Implant inserted without bone anchors
OwnerJohann J. Neisz, Kimberly A. Anderson +3inventors
InventorsJohann J. Neisz, Kimberly A. Anderson, Brian P. Watschke, Robert E. Lund, James A. Gohman
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Abstract
The present invention discloses an implant for placement in the retropubic space of a patient. Novel methods and assemblies for use in conjunction with the implant are also described.
Claims30
A method of treating incontinence in a patient comprising the steps of:
- providing an implantable material capable of eliciting a foreign body response, the implantable material being sized and shaped to be placed in the patient's retropubic space without extending through the patient's rectus fascia,
- placing the implantable material in the retropubic space without securing the implant to substantially fixed anatomical structures such as the patient's pubic bone, periosteum of the pubic bone, Cooper's ligament and rectus fascia;
- and
- eliciting a foreign body response with the implantable material.
A method of treating incontinence in a patient comprising the steps of:
- providing an implantable material that is sized and shaped be implanted in the patient's retropubic space and that is capable of eliciting a foreign body response;
- placing the implantable material in the retropubic space in a therapeutically effective position relative to the patient's urethra without extending the implantable material to the patient's rectus fascia, without suturing the implant to the patient's Cooper's ligament, and without using bone anchors.
An assembly for placing an implant in a patient's retropubic space during a surgical procedure for treating incontinence, the assembly comprising:
- at least one deployable member for associating the implant with endopelvic fascia of a retropubic space;
- and
- an inserter that is sized and shaped to associate the deployable member with endopelvic fascia.
A kit for a surgical procedure to treat incontinence comprising:
- an implant that is sized and shaped to be implanted in a patient's retropubic space;
- at least two deployable members for associating the implant with endopelvic fascia of a retropubic space;
- and
- an inserter that is sized and shaped to associate the deployable members with endopelvic fascia.
An implant for treating incontinence in a patient comprising:
- a substantially thin, flexible sheet that has a geometry, size and shape suitable for implanting in the patient's retropubic space without extending through the patient's rectus fascia and without requiring the implant to be secured to substantially fixed anatomical structures such as the patient's pubic bone, periosteum of the pubic bone, Cooper's ligament and rectus fascia.
A method of treating fecal incontinence comprising the steps of:
- providing an implantable material capable of eliciting a foreign body response, the implantable material being sized and shaped to be placed in the patient's retropubic space without extending through the patient's rectus fascia,
- placing the implantable material in the retropubic space without securing the implant to substantially fixed anatomical structures such as the patient's pubic bone, periosteum of the pubic bone, Cooper's ligament and rectus fascia;
- and
- looping the implantable material underneath the rectum to correct the patient's ano-rectal angle.
A method of treating incontinence in a patient comprising the steps of:
- providing an implantable material capable of eliciting a foreign body response, the implantable material being sized and shaped to be placed in the patient's retropubic space without extending through the patient's rectus fascia, and
- securing the implantable material in the retropubic space with a sponge-like substance without securing the implant to substantially fixed anatomical structures such as the patient's pubic bone, periosteum of the pubic bone, Cooper's ligament and rectus fascia.
Dependencies are inferred from the claim text.