IP Library Granted Patent US 9,949,871
Granted Patent B2
US 9,949,871 · App. 12/285,793 · Granted Apr 24, 2018

Method for controlling flow of eggs in a uterine tube

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Quick Facts
Patent No.
US 9,949,871
App. No.
12/285,793
Granted
Apr 24, 2018
Kind
B2
Abstract

There is provided a method for controlling a flow of eggs in a uterine tube formed by a uterine tube wall of a patient. The method comprises gently constricting (i.e., without substantially hampering the blood circulation in the uterine tube wall) at least one portion of the uterine tube wall to influence the flow of eggs in the uterine tube, and stimulating the constricted wall portion to cause contraction of the uterine tube wall portion to further influence the flow of eggs in the uterine tube. The method can be used for restricting or stopping the flow of eggs in the uterine tube, or for actively moving the fluid in the uterine tube, with a low risk of injuring the uterine tube.

Claims (203)

1. A method for controlling a flow of eggs in a uterine tube of a female patient, the method comprising the steps of:

gently constricting, using a constriction device adapted to constrict the uterine tube from the outside thereof on at least one selected portion of the uterine tube wall, thereby constricting the at least one selected wall portion to a constricted state in which the blood circulation in the at least one selected wall portion, when constricted, is substantially unrestricted, wherein the step of gently constricting is performed in order to influence the flow of eggs in the uterine tube, and

stimulating, using a stimulation device adapted to electrically or thermally stimulate different areas of at least one portion of the selected wall portion of the uterine tube wall from the outside thereof when gently constricted, wherein the step of stimulating is performed in order to cause contraction of the at least one portion of the selected wall portion to further influence the flow of eggs in the uterine tube,

controlling the constriction device and the stimulation device using a control device to co-ordinate the steps of the gently constricting and stimulating.

2. The method according to claim 1 , wherein the constriction step is performed so that a flow of sperms in the uterine tube at least is restricted, and the stimulation step is performed so that the flow of sperms in the uterine tube at least is further restricted.

3. The method according to claim 1 , wherein the uterine tube wall portion is constricted, so that the flow of eggs in the uterine tube at least is restricted and the constricted wall portion is stimulated to close a lumen in the uterine tube wall portion to restrict the flow of eggs in the uterine tube.

4. The method according to claim 1 , wherein the uterine tube wall portion is constricted to a constricted state, in which the blood circulation in the constricted wall portion is substantially unrestricted and the flow of eggs in the uterine tube is at least restricted, and the constricted wall portion is stimulated when it is in the constricted state to at least further restrict the flow of eggs in the uterine tube.

5. The method according to claim 1 , wherein the uterine tube wall portion is stimulated while the constriction of the uterine tube wall portion is changed.

6. The method according to claim 1 , wherein the constriction of the uterine tube wall portion is calibrated by stimulating the uterine tube wall portion while adjusting the constriction of the uterine tube wall portion until the desired restriction of the flow of eggs in the uterine tube is obtained.

7. The method according to claim 1 , wherein the step of constricting is performed by constricting the uterine tube wall portion, so that the flow of eggs in the uterine tube is restricted but not stopped, and the step of stimulating is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of eggs in the uterine tube is further restricted but not stopped.

8. The method according to claim 7 , further comprising sensing a physical parameter of the patient and adjusting the intensity of the stimulation of the uterine tube wall portion in response to the sensed parameter.

9. The method according to claim 7 , further comprising a step of ceasing stimulating the uterine tube wall portion to increase the flow of eggs in the uterine tube, and a step of releasing the uterine tube wall portion to restore the flow of eggs in the uterine tube.

10. The method according to claim 1 , wherein the step of constricting is performed by constricting the uterine tube wall portion, so that the flow of eggs in the uterine tube is restricted but not stopped, and the step of stimulating is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of eggs in the uterine tube is stopped.

11. The method according to claim 10 , further comprising a step of ceasing stimulating the uterine tube wall portion to allow flow in the uterine tube, and a step of releasing the uterine tube wall portion to restore the flow of eggs in the uterine tube.

12. The method according to claim 10 , further comprising sensing a physical parameter of the patient and adjusting the intensity of the stimulation of the uterine tube wall portion in response to the sensed parameter, wherein the intensity of the stimulation of the uterine tube wall portion is increased so that the flow of eggs in the uterine tube remains stopped when a pressure increase occurs in the uterine tube, wherein the physical parameter relates to the pressure in the uterine tube, and the stimulation of the uterine tube wall portion is controlled in response to the sensed parameter, and wherein the physical parameter is a pressure in the patient's body.

13. The method according to claim 1 , wherein the constricting step is performed by constricting the uterine tube wall portion, so that the flow of eggs in the uterine tube is substantially stopped, and the stimulating step is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of eggs in the uterine tube is completely stopped.

14. The method according to claim 13 , further comprising a step of ceasing stimulating the uterine tube wall portion to allow flow in the uterine tube, and a step of releasing the uterine tube wall portion to restore the flow of eggs in the uterine tube.

15. The method according to claim 13 , further comprising sensing a physical parameter of the patient and adjusting the intensity of the stimulation of the uterine tube wall portion in response to the sensed parameter, wherein the intensity of the stimulation of the uterine tube wall portion is increased so that the flow of eggs in the uterine tube remains stopped when a pressure increase occurs in the uterine tube, wherein the physical parameter of the patient's relates to the pressure in the uterine tube and the stimulation of the uterine tube wall portion is controlled in response to the sensed parameter, and wherein the physical parameter is a pressure in the patient's body.

16. The method according to claim 1 , wherein the constricting step is performed by constricting the uterine tube wall portion, so that the flow of eggs in the uterine tube is stopped.

