Needle design for male transobturator sling
First Claim
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1. A surgical instrument for implanting an implantable material to a pelvic region, the instrument comprising:
- a handle having a longitudinal axis and an elongate width dimension normal to the longitudinal axis, the elongate width dimension defining a midplane, a needle portion extending from the handle along the longitudinal axis, the needle portion comprising a spacer portion connected to the handle, a three-dimensional region connected to the spacer portion distal from the handle, and having structure in three dimensions, and a needle distal end at the distal end of the three-dimensional region, wherein the needle portion is sized and shaped to extend between an incision substantially adjacent to a patient'"'"'s obturator foramen, through the obturator foramen, and to a medial incision; and
wherein the needle distal end is located at an angle between 20 to 70 degrees from the midplane.
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Abstract
Described are surgical instruments for use in surgical procedures, related methods, systems, and kits, the instruments including features that optionally include one or more specific dimensions, and features that may result in an ergonomic advantage during use.
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Citations
20 Claims
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1. A surgical instrument for implanting an implantable material to a pelvic region, the instrument comprising:
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a handle having a longitudinal axis and an elongate width dimension normal to the longitudinal axis, the elongate width dimension defining a midplane, a needle portion extending from the handle along the longitudinal axis, the needle portion comprising a spacer portion connected to the handle, a three-dimensional region connected to the spacer portion distal from the handle, and having structure in three dimensions, and a needle distal end at the distal end of the three-dimensional region, wherein the needle portion is sized and shaped to extend between an incision substantially adjacent to a patient'"'"'s obturator foramen, through the obturator foramen, and to a medial incision; and
wherein the needle distal end is located at an angle between 20 to 70 degrees from the midplane. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 12, 13, 14, 15, 16)
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10. A surgical instrument for implanting an implantable material to treat incontinence, the instrument comprising:
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a handle, needle extending from the handle, the needle comprising a spacer portion connected to the handle, and a three-dimensional region connected to the spacer portion distal from the handle, and having structure in three dimensions including a needle distal end at the distal end of the curved portion, wherein the needle portion is sized and shaped to extend between an incision substantially adjacent to a patient'"'"'s obturator foramen, through the obturator foramen, and to a perineal incision;
the three-dimensional region has a length in the range from 2.3 to 5 inches and a diameter in the range from 2.3 to 5 inches, and an axis of the needle end portion lies within a plane that is orthogonal to the longitudinal axis of the tool. - View Dependent Claims (11)
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17. A method of performing a surgical procedure, the procedure comprising a step of rotating a surgical instrument having a handle comprising a midplane, about a longitudinal axis, the method comprising
providing a surgical instrument comprising a handle, a functional section that engages with tissue, a surgical implant, or a surgical instrument, the handle comprising an elongate dimension defining a midplane, engaging the functional section with one or more of tissue, a surgical implant, and a surgical instrument, grasping the handle with the midplane approximately parallel to the palm, and rotating the handle using the hand such that during the rotation the handle rotates at least ninety degrees, and during ninety degrees of the rotation the hand traverses ninety degrees between a forty-five degree open palm and a forty-five degree closed palm.
Specification