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公开(公告)号:US20110230707A1
公开(公告)日:2011-09-22
申请号:US13063319
申请日:2009-09-15
IPC分类号: A61F2/00
CPC分类号: A61F2/0045
摘要: A pelvic Implant system is provided. The system can include one or more implant devices (11) to treat incontinence and other pelvic floor disorders or dysfunctions. The system can include one or more implant devices having an extension portion (12) (e.g., mesh), one or more tip portions (14,16) (e.g., self-fixating tips), and one or more intermediate anchors (18a, 18b) disposed along the extension portion, intermediate the one or more tip portions. The intermediate anchors are shaped and sized for engagement with the internal pelvic tissue, with the extension portion in turn providing support for the corresponding pelvic tissue.
摘要翻译: 提供盆腔植入系统。 该系统可以包括一个或多个植入装置(11),用于治疗失禁和其他盆底疾病或功能障碍。 该系统可以包括一个或多个具有延伸部分(12)(例如网状物),一个或多个尖端部分(14,16)(例如自固定尖端)和一个或多个中间锚定件(18a, 18b)沿所述延伸部分设置,在所述一个或多个尖端部分的中间。 中间锚固件的形状和尺寸用于与内部骨盆组织接合,延伸部分依次为相应的盆腔组织提供支撑。
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公开(公告)号:US08968181B2
公开(公告)日:2015-03-03
申请号:US13060467
申请日:2009-08-25
申请人: Jessica L. Roll , Mona N. Dahdah , John F. Otte
发明人: Jessica L. Roll , Mona N. Dahdah , John F. Otte
IPC分类号: A61F2/00
CPC分类号: A61F2/0045 , A61B17/320016 , A61B17/3205 , A61B2017/00805 , A61F2/0063 , A61F2002/0072 , A61F2220/0016
摘要: Apparatus and methods are provided for treating urinary incontinence, fecal incontinence, and other pelvic defects or dysfunctions, in both males and females, using one or more lateral implants to reinforce the supportive tissue of the urethra. The implants are configured to engage and pull (e.g., pull up) pelvic tissue to cause the lateral sub-urethral tissue, such as the endopelvic fascia, to tighten and provide slack reduction for improved support. As such, certain embodiments of the implants can be utilized to eliminate the need for mesh or other supportive structures under the urethra that is common with other incontinence slings.
摘要翻译: 提供了使用一个或多个侧向植入物来加强尿道支持性组织的装置和方法,用于治疗男性和女性的尿失禁,大便失禁和其他盆腔缺陷或功能障碍。 植入物构造成接合并拉动(例如,拉起)盆腔组织以使外侧副尿道组织,例如内腹膜筋膜收紧并提供松弛减轻以改善支撑。 因此,可以利用植入物的某些实施例来消除对与其他失禁吊带相同的尿道下方的网状物或其它支撑结构的需要。
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公开(公告)号:US20140235932A1
公开(公告)日:2014-08-21
申请号:US14266791
申请日:2014-04-30
IPC分类号: A61F2/00
CPC分类号: A61F2/0045 , A61F2250/0002 , A61F2250/0007
摘要: Systems for providing support within the pelvic region of a patient. The systems can include an elongated incontinence sling having a central support portion adapted to be positioned to support any one of the urethra or anus, and a sling tension adjustment mechanism operatively attached to the elongated sling. The sling tension adjustment mechanism can include a plunger device adapted for traversal within an interior of the housing, and an inflatable bladder provided within the housing to selectively control traversal of the plunger. Alternatively, the adjustment mechanism can include a bobbin device within the housing and one or more retention devices to selectively restrict unwinding of a suture from the bobbin device.
