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US 9,283,064 B2Granted
Methods and systems for treatment of prolapse
AssigneeAMS Research Corporation
InventorsGuillermo H. Davila, James E. Cox, Kimberly A. Anderson
Life of this patent
Estimating the term…
Abstract
Described are implants, tools, and related methods, for use in pelvic surgery to treat conditions such as prolapse, including embodiments of methods that involve a tissue path above the arcus tendineus.
Claims19
A method of supporting posterior vaginal tissue, the method comprising:
- providing an implant comprising a tissue support portion and an extension portion extending from the tissue support portion,
- creating an incision,
- contacting the support portion with posterior vaginal tissue,
- producing a tissue path that passes between a position of the tissue support portion and a region of an arcus tendineus, wherein the region of the arcus tendineus comprises a region from 2 centimeters above the arcus tendineus to 2 centimeters below the arcus tendineus and between an ischial spine and a distance 3 centimeters anterior to the ischial spine,
- wherein the tissue path passes below the arcus tendineus through an iliococcygeus muscle, wraps around the arcus tendineus to a location above the arcus tendineus, through an obturator internus muscle, and back to a region of the pelvic floor, and
- extending the extension portion through the tissue path.
3 more elements
A pelvic implant assembly comprising an implant and an insertion tool,
- the implant comprising
- a tissue support portion,
- elongate extension portions extending from the tissue support portion, and
- a dilator located at a distal end of each elongate extension portion, the dilator comprising a curve having a radius of curvature in the range of from 0.5-1.5 centimeters, a sharp tip at a distal end, and an opening at a proximal end, the opening designed and adapted to fit and removably engage a distal end of the insertion tool.
1 more element
A pelvic implant assembly comprising an implant and a first and second insertion tools,
- the implant comprising
- a tissue support portion,
- a first elongate extension portion extending from an end of the tissue support portion and a second elongate extension portion extending from an opposite end of the tissue support portion, and
- a first dilator located at a distal end of the first extension portion and a second dilator located at a distal end of the second extension portion, each dilator comprising a sharp tip at a distal end and an opening at a proximal end, the opening designed and adapted to engage a distal end of the first and second insertion tools;
- and wherein
- each insertion tool comprises a shaft, a handle, and a curved distal end, the curved distal end comprising a radius of curvature in the range of from 0.5-1.5 centimeters, and the curved distal end being capable of engaging one of the dilators and pushing the dilator through tissue.
3 more elements
Dependencies are inferred from the claim text.