17. The method according to claim 16 , further comprising the step of releasing the uterine tube wall portion to restore the flow of eggs in the uterine tube.

18. The method according to claim 16 , wherein the stimulating step is performed by stimulating the constricted wall portion to cause contraction thereof, so that the flow of eggs in the uterine tube remains stopped when a pressure increase occurs in the uterine tube, further comprising sensing a physical parameter of the patient's that relates to the pressure in the uterine tube, and controlling the stimulation of the uterine tube wall portion in response to the sensed parameter, wherein the physical parameter is a pressure in the patient's body.

19. The method according to claim 1 , wherein the steps of constricting and stimulating are co-operated to move the eggs in the uterine tube.

20. The method according to claim 19 , wherein the step of constricting is performed by constricting the uterine tube wall portion to restrict the flow of eggs in the uterine tube, and the step of stimulating is performed by progressively stimulating the constricted wall portion to cause progressive contraction of the uterine tube wall portion to move the eggs in the uterine tube, and, wherein the constricted wall portion is progressively stimulated in the downstream or upstream direction of the uterine tube.

21. The method according to claim 19 , wherein the step of constricting is performed by constricting the uterine tube wall portion to restrict the flow of eggs in the uterine tube, and the step of stimulating is performed by stimulating the constricted wall portion to close the uterine tube either at an upstream end or a downstream end of the constricted wall portion, further comprising a step of increasing the constriction of the uterine tube wall portion to move the eggs in the uterine tube.

22. The method according to claim 19 , wherein the step of constricting is performed by varyingly constricting the uterine tube wall portion to vary the flow of eggs in the uterine tube, and the step of stimulating is performed by progressively stimulating the constricted wall portion to cause progressive contraction of the uterine tube wall portion to move the eggs in the uterine tube, wherein the constricted wall portion is progressively stimulated in the downstream or upstream direction of the uterine tube.

23. The method according to claim 19 , wherein the step of constricting is performed by varyingly constricting different areas of the uterine tube wall portion to cause progressive constriction of the uterine tube wall portion in the downstream or upstream direction of the uterine tube.

24. The method according to claim 23 , wherein the constricted wall portion is progressively stimulated to cause progressive contraction thereof in harmony with the progressive constriction of the uterine tube wall portion.

25. The method according to claim 23 , further comprising providing at least one elongated constriction element in the constriction device, the at least one elongated constriction element extending along the uterine tube wall portion, and controlling the at least one elongated constriction element to progressively constrict the uterine tube wall portion in the downstream or upstream direction of the uterine tube, wherein the at least one elongated constriction element comprises contact surfaces dimensioned to contact a length of the uterine tube wall portion, further comprising providing a plurality of stimulation elements in the stimulation device, the plurality of stimulation elements being distributed along the contact surfaces, and controlling the stimulation elements to stimulate the different areas of the uterine tube wall portion along the length of the uterine tube wall portion.

26. The method according to claim 19 , wherein the step of constricting is performed by constricting any one of a series of wall portions of the uterine tube wall to at least restrict the flow of eggs in the uterine tube, and the step of stimulating is performed by stimulating the constricted wall portion to close the uterine tube, further comprising successively constricting the uterine tube wall portions of the series of wall portions to move the eggs in the uterine tube in a peristaltic manner.

27. The method according to claim 26 , further comprising providing a plurality of constriction elements and stimulation elements positioned on the constriction elements, moving each constriction element along the uterine tube to successively constrict the uterine tube wall portions of the series of wall portions, and using the stimulation elements to stimulate the uterine tube wall portion constricted by any one of the constriction elements to close the uterine tube, further comprising cyclically moving the constriction elements one after the other along the uterine tube wall portions of the series of uterine tube wall portions, and further comprising providing a rotor carrying the constriction elements, and rotating the rotor so that each constriction element cyclically constricts the uterine tube wall portions of the series of uterine tube wall portions, wherein each constriction element comprises a roller that rolls on the uterine tube to constrict the latter.

28. The method according to claim 19 , wherein the step of constricting is performed by constricting the uterine tube wall portion at an upstream or downstream end thereof to close the uterine tube, further comprising a step of constricting the uterine tube wall portion between the upstream and downstream ends thereof, to move the eggs contained in the uterine tube wall portion between the upstream and downstream ends thereof downstream or upstream in the uterine tube, further comprising stimulating the uterine tube wall portion between the upstream and downstream ends thereof, as constriction is performed, wherein the step of constriction is performed by constricting the uterine tube wall portion at the upstream or downstream end thereof to restrict the flow of eggs in the uterine tube, and the step of stimulating is performed by stimulating the constricted wall portion at the upstream or downstream end to close the uterine tube, whereby the eggs contained in the uterine tube wall portion between the upstream and downstream ends thereof is moved downstream or upstream in the uterine tube, as constriction is performed.

29. The method according to claim 19 , wherein the step of stimulating is performed by stimulating the uterine tube wall portion with electric pulses.

30. The method according to claim 1 , further comprising, controlling by the patient the performance of the step of constricting and the step of stimulating from outside the patient's body.

31. The method according to claim 1 , further comprising sensing a physical parameter of the patient and automatically controlling the performance of the step of constricting and the step of stimulating in response to the sensed parameter.

32. The method according to claim 1 , further comprising providing an external control device that controls at least one of the constriction device and the stimulation device, and operating the control device from outside the patient's body.

33. The method according to claim 32 , wherein the control device comprises a hand-held wireless remote control that is operated by the patient, or a manually operable switch for switching on and off at least one of the constriction device and the stimulation device, the method further comprising subcutaneously implanting the switch in the patient and manually operating the implanted switch from outside the patient's body.

