Tuck and fold fascia shortening for incontinence
First Claim
1. An endopelvic fascia plication tool comprising:
- a probe having a proximal end and a distal end;
means for grasping a region of the endopelvic fascia and for forming a fold in the endopelvic fascia that extends away from the plication tool, the grasping means disposed near the distal end; and
an actuation mechanism coupled to the grasping means so that actuation of the mechanism draws the grasped region inward from an initial configuration having an initial area to a smaller configuration having a smaller area.
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Accused Products
Abstract
Improved devices, methods, and systems for the surgical treatment of urinary incontinence generally enhance the support provided by the natural tissues of the pelvic floor without directly applying compressive pressure against the urethra. The invention provides probes for forming plications in the endopelvic fascia that are displaced laterally on either side of the midline. These probes can impose a predetermined level of trauma to the plicated tissues so as to promote the formation of adhesions. Adhesions can maintain the enhanced support provided by the plication after reabsorption of a temporary fastener (such as a reasborbable suture, staple, or the like). The plicating probe draws the tissue inward to provide a uniform plication within a predetermined size range.
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Citations
15 Claims
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1. An endopelvic fascia plication tool comprising:
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a probe having a proximal end and a distal end;
means for grasping a region of the endopelvic fascia and for forming a fold in the endopelvic fascia that extends away from the plication tool, the grasping means disposed near the distal end; and
an actuation mechanism coupled to the grasping means so that actuation of the mechanism draws the grasped region inward from an initial configuration having an initial area to a smaller configuration having a smaller area. - View Dependent Claims (2, 3, 4)
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5. An endopelvic fascia plication system comprising:
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a probe having a proximal end and a distal end;
a grasper adjacent the distal end for engaging a surface region of the endopelvic fascia tissue and for forming a fold in the endopelvic fascia that extends away from the probe; and
a first actuation mechanism coupled to the grasper so that actuation of the first mechanism draws the engaged tissue inward from an initial configuration to a smaller area configuration. - View Dependent Claims (6, 7, 8, 9, 10, 11, 12, 13)
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14. An endopelvic fascia plication system comprising:
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a probe having a proximal end and a distal end;
a grasper comprising actuatable jaws adjacent the distal end for engaging a surface region of the endopelvic fascia tissue; and
a first actuation mechanism coupled to the grasper so that actuation of the first mechanism draws the engaged tissue inward from an initial configuration to a smaller area configuration into a fixed channel between a pair of slide surfaces.
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15. An endopelvic fascia plication system comprising:
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a probe having a proximal end and a distal end;
a grasper comprising a cavity having a rim oriented for engaging the tissue surface while the probe is positioned perpendicularly to the tissue surface; and
a first actuation mechanism coupled to the grasper and extending along the probe between the proximal and distal ends so that actuation of the first mechanism evacuates the cavity to draw the tissue therein.
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Specification