Implants, tools, and methods for treatment of pelvic conditions
First Claim
1. A combination comprising a pelvic implant and a suture passer assembly, the combination useful to treat a pelvic condition,the implant comprising a tissue support portion and two opposing mesh extension portions,the suture passer assembly comprising a proximal end, a shaft, and a shaft distal end, the shaft distal end comprising a suture passer comprising a set of opposed suture passer jaws and a mesh holder comprising a set of mesh holder jaws different from the suture passer jaws,wherein the mesh holder jaws are located between the opposed suture passer jaws and are capable of engaging the mesh, pulling the engaged mesh in a proximal direction to a location between the suture passer jaws, forming a length-reducing loop in the mesh, and holding the mesh and formed loop between the suture passer jaws, andthe suture passer is capable of passing a suture through the mesh held between the suture passer jaws in a manner to maintain the formed loop.
10 Assignments
0 Petitions
Accused Products
Abstract
Described are various embodiments of surgical procedures, systems, implants, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to supportive tissue and adjusting the implant.
326 Citations
10 Claims
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1. A combination comprising a pelvic implant and a suture passer assembly, the combination useful to treat a pelvic condition,
the implant comprising a tissue support portion and two opposing mesh extension portions, the suture passer assembly comprising a proximal end, a shaft, and a shaft distal end, the shaft distal end comprising a suture passer comprising a set of opposed suture passer jaws and a mesh holder comprising a set of mesh holder jaws different from the suture passer jaws, wherein the mesh holder jaws are located between the opposed suture passer jaws and are capable of engaging the mesh, pulling the engaged mesh in a proximal direction to a location between the suture passer jaws, forming a length-reducing loop in the mesh, and holding the mesh and formed loop between the suture passer jaws, and the suture passer is capable of passing a suture through the mesh held between the suture passer jaws in a manner to maintain the formed loop.
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5. A method of treating a pelvic condition, the method comprising
providing an implant comprising a tissue support portion, a first mesh extension portion, and a second mesh extension portion, providing a suture passer assembly comprising a proximal end, a shaft, and a shaft distal end, the shaft distal end comprising a suture passer comprising a set of suture passer jaws and a mesh holder comprising a set of mesh holder jaws, wherein the mesh holder jaws are located between the opposed suture passer jaws and are capable of engaging the mesh, pulling the engaged mesh in a proximal direction to a location between the suture passer jaws, forming a length-reducing loop in the mesh, and holding the mesh and formed loop between the suture passer jaws, and the suture passer is capable of passing a suture through the mesh held between the suture passer jaws in a manner to maintain the formed loop, placing the implant in a patient to support tissue, using the suture passer assembly to form a loop in the first extension portion and place a suture at the first extension portion to maintain the loop.
Specification