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1. 发明申请

US20120022317A1 IMPLANTABLE SLING FOR THE TREATMENT OF INCONTINENCE AND METHOD OF USING THE SAME 有权
标题翻译：用于处理不合理物的可植入物及其使用方法
公开(公告)号：US20120022317A1
公开(公告)日：2012-01-26
申请号：US13217250
申请日：2011-08-25
申请人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
发明人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
IPC分类号： A61F2/02
CPC分类号： A61F2/0045 , A61B17/06109 , A61B2017/00805 , A61B2017/06076 , A61F2220/0008 , A61F2230/0013 , A61F2230/0039 , A61F2230/0058
摘要： 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.
摘要翻译：治疗尿失禁的方法包括在患者中进行切口和暴露尿道组织，并使用工具将植入物置于切口中。该方法还包括将植入物的第一端联接到工具上，并将植入物的工具和第一端引导通过患者的第一闭孔孔并且在患者的对侧上按照相同的方法，从而将植入物悬挂在患者之间第一个闭孔孔和患者的第二个闭孔孔。该方法还包括用植入物的中心部分升高患者的尿道，并且相对于患者的第一下降支柱固定植入物的第一端，并相对于植入物的第二下降支柱固定植入物的第二端患者。

2. 发明授权

US08608640B2 Implantable sling for the treatment of incontinence and method of using the same 有权
标题翻译：用于治疗失禁的植入性吊带及其使用方法
公开(公告)号：US08608640B2
公开(公告)日：2013-12-17
申请号：US13492939
申请日：2012-06-11
申请人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
发明人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
IPC分类号： A61F2/00
CPC分类号： A61F2/0045 , A61F2250/0078
摘要： 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.
摘要翻译：一种治疗尿失禁的方法包括形成第一切口，暴露患者的尿道区域并形成第一和第二耻骨上切口。该方法包括将引导器从表面上的第一耻骨上切口穿过患者的耻骨联合，并且从第一切口移出，将植入物的第一部分附接到导引器，并将引入器和植入物的第一部分从首先切开第一耻骨上切口，并在对侧重复这些动作。该方法包括形成第三切口和第四切口并且从第三/第四切口穿过合适的导引器穿过患者的分开的闭孔孔，以允许植入物从第一切口部分回缩到具有导引器的第三/第四切口。

3. 发明授权

US07431690B2 Implantable sling for the treatment of male incontinence and method of using the same 有权
标题翻译：用于治疗男性失禁的植入性吊带及其使用方法
公开(公告)号：US07431690B2
公开(公告)日：2008-10-07
申请号：US11119446
申请日：2005-04-30
申请人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
发明人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
IPC分类号： A61F2/02
CPC分类号： A61F2/0045 , A61F2250/0078
摘要： 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.
摘要翻译：用于治疗男性尿失禁的可植入吊带及其实施方法。吊带包括尿道支撑部分和从其延伸的至少一个锚定部分。锚固部分可操作地定位成穿过闭孔孔和骨盆的至少一个支柱部分，使得植入物的支撑部分可操作地定位在延伸尿道的或远侧，以治疗尿失禁。在优选实施例中，植入物将具有从支撑部分延伸的第一和第二锚定部分，其中每个相应的一个所述锚定部分可操作以围绕患者的耻骨支柱的专用固定件固定。植入物还可以由组织，合成材料或其组合制成。

4. 发明授权

US08485962B2 Implantable sling for the treatment of incontinence and method of using the same 有权
公开(公告)号：US08485962B2
公开(公告)日：2013-07-16
申请号：US13217250
申请日：2011-08-25
申请人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
发明人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
IPC分类号： A61F2/02
CPC分类号： A61F2/0045 , A61B17/06109 , A61B2017/00805 , A61B2017/06076 , A61F2220/0008 , A61F2230/0013 , A61F2230/0039 , A61F2230/0058
摘要： 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.

5. 发明申请

US20120259169A1 IMPLANTABLE SLING FOR THE TREATMENT OF INCONTINENCE AND METHOD OF USING THE SAME 有权
标题翻译：用于处理不合理物的可植入物及其使用方法
公开(公告)号：US20120259169A1
公开(公告)日：2012-10-11
申请号：US13492939
申请日：2012-06-11
申请人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
发明人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
IPC分类号： A61F2/04
CPC分类号： A61F2/0045 , A61F2250/0078
摘要： A method of treating incontinence in a male patient includes forming a non-scrotal incision in the male patient; traversing an anchor portion of an implant through the incision and through an obturator foramen of the male patient; securing the anchor portion of the implant to a ramus of the male patient; and placing a support portion of the implant in the incision to support a urethra of the male patient.
摘要翻译：在男性患者中治疗失禁的方法包括在男性患者中形成非阴囊切口; 通过切口穿过植入物的锚固部分并穿过男性患者的闭孔孔; 将植入物的锚定部分固定到男性患者的支柱上; 以及将植入物的支撑部分放置在切口中以支撑男性患者的尿道。

