CN1409625A - 用于治疗女性小便失禁的外科手术器械和方法 - Google Patents
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Abstract
本发明描述的是一种用于治疗女性小便压力失禁的外科手术器械和方法。该器械包括一弯曲的针状件(10),部分地限定了具有远侧端(17)的弯曲轴(18),和近侧端(19)。带(12)与针(10)相连,用于植入女性下腹部给尿道提供支撑。针(10)限定一个内腔(100),用作光学仪器和/或流体的通道。外科光学仪器可以直接与针接合,或者可选择的是,针柄件或把手可改进成能接纳光学仪器。针的顶端还改进成包含一个窗口或观察端口,以允许光从周围目标组织传递到光学仪器的成像镜上。该光学仪器使外科医生在引入仪器时保持可看得见连续的解剖构造,并在下腹部中引导针。
Description
相关申请的相互引用
本发明要求1999年6月9日所申请的序号为60/138231的美国早期申请的临时专利申请的权益,在这里整体引入作为参考。
发明背景
本发明通常涉及一种用于治疗女性小便失禁的外科手术器械和方法,具体而言,涉及一种适用于在该手术操作中能看得见该组织的针。
多于一千一百万的女性有失禁的情况。而且,大多数失禁的女性患的是压力小便失禁(SUI)。患有SUI的女性在正常的日常活动和运动期间,例如大笑、大哭、打喷嚏和常规锻炼中,会不由自主地遗尿。
阴道壁与骨盆肌肉和耻骨相连的组织或韧带的功能性缺陷可能引起SUI。通常由包括骨盆肌肉的反复性拉伸、生小孩、骨盆肌肉缺少韧性和缺少雌激素引起。这种缺陷使得尿道功能不正常。SUI不象其它类型的失禁,它不是膀胱引起的问题。
通常,当尿道由有力的骨盆底部肌肉和健康的连接组织正确支撑时,尿道能保持紧固密闭,以阻止不由自主地遗尿。然而,当女性患有SUI的最普通形式时,变弱的肌肉和骨盆组织不能在它的正确位置充分支撑尿道。因此,在正常运动期间,从横隔膜对膀胱施加压力时,尿道不能保持其密闭,从而让尿漏出。因为SUI既令人难堪又不可预期,很多患有SUI的女性避免活跃的生活方式,并且羞于参加社会工作。
美国专利5112344描述了一种用于治疗女性小便失禁的方法和器械。应用长纤维件进入人体内的该外科手术器械,其一端包含一个有把手的管状轴,而其另一端包含一个柔性针,该柔性针可滑动地接纳在轴内,用于接纳长纤维件。这种治疗女性小便失禁的方法包括,使长纤维件在阴道壁和腹部前壁内的直肌腹鞘之间结成环,从而使它通到尿道的每一侧,调整环可使阴道壁和尿道相对于耻骨形成正确的空间关系,使阴道壁和腹部耻骨的前壁之间的疤痕组织生长愈合,然后取出长纤维件。
美国专利5899909公开了一种外科器械,其一端包含一个有把手的轴,而另一端包含连接装置,连接装置用来接纳两个弯曲的针状件,每次一件,该针状件的一端与准备用来植入人体内的带的一端相连。实际上,带的一端首先穿过阴道进入人体,然后带的另一端分别在尿道的一侧和另一侧形成一个围绕尿道的环,并固定在尿道和阴道壁之间。该带越过耻骨延伸,并穿过腹部壁拉紧。该带的两端在腹部壁被切断,而留下该带植入人体内。美国专利No.5899909在这里引入作为参考。
特别是对于那些不熟悉外科手术方法的外科医生来说,现有技术中一个特有的缺点是完全不知道针的顶端相对于邻近骨盆解剖构造的位置。如果让针的顶端偶然穿过任何血管、淋巴管、神经、神经束或器官表面,则有可能引起并发症。
对于设置一个用于把网状带植入女性身体内以防止失禁的针来说具有这种设计是有益的,即,当针穿过女性的下腹部时能看得见该组织。
发明内容
本发明克服了现有技术的不足,并提供了一种改进的针,供治疗女性小便失禁的外科手术器械和方法使用。本发明提供的外科手术器械,其一端包括一个把手,而另一端包括连接装置,连接装置用来接纳两个弯曲的针状件,每次一件,每个针具有改进的顶端。该针可以有一个恒定的或变化的直径。每个针的一端与准备用来植入人体内的带的不同端相连。实际上,带的第一端通过一个弯曲的针经尿道一侧的阴道进入人体。针和带的第一端越过耻骨,并穿过腹部壁。第二个针件与带的第二端相连,并从与带的第一端处于尿道相反位置的阴道穿入人体,从而用带形成围绕尿道的一个环或吊环。该带的第二端越过耻骨延伸,并穿过腹部壁。该带的两端在腹部壁被切断,并且留下该带植入人体内。
本发明还提供有一个改进顶端的单个弯曲的针件。该针有一个恒定的或变化的直径,而且还提供了一个简易的连附装置,该连附装置能使外科医生把带的第一端和第二端都与单个针相连,以进行上述手术操作。
在两个实施例中,针改进成包含一个内腔,用来作为光学仪器和/或流体的通道。一个外科光学仪器可以直接与针接合,或者可选择的是,针柄件或把手可改进成用于接纳光学仪器。针的顶端还改进成包含一个窗口或观察端口,以允许从周围目标组织发出的光传递到光学仪器的成像镜上。该光学仪器使外科医生在引入仪器时保持可看得见连续的解剖构造,并在下腹部中引导针。
本发明的目的是要提供一个通过植入网状物来治疗失禁的外科手术器械,该器械能提供一个光学观察装置,当针穿过女性病人的下腹部时,使外科医生能看到该组织和重要器官。
本发明的一个优点是,当进行此手术操作时,它减少了穿过非计划中的人体器官的风险。
结合以示例方式说明本发明原理的附图,从以下更详细的描述中本发明的这些和其它特征和优点将变得更加清楚。
附图简述
图1a为其中一实施例中的针的视图;
图1b-1d为针的其它实施例的视图;
图2a为两个针和把两个针连接起来的一根带的侧视图;
图2b-2d为带以及在带和针之间的连接装置的其它实施例;
图3a-3h为把带与针相连的装置的实施例;
图4a-4c为针的顶端处的观察端口的实施例;
图5为针和把手的装配示意图;
图6a-6g图示了根据本发明使用两个针治疗SUI的方法的几个示意的外科手术步骤;
图4h示出了带在带的两端被切断之前在人体内的最后位置;和
图7a-7h图示了根据本发明使用一个针治疗SUI的方法的几个示意的外科手术步骤。
发明内容
在详细说明本发明前,应该指出的是,由于本发明示例性的实施例可以补充或引入其它实施例、变型和改进,还可以不同的方式实行或进行,本发明不限于在附图和说明中所示部件的结构和安装的应用或使用。此外,除非另外指出,这里用于描述本发明的示例性的实施例而采用的术语和表达语,是为了读者方便而不是为了限制本发明而选用。
本发明公开了用于治疗SUI的一种器械和方法。一根带穿过骨盆组织,并位于尿道下,形成了一根起支撑作用的吊环。该带提供了一种用于组织生长的结构装置,从而提供了一个新形成的身体组织支撑尿道装置。当对下腹部施加压力,例如大笑或打喷嚏,该带给尿道提供支撑,并使它保持密闭以阻止不希望的排尿。
参照图1a和2a,该外科手术器械包括一个针状件10,该针状件10与网状带12相连。该针状件10确定了某一半径R来进行在这里论述的外科手术操作。针状件10的远端终止于圆锥形部分14,该圆锥形部分14有一个顶端16。在另外的结构中,也有可能有例如刀状、箭头或针球状的顶端。顶端16优选为钝状,其中顶端16的半径大约是0.6毫米。优选钝状顶端,是因为它不太可能粘在骨头上,或穿透膀胱壁组织或血管壁组织,在如下所述的植入带的方法中将会理解这一点。在一个实施例中,钝状顶端16由透明材料制成,具有很好的光学性能,能使顶端的径向观察区超过该区域的规定深度。钝状顶端16可由透明聚脂或玻璃制造。
针10的近端终止于连接部分20,该连接部分20适用于紧密配合和锁住在把手411中,如前面在美国专利No.5899909中所述,在这里引入作为参考。
弯曲轴部分18设置在锥部14和部分20之间,其有一个远端17和一个近端19。轴18的形状大致延伸成圆的四分之一,使其大致跟随阴道和腹部壁之间的耻骨的轮廓。对这个将在下面更详细论述的方法来说,轴18优选的半径R大约是106毫米。弯曲轴部分18的直径可以是恒定的,或者部分18的直径可以在远端17的较小直径到近端19的较大直径逐渐变化。由于在远端的应力最小,所以远端17的最小直径可以小如0.5mm。近端19的最小直径可约为4mm。近端19的最小直径最好约为6mm,且以连续减少的方式在远端17的最小直径最好约为3mm。在植入带12的方法中要考虑这种设计,即在远端17的弯曲应力最小,而在近端19的弯曲应力最大。另一种说法是在该手术操作中,在远端17的内弯曲运动可以忽略不计,而在近端19的内弯曲运动是相当大的。
部分20、弯曲部分18和锥部14还改进成包括内腔100,内腔100用于接收光学仪器的光和/或成像系统。光学仪器包括一个柔性的或半刚性的内窥镜110,它有柔性能够跟随针10弯曲。内窥镜优选包含小于40K的纤维束,该内窥镜更优选为具有30K的纤维束,以使镜能沿针10的半径弯曲。如图所示,内腔100穿过针10并且同心定位,而入口112位于部分20的近端。如下所述,在这个实施例中允许在要求内窥镜110从内腔100移走之前,把整个针10放入体内。外科医生可通过内窥镜110的目镜看到该手术操作。或者,外科医生可通过视屏126结合固定在内窥镜目镜上的照相机镜头看到该手术操作。这些光学仪器对该技术领域的这些技术人员来说是众所周知的。
内腔100还可充当一个使流体流经针10的导管。例如,可通过针10和通过锥部14用冲洗溶液清洗在锥部14的观察区域。另外,可以利用流经内腔100的水流通过水喷作用形成一个针10通过组织的通道。内腔10还可用来传递用于荧光镜试验的辐射透不过的流体,或是传递治疗用药品。或者,流体传递内腔可以与内腔100分开且平行。流体传递内腔可从锥部14排出,或者它从直接邻近和非常接近锥部14的针10排出。
如图1b所示,内腔入口l12可以位于弯曲部分18的外弧形部;如图1c所示,内腔入口112还可以位于内窥镜110通向针10的侧面(左或右)入口和出口处;或如图1d所示,内腔入口112可以与针柄件连接处相邻,如下所述,允许在不要求改进把手且必须在内窥镜移走之前,把整个针10放入。
锥部14的另一个实施例如图4a-4c所示。图4a示出了锥部14a,其包括一个孔口118,孔口118位于顶端16a的远端。在针向前移动之前,内腔118允许内窥镜通过锥部14用于组织检查。图4b示出了锥部14b,锥部14b有一个终止于玻璃窗口/镜口120的远端。另外,锥部14c可由透明聚脂或玻璃制造,以使顶端附近的径向观察区大于如图4c所示区域的规定深度。
