公开(公告)号：US08636644B2

公开(公告)日：2014-01-28

申请号：US13589189

申请日：2012-08-20

Applicant: Michael M Witzmann ,  Douglas Adelbert Devens, Jr.

Inventor： Michael M Witzmann ,  Douglas Adelbert Devens, Jr.

IPC: A61F2/00

CPC classification number: A61F2/0045 ,  A61B17/0401 ,  A61B2017/00805 ,  A61B2017/0464 ,  A61F2210/008 ,  A61F2210/009 ,  A61F2250/0007

Abstract: An incontinence treatment device includes a urethral support and first and second connectors. The urethral support extends between a first end and a second end and has porosity that is configured to allow tissue in-growth through the urethral support. The first connector is attached to the first end of the urethral support and the second connector is attached to the second end of the urethral support. At least one of the first connector and the second connector is a cross-linked polymer connector having a glass transition temperature between 40-70 degrees Celsius. The cross-linked polymer connector has an initial length that is elongated to an implant length that is greater than the initial length. Means for heating the cross-linked polymer connector from an extracorporeal location through intact skin is provided, thereby shortening the cross-linked polymer connector.

Abstract translation: 失禁治疗装置包括尿道支撑件和第一和第二连接器。 尿道支撑件在第一端和第二端之间延伸并且具有构造成允许组织通过尿道支撑生长的多孔性。 第一连接器连接到尿道支撑件的第一端，第二连接器连接到尿道支撑件的第二端。 第一连接器和第二连接器中的至少一个是玻璃化转变温度在40-70摄氏度之间的交联聚合物连接器。 交联聚合物连接器具有延伸到大于初始长度的植入物长度的初始长度。 提供了通过完整皮肤从体外位置加热交联聚合物连接器的手段，从而缩短了交联聚合物连接器。

公开(公告)号：US08550979B2

公开(公告)日：2013-10-08

申请号：US12815440

申请日：2010-06-15

Applicant: Michael M. Witzmann ,  Douglas Adelbert Devens, Jr.

Inventor： Michael M. Witzmann ,  Douglas Adelbert Devens, Jr.

IPC: A61F2/02

CPC classification number: A61F2/0045 ,  A61B17/0401 ,  A61B2017/00805 ,  A61B2017/0464 ,  A61F2210/008 ,  A61F2210/009 ,  A61F2250/0007

Abstract: A method of treating incontinence in a patient includes implanting a support by suspending the support from a pair of connectors attached to tissue thereby supporting a urethra of the patient with an implanted support and a pair of implanted connectors. The method additionally includes evaluating the patient for incontinence post-implantation of the support, and reducing the incontinence of the patient by shortening a length of one of the pair of implanted connectors through intact skin from a location extracorporeal of the patient.

Abstract translation: 一种治疗患者尿失禁的方法包括通过从连接到组织上的一对连接器悬挂支撑来植入支撑物，从而利用植入的支撑物和一对植入的连接器来支撑患者的尿道。 该方法还包括评估患者对支架植入后的失禁，以及通过从患者体外位置的整个皮肤缩短一对植入的连接器中的一个的长度来减少患者的失禁。

公开(公告)号：US20110092985A1

公开(公告)日：2011-04-21

申请号：US12817198

申请日：2010-06-17

Applicant: Allen Gaynor ,  Michael K. Luk ,  Steven McClurg ,  Michael M. Witzmann ,  Ying Zheng

Inventor： Allen Gaynor ,  Michael K. Luk ,  Steven McClurg ,  Michael M. Witzmann ,  Ying Zheng

IPC: A61B17/10 ,  A61B17/04

CPC classification number: A61B17/0482 ,  A61B17/0483 ,  A61B17/0625 ,  A61B2017/00438

Abstract: A suture fixation system includes a suture assembly having an anchor, an introducer, and a delivery device. The introducer is attachable to a finger of a person and includes a platform attached to an exterior of the introducer and a zip line attached to the platform. The delivery device is movable along the zip line and configured to removably retain the anchor. The introducer allows the finger to identify a target landmark within a patient and the delivery device is movable along the zip line and attachable to the platform to position the anchor for insertion to the target landmark.

