Urinary incontinence treatment and devices

• US 9,089,396 B2
• Filed: 08/14/2013
• Issued: 07/28/2015
• Est. Priority Date: 10/12/2000
• Status: Expired due to Fees

• Current Assignee: Coloplast A/S
• Original Assignee: Coloplast A/S
• Inventors: Browning, James
• Primary Examiner(s): KUHLMAN, CATHERINE BURK
• Application Number:
  US13/966,855
• Publication Number:
  US 20140039244A1
• Time in Patent Office: 713 Days
• Field of Search: 600 29- 31, 600/37, 19 29- 31, 19/37
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00491 Surgical glue applicators surgical adhesives A61L24/00; two-component delivery syringes A61M5/19
• 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 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/06066 Needles, e.g. needle tip configurations making needles B21G1/00
• CPC Class Codes: A61B 17/06109 Big needles, either gripped by hand or connectable to a handle
• CPC Class Codes: A61B 17/3468 for implanting or removing devices, e.g. prostheses, implants, seeds, wires devices for implanting seeds A61M37/0069
• CPC Class Codes: A61B 2017/00805 Treatment of female stress urinary incontinence
• CPC Class Codes: A61B 2017/0409 Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0412 having anchoring barbs or pins extending outwardly from suture anchor body
• CPC Class Codes: A61B 2017/0417 T-fasteners
• CPC Class Codes: A61B 2017/0427 having anchoring barbs or pins extending outwardly from the anchor body
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61B 90/39 Markers, e.g. radio-opaque or breast lesions markers
• CPC Class Codes: A61F 2/0045 Support slings
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: A61F 2002/0072 Delivery tools therefor
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes
• CPC Class Codes: A61F 2250/0031 made from both resorbable and non-resorbable prosthetic parts, e.g. adjacent parts
• CPC Class Codes: A61F 2250/0051 differing in tissue ingrowth capacity, e.g. made from both ingrowth-promoting and ingrowth-preventing parts
• CPC Class Codes: Y10T 29/49826 Assembling or joining

Abstract

A system for treating urinary incontinence includes a suburethral support, first and second soft tissue anchors, and an introducer. The suburethral support is formed of a mesh material, the first and second soft tissue anchors each have a tip, a base, a first face, a second face, a plurality of barbs, and an aperture extending from the first face to the second face. The introducer is configured for delivering the first soft tissue anchor to a desired anchoring site of the pelvis, the introducer having an elongate shaft and a handle, the elongate shaft having a distal portion and a proximal portion, the elongate shaft being coupled at the proximal portion to the handle, the distal portion of the introducer forming a longitudinal recess adapted to receive the first soft tissue anchor such that a portion of the first soft tissue anchor engages a distal most end of the distal portion of the introducer.

Claims

1. A system for treating urinary incontinence by providing support to a urethra of a patient, the system comprising:

a suburethral support formed of a mesh material and having a first end, a second end, and a rectangular outer profile;

a first soft tissue anchor including a tip, a base, a first face, a second face, a plurality of barbs, and an aperture extending from the first face to the second face of the first soft tissue anchor, a second soft tissue anchor including a tip, a base, a first face, a second face and an aperture extending from the first face to the second face of the second soft tissue anchor, the first soft tissue anchor being coupled to the first end of the suburethral support, the second soft tissue anchor being coupled to the second end of the suburethral support; and

an introducer for delivering the first soft tissue anchor to a desired anchoring site of a pelvic region of the patient, the introducer having an elongate shaft and a handle, the elongate shaft having a distal portion and a proximal portion, the elongate shaft being coupled at the proximal portion to the handle, a longitudinal recess being formed in the distal portion of the elongate shaft of the introducer, the longitudinal recess being adapted to receive the first soft tissue anchor, a portion of the distal portion of the elongate shaft of the introducer passing through the aperture of the first soft tissue anchor and extending beyond the tip of the soft tissue anchor such that a portion of the first soft tissue anchor engages the distal portion of the elongate shaft of the introducer and such that a portion of the first soft tissue anchor is retained in the longitudinal recess during delivery of the soft tissue anchor to the desired anchoring site.

2. The system of claim 1, wherein the longitudinal recess of the introducer is sized to receive the tip of the first soft tissue anchor.

3. The system of claim 1, wherein the longitudinal recess of the introducer is adapted to receive a flat portion of the first soft tissue anchor.

4. The system of claim 1, wherein the tip of the first soft tissue anchor extends from the first end of the suburethral support.

5. The system of claim 1, wherein the first soft tissue anchor is arrow-head shaped.

6. The system of claim 1, wherein the elongate shaft of the introducer is curved.

7. The system of claim 6, wherein the curved elongate shaft is curved through an angle of 30 degrees.