WO1998035632A1 - Stabilization sling for use in minimally invasive pelvic surgery - Google Patents
Stabilization sling for use in minimally invasive pelvic surgery Download PDFInfo
- Publication number
- WO1998035632A1 WO1998035632A1 PCT/US1998/003066 US9803066W WO9835632A1 WO 1998035632 A1 WO1998035632 A1 WO 1998035632A1 US 9803066 W US9803066 W US 9803066W WO 9835632 A1 WO9835632 A1 WO 9835632A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- sling
- suture
- site
- end portion
- suture receiving
- Prior art date
Links
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Classifications
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- 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
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- 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
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- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/005—Ingredients of undetermined constitution or reaction products thereof
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- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
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- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
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- A61B2017/00805—Treatment of female stress urinary incontinence
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
- A61B2017/0225—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery flexible, e.g. fabrics, meshes, or membranes
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Definitions
- the present invention relates to slings for use in improving urinary continence. More particularly, the present invention relates to prefabricated urethral stabilization or suspension slings, methods of making the slings and kits including the slings.
- Urinary incontinence is a widespread problem in the United States and throughout the world. Urinary incontinence affects people of all ages and can severely impact a patient both physiologically and psychologically.
- incontinence is caused by intrinsic sphincter deficiency (ISD), a condition in which the valves of the urethral sphincter do not properly coapt.
- incontinence is caused by hypermobility, a condition in which the muscles around the bladder relax, causing the bladder neck and proximal urethra to rotate and descend in response to increases in intraabdominal pressure. Hypermobility may be the result of pregnancy or other conditions which weaken the muscles.
- the condition is caused by a combination of ISD and hypermobility.
- urinary incontinence has a number of other causes, including birth defects, disease, injury, aging, and urinary tract infection.
- Numerous approaches for treating urinary incontinence are available.
- One such approach involves the use of a sling.
- surgeons using a sling based procedure must grow or harvest autologous tissue or purchase processed cadaveric tissue, animal tissue, or synthetic material from a supplier and fashion the sling during the surgical procedure.
- the surgeon must cut the sling to the desired dimensions and shape, and attach sutures to the sling.
- these steps increase the time required for and complexity of the procedure, thereby increasing surgical morbidity and mortality.
- the slings currently in use are susceptible to tearing at the sites where the sutures are attached to the sling. If the suture attachment sites tear, the sling becomes dislodged and incontinence may result. Additional surgery is required to replace the dislodged sling and restore continence.
- U.S. Patent No. 5,611,515, issued March 18, 1997 to Benderev et al. introduces pioneering minimally invasive percutaneous and transvaginal bladder neck stabilization approaches.
- the percutaneous approach of Benderev et al. involves stabilizing the bladder neck using a bone anchor which is percutaneousl ⁇ introduced from the abdominal side of the patient.
- the transvaginal approach of Benderev et al. involves stabilizing the bladder neck using a staple or bone anchor which is transvaginally placed into the pubic bone.
- the slings of the present invention may be used in several urethral or bladder neck stabilization procedures, including the minimally invasive percutaneous and transvaginal procedures described below and those described in Benderev et al. Summary of the Invention
- the present invention relates to prefabricated urethral stabilization slings, methods of making the slings, methods of attaching sutures to the slings, kits comprising the slings, and methods of using the slings to treat urinary incontinence.
- One aspect of the invention is a prefabricated sling for improving urinary continence which is made of a biocompatible material and has an elongate shape adapted for urethral stabilization.
- the biocompatible material has a central portion extending longitudinally between a first end portion and a second end portion and at least a pair of suture receiving sites which comprise a first site located in the first end portion of the material and a second site located in the second end portion of the material.
- the first site is adapted for receiving at least a first suture and the second site is adapted for receiving at least a second suture.
- the first site and the second site are generally disposed along a line extending longitudinally relative to the sling.
- the biocompatible material is directionally oriented.
- the biocompatible directionally oriented material may be longitudinally oriented.
- the first and second end portions of the directionally oriented material have at least one presewn edge and are generally at least twice as thick as the central portion.
- the first and second suture receiving sites have an inner diameter at least equal to the diameter of the sutures.
- the biocompatible material is absorbable. In some embodiments of the sling, the biocompatible material is woven.
- the biocompatible material is coated.
- the coating on the biocompatible material is absorbed after implantation to facilitate tissue ingrowth into the biocompatible material.
- the biocompatible material is impregnated with an antibiotic.
- the sling is impregnated with bacitracin.
- the sling is impregnated with polymixim.
- the sling is impregnated with neomycin.
- the sling is capable of releasing a drug. In further embodiments, the drug is released over time.
- the sling may have a visual indicator for indicating the position of the sling relative to the urethra.
- the visual indicator may comprise at least one transversely extending line in the central portion of the material.
- the sling has a stabilizer for further strengthening and further reducing buckling of the sling, the stabilizer being located in the first and second end portions of the sling.
- the material around the periphery of the suture receiving sites is reinforced. In other embodiments, the suture receiving sites are strengthened with a reinforcing device.
- Another aspect of the present invention is a prefabricated sling for improving urinary continence comprising a biocompatible material having an elongate shape adapted for urethral stabilization.
- the biocompatible material has a central portion extending longitudinally between a first end portion and a second end portion.
- the sling also has integral attachment members for suspending the sling.
- a kit for performing a urethral stabilization comprises a sterile biocompatible material having an elongate shape adapted for urethral stabilization.
- the biocompatible material has a central portion extending longitudinally between a first end portion and a second end portion.
- the biocompatible material also has at least a pair of suture receiving sites.
- the pair of suture receiving sites comprises a first suture receiving site located in the first end portion of the biocompatible material and a second suture receiving site located in the second end portion of the biocompatible material.
- the first suture receiving site is adapted for receiving at least a first suture
- the second suture receiving site is adapted for receiving at least a second suture.
- the first suture receiving site and the second suture receiving site are generally disposed along a line extending longitudinally relative to the sling.
- the sling is packaged.
- the first and second suture receiving sites are apertures.
- the biocompatible material has at least a first and a second suture secured thereto.
- the biocompatible material is filamentous.
- the filamentous material is collagen coated.
- the sutures are looped through the apertures.
- Yet another aspect of the present invention is a method of making a sling for improving urinary continence.
- a biocompatible material is cut into an elongate shape adapted for urethral stabilization such that the material has a central portion extending longitudinally between a first end portion and a second end portion.
- At least a pair of suture receiving sites is formed in the material prior to surgery.
- the pair of suture receiving sites comprises a first site located in the first end portion of the material and a second site located in the second end portion of the material.
- the first site is adapted for receiving at least a first suture and the second site is adapted for receiving at least a second suture.
- the first site and the second site are generally disposed along a line extending longitudinally relative to the sling.
- the method further comprises the steps of securing at least a first suture to the first site and securing at least a second suture to the second site.
- the method further comprises the step of sterilizing the sling.
- the method further comprises the step of applying an antibiotic to the sling.
- the method further comprises the step of packaging the sling.
- Yet another aspect of the present invention is a method of stabilizing a bladder neck to improve urinary incontinence.
- a sling comprising a biocompatible material having an elongate shape adapted for urethral stabilization.
- the material has a central portion extending longitudinally between a first end portion and a second end portion.
- the sling also comprises at least a pair of suture receiving sites.
- a suture is secured to a bone anchor.
- the anchor is positioned in a pubic bone.
- the suture is secured to at least one of the suture receiving sites in the sling.
- the suture receiving sites are adapted for receiving at least one suture.
- the suture receiving sites comprise a first suture receiving site located in the first end portion of the material and a second suture receiving site located in the second end portion of the material.
- the first suture receiving site is adapted for receiving at least a first suture and the second suture receiving site is adapted for receiving at least a second suture.
- the first suture receiving site and the second suture receiving site are generally disposed along a line extending longitudinally relative to the sling.
- the bladder neck is stabilized with the sling.
- the method further comprises introducing the sling percutaneously.
- the sling is introduced without invasive surgery.
- Figure 1 is a plan view of a preferred embodiment of the sling of the present invention.
- Figure 2A is a plan view of a parallelogram shaped embodiment of the sling of the present invention.
- Figure 2B is a plan view of a hexagonal shaped embodiment of the sling of the present invention.
- Figure 2C is a plan view of a rectangular shaped embodiment of the sling of the present invention.
- Figure 3A is a plan view of a preferred embodiment of the sling of the present invention showing preferred dimensions.
- Figure 3B is a cross-sectional view of the sling taken along line 3B-3B of Figure 3A.
- Figure 4A is a partial top view of an end portion of a sling having a single suture receiving site.
- Figure 4B is a partial top view of a rounded end portion of a sling having two suture receiving sites.
- Figure 4C is a partial top view of an end portion of a sling having three suture receiving sites.
- Figure 5A is an enlarged top view of an end portion of a sling in which the suture receiving site is an aperture.
- Figure 5B is a cross-sectional view of the end portion taken along line 5B-5B of Figure 5A.
- Figure 5C is an enlarged top view of an end portion of a sling having a reinforcing device in the suture receiving site.
- Figure 5D is a cross-sectional view of the end portion taken along line 5D-5D of Figure 5C.
- Figure 5E is an enlarged top view of an end portion of a sling having an alternative reinforcing device in the suture receiving site.
- Figure 5F is a cross-sectional view of the end portion taken along line 5F-5F of Figure 5E.
- Figure 5G is an enlarged top view of an end portion of a sling having reinforced material around the periphery of the suture receiving site.
- Figure 5H is a cross-sectional view of the end portion taken along line 5H-5H of Figure 5G.
- Figure 51 is an enlarged top view of an end portion of a sling having reinforced material around an alternative suture receiving site.
- Figure 5J is a cross-sectional view of the end portion taken along line 5J-5J of Figure 51.
- Figure 5K is an enlarged top view of an end portion of a sling in which the suture receiving site is an aperture and the material around the periphery of the suture receiving site has been reinforced by heat sealing or ultrasonically sealing.
- Figure 5L is a cross-sectional view of the end portion taken along line 5L-5L of Figure 5K.
- Figure 6A is a plan view of an unfolded parallelogram shaped piece of biocompatible material.
- Figure 6B is a plan view of a hexagonal shaped piece of material obtained by folding the material of Figure 6A as indicated by the arrows in Figure 6A.
- Figure 6C is a plan view of a hexagonal shaped sling in which apertures have been formed as suture receiving sites in the end portions of the sling.
- Figure 6D is a cross-sectional view of the hexagonal shaped sling taken along line 6D-6D of Figure 6C.
- Figure 6E is the cross-sectional view of Figure 6D showing sutures secured to the apertures of the sling.
- Figure 6F is a plan view of an unfolded rectangular shaped piece of biocompatible material.
- Figure 6G is a plan view of a rectangular shaped piece of material obtained by folding the material of Figure 6F as indicated by the arrows in Figure 6F.
- Figure 6H is a plan view of a rectangular sling in which apertures have been formed as suture receiving sites in the end portions of the sling.
- Figure 61 is a cross-sectional view of the rectangular shaped sling taken along line 6I-6I of Figure 6H.
- Figure 6J is the cross-sectional view of Figure 61 showing sutures secured to the apertures of the sling.
- Figure 6K is a plan view of an unfolded rectangular piece of biocompatible material.
- Figure 6L is a plan view of a parallelogram shaped piece of material obtained by folding the material of
- Figure 6M is a plan view of a parallelogram shaped sling in which apertures have been formed as suture receiving sites in the end portions of the sling.
- Figure 6N is a cross-sectional view of the parallelogram shaped sling taken along line 6N-6N of Figure 6M.
- Figure 60 is the cross-sectional view of Figure 6N showing sutures secured to the apertures of the sling.
- Figure 7A is a schematic plan view of a parallelogram shaped piece of biocompatible material having longitudinally oriented filaments, grains, striations, or polymeric chains.
- Figure 7B is a cross-sectional view of the material taken along line 7B-7B of Figure 7A.
- Figure 7C is an enlarged view of the material taken along line 7C-7C of Figure 7A.
- Figure 7D is an enlarged schematic view of biocompatible material having transversely oriented filaments, grains, striations, or polymeric chains.
- Figure 7E is an enlarged schematic view of biocompatible material having diagonally oriented filaments, grains, striations, or polymeric chains.
- Figure 7F is a schematic plan view of a hexagonal shaped sling obtained by folding the material of Figure 7A as indicted by the arrows in Figure 7A and forming apertures as suture receiving sites in the end portions of the sling.
- Figure 7G is an enlarged top view of the sling taken along line 7G-7G of Figure 7F showing the filaments, grains, striations, or polymeric chains in an upper layer of an end portion of the sling crossing the filaments, grains, striations, or polymeric chains in the underlying layer.
- Figure 8A is an enlarged top view of an end portion of a sling having a suture looped through a plurality of suture receiving sites.
- Figure 8B is a cross-sectional view of the sling taken along line 8B-8B of Figure 8A.
- Figure 8C is an enlarged top view of an end portion of a sling having a suture threaded through a suture receiving site.
- Figure 8D is a cross-sectional view of the sling taken along line 8D-8D of Figure 8C.
- Figure 8E is an enlarged top view of an end portion of a sling showing a suture looped around the suture receiving site and an edge of the sling.
- Figure 8F is a cross-sectional view of the sling taken along line 8F-8F of Figure 8E.
- Figure 9A is a plan view of an end portion of a sling having a stabilizer attached thereto.
- Figure 9B is a cross-sectional view of the sling taken along line 9B-9B of Figure 9A.
- Figure 9C is a plan view of an end portion of a sling having a stabilizer between the suture receiving sites.
- Figure 9D is a cross-sectional view of the sling taken along line 9D-9D of Figure 9C.
- Figure 10A is a plan view of a generally rectangular shaped sling with bilaterally extending integral attachment members.
- Figure 10B is a plan view of a generally hexagonal shaped sling with bilaterally extending integral attachment members.
- Figure 11 is a sagittal section of a female pelvis illustrating the location of the sling of the present invention relative to the bladder neck and the pubic bone.
- Figure 12 is a schematic cross-sectional view taken through the urethra and upper vaginal wall illustrating an incision in the upper vaginal wall.
- Figure 13 is a schematic cross-sectional view taken through the urethra and upper vaginal wall illustrating a bilaterally extending pocket created by blunt dissection.
- Figure 14 is a schematic view of a sling of the present invention positioned in the pocket of Figure 13, the sling being suspended from sutures secured to a bone anchor implanted in the pubic bone.
- the present invention relates to prefabricated slings for use in urethral floor reconstruction. More particularly, the slings are useful for improving or maintaining urinary continence such as by suspending, stabilizing and/or slightly compressing the urethra of an incontinent patient.
- the slings are particularly useful for treating patients suffering from incontinence caused by Intrinsic Sphincter Deficiency (ISD) and/or hypermobility.
- ISD Intrinsic Sphincter Deficiency
- the slings may also be used to treat other disorders in which stabilization and/or compression of the urethra would be beneficial.
- the present slings are designed to be implanted in a patient suffering from incontinence using the medical procedure described in more detail below.
- the sling is preferably positioned beneath the bladder neck so that the urethra extends across the center of the sling.
- the sling is biased towards the urethra through tension applied to the sling by sutures or other attachment means, which are preferably anchored to the pubic bone.
- the resulting bias stabilizes and/or slightly compresses the urethra so that continence is maintained.
- urethral slings have previously been used to treat incontinence, the present slings are prefabricated, eliminating the need for the surgeon to prepare them for use during the surgical procedure.
- the present slings are supplied to the physician in shapes and dimensions adapted for urethral stabilization or suspension, eliminating the need for the surgeon to cut the sling material during surgery.
- the present slings are provided with suture receiving sites already prepared so that the surgeon need not manufacture them during surgery.
- the slings may also be provided with reinforced suture receiving sites to reduce the incidence of tearing about the point of suture attachment. Because the surgeon need not fabricate the sling during surgery, the time required for the surgical procedure is reduced.
- the slings are provided with the sutures preattached.
- the slings may have preformed integral attachment members which, like the sutures, allow the sling to be suspended from structures such as the pubic bone. In either case, the need for the surgeon to attach sutures to the sling during surgery is eliminated, thereby simplifying the implantation procedure.
- FIG. 1 there is disclosed a plan view of a preferred embodiment of the sling 10 of the present invention.
- the sling of Figure 1 has been cut into a generally elongate shape adapted for urethral stabilization, with a central portion 12 extending between a first end portion 14 and a second end portion 16.
- Suture receiving sites 18 are prefabricated in the first and second end portions 14, 16 of the sling 10.
- the sling preferably also has a visual indicator 20.
- the sling may be fabricated from any of a variety of synthetic or naturally occurring biocompatible materials. Such materials may be filamentous or non-filamentous, elastic or inelastic, and may be porous, microporous, perforated, or impermeable. The properties of the sling may be selected as appropriate based on the surgical procedure used to implant the sling and the application for which the sling is used.
- Filamentous materials suitable for use in the slings of the present invention include cadaveric or animal tissue such as fascia lata, rectus fascia or processed collagen. Synthetic materials such as polyester, polyurethane, or nylon can also be used.
- the synthetic filamentous material can be woven or non-woven. Filaments made from synthetic materials may be braided together to form strands or threads which can be braided or woven together to form strips of fabric.
- the synthetic filamentous material is polyester.
- Non-filamentous materials suitable for use in the slings of the present invention include silicone, polytetrafluoroethylene (PTFE), polyethylene terephthalate (PET), PTFE, FEP, or thin films such as latex.
- PTFE polytetrafluoroethylene
- PET polyethylene terephthalate
- FEP FEP
- thin films such as latex.
- the elasticity of the sling material may also be selected based on the type of surgical procedure for which the sling is being used.
- a suitable elastic material is knitted polyester.
- inelastic or minimally elastic materials may be preferred for certain procedures such as those in which the sling is used to create an immobile floor.
- a preferred minimally elastic material is woven polyester.
- the porosity of the material may also be selected based on the type of surgical procedure for which the sling is being used. For example, pores, micropores, or perforations permit tissue ingrowth, which is advantageous to stabilize the sling and reduce erosion from constant motion.
- the sling material may be impregnated with antibiotics or other agents which can be delivered from the surface of the sling as well as through the pores, micropores or perforations. Impregnation with antibiotics or other agents may be facilitated by coating the sling with collagen. Impermeable materials may also be useful in certain applications of the sling. Representative impermeable materials include nylons and polyester. A preferred impermeable material is polyester.
- a coating may also be applied to the sling.
- the coating may be used to deliver a number of compounds, such as antibiotics, heparin, immunosuppressant agents or other drugs.
- the drug may be released over time.
- the coating also blocks the interstices of the underlying sling material, thereby decreasing the risk of infection by sequestering the interstices of the sling from contact with microorganisms encountered during implantation of the sling.
