Patent ID: 7407480

Claim:
A surgical kit comprising an insertion tool and an implant for addressing incontinence and cystocele disorders, the implant comprising: a cystocele repair portion adapted to be secured in the patient's vaginal region, comprising a major portion that is sized and shaped to afford repair of a cystocele without lifting the patient's bladder and without placing tension on the bladder, the major portion including a urethral support portion capable of being placed underneath the patient's urethra; a first posterior securement appendage that is sized, shaped and configured to extend from the patient's vaginal region toward a first incision in the patient's buttocks that is lateral to the patient's anus; a second posterior securement appendage that is sized, shaped and configured to extend from the patient's vaginal region, on a side of the patient's anus different than that of the first posterior securement appendage, toward a second incision in the patient's buttocks that is on a side of the patient's anus opposite the first incision; a first sling appendage for securement on a first side of the patient's urethra; and a second sling appendage for securement on a side of the patient's urethra generally opposite the first side of the urethra; wherein one or more of the first posterior securement appendage, the second posterior securement appendage, the first sling appendage, and the second sling appendage, includes a connector configured to engage a distal end of an insertion needle; the insertion tool comprising a proximal end and a distal end, a handle at the proximal end, and the distal end being configured to engage the connector; and wherein the mesh material comprises bulk knitted polypropylene monofilaments, and bulk material from which the mesh is supplied has at least a Longitudinal Elongation Factor (LEF) of 0.06 under a ½ pound load.