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Publication numberUS3580313 A
Publication typeGrant
Publication dateMay 25, 1971
Filing dateJan 7, 1969
Priority dateJan 7, 1969
Publication numberUS 3580313 A, US 3580313A, US-A-3580313, US3580313 A, US3580313A
InventorsMcknight Charles Allen
Original AssigneeMcknight Charles A
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Surgical instrument
US 3580313 A
Abstract  available in
Images(1)
Previous page
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Claims  available in
Description  (OCR text may contain errors)

United States Patent 1 3,580,313

[72] lnventor Charles Allen McKnight 1,213,334 1/1917 Chapman 145/46 2914 Painted Valley Drive, Little Rock, 2,323,362 7/1943 85/49X Ark. 72207 2,638,092 5/1953 145/46X [2]] Appl. No. 789,474 2,789,558 4/1957 145/46X [22] Filed Jan. 7,1969 3,236,142 2/1966 Bradway 85/49 [45] Patented M35125 1971 Primary Examiner-Granville Y Custer, Jr.

Att0rneyCharles B. Haverstock [54] SURGICAL INSTRUMENT 13 Claims, 7 Drawing Figs.

[52] U.S.Cl 145/46 [51] Int.Cl B25c3/00 [50] Field of Search 227/19,

140, 156; 145/46; 235/49 ABSTRACT: A surgical instrument including particularly a stapling-type instrument for attaching or anchoring fleshy [56] References Cited parts of the body to adjacent bone structure including means UNITED STATES PATENTS to facilitate such attachments in areas of the body that are 1,201,559 10/ 19 1 6 Columbia 85/49 relatively inaccessible and difficult to operate in.

SURGICAL INSTRUMENT It has been found that certain types of medical conditions can be helped by attaching fleshy portions of the body to the adjacent bone structure. This is especially true of certain kinds of conditions including particularly conditions that occur in females as an after effect of childbearing such as stress incontinence and for certain types of congenital defects, and for some conditions that result from certain types of injuries as well. Stress incontinence is one of those conditions that may occur in females after they have passed their childbearing years, particularly when they have had a number of children. Such females develop a condition where the bladder tends to sag and move away from its normal position against the interior pubic bones causing urine leakage, discomfort and embarrassment and in some instances infections of the urinary tract may also develop. In the past, these stress incontinence conditions have been relieved to some extent and with varying degrees of success by anterior vaginal repairs where meticulous attention is paid to the repair of the supports at the neck of he bladder. Special surgical procedures have also been devised, each having the common purpose of elevating the bladder neck and creating a suitable vesicourethral angle. These procedures are difficult and time consuming to perform and often have included the construction of a fascia! sling or other vesicourethral suspension means. Such procedures may involve danger to some patients and are further complicated by the fact that they must be performed in areas or cavities of the body where space and access are extremely limited.

The present invention which is useful, among other things to correct stress incontinence is embodied in a relatively simple and easy to use instrument which is constructed so that it can be accurately controlled and manipulated for locating and forcing staples through body tissues into the adjacent bone structure to anchor the flesh thereto even in areas of limited space such as from a position that is accessible by entry through the mouth or other portion of the female vagina. The subject instrument is designed so that it can be used by a surgeon or other person to staple flesh to bone structure in places where it is inconvenient or impossible to see the operation as it is being performed and where the surgeon must rely on locating the parts including the body parts and the anchoring means by feel along. To this end the subject device includes means for supporting a fastener such as a staple or staplelike device while aiming or locating it in position to be driven, and means on the instrument by which controllable force can be brought to bear on the staple to drive it into a final fixed position in a patients bone structure to anchor adjacent flesh thereto. In an actual operation this may include stapling tissue across a sagging portion of a bladder adjacent to the urethral orifice in a female to elevate the posterior urethra and to maintain the neck of the bladder in a normal or neafly normal position against the pubic bones. The present invention enables this type of repair to be accomplished in a minimum of time and with minimum of pain and expense to the patient. The operation is also relatively easy to perform especially when compared to other known operations and procedures used to correct the same condition. Furthermore, the results of tests using the present device and procedure indicates a relatively high possibility for success. It is also noteworthy that the subject instruments are relatively simple to make and use, they preferably have no moving parts, they are easily cleaned and sterilized, and relatively little training is required to master their use. Furthermore, a minimum of advanced preparation is required by the surgeon using the subject instrument thereby simplifying the surgical procedures and reducing the discomfort to the patient. Although the subject invention has special application for performing the above type of repair, it is anticipated that it will also have many other uses and applications including any application where it is desired to perform stapling operations in limited access and out-ofsight areas as for example in making rectal and genital repairs, organ transplants, and cosmetic repairs to name a few.

It is therefore a principal object of the present invention to provide simple and easy to operate means for attaching or anchoring tissue to adjacent bone structure.

Another important object is to provide means for attaching flesh to bone structure by a stapling operation.

Another object is to provide a stapling-type surgical instrument that is constructed to be used in relatively inaccessible regions of the body.

Another object is to provide means by which it is possible to accurately locate and seat a staple in bone structure or the like without being able to see to locate and drive the staple.

Another object is to provide a relatively simple and inexpensive one-piece surgical stapling instrument.

Another object is to provide similar one-piece instruments for locating and initially seating a staple and for thereafter completing the driving of the staple or staplelike device to a predetermined depth into a bone structure particularly at a location that is not readily accessible or visible to the one performing the stapling operations.

Another object is to provide a staplelike fastener particularly constructed to be used to fasten flesh to adjacent bone structure.

Another object is to provide a surgical instrument which requires relatively little training and skill to use.

Another object is to provide a surgical instrument that is relatively easy to clean and sterilize.

Another object is to simplify the surgical procedure necessary for relieving or curing stress incontinence and like conditions.

