Search Images Maps Play YouTube News Gmail Drive More »
Sign in
Screen reader users: click this link for accessible mode. Accessible mode has the same essential features but works better with your reader.

Patents

  1. Advanced Patent Search
Publication numberUS3924633 A
Publication typeGrant
Publication date9 Dec 1975
Filing date31 Jan 1974
Priority date31 Jan 1974
Publication numberUS 3924633 A, US 3924633A, US-A-3924633, US3924633 A, US3924633A
InventorsCook William A, Osborne Thomas A
Original AssigneeCook Inc
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Apparatus and method for suprapubic catheterization
US 3924633 A
Abstract  available in
Images(2)
Previous page
Next page
Claims  available in
Description  (OCR text may contain errors)

United States Patent Cook et al.

[ Dec. 9, 1975 APPARATUS AND METHOD FOR SUPRAPUBIC CATHETERIZATION Inventors:

Assignee:

Filed:

William A. Cook; Thomas A.

Osborne, bothof Bloomington, Ind.

Cook Inc., Bloomington, Ind.

Jan. 31, 1974 Appl. No.: 438,180

US. Cl. 128/349 R; 128/DIG. 9 Int. Cl. A61M 25/00 Field of Search 128/348, 349 R, 350 R,

128/4-8, DIG. 9, 347

References Cited UNITED STATES PATENTS Bisgaard 128/349 R Wallace Zeiss Reif Wittes et a1 FOREIGN PATENTS OR APPLICATIONS 707,333 4/1931 France 128/349 R Primary ExaminerDalton L. Truluck Attorney, Agent, or Firm-Woodard, Weikart, Emhardt & Naughton ABSTRACT Apparatus and method for suprapubic catheterization of a bladder when the catheter must remain in situ for a prolonged period. The catheter includes a flexible tension member secured near its distal end and passing through an opening in the catheter to its proximal end, whereby, when the member is drawn tight, a selfretaining loop is formed at the distal end portion of the catheter, and means are provided for facilitating the drawing tight of the flexible tension member. A body patch andbther items are supplied to assist in the catheteriz ation procedure.

6 Claims, 7 Drawing Figures US. Patent Dec. 9, 1975 Sheet 1 of 2 3,924,633

US, Patent Dec. 9, 1975 Sheet 2 on 3,924,633

APPARATUS AND METHOD FOR SUPRAPUBIC CATHETERIZATION BACKGROUND OF THE INVENTION 1. Field of the Invention The invention is in the field of catheters.

2. Description of the Prior Art Suprapubic catheterization of ,the bladder is a relatively new approach to draining the bladder after surgery or when the genito-urinary system is plugged by an obstruction. An older method of catheterization utilizes a large Foley catheter which is placed in the bladder through the urethra. The chief disadvantage of the Foley catheter is its size, which tends to promote irritation and infection.

The suprapubic catheter is introduced into the bladder by means of a large hypodermic needle or trocar which pierces the lower abdominal wall. A cannula fitted over the needle is left in place through the abdominal wall and the needle removed. A catheter tube is then placed through the cannula, and the cannula is withdrawn, leaving the catheter in the bladder. The advantage of this technique is that irritation and infection of the urinary track are minimized. The disadvantage of the present technique of suprapubic catheterization is that the catheter can be easily pulled out through movement of the body or emptying of the bladder. Sometimes one or more holes (side ports) at the distal tip of the catheter may be inadvertently drawn into the abdominal cavity creating potential for severe infection.

Various means have been utilized to secure a suprapubic catheter in the bladder, including the use of a heat-set curve in the distal end of a catheter, an inflatable portion at the distal end of the catheter, and the use of a body patch or seal which engages the catheter as it emerges from the body and is rigidly attached to the skin. According to the present invention, after the suprapubic catheter is inserted, a plastic, metal, or plastic-coated metal wire is pulled, making a loop in the distal end portion of the catheter, which prevents the catheter from being removed from the bladder until the wire is released. A catheter having a similar arrangement for setting a curve in the distal end, disclosed as primarily for urethral catheterization, is shown in US. Pat. No. 1,207,479 to Bisgaard.

Other catheter retention means are disclosed in US. Pat. Nos. 3,397,699 to Kohl and 3,331,371 to Rocchi. Suprapubic catheterization generally is disclosed in US. Pat. No. 3,742,958 to Rundles.

SUMMARY OF THE INVENTION One embodiment of the present invention is, in a hollow flexible catheter having an opening near its distal end and having a wire or flexible tension member secured near its distal end and passing through the opening and along the catheter toward the proximal end, whereby when the member is drawn tight a self-retaining loop will be formed at the distal end portion of the catheter, the improvement which comprises a short tube less flexible than the catheter mounted within the proximal end portion of the catheter.

It is an object of the present invention to provide apparatus for the catheterization of a bladder with minimum irritation or infection of the urinary track.

2 It is a further object of the present invention to provide apparatus with improved securing means for suprapubic catheterization.

Further objects and advantages of the present inven tion shall be apparent from the following detailed description and accompanying figures.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 shows acatheter according to the present invention inserted within a bladder.

FIG. 2 shows the catheter of FIG; 1 drawn into a secured position.

