Surgical articles and methods
First Claim
1. A system for treating urinary incontinence, the system comprising a multi-piece implant comprising a support portion piece and an extension portion piece, and an adjusting tool, whereinthe support portion piece comprises a tissue support portion sized and shaped for placement to support a urethra, andthe extension portion piece comprises a proximal end, a distal end, an extension portion extending between the proximal end and the distal end, and a tissue fastener, and is adjustably connectable to the support portion piece at an adjusting engagement, andthe adjusting tool comprisesa surface at a distal end of a shaft capable of engaging the support portion piece, anda holder attached to the shaft and capable of holding the proximal end of the extension portion piece and moving the proximal end by pulling the proximal end relative to the surface, in a proximal direction, while the support portion piece is engaged with the surface.
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Accused Products
Abstract
Described are devices, implants, kits, and related methods for treating pelvic conditions such as urinary in incontinence, in a male or a female patient. The invention includes, in one embodiment, a multi-piece implant, including a tissue support piece, extension portion, and one or more self-fixating tips. The device may be employed through a medial incision in the pelvic region of the patient.
300 Citations
18 Claims
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1. A system for treating urinary incontinence, the system comprising a multi-piece implant comprising a support portion piece and an extension portion piece, and an adjusting tool, wherein
the support portion piece comprises a tissue support portion sized and shaped for placement to support a urethra, and the extension portion piece comprises a proximal end, a distal end, an extension portion extending between the proximal end and the distal end, and a tissue fastener, and is adjustably connectable to the support portion piece at an adjusting engagement, and the adjusting tool comprises a surface at a distal end of a shaft capable of engaging the support portion piece, and a holder attached to the shaft and capable of holding the proximal end of the extension portion piece and moving the proximal end by pulling the proximal end relative to the surface, in a proximal direction, while the support portion piece is engaged with the surface.
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16. A system for treating urinary incontinence, the system comprising an implant and a tool,
the implant comprising a support portion, two extension portions, and two self-fixating tips, one self-fixating tip at an end of each extension portion, and at least one guide tube comprising a proximal end and a distal end attached to one of the two self-fixating tips, the distal end being capable of being removed from the one self-fixating tip, the tool comprising a handle and a shaft having a distal end capable of engaging the one self-fixating tip, and an optional release mechanism at the distal end, the optional release mechanism being capable of selectively engaging and releasing the one self-fixating tip, wherein the shaft distal end is capable of being inserted into the proximal end of the at least one guide tube and engaging the guide tube to allow the shaft distal end to be moved distally within the guide tube to become engaged with the at least one self-fixating tip while the guide tube is attached to the one self-fixating tip.
Specification