153 results about "Pubic bones" patented technology

An acetabular prosthesis having an outer member for engaging the acetabulum. The outer member has a part-spherical bearing surface terminating in a distal rim. The rim has a contour such that the portion thereof to be located between the ischium and the pubis extends distally further from an equator of the bearing surface than the contour to be implanted between the pubis and the illium and between the ischium and the illium.

The invention relates to a surgical instrument and a method for treating female urinary incontinence. A tape or mesh is permanently implanted into the body as a support for the urethra. In one embodiment, portions of the tape comprise tissue growth factors and adhesive bonding means for attaching portions of the tape to the pubic bone. In a further embodiment, portions of the tape comprise attachment means for fastening portions of the tape to fascia within the pelvic cavity. In both embodiments the tape is implanted with a single incision through the vaginal wall.

The present invention provides a surgical implant and method for supporting the urethra where the implant includes a suburethral support suspended between two soft tissue anchors. The surgical implant is introduced into at least one incision made on the upper wall of a vagina with the first soft tissue anchor inserted on a first side of the urethra behind the pubic bone, and the second soft tissue anchor inserted on a second side of the urethra behind the pubic bone, such that the suburethral support is suspended from the soft tissue anchors and supports the urethra. Each of the first and second soft tissue anchors are inserted in, and fix in, the soft tissue of the perineum without penetrating the obturator foramen.

Systems and methods treat urologic dysfunctions by implanting a lead and electrode in a tissue region affecting urologic function, and coupling the lead to an external pulse generator. If desired results are achieved, the external pulse generator is removed and an implantable pulse generator is implanted in an anterior pelvic region remote from the electrode. Bilateral stimulation of the left and / or right branches of the dorsal genital nerves using a single lead implanted in adipose or other tissue in the region at or near the pubic symphysis is able to treat urologic dysfunctions.

Surgical implants operative to simultaneously function as a pubovaginal sling for the treatment of incontinence and as a support member to effectuate cystocele repair. The implant comprises a first sling portion operative to be positioned beneath the urethra, per conventional pubovaginal sling surgery. The implant further includes a second bladder support portion extending from the sling support portion that is oriented to extend beneath and be surgically attached to a portion of the bladder to thus enable the same to be supported to a degree necessary to effectuate cystocele repair. The implant may be fabricated from a unitary piece of harvested tissue, synthetic material or combinations thereof. Preferably, the sling portion of the implant is fabricated from a synthetic material whereas the bladder support portion of the implant comprises a segment of harvested tissue sewn to the sling portion.

The invention relates to a surgical instrument and a method for treating female urinary incontinence. A tape or mesh is permanently implanted into the body as a support for the urethra. In one embodiment, portions of the tape comprise tissue growth factors and adhesive bonding means for attaching portions of the tape to the pubic bone. In a further embodiment, portions of the tape comprise attachment means for fastening portions of the tape to fascia within the pelvic cavity. In both embodiments the tape is implanted with a single incision through the vaginal wall.

Improved methods and apparatus to secure a urethral sling to pubic bone in a sub-urethral location to support the urethra and alleviate incontinence are disclosed. The urethral sling is preferably formed of a flexible sheet material extending between opposed first and second sling ends and bounded by opposed first and second sling sides. The urethral sling is selectively tensioned in a central portion intermediate the first and second sling ends and / or in one or both of end portions bracketing the central portion. In one embodiment, pre-positioned plicating lines in the central portion are selectively drawn and tied to slacken the central portion and tension the end portions. In further embodiments, bone anchor lines passed through locations displaced from the sling ends are drawn and fixed to tension the central portion between the displaced locations and slacken the end portions.

The present invention relates to apparatus and methods for treatment of male incontinence and a method for female cystocele repair in which a sling material is positioned between the descending rami of the pubic bone. In such an operation a "hammock-like" sling material is positioned below the urethra in males, or below the posterior bladder wall in the case of cystocele in females.

