Transobturator surgical articles and methods
First Claim
Patent Images
1. A surgical instrument for treating incontinence, the instrument comprising:
- a handle portion, a needle portion having substantial structure in three dimensions and a distal end, the needle portion having a portion that is sized and shaped to extend between an incision substantially adjacent the patient'"'"'s obturator foramen and a vaginal incision; and
the needle portion having structure near the distal end for associating the instrument with an implantable material for treating the incontinence.
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Accused Products
Abstract
Surgical articles, implants and components suitable for a transobturator surgical procedure are described.
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Citations
38 Claims
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1. A surgical instrument for treating incontinence, the instrument comprising:
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a handle portion, a needle portion having substantial structure in three dimensions and a distal end, the needle portion having a portion that is sized and shaped to extend between an incision substantially adjacent the patient'"'"'s obturator foramen and a vaginal incision; and
the needle portion having structure near the distal end for associating the instrument with an implantable material for treating the incontinence. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A surgical instrument for treating incontinence, the instrument comprising:
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first and second ends, the instrument having a portion that is sized and shaped to extend between a vaginal incision and an incision substantially adjacent the patient'"'"'s obturator foramen;
one of the ends having a handle, at least the other end having securement surfaces for snap fitting the instrument to another surgical component used to treat the incontinence, the snap fit providing a substantially permanent attachment between the instrument and the other surgical component. - View Dependent Claims (11, 12)
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13. A surgical instrument for treating incontinence, the instrument comprising:
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a handle portion, a needle portion having a substantially straight portion projecting from the handle portion and a variable spiral portion with a distal end, the variable spiral portion being sized and shaped to extend between an incision substantially adjacent the patient'"'"'s obturator foramen and a vaginal incision; and
the needle portion having structure near the distal end for associating the instrument with an implantable material for treating the incontinence. - View Dependent Claims (14, 15)
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16. A surgical assembly for treating incontinence comprising:
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a surgical instrument having a handle portion, a needle portion having substantial structure in three dimensions and a distal end, the needle portion having a portion that is sized and shaped to extend between an incision substantially adjacent a patient'"'"'s obturator foramen and a vaginal incision;
an implantable synthetic material and a sheath situated about the implantable synthetic material; and
the needle portion having structure near the distal end for associating the instrument with the implantable synthetic material. - View Dependent Claims (17, 18, 19, 20)
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22. A surgical assembly for treating incontinence comprising:
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a first surgical instrument for use on a right side of a patient, the first surgical instrument comprising a handle portion and a needle portion having substantial structure in three dimensions and a distal end, the needle portion having a portion that is sized and shaped to extend between an incision substantially adjacent the obturator foramen on the patient'"'"'s right side and a vaginal incision; and
a second surgical instrument for use on a left side of a patient, the second surgical instrument comprising a handle portion and a needle portion having substantial structure in three dimensions and a distal end, the needle portion having a portion that is sized and shaped to extend between an incision substantially adjacent the obturator foramen on the patient'"'"'s left side and a vaginal incision. - View Dependent Claims (23, 24, 25, 26)
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27. A surgical instrument for treating incontinence comprising:
a needle sized and shaped to either a) initially extend through an incision substantially adjacent a patient'"'"'s obturator foramen and then through a vaginal incision, or b) initially extend through a vaginal incision and subsequently through an incision substantially adjacent a patient'"'"'s obturator foramen. - View Dependent Claims (28, 29)
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30. A method of treating incontinence comprising the steps of:
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creating a vaginal incision, creating an incision substantially adjacent the patient'"'"'s obturator foramen, providing an elongate surgical instrument comprising first and second ends, with at least one of the ends having securement surfaces, providing a sling assembly having an implantable sling for treating the incontinence, the sling assembly having surfaces complementary to the securement surfaces, passing the instrument between the incisions, then snap fitting the instrument to the sling assembly to provide a substantially permanent attachment between the instrument and the assembly, then passing the implantable material through tissue from the vaginal incision toward the incision substantially adjacent the patient'"'"'s obturator foramen.
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31. A method of treating incontinence comprising the steps of:
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creating a vaginal incision, creating an incision substantially adjacent the patient'"'"'s obturator foramen, providing an elongate surgical instrument comprising first and second ends, the instrument having substantial structure in three dimensions, providing an implant for treating the incontinence, passing the instrument between the incisions, then associating the implant with the instrument, and passing the implant through tissue and through the patient'"'"'s obturator foramen with the instrument. - View Dependent Claims (32, 33)
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34. A method of treating incontinence comprising the steps of:
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creating a vaginal incision, creating an incision substantially adjacent the patient'"'"'s obturator foramen, providing an elongate surgical instrument comprising a handle portion, a needle portion having a substantially straight portion projecting from the handle portion and a variable spiral portion with a distal end, providing an implant for treating the incontinence, passing at least a portion of the variable spiral portion between the incisions by initially passing the distal end through the incision substantially adjacent the patient'"'"'s obturator foramen and then through the vaginal incision, then associating the implant with a portion of the instrument that has emerged from the vaginal incision, and then moving the distal end of the instrument with the implant associated therewith from the vaginal incision toward the patient'"'"'s obturator foramen to pass the implant through tissue. - View Dependent Claims (35)
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36. A method of treating incontinence comprising the steps of:
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creating a vaginal incision, creating an incision substantially adjacent the patient'"'"'s obturator foramen, providing an elongate surgical instrument comprising a pair of ends, providing an assembly having an implant for treating incontinence, initially passing one end of the instrument initially through the vaginal incision toward the incision substantially adjacent the patient'"'"'s obturator foramen in a path through the patient'"'"'s obturator foramen until one end of the instrument emerges from the incision substantially adjacent the patient'"'"'s obturator foramen, leaving the other end of the needle projecting from the vaginal incision, then associating the end of the instrument that projects from the vaginal incision with the assembly, and then moving the instrument out of the patient'"'"'s body to pass the implant through tissue from the vaginal incision toward the incision substantially adjacent the patient'"'"'s obturator foramen to place the implant in a therapeutically effective position.
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37. The ornamental design for a surgical instrument, as shown in FIGS. 39 through 45 and described in the brief description of the drawings.
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38. The ornamental design for a surgical instrument, as shown in FIGS. 46 through 52 and described in the brief description of the drawings.
Specification