Implants, tools, and methods for treatments of pelvic conditions
Described are various embodiments of surgical procedures, systems, implants, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the implants that are useful for anchoring an implant to tissue.
1. An implant for treating a pelvic condition, the implant comprising:
a support portion;
an elongated member including a proximal end connected to the support portion, a distal end, a length extending between the proximal end and the distal end, and a width; and
a load distribution element adjacent to the distal end of the elongated member, the load distribution element including an outer frame member having a central aperture, a first elongate extending member extending from the central aperture in a direction of the width of the elongated member, a second elongate extending member extending from the central aperture in a direction of the width of the elongated member, the first elongate extending member including a first section and a second section, the first section being adjacent to the central aperture, the first section having a width smaller than a width of the second section, and wherein the first elongate extending member and the second elongate extending member are adapted to maintain a flat configuration across substantially an entire width of the elongated member by distributing a load placed on the central aperture along the width of the elongated member,
the first elongate extending member defining a first opening, the first opening having a length and a width, the length being longer than the width, the length of the first opening extending along in the direction of the width of the elongated member.
2. The implant according to claim 1 , wherein the first elongate extending member comprises generally planar top and bottom surfaces that are generally parallel to a top and bottom surface of the elongated member.
3. The implant according to claim 1 , wherein the central aperture is located at a central area of the load distribution element.
4. The implant according to claim 1 , wherein the first elongate extending member extends in the width direction relative to one side of the central aperture and the second elongate extending member extends in the width direction relative to an opposite side of the central aperture.
5. The implant according to claim 1 , wherein the load distribution element comprises a molded piece attached to one of a top and bottom surface of the elongated member.
6. The implant according to claim 1 , wherein the load distribution element is integrally molded with the elongated member.
7. The implant according to claim 1 , wherein the elongated member comprises a mesh material.
8. The implant according to claim 1 , wherein the implant is configured to treat a pelvic condition selected from the group consisting of: fecal incontinence, urinary incontinence, vaginal prolapse, anal prolapse, uterine prolapse, perineal descent, a levator defect, and rectal prolapse.
9. The implant according to claim 1 , wherein the elongated member comprises mesh and wherein a portion of the mesh is located between the load distribution element and the elongated member distal end.
10. The implant according to claim 1 , wherein the load distribution element is a first load distribution element, the implant further comprising:
a second load distribution element adjacent the first load distribution element.
11. The implant according to claim 1 , wherein the load distribution element is a first load distribution element, and the elongated member is a first elongated member, the implant further comprising:
a second elongated member including a proximal end connected to the support portion, a distal end, a length extending between the proximal end and the distal end, and a width;
a second load distribution element adjacent to the distal end of the second elongated member, wherein the second load distribution element includes a central aperture and at least one extending member extending from the central aperture in the width direction.
12. The implant according to claim 11 , wherein a distal end of the support portion is connected to the proximal end of the elongated member and the proximal end of the second elongated member to form aY-shaped implant.
13. The implant of claim 11 , wherein the second load distribution element has a width and a length, the width being greater than the length.
14. The implant of claim 1 , wherein the load distribution element has a width and length, the width being greater than the length.
15. The implant of claim 1 , wherein the central aperture, the first elongate extending member and the second elongate extending member are co-planar.
16. The implant of claim 1 , wherein the central aperture, the first elongate extending member, and the second elongate extending member having a shape that generally matches an outer shape of the outer frame member.
17. The implant of claim 1 , wherein the second elongate extending member includes a first section and a second section, the first section having a width smaller than a width of the second section.
18. The implant of claim 1 , wherein the second elongate extending member defining a second opening, the second opening having a length and a width, the length being longer than the width, the length of the second opening extending along in the direction of the width of the elongated member, the first opening and the second opening being larger than the central aperture.
19. The implant according to claim 18 , wherein the second opening has a shape different from the shape of the central aperture.