Method and apparatus for treating pelvic organ prolapses in female patients
First Claim
1. An implant for treating central and lateral cystoceles present in a female patient, comprising a body having a pair of opposed ends, one of said ends having a concave shape selected so as to form an unobstructed recess which avoids contact with the patient'"'"'s bladder neck, a central longitudinal axis passing through said pair of opposed ends, an inboard area located between said opposed ends, said inboard area containing said longitudinal axis and having a size and shape selected so as to repair a central cystocele, at least one outboard area positioned on at least one side of said inboard area, said at least one outboard area having a size and shape selected so as to repair a lateral cystocele, and stabilizing means for laterally stabilizing said body on both sides thereof independently of the patient'"'"'s arcus tendineous fascia pelvis, said stabilizing means including at least one pair of straps extending laterally outward from opposite sides of said body, each of said straps being long enough to pass through a respective one of the patient'"'"'s obturator foramens and out a corresponding skin incision formed in the patient'"'"'s perineum proximal thereto, said at least one pair of straps including a first strap which extends laterally outward from one side of said body and a second strap which extends laterally outward from the other side of said body, said at least one outboard area including a first outboard area on one side of said inboard area and a second outboard area on an opposite side of said inboard area, said body including a first section proximal to said one end of said body, said first section having a first outer edge bordering at least a portion of said first outboard area and a second outer edge bordering at least a portion of said second outboard area, and said body including a second section proximal to the other end of said body, said second section having a wide portion which is proximal to said first section of said body, and a narrow portion which is proximal to said other end of said body, said narrow portion of said second section being sized and shaped so as to permit attachment of said second section to the patient'"'"'s utero-sacral ligaments.
1 Assignment
0 Petitions
Accused Products
Abstract
An anterior implant adapted to treat central and lateral cystoceles present in a female patient includes laterally extending stabilizing straps for supporting the implant between the patient'"'"'s bladder and vagina independently of the patient'"'"'s arcus tendineous fascia pelvis. Rectocele and hysterocele repairs can be carried out using a single posterior implant which, like the anterior implant, is provided with laterally extending stabilizing straps for supporting the implant between the patient'"'"'s rectum and vagina.
285 Citations
29 Claims
- 1. An implant for treating central and lateral cystoceles present in a female patient, comprising a body having a pair of opposed ends, one of said ends having a concave shape selected so as to form an unobstructed recess which avoids contact with the patient'"'"'s bladder neck, a central longitudinal axis passing through said pair of opposed ends, an inboard area located between said opposed ends, said inboard area containing said longitudinal axis and having a size and shape selected so as to repair a central cystocele, at least one outboard area positioned on at least one side of said inboard area, said at least one outboard area having a size and shape selected so as to repair a lateral cystocele, and stabilizing means for laterally stabilizing said body on both sides thereof independently of the patient'"'"'s arcus tendineous fascia pelvis, said stabilizing means including at least one pair of straps extending laterally outward from opposite sides of said body, each of said straps being long enough to pass through a respective one of the patient'"'"'s obturator foramens and out a corresponding skin incision formed in the patient'"'"'s perineum proximal thereto, said at least one pair of straps including a first strap which extends laterally outward from one side of said body and a second strap which extends laterally outward from the other side of said body, said at least one outboard area including a first outboard area on one side of said inboard area and a second outboard area on an opposite side of said inboard area, said body including a first section proximal to said one end of said body, said first section having a first outer edge bordering at least a portion of said first outboard area and a second outer edge bordering at least a portion of said second outboard area, and said body including a second section proximal to the other end of said body, said second section having a wide portion which is proximal to said first section of said body, and a narrow portion which is proximal to said other end of said body, said narrow portion of said second section being sized and shaped so as to permit attachment of said second section to the patient'"'"'s utero-sacral ligaments.
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7. A procedure for treating a cystocele present in a female patient comprising the steps of:
- making a first skin incision in the patient'"'"'s perineum proximal to one of the obturator foramens;
making a second skin incision in the patient'"'"'s perineum proximal to the other obturator foramen;
providing an anterior implant with at least a pair of laterally extending straps;
inserting said anterior implant into the patient'"'"'s pelvic area through the patient'"'"'s vaginal opening and an anterior incision in the vaginal wall;
passing one of said straps through said one obturator foramen and out said first skin incision;
passing another of said straps through said other obturator foramen and out said second skin incision; and
pulling on said one strap and said another strap until said anterior implant is properly positioned between the patient'"'"'s bladder and vagina to repair the cystocele. - View Dependent Claims (8, 9, 10)
- making a first skin incision in the patient'"'"'s perineum proximal to one of the obturator foramens;
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11. A procedure for treating a rectocele and a hysterocele present in a female patient, comprising the steps of:
- providing a posterior implant with a pair of laterally extending straps;
inserting said posterior implant into the patient'"'"'s pelvic area through the patient'"'"'s vaginal opening and a posterior incision in the vaginal wall;
placing said posterior implant between the patient'"'"'s rectum and vagina to repair the rectocele;
attaching one of said straps to one of the patient'"'"'s sacrospinous ligaments; and
attaching the other of said straps to the patient'"'"'s other sacrospinous ligament, thereby repairing the patient'"'"'s hysterocele. - View Dependent Claims (12, 13, 14, 15)
- providing a posterior implant with a pair of laterally extending straps;
- 16. An implant for treating central and lateral cystoceles present in a female patient, comprising a body including a first end having a concave shape selected so as to form an unobstructed recess which avoids contact with the patient'"'"'s bladder neck, a second end opposite said first end, a first section proximal to said first end of said body, said first section having a narrow portion which is proximal to said first end and a wide portion which is distal to said first end, a second section proximal to said second end of said body, said second section having a narrow portion which is proximal to said second end, and a wide portion which is distal to said second end, a central longitudinal axis passing through said first and second ends of said body, an inboard area located between said first and second ends of said body, said inboard area containing said longitudinal axis and having a size and shape selected so as to repair a central cystocele, at least one outboard area positioned on at least one side of said inboard area, said at least one outboard area having a size and shape selected so as to repair a lateral cystocele, and stabilizing means for laterally stabilizing said body on both sides thereof independently of the patient'"'"'s arcus tendineous fascia pelvis.
Specification