34. The method according to claim 32 , further comprising using the control device to wirelessly control at least one of the constriction device and the stimulation device in a non-magnetic manner.

35. The method according to claim 32 , further comprising implanting at least one sensor and controlling by the control device at least one of the constriction device and the stimulation device in response to signals from the at least one sensor.

36. The method according to claim 35 , wherein at least one physical parameter of the patient is directly or indirectly sensed by at least one of the at least one sensors, the at least one sensor comprising a pressure sensor that senses a pressure in the patient's body, further comprising controlling the constriction device by the control device to change the constriction of the patient's wall portion in response to the pressure sensor sensing a predetermined value.

37. The method according to claim 35 , further comprising implanting in the patient a medical implant, wherein at least one functional parameter of the medical implant is directly or indirectly sensed by at least one of the at least one sensor.

38. The method according to claim 35 , wherein the control device comprises an internal control unit, further comprising implanting in the patient the internal control unit and directly controlling by the internal control unit at least one of the constriction device and the stimulation device in response to signals from at least one of the at least one sensor.

39. The method according to claim 35 , wherein the control device comprises an external control unit outside the patient's body, further comprising controlling by the external control unit the constriction device and stimulation device in response to signals from at least one of the at least one sensor.

40. The method according to claim 35 , wherein the control device produces an indication in response to signals from at least one of the at least one sensor, the indication comprising a sound signal or displayed information.

41. The method according to claim 32 , wherein the control device comprises a manually operable switch for switching on and off the at least one of the stimulation and constriction devices, further comprising subcutaneously implanting the switch in the patient.

42. The method according to claim 32 , wherein the control device comprises a wireless remote control that controls the at least one of the stimulation and constriction devices from outside the patient's body, wherein the wireless remote control transmits at least one wireless control signal for controlling at least one of the constriction device and the stimulation device.

43. The method according to claim 42 , wherein the control signal comprises at least one of a frequency, an amplitude and a phase modulated signal, or a combination thereof, and an analogue or a digital signal, or a combination of an analogue and digital signal.

44. The method according to claim 43 , wherein the wireless remote control transmits an electromagnetic carrier wave signal that carries the digital or analogue control signal.

45. The method according to claim 42 , wherein the wireless remote control transmits a carrier signal that carries the control signal, the carrier signal comprising digital, analogue or a combination of digital and analogue wave signals.

46. The method according to claim 42 , wherein the control signal comprises an electric or magnetic field or a combined electric and magnetic field, or a wave signal comprising one of a sound wave signal, an ultrasound wave signal, an electromagnetic wave signal, an infrared light signal, a visible light signal, an ultra violet light signal, a laser light signal, a micro wave signal, a radio wave signal, an x-ray radiation signal and a gamma radiation signal.

47. The method according to claim 1 , wherein the stimulation step is performed by intermittently and individually stimulating different areas of the uterine tube wall portion so that at least two of the areas are stimulated at different points of time, wherein the stimulation step is performed by intermittently stimulating each area of the different areas of the uterine tube wall portion during successive time periods, each time period being short enough to maintain over time satisfactory blood circulation in the area until the lapse of the time period, and wherein the stimulation step is performed by intermittently stimulating the areas of the uterine tube wall portion so that an area of the uterine tube wall portion that currently is not stimulated has time to restore substantially normal blood circulation before it is stimulated again.

48. The method according to claim 1 , wherein the stimulation step is performed by stimulating one or more of different areas of the uterine tube wall portion at a time.

49. The method according to claim 48 , wherein the stimulation step is performed by sequentially stimulating the different areas of the uterine tube wall portion, or by shifting the stimulation from one area to another over time, or by cyclically propagating the stimulation of the areas along the wall portion in the same or opposite direction of the flow in the patient's uterine tube in accordance with a determined stimulation pattern.

50. The method according to claim 1 , wherein the stimulation step is performed by stimulating the uterine tube wall portion with cyclically varying stimulation intensity.

51. The method according to claim 1 , wherein the stimulation step is performed by intermittently and individually stimulating different areas of the uterine tube wall portion with pulses.

52. The method according to claim 51 , wherein the pulses form pulse trains and at least one of the following steps is performed:

varying the pulse amplitudes of the pulses of the pulse trains;

varying the frequency of the pulses of the pulse trains;

varying the frequency of the pulse trains; and

varying the number of pulses of each pulse train.

53. The method according to claim 51 , wherein the pulses form pulse trains and each off time period between the pulse trains is kept long enough to restore substantially normal blood circulation in each area when the area is not stimulated during the off time periods.

54. The method according to claim 1 , wherein the stimulation step is performed by electrically stimulating different areas of the uterine tube wall portion with electric pulses.

55. The method according to claim 54 , wherein the uterine tube wall portion includes muscle fibers, and the step of stimulating is performed by stimulating the uterine tube wall portion including the muscle fibers with the electric pulses.

56. The method according to claim 54 , further comprising providing at least one electrical element engaging the uterine tube wall portion.

57. The method according to claim 56 , further comprising providing a plurality of electrical elements engaging the uterine tube wall portion.

58. The method according to claim 57 , further comprising placing the electrical elements in a fixed orientation relative to one another and providing a structure holding the electrical elements in the fixed orientation, wherein the electrical elements form an elongate pattern of electrical elements with two opposite short ends, further comprising applying the structure on the patient's uterine tube so that the elongate pattern of electrical elements extends along the uterine tube wall portion of the uterine tube in the direction of the flow of eggs in the patient's uterine tube and the elements abut the respective areas of the uterine tube wall portion.

