Claims Analysis
Total Claims: 23
Claim 1
Independent Claim
181 words
A prosthesis adapted to be inserted and contained in a biological lumen or tract, comprising: first and second tubular elements that are locatable on either side of a sphincter surrounding the lumen or tract, wherein the first and second tubular elements comprise at least a substantially smooth outer layer of a biocompatible material which is sufficiently flexible to conform to the lumen or tract and sufficiently rigid to maintain an artificial passage through the lumen or tract against a force that tends to obstruct the lumen or tract; and a connecting element comprising a first end that is connected to the first tubular element, a second end that is connected to the second tubular element, and a flexible middle portion joining the first and second ends that is locatable in the sphincter, wherein the middle portion can be moved by the sphincter to allow the sphincter to close naturally and thereby close the lumen or tract, and wherein abutment of the first and second tubular elements against the sphincter can substantially maintain position of the prosthesis in the lumen or tract.
Claim 2
Dependent Claim
181 words
A prosthesis adapted to be inserted and contained in a biological lumen or tract, comprising: first and second tubular elements that are locatable on either side of a sphincter surrounding the lumen or tract, wherein the first and second tubular elements comprise at least a substantially smooth outer layer of a biocompatible material which is sufficiently flexible to conform to the lumen or tract and sufficiently rigid to maintain an artificial passage through the lumen or tract against a force that tends to obstruct the lumen or tract; and a connecting element comprising a first end that is connected to the first tubular element, a second end that is connected to the second tubular element, and a flexible middle portion joining the first and second ends that is locatable in the sphincter, wherein the middle portion can be moved by the sphincter to allow the sphincter to close naturally and thereby close the lumen or tract, and wherein abutment of the first and second tubular elements against the sphincter can substantially maintain position of the prosthesis in the lumen or tract.
Claim 3
Dependent Claim
14 words
The prosthesis according to claim 1, wherein the connecting element comprises a flexible sleeve.
Claim 4
Dependent Claim
46 words
The prosthesis according to claim 2, wherein the connecting element assumes a closed configuration upon contraction of the sphincter wherein fluid flow through the connecting element is prevented, and a flow configuration upon relaxation of the sphincter wherein fluid flow through the connecting element is possible.
Claim 5
Dependent Claim
19 words
The prosthesis according to claim 3, wherein the connecting element assumes an hourglass shape when in the closed configuration.
Claim 6
Dependent Claim
19 words
The prosthesis according to claim 3, wherein the connecting element assumes a cylindrical shape when in the flow configuration.
Claim 7
Dependent Claim
35 words
The prosthesis according to claim 3, wherein the first and second tubular elements and the connecting element form a conduit having a substantially constant inner diameter when the connecting element is in the flow configuration.
Claim 8
Dependent Claim
34 words
The prosthesis according to claim 1, wherein a thickness of a wall of the middle portion of the connecting element is smaller than a thickness of walls of the first and second tubular elements.
Claim 9
Dependent Claim
20 words
The prosthesis according to claim 1, wherein apertures are formed in at least the middle portion of the connecting element.
Claim 10
Dependent Claim
41 words
The prosthesis according to claim 1, wherein the connecting element comprises at least one strip of material, and wherein first and second ends of each at least one strip of material are connected to the first and second tubular elements, respectively.
Claim 11
Dependent Claim
17 words
The prosthesis according to claim 9, wherein the at least one strip of material comprises a thread.
Claim 12
Dependent Claim
33 words
The prosthesis according to claim 9, wherein the at least one strip of material comprises a plurality of strips of material, and wherein the plurality of strips of material are radially inwardly movable.
Claim 13
Dependent Claim
21 words
The prosthesis according to claim 1, wherein at least one of the first and second tubular elements includes a reinforcing element.
Claim 14
Dependent Claim
26 words
The prosthesis according to claim 12, wherein the reinforcing element comprises a coil of material embedded in a wall of the at least one tubular element.
Claim 15
Dependent Claim
27 words
The prosthesis according to claim 1, wherein a plurality of apertures are distributed along a length of at least one of the first and second tubular elements.
Claim 16
Dependent Claim
28 words
The prosthesis according to claim 1, wherein a plurality of undulations are distributed along an outer wall of at least one of the first and second tubular elements.
Claim 17
Dependent Claim
53 words
The prosthesis according to claim 1, wherein an end of at least one of the first and second tubular elements opposite the connecting element is closed and has a convex shape, and wherein at least one aperture is formed in a wall of the at least one tubular element adjacent the closed end.
Claim 18
Dependent Claim
30 words
The prosthesis according to claim 1, wherein a removal thread is attached to an end of at least one of the first and second tubular elements opposite the connecting element.
Claim 19
Dependent Claim
26 words
The prosthesis according to claim 1, wherein an external diameter of the first tubular element is greater than an external diameter of the second tubular element.
Claim 20
Dependent Claim
27 words
The prosthesis according to claim 1, wherein an external surface of at least one of the first and second tubular elements is coated with a therapeutic substance.
Claim 21
Dependent Claim
97 words
An assembly for treating a biological lumen or tract, comprising: a prosthesis according to claim 16; a semi-rigid cylindrical mandrel having a first end with an outer diameter that is adapted to pass inside an inner diameter of the prosthesis to engage the prosthesis, and wherein a second, opposite end of the mandrel has an outer limit stop; and a rigid and hollow cylindrical pusher having inner and outer diameters, the inner diameter allowing the mandrel to pass inside the pusher, wherein the pusher acts as a spacer between the engaged prosthesis and the outer limit stop.
Claim 22
Dependent Claim
36 words
An assembly according to claim 20, wherein the mandrel is hollow and includes an aperture that aligns with the at least one aperture adjacent the closed end of the prosthesis when the mandrel engages the prosthesis.
Claim 23
Dependent Claim
155 words
A method of treating an obstruction of a biological lumen or tract that passes through a sphincter using the prosthesis of claim 19, wherein the obstruction is due to an external force that tends to close the lumen or tract, and wherein the prosthesis is located in the biological lumen or tract such that the first and second tubular members are located on either side of the sphincter and the connecting element extends through the sphincter, comprising the steps of: supporting an interior of the lumen or tract at the obstruction with a smooth walled portion of at least one of the first and second tubular elements so that the biological lumen or tract is open despite the external force that tends to close the lumen or tract; and allowing the sphincter to contract to block fluid flow through the lumen or tract, and to relax to permit fluid flow through the lumen or tract.