- the coating is absorbed after implantation to facilitate tissue ingrowth into the interstices, pores, micropores and/or perforations of the sling material.
- Suitable coatings include polyglycolic acid, polylactic acid, blends of polyglycolic acid and polylactic acid, gelatin, polyvinyl alcohol, and polyvinyl pyrrolidone.
- a preferred coating is a smooth layer of collagen, such as that provided on the Hemashield® woven double velour available from Meadox. (Meadox Medical, 112 Beaver Drive, Oakland, NJ 07436 or Boston Scientific Corporation, One Boston Scientific Place, Natick, MA 01760.)
- the smooth collagen coating protects the interstices of the underlying sling material from bacterial contact during implantation, thereby decreasing the risk of infection as previously discussed. Additionally, the collagen coating facilitates the uptake of antibiotics to reduce the risk of infection as discussed below. After placement in the body, the collagen is gradually absorbed, facilitating tissue ingrowth into the underlying filamentous mesh. The collagen coating may also enhance tissue compatibility.
- the slings of the present invention may also be made of absorbable materials. Such absorbable slings preferably remain structurally intact for at least three months while supporting tissue ingrowth. Thereafter, the slings may be fully absorbed. Preferably, the slings are fully absorbed over a period of 3-6 months following the three month period in which the sling is intact.
- the absorbable sling is made of polylactic acid or polylactic acid/pol ⁇ glycolic acid copolymers.
- the slings of the present invention may be fabricated from directionally oriented biocompatible materials.
- Such materials include filamentous materials in which the orientation of the filaments is directionally ordered, as well as grained or striated materials in which the grains or striations are directionally ordered.
- the material may be a polymeric material in which the orientation of the polymeric chains comprising the material is directionally ordered.
- the polymeric material may or may not be cross-linked.
- the filaments, grains, striations, or polymeric chains in such materials may be oriented in a single direction or may be multidirectional.
- Suitable directionally oriented materials include synthetic materials such as Trelex® Natural Mesh (Meadox Medical, 1 12 Beaver Drive, Oakland, NJ 07436 or Boston Scientific Corporation, One Boston Scientific Place, Natick, MA 01760.), Hemashield®, and woven and knitted polyester.
- the directionally oriented material may be natural material such as grained or striated tissue.
- the tissue may be an allograft, xenograft, or autologous tissue.
- autologous tissue is its ability to revascularize and regrow after implantation.
- Tissue for use in allografts can be obtained from cadavers.
- Cadaveric tissue can be harvested according to techniques well known to those skilled in the art and may be selected to minimize the risk of rejection.
- non-cadaveric tissue is generally preferred because of patient preference and the perceived risk of cross- contamination.
- the cadaveric tissue may be absorbed after implantation, the scar tissue which replaces the cadaveric tissue provides support for the bladder neck.
- Representative sources of autologous tissue for use in the present slings include striated muscle, fascia lata, rectus fascia, dura, pericardium and the vaginal wall. The same tissue sources may also be used for allografts. Typical sources of xenograft tissue include striated muscle, bovine fascia, dura, pericardium and collagen.
- the slings of the present invention may be cut into a number of other shapes.
- Figures 2A-2C several alternative elongate shapes suitable for use in the present invention are shown in Figures 2A-2C. These include parallelograms such as rhomboids (Figure 2A), hexagons ( Figure 2B), and rectangles (Figure 2C).
- Figure 2A parallelograms
- Figure 2B hexagons
- Figure 2C rectangles
- the end portion of the sling may be cut into a rounded shape, such as that illustrated in Figure 4B.
- the optimal shape of the sling is related to anatomical considerations as well as the surgical procedure used to introduce the sling.
- slings having rounded ends may facilitate insertion into the pocket formed during the surgical procedure discussed in more detail below, since the pocket may not be precisely rectangular.
- the optimal dimensions of the sling can be varied considerably to suit particular design criteria desired for a particular application and still embody the present invention.
- optimal sling dimensions are dependent upon anatomical considerations and the surgical procedure used to introduce and attach the sling.
- the optimal length of the sling may be influenced by whether the surgeon prefers to attach a long strip of material to the pubic bone or abdominal musculature with a bone anchor or other securing device.
- the sling may be up to 30 cm in length and may be 1-5 cm in width.
- the long slings used in such procedures are 15-30 cm in length and 3-5 cm in width. Shorter slings may be preferred for procedures in which the sling is suspended by a suture bridge.
- Such slings may be 2.5-7cm in length and 1-5cm in width.
- the optimal dimensions of the sling may also be influenced by the sling material selected. For instance, the thickness of the sling material may be dependent on the material selected and the strength and tear resistance required for a particular application of the sling.
- the sling 10 is preferably provided with a visual indicator 20.
- the visual indicator enables the surgeon to position the sling relative to the urethra so that the urethra generally extends across the center of the sling.
- the visual indicator 20 comprises two transversely extending dashed lines in the central portion 12 of the sling 10 as illustrated in Figure 1.
- those skilled in the art will recognize that a variety of other types of visual indicators, including radiopaque indicators, could be used in accordance with the present invention.
- the sling of the present invention preferably also has at least one suture receiving site formed in both the first and second end portions of the sling.
- the suture receiving site is an aperture.
- the aperture may be formed by die stamping the sling material ultrasonic cutting, heat cauterizing, or piercing with a hot poker.
- the suture receiving site may be sling material as discussed below in regard to Figures 51 and 5J.
- the suture receiving site is adapted for receiving at least one suture.
- the suture receiving site has an inner diameter at least equal to the diameter of the suture to be received therein.
- both the first and second end portions of the sling have two apertures which are equally displaced from the central longitudinal axis of the sling.
- numerous alternative embodiments are also contemplated by the present invention.
- some embodiments of the sling such as that depicted in Figure 4A, have only one suture receiving site formed per end portion.
- the suture receiving site 18 is preferably located along the central longitudinal axis 19 of the sling.
- Other embodiments of the sling have 3 or more suture receiving sites formed per end portion.
- preferably at least one suture receiving site 18 is located along the central longitudinal axis 19 of the sling with the other suture receiving sites 18 being located symmetrically about the central longitudinal axis 19 as illustrated in Figure 4C.
- At least one suture receiving site in each end portion of the sling is located along the central longitudinal axis of the sling as shown in Figures 4A and 4C.
- the suture receiving sites are preferably disposed symmetrically about the central longitudinal axis of the sling as depicted in Figures 1 and 4B.
- FIG. 5 shows various types of suture receiving sites which may be used in the slings of the present invention.
- the suture receiving site is an aperture formed in the sling material.
- This type of suture receiving site is employed in the embodiment shown in Figure 1.
- the material around the periphery of the suture receiving sites is reinforced by heat sealing or ultrasonic sealing.
- the suture receiving sites can be strengthened in order to minimize the possibility of tearing.
- one piece reinforcing devices may be inserted in the apertures in the sling material.
- the one piece reinforcing device 22 has an upper rim 24 and a lower rim 26 between which the sling material bordering the suture receiving site is enclosed.
- the upper rim and the lower rim are shown parallel to one another in Figure 5D, alternative embodiments are contemplated in which the upper and lower rims converge towards each other with the sling material therebetween.
- the upper rim and the lower rim may also be provided with friction enhancing retention structures to minimize the risk of dislodgement of the one piece reinforcing device.
- the one piece reinforcing device 22 is fabricated from biocompatible plastics or metals, such as stainless steel or titanium.
- the area around an aperture 18 in the sling material may be strengthened by inserting a multiple piece reinforcing device 28 therein.
- the multiple piece reinforcing device 28 has a first piece 30 and a second piece 32, which interlock and enclose the sling material bordering the suture receiving site.
- the first piece and the second piece are shown parallel to one another in Figure 5F, alternative embodiments are contemplated in which they converge towards each other as discussed above with respect to the one piece reinforcing device.
- the first piece and the second piece may also be provided with friction enhancing retention structures to minimize the risk of dislodgement of the multiple piece reinforcing device.
- the multiple piece reinforcing device 28 is fabricated from biocompatible plastics or metals, such as stainless steel or titanium.
- FIG. 5G through 5J the suture receiving site is an aperture.
- the suture receiving site comprises sling material.
- the sling material at the suture receiving site provides a puncture target into which the surgeon can insert the suspending suture.
- the suture receiving site is an aperture and the periphery of the suture receiving site is reinforced by heat sealing or ultrasonically sealing.
- the material around the periphery of the suture receiving sites is reinforced by heat sealing or ultrasonic sealing.
- the reinforced material 34 around the periphery of the suture receiving site shown in Figures 5G through 5L may be formed in a variety of ways, such as by heat sealing, ultrasonically sealing, or sewing the area of the sling material along the periphery of the suture receiving site.
- the periphery of the suture receiving sites is strengthened by making the end portions of the sling thicker than the central portion as shown in Figures 6A-60.
- One way to fabricate slings in which the end portions are thicker than the central portion is to fold the end portions of the sling.
- a hexagonal shaped piece of material shown in Figure 6B, may be formed by folding the parallelogram shaped piece of biocompatible material shown in Figure 6A along the lines indicated in Figure 6A.
- the hexagonal material of Figure 6B may be formed by folding a trapezoidal piece of material, as will be apparent to one skilled in the art.
- Suture receiving sites may be formed in the hexagonal shaped intermediate of Figure 6B to form the hexagonal shaped sling of Figure 6C, in which the end portions 14, 16 are generally twice the thickness of the central portion 12 of the sling.
- a cross-sectional view of the hexagonal shaped sling depicting the double thickness end portions is shown in Figure 6D.
- Figure 6E illustrates a suture 36 secured in the suture receiving site 18. The suture can be secured to the suture receiving site during the manufacturing process of the sling or by the physician prior to or during surgery.
- a rectangular piece of material, shown in Figure 6G may be formed by folding the rectangular piece of biocompatible material shown in Figure 6F along the lines indicated in Figure 6F.
- Suture receiving sites may be formed in the rectangular shaped intermediate of Figure 6G to form the rectangular sling of Figure 6H, in which the end portions 14, 16 are generally twice the thickness of the central portion 12 of the sling.
- a cross-sectional view of the rectangular shaped sling depicting the double thickness end portions is shown in Figure 61.
- Figure 6J illustrates a suture 36 secured in the suture receiving site 18 as discussed above with regard to Figure 6E.
- a rhomboid shaped piece of material shown in Figure 6L, may be formed by folding the rectangular piece of biocompatible material shown in Figure 6K along the lines indicated in Figure 6K.
- Suture receiving sites may be formed in the rhomboid shaped intermediate of Figure 6L to form the rhomboid shaped sling of Figure 6M, in which the end portions 14, 16 are generally twice the thickness of the central portion 12 of the sling.
- a cross-sectional view of the rhomboid shaped sling depicting the double thickness end portions is shown in Figure 6N.
- Figure 60 illustrates a suture 36 secured in the suture receiving site 18 as discussed above with regard to Figures 6E and 6J.
- At least one edge 38, 40, 42 or 44 of each double thickness end portion 14, 16 is secured to an adjacent layer of the sling either during manufacturing of the sling or by the physician prior to or during the surgical procedure.
- the sling may be supplied to the surgeon with at least one edge 38, 40, 42 or 44 of each double thickness end portion 14, 16 already secured.
- the edge 38 closest to the central portion 12 is sewn. More preferably, all edges 38, 40, 42 and 44 are secured.
- the edge 42 where the fold was made is preferably not secured, although the other edges 38, 40 and/or 44 of the double thickness end portions may be secured.
- edges may be secured by sewing during the manufacturing process or prior to surgery, and by sewing, stapling or gluing during the surgical procedure.
- slings having end portions that are thicker than the central portion can be made in a variety of ways other than those described above.
- the sling material may be folded over on itself more than once to produce slings with end portions more than twice as thick as the central portion.
- an additional layer or layers of separately cut material could be secured to the end portions of the sling, thereby producing a sling having end portions of varying thickness.
- Slings having two or more layers of material in both the end portions and the central portion are also contemplated.
- Such slings can be formed by securing the upper layer or layers of sling material to the lower layer or layers using the methods discussed above.
- the suture receiving sites are located in end portions that are thicker than the central portion.
- a further benefit is provided by securing the upper layer of the vertical edge 38 to the lower layer of the sling.
- the secured vertical edge 38 acts as a reinforcing rib which reduces buckling of the sling when the sling is placed under tension after implantation in the patient.
- the edges 40, 42, 44 of the double thickness end portions of the sling may be secured.
- the vertical edge 38 may be secured to reduce buckling as described above.
- FIG. 7A-7G illustrate a further advantage by forming end portions having double thickness in slings made of directionally oriented materials such as the materials shown in Figures 7A-7G .
- the directionally ordered filaments, grains, striations or polymeric chains may be oriented in a variety of directions.
- Figures 7C-7E illustrate enlarged views of sling materials having longitudinally (Fig. 7C), transversely (Fig. 7D), and diagonally (Fig. 7E) oriented filaments, grains, striations or polymeric chains 46, all of which are suitable for use in the present invention.
- Figure 7B is a schematic view of grained materials suitable for use with the present invention. Those skilled in the art will appreciate that the grained materials may have ridges or grooves therein, or may have a smooth surface. Materials having multidirectional filaments, grains, striations or polymeric chains are also suitable for use in the present invention.
- the parallelogram or rhomboid shaped material of Figure 7A can be folded along the indicated lines to form the hexagonal shaped sling having double thickness end portions shown in Figure 7F as described above with regard to Figures 6A-6E.
- Figures 7F and 7G when the directionally oriented material is folded over on itself, the filaments, grains, striations or polymeric chains in the upper layer of the double thickness end portion cross the filaments, grains, striations or polymeric chains in the lower layer of the end portion.
- This nonparallel orientation of the layers of the material relative to each other provides additional protection against tearing in the regions of the sling surrounding the suture receiving sites by having the strength of the grain perpendicular to the suture pull direction.
- Slings having two or more layers of directionally oriented material in both the end portions and the central portion, wherein the filaments, grains, striations or polymeric chains in the different layers cross are also contemplated.
- the slings may have a stabilizer attached to the end portions 14, 16 to reduce buckling of the sling 10 and to provide additional strength to the sling 10, as depicted in Figures 9A-9D.
- the stabilizer is made of metal or plastic.
- the stabilizer may be attached to the sling in a variety of manners such as sewing, heat sealing, mechanical securement, or capturing the stabilizer between a fold in the sling material.
- the stabilizer may also be provided with friction enhancing retention structures to minimize the risk of dislodgement of the stabilizer.
- the stabilizer may be attached to an edge at each end of the sling as illustrated in Figures 9A and 9B.
- the stabilizer may comprise a first side 68, a second side 70, and an intermediate section 72 disposed between the first side 68 and the second side 70.
- the stabilizer preferably contacts both sides of the sling 10.
- the stabilizer may comprise a single section 73 which is disposed between the suture receiving sites 18 and is attached to one side of the sling as illustrated in Figures 9C and 9D.
- a stabilizer which is located at each end of the sling may contact a single side of the sling 10.
- the sling may have one or more stabilizers in the central portion 12 in addition to the stabilizers in the end portions 14, 16.
- the stabilizers may be used in conjunction with any of the sling embodiments described herein.
- the slings can be supplied to the surgeon with the sutures preattached or the sutures can be attached to the suture receiving sites by the surgeon. In either case, a variety of suture attachment methods are contemplated by the present invention.
- Figure 8A shows an enlarged top view of an end portion of a sling having two suture receiving sites 18 with a suture 36 secured thereto.
- the suture 36 is looped through the suture receiving sites 18, as illustrated in the cross-sectional view of Figure 8B.
- the suture can be threaded through one suture receiving site and out the other suture receiving site without looping through the sling material therebetween.
- the suture 36 can be threaded through a single suture receiving site 18 as illustrated in Figures 8C and 8D.
- FIGs 8E and 8F Another method of attaching the suture to the sling is illustrated in Figures 8E and 8F.
- the suture 36 is looped around the suture receiving site 18 and the edge of the sling. While Figures 8A-8E show a variety of methods for attaching the suture to the sling, those skilled in the art will appreciate that other methods may also be used.
- Yet another method of attaching the suture 36 utilizes a connector to link the suture to the sling. Suitable connectors for linking the suture to the sling are disclosed in the copending U.S.
- the sling has a ring member therein to permit the connector to be attached to the sling. Ring members suitable for attaching the connector are also disclosed in the copending U.S. Patent Application entitled “Method and Apparatus for Minimally Invasive Pelvic Surgery,” filed simultaneously herewith and the identically titled U.S. Provisional Patent Application Serial No. 60/038,380 filed February 13, 1997.
- the present invention also includes prefabricated slings having integral attachment members 148.
- Such slings can be die cut or ultrasonically cut out of a solid sheet of biocompatible material.
- the slings having integral attachment members are cut from one length of material and the edges are heat sealed.
- the integral attachment members may comprise trailing filaments such as longer strands in a woven sling.
- the integral attachment members comprise filaments interwoven through the sling material.
- the function of the integral attachment members 148 is similar to that of the sutures 36, which allow the surgeon to suspend the sling from a structure, such as the pubic bone as described in more detail below.
- Figures 10A and 10B Representative examples of slings having integral attachment members are depicted in Figures 10A and 10B.
- Figure 10A shows a generally rectangular shaped sling 110 in which bilaterally extending integral attachment members 148 are formed from the same piece of material as the sling.
- Figure 10B shows a generally hexagonal shaped sling 110 in which bilaterally extending integral attachment members 148 are formed from the same piece of material as the sling.
- slings with integral attachment members having configurations other than those shown in Figures 10A and 10B are also contemplated by the present invention.
- the slings of the present invention may be individually packaged and/or sterilized prior to purchase.
- the packaging may protect the sling during storage.
- the packaging may protect the sling from damage by ultraviolet light.
- the sling may be soaked in an antibiotic solution, such as a solution of neomycin, bacitracin, or poiymixim, to prevent microorganisms from collecting on and colonizing the surface of the sling during manipulation, thereby reducing the risk of infection following implantation of the sling.
- the sling may also be sterilized by ethylene oxide or irradiation. Uptake and delivery of the antibiotic may be enhanced by using a coated sling as described above.
- the sling may be stored in glutaraldehyde or freeze dried.
- the natural tissue Prior to use in the surgical procedure, the natural tissue may be preconditioned by soaking the sling in a saline solution, such as any standard commercially available saline solution.
- the present invention also includes a stabilization sling kit for maintaining urinary continence.
- the kit comprises a prepackaged sling. More preferably, the kit comprises a sterilized sling.
- the kit includes a sling having sutures secured thereto.
- the sling included in the kit may have integral attachment members as described above.
- a minimally invasive percutaneous method of sling delivery and stabilization to treat an incontinent patient will now be described with reference to Figures 1 1 - 14.
