Apparatus and method for image-guided colpopexy
OwnerKyongtae BAE, Junu BAE +2inventors
InventorsKyongtae BAE, Junu BAE, Sonu BAE, Choonkyu KIM
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Abstract
Devices and methods are disclosed for performing image-guided colpopexy, such as sacrospinous ligament colpopexy, to treat pelvic organ prolapse. The devices are configured for transvaginal or subcutaneous access approach, comprising rotatable and translatable vaginal device with image-guiding markers, anchoring device, retention anchors, and pulley and pusher wires. By precise placement of a vaginal device and an anchoring device, a path between the vaginal wall and pelvic ligament is established and used to insert a retention assembly that enables juxtaposition and fastening of the vaginal wall to the pelvic ligament for colpopexy.
Claims20
1-2. (canceled)
An apparatus for image-guided colpopexy comprises a vaginal device and an anchoring device,
- wherein the vaginal device comprising:
- at least one pelvic flap to be fastened over a pelvis of a patient to secure and stabilize the vaginal device;
- control hub at a center of the vaginal device, the control hub including a rotatable inner tube to be placed in the vaginal lumen, joints rotatable about at least two different axes while keeping the at least one pelvic flap as the fixed reference, and reference marks denoting degree or rotations;
- and
- at least one elongated, curved vaginal probe received through the control hub, the vaginal probe including a proximal opening in the proximal end, a distal opening port in a distal end, a curved needle guide track configured to angulate a needle of the anchoring device in predetermined degrees while advancing from the vagina to a target ligament,
- wherein the anchoring device comprising:
- at least one needle, curved or straight, with a hollow lumen;
- at least one retainer configured to be inserted into the hollow lumen of the needle, the retainer including a distal anchor configured to be anchored to a target ligament, a proximal anchor configured to be anchored to a vaginal wall, and retention wires joining the distal and proximal anchors;
- one or more pulley wires which are connected to any one or more of the proximal anchor and the distal anchor;
- a pusher wire which pushes the at least one retainer forward to slide through the lumen of the needle;
- and
- a body to which the needle is connected.
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21-22. (canceled)
Dependencies are inferred from the claim text.