Method and apparatus for adjustable sling for treatment of urinary stress incontinence
First Claim
1. An implantable device, comprising:
- an anchoring system;
one or more bands including one or more hydraulic bellows, the one or more bands connected to the anchoring system; and
an implantable sling cup, connected to the one or more bands and including an expandable element,wherein the expandable element is connected to a self sealing port via a conduit and is adjustable by adding or withdrawing flowable material from an external source to affect expansion of the expandable element.
1 Assignment
0 Petitions
Accused Products
Abstract
An method and apparatus for an adjustable sling for treatment of urinary stress incontinence. The present system includes apparatus and methods for postoperative adjustment of sling tension using adjustable elements in the sling assembly. The present system also provides a number of demonstrative embodiments for an adjustable sling where positioning of the bladder is controlled using the adjustable sling and where coaptation of the urethra is controlled by postoperative inflation of one or more balloons mounted in a sling cup.
Methods and apparatus are provided for adjusting the adjustable sling after surgical implantation. In one embodiment a self sealing septum is located near the skin for convenient filling using a syringe. Multiple port embodiments are also discussed.
207 Citations
27 Claims
-
1. An implantable device, comprising:
-
an anchoring system; one or more bands including one or more hydraulic bellows, the one or more bands connected to the anchoring system; and an implantable sling cup, connected to the one or more bands and including an expandable element, wherein the expandable element is connected to a self sealing port via a conduit and is adjustable by adding or withdrawing flowable material from an external source to affect expansion of the expandable element. - View Dependent Claims (2, 3, 4, 5, 6)
-
-
7. An implantable device for a body having a urethra, comprising:
-
a sling having a cup and one or more straps, the one or more straps adapted to be anchored within the body; and at least one expandable element integral to the cup to change position of the urethra, and a hydraulic bellows forming an integral portion of the one or more straps. - View Dependent Claims (8)
-
-
9. An implantable device for a body having a urethra, comprising:
-
a sling including a cup including a plurality of adjustable elements attached to one or more septums and the sling having one or more straps, the one or more straps adapted to be anchored within the body; at least one expandable element integral to the cup to change position of the urethra; and hydraulic bellows forming an integral portion of the one or more straps. - View Dependent Claims (10)
-
-
11. An implantable device for a body having a urethra, comprising:
-
a sling having a cup and one or more straps, the one or more straps adapted to be anchored within the body; and a plurality of expandable elements integral to the cup to change position of the urethra, the plurality of adjustable elements attached to one or more septums.
-
-
12. An implantable, adjustable sling for a body, comprising:
-
an implantable sling cup connected to a first strap and a second strap, the first strap and the second strap adapted to be anchored within the body; and at least one adjustable element forming an integral portion of the first strap; wherein the sling cup comprises an expandable element connected to a conduit including a self-sealing port, the expandable element adapted to be expanded by adding flowable material or contracted by withdrawal of flowable material.
-
-
13. An implantable, adjustable sling for a body, comprising:
-
an implantable sling cup connected to a first strap and a second strap, the first strap and the second strap adapted to be anchored within the body; and at least one adjustable element forming an integral portion of the first strap; wherein the sling cup comprises a plurality of balloons connected to conduits including self-sealing ports, the plurality of balloons adapted to be expanded by adding flowable material or contracted by withdrawal of flowable material.
-
-
14. An implantable, adjustable sling for a body, comprising:
-
an implantable sling cup connected to a first strap and a second strap, the first strap and the second strap adapted to be anchored within the body; and at least one adjustable element forming an integral portion of the first strap; wherein the sling cup comprises a plurality of balloons connected to one or more conduits including one or more self-sealing ports, the plurality of balloons adapted to be expanded by adding flowable material or contracted by withdrawal of flowable material. - View Dependent Claims (15, 16)
-
-
17. An implantable, adjustable sling for a body, comprising:
-
an implantable sling cup connected to a first strap and a second strap, the first strap and the second strap adapted to be anchored within the body; and at least one adjustable element forming an integral portion of the first strap; wherein the first strap comprises a plurality of adjustable elements.
-
-
18. An implantable, adjustable sling for a body, comprising:
-
an implantable sling cup connected to a first strap and a second strap, the first strap and the second strap adapted to be anchored within the body; and at least one adjustable element forming an integral portion of the first strap, the at least one adjustable element adapted to be adjusted by adding or subtracting flowable material; wherein the second strap comprises another adjustable element.
-
-
19. An implantable, adjustable sling for a body, comprising:
-
an implantable sling cup connected to a first strap and a second strap, the first strap and the second strap adapted to be anchored within the body; and at least one adjustable element forming an integral portion of the first strap; wherein the at least one adjustable element includes a hydraulic bellows. - View Dependent Claims (20)
-
-
21. An implantable device, comprising:
an implantable sling cup comprising a plurality of balloons connected to one or more conduits, each conduit including a port, the plurality of balloons adapted to be expanded by adding flowable material or contracted by withdrawal of flowable material. - View Dependent Claims (22, 23, 24, 25, 26, 27)
Specification