59. The method according to claim 57 , further comprising electrically energizing the electrical elements, wherein each electrical element is cyclically energized with electric pulses.

60. The method according to claim 59 , wherein the electrical elements are energized so that a number or groups of the electrical elements are energized at the same time.

61. The method according to claim 59 , wherein the electrical elements are energized one at a time in sequence or groups of the electrical elements are sequentially energized, either randomly or in accordance with a predetermined pattern.

62. The method according to claim 59 , further comprising applying the electrical elements on the patient's uterine tube so that the electrical elements form an elongate pattern of electrical elements extending along the uterine tube wall portion of the uterine tube in the direction of the flow of eggs in the patient's uterine tube and the elements abut the respective areas of the uterine tube wall portion.

63. The method according to claim 62 , wherein the electrical elements are successively energized along the elongate pattern of electrical elements.

64. The method according to claim 63 , wherein the electrical elements are successively energized along the elongate pattern of electrical elements in the same or opposite direction of the flow of eggs in the patient's uterine tube.

65. The method according to claim 63 , wherein the electrical elements are successively energized along the elongate pattern of electrical elements from a position substantially at the center of the constricted wall portion towards both ends of the elongate pattern of electrical elements.

66. The method according to claim 63 , wherein the electrical elements are energized so that electrical elements currently energized form at least one group of adjacent energized electrical elements.

67. The method according to claim 66 , wherein the elements in the group of energized electrical elements form a path of energized electrical elements, and wherein the path of energized electrical elements extends at least in part or completely around the patient's uterine tube.

68. The method according to claim 66 , wherein the group of adjacent energized electrical elements comprises one or more electrical elements.

69. The method according to claim 68 , wherein the group of adjacent energized electrical elements comprises two electrical elements provided mutually on opposite sides of the patient's uterine tube.

70. The method according to claim 68 , wherein the group of adjacent energized electrical elements comprises three electrical elements extending around the patient's uterine tube.

71. The method according to claim 66 , wherein the electrical elements are applied on the patient's uterine tube in a series of groups of elements extending along the patient's uterine tube in the direction of flow in the patient's uterine tube, and wherein the groups of electrical elements in the series of groups are successively energized in the same or opposite direction of the flow in the patient's uterine tube.

72. The method according to claim 62 , wherein the electrical elements are applied on the patient's uterine tube in a series of groups of elements extending along the patient's uterine tube in the direction of flow in the patient's uterine tube.

73. The method according to claim 72 , wherein the groups of electrical elements in the series of groups are successively energized in the same or opposite direction of the flow of eggs in the patient's uterine tube.

74. The method according to claim 72 , wherein the electrical elements of each group of electrical elements form a path of elements extending at least in part or completely around the patient's uterine tube.

75. The method according to claim 72 , wherein the electrical elements of each group of electrical elements form two paths of elements extending on mutual sides of the patient's uterine tube, and wherein the two paths of electrical elements of each group of elements extend at least substantially transverse to the direction of flow in the patient's uterine tube.

76. The method according to claim 1 , wherein the stimulation step is performed by thermally stimulating the uterine tube wall portion.

77. The method according to claim 1 , wherein the step of constricting is performed to at least restrict the flow of eggs in the uterine tube, and the step of stimulating is performed by cooling the uterine tube wall portion to cause contraction of the uterine tube wall portion, so that the flow of eggs in the uterine tube is at least further restricted, or at least further restricted but not stopped, or stopped.

78. The method according to claim 77 , further comprising a step of heating the uterine tube wall portion, when the uterine tube wall portion is constricted and contracted, to cause expansion of the uterine tube wall portion.

79. The method according to claim 1 , further comprising calibrating the constriction of the uterine tube wall portion by controlling the stimulation device to stimulate the uterine tube wall portion while controlling the constriction device to adjust the constriction of the uterine tube wall portion until the desired restriction of the flow of eggs in the uterine tube is obtained.

80. The method according to claim 1 , wherein the step of constricting is performed by mechanically or hydraulically constricting the uterine tube wall portion.

81. The method according to claim 80 , wherein the step of constricting is performed by mechanically or hydraulically constricting the uterine tube wall portion in at least one of a non-magnetic and a non-manual manner.

82. The method according to claim 80 , wherein the step of constricting is performed by constricting the uterine tube wall portion so that the through-flow area of the uterine tube assumes a size in the constricted state small enough to cause the flow of eggs in the uterine tube to stop when the step of stimulating is performed.

83. The method according to claim 80 , wherein the step of constricting is performed by bending the uterine tube, or clamping the uterine tube between at least two elements positioned on different sides of the uterine tube, or clamping the uterine tube between an element and the bone or tissue of the patient, or rotating at least two elements positioned on different sides of the uterine tube, or clamping the uterine tube between at least two articulated clamping elements positioned on different sides of the uterine tube.

84. The method according to claim 80 , further comprising implanting in the patient a main reservoir containing a predetermined amount of hydraulic fluid and the constriction device for engaging the uterine tube wall portion and having an expandable cavity, wherein the step of constricting is performed by distributing hydraulic fluid from the main reservoir to increase the volume of the cavity to constrict the uterine tube wall portion.

85. The method according to claim 84 , wherein the main reservoir comprises first and second wall portions, and the step of constricting is performed by displacing the first and second wall portions towards each other to decrease the volume of the main reservoir, so that fluid is distributed from the main reservoir to the cavity, and wherein at least one of a magnetic device, a hydraulic device or an electric control device displaces the first and second wall portions of the main reservoir toward each other.

86. The method according to claim 84 , further comprising implanting a reverse servo that distributes hydraulic fluid from the main reservoir to the cavity.