FIG. 3 shows the catheter of FIG. 1 in a different operating position, with the cannula removed, and with additional apparatus.

FIG. 4 is an enlarged view, partly in cross-section, of the proximal end of the catheter of FIG. 3 with the extension tube in place and with a portion of the free end of the wire removed.

FIG. 5 is an enlarged view, partly in cross-section, of the proximal end of the catheter of FIG. 1.

FIG. 6 is an enlarged view of the distal end portion of the catheter of FIG. 1 with portions broken away.

FIG. 7 is an enlarged cross-sectional view of the distal tip of the catheter of FIG. 1.

DESCRIPTION OF THE PREFERRED EMBODIMENT For the purposes of promoting an understanding of the principles of the invention, reference will now be made to the embodiment illustrated in the drawings and specific language will be used to describe the same. It will nevertheless be understood that no limitation of the scope of the invention is thereby intended, such alterations and further modifications in the illustrated de vice, and such further applications of the principles of the invention as illustrated therein being contemplated as would normally occur to one skilled in the art to which the invention relates.

Referring to FIG. 1, a catheter 11 is shown inserted into a bladder 12. Before insertion of catheter 11, cannula 13, slidably mounted over a needle (not shown), is percutaneously inserted into bladder 12. The needle is then removed and the cannula left in place. Catheter 11 is then inserted through cannula 13 into bladder 12 as shown in FIG. 1. Catheter 11 comprises a tan, 7 French, vinyl tubing and has received therein a wire or flexible tension member 14, which in the illustrated embodiment, is a coated wire. The distal end portion of catheter 11 includes a plurality of drainage holes or side ports such as 16, as shown within the bladder 12 of FIG. 1, and in more detail in FIG. 6. Flexible tension member 14 extends from within the proximal end of catheter 1 l to an opening at point 17 within the wall of catheter 11, extending outside the catheter wall to point 18 near the distal tip of catheter 11. The connection of flexible tension member 14 within catheter 11 shall be described in more detail hereinafter (see FIG. 7).

Referring now to FIG. 2, catheter 11 is shown in a secured position wherein the distal end portion of catheter 11 is drawn into a loop within bladder 12. In order to convert catheter 11 from its originally inserted configuration as shown in FIG. 1 to the secured position of FIG. 2, a person positioning the catheter holds the catheter and cannula with one hand near point 21, holding cannula 13 in position relative to bladder 12 and at the same time maintaining catheter 11 in position relative to the cannula. The person uses his other hand to draw flexible tension member 14 out of the proximal end of catheter 1 1 enlarging loop 19. It can be seen that drawing tension member 14 tight will take up the length of tension member 14 between holes, openings or points 17 and 18 (FIG. 1), until point 18 is drawn adjacent point 17 as shown in FIG. 2. It should be noted that the side ports at the distal end of catheter 11, in the secured position, are all beyond point 17 on the catheter and are maintained within the bladder.

After flexible tension member 14 is drawn tight and points 18 and 17 are adjacent one another, as shown in FIG. 2, the knotted end 22 of tension member 14 is pulled away from the catheter, closing loop 19. Most of the excess length of tension member 14 extending from end 22 to its entry point in the side of the proximal end of catheter 11 is cut off or otherwise suitably removed as shown in FIG. 4. Then cannula 13 is removed from catheter l 1 by sliding it over the proximal end of catheter 11.

As shown in FIG. 3, body seal 23 may be applied to the skin to provide additional mechanical support for the catheter. Body seal 23 has an adhesive surface which attaches to the skin and a molded plastic portion 24 attached to the other side of the adhesive surface. Molded plastic portion 24 includes a center channel which provides a snap-in grip for catheter 11 as shown in FIG. 3. A hole is provided through body seal 23 through which the proximal end of catheter 11 is placed when body seal 23 is attached.

As also shown in FIG. 3, an extension tube 26 is stretched over the proximal end of catheter 11 and maintained by a frictional fit. Spring clamp 27 is provided to control the flow from bladder 12 through catheter 11 and extension tube 26. Female connector 28 is attached to the end of extension tube 26 for attachment to a male connector on the end of a connecting tube (not shown). The connecting tube, like extension tube 26, may be French clear vinyl.

In FIG. 4, there is shown an enlarged cut-away view of the proximal end of catheter 11 within the end of extension tube 26 as shown in FIG. 3. An extension tube 26 which may be a clear, 10 French, vinyl tube is fitted over the tan, 7 French, vinyl tubing 29 of catheter 11 after the excess length of tension member 14 has been trimmed at the proximal end, as described above. The portion 32 of flexible tension member 14 which extends between tubing 26 and tubing 29 is held in place by the frictional fit therebetween. A rigid tube 31 which may be a metal, 16 gtw, tube about 3.8 centimeters long extends from within the proximal end of catheter tubing 29, as shown in FIGS. 4 and 5.

FIG. 5 is an enlarged view of the proximal end of catheter 1 1 in the configuration of FIG. 1 prior to placing the distal end of the catheter in the secured position of FIG. 4. A knot 32 in flexible tension member 14 prevents the end 22 of the tension member from being drawn through hole 33 in wall 29 of catheter l 1. Metal tube 31 within catheter tubing 29 acts as a guide for tension member 14 as it is drawn from the catheter distal end through tubing 29, expanding loop 19 and drawing the distal end of catheter 11 into the secured position of FIG. 2.

