Bladder neck suspension procedure

Surgery – Miscellaneous – Methods

Patent

Rate now

  [ 0.00 ] – not rated yet Voters 0   Comments 0

Details

A61B 1900

Patent

active

058604251

ABSTRACT:
The surgical treatment of stress urinary incontinence is disclosed. The disclosed methods include: 1) a technique of probe passage to avoid injuring the bladder and to provide a more accurate and reproducible capture of the pubocervical fascia lateral to the bladder neck and urethra, 2) anchor fixation of the suspending sutures to the pubic bone to decrease the risk of suture pull through from above and to decrease post-operative pain and 3) a simple and reproducible technique to set a limited tension of the suspending sutures. A description of these methods and results of procedures with some of these methods are disclosed. Novel drill guides, suture passers, suture tensioners, and various related tools and devices for use in the surgical method are also disclosed.

REFERENCES:
patent: 1030530 (1912-06-01), Palmer
patent: 2200120 (1940-05-01), Nauth
patent: 2400251 (1946-05-01), Nagel
patent: 2454680 (1948-11-01), Stephens
patent: 2666430 (1954-01-01), Gispert
patent: 2707783 (1955-05-01), Sullivan
patent: 2738790 (1956-03-01), Todt, Sr. et al.
patent: 2809628 (1957-10-01), Jonas
patent: 3669118 (1972-06-01), Colon-Morales
patent: 3835849 (1974-09-01), McGuire
patent: 3877434 (1975-04-01), Ferguson et al.
patent: 3995619 (1976-12-01), Glatzer
patent: 4156424 (1979-05-01), Burgin
patent: 4172458 (1979-10-01), Pereyra
patent: 4257411 (1981-03-01), Cho
patent: 4323057 (1982-04-01), Jamieson
patent: 4325373 (1982-04-01), Slivenko et al.
patent: 4383527 (1983-05-01), Asnis et al.
patent: 4421112 (1983-12-01), Mains et al.
patent: 4527726 (1985-07-01), Assell et al.
patent: 4535768 (1985-08-01), Hourahane et al.
patent: 4549545 (1985-10-01), Levy
patent: 4686972 (1987-08-01), Kurland
patent: 4708139 (1987-11-01), Dunbar, IV
patent: 4713077 (1987-12-01), Small
patent: 4722331 (1988-02-01), Fox
patent: 4739751 (1988-04-01), Sapega et al.
patent: 4741330 (1988-05-01), Hayhurst
patent: 4744353 (1988-05-01), McFarland
patent: 4788970 (1988-12-01), Kara et al.
patent: 4857041 (1989-08-01), Annis et al.
patent: 4872451 (1989-10-01), Moore et al.
patent: 4874375 (1989-10-01), Ellison
patent: 4883048 (1989-11-01), Purnell et al.
patent: 4911153 (1990-03-01), Border
patent: 4920958 (1990-05-01), Walt et al.
patent: 4938760 (1990-07-01), Burton et al.
patent: 4945904 (1990-08-01), Bolton
patent: 4957498 (1990-09-01), Caspari et al.
patent: 4969892 (1990-11-01), Burton et al.
patent: 4978351 (1990-12-01), Rozas
patent: 4985032 (1991-01-01), Goble
patent: 4997434 (1991-03-01), Seedhom et al.
patent: 5012822 (1991-05-01), Schwarz
patent: 5013292 (1991-05-01), Lemay
patent: 5019032 (1991-05-01), Robertson
patent: 5026376 (1991-06-01), Greenberg
patent: 5027793 (1991-07-01), Englehardt et al.
patent: 5030219 (1991-07-01), Matsen, III et al.
patent: 5037422 (1991-08-01), Hayhurst et al.
patent: 5108397 (1992-04-01), White
patent: 5112337 (1992-05-01), Paulos et al.
patent: 5112344 (1992-05-01), Petros
patent: 5116338 (1992-05-01), Poggie et al.
patent: 5133723 (1992-07-01), Li et al.
patent: 5141513 (1992-08-01), Fortune et al.
patent: 5141520 (1992-08-01), Goble et al.
patent: 5149329 (1992-09-01), Richardson
patent: 5152764 (1992-10-01), Goble
patent: 5163940 (1992-11-01), Bourque
patent: 5203784 (1993-04-01), Ross et al.
patent: 5207753 (1993-05-01), Badrinath
patent: 5222508 (1993-06-01), Contarini
patent: 5256133 (1993-10-01), Spitz
patent: 5290217 (1994-03-01), Campos
patent: 5328077 (1994-07-01), Lou
patent: 5337736 (1994-08-01), Reddy
patent: 5366479 (1994-11-01), McGarry et al.
patent: 5439467 (1995-08-01), Benderev et al.
patent: 5441602 (1995-08-01), Bartlett
patent: 5520700 (1996-05-01), Beyar et al.
patent: 5544664 (1996-08-01), Benderev et al.
patent: 5611515 (1997-03-01), Benderev et al.