87. The method according to claim 86 , wherein the main reservoir comprises first and second wall portions, and the reverse servo displaces the first and second wall portions towards each other to decrease the volume of the main reservoir, so that fluid is distributed from the main reservoir to the cavity, and wherein the reverse servo comprises an expandable servo reservoir containing servo fluid and having first and second wall portions, which are displaceable relative to each other in response to a change in the volume of the expandable servo reservoir, and the first and second wall portions of the servo reservoir are operatively connected to the first and second wall portions of the main reservoir, so that the volume of the main reservoir is changed when the volume of the servo reservoir is changed.

88. The method according to claim 87 , further comprising dimensioning the servo and main reservoirs so that when the volume of the servo reservoir is changed by a relatively small amount of servo fluid, the volume of the main reservoir is changed by a relatively large amount of hydraulic fluid.

89. The method according to claim 87 , wherein the first and second wall portions of the servo reservoir are displaced relative to each other by manual manipulation or by a magnetic device, a hydraulic device, or an electric control device.

90. The method according to claim 87 , wherein the reverse servo comprises a fluid supply reservoir hydraulically connected to the servo reservoir to form a closed conduit system for the servo fluid.

91. The method according to claim 84 , further comprising implanting in the patient a pump that pumps fluid between the main reservoir and the cavity.

92. The method according to claim 91 , wherein the pump comprises a first activation member that activates the pump to pump fluid from the main reservoir to the cavity and a second activation member that activates the pump to pump fluid from the cavity to the main reservoir.

93. The method according to claim 92 wherein at least one of the activation members operates when subjected to an external predetermined pressure.

94. The method according to claim 92 , wherein at least one of the first and second activating members are operated by magnetic means, hydraulic means, or electric control means, a magnetic device, a hydraulic device, or an electric control device.

95. The method according to claim 91 , further comprising implanting a fluid conduit between the pump and the cavity, the main reservoir forming part of the conduit and the conduit and pump being devoid of any non-return valve, wherein the main reservoir forms a fluid chamber with a variable volume, the step of constricting is performed by reducing the volume of the chamber so that fluid is pumped from the chamber to the cavity and the pump comprises a movable wall of the main reservoir for changing the volume of the chamber, the method further comprising implanting a motor for driving the pump.

96. The method according to claim 1 , further comprising transmitting wireless energy from outside the patient's body to inside the patient's body and using the transmitted wireless energy in connection with the operation of the at least one of the stimulation and constriction devices.

97. The method according to claim 96 , further comprising directly using the wireless energy in connection with the operation of the at least one of the stimulation and constriction devices as the wireless energy is being transmitted, wherein the wireless energy comprises an electric, an electromagnetic or a magnetic field, or a combination thereof, or electromagnetic waves, and further comprising implanting in the patient an electric motor or pump operatively connected to the constriction device and directly powering the motor or pump by wireless energy in the form of a magnetic or an electromagnetic field.

98. The method according to claim 96 , wherein the wireless energy comprises energy of a first form, further comprising transmitting the energy of the first form into energy of a second form and operating at least one of the constriction device and the stimulation device with the energy of the second form.

99. The method according to claim 98 , wherein the energy of the second form is different than the energy of the first form, the energy of the second form comprises electric energy and at least one of the constriction device and the stimulation device is directly operated with the energy of the second form in a non-magnetic, non-thermal or non-mechanical manner.

100. The method according to claim 98 , wherein the energy of the first form is directly or indirectly transformed into the energy of the second form, further comprising providing a motor for operating the constriction device and powering the motor with the energy of the second form.

101. The method according to claim 100 , wherein the constriction device is operable to perform at least one reversible function, further comprising reversing the function by using the motor.

102. The method according to claim 100 , further comprising shifting polarity of the energy of the second form to reverse the motor.

103. The method according to claim 100 , further comprising directly powering the motor with the transformed energy of the second form, as the energy of the second form is being transformed from the energy of the first form.

104. The method according to claim 98 , wherein the wireless energy of the first form comprises sound waves and the energy of the second form comprises electric energy.

105. The method according to claim 98 , further comprising implanting in the patient a source of energy for storing the energy of the second form and supplying energy from the source of energy in connection with the operation of the at least one of the stimulation and constriction devices, wherein the source of energy comprises an accumulator, and wherein the accumulator comprises at least one capacitor or at least one rechargeable battery, or a combination of at least one capacitor and at least one rechargeable battery.

106. The method according to claim 98 , further comprising implanting in the patient a source of energy for supplying energy for the operation of the at least one of the stimulation and constriction devices and a switch for switching the energy supplied by the source of energy, and using the energy of the second form to operate the switch to switch from an “off” mode, in which the source of energy is not in use, to an “on” mode, in which the source of energy supplies energy for the operation of the at least one of the stimulation and constriction devices.

107. The method according to claim 98 , further comprising implanting in the patient a stabilizer for stabilizing the energy of the second form, wherein the energy of the second form comprises electric current and the stabilizer comprises at least one capacitor.

108. The method according to claim 98 , wherein the energy of the first form comprises an electric, an electromagnetic or a magnetic field, or a combination thereof.

109. The method according to claim 98 , wherein the energy of the first form is transformed into a direct current or pulsating direct current, or a combination of a direct current and pulsating direct current, or transformed into an alternating current or a combination of a direct and alternating current.

110. The method according to claim 98 , wherein one of the energy of the first form and the energy of the second form comprises magnetic energy, kinetic energy, sound energy, chemical energy, radiant energy, electromagnetic energy, photo energy, nuclear energy or thermal energy.

