Method and device for treating urinary incontinence

• US 10,278,800 B2
• Filed: 06/19/2014
• Issued: 05/07/2019
• Est. Priority Date: 07/05/2000
• Status: Expired due to Term

• Current Assignee: Mentor Corporation (Johnson & Johnson)
• Original Assignee: Coloplast A/S
• Inventors: Suslian, Patrice, Delorme, Emmanuel
• Primary Examiner(s): Lacyk, John P
• Application Number:
  US14/309,620
• Publication Number:
  US 20140303431A1
• Time in Patent Office: 1,783 Days
• Field of Search: 600 29- 32, 600 37, 128DIG 25, 606141
• CPC Class Codes: A61B 2017/00805 Treatment of female stress urinary incontinence
• CPC Class Codes: A61F 2/0045 Support slings
• CPC Class Codes: A61F 2/02 Prostheses implantable into the body closure means for urethra or rectum or for artificial body openings therefor A61F2/0004
• CPC Class Codes: A61F 2002/009 for hindering or preventing attachment of biological tissue

Abstract

A method for treating urinary incontinence includes making a vaginal incision in a patient, and positioning a tape under the urethra through the incision such that one portion of the tape extends from under the urethra and diverts away from the bladder and other vital organs. In one embodiment, once positioned within the patient, the tape adopts a V-shape and provides support for the urethra without altering the position of the urethra.

Claims

1. A method for treating urinary incontinence, the method comprising:

making a vaginal incision in a patient creating a uro-genital opening;

inserting an implant into the patient through the vaginal incision, the implant comprising a central region, a tapered first end region that is tapered to a first end, and a tapered second end region that is tapered to a second end;

positioning the central region of the implant under a urethra of the patient, the urethra having a first side and a second side, the first and second sides being defined on opposing sides of a medial plane of the urethra; and

obturating the uro-genital opening and restoring endo-pelvic fascia through positioning the implant by directing the tapered first end region of the implant through the vaginal incision away from the medial plane and the first side of the urethra of the patient and toward a first groin area, and directing the tapered second end region of the implant through the vaginal incision away from the medial plane and the second side of the urethra of the patient and toward a second groin area.

2. The method for treating urinary incontinence of claim 1, wherein positioning the central region and the first and second ends of the implant includes the implant defining a V-shape.

3. The method for treating urinary incontinence of claim 1, wherein the first and second end regions of the implant terminate subcutaneously.

4. The method for treating urinary incontinence of claim 1, further comprising utilizing a curved needle to divert each of the tapered first end region and the tapered second end region away from a bladder of the patient.

5. The method for treating urinary incontinence of claim 4, further comprising inserting a finger into the incision and guiding the curved needle such that the curved needle follows a curved path through the patient'"'"'s pelvic tissue.

6. The method for treating urinary incontinence of claim 4, further comprising attaching the tapered first end region of the implant to the curved needle and utilizing the curved needle to divert the first end of the implant away from the bladder of the patient, and attaching the tapered second end region of the implant to the curved needle and utilizing the curved needle to divert the second end region of the implant away from the bladder of the patient.

7. The method for treating urinary incontinence of claim 1, further comprising utilizing a curved Emmet needle to divert each of the tapered first end region and the tapered second end region away from a bladder of the patient.

8. The method for treating urinary incontinence of claim 1, wherein the implant is in the form of a surgical tape and inserting the implant into the patient through the vaginal incision comprises inserting the surgical tape into the patient through the vaginal incision.

9. The method for treating urinary incontinence of claim 1, wherein the implant is in the form of one of a polyethylene tape material and a polypropylene tape and inserting the implant into the patient through the vaginal incision comprises inserting one of the polyethylene tape material and the polypropylene tape material into the patient through the vaginal incision.

10. The method for treating urinary incontinence of claim 1, wherein the implant is in the form of one of a mesh implant, a knitted implant, and a sprayed fiber implant and inserting the implant into the patient through the vaginal incision comprises inserting one of the mesh implant, the knitted implant, and the sprayed fiber implant into the patient through the vaginal incision.

11. The method for treating urinary incontinence of claim 1, wherein the central region of the implant is coated with an adhesion preventing material and inserting the implant into the patient through the vaginal incision comprises inserting the implant having the central region coated with the adhesion preventing material into the patient through the vaginal incision.

12. The method for treating urinary incontinence of claim 1, wherein the central region of the implant is coated with silicone and inserting the implant into the patient through the vaginal incision comprises inserting the implant having the central region coated with silicone into the patient through the vaginal incision.

13. The method for treating urinary incontinence of claim 1, wherein a length of excess tape including the tapered first end region of the implant extends externally to the patient through the skin of the patient following insertion of the implant into the patient, the method further comprising removing the length of excess tape.

14. The method for treating urinary incontinence of claim 13, wherein removing the length of excess tape comprises cutting the tape flush with a skin surface of the patient.

15. The method for treating urinary incontinence of claim 14, further comprising disconnecting any portion of the tape attached to the skin surface of the patient, immobilizing the skin surface of the patient, and closing any associated incision in the skin surface of the patient.

16. The method for treating urinary incontinence of claim 1, wherein positioning the first end region and the second end region of the implant does not alter a position of the urethra.

17. The method for treating urinary incontinence of claim 1, wherein the central region has a first width and each of the tapered first and second end regions has a width different than the first width, and wherein inserting the implant into the patient through the vaginal incision comprises inserting the implant having the central region with the first width and the tapered first and second end regions having widths different than the first width into the patient through the vaginal incision.

18. A method for treating urinary incontinence, the method comprising:

making a vaginal incision in a patient and forming a uro-genital opening;

inserting an implant into the patient through the vaginal incision, the implant comprising a central region, a first end region, and a second end region;

inserting a finger into the incision and guiding a curved needle along a curved path through pelvic tissue of the patient;

diverting a tapered portion of the first end region of the implant away from a medial plane of the urethra and laterally away from a bladder of the patient with the curved needle;

diverting a tapered portion of the second end region of the implant laterally away from the bladder of the patient;

positioning a center of the central region of the implant under the urethra of the patient thereby restoring endo-pelvic fascia by obturating the uro-genital opening with the implant; and

removing the curved needle from the implant.