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公开(公告)号：US09539433B1
公开(公告)日：2017-01-10
申请号：US12406434
申请日：2009-03-18
CPC分类号： A61N1/38 , A61N1/0512 , A61N1/0514 , A61N1/36007
摘要： In a method of implanting an electrode of an electronic stimulator device into a pelvic floor muscular structure of a patient, a stimulation lead having a proximal end and a distal end comprising an electrode is provided. The distal end of the stimulation lead is fed along a path, which is adjacent the pubic symphysis of a patient, toward a pelvic floor muscular structure of the patient. The distal end of the stimulation lead is then fed into the pelvic floor muscular structure of the patient. In one embodiment, the pelvic floor muscular structure comprises the external urinary sphincter of the patient. In accordance with other embodiments, the pelvic floor muscular structure comprises one of the external anal sphincter, the levator ani muscle, the puborectalis sling muscle and prostate tissue.
摘要翻译： 在将电子刺激器装置的电极植入到患者的盆底肌肉结构中的方法中，提供具有近端和包括电极的远端的刺激引线。 刺激引线的远端沿着与病人的耻骨联合相邻的路径朝向患者的盆底肌肉结构进给。 然后将刺激引线的远端进入患者的盆底肌肉结构。 在一个实施例中，骨盆底肌肉结构包括患者的外部尿道括约肌。 根据其他实施例，骨盆底肌肉结构包括外肛门括约肌，提肌肛肌，耻骨直肠垂体肌和前列腺组织之一。
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2.发明授权Implants with absorbable and non-absorbable features for the treatment of female pelvic conditions 有权植入物具有可吸收和不吸收的特征，用于治疗女性盆腔病症公开(公告)号：US09468512B2
公开(公告)日：2016-10-18
申请号：US13877695
申请日：2011-10-06
CPC分类号： A61F2/0045 , A61F2/0063 , A61F2002/0068 , A61F2002/0072 , A61F2210/0076 , A61F2250/0031 , A61F2250/0067 , A61L31/048 , A61L31/14 , A61L31/148 , A61L31/16 , A61L2400/18 , A61L2420/00 , C08L23/06
摘要： Described are methods, devices, and systems related to implants for the treatment of a female pelvic condition. The implants include absorbable and non-absorbable materials and can be introduced into the pelvic area transvaginally. Meshes of the invention provide benefits relating to improved tissue integration into the mesh, reduced infection likelihood, improved patient comfort following implantation, or combinations of thereof.
摘要翻译： 描述了与用于治疗女性盆腔病症的植入物相关的方法，装置和系统。 植入物包括可吸收和不可吸收的材料，并可经阴道引入骨盆区域。 本发明的网格提供了与改进的组织整合到网中有关的益处，降低的感染可能性，植入后改善的患者舒适度或其组合。
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公开(公告)号：US09414903B2
公开(公告)日：2016-08-16
申请号：US13556167
申请日：2012-07-23
CPC分类号： A61F2/0045 , A61B17/0401 , A61B17/3468 , A61B2017/00805 , A61B2017/00867 , A61B2017/0409 , A61B2017/0412 , A61B2017/0417 , A61B2017/0464 , A61B2017/0496 , A61B2017/06052 , A61B2017/06176 , A61F2/0036 , A61F2210/0014 , A61F2220/0016
摘要： Systems and methods are provided and adapted to engage and pull (e.g., pull up) or reposition paraurethral support tissue, such as the perineal membrane. The perineal membrane intersects the urethra and vagina at the midurethra or distal location and can thus be stabilized or controlled in a manner that helps restore continence. As such, 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： 系统和方法被提供并适于接合和拉动（例如拉起）或重新定位尿道支持组织，例如会阴膜。 会阴膜在尿道或远端位置与尿道和阴道相交，因此可以以有助于恢复控制的方式稳定或控制。 因此，可以利用植入物来消除在与其他失禁吊索相同的尿道下的网状物或其他支撑结构的需要。
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公开(公告)号：US09763764B2
公开(公告)日：2017-09-19
申请号：US14164462
申请日：2014-01-27
发明人： S. Robert Kovac , James E. Cox
IPC分类号： A61F2/00
CPC分类号： A61F2/0045 , A61F2/0036
摘要： Described are methods and devices useful for supporting posterior vaginal tissue for various purposes such as treating or preventing vaginal prolapse or enterocele, especially in a patient not having a uterus, the devices including implants designed to contact the vaginal cuff and connect to sacral anatomy such as the sacrum or the uterosacral ligaments.
