Percutaneous device and method for treating urinary stress incontinence in women using a sub-urethral tape
First Claim
1. A device for treating urinary stress incontinence in women, comprising:
- a flexible and elongate mechanism comprising a tape for supporting a urethra and a flat protective sheath enveloping said tape; and
a puncturing needle with an active distal end and a proximal end connected to a first end of the flexible and elongate mechanism, wherein the proximal end of the puncturing needle is connected to a first end of the flexible and elongate mechanism by an intermediate traction element, a second end of the flexible and elongate mechanism being free.
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Accused Products
Abstract
A device for treating urinary stress incontinence in women includes a flexible and elongate mechanism including a tape for supporting a urethra and a flat protective sheath enveloping the tape; and a puncturing needle with an active distal end and a proximal end connected to a first end of the flexible and elongate mechanism, wherein the proximal end of the puncturing needle is connected to a first end of the flexible and elongate mechanism by an intermediate traction element, a second end of the flexible and elongate mechanism being free. A method for treating urinary stress incontinence in a woman suffering from urinary stress incontinence is also provided including (a) forming an opening in an anterior vaginal wall; (b) creating, from two small suprapubic incisions formed in the abdominal wall, a right track and a left track from the abdominal skin to the opening formed in the anterior vaginal wall; (c) using a needle and an intermediate traction element to follow one of the tracks and following the other track with at least a needle; (d) verifying by cystoscopy that the paths of the tracks are outside the bladder and the urethra; (e) using a support tape surrounded by a plastic sheath to follow the tracks by passage under an inferior surface of the urethra; (f) adjusting a loop formed by the sheathed tape under the inferior surface of the urethra; (g) removing the sheath by pulling the sheath toward the outside of the woman'"'"'s body through the small suprapubic incisions; and (h) leaving the tape implanted from the first to the second incision and around the urethra to support the urethra.
349 Citations
27 Claims
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1. A device for treating urinary stress incontinence in women, comprising:
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a flexible and elongate mechanism comprising a tape for supporting a urethra and a flat protective sheath enveloping said tape; and
a puncturing needle with an active distal end and a proximal end connected to a first end of the flexible and elongate mechanism, wherein the proximal end of the puncturing needle is connected to a first end of the flexible and elongate mechanism by an intermediate traction element, a second end of the flexible and elongate mechanism being free. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18)
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19. A method for treating urinary stress incontinence in a woman suffering from urinary stress incontinence, said method comprising:
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(a) forming an opening in an anterior vaginal wall;
(b) creating, from two small suprapubic incisions formed in the abdominal wall, a right track and a left track from the abdominal skin to 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 said small suprapubic incision to the opening formed in the anterior vaginal wall and following the other track with at least a needle;
(d) verifying by cystoscopy that the paths of the tracks are outside the bladder and the urethra;
(e) using a support tape surrounded by a plastic sheath to follow the tracks by passage under an inferior surface of the urethra;
(f) adjusting a loop formed by the sheathed tape under the inferior surface of the urethra;
(g) removing the sheath by pulling the sheath toward the outside of the woman'"'"'s body through the small suprapubic incisions; and
(h) leaving the support tape implanted from the first to the second incision and around the urethra to support the urethra. - View Dependent Claims (20, 21, 22, 23, 24, 25, 26)
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27. A method for treating urinary stress incontinence in a woman suffering from urinary stress incontinence, said method comprising:
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(a) forming an opening in an anterior vaginal wall;
(b) creating, from two small suprapubic incisions formed in the abdominal wall, a right track and a left track from the abdominal skin to 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 said small suprapubic incision to the opening formed in the interior vaginal wall and following the other track with at least a needle;
(d) using a support tape to follow the tracks; and
(e) leaving the support tape implanted from the first to the second incision and around the urethra to support the urethra.
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Specification