Methods and devices for the treatment of urinary incontinence
First Claim
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1. A surgical instrument for treating female urinary incontinence, the instrument comprising:
- a) a handle;
b) a shaft extending in a distal direction from the handle and comprising a curved portion, the shaft being adapted to access interior tissue within a human body;
c) a blunt tip including a solid apex disposed at a distal end of the shaft for blunt dissection of tissue; and
d) a window including an L-shaped slot located within a distal end portion of the shaft, the L-shaped slot including a first leg extending radially inward and a second leg extending axially in a distal direction from an inner end of the first leg.
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Abstract
Methods and devices for treating female stress urinary incontinence are disclosed. The methods include transvaginally accessing the pelvic cavity and introducing a suburethral sling into the retropubic space. In some embodiments the ends of the sling are attached to an anatomical support structure. In other embodiments, the ends of the suburethral sling are not attached to an anatomical support structure. The devices include a surgical instrument for blunt dissection of the pelvic cavity which includes a curved shaft and a blunt distal end. A hook deployment device may optionally be attached to the surgical instrument.
303 Citations
17 Claims
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1. A surgical instrument for treating female urinary incontinence, the instrument comprising:
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a) a handle; b) a shaft extending in a distal direction from the handle and comprising a curved portion, the shaft being adapted to access interior tissue within a human body; c) a blunt tip including a solid apex disposed at a distal end of the shaft for blunt dissection of tissue; and d) a window including an L-shaped slot located within a distal end portion of the shaft, the L-shaped slot including a first leg extending radially inward and a second leg extending axially in a distal direction from an inner end of the first leg. - View Dependent Claims (2, 3, 4, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17)
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5. A device for deploying an implant within a human body, the device comprising:
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a body member including (a) a connector adapted to attach onto an instrument; (b) a retainer coupled to the connector for holding the implant; (c) a shield located adjacent to and spaced apart from the retainer and at a distal end of the device for shielding the implant from surrounding tissue during insertion of the device into a human body; and (d) a pair of proximal tabs located adjacent to and spaced apart from the shield, the pair of proximal tabs being adapted to bend inward to drive the shield outward so as to expose the implant from the shield and disengage the implant from the device, thereby allowing the implant to engage into surrounding tissue. - View Dependent Claims (6, 7)
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Specification