32 results about "Vaginal Prolapses" patented technology

In a preferred application, e.g., the repair of vaginal prolapse after relocation of the vagina and any organs displaced by the prolapse, corrective surgery is initiated by applying a hollow tubular element, formed to forcibly insert a barbed anchor attached to a distal end of a first length of suture, without any incision, from the inside of the vagina through the vaginal wall (the supported tissue) into selected support tissue within a patient's pelvis. This involves puncturing and thus locally severe physical distressing of both the supported tissue and the support tissue. The barbed anchor is left in the support tissue as the tubular element is then withdrawn from the support tissue and out of the vagina, leaving the proximate end portion of the suture extending through the vaginal wall into the vagina. A second such anchor, with a second length of suture attached thereto, is similarly inserted adjacent to the first anchor. The proximate end portions of the sutures are tied to each other inside the vagina, to thereby secure the vaginal wall to the support tissue with corresponding punctures formed in each by the insertions of the two anchors being thereby held in respective, precisely aligned, intimate contact during healing. This results in a pair of fused scars that cooperate to permanently bond the vaginal wall locally to the support tissue. If the sutures and/or the anchors are made of absorbable material they will all eventually disappear and the fused scars will provide the permanent bonding. If the anchors are made of non-absorbable material they may remain where located. A plurality of such paired fused-scar bonds may be generated, at the surgeon's discretion, to ensure adequate support for the repaired vagina. The apparatus and method can be readily adapted to similarly effect deliberate, local, beneficial bonding between other adjacent living tissues in a patient.

Apparatus for forming an artificial tie or ligament between different internal parts within a mammalian body, the apparatus comprising a strip (10) of preferably mesh type fabric formed of a material which is suitable for remaining in the body, and a drawstring (12) which is looped between different points along the length of the strip (10). By drawing the drawstring (12) the length of the strip (10) can be reduced. Opposite ends of the strip (11, 13) are in use attached to the different internal parts, and then those parts can be pulled together by applying tension to the drawstring (12), and once the length of the strip (10) has been reduced, tying off the drawstring (12) to hold the strip (10) in its reduced length condition. The apparatus is specifically useful for use in a in a method of treating vault or vaginal prolapse. The invention extends to a method of treating vault or vaginal prolapse.

A wide-weave mesh is disclosed which is coated with a bioactive material to enhance the therapeutic efficacy of the mesh. The mesh may be used for the treatment of hernias, vaginal prolapses and other similar injuries.

The invention disclosed herein includes an apparatus and a method for treatment of vaginal prolapse conditions. The apparatus is a graft having a central body portion with at least one strap extending from it. The strap has a bullet needle attached to its end portion and is anchorable to anchoring tissue in the body of a patient. The invention makes use of a delivery device adapted to deploy the graft in a patient. The inventive method includes the steps of making an incision in the vaginal wall of a patient, opening the incision to gain access inside the vagina and pelvic floor area, inserting the inventive apparatus through the incision, and attaching the straps of the apparatus to anchoring tissue in the patient.

Surgical meshes include bicomponent fibers and/or microfibers. A bicomponent fiber or microfiber includes a non-absorbable inner core including at least one flexible polymer and an absorbable surface material including at least one rigid polymer. The absorbable surface material has a first stiffness and the non-absorbable inner core has a second stiffness which is lower than the first stiffness. The bicomponent fiber or microfiber surgical mesh is less flexible prior to implantation and more flexible following implantation in tissue. The mesh may be used for the treatment of hernias, vaginal prolapses, and other injuries.

In accordance with at least one exemplary embodiment, a vaginal prolapse repair procedure can use a perirectal pass in placing an anterior graph arm. For example, the superficial straps of an anterior graft can be place via the transobturator path. The deep straps can be placed via perirectal passes. An exemplary anterior graft can include deep straps that extend from the body of the anterior graft at an angle between about 25 and 60 degrees. Also, an exemplary anterior graft can have a biologic or an absorbable, synthetic strip for providing a window in the implanted graft. An exemplary trocar sheath can be extended and can have a side entry port for cooperating with a trocar. Also, exemplary graspers or retrieval portions of exemplary sheaths can have a reversible locking/mating mechanism for coupling graft arms. Moreover, an exemplary trocar can be provided.

Described are various embodiments of surgical procedure systems, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue, devices and tools for transvaginally accessing a posterior region of pelvic anatomy, devices (including certain types of implants, anchors, and tools) for connecting (e.g., adjustably) a vaginal apex to a region of sacral anatomy to provide support to the vaginal apex, and related methods.

Described are methods and devices useful for supporting posterior vaginal tissue for various purposes such as treating or preventing vaginal prolapse or enterocele, especially in a patient not having a uterus, the devices including implants designed to contact the vaginal cuff and connect to sacral anatomy such as the sacrum or the uterosacral ligaments.

