Coloplast A/s

Victor Nitti

Bryon Merade

Raymond Rackley

Craig Comiter

Eugene Rhee

Sandip Vasavada

Kapri Ellenson

A method of treating urinary incontinence includes making an incision and exposing urethral tissue in a patient and employing a tool to place an implant into the incision. The method also includes coupling a first end of the implant to the tool and directing the tool and the first end of the implant through a first obturator foramen of the patient and following the same approach on a contralateral side of the patient thus suspending the implant between the first obturator foramen and the second obturator foramen of the patient. The method additionally includes elevating a urethra of the patient with a central portion of the implant, and securing the first end of the implant relative to a first descending ramus of the patient and securing the second end of the implant relative to a second descending ramus of the patient.

Implantable sling for the treatment of incontinence and method of using the same

A method of treating urinary incontinence includes forming a first incision exposing a urethral region a patient and forming first and second suprapubic incisions. The method includes tunneling an introducer from the first suprapubic incision superficially anterior to a pubic symphysis of the patient and out of the first incision, attaching a first portion of an implant to the introducer and retracting the introducer and the first portion of the implant from the first incision to the first suprapubic incision, and repeating these maneuvers on the contralateral side. The method includes forming third and fourth incisions and tunneling a suitable introducer from the third/fourth incisions through separate obturator foramen of the patient to allow retracting portions of the implant from the first incision back through to the third/fourth incision with the introducer.

An implantable sling for the treatment of male or female incontinence and method of implementing the same. The sling comprises a urethral support portion and at least one anchoring portion extending therefrom. The anchoring portion is operatively positioned through the obturator foramen and about at least one ramus portion of the pelvis such that the support portion of the implant is operatively positioned at or distal to the bulbar urethra (male) or mid-urethral region (female) to treat urinary incontinence. In a preferred embodiment, the implant will have first and second anchoring portions extending from the support portion with each respective one of said anchoring portions being operative to be secured about dedicated ones of the patient's pubic ramus. The implants may further be fabricated from tissues, synthetic materials or combinations thereof.

An implantable sling for the treatment of male incontinence and method of Implementing the same. The sling comprises a urethral support portion and at least one anchoring portion extending therefrom. The anchoring portion is operatively positioned through the obturator foramen and about at least one ramus portion of the pelvis such that the support portion of the implant is operatively positioned at or distal to the bulbar urethra to treat urinary incontinence. In a preferred embodiment, the implant will have first and second anchoring portions extending from the support portion with each respective one of said anchoring portions being operative to be secured about dedicated ones of the patient's pubic ramus. The implants may further be fabricated from tissues, synthetic materials or combinations thereof.

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Wyckoff, NJ, United States of America

Victor Nitti