These and other objects and advantages of the present invention will become apparent after considering the following detailed specification which covers several preferred embodiments thereof in conjunction with the accompanying drawings, wherein:

FIG. I is a perspective view of a surgical instrument constructed according to the teachings of the present invention;

FIG. 2 is an enlarged top view of the head portion of the instrument of FIG. 1;

FIG. 3 is an enlarged cross-sectional view of the head portion of the subject instrument taken on line 33 of FIG. 2, said head portion being shown with a staple positioned therein;

FIG. 4 is a cross-sectional view taken on line 4-4 of FIG. 2 and showing the subject device in operative position after a staple has been driven into bone structure;

FIG. 5 is an enlarged side view showing an unstressed staple for use with the instrument of FIGS. 1-4;

FIG. 6 is an enlarged top view similar to FIG. 2 but showing a modified form of the subject instrument; and,

FIG. 7 is a view showing the subject instrument in operative position extending part way into a female vagina after preliminary surgical preparations have been made, said instrument shown being used to attach a portion of the paraurethral fibrous tissue to the adjacent posterior aspect of the pubic bone to support the bladder and urethra in positions to overcome or cure a condition of stress incontinence.

Referring to the drawing more particularly by reference numbers, number 10 refers to a surgical instrument constructed according to the teachings of the present invention. The instrument 10 can be constructed from any of a number of materials and is preferably of one-piece construction. The instrument 10 includes a handle portion 12, an operator or head portion 14, and means including a connecting portion 16 extending therebetween. In the form shown the connecting portion 16 is an elongated member that includes acutely angularly related portions 16a and 16b.

The operator or head portion 14 of the instrument 10 is shown formed on the free end of the portion 16b and includes a surface 18 positioned in opposed spaced relationship to the handle 12. In the form of the instrument shown in FIG. 2, two spaced grooves or slots 20 and 22 are formed in the surface 18 of the head portion 14. One of the grooves, shown as the groove 20 in FIG. 3, is relatively deeper than the groove 22 and is defined by a bottom surface 24 and two spaced parallel or nearly parallel end surfaces 26 and 28. The groove 20 is designed and shaped to receive and support a staple such as U- shaped staple 30 shown in FIGS. 3 and 5. The staple 30 is shown in its unstressed condition in FIG. 5 and is defined by two spaced leg portions 32 and 34 and an integral connecting portion 36. The legs 32 and 34 in the unstressed condition of the staple are preferably not parallel to each other but instead are further from each other at their free ends than at their connected ends. This is done so that some force must be applied on the free ends to enable the staple to be positioned in the groove 20 as shown in FIG. 3, and to enable the groove 20 to hold and support the staple 30 without requiring any other holding and supporting means. The groove 20 is therefore used to hold and support the staple 30 while the staple is being set in position and forced into place as will be explained. In the preferred form of the device the staple is also made of some hard corrosive resistant material such as stainless steel, and the free ends of the legs 32 and 34 are preferably sharpened to fine points to make it relatively easy to drive the staple into bone structure or the like. It is also to be noted that in the stressed condition of the staple which is the condition shown in FIG. 3, the leg portions 32 and 34 are parallel or nearly parallel and this is the condition in which it is driven into the bone structure. Therefore, the legs will exert some sidewise pressure after it is installed to help hold it in place. However, the groove 20 (FIGS. 2 and 3) may be too deep to permit the staple to be fully or even sufficiently seated while positioned therein to prevent looseness in the attachment being made, and for this reason the second shallower groove 22 is included to provide means to complete the seating of the staple to its desired final position. It is also contemplated to make the staple legs 32 and 34 parallel and to form the end surfaces or walls 26 and 28 of the groove 20 so as to frictionally engage and hold the staple without having to stress the legs.

The grooves 20 and 22 rather than being formed in one single instrument as shown in FIG. 2, may also be formed in two separate similar instruments as illustrated in FIG. 6 which shows an instrument 10 having a single groove 22'. Having two similar instruments instead of one with two grooves may have advantages particularly when a doctor might have a difficult time being sure that he has positioned the staple in the proper groove especially in the shallower groove 22 used to complete the driving of the staple to the final desired position.

The subject instruments l0 and 10 are designed primarily as surgical instruments to be used in female surgery for anchoring the bladder to the adjacent bone structure, as already stated. To accomplish this the operating or head portion 14 thereof with a staple 30 in groove is positioned extending in through a portion of the vagina of the female patient as clearly shown in FIG. 7. Before reaching this stage of the procedure, however, it is usually necessary for the doctor to have prepared one or more places for locating the subject staples which preparation will usually involve some minor surgery. The procedures for doing this are not part of this invention. Thereafter, and with the instrument in operative position as shown, the surgeon will use the fingers on one of this hands to guide and locate the pointed ends of the staples and also to prevent the pointed staple ends from causing unwanted injury to other tissues in the area. When the staple ends are properly located, the surgeon will apply force with his other hand on the handle portion 12 in a generally upwardly direction to force the staple through the tissue and into the bone structure. He is able to do this with considerable force and good control because of the leverage provided by the shape of the instrument and by the fact that he is pulling the instrument in a direction generally toward his body. After the staple has been driven in as far as possible using the deeper groove 20, it is an easy matter to free the instrument from the staple, and again using his fingers to locate the staple in the shallower groove 22, or 22 if a single groove instrument is being used. He can now complete the driving and seating of the staple to the desired final position. A typical operation will usually involve the placing of two or more staples in the manner described.

The staples 30 preferably have outwardly biased legs 32 and 34 as aforesaid and are preferably constructed of some suitable material that can be surgically sterilized and that can be tolerated by living tissue. Stainless steel is one material that seems to offer particular advantages in this regard. Many sizes and/or other shapes for the staples other than those shown in the drawing are also possible and contemplated including staples having relatively wide flat head portions which offer some hope of providing even better support for the tissue and perhaps even less chance for a tear. Staples can also be constructed having other cross-sectional shapes and the legs of the staples may have outward protuberances 37 at various positions to provide even better engagement with the bone structure. As clearly shown in FIG. 4, the outward bias of the staple legs 32 and 34 may also cause the free ends of the staple legs to move apart slightly as the staple is driven into bone to help hold it in position and to prevent it from coming out. In

FIG. 4 this outward movement is shown exaggerated for clarity, since only slight outward movement is anticipated as being desirable to help maintain the staple 30 in the bone 38.

