URINARY INCONTINENCE TREATMENT AND DEVICES

• US 20140039248A1
• Filed: 08/14/2013
• Published: 02/06/2014
• Est. Priority Date: 10/12/2000
• Status: Abandoned Application

• Current Assignee: Coloplast A/S
• Original Assignee: Coloplast A/S
• Inventors: Browning, James
• Application Number:
  US13/966,832
• Publication Number:
  US 20140039248A1
• Time in Patent Office: Days
• US Class Current: 600/37
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• 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 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/06066 Needles, e.g. needle tip configurations making needles B21G1/00
• CPC Class Codes: A61B 17/06109 Big needles, either gripped by hand or connectable to a handle
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2017/00805 Treatment of female stress urinary incontinence
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0412 having anchoring barbs or pins extending outwardly from suture anchor body
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0427 having anchoring barbs or pins extending outwardly from the anchor body
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61F 2/0045 Support slings
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: A61F 2002/0072 Delivery tools therefor
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2250/0031 made from both resorbable and non-resorbable prosthetic parts, e.g. adjacent parts
• CPC Class Codes: A61F 2250/0051 differing in tissue ingrowth capacity, e.g. made from both ingrowth-promoting and ingrowth-preventing parts
• CPC Class Codes: Y10T 29/49826 Assembling or joining

Abstract

A surgical implant for treating urinary incontinence by providing support to a urethra of a patient includes a suburethral support portion formed of a mesh material, the suburethral support having a first end and a second end. The implant also includes first and second anchoring portions that are substantially arrow-head shaped, have apertures, and include a plurality of barbs. First and second folded portions connect the first and second anchoring portions to the first and second ends of the suburethral support.

Claims

1. A surgical implant for treating urinary incontinence by providing support to a urethra of a patient, the surgical implant comprising:

a suburethral support portion formed of a mesh material, the suburethral support portion having a first end and a second end;

a first anchoring portion that is substantially arrow-head shaped, has an aperture, and includes a plurality of barbs;

a first folded portion connecting the first anchoring portion to the first end of the suburethral support portion;

a second anchoring portion that is substantially arrow-head shaped, has an aperture, and includes a plurality of barbs; and

a second folded portion connecting the second anchoring portion to the second end of the suburethral support portion.

2. The surgical implant of claim 1, wherein the mesh material comprises polypropylene mesh.

3. The surgical implant of claim 1, wherein the mesh material has a first surface and a second surface, and comprises pores extending from the first surface to the second surface.

4. The surgical implant of claim 3, wherein the pores range in width from 50 microns to 200 microns.

5. The surgical implant of claim 1, further comprising an introducer including an elongate shaft and a handle, the elongate shaft defining a distal end forming a longitudinal recess adapted to receive the first anchoring portion.

6. The surgical implant of claim 5, wherein the longitudinal recess of the elongate shaft is adapted to receive a substantially flat portion of the first anchoring portion.

7. The surgical implant of claim 5, wherein the longitudinal recess of the elongate shaft is adapted to engage the first anchoring portion at the aperture of the first anchoring portion.

8. The surgical implant of claim 5, wherein the elongate shaft of the introducer is curved to facilitate positioning of the first anchoring portion in soft tissue of a pelvis.

9. The surgical implant of claim 8, wherein the elongate shaft is curved at approximately 30 degrees.

10. The surgical implant of claim 1, wherein the first anchoring portion is adapted to penetrate tissue.

11. The surgical implant of claim 1, wherein the aperture of the first anchoring portion is a transverse aperture.

12. A method for assembling a urinary incontinence device that provides support to a urethra of a patient, the device having a suburethral support portion, first and second anchoring portions, and first and second folded portions connecting the respective first and second anchoring portions to the support portion, the method comprising:

forming the support portion of mesh material, the support portion having a first end, a second end;

aligning the first anchoring portion with the first end of the support portion and the second anchoring portion with the second end of the support portion, the first anchoring portion including a tip, a base, a first face, a second face and a plurality of barbs adapted for tissue anchoring and having an aperture extending from the first face to the second face of the first anchoring portion and the second anchoring portion including a tip, a base, a first face, a second face and a plurality of barbs adapted for tissue anchoring and having an aperture extending from the first face to the second face of the second anchoring portion;

creating a first folded portion between the suburethral support portion and the first anchoring portion to couple the first anchoring portion to the first end of the suburethral support portion and the second folded portion between the suburethral support portion and the second anchoring portion to couple the second anchoring portion to the second end of the suburethral support portion; and

securing the first folded portion in a closed position to maintain attachment of the first anchoring portion to the first end of the suburethral support portion and securing the second folded portion in a closed position to maintain attachment of the second anchoring portion to the second end of the suburethral support portion.

13. The method of claim 12, further comprising forming the mesh material of the suburethral support portion using polypropylene.

14. The method of claim 13, further comprising forming a flat mesh material.

15. The method of claim 14, wherein the flat mesh material is formed using polypropylene.

16. The method of claim 15, further comprising forming the flat mesh material having smooth edges.

17. The method of claim 16, further comprising forming the flat mesh material by creating pores in the suburethral support portion extending from a first surface to a second opposite surface of the suburethral support portion.

18. The method of claim 17, further comprising creating the pores using a laser.