A device and method of using the device to assist in inserting a catheter in a female. The device includes a main body portion configured to be placed adjacent the pubic bone of a female, a pair of legs extending downwardly from the main body portion, a slot located between the legs, and a flange extending longitudinally along each of the legs. The flanges may extend along inner sides of the legs adjacent the slot. The device may also include a catheter guide formed at the upper end of the slot. The catheter guide may include a curved surface that extends along a portion of the main body member and each of the legs. The device may further include a gripping portion at an upper end of the main body. In one embodiment, the main body defines a plane, and the legs extend outwardly at an angle to the plane. A portion of the flanges may extend substantially transverse to the plane defined by the main body.

The invention concerns an implantable prosthesis (1) for the treatment of incontinence, comprising a retaining means (2) having a support element (3) designed to be placed under the urethra (U) and to prevent any uncontrolled intraurethral flow, said prosthesis being characterized in that it comprises an atraumatic suspension means (4) provided with at least one bearing element (5) arranged so as to overlap part of the pubic bone (OP) and to rest on the latter, and at least one sling (6, 7) connecting said bearing element (5) to the retaining means (2), said sling (6, 7) being designed to hold the support element (3) at a substantially constant distance from the public bone (OP), called the retaining distance (do), a means (20) for reversibly adjusting the retaining distance (do), thus making it possible to reversibly vary said retaining distance (do). The prosthesis is used to treat incontinence.

Surgical implants operative to simultaneously function as a pubovaginal sling for the treatment of incontinence and as a support member to effectuate cystocele repair. The implant comprises a first sling portion operative to be positioned beneath the urethra, per conventional pubovaginal sling surgery. The implant further includes a second bladder support portion extending from the sling support portion that is oriented to extend beneath and be surgically attached to a portion of the bladder to thus enable the same to be supported to a degree necessary to effectuate cystocele repair. The implant may be fabricated from a unitary piece of harvested tissue, synthetic material or combinations thereof. Preferably, the sling portion of the implant is fabricated from a synthetic material whereas the bladder support portion of the implant comprises a segment of harvested tissue sewn to the sling portion.

The improved positioning device, for use in hip, pelvis or bariatric surgery, securely and safely supports a morbidly obese patient lying in the lateral decubitus position at one side of an operating table so the surgeon may stand close to the anterior side of the patient. The support device includes a double-ended bracket having a pair of oppositely positioned padded end portions secured to an angular bracket post adapted to securely mount to an operating table via a question mark-shaped bracket. The angular bracket arm vertically adjusts to support the patient on one side, with the padded end portions applied to bony prominences such as the symphysis pubis and the lower side anterior superior iliac spine. The support device is used in combination with a posterior pelvic support plate, and a pair of anterior-posterior chest support plates to retain the patient in a secure and stable manner during surgery.

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.

The present invention relates to athletic support garment having a support panel sized and shaped to encircle a person's waist or hips, and a crotch panel, the support panel having a front side, back side, top edge and bottom edge, the crotch panel having a front seamless portion sized and shaped to contain a person's genitals, a rear portion sized and shaped to cover the space between the buttocks but not restrict or impede movement of the person's legs and a strap portion joining the front portion and rear portion of the crotch panel, a first end of the crotch panel attached to the front side of the bottom edge of the support panel and a second end of the crotch panel attached to the rear side of the bottom edge of the support panel; wherein the support panel and crotch panel are formed from a fabric comprising a blend of a synthetic fiber and at least 10% of a stretchable fiber wherein the tensile strength of the fabric is sufficient to hold the genitals on top of and against the pubic bone above the crotch when in use.

An implantable sling for the treatment of male incontinence and method of implementing the same. The sling comprises a urethral support portion and at least one anchoring portion extending therefrom. The anchoring portion is operatively positioned through the obturator foramen and about at least one ramus portion of the pelvis such that the support portion of the implant is operatively positioned at or distal to the bulbar urethra to treat urinary incontinence. In a preferred embodiment, the implant will have first and second anchoring portions extending from the support portion with each respective one of said anchoring portions being operative to be secured about dedicated ones of the patient's pubic ramus. The implants may further be fabricated from tissues, synthetic materials or combinations thereof.