- the patient receives broad spectrum antibiotics, such as gentamicin and ampicillin.
- the patient is placed in the dorsal lithotomy position and regional or general anesthesia is administered.
- Preparation of the patient emphasizes isolation of the anus with a stapled towel or plastic drape.
- a Foley catheter is placed.
- An approximately 1 -2 centimeter midline incision 52 is made in the upper vaginal wall 54 beneath the bladderneck, such as at the urethro-vesical junction, as illustrated in Figure 12.
- the surgeon then inserts an instrument such as surgical scissors through the incision in the upper vaginal wall and bluntly dissects the tissue 58 on both sides of the urethra 56 to create a bilaterally extending pocket 60, which is illustrated in Figure 13.
- the bilaterally extending pocket can also be created and the sling can be inserted using a variety of other minimally invasive instruments/methods including the transvaginal, hiatal and percutaneous approaches disclosed in the copending U.S. Patent Application entitled “Transvaginal Anchor Implantation Device,” Serial No. 08/744439 filed November 8, 1996, the copending U.S. Patent Application entitled “Percutaneous and Hiatal Devices and Methods for Use in Minimally Invasive Pelvic Surgery” (VESITEC.029A), filed February 13, 1998, the identically titled U.S. Provisional Patent Application Serial No. 60/038,171, filed February 13, 1997, the copending U.S.
- these other approaches may be employed when the physician desires to attach a long strip of material to the pubic bone or other structures such as the abdominal musculature with a bone anchor or other securing device.
- an opening capable of accommodating the long strip of material is created in the body tissue, the sling is introduced into the opening in the body tissue, and the sling is attached directly or indirectly to the pubic bone or other structures such as the abdominal musculature.
- a bone anchor 62 such as a screw in anchor, a push in anchor, or a punch in anchor, is introduced into the pubic bone 64 for fixation of suspensory sutures, with or without pre-drilling a hole in the pubic bone.
- the bone anchor is introduced using a bone anchor implantation device of a type such as that illustrated in Figures 15-19 of copending U.S. Application Serial No. 08/385,897, filed February 9, 1995.
- Bone anchor sites are located by placing the bone anchor implantation device on the body over the area of the pubic bone after visualization or digital palpation over the bone. The surgeon then extends the bone probes distally until both probes have made contact with the pubic bone.
- one anchor 62 for each side is implanted into the tubercle portions of the pubic bone 64 (approximately two centimeters lateral to the symphysis pubis).
- the eyelet of the anchor is recessed below the surface of the bone or flush with the surface of the bone.
- the anchor 62 preferably has a suture 36 slidably secured thereto prior to implantation of the anchor into the pubic bone so that a first suture end and a second suture end extend from the implanted anchor after removal of the anchor driver.
- the suprapubic wound is stretched cephalad to allow the vertical passage of the suture passer through the rectus fascia with the probe tip fully exposed.
- Distal advancement of the suture passer is accomplished with the tip proximally retracted within the probe guide.
- the suture passer is acutely angled into the abdomen so that the point rests on the underside of the pubic periosteum.
- the suture passer with the probe tip retracted is thereafter passed distally toward the i ⁇ troitus.
- the suture passer can be palpated through the introitus to the right of the urethra 56.
- the distal end tip of the suture passer is withdrawn from the surface of the pubourethral ligament and gently swept along the pubocervical fascia to the area of the bladder neck under the guidance of a finger within the vagina. Palpation through the vagina may be safely performed to assist in localization of the suture passer tip.
- the probe tip is then distally extended.
- the suture passer is then passed through the endopelvic fascia and into the pocket 60 between the urethra 56 and the upper vaginal wall 54 at which time the probe tip is retracted.
- the surgeon guides the suture passer distally into the vagina through the midline incision 52 in the upper vaginal wall 54.
- the probe is then retracted maximally to the unlocked position to allow the first end of the suture to be manually removed from the suture channel.
- the surgeon selects a sling, such as sling 10 of the present invention.
- the surgeon secures the suture 36 to a first end portion 14 of the sling by advancing the first end of the suture through the suture receiving site 18 as previously described.
- the first end of the suture is placed into the unlocked suture channel and locked into place.
- the suture passer and suture locked therein are then pulled up through the suprapubic wound.
- the first end of the suture is then released from the suture channel by manually retracting the probe. The identical procedure is performed on the left side.
- the surgeon places the sling 10 into the pocket 60 through the midline incision 52 in the upper vaginal wall 54.
- the sling is placed under the urethra, preferably under the bladderneck, in order to realign the urethra and bladderneck to the correct anatomical position and provide a stable floor to counteract internal stresses.
- the sling may be placed beneath the bladderneck in a variety of ways other than via the pocket 60.
- an inverted U shaped incision may alternatively be made beneath the bladderneck.
- the tissue beneath the inverted U shaped incision may be bluntly dissected to create a flap.
- the sling may then be inserted in the dissected opening.
- the surgeon aligns the sling so that the visual indicator
- urethra 56 is located directly beneath the urethra 56.
- alignment of the sling relative to the urethra can be accomplished in a variety of ways, such as by direct visualization.
- Foley catheter is removed prior to tying the suspensory sutures.
- suture tension is regulated by tying the first and second ends of the sutures across a suture tensioner of a type such as that illustrated in Figures 46-49 of the above incorporated U.S.
- Patent No. 5,61 1,515 issued March 18, 1997 to Benderev et al.
- the suture tensioner is thereafter removed and the position of the visual indicator 20 relative to the urethra is reconfirmed prior to closing the vaginal and suprapubic wounds.
- the wounds are irrigated with an antibiotic solution, such as a bacitracin solution.
- the wound edges and the rectus fascia at the suture entry points are infiltrated with bupivacaine.
- a Foley catheter is introduced.
- a suprapubic tube can be placed, especially in those patients having dexterity problems or an aversion to learning intermittent catheterization.
- the patient is given either ciprofloxacin or ofloxacin for ten days.
- the catheter is removed approximately one week following surgery.
- the patient performs intermittent catheterization as necessary until the post-void residuals are less than 75 cc on two consecutive catheterizations.
- the suprapubic tube is removed when the post-void residuals are less than 75 cc following two consecutive urinations.
- the foregoing method can be readily modified for use with sling 110 in which the function of the integral attachment members 148 is similar to that of the sutures 36 described above.
- the foregoing procedure was described using two bone anchors per patient, one of ordinary skill in the art will recognize that the procedure could also be accomplished using either one anchor per patient or greater than two anchors per patient.
- the one anchor embodiment is especially preferred for use with slings having a single suture end or single integral attachment member extending from each end of the sling, such as the sling 110 illustrated in Figure 10B.
- the anchor is preferably located adjacent to the symphysis pubis.
- the slings of the present invention can also be suspended from structures other than bone, such as Cooper's ligament or the rectus fascia without using bone anchors.
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP53599698A JP2001511685A (en) | 1997-02-13 | 1998-02-13 | Stabilized sling for use in minimally invasive pelvic surgery |
AU63295/98A AU6329598A (en) | 1997-02-13 | 1998-02-13 | Stabilization sling for use in minimally invasive pelvic surgery |
EP98907504A EP0983033B1 (en) | 1997-02-13 | 1998-02-13 | Stabilization sling for use in minimally invasive pelvic surgery |
CA002280814A CA2280814A1 (en) | 1997-02-13 | 1998-02-13 | Stabilization sling for use in minimally invasive pelvic surgery |
DE69808614T DE69808614T2 (en) | 1997-02-13 | 1998-02-13 | STABILIZATION SLING FOR USE IN MINIMALLY INVASIVE PELVIC SURGERY |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US3837997P | 1997-02-13 | 1997-02-13 | |
US60/038,379 | 1997-02-13 |
Publications (1)
Publication Number | Publication Date |
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WO1998035632A1 true WO1998035632A1 (en) | 1998-08-20 |
Family
ID=21899608
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1998/003066 WO1998035632A1 (en) | 1997-02-13 | 1998-02-13 | Stabilization sling for use in minimally invasive pelvic surgery |
Country Status (7)
Country | Link |
---|---|
US (1) | US6042534A (en) |
EP (1) | EP0983033B1 (en) |
JP (1) | JP2001511685A (en) |
AU (1) | AU6329598A (en) |
CA (1) | CA2280814A1 (en) |
DE (1) | DE69808614T2 (en) |
WO (1) | WO1998035632A1 (en) |
Cited By (160)
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---|---|---|---|---|
US6042534A (en) * | 1997-02-13 | 2000-03-28 | Scimed Life Systems, Inc. | Stabilization sling for use in minimally invasive pelvic surgery |
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US6322492B1 (en) | 1997-03-18 | 2001-11-27 | American Medical Systems, Inc. | Transvaginal method for securing a bone anchor |
WO2002002031A1 (en) * | 2000-07-05 | 2002-01-10 | Uronova Corp. | Implantable device for correcting urinary incontinence |
WO2002030293A1 (en) * | 2000-10-12 | 2002-04-18 | Gyne Ideas Limited | Apparatus and method for treating female urinary incontinence |
US6387041B1 (en) | 1999-01-08 | 2002-05-14 | Boaz Harari | Tack device |
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EP1237498A2 (en) * | 1999-12-07 | 2002-09-11 | Arnaldo F. Trabucco | Mesh pubovaginal sling |
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US6638211B2 (en) | 2000-07-05 | 2003-10-28 | Mentor Corporation | Method for treating urinary incontinence in women and implantable device intended to correct urinary incontinence |
WO2003096929A1 (en) * | 2002-05-15 | 2003-11-27 | American Medical Systems, Inc. | Improved pelvic health implants and methods |
US6682475B2 (en) | 2002-06-11 | 2004-01-27 | Acorn Cardiovascular, Inc. | Tension indicator for cardiac support device and method therefore |
FR2843876A1 (en) | 2002-08-30 | 2004-03-05 | Bernard Bouffier | SURGICAL PROSTHESIS DEVICE FOR THE IMPLANTATION OF A SUPPORT OF A MAMMALIAN BODY |
WO2003092546A3 (en) * | 2002-04-30 | 2004-05-06 | Cook Urological Inc | Sling for supporting tissue |
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EP1474073A1 (en) * | 2002-02-14 | 2004-11-10 | Ethicon, Inc. | Surgical instrument and method for treating organ prolapse conditions |
WO2005016184A1 (en) * | 2003-08-14 | 2005-02-24 | Scimed Life System, Inc. | Surgical slings |
WO2005018494A1 (en) * | 2003-08-14 | 2005-03-03 | Boston Scientific Limited | Medical slings |
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US6951534B2 (en) | 2000-06-13 | 2005-10-04 | Acorn Cardiovascular, Inc. | Cardiac support device |
WO2005094741A1 (en) * | 2004-03-30 | 2005-10-13 | Proxy Biomedical Limited | Sling for treatment of urinary stress incontinence and/or pelvic floor prolapse |
EP1520554A3 (en) * | 1999-06-09 | 2005-10-26 | Ethicon, Inc. | Surgical instrument and tape for treating female urinary incontinence |
WO2005110273A1 (en) * | 2004-04-30 | 2005-11-24 | Ams Research Corporation | Method and apparatus for treating pelvic organ prolapse |
FR2870450A1 (en) * | 2004-05-18 | 2005-11-25 | David Jean Marie Nocca | ADJUSTABLE PROSTHETIC STRIP |
WO2005112819A1 (en) * | 2004-05-07 | 2005-12-01 | Ethicon, Inc. | Mesh tape with wing-like extensions for treating female urinary incontinence |
WO2006048885A1 (en) * | 2004-11-08 | 2006-05-11 | Endogun Medical Systems Ltd. | Surgical grafts |
WO2006084166A2 (en) * | 2005-02-04 | 2006-08-10 | Ams Research Corporation | Surgical implants and related methods and systems |
US7121997B2 (en) | 1999-06-09 | 2006-10-17 | Ethicon, Inc. | Surgical instrument and method for treating female urinary incontinence |
US7235042B2 (en) | 2003-09-16 | 2007-06-26 | Acorn Cardiovascular, Inc. | Apparatus and method for applying cardiac support device |
WO2008013867A1 (en) | 2006-07-25 | 2008-01-31 | Ams Research Corporation | Surgical articles and methods for treating pelvic conditions |
WO2007047743A3 (en) * | 2005-10-18 | 2008-03-13 | Cook Biotech Inc | Medical device with affixation means |
US7351196B2 (en) | 2001-08-03 | 2008-04-01 | Aesculap Ag & Co. Kg | Incontinence strip for treating urinary incontinence |
WO2008042440A1 (en) * | 2006-10-03 | 2008-04-10 | Boston Scientific Scimed, Inc. | Pelvic floor repair implants and methods |
US7371245B2 (en) | 2002-08-02 | 2008-05-13 | C R Bard, Inc | Transobturator introducer system for sling suspension system |
WO2008057269A1 (en) * | 2006-10-26 | 2008-05-15 | Ams Research Corporation | Surgical articles and methods for treating pelvic conditions |
US7395822B1 (en) | 1999-04-30 | 2008-07-08 | Uromedica, Inc. | Method and apparatus for adjustable sling for treatment of urinary stress incontinence |
US7547316B2 (en) | 1999-06-09 | 2009-06-16 | Ethicon, Inc. | Method and apparatus for adjusting flexible areal polymer implants |
US7556598B2 (en) | 2005-04-04 | 2009-07-07 | Boston Scientific Scimed, Inc. | Dissolvable protective treatment for an implantable supportive sling |
WO2009086385A2 (en) * | 2007-12-28 | 2009-07-09 | Boston Scientific Scimed, Inc. | Devices for treating pelvic dysfunctions |
US7699769B2 (en) | 2005-09-01 | 2010-04-20 | Boston Scientific Scimed, Inc. | Adjustable surgical sling |
US7713187B2 (en) | 2003-10-03 | 2010-05-11 | Boston Scientific Scimed, Inc. | Systems and methods for delivering a medical implant to an anatomical location in a patient |
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US7935046B2 (en) | 2005-08-11 | 2011-05-03 | Boston Scientific Scimed, Inc. | Systems, methods and devices relating to a removable sleeve for an implantable sling |
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US8038594B2 (en) | 2003-09-22 | 2011-10-18 | Ams Research Corporation | Prolapse repair |
US8097007B2 (en) | 2002-08-02 | 2012-01-17 | C. R. Bard, Inc. | Self-anchoring sling and introducer system |
US8109866B2 (en) | 2005-04-26 | 2012-02-07 | Ams Research Corporation | Method and apparatus for prolapse repair |
US8123671B2 (en) | 2005-08-04 | 2012-02-28 | C.R. Bard, Inc. | Pelvic implant systems and methods |
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US8157821B2 (en) | 2001-03-30 | 2012-04-17 | Coloplast A/S | Surgical implant |
US8201559B2 (en) | 2002-11-15 | 2012-06-19 | Ethicon, Inc. | Method of surgical repair of vagina damaged by pelvic organ prolapse and prosthetic materials and devices suitable for use therein |
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USD736382S1 (en) | 2011-09-08 | 2015-08-11 | Ams Research Corporation | Surgical indicator with backers |
US9107659B2 (en) | 2005-07-13 | 2015-08-18 | Boston Scientific Scimed, Inc. | Snap fit sling anchor system and related methods |
US9113991B2 (en) | 2011-05-12 | 2015-08-25 | Boston Scientific Scimed, Inc. | Anchors for bodily implants and methods for anchoring bodily implants into a patient's body |
US9125716B2 (en) | 2009-04-17 | 2015-09-08 | Boston Scientific Scimed, Inc. | Delivery sleeve for pelvic floor implants |
US9125717B2 (en) | 2011-02-23 | 2015-09-08 | Ams Research Corporation | Implant tension adjustment system and method |
US9144483B2 (en) | 2006-01-13 | 2015-09-29 | Boston Scientific Scimed, Inc. | Placing fixation devices |
US9149261B2 (en) | 2001-03-09 | 2015-10-06 | Boston Scientific Scimed, Inc. | Systems, methods and devices relating to delivery of medical implants |
US9168120B2 (en) | 2011-09-09 | 2015-10-27 | Boston Scientific Scimed, Inc. | Medical device and methods of delivering the medical device |