在图5描述的实施例中,美国专利5899909所述的现有技术的把手和转动的圆柱形轴,被改进成可按纳一个内窥镜。如图5所示,现有技术的把手411改进成包括一个开口夹410。轴415接纳一个紧固杆114的螺纹顶端113,该紧固杆114有一个内腔116和一个整体的光学镜对接插座118,该对接插座118用于接纳一个内窥镜。如美国专利5899909所述,螺纹顶端113与针10近端处的螺纹部分113a螺纹固定。一旦紧固杆牢固地固定在针10上,内窥镜110就可以经轴415和针10的中心内腔插入,一直到内窥镜终止于锥部14。
针10优选为管状并具有圆截面,它由与人体相容的材料制成。针10还优选为由能高压灭菌的材料制成,使针10能够进行多个外科手术。针10还优选为由303不锈钢制成。轴18的表面可以是光滑的,最好是打磨过的,以便于穿过软组织。另外,针10的表面可以是稍微有点粗糙的表面。较粗糙的表面可能导致轻微的、附加的组织损伤,这样又刺激了带12周围的纤维原细胞的活性。
针10可作为单一的、连续的装置制造,或者可选择的是,弯曲部18可与线性部20分开制造。在这种方式中,两个部件将用任何一种传统的连接装置来连接,例如螺纹,或是本技术领域中的技术人员所熟知的其它传统的装置。
参照图2a-2d,带12包含任何一种与组织相容的合成材料,或是任何一种天然材料,包括但不限于自体同源、代植入、外植入、组织工程基体或是它们组合而成的组织。合成材料的例子是由美国新泽西Somerville的Ethicon公司(Ethicon,Inc.,Somerville,NewJersey,U.S.A)制造的PROLENE聚丙烯网,该网厚0.7mm,开口大约1mm。该材料由美国食品和药品管理部门批准可用于植入人体内。还有带12的另一个实施例,其包括合成材料11和天然材料13的结合物,天然材料13在图2b-2c所示的合成材料11之间的中央。还有带12的另一个实施例,其包括合成材料11和天然材料13的合并物,而天然材料13放置或混合在合成材料11的大概中央部分内。带结构的一个优点是,天然材料13处于沿带的中央区域,使得带12安装后,天然材料13位于尿道下面,并且能消除在尿道和带的接口处可能发生的腐蚀问题。天然材料13可通过缝制、生物相容的胶、细胞培植技术或其它的已知方法与合成材料11相连。
带12可以具有适合本发明的目的的任意一种方便的形状。一个实例的宽为1cm,而其长度将依赖于女性进行该手术所需的尺寸。带12可以是单层或双层,通常是平面结构,或是管状(图2d),以提供一个附加的支撑力和更多的表面区域,组织纤维可连接于表面区域上。而且,带12可以包含不同类型的材料,例如一种生物可吸收和非生物可吸收的材料。带12还可以涂有一层抗菌添加剂和一层光滑涂层,抗菌添加剂用来防止感染或使感染最小化,而光滑涂层,例如生物可吸收的水凝胶,以便于带穿过如下所述的组织。带12优选覆盖有一层可去掉的塑料套,如美国专利No.5899909中所述。该带还可以制成辐射透不过的和/或具有与身体组织相对照的颜色,用于将来的诊断观察。
在一个实施例中,带12可通过打结、胶合或其它适合的连附装置与针的部分20相连。优选的是一种生物相容的热缩管把带12固定到针的部分20上。在另一个实施例中,如图2b-2d和图3a-3h,针10和带12还具有这种结构,使得在手术操作中外科医生很容易把带12连接到针10上,以及把带12从针10上取下。这个实施例中允许使用至少部分是由天然材料构成的带,而由于这些天然材料不能经受住库存延长期限的考验,所以它们不能适用于预固定的实施例。
如图3a-3c中所示,在一个实施例中,轴18设置了一个凹口和狭槽40,用于可滑动地接纳用于连接的接头32和32a,接头32和32a可连在带12的任意一端(见图2b-2d)。狭槽40优选贯穿弯曲轴18,并且还位于针10的远端17处,以使针10穿过腹壁之后,带12可马上从针10上取下,可见下面所述。
接头32可由例如塑料或金属的生物相容的材料制成。只要接头32能牢固插入凹口和狭槽40中,接头32可以是任意形状,例如方形或箭头形。图3b-3c示出了接头32,其具有两个弹性臂33和33a,当插入到狭槽40中时,弹性臂33和33a展开,并且把接头32牢固地固定在狭槽40内。接头32可以任意多的方便的方式与带12相连,这些方式如前所述,并且是该技术领域中的技术人员所熟知的。接头32还构造成包括孔35,以允许内窥镜110的成像纤维110a通过锥部顶端14。
图3d-3e示出了一个两层的狭槽40,其中接头32和弹性件33b滑入下层,该下层把接头32固定就位。接头32还改进成包括孔35a,以允许成像纤维通过锥部顶端14。还可得到带有狭槽40的接纳接头32的另外方式,这一点在技术领域中是众所周知的。
图3f-3h示出了把带12固定到针10的远端17的另一个实施例。可拆卸的钝状顶端16d有一个连接柱15,该钝状顶端通过安装孔15a与远端17a相连以接纳柱15。柱15可通过压接、螺纹配合或其它方便的连接方式牢固地连接在孔15a上。柱15还包括一个内腔,使成像光纤通过内腔到达锥部14d的远端。而且,如图3h所示,带12与柱15的外周相连,使成像光纤通过。远端17a还确定了有不同深度的沟槽23,使与柱15相连的带12的端头从孔15a中移动到针10的外部。本实施例和图3a-3e的实施例一起,允许外科医生在外科手术操作之前才把带12固定到针10上。一个优点是能够使用一个至少部分由天然材料13构成的带12。
在本技术领域的一个技术人员将能理解,存在多种装置可把带可拆卸地连接到针上。另一个实施例包括把带12的端部打结以形成一个结,并把该结牢固地插入轴18的V形槽中。另外,轴18上的一个斜缝能够接纳带12或从带12展开的一个缝合线。
使用两个针植入带12的外科手术的手术操作如图6a-6g中所示,使用的针的实施例如图1a-2a中所示。在图中示出了女性下腹部相关的部分,如阴道50、子宫52、尿道54、耻骨56、泌尿膀胱58和腹部壁60。第一个针10a穿入阴道壁,首先在壁上开了个切口以制造一个组织片状物。针与把手411相连,一个内窥镜通过内腔116和100插入,一直到内窥镜终止于针10a的远端锥部14为止。优选在观察在头顶屏幕126上的内窥镜的视觉反馈的同时,外科医生引导针10a穿过阴道壁和穿过尿道54一侧的软组织,然后按照图6b所示,针穿到靠近耻骨56的背面,穿过另外的脂肪层、肌肉层和筋膜层,接着穿过耻骨56上的腹部壁60。通过腹部壁可以开一个切口作为针经过的通道。内窥镜从内腔100中移走,把手411从针10a取下,见图6c,并且将连有带12的针10a用镊子从腹部壁抽出,见图6d。
参照图6e,此时针10b与把手411和内窥镜110相连。外科医生使针10b穿过阴道壁的切口,然后在观察来自内窥镜110的图象的同时,再穿过不同于带12前一次终端的尿道相反侧的软组织。针10b靠近耻骨的背面穿过另外的脂肪层、肌肉层和筋膜层,见图6f,接着又穿过在耻骨上方的腹部壁并拉出,见图6g。
图7a-7g示出使用单个针10植入带12的另一种方法。带12通过锥形部14与针10相连,如图3f所示。针10穿入阴道壁,阴道壁中首先已做好一个切口用于制造一个组织片状物。优选在观察显示在头上屏幕126上的内窥镜110的视觉反馈的同时,外科医生引导针10穿过阴道壁和穿过在尿道54一侧的软组织,然后按照图7b,针靠近耻骨56的背面穿过另外的脂肪层、肌肉层和筋膜层,接着又穿过在耻骨56上方的腹部壁60。穿过腹部壁可以做一个切口以用作远端17经过的通道。针10继续穿过腹部壁,一直到锥部14可以从针10分离为止,见图7c。为了这么做,外科医生可简单使用镊子拉出锥部14。然后锥部14被断开,带12可被拉出腹部壁,以使外科医生有额外的长度手术操作。接着针10沿着它进入的同一路径,只不过从相反方向从病人体中取出,见图7d。另外,如在用两个针的手术操作中所述,针10可从把手411和内窥镜110分离,并用镊子从腹部壁60拉出。
针10用连接器锥部14与带12的相反端连接。外科医生把针10穿过阴道壁的切口,然后穿过不同于带12前一次终端的尿道相反侧的软组织,见图7e。针10b靠近耻骨的背面穿过另外的脂肪层、肌肉层和筋膜层,见图7f,接着又穿过在耻骨上方的腹部壁。针10继续穿过腹部壁,一直到锥部14可以从针10分离为止,见图7g。带12可被拉出腹部壁,以使外科医生有额外的长度手术操作。接着针10沿着它进入的同一路径,只不过从相反方向从病人体中取出。另外,针10可从把手411分离,并用镊子从腹部壁60拉出。
由于所有手术操作可以使用局部麻醉进行,病人能够在带12放入就位后给外科医生提供反馈。典型的是使用导尿管让泌尿膀胱58充满例如水的流体和要求病人咳嗽。外科医生能确定尿道的手术操作,如果必要,可通过调整位于腹部60的外侧的带12的端头来调整带12,见图6h和7h。在调整之后,剩余的带在腹部被切断,带的两端固定在腹部内,并缝合腹部。同样,缝合阴道壁的切口,从而组织片状物把带密封在尿道54和阴道50的壁之间。
带12留在身体里,并形成一个与腹部壁相连的人工韧带,能如所要求那样给尿道提供支撑,从而恢复病人的小便节制。
在图6和图7中描述的任一手术操作的结尾,外科医生可进行一个试验手术操作来确定泌尿膀胱的完整性。可通过经过尿道放置一个刚性的内窥镜/护套和通过护套把流体注射进入膀胱来进行膀胱的水压诊断。膀胱被充压到已知的如通过护套测量约50mm汞柱的水平。如果维持此压力,则外科医生能确定膀胱没有被穿透。相反,如果膀胱压力减少,则要采取步骤以修复任何缺陷。
从已示出和描述的本发明的特定形式的上述内容将明显看出,在不背离本发明的精神和范围的情况下可做出不同的变型。因此,除了附加的权利要求书,它不会用来限定本发明。
Claims (16)
1.一种用于治疗女性小便压力失禁的外科手术器械,其包括:
a)一个用于植入女性下腹部的带,能给尿道提供支撑;和
b)一个弯曲的针状件,其具有一个近端和一个远端,并部分限定一个锥形顶端和弯曲轴,所述锥形顶端和弯曲轴分别限定一个用于接纳光传递装置的腔,所述光传递装置用于把远端的图象传递到针外部的观察装置。