Various embodiments of a mesh or implant system are provided for treating pelvic conditions such as incontinence, vaginal prolapsed, and other conditions caused by muscle and ligament weakness. Embodiments of the implants can include a material, substrate, configuration or coating adapted to provide immediate or timed release of various therapeutic agents or drugs to treat the surrounding tissue.

A surgical support apparatus and method includes a central support member or portion and six or more straps or arms, with each of the straps comprising a connector configured to mate with a tip of a needle device. Each connector is adapted for attachment to target tissue within the pelvis of a patient such that attachment of the connectors to the patient tissue allows for selective placement of the central support member to provide internal pelvic support, e.g., treat vaginal prolapse. Further, a neo-ligament apparatus can be provided. The neo-ligament apparatus generally includes a first member, and a second member connected to and extending out from first member at a junction, at a predetermined angle.

A method of treating prolapse of a vagina includes supporting the vagina by implanting a sacrocolpopexy support and locating an exterior surface of the vagina between leg portions of a vaginal cuff section of the support, and securing a head section of the support to a ligament or a sacrum while isolating the head section from contact with tissue of the vagina.

A surgical mesh for use in a surgical procedure for vaginal prolapse repair, the mesh including a first fiber or yarn and a second fiber or yarn, wherein the surgical mesh is knitted so that the first fiber or yarn is free to slide over the second fiber or yarn.

The invention relates to a device for treating female vaginal prolapse and relaxation and a use method.The device comprises a shell and a supporting body,the shell is a cylindrical shell with a C-shaped crosssection and is provided with a plurality of protruding pressure sensors which have certain strength and elasticity, the pressure sensors are connected with a displayer through data lines so that the pressure can be displayed on a display screen, and the supporting body is internally provided with a plurality of long-strip-shaped closed cavities which are arranged in the shape of C along the inner wall of the shell, the closed cavities are communicated with a hose, an air flushing or liquid flushing liquid device is arranged at the tail end of the hose, the device is inserted into the vagina, then the closed cavities are filled with certain gas or liquid to make the radius of the C-shaped shell expandedto play a certain supporting role to the vagina, and an active role is achieved for illness alleviating and rehabilitation.

A method for treating female stress urinary incontinence by implantable tapes. One embodiment are woven and knitted tapes having only macropores, a macropore is constructed by single threads, the threads at the crossing areas are bonded by heating them to the melting point of the surface of the threads. Other embodiment is molded tapes, having only macropores, a macropore is constructed by single threads. The crossing crossing areas of the threads may have a simple crossing configuration, a spherical crossing configuration and a cubical crossing configuration. A molded tape having one or three sections which have different construction.

References Cited

• • 1. Uster F C, Chaser J & Tuttle Jr. LLD. Use of Matrix mesh in the repair of incision Hernias. Am Surge 1958; 24:969.
  • 2. Ulmsten U. & Petros P. Intravaginal slingoplasty (IVS) an ambulatory surgical procedure for treatment of female utinary incontinence. Scand J Urol Nephrol 1995; 29 (1):75-82.
  • 3. Birch C. Best Practice & Research Clinical Obstetrics and Gynaecology Vol. 19, No 6, pp 979-991, 2005.
  • 4. Milani R. Salvatore S. Soligo M. Pifarotti P. Mesvhia M. & Cortese M. Functional outcome of anterior and posterior vaginal prolapse repaire with prolene mesh. BJOG 2005; 112:107-111.
  • 5. Cumberland V H. A preliminary report on the fabricated nylon weave in the repair of ventral hernias. Med J Aust 1952; 1:143-144.
  • 6. Scales JT. Materials for hernia repair. Proc R. Sac Med 1953; 46:647-652.

U.S. Patent Documents

Described are various embodiments of surgical procedures, systems, implants, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue.

The invention disclosed herein includes an apparatus for treating anterior and posterior vaginal wall prolapse. The apparatus is a graft having a central body portion and a first and second wing portions extending in distinct directions from the central body. The first and second wing portions are adapted to be secured to a first and second portion of a soft tissue respectively. The graft further comprises a lower portion extending in a third direction from the central body, adapted to provide support for the vaginal apex. Furthermore, the central body, first wing, second wing, and lower portion are constructed from biocompatible mesh.

An anchor unit, an instrument for deploying the anchor unit, and methods of treating or preventing vaginal vault prolapse and/or uterine prolapse in conditions of utero-vaginal prolapse are disclosed. The anchor unit can include an anchor housing and an anchor blade assembly. The anchor housing can include a first peripheral wall and a second peripheral wall which can be arranged in the shape of a knife blade. The anchor blade assembly can include a plurality of blades for securing the anchor unit to body tissue. The anchor blade assembly can be configured to be rotatable with respect to the anchor housing to allow the deployment of the plurality of blades into body tissue in a deployed state of the anchor unit.