RU2567329C1 (en) * | 2014-09-08 | 2015-11-10 | Ильнур Ирекович Мусин | Method for surgical management of stress-induced urinary incontinence in females of reproductive age with use of collost collagen material |
US9186489B2 (en) | 2003-03-27 | 2015-11-17 | Coloplast A/S | Implantable delivery device system for delivery of a medicament to a bladder |
US9242026B2 (en) | 2008-06-27 | 2016-01-26 | Sofradim Production | Biosynthetic implant for soft tissue repair |
US9248010B2 (en) | 2005-07-15 | 2016-02-02 | Boston Scientific Scimed, Inc. | Tension-adjustable surgical sling assembly |
US9308068B2 (en) | 2007-12-03 | 2016-04-12 | Sofradim Production | Implant for parastomal hernia |
US9314323B2 (en) | 1997-02-13 | 2016-04-19 | Boston Scientific Scimed, Inc. | Systems, devices and methods for minimally invasive pelvic surgery |
US9351723B2 (en) | 2011-06-30 | 2016-05-31 | Astora Women's Health, Llc | Implants, tools, and methods for treatments of pelvic conditions |
US9364308B2 (en) | 2009-12-30 | 2016-06-14 | Astora Women's Health, Llc | Implant systems with tensioning feedback |
US9370425B2 (en) | 2012-10-12 | 2016-06-21 | Mardil, Inc. | Cardiac treatment system and method |
US9387061B2 (en) | 2010-09-02 | 2016-07-12 | Boston Scientific Scimed, Inc. | Pelvic implants and methods of implanting the same |
US9414903B2 (en) | 2011-07-22 | 2016-08-16 | Astora Women's Health, Llc | Pelvic implant system and method |
US9445883B2 (en) | 2011-12-29 | 2016-09-20 | Sofradim Production | Barbed prosthetic knit and hernia repair mesh made therefrom as well as process for making said prosthetic knit |
US9492259B2 (en) | 2011-03-30 | 2016-11-15 | Astora Women's Health, Llc | Expandable implant system |
US9492191B2 (en) | 2011-08-04 | 2016-11-15 | Astora Women's Health, Llc | Tools and methods for treatment of pelvic conditions |
US9499927B2 (en) | 2012-09-25 | 2016-11-22 | Sofradim Production | Method for producing a prosthesis for reinforcing the abdominal wall |
US9526603B2 (en) | 2011-09-30 | 2016-12-27 | Covidien Lp | Reversible stiffening of light weight mesh |
US9549803B2 (en) | 2001-07-27 | 2017-01-24 | Boston Scientific Scimed, Inc. | Medical slings |
US9554887B2 (en) | 2011-03-16 | 2017-01-31 | Sofradim Production | Prosthesis comprising a three-dimensional and openworked knit |
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 |
US9622843B2 (en) | 2011-07-13 | 2017-04-18 | Sofradim Production | Umbilical hernia prosthesis |
US9636201B2 (en) | 2011-05-12 | 2017-05-02 | Boston Scientific Scimed, Inc. | Delivery members for delivering an implant into a body of a patient |
US9675436B2 (en) | 2005-07-25 | 2017-06-13 | Boston Scientific Scimed, Inc. | Pelvic floor repair system |
US9717580B2 (en) | 2001-01-23 | 2017-08-01 | Astora Women's Health, Llc | Pelvic floor implant system and method of assembly |
US9737404B2 (en) | 2006-07-17 | 2017-08-22 | Mardil, Inc. | Cardiac support device delivery tool with release mechanism |
US9737403B2 (en) | 2006-03-03 | 2017-08-22 | Mardil, Inc. | Self-adjusting attachment structure for a cardiac support device |
US9750837B2 (en) | 2012-09-25 | 2017-09-05 | Sofradim Production | Haemostatic patch and method of preparation |
US9782245B2 (en) | 2011-03-30 | 2017-10-10 | James R. Mujwid | Implants, tools, and methods for treatment of pelvic conditions |
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 |
US9839505B2 (en) | 2012-09-25 | 2017-12-12 | Sofradim Production | Prosthesis comprising a mesh and a strengthening means |
US9877820B2 (en) | 2014-09-29 | 2018-01-30 | Sofradim Production | Textile-based prosthesis for treatment of inguinal hernia |
US9918816B2 (en) | 2008-08-25 | 2018-03-20 | Boston Scientific Scimed, Inc. | Minimally invasive implant and method |
US9931198B2 (en) | 2015-04-24 | 2018-04-03 | Sofradim Production | Prosthesis for supporting a breast structure |
US9932695B2 (en) | 2014-12-05 | 2018-04-03 | Sofradim Production | Prosthetic porous knit |
US9962251B2 (en) | 2013-10-17 | 2018-05-08 | Boston Scientific Scimed, Inc. | Devices and methods for delivering implants |
US9980802B2 (en) | 2011-07-13 | 2018-05-29 | Sofradim Production | Umbilical hernia prosthesis |
US10028813B2 (en) | 2010-07-22 | 2018-07-24 | Boston Scientific Scimed, Inc. | Coated pelvic implant device and method |
US10058240B2 (en) | 2011-06-29 | 2018-08-28 | Boston Scientific Scimed, Inc. | Systems, implants, tools, and methods for treatments of pelvic conditions |
US10080639B2 (en) | 2011-12-29 | 2018-09-25 | Sofradim Production | Prosthesis for inguinal hernia |
US10098721B2 (en) | 2011-09-01 | 2018-10-16 | Boston Scientific Scimed, Inc. | Pelvic implant needle system and method |
US10159555B2 (en) | 2012-09-28 | 2018-12-25 | Sofradim Production | Packaging for a hernia repair device |
US10184032B2 (en) | 2015-02-17 | 2019-01-22 | Sofradim Production | Method for preparing a chitosan-based matrix comprising a fiber reinforcement member |
US10213283B2 (en) | 2013-06-07 | 2019-02-26 | Sofradim Production | Textile-based prosthesis for laparoscopic surgery |
US10219885B2 (en) | 2004-06-14 | 2019-03-05 | Boston Scientific Scimed, Inc. | Systems, methods and devices relating to implantable supportive slings |
RU2686437C1 (en) * | 2018-07-18 | 2019-04-25 | федеральное государственное бюджетное образовательное учреждение высшего образования "Башкирский государственный медицинский университет" Министерства здравоохранения Российской Федерации | Method for prevention of pelvic floor dysfunction by a biological feedback method using a vagiton pneumo vaginal training apparatus |
US10292821B2 (en) | 2001-09-07 | 2019-05-21 | Phoenix Cardiac Devices, Inc. | Method and apparatus for external stabilization of the heart |
US10327882B2 (en) | 2014-09-29 | 2019-06-25 | Sofradim Production | Whale concept—folding mesh for TIPP procedure for inguinal hernia |
US10363690B2 (en) | 2012-08-02 | 2019-07-30 | Sofradim Production | Method for preparing a chitosan-based porous layer |
US10390813B2 (en) | 2011-08-05 | 2019-08-27 | Boston Scientific Scimed, Inc. | Systems, implants, tools, and methods for treatments of pelvic conditions |
US10405960B2 (en) | 2013-06-07 | 2019-09-10 | Sofradim Production | Textile-based prothesis for laparoscopic surgery |
US10500027B2 (en) | 2011-06-30 | 2019-12-10 | Boston Scientific Scimed, Inc. | Implants, tools, and methods for treatments of pelvic conditions |
US10646321B2 (en) | 2016-01-25 | 2020-05-12 | Sofradim Production | Prosthesis for hernia repair |
US10675137B2 (en) | 2017-05-02 | 2020-06-09 | Sofradim Production | Prosthesis for inguinal hernia repair |
US10682215B2 (en) | 2016-10-21 | 2020-06-16 | Sofradim Production | Method for forming a mesh having a barbed suture attached thereto and the mesh thus obtained |
US10743976B2 (en) | 2015-06-19 | 2020-08-18 | Sofradim Production | Synthetic prosthesis comprising a knit and a non porous film and method for forming same |
US10865505B2 (en) | 2009-09-04 | 2020-12-15 | Sofradim Production | Gripping fabric coated with a bioresorbable impenetrable layer |
US11284983B2 (en) | 2011-07-22 | 2022-03-29 | Boston Scientific Scimed, Inc. | Pelvic implant system and method |
US11471257B2 (en) | 2018-11-16 | 2022-10-18 | Sofradim Production | Implants suitable for soft tissue repair |
US11510766B2 (en) | 2019-02-14 | 2022-11-29 | Uromedica, Inc. | Method and apparatus for monitoring implantable device for urinary continence |
US11744726B2 (en) | 2013-08-01 | 2023-09-05 | Cook Medical Technologies Llc | Tissue adjustment implant |
Families Citing this family (240)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6635058B2 (en) | 1992-11-13 | 2003-10-21 | Ams Research Corporation | Bone anchor |
US6406480B1 (en) | 1992-11-13 | 2002-06-18 | American Med Syst | Bone anchor inserter with retractable shield |
US6053935A (en) | 1996-11-08 | 2000-04-25 | Boston Scientific Corporation | Transvaginal anchor implantation device |
DE69816306T2 (en) | 1997-02-13 | 2004-05-27 | Boston Scientific Ltd., St. Michael | DILATATOR FOR MINIMALLY INVASIVE PELVIC SURGERY |
US6599235B2 (en) * | 1997-03-18 | 2003-07-29 | American Medical Systems Inc. | Transvaginal bone anchor implantation device |
US6221005B1 (en) * | 1998-02-17 | 2001-04-24 | Norman I. Bruckner | Pubo-urethral support harness apparatus for percutaneous treatment of female stress urinary incontinence with urethal hypemobility |
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 |
WO2000009039A1 (en) * | 1998-08-13 | 2000-02-24 | Contimed, Inc. | Bladder sling |
US20010004704A1 (en) | 1998-11-02 | 2001-06-21 | Barry N. Gellman | Transvaginal suture spacer devices and methods of use |
FR2785521B1 (en) * | 1998-11-10 | 2001-01-05 | Sofradim Production | SUSPENSION DEVICE FOR THE TREATMENT OF PROLAPSUS AND URINARY INCONTINENCES |
US20050283189A1 (en) * | 1999-03-31 | 2005-12-22 | Rosenblatt Peter L | Systems and methods for soft tissue reconstruction |
US7226407B2 (en) * | 1999-06-09 | 2007-06-05 | 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 |
DE10019604C2 (en) * | 2000-04-20 | 2002-06-27 | Ethicon Gmbh | implant |
FR2807936B1 (en) * | 2000-04-20 | 2002-08-02 | Sofradim Production | ABDOMINAL WALL REINFORCEMENT FOR THE TREATMENT OF INGUINAL HERNIA BY ANTERIOR VOLTAGE-FREE |
AU2001275257A1 (en) * | 2000-06-05 | 2001-12-17 | Scimed Life Systems, Inc. Et.Al. | Methods and devices for the treatment of urinary incontinence |
US6592515B2 (en) | 2000-09-07 | 2003-07-15 | Ams Research Corporation | Implantable article and method |
US7025063B2 (en) * | 2000-09-07 | 2006-04-11 | Ams Research Corporation | Coated sling material |
US6702827B1 (en) | 2000-10-06 | 2004-03-09 | American Medical Systems | Sling adjustment and tensioning accessory |
US6689047B2 (en) | 2000-11-15 | 2004-02-10 | Scimed Life Systems, Inc. | Treating urinary incontinence |
US20020128670A1 (en) * | 2000-11-22 | 2002-09-12 | Ulf Ulmsten | Surgical instrument and method for treating female urinary incontinence |
US20110168192A9 (en) * | 2000-12-20 | 2011-07-14 | Eduardo Fierro | Adjustable autofixing sling for treatment of urinary incontinence |
US6582443B2 (en) | 2000-12-27 | 2003-06-24 | Ams Research Corporation | Apparatus and methods for enhancing the functional longevity and for facilitating the implantation of medical devices |
US6641525B2 (en) | 2001-01-23 | 2003-11-04 | Ams Research Corporation | Sling assembly with secure and convenient attachment |
US7070556B2 (en) | 2002-03-07 | 2006-07-04 | Ams Research Corporation | Transobturator surgical articles and methods |
US20020161382A1 (en) | 2001-03-29 | 2002-10-31 | Neisz Johann J. | Implant inserted without bone anchors |
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 |
US6685626B2 (en) * | 2001-02-02 | 2004-02-03 | Regeneration Technologies, Inc. | Compositions, devices, methods, and kits for induction of adhesions |
JP4181410B2 (en) * | 2001-03-09 | 2008-11-12 | ボストン サイエンティフィック リミテッド | System and method for implanting an implant |
US20050131393A1 (en) * | 2001-03-09 | 2005-06-16 | Scimed Life Systems, Inc. | Systems, methods and devices relating to delivery of medical implants |
US8033983B2 (en) | 2001-03-09 | 2011-10-11 | Boston Scientific Scimed, Inc. | Medical implant |
US6991597B2 (en) | 2001-03-09 | 2006-01-31 | Boston Scientific Scimed, Inc. | System for implanting an implant and method thereof |
US8915927B2 (en) * | 2001-03-09 | 2014-12-23 | Boston Scientific Scimed, Inc. | Systems, methods and devices relating to delivery of medical implants |
US6551356B2 (en) * | 2001-03-19 | 2003-04-22 | Ethicon, Inc. | Pocketed hernia repair |
AUPR406501A0 (en) * | 2001-03-28 | 2001-04-26 | Kaladelfos, George | Treatment of vault prolapse |
US6595911B2 (en) | 2001-04-03 | 2003-07-22 | Lovuolo Michael | Method and device for anchor implantation and support of bodily structures |
US20020183762A1 (en) * | 2001-06-01 | 2002-12-05 | Ams Research Corporation | Bone anchor inserters and methods |
US7037255B2 (en) | 2001-07-27 | 2006-05-02 | Ams Research Corporation | Surgical instruments for addressing pelvic disorders |
DE10138955A1 (en) * | 2001-08-03 | 2003-02-20 | Aesculap Ag & Co Kg | Surgical instrument has curved shaft, handle with fastening, pointed shaft ends, locking slide-piece and sprung detents |
DE20204669U1 (en) * | 2002-03-23 | 2003-08-07 | Aesculap Ag & Co Kg | Strip for treating urinary incontinence, especially for women, by implantation in abdomen, is flexible and preferably consists (partly) of resorbable material, e.g. polyvinyl alcohol |
US20030046111A1 (en) * | 2001-08-31 | 2003-03-06 | American Medical Systems | System and method for treating pelvic floor disorders |
US20040073235A1 (en) * | 2001-10-01 | 2004-04-15 | Lund Robert E. | Surgical article |
US6648921B2 (en) * | 2001-10-03 | 2003-11-18 | Ams Research Corporation | Implantable article |
US7087065B2 (en) * | 2001-10-04 | 2006-08-08 | Ethicon, Inc. | Mesh for pelvic floor repair |
US6862480B2 (en) * | 2001-11-29 | 2005-03-01 | Biocontrol Medical Ltd. | Pelvic disorder treatment device |
KR100895598B1 (en) * | 2002-03-01 | 2009-05-06 | 에디컨인코포레이티드 | Method and apparatus for treating pelvic organ prolapses in female patients |
US8968178B2 (en) * | 2002-03-07 | 2015-03-03 | Ams Research Corporation | Transobturator surgical articles and methods |
US7357773B2 (en) | 2002-03-07 | 2008-04-15 | Ams Research Corporation | Handle and surgical article |
CA2478448C (en) | 2002-03-07 | 2011-06-21 | Ams Research Corporation | Transobturator surgical articles and methods |
CA2481275C (en) * | 2002-04-11 | 2011-10-25 | Gyne Ideas Limited | Apparatus and method for treating female urinary incontinence |
WO2003094784A2 (en) | 2002-05-07 | 2003-11-20 | Ams Research Corporation | Urethral prosthesis with tensioning member |
WO2003094744A1 (en) * | 2002-05-09 | 2003-11-20 | Tyco Healthcare Group Lp | Endoscopic organ retractor and method of using the same |
WO2003094754A1 (en) * | 2002-05-09 | 2003-11-20 | Tyco Healthcare Group Lp | Organ retractor and method of using the same |
ES1058519Y (en) * | 2004-10-06 | 2005-04-01 | Maroto Jesus Romero | MESH FOR THE SURGICAL TREATMENT OF URINARY INCONTINENCE. |
US8016743B2 (en) * | 2002-05-29 | 2011-09-13 | Jesus Romero Maroto | System for the treatment of stress urinary incontinence |
US8641727B2 (en) | 2002-06-13 | 2014-02-04 | Guided Delivery Systems, Inc. | Devices and methods for heart valve repair |
US9949829B2 (en) | 2002-06-13 | 2018-04-24 | Ancora Heart, Inc. | Delivery devices and methods for heart valve repair |
US6881184B2 (en) * | 2002-07-16 | 2005-04-19 | Stephen M. Zappala | Absorbable pubovaginal sling system and method |
ITFI20020145A1 (en) * | 2002-08-01 | 2004-02-02 | Giulio Nicita | DEVICE FOR THE SURGICAL TREATMENT OF FEMALE PROLAXIS. |
US7101381B2 (en) * | 2002-08-02 | 2006-09-05 | C.R. Bard, Inc. | Implantable prosthesis |
US7637384B2 (en) * | 2002-08-09 | 2009-12-29 | Crown Packaging Technology, Inc. | Tamper evident closure with locking band and container therefor |
CA2495666C (en) | 2002-08-14 | 2014-05-27 | Michael S. H. Chu | Systems, methods and devices relating to delivery of medical implants |
US20060052670A1 (en) * | 2002-10-04 | 2006-03-09 | Stearns Ralph A | Endoscopic retractor |
US7018381B2 (en) * | 2002-10-18 | 2006-03-28 | Zimmer Technology, Inc. | Apparatus for removing an osteophyte |
US20040078090A1 (en) | 2002-10-18 | 2004-04-22 | Francois Binette | Biocompatible scaffolds with tissue fragments |
US7682392B2 (en) * | 2002-10-30 | 2010-03-23 | Depuy Spine, Inc. | Regenerative implants for stabilizing the spine and devices for attachment of said implants |
US6808486B1 (en) | 2002-12-03 | 2004-10-26 | Pat O'Donnell | Surgical instrument for treating female urinary stress incontinence |
US7771345B1 (en) * | 2002-12-03 | 2010-08-10 | O'donnell Pat D | Surgical instrument for treating female urinary stress incontinence |
US7402133B2 (en) | 2002-12-17 | 2008-07-22 | Boston Scientific Scimed, Inc. | Spacer for sling delivery system |
US8562646B2 (en) * | 2002-12-19 | 2013-10-22 | Boston Scientific Scimed, Inc. | Anchoring to soft tissue |
US20040143343A1 (en) * | 2003-01-17 | 2004-07-22 | Grocela Joseph A. | Post-radical prostatectomy continence implant |
US7204801B2 (en) * | 2003-01-17 | 2007-04-17 | Massachusetts General Hospital | Pubovaginal support for treating female urinary incontinence |
US6893222B2 (en) * | 2003-02-10 | 2005-05-17 | United Technologies Corporation | Turbine balancing |
US8197837B2 (en) | 2003-03-07 | 2012-06-12 | Depuy Mitek, Inc. | Method of preparation of bioabsorbable porous reinforced tissue implants and implants thereof |