- A more specific disclosure of the actual position of the subject instrument in relation to the organs in a female during operation thereon is shown in FIG. 7. In this showing the subject instrument is being used to correct a female incontinence condition due to a sagging bladder. In this case the patient is in a lying down faceup position and the perineum is prepared as in any vaginal surgery. A catheter 40 is placed in the bladder 42 so that undesirable flow of urine can be controlled during the operative and the post operative periods. An incision 44 is cut in each side of the anterior vaginal wall 46 and an examination is made of the area around the bladder 42 by the surgeon inserting his fingers through the incisions to locate the proper places for the staples. The doctor then takes a staple 30 which has been previously sterilized, and presses the free ends of the legs 32 and 34 together slightly to enable him to insert the staple 30 into the groove 20 of the instrument 10 which has also been sterilized. The normal outward bias of the legs 32 and 34 tends to hold the staple in the groove 20 as aforesaid. With the staple 30 in the groove 20, the operator portion 14 of the instrument 10 with the staple 30 positioned therein is carefully inserted into the mouth of the vagina and the pointed ends of the staple are located at the desired positions within one of the incisions 44. The doctor then pulls the instrument l0 upwardly away from the patient thereby driving the staple 30 through the paraurethral tissue 48 and into the pubic bone 50. As the staple passes into the pubic bone 50 there is a characteristic crepitant sensation transmitted to the doctor through the instrument 10 which allows the doctor to feel the progress of the staple 30. As can be seen, the acute angle formed in the connecting portions 16a and 16b of the instrument between the handle portion 12 and the operator portion 14 is necessary to allow proper transfer of force to the staple 30 in this awkward position.

Once the staple 30 is partially driven into the pubic bone 50, the instrument 10 is released from the staple by tilting or other movement and the shallower groove 22 is placed against the staple and the operation repeated as before to complete the driving of the staple. Thereafter the instrument 10 is withdrawn from the incision 44 and loaded with another staple and reinserted into the vagina as before for locating and seating in the other previously made incision by a repeat of the foregoing procedure. In this way, the paraurethral tissue 48 is attached to the pubic bones 50 so that the paraurethral tissue 48 forms a strap or sling across the urethra 52 and across the neck of the bladder 42 to support them in proper position against the pubic bones 50.

The procedure can be varied by using the instrument It] (or 10') to seat both staples initially and then completing the driving of the staples as a second step. An estimated force of 15 to 20 pounds is about the maximum that is usually necessary to seat and drive home each staple. When both staples are properly in position, the incisions 44 are reclosed.

The groove 22 or 22 can be made having different depths in different instruments. As shown in FIG. 4, it is the depth of the slot 22 or 22' into the surface 18 along with the resilience of the tissue 54 being stapled which determines how deep into the bone 38 a staple will ultimately be driven and hence how much space is provided between the head 36 of the staple 30 and the bone 38. There should always be a certain space between the head 36 of the staple 30 and the bone 38 so that the stapled tissue 54 will have adequate circulation and remain viable living tissue. The proper size of this space depends on the type and thickness of the tissue. Although the subject invention is primarily designed for the operative procedures described above, by varying the angle of the connecting portion 16 between the handle 12 and the operator portion 14, and by changing the size and shapes of the staples and their matching grooves in the instrument, it can be used for other procedures as well including being used in rectal repairs, cosmetic surgery and in certain types of transplants where it is desirable to attach flesh or organs to bone structure.

Thus there has been shown and described a novel surgical instrument which fulfills all of the objects and advantages sought therefor. Many changes, modifications, variations, and other uses and applications of the subject instrument will, however, become apparent to those skilled in the art after considering this specification and the accompanying drawing. All such changes, modifications, variations, and other uses and applications of the subject instrument which do not depart from the spirit and scope of the invention are deemed to be covered by the invention which is limited only by the claims which follow,

What I claim is:

1. An instrument for implanting staples having integral head and leg portions into bone and like structures comprising an elongated body having portions thereof that are acutely angularly related, a handle on one end of one of said body portions and an operative portion on one end of the angularly related other body portion such that the handle and operative portions are positioned in spaced and opposed relationship, a groove formed in the operative portion on a side thereof that faces the handle portion, said groove being shaped to cooperatively engage the head portion of the staple.

2. The instrument defined in claim 1 wherein said operative instrument portion includes a surface formed about said groove, said surface being in opposed relationship to the handle portion such that pulling force applied to the handle portion acts through the elongated body in a direction that is substantially perpendicular to said surface.

3. The instrument defined in claim 1 wherein said groove has a first groove surface positioned to engage and support the head portion of a staple to be implanted.

4. The instrument defined in claim 3 wherein said groove has end wall portions adapted to engage the staple legs adjacent to the head portion thereof to retain and support a staple positioned in the groove.

5. The instrument defined in claim 4 wherein the groove end walls are spaced apart a distance such that they exert force against the leg portions of a staple positioned in the groove in a direction to maintain the staple in the groove during implantation thereof in bone structure.

6. Means for fastening portions of living body tissue to adjacent bone structure by forcing a U-shaped staple through the tissue and into the bone structure, said means comprising an instrument for use in forcing said staples through the living body tissue and into bone structure, said instrument including spaced handle and operator portions and means including an elongated instrument body having angularly related portions connected respectively at opposite ends thereof to said handle and operator portions to maintain said portions in fixed spaced relationship, said operator portion including an anvil member having a surface thereon in spaced opposed relationship and in substantial alignment with the handle portion, and an elongated groove fonned in said anvil member adjacent to said surface, said groove being constructed to cooperatively engage and support a staple while the staple is being forced through the body tissue and into the bone structure by force ap lied on the handle portion in a direction away from but su stantially in alignment with the operator portion of the mstrument.

