CA2426456A1 - Apparatus and method for treating female urinary incontinence - Google Patents

Apparatus and method for treating female urinary incontinence Download PDF

Info

Publication number
CA2426456A1
CA2426456A1 CA002426456A CA2426456A CA2426456A1 CA 2426456 A1 CA2426456 A1 CA 2426456A1 CA 002426456 A CA002426456 A CA 002426456A CA 2426456 A CA2426456 A CA 2426456A CA 2426456 A1 CA2426456 A1 CA 2426456A1
Authority
CA
Canada
Prior art keywords
shaft
strand
lumen
pointed element
filament
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002426456A
Other languages
French (fr)
Other versions
CA2426456C (en
Inventor
Jorn Lehe
Gene W. Kammerer
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Johnson and Johnson Medical GmbH
Ethicon Inc
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2426456A1 publication Critical patent/CA2426456A1/en
Application granted granted Critical
Publication of CA2426456C publication Critical patent/CA2426456C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42—Gynaecological or obstetrical instruments or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B17/06109—Big needles, either gripped by hand or connectable to a handle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
    • A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
    • A61F2/0045—Support slings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00805—Treatment of female stress urinary incontinence
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0417—T-fasteners

Abstract

There is provided a surgical instrument for introducing a support strand into the body to treat female urinary incontinence, comprising an elongated, curved shaft having a distal end and having a lumen therein extending at least a portion of the length thereof and terminating at said distal end and through which the support strand may pass. The shaft has a slot on an exterior surface thereof communicating with said lumen along at least a portion of the length from said distal end, allowing the strand to be laterally passed between said lumen to outside said shaft. The instrument further has a pointed element, removably positionable on said distal end of said shaft, for facilitating the insertion of said shaft through the body and connectable at one end to the support strand, and being dimensioned to prevent passage through said lumen when said shaft is inserted through the body.

Claims (20)

1. A surgical instrument for introducing a support strand into the body to treat female urinary incontinence, comprising:
an elongated, curved shaft having a distal end insertable into the body, said shaft having a lumen therein extending at least a portion of the length of said shaft and terminating at said distal end and through which the support strand may pass in an axial direction, said shaft having a slot on an exterior surface thereof communicating with said lumen along at least a portion of the length thereof starting at said distal end, said slot allowing the support strand to be laterally passed between said lumen to a position outside said shaft; and a pointed element, removably positionable on said distal end of said shaft, said pointed element facilitating the insertion of said shaft through the body and connectable at one end to the support strand, said pointed element being dimensioned to prevent passage through said lumen when said shaft is inserted through the body.
2. The instrument of Claim 1, further including a second pointed element connectable to a second end of the support strand.
3. The instrument of Claim 1, wherein said pointed element is a flexible needle slidably receivable in said lumen and having a pointed tip at a first end and an eye at a second end, said eye removably receiving the strand therein.
4. The instrument of Claim 3, wherein said slot is smaller that a diameter of said needle, preventing said needle from passing laterally through said shaft and said needle has a length greater than said lumen such that said eye protrudes beyond said shaft when said needle is inserted within said lumen.
5. The instrument of Claim 1, wherein said shaft has a first portion with a solid cross-section and a second portion extending therefrom having said lumen therein.
6. The instrument of Claim 1, wherein said lumen extends through the entire length of said shaft.
7. The instrument of Claim 1, further including a handle disposed on said shaft proximate said opposite end.
8. A method for introducing a support strand into the body to treat female urinary incontinence using a surgical instrument with an elongated, curved shaft having a distal end insertable into the body, said shaft having a lumen therein extending at least a portion of the length of said shaft and terminating at said distal end and through which the support strand may pass in an axial direction, said shaft having a slot on an exterior surface thereof communicating with said lumen along at least a portion of the length thereof starting at said distal end, said slot allowing the support strand to be laterally passed between said lumen to a position outside said shaft; and at least one pointed element, removably positionable on said distal end of said shaft, said at least one pointed element facilitating the insertion of said shaft through the body and connectable at one end to the support strand, said at least one pointed element being dimensioned to prevent passage through said lumen when said shaft is inserted through the body comprising the steps of:
(a) positioning one of said at least one pointed element at said distal end of said shaft;
(b) introducing the shaft into the vagina of a patient with the pointed element first;
(c) penetrating the vaginal wall with the pointed element;
(d) pushing the shaft further into the viscera of the patient such that the pointed element curves around the pelvic bone the pierces the anterior surface of the abdominal wall;
(e) extracting the pointed element from the shaft and grasping the strand;
(f) withdrawing the shaft from the patient while simultaneously retaining the strand in position with one end extending from the vagina and the other end extending to a position exterior to the anterior abdominal wall;

