Development of a novel, remote-controlled artificial bowel sphincter through microsystems technology

Artificial Organs

Volumn 30, Issue 11, 2006, Pages 855-862

  Schrag, Hans J ^a,b   Ruthmann, Olaf ^a   Doll, Alexander ^a   Goldschmidtböing, Frank ^a   Woias, Peter ^a   Hopt, Ulrich T ^a  

^a UNIVERSITY OF FREIBURG   (Germany)

^b UNIVERSITY OF FREIBURG   (Germany)

Author keywords

Artificial anus; Fecal incontinence; Micropump; Piezo technology; Sphincter prosthesis

Indexed keywords

CANALS; HYDRAULIC STRUCTURES; PROSTHETICS;

ANAL CANAL; ARTIFICIAL ANI; FECAL INCONTINENCE; FLUID RESERVOIRS; IN-VIVO; MANAGEMENT IS; MICRO PUMP; MICRO SYSTEMS TECHNOLOGIES; PIEZO TECHNOLOGY; SPHINCTER PROSTHESIS;

REMOTE CONTROL;

ARTICLE; ARTIFICIAL ORGAN; CONTROLLED STUDY; DIARRHEA; ENERGY CONSUMPTION; ENTEROSTOMY; FECES INCONTINENCE; IN VITRO STUDY; IN VIVO STUDY; ISCHEMIA; NONHUMAN; PRIORITY JOURNAL; RESERVOIR; RISK FACTOR;

SUIDAE;

EID: 33750308690     PISSN: 0160564X     EISSN: 15251594     Source Type: Journal    
DOI: 10.1111/j.1525-1594.2006.00312.x     Document Type: Article

References (21)

1. Baeten CG, Uludag Ö. Second line treatment for faecal incontinence. Scand J Gastroenterol 2002;37(Suppl. 236):72-5.
2. Lehur PA, Roig JV, Duinslaeger M. Artificial anal sphincter: prospective clinical and manometric evaluation. Dis Colon Rectum 2000;43:1100-6.
3. Finlay IG, Richardson W, Hajivassiliou CA. Outcome after implantation of a novel prosthetic anal sphincter in humans. Br J Surg 2004;91:1485-92.
4. Christiansen J, Rasmussen OO, Lindorff-Larsen K. Long-term results of artificial anal sphincter implantation for severe anal incontinence. Ann Surg 1999;230:45-8.
5. Parker SC, Spencer MP, Madoff RD, Jensen LL, Wong WD, Rothenberger DA. Artificial bowel sphincter: long term experience at a single institution. Dis Colon Rectum 2003;46:722-9.
6. Goldschmidtböing F, Doll A, Heinrich M, Woias P, Schrag H-J, Hopt UT. A generic analytical model for microdiaphragm pumps with active valves. J Micromech Microeng 2005;15:673-83.
7. Schrag HJ, Karwath D, Grub C, Padilla FF, Noack T, Hopt UT. Electrodynamic smooth muscle sphincter. Development and biomechanical evaluation of a novel porcine artificial smooth muscle sphincter in a new in vitro stoma simulator. Int J Colorectal Dis 2005;20:321-7.
8. Wong WD, Congliosi SM, Spencer MP, et al. The safety and efficacy of the artificial bowel sphincter for fecal incontinence. Dis Colon Rectum 2003;45:1139-53.
9. Oritz H, Armendariz P, De Miguel M, Ruiz MD, Alos R, Roig JV. Complications and functional outcome following artificial anal sphincter implantation. Br J Surg 2002;89:877-81.
10. Hajivassiliou CA, Carter KB, Finlay IG. Assessment of a novel implantable anal sphincter. Dis Colon Rectum 1997;40:711-7.
11. Hajivassiliou CA, Finlay IG. Effect of a novel prosthetic anal neosphincter on human colonic blood flow. Br J Surg 1998;85:1703-7.
12. Schrag HJ. Implantierbares extraluminales künstliches Sphinkterersatzsystem insbesondere für Dick- und Dünndarm. German Patent: DE 10023634/2003.
13. Schrag HJ, Padilla FF, Goldschmidtböing F, Doll A, Woias P, Hopt UT. German Artificial Sphincter System: first report of a novel and highly integrated sphincter prosthesis for therapy of major fecal incontinence. Dis Colon Rectum 2004;47:2215-7.
14. Zengerle R, Geiger W, Richter M, Ulrich J, Kulge S, Richter A. Transientmeasurements on miniaturized diaphragm pumps in microfluid systems. Sensors Actuators 1995;A 50:135-40.
15. Koch M, Harris N, Maas R, Evans AGR, White NM, Brunnschweiler A. A novel micropump design with thick-film piezoelectric actuation. Meas Sci Technol 1997;8:49-57.
16. Laser DJ, Santiago JG. A review of micropumps. J Micromech Microeng 2004;14:35-64.
17. Schrag HJ. Implantierbares Schließmuskelprothesensystem, insbesondere zum Einsatz im Bereich des Analkanals. German Patent: DE 102004018807/2005.
18. Wong WD, Jensen LL, Bartolo DCC, Rothenberger DA. Artificial anal sphincter. Dis Colon Rectum 1996;39:1345-51.
19. Light JK, Scott FB. The artificial urinary sphincter in children. Br J Urol 1984;56:54-7.
20. Light JK. Long term clinical results using the artificial urinary sphincter around bowel. Br J Urol 1989;64:56-60.
21. Gogolewski S. Selected topics in biomedical polyurethanes. A review. Colloid Polym Sci 1989;267:757-85.