7. The means defined in claim 6 wherein the groove in the operator portion of said instrument is defined by spaced side and end walls constructed to cooperatively engage the staple and to prevent relative movement between the instrument and the staple during the time when the staple is forced into the bone structure.

8. The means defined in claim 7 wherein the groove is constructed so that the staple must undergo stress to be moved to a fully seated position therein.

9. Means for fastening tissue to adjacent bone structure in a living body for forcing a staple of substantially U-shape including integral head and leg portions through the tissue and into the bone structure, said means comprising an instrument for installing the staple in a living body, said instrument having a first portion including means constructed to retain and support the staple during installation thereof, and a second portion spaced from and connected to the first portion and including a handle portion, and means connecting the handle portion to the first portion, said first portion including a member having a surface facing the handle portion and a groove formed in said surface, said groove being defined by opposed side and end walls and a bottom wall extending therebetween, said groove end walls being spaced closer together than the unstressed staple leg portions adjacent to the head portion thereof so that the staple leg portions must be forced closer together than they are in their unstressed condition to install the head portion of the staple in the groove in a fully seated condition in which the head portion abuts the bottom wall of the groove.

10. The means defined in claim 9 wherein said first instrument portion includes a second groove positioned adjacent the aforesaid groove, said second groove being shallower than the aforesaid groove so that it can be used to engage the head portion of a staple that has been partially pressed into bone structure during completion of the pressing in of the staple in the bone structure to the desired depth.

11. Means for use in female surgical procedures to staple tissue to adjacent bone structure to correct certain female disorders caused by insufficient or poor support of the urethra and bladder neck by providing support therefor, the means being used to force a staple member of generally U-shape through the tissue and into the bone structure, said means comprising an instrument for implanting said staple through body tissue into adjacent bone structure, said instrument having an operator portion, a handle portion, and means including an elongated member connecting the handle portion to the operator portion in spaced and opposed relationship to each other, said operator portion having a surface formed thereon in generally opposed spaced relationship to the handle portion, a slot formed extending inwardly from said surface for supporting a staple during implantation thereof, said slot being defined by a bottom wall and adjacent spaced end and sidewall portions, the bottom wall of said slot being generally parallel to the said surface and said side and end walls having portions oriented substantially perpendicular to said surface for engaging and supporting portions of a staple positioned therein, said surface being adapted to be moved into contact with an area of the body tissue which is being attached to the adjacent bone structure during implantation of a staple to limit the penetration of the staple into the bone structure when pressure is applied through the handle portion to the staple positioned in the slot.

12. The means defined in claim 11 wherein the construction of the slot is such that the staple must undergo some stress and change in shape to be positioned therein.

