DR. MARK JULIEN LEGOME, MD
Medical Practice at Crown Vly, San Juan Capistrano, CA

5507758, Apr 16, 1996

Oct 19, 1993

8/139637

Rodger Thomason - Los Angeles CA
James E. Carter - Mission Viejo CA
Mark J. Legome - Mission Viejo CA
Neil H. Naves - Mission Viejo CA

Inlet Medical, Inc. - Eden Prairre MN

A61B 1700

606148

A surgical instrument, guide and method capable of being used for closure of peritoneum fascia, occlusion of bleeding vessels such as inferior epigastric, and for all uses related to accurately passing suture material through a guide into tissue with the tip of the surgical instrument in a standard suture/needle driving position with a sharp tip that opens and closes with the surgeon grasping suture material with the sharp tip and inserting the tip/suture through tissue until the tip is seen through the peritoneum by direct vision, wherein the suture is released by opening and withdrawing the tip from the guide, and recovered by using the guide to redirect the tip and puncturing the tissue opposite the first point of insertion wherein the tip grasps the suture and pulls the suture through the guide, and outside the wound providing for rapid closure of the surgical incision, and wherein a guide insertable within the wound to be closed guides the surgical instrument at a predetermined angle from the longitudinal axis of the guide.

5766221, Jun 16, 1998

Feb 9, 1995

8/385897

Theodore V. Benderev - Laguna Hills CA
Neil H. Naves - Mission Viejo CA
Mark J. Legome - Mission Viejo CA
Sheila Wallin - Laguna Beach CA

Boston Scientific Technology, Inc. - Maple Grove MN

A61B 1700

606232

Bone anchor implantation devices for use in the surgical treatment of stress urinary incontinence are disclosed. Methods for positioning a bone anchor implantation device over a bone and for installing a bone anchor in a bone are also disclosed.

5938686, Aug 17, 1999

Jul 2, 1997

8/887241

Theodore V. Benderev - Laguna Hills CA
Neil H. Naves - Mission Viejo CA
Mark J. Legome - Mission Viejo CA
Sheila Wallin - Laguna Beach CA

Boston Scientific Technology, Inc. - Maple Grove MN

A61B 1700

606232

A bone anchor implantation device is positioned over a bone, and a bone anchor is installed in a bone.

5827299, Oct 27, 1998

Feb 28, 1996

8/608297

Rodger D. Thomason - Los Angeles CA
James E. Carter - Dana Point CA
Mark J. Legome - Mission Viejo CA
Neil H. Naves - Mission Viejo CA

Inlet Medical, Inc - Eden Prairie MN

A61B 1704

606148

A surgical instrument, guide, and method capable of being used for closure of peritoneum fascia, occlusion of bleeding vessels such as inferior epigastric, and for all uses related to accurately passing suture material through a guide into tissue. A tip of a surgical instrument in a standard suture-/needle-driving position with a sharp tip that opens and closes with the surgeon grasping suture material with the sharp tip is provided. Insertion of the tip/suture through tissue until the tip is seen through the peritoneum by direct vision begins the wound-closing procedure. The suture is released by opening and withdrawing the tip from the guide. The suture is recovered by using the guide to redirect the tip and puncturing the tissue opposite the first point of insertion. The tip grasps the suture and pulls the suture through the guide. The suture is pulled outside the wound, providing for rapid closure of the surgical incision.

6183485, Feb 6, 2001

Jul 26, 1999

9/360826

Rodger D. Thomason - Los Angeles CA
James E. Carter - Dana Point CA
Mark J. Legome - Mission Viejo CA
Neil H. Naves - Mission Viejo CA

Inlet Medical, Inc. - Eden Prairie MN

A61B 1704

606148

A surgical instrument, guide, and method capable of being used for closure of peritoneum fascia, occlusion of bleeding vessels such as inferior epigastric, and for all uses related to accurately passing suture material through a guide into tissue. A tip of a surgical instrument in a standard suture-/needle-driving position with a sharp tip that opens and closes with the surgeon grasping suture material with the sharp tip is provided. Insertion of the tip/suture through tissue until the tip is seen through the peritoneum by direct vision begins the wound-closing procedure. The suture is released by opening and withdrawing the tip from the guide. The suture is recovered by using the guide to redirect the tip and puncturing the tissue opposite the first point of insertion. The tip grasps the suture and pulls the suture through the guide. The suture is pulled outside the wound, providing for rapid closure of the surgical incision.

6056688, May 2, 2000

Sep 29, 1997

8/939151

Theodore V. Benderev - San Juan Capistrano CA
Neil H. Naves - Mission Viejo CA
Mark J. Legome - Mission Viejo CA

Boston Scientific Technology, Inc. - Maple Grove MN

A61F 202, A61B 1900, A61B 1708

600 30

The present invention relates to a tissue staple and staple applier for use in suspending tissue from an internal support structure. The present invention also relates to a transvaginal method of suspending a bladder neck from an internal support structure, such as the pubic bone, using the tissue staple and staple applier.

5836314, Nov 17, 1998

Jun 6, 1996

8/659759

Theodore V. Benderev - San Juan Capistrano CA
Neil H. Naves - Mission Viejo CA
Mark J. Legome - Mission Viejo CA

Boston Scientific Technology, Inc. - Maple Grove MN

A61B 1900

128898

The surgical treatment of stress urinary incontinence includes: 1) a technique of probe passage to avoid injuring the bladder and to provide a more accurate and reproducible capture of the pubocervical fascia lateral to the bladder neck and urethra, 2) anchor fixation of the suspending sutures to the pubic bone to decrease the risk of suture pull through from above and to decrease post-operative pain and 3) a simple and reproducible technique to set a limited tension of the suspending sutures. These methods and results of procedures with some of these methods are described. Novel drill guides, suture passers, suture tensioners, and various related tools and devices for use in the surgical method are also disclosed.

5439467, Aug 8, 1995

Jun 17, 1993

8/078730

Theodore V. Benderev - Laguna Hills CA
Neil H. Naves - Mission Viejo CA
Mark J. Legome - Mission Viejo CA

Vesica Medical, Inc. - San Clemente CA

A61B 1704

606139

A suture passer of the type adapted for releasably retaining a suture is disclosed. The suture passer has a handle and an elongate tubular probe guide extending in a distal direction from the handle. The tubular probe guide can be straight or curved. An elongate probe is axially movably disposed within the tubular probe guide, for motion between at least one retracted position and an extended position in which the sharpened distal tip of the probe is exposed. The probe has a recess, which cooperates with an opening on the tubular guide for receiving a suture.

5813408, Sep 29, 1998

Sep 15, 1995

8/528848

Theodore V. Benderev - San Juan Capistrano CA
Neil H. Naves - Mission Viejo CA
Mark J. Legome - Mission Viejo CA

Boston Scientific Technology, Inc. - Maple Grove MN

A61B 1910

128849

The surgical treatment of stress urinary incontinence is disclosed. The disclosed methods include: 1) a technique of probe passage to avoid injuring the bladder and to provide a more accurate and reproducible capture of the pubocervical fascia lateral to the bladder neck and urethra, 2) anchor fixation of the suspending sutures to the pubic bone to decrease the risk of suture pull through from above and to decrease post-operative pain and 3) a simple and reproducible technique to set a limited tension of the suspending sutures. A description of these methods and results of procedures with some of these methods are disclosed. Novel drill guides, suture passers, suture tensioners, and various related tools and devices for use in the surgical method are also disclosed.