US7494495B2 (en) | 2003-03-28 | 2009-02-24 | Coloplast A/S | Method and implant for curing cystocele |
ITRM20030210A1 (en) * | 2003-04-30 | 2004-11-01 | Mauro Cervigni | PROSTHESIS TO BE USED IN THE PROLASSO SURGICAL THERAPY |
US7497864B2 (en) * | 2003-04-30 | 2009-03-03 | Marctec, Llc. | Tissue fastener and methods for using same |
US8226715B2 (en) * | 2003-06-30 | 2012-07-24 | Depuy Mitek, Inc. | Scaffold for connective tissue repair |
US7361138B2 (en) | 2003-07-31 | 2008-04-22 | Scimed Life Systems, Inc. | Bioabsorbable casing for surgical sling assembly |
US10583220B2 (en) | 2003-08-11 | 2020-03-10 | DePuy Synthes Products, Inc. | Method and apparatus for resurfacing an articular surface |
AU2003904283A0 (en) * | 2003-08-12 | 2003-08-28 | Northern Sydney Area Health Service | An implantable direct cardiac compression device and system |
US20050038452A1 (en) * | 2003-08-14 | 2005-02-17 | Scimed Life Systems, Inc. | Medical slings |
US8047981B2 (en) * | 2003-08-14 | 2011-11-01 | Boston Scientific Scimed, Inc. | Medical slings |
US7303525B2 (en) * | 2003-08-22 | 2007-12-04 | Ams Research Corporation | Surgical article and methods for treating female urinary incontinence |
US20050101834A1 (en) * | 2003-11-10 | 2005-05-12 | Merade Bryon L. | Readily implantable sling |
EP2510884A1 (en) * | 2003-11-17 | 2012-10-17 | Boston Scientific Limited | Systems relating to associating a medical implant with a delivery device |
US20050129733A1 (en) * | 2003-12-09 | 2005-06-16 | Milbocker Michael T. | Surgical adhesive and uses therefore |
US11395865B2 (en) | 2004-02-09 | 2022-07-26 | DePuy Synthes Products, Inc. | Scaffolds with viable tissue |
ATE493091T1 (en) * | 2004-03-30 | 2011-01-15 | Proxy Biomedical Ltd | TREATED SURGICAL MESH MADE OF MONOFILE FIBERS |
US8062206B2 (en) | 2004-05-07 | 2011-11-22 | Ams Research Corporation | Method and apparatus for treatment of vaginal anterior repairs |
US20050278037A1 (en) * | 2004-06-11 | 2005-12-15 | Analytic Biosurgical Solutions-Abiss | Implant for the treatment of cystocele and rectocele |
AT413793B (en) * | 2004-08-04 | 2006-06-15 | Bauer Wilhelm Dr | IMPLANT FOR THE TREATMENT OF MALE BRAIN HIC IN INCONTINENCE |
US7527588B2 (en) * | 2004-09-15 | 2009-05-05 | Ethicon, Inc. | System and method for surgical implant placement |
US8500624B2 (en) * | 2004-10-25 | 2013-08-06 | Boston Scientific Scimed, Inc. | Systems and methods for sling delivery and placement |
US20060173468A1 (en) * | 2005-01-28 | 2006-08-03 | Marc Simmon | Obturator introducer with snare |
US7481314B2 (en) * | 2005-02-02 | 2009-01-27 | Ethicon, Inc. | Packaging assembly for surgical mesh implants |
AU2012216782B2 (en) * | 2005-02-04 | 2014-08-21 | Boston Scientific Scimed, Inc. | Surgical implants and related methods and systems |
US8371307B2 (en) | 2005-02-08 | 2013-02-12 | Koninklijke Philips Electronics N.V. | Methods and devices for the treatment of airway obstruction, sleep apnea and snoring |
US8096303B2 (en) | 2005-02-08 | 2012-01-17 | Koninklijke Philips Electronics N.V | Airway implants and methods and devices for insertion and retrieval |
ATE465673T1 (en) * | 2005-02-08 | 2010-05-15 | Koninkl Philips Electronics Nv | PERCUTANE GLOSSOPLASTY SYSTEM |
CA2601449A1 (en) * | 2005-03-22 | 2006-09-28 | Tyco Healthcare Group, Lp | Mesh implant |
US7393320B2 (en) * | 2005-04-29 | 2008-07-01 | Ams Research Corporation | Pelvic floor health articles and procedures |
US7431690B2 (en) * | 2005-04-30 | 2008-10-07 | Coloplast A/S | Implantable sling for the treatment of male incontinence and method of using the same |
WO2006119273A2 (en) * | 2005-05-04 | 2006-11-09 | Ams Research Corporation | Apparatus for securing and tensioning a urethral sling to public bone |
US8128552B2 (en) * | 2005-08-22 | 2012-03-06 | O'donnell Pat D | Surgical instrument for treating female pelvic prolapse |
WO2007027592A1 (en) * | 2005-08-29 | 2007-03-08 | Ams Research Corporation | System for positioning support mesh in a patient |
US8186355B2 (en) | 2005-11-09 | 2012-05-29 | Koninklijke Philips Electronics N.V. | Glossoplasty using tissue anchor glossopexy with volumetric tongue reduction |
US7637860B2 (en) * | 2005-11-16 | 2009-12-29 | Boston Scientific Scimed, Inc. | Devices for minimally invasive pelvic surgery |
US7559885B2 (en) * | 2006-02-14 | 2009-07-14 | Coloplast A/S | Implantable sling for the treatment of incontinence and method of using the same |
WO2007097994A2 (en) | 2006-02-16 | 2007-08-30 | Ams Research Corporation | Surgical articles and methods for treating pelvic conditions |
US8195296B2 (en) * | 2006-03-03 | 2012-06-05 | Ams Research Corporation | Apparatus for treating stress and urge incontinence |
US8170686B2 (en) * | 2006-03-14 | 2012-05-01 | Boston Scientific Scimed, Inc. | Heatable sling support for an anatomical location |
US20090318752A1 (en) * | 2006-03-15 | 2009-12-24 | C. R. Bard, Inc. | Implants for the treatment of pelvic floor disorders |
US8900324B2 (en) | 2006-03-16 | 2014-12-02 | Boston Scientific Scimed, Inc. | System and method for treating tissue wall prolapse |
WO2007109508A1 (en) * | 2006-03-16 | 2007-09-27 | Boston Scientific Limited | System and method for treating tissue wall prolapse |
WO2007130953A2 (en) | 2006-05-01 | 2007-11-15 | Duodyn Technology, Llc | Apparatus and method for managing incontinence |
US8721519B2 (en) * | 2006-06-06 | 2014-05-13 | Boston Scientific Scimed, Inc. | Implantable mesh combining biodegradable and non-biodegradable fibers |
WO2007146784A2 (en) | 2006-06-08 | 2007-12-21 | Ams Research Corporation | Method and apparatus for levator distension repair |
US20090259092A1 (en) * | 2006-06-22 | 2009-10-15 | Ogdahl Jason W | Adjustable Sling and Method of Treating Pelvic Conditions |
US8617046B2 (en) * | 2006-06-26 | 2013-12-31 | Ams Research Corporation | Floating sling for treatment of incontinence |
WO2008002409A2 (en) * | 2006-06-26 | 2008-01-03 | Vance Products Incorporated Doing Business As Cook Urological Incorporated | Tension free pelvic floor repair |
US7828715B2 (en) | 2006-06-29 | 2010-11-09 | Ams Research Corporation | Method of treating anal incontinence |
US8160710B2 (en) | 2006-07-10 | 2012-04-17 | Ams Research Corporation | Systems and methods for implanting tissue stimulation electrodes in the pelvic region |
US8257245B2 (en) * | 2006-07-21 | 2012-09-04 | Specialties Remeex International, S.L. | Adjustable sling as a support of internal organs or anatomical tissues |
AU2015202101B2 (en) * | 2006-07-25 | 2017-09-14 | Boston Scientific Scimed, Inc. | Surgical articles and methods for treating pelvic conditions |
US8480557B2 (en) | 2006-07-27 | 2013-07-09 | Refine, Llc | Nonaugmentive mastopexy |
CA2659325A1 (en) * | 2006-08-02 | 2008-02-07 | Compagnie De Recherche En Composants, Implants Et Materiels Pour L'appli Cation Clinique | Suburethral hammock |
US20090248071A1 (en) * | 2008-03-07 | 2009-10-01 | Alure Medical , Inc. | Minimally invasive tissue support |
WO2008042992A2 (en) | 2006-10-03 | 2008-04-10 | Alure Medical, Inc. | Minimally invasive tissue support |
US9289279B2 (en) * | 2006-10-06 | 2016-03-22 | Promethean Surgical Devices, Llc | Apparatus and method for limiting surgical adhesions |
BRPI0717454A2 (en) * | 2006-10-18 | 2013-10-15 | Coloplast As | IMPLANTABLE DEVICES FOR INCONTINENCE TREATMENT AND METHODS FOR USING THEM |
EP2081517A4 (en) | 2006-11-06 | 2017-06-21 | Caldera Medical, Inc. | Implants and procedures for treatment of pelvic floor disorders |
JP2010514538A (en) * | 2007-01-03 | 2010-05-06 | エーエムエス リサーチ コーポレイション | Stool attachment method for fecal incontinence and related devices |
EP2131750B1 (en) * | 2007-03-06 | 2016-05-04 | Covidien LP | Wound closure material |
US9888924B2 (en) * | 2007-03-06 | 2018-02-13 | Covidien Lp | Wound closure material |
US20100121460A1 (en) * | 2007-03-07 | 2010-05-13 | D Afiero Alessandro | Prosthesis for the treatment of urinary incontinence |
JP2010524635A (en) * | 2007-04-28 | 2010-07-22 | ザ ボード オブ トラスティーズ オブ ザ リーランド スタンフォード ジュニア ユニバーシティ | Dynamic and adjustable support equipment |
US20090004455A1 (en) * | 2007-06-27 | 2009-01-01 | Philippe Gravagna | Reinforced composite implant |
US20100049289A1 (en) | 2007-07-10 | 2010-02-25 | Ams Research Corporation | Tissue anchor |
US9427573B2 (en) | 2007-07-10 | 2016-08-30 | Astora Women's Health, Llc | Deployable electrode lead anchor |
WO2009023256A2 (en) * | 2007-08-14 | 2009-02-19 | Curant, Inc. | Devices for supporting, elevating, or compressing internal structures |
FR2919996B1 (en) * | 2007-08-17 | 2010-09-10 | Cl Medical | IMPLANT FOR SUPPORTING THE URETRE OF A MAN AND SURGICAL ASSEMBLY FOR TREATMENT OF URINARY INCONTINENCE IN A MAN COMPRISING SUCH AN IMPLANT |
US8465515B2 (en) * | 2007-08-29 | 2013-06-18 | Ethicon Endo-Surgery, Inc. | Tissue retractors |
US20090187066A1 (en) * | 2007-09-18 | 2009-07-23 | The Cleveland Clinic Foundation | Apparatus and method for treating urinary incontinence |
US8623034B2 (en) | 2007-10-19 | 2014-01-07 | Ethicon, Gmbh | Soft tissue repair implant |
US20090156891A1 (en) * | 2007-12-12 | 2009-06-18 | Ams Research Corporation | Prolapse and Perineal Repair Concepts |
US20090171141A1 (en) * | 2007-12-27 | 2009-07-02 | Chu Michael S H | Anterior Repair - Needle Path and Incision Sites |
JP5677850B2 (en) | 2007-12-28 | 2015-02-25 | シンセス ゲゼルシャフト ミット ベシュレンクテル ハフツングSynthes Gmbh | Combined body for impact driving into the patient's bone |
DK3967274T3 (en) * | 2008-04-23 | 2022-10-03 | Medtronic Inc | HEART VALVE DEVICES WITH STENT |
US20090287239A1 (en) * | 2008-05-16 | 2009-11-19 | Ams Research Corporation | Tissue Bulking Device and Method |
US9295757B2 (en) * | 2008-06-10 | 2016-03-29 | Cook Biotech Incorporated | Quilted implantable graft |
CN102056634B (en) | 2008-06-10 | 2015-11-25 | 库克生物科技公司 | Quilted implantable graft |
US10278692B2 (en) | 2008-10-23 | 2019-05-07 | CMC Group LLC | Sling suspension system for supporting the thumb of a patient after basal joint arthroplasty |
US20100106254A1 (en) * | 2008-10-23 | 2010-04-29 | Delsignore Jeanne L | Surgical implantable stabilizer sling for basal joint arthroplasty |
WO2010049368A1 (en) * | 2008-10-30 | 2010-05-06 | Compagnie De Recherche En Composants, Implants Et Materiels Pour L'application Clinique | Kit for supporting an organ including an elongate implantable member with a reinforcement means |
EP2352435B1 (en) | 2008-10-31 | 2019-11-27 | Sinclair Pharmaceuticals Limited | Minimally invasive tissue support system with a superior tissue support and an inferior anchor |
US8449573B2 (en) * | 2008-12-05 | 2013-05-28 | Boston Scientific Scimed, Inc. | Insertion device and method for delivery of a mesh carrier |
WO2010078595A1 (en) * | 2009-01-05 | 2010-07-08 | Caldera Medical, Inc. | Implants and procedures for supporting anatomical structures |
ES1069756Y (en) * | 2009-02-03 | 2009-08-13 | Mugica Jose Manuel Devesa | DYNAMIC CLOSURE DEVICE FOR THE TREATMENT OF ANAL INCONTINENCE |
CA2748894C (en) | 2009-02-10 | 2018-11-13 | Ams Research Corporation | Surgical articles and methods for treating urinary incontinence |
GB2467960A (en) * | 2009-02-23 | 2010-08-25 | Neosurgical Ltd | Laparoscopic surgical retraction device with expanding element and anchor arrangement |
WO2010096824A1 (en) * | 2009-02-23 | 2010-08-26 | Bartee Barry K | Reinforced ptfe medical barrier |
WO2010099327A1 (en) | 2009-02-25 | 2010-09-02 | Scott J Stephen | Apparatus and method for intra-abdominally moving a first internal organ to a position away from a second internal organ and then holding the first internal organ in the position without manual input |
US9539433B1 (en) | 2009-03-18 | 2017-01-10 | Astora Women's Health, Llc | Electrode implantation in a pelvic floor muscular structure |
US20100261954A1 (en) * | 2009-04-09 | 2010-10-14 | Minnesota Medical Development, Inc. | Apparatus and Method for Pelvic Floor Repair in the Human Female |
US20110011407A1 (en) * | 2009-04-09 | 2011-01-20 | Minnesota Medical Development, Inc. | Apparatus and method for pelvic floor repair in the human female |
US20100261953A1 (en) * | 2009-04-09 | 2010-10-14 | Minnesota Medical Development, Inc. | Apparatus and method for pelvic floor repair in the human female |
US20100261956A1 (en) * | 2009-04-09 | 2010-10-14 | Minnesota Medical Development, Inc. | Apparatus and Method for Pelvic Floor Repair in the Human Female |
US8968334B2 (en) | 2009-04-17 | 2015-03-03 | Boston Scientific Scimed, Inc. | Apparatus for delivering and anchoring implantable medical devices |
US20100298629A1 (en) * | 2009-05-20 | 2010-11-25 | Huang Chih-Kun | Device and method for suspending an organ during surgery |
US9301750B2 (en) * | 2009-11-03 | 2016-04-05 | Boston Scientific Scimed, Inc. | Device and method for delivery of mesh-based devices |
WO2011079222A2 (en) * | 2009-12-23 | 2011-06-30 | Boston Scientific Scimed, Inc. | Less traumatic method of delivery of mesh-based devices into human body |
KR20120123065A (en) | 2009-12-30 | 2012-11-07 | 에이엠에스 리써치 코오포레이션 | Systems, implants, tools, and methods for treatments of pelvic conditions |
US8380312B2 (en) | 2009-12-31 | 2013-02-19 | Ams Research Corporation | Multi-zone stimulation implant system and method |
EP2538849B1 (en) | 2010-02-23 | 2020-07-15 | 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 |
WO2011119845A1 (en) | 2010-03-24 | 2011-09-29 | Tyco Healthcare Group Lp | Combination three-dimensional surgical implant |
US20130053688A1 (en) | 2010-05-13 | 2013-02-28 | Ams Research Corporation | Implantable mechanical support |
US8550979B2 (en) | 2010-06-15 | 2013-10-08 | Coloplast A/S | Method of treating incontinence |
FR2962646B1 (en) | 2010-07-16 | 2012-06-22 | Sofradim Production | PROSTHETIC WITH RADIO OPAQUE ELEMENT |
WO2012050973A1 (en) | 2010-09-29 | 2012-04-19 | Ams Research Corporation | Systems, tools, and methods for treatments of pelvic conditions |
US9861590B2 (en) | 2010-10-19 | 2018-01-09 | Covidien Lp | Self-supporting films for delivery of therapeutic agents |
EP2651317A4 (en) | 2010-12-16 | 2016-07-06 | Ams Res Corp | Surgical tools, systems, and related implants and methods |
US9271754B2 (en) | 2010-12-16 | 2016-03-01 | Boston Scientific Scimed, Inc. | Movable curved needle for delivering implants and methods of delivering implants |
US9381075B2 (en) | 2011-01-31 | 2016-07-05 | Boston Scientific Scimed, Inc. | Deflection member for delivering implants and methods of delivering implants |
ITMI20110124A1 (en) * | 2011-02-01 | 2012-08-02 | Innovamedica S P A | PELVIC SURGICAL REPAIR DEVICE AND KIT |
AU2012238105B2 (en) | 2011-03-28 | 2017-04-06 | Boston Scientific Scimed, Inc. | Implants, tools, and methods for treatments of pelvic conditions |
AU2012236277B2 (en) | 2011-03-30 | 2016-03-03 | Boston Scientific Scimed, Inc. | Implants, tools, and methods for treatment of pelvic conditions |
US9220887B2 (en) | 2011-06-09 | 2015-12-29 | Astora Women's Health LLC | Electrode lead including a deployable tissue anchor |
WO2013003714A1 (en) * | 2011-06-30 | 2013-01-03 | Ams Research Corporation | Implants, tools, and methods for treatments of pelvic conditions |
EP2731507B1 (en) | 2011-07-11 | 2019-08-21 | Boston Scientific Scimed, Inc. | Implants and tools for treatments of pelvic conditions |
EP2731561B1 (en) * | 2011-07-14 | 2016-03-23 | Cook Medical Technologies LLC | A sling to be used in the treatment of obstructive sleep apnea |
US8579924B2 (en) | 2011-07-26 | 2013-11-12 | Covidien Lp | Implantable devices including a mesh and a pivotable film |
GB201113303D0 (en) * | 2011-08-02 | 2011-09-14 | Xiros Ltd | Connective tissue repair pad |
US9539079B2 (en) | 2011-08-03 | 2017-01-10 | Emily R. Rolfes Meyering | Systems, methods, and implants for treating prolapse or incontinence |
US9782957B2 (en) | 2011-08-24 | 2017-10-10 | Covidien Lp | Medical device films |
CA2846497C (en) | 2011-08-25 | 2017-06-27 | Mis Solutions, Inc. | Apparatus and method for intra-abdominal movement of internal organs |
US9402704B2 (en) | 2011-08-30 | 2016-08-02 | Boston Scientific Scimed, Inc. | Fecal incontinence treatment device and method |
US9345472B2 (en) | 2011-09-02 | 2016-05-24 | Boston Scientific Scimed, Inc. | Multi-arm tool for delivering implants and methods thereof |
WO2013036399A2 (en) | 2011-09-08 | 2013-03-14 | Ams Research Corporation | Implantable electrode assembly |
US8932621B2 (en) | 2011-10-25 | 2015-01-13 | Covidien Lp | Implantable film/mesh composite |
US9005308B2 (en) | 2011-10-25 | 2015-04-14 | Covidien Lp | Implantable film/mesh composite for passage of tissue therebetween |