Metal tube 31 is force fitted within tubing 29 and also serves to hold tension member 14 between its outside wall and the inner wall of tubing 29. As described above, after loop 19 has been extended to its largest position by drawing tension member 14 through tubing 29, bringing the distal end of catheter 11 into the secured position of FIG. 2, the excess of tension member 14 in loop 19 is drawn through hole 33 by pulling end portion 22 of tension member 14 until tension member 14 is essentially in the configuration of FIG. 4 at the proximal end of the catheter. The excess of tension member 14 extending beyond hole 33 and tubing 29 is cut to a length approximately as shown in FIG. 4. Extension tube 26 is then forced over the proximal end of catheter 11 as shown in FIG. 4.

An enlarged cut-away view of the distal end portion of catheter 11 is shown in FIG. 6. The distal end portion of catheter 11, as shown in FIG. 6, is in the unsecured configuration shown in FIG. 1. The plurality of side ports 16 provided in the wall of the catheter tubing 29 may be 1 millimeter in diameter and may occur every 5 millimeters apart along a 6 centimeter length of tubing 29. The spacing between openings 17 and 18 along catheter tubing 29 is about 10 centimeters. Flexible tension member 14 extends from the proximal end of catheter 11 through tubing 29 to opening 17, where it extends through the wall of the tubing out of tubing 29 to opening 18 and then returns through the wall of the tubing so as to extend within tubing 29 to the distal end tip 34 of catheter 11. As described above, when flexible tension member 14 is drawn toward the proximal end of catheter 11, the length of tension member 14 between holes 17 and 18 is drawn tight and the distal end of catheter 11 loops around as shown in FIG. 2 until holes 17 and 18 are adjacent.

The distal end tip 34 of catheter 1 1 is shown in crosssection in FIG. 7. The flexible tension member 14 extends within the catheter tubing 29 from opening 18 to the distal end tip 34 of catheter 11 as shown in FIG. 7, looping around insert tubing 36. In the illustrated embodiment, insert tubing 36 may be a 5 French vinyl, solvent bonded to the inside diameter of the distal end tip of catheter 11. The end of flexible tension member 14 is held in place by the solvent bonding which is done after tension member 14 is looped around insert tube 36 as shown.

Flexible tension member 14 may be a stainless steel wire coated with synthetic fluorine-containing resins. The diameter of tension member 14 may be about 0.4 millimeters. The overall length of catheter 11 is about 60 centimeters, although other appropriate lengths may be preferred for specific catheterization functions. Although the method and apparatus for suprapubic catheterization of a bladder has been described in detail according to the present invention, the technique and apparatus may be easily adapted for use in the catheterization of other areas of the body.

It can be seen that an apparatus has been provided for the catheterization of a bladder with minimum irritation or infection of the urinary track.

It can also be seen that an apparatus has been provided with improved securing means for suprapubic catheterization.

While there have been described above the principles of this invention in connection with specific apparatus, it is to be clearly understood that this description is made only by way of example and not as a limitation in the scope of the invention.

What is claimed is:

1. In a hollow flexible catheter having a proximal end and a distal end and having an opening near its distal end and having a flexible tension member secured near its distal end and passing through the opening and along within the catheter toward the proximal end, whereby when the member is drawn tight a self-retaining loop will be formed at the distal end portion of the catheter, the improvement which comprises a short tube, less flexible than the catheter, mounted within the proximal end portion of the catheter, the flexible tension member extending along within the catheter through the tube, exiting from the proximal end of the tube, passing in slideable engagement between the inner wall of the catheter and the outer wall of the tube, the wall of the catheter including an opening near the proximal end of the catheter, the flexible tension member extending from between the inner wall of the catheter and the outer wall of the tube through the opening in the catheter near the proximal end of the catheter.

2. The improvement of claim 1 in which there is a knot in the free end of the flexible tension member along the portion which extends beyond the opening near the proximal end of the catheter.

3. The improvement of claim 2 in which the flexible tension member is a stainless steel wire coated with a synthetic fluorine-containing resin.

4. The improvement of claim 3 which further comprises:

a short tube mounted within the distal end portion of the catheter; and

means for bonding the outside of the short tube with the inside of the catheter with the distal end of the flexible tension member looped around the short tube within the catheter.

5. The improvement of claim 4 in which the self-retaining loop portion of the catheter includes a plurality of sideports.

