Absorbable pubovaginal sling system and method
First Claim
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1. An absorbable pubovaginal sling system for surgical management of a patient'"'"'s urinary incontinence that is adapted to be implanted to promote increased rigidity of the anterior vaginal wall and improved integrity of the sphincteric mechanism, comprising:
- one or more latex-free, synthetic slings made entirely of absorbable materials of which at least one of said materials is adapted to stimulate fibroblast interposition;
one or more monofilament sutures that is adapted to be connected to said sling proximate a bladder neck and transposed to a suprapubic position and is configured to extend through said patient'"'"'s subcutaneous tissue and outer layer of skin; and
one or more means for fixing said suture at a desired tension, wherein said means for fixing is adapted to be seated on the outside of the patient'"'"'s body against the patient'"'"'s abdomen, wherein said means for fixing engages said sutures, and wherein said means for fixing comprises a means for releasably adjusting said tension of said sutures from the outside of the patient'"'"'s body.
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Abstract
An absorbable pubovaginal sling system for surgical management of urinary incontinence, generally comprising: a latex-free, synthetic sling made entirely of absorbable materials of which at least one of the materials is adapted to stimulate fibroblast interposition; and a looped monofilament suture that is adapted to be transposed to the suprapubic position, supported by an external adjustable tension device, and connected to said sling.
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Citations
16 Claims
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1. An absorbable pubovaginal sling system for surgical management of a patient'"'"'s urinary incontinence that is adapted to be implanted to promote increased rigidity of the anterior vaginal wall and improved integrity of the sphincteric mechanism, comprising:
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one or more latex-free, synthetic slings made entirely of absorbable materials of which at least one of said materials is adapted to stimulate fibroblast interposition;
one or more monofilament sutures that is adapted to be connected to said sling proximate a bladder neck and transposed to a suprapubic position and is configured to extend through said patient'"'"'s subcutaneous tissue and outer layer of skin; and
one or more means for fixing said suture at a desired tension, wherein said means for fixing is adapted to be seated on the outside of the patient'"'"'s body against the patient'"'"'s abdomen, wherein said means for fixing engages said sutures, and wherein said means for fixing comprises a means for releasably adjusting said tension of said sutures from the outside of the patient'"'"'s body. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A method for surgically managing urinary incontinence in a patient, comprising the steps of,
providing one or more pubovaginal slings; -
providing one or more monofilament sutures that is connected to said sling and is adapted to be transposed to a suprapubic position;
providing one or more external adjustable tension devices;
passing said suture connected to said sling pubovaginally around each side of the patient'"'"'s bladder neck;
transposing said suture to a suprapubic position through the patient'"'"'s subcutaneous tissue and out through the patient'"'"'s skin;
threading said suture through said tension device;
tightening the tension of said suture until a desired level of tension support is achieved; and
at least temporarily fixing said suture at said desired level of tension support with said tension device. - View Dependent Claims (11, 12, 13, 14, 15, 16)
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Specification