2.如权利要求1所述的外科手术器械,其特征在于,锥形顶端包含一个观察窗口。
3.如权利要求1所述的外科手术器械,其特征在于,锥形顶端是透明的。
4.如权利要求1所述的外科手术器械,其特征在于,所述腔从远端延伸到近端。
5.一种用于治疗女性小便压力失禁的外科手术器械,其包括:
a)一个弯曲的针状件,其具有一个近端和一个远端,并部分限定一个弯曲轴,所述弯曲轴限定一个用于接纳光传递装置的腔,所述光传递装置用于把远端的图象传递到针外部的观察装置。
6.如权利要求5所述的外科手术器械,其特征在于,所述腔从远端延伸到近端。
7.一种用于治疗女性小便压力失禁的外科手术装置,其包括:
a.一个用于植入女性下腹部的带,能给尿道提供支撑;和
b.一个弯曲的针状件,其具有一个近端和一个远端,并部分限定一个弯曲轴,所述弯曲轴限定一个用于接纳内窥镜的腔;和
c.一个光学装置,用于把图象从内窥镜传递到针外部的观察装置。
8.如权利要求7所述的外科手术装置,其特征在于,所述光学装置包含一个照相机、光源和用于观察来自内窥镜的图象的装置。
9.如权利要求7所述的外科手术装置,其特征在于,所述针状件在远端限定一个锥形顶端。
10.如权利要求9所述的外科手术装置,其特征在于,所述锥形顶端限定一个观察窗口。
11.如权利要求9所述的外科手术装置,其特征在于,锥形顶端是透明的。
12.如权利要求7所述的外科手术装置,其特征在于,所述腔从远端延伸到近端。
13.一种用于治疗女性小便失禁的方法,其包括以下步骤:
a)提供第一和第二弯曲的针状件,每个针部分限定一个弯曲轴,并具有一个近端和一个远端,每个针限定一个用于接纳光传递装置的腔,所述光传递装置用于把远端的图象传递到针外部的观察装置,并且一个带与两个针状件相连;
b)使第一个针和连接带经阴道和尿道一侧穿入人体,使带延伸越过耻骨,并穿过腹部壁;
c)使第二个针与连接带经阴道和不同于第一针的尿道相反侧穿入人体,使带延伸越过耻骨,并穿过腹部壁,在尿道下形成一个吊环;
d)在步骤(b)和(c)中观察在针远端的图象。
14.一种用于治疗女性小便失禁的方法,其包括以下步骤:
a)提供一个弯曲的针状件,其部分限定一个弯曲轴,并具有一个近端和一个远端,一个带与针相连,所述针限定一个用于接纳光传递装置的腔,所述光传递装置用于把远端的图象传递到针外部的观察装置;和
b)使针和带经阴道穿入人体,并环绕尿道形成一个吊环;和
c)观察在针远端的图象。
15.一种用于治疗女性小便失禁的方法,其包括以下步骤:
a)提供一个部分限定一个弯曲轴的弯曲的针状件,所述针限定一个用于接纳光传递装置的腔,所述光传递装置用于把远端的图象传递到针外部的观察装置;
b)把一个带与所述针状件相连;
c)使针和带穿入人体;
d)把所述带与所述针状件相连,并使所述针与所述带穿入人体,环绕尿道形成一个吊环;和
d)观察在针远端的图象。
16.一种用于治疗女性小便失禁的方法,其包括以下步骤:
a)使带经阴道穿入人体,并环绕尿道形成一个环,所述环在阴道壁和尿道之间形成,使所述带延伸越过耻骨;和
b)在把带穿入人体的同时观察周围组织的图象。
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US13823199P | 1999-06-09 | 1999-06-09 | |
US60/138231 | 1999-06-09 | ||
US09/573,645 US6475139B1 (en) | 1999-06-09 | 2000-05-18 | Visually-directed surgical instrument and method for treating female urinary incontinence |
US09/573645 | 2000-05-18 |
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CN1409625A true CN1409625A (zh) | 2003-04-09 |
CN1222248C CN1222248C (zh) | 2005-10-12 |
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CNB008111448A Expired - Lifetime CN1222248C (zh) | 1999-06-09 | 2000-06-01 | 用于治疗女性小便失禁的外科手术器械 |
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US (1) | US6475139B1 (zh) |
EP (1) | EP1194091B1 (zh) |
JP (1) | JP2003501144A (zh) |
KR (1) | KR100712871B1 (zh) |
CN (1) | CN1222248C (zh) |
AU (1) | AU770937B2 (zh) |
CA (1) | CA2376281C (zh) |
DE (1) | DE60037249T2 (zh) |
ES (1) | ES2296626T3 (zh) |
WO (1) | WO2000074613A1 (zh) |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN102740780A (zh) * | 2009-11-13 | 2012-10-17 | 瑞恩科技有限公司 | 具有指示功能的外科手术装置及医疗针组件 |
CN103732126A (zh) * | 2011-06-17 | 2014-04-16 | 拜耳伊舒尔公司 | 内窥镜系统适配器 |
CN103735336A (zh) * | 2006-07-16 | 2014-04-23 | 金伯利-克拉克环球有限公司 | 用于改善女性尿失禁的装置 |
CN104138278A (zh) * | 2007-09-21 | 2014-11-12 | Ams研究公司 | 手术插入工具及其与植入物的延伸部分结合的结合件 |
CN108814685A (zh) * | 2018-04-12 | 2018-11-16 | 上海市东方医院 | 可视化硬膜外腔神经根松解系统 |
CN108814697A (zh) * | 2018-06-08 | 2018-11-16 | 罗政强 | 一种具有三维定位功能的股骨髓内钉开口器 |
Families Citing this family (152)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SE506164C2 (sv) * | 1995-10-09 | 1997-11-17 | Medscand Medical Ab | Instrumentarium för behandling av urininkontinens hos kvinnor |
US6382214B1 (en) | 1998-04-24 | 2002-05-07 | American Medical Systems, Inc. | Methods and apparatus for correction of urinary and gynecological pathologies including treatment of male incontinence and female cystocele |
JP4290363B2 (ja) | 1999-06-09 | 2009-07-01 | エシコン・インコーポレイテッド | 柔軟な医療用ポリマー移植片を調節するための方法および装置 |
US7121997B2 (en) * | 1999-06-09 | 2006-10-17 | Ethicon, Inc. | Surgical instrument and method for treating female urinary incontinence |
US7226407B2 (en) * | 1999-06-09 | 2007-06-05 | Ethicon, Inc. | Surgical instrument and method for treating female urinary incontinence |
US6932759B2 (en) | 1999-06-09 | 2005-08-23 | Gene W. Kammerer | Surgical instrument and method for treating female urinary incontinence |
US7131943B2 (en) * | 2000-03-09 | 2006-11-07 | Ethicon, Inc. | Surgical instrument and method for treating organ prolapse conditions |
DE10019604C2 (de) * | 2000-04-20 | 2002-06-27 | Ethicon Gmbh | Implantat |
FR2811218B1 (fr) | 2000-07-05 | 2003-02-28 | Patrice Suslian | Dispositif implantable destine a corriger l'incontinence urinaire |
US6638211B2 (en) | 2000-07-05 | 2003-10-28 | Mentor Corporation | Method for treating urinary incontinence in women and implantable device intended to correct urinary incontinence |
