Surgical instrument for treating female urinary stress incontinence
First Claim
1. A surgical instrument for treating female urinary stress incontinence comprising:
- a. a tubular mesh sling for implanting into the lower abdomen of a female providing support to mid-urethral and bladder neck sphincteric continence sites, said sling defining in part plastic sheath portions fixedly attached to a tubular mesh section; and
b. a tubular sling transfer instrument having a distal end and a proximal end, said instrument defining in part a progressively curved shaft portion positioned between distal and proximal ends with a handle located at said proximal end, a detachable tip positioned and angularly displaced from said curved shaft at its distal end, a means for attaching said detachable tip to said progressively curved shaft portion and a sling transfer sheath which is attached to said detachable tip and said tubular mesh sling.
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Accused Products
Abstract
A surgical instrument for treating female urinary stress incontinence comprising a tubular mesh sling for implanting into the lower abdomen of a female which provides support to mid-urethral and bladder neck sphincteric continence sites with the sling defining in part, plastic sheath portions fixedly attached to opposite ends of a tubular mesh section. The tubular mesh sling is deployed via a sling transfer instrument having distal and proximal ends with the instrument comprising in part a progressively curved shaft portion positioned between the distal and proximal ends. A handle is located on the instrument'"'"'s proximal end and a tip portion on the instrument'"'"'s distal end. Both a transvaginal instrument and a suprapubic instrument for sling transfer is disclosed as is a spacing device used to position the sling without tension.
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Citations
29 Claims
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1. A surgical instrument for treating female urinary stress incontinence comprising:
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a. a tubular mesh sling for implanting into the lower abdomen of a female providing support to mid-urethral and bladder neck sphincteric continence sites, said sling defining in part plastic sheath portions fixedly attached to a tubular mesh section; and
b. a tubular sling transfer instrument having a distal end and a proximal end, said instrument defining in part a progressively curved shaft portion positioned between distal and proximal ends with a handle located at said proximal end, a detachable tip positioned and angularly displaced from said curved shaft at its distal end, a means for attaching said detachable tip to said progressively curved shaft portion and a sling transfer sheath which is attached to said detachable tip and said tubular mesh sling. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13)
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14. A surgical instrument for treating female urinary stress incontinence comprising:
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a) a tubular mesh sling for implanting into the lower abdomen of a female providing support to mid-urethral and bladder neck sphincteric continence sites, said sling defining in part plastic sheath portions fixedly attached to opposite ends of a tubular mesh section; and
b) a tubular sling transfer instrument having a distal end and a proximal end, said instrument defining in part a progressively curved shaft portion positioned between distal and proximal ends with a handle located at said proximal end, a tip positioned angularly displaced from said curved shaft at its distal end, a means for attaching said angularly displaced tip to said tubular mesh sling plastic sheath portions. - View Dependent Claims (15, 16, 17, 18, 19, 20, 21, 22, 23, 24)
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25. A method for treating female urinary incontinence comprising the steps of:
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a) providing a tubular sling transfer instrument having a distal end and a proximal end, defining in part a progressively curved metallic shaft portion positioned between distal and proximal ends and a tubular mesh sling attached thereto;
b) passing the tubular sling transfer instrument and tubular mesh sling having dimensionally distinguishable mid-urethral and bladder neck sphincteric continence support sections into the body via the vagina to form a sling around mid-urethral and bladder neck sphincteric continence sites; and
c) leaving the tubular mesh sling implanted in the body. - View Dependent Claims (26)
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27. A method for treating female urinary incontinence comprising the steps of:
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a) providing a tubular sling transfer instrument having a distal end and a proximal end, defining in part a progressively curved metallic shaft portion positioned between distal and proximal ends; and
b) passing the tubular sling transfer instrument into the body via a suprapubic approach into the vagina;
c) positioning a tubular sling transfer collar attached to a tubular mesh sling having dimensionally distinguishable mid-urethral and bladder neck sphincteric continence support sections onto the tubular sling transfer instrument;
d) partially withdrawing the sling transfer instrument to position each end of the tubular sling to a suprapubic position;
e) positioning the sling in the anterior vaginal wall;
f) removing a plastic sheath from each end of the tubular sling; and
g) leaving the tubular sling implanted in the body. - View Dependent Claims (28, 29)
a) inserting through a vaginal incision a sling spacer and positioning said spacer along the anterior vaginal wall;
b) rolling or otherwise motivating the tubular string for positioning adjustment;
c) removing the sling spacer; and
d) trimming excess tubular sling material.
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29. The method of claim 27 wherein said provided tubular sling transfer instrument is defined in part by a progressively curved shaft comprised of a bio-compatible polymer positioned between distal and proximal ends of said sling transfer instrument.
Specification