Methods and systems for treatment of prolapse
First Claim
1. A method of supporting posterior vaginal tissue, the method comprisingproviding an implant comprising a tissue support portion and an extension portion extending from the tissue support portion,creating a vaginal incision,transvaginally contacting the support portion with posterior vaginal tissue,transvaginally producing a tissue path using an insertion tool at a distal end of the extension portion, the path being produced between the position of the tissue support portion and a region of the arcus tendineus, wherein the region of the arcus tendineus comprises a region from 2 centimeters above the arcus tendineus to 2 centimeters below the arcus tendineus and between the ischial spine and a distance 3 centimeters anterior to the ischial spine, wherein the insertion tool comprises a longitudinally extending shaft and a curved portion at a distal end of the shaft, the curved portion comprising a radius of curvature in the range of from 0.5 to 1.5 centimeters, andtransvaginally extending the extension portion through the tissue path.
11 Assignments
0 Petitions
Accused Products
Abstract
Described are implants, tools, and related methods, for use in pelvic surgery to treat conditions such as prolapse, including embodiments of methods that involve a tissue path above the arcus tendineus.
318 Citations
13 Claims
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1. A method of supporting posterior vaginal tissue, the method comprising
providing an implant comprising a tissue support portion and an extension portion extending from the tissue support portion, creating a vaginal incision, transvaginally contacting the support portion with posterior vaginal tissue, transvaginally producing a tissue path using an insertion tool at a distal end of the extension portion, the path being produced between the position of the tissue support portion and a region of the arcus tendineus, wherein the region of the arcus tendineus comprises a region from 2 centimeters above the arcus tendineus to 2 centimeters below the arcus tendineus and between the ischial spine and a distance 3 centimeters anterior to the ischial spine, wherein the insertion tool comprises a longitudinally extending shaft and a curved portion at a distal end of the shaft, the curved portion comprising a radius of curvature in the range of from 0.5 to 1.5 centimeters, and transvaginally extending the extension portion through the tissue path.
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4. A method of supporting posterior vaginal tissue, the method comprising:
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providing an implant comprising a tissue support portion and an extension portion extending from the tissue support portion, creating a vaginal incision, transvaginally contacting the support portion with posterior vaginal tissue, transvaginally producing a tissue path between the position of the tissue support portion and a region of the arcus tendineus, wherein the tissue path passes above the arcus tendineus to exit a pelvic region through the obturator intemus muscle, wraps around the arcus tendineus, and passes through the levator ani muscle back into the pelvic region, and transvaginally extending the extension portion through the tissue path.
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5. A method of supporting posterior vaginal tissue, the method comprising:
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providing an implant comprising a tissue support portion and an extension portion extending from the tissue support portion, creating a vaginal incision, transvaginally contacting the support portion with posterior vaginal tissue, transvaginally producing a tissue path between the position of the tissue support portion and a region of the arcus tendineus, wherein the tissue path passes above the arcus tendineus through the obturator intemus muscle, wraps around the arcus tendineus, passes through the levator ani muscle back into the pelvic region, continues through the buttock and through an external incision in a perirectal region, and transvaginally extending the extension portion through the tissue path.
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7. A pelvic implant assembly comprising
an implant comprising supportive portions comprising a tissue support portion, and elongate extension portions extending from the tissue support portion, and an insertion tool at a distal end of at least one of the extension portions, the insertion tool comprising a longitudinally extending shaft having a longitudinal axis and a curved portion at a distal end of the shaft, the curved portion comprising a radius of curvature in the range of from 0.5 to 1.5 centimeters and being sized and shaped to be used in a transvaginal procedure to define a tissue path that exits the pelvic floor region in a region of the arcus tendineus, partially extends around an arcus tendineus, and re-enters the pelvic floor, wherein the region of the arcus tendineus comprises a region from 2 centimeters above the arcus tendineus to 2 centimeters below the arcus tendineus and between the ischial spine and a distance 3 centimeters anterior to the ischial spine.
Specification