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    • 1. 发明申请
    • Stress urinary incontinence implant and device for deploying same
    • 压力性尿失禁植入物及其部署装置
    • US20070156012A1
    • 2007-07-05
    • US11321659
    • 2005-12-29
    • Michael R. TraceySteve BellBryan Knodel
    • Michael R. TraceySteve BellBryan Knodel
    • A61F2/02
    • A61F2/0045A61B17/0625A61B2017/00805A61F2/0036
    • A suburethral implant for treating stress urinary incontinence (SUI) includes an elongated plate-like member which is slightly curved in transverse cross-section, and a pair of spaced apart arms having hooked ends or barbs which extend from the plate-like member. A device for deploying the suburethral implant for treating SUI includes a vaginal probe for insertion in the vaginal canal of a patient, and a urethra locator probe for the simultaneous insertion in the urethra of a patient. The urethra probe is spaced apart from and overlies the vaginal probe. The vaginal probe includes a wall in which is formed an exit port. A suburethral implant introducer assembly is extendable and retractable through the exit port on the vaginal probe. The introducer assembly has a distal end on which is removably mounted a suburethral implant. The introducer assembly is extendable through the exit port to pierce the vaginal canal wall of the patient in order to position the suburethral implant in proximity to the patient's urethra. The hooked ends or barbs on the arms of the suburethral implant engage the tissue surrounding the patient's urethra and are affixed thereto during deployment of the implant. The introducer assembly is then retracted into the vaginal probe, whereby the implant is released from the introducer assembly and remains affixed to tissue in proximity to the patient's urethra.
    • 用于治疗压力性尿失禁的尿道植入物(SUI)包括在横截面上略微弯曲的细长板状构件,以及一对间隔开的臂,其具有从板状构件延伸的钩端或倒钩。 用于部署用于治疗SUI的尿道植入物的装置包括用于插入患者阴道内的阴道探针和用于同时插入患者尿道的尿道定位器探针。 尿道探针与阴道探针间隔开并覆盖阴道探针。 阴道探针包括形成有出口的壁。 尿道植入物导引器组件可以通过阴道探针上的出口延伸和缩回。 导引器组件具有远端,其上可移除地安装有尿道植入物。 导引器组件可通过出口延伸以刺穿患者的阴道管壁,以将尿道植入物定位在患者的尿道附近。 尿道植入物的手臂上的钩状端或倒钩与患者尿道周围的组织接合,并在植入物展开过程中固定在其上。 导引器组件然后缩回到阴道探针中,由此植入物从导引器组件释放并且保持附着于患者尿道附近的组织。
    • 2. 发明授权
    • Stress urinary incontinence implant and device for deploying same
    • 压力性尿失禁植入物及其部署装置
    • US07942806B2
    • 2011-05-17
    • US11321659
    • 2005-12-29
    • Michael R. TraceySteve BellBryan Knodel
    • Michael R. TraceySteve BellBryan Knodel
    • A61F2/00
    • A61F2/0045A61B17/0625A61B2017/00805A61F2/0036
    • A suburethral implant for treating stress urinary incontinence (SUI) includes an elongated plate-like member which is slightly curved in transverse cross-section, and a pair of spaced apart arms having hooked ends or barbs which extend from the plate-like member. A device for deploying the suburethral implant for treating SUI includes a vaginal probe for insertion in the vaginal canal of a patient, and a urethra locator probe for the simultaneous insertion in the urethra of a patient. The urethra probe is spaced apart from and overlies the vaginal probe. The vaginal probe includes a wall in which is formed an exit port. A suburethral implant introducer assembly is extendable and retractable through the exit port on the vaginal probe. The introducer assembly has a distal end on which is removably mounted a suburethral implant. The introducer assembly is extendable through the exit port to pierce the vaginal canal wall of the patient in order to position the suburethral implant in proximity to the patient's urethra. The hooked ends or barbs on the arms of the suburethral implant engage the tissue surrounding the patient's urethra and are affixed thereto during deployment of the implant. The introducer assembly is then retracted into the vaginal probe, whereby the implant is released from the introducer assembly and remains affixed to tissue in proximity to the patient's urethra.
    • 用于治疗压力性尿失禁的尿道植入物(SUI)包括在横截面上略微弯曲的细长板状构件,以及一对间隔开的臂,其具有从板状构件延伸的钩端或倒钩。 用于部署用于治疗SUI的尿道植入物的装置包括用于插入患者阴道内的阴道探针和用于同时插入患者尿道的尿道定位器探针。 尿道探针与阴道探针间隔开并覆盖阴道探针。 阴道探针包括形成有出口的壁。 尿道植入物导引器组件可以通过阴道探针上的出口延伸和缩回。 导引器组件具有远端,其上可移除地安装有尿道植入物。 导引器组件可通过出口延伸以刺穿患者的阴道管壁,以将尿道植入物定位在患者的尿道附近。 尿道植入物的手臂上的钩状端或倒钩与患者尿道周围的组织接合,并在植入物展开过程中固定在其上。 导引器组件然后缩回到阴道探针中,由此植入物从导引器组件释放并且保持附着于患者尿道附近的组织。
    • 5. 发明授权
    • System and method for assessing detrusor instability
    • 用于评估逼尿肌不稳定的系统和方法
    • US07252631B2
    • 2007-08-07
    • US10674452
    • 2003-09-30
    • Michael R. Tracey
    • Michael R. Tracey
    • A61F2/00A61B5/00
    • A61B1/32A61B5/202A61B5/204A61B5/205A61B5/208A61B5/7435A61B2560/0443A61M2025/0002
    • A method is provided for diagnosing detrusor instability. The method includes using an insert member having a channel therethrough positioned distal of the urethral sphincter, creating a substantially fluid tight seal to substantially block fluid flow into or out of the urethral canal other than through the channel, infusing fluid from a fluid source through the channel in the insert member and into the urethral canal at a location distal of the urethral sphincter, and measuring a pressure within the urethral canal at a location distal of the urethral sphincter as the fluid is being infused therein. The infusing step further involves infusing fluid until the urethral sphincter opens, and thereafter until at least one detrusor contraction occurs.
    • 提供了一种用于诊断逼尿肌不稳定性的方法。 该方法包括使用具有穿过其定位在尿道括约肌远端的通道的插入构件,产生基本上流体密封的密封,以基本阻止流体流入或流出尿道,而不是通过通道,将来自流体源的流体通过 通道在尿道括约肌远端的位置处进入尿道管,并且当尿液括约肌中注入流体时,在尿道括约肌远端位置测量尿道内的压力。 输注步骤还包括输注流体直到尿道括约肌打开,此后直到发生至少一次逼尿肌收缩。