# US 7,608,036 B2 · Methods and apparatus for correction of urinary and gynecological pathologies, including treatment of male incontinence, and female cystocele

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- Number: US 7,608,036 B2
- Document ID: US7608036B2
- Status: Granted
- Kind: B2
- Application number: 10/625,199
- Filed: 2003-07-23
- Published: 2005-01-06
- Granted: 2009-10-27
- Earliest claimed: 1998-04-24
- Assignees: AMS Research Corporation
- Inventors: Shlomo Raz; Mordechay Beyar; Oren Globerman
- Web page: https://patentgrep.com/patent/US7608036B2

## CPC

- A61F 2/0045: {Support slings}
- A61B 17/0401: {Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors (A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811)}
- A61B 17/06109: {Big needles, either gripped by hand or connectable to a handle}
- A61B 2017/00805: {Treatment of female stress urinary incontinence}
- A61B 2017/0409: {Instruments for applying suture anchors}
- A61B 2017/0417: {T-fasteners}
- 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)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

The present invention relates to apparatus and methods for treatment of male incontinence and a method for female cystocele repair in which a sling material is positioned between the descending rami of the pubic bone. In such an operation a “hammock-like” sling material is positioned below the urethra in males, or below the posterior bladder wall in the case of cystocele in females.

## Claims

### Claim 1

A method for female cystocele repair comprising the steps of:
securing a sling material between the descending rami of the pubic bone by use of at least one bone anchor located in the pubic bone and locating said sling material below the posterior bladder wall,
wherein said step of securing said sling material by use of at least one of said bone anchors located in the pubic bone further comprises the steps of:
threading each of said anchors with suture,
loading an anchor to be placed at a ligament, onto an inserter device,
palpating a ligament with a finger to locate a desired location for said anchor to be placed at a ligament,
advancing said inserter device, with said anchor to be placed at a ligament, along the finger until a tip of said anchor to be placed at a ligament perforates said ligament,
deploying said anchor to be placed at a ligament from said inserter device into said ligament so that said anchor to be placed at a ligament firmly attaches to the ligament, and removing said inserter device.

### Claim 2 (depends on 1)

A method for female cystocele repair as claimed in claim 1 wherein said inserter device is used pervaginally.

### Claim 3 (depends on 1)

A method for female cystocele repair according to claim 1, wherein said sling material is synthetic material, autologous or cadaveric fascia.