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WO2007109759A2 - Dispositif et procede de traitement de l'incontinence urinaire chez la femme - Google Patents

Dispositif et procede de traitement de l'incontinence urinaire chez la femme Download PDF

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Publication number
WO2007109759A2
WO2007109759A2 PCT/US2007/064640 US2007064640W WO2007109759A2 WO 2007109759 A2 WO2007109759 A2 WO 2007109759A2 US 2007064640 W US2007064640 W US 2007064640W WO 2007109759 A2 WO2007109759 A2 WO 2007109759A2
Authority
WO
WIPO (PCT)
Prior art keywords
needle
curved portion
implant
handle
free end
Prior art date
Application number
PCT/US2007/064640
Other languages
English (en)
Other versions
WO2007109759A3 (fr
Inventor
Doug Evans
Original Assignee
C. R. Bard, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by C. R. Bard, Inc. filed Critical C. R. Bard, Inc.
Publication of WO2007109759A2 publication Critical patent/WO2007109759A2/fr
Publication of WO2007109759A3 publication Critical patent/WO2007109759A3/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61F2/0004—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
    • 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
    • A61B17/04—Surgical instruments, devices or methods 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
    • A61B2017/061—Needles, e.g. needle tip configurations hollow or tubular

Definitions

  • the present disclosure relates to a surgical instrument and method of use, such as a surgical instrument and method for treating female urinary incontinence
  • Urethral slings are increasingly being used for treating female urinary incontinence, such as stress urinary incontinence
  • urethral slings are placed beneath a patient's urethra in order to provide support, thereby preventing, or at least minimizing, urinary incontinence
  • the sling member is normally implanted in the patient's tissue by using a surgical instrument to help position an implant
  • One known sung procedure involves placing a strip of an implant material (natural tissue or synthetic mesh) under the urethra and securing it to the rectus fascia or other portions of the patient's anatomy with sutures to hold the implant in position during the healing process
  • a non-limiting embodiment of the present disclosure provides a surgical instrument for treating female urinary incontinence having a needle having a connection end and a free end, wherein the free end of the needle has a curved portion, and the surgical instrument has a handle that receives the connection end of the needle such that the needle is coupled to the handle at the connection end
  • Another feature includes the needle having a tip portion configured to attach to an end of an implant, and in a further feature, the surgical instrument is provided having a generally T-shape handle
  • the needle body is provided having a straight shaft portion that extends between the handle and the curved portion Further, the curved portion may have a diameter between 0.5 and 1 5 inches.
  • the surgical instrument comprises at least two surgical instruments having opposing needle orientations
  • a method of using a surgical system comprising providing a surgical instrument having a needle having a connection end and a free end, wherein the free end of the needle has a curved portion, and the curved portion has a diameter of approximately 0 5 to approximately 1 25 inches Further, providing a handle that receives the connection end of the needle such that the needle is coupled to the handle at the connection end, providing an implant having first and second ends having an opening provided on at least one of the ends, and the opening being configured to receive an end of the curved portion.
  • the method also includes introducing the needle through an incision provided in an anterior vaginal wall so that the free end of the needle is proximate to an ischiopubic ramus, rotating the handle such that the curved portion passes through an obturator foramen, inserting the implant through the incision provided in the anterior vaginal wall and attaching the implant to the free end of the needle, and rotating the handle such that the implant is retracted with the free end and pulled through the obturator foramen.
  • an implant comprised of mesh or tissue, or any other suitable material known to one of ordinary skill in the art, may be provided
  • Another feature includes providing the end of the curved portion with a tip portion configured to attach to an end of an implant, and in a further feature, the handle may be provided having a generally T-shape
  • the needle may be provided having a generally straight shaft portion extending between the handle and the curved portion.
  • the curved portion may be provided having a generally helical shape, In yet still another feature the curved portion may be provided so that the curved portion extends in a direction generally perpendicular to the generally straight shaft portion, and in a further feature, the curved portion may be provided having a generally U-shape.
  • a non-limiting embodiment of the present invention provides a method for treating female urinary incontinence comprising providing a surgical instrument having a needle including a connection end and a free end, wherein the free end of the needle body has a curved portion Further, there is a handle that receives the connection end of the needle to couple the needle to the handle at the connection end.
  • an implant having an opening provided on at least one end
  • introducing the needle proximate to an ischiopubic ramus rotating the needle handle such that an end portion of the curved portion is proximate the opening provided on the at least one end of the implant, attaching the implant to the end portion of the needle, and rotating the handle such that the end portion of the implant is retracted with the needle and pulled through an foramen oburator
  • a second surgical instrument having a needle, the needle having a connection end and a free end, wherein the free end of the needle has a curved portion
  • the second surgical instrument may have a handle that receives the connection end of the needle such that the needle is coupled to the handle at the connection end
  • the needle of the second surgical instrument may be introduced through an incision provided in an anterior vaginal wall so that the free end of the needle is proximate to an opposite side of the ischiopubic ramus
