Method of treating urinary incontinence in a patient by placing a sling in a single vaginal incision
AssigneeColoplast A/S
InventorsRandy Lee Morningstar, Michael M. Witzmann, Mark A. Moschel
Life of this patent
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Abstract
A method of treating urinary incontinence in a patient includes providing a sling assembly comprising: a sling, an adjustable anchor, and a fixed anchor; making a vaginal incision in the patient; placing the fixed anchor and the adjustable anchor into obturator tissue of the patient; and adjusting the sling relative to a position under a urethra of the patient by sliding a first interconnecting member through the adjustable anchor.
Claims10
A method of treating urinary incontinence in a patient, the method comprising:
- providing a sling assembly comprising:
- a sling, a first interconnecting member coupled to the sling, an adjustable anchor slideably coupled to the first interconnecting member, a second interconnecting member coupled to the sling, and a fixed anchor fixedly coupled to the second interconnecting member;
- configuring the adjustable anchor for bidirectionally sliding along the first interconnecting member in directions toward the sling and away from the sling;
- making a vaginal incision in the patient;
- placing the fixed anchor on a tip of a first tool and positioning the fixed anchor with the tip of the first tool exiting a top portion of the fixed anchor;
- passing the fixed anchor and the tip of the first tool into the vaginal incision and along a first path around and posterior to a first descending pubic ramus of the patient;
- advancing the fixed anchor and the tip of the first tool into and penetrating obturator tissue of a first obturator of the patient;
- removing the tip of the first tool from the patient and leaving the fixed anchor in place within the patient;
- placing the adjustable anchor on a tip of a second tool and positioning the adjustable anchor with the tip of the second tool exiting a top portion of the adjustable anchor;
- passing the adjustable anchor and the tip of the second tool into the vaginal incision and along a second path around and posterior to a second descending pubic ramus of the patient;
- advancing the adjustable anchor and the tip of the second tool into and penetrating obturator tissue of a second obturator of the patient;
- removing the tip of the second tool from the patient and leaving the adjustable anchor in place within the patient;
- and
- adjusting the sling relative to a position under a urethra of the patient by sliding the first interconnecting member through the adjustable anchor.
A method of treating urinary incontinence in a patient, the method comprising:
- placing the patient in a lithotomy position;
- inserting a catheter into a urethra of the patient for emptying a bladder of the patient;
- providing a sling assembly comprising:
- a sling, a first interconnecting member coupled to the sling, an adjustable anchor slideably coupled to the first interconnecting member, a second interconnecting member coupled to the sling, and a fixed anchor fixedly coupled to the second interconnecting member;
- making a single vaginal incision in the patient and placing the sling in the single vaginal incision by following steps comprising:
- placing the fixed anchor on a tip of a first tool;
- passing the fixed anchor and the tip of the first tool into the single vaginal incision and posterior to a first descending pubic ramus of the patient;
- advancing the fixed anchor and the tip of the first tool into and penetrating obturator tissue of a first obturator of the patient;
- removing the tip of the first tool from the patient and leaving the fixed anchor in place within the patient;
- placing the adjustable anchor on a tip of a second tool;
- passing the adjustable anchor and the tip of the second tool into the single vaginal incision and posterior to a second descending pubic ramus of the patient;
- advancing the adjustable anchor and the tip of the second tool into and penetrating obturator tissue of a second obturator of the patient;
- and
- removing the tip of the second tool from the patient and leaving the adjustable anchor in place within the patient;
- adjusting the sling relative to a position under a urethra of the patient by sliding the first interconnecting member through the adjustable anchor.
Dependencies are inferred from the claim text.