13. The means defined in claim 11 wherein said slot is constructed to frictionally engage and support the staple.

Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
US1201559 *Oct 27, 1909Oct 17, 1916Charles Lafayette ColumbiaStaple.
US1213334 *May 19, 1916Jan 23, 1917Edward P ChapmanStaple-set.
US2323362 *Jan 7, 1941Jul 6, 1943Weiss LeoStaple
US2638092 *Sep 15, 1950May 12, 1953Martin W PayneIntramedullary nail inserter
US2789558 *Sep 17, 1953Apr 23, 1957Rush Leslie VMedullary in driver and extractor
US3236142 *Apr 22, 1965Feb 22, 1966Malcolm S BradwayStaples with fin-like projections
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US5972000 *Oct 18, 1996Oct 26, 1999Influence Medical Technologies, Ltd.Non-linear anchor inserter device and bone anchors
US6039686 *Jul 8, 1998Mar 21, 2000Kovac; S. RobertSystem and a method for the long term cure of recurrent urinary female incontinence
US6042534 *Feb 13, 1998Mar 28, 2000Scimed Life Systems, Inc.Stabilization sling for use in minimally invasive pelvic surgery
US6053935 *Nov 8, 1996Apr 25, 2000Boston Scientific CorporationTransvaginal anchor implantation device
US6056688 *Sep 29, 1997May 2, 2000Boston Scientific Technology, Inc.Device and method for transvaginally suspending the bladder neck
US6077216 *Aug 19, 1998Jun 20, 2000Boston Scientific Technology, Inc.Device for transvaginally suspending the bladder neck
US6096041 *Jan 26, 1999Aug 1, 2000Scimed Life Systems, Inc.Bone anchors for bone anchor implantation device
US6099547 *Feb 13, 1998Aug 8, 2000Scimed Life Systems, Inc.Method and apparatus for minimally invasive pelvic surgery
US6264676Jan 26, 1999Jul 24, 2001Scimed Life Systems, Inc.Protective sheath for transvaginal anchor implantation devices
US6319272Mar 29, 2000Nov 20, 2001Boston Scientific CorporationTransvaginal anchor implantation device and method of use
US6322492Jan 23, 1999Nov 27, 2001American Medical Systems, Inc.Transvaginal method for securing a bone anchor
US6328686Jan 23, 1999Dec 11, 2001American Medical Systems, Inc.Transvaginal system and method for treating female urinary incontinence
US6406480 *Oct 5, 1999Jun 18, 2002American Med SystBone anchor inserter with retractable shield
US6440154Mar 12, 2001Aug 27, 2002Scimed Life Systems, Inc.Protective sheath for transvaginal anchor implantation device
US6500194Mar 14, 1997Dec 31, 2002Scimed Life Systems, Inc.Surgical treatment of stress urinary incontinence
US6544273Oct 6, 2000Apr 8, 2003Ams Research CorporationTack device with shield
US6599235 *Dec 20, 2000Jul 29, 2003American Medical Systems Inc.Transvaginal bone anchor implantation device
US6635058Apr 5, 2001Oct 21, 2003Ams Research CorporationBone anchor
US6641524Oct 11, 2001Nov 4, 2003Ams Research CorporationSling system for treating incontinence
US6663642Apr 5, 2001Dec 16, 2003Ams Research CorporationSystem for bone screw insertion
US6666817Oct 5, 2001Dec 23, 2003Scimed Life Systems, Inc.Expandable surgical implants and methods of using them
US6679896Mar 28, 2002Jan 20, 2004Scimed Life Systems, Inc.Transvaginal suture spacer devices and methods of use
US6689047Nov 14, 2001Feb 10, 2004Scimed Life Systems, Inc.Treating urinary incontinence
US6755781Jul 27, 2001Jun 29, 2004Scimed Life Systems, Inc.Medical slings
US6911003Mar 3, 2003Jun 28, 2005Ams Research CorporationTransobturator surgical articles and methods
US6936052Mar 7, 2002Aug 30, 2005Boston Scientific Scimed, Inc.System for implanting an implant and method thereof
US6939355May 26, 2000Sep 6, 2005Boston Scientific Scimed, Inc.Bone anchors for bone anchor implantation device
US6953428Mar 7, 2002Oct 11, 2005Boston Scientific Scimed, Inc.Medical slings
US6971986Oct 25, 2002Dec 6, 2005American Medical Systems, Inc.Sling delivery system and method of use
US6991597Mar 7, 2002Jan 31, 2006Boston Scientific Scimed, Inc.System for implanting an implant and method thereof
US7014607Nov 26, 2003Mar 21, 2006Boston Scientific Scimed, Inc.Treating urinary incontinence
US7025772Mar 7, 2002Apr 11, 2006Scimed Life Systems, Inc.System for implanting an implant and method thereof
US7048682Oct 25, 2002May 23, 2006American Medical Systems, Inc.Surgical articles and methods
US7070556Nov 27, 2002Jul 4, 2006Ams Research CorporationTransobturator surgical articles and methods
US7070558Jun 12, 2003Jul 4, 2006Boston Scientific Scimed, Inc.Medical slings
US7131973May 16, 2002Nov 7, 2006Boston Scientific Scimed, Inc.Bone anchor implantation device
US7226408Dec 18, 2002Jun 5, 2007Ams Research CorporationTack device with shield
US7229453Dec 31, 2002Jun 12, 2007Ams Research CorporationPelvic floor implant system and method of assembly
US7235043Mar 7, 2002Jun 26, 2007Boston Scientific Scimed Inc.System for implanting an implant and method thereof
US7291104Sep 30, 2003Nov 6, 2007American Medical Systems Inc.Surgical articles and methods
US7347812Mar 19, 2004Mar 25, 2008Ams Research CorporationProlapse repair
US7351197May 7, 2004Apr 1, 2008Ams Research CorporationMethod and apparatus for cystocele repair
US7357773Dec 18, 2003Apr 15, 2008Ams Research CorporationHandle and surgical article
US7361138Jul 31, 2003Apr 22, 2008Scimed Life Systems, Inc.Bioabsorbable casing for surgical sling assembly
US7402133Aug 14, 2003Jul 22, 2008Boston Scientific Scimed, Inc.Spacer for sling delivery system
US7407480Apr 25, 2003Aug 5, 2008Ams Research CorporationMethod and apparatus for correction of urinary and gynecological pathologies, including treatment of incontinence cystocele
US7465270Oct 20, 2003Dec 16, 2008Boston Scientific Scimed, Inc.Expandable surgical implants and methods of using them
US7494495Mar 26, 2004Feb 24, 2009Coloplast A/SMethod and implant for curing cystocele
US7500945Apr 30, 2004Mar 10, 2009Ams Research CorporationMethod and apparatus for treating pelvic organ prolapse