  • the handle of the second surgical instrument may be rotated such that the curved portion passes through an opposite side of the obturator foramen and is exposed at the incision, and attaching an opposite end of the implant to the free end of the needle
  • the handle of the second surgical instrument may be rotated so that the opposite end of the implant is retracted with the free end and pulled through an opposite side of the obturator foramen
  • the surgical instruments may be provided so that they are mirror images of one another
  • the free end of the needle is inserted through an incision, and in a further feature, the first and second ends of the implant are pulled out of the incision and trimmed
  • the curved portion may be provided at the free end of the needle in a direction extending generally perpendicular to the straight shaft portion.
  • the curved portion of the free end of the needle is configured to wrap around the ischiopubic ramus there is no need for an inside/outside approach
  • Fig 1 is a perspective view of a pair of surgical instruments, having opposite needle orientations, and an implant according to an embodiment of the present invention
  • Fig 2 is a perspective schematic view of a surgical instrument of an embodiment of the present invention entering through one side of an obturator foramen
  • Fig 3 is a perspective schematic view of the surgical instrument of Fig 1 through one side of the obturator foramen;
  • Fig 4 is a perspective schematic view of the surgical instrument positioned around an ischiopubic ramus according to an embodiment of the present invention
  • Fig 5 is a perspective schematic view of attaching one end of the implant to the tip of the surgical instrument according to an embodiment of the present invention
  • Fig 6 is a perspective schematic view of rotating the handle of the surgical instrument so that an end of the implant is retracted, with the free end of the surgical instrument, through the obturator foramen;
  • Fig 7 is a perspective schematic view of one end of the implant positioned on the ischiopubic romus, and the other end of the implant positioned outside the incision;
  • Fig 8 is a perspective schematic view of a surgical instrument having an opposite needle orientation from the surgical instrument of Fig 2, and passing through an opposite side of the obturator foramen;
  • Fig 9 is a perspective schematic view of attaching an opposite end of the implant to the tip of the surgical instrument according to an embodiment of the present invention.
  • Fig 10 is a perspective schematic view of rotating the handle of the surgical instrument so that the opposite end of the implant is retracted, with the free end of the surgical instrument, through the obturator foramen;
  • Fig 11 is a perspective schematic view of the implant passing through opposite sides of the obturator foramen, and position on the ischiopubic romus beneath the uterus
  • Fig 1 shows a perspective view of surgical instruments (or introducer needles) 10 and 10', respectively, having a needle 12 according to embodiments of the present invention
  • the needle 12 has a generally straight shaft portion 13 that extends between a handle 11 and a free end 14 of the needle 12 Opposite the free end 14, there is a connection end 15 that connects the needle to the handle 11
  • the needle 12 is shown having a curved portion 14a at its free end 14
  • the handle 11 is provided having a generally T-shape
  • the curved portion 14a at the free end 14 of the needle 12 may have a diameter between approximately 0 5 and approximately 1 5 inches Therefore, by utilizing a surgical instrument 10 having a relatively small diameter when compared to that of a widely used conventional surgical instrument, a less invasive surgery can be performed
  • the shaft of the needle may be constructed of any suitable biocompatible material, such as stainless steel
  • the handle can be comprised of a polymeric material
  • the curved portion may have a generally U-shape
  • the configuration of the shaft portion 13 and the free end 14 provides the surgical instrument 10 with a minimally invasive structure
  • the generally straight shaft portion 13 has a length sufficient to keep the handle 11 outside of the working area during a surgical procedure, e g , from about 5 to about 20 cm, such as from about 6 to about 15 cm, or from about 7 to about 12 cm, or from about 8 to about 10 cm
  • the generally T-shape handle 11 provides the surgical instrument 10 with maximum torque capabilities.
  • the curved portion at the free end 14 is provided with a relatively small diameter to further reduce invasiveness of the surgical instrument 10 during a surgical procedure
  • the needle 12 is provided with a length sufficiently small so that it is not long enough to reach the lateral aspects of an obturator foramen B, thereby further reducing the invasiveness of the surgical procedure, and preventing accidental injury to the obturator foramen
  • an implant 20 for supporting a uterus is shown having ends 20a and 20 b which have a smaller width than the central portion 20c of the implant
  • the implant can comprise mesh and/or tissue, with a length ranging from about 5 cm to about 25 cm.
  • the mesh can be comprised of a polypropylene mesh According to various embodiments, the mesh can be at least partially enclosed by a sheath Suitable non-limiting examples of implants, and methods and devices for attaching the implants to the needles, can be found in Patent Application Publication Nos. US 2004/0144395, published July 29, 2004, and US 2006/0015069, published January 19, 2006, (the disclosures of which are each incorporated herein by reference in their entirety),
  • a surgical instrument 10 may be provided with an opposing needle 12' (as illustrated in Fig. 1) orientation, La., the surgical instrument 10' may be configured to pass and wrap around a side of the obturator foramen B that is generally diametrically opposite to a side that the surgical instrument 10 of Fig 2 is configured to pass and wrap around.
  • the surgical instruments 10 and 10' shown in Fig 1 , are usable together to facilitate placement of both ends 20a and 20b of the implant 20 on the ischiopubic ramus A, thereby positioning a central portion 20c of the implant beneath the urethra U to provide support,
  • an implant having a generally elongated shape