6. The improvement of claim 5 in which there is provided a second opening between the first opening and the point of attachment of the flexible tension member at the catheter distal end, the flexible tension member being positioned so that it passes from within the catheter through the second opening along the outer wall of the catheter and returns within the catheter through

Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
US1207479 *5 Mar 19155 Dec 1916Holger BisgaardSelf-retaining gatheter.
US2649092 *26 Oct 194918 Aug 1953American Cystoscope Makers IncCatheter
US3119392 *14 Feb 196128 Jan 1964Zeiss AliceCatheter
US3568679 *12 Nov 19689 Mar 1971Dow CorningCatheter placement unit
US3680562 *26 Apr 19711 Aug 1972Becton Dickinson CoSurgical drainage apparatus for bladder
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US4169464 *16 Dec 19772 Oct 1979Cordis CorporationCatheter for selective catheterization of aortic branches
US4299228 *11 Jul 197910 Nov 1981Peters Joseph LSafety device for use with a cannula
US4369790 *5 Mar 198125 Jan 1983Mccarthy John MCatheter
US4405314 *19 Apr 198220 Sep 1983Cook IncorporatedApparatus and method for catheterization permitting use of a smaller gage needle
US5041085 *26 Feb 199020 Aug 1991Cook IncorporatedPercutaneous lockable sleeve catheter
US5213575 *20 Mar 199025 May 1993Scotti Daniel MTwo-piece retrievable catheter forming straight and T-shape configurations
US5269802 *10 Sep 199114 Dec 1993Garber Bruce BProstatic stent
US5352198 *24 Nov 19934 Oct 1994Uresil CorporationLocking catheter system
US5399165 *13 Jun 199421 Mar 1995Cook IncorporatedLockable connector, a drainage catheter utilizing the connector, and method of use
US5489269 *10 Nov 19936 Feb 1996Cook, IncorporatedHard tip drainage catheter
US5730724 *24 Nov 199524 Mar 1998Manan Medical Products, Inc.Drainage catheter apparatus
US5795319 *7 Mar 199718 Aug 1998Circon CorporationEasily removable ureteral stent
US64917038 Oct 199610 Dec 2002Ethicon, Inc.Surgical instrument for treating female urinary incontinence
US65087895 Jun 200021 Jan 2003Merit Medical Systems, Inc.Systems and methods for coupling a drainage catheter to a patient and decoupling the drainage catheter from the patient
US661297727 Jul 20012 Sep 2003American Medical Systems Inc.Sling delivery system and method of use
US664152521 Nov 20014 Nov 2003Ams Research CorporationSling assembly with secure and convenient attachment
US665245027 Jul 200125 Nov 2003American Medical Systems, Inc.Implantable article and method for treating urinary incontinence using means for repositioning the implantable article
US667306025 Apr 20006 Jan 2004Manan Medical Products, Inc.Drainage catheter and method for forming same
US680280727 Jul 200112 Oct 2004American Medical Systems, Inc.Surgical instrument and method
US690842526 Sep 200221 Jun 2005Ethicon Inc.Surgical instrument and method for treating female urinary incontinence
US69110033 Mar 200328 Jun 2005Ams Research CorporationTransobturator surgical articles and methods
US693275931 Oct 200223 Aug 2005Gene W. KammererSurgical instrument and method for treating female urinary incontinence
US697198625 Oct 20026 Dec 2005American Medical Systems, Inc.Sling delivery system and method of use
US704868225 Oct 200223 May 2006American Medical Systems, Inc.Surgical articles and methods
US707055627 Nov 20024 Jul 2006Ams Research CorporationTransobturator surgical articles and methods
US708356811 Jul 20031 Aug 2006American Medical SystemsImplantable article for treatment of urinary incontinence
US70836377 Jun 20001 Aug 2006Tannhauser Robert JMethod and apparatus for adjusting flexible areal polymer implants
US70870653 Oct 20028 Aug 2006Ethicon, Inc.Mesh for pelvic floor repair
US709419923 Jul 200322 Aug 2006Sherwood Services AgIvs obturator instrument and procedure
US711217111 Jul 200326 Sep 2006Ams Research CorporationSling assembly with secure and convenient attachment
US71319436 Feb 20037 Nov 2006Ethicon, Inc.Surgical instrument and method for treating organ prolapse conditions
US713194428 Feb 20037 Nov 2006Ethicon, Inc.Method and apparatus for treating pelvic organ prolapses in female patients
US715685821 Feb 20012 Jan 2007Ethicon G.M.B.H.Implant
US72264079 Jul 20025 Jun 2007Ethicon, Inc.Surgical instrument and method for treating female urinary incontinence
US722945331 Dec 200212 Jun 2007Ams Research CorporationPelvic floor implant system and method of assembly
US726764511 Jul 200311 Sep 2007American Medical Systems Inc.Surgical instrument and method
US728508627 Jul 200523 Oct 2007Ethicon, Inc.Minimally invasive medical implant and insertion device and method for using the same
