Self-anchoring sling and introducer system

• US 9,872,750 B2
• Filed: 05/22/2015
• Issued: 01/23/2018
• Est. Priority Date: 08/02/2002
• Status: Expired due to Fees

• Current Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Original Assignee: Coloplast A/S
• Inventors: Evans, Douglas G., Butcher, Ken
• Primary Examiner(s): Woo, Julian W
• Application Number:
  US14/719,323
• Publication Number:
  US 20150250573A1
• Time in Patent Office: 977 Days
• 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 for prosthetic joint-implanting tools A61F2/4603
• 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 for sutures A61B2017/06171
• CPC Class Codes: A61B 2017/06085 having a blunt tip blunt dissectors A61B2017/320044
• CPC Class Codes: A61B 2017/0609 having sharp tips at both ends, e.g. shuttle needle alternately retained and released by first and second facing jaws of a suturing instrument MIS suturing instruments A61B17/0469; jaws of MIS forceps A61B2017/2926
• CPC Class Codes: A61F 2/0045 Support slings
• CPC Class Codes: A61F 2220/0016 with sharp anchoring protrusions, e.g. barbs, pins, spikes

Abstract

A surgical system for treating urinary incontinence includes an introducer needle and a handle. The introducer needle has a first section that is straight and is provided with a first flat, a second flat opposite the first flat, and a latch receptacle formed into the first section. The introducer needle has a second section extending from the first section, with the second section being curved. The handle includes a housing with a needle opening configured to receive the first section of the introducer needle and a latching mechanism that includes a latch member. The latching mechanism is configured to engage the latch receptacle of the introducer needle.

Claims

1. A surgical system for treating urinary incontinence, the system comprising:

an introducer needle having a first section that is substantially straight and which defines a first flat, a second flat opposite the first flat, and a latch receptacle formed into the first section, the introducer needle also having a second section extending from the first section, the second section being substantially curved; and

a handle including a housing with a needle opening configured to receive the first section of the introducer needle and a latching mechanism that includes a latch member, the latching mechanism configured to engage the latch receptacle of the introducer needle upon insertion of the first section of the introducer needle into the needle opening of the housing, and the latching mechanism being elastically biased such that when the latch member engages the latch receptacle of the introducer needle upon insertion of the first section of the introducer needle into the needle opening of the housing, the latching mechanism produces an audible click.

2. The system of claim 1, wherein the housing of the handle defines a first face and a second face opposite the first face, the first face having a button opening and further wherein the latching mechanism includes a button received in the button opening, the button being operably connected to the latch member such that depression of the button releases the latch member from the latch receptacle.

3. The system of claim 2, wherein the push button defines a top face that is recessed below the first face of the handle when the push button is in a depressed state and also when the push button is in a non-depressed state.

4. The system of claim 1, wherein the housing includes a horizontal portion and a leg portion including the needle opening configured to receive the first section of the introducer needle, the horizontal portion being perpendicular to the leg portion.

5. The system of claim 1, wherein the housing of the handle defines a first face and a second face opposite the first face, the first face having a button opening, and the second section is substantially curved in a direction opposite the first face.

6. The system of claim 1, wherein the latch member has an end catch section with a triangular or rounded projection configured to be received in the latch receptacle of the needle.

7. The system of claim 1, wherein the housing is substantially elongate, and tapers from a first end to a second end that is narrower than the first end and includes the needle opening.

8. The system of claim 1, wherein the needle includes a third section extending from the second section opposite the first section, the third section including a tip configured to penetrate soft tissue.

9. The system of claim 1, further comprising a urethral sling including a first end and a second end, the latch receptacle being further configured to receive the first end of the urethral sling to secure the urethral sling to the introducer needle.

10. The system of claim 1, wherein the latch receptacle is an opening formed through the first section of the introducer needle, the opening extending through the first section of the introducer needle from the first flat to the second flat.

11. The system of claim 1, wherein the latch receptacle is complementary in shape to the latch member.

12. A surgical method for treating urinary incontinence, the method comprising:

removably securing an introducer needle to a handle by inserting the introducer needle into the handle, the handle including a biased latching mechanism with a latch member, the latching member engaging a latch receptacle of the introducer needle upon insertion of the introducer needle into the handle;

advancing the introducer needle along a path in a body of the patient that extends through a vaginal wall and an abdominal wall of the patient;

releasing the introducer needle from the handle;

securing a urethral sling to the introducer needle; and

drawing the urethral sling along the path through the vaginal wall and the abdominal wall of the patient by pulling the introducer needle along the path.

13. The method of claim 12, wherein releasing the needle from the handle includes depressing a button of the handle and pulling the needle from the handle.

14. The method of claim 12, wherein removably securing the introducer needle to the handle includes inserting a section of the needle into the handle until an audible click results.

15. The method of claim 12, wherein the introducer needle is advanced along a curved path.

16. The method of claim 12, wherein securing the urethral sling to the needle includes inserting a first end of the urethral sling into the latch receptacle.

17. A surgical method for treating urinary incontinence, the method comprising:

advancing an introducer needle along a path in a body of a patient that extends through a vaginal wall and an abdominal wall of the patient, the introducer needle being removably secured to a handle, the handle including a biased latching mechanism with a latch member, the latching member engaging a latch receptacle of the introducer needle;

releasing the introducer needle from the handle by removing the latching member from the latch receptacle;

securing a urethral sling to the introducer needle; and

drawing the urethral sling along the path through the vaginal wall and the abdominal wall of the patient by pulling the introducer needle along the path.

18. The method of claim 17, wherein releasing the needle from the handle includes depressing a button of the handle to actuate the latching member and pulling the needle from the handle, and wherein removably securing the introducer needle to the handle includes inserting the first section of the needle into the handle until an audible click results.

19. The method of claim 17, wherein the introducer needle is advanced along a curved path, and wherein securing the urethral sling to the needle includes inserting a first end of the urethral sling into the latch receptacle.