METHOD AND APPARATUS FOR LEVATOR DISTENSION REPAIR

• US 20100152528A1
• Filed: 06/08/2007
• Published: 06/17/2010
• Est. Priority Date: 06/08/2006
• Status: Active Grant

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Ams Research Corporation (Endo International PLC)
• Inventors: Olson, Matthew J., Hallum, Alton V. III, Chapman, Kelly Ann Dockendorf
• Granted Patent: US 8,262,557 B2
• Time in Patent Office: Days
• US Class Current: 600/30
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 2017/00438 connectable to a finger
• CPC Class Codes: A61B 2017/00805 Treatment of female stress urinary incontinence
• CPC Class Codes: A61B 2017/0408 Rivets other bone rivets A61B17/68; rivets for connecting prosthetic parts A61F2002/30433, A61F2220/0041
• CPC Class Codes: A61F 2/0045 Support slings

Abstract

Improved methods and apparatuses for treatment of pelvic organ prolapse are provided. A specialized mesh having a shape for convenient subcutaneous placement to support the levator ani muscles is provided, as is a method of use of such a device. Appropriate devices for introducing such a mesh implant are also disclosed.

Claims

1. A surgical kit for the treatment of pelvic organ prolapse, said kit comprising:

a. A mesh portion having a trapezoidal shape having a top edge and a bottom edge opposite said top edge; and

b. An introducer for placement of such mesh portion in an appropriate anatomical location.

2. The kit of claim 1, wherein said mesh portion comprises at least one arm adjacent the top edge of said mesh portion.

3. The kit of claim 2, wherein said at least one arm comprises a tissue fixation mechanism.

4. The kit of claim 3, wherein said tissue fixation mechanism comprises an anchor.

5. The kit of claim 1, wherein said mesh portion comprises a tail of mesh adjacent a bottom edge of said mesh portion.

6. The kit of claim 1, wherein said mesh portion comprises rivets or other palpable structures located at the corners of said mesh portion.

7. The kit of claim 1, wherein said top edge of said mesh portion is reinforced with plastic.

16. The surgical kit of claim 1, wherein the introducer comprises a thimble portion to which the implant can be detachably connected.

17. The surgical kit of claim 16, wherein the mesh portion comprises perforations to facilitate detachment of the implant from the thimble portion.

18. The surgical kit of claim 16, wherein the thimble portion comprises a needle.

19. The surgical kit of claim 16, wherein the thimble portion comprises a push button mechanism adapted to deploy the implant.

20. The surgical kit of claim 1, wherein the introducer comprises a spreader device about which said implant may be rolled when the spreader device is in its unspread condition.

21. The surgical kit of claim 20, further comprising a protective sheath covering said implant rolled about said spreader device in its unspread condition.

22. The surgical kit of claim 20, wherein said introducer comprises a control mechanism adapted to adjust said spreader device from an unspread condition to a spread condition.

8-11. -11. (canceled)

12. An introducer for inserting an implant, comprising a spreader device about which said implant may be rolled when the spreader device is in its unspread condition.

13. The introducer of claim 12, further comprising a protective sheath covering said implant rolled about said spreader device in its unspread condition.

14. The introducer of claim 12, said introducer comprising a control mechanism adapted to adjust said spreader device from an unspread condition to a spread condition.

15. A method of treating levator distension comprising placing a mesh implant between the levator muscle and the overlying fatty tissue on at least one side of a patient.