US728806314 Jul 200630 Oct 2007Sherwood Services AgIVS obturator instrument and procedure
US729110430 Sep 20036 Nov 2007American Medical Systems Inc.Surgical articles and methods
US729710227 Jul 200520 Nov 2007Ethicon, Inc.Minimally invasive medical implant and insertion device and method for using the same
US734781219 Mar 200425 Mar 2008Ams Research CorporationProlapse repair
US73511977 May 20041 Apr 2008Ams Research CorporationMethod and apparatus for cystocele repair
US735777318 Dec 200315 Apr 2008Ams Research CorporationHandle and surgical article
US7381205 *7 Feb 20023 Jun 2008Carag AgDisplacement device for a catheter
US740748025 Apr 20035 Aug 2008Ams Research CorporationMethod and apparatus for correction of urinary and gynecological pathologies, including treatment of incontinence cystocele
US74813142 Feb 200527 Jan 2009Ethicon, Inc.Packaging assembly for surgical mesh implants
US749449526 Mar 200424 Feb 2009Coloplast A/SMethod and implant for curing cystocele
US750094530 Apr 200410 Mar 2009Ams Research CorporationMethod and apparatus for treating pelvic organ prolapse
US752758815 Sep 20045 May 2009Ethicon, Inc.System and method for surgical implant placement
US75473168 Nov 200516 Jun 2009Ethicon, Inc.Method and apparatus for adjusting flexible areal polymer implants
US758859829 Mar 200415 Sep 2009Coloplast A/SImplant for treating rectocele and a device for putting said implant into place
US762186421 Jan 200524 Nov 2009Coloplast A/SMethod for treating urinary incontinence in women and implantable device intended to correct urinary incontinence
US764163011 Mar 20055 Jan 2010Merit Medical Systems, Inc.Drainage catheter hub with locking cam
US765874325 Jun 20029 Feb 2010Ethicon, Inc.Surgical instrument and method for treating female urinary incontinence
US773633111 Mar 200515 Jun 2010Merit Medical Systems, Inc.Drainage catheter hub with welded suture and sidewall stylet
US77406088 Dec 200622 Jun 2010Merit Medical Systems, Inc.Locking drainage catheter with rotatable lever handle and release tool
US776294227 Jun 200527 Jul 2010Ams Research CorporationImplantable article for the treatment of incontinence
US782436717 Aug 20052 Nov 2010Merit Medical Systems, Inc.Drainage catheter with locking hub
US786716115 Aug 200511 Jan 2011Ams Research CorporationSling delivery system and method of use
US790981410 Sep 200922 Mar 2011Merit Medical Systems, Inc.Drainage catheter hub with rotatable lever handle
US797226225 Sep 20065 Jul 2011Ams Research CorporationSling assembly with secure and convenient attachment
US797569823 May 200512 Jul 2011Coloplast A/SImplant for treatment of vaginal and/or uterine prolapse
US798517317 Mar 200626 Jul 2011Ethicon, Inc.Method and apparatus for treating pelvic organ prolapses in female patients
US79886155 Oct 20052 Aug 2011Ams Research CorporationTransobturator surgical articles and methods
US799326131 Mar 20089 Aug 2011Ams Research CorporationMethod and apparatus for cystocele repair
US80027642 Apr 200823 Aug 2011Swan Valley Medical IncorporatedCystotomy catheter capture device and methods of using same
US800743016 Jul 201030 Aug 2011Coloplast A/SApparatus and method for treating female urinary incontinence
US803859428 Jan 200818 Oct 2011Ams Research CorporationProlapse repair
US804320427 Jan 201025 Oct 2011Ams Research CorporationTransobturator surgical articles and methods
US80479827 May 20041 Nov 2011Ethicon, Inc.Mesh tape with wing-like extensions for treating female urinary incontinence
US80479834 Apr 20111 Nov 2011Coloplast A/SSurgical system for supporting pelvic anatomy
US811872714 Jun 201121 Feb 2012Coloplast A/SMethod for supporting pelvic anatomy
US811872821 Jun 201121 Feb 2012Coloplast A/SMethod for implanting an adjustable surgical implant for treating urinary incontinence
US811873626 Sep 200821 Feb 2012Swan Valley Medical, IncorporatedMethod of accessing a bladder and associated apparatus therefor
US811882626 Sep 200821 Feb 2012Swan Valley Medical, IncorporatedMethod of performing a suprapubic transurethral cystostomy and associated procedures and apparatus therefor
US812367321 Jun 201128 Feb 2012Coloplast A/SAdjustable surgical implant for treating urinary incontinence
US812855414 Jun 20116 Mar 2012Coloplast A/SSystem for introducing a pelvic implant
US81628181 Jun 201124 Apr 2012Coloplast A/SAdjustable surgical implant for pelvic anatomy
US816778528 Feb 20081 May 2012Coloplast A/SUrethral support system
US818241217 Jun 201122 May 2012Coloplast A/SPelvic implant with fibrous anchor
US818241317 Jun 201122 May 2012Coloplast A/SMethod for fibrous anchoring of a pelvic support
US820628113 Aug 201026 Jun 2012Ams Research CorporationMethod and apparatus for treating pelvic organ prolapse