  • the first and second ends 20a and 20b, respectively, of the implant are configured to pass through the obturator foramen B and wrap around the ischiopubic ramus A ( as illustrated in Fig. 10)
  • the implant 20 may be a mesh or tissue implant, and may have a self anchoring design it should also be appreciated by those skilled in the art that the implant may be comprised of any other suitable material.
  • FIG. 2 shows the surgical instrument 10 positioned proximate an ischiopubic ramus A.
  • an appropriate incision N may be provided in an area that allows for the free end 14 (as illustrated in Fig 1) of the needle 12 to be positioned proximate the ischiopubic ramus A
  • the incision N is illustrated, in accordance with an embodiment of the invention, to indicate a general procedure
  • the location of the incision as shown in the drawings is provided for conceptual understanding and is not limited to the shape or location illustrated,
  • the handle 11 of the surgical instrument 10 is rotated such that a tip (/ e , a free end) of the needle 12 provided at the free end 14 of the needle 12 passes through the obturator foramen B, and the curved portion of the free end 14 is configured to wrap around (but not necessarily come into contact with) the ischiopubic ramus A.
  • the needle's 12 size, shape and diameter also allows the surgeon to keep the tip of the needle 12 away from the bladder, bowel and vessels (all not shown), and close to the ischiopubic ramus A; further preventing accidental injury to a patient
  • the curved portion of the needle 12 makes it possible to easily position the free end 14 of the needle 12 proximate to a single incision N provided, e g , in an anterior vaginal wall
  • the implant 10 may be implanted in the patient through only this single vaginal incision N .
  • a lateral extending dissection may be provided approximate the ischiopubic ramus A to allow passage of the needle 12
  • the curved portion also facilitates the attachment of the needle 12 to the implant 20 because by rotating the handle 11 to pivot the needle 12, the tip of the curved portion is positioned proximate an incision and a first end 20a of the implant 20.
  • the needle 12 is retracted through the obturator foramen B along with a first end 20a of the implant 20 (as iilustrated in Fig, 6).
  • the first end 20a of the implant 20 may be positioned on the ischiopubic ramus A through a dissection (not shown) provided adjacent a bone of the ischiopubic ramus A
  • a surgical instrument 10' having an opposite needle 12 orientation (/ e , it is a mirror image) from that of the aforementioned surgical instrument, (as illustrated in Fig. 1) may be used to position the second end 20b of the implant 20 on a side of the ischiopubic ramus A facing opposite the first end 20a of the implant 20 (i.e., the second end 20b is implanted at the ischiopubic ramus A' that is at the opposite side of the patient (the left side of the patient in Figs 8-10)).
  • the second end 20a of the implant can be connect to the free end 14' of the needle 12' (as illustrated in Fig 9)
  • the needle 12 1 is retracted through the obturator foramen B' (that is at the opposite side of the patient (the left side of the patient in Figs 8-10)) along with a second end 20b of the implant 20
  • the second end 20b of the implant 20 may be positioned on the ischiopubic ramus A' through a dissection provided adjacent a bone of the ischiopubic ramus A'
  • the first and second ends 20a and 20b of the implant 10 are positioned on the ischiopubic ramus A, A' such that a central portion 20c of the impiant 20 forms a sling to support a urethra (as illustrated in Fig. 11).
  • the ends 20a and 20b of the implant 10 may be pulled out through an incision, e.g., the single incision N made in the anterior vaginal wall Accordingly, first and second ends 20a and 20b, respectively, of the implant 10 may be trimmed and the incision may be closed.
  • an incision e.g., the single incision N made in the anterior vaginal wall
  • first and second ends 20a and 20b, respectively, of the implant 10 may be trimmed and the incision may be closed.
  • the needle 12' size, shape and diameter of the surgical instrument 10' having an opposing needle 12' orientation also allows the surgeon to keep the tip of the needle 12' away from the bladder, bowel and vessels (not shown), and to close the ischiopubic ramus A', further reducing the risk of accidental injury to a patient
  • the present invention also allows a surgeon to use his/her fingers to initially position the needle 12 easily Also, there is an added benefit of palpation from the start to the end of passing the needle 12 through the obturator foramen B, B'.
  • the curved portion of the needle 12 may be provided with a helical shape geometry to further facilitate passage of the needle 12 Accordingly, the curved portion may be provided at the free end 14 of the needle 12 in a direction extending generally perpendicular to the straight shaft portion 13, Thus, the free end 14 of the needle 12 is configured to pass through the obturator foramen B, B 1 such that the needle 12 is positioned close to the ischiopubic ramus A, A'
  • the curved portion may be provided with a generally U-shape in order to facilitate passage of the needle 12 through the obturator foramen B, B'
  • the implant 20 wraps around the ischiopubic ramus A, A', and because the implant may be implanted in the patient through only a single vaginal incision, there is no need to pass the implant through the thigh fold or movement area (not shown) Thus, there is little resulting pain or discomfort caused in patients from moving their legs. In addition, no sutures, buttons or tying are required
  • the implant on the ischiopubic ramus A, A 1 makes it possible to reduce the overall geometry of the implant 20, thereby saving cost
  • the end portions 20a and 20b may be narrowed to a width of approximately 0 5 to approximately 10 mm; whereas the central section 20c of the implant 10, responsible for supporting the urethra U, may remain the same, e.g., a width of approximately 1 to approximately 1 ,5 cm
  • significant cost savings may be realized by the reduction in material.
  • the present invention may also allow for a low- cost kit comprising two surgical instruments 10 having opposing needle 12 orientations, and an appropriate implant 20.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Urology & Nephrology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

