Pelvic implant sizing systems and methods

• US 10,265,152 B2
• Filed: 10/15/2012
• Issued: 04/23/2019
• Est. Priority Date: 10/13/2011
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Arcand, Benjamin Y
• Primary Examiner(s): Matthews, Christine H
• Application Number:
  US13/652,145
• Publication Number:
  US 20130096371A1
• Time in Patent Office: 2,381 Days
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: A61F 2002/0068 having a special mesh pattern

Abstract

Various embodiments of a mesh or implant sizing system are provided. An implant can include a gauging portion included with a support portion of the implant, to assist a surgeon in determining what size implant to insert into the pocket created in a tissue plane of the patient.

Claims

1. An implant for treating pelvic prolapse in a patient, comprising:

a support portion including a plurality of undulating strut members to define a plurality of repeating cells having voids,

one or more anchoring portions in operative communication with the support portion; and

a gauging portion having a first flexible vertical strut element and a second vertical strut element, the second vertical strut element having a same opposing shape as the first vertical strut element, each of the first and second vertical strut elements includes two linear vertical sections and an arcuate section therebetween for each of the respective opposing strut elements, the arcuate sections facing each other and provided generally central along the respective opposing strut element, and a gap therebetween such that the arcuate sections are capable of moving toward and away from one another to provide an indication of whether an interior tissue pocket is acceptable to receive at least the support portion.

2. The implant of claim 1, wherein the one or more anchoring portions includes four anchoring eyelets.

3. The implant of claim 1, wherein the support portion is constructed as a unitary support portion wherein the plurality of undulating strut members are joined at and spanning out from a plurality of fixed junctions.

4. The implant of claim 1, wherein at least the support portion is formed from a polymer molding process.

5. The implant of claim 1, wherein the one or more anchoring portions includes one or more tissue anchors.

6. The implant of claim 1, wherein the first and second flexible vertical strut elements create a void larger than the voids of the repeating cells.

7. The implant of claim 1, wherein the gauging portion is defined in the support portion.

8. The implant of claim 1, wherein the opposing strut elements of the gauging portion are generally thicker than the plurality of strut members of the support portion.

9. An implant kit for treating pelvic prolapse in a patient, comprising:

at least two implants, each of the at least two implants including;

a support portion having a plurality of strut members to define a plurality of void;

one or more anchoring portions in operative communication with the support portion; and

a gauging portion having first and second generally flexible opposing and vertically extending strut elements to define a pair of vertical linear portions and an arcuate portion therebetween for each of the respective opposing strut elements, the arcuate portions facing each other and provided generally longitudinally central along the respective opposing strut element, and a gap therebetween such that the arcuate portions are capable of moving toward one another to provide an indication of whether an interior tissue pocket is acceptable to receive at least the support portion, wherein the arcuate portions include a generally flat tab surface facing each other, wherein the opposing strut elements of the gauging portion are generally thinner than the plurality of strut members of the support portion.

10. The implant of claim 9, wherein the one or more anchoring portions includes four anchoring eyelets.

11. The implant of claim 9, wherein the support portion is constructed as a unitary support portion wherein the plurality of strut members are joined at and spanning out from a plurality of fixed junctions.

12. The implant of claim 9, wherein at least the support portion is formed from a polymer molding process.

13. The implant of claim 9, wherein the one or more anchoring portions includes one or more tissue anchors.

14. The implant of claim 9, wherein the first and second generally flexible opposing strut elements create a void larger than the voids defined by the plurality of strut members.

15. The implant of claim 9, wherein the gauging portion is defined in the support portion.

16. The implant of claim 9, wherein the at least two implants includes at least a first small implant and a second large implant.

17. The implant of claim 9, wherein the at least two implants are formed in a unitary homogeneous sheet or film.