US9179994B2 (en) | 2011-10-25 | 2015-11-10 | Covidien Lp | Implantable film/mesh composite |
EP3061403B1 (en) | 2012-01-24 | 2018-04-18 | Synthes GmbH | Compression screw system |
US10285793B2 (en) * | 2012-02-08 | 2019-05-14 | Boston Scientific Scimed, Inc. | Surgical scaffolds |
US10206769B2 (en) | 2012-03-30 | 2019-02-19 | Covidien Lp | Implantable devices including a film providing folding characteristics |
US9820837B2 (en) * | 2012-04-10 | 2017-11-21 | Ethicon, Inc. | Single plane tissue repair patch |
FR2992662B1 (en) | 2012-06-28 | 2014-08-08 | Sofradim Production | KNIT WITH PICOTS |
FR2992547B1 (en) | 2012-06-29 | 2015-04-24 | Sofradim Production | PROSTHETIC FOR HERNIA |
CA2877865C (en) | 2012-06-29 | 2020-09-01 | Jeffrey Smith | Apparatus and method for delivering surgical tissue connectors into an abdominal cavity and removing the surgical tissue connectors from the abdominal cavity |
US9649114B2 (en) | 2012-07-24 | 2017-05-16 | Ams Research Corporation | Systems, tools, and methods for connecting to tissue |
US9750595B2 (en) | 2012-09-28 | 2017-09-05 | Covidien Lp | Implantable medical devices which include grip-members and methods of use thereof |
US20150265388A1 (en) | 2012-10-22 | 2015-09-24 | Ams Research Corporation | System and method for treatment of anal and fecal incontinence |
US10111651B2 (en) | 2012-11-02 | 2018-10-30 | Coloplast A/S | System and method of anchoring support material to tissue |
US9241779B2 (en) | 2012-11-02 | 2016-01-26 | Coloplast A/S | Male incontinence treatment system |
CN103800096B (en) * | 2012-11-14 | 2016-12-21 | 深圳迈普再生医学科技有限公司 | Pelvic floor dysfunction disease reparation is with implanting fiber diaphragm, preparation method and the medical apparatus and instruments containing it |
EP2931176B1 (en) * | 2012-12-11 | 2019-03-27 | Innoventions Ltd | Medical sling |
GB201301784D0 (en) | 2013-02-01 | 2013-03-20 | Xiros Ltd | Connective tissue repair technology |
US20140243891A1 (en) * | 2013-02-25 | 2014-08-28 | Arthrex, Inc. | Tissue protector suture constructs |
DE102013004486A1 (en) * | 2013-03-14 | 2014-09-18 | Johnson & Johnson Medical Gmbh | Surgical implant |
EP2967798A4 (en) | 2013-03-15 | 2016-10-19 | Ams Res Corp | Surgical implant system and method |
EP2967533A4 (en) | 2013-03-15 | 2017-02-22 | AMS Research Corporation | Systems, tools, and methods for connecting to tissue |
WO2014178979A2 (en) * | 2013-05-03 | 2014-11-06 | Cullison James W | Urological Implant |
US10343385B2 (en) | 2013-07-18 | 2019-07-09 | Boston Scientific Scimed, Inc. | Bodily implant |
US9480546B2 (en) | 2013-08-05 | 2016-11-01 | Coloplast A/S | Hysteropexy mesh apparatuses and methods |
US9408696B2 (en) * | 2013-09-29 | 2016-08-09 | Coloplast A/S | Method of treating peyronie's disease |
US9522000B2 (en) | 2013-11-08 | 2016-12-20 | Coloplast A/S | System and a method for surgical suture fixation |
US11484301B2 (en) | 2014-01-14 | 2022-11-01 | Simparo Inc. | Suture-locking washer for use with a bone anchor, and method for supporting the thumb of a patient after basal joint arthroplasty, and other novel orthopedic apparatus and other novel orthopedic procedures |
US20170021149A9 (en) * | 2014-05-02 | 2017-01-26 | National Institute Of Standards And Technology | Biological sampling platform and processes for making and using same |
US10806556B2 (en) | 2015-04-23 | 2020-10-20 | Boston Scientific Scimed, Inc. | Implant sheath system having a release feature |
US10105204B2 (en) | 2015-06-25 | 2018-10-23 | Boston Scientific Scimed, Inc. | Implants, tools, and methods for treatment of pelvic conditions |
CN104921842B (en) * | 2015-06-29 | 2016-09-28 | 苏州大学 | The implant system repaired at the bottom of mesh sheet and basin is repaired at the bottom of a kind of basin |
US10413635B2 (en) * | 2015-08-17 | 2019-09-17 | Vivex Biomedical, Inc. | Umbilical cord transplant product |
WO2018064446A1 (en) * | 2016-09-30 | 2018-04-05 | The Regents Of The University Of Michigan | A method and device for closing the urogenital hiatus in the absence of or damage to the pubovisceral muscle field |
EP3541299A4 (en) * | 2016-11-18 | 2020-09-02 | Ancora Heart, Inc. | Myocardial implant load sharing device and methods to promote lv function |
EP3644911A1 (en) | 2017-06-29 | 2020-05-06 | Cook Medical Technologies, LLC | Implantable medical devices for tissue repositioning |
CA3079532A1 (en) | 2017-10-19 | 2019-04-25 | C.R.Bard, Inc. | Self-gripping hernia prosthesis |
US11166800B2 (en) * | 2018-04-12 | 2021-11-09 | Axogen Corporation | Tissue grafts with pre-made attachment points |
WO2021011659A1 (en) | 2019-07-15 | 2021-01-21 | Ancora Heart, Inc. | Devices and methods for tether cutting |
CN113397758A (en) * | 2021-07-13 | 2021-09-17 | 日照天一生物医疗科技有限公司 | Suspender for treating stress urinary incontinence |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5013292A (en) * | 1989-02-24 | 1991-05-07 | R. Laborie Medical Corporation | Surgical correction of female urinary stress incontinence and kit therefor |
JPH06114067A (en) * | 1992-09-30 | 1994-04-26 | Takiron Co Ltd | Binding button for medical suture |
US5451235A (en) * | 1991-11-05 | 1995-09-19 | C.R. Bard, Inc. | Occluder and method for repair of cardiac and vascular defects |
US5527341A (en) * | 1991-05-24 | 1996-06-18 | Synthes (U.S.A) | Resorbable tendon and bone augmentation device |
US5611515A (en) * | 1991-12-03 | 1997-03-18 | Boston Scientic Corporation | Bladder neck suspension procedure |
Family Cites Families (73)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2671444A (en) * | 1951-12-08 | 1954-03-09 | Jr Benjamin F Pease | Nonmetallic mesh surgical insert for hernia repair |
US3054406A (en) * | 1958-10-17 | 1962-09-18 | Phillips Petroleum Co | Surgical mesh |
US3580313A (en) * | 1969-01-07 | 1971-05-25 | Mcknight Charles A | Surgical instrument |
US3705575A (en) * | 1969-09-26 | 1972-12-12 | Lynn Euryl Edwards | Incontinence device for female use |
US3744495A (en) * | 1970-01-02 | 1973-07-10 | M Johnson | Method of securing prolapsed vagina in cattle |
US3710592A (en) * | 1970-07-30 | 1973-01-16 | I Scow | Crocheting apparatus |
US4000743A (en) * | 1975-07-09 | 1977-01-04 | Kenneth Weaver | Uterine anteverter |
US4172458A (en) * | 1977-11-07 | 1979-10-30 | Pereyra Armand J | Surgical ligature carrier |
US4452245A (en) * | 1980-06-06 | 1984-06-05 | Usher Francis C | Surgical mesh and method |
US4400833A (en) * | 1981-06-10 | 1983-08-30 | Kurland Kenneth Z | Means and method of implanting bioprosthetics |
US4414967A (en) * | 1981-06-22 | 1983-11-15 | Minnesota Mining And Manufacturing Company | Internal fixation of bone, tendon, and ligaments |
US4409974A (en) * | 1981-06-29 | 1983-10-18 | Freedland Jeffrey A | Bone-fixating surgical implant device |
US4741330A (en) * | 1983-05-19 | 1988-05-03 | Hayhurst John O | Method and apparatus for anchoring and manipulating cartilage |
US4545374A (en) * | 1982-09-03 | 1985-10-08 | Jacobson Robert E | Method and instruments for performing a percutaneous lumbar diskectomy |
US4997434A (en) * | 1983-02-16 | 1991-03-05 | Seedhom Bahaa B | Prosthetic ligaments and instruments for use in the surgical replacement of ligaments |
US4672957A (en) * | 1983-10-04 | 1987-06-16 | South African Inventions Development Corporation | Surgical device |
US4549545A (en) * | 1984-03-05 | 1985-10-29 | Ethicon Inc. | Segmented polyurethane surgical buttressing pledgets |
US4633873A (en) * | 1984-04-26 | 1987-01-06 | American Cyanamid Company | Surgical repair mesh |
GB8611129D0 (en) * | 1986-05-07 | 1986-06-11 | Annis D | Prosthetic materials |
FR2604085B1 (en) * | 1986-09-19 | 1989-11-17 | Audion Michel | OSTEOSYNTHESIS PLATE FOR CONTAINING AND REDUCING COLLAPSE OF ORBITARY FLOORS |
US4854316A (en) * | 1986-10-03 | 1989-08-08 | Davis Emsley A | Apparatus and method for repairing and preventing para-stomal hernias |
US4872451A (en) * | 1987-02-02 | 1989-10-10 | Moore Robert R | Glenohumeral ligament repair |
US4873977A (en) * | 1987-02-11 | 1989-10-17 | Odis L. Avant | Stapling method and apparatus for vesicle-urethral re-anastomosis following retropubic prostatectomy and other tubular anastomosis |
US5026398A (en) * | 1988-07-01 | 1991-06-25 | The Minnesota Mining And Manufacturing Company | Abrasion resistant prosthetic device |
WO1990003766A1 (en) * | 1988-10-04 | 1990-04-19 | Peter Emanuel Petros | Surgical instrument prosthesis and method of utilisation of such |
US5012822A (en) * | 1988-10-11 | 1991-05-07 | Schwarz Gerald R | Method for controlling urinary incontinence |
US4938760A (en) * | 1989-03-29 | 1990-07-03 | American Medical Systems, Inc. | Female suspension procedure |
FR2646343B1 (en) * | 1989-04-27 | 1991-12-20 | Gazielly Dominique | DEVICE FOR REINFORCING AND SUPPORTING THE HAIR OF THE ROTATORS OF AN INDIVIDUAL SHOULDER JOINT |
US5441508A (en) * | 1989-04-27 | 1995-08-15 | Gazielly; Dominique | Reinforcement and supporting device for the rotator cuff of a shoulder joint of a person |
US4973300A (en) * | 1989-09-22 | 1990-11-27 | Pioneering Technologies, Inc. | Cardiac sling for circumflex coronary artery surgery |
US5019032A (en) * | 1990-04-03 | 1991-05-28 | Robertson Jack R | Refined suspension procedure with implement for treating female stress incontinence |
US5064434A (en) * | 1990-04-04 | 1991-11-12 | Haber Terry M | Genitourinary implant |
US5252701A (en) * | 1990-07-06 | 1993-10-12 | American Cyanamid Company | Segmented absorbable copolymer |
US5256133A (en) * | 1990-09-05 | 1993-10-26 | Spitz Robert M | Device for correcting stress urinary incontinence |
US5122155A (en) * | 1990-10-11 | 1992-06-16 | Eberbach Mark A | Hernia repair apparatus and method of use |
US5149329A (en) * | 1990-12-12 | 1992-09-22 | Wayne State University | Surgical suture carrier and method for urinary bladder neck suspension |
GB9106174D0 (en) * | 1991-03-22 | 1991-05-08 | Cumming John | Staple applicator for use in the surgical treatment of female stress incontinence |
US5254133A (en) * | 1991-04-24 | 1993-10-19 | Seid Arnold S | Surgical implantation device and related method of use |
GB9111972D0 (en) * | 1991-06-04 | 1991-07-24 | Clinical Product Dev Ltd | Medical/surgical devices |
US5232648A (en) * | 1991-07-19 | 1993-08-03 | United States Surgical Corporation | Bioabsorbable melt spun fiber based on glycolide-containing copolymer |
US5290217A (en) * | 1991-10-10 | 1994-03-01 | Earl K. Sipes | Method and apparatus for hernia repair |
US5289963A (en) * | 1991-10-18 | 1994-03-01 | United States Surgical Corporation | Apparatus and method for applying surgical staples to attach an object to body tissue |
US5258000A (en) * | 1991-11-25 | 1993-11-02 | Cook Incorporated | Tissue aperture repair device |
WO1993010715A2 (en) * | 1991-12-03 | 1993-06-10 | Vesitec Medical, Inc. | Surgical treatment of stress urinary incontinence |
US5147374A (en) * | 1991-12-05 | 1992-09-15 | Alfredo Fernandez | Prosthetic mesh patch for hernia repair |
AU3242693A (en) * | 1991-12-06 | 1993-06-28 | Kensey Nash Corporation | Pads, methods of making, and methods of use for wound dressing, surgical reinforcement and hemostasis promotion |
IE930519A1 (en) * | 1992-07-15 | 1994-01-26 | Francisco Garcia Lopez | Vaginal autosuture device to avoid urinary incontinence in¹women |
US5362294A (en) * | 1992-09-25 | 1994-11-08 | Seitzinger Michael R | Sling for positioning internal organ during laparoscopic surgery and method of use |
US5337736A (en) * | 1992-09-30 | 1994-08-16 | Reddy Pratap K | Method of using a laparoscopic retractor |
US5972000A (en) * | 1992-11-13 | 1999-10-26 | Influence Medical Technologies, Ltd. | Non-linear anchor inserter device and bone anchors |
IL103737A (en) * | 1992-11-13 | 1997-02-18 | Technion Res & Dev Foundation | Stapler device particularly useful in medical suturing |
US5328077A (en) * | 1992-11-19 | 1994-07-12 | Lou Ek Seng | Method and apparatus for treating female urinary incontinence |
US5368602A (en) * | 1993-02-11 | 1994-11-29 | De La Torre; Roger A. | Surgical mesh with semi-rigid border members |
US5433996A (en) * | 1993-02-18 | 1995-07-18 | W. L. Gore & Associates, Inc. | Laminated patch tissue repair sheet material |
US5474543A (en) * | 1993-05-17 | 1995-12-12 | Mckay; Hunter A. | Single needle apparatus and method for performing retropublic urethropexy |
US5505735A (en) * | 1993-06-10 | 1996-04-09 | Mitek Surgical Products, Inc. | Surgical anchor and method for using the same |
US5437603A (en) * | 1993-09-14 | 1995-08-01 | C.R. Bard, Inc. | Apparatus and method for implanting prostheses within periurethral tissues |
US5527342A (en) * | 1993-12-14 | 1996-06-18 | Pietrzak; William S. | Method and apparatus for securing soft tissues, tendons and ligaments to bone |
JPH09511666A (en) * | 1994-04-08 | 1997-11-25 | アトリックス・ラボラトリーズ・インコーポレイテッド | Ancillary polymer systems for use in medical devices |
US5681310A (en) * | 1994-07-20 | 1997-10-28 | Yuan; Hansen A. | Vertebral auxiliary fixation device having holding capability |
US5899909A (en) * | 1994-08-30 | 1999-05-04 | Medscand Medical Ab | Surgical instrument for treating female urinary incontinence |
SE506164C2 (en) * | 1995-10-09 | 1997-11-17 | Medscand Medical Ab | Instruments for the treatment of urinary incontinence in women |
SE503271C2 (en) * | 1994-08-30 | 1996-04-29 | Medscand Ab | Instruments for the treatment of urinary incontinence in women and methods for such treatment |
AU3683995A (en) * | 1994-09-28 | 1996-04-19 | Innovasive Devices, Inc. | Suture tensioning device |
US6042583A (en) * | 1995-06-14 | 2000-03-28 | Medworks Corporation | Bone anchor-insertion tool and surgical method employing same |
US5591163A (en) * | 1995-06-14 | 1997-01-07 | Incont, Inc. | Apparatus and method for laparoscopic urethropexy |
US5643288A (en) * | 1995-06-14 | 1997-07-01 | Incont, Inc. | Apparatus and method for laparoscopic urethropexy |
US5697931A (en) * | 1995-06-14 | 1997-12-16 | Incont, Inc. | Apparatus and method for laparoscopic urethopexy |
DE19544162C1 (en) * | 1995-11-17 | 1997-04-24 | Ethicon Gmbh | Implant for suspension of the bladder in urinary incontinence in women |
US5785640A (en) * | 1996-05-23 | 1998-07-28 | Kresch; Arnold J. | Method for treating female incontinence |
US5816258A (en) * | 1996-06-13 | 1998-10-06 | General Surgical Innovations, Inc. | Bladder neck suspension method |
US6042534A (en) * | 1997-02-13 | 2000-03-28 | Scimed Life Systems, Inc. | Stabilization sling for use in minimally invasive pelvic surgery |
US5922026A (en) * | 1997-05-01 | 1999-07-13 | Origin Medsystems, Inc. | Surgical method and prosthetic strip therefor |
-
1998
- 1998-02-13 US US09/023,398 patent/US6042534A/en not_active Expired - Lifetime
- 1998-02-13 EP EP98907504A patent/EP0983033B1/en not_active Expired - Lifetime
- 1998-02-13 DE DE69808614T patent/DE69808614T2/en not_active Expired - Lifetime
- 1998-02-13 CA CA002280814A patent/CA2280814A1/en not_active Abandoned
- 1998-02-13 AU AU63295/98A patent/AU6329598A/en not_active Abandoned
- 1998-02-13 WO PCT/US1998/003066 patent/WO1998035632A1/en active IP Right Grant
- 1998-02-13 JP JP53599698A patent/JP2001511685A/en active Pending
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5013292A (en) * | 1989-02-24 | 1991-05-07 | R. Laborie Medical Corporation | Surgical correction of female urinary stress incontinence and kit therefor |
US5527341A (en) * | 1991-05-24 | 1996-06-18 | Synthes (U.S.A) | Resorbable tendon and bone augmentation device |
US5451235A (en) * | 1991-11-05 | 1995-09-19 | C.R. Bard, Inc. | Occluder and method for repair of cardiac and vascular defects |
US5611515A (en) * | 1991-12-03 | 1997-03-18 | Boston Scientic Corporation | Bladder neck suspension procedure |
JPH06114067A (en) * | 1992-09-30 | 1994-04-26 | Takiron Co Ltd | Binding button for medical suture |
Non-Patent Citations (1)
Title |
---|
See also references of EP0983033A4 * |
Cited By (341)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9314323B2 (en) | 1997-02-13 | 2016-04-19 | Boston Scientific Scimed, Inc. | Systems, devices and methods for minimally invasive pelvic surgery |
US6042534A (en) * | 1997-02-13 | 2000-03-28 | Scimed Life Systems, Inc. | Stabilization sling for use in minimally invasive pelvic surgery |
US6328686B1 (en) | 1997-03-18 | 2001-12-11 | American Medical Systems, Inc. | Transvaginal system and method for treating female urinary incontinence |
US6322492B1 (en) | 1997-03-18 | 2001-11-27 | American Medical Systems, Inc. | Transvaginal method for securing a bone anchor |
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US6730110B1 (en) | 1999-01-08 | 2004-05-04 | Ams Research Corporation | Tack device |
US6387041B1 (en) | 1999-01-08 | 2002-05-14 | Boaz Harari | Tack device |
