WO2002030293A1 - Apparatus and method for treating female urinary incontinence - Google Patents
Apparatus and method for treating female urinary incontinence Download PDFInfo
- Publication number
- WO2002030293A1 WO2002030293A1 PCT/GB2001/004554 GB0104554W WO0230293A1 WO 2002030293 A1 WO2002030293 A1 WO 2002030293A1 GB 0104554 W GB0104554 W GB 0104554W WO 0230293 A1 WO0230293 A1 WO 0230293A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- soft tissue
- tissue anchor
- surgical implant
- anchor
- urethra
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0031—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra
- A61F2/0036—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse for constricting the lumen; Support slings for the urethra implantable
- A61F2/0045—Support slings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B17/06109—Big needles, either gripped by hand or connectable to a handle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00805—Treatment of female stress urinary incontinence
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0409—Instruments for applying suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0412—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from suture anchor body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0417—T-fasteners
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0427—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0427—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
- A61B2017/0435—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body the barbs being separate elements mechanically linked to the anchor, e.g. by pivots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0063—Three-dimensional shapes
- A61F2230/0067—Three-dimensional shapes conical
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
- A61F2250/0007—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting length
Definitions
- This invention relates to an apparatus and method for treating female urinary incontinence and, in particular, to a surgical implant having a sling that passes under the urethra in use and supports the urethra to alleviate incontinence, along with related apparatus and methods for inserting the surgical implant in the body.
- Urinary incontinence affects a large number of women and, consequently, various approaches have been developed to treat female urinary incontinence.
- Those skilled in the art will be familiar with approaches ranging from pelvic floor exercises to surgical techniques such as Burch colposuspension and Stamey-type endoscopic procedures in which the sutures are placed so as to elevate the bladder neck.
- This invention is particularly directed to improvement of a known procedure in which a sling is positioned loosely under the urethra, commonly known as TVT (tension free vaginal tape) and described, for example, in International Patent Applications No. W097/13465 and WO97/06567. It is generally understood that this treatment alleviates urinary incontinence by occluding the mid-urethra (for example at a time of raised abdominal pressure by - coughing or the like) .
- TVT tension free vaginal tape
- An incision is made in the anterior vaginal wall and the first of the needles is passed through the incision, past one side of the urethra, behind the pubic bone, through the rectus sheath and out through the lower anterior abdominal wall.
- the second needle is passed through the incision, past the other side of the urethra, behind the pubic bone, through the rectus sheath and out through the lower abdominal wall.
- the needles are separated from their respective insertion tools and also from the mesh or tape such that only the tape and its plastics sleeve are left in the body, passing from a first exit point in the lower abdominal wall, through the rectus sheath, behind the pubic bone, under the urethra, back behind the pubic bone, back through the rectus sheath and out through a second exit point in the lower abdominal wall.
- the plastics sleeve is then removed from the tape and the tape adjusted to a suitable tension (such that the tape provides a sling that passes loosely under the urethra, as described above) by manoeuvring the free ends of the tape outside the exit points in the lower abdominal wall whilst the urethra is held using a rigid catheter inserted therein.
- the tape is then cut such that it just falls short of protruding from the exit points in the lower abdominal wall.
- the exit points and the incision in the upper vaginal wall are then closed by sutures.
- the soft tissue anchor is insertable into the rectus sheath of the human or animal body to anchor suspending means to the soft tissue, the suspending means being attached to the soft tissue anchor and the soft tissue anchor having retaining means adapted to prevent retraction of the anchor from the rectus sheath in a direction opposite to that of insertion of the anchor into the tissue.
- the resilient hinge means allows the wing section to return to its resting position from its deflected position following penetration of the soft tissue anchor through the rectus sheath such that the wings of the soft tissue anchor once pushed through the rectus sheath can rest on the surface of the rectus sheath fascia opposite to the surface through which the soft tissue anchor is inserted and thus the soft tissue anchor cannot be retracted.
- the central portion of the soft tissue anchor comprises a hollow passage which extends from a first end of the central portion to a second opposite end of the central portion.
- the soft tissue anchor comprises a plurality of wing sections. More preferably the soft tissue anchor comprises four wing sections arranged radially around the first end of the central portion.
