading the pivot member to bistably bias the valve member towards the open or closed position, wherein the biasing element comprises at least two bow-shaped rods that are interconnected at both ends in a mirrored fashion.

A puncture instrument kit includes a puncture rod, mesh, and sheath. The puncture rod consists of a puncture head, puncture rod body, and handle. One end of the puncture rod body is connected to the handle and the other end is integrated with the puncture head. The puncture head is arc-shaped with an end gradually tapering to form a tip. The tip of the puncture head is circumferentially designed with a groove for fixing a thread during surgery. The puncture head is smoothly connected with the puncture rod body, and the line between the tip of the puncture head and puncture rod body is at an obtuse angle of 130-140° relative to the puncture rod body. The sheath is sleeved on the puncture rod with the rod tip exposed. The mesh and sheath are designed as separate or integrated, and the tip of the puncture rod is provided with a shape-matching detachable silicone protective sleeve.

An implantable restriction device includes a plurality of beads, a plurality of links joining the beads together, and a parking feature. Each bead in the plurality of beads includes a housing, a passageway extending through the housing, and at least one magnet disposed around the passageway. The plurality of links are slidably disposed in corresponding passageways of the beads such that the plurality of beads can transition between a constricted configuration and an expanded configuration. The parking feature can consistently position the at least one link relative to the housing in the contracted configuration.

An implantable restriction device includes a plurality of beads, a plurality of links joining the beads together, and a parking feature. Each bead in the plurality of beads includes a housing, a passageway extending through the housing, and at least one magnet disposed around the passageway. The plurality of links are slidably disposed in corresponding passageways of the beads such that the plurality of beads can transition between a constricted configuration and an expanded configuration. The parking feature can consistently position the at least one link relative to the housing in the contracted configuration.

A urinary incontinence prevention clip for men includes: a clip body having an upper frame positioned so as to correspond to the upper part of male genitalia, a lower frame positioned so as to correspond to the lower part of the male genitalia, and a connection part connected to one side of the upper frame and the lower frame and providing elastic force in a direction, in which the upper frame and the lower frame are spread; cushion parts respectively provided on the inside of the upper frame and the inside of the lower frame; and locking parts formed at both ends of the clip body so as to be fastened to each other, wherein the upper frame is formed so as not to press the blood vessels of the male genitalia and the lower frame is formed so as to press the urethras of the male genitalia.

An artificial sphincter and method closing the artificial sphincter includes a plurality of bodies, a plurality of links, a coupling body, and a coupling assembly. The plurality of bodies each have respective magnets and are arranged from a first terminal body to a second terminal body. The plurality of links respectively resiliently extend and connect between the plurality of bodies. The coupling body has a first end segment and a second end segment respectively connected to a first terminal link and a second terminal link respectively extending from the first and second end segments. The coupling assembly has a clasp configured to close to form a closed loop and a coupling guide configured to be manipulated to thereby orient portions of the clasp to a predetermined orientation for connection in the connected state.

The present invention relates to devices for treating or managing fecal or bowel incontinence and methods employing them. In an embodiment, such a device can form a seal with at least a portion of the bowel to prevent unwanted discharge of fecal matter from the rectum.

Methods are disclosed for forming tissue engineered, tubular gut-sphincter complexes from intestinal circular smooth muscle cells, sphincteric smooth muscle cells and enteric neural progenitor cells. The intestinal smooth muscle cells and neural progenitor cells can be seeded on a mold with a surface texture that induces longitudinal alignment of the intestinal smooth muscle cells and co-cultured until an innervated aligned smooth muscle sheet is obtained. The innervated smooth muscle sheet can then be wrapped around a tubular scaffold to form an intestinal tissue construct. Additionally, the sphincteric smooth muscle cells and additional enteric neural progenitor cells can be mixed in a biocompatiable gel solution, and the gel and admixed cells applied to a mold having a central post such that the sphinteric smooth muscle and neural progenitor cells can be cultured to form an innervated sphincter construct around the mold post. This innervated sphincter construct can also be transferred to the tubular scaffold such that the intestinal tissue construct and sphincter construct contact each other, and the resulting combined sphincter and intestinal tissue constructs can be further cultured about the scaffold until a unified tubular gut-sphincter complex is obtained.

The present invention relates to devices for treating or managing fecal or bowel incontinence and methods employing them. In an embodiment, such a device can form a seal with at least a portion of the bowel to prevent unwanted discharge of fecal matter from the rectum.