Implantable sling for the treatment of incontinence and method of using the same
First Claim
1. A method for treating urinary incontinence, comprising the steps of:
- making a urethral incision exposing urethral tissue in a patient;
inserting an elongated implant into said urethral incision;
extending one end of said implant through an obturator foramen of said patient, around an ischial pubic ramus of said patient and back to said urethral incision;
extending an opposite end of said implant through the other obturator foramen of said patient, around the ischial pubic ramus of said other obturator foramen of said patient and back to said urethral incision;
positioning a center portion of said implant against said urethral tissue; and
securing said ends of said implant near said center portion of said implant so as to secure said ends around said ischial pubic ramus.
2 Assignments
0 Petitions
Accused Products
Abstract
An implantable sling for the treatment of male or female incontinence and method of implementing the same. The sling comprises a urethral support portion and at least one anchoring portion extending therefrom. The anchoring portion is operatively positioned through the obturator foramen and about at least one ramus portion of the pelvis such that the support portion of the implant is operatively positioned at or distal to the bulbar urethra (male) or mid-urethral region (female) to treat urinary incontinence. In a preferred embodiment, the implant will have first and second anchoring portions extending from the support portion with each respective one of said anchoring portions being operative to be secured about dedicated ones of the patient'"'"'s pubic ramus. The implants may further be fabricated from tissues, synthetic materials or combinations thereof.
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Citations
28 Claims
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1. A method for treating urinary incontinence, comprising the steps of:
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making a urethral incision exposing urethral tissue in a patient; inserting an elongated implant into said urethral incision; extending one end of said implant through an obturator foramen of said patient, around an ischial pubic ramus of said patient and back to said urethral incision; extending an opposite end of said implant through the other obturator foramen of said patient, around the ischial pubic ramus of said other obturator foramen of said patient and back to said urethral incision; positioning a center portion of said implant against said urethral tissue; and securing said ends of said implant near said center portion of said implant so as to secure said ends around said ischial pubic ramus. - View Dependent Claims (3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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2. A method for treating urinary incontinence, comprising the steps of:
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making a urethral incision exposing urethral tissue in a patient; inserting an elongated implant into said urethral incision; extending one end of said implant through an obturator foramen of said patient, around an ischial pubic ramus of said patient and back to said urethral incision; extending an opposite end of said implant through the other obturator foramen of said patient, around the ischial pubic ramus of said other obturator foramen of said patient and back to said urethral incision; positioning a center portion of said implant against said urethral tissue; and securing said ends of said implant near said center portion of said implant so as to secure said ends around said ischial pubic ramus, wherein said securing said ends of said implant includes suturing said ends of said implant to said center portion of said implant.
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15. A method for treating urinary incontinence comprising:
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exposing urethral tissue in a patient; extending opposite ends of an implant through an obturator foramen and wrapping said opposite ends around an ischial pubic ramus on either side of said patient; positioning a center region of said implant against urethral tissue of said patient; and securing said opposite ends of said implant near said center region of said implant. - View Dependent Claims (17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28)
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16. A method for treating urinary incontinence comprising:
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exposing urethral tissue in a patient; extending opposite ends of an implant through an obturator foramen and wrapping said opposite ends around an ischial pubic ramus on either said of said patient; positioning a center region of said implant against urethral tissue of said patient; and securing said opposite ends of said implant near said center region of said implant, wherein the securing of said opposite ends includes suturing said opposite ends to said center region of said implant.
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Specification