Surgery – Miscellaneous – Methods
Reexamination Certificate
2005-12-06
2005-12-06
McDermott, Corrine (Department: 3738)
Surgery
Miscellaneous
Methods
C607S117000
Reexamination Certificate
active
06971393
ABSTRACT:
Method embodiments to implant a stimulation lead in a patient's sacrum to deliver neurostimulation therapy can reduce patient surgical complications, reduce patient recovery time, and reduce healthcare costs. A method embodiment begins by inserting a needle posterior to the sacrum through an entry point. The needle is guided into a foramen along an insertion path to a desired location. The insertion path is dilated with a dilator to a diameter sufficient for inserting a stimulation lead. The needle is removed from the insertion path. The stimulation lead is inserted to the desired location. The dilator is removed from the insertion path. Additionally if the clinician desires to separately anchor the stimulation lead, an incision is created through the entry point from an epidermis to a fascia layer. The stimulation lead is anchored to the fascia layer. After the stimulation lead has been anchored, the incision can be closed, or the stimulation lead proximal end can be tunneled to where an implantable neurostimulator is located and then the incision can be closed. A implanted sacral stimulation lead can be connected to the neurostimulator to delivery therapies to treat pelvic floor disorders such as urinary control disorders, fecal control disorders, sexual dysfunction, and pelvic pain.
REFERENCES:
patent: 4044774 (1977-08-01), Corbin et al.
patent: 4512351 (1985-04-01), Pohndort
patent: 4569351 (1986-02-01), Tang
patent: 4573448 (1986-03-01), Kambin
patent: 4607639 (1986-08-01), Tanagho et al.
patent: 4739764 (1988-04-01), Lue et al.
patent: 4771779 (1988-09-01), Tanagho et al.
patent: 5121754 (1992-06-01), Mullet
patent: 5255691 (1993-10-01), Otten
patent: 5395317 (1995-03-01), Kambin
patent: 5484445 (1996-01-01), Knuth
patent: 5733322 (1998-03-01), Starkebaum
patent: 5762629 (1998-06-01), Kambin
patent: 5957965 (1999-09-01), Moumane et al.
patent: 6002964 (1999-12-01), Feler et al.
patent: 6027456 (2000-02-01), Feler et al.
patent: 6055456 (2000-04-01), Gerber
patent: 6104957 (2000-08-01), Alo et al.
patent: 6104960 (2000-08-01), Duysens et al.
patent: 6360750 (2002-03-01), Gerber et al.
patent: 6395007 (2002-05-01), Bhatnagar et al.
Medtronic, “InterStim® Therapy, Sacral Nerve Stimulation for Urinary Control, Therapy Reference Guide,” 1999.
Medtronic, “InterStim® Therapy, SNS for Urinary Control, Test Stimulation and Implantation Guide,” 1999.
Medtronic, Implantable Neurostimulation Systems Brochure, 1998.
Medtronic, “InterStim® Therapy, Sacral Nerve Stimulation (SNS) for Urinary Control, 1999 Compendium of Key Abstracts,” 1999.
Anurag, K. Das, et al., “Sacral Nerve Stimulation for the Management of Voiding Dysfunction,” Reviews in Urology, vol. 1, Issue 46, Winter 2000.
J. Bosch et al., “Sacral Nerve Neuromodulation In The Treatment Of Patients With Refractory Motor Urge Incontinence: Long-Term Results Of A Prospective Longitudinal Study,” The Journal of Urology, vol. 163, No. 4, Apr. 2000.
Hassouna, M. et al., “Sacral Neuromodulation In the Treatment Of Urgency-Frequency Symptoms: A Multicenter Study On Efficacy And Safety,” The Journal of Urology, vol. 163, No.6, Jun. 2000.
R. Schmidt, et al., “Sacral Nerve Stimulation For Treatment Of Refractory Urinary Urge Incontinence,” The Journal of Urology, vol. 162, No. 2, Aug. 1999.
Mamo George
Spinelli Michele
Bauer Stephen W.
Campbell Keith M.
Matthews William H.
McDermott Corrine
Woods Thomas F.
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