US7588598Mar 29, 2004Sep 15, 2009Coloplast A/SImplant for treating rectocele and a device for putting said implant into place
US7621864Nov 24, 2009Coloplast A/SMethod for treating urinary incontinence in women and implantable device intended to correct urinary incontinence
US7674269Feb 13, 2006Mar 9, 2010Boston Scientific Scimed, Inc.Bone anchor implantation device
US7762969Jul 27, 2010Boston Scientific Scimed, Inc.Medical slings
US7824326Nov 2, 2010Boston Scientific Scimed, Inc.Bioabsorbable casing for surgical sling assembly
US7867161Aug 15, 2005Jan 11, 2011Ams Research CorporationSling delivery system and method of use
US7975698May 23, 2005Jul 12, 2011Coloplast A/SImplant for treatment of vaginal and/or uterine prolapse
US7981022May 5, 2006Jul 19, 2011Boston Scientific Scimed, Inc.Medical slings
US7988615Oct 5, 2005Aug 2, 2011Ams Research CorporationTransobturator surgical articles and methods
US7993261Aug 9, 2011Ams Research CorporationMethod and apparatus for cystocele repair
US8007430Jul 16, 2010Aug 30, 2011Coloplast A/SApparatus and method for treating female urinary incontinence
US8033983Oct 11, 2011Boston Scientific Scimed, Inc.Medical implant
US8038594Oct 18, 2011Ams Research CorporationProlapse repair
US8043204Jan 27, 2010Oct 25, 2011Ams Research CorporationTransobturator surgical articles and methods
US8047983Nov 1, 2011Coloplast A/SSurgical system for supporting pelvic anatomy
US8118727Jun 14, 2011Feb 21, 2012Coloplast A/SMethod for supporting pelvic anatomy
US8118728Feb 21, 2012Coloplast A/SMethod for implanting an adjustable surgical implant for treating urinary incontinence
US8123673Jun 21, 2011Feb 28, 2012Coloplast A/SAdjustable surgical implant for treating urinary incontinence
US8128554Jun 14, 2011Mar 6, 2012Coloplast A/SSystem for introducing a pelvic implant
US8162816Apr 24, 2012Boston Scientific Scimed, Inc.System for implanting an implant and method thereof
US8162818Jun 1, 2011Apr 24, 2012Coloplast A/SAdjustable surgical implant for pelvic anatomy
US8167785May 1, 2012Coloplast A/SUrethral support system
US8182412Jun 17, 2011May 22, 2012Coloplast A/SPelvic implant with fibrous anchor
US8182413May 22, 2012Coloplast A/SMethod for fibrous anchoring of a pelvic support
US8206281Jun 26, 2012Ams Research CorporationMethod and apparatus for treating pelvic organ prolapse
US8211005Jan 22, 2009Jul 3, 2012Ams Research CorporationMethod and apparatus for treating pelvic organ prolapse
US8215310Jul 10, 2012Coloplast A/SImplant for treatment of vaginal and/or uterine prolapse
US8241326 *Apr 7, 2004Aug 14, 2012Ams Research CorporationTack device
US8273011Jun 1, 2011Sep 25, 2012Coloplast A/SAdjustable surgical implant and method for treating urinary incontinence
US8376928Nov 17, 2008Feb 19, 2013Boston Scientific Scimed, Inc.Expandable surgical implants and methods of using them
US8388514Oct 26, 2007Mar 5, 2013Ams Research CorporationSurgical articles and methods for treating pelvic conditions
US8449450May 28, 2013Coloplast A/SPass through introducer and sling
US8454492Jun 4, 2013Coloplast A/SAbsorbable anchor and method for mounting mesh to tissue
US8460169Jun 22, 2007Jun 11, 2013Ams Research CorporationAdjustable tension incontinence sling assemblies
US8469875Aug 26, 2009Jun 25, 2013Coloplast A/SMethod and device for treating urinary incontinence
US8469877Jan 27, 2012Jun 25, 2013Coloplast A/SSystem for introducing a pelvic implant
US8475357Jan 4, 2011Jul 2, 2013Ams Research CorporationSling delivery system and method of use
US8480559Sep 12, 2007Jul 9, 2013C. R. Bard, Inc.Urethral support system
US8512223Jun 1, 2011Aug 20, 2013Coloplast A/SPelvic implant with selective locking anchor
US8535217Jul 25, 2006Sep 17, 2013Ams Research CorporationMethods and systems for treatment of prolapse
US8574148Jun 1, 2011Nov 5, 2013Coloplast A/SSystem for introducing soft tissue anchors
US8574149Jun 15, 2012Nov 5, 2013C. R. Bard, Inc.Adjustable tissue support member
US8617048Mar 7, 2002Dec 31, 2013Boston Scientific Scimed, Inc.System for implanting an implant and method thereof
US8632453Jul 15, 2008Jan 21, 2014Boston Scientific Scimed, Inc.Spacer for sling delivery system
US8668635Feb 23, 2012Mar 11, 2014Coloplast A/SPelvic implant with suspending system
US8672828Mar 22, 2007Mar 18, 2014Ams Research CorporationTack device with shield
US8702585Oct 31, 2007Apr 22, 2014Ams Research CorporationPelvic health implants and methods
US8709471Oct 6, 2008Apr 29, 2014Coloplast A/SMedicament delivery device and a method of medicament delivery
US8727963Jul 31, 2009May 20, 2014Ams Research CorporationMethods and implants for treating urinary incontinence
US8753260Sep 19, 2011Jun 17, 2014Ams Research CorporationProlapse repair
US8764622Jul 7, 2011Jul 1, 2014Boston Scientific Scimed, Inc.Medical slings
US8777836Nov 7, 2007Jul 15, 2014Ams Research CorporationPelvic health implants and methods
US8777837Feb 4, 2013Jul 15, 2014Ams Research CorporationSurgical articles and methods for treating pelvic
US8801596Jun 14, 2011Aug 12, 2014Coloplast A/SSling with support and suspending members formed from same polymer
US8808162Mar 28, 2012Aug 19, 2014Ams Research CorporationImplants, tools, and methods for treatment of pelvic conditions
US8821369Jun 1, 2011Sep 2, 2014Colorplast A/SMethod for soft tissue anchoring with introducer
US8821370Aug 14, 2013Sep 2, 2014Coloplast A/SDevice, system and methods for introducing soft tissue anchors
US8834350Jun 15, 2007Sep 16, 2014Ams Research CorporationSurgical implants, tools, and methods for treating pelvic conditions
US8845512Jan 6, 2012Sep 30, 2014C. R. Bard, Inc.Sling anchor system
US8852075Jun 12, 2011Oct 7, 2014Coloplast A/SPelvic implant systems and methods with expandable anchors
US8852077May 28, 2013Oct 7, 2014Ams Research CorporationSling delivery system and method of use
US8864646Aug 12, 2005Oct 21, 2014Ams Research CorporationSurgical articles and methods