US821100522 Jan 20093 Jul 2012Ams Research CorporationMethod and apparatus for treating pelvic organ prolapse
US821531028 Apr 201110 Jul 2012Coloplast A/SImplant for treatment of vaginal and/or uterine prolapse
US82730111 Jun 201125 Sep 2012Coloplast A/SAdjustable surgical implant and method for treating urinary incontinence
US831665119 Jul 200627 Nov 2012Bruker Biospin GmbhSuperconducting magnet system with radiation shield disposed between the cryogenic fluid tank and a refrigerator
US838278528 May 201026 Feb 2013Swan Valley Medical IncorporatedApparatus and method for performing cystotomy procedures
US84494501 Jun 201128 May 2013Coloplast A/SPass through introducer and sling
US844957328 Aug 200928 May 2013Boston Scientific Scimed, Inc.Insertion device and method for delivery of a mesh carrier
US84544921 Jun 20114 Jun 2013Coloplast A/SAbsorbable anchor and method for mounting mesh to tissue
US846016922 Jun 200711 Jun 2013Ams Research CorporationAdjustable tension incontinence sling assemblies
US846017014 Jun 201111 Jun 2013Ethicon, Inc.Method and apparatus for treating pelvic organ prolapses in female patients
US846987526 Aug 200925 Jun 2013Coloplast A/SMethod and device for treating urinary incontinence
US846987727 Jan 201225 Jun 2013Coloplast A/SSystem for introducing a pelvic implant
US84753574 Jan 20112 Jul 2013Ams Research CorporationSling delivery system and method of use
US848055614 Jun 20119 Jul 2013Ethicon, Inc.Method and apparatus for treating pelvic organ prolapses in female patients
US848055912 Sep 20079 Jul 2013C. R. Bard, Inc.Urethral support system
US85122231 Jun 201120 Aug 2013Coloplast A/SPelvic implant with selective locking anchor
US853521725 Jul 200617 Sep 2013Ams Research CorporationMethods and systems for treatment of prolapse
US85741481 Jun 20115 Nov 2013Coloplast A/SSystem for introducing soft tissue anchors
US857414915 Jun 20125 Nov 2013C. R. Bard, Inc.Adjustable tissue support member
US862303419 Oct 20077 Jan 2014Ethicon, GmbhSoft tissue repair implant
US866863523 Feb 201211 Mar 2014Coloplast A/SPelvic implant with suspending system
US870258531 Oct 200722 Apr 2014Ams Research CorporationPelvic health implants and methods
US87094716 Oct 200829 Apr 2014Coloplast A/SMedicament delivery device and a method of medicament delivery
US872796331 Jul 200920 May 2014Ams Research CorporationMethods and implants for treating urinary incontinence
US875326019 Sep 201117 Jun 2014Ams Research CorporationProlapse repair
US87778367 Nov 200715 Jul 2014Ams Research CorporationPelvic health implants and methods
US878429525 May 201122 Jul 2014Ams Research CorporationSling assembly with secure and convenient attachment
US880159614 Jun 201112 Aug 2014Coloplast A/SSling with support and suspending members formed from same polymer
US880816228 Mar 201219 Aug 2014Ams Research CorporationImplants, tools, and methods for treatment of pelvic conditions
US88213691 Jun 20112 Sep 2014Colorplast A/SMethod for soft tissue anchoring with introducer
US882137014 Aug 20132 Sep 2014Coloplast A/SDevice, system and methods for introducing soft tissue anchors
US88455126 Jan 201230 Sep 2014C. R. Bard, Inc.Sling anchor system
US885207512 Jun 20117 Oct 2014Coloplast A/SPelvic implant systems and methods with expandable anchors
US885207728 May 20137 Oct 2014Ams Research CorporationSling delivery system and method of use
US886464612 Aug 200521 Oct 2014Ams Research CorporationSurgical articles and methods
US886464819 Sep 201121 Oct 2014Ams Research CorporationTransobturator surgical articles and methods
US888867812 Jun 201118 Nov 2014Coloplast A/SPelvic implant with suspending system
US89113471 Jun 201116 Dec 2014Coloplast A/SSystem and method for treating urinary incontinence
US892030415 Dec 201130 Dec 2014Coloplast A/SMethod and device for treating urinary incontinence
US89203081 Jun 201130 Dec 2014Coloplast A/SSurgical implant with anchor introducer channel
US893220214 Jun 201113 Jan 2015Coloplast A/SIncontinence implant with soft tissue anchors and length not allowing abdominal wall penetration
US900522213 Jan 201214 Apr 2015Coloplast A/SSelf-anchoring sling and introducer system
US901724322 Dec 201128 Apr 2015Ams Research CorporationMinimally invasive implant and method
US902292227 Mar 20145 May 2015Ams Research CorporationMethods and implants for treating urinary incontinence
US906083820 Apr 201223 Jun 2015Coloplast A/STissue supported implantable device
US906083913 Sep 201323 Jun 2015Ams Research CorporationMethods and systems for treatment of prolapse
US908939328 Mar 201228 Jul 2015Ams Research CorporationImplants, tools, and methods for treatment of pelvic conditions