摘要翻译: 用于在患者的骨盆区域内提供支撑的系统。 该系统可以包括具有适于定位成支撑尿道或肛门中的任何一个的中心支撑部分的伸长的失禁吊带,以及可操作地连接到细长吊带上的吊带张力调节机构。 吊带张力调节机构可以包括适于在壳体内部遍历的柱塞装置,以及设置在壳体内的可充气囊,以选择性地控制柱塞的穿越。 或者,调节机构可以包括壳体内的线轴装置和一个或多个保持装置,以选择性地限制缝合线从线轴装置的退绕。
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公开(公告)号:US08951185B2
公开(公告)日:2015-02-10
申请号:US12467634
申请日:2009-05-18
申请人: Jason W. Ogdahl , Brent A. Binkowski , Jose' W. Jimenez , Chaouki A. Khamis , Jessica L. Roll , Michelle L. Solari , John F. Otte , Mona N. Dahdah
发明人: Jason W. Ogdahl , Brent A. Binkowski , Jose' W. Jimenez , Chaouki A. Khamis , Jessica L. Roll , Michelle L. Solari , John F. Otte , Mona N. Dahdah
CPC分类号: A61F2/0063 , A61B17/0401 , A61B17/0485 , A61B17/3403 , A61B17/3468 , A61B2017/00805 , A61B2017/0409 , A61B2017/0412 , A61B2017/044 , A61B2017/0445 , A61B2017/0458 , A61B2017/22038 , A61F2/0045 , A61F2002/0072 , A61F2220/0016
摘要: An implant, insertion tool, combinations, and associated methods, that involve placement of a self-fixating tip at tissue of the pelvic region, wherein an insertion tool includes one or more of an aperture for engaging a guide and an extension guard, the method optionally allowing for initial placement of a self-fixating tip at tissue of the pelvic region and adjustment of the location of the self-fixating tip. A threading guide is provided to assist in threading the guide through the aperture. An anchor also provided to with a retaining member to retain the anchor in tissue.
摘要翻译: 一种植入物,插入工具,组合和相关联的方法,其涉及将自固定尖端放置在骨盆区域的组织处,其中插入工具包括用于接合引导件和延伸保护件的孔中的一个或多个,所述方法 任选地允许自固定尖端在骨盆区域的组织处的初始放置和自固定尖端的位置的调整。 提供穿线引导件以帮助引导件穿过孔径。 锚固件还提供有保持构件以将锚固件保持在组织中。
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公开(公告)号:US20090240104A1
公开(公告)日:2009-09-24
申请号:US12467634
申请日:2009-05-18
申请人: Jason W. Ogdahl , Brent A. Binkowski , Jose' W. Jimenez , Chaouki A. Khamis , Jessica L. Roll , Michelle L. Solari , John F. Otte , Mona N. Dahdah
发明人: Jason W. Ogdahl , Brent A. Binkowski , Jose' W. Jimenez , Chaouki A. Khamis , Jessica L. Roll , Michelle L. Solari , John F. Otte , Mona N. Dahdah
CPC分类号: A61F2/0063 , A61B17/0401 , A61B17/0485 , A61B17/3403 , A61B17/3468 , A61B2017/00805 , A61B2017/0409 , A61B2017/0412 , A61B2017/044 , A61B2017/0445 , A61B2017/0458 , A61B2017/22038 , A61F2/0045 , A61F2002/0072 , A61F2220/0016
摘要: An implant, insertion tool, combinations, and associated methods, that involve placement of a self-fixating tip at tissue of the pelvic region, wherein an insertion tool includes one or more of an aperture for engaging a guide and an extension guard, the method optionally allowing for initial placement of a self-fixating tip at tissue of the pelvic region and adjustment of the location of the self-fixating tip. A threading guide is provided to assist in threading the guide through the aperture. An anchor also provided to with a retaining member to retain the anchor in tissue.
摘要翻译: 一种植入物,插入工具,组合和相关联的方法,其涉及将自固定尖端放置在骨盆区域的组织处,其中插入工具包括用于接合引导件和延伸保护件的孔中的一个或多个,所述方法 任选地允许自固定尖端在骨盆区域的组织处的初始放置和自固定尖端的位置的调整。 提供穿线引导件以帮助引导件穿过孔径。 锚固件还提供有保持构件以将锚固件保持在组织中。
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公开(公告)号:US09492191B2
公开(公告)日:2016-11-15
申请号:US13566613
申请日:2012-08-03
申请人: Brian G. Fischer , Karl A. Jagger , Jason W. Ogdahl , Jeffrey M. O'Hern , John F. Otte , Jessica L. Roll , Andrew P. VanDeWeghe , Justin H. Huelman , Chaouki A. Khamis
发明人: Brian G. Fischer , Karl A. Jagger , Jason W. Ogdahl , Jeffrey M. O'Hern , John F. Otte , Jessica L. Roll , Andrew P. VanDeWeghe , Justin H. Huelman , Chaouki A. Khamis
IPC分类号: A61F2/02 , A61B17/32 , A61F2/00 , A61B17/3201 , A61B17/3205 , A61B17/00
CPC分类号: A61B17/320016 , A61B17/3201 , A61B17/32056 , A61B2017/00805 , A61B2017/32004 , A61F2/0045
摘要: Surgical procedures, systems, implants, devices, tools, and methods that are used for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue, adjusting the length of implant components, and cutting the implant to a desired length.