US8241326B2 (en) | 1999-01-08 | 2012-08-14 | Ams Research Corporation | Tack device |
WO2000040158A3 (en) * | 1999-01-08 | 2000-11-16 | Influence Med Tech Ltd | Surgical tack |
FR2792824A1 (en) * | 1999-04-27 | 2000-11-03 | Sofradim Production | DEVICE FOR TREATING PROLAPSUS BY VAGINAL SUSPENSION |
US6695855B1 (en) | 1999-04-27 | 2004-02-24 | Sofradim Production | Device for treating a prolapse by vaginal suspension |
WO2000064370A1 (en) * | 1999-04-27 | 2000-11-02 | Sofradim Production | Device for treating a prolapse by vaginal suspension |
EP1189552B1 (en) * | 1999-04-30 | 2009-04-01 | Uromedica Inc. | Apparatus with an adjustable sling for treatment of urinary stress incontinence |
US7395822B1 (en) | 1999-04-30 | 2008-07-08 | Uromedica, Inc. | Method and apparatus for adjustable sling for treatment of urinary stress incontinence |
EP1844735A3 (en) * | 1999-06-09 | 2007-10-31 | Ethicon, Inc. | Surgical instrument for treating female urinary incontinence |
US7121997B2 (en) | 1999-06-09 | 2006-10-17 | Ethicon, Inc. | Surgical instrument and method for treating female urinary incontinence |
US7547316B2 (en) | 1999-06-09 | 2009-06-16 | Ethicon, Inc. | Method and apparatus for adjusting flexible areal polymer implants |
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WO2001021099A1 (en) * | 1999-09-21 | 2001-03-29 | Acorn Cardiovascular, Inc. | Cardiac constraint with tension indicator |
EP1237498A2 (en) * | 1999-12-07 | 2002-09-11 | Arnaldo F. Trabucco | Mesh pubovaginal sling |
EP1237498A4 (en) * | 1999-12-07 | 2008-04-09 | Arnaldo F Trabucco | Mesh pubovaginal sling |
WO2001045589A1 (en) | 1999-12-22 | 2001-06-28 | Promedon | Sling with pad treatment of urinary incontinence |
FR2802798A1 (en) | 1999-12-22 | 2001-06-29 | Promedon S A | Sling for treatment of urinary incontinence, comprises band having pad(s) on middle part |
US6368859B1 (en) | 1999-12-29 | 2002-04-09 | Children's Medical Center Corporation | Methods and compositions for producing a fascial sling |
WO2001047574A1 (en) * | 1999-12-29 | 2001-07-05 | Children's Medical Center Corporation | Methods and compositions for producing a fascial sling |
GB2359256A (en) * | 2000-01-21 | 2001-08-22 | Sofradim Production | Percutaneous device for treating urinary stress incontinence in women using a sub-urethral tape |
GB2359256B (en) * | 2000-01-21 | 2004-03-03 | Sofradim Production | Percutaneous device for treating urinary stress incontinence in women using a sub-urethral tape |
US7131943B2 (en) | 2000-03-09 | 2006-11-07 | Ethicon, Inc. | Surgical instrument and method for treating organ prolapse conditions |
US9005109B2 (en) | 2000-05-10 | 2015-04-14 | Mardil, Inc. | Cardiac disease treatment and device |
US8109868B2 (en) | 2000-06-13 | 2012-02-07 | Mardil, Inc. | Cardiac support device |
US8801598B2 (en) | 2000-06-13 | 2014-08-12 | Mardil, Inc. | Cardiac support device |
US6951534B2 (en) | 2000-06-13 | 2005-10-04 | Acorn Cardiovascular, Inc. | Cardiac support device |
US6638211B2 (en) | 2000-07-05 | 2003-10-28 | Mentor Corporation | Method for treating urinary incontinence in women and implantable device intended to correct urinary incontinence |
US8920304B2 (en) | 2000-07-05 | 2014-12-30 | Coloplast A/S | Method and device for treating urinary incontinence |
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US10278800B2 (en) | 2000-07-05 | 2019-05-07 | Coloplast A/S | Method and device for treating urinary incontinence |
WO2002002031A1 (en) * | 2000-07-05 | 2002-01-10 | Uronova Corp. | Implantable device for correcting urinary incontinence |
US8512223B2 (en) | 2000-10-12 | 2013-08-20 | Coloplast A/S | Pelvic implant with selective locking anchor |
US8118727B2 (en) | 2000-10-12 | 2012-02-21 | Coloplast A/S | Method for supporting pelvic anatomy |
US8668635B2 (en) | 2000-10-12 | 2014-03-11 | Coloplast A/S | Pelvic implant with suspending system |
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US6960160B2 (en) | 2000-10-12 | 2005-11-01 | Gyneideas, Limited | Apparatus and method for treating female urinary incontinence |
US8821370B2 (en) | 2000-10-12 | 2014-09-02 | Coloplast A/S | Device, system and methods for introducing soft tissue anchors |
US8821369B2 (en) | 2000-10-12 | 2014-09-02 | Colorplast A/S | Method for soft tissue anchoring with introducer |
US8920308B2 (en) | 2000-10-12 | 2014-12-30 | Coloplast A/S | Surgical implant with anchor introducer channel |
US8801596B2 (en) | 2000-10-12 | 2014-08-12 | Coloplast A/S | Sling with support and suspending members formed from same polymer |
US9968430B2 (en) | 2000-10-12 | 2018-05-15 | Coloplast A/S | Surgical device implantable to treat female urinary incontinence |
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US8123673B2 (en) | 2000-10-12 | 2012-02-28 | Coloplast A/S | Adjustable surgical implant for treating urinary incontinence |
US8449450B2 (en) | 2000-10-12 | 2013-05-28 | Coloplast A/S | Pass through introducer and sling |
US8454492B2 (en) | 2000-10-12 | 2013-06-04 | Coloplast A/S | Absorbable anchor and method for mounting mesh to tissue |
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US9113992B2 (en) | 2000-10-12 | 2015-08-25 | Coloplast A/S | Apparatus and method for treating urinary incontinence |
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US8182412B2 (en) | 2000-10-12 | 2012-05-22 | Coloplast A/S | Pelvic implant with fibrous anchor |
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US8852077B2 (en) | 2001-01-23 | 2014-10-07 | Ams Research Corporation | Sling delivery system and method of use |
US8864646B2 (en) | 2001-01-23 | 2014-10-21 | Ams Research Corporation | Surgical articles and methods |
US7867161B2 (en) | 2001-01-23 | 2011-01-11 | Ams Research Corporation | Sling delivery system and method of use |
US10117733B2 (en) | 2001-03-09 | 2018-11-06 | 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 |
US10682213B2 (en) | 2001-03-30 | 2020-06-16 | Coloplast A/S | Surgical implant consisting of non-absorbable material |
US8632554B2 (en) | 2001-03-30 | 2014-01-21 | Coloplast A/S | Low mass density surgical implant having strands and methods of use |
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US8157821B2 (en) | 2001-03-30 | 2012-04-17 | Coloplast A/S | Surgical implant |
US8157822B2 (en) | 2001-03-30 | 2012-04-17 | Coloplast A/S | Surgical implant and methods of use |
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WO2003002027A1 (en) * | 2001-06-27 | 2003-01-09 | Promedon Do Brasil Produtos Medico-Hospitalares Ltda | Adjustable autofixing sling for treatment of urinary incontinence |
US10206771B2 (en) | 2001-07-27 | 2019-02-19 | David STASKIN | Pelvic health implants and methods |
US9549803B2 (en) | 2001-07-27 | 2017-01-24 | Boston Scientific Scimed, Inc. | Medical slings |
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US8777836B2 (en) | 2001-07-27 | 2014-07-15 | Ams Research Corporation | Pelvic health implants and methods |
US8702585B2 (en) | 2001-07-27 | 2014-04-22 | Ams Research Corporation | Pelvic health implants and methods |
US7351196B2 (en) | 2001-08-03 | 2008-04-01 | Aesculap Ag & Co. Kg | Incontinence strip for treating urinary incontinence |
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US10292821B2 (en) | 2001-09-07 | 2019-05-21 | Phoenix Cardiac Devices, Inc. | Method and apparatus for external stabilization of the heart |
US7465270B2 (en) | 2001-10-05 | 2008-12-16 | Boston Scientific Scimed, Inc. | Expandable surgical implants and methods of using them |
US6666817B2 (en) | 2001-10-05 | 2003-12-23 | Scimed Life Systems, Inc. | Expandable surgical implants and methods of using them |
US8376928B2 (en) | 2001-10-05 | 2013-02-19 | Boston Scientific Scimed, Inc. | Expandable surgical implants and methods of using them |
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AU2003216249B2 (en) * | 2002-02-14 | 2008-04-03 | Ethicon, Inc. | Surgical instrument and method for treating organ prolapse conditions |
EP1474073A4 (en) * | 2002-02-14 | 2007-03-28 | Ethicon Inc | Surgical instrument and method for treating organ prolapse conditions |
EP1474073A1 (en) * | 2002-02-14 | 2004-11-10 | Ethicon, Inc. | Surgical instrument and method for treating organ prolapse conditions |
US9433487B2 (en) | 2002-03-07 | 2016-09-06 | Astora Women's Health, Llc | Transobturator surgical articles and methods |
US8864648B2 (en) | 2002-03-07 | 2014-10-21 | Ams Research Corporation | Transobturator surgical articles and methods |
US7766926B2 (en) | 2002-04-30 | 2010-08-03 | Vance Products Incorporated | Sling for supporting tissue |
WO2003092546A3 (en) * | 2002-04-30 | 2004-05-06 | Cook Urological Inc | Sling for supporting tissue |
AU2003234261B2 (en) * | 2002-05-15 | 2008-08-07 | Ams Research Corporation | Improved pelvic health implants and methods |
WO2003096929A1 (en) * | 2002-05-15 | 2003-11-27 | American Medical Systems, Inc. | Improved pelvic health implants and methods |
AU2003234261C1 (en) * | 2002-05-15 | 2009-01-08 | Ams Research Corporation | Improved pelvic health implants and methods |
US6682475B2 (en) | 2002-06-11 | 2004-01-27 | Acorn Cardiovascular, Inc. | Tension indicator for cardiac support device and method therefore |
US8097007B2 (en) | 2002-08-02 | 2012-01-17 | C. R. Bard, Inc. | Self-anchoring sling and introducer system |
US9005222B2 (en) | 2002-08-02 | 2015-04-14 | Coloplast A/S | Self-anchoring sling and introducer system |
US9872750B2 (en) | 2002-08-02 | 2018-01-23 | Coloplast A/S | Self-anchoring sling and introducer system |
US9532861B2 (en) | 2002-08-02 | 2017-01-03 | Coloplast A/S | Self-anchoring sling and introducer system |
US7371245B2 (en) | 2002-08-02 | 2008-05-13 | C R Bard, Inc | Transobturator introducer system for sling suspension system |
US9532862B2 (en) | 2002-08-02 | 2017-01-03 | Coloplast A/S | Self-anchoring sling and introducer system |
WO2004019813A1 (en) | 2002-08-30 | 2004-03-11 | Bernard Bouffier | Surgical prosthesis-forming device used to implant an organ support in a mammal |
FR2843876A1 (en) | 2002-08-30 | 2004-03-05 | Bernard Bouffier | SURGICAL PROSTHESIS DEVICE FOR THE IMPLANTATION OF A SUPPORT OF A MAMMALIAN BODY |
US8201559B2 (en) | 2002-11-15 | 2012-06-19 | Ethicon, Inc. | Method of surgical repair of vagina damaged by pelvic organ prolapse and prosthetic materials and devices suitable for use therein |
US9345867B2 (en) | 2003-03-27 | 2016-05-24 | Coloplast A/S | Device implantable in tissue of a prostate gland or a bladder |
US9186489B2 (en) | 2003-03-27 | 2015-11-17 | Coloplast A/S | Implantable delivery device system for delivery of a medicament to a bladder |
US9555168B2 (en) | 2003-03-27 | 2017-01-31 | Coloplast A/S | System for delivery of medication in treatment of disorders of the pelvis |
FR2852817A1 (en) * | 2003-03-28 | 2004-10-01 | Emmanuel Delorme | Implant for treating rectocele and/or prolapse of vaginal cuff, has two upper and lower sling attachments extending from upper edge and side of support body, respectively, and arranged in sagittal plane |
WO2004091442A3 (en) * | 2003-03-28 | 2005-04-21 | Analytic Biosurgical Solution | Implant for treatment of a rectocele and device for placement of said implant |
WO2005016184A1 (en) * | 2003-08-14 | 2005-02-24 | Scimed Life System, Inc. | Surgical slings |
US8905911B2 (en) | 2003-08-14 | 2014-12-09 | Boston Scientific Scimed, Inc. | Surgical slings |
WO2005018494A1 (en) * | 2003-08-14 | 2005-03-03 | Boston Scientific Limited | Medical slings |
US8876691B2 (en) | 2003-08-14 | 2014-11-04 | Boston Scientific Scimed, Inc. | Surgical slings |
US7235042B2 (en) | 2003-09-16 | 2007-06-26 | Acorn Cardiovascular, Inc. | Apparatus and method for applying cardiac support device |
US8038594B2 (en) | 2003-09-22 | 2011-10-18 | Ams Research Corporation | Prolapse repair |
US8753260B2 (en) | 2003-09-22 | 2014-06-17 | Ams Research Corporation | Prolapse repair |
US7713187B2 (en) | 2003-10-03 | 2010-05-11 | Boston Scientific Scimed, Inc. | Systems and methods for delivering a medical implant to an anatomical location in a patient |
US9968429B2 (en) | 2003-10-03 | 2018-05-15 | Boston Scientific Scimed, Inc. | Systems and methods for delivering a medical implant to an anatomical location in a patient |
US8167786B2 (en) | 2003-10-03 | 2012-05-01 | Boston Scientific Scimed, Inc. | Systems and methods for delivering a medical implant to an anatomical location in a patient |
US9050164B2 (en) | 2003-10-03 | 2015-06-09 | Boston Scientific Scimed, Inc. | Systems and methods for delivering a medical implant to an anatomical location in a patient |
WO2005094741A1 (en) * | 2004-03-30 | 2005-10-13 | Proxy Biomedical Limited | Sling for treatment of urinary stress incontinence and/or pelvic floor prolapse |
US8211005B2 (en) | 2004-04-30 | 2012-07-03 | Ams Research Corporation | Method and apparatus for treating pelvic organ prolapse |
WO2005110273A1 (en) * | 2004-04-30 | 2005-11-24 | Ams Research Corporation | Method and apparatus for treating pelvic organ prolapse |
US8206281B2 (en) | 2004-04-30 | 2012-06-26 | Ams Research Corporation | Method and apparatus for treating pelvic organ prolapse |
WO2005112819A1 (en) * | 2004-05-07 | 2005-12-01 | Ethicon, Inc. | Mesh tape with wing-like extensions for treating female urinary incontinence |
US7993261B2 (en) | 2004-05-07 | 2011-08-09 | Ams Research Corporation | Method and apparatus for cystocele repair |
WO2005122952A1 (en) * | 2004-05-18 | 2005-12-29 | David Jean-Marie Nocca | Adjustable prosthetic band |
FR2870450A1 (en) * | 2004-05-18 | 2005-11-25 | David Jean Marie Nocca | ADJUSTABLE PROSTHETIC STRIP |
US9060838B2 (en) | 2004-05-21 | 2015-06-23 | Coloplast A/S | Tissue supported implantable device |
US10064714B2 (en) | 2004-05-21 | 2018-09-04 | Coloplast A/S | Implantable device configured to treat pelvic organ prolapse |
US8215310B2 (en) | 2004-05-21 | 2012-07-10 | Coloplast A/S | Implant for treatment of vaginal and/or uterine prolapse |
US10219885B2 (en) | 2004-06-14 | 2019-03-05 | Boston Scientific Scimed, Inc. | Systems, methods and devices relating to implantable supportive slings |
US11918447B2 (en) | 2004-06-14 | 2024-03-05 | Boston Scientific Scimed, Inc. | Systems, methods and devices relating to implantable supportive slings |
WO2006048885A1 (en) * | 2004-11-08 | 2006-05-11 | Endogun Medical Systems Ltd. | Surgical grafts |
US7905825B2 (en) | 2005-02-04 | 2011-03-15 | AMS Research Foundation | Pelvic implants and related methods |
US7914437B2 (en) | 2005-02-04 | 2011-03-29 | Ams Research Corporation | Transobturator methods for installing sling to treat incontinence, and related devices |
WO2006084166A2 (en) * | 2005-02-04 | 2006-08-10 | Ams Research Corporation | Surgical implants and related methods and systems |
US9179991B2 (en) | 2005-02-04 | 2015-11-10 | Ams Research Corporation | Transobturator methods for installing sling to treat incontinence, and related devices |
US11833021B2 (en) | 2005-02-04 | 2023-12-05 | Boston Scientific Scimed, Inc. | Transobturator methods for installing sling to treat incontinence, and related devices |
US8157722B2 (en) | 2005-02-04 | 2012-04-17 | Ams Research Corporation | Surgical implants and related methods and systems |
WO2006084166A3 (en) * | 2005-02-04 | 2007-02-01 | Ams Res Corp | Surgical implants and related methods and systems |
US8771168B2 (en) | 2005-02-04 | 2014-07-08 | Ams Research Corporation | Transobturator methods for installing sling to treat incontinence, and related devices |
US8585576B2 (en) | 2005-02-04 | 2013-11-19 | Ams Research Corporation | Pelvic implants and related methods |
US8070672B2 (en) | 2005-02-04 | 2011-12-06 | Ams Research Corporation | Needle design for male transobturator sling |
US7422557B2 (en) | 2005-02-04 | 2008-09-09 | Ams Research Corporation | Needle design for male transobturator sling |
US9452038B2 (en) | 2005-02-04 | 2016-09-27 | Boston Scientific Scimed, Inc. | Pelvic implants and related methods |
US7722528B2 (en) | 2005-02-04 | 2010-05-25 | Ams Research Corporation | Surgical implants and related methods and systems |
US7556598B2 (en) | 2005-04-04 | 2009-07-07 | Boston Scientific Scimed, Inc. | Dissolvable protective treatment for an implantable supportive sling |
US7942807B2 (en) | 2005-04-04 | 2011-05-17 | Boston Scientific Scimed, Inc. | Dissolvable protective treatment for an implantable supportive sling |
US8753259B2 (en) | 2005-04-04 | 2014-06-17 | Boston Scientific Scimed, Inc. | Dissolvable protective treatment for an implantable supportive sling |
US9022920B2 (en) | 2005-04-06 | 2015-05-05 | Boston Scientific Scimed, Inc. | Systems, devices, and methods for sub-urethral support |
