Method for surgical treatment of urinary incontinence and device for carrying out said method
First Claim
1. A method for treating urinary incontinence in a woman suffering from urinary stress incontinence, said method comprising at least the following steps:
- a) forming an opening in the anterior vaginal wall;
b) forming two small suprapubic incisions in the abdominal wall, and creating a right track and a left track extending from the abdominal skin to the opening formed in the anterior vaginal wall, by penetrating from the abdominal skin to exit via the opening formed in the anterior vaginal wall;
c) using a needle and an intermediate traction element to follow one of the tracks from one of said small suprapubic incisions to the opening formed in the anterior vaginal wall, and following the other track with the needle and optionally an intermediate traction element;
d) verifying by cystoscopy that the path of these tracks is outside the bladder and the urethra;
e) using a support tape surrounded by a plastic sleeve to follow the tracks by passage under half of the inferior surface of the urethra;
f) adjusting the loop formed by the sleeved tape under the inferior surface of the urethra;
g) removing the sleeve by pulling towards the outside via the small abdominal incisions;
h) leaving the support tape implanted from the first to the second incision, going round the urethra and serving to support the urethra.
1 Assignment
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Accused Products
Abstract
In a device and method for the percutaneous treatment of urinary stress incontinence in women using a synthetic sub-urethral tape, the device includes a needle, an intermediate traction element, and a sleeved support tape; and the method includes forming an opening in the vaginal wall and forming suprapubic incisions, creating tracks and following one track with a needle and intermediate traction element from a suprapubic incision to the opening in the vagina, following the other track with a needle and optionally an intermediate traction element, verifying the tracks by cystoscopy, passing a sleeved tape through the tracks to form a loop under the urethra, adjusting the loop, removing the sleeve, and leaving the tape implanted.
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Citations
22 Claims
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1. A method for treating urinary incontinence in a woman suffering from urinary stress incontinence, said method comprising at least the following steps:
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a) forming an opening in the anterior vaginal wall;
b) forming two small suprapubic incisions in the abdominal wall, and creating a right track and a left track extending from the abdominal skin to the opening formed in the anterior vaginal wall, by penetrating from the abdominal skin to exit via the opening formed in the anterior vaginal wall;
c) using a needle and an intermediate traction element to follow one of the tracks from one of said small suprapubic incisions to the opening formed in the anterior vaginal wall, and following the other track with the needle and optionally an intermediate traction element;
d) verifying by cystoscopy that the path of these tracks is outside the bladder and the urethra;
e) using a support tape surrounded by a plastic sleeve to follow the tracks by passage under half of the inferior surface of the urethra;
f) adjusting the loop formed by the sleeved tape under the inferior surface of the urethra;
g) removing the sleeve by pulling towards the outside via the small abdominal incisions;
h) leaving the support tape implanted from the first to the second incision, going round the urethra and serving to support the urethra. - View Dependent Claims (2, 3, 4, 5, 6, 7)
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8. A device for treating feminine urinary incontinence essentially constituted by:
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a) a penetrating needle having a curved portion with an active distal end, which is integral with a straight portion having a proximal end;
b) a hermetically sleeved support tape having a distal end and a proximal end, the distal end being connected to the proximal end of the needle;
c) at least one intermediate traction element having a distal end connected to the proximal end of the needle and a proximal end which can be fixed to the distal end of the sleeved tape. - View Dependent Claims (9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22)
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Specification