摘要翻译: 用于治疗男性或女性骨盆病症的外科手术,系统,植入物,装置,工具和方法,包括失禁的盆腔状况(各种形式,例如大便失禁,压力性尿失禁,急迫性尿失禁,混合性尿失禁等) ),阴道脱垂(包括各种形式,如肠套,囊肿,直肠,顶端或穹顶脱垂,子宫下垂等)和由肌肉和韧带无力引起的其他病症,装置和工具包括用于锚定的装置和工具 植入到组织中,调整植入物部件的长度,以及将植入物切割成所需长度。
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7.
公开(公告)号:US20110112357A1
公开(公告)日:2011-05-12
申请号:US12308436
申请日:2007-06-15
申请人: Kelly Ann Chapman , Richard Kaleta , Chaouki A. Khamis , Karen Pilney Montpetit , Jason Ogdahl , Jeffrey Michael O'Hern , John F. Otte , Jessica L. Roll , Steven James Wolfe
发明人: Kelly Ann Chapman , Richard Kaleta , Chaouki A. Khamis , Karen Pilney Montpetit , Jason Ogdahl , Jeffrey Michael O'Hern , John F. Otte , Jessica L. Roll , Steven James Wolfe
IPC分类号: A61F2/00
CPC分类号: A61F2/0045 , A61B17/0401 , A61B17/06109 , A61B17/064 , A61B17/068 , A61B2017/00805 , A61B2017/0412 , A61B2017/0435 , A61B2017/0437 , A61B2017/0488 , A61B2017/06009 , A61B2017/06019 , A61B2017/06042 , A61B2017/06176 , A61F2002/30537 , A61F2250/0004
摘要: Described are pelvic implants (e.g., urinary incontinence sling, hammock, etc.) that provide treatment for pelvic floor disorders such as incontinence, stress urinary incontinence, prolapse (e.g., cystocele, enterocele, rectocele, vault prolapse), fecal incontinence, and the like, wherein the implant involves the ability to adjust dimensions of an implant before, during, or after implantation. In a preferred embodiment the implant (680) comprises a support portion piece (682) and an extension portion piece (688, 690) adjustably connected to the support portion piece through a frictional adjusting element (696) comprising an aperture through which a segment of extension portion extends.
摘要翻译: 描述了提供盆底疾病如尿失禁,压力性尿失禁,脱垂(例如,囊肿,肠套,直肠角膜,穹窿脱垂),大便失禁的盆腔植入物(例如,尿失禁吊索,吊床等),以及 其中植入物涉及在植入之前,期间或之后调整植入物的尺寸的能力。 在优选实施例中,植入物(680)包括支撑部分片(682)和通过包括孔的可调节地连接到支撑部件的延伸部分片(688,690),摩擦调节元件(696) 延伸部分延伸。
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公开(公告)号:US20100256442A1
公开(公告)日:2010-10-07
申请号:US12223846
申请日:2007-02-16
申请人: Jason W. Ogdahl , Jessica L. Roll , Mona N. Dahdah , Robert E. Lund , John F. Otte , Karen Pilney Montpetit , Chaouki A. Khamis , Richard C. Kaleta , Kelly Ann Chapman , Jelica D. Wold
发明人: Jason W. Ogdahl , Jessica L. Roll , Mona N. Dahdah , Robert E. Lund , John F. Otte , Karen Pilney Montpetit , Chaouki A. Khamis , Richard C. Kaleta , Kelly Ann Chapman , Jelica D. Wold
IPC分类号: A61F2/02
CPC分类号: A61B17/3468 , A61B17/0401 , A61B17/06109 , A61B2017/00805 , A61B2017/0412 , A61B2017/0424 , A61B2017/0427 , A61B2017/0437 , A61B2017/0445 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/06042 , A61B2017/06176 , A61F2/0045 , A61F2/0063 , A61F2002/0072 , A61F2220/0016 , A61F2250/0007
摘要: A pelvic implant assembly (100) comprising a support portion (128) and an extension portion (124), a self-fixating tip (10, 120) connected to the extension portion, the self-fixating tip comprising a base (12) comprising a proximal base end (14) and a distal base end (16), the proximal base end being connected to the extension portion, the base comprising an internal channel (18) extending from the proximal base end and at least partially along a length of the base toward the distal base end, a fixed lateral extension (20) extending from the base.