111. The method according to claim 98 , wherein one of the energy of the first form and the energy of the second form is non-magnetic, non-kinetic, non-chemical, non-sonic, non-nuclear or non-thermal.

112. The method according to claim 96 , wherein the wireless energy is transmitted in at least one wireless signal.

113. The method according to claim 112 , wherein at least one of the at least one wireless signal comprises a wave signal in the form of a sound or ultrasound wave signal, or in the form of an electromagnetic wave signal including one of an infrared light signal, a visible light signal, an ultra violet light signal, a laser signal, a micro wave signal, a radio wave signal, an x-ray radiation signal, and a gamma radiation signal.

114. The method according to claim 112 , wherein at least one of the at least one wireless signal comprises a digital or analogue signal, or a combination of a digital and analogue signal.

115. The method according to claim 96 , wherein the wireless energy comprises an electric, an electromagnetic or a magnetic field, or a combination thereof, further comprising transmitting the wireless energy in pulses or digital pulses, or a combination of pulses and digital pulses.

116. The method according to claim 1 , further comprising implanting in the patient an operation device and operating at least one of the constriction and stimulation devices with the operation device.

117. The method according to claim 116 , further comprising providing a magnet and activating the operation device with the magnet, wherein the magnet activates the operation device from outside the patient's body.

118. The method according to claim 116 , wherein the operation device comprises a motor, further comprising providing a source of energy and powering the motor with energy released from the source of energy.

119. The method according to claim 1 , further comprising implanting a source of energy, releasing energy from the source of energy and using the released energy in connection with the operation of at least one of the constriction and stimulation devices, wherein the source of energy comprises a battery.

120. The method according to claim 1 , further comprising providing an external source of energy outside the patient's body, controlling the external source of energy from outside the patient's body to release wireless energy, and using the released wireless energy for operating at least one of the constriction and stimulation devices.

121. The method according to claim 120 , further comprising transforming the wireless energy into electrical energy inside the patient's body by an implanted energy-transforming device and using the electrical energy in connection with the operation of at least one of the constriction and stimulation devices.

122. The method according to claim 121 , further comprising directly using the electrical energy in connection with the operation of at least one of the constriction device and the stimulation device, as the transforming device transforms the wireless energy into the electrical energy.

123. The method according to claim 120 , further comprising controlling the external source of energy from outside the patient's body to release non-magnetic wireless energy, and using the released non-magnetic wireless energy for operating at least one of the constriction and stimulation devices.

124. The method according to claim 120 , further comprising controlling the external source of energy from outside the patient's body to release electromagnetic wireless energy, and using the released electromagnetic wireless energy for operating at least one of the constriction and stimulation devices.

125. The method according to claim 120 , further comprising providing an internal energy source, wherein said wireless energy is transmitted from the external energy source located outside the patient and is received by the internal energy source located inside the patient, the internal energy source being connected to at least one of the constriction and stimulation devices for directly or indirectly supplying received energy thereto, the method further comprising the steps of:

determining an energy balance between the energy received by the internal energy source and the energy used for at least one of the constriction and stimulation devices device, and

controlling the transmission of wireless energy from the external energy source, based on the determined energy balance.

126. The method according to claim 125 , wherein a change in said energy balance is detected, and the transmission of wireless energy is controlled based on said detected energy balance change.

127. The method according to claim 126 , wherein the amount of transmitted wireless energy is decreased if the detected energy balance change implies that the energy balance is increasing, or vice versa, wherein the decrease/increase of energy transmission corresponds to a detected change rate.

128. The method according to claim 125 , wherein a difference is detected between energy received by the internal energy source and energy used for the constriction device and stimulation device, and the transmission of wireless energy is controlled based on said detected energy difference, and wherein the amount of transmitted wireless energy is decreased if the detected energy difference implies that the received energy is greater than the used energy, or vice versa, wherein the decrease/increase of energy transmission corresponds to the magnitude of the detected energy difference.

129. The method according to claim 125 , wherein said wireless energy being transmitted by means of a primary coil in an external energy source and received inductively by means of a secondary coil in an internal energy source, wherein feedback control information (S) is transferred from the secondary coil to the primary coil by switching the secondary coil on and off to induce a detectable impedance load variation in the primary coil encoding the feedback control information, where the feedback control information relates to said energy balance.

130. The method according to claim 120 , wherein the wireless energy is transmitted inductively from a primary coil in the external energy source to a secondary coil in the internal energy source.

131. The method according to claim 120 , wherein the energy used for at least one of the constriction and stimulation devices is stored in at least one energy storage device of the device.

132. The method according to claim 120 , wherein substantially all the energy used for at least one of the constriction and stimulation devices is consumed to operate the device, wherein the energy is consumed after being stabilized in at least one energy stabilizing unit of the device.

133. The method according to claim 120 , further comprising providing an internal energy source located inside the patient, connected to at least one of the constriction and stimulation devices for directly or indirectly supplying received energy thereto, the method comprising the steps of:

determining an energy balance between the energy sent by the external energy source and the energy received by the internal energy source, and

controlling the transmission of wireless energy from the external energy source, based on the determined energy balance.

134. The method according to claim 133 , wherein the wireless energy is transmitted inductively from a primary coil in the external energy source to a secondary coil in the internal energy source.

135. The method according to claim 133 , wherein a change in said energy balance is detected, and the transmission of wireless energy is controlled based on said detected energy balance change.

136. The method according to claim 135 , wherein the amount of transmitted wireless energy is decreased if the detected energy balance change implies that the energy balance is increasing, or vice versa, wherein the decrease/increase of energy transmission corresponds to a detected change rate.