Abstract translation: 缝合线固定系统包括具有锚固件，导引器和输送装置的缝合线组件。 引导器可附接到人的手指，并且包括附接到导引器的外部的平台和附接到平台的拉链线。 输送装置可沿着拉链线移动并且构造成可移除地保持锚固件。 引导器允许手指识别患者内的目标地标，并且输送装置可沿着拉链线移动并且可附接到平台以将锚定位置以插入目标地标。

公开(公告)号：US20100198003A1

公开(公告)日：2010-08-05

申请号：US12414709

申请日：2009-03-31

Applicant: Randy L. Morningstar ,  Michael M. Witzmann ,  Mark A. Moschel

Inventor： Randy L. Morningstar ,  Michael M. Witzmann ,  Mark A. Moschel

IPC: A61F2/00

CPC classification number: A61F2/0045 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/06109 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0448 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2017/06042 ,  A61B2017/06076 ,  A61F2002/3055 ,  A61F2250/0007

Abstract: An implantable device for anatomical support includes a sling, a first interconnecting member that is coupled to the sling, and a second interconnecting member that is coupled to the sling. An adjustable anchor is slidably coupled to the first interconnecting member to permit bi-directional movement along the first interconnecting member, and configured to exert a compressive force generating frictional interference between the adjustable anchor and the first interconnecting member, to inhibit the bi-directional movement of the adjustable anchor along the first interconnecting member unless sufficient force is applied to overcome the frictional interference. Also, a fixed anchor is fixedly coupled to the second interconnecting member.

Abstract translation: 用于解剖支撑的可植入装置包括吊带，联接到吊索的第一互连构件和联接到吊索的第二互连构件。 可调节锚固件可滑动地联接到第一互连构件以允许沿着第一互连构件的双向运动，并且构造成施加在可调节锚固件和第一互连构件之间产生摩擦干涉的压缩力，以阻止双向运动 的可调节锚固件沿着第一互连构件，除非施加足够的力来克服摩擦干扰。 而且，固定锚定件固定地联接到第二互连构件。

公开(公告)号：US20130317301A1

公开(公告)日：2013-11-28

申请号：US13553827

申请日：2012-07-20

Applicant: Sarah J. Deitch ,  Ty Erickson ,  Allen Gaynor ,  Manish Patel ,  Michael M. Witzmann

Inventor： Sarah J. Deitch ,  Ty Erickson ,  Allen Gaynor ,  Manish Patel ,  Michael M. Witzmann

IPC: A61B1/32

CPC classification number: A61B17/0218 ,  A61B17/4241 ,  A61B2090/061 ,  A61B2090/3945 ,  A61B2090/3962

Abstract: A vaginal manipulator includes a shaft, a handle connected to a first end of the shaft, and a head connected to a second end of the shaft. The head includes a rigid anterior surface that moves independently from a rigid posterior surface of the head. When the vaginal manipulator is inserted into a vagina, the rigid anterior surface is movable to displace an anterior wall of the vagina and the rigid posterior surface is movable to displace a posterior wall of the vagina. An index is provided on the head to locate a suture placement position a calculated distance away from a leading proximal end of the head.

Abstract translation: 阴道机械手包括轴，连接到轴的第一端的手柄，以及连接到轴的第二端的头部。 头部包括独立于头部的刚性后表面移动的刚性前表面。 当阴道操纵器插入阴道时，刚性前表面可移动以移位阴道的前壁，并且刚性后表面可移动以移位阴道的后壁。 在头部上设置有一个索引，以便将缝合线放置位置定位成远离头部的前端近端的计算距离。

公开(公告)号：US08585578B2

公开(公告)日：2013-11-19

申请号：US12414709

申请日：2009-03-31

Applicant: Randy L. Morningstar ,  Michael M. Witzmann ,  Mark A. Moschel

Inventor： Randy L. Morningstar ,  Michael M. Witzmann ,  Mark A. Moschel

IPC: A61F2/00 ,  A61F2/02

CPC classification number: A61F2/0045 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/06109 ,  A61B2017/0409 ,  A61B2017/0414 ,  A61B2017/0448 ,  A61B2017/0464 ,  A61B2017/0496 ,  A61B2017/06042 ,  A61B2017/06076 ,  A61F2002/3055 ,  A61F2250/0007