(g) positioning one of said at least one pointed element on the distal end of said shaft;
(h) reinserting the instrument pointed element first into the vagina;
(i) penetrating the vaginal wall at a position offset from the first site of penetration performed in step (d) above;
(j) pushing the shaft and needle further into the viscera of the patient such that the pointed element curves around the pelvic bone and pierces the anterior surface of the abdominal wall;
(k) extracting the pointed element from the shaft and grasping the strand;
(l) withdrawing the shaft from the patient while simultaneously retaining the strand in position extending from the vagina and the other end extending to a second position exterior to the anterior abdominal wall; and (m) threading the strand through the slot in the shaft such that the strand passes from a position within the lumen of the shaft to a position disassociated from the shaft.
9. The method of Claim 8, further including the step of pulling the ends of the strand extending from the abdominal wall to tighten the loop formed in the strand proximate the urethra to increase the pressure on the urethra exerted by the strand after said step (m).
10. The method of Claim 9, further including the step of testing the occlusive effect of the strand on the urethra and readjusting the tension on the strand in order to provide the remediation of incontinence without causing blockage of the urethra.
11. The method of Claim 10, wherein said strand has a smooth, removable outer sheath, and including the further step of removing said outer sheath after said step of readjusting.
12. The method of Claim 11, further including the step of positioning said shaft with the slot pointed in the direction of the site of penetration associated with step (a), said step of positioning being performed prior to said step (i).
13. The method of Claim 8, further including the step of making an incision in the vaginal wall at the site of penetration associated with step (c) , said incision being made prior to said step (c).
14. The method of Claim 13, wherein said incision permits said penetration of said vaginal wall in step (i) to occur through said incision such that a loop of said strand formed by steps (a) through (m) may reside within the tissues intermediate the vaginal wall and the urethra.
15. The method of Claim 8, further including the step of making an incision in the abdominal wall proximate the pointed element to assist the needle in penetrating the abdominal wall in steps (d) and (j).
16. A method for passing a filament through a body using an instrument with a curved tubular shaft with a slot extending along a length of the shaft from a first point to a second point, said slot penetrating said tubular shaft from a lumen internal thereto to the exterior thereof, comprising the steps of:
(a) inserting the shaft through the body from a first side to a second side thereof;
(b) passing a first end of the filament through the lumen of the shaft;
(c) withdrawing the shaft from the body while retaining the filament in position;
(d) reinserting the shaft into the body at a position adjacent to the first position of insertion, the shaft extending from the first side to the second side of the body;
(e) passing a second end of the filament through the lumen of the shaft to form a filament loop proximate the first side of the body;

(f) withdrawing the shaft from the body while retaining the filament in position; and (g) threading the filament through the slot to allow the shaft to be disassociated from the filament loop.
17. The method of Claim 16, wherein said step of retaining the filament in steps (c) and (f) includes grasping a portion of the filament extending from the second side of the body as the shaft is withdrawn.
18. The method of Claim 16, wherein the filament enters the shaft proximate the first point on the shaft and exits proximate the second point during said steps (b) and (e).
19. The method of Claim 16, wherein said steps of inserting and reinserting at steps (a) and (d), respectively, include positioning the shaft such that the first point and the second point of the shaft are disposed proximate to the first side and the second side of the body, respectively.
20. The method of Claim 16, further including the step of adjusting the force exerted on the first side of the body by the filament loop by pulling on the first end and the second end of the filament extending from the second side of the body.
CA002426456A 2000-10-18 2001-09-26 Apparatus and method for treating female urinary incontinence Expired - Lifetime CA2426456C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US09/691,359 US6605097B1 (en) 2000-10-18 2000-10-18 Apparatus and method for treating female urinary incontinence
US09/691,359 2000-10-18
PCT/US2001/030033 WO2002032284A2 (en) 2000-10-18 2001-09-26 Apparatus and method for treating female urinary incontinence

