Apparatus and method for inserting an adjustable implantable genitourinary device
First Claim
1. An implantable device assembly comprising:
- an implantable device including an adjustable element and a tubular elongate body, wherein the adjustable element includes a continuous wall, including an inner surface defining a chamber, and the tubular elongate body includes a peripheral surface, a proximal end and a distal end, where the peripheral surface is connected to and sealed to the adjustable element, the tubular elongate body including a first interior passageway which extends longitudinally in the tubular elongate body from a first opening at the proximal end to a second opening in fluid communication with the chamber of the implantable device for adjustably expanding or contracting the adjustable element by applied flowable material introduced through the first opening, the implantable device being adapted for implantation within a body for controllable coaptation of a lumen;
a sleeve, where the sleeve includes a wall having an inner surface which is positioned adjacent the implantable device; and
a sheath adapted to accommodate at least a portion of the implant device.
1 Assignment
0 Petitions
Accused Products
Abstract
An implantable medical device and method for adjustably restricting a selected body lumen such as a urethra or ureter of a patient to treat urinary incontinence or ureteral reflux. The device includes an adjustable element and a tubular elongate body, where the adjustable element includes a chamber and the tubular elongate body includes at least a first interior passageway which extends longitudinally in the tubular elongate body from a first opening at the proximal end to a second opening in fluid communication with the chamber. Fluid volume passed through the first passageway is used for adjustably expanding or contracting the adjustable element. The implantable medical device further includes a sheath and a sleeve, where the sheath includes a wall having an inner surface which defines a channel through which at least a portion of the implantable device and the sleeve can pass. Alternatively, the implantable medical device includes a tip suitable to penetrate tissue so that the implantable medical device can be implanted within the tissue of a patient.
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Citations
37 Claims
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1. An implantable device assembly comprising:
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an implantable device including an adjustable element and a tubular elongate body, wherein the adjustable element includes a continuous wall, including an inner surface defining a chamber, and the tubular elongate body includes a peripheral surface, a proximal end and a distal end, where the peripheral surface is connected to and sealed to the adjustable element, the tubular elongate body including a first interior passageway which extends longitudinally in the tubular elongate body from a first opening at the proximal end to a second opening in fluid communication with the chamber of the implantable device for adjustably expanding or contracting the adjustable element by applied flowable material introduced through the first opening, the implantable device being adapted for implantation within a body for controllable coaptation of a lumen;
a sleeve, where the sleeve includes a wall having an inner surface which is positioned adjacent the implantable device; and
a sheath adapted to accommodate at least a portion of the implant device. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16)
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17. An implantable device assembly comprising:
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an implantable device including an adjustable element and a tubular elongate body, wherein the adjustable element includes a continuous wall, including an inner surface defining a chamber, and the tubular elongate body includes a peripheral surface, a proximal end and a distal end, where the peripheral surface is connected to and sealed to the adjustable element, the tubular elongate body including a first interior passageway which extends longitudinally in the tubular elongate body from a first opening at the proximal end to a second opening in fluid communication with the chamber of the implantable device for adjustably expanding or contracting the adjustable element by applied flowable material introduced through the first opening, the implantable device being adapted for implantation within a body for controllable coaptation of a lumen; and
a sheath adapted to accommodate at least a portion of the implant device, where the sheath includes a slot which extends longitudinally along the wall. - View Dependent Claims (18, 19, 20, 21, 22, 23)
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24. An implantable device assembly for controllable coaptation of a body lumen, comprising:
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an implantable device including an adjustable element and a tubular elongate body, wherein the adjustable element includes a continuous wall, including an inner surface defining a chamber, and the tubular elongate body includes a peripheral surface, a proximal end and a distal end, where the peripheral surface is connected to and sealed to the adjustable element, the tubular elongate body including a first interior passageway which extends longitudinally in the tubular elongate body from a first opening at the proximal end to a second opening in fluid communication with the chamber of the implantable device for adjustably expanding or contracting the adjustable element by applied flowable material introduced through the first opening; and
a tip attached to the implantable device, the tip suitable to penetrate tissue, where the adjustable element expands under pressure from a volume of flowable material introduced through the first opening to at least partially envelop the tip. - View Dependent Claims (25, 26, 27, 28)
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29. A method for implanting an implantable device, comprising:
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introducing at least a first portion of a sheath into body tissue, where the sheath includes a wall defining a channel, and a slot which extends longitudinally along the wall;
positioning the sheath with the first portion of the sheath in body tissue and a second portion of the sheath outside the body tissue, where the second portion of the sheath includes at least a portion of the slot; and
moving at least a portion of the implantable device passed through the slot located in the second portion of the sheath through the channel of the sheath into the first portion of the sheath located in the body tissue. - View Dependent Claims (30, 31, 32, 33, 34, 35, 36, 37)
applying force to the rod to move the implanted device at least partially through the channel of the sheath.
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32. The method of claim 29, where the sheath includes a distal end and a proximal end, and where the slot extends from the distal end to a position between the proximal end and the distal end, and where moving at least a portion of an implantable device includes pushing the implantable device towards the distal end of the sheath.
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33. The method of claim 29, where moving at least a portion of an implantable device includes inserting a push rod into an interior passageway of the implantable device through a first opening until the push rod contacts a closed end distal to the first opening;
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applying force to the push rod to move the implanted device at least partially through the channel of the sheath.
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34. The method of claim 29, where moving at least a portion of an implantable device includes positioning a sleeve around at least a portion of the implantable device, and applying force to the sleeve to move the implanted device at least partially through the channel of the sheath.
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35. The method of claim 32, where the implantable device includes a rear port element, a tubular elongate body, and an adjustable element, where the tubular elongate body includes a support member and pushing the implantable device includes applying force through the support member to move the implanted device at least partially through the channel of the sheath to position the adjustable element beyond the distal end of the sheath.
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36. The method of claim 29, where the sheath includes a distal end and the implantable device includes an adjustable element, and where moving the implantable device through the channel includes positioning the adjustable element beyond the distal end of the sheath.
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37. The method of claim 36, including introducing flowable material into the adjustable element to restrict a body lumen.
Specification