Elongate implant system and method for treating pelvic conditions

• US 10,470,861 B2
• Filed: 12/29/2010
• Issued: 11/12/2019
• Est. Priority Date: 12/30/2009
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: Khamis, Chaouki A., Alexander, James A.
• Primary Examiner(s): Matthews, Christine H
• Assistant Examiner(s): Lannu, Joshua Daryl D
• Application Number:
  US13/520,138
• Publication Number:
  US 20120283511A1
• Time in Patent Office: 3,240 Days
• CPC Class Codes: A61F 2/0004 Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
• CPC Class Codes: A61F 2/0036 implantable A61F2/0018 takes precedence
• 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

Abstract

Implant systems can include one or more needles, such as those used in pelvic floor repair procedures, and one or more elongate implants. A syringe or similar style hollow needle can be used to deliver the elongate mesh or other implant devices through one or more small stab incisions into the target tissue location inside the pelvis, proximate the vagina. The implant devices can be placed upon insertion through the incisions to engage and pull or tighten support tissue, such as the endopelvic fascia, pubocervical fascia, rectovaginal fascia, levator muscles, or other supportive muscles or tissue within the pelvis of the patient.

Claims

1. A method of treating a pelvic disorder in a patient, comprising:

providing a delivery tool having a handle and a needle, the needle being coupled to the handle, the needle including an internal lumen, the needle including a distal portion, the distal portion having a distal tip for creating external stab incisions;

providing a plurality of elongate rod implants including a first elongate rod implant, a second elongate rod implant, and a third elongate rod implant;

making a plurality of external stab incisions in a patient, proximate a vagina, with the needle of the delivery tool, the plurality of external stab incisions including a first external stab incision at a first location, a second external stab incision at a second location, and a third external stab incision at a third location, the first location, the second location, and the third location being at different locations;

providing the first elongate rod implant within the internal lumen of the needle of the delivery tool;

inserting the distal portion of the needle within the first external stab incision;

deploying the first elongate rod implant from the internal lumen such that the first elongate rod implant extends linearly with respect to the vagina of the patient;

providing the second elongate rod implant within the internal lumen of the needle;

inserting the distal portion of the needle within the second external stab incision;

deploying the second elongate rod implant from the internal lumen of the needle such that the second elongate rod implant extends linearly within a pelvic region, adjacent and proximate the first elongate rod implant, providing the third elongate rod implant within the internal lumen of the needle;

inserting the distal portion of the needle within the third external stab incision; and

deploying the third elongate rod implant from the internal lumen of the needle such that the third elongate rod implant extends linearly within the pelvic region.

2. The method of claim 1, wherein making the plurality of external stab incisions includes making the plurality of external stab incisions anterior to the vagina.

3. The method of claim 1, wherein making the plurality of external stab incisions includes making the plurality of external stab incisions posterior to the vagina.

4. The method of claim 1, wherein the first elongate rod implant includes a first end portion and a second end portion, and the first elongate rod implant includes a first tissue anchor coupled to the first end portion, and a second tissue anchor coupled to the second end portion.