EP1201189A3 (en) * | 2000-08-03 | 2004-01-07 | Ethicon GmbH | Light-assisted surgical instrument and method for treating female urinary incontinence |
US7025063B2 (en) * | 2000-09-07 | 2006-04-11 | Ams Research Corporation | Coated sling material |
US8167785B2 (en) | 2000-10-12 | 2012-05-01 | Coloplast A/S | Urethral support system |
US20060205995A1 (en) | 2000-10-12 | 2006-09-14 | Gyne Ideas Limited | Apparatus and method for treating female urinary incontinence |
GB0025068D0 (en) | 2000-10-12 | 2000-11-29 | Browning Healthcare Ltd | Apparatus and method for treating female urinary incontinence |
AU2002217880A1 (en) * | 2000-11-15 | 2002-05-27 | Scimed Life Systems, Inc. | Device and method for treating female urinary incontinence |
CN1277512C (zh) * | 2000-11-20 | 2006-10-04 | 伊西康公司 | 治疗女性尿失禁的医用器械及方法 |
CN1183250C (zh) * | 2000-12-01 | 2005-01-05 | 卫健生物科技有限公司 | 高效表达肿瘤血管生成抑制因子的肿瘤细胞内特异性增殖的病毒及其构建方法 |
US20020161382A1 (en) | 2001-03-29 | 2002-10-31 | Neisz Johann J. | Implant inserted without bone anchors |
US6612977B2 (en) | 2001-01-23 | 2003-09-02 | American Medical Systems Inc. | Sling delivery system and method of use |
US6641525B2 (en) * | 2001-01-23 | 2003-11-04 | Ams Research Corporation | Sling assembly with secure and convenient attachment |
US7229453B2 (en) | 2001-01-23 | 2007-06-12 | Ams Research Corporation | Pelvic floor implant system and method of assembly |
US7070556B2 (en) | 2002-03-07 | 2006-07-04 | Ams Research Corporation | Transobturator surgical articles and methods |
US6802807B2 (en) | 2001-01-23 | 2004-10-12 | American Medical Systems, Inc. | Surgical instrument and method |
US20020147382A1 (en) | 2001-01-23 | 2002-10-10 | Neisz Johann J. | Surgical articles and methods |
DE10107520A1 (de) * | 2001-02-17 | 2002-10-02 | Siegfried Riek | Instrumentarium zur operativen Behandlung der Harninkontinenz der Frau |
US6991597B2 (en) * | 2001-03-09 | 2006-01-31 | Boston Scientific Scimed, Inc. | System for implanting an implant and method thereof |
US8033983B2 (en) * | 2001-03-09 | 2011-10-11 | Boston Scientific Scimed, Inc. | Medical implant |
JP4181410B2 (ja) * | 2001-03-09 | 2008-11-12 | ボストン サイエンティフィック リミテッド | インプラントを移植するためのシステムおよびその方法 |
GB0108088D0 (en) | 2001-03-30 | 2001-05-23 | Browning Healthcare Ltd | Surgical implant |
US7407480B2 (en) | 2001-07-27 | 2008-08-05 | Ams Research Corporation | Method and apparatus for correction of urinary and gynecological pathologies, including treatment of incontinence cystocele |
DE10138955A1 (de) * | 2001-08-03 | 2003-02-20 | Aesculap Ag & Co Kg | Chirurgisches Instrument zum Platzieren eines Harninkontinenzbandes im Unterleib von Patienten |
DE20204669U1 (de) * | 2002-03-23 | 2003-08-07 | Aesculap Ag & Co Kg | Inkontinenzband zur Behandlung der Harninkontinenz |
WO2003013392A1 (de) | 2001-08-03 | 2003-02-20 | Aesculap Ag & Co. Kg | Inkontinenzband zur behandlung der harninkontinenz |
WO2003017745A2 (en) * | 2001-08-23 | 2003-03-06 | Sciperio, Inc. | Architecture tool and methods of use |
US6648921B2 (en) * | 2001-10-03 | 2003-11-18 | Ams Research Corporation | Implantable article |
US7087065B2 (en) * | 2001-10-04 | 2006-08-08 | Ethicon, Inc. | Mesh for pelvic floor repair |
MXPA04008407A (es) | 2002-03-01 | 2005-12-12 | Ethicon Inc | Metodo y aparato para tratar prolapsos de organo pelvico en pacientes femeninas. |
US6911003B2 (en) | 2002-03-07 | 2005-06-28 | Ams Research Corporation | Transobturator surgical articles and methods |
AU2003231229A1 (en) * | 2002-04-30 | 2003-11-17 | Cook Biotech Incorporated | Sling for supporting tissue |
CA2492630C (en) | 2002-08-02 | 2009-01-13 | C.R. Bard, Inc. | Self anchoring sling and introducer system |
US7371245B2 (en) * | 2002-08-02 | 2008-05-13 | C R Bard, Inc | Transobturator introducer system for sling suspension system |
US7637384B2 (en) * | 2002-08-09 | 2009-12-29 | Crown Packaging Technology, Inc. | Tamper evident closure with locking band and container therefor |
CA2497158C (en) * | 2002-08-29 | 2006-05-02 | Universite De Liege | Devices for surgical treatment of female urinary incontinence |
US7611454B2 (en) * | 2002-08-29 | 2009-11-03 | Universite De Liege | Surgical procedure for the treatment of female urinary incontinence: tension-free inside-out transobturator urethral suspension |
US7402133B2 (en) | 2002-12-17 | 2008-07-22 | Boston Scientific Scimed, Inc. | Spacer for sling delivery system |