Abstract: An implantable device for anatomical support includes a sling, a first interconnecting member that is coupled to the sling, and a second interconnecting member that is coupled to the sling. An adjustable anchor is slidably coupled to the first interconnecting member to permit bi-directional movement along the first interconnecting member, and configured to exert a compressive force generating frictional interference between the adjustable anchor and the first interconnecting member, to inhibit the bi-directional movement of the adjustable anchor along the first interconnecting member unless sufficient force is applied to overcome the frictional interference. Also, a fixed anchor is fixedly coupled to the second interconnecting member.

Abstract translation: 用于解剖支撑的可植入装置包括吊带，联接到吊索的第一互连构件和联接到吊索的第二互连构件。 可调节锚固件可滑动地联接到第一互连构件以允许沿着第一互连构件的双向运动，并且构造成施加在可调节锚固件和第一互连构件之间产生摩擦干涉的压缩力，以阻止双向运动 的可调节锚固件沿着第一互连构件，除非施加足够的力来克服摩擦干扰。 而且，固定锚定件固定地联接到第二互连构件。

公开(公告)号：US08465503B2

公开(公告)日：2013-06-18

申请号：US12817198

申请日：2010-06-17

Applicant: Allen Gaynor ,  Michael K. Luk ,  Steven McClurg ,  Michael M. Witzmann ,  Ying Zheng

Inventor： Allen Gaynor ,  Michael K. Luk ,  Steven McClurg ,  Michael M. Witzmann ,  Ying Zheng

IPC: A61B17/04

CPC classification number: A61B17/0482 ,  A61B17/0483 ,  A61B17/0625 ,  A61B2017/00438

Abstract: A suture fixation system includes a suture assembly having an anchor, an introducer, and a delivery device. The introducer is attachable to a finger of a person and includes a platform attached to an exterior of the introducer and a zip line attached to the platform. The delivery device is movable along the zip line and configured to removably retain the anchor. The introducer allows the finger to identify a target landmark within a patient and the delivery device is movable along the zip line and attachable to the platform to position the anchor for insertion to the target landmark.

Abstract translation: 缝合线固定系统包括具有锚固件，导引器和输送装置的缝合线组件。 引导器可附接到人的手指，并且包括附接到导引器的外部的平台和附接到平台的拉链线。 输送装置可沿着拉链线移动并且构造成可移除地保持锚固件。 引导器允许手指识别患者内的目标地标，并且输送装置可沿着拉链线移动并且可附接到平台以将锚定位置以插入目标地标。

公开(公告)号：US08147397B1

公开(公告)日：2012-04-03

申请号：US11565950

申请日：2006-12-01

Applicant: Michael M. Witzmann ,  James D. Brazil ,  Dean A. Klein ,  Thomas M. Jaeger

Inventor： Michael M. Witzmann ,  James D. Brazil ,  Dean A. Klein ,  Thomas M. Jaeger

IPC: A61M31/00

CPC classification number: A61B17/3403 ,  A61B1/307 ,  A61B17/062 ,  A61B17/12 ,  A61B17/3468 ,  A61B2017/0046 ,  A61B2017/00561 ,  A61B2017/00805 ,  A61B2017/3405 ,  A61B2017/3407 ,  A61F2/0036

Abstract: Methods and devices for treating female urinary incontinence by injecting bulking material into the female urethral wall. Some devices include a handle, an elongate member attached to the handle, and a vacuum generating syringe removably secured to the handle. The elongate member can include a distal portion projecting distally from the handle, the distal portion having a wide proximal region, a narrowing shoulder, and a narrow distal region. The elongate member can include one or more vacuum ports on either side of the shoulder region. The shoulder can include a distally facing needle aperture allowing passage of a needle for injecting bulking agent. A rotatable connection between the elongate member and the handle facilitates rotatable positioning of the elongate member to permit injection of bulking material at different locations around the urethral wall. In use, the urethral tissue can be pulled to conform against the device elongate member by generating a vacuum through the elongate member ports, inserting the needle through the elongate member and needle aperture, and predictably injecting bulking material inside of and along the immobilized urethral wall. The self contained vacuum generator, simple design and wide allowable margin of needle travel allow for use in a practitioner's office.