An apparatus is provided with: a bone region extracting section for extracting bone regions representing bones of a subject within a plurality of axial tomographic images obtained from a three dimensional image representing a portion of the subject from the vicinity of the upper end of the liver to the vicinity of the pubic symphysis; a bone boundary point detecting section for detecting a plurality of bone boundary points representing the boundaries between the detected bone regions and regions positioned toward the interiors of the bone regions within the plurality of axial tomographic images; and an abdominal cavity region extracting section for estimating curved surfaces within the three dimensional image that substantially contact the interiors of the plurality of bone boundary points detected in each of the plurality of axial tomographic images, and for extracting a region surrounded by the curved surfaces as a three dimensional abdominal cavity region.

An acetabular prosthesis having an outer member for engaging the acetabulum. The outer member has a part-spherical bearing surface terminating in a distal rim. The rim has a contour such that the portion thereof to be located between the ischium and the pubis extends distally further from an equator of the bearing surface than the contour to be implanted between the pubis and the illium and between the ischium and the illium.

The invention relates to medical engineering, in particular to exiting and attaining a woman orgasm. The invention consists of a stimulating element in the form of a strip having a relief surface, a connecting ring wearable on a coronal sulcus of a glans penis, a tension device and a method for stimulating erogenic zones of a woman during a coition. One end of the stimulating element is fixed to the coronal sulcus of a glans penis and the other end is connected to the tension device. During frictions, the stimulating element envelops a woman's pubic bone, reciprocatively moves and continuously touches the woman erogenic zones in the clitoris area, thereby exiting and additionally stimulating the clitoris. The aim of said invention is to amplify the sex sensation of a woman and to facilitate the orgasm.

A floor seat providing a pair of sitting-bone supports, a pelvic-floor support extending between. the sitting-bone supports at substantially the same level, a coccyx indent behind the pelvic-floor support, a heel indent in front of the pelvic-floor support, and a forward incline, which provide positioning, cushioning, insulation, and the proper amount of supporting pressure or absence of pressure appropriate to the sitting bones, the pelvic floor, and the coccyx, and room for proper placement of the feet, for persons sitting on a floor, particularly though not exclusively in the practice of yoga, and optionally a pubic-bone positioner to aid in positioning and posture, and thigh supports.

A U shaped spring designed to accommodate a long resistance path, designed to provide for a large leg squeezing area so that large squeezing resistance may be applied without excessive inner leg pressure, designed to facilitate incremental and great increases of resistance and, designed to employ an arm restraint so that initial movement through the first half of the range of movement will be against substantial and beneficial resistance. The U shaped spring for strengthening the pubococeygeus muscle when squeezed between the upper legs comprises: a resilient strip bent into and held in a U shape, said U shape having spaced opposite arms extending in a same direction, and a central portion connecting the opposite arms; and, an arm restraint extending between the spaced opposite arms holding and preventing the arms from resiliently springing apart beyond their spaced configuration. The arm restraint is generally under a substantial tension load, and is unloaded only when the arms of the U shaped spring are squeezed together between the upper legs thereby strengthening the pubococeygeus muscle. In a preferred aspect of this invention the strip comprises sheet steel and the arm restraint comprises a wire rope extending between and through holes in the opposite arms.

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.

The invention relates to an apparatus for cutting free of at least a part of a tenderloin in a suspended half-carcass. The apparatus comprises a fixture (1) having a pubic bone catch (2) for positioning and support of the half-carcass by the pubic bone thereof. Further the apparatus comprises a cutting device (7) having a sharp edge (9) curving transversely to the edge (9), and a moving device for the cutting device (7) for moving the cutting device (7) with the sharp edge (9) foremost during cutting free of at least a part of the tenderloin in a half-carcass positioned in the pubic bone catch. Moreover, the invention relates to a fixture for a half-carcass or a hindquarters thereof, a pubic bone catch (2) for use in the above apparatus, a cutting device, and a method for cutting free of at least a part of a tenderloin in a suspended half-carcass.

