Adjustable Sling and Method of Treating Pelvic Conditions

Inactive Publication Date: 2009-10-15
AMS RES CORP
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0025]In still another embodiment, the external adjustment actuator is inserted percutaneously (penetrating the skin) to engage and operate the sling tension adjustment mechanism to increase or decrease the adjustment spacing. Various sling tension adjustment mechanisms are provided that can be rotated by the external adjustment actuator in one direction to draw the sling intermediate ends together to increase sling tension and that can be rotated in the other direction to allow the sling intermediate ends to separate apart to decrease sling tension.
[0026]In yet another embodiment, the external adjustment actuator is a syringe or the like that is inserted percutaneously to engage a port of a fluid retaining chamber of the sling tension adjustment mechanism, whereby th

Problems solved by technology

Such patients may also experience urge incontinence.
One tension adjustment complication arises from the fact that the loose weave sling mesh inherently stretches and elongates when tension is applied at the ends or central support

Method used

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  • Adjustable Sling and Method of Treating Pelvic Conditions
  • Adjustable Sling and Method of Treating Pelvic Conditions
  • Adjustable Sling and Method of Treating Pelvic Conditions

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Embodiment Construction

[0085]The various embodiments of the present invention are implemented in slings suitable for and methods of implanting such slings in the treatment of male and female urinary and fecal incontinence and to effect pelvic floor, perineal floor, and pelvic proplapse repairs employing a variety of surgical approaches. For example, female pelvic floor repair slings may be implanted by techniques that involve transvaginal, transobturator, suprapubic, pre-pubic, or transperineal exposures or pathways, and male urinary incontinence slings may be implanted by techniques that involve transobturator, suprapubic, or transperineal pathways. Any of the disclosed embodiments can be used as fecal incontinence slings which may be implanted by techniques that involve transvaginal, transobturator, suprapubic or via perineal floor pathways. In fecal incontinence applications, the disclosed embodiments can be used to correct the anorectal angle in the rectum to re-establish continence in patients. The a...

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Abstract

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.

Description

RELATED APPLICATIONS[0001]This application is a Continuation-In-Part of U.S. patent application Ser. No. 12 / 305,874 filed Dec. 19, 2008, which claims priority to PCT Application No. PCT / US2007 / 014533 filed Jun. 22, 2007, which in turn claims priority to U.S. Provisional Application Ser. No. 60 / 805,544 filed Jun. 22, 2006 and U.S. Provisional Application Ser. No. 60 / 806,664 filed Jul. 6, 2006; this application also claims priority to and the benefit of U.S. Provisional Application Ser. No. 61 / 054,011 filed May 16, 2008 and U.S. Provisional Application Ser. No. 61 / 054,050 filed May 16, 2008; whereby the entire contents of each of the above-identified applications and disclosures are incorporated herein by reference.TECHNICAL FIELD OF THE INVENTION[0002]The present invention pertains to improved methods and apparatus providing support to a portion of the urethra, rectum or anus to alleviate urinary or fecal incontinence and, particularly, to elongated slings having mechanisms for selec...

Claims

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Application Information

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IPC IPC(8): A61F2/02
CPCA61F2/0045A61F2250/0007A61F2250/0002
Inventor OGDAHL, JASON W.LUND, ROBERT E.ROLL, JESSICA L.CHAPMAN, KELLY ANNOTTE, JOHN FRITZ
Owner AMS RES CORP
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