GB0307082D0 (en) | 2003-03-27 | 2003-04-30 | Gyne Ideas Ltd | Drug delivery device and method |
FR2852813B1 (fr) * | 2003-03-28 | 2005-06-24 | Analytic Biosurgical Solutions | Introducteur et guide perforateur pour la mise en place d'une bandelette dans le corps humain |
US7494495B2 (en) | 2003-03-28 | 2009-02-24 | Coloplast A/S | Method and implant for curing cystocele |
CA2520818A1 (fr) | 2003-03-28 | 2004-10-28 | Analytic Biosurgical Solutions Abiss | Implant pour le traitement de la rectocele et dispositif pour la mise en place de cet implant |
AU2004233885B2 (en) * | 2003-04-25 | 2010-11-11 | Boston Scientific Limited | Systems and method for treating urinary incontinence |
DE10321012A1 (de) * | 2003-05-12 | 2004-12-23 | Riek, Siegfried, Dr.med. | Instrumentarium zur operativen Behandlung der Harninkontinenz der Frau |
WO2005007019A2 (en) * | 2003-07-07 | 2005-01-27 | Ethicon, Inc. | Implantable surgical mesh having a lubricious coating |
JP4467440B2 (ja) * | 2003-07-25 | 2010-05-26 | ユニベルシテ・ド・リエージュ | 女性尿失禁の外科治療用装置 |
US7361138B2 (en) | 2003-07-31 | 2008-04-22 | Scimed Life Systems, Inc. | Bioabsorbable casing for surgical sling assembly |
US7347812B2 (en) | 2003-09-22 | 2008-03-25 | Ams Research Corporation | Prolapse repair |
EP1682009B1 (en) | 2003-10-03 | 2014-03-05 | Boston Scientific Limited, an Irish company | Systems for a delivering a medical implant to an anatomical location in a patient |
CA2546376C (en) * | 2003-11-17 | 2013-04-16 | Scimed Life Systems, Inc. | Systems and methods relating to associating a medical implant with a delivery device |
US7338432B2 (en) * | 2003-11-17 | 2008-03-04 | Konstantin Valtchev | Urethral sling introducer and method of use |
US7500945B2 (en) | 2004-04-30 | 2009-03-10 | Ams Research Corporation | Method and apparatus for treating pelvic organ prolapse |
US7811222B2 (en) | 2004-04-30 | 2010-10-12 | Ams Research Corporation | Method and apparatus for treating pelvic organ prolapse |
US7351197B2 (en) | 2004-05-07 | 2008-04-01 | Ams Research Corporation | Method and apparatus for cystocele repair |
US8439820B2 (en) | 2004-05-06 | 2013-05-14 | Boston Scientific Scimed, Inc. | Systems and methods for sling delivery and placement |
US8047982B2 (en) * | 2004-05-07 | 2011-11-01 | Ethicon, Inc. | Mesh tape with wing-like extensions for treating female urinary incontinence |
GB0411360D0 (en) | 2004-05-21 | 2004-06-23 | Mpathy Medical Devices Ltd | Implant |
FR2871361B1 (fr) * | 2004-06-15 | 2006-09-29 | Analytic Biosurgical Solutions | Dispositif d'ancrage chirurgical |
US7285086B2 (en) * | 2004-07-28 | 2007-10-23 | Ethicon, Inc. | Minimally invasive medical implant and insertion device and method for using the same |
US7527588B2 (en) | 2004-09-15 | 2009-05-05 | Ethicon, Inc. | System and method for surgical implant placement |
US8500624B2 (en) | 2004-10-25 | 2013-08-06 | Boston Scientific Scimed, Inc. | Systems and methods for sling delivery and placement |
US7794385B2 (en) * | 2004-12-20 | 2010-09-14 | Ams Research Corporation | System and method for treatment of anal incontinence and pelvic organ prolapse |
US7481314B2 (en) | 2005-02-02 | 2009-01-27 | Ethicon, Inc. | Packaging assembly for surgical mesh implants |
WO2006084165A2 (en) | 2005-02-04 | 2006-08-10 | Ams Research Corporation | Pelvic implants and related methods |
US7914437B2 (en) | 2005-02-04 | 2011-03-29 | Ams Research Corporation | Transobturator methods for installing sling to treat incontinence, and related devices |
US20060217589A1 (en) * | 2005-03-22 | 2006-09-28 | Wan Shaw P | Pubovaginal sling implanter and procedure for the usage |
JP5058969B2 (ja) | 2005-04-06 | 2012-10-24 | ボストン サイエンティフィック リミテッド | 尿道下の支持のためのシステム、装置および方法 |
US8864650B2 (en) | 2005-06-21 | 2014-10-21 | Ams Research Corporation | Methods and apparatus for securing a urethral sling to a pubic bone |
WO2007002071A1 (en) | 2005-06-21 | 2007-01-04 | Ams Research Corporation | Apparatus for securing a urethral sling to pubic bone |
CA2550752C (en) * | 2005-06-28 | 2014-09-09 | Sherwood Services Ag | Illuminated ivs tunneling device |
WO2007008209A1 (en) | 2005-07-13 | 2007-01-18 | Boston Scientific Scimed Inc. | Snap fit sling anchor system and related methods |