- the soft tissue anchor in addition to comprising a central portion and a wing section also comprises at least one stud element arranged radially around the first end of the central portion, the stud having an inclined face in the opposite direction to that in which the soft tissue anchor is inserted to aid separation of the tissue during entry of the soft tissue anchor enabling easier passage of the soft tissue anchor through the soft tissue.
- the soft tissue anchor may comprise a substantially flat head the bottom surface nearest the suspending means of the flat head providing the retaining means which, in use is held in the rectus sheath.
- the suburethral support has dimensions sufficient only to pass around the urethra.
- the suburethral support has dimensions of length 25mm, width 10mm and thickness lOO ⁇ m.
- the distance between the soft tissue anchor (s) and the suburethral support is adjustable.
- the soft tissue anchor (or anchors) can be positioned first and the suburethral support then positioned by adjusting the length of the suspending means.
- the suburethral support comprises an attachment tab comprising a tunnelled element and an aperture, the tunnelled element being located at each of the free ends of the suburethral support on either side of the urethra at a position that the suspending means are capable of being introduced through, the tunnelled element co-operating with the aperture such that suspending means can be passed through the tunnelled element and then through the aperture, the aperture being present on the opposite surface of the suburethral support to that which contacts the urethra the aperture having an edge capable of co-operating with a ring element and the ring element being capable of being fitted around the aperture trapping the suspending means between the ring element and the edge of the aperture such that the suspending means remain fixed in an adjusted position wherein the suburethra support hanging loosely under the urethra.
- the suspending means may be any means suitable for connecting each end of the suburethra support to the soft tissue anchor (or respective soft tissue anchors) .
- microgrooves are separated by ridges of 5 ⁇ m in width.
- the ridges are formed by square pillars and the base of the microgroove is substantially perpendicular to the square pillars.
- microgrooves act to orientate and align the proliferating fibroblasts on the surface of the plastics material and cause axial alignment of collagen fibres and formation of at least one strong ordered neoligament.
- the invention also provides an introducing tool comprising an elongate housing adapted to receive the soft tissue anchor at one end and a point which is capable of extending through the central portion of a soft tissue anchor for use in carrying out the method of the invention such that the introducing tool enables access and placement of the soft tissue anchor through the rectus sheath or in the fibrous fatty soft tissue of the para-urethral tunnel from an insertion point in the upper vaginal wall.
- the introducing tool may have a diameter
- a soft tissue anchor comprising a
- the tool may release the retaining means around the
- the introducing tool is able or has means for releasably retaining the soft tissue anchor on the end of the housing.
- the dye impregnated into the surgical implant will dissolve in the fluid contained in the bladder and diffuse naturally throughout the fluid.
- a surgical implant for treating female urinary incontinence has a suburethral support 10, suspending means 20 and at least two soft tissue anchors 30, the suburethral support 10 being positioned in use, loosely under the urethra.
- the suburethral support has a length L of around 25 mm and a width W of around 10 mm such that it passes around the urethra with a minimum of excess material, although other similar dimensions would also be suitable.
- the suburethral support 10 is made from flat polymer tape.
- suspending means 20 are provided which attach to the suburethral support 10 at a first end 22,24.
- the resilient hinge means 36 cause the wing sections 34 to return to their resting position. Movement of the soft tissue anchor in a direction opposite to which it was introduced into the soft tissue causes the wing section to be deflected until an endstop 46 is reached which prevents the wing sections 34 moving beyond a point substantially perpendicular to the central portion 32 and prevents retraction of the soft tissue anchor 30 from the soft tissue.
- the introducing tool 50 is retracted from the body releasing the soft tissue anchor 30. Due to the wing sections 34 on the central portion 32 of the soft tissue anchor 30, the soft tissue anchor 30 is retained by the rectus sheath 120 as the introducing tool 50 is retracted. Thus, the suspending means remains in the body, secured by the soft tissue anchor which is opposed by the rectus sheath 120.
- the soft tissue anchor may comprises a substantially flat or disc shaped head.
- the introducing tool may have a conical head with a sharp point at its apex and a slot for receiving the flat or disc shaped head.
