Medical device and method of delivering the medical device
The invention discloses an implant. The implant may include a first flap and a second flap. The first flap may further include a first portion, a second portion and a transition region. The first portion may be configured to be attached proximate a sacrum. The second portion may be configured to be attached to an anterior vaginal wall. The transition region lies between the first portion and the second portion. The second flap may be fabricated such that a portion of the second flap is configured to be attached to a posterior vaginal wall. The implant may be configured such that a value corresponding to a biomechanical parameter defining a biomechanical attribute of the portion of the first flap attaching to the anterior wall is different from a value of the biomechanical parameter defining the biomechanical attribute of the portion of the second flap attaching to the posterior wall.
1. An implant, comprising:
a first mesh portion having a first tubular portion, the first mesh portion having a first end portion defining a first opening and a second end portion defining a second opening, the first mesh portion defining a lumen between the first opening and the second opening, the first mesh portion configured to be attached to a sacrum of a patient;
and a second mesh portion having a second tubular portion, the second tubular portion having a first lateral slit and a second lateral slit, the second tubular portion having a first flap coupled to the first end portion of the first mesh portion and a second flap coupled to the first end portion of the first mesh portion, the first flap configured to be attached to an anterior vaginal wall of the patient, the second flap configured to be attached to a posterior vaginal wall of the patient,
the first mesh portion having a stiffness that is greater than a stiffness of the second mesh portion.
2. The implant of claim 1 , wherein the first flap has a stiffness that is different than the stiffness of the first mesh portion.
3. The implant of claim 2 , wherein the stiffness of the first flap is less than the stiffness of the first mesh portion.
4. The implant of claim 1 , wherein the first mesh portion and the second mesh portion are separate mesh constructs but coupled together with stitching.
5. The implant of claim 1 , wherein the first mesh portion has side edges, the side edges being disposed within the lumen defined by the tubular structure.
6. An implant, comprising:
a first tubular portion having a first end portion and a second end portion, the first end portion defining a first opening, the second end portion defining a second opening, the first tubular portion defining a lumen extending between the first opening and the second opening; and
a second tubular portion having a first lateral slit and a second lateral sit, the second tubular portion including:
a first flap coupled to the first end portion of the first tubular portion, the first flap being coupled to the first end portion via a suture; and
a second flap coupled to the first end portion of the first tubular portion.
7. The implant of claim 6 , wherein the first tubular portion has a stiffness, and the first flap has a stiffness, the stiffness of the first tubular portion being different than the stiffness of the first flap.
8. The implant of claim 7 , wherein the stiffness of the first tubular portion is greater than the stiffness of the first flap.
9. The implant of claim 6 , wherein the first tubular portion is formed of a mesh material.
10. The implant of claim 6 , wherein the first flap is formed of a mesh material.
11. A method of placing an implant within a body of a patient, comprising:
providing a mesh implant including a tubular structure having a first tubular portion, and a second tubular portion, the second tubular portion having a first lateral slit and a second lateral slit, the second tubular portion having a first flap, and a second flap, the first tubular portion having a first end portion and a second end portion, the first tubular portion defining a lumen between and through the first end portion and the second end portion, the lumen defining an axis, the first flap being coupled to the first end portion, the second flap being coupled to the first end portion; and
placing the implant within the body of the patient including attaching a portion of the first tubular portion to a sacrum of the patient.
12. The method of claim 11 , further comprising creating an abdominal incision, and placing the implant within the body of the patient through the abdominal incision.
13. The method of claim 11 , wherein the placing the implant within the body of the patient further includes attaching a portion of the first flap to an anterior vaginal wall of the patient, and attaching a portion of the second flap to a posterior vaginal wall of the patient.
14. The method of claim 11 , further comprising:
cutting the first end portion of the first tubular portion at a location between the first flap and the second flap in a direction towards the second end portion of the first tubular portion, wherein the cutting increases an effective length of the first and second flaps.