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公开(公告)号：US09433487B2
公开(公告)日：2016-09-06
申请号：US14518159
申请日：2014-10-20
IPC分类号： A61F2/00 , A61B17/04 , A61B17/06 , A61B17/30 , A61B17/3211 , A61B17/00 , A61B17/32 , A61F2/30
CPC分类号： A61F2/0045 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/06066 , A61B17/06109 , A61B17/30 , A61B17/3211 , A61B50/30 , A61B90/02 , A61B2017/00805 , A61B2017/00946 , A61B2017/0417 , A61B2017/06009 , A61B2017/06076 , A61B2017/320056 , A61F2002/30708 , A61F2250/0084 , Y10S128/25
摘要： A surgical instrument for treating incontinence includes a handle portion elongate along a handle axis and a needle portion connected to the handle portion. The needle portion has a spacer portion along the handle axis, and has a distal end. The needle portion includes a substantially helical portion that is a variable spiral portion, extending from the straight spacer portion. The variable spiral portion is sized and shaped to extend from an incision substantially adjacent the patient's obturator foramen through the obturator foramen along a path in a region between the superior pubic ramus and the inferior pubic ramus. The needle portion has a structure near the distal end that associates the instrument with an implantable material configured to treat incontinence.
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公开(公告)号：US09427573B2
公开(公告)日：2016-08-30
申请号：US13167541
申请日：2011-06-23
CPC分类号： A61N1/0558 , A61N1/36007 , A61N1/3606
摘要： One embodiment of an electrode lead comprises a lead body, at least one electrode at a distal end of the lead body, an actuatable member and at least one anchor wire. The actuatable member is positioned within a lumen of the lead body. The at least one anchor wire has a proximal end that is attached to the actuatable member. Movement of the actuatable member relative to the lead body moves the at least one anchor wire through at least one opening in the lead body.
摘要翻译： 电极引线的一个实施例包括引线主体，在引线主体的远端处的至少一个电极，可致动部件和至少一个锚丝。 可致动构件位于引线体的内腔内。 所述至少一个锚线具有附接到可致动构件的近端。 可致动构件相对于引导体的移动使至少一个锚定线穿过引线主体中的至少一个开口。
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公开(公告)号：US09345473B2
公开(公告)日：2016-05-24
申请号：US13520125
申请日：2010-12-30
申请人： Brian G. Fisher
发明人： Brian G. Fisher
CPC分类号： A61F2/0045 , A61B17/06109 , A61B17/3468 , A61B17/3496 , A61B2017/00805 , A61B2017/06042
摘要： Various embodiments of sling or implant systems are provided. The sling or implant systems can be employed to treat incontinence, prolapse, and like conditions. A needle delivery device can be included, wherein the delivery device includes a needle and a rotatable sheath. The rotatable sheath can rotate upon actuation relative to the needle to selectively deploy or disengage an implant anchor from the distal end of the needle.
摘要翻译： 提供了吊索或植入系统的各种实施例。 吊索或植入系统可用于治疗失禁，脱垂等条件。 可以包括针输送装置，其中输送装置包括针和可旋转护套。 可转动的护套可以在相对于针的致动时旋转，以选择性地将植入物锚固件从针的远端展开或脱离。
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公开(公告)号：US09265927B2
公开(公告)日：2016-02-23
申请号：US14342592
申请日：2012-09-06
CPC分类号： A61N1/36017 , A61N1/0456 , A61N1/0484 , A61N1/36007 , A61N1/36021 , A61N1/36071 , A61N1/36157 , A61N1/372 , A61N1/378
摘要： A stimulation therapy device provides an electrical stimulation therapy to branches of the tibial nerve of a patient. The device comprises a support member configured to be worn around the ankle or foot of the patient, first and second pairs of electrodes attached to the support member, and a stimulation circuit attached to the support member. The stimulation circuit is configured to deliver electrical stimulation pulses through the first and second pairs of electrodes.
摘要翻译： 刺激治疗装置为患者的胫神经的分支提供电刺激治疗。 该装置包括构造成围绕患者的踝或脚佩戴的支撑构件，附接到支撑构件的第一和第二对电极以及附接到支撑构件的刺激电路。 刺激电路被配置为通过第一和第二对电极传送电刺激脉冲。
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公开(公告)号：US10912635B2
公开(公告)日：2021-02-09
申请号：US16253208
申请日：2019-01-21
发明人： Georges Mellier
摘要： Surgical instruments for pelvic repair can include straight portions and helical portions. Surgical methods for treating prolapse and other pelvic disorders can include passing a distal end region of the surgical instruments through pelvic tissue, associating an implant with the surgical instruments, and securing the implant in place to stabilize the vagina.
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公开(公告)号：US09987113B2
公开(公告)日：2018-06-05
申请号：US14967730
申请日：2015-12-14
CPC分类号： A61F2/0045 , A61B17/00234 , A61B17/0401 , A61B17/06109 , A61B2017/00805 , A61F2/0036 , A61F2/0063 , A61F2002/0072 , A61F2230/006 , A61F2250/0012 , A61F2250/0059 , A61F2250/0078
摘要： An implantable article and method are disclosed for treating pelvic floor disorders such as vaginal vault prolase. A surgical kit useful for performing a surgical procedure such as a sacral colpopexy is also described.
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