US8864648Sep 19, 2011Oct 21, 2014Ams Research CorporationTransobturator surgical articles and methods
US8864650Jun 20, 2006Oct 21, 2014Ams Research CorporationMethods and apparatus for securing a urethral sling to a pubic bone
US8888678Jun 12, 2011Nov 18, 2014Coloplast A/SPelvic implant with suspending system
US8911347Jun 1, 2011Dec 16, 2014Coloplast A/SSystem and method for treating urinary incontinence
US8920304Dec 15, 2011Dec 30, 2014Coloplast A/SMethod and device for treating urinary incontinence
US8920308Jun 1, 2011Dec 30, 2014Coloplast A/SSurgical implant with anchor introducer channel
US8932202Jun 14, 2011Jan 13, 2015Coloplast A/SIncontinence implant with soft tissue anchors and length not allowing abdominal wall penetration
US8944990Oct 27, 2009Feb 3, 2015Ams Research CorporationSurgical needle and anchor system with retractable features
US8951185May 18, 2009Feb 10, 2015Ams Research CorporationSurgical articles and methods for treating pelvic conditions
US9005222Jan 13, 2012Apr 14, 2015Coloplast A/SSelf-anchoring sling and introducer system
US9017243Dec 22, 2011Apr 28, 2015Ams Research CorporationMinimally invasive implant and method
US9017382May 19, 2009Apr 28, 2015Ams Research CorporationCollapsible tissue anchor device and method
US9022922Mar 27, 2014May 5, 2015Ams Research CorporationMethods and implants for treating urinary incontinence
US9060838Apr 20, 2012Jun 23, 2015Coloplast A/STissue supported implantable device
US9060839Sep 13, 2013Jun 23, 2015Ams Research CorporationMethods and systems for treatment of prolapse
US9084664May 21, 2007Jul 21, 2015Ams Research CorporationMethod and articles for treatment of stress urinary incontinence
US9089393Mar 28, 2012Jul 28, 2015Ams Research CorporationImplants, tools, and methods for treatment of pelvic conditions
US9089394Jan 10, 2014Jul 28, 2015Coloplast A/SPelvic implant with suspending system
US9089396Aug 14, 2013Jul 28, 2015Coloplast A/SUrinary incontinence treatment and devices
US9113992Sep 3, 2014Aug 25, 2015Coloplast A/SApparatus and method for treating urinary incontinence
US9179992Aug 18, 2014Nov 10, 2015Ams Research CorporationImplants, tools, and methods for treatment of pelvic conditions
US9186489Mar 10, 2014Nov 17, 2015Coloplast A/SImplantable delivery device system for delivery of a medicament to a bladder
US9192458Feb 8, 2013Nov 24, 2015Ams Research CorporationImplants, tools, and methods for treatments of pelvic conditions
US9226809Feb 10, 2010Jan 5, 2016Ams Research CorporationSurgical articles and methods for treating urinary incontinence
US9283064Jun 18, 2015Mar 15, 2016Ams Research CorporationMethods and systems for treatment of prolapse
US9345473Dec 30, 2010May 24, 2016Astora Women's Health, LlcImplantable sling systems and methods
US9345867Oct 14, 2015May 24, 2016Coloplast A/SDevice implantable in tissue of a prostate gland or a bladder
US9351723Jun 29, 2012May 31, 2016Astora Women's Health, LlcImplants, tools, and methods for treatments of pelvic conditions
US9364308Dec 30, 2010Jun 14, 2016Astora Women's Health, LlcImplant systems with tensioning feedback
US9381076Feb 23, 2011Jul 5, 2016Boston Scientific Scimed, Inc.Surgical articles and methods
US9414903Jul 23, 2012Aug 16, 2016Astora Women's Health, LlcPelvic implant system and method
US20020138025 *Mar 7, 2002Sep 26, 2002Scimed Life Systems, Inc.Medical slings
US20020183762 *Apr 26, 2002Dec 5, 2002Ams Research CorporationBone anchor inserters and methods
US20030045774 *Oct 25, 2002Mar 6, 2003Staskin David R.Sling delivery system and method of use
US20030050530 *Oct 25, 2002Mar 13, 2003Neisz Johann J.Surgical articles and methods
US20030089586 *Nov 15, 2001May 15, 2003Abroy Hamid S.Switch mechanism housing
US20030130670 *Dec 31, 2002Jul 10, 2003Anderson Kimberly A.Pelvic floor implant system and method of assembly
US20030135225 *Dec 18, 2002Jul 17, 2003Boaz HarariTack device with shield
US20030176875 *Mar 11, 2003Sep 18, 2003Anderson Kimberly A.Transobturator surgical articles and methods
US20030199732 *Jun 4, 2003Oct 23, 2003Mentor Corporation, A Minnesota CorporationMethod for treating urinary incontinence in women and implantable device intended to correct urinary incontinence
US20030216608 *Jun 6, 2003Nov 20, 2003Kovac S. RobertTransvaginal bone anchor implantation device
US20030216743 *May 16, 2002Nov 20, 2003Keith HoffmanBone anchor implantation device
US20040039246 *Jun 12, 2003Feb 26, 2004Barry GellmanMedical slings
US20040039453 *Apr 25, 2003Feb 26, 2004Anderson Kimberly A.Pelvic health implants and methods
US20040078041 *Oct 18, 2002Apr 22, 2004Jeff MichaelApparatus for removing an osteophyte
US20040193215 *Apr 7, 2004Sep 30, 2004Boaz HarariTack device
US20050004427 *Apr 30, 2004Jan 6, 2005Mauro CervigniProsthesis for use in the surgical treatment of urogenital prolapse and female urinary incontinence
US20050065395 *Mar 19, 2004Mar 24, 2005Ams Research CorporationProlapse repair
US20050096660 *Jul 20, 2004May 5, 2005Drew AllenCompression bone staple, apparatus and method
US20050131274 *Jan 21, 2005Jun 16, 2005Mentor Corporation, Minnesota CorporationMethod for treating urinary incontinence in women and implantable device intended to correct urinary incontinence
US20050245787 *Apr 30, 2004Nov 3, 2005Ams Research CorporationMethod and apparatus for treating pelvic organ prolapse
US20050250977 *May 7, 2004Nov 10, 2005Ams Research CorporationMethod and apparatus for cystocele repair
US20050278037 *Jun 7, 2005Dec 15, 2005Analytic Biosurgical Solutions-AbissImplant for the treatment of cystocele and rectocele
US20060063968 *Oct 5, 2005Mar 23, 2006Ams Research CorporationTransobturator surgical articles and methods
US20060173468 *Jan 28, 2005Aug 3, 2006Marc SimmonObturator introducer with snare
US20060195013 *May 5, 2006Aug 31, 2006Boston Scientific Scimed, Inc.Medical slings