Publications (2)

Publication Number Publication Date
CA2426456A1 true CA2426456A1 (en) 2002-04-25
CA2426456C CA2426456C (en) 2009-11-17

Family

ID=24776235

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002426456A Expired - Lifetime CA2426456C (en) 2000-10-18 2001-09-26 Apparatus and method for treating female urinary incontinence

Country Status (12)

Country Link
US (1) US6605097B1 (en)
EP (1) EP1335670B1 (en)
JP (1) JP2004511283A (en)
KR (1) KR20030044018A (en)
CN (1) CN1226964C (en)
AT (1) ATE493076T1 (en)
AU (2) AU2001293095B2 (en)
CA (1) CA2426456C (en)
DE (1) DE60143762D1 (en)
ES (1) ES2356430T3 (en)
HK (1) HK1055385A1 (en)
WO (1) WO2002032284A2 (en)

Families Citing this family (114)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SE506164C2 (en) * 1995-10-09 1997-11-17 Medscand Medical Ab Instruments for the treatment of urinary incontinence in women
US6382214B1 (en) 1998-04-24 2002-05-07 American Medical Systems, Inc. Methods and apparatus for correction of urinary and gynecological pathologies including treatment of male incontinence and female cystocele
DK1581162T3 (en) 1999-06-09 2011-08-01 Ethicon Inc Device for adjusting polymer implants on soft surfaces
US7226407B2 (en) 1999-06-09 2007-06-05 Ethicon, Inc. Surgical instrument and method for treating female urinary incontinence
US7121997B2 (en) * 1999-06-09 2006-10-17 Ethicon, Inc. Surgical instrument and method for treating female urinary incontinence
US6932759B2 (en) 1999-06-09 2005-08-23 Gene W. Kammerer Surgical instrument and method for treating female urinary incontinence
US7131943B2 (en) * 2000-03-09 2006-11-07 Ethicon, Inc. Surgical instrument and method for treating organ prolapse conditions
DE10019604C2 (en) * 2000-04-20 2002-06-27 Ethicon Gmbh implant
EP1289429B1 (en) 2000-06-05 2006-03-15 Boston Scientific Limited devices for the treatment of urinary incontinence
FR2811218B1 (en) 2000-07-05 2003-02-28 Patrice Suslian IMPLANTABLE DEVICE FOR CORRECTING URINARY INCONTINENCE
US7025063B2 (en) 2000-09-07 2006-04-11 Ams Research Corporation Coated sling material
US20060205995A1 (en) 2000-10-12 2006-09-14 Gyne Ideas Limited Apparatus and method for treating female urinary incontinence
US8167785B2 (en) 2000-10-12 2012-05-01 Coloplast A/S Urethral support system
GB0025068D0 (en) 2000-10-12 2000-11-29 Browning Healthcare Ltd Apparatus and method for treating female urinary incontinence
US7229453B2 (en) 2001-01-23 2007-06-12 Ams Research Corporation Pelvic floor implant system and method of assembly
US6612977B2 (en) 2001-01-23 2003-09-02 American Medical Systems Inc. Sling delivery system and method of use
US6652450B2 (en) 2001-01-23 2003-11-25 American Medical Systems, Inc. Implantable article and method for treating urinary incontinence using means for repositioning the implantable article
US20020147382A1 (en) 2001-01-23 2002-10-10 Neisz Johann J. Surgical articles and methods
US7070556B2 (en) 2002-03-07 2006-07-04 Ams Research Corporation Transobturator surgical articles and methods
US6641525B2 (en) 2001-01-23 2003-11-04 Ams Research Corporation Sling assembly with secure and convenient attachment
US8915927B2 (en) 2001-03-09 2014-12-23 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
US9149261B2 (en) 2001-03-09 2015-10-06 Boston Scientific Scimed, Inc. Systems, methods and devices relating to delivery of medical implants
GB0108088D0 (en) 2001-03-30 2001-05-23 Browning Healthcare Ltd Surgical implant
US7407480B2 (en) 2001-07-27 2008-08-05 Ams Research Corporation Method and apparatus for correction of urinary and gynecological pathologies, including treatment of incontinence cystocele
US7037255B2 (en) 2001-07-27 2006-05-02 Ams Research Corporation Surgical instruments for addressing pelvic disorders
US7087065B2 (en) * 2001-10-04 2006-08-08 Ethicon, Inc. Mesh for pelvic floor repair
AUPR969701A0 (en) * 2001-12-20 2002-01-24 Petros, Peter Emmanuel Dr Surgical instrument
MXPA04008407A (en) * 2002-03-01 2005-12-12 Ethicon Inc Method and apparatus for treating pelvic organ prolapses in female patients.
CA2478448C (en) * 2002-03-07 2011-06-21 Ams Research Corporation Transobturator surgical articles and methods
US6911003B2 (en) 2002-03-07 2005-06-28 Ams Research Corporation Transobturator surgical articles and methods
US7371245B2 (en) * 2002-08-02 2008-05-13 C R Bard, Inc Transobturator introducer system for sling suspension system
CA2492630C (en) 2002-08-02 2009-01-13 C.R. Bard, Inc. Self anchoring sling and introducer system
US7637384B2 (en) * 2002-08-09 2009-12-29 Crown Packaging Technology, Inc. Tamper evident closure with locking band and container therefor
