摘要:
Various surgical introducer needle and anchor systems are provided. The systems can include an introducer needle and a tissue support implant or sling device. The implant device can include one or more anchoring devices. The introducer needle device can include a handle assembly and a needle assembly. The needle assembly can include a generally hollow needle, and a wire traversable therein. The wire can include a distal tip adapted to selectively retract or withdraw from the engaged anchoring device upon deployment of the anchor and/or implant.
摘要:
The present invention discloses an implant for placement in the retropubic space of a patient. Novel methods and assemblies for use in conjunction with the implant are also described.
摘要:
Embodiments of the invention generally relate to an anchor used to secure a position of a device or component relative to internal tissue of a patient and prevent migration of the component relative to the tissue of the patient. In one embodiment, the anchor is combined with an electrode lead that is configured for implantation in a patient. The electrode lead comprises a lead body having a proximal end and a distal end, a stimulating electrode and an anchor. The stimulating electrode is attached to the lead body at the distal end. The anchor is attached to the distal end of the lead body and comprises an anchor body and mesh attached to the anchor body.
摘要:
A method of treating pelvic organ prolapse is provided. The method generally includes the steps of establishing a first pathway between the external perirectal region of the patient to the region of the ischial spine in tissue on one side of the prolapsed organ, followed by establishing a second pathway in tissue on the contralateral side of the prolapsed organ. A support member, which includes a central support portion (2) and two end portions (32), is positioned in a position to reposition said prolapsed organ in said organ’s anatomically correct location. The end portions of the support member are introduced through the respective tissue pathways, followed by adjustment of the end portions so that the support member is located in a therapeutic relationship to the prolapsed organ that is to be supported. An apparatus and kit for said treatment is further provided.
摘要:
A surgical instrument (100) for suturing soft tissue is disclosed. The surgical instrument is capable of probing tissue, and preferably provides tactile feedback concerning the condition of the tissue. The instrument can then be used to pass and retrieve a suture without the need for an additional suture retrieval tool. A surgical instrument for manipulating a suture and dart assembly comprises: a body portion (20), first (54) and second (52) jaws, a jaw manipulator (22) capable of moving the jaws, a suture manipulation member (24) mounted on the body portion for movement relative to the body portion between first and second positions in order to pass the suture and dart assembly from the first jaw to the second jaw; an extension portion (30) projecting distally from the body portion; the first and second jaws each having a major tissue gripping surface (48), the jaws being operatively associated with the jaw manipulator for movement between open and closed positions, the first jaw having a channel (141) for receiving the suture and dart assembly without any portion of the assembly projecting beyond the major tissue gripping surface of the first jaw, and the second jaw having surfaces (146) that are sized and shaped to capture the suture and dart assembly when the suture manipulation member passes the suture and dart assembly.
摘要:
Described are implants, tools, and methods useful for treating pelvic conditions such as prolapse, by placing an implant to support pelvic tissue, the implants, tools, and methods involving one or more of an insertion tool that works in coordination with a sheath, adjusting engagements, specific implants and pieces of implants, placement of implants at locations within the pelvic region, and insertion, adjusting, and grommet management tools.
摘要:
Described are tools, implantable devices, combination, kits, and systems thereof, and related methods of use for treating pelvic conditions, wherein the tools and devices involve a connector that engages two tools for manipulating the connector.
摘要:
The invention provides improved devices, methods, and systems for shrinking of collagenous tissues, particularly for treating urinary incontinence in a non-invasive manner by directing energy to a patient's own support tissues. This energy gently heats fascia, and other collagenous support tissues, causing them to contract. The energy will preferably be applied between a pair of large plate electrodes (12, 14) having cooled flat electrode surfaces separated by an insulating rib (39a) or film (39b). Such cooled plate electrodes are capable of directing electrical energy through an intermediate tissue, and into fascia while the cooled electrode surface prevents injury to the intermediate tissue.
摘要:
1A device for treatment of urinary incontinence comprises: at least one electrode, which is coupled to a pelvic muscle of a patient; and a control unit, which receives electromyogram signals from the electrode indicative of possible imminent incontinence, and which determines a threshold signal level that varies over time responsive to a condition of the patient, and which, responsive to a transient increase in the electromyogram signal above the threshold level, applies an electrical waveform to stimulate the muscle to contract, so as to inhibit the incontinence.
摘要:
Described are pelvic implants and methods of surgically placing pelvic implants, that provide treatment for pelvic floor disorders by support of the levator. A pelvic implant (100, 102) may comprise a tissue support portion (104) to be placed in contact with tissue to be supported, extension portions (106, 110) that extend from the tissue support portion to provide additional support, and tissue fasteners (108, 112) to attach extension portions to supportive tissue.