Method and apparatus for levator distension repair

• US 8,262,557 B2
• Filed: 06/08/2007
• Issued: 09/11/2012
• Est. Priority Date: 06/08/2006
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Ams Research Corporation (Endo International PLC)
• Inventors: Chapman, Kelly Ann, Olson, Matthew J., Hallum, Alton V. III
• Primary Examiner(s): Bianco, Patricia
• Assistant Examiner(s): Harris, Raymond E
• Application Number:
  US12/308,083
• Publication Number:
  US 20100152528A1
• Time in Patent Office: 1,922 Days
• Field of Search: 600/37
• US Class Current: 600/37
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 2017/00438 connectable to a finger
• CPC Class Codes: A61B 2017/00805 Treatment of female stress urinary incontinence
• CPC Class Codes: A61B 2017/0408 Rivets
• CPC Class Codes: A61F 2/0045 Support slings

Abstract

Improved methods and apparatuses for treatment of pelvic organ prolapse are provided. A specialized mesh having a shape for convenient subcutaneous placement to support the levator ani muscles is provided, as is a method of use of such a device. Appropriate devices for introducing such a mesh implant are also disclosed.

Claims

1. A surgical kit for the treatment of pelvic organ prolapse, said kit comprising:

a. an implant comprising a mesh portion having a trapezoidal shape having a top edge and a bottom edge opposite said top edge, wherein the top and bottom edges are different lengths and are parallel to each other; and

b. an introducer for placement of the implant in an appropriate anatomical location, wherein the introducer comprises a thimble portion detachably connected to the mesh portion;

wherein the implant includes an insertion configuration in which the implant is rolled relative to the thimble portion and a deployed configuration in which the implant is unrolled relative to the thimble portion.

2. The kit of claim 1, wherein said implant comprises at least one arm adjacent the top edge of said mesh portion.

3. The kit of claim 2, wherein said at least one arm comprises a tissue fixation mechanism.

4. The kit of claim 3, wherein said tissue fixation mechanism comprises an anchor.

5. The kit of claim 1, wherein said implant comprises a tail of mesh adjacent a bottom edge of said mesh portion.

6. The kit of claim 1, wherein said implant comprises rivets or other palpable structures located at the corners of said mesh portion.

7. The kit of claim 1, wherein said top edge of said mesh portion is reinforced with plastic.

8. The surgical kit of claim 1, wherein the mesh portion comprises perforations to facilitate detachment of the implant from the thimble portion.

9. The surgical kit of claim 1, wherein the thimble portion comprises a needle.

10. The surgical kit of claim 1, wherein the thimble portion comprises a push button mechanism adapted to deploy the implant.

11. The surgical kit of claim 1, wherein the introducer comprises a spreader device comprising an outer surface about which said implant may be rolled when the spreader device is in its unspread condition.

12. The surgical kit of claim 11, further comprising a protective sheath covering said implant rolled about said spreader device in its unspread condition.

13. The surgical kit of claim 11, wherein said introducer comprises a control mechanism adapted to adjust said spreader device from an unspread condition to a spread condition.

14. The surgical kit of claim 11, wherein the spreader device comprises multiple spreaders that are spreadable and retractable relative to each other.