SURGICAL IMPLANT SYSTEM AND METHOD

• US 20160095586A1
• Filed: 05/21/2014
• Published: 04/07/2016
• Est. Priority Date: 05/21/2013
• Status: Abandoned Application

• Current Assignee: Boston Scientific Scimed (Boston Scientific Corporation)
• Original Assignee: Ams Research Corporation (Endo International PLC)
• Inventors: ALLEN, John J., ARNAL, Kevin R.
• Application Number:
  US14/893,025
• Publication Number:
  US 20160095586A1
• Time in Patent Office: Days
• US Class Current: 1/1
• 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 2017/00805 Treatment of female stress urinary incontinence
• 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 2017/0458 Longitudinal through hole, e.g. suture blocked by a distal suture knot
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 2017/06176 with protrusions, e.g. barbs
• CPC Class Codes: A61F 2/0004 Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse

Abstract

An implant and anchoring system is provided. The implant can include a perineal anchor, and an obturator anchor or retropubic anchor. One or more sutures or suture loops can extend between and operatively connect the anchors. In certain embodiments, the anchors are introduced and deployed via a percutaneous transobturator procedure.

Claims

1. A surgical implant system, comprising:

an implant device having a medial anchor engageable with a perineal membrane, a distal anchor engageable with an obturator muscle or membrane, and at least one suture length operatively connecting the medial anchor and the distal anchor; and

wherein the medial anchor is advanced via a percutaneous transobturator route, from the obturator foramen to the perineal membrane.

2. The system of claim 1, wherein the at least one suture length is a suture loop including a suture pair having first and second suture members.

3. The system of claim 2, wherein the distal anchor includes one or more apertures to receive the suture pair to provide selective tensioning.

4. The system of claim 1, wherein the medial anchor includes a plurality of extendable barbs defining an anchor array.

5. The system of claim 1, wherein the at least one suture length includes a knot member proximate a bottom surface of the distal anchor.

6. A surgical implant system, comprising:

an implant device having a medial anchor, a distal anchor, and at least one suture loop operatively connecting the medial anchor and the distal anchor, the at least one suture loop extending out from the distal anchor to facilitate selective tensioning of the implant; and

a delivery tool having a handle portion and a needle tip, the needle tip adapted to receive at least the medial anchor such that the medial anchor is introduced via percutaneous transobturator access, from an obturator tissue to a perineal membrane tissue site.

7. The system of claim 6, wherein the at least one suture loop is a suture pair having first and second suture members.

8. The system of claim 6, wherein the distal anchor includes one or more apertures to receive the at least one suture loop to facilitate the selective tensioning.

9. The system of claim 6, wherein the medial anchor includes a plurality of extendable barbs defining an anchor array.

10. The system of claim 6, further including a one-way stopper device.

11. The system of claim 10, wherein the one-way stopper device is provided along a portion of the at least one suture loop proximate the distal anchor.

12. The system of claim 6, wherein at least a portion of the at least one suture loop is quilled