Surgical instrument and method for treating organ prolapse conditions
First Claim
1. A surgical kit for performing a surgical procedure on a patient to restore a prolapsed organ within a patient'"'"'s pelvic region comprising:
- a mesh for supporting the organ, the mesh including a support sheet portion to be positioned substantially beneath the organ having a distal end region and a proximal end region, first and second front attachment strips extending from the proximal end region, and first and second rear attachment strips extending from the distal end region;
a first guide needle for penetrating tissue within the patient'"'"'s body to create a passageway through the patient'"'"'s pelvic region through which the first or second front or rear attachment strips can be pulled, the guide needle having a proximal end and a tissue penetrating blunt tip at a distal end, and defining in part a curved shaft having a first curvature; and
coupling means for coupling a distal end of each of the first and second front and rear attachment strips to the distal end of the guide needle,wherein, for each of the first and second front and rear attachment strips, the coupling means is a coupling element fixedly secured at a first end to a distal end of the attachment strips, and having an opening at a second end dimensioned to receive therein and securely engage the distal end of the guide needle.
1 Assignment
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Accused Products
Abstract
A mesh, a surgical kit including a mesh, and a method for using the same to restore a prolapsed organ within a patient'"'"'s pelvic cavity are provided. The surgical kit includes a mesh for supporting the organ including a support sheet portion to be positioned beneath the organ, and first and second front attachment strips extending from a proximal region of the mesh and first and second rear attachment strips extending form a distal region of the mesh. The kit also includes a first guide needle for penetrating tissue to create a passageway through which the attachment strips can be pulled, and coupling means for coupling the ends of the mesh to the attachment strips.
265 Citations
17 Claims
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1. A surgical kit for performing a surgical procedure on a patient to restore a prolapsed organ within a patient'"'"'s pelvic region comprising:
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a mesh for supporting the organ, the mesh including a support sheet portion to be positioned substantially beneath the organ having a distal end region and a proximal end region, first and second front attachment strips extending from the proximal end region, and first and second rear attachment strips extending from the distal end region; a first guide needle for penetrating tissue within the patient'"'"'s body to create a passageway through the patient'"'"'s pelvic region through which the first or second front or rear attachment strips can be pulled, the guide needle having a proximal end and a tissue penetrating blunt tip at a distal end, and defining in part a curved shaft having a first curvature; and coupling means for coupling a distal end of each of the first and second front and rear attachment strips to the distal end of the guide needle, wherein, for each of the first and second front and rear attachment strips, the coupling means is a coupling element fixedly secured at a first end to a distal end of the attachment strips, and having an opening at a second end dimensioned to receive therein and securely engage the distal end of the guide needle.
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2. A surgical kit for performing a surgical procedure on a patient to restore a prolapsed organ within a patient'"'"'s pelvic region comprising:
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a mesh for supporting the organ, the mesh including a support sheet portion to be positioned substantially beneath the organ having a distal end region and a proximal end region, first and second front attachment strips extending from the proximal end region, and first and second rear attachment strips extending from the distal end region; a first guide needle for penetrating tissue within the patient'"'"'s body to create a passageway through the patient'"'"'s pelvic region through which the first or second front or rear attachment strips can be pulled, the guide needle having a proximal end and a tissue penetrating blunt tip at a distal end, and defining in part a curved shaft having a first curvature; and coupling means for coupling a distal end of each of the first and second front and rear attachment strips to the distal end of the guide needle, wherein, for each of the first and second front and rear attachment strips, the coupling means comprises a needle element fixedly coupled at a proximal end to a distal end of the attachment strip, and a coupling device for coupling a distal end of the needle element to the distal end of the guide needle. - View Dependent Claims (3)
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4. A surgical kit for performing a surgical procedure on a patient to restore a prolapsed organ within a patient'"'"'s pelvic region comprising:
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a mesh for supporting the organ, the mesh including a support sheet portion to be positioned substantially beneath the organ having a distal end region and a proximal end region, first and second front attachment strips extending from the proximal end region, and first and second rear attachment strips extending from the distal end region; a first guide needle for penetrating tissue within the patient'"'"'s body to create a passageway through the patient'"'"'s pelvic region through which the first or second front or rear attachment strips can be pulled, the first guide needle having a proximal end and a tissue penetrating blunt tip at a distal end, and defining in part a curved shaft having a first curvature; a second guide needle for penetrating tissue within the patient'"'"'s body to create a passageway through the patient'"'"'s pelvic region through which the first or second front or rear attachment strips can be pulled, the second guide needle having a proximal end and a tissue penetrating blunt tip at a distal end and defining in part a curved shaft; and coupling means for coupling a distal end of each of the first and second front and rear attachment strips to the distal end of the first and second guide needles, wherein the curved shaft of the second guide needle has a curvature different than that of the first guide needle, and wherein the passageway created by the first guide needle is different than that of the second guide needle. - View Dependent Claims (5, 6, 7, 8, 17)
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9. A method for restoring a prolapsed organ within a patient'"'"'s pelvic cavity comprising the steps of:
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providing a mesh for supporting the prolapsed organ, the mesh including a support sheet portion to be positioned substantially beneath the organ having a distal end region and a proximal end region, first and second front attachment strips extending from the proximal end region, and first and second rear attachment strips extending from the distal end region; providing at least one guide needle; for each of the first and second front attachment strips, using the guide needle to create first and second passageways, one at a time, through the patient'"'"'s body from an exterior of the body and into the patient'"'"'s vagina, coupling the guide needle to a distal end of the attachment strip using a coupling means, and retracting the guide needle and attached attachment strip through the body through the passageway; for each of the first and second rear attachment strips, using the guide needle to create third and fourth passageways, one at a time, through the patient'"'"'s body from the exterior of the body and into the patient'"'"'s vagina, coupling the guide needle to a distal end of the attachment strip using a coupling means, and retracting the guide needle and attached attachment strip through the body through the passageway adjusting the mesh using ends of the attachment strips so as to restore the prolapsed organ closer to its proper anatomical position and support it there; removing a portion of the attachments strips that are outside of the body; and leaving the mesh and remaining attachment strips within the body. - View Dependent Claims (10, 11, 12, 13, 14, 15, 16)
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Specification