137. The method according to claim 133 , wherein a difference is detected between the energy sent by the external energy source and the energy received by said internal energy source, and the transmission of wireless energy is controlled based on said detected energy difference.

138. The method according to claim 137 , wherein the amount of transmitted wireless energy is decreased if the detected energy difference implies that the received energy is greater than the used energy, or vice versa, wherein the decrease/increase of energy transmission corresponds to the magnitude of the detected energy difference.

139. The method according to claim 133 , wherein said wireless energy is transmitted by means of a primary coil in the external energy source and received inductively by means of a secondary coil in an internal energy source, the internal energy source is connected to the medical device for directly or indirectly supplying received energy thereto, wherein feedback control information (S) is transferred from the secondary coil to the primary coil by switching the secondary coil on and off to induce a detectable impedance load variation in the primary coil encoding the feedback control information, wherein the feedback control information relates to the energy received by the internal energy source and is used for controlling the transmission of wireless energy from the external energy source.

140. The method according to claim 139 , wherein the external energy source further comprises an electronic circuit for comparing the feedback information with the amount of energy transmitted by the external energy source, wherein the electronic circuit comprises an analyzer, further comprising analyzing by the analyzer the amount of energy being transmitted and the received feedback information related to the amount of energy received in the receiver, and determining the energy balance by comparing the amount of transmitted energy and the feedback information related to the amount of received energy, further comprising using the feedback information to adjust the level of the energy transmitted from the external energy source.

141. The method according to claim 120 , further comprising the steps of;

transmitting wireless energy from a coil of the external energy source—placed externally to the human body,

placing an energy receiver internally in the human body,

providing an electric circuit connected to the external coil,

supplying by the external coil electrical pulses to transmit the wireless energy, the electrical pulses having leading and trailing edges,

varying by the electric circuit first time intervals between successive leading and trailing edges or second time intervals between successive trailing and leading edges of the electrical pulses, thus varying the power of the transmitted wireless energy, and

receiving by the energy receiver the transmitted wireless energy having a varied power.

142. The method according to claim 141 , further comprising delivering by the electric circuit the electrical pulses to remain unchanged except varying at least one of the first and second time intervals.

143. The method according to claim 141 , wherein the electric circuit has a time constant, further comprising

varying the first and second time intervals only in the range of the first time constant, so that when the lengths of at least one of the first and second time intervals are varied the transmitted power over the coil is varied.

144. The method according to claim 1 , wherein the step of constricting is performed by constricting any wall portions of a series of wall portions of the uterine tube wall.

145. The method according to claim 144 , wherein the uterine tube wall portions of the series of wall portions are constricted in random or in accordance with a predetermined sequence further comprising constricting the uterine tube wall portions of the series of wall portions at least two at a time at positions spaced apart on the uterine tube.

146. The method according to claim 144 , wherein the uterine tube wall portions of the series of wall portions are successively constricted along the uterine tube to move the eggs in the uterine tube of the patient's uterine tube or to prevent the eggs to move in the uterine tube of the patient's uterine tube.

147. The method according to claim 144 , wherein the step of stimulating) is performed by stimulating any constricted wall portions of the series of wall portions.

148. The method according to claim 147 , wherein the uterine tube wall portions of the series of wall portions are constricted in random or in accordance with a predetermined sequence, further comprising constricting the uterine tube wall portions of the series of wall portions at least two at a time at positions spaced apart on the uterine tube.

149. The method according to claim 147 , wherein the uterine tube wall portions of the series of wall portions are successively constricted along the uterine tube to move the eggs in the uterine tube of the patient's uterine tube or to prevent the eggs to move in the uterine tube of the patient's uterine tube.

150. The method according to claim 144 , wherein the uterine tube wall portions of the series of wall portions are successively constricted along the uterine tube to move the eggs in the uterine tube of the patient or to prevent the eggs to move in the uterine tube of the patient.

151. The method according to claim 144 , wherein the step of constricting is performed by constricting all of the uterine tube wall portions of the series of wall portions, and the step of stimulating is performed by stimulating any constricted wall portions so that the uterine tube wall portions of the series of wall portions are further constricted.

152. The method according to claim 151 , wherein the uterine tube wall portions of the series of wall portions are further constricted by the stimulation device in random or in accordance with a predetermined sequence further comprising constricting the uterine tube wall portions of the series of wall portions at least two at a time at positions spaced apart on the uterine tube.

153. The method according to claim 151 , wherein the uterine tube wall portions of the series of wall portions are successively further constricted by the stimulation device along the uterine tube to move the eggs in the uterine tube of the patient's uterine tube or to prevent the eggs from moving in the uterine tube of the patient.

154. The method according to claim 144 , further comprising contracting the uterine tube wall portions of the series of wall portions at least two at a time at positions spaced apart on the uterine tube, to form a closed space in the lumen of the uterine tube, wherein one contracted wall portion of two contracted wall portions is placed proximal to uterus and the other wall portion is placed distal to the uterus, the method further comprising opening and closing said closed space, or varying the position of said closed space.

155. The method according to claim 154 , further comprising two or more closed spaces, the method further comprising opening and closing said closed spaces according to a predetermined sequence, or varying the position of said closed spaces along the uterine tube, according to a predetermined sequence during a period of 3 to 5 days, to prevent any sperm to pass all the contracted wall portions until the laps of said period.