WO2007014241A1 (en) | 2005-07-25 | 2007-02-01 | Boston Scientific Scimed, Inc. | Pelvic floor repair system |
US7981023B2 (en) | 2005-07-25 | 2011-07-19 | Boston Scientific Scimed, Inc. | Elastic sling system and related methods |
CA2615130A1 (en) | 2005-07-26 | 2007-02-08 | Ams Research Corporation | Methods and systems for treatment of prolapse |
JP2009515564A (ja) | 2005-08-04 | 2009-04-16 | シー・アール・バード・インコーポレイテツド | 骨盤インプラントシステムおよび方法 |
JP2009511091A (ja) * | 2005-08-04 | 2009-03-19 | シー・アール・バード・インコーポレイテツド | インプラントイントロデューサ |
US7878970B2 (en) | 2005-09-28 | 2011-02-01 | Boston Scientific Scimed, Inc. | Apparatus and method for suspending a uterus |
ES2383650T3 (es) * | 2005-11-02 | 2012-06-25 | Injectica Ag | Dispositivo de perfusión con aguja extensible y retráctil, susceptible de implantarse |
WO2007059199A2 (en) * | 2005-11-14 | 2007-05-24 | C.R. Bard, Inc. | Sling anchor system |
JP4933772B2 (ja) * | 2005-11-14 | 2012-05-16 | オリンパス株式会社 | 内視鏡用ガイドチューブ及び内視鏡装置 |
US7637860B2 (en) * | 2005-11-16 | 2009-12-29 | Boston Scientific Scimed, Inc. | Devices for minimally invasive pelvic surgery |
US9144483B2 (en) | 2006-01-13 | 2015-09-29 | Boston Scientific Scimed, Inc. | Placing fixation devices |
EP2617385B1 (en) | 2006-03-16 | 2017-07-19 | Boston Scientific Limited | System for treating tissue wall prolapse |
GB0607547D0 (en) * | 2006-04-18 | 2006-05-24 | Plasmed Ltd | Tunnelling instrument for subcutaneously placing an article, and method of use of said instrument |
US9084664B2 (en) | 2006-05-19 | 2015-07-21 | Ams Research Corporation | Method and articles for treatment of stress urinary incontinence |
CN100425210C (zh) * | 2006-05-31 | 2008-10-15 | 飞秒光电科技(西安)有限公司 | 内窥镜的手术穿刺头 |
BRPI0712194A2 (pt) | 2006-06-16 | 2012-03-06 | Ams Research Corporation | Implantes pélvico e cirúrgico combinação ferramenta cirúrgica útil para implantar um implante pélvico métodos de tratamento de uma condição pélvica, e de prolapso vaginal, e, método para manipular um implante cirúrgico |
BRPI0712370A2 (pt) | 2006-06-22 | 2012-06-12 | Ams Res Corp | sistema e mÉtodo para prover suporte para tecido corporal para abrandar incontinÊncia |
WO2008033950A2 (en) | 2006-09-13 | 2008-03-20 | C. R. Bard, Inc. | Urethral support system |
WO2008042438A2 (en) * | 2006-10-03 | 2008-04-10 | Boston Scientific Scimed, Inc. | Systems and devices for treating pelvic floor disorders |
EP2063790B1 (en) | 2006-10-26 | 2016-01-27 | AMS Research Corporation | Surgical articles for treating pelvic conditions |
US8951185B2 (en) | 2007-10-26 | 2015-02-10 | Ams Research Corporation | Surgical articles and methods for treating pelvic conditions |
US8623034B2 (en) | 2007-10-19 | 2014-01-07 | Ethicon, Gmbh | Soft tissue repair implant |
US8206280B2 (en) | 2007-11-13 | 2012-06-26 | C. R. Bard, Inc. | Adjustable tissue support member |
WO2009102945A2 (en) * | 2008-02-14 | 2009-08-20 | Brown Robert C | Method for treating stress urinary incontinence and symptomatic pelvic relaxation |
US8727963B2 (en) | 2008-07-31 | 2014-05-20 | Ams Research Corporation | Methods and implants for treating urinary incontinence |
US8968181B2 (en) | 2008-08-25 | 2015-03-03 | Ams Research Corporation | Minimally invasive implant and method |
US9017243B2 (en) | 2008-08-25 | 2015-04-28 | Ams Research Corporation | Minimally invasive implant and method |
EP3424437A1 (en) | 2008-10-27 | 2019-01-09 | Boston Scientific Scimed, Inc. | Surgical needle and anchor system with retractable features |
US8449573B2 (en) | 2008-12-05 | 2013-05-28 | Boston Scientific Scimed, Inc. | Insertion device and method for delivery of a mesh carrier |
CA2748894C (en) | 2009-02-10 | 2018-11-13 | Ams Research Corporation | Surgical articles and methods for treating urinary incontinence |
US8968334B2 (en) | 2009-04-17 | 2015-03-03 | Boston Scientific Scimed, Inc. | Apparatus for delivering and anchoring implantable medical devices |
ES2518491T3 (es) * | 2009-09-01 | 2014-11-05 | Coloplast A/S | Sistema de reparación mínimamente invasiva de prolapso de órgano pélvico |
US9301750B2 (en) | 2009-11-03 | 2016-04-05 | Boston Scientific Scimed, Inc. | Device and method for delivery of mesh-based devices |
WO2011082330A1 (en) | 2009-12-30 | 2011-07-07 | Ams Research Corporation | Implantable sling systems and methods |
WO2011082287A1 (en) | 2009-12-30 | 2011-07-07 | Ams Research Corporation | Implant systems with tensioning feedback |
