Articles, devices, and methods for pelvic surgery
First Claim
Patent Images
1. A method for supporting vaginal tissue, the method comprising:
- providing an implant comprising a tissue support portion and an end portion extending from the tissue support portion,creating a vaginal incision,placing the tissue support portion in contact with vaginal tissue in a position to support the vaginal tissue,producing a tissue path between the position of the tissue support portion and an exterior incision, the tissue path passing through tissue of a coccyx region bounded by an upper edge of a sacrospinous ligament, a tip of a coccyx bone, a point approximately 2.5 centimeters lateral to the tip of the coccyx bone, and an ischial spine,associating a tip of a needle with the end portion of the implant, andinserting the needle tip and associated end portion into the vagina and transvaginally through the vaginal incision, andpushing the needle tip and end portion of the implant through the tissue path and through the external incision thereby extending the end portion through the tissue path to the external incision.
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Abstract
Described are implants, tools, and related methods, for use in pelvic surgery to treat conditions such as prolapse and incontinence, including one embodiment of a method that uses a transcoccyx tissue path; other embodiments that use particular implants with various features relating to, e.g., end portions; and other embodiments relating to particular tools.
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Citations
15 Claims
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1. A method for supporting vaginal tissue, the method comprising:
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providing an implant comprising a tissue support portion and an end portion extending from the tissue support portion, creating a vaginal incision, placing the tissue support portion in contact with vaginal tissue in a position to support the vaginal tissue, producing a tissue path between the position of the tissue support portion and an exterior incision, the tissue path passing through tissue of a coccyx region bounded by an upper edge of a sacrospinous ligament, a tip of a coccyx bone, a point approximately 2.5 centimeters lateral to the tip of the coccyx bone, and an ischial spine, associating a tip of a needle with the end portion of the implant, and inserting the needle tip and associated end portion into the vagina and transvaginally through the vaginal incision, and pushing the needle tip and end portion of the implant through the tissue path and through the external incision thereby extending the end portion through the tissue path to the external incision. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A method of treating a pelvic condition, the method comprising
providing an implant comprising supportive portions consisting of a central support portion having two opposing sides and two opposing ends and a shorter end portion extending from one end of the central support portion and a longer end portion extending from the opposing end of the central support portion wherein the central support portion has a width greater than a width of the end portions, and the shorter end portion has a length that is shorter than a length of the longer end portion providing a tool comprising a curved needle, a tip of the needle adapted to engage a distal end of an end portion, contacting the tissue support portion with a pelvic tissue, engaging the tool with a distal end of the shorter end portion and implanting the shorter end portion in a patient, and after implanting the shorter end portion, engaging the tool with a distal end of the longer end portion and implanting the longer end portion in the patient.
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13. A method of implanting a pelvic implant, the method comprising
providing an implant comprising: -
a tissue support portion and first and second elongate end portions extending from the tissue support portion, a first and second dilator attached to a distal end of each end portion, first and second elongate sheaths surrounding at least a portion of each end portion, the sheaths comprising a distal end attached to the dilator, wherein the end portions include a passage inside of the sheaths, to an internal surface of each dilator, providing a tool comprising an elongate needle having a needle tip adapted to engage the internal surface of the dilators through the passages, placing the tool inside at least a portion of the first sheath surrounding a length of the first end portion, and engaging the first dilator, inserting the first dilator through a first tissue path by pushing the first dilator using the tool. - View Dependent Claims (14)
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15. A method for supporting vaginal tissue, the method comprising
providing an implant comprising a tissue support portion and an end portion extending from the tissue support portion, creating a vaginal incision, placing the tissue support portion in contact with vaginal tissue in a position to support the vaginal tissue, producing a tissue path between the position of the tissue support portion and an exterior incision, the tissue path passing through tissue of a coccyx region bounded by an upper edge of a sacrospinous ligament, a tip of a coccyx bone, a point approximately 2.5 centimeters lateral to the tip of the coccyx bone, and an ischial spine, extending the end portion through the tissue path to the external incision, wherein the implant comprises supportive portions consisting of a tissue support portion and only one end portion, and the method includes making only one tissue path between the vaginal apex region and the external incision, for passing the one end portion between the vaginal apex region and the external incision.
Specification