La présente invention concerne un procédé de traitement de l'incontinence urinaire chez la femme comprenant la fourniture d'un instrument chirurgical comportant une aiguille, l'aiguille comprenant une extrémité de connexion et une extrémité libre, cette dernière ayant une partie courbée. La poignée reçoit l'extrémité de connexion de l'aiguille de telle sorte que l'aiguille est couplée à la poignée au niveau de l'extrémité de connexion. L'invention concerne un implant comportant une partie de fixation formée sur au moins une extrémité et l'aiguille est introduite par une incision pratiquée dans une paroi vaginale antérieure de sorte que l'extrémité libre de l'aiguille est proche d'un ramus ischio-pubien. La poignée est tournée de telle sorte que la partie courbée passe par un trou obturateur et est exposée à l'incision. Une extrémité de l'implant est fixée à l'extrémité libre de l'aiguille et la poignée est tournée de telle sorte que l'implant est rétracté avec l'extrémité libre de l'aiguille et tiré dans le trou obturateur.
PCT/US2007/064640 2006-03-22 2007-03-22 Dispositif et procede de traitement de l'incontinence urinaire chez la femme WO2007109759A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US74363306P 2006-03-22 2006-03-22
US60/743,633 2006-03-22

Publications (2)

Publication Number Publication Date
WO2007109759A2 true WO2007109759A2 (fr) 2007-09-27
WO2007109759A3 WO2007109759A3 (fr) 2008-11-20

