Snap fit sling anchor system and related methods

• US 9,107,659 B2
• Filed: 09/23/2011
• Issued: 08/18/2015
• Est. Priority Date: 07/13/2005
• Status: Expired due to Fees

• Current Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Original Assignee: Boston Scientific Scimed, Inc. (Boston Scientific Corporation)
• Inventors: MacLean, Brian
• Primary Examiner(s): KUHLMAN, CATHERINE BURK
• Application Number:
  US13/242,821
• Publication Number:
  US 20120010462A1
• Time in Patent Office: 1,425 Days
• Field of Search: 600 29- 31, 600/37, 606139-158, 623 2364- 2371
• US Class Current: 1/1
• 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 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00805 Treatment of female stress urinary incontinence
• CPC Class Codes: A61B 2017/06009 having additional means for releasably clamping the suture to the needle, e.g. actuating rod slideable within the needle
• CPC Class Codes: A61B 2017/06076 helically or spirally coiled
• CPC Class Codes: A61F 2/0045 Support slings
• CPC Class Codes: A61F 2002/0823 Modular anchors comprising a plurality of separate parts
• CPC Class Codes: A61F 2220/0008 Fixation appliances for connecting prostheses to the body

Abstract

The invention provides, in various embodiments, systems, devices and methods relating to employing soft tissue anchors in combination with an implantable sling to treat urinary incontinence.

Claims

1. A tissue anchor, comprising:

a tissue engaging portion configured to engage bodily tissue to help retain the tissue anchor within a body of a patient; and

a receiving portion having a sidewall defining a channel, the channel having a closed end portion and being configured to receive a portion of a sling and a portion of a delivery device such that the portion of the sling is disposed between the portion of the delivery device and the sidewall, the receiving portion including a first section and a second section, the first section including a plurality of apertures at least partially disposed through an inner contacting surface of the first section such that the first section fully surrounds each aperture, the second section including a plurality of protuberances extending from an inner contacting surface of the second section, the plurality of protuberances configured to pass through the sling and matingly interfit with the plurality of apertures of the first section.

2. The tissue anchor of claim 1, wherein the apertures are holes extending entirely through the first section.

3. The tissue anchor of claim 1, wherein the apertures and the protuberances are sized and shaped for snap fitting together.

4. The tissue anchor of claim 1, wherein the apertures and the protuberances are sized and shaped for reversibly and reusably interfitting together.

5. The tissue anchor of claim 1, wherein at least one of the tissue engaging portion and the receiving portion are formed at least in part from a bioabsorbable material.

6. A system for implanting a sling into a body of a patient, comprising:

a sling configured to be placed in the body of a patient;

a tissue anchor having a tissue engaging portion configured to engage bodily tissue to help retain the sling within the body of the patient, and a receiving portion having a sidewall defining a channel having a closed end, the receiving portion including a first section and a second section, the first section including a plurality of apertures at least partially disposed through an inner contacting surface of the first section such that the first section fully surrounds each aperture, the second section including a plurality of protuberances extending from an inner contacting surface of the second section, the plurality of protuberances configured to pass through the sling and matingly interfit with the plurality of apertures of the first section,

the tissue anchor coupled to the sling, a portion of the sling being disposed in the channel, a portion of the sling being disposed between the first section and the second section; and

a delivery device including a shaft,

the channel being configured to receive a portion of the shaft of the delivery device such that the portion of the sling disposed in the channel is disposed between the portion of the shaft of the delivery device and the sidewall.

7. The system of claim 6, wherein the delivery device includes a pusher slidably coupled to the shaft and configured to move from a first position to a second position different than the first position to disengage the tissue anchor from the shaft.

8. The system of claim 6, wherein the apertures are through apertures.

9. The system of claim 6, wherein the apertures and the protuberances are sized and shaped for snap fitting together.

10. The system of claim 6, wherein the apertures and the protuberances are sized and shaped for reversibly and reusably interfitting together.

11. A method for implanting a sling in the periurethral tissues of a body of a patient, the method comprising,

coupling a sling to a tissue anchor, the tissue anchor including a tissue engaging portion configured to engage bodily tissue to retain the sling within the body, the tissue anchor also including a receiving portion having a sidewall defining a channel, the receiving portion including a first portion and a second portion, wherein the coupling includes coupling the second portion with the first portion such that a portion of the sling is disposed within the channel between the first section and the second section;

interfitting the receiving portion of the tissue anchor over a distal end of a sling delivery device shaft such that a portion of the distal end of the sling delivery device shaft is disposed within the channel defined by the sidewall of the tissue anchor, the portion of the sling being disposed between the portion of the distal end of the sling delivery device shaft and the sidewall, and

inserting the distal end of the sling delivery device shaft with the tissue anchor interfitted into the body of the patient to implant the sling in the periurethral tissues of the patient.

12. The method of claim 11, wherein the inserting includes inserting the distal end of the sling delivery device shaft and the tissue anchor into the body of the patient via an incision in a vaginal wall of the patient.

13. The method of claim 11, further comprising:

delivering the tissue anchor to the space of Retzius.

14. The method of claim 11, further comprising:

delivering the tissue anchor at least partially through a first obturator membrane.

15. The method of claim 11, wherein the tissue anchor is a first tissue anchor, the method further comprising,

interfitting a receiving portion of a second anchor over the distal end of the sling delivery device shaft, and

inserting the distal end of the sling delivery device shaft with the second tissue anchor interfitted into the body of the patient to implant the sling in the periurethral tissues of the patient.

16. The method of claim 15, further comprising:

inserting the distal end of the sling delivery device shaft and the second tissue anchor into the body of the patient via an incision in a vaginal wall of the patient.

17. The method of claim 16, further comprising:

delivering the second tissue anchor to the space of Retzius.