Schaeffer et al., Endoscopic Suspension of Vesical Neck for Urinary Incontinence, Urology, pp. 484-494, 1984.
Benderev, T., "A Modified Percutaneous Outpatient Bladder Neck Suspension System", The Journal of Urology, 152:2316-2320, Dec. 1994.
Bass, J. et al., "Surgical Treatment of Concomitant Urethral Diverticulum . . . Incontinence", Urologic Clinics of North America, 18:365-373, May 1991.
Beck, R. P. et al., "A 25-Year Experience with 519 Anterior Colporrhaphy Procedures", Obstetrics & Gynecology, 78:1011-1018, Dec. 1991.
Hancock, R. et al., "Transpubic Suspension of the Bladder Neck for Urinary Incontinence", The Journal of Urology, 123:667-668, May 1980.
Stamey, T., "Endoscopic Suspension of the Vesical Neck for Urinary Incontinence in Females", Ann. Surg. 192:465-471, Oct. 1980.
Benderev, T., "Anchor Fixation and Other Modifications of Endoscopic Bladder Neck Suspension", Urology 40:409-418, Nov. 1992.
S.A. Scheuer, M.D., "The Modified Pereyra Bladder Neck Suspension Procedure Using Mitec GII Anchors," Mitek Surgical Products, Inc. (Jul. 1993).
S.A. Scheuer, M.D., Videotape: "Mitek Modified Pereyra BNS " (1993).
S.R. Kovac, M.D., Videotape: "The 7th International Vaginal Surgery Conference" (Mar. 1997).
Kovac, S. et al., "Pubic Bone Suburethral Stabilization Sling . . . Recurrent Urinary Incontinence", Obstetrics & Gynecology 89:624-627 Apr. 1997.
Stamey, Thomas A., "Endoscopic Suspension of the Vesical Neck", Surgery of Female Incontinence, 2d Ed. pp. 115-132. (1986).
Armand J. Pereyra, M.D., F.A.C.S., "A Simplified Surgical Procedure for the Correction of Stress Incontinence in Women", West.J.Surg., Obst. & Gynec., Jul.-Aug. 1959.
Charles F. McKiel, Jr., et al., "Marshall-Marchetti Procedure Modification", The Journal of Urology, 1966.
Thomas A. Stamey, M.D., "Endoscopic Suspension of the Vesical Neck for Urinary Incontinence", Surgery, Gynecology & Obstectrics, vol. 136, Apr. 1973.
Shlomo Raz. M.D., "Modified Bladder Neck Suspension For Female Stress Incontinence", Urology, vol. XVII, No. 1. Jan. 1981.
Chester C. Winter, M.D., "Peripubic Urethropexy For Urinary Stress Incontinence in Women", Urology, vol. XX, No. 4, Oct. 1982.
George D. Webster, "Female Urinary Incontinence", Urologic Surgery 3rd Ed., 1983.
J. R. Spencer, et al., "A Comparison of Endoscopic Suspension of the Vesical Neck with Suprapubic Vesicourethropexy for Treatment of Stress Urinary Incontinence", The Journal of Urology, vol. 137, Mar. 1987.
R.F. Gittes, et al., "No-Incision Pubovaginal Suspension for Stress Incontinence", Journal of Urology, vol. 138, Sep. 1987.
G.E. Leach, M.D., "Bone Fixation Technique for Transvaginal Needle Suspension", Urology, vol. XXXI, No. 5, May 1988.
K.R. Loughlin, et al., "Review of an 8-Year Experience . . . Neck for Female Stress Urinary Incontinence, The Journal of Urology, vol. 143, Jan. 1990.
E.J. McGuire, M.D. "The Sling Procedure for Urinary Stress Incontinence", Profiles in Urology, undated.
R.O. Parra, et al., "Experience with a Simplified Technique for the Treatment of Female Stress Urinary Incontinence", British Journal of Urology, vol. 66: 615-617, (1990).
V.C. Mascio, M.D., Therapy of Urinary Stress Incontinence in Women Using Mitek.RTM. GII Anchors.

LandOfFree

Say what you really think

Search LandOfFree.com for the USA inventors and patents. Rate them and share your experience with other people.

Rating

Bladder neck suspension procedure does not yet have a rating. At this time, there are no reviews or comments for this patent.

If you have personal experience with Bladder neck suspension procedure, we encourage you to share that experience with our LandOfFree.com community. Your opinion is very important and Bladder neck suspension procedure will most certainly appreciate the feedback.

Rate now

     

Profile ID: LFUS-PAI-O-1240197

  Search
All data on this website is collected from public sources. Our data reflects the most accurate information available at the time of publication.