US908939410 Jan 201428 Jul 2015Coloplast A/SPelvic implant with suspending system
US908939614 Aug 201328 Jul 2015Coloplast A/SUrinary incontinence treatment and devices
US91139923 Sep 201425 Aug 2015Coloplast A/SApparatus and method for treating urinary incontinence
US917999218 Aug 201410 Nov 2015Ams Research CorporationImplants, tools, and methods for treatment of pelvic conditions
US918648910 Mar 201417 Nov 2015Coloplast A/SImplantable delivery device system for delivery of a medicament to a bladder
US923322622 Aug 200612 Jan 2016Merit Medical Systems, Inc.Drainage catheter with pig-tail straightener
US928306418 Jun 201515 Mar 2016Ams Research CorporationMethods and systems for treatment of prolapse
US92892047 May 201322 Mar 2016Boston Scientific Scimed, Inc.Insertion device and method for delivery of a mesh carrier
US93017503 Nov 20105 Apr 2016Boston Scientific Scimed, Inc.Device and method for delivery of mesh-based devices
US934586714 Oct 201524 May 2016Coloplast A/SDevice implantable in tissue of a prostate gland or a bladder
US935172329 Jun 201231 May 2016Astora Women's Health, LlcImplants, tools, and methods for treatments of pelvic conditions
US93933824 Mar 201019 Jul 2016Robert W. HeckHigh-flow tapered peripheral IV catheter with side outlets
US941490323 Jul 201216 Aug 2016Astora Women's Health, LlcPelvic implant system and method
US943348720 Oct 20146 Sep 2016Astora Women's Health, LlcTransobturator surgical articles and methods
US9468743 *17 Jan 201318 Oct 2016Cook Medical Technologies LlcCatheter for positioning a wire guide
US94921913 Aug 201215 Nov 2016Astora Women's Health, LlcTools and methods for treatment of pelvic conditions
US949225930 Mar 201215 Nov 2016Astora Women's Health, LlcExpandable implant system
US95328619 May 20143 Jan 2017Coloplast A/SSelf-anchoring sling and introducer system
US95328629 May 20143 Jan 2017Coloplast A/SSelf-anchoring sling and introducer system
US955516818 Apr 201631 Jan 2017Coloplast A/SSystem for delivery of medication in treatment of disorders of the pelvis
US957264821 Dec 201121 Feb 2017Justin M. CrankImplantable slings and anchor systems
US962284823 Feb 201218 Apr 2017Boston Scientific Scimed, Inc.Urethral stent system and method
US971758030 May 20071 Aug 2017Astora Women's Health, LlcPelvic floor implant system and method of assembly
US973738823 Jul 201522 Aug 2017Ams Research CorporationImplants, tools, and methods for treatment of pelvic conditions
US975059028 Mar 20125 Sep 2017Andrew P. VanDeWegheImplants, tools, and methods for treatment of pelvic conditions
US20020077526 *4 Jun 200120 Jun 2002Kammerer Gene W.Surgical instrument and method for treating female urinary incontinence
US20020165566 *25 Jun 20027 Nov 2002Ulf UlmstenSurgical instrument and method for treating female urinary incontinence
US20030089586 *15 Nov 200115 May 2003Abroy Hamid S.Switch mechanism housing
US20030100954 *21 Feb 200129 May 2003Barbara Schuldt-HempeImplant
US20030114866 *3 Oct 200219 Jun 2003Ulf UlmstenMesh for pelvic floor repair
US20030176762 *6 Feb 200318 Sep 2003Kammerer Gene W.Surgical instrument and method for treating organ prolapse conditions
US20040015057 *11 Jul 200322 Jan 2004Ams Research CorporationSling assembly with secure and convenient attachment
US20040267088 *28 Jul 200430 Dec 2004Kammerer Gene WSurgical instrument and method for treating organ prolapse conditions
US20050065395 *19 Mar 200424 Mar 2005Ams Research CorporationProlapse repair
US20050107769 *7 Feb 200219 May 2005Daniel ThommenDisplacement device for a catheter
US20050250978 *7 May 200410 Nov 2005Ethicon, Inc.Mesh tape with wing-like extensions for treating female urinary incontinence
US20060020269 *20 Jul 200426 Jan 2006Eric ChengDevice to aid in stone removal and laser lithotripsy
US20060025783 *27 Jul 20052 Feb 2006Smith Daniel JMinimally invasive medical implant and insertion device and method for using the same
US20060058574 *8 Nov 200516 Mar 2006Jorg PrieweMethod and apparatus for adjusting flexible areal polymer implants
US20060206096 *11 Mar 200514 Sep 2006Accisano Nicholas G IiiDrainage catheter hub with welded suture and sidewall stylet
US20060212009 *16 Mar 200521 Sep 2006Accisano Nicholas G IiiDrainage catheter hub with rotatable lever handle
US20060217667 *11 Mar 200528 Sep 2006Accisano Nicholas G IiiDrainage catheter hub with locking cam
US20060258897 *14 Jul 200616 Nov 2006Peter PetrosIVS obturator instrument and procedure
US20070078385 *17 Aug 20055 Apr 2007Accisano Nicholas G IiiDrainage catheter with locking hub
US20070083189 *8 Dec 200612 Apr 2007Lampropoulos Fred PLocking drainage catheter with rotatable lever handle and release tool