Abstract
Description
Claims
Priority Applications (38)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP01976447A EP1324705B1 (en) | 2000-10-12 | 2001-10-12 | Apparatus for treating female urinary incontinence |
CA002427882A CA2427882C (en) | 2000-10-12 | 2001-10-12 | Apparatus and method for treating female urinary incontinence |
AU2001295717A AU2001295717A1 (en) | 2000-10-12 | 2001-10-12 | Apparatus and method for treating female urinary incontinence |
US10/398,992 US6960160B2 (en) | 2000-10-12 | 2001-10-12 | Apparatus and method for treating female urinary incontinence |
DE60122756T DE60122756T2 (en) | 2000-10-12 | 2001-10-12 | DEVICE FOR TREATING FEMALE HARNINE CONTINENCE |
GB0308389A GB2382993B (en) | 2000-10-12 | 2001-10-12 | Apparatus and method for treating female urinary incontinence |
US11/199,061 US7789821B2 (en) | 2000-10-12 | 2005-08-08 | Apparatus and method for treating female urinary incontinence |
US11/324,028 US20060205995A1 (en) | 2000-10-12 | 2005-12-30 | Apparatus and method for treating female urinary incontinence |
US12/072,901 US8167785B2 (en) | 2000-10-12 | 2008-02-28 | Urethral support system |
US12/837,601 US8007430B2 (en) | 2000-10-12 | 2010-07-16 | Apparatus and method for treating female urinary incontinence |
US13/079,682 US8047983B2 (en) | 2000-10-12 | 2011-04-04 | Surgical system for supporting pelvic anatomy |
US13/149,994 US8574148B2 (en) | 2000-10-12 | 2011-06-01 | System for introducing soft tissue anchors |
US13/150,005 US8512223B2 (en) | 2000-10-12 | 2011-06-01 | Pelvic implant with selective locking anchor |
US13/150,015 US8920308B2 (en) | 2000-10-12 | 2011-06-01 | Surgical implant with anchor introducer channel |
US13/149,987 US8821369B2 (en) | 2000-10-12 | 2011-06-01 | Method for soft tissue anchoring with introducer |
US13/149,982 US8449450B2 (en) | 2000-10-12 | 2011-06-01 | Pass through introducer and sling |
US13/150,043 US8454492B2 (en) | 2000-10-12 | 2011-06-01 | Absorbable anchor and method for mounting mesh to tissue |
US13/150,010 US8273011B2 (en) | 2000-10-12 | 2011-06-01 | Adjustable surgical implant and method for treating urinary incontinence |
US13/149,977 US8162818B2 (en) | 2000-10-12 | 2011-06-01 | Adjustable surgical implant for pelvic anatomy |
US13/150,026 US8911347B2 (en) | 2000-10-12 | 2011-06-01 | System and method for treating urinary incontinence |
US13/158,424 US8888678B2 (en) | 2000-10-12 | 2011-06-12 | Pelvic implant with suspending system |
US13/158,426 US8852075B2 (en) | 2000-10-12 | 2011-06-12 | Pelvic implant systems and methods with expandable anchors |
US13/160,275 US8118727B2 (en) | 2000-10-12 | 2011-06-14 | Method for supporting pelvic anatomy |
US13/159,425 US8932202B2 (en) | 2000-10-12 | 2011-06-14 | Incontinence implant with soft tissue anchors and length not allowing abdominal wall penetration |
US13/159,422 US8801596B2 (en) | 2000-10-12 | 2011-06-14 | Sling with support and suspending members formed from same polymer |
US13/165,561 US8118728B2 (en) | 2000-10-12 | 2011-06-21 | Method for implanting an adjustable surgical implant for treating urinary incontinence |
US13/165,525 US8123673B2 (en) | 2000-10-12 | 2011-06-21 | Adjustable surgical implant for treating urinary incontinence |
US13/402,978 US8668635B2 (en) | 2000-10-12 | 2012-02-23 | Pelvic implant with suspending system |
US13/966,832 US20140039248A1 (en) | 2000-10-12 | 2013-08-14 | Urinary incontinence treatment and devices |
US13/966,855 US9089396B2 (en) | 2000-10-12 | 2013-08-14 | Urinary incontinence treatment and devices |
US13/966,840 US20140051917A1 (en) | 2000-10-12 | 2013-08-14 | Urinary incontinence treatment and devices |
US13/966,818 US8821370B2 (en) | 2000-10-12 | 2013-08-14 | Device, system and methods for introducing soft tissue anchors |
US14/151,873 US9089394B2 (en) | 2000-10-12 | 2014-01-10 | Pelvic implant with suspending system |
