Urethral muscle controlled micro-invasive sphincteric closure device
First Claim
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1. A urethral implant for implantation into a urethral wall for treatment of incontinence, said urethral implant comprising:
- an elongated body formed of a resilient material, said body having a first position and a second position, said first position having a curved configuration, said second position being straighten from said first position such that said elongated body is implantable using an implant delivery device, wherein when said elongated body is placed within a urethral wall, said elongated body is capable of reshaping the urethral wall and thereby facilitating closure of the urethra.
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Abstract
A rod-like or tube-like sphincteric closure device is micro-invasively implanted beneath the surface of the posterior mucosal wall to elevate the mucosa and close the lumen, by using a delivery device operated through the urethra. To initiate voiding, the muscle-rich anterior urethral wall contracts and widens the lumen beyond the closing or elevating range of the sphincteric closure device. For urethral obstruction, repelling magnets are micro-invasively implanted beneath the surface of mucosa with the delivery device through the urethra, to widen the lumen with magnetic force.
149 Citations
92 Claims
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1. A urethral implant for implantation into a urethral wall for treatment of incontinence, said urethral implant comprising:
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an elongated body formed of a resilient material, said body having a first position and a second position, said first position having a curved configuration, said second position being straighten from said first position such that said elongated body is implantable using an implant delivery device, wherein when said elongated body is placed within a urethral wall, said elongated body is capable of reshaping the urethral wall and thereby facilitating closure of the urethra. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18)
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19. A urethral implant delivery system, comprising:
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an implant delivery device, including;
an elongated tubular member having a first end and a second end, a panel having a front surface and a back surface, an endwall connecting said panel to said elongated tubular member, said front surface and said endwall forming a recess, a trocar at least partially extendable into said recess, a handle connected with said second end of said tubular member, and a urethral implant sized and configured to fit within said tubular member. - View Dependent Claims (20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66)
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67. A urethral implant delivery system, comprising:
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a delivery device including;
an elongated tubular member having a first end and a second end, a panel having a first end portion connecting said panel to said elongated tubular member, said panel having a first position and a second position, said first position having a curved configuration forming a recess, said second position being straightened from said first position, and a trocar at least partially extendable into said recess, and a urethral implant sized and configured to fit within said tubular member. - View Dependent Claims (68, 69, 70, 71, 72, 73, 74, 75, 76, 77)
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78. A method of micro-invasively treating a dysfunction of the urinary tract, the method comprising the steps of:
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(a) inserting an implant delivery device into the urethra of a patient;
(b) orienting a recess of said implant delivery device adjacent to tissue at a first location;
(c) pressing said recess against the tissue, thereby causing a portion of the tissue to enter said recess;
(d) deploying a trocar into said recess;
(e) deploying an implant within a urethral wall located within said recess;
(f) retracting said trocar;
(g) and removing said implant delivery device, leaving said implant within the urethral wall. - View Dependent Claims (79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92)
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Specification