Implantable attachment device, implant for treating prolapse of the pelvic floor comprising such a device and kit comprising said device

An implantable attachment device comprising:

• an elongate tubular element which is flexible and hollow delimiting an internal volume comprising a tightening loop, having a first circumference in the inactive position, formed by the arrangement of a portion of said tubular element in said internal volume between intake and outlet openings distant by a length, said portion having front and rear ends, and
• wherein the device comprises a blocking device of said portion in the internal volume of said elongate element, said blocking device being deactivated under the effect of manual traction exerted on the first or second end of said elongate element, said traction enabling the sliding of said elongate element between said orifices and correlatively the formation of the tightening loop having a second circumference in the active position, the second circumference being less than the first circumference;
• and
• wherein the blocking device comprises at least one first sphere in at least one polymer blocking the intake opening, said at least one first sphere being arranged about the front end of said portion, and arranged such that manual traction exerted on the first or the second end of said elongate element causes the forced passage of said at least one first sphere in the internal volume of said elongate element until it exits via said discharge outlet.

An implantable attachment device comprising:

• an elongate tubular element which is flexible and hollow delimiting an internal volume comprising a tightening loop, having a first circumference in the inactive position, formed by the arrangement of a portion of said tubular element in said internal volume between intake and outlet openings distant by a length, said portion having front and rear ends, and
• wherein the device comprises a blocking device of said portion in the internal volume of said elongate element, said blocking device being deactivated under the effect of manual traction exerted on the first or second end of said elongate element, said traction enabling the sliding of said elongate element between said orifices and correlatively the formation of the tightening loop having a second circumference in the active position, the second circumference being less than the first circumference;
• and
• wherein the elongate element has a mass per unit less than or equal to 25 g/meter.

An implantable attachment device comprising:

• an elongate tubular element which is flexible and hollow delimiting an internal volume comprising a tightening loop, having a first circumference in the inactive position, formed by the arrangement of a portion of said tubular element in said internal volume between intake and outlet openings distant by a length, said portion having front and rear ends, and
• wherein the device comprises a blocking device of said portion in the internal volume of said elongate element, said blocking device being deactivated under the effect of manual traction exerted on the first or second end of said elongate element, said traction enabling the sliding of said elongate element between said orifices and correlatively the formation of the tightening loop having a second circumference in the active position, the second circumference being less than the first circumference;
• and
• wherein the traction exerted on the first or the second end to deactivate the blocking device is less than or equal to 4 daN.

An implant for the treatment of prolapse of the pelvic floor, especially for curing hysterocele, cystocele or rectocele, configured so as to present a central supporting part and at least two lateral anchoring parts arranged on either side of said central part, wherein the implant comprises:

• an attachment device comprising:
• an elongate tubular element which is flexible and hollow delimiting an internal volume comprising a tightening loop, having a first circumference in the inactive position, formed by the arrangement of a portion of said tubular element in said internal volume between intake and outlet openings distant by a length, said portion having front and rear ends, and
• wherein the device comprises a blocking device of said portion in the internal volume of said elongate element, said blocking device being deactivated under the effect of manual traction exerted on the first or second end of said elongate element, said traction enabling the sliding of said elongate element between said orifices and correlatively the formation of the tightening loop having a second circumference in the active position, the second circumference being less than the first circumference;
• wherein the blocking device comprises a coating in at least one polymer applied to the external surface and the periphery of the elongate element over the length separating the intake and outlet openings;
• and
• wherein the second end of said elongate element is attached to or capable of being attached to one of the lateral anchoring parts.

A kit comprising:

• an implantable attachment device comprising:
• an elongate tubular element which is flexible and hollow delimiting an internal volume comprising a tightening loop, having a first circumference in the inactive position, formed by the arrangement of a portion of said tubular element in said internal volume between intake and outlet openings distant by a length, said portion having front and rear ends, and
• wherein the device comprises a blocking device of said portion in the internal volume of said elongate element, said blocking device being deactivated under the effect of manual traction exerted on the first or second end of said elongate element, said traction enabling the sliding of said elongate element between said orifices and correlatively the formation of the tightening loop having a second circumference in the active position, the second circumference being less than the first circumference;
• and
• an instrument comprising a needle provided at its distal end with an attachment zone capable of cooperating with the tightening loop of said attachment device, wherein the attachment zone has a length and comprises front and rear stops capable of blocking the tightening loop of said elongate element in said attachment zone when the tightening loop is in the active position.