US8109866B2 (en) | 2005-04-26 | 2012-02-07 | Ams Research Corporation | Method and apparatus for prolapse repair |
US9107659B2 (en) | 2005-07-13 | 2015-08-18 | Boston Scientific Scimed, Inc. | Snap fit sling anchor system and related methods |
US9248010B2 (en) | 2005-07-15 | 2016-02-02 | Boston Scientific Scimed, Inc. | Tension-adjustable surgical sling assembly |
US11883272B2 (en) | 2005-07-15 | 2024-01-30 | Boston Scientific Scimed, Inc. | Tension-adjustable surgical sling assembly |
US7981023B2 (en) | 2005-07-25 | 2011-07-19 | Boston Scientific Scimed, Inc. | Elastic sling system and related methods |
US9675436B2 (en) | 2005-07-25 | 2017-06-13 | Boston Scientific Scimed, Inc. | Pelvic floor repair system |
US10251738B2 (en) | 2005-07-25 | 2019-04-09 | Boston Scientific Scimed, Inc. | Pelvic floor repair system |
US8777834B2 (en) | 2005-07-25 | 2014-07-15 | Boston Scientific Scimed, Inc. | Elastic sling system and related methods |
US8535217B2 (en) | 2005-07-26 | 2013-09-17 | Ams Research Corporation | Methods and systems for treatment of prolapse |
US9283064B2 (en) | 2005-07-26 | 2016-03-15 | Ams Research Corporation | Methods and systems for treatment of prolapse |
US9060839B2 (en) | 2005-07-26 | 2015-06-23 | Ams Research Corporation | Methods and systems for treatment of prolapse |
US8033982B2 (en) * | 2005-08-03 | 2011-10-11 | Boston Scientific Scimed, Inc. | Systems, devices and methods relating to a shape resilient sling-like support for treating urinary incontinence |
US8123671B2 (en) | 2005-08-04 | 2012-02-28 | C.R. Bard, Inc. | Pelvic implant systems and methods |
US7935046B2 (en) | 2005-08-11 | 2011-05-03 | Boston Scientific Scimed, Inc. | Systems, methods and devices relating to a removable sleeve for an implantable sling |
US7951066B2 (en) | 2005-08-17 | 2011-05-31 | Boston Scientific Scimed, Inc. | Medical device positioning assemblies and methods |
US9072584B2 (en) | 2005-08-17 | 2015-07-07 | Boston Scientific Scimed, Inc. | Medical device positioning assemblies and methods |
US8920303B2 (en) | 2005-09-01 | 2014-12-30 | Boston Scientific Scimed, Inc. | Adjustable surgical sling |
US8012081B2 (en) | 2005-09-01 | 2011-09-06 | Boston Scientific Scimed, Inc. | Adjustable surgical sling |
US7699769B2 (en) | 2005-09-01 | 2010-04-20 | Boston Scientific Scimed, Inc. | Adjustable surgical sling |
US7878970B2 (en) | 2005-09-28 | 2011-02-01 | Boston Scientific Scimed, Inc. | Apparatus and method for suspending a uterus |
US9339362B2 (en) | 2005-09-28 | 2016-05-17 | Boston Scientific Scimed, Inc. | Apparatus and method for suspending a uterus |
WO2007047743A3 (en) * | 2005-10-18 | 2008-03-13 | Cook Biotech Inc | Medical device with affixation means |
US8845512B2 (en) | 2005-11-14 | 2014-09-30 | C. R. Bard, Inc. | Sling anchor system |
US9144483B2 (en) | 2006-01-13 | 2015-09-29 | Boston Scientific Scimed, Inc. | Placing fixation devices |
US9737403B2 (en) | 2006-03-03 | 2017-08-22 | Mardil, Inc. | Self-adjusting attachment structure for a cardiac support device |
US10806580B2 (en) | 2006-03-03 | 2020-10-20 | Mardil, Inc. | Self-adjusting attachment structure for a cardiac support device |
US9084664B2 (en) | 2006-05-19 | 2015-07-21 | Ams Research Corporation | Method and articles for treatment of stress urinary incontinence |
US8834350B2 (en) | 2006-06-16 | 2014-09-16 | Ams Research Corporation | Surgical implants, tools, and methods for treating pelvic conditions |
US10271936B2 (en) | 2006-06-16 | 2019-04-30 | Boston Scientific Scimed, Inc. | Surgical implants, tools, and methods for treating pelvic conditions |
US9375302B2 (en) | 2006-06-22 | 2016-06-28 | Astora Women's Health, Llc | Adjustable tension incontinence sling assemblies |
US10441400B2 (en) | 2006-06-22 | 2019-10-15 | Boston Scientific Scimed, Inc. | Adjustable tension incontinence sling assembles |
US8460169B2 (en) | 2006-06-22 | 2013-06-11 | Ams Research Corporation | Adjustable tension incontinence sling assemblies |
US8628463B2 (en) | 2006-06-22 | 2014-01-14 | Ams Research Corporation | Adjustable tension incontinence sling assemblies |
US9737404B2 (en) | 2006-07-17 | 2017-08-22 | Mardil, Inc. | Cardiac support device delivery tool with release mechanism |
US10307252B2 (en) | 2006-07-17 | 2019-06-04 | Mardil, Inc. | Cardiac support device delivery tool with release mechanism |
AU2007277194B2 (en) * | 2006-07-25 | 2013-02-21 | Boston Scientific Scimed, Inc. | Surgical articles and methods for treating pelvic conditions |
WO2008013867A1 (en) | 2006-07-25 | 2008-01-31 | Ams Research Corporation | Surgical articles and methods for treating pelvic conditions |
US10335256B2 (en) | 2006-07-25 | 2019-07-02 | Boston Scientific Scimed, Inc. | Surgical articles and methods for treating pelvic conditions |
AU2013205921B2 (en) * | 2006-07-25 | 2015-01-29 | Boston Scientific Scimed, Inc. | Surgical articles and methods for treating pelvic conditions |
US8932201B2 (en) | 2006-07-25 | 2015-01-13 | Ams Research Corporation | Surgical articles and methods for treating pelvic conditions |
US8480559B2 (en) | 2006-09-13 | 2013-07-09 | C. R. Bard, Inc. | Urethral support system |
WO2008042440A1 (en) * | 2006-10-03 | 2008-04-10 | Boston Scientific Scimed, Inc. | Pelvic floor repair implants and methods |
US7985175B2 (en) | 2006-10-03 | 2011-07-26 | Boston Scientific Scimed, Inc. | Pelvic floor repair implants and methods |
US8870745B2 (en) | 2006-10-03 | 2014-10-28 | Boston Scientific Scimed, Inc. | Pelvic floor repair implants |
WO2008057269A1 (en) * | 2006-10-26 | 2008-05-15 | Ams Research Corporation | Surgical articles and methods for treating pelvic conditions |
US10034733B2 (en) | 2006-10-26 | 2018-07-31 | Boston Scientific Scimed, Inc. | Surgical articles and methods for treating pelvic conditions |
US8517914B2 (en) | 2006-10-26 | 2013-08-27 | Ams Research Corporation | Surgical articles and methods for treating pelvic conditions |
US8597173B2 (en) | 2007-07-27 | 2013-12-03 | Ams Research Corporation | Pelvic floor treatments and related tools and implants |
US10022210B2 (en) | 2007-07-27 | 2018-07-17 | Boston Scientific Scimed, Inc. | Pelvic floor treatments and related tools and implants |
US9402705B2 (en) | 2007-07-30 | 2016-08-02 | Boston Scientific Scimed, Inc. | Apparatus and method for the treatment of stress urinary incontinence |
AU2008282204B2 (en) * | 2007-07-30 | 2014-04-10 | Boston Scientific Scimed, Inc. | Apparatus and method for the treatment of stress urinary incontinence |
US10413392B2 (en) | 2007-07-30 | 2019-09-17 | Boston Scientific Scimed, Inc. | Apparatus and method for the treatment of stress urinary incontinence |
US8574149B2 (en) | 2007-11-13 | 2013-11-05 | C. R. Bard, Inc. | Adjustable tissue support member |
US9308068B2 (en) | 2007-12-03 | 2016-04-12 | Sofradim Production | Implant for parastomal hernia |
US10368971B2 (en) | 2007-12-03 | 2019-08-06 | Sofradim Production | Implant for parastomal hernia |
US11207166B2 (en) | 2007-12-28 | 2021-12-28 | Boston Scientific Scimed, Inc. | Devices and methods for treating pelvic floor dysfunctions |
US9282958B2 (en) | 2007-12-28 | 2016-03-15 | Boston Scientific Scimed, Inc. | Devices and method for treating pelvic dysfunctions |
WO2009086385A3 (en) * | 2007-12-28 | 2009-08-27 | Boston Scientific Scimed, Inc. | Devices for treating pelvic dysfunctions |
US8430807B2 (en) | 2007-12-28 | 2013-04-30 | Boston Scientific Scimed, Inc. | Devices and methods for treating pelvic floor dysfunctions |
US9078728B2 (en) | 2007-12-28 | 2015-07-14 | Boston Scientific Scimed, Inc. | Devices and methods for delivering female pelvic floor implants |
US9974639B2 (en) | 2007-12-28 | 2018-05-22 | Boston Scientific Scimed, Inc. | Devices and methods for treating pelvic floor dysfunctions |
WO2009086385A2 (en) * | 2007-12-28 | 2009-07-09 | Boston Scientific Scimed, Inc. | Devices for treating pelvic dysfunctions |
US10639138B2 (en) | 2008-02-28 | 2020-05-05 | Coloplast A/S | Method for providing support to a urethra in treating urinary incontinence |
US9242026B2 (en) | 2008-06-27 | 2016-01-26 | Sofradim Production | Biosynthetic implant for soft tissue repair |
US10070948B2 (en) | 2008-06-27 | 2018-09-11 | Sofradim Production | Biosynthetic implant for soft tissue repair |
US9022922B2 (en) | 2008-07-31 | 2015-05-05 | Ams Research Corporation | Methods and implants for treating urinary incontinence |
US8727963B2 (en) | 2008-07-31 | 2014-05-20 | Ams Research Corporation | Methods and implants for treating urinary incontinence |
US10039628B2 (en) | 2008-07-31 | 2018-08-07 | L. Dean Knoll | Methods and implants for treating urinary incontinence |
US9017243B2 (en) | 2008-08-25 | 2015-04-28 | Ams Research Corporation | Minimally invasive implant and method |
US9918816B2 (en) | 2008-08-25 | 2018-03-20 | Boston Scientific Scimed, Inc. | Minimally invasive implant and method |
US10537416B2 (en) | 2008-08-25 | 2020-01-21 | Boston Scientific Scimed, Inc. | Minimally invasive implant and method |
US11547542B2 (en) | 2008-08-25 | 2023-01-10 | Boston Scientific Scimed, Inc. | Minimally invasive implant and method |
US9668845B2 (en) | 2009-04-17 | 2017-06-06 | Boston Scientific Scimed, Inc. | Delivery sleeve for pelvic floor implants |
US9125716B2 (en) | 2009-04-17 | 2015-09-08 | Boston Scientific Scimed, Inc. | Delivery sleeve for pelvic floor implants |
US10865505B2 (en) | 2009-09-04 | 2020-12-15 | Sofradim Production | Gripping fabric coated with a bioresorbable impenetrable layer |
US9364308B2 (en) | 2009-12-30 | 2016-06-14 | Astora Women's Health, Llc | Implant systems with tensioning feedback |
US10028813B2 (en) | 2010-07-22 | 2018-07-24 | Boston Scientific Scimed, Inc. | Coated pelvic implant device and method |
US9387061B2 (en) | 2010-09-02 | 2016-07-12 | 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 |
US9125717B2 (en) | 2011-02-23 | 2015-09-08 | Ams Research Corporation | Implant tension adjustment system and method |
US10472750B2 (en) | 2011-03-16 | 2019-11-12 | Sofradim Production | Prosthesis comprising a three-dimensional and openworked knit |
US11612472B2 (en) | 2011-03-16 | 2023-03-28 | Sofradim Production | Prosthesis comprising a three-dimensional and openworked knit |
US9554887B2 (en) | 2011-03-16 | 2017-01-31 | Sofradim Production | Prosthesis comprising a three-dimensional and openworked knit |
US9089393B2 (en) | 2011-03-28 | 2015-07-28 | Ams Research Corporation | Implants, tools, and methods for treatment of pelvic conditions |
US9737388B2 (en) | 2011-03-28 | 2017-08-22 | Ams Research Corporation | Implants, tools, and methods for treatment of pelvic conditions |
US10039629B2 (en) | 2011-03-28 | 2018-08-07 | Boston Scientific Scimed, Inc. | Implants, tools, and methods for treatment of pelvic conditions |
US9750590B2 (en) | 2011-03-28 | 2017-09-05 | Andrew P. VanDeWeghe | Implants, tools, and methods for treatment of pelvic conditions |
US9179992B2 (en) | 2011-03-28 | 2015-11-10 | 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 |
US9492259B2 (en) | 2011-03-30 | 2016-11-15 | Astora Women's Health, Llc | Expandable implant system |
US9782245B2 (en) | 2011-03-30 | 2017-10-10 | James R. Mujwid | Implants, tools, and methods for treatment of pelvic conditions |
US9113991B2 (en) | 2011-05-12 | 2015-08-25 | Boston Scientific Scimed, Inc. | Anchors for bodily implants and methods for anchoring bodily implants into a patient's body |
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 |
US10653411B2 (en) | 2011-06-30 | 2020-05-19 | Boston Scientific Scimed, Inc. | 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 |
US10500027B2 (en) | 2011-06-30 | 2019-12-10 | Boston Scientific Scimed, Inc. | Implants, tools, and methods for treatments of pelvic conditions |
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US9980802B2 (en) | 2011-07-13 | 2018-05-29 | Sofradim Production | Umbilical hernia prosthesis |
US10709538B2 (en) | 2011-07-13 | 2020-07-14 | Sofradim Production | Umbilical hernia prosthesis |
US11039912B2 (en) | 2011-07-13 | 2021-06-22 | Sofradim Production | Umbilical hernia prosthesis |
US9622843B2 (en) | 2011-07-13 | 2017-04-18 | Sofradim Production | Umbilical hernia prosthesis |
US9414903B2 (en) | 2011-07-22 | 2016-08-16 | Astora Women's Health, Llc | Pelvic implant system and method |
US11284983B2 (en) | 2011-07-22 | 2022-03-29 | Boston Scientific Scimed, Inc. | 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 |
US10390813B2 (en) | 2011-08-05 | 2019-08-27 | Boston Scientific Scimed, Inc. | Systems, implants, tools, and methods for treatments of pelvic conditions |
US10098721B2 (en) | 2011-09-01 | 2018-10-16 | Boston Scientific Scimed, Inc. | Pelvic implant needle system and method |
USD721175S1 (en) | 2011-09-08 | 2015-01-13 | Ams Research Corporation | Backers for surgical indicators |
USD721807S1 (en) | 2011-09-08 | 2015-01-27 | Ams Research Corporation | Surgical indicators |
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US9168120B2 (en) | 2011-09-09 | 2015-10-27 | Boston Scientific Scimed, Inc. | Medical device and methods of delivering the medical device |
US9526603B2 (en) | 2011-09-30 | 2016-12-27 | Covidien Lp | Reversible stiffening of light weight mesh |
US11471256B2 (en) | 2011-12-29 | 2022-10-18 | Sofradim Production | Prosthesis for inguinal hernia |
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US10363690B2 (en) | 2012-08-02 | 2019-07-30 | Sofradim Production | Method for preparing a chitosan-based porous layer |
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US10159555B2 (en) | 2012-09-28 | 2018-12-25 | Sofradim Production | Packaging for a hernia repair device |
US9370425B2 (en) | 2012-10-12 | 2016-06-21 | Mardil, Inc. | Cardiac treatment system and method |
US10405981B2 (en) | 2012-10-12 | 2019-09-10 | Mardil, Inc. | Cardiac treatment system |
US9421102B2 (en) | 2012-10-12 | 2016-08-23 | Mardil, Inc. | Cardiac treatment system and method |
US11517437B2 (en) | 2012-10-12 | 2022-12-06 | Diaxamed, Llc | Cardiac treatment system |
US9844437B2 (en) | 2012-10-12 | 2017-12-19 | Mardil, Inc. | Cardiac treatment system and method |
US11406500B2 (en) | 2012-10-12 | 2022-08-09 | Diaxamed, Llc | Cardiac treatment system and method |
US10420644B2 (en) | 2012-10-12 | 2019-09-24 | Mardil, Inc. | Cardiac treatment system and method |
US9421101B2 (en) | 2012-10-12 | 2016-08-23 | Mardil, Inc. | Cardiac treatment system |
US10064723B2 (en) | 2012-10-12 | 2018-09-04 | Mardil, Inc. | Cardiac treatment system and method |
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 |
US11622845B2 (en) | 2013-06-07 | 2023-04-11 | Sofradim Production | Textile-based prothesis for laparoscopic surgery |
US10405960B2 (en) | 2013-06-07 | 2019-09-10 | Sofradim Production | Textile-based prothesis for laparoscopic surgery |
US11304790B2 (en) | 2013-06-07 | 2022-04-19 | Sofradim Production | Textile-based prothesis for laparoscopic surgery |
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US11744726B2 (en) | 2013-08-01 | 2023-09-05 | Cook Medical Technologies Llc | Tissue adjustment implant |
USD717954S1 (en) | 2013-10-14 | 2014-11-18 | Mardil, Inc. | Heart treatment device |
US9962251B2 (en) | 2013-10-17 | 2018-05-08 | Boston Scientific Scimed, Inc. | Devices and methods for delivering implants |
RU2567329C1 (en) * | 2014-09-08 | 2015-11-10 | Ильнур Ирекович Мусин | Method for surgical management of stress-induced urinary incontinence in females of reproductive age with use of collost collagen material |
US10653508B2 (en) | 2014-09-29 | 2020-05-19 | Sofradim Production | Textile-based prosthesis for treatment of inguinal hernia |
US11291536B2 (en) | 2014-09-29 | 2022-04-05 | Sofradim Production | Whale concept-folding mesh for TIPP procedure for inguinal hernia |
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US11510766B2 (en) | 2019-02-14 | 2022-11-29 | Uromedica, Inc. | Method and apparatus for monitoring implantable device for urinary continence |
US11690704B2 (en) | 2019-02-14 | 2023-07-04 | Uromedica, Inc. | Method and apparatus for monitoring implantable device for urinary continence |
US11690703B2 (en) | 2019-02-14 | 2023-07-04 | Uromedica, Inc. | Method and apparatus for monitoring implantable device for urinary continence |
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US6042534A (en) | 2000-03-28 |
DE69808614T2 (en) | 2003-06-18 |
EP0983033B1 (en) | 2002-10-09 |
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AU6329598A (en) | 1998-09-08 |
EP0983033A1 (en) | 2000-03-08 |
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CA2280814A1 (en) | 1998-08-20 |
JP2001511685A (en) | 2001-08-14 |
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