Abstract:
Embodiments of the invention are generally directed to a mechanical support (102) of a pelvic treatment apparatus (100) that is configured for implantation in the pelvic region of a patient for the purpose of treating a pelvic condition of the patient, such as urinary incontinence, fecal incontinence, sexual dysfunction, or other pelvic related condition. In some embodiments, the implantable mechanical support comprises a section of mesh (104) having a longitudinal axis (106) and at least one radiopaque mark (114) covering a subsection of the section of mesh. Additional embodiments are directed to methods of attaching an electrode lead (122) or an electrical lead (180) to the mechanical support subsequent to the implantation of the mechanical support using the radiopaque mark.
Abstract:
The present invention discloses an implant 10 for placement in the retropubic space of a patient. Novel methods and assemblies for use in conjunction with the implant are also described. The assemblies comprise at least one deployable member 56 for associating the implant with endopelvic fascia 15 of a retropublic space, and an inserter 80 that is sized and and shaped to associate the deployable member with endopelvic fascia.
Abstract:
The invention is directed to cell delivery devices for providing a cell composition to a tissue or organ in the pelvic area for the treatment of a pelvic disorder. In some arrangements, the device has a cell delivery conduit that includes a turbulence-inducing feature that introduces sheer forces in the flow of liquid composition through the conduit, resulting in reduced cell clumping and improved single state cell delivery to the target tissue. In other arrangements, the device has a microfluidics channel which provides a similar effect for cell delivery. The resulting cell delivery can provide improved seeding of cells at the target tissue or organ and an improved therapeutic effect.
Abstract:
An implantable electrode assembly (104) configured to deliver electrical stimulation signals to tissue of a patient includes an implantable mesh (108) comprising a plurality of electrically conductive wires (114). A plurality of electrodes (106) are fastened to the electrically conductive wires. The electrodes include a stimulation surface (134) and an electrically conductive path between the stimulation surface and the wire, to which the electrode is attached. In one embodiment, the plurality of electrodes each comprise first and second members (130, 132) that are fastened together around one of the electrically conductive wires.
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 (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.
Abstract:
Embodiments of the invention are directed to an electrode implantation tool that is designed to assist in the accurate implantation of one or more electrodes in tissue of a patient. One embodiment of the electrode implantation tool (130) comprises a catheter guide and introducer support (140), and catheter guide (142) and an introducer (144). The catheter guide and introducer support comprises a first alignment member (146), a second alignment member (148), and a body member (150) that is attached to the first and second alignment members. The body member fixes the relative orientations of the first and second alignment members. The catheter guide is supported by the first alignment member and comprises an elongate body (152) having a distal end (154) and a channel (156) that is aligned with a longitudinal axis (158). The introducer comprises a sheath (166) that is supported by the second alignment member. The sheath defines a longitudinal axis (168). The first and second alignment members orient the longitudinal axis of the sheath at a predetermined angle (184) to the longitudinal axis of the catheter guide.
Abstract:
A method for cystocele repair comprising the steps of: establishing four pathways in tissue around a bladder of a patient, introducing a strap into of said pathways, and positioning beneath said bladder of said patient a support member having each said strap connected thereto such that said bladder of said patient is supported by said support member and a bulge of said bladder into a vagina of said patient is reduced.