CA2705609C (en) 2002-08-14 2016-10-25 Boston Scientific Limited Systems, methods and devices relating to delivery of medical implants
US7611454B2 (en) * 2002-08-29 2009-11-03 Universite De Liege Surgical procedure for the treatment of female urinary incontinence: tension-free inside-out transobturator urethral suspension
CN100444805C (en) 2002-08-29 2008-12-24 列日大学 Devices for surgical treatment of female urinary incontinence
GB0307082D0 (en) 2003-03-27 2003-04-30 Gyne Ideas Ltd Drug delivery device and method
US7361138B2 (en) 2003-07-31 2008-04-22 Scimed Life Systems, Inc. Bioabsorbable casing for surgical sling assembly
US8545386B2 (en) 2003-08-14 2013-10-01 Boston Scientific Scimed, Inc. Surgical slings
US8337386B2 (en) * 2003-08-14 2012-12-25 Boston Scientific Scimed, Inc. Surgical slings
US7347812B2 (en) 2003-09-22 2008-03-25 Ams Research Corporation Prolapse repair
AU2004279388B2 (en) 2003-10-03 2010-10-14 Boston Scientific Limited Systems for a delivering a medical implant to an anatomical location in a patient
US7244259B2 (en) * 2003-10-31 2007-07-17 Ethicon, Inc. Guide for surgical device for the treatment of urinary incontinence
US7524281B2 (en) * 2003-11-17 2009-04-28 Boston Scientific Scimed, Inc. Systems and methods relating to associating a medical implant with a delivery device
US7811222B2 (en) 2004-04-30 2010-10-12 Ams Research Corporation Method and apparatus for treating pelvic organ prolapse
US7500945B2 (en) 2004-04-30 2009-03-10 Ams Research Corporation Method and apparatus for treating pelvic organ prolapse
US7351197B2 (en) 2004-05-07 2008-04-01 Ams Research Corporation Method and apparatus for cystocele repair
US8047982B2 (en) * 2004-05-07 2011-11-01 Ethicon, Inc. Mesh tape with wing-like extensions for treating female urinary incontinence
GB0411360D0 (en) 2004-05-21 2004-06-23 Mpathy Medical Devices Ltd Implant
FR2871364B1 (en) * 2004-06-10 2007-09-14 Cie De Rech En Composants Impl PROTHETIC IMPLANT OF SUPPORT UNDER URETRAL AND SURGICAL INSTRUMENT FOR ITS IMPLANTATION
WO2006005117A1 (en) * 2004-07-09 2006-01-19 George Kaladelfos Delivery and deployment device for surgical web
KR101259770B1 (en) * 2004-07-28 2013-05-03 에디컨인코포레이티드 Minimally invasive medical implant and insertion device and method for using the same
US7527588B2 (en) * 2004-09-15 2009-05-05 Ethicon, Inc. System and method for surgical implant placement
US7481314B2 (en) * 2005-02-02 2009-01-27 Ethicon, Inc. Packaging assembly for surgical mesh implants
US8864650B2 (en) 2005-06-21 2014-10-21 Ams Research Corporation Methods and apparatus for securing a urethral sling to a pubic bone
CA2550752C (en) * 2005-06-28 2014-09-09 Sherwood Services Ag Illuminated ivs tunneling device
WO2007008209A1 (en) 2005-07-13 2007-01-18 Boston Scientific Scimed Inc. Snap fit sling anchor system and related methods
EP3533416A1 (en) 2005-07-25 2019-09-04 Boston Scientific Limited Pelvic floor repair system
US8535217B2 (en) 2005-07-26 2013-09-17 Ams Research Corporation Methods and systems for treatment of prolapse
EP1909703A4 (en) 2005-08-04 2011-01-12 Bard Inc C R Pelvic implant systems and methods
US7878970B2 (en) 2005-09-28 2011-02-01 Boston Scientific Scimed, Inc. Apparatus and method for suspending a uterus
ES2470338T3 (en) 2005-11-14 2014-06-23 C.R. Bard, Inc. Sling anchor system
AU2006332514B2 (en) * 2005-12-28 2013-01-17 C.R. Bard, Inc. Apparatus and method for introducing implants
US9144483B2 (en) 2006-01-13 2015-09-29 Boston Scientific Scimed, Inc. Placing fixation devices
US9078727B2 (en) 2006-03-16 2015-07-14 Boston Scientific Scimed, Inc. System and method for treating tissue wall prolapse
WO2007137226A2 (en) 2006-05-19 2007-11-29 Ams Research Corporation Method and articles for treatment of stress urinary incontinence
US20080009667A1 (en) * 2006-06-08 2008-01-10 Ams Research Corporation Methods and apparatus for prolapse repair and hysterectomy
CA2654966A1 (en) 2006-06-16 2007-12-27 Ams Research Corporation Surgical implants and tools for treating pelvic conditions
WO2007149555A2 (en) 2006-06-22 2007-12-27 Ams Research Corporation Adjustable tension incontinence sling assemblies
US8480559B2 (en) 2006-09-13 2013-07-09 C. R. Bard, Inc. Urethral support system
US8951185B2 (en) 2007-10-26 2015-02-10 Ams Research Corporation Surgical articles and methods for treating pelvic conditions
CN101528139B (en) 2006-10-26 2014-10-01 Ams研究公司 Surgical articles for treating pelvic conditions
US20080208223A1 (en) * 2007-02-26 2008-08-28 Paul Edward Kraemer Cable clamping device and method of its use