Abstract translation: 通过将膨胀材料注入女性尿道壁来治疗女性尿失禁的方法和装置。 一些装置包括手柄，附接到手柄的细长构件和可移除地固定到手柄的真空产生注射器。 细长构件可以包括从手柄向远侧突出的远侧部分，远侧部分具有宽近端区域，变窄的肩部和窄的远端区域。 细长构件可以包括在肩部区域的任一侧上的一个或多个真空口。 肩部可以包括允许通过用于注射填充剂的针的朝向远端的针孔。 细长构件和手柄之间的可旋转连接有利于细长构件的可旋转定位，以允许在尿道壁周围的不同位置处注射膨胀材料。 在使用中，尿道组织可以被拉动以通过细长构件端口产生真空而将其穿过细长构件和针孔插入穿过装置细长构件，并且可预测地在固定的尿道壁内部和内部注入膨胀材料 。 自包含真空发生器，设计简单，允许的行程容许宽度允许在医生办公室使用。

公开(公告)号：US20110092987A1

公开(公告)日：2011-04-21

申请号：US12905103

申请日：2010-10-15

Applicant: Allen Gaynor ,  Michael K. Luk ,  Steven McClurg ,  Michael M. Witzmann ,  Ying Zheng

Inventor： Allen Gaynor ,  Michael K. Luk ,  Steven McClurg ,  Michael M. Witzmann ,  Ying Zheng

IPC: A61B17/04

CPC classification number: A61B17/0483 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0625 ,  A61B2017/00438

Abstract: A suture fixation system includes a suture assembly having an anchor, an introducer, and a delivery device. The introducer is attachable to a finger of a person and includes a platform attached to an exterior of the introducer and a zip line attached to the platform. The delivery device is movable along the zip line and configured to removably retain the anchor. The introducer allows the finger to identify a target landmark within a patient and the delivery device is movable along the zip line and attachable to the platform to position the anchor for insertion to the target landmark.

公开(公告)号：US20120310039A1

公开(公告)日：2012-12-06

申请号：US13589189

申请日：2012-08-20

Applicant: Michael M. Witzmann ,  Douglas Adelbert Devens, JR.

Inventor： Michael M. Witzmann ,  Douglas Adelbert Devens, JR.

IPC: A61F2/04

CPC classification number: A61F2/0045 ,  A61B17/0401 ,  A61B2017/00805 ,  A61B2017/0464 ,  A61F2210/008 ,  A61F2210/009 ,  A61F2250/0007

Abstract: An incontinence treatment device includes a urethral support and first and second connectors. The urethral support extends between a first end and a second end and has porosity that is configured to allow tissue in-growth through the urethral support. The first connector is attached to the first end of the urethral support and the second connector is attached to the second end of the urethral support. At least one of the first connector and the second connector is a cross-linked polymer connector having a glass transition temperature between 40-70 degrees Celsius. The cross-linked polymer connector has an initial length that is elongated to an implant length that is greater than the initial length. Means for heating the cross-linked polymer connector from an extracorporeal location through intact skin is provided, thereby shortening the cross-linked polymer connector.

Abstract translation: 失禁治疗装置包括尿道支撑件和第一和第二连接器。 尿道支撑件在第一端和第二端之间延伸并且具有构造成允许组织通过尿道支撑生长的多孔性。 第一连接器连接到尿道支撑件的第一端，第二连接器连接到尿道支撑件的第二端。 第一连接器和第二连接器中的至少一个是玻璃化转变温度在40-70摄氏度之间的交联聚合物连接器。 交联聚合物连接器具有延伸到大于初始长度的植入物长度的初始长度。 提供了通过完整皮肤从体外位置加热交联聚合物连接器的手段，从而缩短了交联聚合物连接器。