Implants, tools, and methods for treatments of pelvic conditions

• US 10,653,411 B2
• Filed: 05/16/2016
• Issued: 05/19/2020
• Est. Priority Date: 06/30/2011
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Inventors: Alexander, James A., Khamis, Chaouki A., Huelman, Justin H., Tremulis, William S., Viker, Thomas O.
• Primary Examiner(s): Shi, Katherine M
• Application Number:
  US15/155,516
• Publication Number:
  US 20160256151A1
• Time in Patent Office: 1,464 Days
• Field of Search: 606139, 606144-146
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/0482 Needle or suture guides guides for drills, pins or wire A61B17/17; for puncturing needles A61B17/3403
• CPC Class Codes: A61B 17/0483 Hand-held instruments for holding sutures A61B17/0469 takes precedence; other holders for needles or sutures A61B17/06061; surgical forceps A61B17/28; surgical pincettes A61B17/30
• CPC Class Codes: A61B 17/0625 the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator A61B17/06109 takes precedence
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/00544 pneumatically
• 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: A61F 2/0045 Support slings
• CPC Class Codes: A61F 2002/0072 Delivery tools therefor

Abstract

Described are various embodiments of surgical procedures, systems, implants, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue.

Claims

1. An apparatus comprising:

a first arm having an extending member, the first arm including a tube defining a lumen and configured to receive a length of a suture material, the lumen configured to receive a pressurized fluid that travels from a first end portion of the tube of the first arm to a second end portion of the tube of the first arm; and

a second arm defining an aperture, the second arm being rotatably coupled to the first arm and being configured to rotate with respect to the first arm, the second arm including a tube defining a lumen and configured to receive a length of a suture material, the lumen configured to receive a pressurized fluid that travels from a first end portion of the tube of the second arm to a second end portion of the tube of the second arm,

wherein the aperture of the second arm is configured to receive at least a portion of the extending member of the first arm.

2. The apparatus of claim 1, further comprising a fluid source for pressurizing the fluid.

3. The apparatus of claim 2, wherein the fluid source comprises one of pressurized air and pressurized water.

4. The apparatus of claim 1, wherein the aperture is disposed in a distal end portion of the second arm, the aperture is configured to be sized to receive the suture material of the first arm.