MX2009009186A (en) * 2007-03-02 2009-09-07 Univ Liege Tools for use in treatment of male urinary incontinence.
CN101842060B (en) 2007-09-21 2014-07-16 Ams研究公司 Pelvic floor treatments and related tools and implants
US8623034B2 (en) 2007-10-19 2014-01-07 Ethicon, Gmbh Soft tissue repair implant
US8206280B2 (en) 2007-11-13 2012-06-26 C. R. Bard, Inc. Adjustable tissue support member
US8727963B2 (en) 2008-07-31 2014-05-20 Ams Research Corporation Methods and implants for treating urinary incontinence
US9017243B2 (en) 2008-08-25 2015-04-28 Ams Research Corporation Minimally invasive implant and method
WO2010027796A1 (en) 2008-08-25 2010-03-11 Ams Research Corporation Minimally invasive implant and method
EP3424437A1 (en) 2008-10-27 2019-01-09 Boston Scientific Scimed, Inc. Surgical needle and anchor system with retractable features
US8449573B2 (en) 2008-12-05 2013-05-28 Boston Scientific Scimed, Inc. Insertion device and method for delivery of a mesh carrier
WO2010093421A2 (en) 2009-02-10 2010-08-19 Ams Research Corporation Surgical articles and methods for treating urinary incontinence
US8968334B2 (en) 2009-04-17 2015-03-03 Boston Scientific Scimed, Inc. Apparatus for delivering and anchoring implantable medical devices
US9301750B2 (en) * 2009-11-03 2016-04-05 Boston Scientific Scimed, Inc. Device and method for delivery of mesh-based devices
US9364308B2 (en) 2009-12-30 2016-06-14 Astora Women's Health, Llc Implant systems with tensioning feedback
CA2785830A1 (en) 2009-12-30 2011-07-07 Ams Research Corporation Implantable sling systems and methods
EP3721832B1 (en) 2010-02-23 2023-03-29 Boston Scientific Scimed, Inc. Surgical articles for treating incontinence
US9445881B2 (en) 2010-02-23 2016-09-20 Boston Scientific Scimed, Inc. Surgical articles and methods
US8622886B2 (en) * 2010-03-16 2014-01-07 Ethicon, Inc. Surgical instrument and method for the treatment of urinary incontinence
US10028813B2 (en) 2010-07-22 2018-07-24 Boston Scientific Scimed, Inc. Coated pelvic implant device and method
US8911348B2 (en) 2010-09-02 2014-12-16 Boston Scientific Scimed, Inc. Pelvic implants and methods of implanting the same
US9572648B2 (en) 2010-12-21 2017-02-21 Justin M. Crank Implantable slings and anchor systems
US9622848B2 (en) 2011-02-23 2017-04-18 Boston Scientific Scimed, Inc. Urethral stent system and method
US9089393B2 (en) 2011-03-28 2015-07-28 Ams Research Corporation Implants, tools, and methods for treatment of pelvic conditions
US8808162B2 (en) 2011-03-28 2014-08-19 Ams Research Corporation Implants, tools, and methods for treatment of pelvic conditions
US9782245B2 (en) 2011-03-30 2017-10-10 James R. Mujwid Implants, tools, and methods for treatment of pelvic conditions
US9492259B2 (en) 2011-03-30 2016-11-15 Astora Women's Health, Llc Expandable implant system
US9636201B2 (en) 2011-05-12 2017-05-02 Boston Scientific Scimed, Inc. Delivery members for delivering an implant into a body of a patient
US10058240B2 (en) 2011-06-29 2018-08-28 Boston Scientific Scimed, Inc. Systems, implants, tools, and methods for treatments of pelvic conditions
US9351723B2 (en) 2011-06-30 2016-05-31 Astora Women's Health, Llc Implants, tools, and methods for treatments of pelvic conditions
EP2734148B1 (en) 2011-07-22 2019-06-05 Boston Scientific Scimed, Inc. Pelvic implant system
US9414903B2 (en) 2011-07-22 2016-08-16 Astora Women's Health, Llc Pelvic implant system and method
US9492191B2 (en) 2011-08-04 2016-11-15 Astora Women's Health, Llc Tools and methods for treatment of pelvic conditions
US20130035555A1 (en) 2011-08-05 2013-02-07 Alexander James A Systems, implants, tools, and methods for treatment of pelvic conditions
US10098721B2 (en) 2011-09-01 2018-10-16 Boston Scientific Scimed, Inc. Pelvic implant needle system and method
US9168120B2 (en) 2011-09-09 2015-10-27 Boston Scientific Scimed, Inc. Medical device and methods of delivering the medical device
EP2889018A4 (en) * 2012-08-27 2016-04-06 Terumo Corp Medical tube and medical tube assembly
KR101461492B1 (en) * 2012-12-11 2014-11-18 이정윤 The urethral compressible tension device for remedy of urine incontinence
US9433486B2 (en) 2013-03-08 2016-09-06 Boston Scientific Scimed, Inc. Incontinence implant assembly
US9814555B2 (en) 2013-03-12 2017-11-14 Boston Scientific Scimed, Inc. Medical device for pelvic floor repair and method of delivering the medical device
WO2014162423A1 (en) * 2013-04-01 2014-10-09 テルモ株式会社 Medical device
US11419610B2 (en) 2018-08-17 2022-08-23 Empress Medical, Inc. Device and method for passing tension member around tissue mass
CN112770680A (en) 2018-08-17 2021-05-07 安普列斯医疗公司 Device and method for compression of tumors

