32 results about "Vaginal Prolapses" patented technology

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.

Articles and procedures for preventing or treating vaginal prolapse, urinary incontinence, and other disorders of the pelvic floor.

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 The barbed anchor is left in the support tissue as the tubular element is then withdrawn from the support tissue and out of the vagina, leaving the proximate end portion of the suture extending through the vaginal wall into the vagina.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 apparatusand method can be readily adapted to similarly effect deliberate, local, beneficial bonding between other adjacent living tissues in a patient.

A system includes surgical instruments, implantable articles and procedural steps for stabilizing, introducing, delivering and affixing an absorbable or permanent biocompatible implantable graft into a patient. The instruments, implantable articles and procedural steps can be employed in transvaginal pelvic reconstructive applications to re-suspend the anterior, posterior and / or apical vaginal compartments including the bladder, rectum, bowels (i.e., enterocele) and vaginal apex with or without a uterus in situ. The surgical instruments can be incorporated into a surgical kit having an implantable graft, a graft-retaining clamp, a tacker guide, a tacker device, an affixing anchor, a retractor and a fenestrated spatula.

A suture-less pelvic implant system and method is provided for treating pelvic conditions, such as incontinence or vaginal prolapse. The implant can include a fixation portion, rectangular or suture line, having a plurality of fixation elements, e.g., barbs, extending therefrom to fixate within target pelvic tissue, such as the vaginal apex. In a sacralcolpopexy, an opposing end or anchor of the implant is fixated within the sacrum or like structure to stabilize, raise, support or reposition the vaginal apex.

An adjusting and cutting tool comprising a distal end engageable with an elongate portion of an implantable article to facilitate manipulation of the elongate portion relative to a support portion of the implantable article and to facilitate cutting of the elongate portion. Also included is method of treating vaginal prolapse, the method including the steps of providing a multi-piece implantable article having at least one extension portion piece and a support portion piece, placing the support portion piece in contact with vaginal tissue, placing at least one extension portion piece in contact with tissue of a component of sacral anatomy, adjusting a position of the at least one extension portion piece relative to the support portion piece using a adjusting and cutting tool, and cutting the at least one extension portion with the adjusting and cutting tool.

A method of treating prolapsed vagina by tacking the prolapsed vagina to tissue proximate the obturator foramens with anchor mechanisms applied from inside the vagina.

A system and method of treating vaginal prolapse and incontinence comprises a kit. The kit includes a mesh graft configured for attachment to the anterior and posterior vaginal walls to thereby treat the vaginal prolapse. A graft delivery device is also provided for introducing and placing the mesh graft to a location deep within the peritoneal cavity and for attaching the graft thereto. A leg assembly is provided and coupled to an end of the mesh graft and cooperates with the graft delivery device to anchor and affix the mesh graft to the desired anatomical structures. The method according to the present invention contemplates a laparoscopic graft placement utilizing the components of the kit.

A suture-less pelvic implant system and method is provided for treating pelvic conditions, such as incontinence or vaginal prolapse. The implant can include a fixation portion, rectangular or suture line, having a plurality of fixation elements, e.g., barbs, extending therefrom to fixate within target pelvic tissue, such as the vaginal apex. In a sacralcolpopexy, an opposing end or anchor of the implant is fixated within the sacrum or like structure to stabilize, raise, support or reposition the vaginal apex.

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.

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.

The invention disclosed herein includes an apparatus for the treatment of prolapse in a pelvic region of a patient. The apparatus is a graft having a central body portion and at least one wing extending from it. A needle is attached to the end of the wing opposite the central body, and the needle in configured to engage the patient's soft tissue positioned near the pelvic region.

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.