Implant for suspension of the urinary bladder in cases of incontinence of urine in women

• US 5,840,011 A
• Filed: 11/25/1996
• Issued: 11/24/1998
• Est. Priority Date: 11/17/1995
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Landgrebe, Susanne, Schilder, Lothar
• Primary Examiner(s): Lacyk, John P.
• Assistant Examiner(s): Kearney, Rosilund
• Application Number:
  US08/756,082
• Time in Patent Office: 729 Days
• Field of Search: 623/11, 623/12, 600/29-31, 128/DIG. 25, 128/885, 128/887, 128/834, 128/836
• US Class Current: 600/30
• CPC Class Codes: A61F 2/0045 Support slings

Abstract

An implant for suspension of the urinary bladder in bases of incontinence of urine in women has a flat, flexible basic structure. Two first projections (5, 6) and two second projections (7, 8) start from a triangle-like to elongated oval basis (1). The two first projections (5, 6) run on opposite sides of the longitudinal axis (L--L) of the base (1), and the two second projections (7, 8) likewise run on opposite sides of the longitudinal axis (L--L) of the base (1), but generally in the opposite direction to the two first projections (5, 6).

Claims

1. An implant for suspension of the urinary bladder useful in treating urinary incontinence, comprising a flat, flexible base structure having a top, a bottom and opposed sides;

two elongated first projections extending from the top of and in the same plane as the base structure (5,

     6); and

two second projections (7,

     8) extending from the bottom of the base structure, the two first projections (5,

     6), running on opposite sides of a longitudinal axis (L--L) of the base (1) and the two second projections (7,

     8) running on opposite sides of the longitudinal axis (L--L) of the base (1), said two first projections separated by a space and said two second projections separated by a space;

wherein the base structure is constructed symmetrically to the longitudinal axis (L--L) of the base (1);

wherein the two first projections (5,

     6) are shorter than the two second projections (7,

     8), and

wherein the base (1) is substantially triangularly shaped, wherein said top which is arcuate, said top having opposed sides and the two first projections (5,

     6) extend from the base (1) on opposed sides of the top through which the longitudinal axis (L--L) of the base (1) runs, but at a distance therefrom, wherein there is a continuous space between the sides of each first projection and the sides of the arcuate top such that the arcuate support the bladder neck and the proximal urethra; and

,

wherein the two first projections (5,

     6) extend at an acute angle, which is less that 20°

, with respect to the longitudinal axis (L--L) of the base (1), and in that the two second projections (7,

     8), extend from the bottom of the base (1) such that they are essentially parallel to the longitudinal axis (L--L) of the base (1).

2. The implant of claim 1, wherein said base structure comprises a non-absorbable material.

3. The implant of to claim 2, wherein said non-absorbable material is polypropylene.

4. The implant of claim 1, wherein said base structure comprises an absorbable material.

5. The implant of to claim 4, wherein said absorbable material is a mixture of polyglactin 910 and polydioxanone.

6. The implant of claim 1, wherein said base structure has several layers.

7. The implant of to claim 6, wherein said base structure is built up in three layers, a net of polypropylene being provided with a porous coating of a composite material of polyglactin 910 and polydioxanone on both sides.