US9393091B2 (en) | 2009-12-31 | 2016-07-19 | Astora Women's Health, Llc | Suture-less tissue fixation for implantable device |
US9445881B2 (en) | 2010-02-23 | 2016-09-20 | Boston Scientific Scimed, Inc. | Surgical articles and methods |
EP2538849B1 (en) | 2010-02-23 | 2020-07-15 | Boston Scientific Scimed, Inc. | Surgical articles for treating incontinence |
US8622886B2 (en) * | 2010-03-16 | 2014-01-07 | Ethicon, Inc. | Surgical instrument and method for the treatment of urinary incontinence |
US10028813B2 (en) | 2010-07-22 | 2018-07-24 | Boston Scientific Scimed, Inc. | Coated pelvic implant device and method |
US9271754B2 (en) | 2010-12-16 | 2016-03-01 | Boston Scientific Scimed, Inc. | Movable curved needle for delivering implants and methods of delivering implants |
US9572648B2 (en) | 2010-12-21 | 2017-02-21 | Justin M. Crank | Implantable slings and anchor systems |
US9381075B2 (en) | 2011-01-31 | 2016-07-05 | Boston Scientific Scimed, Inc. | Deflection member for delivering implants and methods of delivering implants |
US9125717B2 (en) | 2011-02-23 | 2015-09-08 | Ams Research Corporation | Implant tension adjustment system and method |
US9622848B2 (en) | 2011-02-23 | 2017-04-18 | Boston Scientific Scimed, Inc. | Urethral stent system and method |
US8808162B2 (en) | 2011-03-28 | 2014-08-19 | Ams Research Corporation | Implants, tools, and methods for treatment of pelvic conditions |
US20120253108A1 (en) | 2011-03-28 | 2012-10-04 | Fischer Brian G | Implants, tools, and methods for treatment of pelvic conditions |
US9492259B2 (en) | 2011-03-30 | 2016-11-15 | Astora Women's Health, Llc | Expandable implant system |
US9636201B2 (en) | 2011-05-12 | 2017-05-02 | Boston Scientific Scimed, Inc. | Delivery members for delivering an implant into a body of a patient |
US9113991B2 (en) | 2011-05-12 | 2015-08-25 | Boston Scientific Scimed, Inc. | Anchors for bodily implants and methods for anchoring bodily implants into a patient's body |
US10058240B2 (en) | 2011-06-29 | 2018-08-28 | Boston Scientific Scimed, Inc. | Systems, implants, tools, and methods for treatments of pelvic conditions |
US20130006049A1 (en) | 2011-06-30 | 2013-01-03 | Alexander James A | Implants, tools, and methods for treatments of pelvic conditions |
US9351723B2 (en) | 2011-06-30 | 2016-05-31 | Astora Women's Health, Llc | Implants, tools, and methods for treatments of pelvic conditions |
EP2734148B1 (en) | 2011-07-22 | 2019-06-05 | Boston Scientific Scimed, Inc. | Pelvic implant system |
US9414903B2 (en) | 2011-07-22 | 2016-08-16 | Astora Women's Health, Llc | Pelvic implant system and method |
US9492191B2 (en) | 2011-08-04 | 2016-11-15 | Astora Women's Health, Llc | Tools and methods for treatment of pelvic conditions |
US20130035555A1 (en) | 2011-08-05 | 2013-02-07 | Alexander James A | Systems, implants, tools, and methods for treatment of pelvic conditions |
US10098721B2 (en) | 2011-09-01 | 2018-10-16 | Boston Scientific Scimed, Inc. | Pelvic implant needle system and method |
US9345472B2 (en) | 2011-09-02 | 2016-05-24 | Boston Scientific Scimed, Inc. | Multi-arm tool for delivering implants and methods thereof |
USD736382S1 (en) | 2011-09-08 | 2015-08-11 | Ams Research Corporation | Surgical indicator with backers |
USD721175S1 (en) | 2011-09-08 | 2015-01-13 | Ams Research Corporation | Backers for surgical indicators |
USD721807S1 (en) | 2011-09-08 | 2015-01-27 | Ams Research Corporation | Surgical indicators |
US9168120B2 (en) | 2011-09-09 | 2015-10-27 | Boston Scientific Scimed, Inc. | Medical device and methods of delivering the medical device |
US9622779B2 (en) | 2011-10-27 | 2017-04-18 | DePuy Synthes Products, Inc. | Method and devices for a sub-splenius / supra-levator scapulae surgical access technique |
KR101155817B1 (ko) * | 2011-10-31 | 2012-06-12 | 김종우 | 조직거상용 이식물 |
US10278694B2 (en) | 2012-02-23 | 2019-05-07 | Northwestern University | Indirect attachment of a needle to a mesh suture |
WO2013126130A1 (en) * | 2012-02-23 | 2013-08-29 | Northwestern University | Improved suture |
US20130253266A1 (en) | 2012-03-22 | 2013-09-26 | Codman & Shurtleff, Inc. | Fluid management catheter and methods of using same |
WO2013176098A1 (ja) * | 2012-05-23 | 2013-11-28 | テルモ株式会社 | 穿刺装置 |