摘要翻译: 一种包括支撑部分(128)和延伸部分(124)的骨盆植入物组件(100),连接到所述延伸部分的自固定尖端(10,120),所述自固定尖端包括基部(12),所述基部包括 近端基端(14)和远端基端(16),所述近端基端连接到所述延伸部分,所述基部包括内部通道(18),所述内部通道(18)从所述近端基端延伸并且至少部分地沿着所述近端基端 所述基部朝向所述远端基端,从所述基部延伸的固定侧向延伸部(20)。
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公开(公告)号:US09144426B2
公开(公告)日:2015-09-29
申请号:US12223846
申请日:2007-02-16
申请人: Jason W. Ogdahl , Jessica L. Roll , Mona N. Dahdah , Robert E. Lund , John F. Otte , Karen Pilney Montpetit , Chaouki A. Khamis , Richard C. Kaleta , Kelly Ann Chapman , Jelica D. Wold
发明人: Jason W. Ogdahl , Jessica L. Roll , Mona N. Dahdah , Robert E. Lund , John F. Otte , Karen Pilney Montpetit , Chaouki A. Khamis , Richard C. Kaleta , Kelly Ann Chapman , Jelica D. Wold
CPC分类号: A61B17/3468 , A61B17/0401 , A61B17/06109 , A61B2017/00805 , A61B2017/0412 , A61B2017/0424 , A61B2017/0427 , A61B2017/0437 , A61B2017/0445 , A61B2017/0454 , A61B2017/0458 , A61B2017/0464 , A61B2017/06042 , A61B2017/06176 , A61F2/0045 , A61F2/0063 , A61F2002/0072 , A61F2220/0016 , A61F2250/0007
摘要: A pelvic implant assembly (100) comprising a support portion (128) and an extension portion (124), a self-fixating tip (10, 120) connected to the extension portion, the self-fixating tip comprising a base (12) comprising a proximal base end (14) and a distal base end (16), the proximal base end being connected to the extension portion, the base comprising an internal channel (18) extending from the proximal base end and at least partially along a length of the base toward the distal base end, a fixed lateral extension (20) extending from the base.
摘要翻译: 一种包括支撑部分(128)和延伸部分(124)的骨盆植入物组件(100),连接到所述延伸部分的自固定尖端(10,120),所述自固定尖端包括基部(12),所述基部包括 近端基端(14)和远端基端(16),所述近端基端连接到所述延伸部分,所述基部包括内部通道(18),所述内部通道(18)从所述近端基端延伸并且至少部分地沿着所述近端基端 所述基部朝向所述远端基端,从所述基部延伸的固定侧向延伸部(20)。
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10.
公开(公告)号:US08834350B2
公开(公告)日:2014-09-16
申请号:US12308436
申请日:2007-06-15
申请人: Kelly Ann Chapman , Richard Kaleta , Chaouki A. Khamis , Karen Pilney Montpetit , Jason Ogdahl , Jeffrey Michael O'Hern , John F. Otte , Jessica L. Roll , Steven James Wolfe
发明人: Kelly Ann Chapman , Richard Kaleta , Chaouki A. Khamis , Karen Pilney Montpetit , Jason Ogdahl , Jeffrey Michael O'Hern , John F. Otte , Jessica L. Roll , Steven James Wolfe
IPC分类号: A61F2/00 , A61F13/00 , A61B17/06 , A61B17/04 , A61F2/30 , A61B17/064 , A61B17/068
CPC分类号: A61F2/0045 , A61B17/0401 , A61B17/06109 , A61B17/064 , A61B17/068 , A61B2017/00805 , A61B2017/0412 , A61B2017/0435 , A61B2017/0437 , A61B2017/0488 , A61B2017/06009 , A61B2017/06019 , A61B2017/06042 , A61B2017/06176 , A61F2002/30537 , A61F2250/0004
摘要: Described are pelvic implants (e.g., urinary incontinence sling, hammock, etc.) that provide treatment for pelvic floor disorders such as incontinence, stress urinary incontinence, prolapse (e.g., cystocele, enterocele, rectocele, vault prolapse), fecal incontinence, and the like, wherein the implant involves the ability to adjust dimensions of an implant before, during, or after implantation. In a preferred embodiment the implant (680) comprises a support portion piece (682) and an extension portion piece (688, 690) adjustably connected to the support portion piece through a frictional adjusting element (696) comprising an aperture through which a segment of extension portion extends.
摘要翻译: 描述了提供盆底疾病如尿失禁,压力性尿失禁,脱垂(例如,囊肿,肠套,直肠角膜,穹窿脱垂),大便失禁的盆腔植入物(例如,尿失禁吊索,吊床等),以及 其中植入物涉及在植入之前,期间或之后调整植入物的尺寸的能力。 在优选实施例中,植入物(680)包括支撑部分片(682)和通过包括孔的可调节地连接到支撑部件的延伸部分片(688,690),摩擦调节元件(696) 延伸部分延伸。
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