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3892240A (en) * 1974-03-21 1975-07-01 Charles Lanier Park Surgical needle apparatus
US4890614A (en) * 1986-02-19 1990-01-02 Yasuo Nakamura Suture needle and its manufacturing process
BR8907704A (en) 1988-10-04 1991-07-30 Petros Peter E SURGICAL INSTRUMENT PROSTHESIS AND METHOD FOR ITS USE
WO1993013714A2 (en) * 1992-01-07 1993-07-22 Austin Leahy A surgical device
US5207694A (en) * 1992-06-18 1993-05-04 Surgical Invent Ab Method for performing a surgical occlusion, and kit and applicator for carrying out the method
US5364408A (en) * 1992-09-04 1994-11-15 Laurus Medical Corporation Endoscopic suture system
US5383904A (en) * 1992-10-13 1995-01-24 United States Surgical Corporation Stiffened surgical device
US5342374A (en) * 1992-12-17 1994-08-30 Wan Shaw P Suture guiding device and method of use
US5336239A (en) * 1993-01-15 1994-08-09 Gimpelson Richard J Surgical needle
US5899909A (en) 1994-08-30 1999-05-04 Medscand Medical Ab Surgical instrument for treating female urinary incontinence
US5741299A (en) * 1997-03-05 1998-04-21 Rudt; Louis L. Puncture-proof suture needle assembly
US6273852B1 (en) * 1999-06-09 2001-08-14 Ethicon, Inc. Surgical instrument and method for treating female urinary incontinence
EP1289429B1 (en) * 2000-06-05 2006-03-15 Boston Scientific Limited devices for the treatment of urinary incontinence

