# US 9,517,058 B2 · System and method for pelvic floor repair

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- Number: US 9,517,058 B2
- Document ID: US9517058B2
- Status: Granted
- Kind: B2
- Application number: 14/366,002
- Filed: 2012-12-20
- Published: 2014-10-30
- Granted: 2016-12-13
- Earliest claimed: 2011-12-21
- Assignees: Pop Medical Solutions Ltd.
- Applicants: POP Medical Solutions Ltd.
- Inventors: Boaz Harari; Eyal Sandach; Menahem Neuman
- Web page: https://patentgrep.com/patent/US9517058B2

## CPC

- A61F 2/0063: {Implantable repair or support meshes, e.g. hernia meshes}
- A61B 8/0841: {for locating instruments}
- A61B 8/12: in body cavities or body tracts, e.g. by using catheters
- A61B 17/00234: {for minimally invasive surgery (A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)}
- A61B 17/0401: {Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors (A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811)}
- A61B 17/0469: {Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery}
- A61B 17/42: Gynaecological or obstetrical instruments or methods {(ligaturing clamps or clips for the umbilical cord A61B17/122; curettage A61B17/320708)}
- A61F 2/0045: {Support slings}
- A61B 8/445: {Details of catheter construction}
- A61B 2017/00296: {mounted on an endoscope}
- A61B 2017/0409: {Instruments for applying suture anchors}
- A61B 2017/0464: {for soft tissue}
- A61B 2017/3413: {guided by ultrasound}
- A61B 2017/3452: {for the rectum, e.g. for hemorrhoid surgery}
- A61B 2090/3925: {ultrasonic}
- A61F 2002/0072: {Delivery tools therefor}
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

A method of repairing a pelvic floor disorder and a system for carrying out the method are provided. The method is effected by positioning an imaging device in an abdominal, rectal, perianal or vaginal cavity, advancing a surgical instrument through a vaginal wall under guidance of the imaging device to thereby reach a target tissue and using the surgical instrument to attach the tissue repair device to the target tissue.

## Claims

### Claim 1

A method of repairing a pelvic floor disorder comprising:
(a) positioning an ultrasound transducer in a vaginal cavity and identifying a sacrospinous ligament in an imaging field of said ultrasound transducer; and
(b) advancing a surgical instrument through a vaginal wall under guidance of said ultrasound transducer to thereby reach said sacrospinous ligament; and
(c) using said surgical instrument to attach a tissue repair device to said sacrospinous ligament.

### Claim 2 (depends on 1)

The method of claim 1, wherein said ultrasound transducer and said surgical instrument are attached via a housing.

### Claim 3 (depends on 2)

The method of claim 2, wherein said housing includes a guide element for aligning a path of said surgical instrument with an imaging plane of said ultrasound transducer through a vaginal wall.

### Claim 4 (depends on 1)

The method of claim 1, wherein said vaginal wall is a posterior or lateral vaginal wall.

### Claim 5 (depends on 1)

The method of claim 1, wherein said tissue repair device is a mesh, a sling or a suture.

### Claim 6 (depends on 1)

The method of claim 1, wherein (c) is effected via a tissue anchor attached to said tissue repair device.