US14/476,484 US9113992B2 (en) | 2000-10-12 | 2014-09-03 | Apparatus and method for treating urinary incontinence |
US14/740,276 US9918817B2 (en) | 2000-10-12 | 2015-06-16 | Method of post-operatively adjusting a urethral support in treating urinary incontinence of a woman |
US14/741,466 US10076394B2 (en) | 2000-10-12 | 2015-06-17 | Method of treating urinary incontinence |
US14/793,743 US9968430B2 (en) | 2000-10-12 | 2015-07-08 | Surgical device implantable to treat female urinary incontinence |
US15/949,075 US10449025B2 (en) | 2000-10-12 | 2018-04-10 | Surgical device implantable to treat female urinary incontinence |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB0025068.8 | 2000-10-12 | ||
GBGB0025068.8A GB0025068D0 (en) | 2000-10-12 | 2000-10-12 | Apparatus and method for treating female urinary incontinence |
Related Child Applications (4)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/398,992 A-371-Of-International US6960160B2 (en) | 2000-10-12 | 2001-10-12 | Apparatus and method for treating female urinary incontinence |
US10398992 A-371-Of-International | 2001-10-12 | ||
US11/199,061 Continuation US7789821B2 (en) | 2000-10-12 | 2005-08-08 | Apparatus and method for treating female urinary incontinence |
US11/324,028 Continuation US20060205995A1 (en) | 2000-10-12 | 2005-12-30 | Apparatus and method for treating female urinary incontinence |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2002030293A1 true WO2002030293A1 (en) | 2002-04-18 |
Family
ID=9901183
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/GB2001/004554 WO2002030293A1 (en) | 2000-10-12 | 2001-10-12 | Apparatus and method for treating female urinary incontinence |
Country Status (9)
Country | Link |
---|---|
US (22) | US6960160B2 (en) |
EP (1) | EP1324705B1 (en) |
AT (1) | ATE337730T1 (en) |
AU (1) | AU2001295717A1 (en) |
CA (1) | CA2427882C (en) |
DE (1) | DE60122756T2 (en) |
ES (1) | ES2271077T3 (en) |
GB (2) | GB0025068D0 (en) |
WO (1) | WO2002030293A1 (en) |
Cited By (86)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2002078568A1 (en) | 2001-03-30 | 2002-10-10 | Mpathy Medical Devices Limited | Surgical implant |
WO2003086205A2 (en) * | 2002-04-11 | 2003-10-23 | Gyne Ideas Limited | Apparatus and method for treating female urinary incontinence |
WO2004017845A1 (en) | 2002-08-23 | 2004-03-04 | Kvinno Centre Pty Ltd | Anchoring device and its implementation |
WO2004017862A2 (en) * | 2002-08-22 | 2004-03-04 | Ams Research Corporation | Composite sling and sling assembly tool for treating incontinence |
FR2843876A1 (en) | 2002-08-30 | 2004-03-05 | Bernard Bouffier | SURGICAL PROSTHESIS DEVICE FOR THE IMPLANTATION OF A SUPPORT OF A MAMMALIAN BODY |
WO2004086983A1 (en) * | 2003-04-03 | 2004-10-14 | Ethicon Gmbh | Surgical implant system for treating female urinary incontinence |
WO2007008209A1 (en) * | 2005-07-13 | 2007-01-18 | Boston Scientific Scimed Inc. | Snap fit sling anchor system and related methods |
EP1765218A1 (en) * | 2004-06-14 | 2007-03-28 | Boston Scientific Scimed, Inc. | Systems, methods and devices relating to implantable supportive slings |
WO2007097994A3 (en) * | 2006-02-16 | 2007-10-11 | Ams Res Corp | Surgical articles and methods for treating pelvic conditions |
WO2007149348A2 (en) * | 2006-06-16 | 2007-12-27 | Ams Research Corporation | Surgical implants and tools for treating pelvic conditions |
WO2008015338A2 (en) * | 2006-08-02 | 2008-02-07 | Compagnie De Recherche En Composants, Implants Et Materiels Pour L'application Clinique | Suburethral hammock |
WO2008015722A1 (en) * | 2006-08-02 | 2008-02-07 | Mauro Cervigni | Prosthesis for use in the surgical treatment of rectal and pelvic prolapse and faecal incontinence and related surgical kit |
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