Transobturator surgical articles and methods
First Claim
Patent Images
1. A surgical instrument for implanting an implantable material to treat incontinence, the instrument comprising:
- a handle portion, a second portion having substantial structure in three dimensions and a distal region, the second portion including a 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 in the distal region 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
41 Claims
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1. A surgical instrument for implanting an implantable material to treat incontinence, the instrument comprising:
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a handle portion, a second portion having substantial structure in three dimensions and a distal region, the second portion including a 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 in the distal region 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 needle portion on the first end;
the second end having a handle, at least the needle portion having a securement surface 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 implanting an implantable material to treat incontinence, the instrument comprising:
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a handle portion, a second portion having an extension portion projecting from the handle portion and a variable spiral portion with a distal region, 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 second portion having structure near the distal region capable of associating the instrument with an implantable material. - 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 region, 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 material and a sheath situated about the implantable synthetic material; and
the needle portion having structure in the distal region that is sized and shaped to associate the instrument with the implantable material. - View Dependent Claims (17, 18, 19, 20)
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21. A surgical assembly for inserting a implantable material to treat 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 region, 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 region, 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 (22, 23, 24, 25)
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27. A universal 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 regions, with at least one of the regions having a securement surface, providing a sling assembly having an implantable sling for treating the incontinence, the sling assembly having a surface complementary to the securement surface, passing the end region having the securement surface between the incisions, then associating the instrument at the securement surface with 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 regions, the instrument having substantial structure in three dimensions, providing an implant for treating the incontinence, passing a portion of one of the regions 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 an extension portion projecting from the handle portion and a variable spiral portion with a distal region, 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 region 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 having first and second regions, providing an assembly having an implant for treating incontinence, initially passing the first region 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 the first region emerges from the incision substantially adjacent the patient'"'"'s obturator foramen, leaving the second region projecting from the vaginal incision, then associating the first region with the assembly, and then moving the first region 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. A surgical instrument for treating incontinence, the instrument comprising:
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a handle portion, a second portion having an extension portion projecting from the handle portion and a variable spiral portion with a distal region, the variable spiral portion being sized and shaped to extend between an incision substantially adjacent the patient'"'"'s obturator foramen through the obturator foramen and a vaginal incision; and
the needle portion having structure near the distal region associating the instrument with an implantable material for treating the incontinence.
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38. A surgical instrument for treating incontinence, the instrument comprising:
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a handle portion; and
a second portion having a medial structure and a helical structure, the medial structure being associated with the handle portion and the helical structure having a distal region, the distal region having structure associating the instrument with an implantable material for treating the incontinence, the helical structure having a longitudinal axis, the handle portion lying substantially along the longitudinal axis.
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39. A surgical tool for treating incontinence, the tool comprising:
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a handle portion, a second portion having a medial structure and a needle structure, the medial structure being associated with the handle portion and the needle structure having a distal region, the distal region having structure associating the instrument with an implantable material for treating the incontinence; and
a dilator for association with the implantable material for treating the incontinence and the needle structure, the dilator with having a diameter no greater than the needle.
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40. A surgical instrument comprising:
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a handle portion, a second portion having a medial structure and a helical structure, the medial structure being associated with the handle portion and the helical structure having a distal tip, the helical structure having a visual indicator, the visual indicator being indicative of a distance from the visual indicator to the distal tip.
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41. A surgical instrument comprising:
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a handle portion, a second portion having a medial structure and a helical structure, the medial structure being associated with the handle portion and the helical structure having a distal tip, the handle having a visual indicator, the visual indicator being indicative of a location of the distal tip.
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Specification