Percutaneous device and method for treating urinary stress incontinence in women using a sub-urethral tape
First Claim
1. A device for treating urinary stress incontinence in women, comprising:
- a flexible and elongate mechanism comprising a tape for supporting a urethra and a flat protective sheath enveloping said tape; and
a puncturing needle with an active distal end and a proximal end connected to a first end of the flexible and elongate mechanism, wherein the proximal end of the puncturing needle is connected to a first end of the flexible and elongate mechanism by an intermediate traction element, a second end of the flexible and elongate mechanism being free.
0 Assignments
0 Petitions
Accused Products
Abstract
A device for treating urinary stress incontinence in women includes a flexible and elongate mechanism including a tape for supporting a urethra and a flat protective sheath enveloping the tape; and a puncturing needle with an active distal end and a proximal end connected to a first end of the flexible and elongate mechanism, wherein the proximal end of the puncturing needle is connected to a first end of the flexible and elongate mechanism by an intermediate traction element, a second end of the flexible and elongate mechanism being free. A method for treating urinary stress incontinence in a woman suffering from urinary stress incontinence is also provided including (a) forming an opening in an anterior vaginal wall; (b) creating, from two small suprapubic incisions formed in the abdominal wall, a right track and a left track from the abdominal skin to the opening formed in the anterior vaginal wall; (c) using a needle and an intermediate traction element to follow one of the tracks and following the other track with at least a needle; (d) verifying by cystoscopy that the paths of the tracks are outside the bladder and the urethra; (e) using a support tape surrounded by a plastic sheath to follow the tracks by passage under an inferior surface of the urethra; (f) adjusting a loop formed by the sheathed tape under the inferior surface of the urethra; (g) removing the sheath by pulling the sheath toward the outside of the woman'"'"'s body through the small suprapubic incisions; and (h) leaving the tape implanted from the first to the second incision and around the urethra to support the urethra.
260 Citations
26 Claims
-
1. A device for treating urinary stress incontinence in women, comprising:
-
a flexible and elongate mechanism comprising a tape for supporting a urethra and a flat protective sheath enveloping said tape; and
a puncturing needle with an active distal end and a proximal end connected to a first end of the flexible and elongate mechanism, wherein the proximal end of the puncturing needle is connected to a first end of the flexible and elongate mechanism by an intermediate traction element, a second end of the flexible and elongate mechanism being free. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18)
-
-
19. A method for treating urinary stress incontinence in a woman suffering from urinary stress incontinence, said method comprising:
-
(a) forming an opening in an anterior vaginal wall;
(b) creating, from two small suprapubic incisions formed in the abdominal wall, a right track and a left track from the abdominal skin to the opening formed in the anterior vaginal wall;
(c) using a needle and an intermediate traction element to follow one of the tracks and following the other track with at least a needle;
(d) verifying by cystoscopy that the paths of the tracks are outside the bladder and the urethra;
(e) using a support tape surrounded by a plastic sheath to follow the tracks by passage under an inferior surface of the urethra;
(f) adjusting a loop formed by the sheathed tape under the inferior surface of the urethra;
(g) removing the sheath by pulling the sheath toward the outside of the woman'"'"'s body through the small suprapubic incisions; and
(h) leaving the tape implanted from the first to the second incision and around the urethra to support the urethra. - View Dependent Claims (20, 21, 22, 23, 24, 25, 26)
-
Specification