Also Published As

Publication number Publication date
KR20030044018A (en) 2003-06-02
JP2004511283A (en) 2004-04-15
DE60143762D1 (en) 2011-02-10
US6605097B1 (en) 2003-08-12
CA2426456C (en) 2009-11-17
AU9309501A (en) 2002-04-29
AU2001293095B2 (en) 2006-07-20
CN1484514A (en) 2004-03-24
ES2356430T3 (en) 2011-04-08
ATE493076T1 (en) 2011-01-15
EP1335670A2 (en) 2003-08-20
HK1055385A1 (en) 2004-01-09
CN1226964C (en) 2005-11-16
WO2002032284A2 (en) 2002-04-25
EP1335670B1 (en) 2010-12-29
EP1335670A4 (en) 2005-10-26
WO2002032284A3 (en) 2002-09-06

Similar Documents

Publication Publication Date Title
CA2426456A1 (en) Apparatus and method for treating female urinary incontinence
AU2001293095A1 (en) Apparatus and method for treating female urinary incontinence
US6494887B1 (en) Surgical instrument
US5507754A (en) Apparatus and method for applying and adjusting an anchoring device
JP3423313B2 (en) Equipment used to hold the yarn
US5749884A (en) Bone anchor implantation device and method
US4574806A (en) Tunnelling device for peripheral vascular reconstruction
US5348541A (en) Suprapubic catheter placement apparatus (lyell sound)
WO2002026108A3 (en) Surgical apparatus and methods for delivery of a sling in the treatment of female urinary incontinence
US20110276073A1 (en) Cystotomy Catheter Capture Device
CA2523580A1 (en) Systems and methods for sling delivery and placement
WO2002078548A1 (en) Surgical tool
DE10245076A1 (en) Instrument for operatively treating urinary incontinence in women consists of needle. band. pull-in accessory and connector part
US10542969B2 (en) Knotting device and methods of using the same
JP4734651B2 (en) Surgery aid
CN212996568U (en) Abdominal wall anastomat
CN212996567U (en) Disposable abdominal wall anastomat
CN212996569U (en) Novel abdominal wall anastomat
AU740071B2 (en) Surgical instrument
AU769283B2 (en) Surgical instrument

Legal Events

Date Code Title Description
EEER Examination request
MKEX Expiry

Effective date: 20210927