Methods and implants for treating urinary incontinence
First Claim
1. A combination comprising an implant for treating urinary incontinence in a male, and an insertion tool, the implant comprisinga central support portion comprising two opposing sides and two opposing ends, and capable of supporting a urethra,at least two extension portions, one extension portion extending from each of the two opposing sides of the central support portion, each extension portion comprising a proximal end attached to the central support portion, and a distal end, four soft tissue anchors, each located at one of the distal ends,wherein a first pair of soft tissue anchors is located on a first side of the central support portion and a second pair of soft tissue anchors is located on a second side of the central support portion, wherein when the central support portion is placed to support the urethra, the extension portions are capable of extending from the central support portion to soft tissue at a region of an obturator foramen, andthe insertion tool comprising a handle, a first needle extending from the handle and comprising a first needle proximal end and a first needle distal end, the first needle proximal end in connected contact with the handle and the first needle distal end adapted to engage one of the soft tissue anchors at an end of an extension portion extending from the first side of the central support portion, anda second needle extending from the handle and comprising a second needle proximal end and a second needle distal end, the second needle proximal end in connected contact with the handle and the second needle distal end adapted to engage one of the soft tissue anchors at an end of an extension portion extending from the first side of the central support portion.
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Accused Products
Abstract
Described are methods, implants, insertion tools, and related systems and kits, for placing an implant to treat urinary incontinence; the implants include soft tissue anchors that are capable of engaging needles of the insertion tools, and the implants are designed to place a central support portion at a location to support a urethra with extension portions and soft tissue anchors extending to tissue at regions of an obturator foramen.
308 Citations
15 Claims
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1. A combination comprising an implant for treating urinary incontinence in a male, and an insertion tool, the implant comprising
a central support portion comprising two opposing sides and two opposing ends, and capable of supporting a urethra, at least two extension portions, one extension portion extending from each of the two opposing sides of the central support portion, each extension portion comprising a proximal end attached to the central support portion, and a distal end, four soft tissue anchors, each located at one of the distal ends, wherein a first pair of soft tissue anchors is located on a first side of the central support portion and a second pair of soft tissue anchors is located on a second side of the central support portion, wherein when the central support portion is placed to support the urethra, the extension portions are capable of extending from the central support portion to soft tissue at a region of an obturator foramen, and the insertion tool comprising a handle, a first needle extending from the handle and comprising a first needle proximal end and a first needle distal end, the first needle proximal end in connected contact with the handle and the first needle distal end adapted to engage one of the soft tissue anchors at an end of an extension portion extending from the first side of the central support portion, and a second needle extending from the handle and comprising a second needle proximal end and a second needle distal end, the second needle proximal end in connected contact with the handle and the second needle distal end adapted to engage one of the soft tissue anchors at an end of an extension portion extending from the first side of the central support portion.
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11. An insertion tool useful to place a sling for urinary incontinence, the insertion tool comprising a handle,
a first needle in connected contact with the handle and comprising a first needle distal end adapted to engage a soft tissue anchor, and a second needle in connected contact with the handle and comprising a second needle distal end adapted to engage a soft tissue anchor, wherein a position of the first needle distal end is fixed relative to the handle and a position of the second needle distal end is fixed relative to the handle, the insertion tool, in combination with an implant, the implant comprising a central support portion comprising two opposing sides and two opposing ends, and capable of supporting a urethra, at least two extension portions extending from opposing sides of the central support portion, each extension portion comprising a proximal end attached to the central support portion, and a distal end, four soft tissue anchors, each located at a distal end of an extension portion, and adapted to engage the first or second needle, wherein when the central support portion is placed to support the urethra, the extension portions are capable of extending from the central support portion to soft tissue at a region of an obturator foramen.
Specification