US20080097394 *22 Aug 200624 Apr 2008Lampropoulos Fred PDrainage catheter with pig-tail straightener
US20080275463 *2 Apr 20086 Nov 2008High Kenneth ACystotomy catheter capture device and methods of using same
US20090088599 *26 Sep 20082 Apr 2009Zook Ronald EMethod of accessing a bladder and associated apparatus therefor
US20090088786 *26 Sep 20082 Apr 2009Zook Ronald EMethod of Performing a Suprapubic Transurethral Cystostomy and Associated Procedures and Apparatus Therefor
US20090105731 *19 Oct 200723 Apr 2009Priewe JoergSoft tissue repair implant
US20090123522 *6 Oct 200814 May 2009James BrowningMedicament Delivery Device and a Method of Medicament Delivery
US20090221867 *25 Oct 20063 Sep 2009Ams Research CorporationIntegral Sling Connection System and Method
US20100004636 *10 Sep 20097 Jan 2010Accisano Iii Nicholas GeraldDrainage catheter hub with rotatable lever handle
US20100234681 *12 Sep 200716 Sep 2010C.R. Bard Inc.Urethral support system
US20100241105 *3 Aug 200623 Sep 2010C.R. Bard, Inc.System for introducing implants
US20100286657 *4 Mar 201011 Nov 2010Heck Robert WHigh-flow tapered peripheral iv catheter with side outlets
US20100298857 *28 May 201025 Nov 2010Zook Ronald EApparatus and Method for Performing Cystotomy Procedures
US20100324357 *28 Aug 200923 Dec 2010Chu Michael S HInsertion Device and Method for Delivery of a Mesh Carrier
US20110054447 *27 Aug 20093 Mar 2011Theragenics CorporationLockable drainage catheter
US20110106108 *3 Nov 20105 May 2011Boston Scientific Scimed Inc.Device and method for delivery of mesh-based devices
US20110201872 *28 Apr 201118 Aug 2011Coloplast A/SImplant for treatment of vaginal and/or uterine prolapse
US20110230705 *1 Jun 201122 Sep 2011Coloplast A/SMethod for soft tissue anchoring with introducer
US20110230708 *1 Jun 201122 Sep 2011Coloplast A/SAdjustable surgical implant for pelvic anatomy
US20110230709 *1 Jun 201122 Sep 2011Coloplast A/SPass through introducer and sling
US20110237865 *14 Jun 201129 Sep 2011Coloplast A/SSling with support and suspending members formed from same polymer
US20110237866 *14 Jun 201129 Sep 2011Coloplast A/SMethod for supporting pelvic anatomy
US20110237867 *14 Jun 201129 Sep 2011Coloplast A/SSystem for introducing a pelvic implant
US20110237868 *17 Jun 201129 Sep 2011Coloplast A/SMethod for fibrous anchoring of a pelvic support
US20110237869 *21 Jun 201129 Sep 2011Coloplast A/SAdjustable surgical implant for treating urinary incontinence
US20110237870 *21 Jun 201129 Sep 2011Coloplast A/SMethod for implanting an adjustable surgical implant for treating urinary incontinence
US20110237873 *1 Jun 201129 Sep 2011Coloplast A/SPelvic implant with selective locking anchor
US20110237875 *1 Jun 201129 Sep 2011Coloplast A/SSurgical implant with anchor introducer channel
US20110237876 *1 Jun 201129 Sep 2011Coloplast A/SMethod for implanting with an anchor introducer channel
US20110237877 *12 Jun 201129 Sep 2011Coloplast A/SPelvic implant with suspending system
US20110237878 *12 Jun 201129 Sep 2011Coloplast A/SPelvic implant systems and methods with expandable anchors
US20110237879 *17 Jun 201129 Sep 2011Coloplast A/SPelvic implant with fibrous anchor
US20110238095 *1 Jun 201129 Sep 2011Coloplast A/SAbsorbable anchor and method for mounting mesh to tissue
US20130197476 *17 Jan 20131 Aug 2013Cook Medical Technologies LlcCatheter for Positioning a Wire Guide
DE3640835C1 *29 Nov 198611 Feb 1988Erich Prof Dr Med SalingSelf-retaining catheter
EP0129634A1 *27 Jun 19832 Jan 1985Börje DrettnerAn instrument for the treatment of sinusitis
EP0326908A2 *24 Jan 19899 Aug 1989B. Braun Melsungen AGInsertion device for urethral catheter
EP0326908A3 *24 Jan 198925 Oct 1989B. Braun Melsungen AGInsertion device for urethral catheter
EP0572934A1 *28 May 19938 Dec 1993Kaltenbach, Martin, Prof. Dr. med.Organ cavity introduction duct
EP1743365A2 *29 Apr 200517 Jan 2007Swan Valley Medical, LLCCystotomy catheter capture device and methods of using same
EP1743365A4 *29 Apr 200521 Oct 2009Swan Valley Medical LlcCystotomy catheter capture device and methods of using same
WO1983001741A1 *17 Nov 198226 May 1983Bunce, PhilipCatheter-type sampling device
WO1990003766A1 *4 Oct 198919 Apr 1990Peter Emanuel PetrosSurgical instrument prosthesis and method of utilisation of such
WO1993013820A1 *8 Jan 199322 Jul 1993Stephen BrownCatheter introduction and holding system
WO2005109487A229 Apr 200517 Nov 2005Swan Valley Medical, Inc.Cystotomy catheter capture device and methods of using same
Classifications
U.S. Classification604/104, 604/95.4, 138/103
International ClassificationA61M25/02, A61M25/04
Cooperative ClassificationA61M2025/0191, A61M25/04
European ClassificationA61M25/04