Abstract:
Described are implants, tools, and related methods, for use in pelvic surgery to treat conditions such as prolapse, including embodiments of methods that involve a tissue path above the arcus tendineus.
Abstract:
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 and two end portions, 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.
Abstract:
A jacket of biological compatible material has an internal volume dimensioned for an apex of the heart to be inserted into the volume and for the jacket to be slipped over the heart. The jacket has a longitudinal dimension between upper and lower ends sufficient for the jacket to surround a lower portion of the heart with the jacket surrounding a valvular annulus of the heart and further surrounding the lower portion to cover at least the ventricular lower extremities of the heart. The jacket is adapted to be secured to the heart with the jacket surrounding at least the valvular annulus and the ventricular lower extremities. The jacket is adjustable on the heart to snugly conform to an external geometry of the heart and assume a maximum adjusted volume for the jacket to constrain circumferential expansion of the heart beyond the maximum adjusted volume during diastole and to permit unimpeded contraction of the heart during systole.
Abstract:
An adaptor for use with balloons of intravascular balloon catheters commonly used for treating conditions of the vascular system includes a hollow member and an elongated positioning member, which is connected to the hollow member. The hollow member possesses characteristics not possessed by the balloon of the balloon catheter. With a balloon catheter positioned within a blood vessel, the adaptor is capable of longitudinal movement through the blood vessel, between the balloon catheter and a wall of the blood vessel, independent of the balloon catheter. The adaptor is manuevered adjacent to the balloon by manipulating the positioning member until a proximal end and a distal end of the adaptor is generally aligned with a proximal and distal end of the balloon, respectively. Inflation of the balloon secures the hollow member against the balloon in such a manner that the characteristics of the hollow member are imparted to the balloon.