# US 2014/0194676 A1 · Implantable devices for the treatment of incontinence and methods of using same > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2014/0194676 A1 - Document ID: US20140194676A1 - Status: Published application - Kind: A1 - Application number: 14/164,273 - Filed: 2014-01-27 - Published: 2014-07-10 - Earliest claimed: 2006-10-18 - Assignees: Coloplast A/S - Applicants: Coloplast A/S - Inventors: Craig Comiter; Eugene Rhee; Bryon Merade - Web page: https://patentgrep.com/patent/US20140194676A1 ## CPC - A61F 2/0045: {Support slings} - A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C) ## Abstract An implantable device includes a body member having a bottom side that is parallel to a top side; a pair of legs extending from the bottom side of the body member; and a pair of arms extending from the body member perpendicular to the pair of legs and a second arm extending from the body member perpendicular to the pair of legs. ## Claims ### Claim 1 (canceled) ### Claim 2 A method for treating urinary incontinence in a human patient, the method comprising: providing an implantable device having a support portion including an upper portion and a lower portion, first and second arms that are substantially parallel and extend in a first direction and first and second legs that are substantially parallel and extend in a second direction that is substantially orthogonal to the first direction; making a perineal incision in a male patient; providing an introducer having an introducer tip; attaching a portion of the first arm to an introducer tip and passing the introducer tip through a first obturator foramen and the perineal incision such that the first arm passes through the first obturator formaen; attaching a portion of the second arm to an introducer tip and passing the introducer tip through a second obturator foramen and the perineal incision such that the second arm passes through the second obturator foramen; extending the support portion upward to the pubic bone of the male patient; and tensioning the first and second arms to achieve suburethral compression. ### Claim 3 (depends on 2) The method of claim 2, wherein the support portion is substantially trapezoidal in shape and extending the support portion upward to the pubic bone of the male patient comprises extending the relatively wider portion of the trapezoidal shape under the bulbar urethra and upward to the pubic bone of the male patient. ### Claim 4 (depends on 2) The method of claim 2, wherein the support portion includes a first recess below the first arm and a second recess below the second arm, the method further comprising receive a first pubic rami of the male patient in the first recess and a second pubic rami of the male patient in the second recess. ### Claim 5 An implant for treating male urinary incontinence, the implant comprising: a support portion sized to support a bulbar urethral complex of a male patient, the support portion including a first side that is parallel to a second side, a first lateral side and a second lateral side; and a pair of arms including a first arm extending from the support portion in a first direction parallel to the top side and a second arm extending from the support portion in a second direction parallel to the top side and opposite to the first direction; wherein the first lateral side of the support portion forms a first recess extending inward into the support portion relative to the first arm for accommodating a first pubic ramus and the second lateral side of the support portion forms a second recess extending inwardly into the support portion relative to the second arm for accommodating a second pubic ramus of the male patient. ### Claim 6 (depends on 5) The implantable device of claim 5, wherein the support portion has a trapezoidal shape. ### Claim 7 (depends on 5) The implantable device of claim 5, wherein the first and second arms each extend in a direction parallel to and share a common edge with the first side of the support portion. ### Claim 8 A method for treating urinary incontinence in a human patient, the method comprising: providing an implantable device having a support portion including an upper portion and a lower portion, a first arm extending from the support portion, and a second arm that extends from the support portion in a substantially parallel direction to the first arm; making a perineal incision in a male patient; providing an introducer having an introducer tip; attaching a portion of the first arm to an introducer tip and passing the introducer tip through a first obturator foramen and the perineal incision such that the first arm passes through the first obturator formaen; attaching a portion of the second arm to an introducer tip and passing the introducer tip through a second obturator foramen and the perineal incision such that the second arm passes through the second obturator foramen; extending the support portion upward to the pubic bone of the male patient; securing the support portion to the pubic bone of the patient; and tensioning the first and second arms to achieve suburethral compression. ### Claim 9 (depends on 8) The method of claim 8, wherein securing the support portion to the pubic bone of the patient includes securing the support portion to periosteum tissue of the pubic bone. ### Claim 10 (depends on 8) The method of claim 8, wherein securing the support portion to the pubic bone of the patient includes securing the support portion to tissue of the pubic bone. ### Claim 11 (depends on 8) The method of claim 8, wherein securing the support portion to the pubic bone of the patient includes tacking the support portion to the pubic bone. ### Claim 12 (depends on 8) The method of claim 8, wherein securing the support portion to the pubic bone of the patient includes suturing the support portion to tissue of the pubic bone. ### Claim 13 (depends on 8) The method of claim 8, wherein securing the support portion to the pubic bone of the patient includes passing one or more anchor elements through one or more preformed apertures in the support portion. ### Claim 14 (depends on 8) The method of claim 8, wherein securing the support portion to the pubic bone of the patient includes passing one or more sutures through one or more preformed apertures in the support portion and into tissue of the pubic bone. ### Claim 15 (depends on 14) The method of claim 14, wherein the support portion is substantially trapezoidal in shape, the method further comprising extending the relatively wider portion of the trapezoidal shape under the bulbar urethra and upward to the pubic bone of the male patient. ### Claim 16 (depends on 8) The method of claim 8, wherein the support portion includes a first recess below the first arm and a second recess below the second arm, the method further comprising receive a first pubic rami of the male patient in the first recess and a second pubic rami of the male patient in the second recess.