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Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8585578B2 (en) 2009-02-05 2013-11-19 Coloplast A/S Implantable devices, tools and methods for anatomical support
US8961448B2 (en) 2008-01-28 2015-02-24 Peter Forsell Implantable drainage device
US9060771B2 (en) 2008-01-29 2015-06-23 Peter Forsell Method and instrument for treating obesity
US9072907B2 (en) 2008-10-10 2015-07-07 Peter Forsell Heart help device, system, and method
US9370363B2 (en) 2009-02-05 2016-06-21 Coloplast A/S Anchor assembly for an implantable, pelvic support device
US9615904B2 (en) 2009-02-05 2017-04-11 Coloplast A/S Sacrocolpopexy support
US9655724B2 (en) 2000-02-11 2017-05-23 Peter Forsell Controlled impotence treatment
US9949812B2 (en) 2009-07-17 2018-04-24 Peter Forsell Vaginal operation method for the treatment of anal incontinence in women
US10219898B2 (en) 2008-10-10 2019-03-05 Peter Forsell Artificial valve
US10426586B2 (en) 2017-01-16 2019-10-01 Coloplast A/S Sacrocolpopexy support
US10583234B2 (en) 2008-10-10 2020-03-10 Peter Forsell Heart help device, system and method
US10952836B2 (en) 2009-07-17 2021-03-23 Peter Forsell Vaginal operation method for the treatment of urinary incontinence in women
US11123171B2 (en) 2008-10-10 2021-09-21 Peter Forsell Fastening means for implantable medical control assembly

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010042045A1 (fr) 2008-10-10 2010-04-15 Milux Holding S.A. Système, appareil et procédé de traitement de patiente à dysfonctionnement sexuel

Citations (4)

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Publication number Priority date Publication date Assignee Title
US4509516A (en) * 1983-02-24 1985-04-09 Stryker Corporation Ligament tunneling instrument
US6005191A (en) * 1996-05-02 1999-12-21 Parker-Hannifin Corporation Heat-shrinkable jacket for EMI shielding
US6336731B1 (en) * 2000-08-03 2002-01-08 Kuo-Huei Chien Field multi-use tool structure
US20040144395A1 (en) * 2002-08-02 2004-07-29 Evans Douglas G Self-anchoring sling and introducer system

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4509516A (en) * 1983-02-24 1985-04-09 Stryker Corporation Ligament tunneling instrument
US6005191A (en) * 1996-05-02 1999-12-21 Parker-Hannifin Corporation Heat-shrinkable jacket for EMI shielding
US6336731B1 (en) * 2000-08-03 2002-01-08 Kuo-Huei Chien Field multi-use tool structure
US20040144395A1 (en) * 2002-08-02 2004-07-29 Evans Douglas G Self-anchoring sling and introducer system

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9655724B2 (en) 2000-02-11 2017-05-23 Peter Forsell Controlled impotence treatment
US8961448B2 (en) 2008-01-28 2015-02-24 Peter Forsell Implantable drainage device
US9060771B2 (en) 2008-01-29 2015-06-23 Peter Forsell Method and instrument for treating obesity
US10219898B2 (en) 2008-10-10 2019-03-05 Peter Forsell Artificial valve
US9526649B2 (en) 2008-10-10 2016-12-27 Peter Forsell Method and instrument for treating obesity
US9072907B2 (en) 2008-10-10 2015-07-07 Peter Forsell Heart help device, system, and method
US10583234B2 (en) 2008-10-10 2020-03-10 Peter Forsell Heart help device, system and method
US11123171B2 (en) 2008-10-10 2021-09-21 Peter Forsell Fastening means for implantable medical control assembly
US9370363B2 (en) 2009-02-05 2016-06-21 Coloplast A/S Anchor assembly for an implantable, pelvic support device
US9615904B2 (en) 2009-02-05 2017-04-11 Coloplast A/S Sacrocolpopexy support
US8585578B2 (en) 2009-02-05 2013-11-19 Coloplast A/S Implantable devices, tools and methods for anatomical support
US9949812B2 (en) 2009-07-17 2018-04-24 Peter Forsell Vaginal operation method for the treatment of anal incontinence in women
US10952836B2 (en) 2009-07-17 2021-03-23 Peter Forsell Vaginal operation method for the treatment of urinary incontinence in women
US10426586B2 (en) 2017-01-16 2019-10-01 Coloplast A/S Sacrocolpopexy support

Also Published As

Publication number Publication date
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