US9814555B2 (en) | 2013-03-12 | 2017-11-14 | Boston Scientific Scimed, Inc. | Medical device for pelvic floor repair and method of delivering the medical device |
CA2919504A1 (en) | 2013-08-01 | 2015-02-05 | Christine BRONIKOWSKI | Tissue adjustment implant |
ES2950240T3 (es) * | 2014-09-17 | 2023-10-06 | Hollister Inc | Catéter urinario curvo |
EP3793476A4 (en) | 2018-05-17 | 2022-06-15 | Zenflow, Inc. | SYSTEMS, DEVICES AND METHODS FOR PRECISE DEPLOYMENT AND IMAGING OF AN IMPLANT IN THE PROSTATIC URETHAL |
Family Cites Families (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3372695A (en) * | 1965-04-27 | 1968-03-12 | Prosit Service Corp | Method of overcoming incontinence |
US4392495A (en) * | 1981-08-31 | 1983-07-12 | Bayers Jon Herbert | Apparatus for and method of suturing tissue |
US5112344A (en) * | 1988-10-04 | 1992-05-12 | Petros Peter E | Surgical instrument and method of utilization of such |
US5013292A (en) * | 1989-02-24 | 1991-05-07 | R. Laborie Medical Corporation | Surgical correction of female urinary stress incontinence and kit therefor |
US5685820A (en) * | 1990-11-06 | 1997-11-11 | Partomed Medizintechnik Gmbh | Instrument for the penetration of body tissue |
US5460182A (en) * | 1992-09-14 | 1995-10-24 | Sextant Medical Corporation | Tissue penetrating apparatus and methods |
US5362294A (en) * | 1992-09-25 | 1994-11-08 | Seitzinger Michael R | Sling for positioning internal organ during laparoscopic surgery and method of use |
US5855549A (en) * | 1993-08-18 | 1999-01-05 | Vista Medical Technologies, Inc. | Method of using an optical female urethroscope |
EP0668056A1 (en) * | 1994-02-22 | 1995-08-23 | SMITH & NEPHEW DYONICS INC | Suture probe |
US5899909A (en) * | 1994-08-30 | 1999-05-04 | Medscand Medical Ab | Surgical instrument for treating female urinary incontinence |
US5997554A (en) | 1995-06-14 | 1999-12-07 | Medworks Corporation | Surgical template and surgical method employing same |
US6030393A (en) * | 1998-09-15 | 2000-02-29 | Corlew; Earvin L. | Needle and procedure for relieving urinary incontinence |
US6273852B1 (en) * | 1999-06-09 | 2001-08-14 | Ethicon, Inc. | Surgical instrument and method for treating female urinary incontinence |
-
2000
- 2000-05-18 US US09/573,645 patent/US6475139B1/en not_active Expired - Fee Related
- 2000-06-01 EP EP00938064A patent/EP1194091B1/en not_active Expired - Lifetime
- 2000-06-01 KR KR1020017015866A patent/KR100712871B1/ko active IP Right Grant
- 2000-06-01 DE DE60037249T patent/DE60037249T2/de not_active Expired - Lifetime
- 2000-06-01 JP JP2001501152A patent/JP2003501144A/ja active Pending
- 2000-06-01 CN CNB008111448A patent/CN1222248C/zh not_active Expired - Lifetime
- 2000-06-01 CA CA002376281A patent/CA2376281C/en not_active Expired - Lifetime
- 2000-06-01 AU AU53153/00A patent/AU770937B2/en not_active Expired
- 2000-06-01 ES ES00938064T patent/ES2296626T3/es not_active Expired - Lifetime
- 2000-06-01 WO PCT/US2000/015215 patent/WO2000074613A1/en active IP Right Grant
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103735336A (zh) * | 2006-07-16 | 2014-04-23 | 金伯利-克拉克环球有限公司 | 用于改善女性尿失禁的装置 |
CN103735336B (zh) * | 2006-07-16 | 2017-05-24 | 金伯利-克拉克环球有限公司 | 用于改善女性尿失禁的装置 |
CN104138278A (zh) * | 2007-09-21 | 2014-11-12 | Ams研究公司 | 手术插入工具及其与植入物的延伸部分结合的结合件 |
CN102740780A (zh) * | 2009-11-13 | 2012-10-17 | 瑞恩科技有限公司 | 具有指示功能的外科手术装置及医疗针组件 |
CN102740780B (zh) * | 2009-11-13 | 2015-04-08 | 瑞恩科技有限公司 | 具有指示功能的医疗针组件 |
CN103732126A (zh) * | 2011-06-17 | 2014-04-16 | 拜耳伊舒尔公司 | 内窥镜系统适配器 |
CN108814685A (zh) * | 2018-04-12 | 2018-11-16 | 上海市东方医院 | 可视化硬膜外腔神经根松解系统 |
CN108814697A (zh) * | 2018-06-08 | 2018-11-16 | 罗政强 | 一种具有三维定位功能的股骨髓内钉开口器 |
Also Published As
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EP1194091A1 (en) | 2002-04-10 |
DE60037249T2 (de) | 2008-10-09 |
EP1194091B1 (en) | 2007-11-28 |
DE60037249D1 (de) | 2008-01-10 |
CA2376281A1 (en) | 2000-12-14 |
AU5315300A (en) | 2000-12-28 |
AU770937B2 (en) | 2004-03-11 |
KR100712871B1 (ko) | 2007-05-02 |
EP1194091A4 (en) | 2005-11-09 |
US6475139B1 (en) | 2002-11-05 |
JP2003501144A (ja) | 2003-01-14 |
WO2000074613A1 (en) | 2000-12-14 |
KR20020033636A (ko) | 2002-05-07 |
ES2296626T3 (es) | 2008-05-01 |
CA2376281C (en) | 2008-07-29 |
CN1222248C (zh) | 2005-10-12 |
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