Improved methods and apparatus to secure a urethral sling to pubic bone in a sub-urethral location to support the urethra and alleviate incontinence are disclosed. The urethral sling is preferably formed of a flexible sheet material extending between opposed first and second sling ends and bounded by opposed first and second sling sides. The urethral sling is selectively tensioned in a central portion intermediate the first and second sling ends and / or in one or both of end portions bracketing the central portion. In one embodiment, pre-positioned plicating lines in the central portion are selectively drawn and tied to slacken the central portion and tension the end portions. In further embodiments, bone anchor lines passed through locations displaced from the sling ends are drawn and fixed to tension the central portion between the displaced locations and slacken the end portions.

The implants of the invention relate to improved implants formed using additive manufacturing techniques, the implants including a hemispherical cup portion, and an ischium flange, a pubic ramus flange and an ilium flange, each flange extending outwardly from the perimeter of the hemispherical cup portion, wherein the implant surface includes an area of integrally formed three dimensional scaffold on the bone apposition surfaces of the cup portion and on a bone apposition surface of at least one of the flanges of the implant. The invention also relates to implants with different surface texture and alignment features, together with methods for the manufacture of patient-specific implants of the invention.

The opening area of the vagina contains most of its nerve endings; this area is generally much more sensitive to pressure than the inner two-thirds of the vagina. This portion of the vagina is also more constricted than the inner two-third of the vaginal area. When dilated, such as during a vaginal examination, pressure on and near the vaginal opening may increase pressure upon the adjacent urethral opening and the pubic bone, causing increased discomfort without providing additional expansion of the area. The middle area of the vagina is more dilatable, has fewer nerve endings, and more readily deforms when pressure is applied. The disclosed speculum is intended to place little pressure on the somewhat constricted vaginal opening and allow for increased expansion through the middle area, resulting in less discomfort to the patient during examination and maximized viewing area. A speculum and method of use are disclosed. Embodiments of speculum include upper and lower speculum blades. The upper blade may include a relatively wide paddle portion configured to provide a vaginal opening support surface when the speculum is in an open orientation. Another embodiment may include an upper speculum blade with a proximal portion located near the speculum handle which is stepped downward from a distal portion. The proximal portion preferably is configured to expand the vaginal opening less, while distal portion is configured to provide increased dilation or expansion to the vaginal middle area.

The invention relates to a surgical instrument and a method for treating female urinary incontinence. The instrument comprises a handle mechanism and one or two curved needle-like elements which are connected at opposite ends of the tape, which is implanted into the body. These elements can be connected one at the time with the handle and are intended to pass into the body via the vagina, each needle-like element being dimensioned to extend from the inside of the vaginal wall, under the pubic bone and to the outside of the abdominal wall. When practicing the method he tape is passed into the body via the vagina first at one end and then at the other end at one side and the other, respectively, of the urethra to form a loop around urethra, located between urethra and the vaginal wall. The tape is extended under the pubis and through the abdominal wall and adjusted. The tape ends are cut at the abdominal wall, and the tape is left implanted in the body.

Provided is an implantable sling for supporting a body organ. The sling may be used, for example, as a urethral sling, a puborectal sling or a surgical mesh for pelvic organ prolapsed repair. The sling of the invention has a first sling element, having a first sling body and two or more slender first projections extending from the first sling body. The sling may further include a second sling element having a second sling body and two or more slender second projections extending from the second sling body, and one or more detachable connections connecting the first sling element and the second sling element. In some embodiments, the connections are configured to tear when the first and second sling elements are pulled apart.

The invention relates to medical engineering, in particular to exiting and attaining a woman orgasm. The invention consists of a stimulating element in the form of a strip having a relief surface, a connecting ring wearable on a coronal sulcus of a glans penis, a tension device and a method for stimulating erogenic zones of a woman during a coition. One end of the stimulating element is fixed to the coronal sulcus of a glans penis and the other end is connected to the tension device. During frictions, the stimulating element envelops a woman's pubic bone, reciprocatively moves and continuously touches the woman erogenic zones in the clitoris area, thereby exiting and additionally stimulating the clitoris. The aim of said invention is to amplify the sex sensation of a woman and to facilitate the orgasm.