Hysteropexy mesh apparatuses and methods

Patent metadata

Field	Value
Publication number	US-2016331501-A1
Application number	US-201615218084-A
Country	US
Kind code	A1
Filing date	Jul 25, 2016
Priority date	Aug 5, 2013
Publication date	Nov 17, 2016
Grant date	—

Abstract

A hysteropexy apparatus includes a hysteropexy mesh and a package containing the hysteropexy mesh. The hysteropexy mesh includes an anterior vaginal portion that is substantially rectangular in shape, a right broad ligament portion that is substantially L-shaped, a left broad ligament portion that is substantially L-shaped, a sacral portion that is substantially rectangular in shape, and a posterior vaginal portion that is substantially rectangular in shape. The anterior vaginal portion is folded on a longitudinal midline. The sacral portion is folded onto the posterior vaginal portion.

First claim

What is claimed is:

1 . A hysteropexy apparatus comprising:
a hysteropexy mesh including: an anterior vaginal portion that is substantially rectangular in shape, wherein the anterior vaginal portion is folded along a longitudinal midline of the anterior vaginal portion, a right broad ligament portion that is substantially L-shaped, the right broad ligament portion extending from a major side of the anterior vaginal portion forming a substantially perpendicular angle in between, a left broad ligament portion that is substantially L-shaped, the left broad ligament portion extending from another major side of the anterior vaginal portion forming a substantially perpendicular angle in between, a sacral portion that is substantially rectangular in shape, and a posterior vaginal portion that is substantially rectangular in shape, wherein a minor side of the sacral portion is connected to a minor side of the posterior vaginal portion, the sacral portion is folded onto the posterior vaginal portion along the connected minor side of the sacral portion; and a package containing the hysteropexy mesh.

2 . The hysteropexy apparatus of claim 1 , wherein the left broad ligament portion extends between and connects the anterior vaginal portion and the posterior vaginal portion.

3 . The hysteropexy apparatus of claim 1 , wherein the hysteropexy mesh is made with at least one selected from the following: polypropylene, polyester, polyethylene, silicone, urethane, polyurethane, copolymers, and block copolymers.

4 . The hysteropexy apparatus of claim 1 , wherein the anterior vaginal portion, the right broad ligament portion, and the left broad ligament portion form a first integral mesh, the sacral portion forms a second integral mesh, and the posterior vaginal portion forms a third integral mesh, the first, second, and third integral meshes are configured to be separable from each other.

5 . The hysteropexy apparatus of claim 1 , wherein the right broad ligament portion includes rounded corners.

6 . The hysteropexy apparatus of claim 1 , wherein the left broad ligament portion includes rounded corners.

7 . The hysteropexy apparatus of claim 1 , wherein the package further includes surgical instructions for implanting the hysteropexy mesh.

8 . A hysteropexy mesh comprising:
an anterior vaginal portion that is substantially rectangular in shape; a right broad ligament portion that is substantially L-shaped, the right broad ligament portion extending from a major side of the anterior vaginal portion forming a substantially perpendicular angle in between; a left broad ligament portion that is substantially L-shaped, the left broad ligament portion extending from another major side of the anterior vaginal portion forming a substantially perpendicular angle in between; a sacral portion that is substantially rectangular in shape; and a posterior vaginal portion that is substantially rectangular in shape;
wherein a minor side of the sacral portion is connected to a minor side of the posterior vaginal portion.

9 . The hysteropexy mesh of claim 8 , wherein the left broad ligament portion extends between and connects the anterior vaginal portion and the posterior vaginal portion.

10 . The hysteropexy mesh of claim 8 , wherein the right broad ligament portion extends between and connects the anterior vaginal portion and the posterior vaginal portion.

11 . The hysteropexy mesh of claim 8 , comprising at least one material selected from the following: polypropylene, polyester, polyethylene, silicone, urethane, polyurethane, copolymers, and block copolymers.

12 . The hysteropexy mesh of claim 8 , wherein the anterior vaginal portion, the right broad ligament portion, and the left broad ligament portion form a first integral mesh, the sacral portion forms a second integral mesh, and the posterior vaginal portion forms a third integral mesh, the first, second, and third integral meshes are configured to be separable from each other.

13 . The hysteropexy mesh of claim 8 , wherein the right broad ligament portion includes rounded corners.

14 . The hysteropexy mesh of claim 8 , wherein the left broad ligament portion includes rounded corners.

15 . A method comprising the steps:
disposing an anterior vaginal portion of a hysteropexy mesh between a bladder and a vagina, the anterior vaginal portion of the hysteropexy mesh being substantially rectangular; penetrating a right broad ligament portion of the hysteropexy mesh through a broad ligament, the right broad ligament portion of the hysteropexy mesh being L-shaped; penetrating a left broad ligament portion of the hysteropexy mesh through the broad ligament, the left broad ligament portion of the hysteropexy mesh being L-shaped; extending a sacral portion of the hysteropexy mesh between a uterus and a sacrum, the sacral portion of the hysteropexy mesh being substantially rectangular; and disposing an posterior vaginal portion of the hysteropexy mesh between the vagina and a rectum, the posterior vaginal portion of the hysteropexy mesh being substantially rectangular; wherein the left and the right broad ligament portions connect the anterior vaginal portion, the posterior vaginal portion, and the sacral portion of the hysteropexy mesh.

16 . The method of claim 15 , further comprising forming a first incision through the broad ligament at a right side of the uterus and penetrating the right broad ligament portion of the hysteropexy mesh through the first incision.

17 . The method of claim 16 , further comprising forming a second incision through the broad ligament at a left side of the uterus and penetrating the left broad ligament portion of the hysteropexy mesh through the second incision.

18 . The method of claim 15 , wherein
a minor side of the sacral portion of the hysteropexy mesh is connected to the right and the left broad ligament portions of the hysteropexy mesh; and another minor side of the sacral portion of the hysteropexy mesh is connected the sacrum.

19 . The method of claim 15 , wherein
a minor side of the posterior vaginal portion of the hysteropexy mesh is connected to the right and the left broad ligament portions of the hysteropexy mesh; and another minor side of the posterior vaginal portion of the hysteropexy mesh is connected to a tissue disposed between the vagina and the rectum.

20 . The method of claim 15 , wherein
a minor side of the anterior vaginal portion of the hysteropexy mesh is connected to the right and the left broad ligament portions of the hysteropexy mesh; and another minor side of the anterior vaginal portion of the hysteropexy mesh is connected to a tissue disposed between the vagina and the bladder.

Assignees

• Coloplast As

Inventors

• Shariati Amir

Classifications

• A61F2/0095

  Packages or dispensers for prostheses or other implants (for intraocular lenses A61F2/1691; for dental surgery A61C19/02) · CPC title

• A61F2230/0019

  rectangular · CPC title

• A61F2230/0043

  L-shaped · CPC title

• A61F2/0063

  Implantable repair or support meshes, e.g. hernia meshes · CPC title

• A61B17/4241

  Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic surgery · CPC title