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US 8,944,989 B2Granted
Systems, devices, and methods for treating pelvic floor disorders
AssigneeBoston Scientific Scimed, Inc.
InventorsMichael F. Weiser, George Mamo, Michael S. H. Chu, Brett Nowlin
Life of this patent
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Abstract
Disclosed are single-incision surgical procedures for treatment of urinary incontinence and/or pelvic floor disorders and related uses, devices, kits, and methods. Implants are also disclosed for use in the exemplary procedures. In certain embodiments, soft tissue anchors are used to anchor the surgical implants to obturator membranes of a patient.
Claims21
A method of treating urinary incontinence in a patient, the method comprising:
- providing an implant comprising:
- a mesh material having a first end, a second end, a central region, and a plurality of straps extending from the central region, and
- first and second anchors coupled to the mesh material;
- securing the first anchor to a first target tissue in a retropubic space of the patient;
- securing the second anchor to a second target tissue in the retropubic space of the patient;
- and
- positioning the mesh material within the patient such that at least a portion of the mesh material is posterior to a bladderneck of the patient,
- wherein securing the first and second anchors includes the use of a delivery device comprising:
- a handle having a substantially straight proximal portion defining a first axis and a substantially straight distal portion defining a second axis, the second axis being at a first angle with respect to the first axis;
- and
- a halo-shaped shaft extending from a distal end of the distal portion of the handle, the halo-shaped shaft being arranged in a plane that is at a second angle with respect to the first axis and having an end section that has an outer diameter that is less than an outer diameter of a proximal section of the halo-shaped shaft, the second angle being different than the first angle, the plane being perpendicular with the first axis, the proximal section being disposed between the end section and the distal portion of the handle, wherein the end section of the halo-shaped shaft is configured to extend through an aperture defined in each of the first and second anchors.
8 more elements
A method of treating urinary incontinence in a patient, the method comprising:
- providing an implant comprising:
- a mesh material comprising polypropylene and a center mark, and having a first end, a second end, a central region, and a plurality of straps extending from the central region, and
- a plurality of soft tissue anchors coupled to the mesh material;
- securing a first soft tissue anchor of the plurality of soft tissue anchors to a target tissue in a retropubic space membrane of the patient;
- securing a second soft tissue anchor of the plurality of soft tissue anchors to a second target tissue in the retropubic space of the patient;
- and
- positioning the mesh material within the patient such that at least a portion of the mesh material extends to a position posterior to a bladderneck of the patient,
- wherein the securing the first and second soft tissue anchors comprise the use of a delivery device comprising:
- a handle having a substantially straight proximal portion defining a first axis and a substantially straight distal portion defining a second axis, the second axis being at a first angle with respect to the first axis;
- and
- a halo-shaped shaft extending from a distal end of the distal portion of the handle, the halo-shaped shaft being arranged in a plane that is at a second angle with respect to the first axis and having an end section that has an outer diameter that is less than an outer diameter of a proximal section of the halo-shaped shaft, the second angle being different than the first angle, the plane being perpendicular with the first axis, the proximal section being disposed between the end section and the distal portion of the handle, the end section of the halo-shaped shaft being configured to extend through an aperture defined in each of the first and second anchors.
8 more elements
Dependencies are inferred from the claim text.