Surgical correction of female urinary stress incontinence and kit therefor
First Claim
Patent Images
1. A kit for use in the surgical correction of female urinary stress incontinence comprising:
- at least one needle, said needle comprising a cannula and a trocar, said cannula being receivable of said trocar, said trocar being removably disposable within said cannula, said needle being bendable to a desired degree of curvature; and
a pair of implants, each of said implants comprising a head portion and a suture portion, said head portion adapted to rest on the pubic bone, said head protion comprising a substanitally figure eight shaped member of surgical titanium having a central cross bar and said sutrue portion comprising a surgical suture acceptable, substantially non-biodegradable thread having a first end, a second end and a central portion, said central portion being wrapped about said central cross bar with said first and second ends disposed on a single side of said head portion, said first and second ends being guidingly receivable within said cannula.
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Abstract
A surgical kit is provided, for a urethropexy procedure, comprising at least one needle (comprising a cannula and a trocar), a pair of implants and a tray for supporting and packaging the needle(s) and implants. The kit is sterilizable. A procedure for urethropexy is disclosed which may be carried out under local anesthesia.
530 Citations
21 Claims
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1. A kit for use in the surgical correction of female urinary stress incontinence comprising:
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at least one needle, said needle comprising a cannula and a trocar, said cannula being receivable of said trocar, said trocar being removably disposable within said cannula, said needle being bendable to a desired degree of curvature; and a pair of implants, each of said implants comprising a head portion and a suture portion, said head portion adapted to rest on the pubic bone, said head protion comprising a substanitally figure eight shaped member of surgical titanium having a central cross bar and said sutrue portion comprising a surgical suture acceptable, substantially non-biodegradable thread having a first end, a second end and a central portion, said central portion being wrapped about said central cross bar with said first and second ends disposed on a single side of said head portion, said first and second ends being guidingly receivable within said cannula. - View Dependent Claims (2, 3, 4)
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5. A kit for use in the surgical correction of female urinary stress incontinence comprising:
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a pair of implants, each of said implants comprising a head portion and a suture portion, said head portion comprising a substantially figure eight shaped member of surgical titanium having a central cross bar, said suture portion comprising a surgical suture acceptable, substantially non-biodegradable thread having a first end, a second end and a central portion, said central portion being wrapped about said central cross bar with said first and second ends disposed on a single side of said figure eight shaped member; a pair of needles, each of said needles comprising a cannula and a trocar, said cannula being receivable of said trocar, said trocar being removably disposable within said cannula, each of said needles being bendable to a desired degree of curvature, said cannula, in use, being guidingly receivable of said first end and said second end of said thread; a tray for supporting and packaging said pair of needles and said pair of implants. - View Dependent Claims (6, 7, 8, 9, 10, 11, 12, 13, 14, 15)
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16. A saddle for supporting a neck portion of the female urethra comprising
a substantially rectangular, planar abase, said base having an upper surface, a lower surface and four corners; -
a pair of arms protruding upwardly and outwardly from a central portion of said upper surface of said base, said arms being integrally formed with said base and forming a substantially V-shaped notch therewith; a reinforcing element attached to said lower surface of said base and substantially coextensive therewith; means defining an aperture in each of the four corners of said base, each said aperture passing through said base and said reinforcing element. - View Dependent Claims (17, 18, 19)
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20. A method for surgically correcting female urinary stress incontinence comprising the steps of
(1) providing a pair of implants, each of said implants comprising a head portion and a suture portion, said head portion adapted to rest on the symphysis pubis, said suture portion comprising a surgical suture acceptable, substantially non-biodegradable thread connected to said head portion, said thread having a first end and a second end disposed on a single side of said head portion; -
(2) providing at least one needle, said at least one needle comprising a cannula and a trocar, said cannula being receivable of said trocar, said trocar being removably disposable within said cannula, said at least one needle being bendable to a desired degree of curvature, said first and second ends of said thread being guidingly receivable within said cannula; (3) incising only the vaginal mucosa with an incision about 1 cm in length at the urethro-vesical junction; (4) introducing said needle at the right distal extremity of said vaginal incision and non-traumatizingly guiding said needle along the symphysis pubis to a first point about 3 cm to the right of a median line at the superior border of the symphysis pubis and passing said needle through the skin at this first point; (5) incising the skin with a cutaneous incision about 0.5 cm in length at said first point; (6) removing said trocar from said needle while leaving the cannula in place; (7) introducing the first end of said thread from one of said pair of implants into said cannula until it protrudes into the vagina; (8) withdrawing said cannula through the vagina; (9) introducing said needle at the right distal extremity of said vaginal incision and non-traumatizingly guiding said needle along the symphysis pubis to said incision of step (5); (10) removing said trocar from said needle while leaving the cannula in place; (11) introducing the second end of said thread from said one of said pair of implants into said cannula until it protrudes into the vagina; (12) withdrawing said cannula through the vagina; (13) introducing said needle a the left distal extremity of said vaginal incision and non-traumatizingly guiding said needle along the symphysis pubis to a second point about 3 cm to the left of a median line at the superior border of the symphysis pubis and passing said needle through the skin at this second point; (14) incising the skin with a cutaneous incision about 0.5 cm in length at said second point; (15) removing said trocar from said needle while leaving the cannula in place; (16) introducing the first end of said thread from the other of said pair of implants into said cannula until it protrudes into the vagina; (17) withdrawing said cannula through the vagina; (18) introducing said needle at the left distal extremity of said vaginal incision and non-traumatizingly guiding said needle along the symphysis pubis to said incision of step (14); (19) removing said trocar from said needle while leaving the canula in place; (20) introducing the second end of said thread from the other of said pair of implants into said cannula until it protrudes into the vagina; (21) withdrawing said cannula through the vagina; (22) burying each of said implants under the skin over the symphysis pubis; (23) adjusting the urethro-vesical angle to a desired position; (24) tying the ends of said threads from the right side to respective ends of said threads from the left side to hold the desired urethro-vesical angle. - View Dependent Claims (21)
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Specification