Electrical muscle stimulation to treat fecal incontinence...

A - Human Necessities – 61 – N

Patent

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Details

A61N 1/36 (2006.01) A61F 2/00 (2006.01) A61N 1/05 (2006.01)

Patent

CA 2653885

Surgical procedures, kits and implants for alleviating human urinary and fecal incontinence are disclosed. Electrical stimulation is provided at one or more locations or positions in relation to or within an anal sphincter muscle comprising an internal anal sphincter surrounding the anus, an external anal sphincter surrounding the internal anal sphincter, a levator ani coupled to the external anal sphincter and perineal floor muscles around the anal orifice to treat or control fecal incontinence. Stimulation electrodes are mounted to one of a mesh patch, a fecal sling or the cuff of an artificial anal sphincter. Tissue anchors may be provided to engage tissue to stabilize mesh patch(es) or the fecal sling. Rectal pressure is detected and employed in controlling delivery of electrical stimulation.

La présente invention concerne des procédures chirurgicales, des trousses et des implants destinés à atténuer l'incontinence urinaire et fécale chez l'être humain. Une stimulation électrique est appliquée en un ou plusieurs emplacements ou sites associés aux muscles du sphincter anal ou situés dans ce dernier, notamment le sphincter anal interne qui entoure l'anus, le sphincter anal externe qui entoure le sphincter anal interne, le levator ani relié au sphincter anal externe et aux muscles du plancher du périnée autour de l'orifice anal, pour traiter ou contrôler l'incontinence fécale. Des électrodes de stimulation sont montées sur un tampon en treillis, une bretelle fécale ou le revers d'un sphincter anal artificiel. Des ancrages dans les tissus peuvent être prévus pour engager le tissu en vue de stabiliser le ou les tampons en tissu ou la bretelle fécale. La pression rectale est détectée et utilisée pour contrôler l'application d'une stimulation électrique.

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