Method of post-operatively adjusting a urethral support in treating urinary incontinence of a woman

• US 9,918,817 B2
• Filed: 06/16/2015
• Issued: 03/20/2018
• Est. Priority Date: 10/12/2000
• Status: Active Grant

• Current Assignee: Coloplast A/S
• Original Assignee: Coloplast A/S
• Inventors: Browning, James
• Primary Examiner(s): LACYK, JOHN P
• Application Number:
  US14/740,276
• Publication Number:
  US 20150272714A1
• Time in Patent Office: 1,008 Days
• Field of Search: 600 29- 32, 600 37, 128DIG 25
• 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 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 2017/0414 having a suture-receiving opening, e.g. lateral opening lateral eyelet for attaching suture to needle A61B2017/06019
• 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 2017/0435 the barbs being separate elements mechanically linked to the anchor, e.g. by pivots
• CPC Class Codes: A61B 2017/0464 for soft tissue
• CPC Class Codes: A61F 2/0045 Support slings
• CPC Class Codes: A61F 2250/0004 adjustable

Abstract

A method of post-operatively adjusting a urethral support in treating urinary incontinence of a woman is disclosed. The method includes passing a support through an incision and locating the support under a urethra. The support is a porous mesh adapted to allow tissue in-growth. The method include adjusting the support by applying tension to one of a first member that is secured to a first end of the support or a second member that is secured to a second end of the support. The first member and the second member each has an end that exits the skin. The first and second members are adapted to prevent tissue in-growth into the first member and the second member.

Claims

1. A method of post-operatively adjusting a urethral support in treating urinary incontinence of a woman, the method comprising:

forming an incision in a vagina of the woman;

passing a support through the incision and locating the support under a urethra, where the support is a porous mesh adapted to allow tissue in-growth; and

adjusting the support by applying tension to one of a first member and a second member to adjust a position of a stabilizer that is secured between the first member and a first end of the support, the second member being secured to a second end of the support, where each of the first member and the second member has an end that exits skin of the woman, and where each of the first member and the second member is adapted to prevent tissue in-growth into the first member and the second member.

2. The method of claim 1, comprising implanting the support under the urethra, where the support is adapted to allow fibroblast growth through the support.

3. The method of claim 1, comprising applying tension to one of the first member and the second member, where each of the first member and the second member is adapted to slide in two directions including a first direction from the support toward the skin and a second direction from the skin toward the support.

4. The method of claim 1, comprising fine-tuning a position of the stabilizer.

5. The method of claim 1, further comprising measuring tension applied to one of the first member and the second member.

6. The method of claim 1, further comprising regulating tension applied to one of the first member and the second member.

7. The method of claim 1, comprising passing the end of each of the first member and the second member through abdominal skin of the woman.

8. The method of claim 1, comprising passing the end of each of the first member and the second member through perineal skin of the woman.

9. The method of claim 1, comprising passing the end of each of the first member and the second member through skin of a thigh of the woman.

10. The method of claim 1, comprising passing the end of each of the first member and the second member through pre-pubic skin of the woman.

11. The method of claim 1, comprising post-operatively adjusting the support 24 hours after implanting the support.

12. The method of claim 1, comprising post-operatively adjusting the support after a time between 1 day and 7 days after implanting the support.

13. The method of claim 1, further comprising applying tension to the end of the first member, cutting the first member, and allowing a remnant of the first member to retract under the skin.

14. The method of claim 1, further comprising post-operatively adjusting the support by loosening one of the first member and the second member.

15. The method of claim 1, comprising applying tension to one of the first member and the second member, where each of the first member and the second member is coated with a material adapted to ease sliding of the first member and the second member in soft tissue.

16. A method of post-operatively adjusting a urethral support in treating urinary incontinence of a woman, the method comprising:

forming an incision in a vagina of the woman;

passing a support through the incision and locating the support under a urethra, where the support is a porous mesh adapted to allow tissue in-growth;

passing a free end of a first member out of a first skin exit, where the first member includes an opposing second end that is secured to the support via a stabilizer;

passing a free end of a second member out of a second skin exit, where the second member includes an opposing second end that is secured to the support; and

adjusting the support by applying tension to one of the first member and the second member to adjust a position of the stabilizer;

wherein each of the first member and the second member is adapted to prevent tissue in-growth into the first member and the second member.