Compositions, devices, kits and methods for attaching surgical meshes to tissue

A method of attaching a urogynecological surgical mesh to patient tissue comprising:

• placing a first arm of a mesh material in contact with an anterior vaginal wall, the first arm having a first portion that includes a light-activated bonding material, the light-activated bonding material having a tissue solder material and a wavelength-specific energy absorber, the wavelength-specific energy absorber including chromophores;
• covering a second portion of the first arm with a mask, the second portion of the first arm being devoid of light-activated bonding material;
• attaching the first arm to the anterior vaginal wall by applying light from a light energy source to the light-activated bonding material on the first portion of the first arm while the mask shields the second portion of the first arm from the light from the light energy source;
• placing a second arm of the mesh material in contact with a posterior vaginal wall, the second arm including the light-activated bonding material;
• attaching the second arm to the posterior vaginal wall by applying light from the light energy source to the light-activated bonding material of the second arm;
• placing a third arm of the mesh material in contact with tissue adjacent to a sacrum, the third arm including the light-activated bonding material;
• and
• attaching the third arm to the tissue adjacent to the sacrum by applying light from the light energy source to the light-activated bonding material of the third arm.

A kit comprising:

• a surgical mesh having a first arm configured to be attached to an anterior vaginal wall, a second arm configured to be attached to a posterior vaginal wall, and a third arm configured to be attached to tissue adjacent to a sacrum;
• a light-activated bonding material associated with the first arm, the second arm, and the third arm, the light-activated bonding material having a tissue solder material, the light-activated bonding material including a wavelength-specific energy absorber, the wavelength-specific energy absorber including chromophores, the light-activated bonding material including first light-activated bonding material disposed on an edge portion of the first arm, and second light-activated bonding material disposed on a portion traversing the first arm, the second light-activated bonding material being disposed a distance away from the first light-activated bonding material, wherein a portion of the first arm that extends between the edge portion and the portion traversing the first arm is devoid of light-activated bonding material, wherein different areas of the surgical mesh are coated with solder materials having different bioabsorption rates;
• a surgical instrument configured to hold and place the surgical mesh;
• a light energy source configured to apply light having a wavelength corresponding to the wavelength-specific energy absorber to the light-activated bonding material.