156. The method according to claim 1 , comprising the steps of:

inserting a needle like tube into a cavity of the patient's body,

using the needle like tube to fill the cavity with gas thereby expanding the cavity,

placing at least two laparoscopic trocars in the patient's body,

inserting a camera through one of the trocars into the cavity,

inserting a dissecting tool through any of the trocar and dissecting an area of at least one portion of the uterine tube wall of the uterine tube,

placing the constriction device and the stimulation device in the dissected area in operative engagement with the uterine tube on the outside thereof,

wherein the step of gently constricting, using the constriction device and the step of stimulating using a stimulation device, as well as the step of controlling the constriction device and the stimulation device using a control device, all are performed to control a proper function of the devices, during a surgical procedure when implanted, to control that:

the constriction device is adapted to postoperative and noninvasively, gently constrict the uterine tube wall portion of the uterine tube on the outside thereof to influence the flow of eggs in the uterine tube, and

the stimulation device is adapted to stimulate the constricted wall portion from the outside thereof to cause contraction of the uterine tube wall portion to further influence the flow of eggs in the uterine tube,

and wherein the control device is adapted to control and co-ordinate the steps of the gently constricting and stimulating, during the surgical procedure when implanted.

157. The method according to claim 156 , wherein the cavity constitutes at least one of: an abdominal cavity, a cavity in the pelvic region, a cavity in human soft tissue, muscle tissue, fat tissue and fibrotic tissue.

158. The method according to claim 156 , further comprising implanting a powered operation device for operating the constriction device, wherein the operation device comprising a powered hydraulic operation device, or an electrically powered operation device.

159. The method according to claim 1 , wherein the step of constricting is performed by constricting any wall portions of a series of wall portions of the uterine tube wall, wherein the uterine tube wall portions of the series of wall portions are successively constricted without completely closing the uterine tube, and the step of stimulating is performed by stimulating the constricted wall portions one after the other, so that the uterine tube wall portions of the series of wall portions are successively contracted along the uterine tube to move the eggs in the uterine tube.

160. The method according to claim 159 , wherein the uterine tube wall portions of the series of wall portions are constricted in random or in accordance with a predetermined sequence, further comprising constricting the uterine tube wall portions of the series of wall portions at least two at a time at positions spaced apart on the uterine tube.

161. The method according to claim 1 , wherein the step of constricting and the step of stimulating are performed simultaneously or independently of each other.

162. The method according to claim 1 , comprising the steps of:

cutting the skin of the patient,

inserting a dissecting tool and dissecting an area of at least one portion of the uterine tube wall of the uterine tube,

placing the constriction device and the stimulation device in the dissected area in operative engagement with the uterine tube on the outside thereof,

wherein the step of gently constricting, using the constriction device and the step of stimulating using the stimulation device, as well as the step of controlling the constriction device and the stimulation device using the control device, all are performed to control a proper function of the devices, during a surgical procedure when implanted, to postoperatively and noninvasively control that:

the constriction device is adapted to gently constrict the uterine tube wall portion of the uterine tube on the outside thereof to influence the flow of eggs in the uterine tube, and

the stimulation device is adapted to stimulate the constricted wall portion from the outside thereof to cause contraction of the uterine tube wall portion to further influence the flow of eggs in the uterine tube

and wherein the control device is adapted to control and co-ordinate the steps of the gently constricting and stimulating, during the surgical procedure when implanted.

163. The method according to claim 162 , further comprising implanting a powered operation device for operating the constriction device, wherein the operation device comprising a powered hydraulic operation device, or an electrically powered operation device.

164. A method for controlling a flow of eggs in a uterine tube of a female patient, the method comprising the steps of:

gently constricting at least one portion of the uterine tube wall from an outside thereof, to cause contraction of the uterine tube wall portion, to influence the flow of eggs in the uterine tube, using a constriction device adapted to constrict the uterine tube from the outside thereof, and

stimulating at least one portion of the uterine tube wall from the outside thereof, to cause contraction of the uterine tube wall portion to further influence the flow of eggs in the uterine tube, using a stimulation device adapted to stimulate the uterine tube from the outside thereof, and

controlling the constriction device and the stimulation device using a control device to co-ordinate the steps of the gently constricting and stimulating,

wherein the steps of constricting and stimulating are co-operated to move the eggs in the uterine tube, and step (a) is performed by constricting any one of a series of wall portions of the uterine tube wall to at least restrict the flow of eggs in the uterine tube, and step (b) is performed by stimulating the constricted wall portion to close the uterine tube, further comprising successively constricting the uterine tube wall portions of the series of wall portions to move the eggs in the uterine tube in a peristaltic manner, further comprising providing at least one constriction element in the constriction device and at least one stimulation element in the stimulation device, the at least one stimulation element being positioned on the at least one constriction element, moving the at least one constriction element along the uterine tube to successively constrict the uterine tube wall portions of the series of wall portions, and using the at least one stimulation element to stimulate the uterine tube wall portion constricted by the at least one constriction element to close the uterine tube, and further comprising cyclically moving the constriction element along the uterine tube wall portions of the series of uterine tube wall portions.

Assignments (4)
CORRECTIVE ASSIGNMENT TO CORRECT THE EXECUTION DATE PREVIOUSLY RECORDED ON REEL 32252 FRAME 391. ASSIGNOR(S) HEREBY CONFIRMS THE ASSIGNMENT. Recorded Nov 30, 2025
From: MILUX HOLDING S.A.
To: KIRK PROMOTION LTD.
Reel/Frame 074754/0956 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded May 16, 2014
From: KIRK PROMOTION LTD.
To: FORSELL, PETER
Reel/Frame 032910/0670 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Feb 12, 2014
From: MILUX HOLDING S.A.
To: KIRK PROMOTION LTD.
Reel/Frame 032252/0391 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jun 1, 2009
From: FORSELL, PETER
To: MILUX HOLDING S.A.
Reel/Frame 022782/0364 →