Transperitoneal prolapse repair system and method priority

Abstract

A prolapse repair system and procedure are provided. The system can include one or more anchor devices and one or more extending members, such as a suture. The system can further include a mesh or like support or suspension structure provided intermediate the one or more anchor devices and the one or more extending members. The anchors can be directed to the coccygeous sacrospinous ligament or complex via a transperitoneal approach, wherein the one or more anchor devices are engaged directly into the target ligament or tissue complex and the one or more sutures extend back through the thickness of the vaginal wall to provide vaginal wall support.

1 . A prolapse repair system, comprising:
 at least one anchor support device comprising at least one anchor and at least one member extending from the anchor, the anchor having tines to engage target tissue, wherein the anchor is deployed through a transperitoneal access approach and fixated in the coccygeus muscle-sacrospinous ligament complex and the one or more members are directed back through the vaginal wall to provide vaginal wall support.   
     
     
         2 . The system of  claim 1 , wherein the at least one member extending from the at least one anchor is a suture members. 
     
     
         3 . The system of  claim 2 , wherein the suture member is members is absorbable and optionally absorbs into the body over time. 
     
     
         4 . (canceled) 
     
     
         5 . (canceled) 
     
     
         6 . The system of  claim 1 , wherein the at least one anchor comprises a first anchor and a second anchor wherein each of the first anchor and the second anchor has at least one member extending therefrom. 
     
     
         7 . The system of  claim 6 , wherein the at least one member extending from each of the first anchor and the second anchor includes a plurality of suture members. 
     
     
         8 . The system of  claim 1 , wherein the at least one anchor support device further comprises a mesh member between the at least one anchor and the at least one members extending from each anchor. 
     
     
         9 . The system of  claim 8 , wherein the mesh member comprises materials chosen from polymer filament, a planar structure, thin film, and sheet material. 
     
     
         10 . The system of  claim 1 , further including a retractor having an inflation member adapted to lift intestinal contents out of the pelvis. 
     
     
         11 . The system of  claim 10 , wherein the retractor further includes an illumination device. 
     
     
         12 . A prolapse repair system, comprising:
 a first anchor support device having a first anchor and a pair of suspension sutures extending from the first anchor such that the first anchor is adapted to engage a sacrospinous ligament site on a first side of a patient, wherein the pair of sutures of the first anchor support device may extend back through the peritoneum to provide vaginal wall support; and   a second anchor support device having a second anchor and a pair of suspension sutures extending from the second anchor such that the second anchor is adapted to engage a sacrospinous ligament site on a second side of the patient, wherein the pair of sutures of the second anchor support device may extend back through the peritoneum to provide vaginal wall support.   
     
     
         13 . The system of  claim 12 , wherein the pair of suspension sutures of the first and second anchor support devices are absorbable and optionally absorb into the body over time. 
     
     
         14 . (canceled) 
     
     
         15 . The system of  claim 12 , wherein each anchor support device further includes a mesh member between each anchor and the respective pair of suspension sutures. 
     
     
         16 . (canceled) 
     
     
         17 . (canceled) 
     
     
         18 . (canceled) 
     
     
         19 . The system of  claim 12 , further including a retractor having an inflation member adapted to lift intestinal contents out of the pelvis. 
     
     
         20 . The system of  claim 19 , wherein the retractor further includes an illumination device located at a distal tip and a plurality of firm and flexible extensions. 
     
     
         21 . The system of  claim 1 , wherein the at least one anchor comprises at least one material chosen from polypropylene, polyethylene, fluoropolymers, polymers, metals, and like materials. 
     
     
         22 . The system of  claim 10 , wherein the retractor further comprises firm and flexible extensions extending in opposite directions from a distal end of the retractor. 
     
     
         23 . The system of  claim 1 , further comprising a needle device to deploy and fixate the at least one anchor; wherein the needle device includes a handle and a distal tip adapted to selectively engage and disengage the anchor. 
     
     
         24 . The system of  claim 23 , wherein the needle device further comprises an actuator to facilitate disengagement of the anchor from the distal tip. 
     
     
         25 . The system of  claim 19 , wherein the retractor further comprises firm and flexible extensions. 
     
     
         26 . The system of  claim 12 , further including a needle device having a handle and a needle portion with a distal tip configured to deploy and fix the anchors. 
     
     
         27 . The system of  claim 1  further comprising a retractor having a distal end with a plurality of extensions, extending in opposite directions. 
     
     
         28 . A prolapse repair system comprising:
 at least one anchor support device comprising:
 a distal anchor, 
 at least one tine, 
 at least one mesh portion, and 
 at least one proximal suture member; 
   a needle device having a handle and a distal tip; and   a retractor having a distal tip, with at least one firm and flexible extension extending from the distal tip.   
     
     
         29 . The system of  claim 28 , wherein the distal tip of the needle device selectively and releasably engages with the at least one anchor support device, in order to push the anchor through a tissue pathway. 
     
     
         30 . The system of  claim 29 , further comprising an actuator to facilitate an engagement or disengagement of the needle with the at least one anchor support device. 
     
     
         31 . The system of  claim 28  wherein the at least one firm and flexible extension further comprises a plurality of extensions spaced equidistantly about the distal tip.