6. 发明申请

US20090247816A1 IMPLANTABLE SLING FOR THE TREATMENT OF INCONTINENCE AND METHOD OF USING THE SAME 有权
标题翻译：用于处理不合理物的可植入物及其使用方法
公开(公告)号：US20090247816A1
公开(公告)日：2009-10-01
申请号：US12480701
申请日：2009-06-09
申请人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
发明人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
IPC分类号： A61F2/02
CPC分类号： A61F2/0045 , A61B17/06109 , A61B2017/00805 , A61B2017/06076 , A61F2220/0008 , A61F2230/0013 , A61F2230/0039 , A61F2230/0058
摘要： 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.
摘要翻译：用于治疗男性或女性失禁的可植入吊带及其实施方法。吊带包括尿道支撑部分和从其延伸的至少一个锚定部分。锚固部分可操作地定位穿过闭孔孔和骨盆的至少一个支撑部分，使得植入物的支撑部分可操作地定位在延伸的尿道（男性）或中间尿道区域（女性）的或远侧，直到治疗尿失禁。在优选实施例中，植入物将具有从支撑部分延伸的第一和第二锚定部分，其中每个相应的一个所述锚定部分可操作以围绕患者的耻骨支柱的专用装置固定。植入物还可以由组织，合成材料或其组合制成。

7. 发明授权

US08029435B2 Implantable sling for the treatment of incontinence and method of using the same 有权
标题翻译：用于治疗失禁的植入性吊带及其使用方法
公开(公告)号：US08029435B2
公开(公告)日：2011-10-04
申请号：US12480701
申请日：2009-06-09
申请人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
发明人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
IPC分类号： A61F2/02
CPC分类号： A61F2/0045 , A61B17/06109 , A61B2017/00805 , A61B2017/06076 , A61F2220/0008 , A61F2230/0013 , A61F2230/0039 , A61F2230/0058
摘要： 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.
摘要翻译：用于治疗男性或女性失禁的可植入吊带及其实施方法。吊带包括尿道支撑部分和从其延伸的至少一个锚定部分。锚固部分可操作地定位穿过闭孔孔和骨盆的至少一个支撑部分，使得植入物的支撑部分可操作地定位在延伸的尿道（男性）或中间尿道区域（女性）的或远侧，直到治疗尿失禁。在优选实施例中，植入物将具有从支撑部分延伸的第一和第二锚定部分，其中每个相应的一个所述锚定部分可操作以围绕患者的耻骨支柱的专用固定件固定。植入物还可以由组织，合成材料或其组合制成。

8. 发明授权

US07559885B2 Implantable sling for the treatment of incontinence and method of using the same 有权
标题翻译：用于治疗失禁的植入性吊带及其使用方法
公开(公告)号：US07559885B2
公开(公告)日：2009-07-14
申请号：US11674962
申请日：2007-02-14
申请人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
发明人： Bryon L. Merade , Craig Comiter , Victor Nitti , Raymond Rackley , Eugene Rhee , Sandip Vasavada , Kapri Ellenson
IPC分类号： A61F2/02
CPC分类号： A61F2/0045 , A61B17/06109 , A61B2017/00805 , A61B2017/06076 , A61F2220/0008 , A61F2230/0013 , A61F2230/0039 , A61F2230/0058
摘要： 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.
摘要翻译：一种用于治疗男性或女性失禁的可植入吊带及其实施方法。吊带包括尿道支撑部分和从其延伸的至少一个锚定部分。锚固部分可操作地定位穿过闭孔孔和骨盆的至少一个支撑部分，使得植入物的支撑部分可操作地定位在延伸的尿道（男性）或中间尿道区域（女性）或远侧治疗尿失禁。在优选实施例中，植入物将具有从支撑部分延伸的第一和第二锚定部分，其中每个相应的一个所述锚定部分可操作以围绕患者的耻骨支柱的专用固定件固定。植入物还可以由组织，合成材料或其组合制成。

9. 发明申请

US20080262290A1 Implantable Sling Having Bladder Support 审中-公开
标题翻译：具有膀胱支持的植入式吊带
公开(公告)号：US20080262290A1
公开(公告)日：2008-10-23
申请号：US12145417
申请日：2008-06-24
申请人： Bryon L. Merade , Red Alinsod
发明人： Bryon L. Merade , Red Alinsod
IPC分类号： A61F2/00
CPC分类号： A61F2/0045
摘要： Surgical implants operative to simultaneously function as a pubovaginal sling for the treatment of incontinence and as a support member to effectuate cystocele repair. The implant comprises a first sling portion operative to be positioned beneath the urethra, per conventional pubovaginal sling surgery. The implant further includes a second bladder support portion extending from the sling support portion that is oriented to extend beneath and be surgically attached to a portion of the bladder to thus enable the same to be supported to a degree necessary to effectuate cystocele repair. The implant may be fabricated from a unitary piece of harvested tissue, synthetic material or combinations thereof. Preferably, the sling portion of the implant is fabricated from a synthetic material whereas the bladder support portion of the implant comprises a segment of harvested tissue sewn to the sling portion.
摘要翻译：手术植入物同时用作用于治疗失禁的阴道吊带和作为支撑构件来实现膀胱囊修复。植入物包括第一吊带部分，其可操作地定位在尿道的下面，每个常规的阴道吊带手术。植入物还包括从吊索支撑部分延伸的第二囊状物支撑部分，其被定向成在下方延伸并且手术地附接到膀胱的一部分，从而使得其能够被支撑到实现膀胱囊修复所必需的程度。植入物可以由收集的组织，合成材料或其组合的整体片制成。优选地，植入物的吊索部分由合成材料制成，而植入物的囊状物支撑部分包括缝合到吊索部分的收获组织的段。

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