Pelvic floor repair system

• US 10,251,738 B2
• Filed: 05/19/2017
• Issued: 04/09/2019
• Est. Priority Date: 07/25/2005
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Chu, Michael S. H., Nowlin, Brett
• Primary Examiner(s): Matthews, Christine H
• Application Number:
  US15/599,941
• Publication Number:
  US 20170252142A1
• Time in Patent Office: 690 Days
• CPC Class Codes: 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
• CPC Class Codes: A61B 17/06066 Needles, e.g. needle tip configurations making needles B21G1/00
• CPC Class Codes: A61B 17/06109 Big needles, either gripped by hand or connectable to a handle
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00805 Treatment of female stress urinary incontinence
• CPC Class Codes: A61B 2017/06042 located close to needle tip
• CPC Class Codes: A61B 2017/06076 helically or spirally coiled
• CPC Class Codes: A61F 2/0045 Support slings
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: A61F 2/04 Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts A61F2/18, A61F2/20 take precedence; devices, other than stent-grafts, providing patency to, or preventing collapsing of, tubular structures of the body other than stent-grafts, e.g. stents A61F2/82; instruments specially adapted for placement or removal of stents or stent-grafts A61F2/95
• CPC Class Codes: A61F 2002/0072 Delivery tools therefor
• CPC Class Codes: A61F 2220/0008 Fixation appliances for connecting prostheses to the body
• CPC Class Codes: A61F 2230/0004 Rounded shapes, e.g. with rounded corners

Abstract

Systems, method, and devices related to surgically implantable supportive slings are presented herein. More specifically, in various embodiments, the systems, devices and methods relate to a surgically implantable supportive sling adapted to anchor in patient tissue.

Claims

1. A system for delivering an implant to a patient, comprising:

an implant having an attachment strap, the attachment strap including a first end portion and a second end portion defining a longitudinal line;

an end termination member attached to the strap, the end termination member including a loop and a first arm and a second arm, the first arm and the second arm extending radially from the loop, the loop being attached to one of the first end portion or the second end portion, the loop having a central axis, the central axis being substantially perpendicular to the longitudinal line of the attachment strap; and

a shaft having a slot located at a distal end for associating with the end termination member of the implant, the slot including a first linear slot portion extending in a first direction, and a second linear slot portion extending in a second direction, the second direction being perpendicular to the first direction.

2. The system of claim 1, further comprising a handle coupled to the shaft.

3. The system of claim 1, further comprising a handle coupled to a sheath.

4. The system of claim 1, wherein the end termination member is a soft tissue anchor.

5. The system of claim 1, wherein the end termination member comprises one or more soft tissue anchors, the one or more soft tissue anchors including one or more tangs on the attachment strap.

6. The system of claim 1, further comprising a sheath,

wherein at least one of the shaft or the sheath is substantially straight.

7. The system of claim 1, further comprising a sheath,

wherein at least one of the shaft or the sheath has a curved shape.

8. The system of claim 1, further comprising a sheath,

wherein the shaft is rigid and the sheath is flexible.

9. The system of claim 1, further comprising a sheath,

wherein the sheath is curved and the shaft is flexible material, and the shaft bends to extend through a center of the sheath upon insertion.

10. The system of claim 1, further comprising a sheath,

wherein the shaft is longer than the sheath.

11. The system of claim 1, further comprising a tip attached to a distal end of a sheath.

12. The system of claim 1, wherein the implant has at least two arms and a posterior extension portion that is adapted to be positioned under a posterior pelvic region.

13. The system of claim 12, wherein the two at least arms arch toward the posterior pelvic region.

14. The system of claim 1, wherein the implant has four arms and is adapted to be positioned under an anterior pelvic region.

15. The system of claim 14, wherein the four arms extend laterally from a center of the implant and in an anterior direction, toward the anterior pelvic region.

16. The system of claim 1, wherein the end termination member comprises one or more soft tissue anchors adapted to anchor the implant in a soft tissue of the patient'"'"'s pelvic floor.

17. The system of claim 1, further comprising a sheath having a hollow center adapted to allow the shaft to extend therethrough.

18. A method for delivering an implant to a patient, comprising:

inserting a sheath having a hollow center into an incision in the patient;

inserting a shaft of a delivery device into the center of the sheath;

associating an end termination member of the implant with a slot in the shaft, the slot including a first linear slot portion extending in a first direction, and a second linear slot portion extending in a second direction, the first direction being a distal direction, the second direction being perpendicular to the first direction;

advancing the shaft and the associated implant through the sheath; and

anchoring the implant in the patient'"'"'s pelvic floor region.