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    • 2. 发明授权
    • Methods and apparatus for securing and tensioning a urethral sling
    • 用于固定和张紧尿道吊带的方法和装置
    • US08579797B2
    • 2013-11-12
    • US12494963
    • 2009-06-30
    • Kevin R. ArnalW. Kyle Knauf
    • Kevin R. ArnalW. Kyle Knauf
    • A61F2/00
    • A61F2/0045A61B17/0401A61B17/0487A61B2017/00805A61B2017/0404A61B2017/0414A61B2017/044A61B2017/0446A61B2017/0461A61B2017/0462A61B2017/06176
    • Improved methods and apparatus to secure a urethral sling to pubic bone in a sub-urethral location to support the urethra and alleviate incontinence are disclosed. The urethral sling is preferably formed of a flexible sheet material extending between opposed first and second sling ends and bounded by opposed first and second sling sides. The urethral sling is selectively tensioned in a central portion intermediate the first and second sling ends and/or in one or both of end portions bracketing the central portion. In one embodiment, pre-positioned plicating lines in the central portion are selectively drawn and tied to slacken the central portion and tension the end portions. In further embodiments, bone anchor lines passed through locations displaced from the sling ends are drawn and fixed to tension the central portion between the displaced locations and slacken the end portions.
    • 公开了一种改进的方法和装置,用于将尿道吊带固定在尿道内的耻骨以支持尿道并减轻尿失禁。 尿道吊索优选地由在相对的第一和第二吊索端部之间延伸并且由相对的第一和第二吊索侧面限定的柔性片材形成。 尿道吊索在第一和第二吊索末端之间的中心部分和/或在包围中心部分的一个或两个端部中选择性地张紧。 在一个实施例中,中心部分中的预定位的修补线被选择性地拉伸和捆扎以使中心部分松弛并张紧端部。 在另外的实施例中,通过穿过从吊带端移动的位置的骨锚线被拉伸和固定,以张紧位移位置之间的中心部分并松开末端部分。