US20070060788 *Nov 16, 2006Mar 15, 2007Boston Scientific Scimed Inc.Systems and methods for delivering a medical implant to an anatomical location in a patient
US20070161850 *Mar 22, 2007Jul 12, 2007Ams Research CorporationTack Device with Shield
US20070225546 *May 30, 2007Sep 27, 2007Ams Research CorporationPelvic floor implant system and method of assembly
US20080103351 *Oct 31, 2007May 1, 2008Montpetit Karen PPelvic health implants and methods
US20080119863 *Jan 28, 2008May 22, 2008Ams Research CorporationProlapse Repair
US20080183031 *Mar 31, 2008Jul 31, 2008Ams Research CorporationMethod and Apparatus for Cystocele Repair
US20080196729 *May 23, 2005Aug 21, 2008Mpathy Medical Devices LimitedImplant for Treatment of Vaginal and/or Uterine Prolapse
US20080200751 *Feb 28, 2008Aug 21, 2008James BrowningUrethral support system
US20080207989 *Aug 29, 2006Aug 28, 2008Ams Research CorporationSystem For Positioning Support Mesh in a Patient
US20090062599 *Mar 27, 2008Mar 5, 2009John BrizzolaraTransurethral cysto-urethropexy
US20090076318 *Nov 17, 2008Mar 19, 2009Boston Scientific Scimed, Inc.Expandable surgical implants and methods of using them
US20090123522 *Oct 6, 2008May 14, 2009James BrowningMedicament Delivery Device and a Method of Medicament Delivery
US20090137864 *Jan 22, 2009May 28, 2009Cox James EMethod and apparatus for treating pelvic organ prolapse
US20090221867 *Oct 25, 2006Sep 3, 2009Ams Research CorporationIntegral Sling Connection System and Method
US20090240104 *May 18, 2009Sep 24, 2009Ams Research CorporationSurgical Articles and Methods for Treating Pelvic Conditions
US20090259092 *May 18, 2009Oct 15, 2009Ogdahl Jason WAdjustable Sling and Method of Treating Pelvic Conditions
US20090287229 *Nov 19, 2009Ams Research CorporationCollapsible Tissue Anchor Device and Method
US20100030016 *Jul 31, 2009Feb 4, 2010Knoll L DeanMethods and Implants for Treating Urinary Incontinence
US20100056856 *Mar 4, 2010Coloplast A/SMethod for treating urinary incontinence in women and implantable device intended to correct urinary incontinence
US20100094079 *Jun 20, 2006Apr 15, 2010Ams Research CorporationMethod and Apparatus for Securing a Urethral Sling to Pubic Bone
US20100105979 *Oct 27, 2009Apr 29, 2010Ams Research CorporationSurgical Needle and Anchor System with Retractable Features
US20100168505 *Jun 20, 2006Jul 1, 2010Ams Research CorporationMethods and apparatus for securing a urethral sling to a pubic bone
US20100191039 *Jan 27, 2010Jul 29, 2010Anderson Kimberly ATransobturator surgical articles and methods
US20100234681 *Sep 12, 2007Sep 16, 2010C.R. Bard Inc.Urethral support system
US20100261950 *Jun 22, 2007Oct 14, 2010Ams Research CorporationAdjustable Tension Incontinence Sling Assemblies
US20100287761 *Jul 26, 2010Nov 18, 2010Boston Scientific Scimed, Inc.Medical slings
US20110015479 *Aug 13, 2010Jan 20, 2011Anderson Kimberly AMethod and apparatus for treating pelvic organ prolapse
US20110034759 *Oct 26, 2007Feb 10, 2011Ogdahl Jason WSurgical articles and methods for treating pelvic conditions
US20110105831 *Jan 4, 2011May 5, 2011Ams Research CorporationSling Delivery System and Method of Use
US20110201872 *Aug 18, 2011Coloplast A/SImplant for treatment of vaginal and/or uterine prolapse
US20110230705 *Sep 22, 2011Coloplast A/SMethod for soft tissue anchoring with introducer
US20110230708 *Sep 22, 2011Coloplast A/SAdjustable surgical implant for pelvic anatomy
US20110230709 *Sep 22, 2011Coloplast A/SPass through introducer and sling
US20110237865 *Sep 29, 2011Coloplast A/SSling with support and suspending members formed from same polymer
US20110237866 *Sep 29, 2011Coloplast A/SMethod for supporting pelvic anatomy
US20110237867 *Sep 29, 2011Coloplast A/SSystem for introducing a pelvic implant
US20110237868 *Sep 29, 2011Coloplast A/SMethod for fibrous anchoring of a pelvic support
US20110237869 *Sep 29, 2011Coloplast A/SAdjustable surgical implant for treating urinary incontinence
US20110237870 *Sep 29, 2011Coloplast A/SMethod for implanting an adjustable surgical implant for treating urinary incontinence
US20110237873 *Sep 29, 2011Coloplast A/SPelvic implant with selective locking anchor
US20110237874 *Sep 29, 2011Coloplast A/SAdjustable surgical implant and method for treating urinary incontinence
US20110237875 *Sep 29, 2011Coloplast A/SSurgical implant with anchor introducer channel
US20110237876 *Sep 29, 2011Coloplast A/SMethod for implanting with an anchor introducer channel
US20110237877 *Sep 29, 2011Coloplast A/SPelvic implant with suspending system
US20110237878 *Sep 29, 2011Coloplast A/SPelvic implant systems and methods with expandable anchors
US20110237879 *Sep 29, 2011Coloplast A/SPelvic implant with fibrous anchor
US20110238095 *Sep 29, 2011Coloplast A/SAbsorbable anchor and method for mounting mesh to tissue
US20130197537 *Mar 13, 2013Aug 1, 2013Boston Scientific Scimed, Inc.Devices and methods for manipulating bodily tissues
WO1992016152A1 *Mar 20, 1992Oct 1, 1992John CummingStaple applicator for use in the surgical treatment of female stress incontinence
WO1997030638A1Feb 21, 1997Aug 28, 1997Influence, Inc.Non-linear anchor inserter device and bone anchors
WO1998019606A1 *Nov 6, 1997May 14, 1998Boston Scientific CorporationTransvaginal anchor implantation device
WO1998035606A3 *Feb 13, 1998Dec 10, 1998Boston Scient Ireland LtdMethod and apparatus for minimally invasive pelvic surgery
WO1999037217A1 *Jan 27, 1999Jul 29, 1999Scimed Life Systems, Inc.Bone anchor with implantation device
WO2000040158A2Jan 6, 2000Jul 13, 2000Influence Medical Technologies, Ltd.Surgical tack
Classifications
U.S. Classification606/75
International ClassificationA61B17/42, A61B17/10, A61B17/064, A61B17/03
Cooperative ClassificationA61B17/42, A61B17/10, A61B17/0642
European ClassificationA61B17/10