Implants and procedures for supporting anatomical structures for treating conditions such as pelvic organ prolapse
Implants for the treatment of pelvic support conditions and methods of implementing the same. The implants comprise relatively soft, flexible bodies and relatively strong arms extending in predetermined orientations therefrom. Methods and devices for placing the implants minimize trauma to the pelvic floor and provide well-anchored support to pelvic organs without interfering with sexual or other bodily functions.
1. A method for supporting an anatomical structure comprising:
(a) making an entry point in a body of a patient;
(b) engaging a first anchor with a delivery system and inserting the first anchor through the entry point and into a target tissue of the body;
(c) retracting the delivery system from the first anchor and out from the entry point;
(d) reengaging the delivery system with the first anchor by passing a suture extending from the first anchor and out the entry point through a slot in the delivery system and advancing the delivery system towards the first anchor until the first anchor is received by the delivery system;
(e) adjusting a position of the first anchor in the target tissue with the delivery system and retracting the delivery system from the first anchor and out from the entry point after said adjusting;
(f) positioning a support member between the first anchor and a second anchor secured within said body;
(g) locking said support member in position relative to the first and second anchors by passing a mesh portion of the support member through an aperture of one of the first and second anchors and engaging said mesh portion of said support member with projections extending from an interior of the aperture by releasing a tension of a suture loop that passes through said aperture; and
(h) closing said entry point.
2. The method of claim 1 wherein the step of engaging a first anchor with a delivery system and inserting the first anchor through the entry point and into a target tissue of the body comprises receiving a proximal guide protrusion of the first anchor within a distal cavity of the delivery system.
3. The method of claim 1 wherein the step of retracting the delivery system from the first anchor and out from the entry point comprises breaking a friction fit between a portion of the first anchor and a distal cavity of the delivery system.
4. The method of claim 1 wherein the step of reengaging the delivery system with the first anchor by passing a suture extending from the first anchor and out the entry point through a slot in the delivery system and advancing the delivery system towards the first anchor until the first anchor is received by the delivery system comprises receiving a proximal guide protrusion of the first anchor within a distal cavity of the delivery system.
5. The method of claim 1 wherein the step of adjusting a position of the first anchor in the target tissue with the delivery system and retracting the delivery system from the first anchor and out from the entry point after said adjusting comprises manipulating the delivery system to advance the first anchor within the target tissue.
6. The method of claim 1 wherein the aperture is circular.
7. The method of claim 1 wherein the step of positioning a support member between the first anchor and a second anchor secured within said body comprises pulling the mesh portion of said support member.
8. The method of claim 1 further comprising:
engaging the delivery system with the second anchor by passing a suture extending from the second anchor and out the entry point through the slot in the delivery system and advancing the delivery system towards the second anchor until the second anchor is received by the delivery system.
9. A method for supporting an anatomical structure comprising:
(a) making an entry point in a body of a patient;
(b) engaging a first anchor with a delivery system and inserting the first anchor through the entry point and into a target tissue of the body;
(c) retracting the delivery system from the first anchor and out from the entry point;
(d) reengaging the delivery system with the first anchor by passing a suture extending from the first anchor and out the entry point through a slot in the delivery system and advancing the delivery system towards the first anchor until the first anchor is received by the delivery system;
(e) adjusting a position of the first anchor in the target tissue with the delivery system and retracting the delivery system from the first anchor and out from the entry point after said adjusting;
(f) positioning a support member between the first anchor and a second anchor secured within said body;
(g) locking said support member in position relative to the first and second anchors by passing a mesh portion of the support member through an aperture of one of the first and second anchors, engaging said mesh portion of said support member with projections extending from an interior of the aperture, and closing a cover over the aperture; and
(h) closing said entry point.
10. The method of claim 9 wherein the step of engaging a first anchor with a delivery system and inserting the first anchor through the entry point and into a target tissue of the body comprises receiving a proximal guide protrusion of the first anchor within a distal cavity of the delivery system.
11. The method of claim 9 wherein the step of retracting the delivery system from the first anchor and out from the entry point comprises breaking a friction fit between a portion of the first anchor and a distal cavity of the delivery system.
12. The method of claim 9 wherein the step of reengaging the delivery system with the first anchor by passing a suture extending from the first anchor and out the entry point through a slot in the delivery system and advancing the delivery system towards the first anchor until the first anchor is received by the delivery system comprises receiving a proximal guide protrusion of the first anchor within a distal cavity of the delivery system.
13. The method of claim 9 wherein the step of adjusting a position of the first anchor in the target tissue with the delivery system and retracting the delivery system from the first anchor and out from the entry point after said adjusting comprises manipulating the delivery system to advance the first anchor within the target tissue.
14. The method of claim 9 wherein the step of positioning a support member between the first anchor and a second anchor secured within said body comprises pulling the mesh portion of said support member.
15. The method of claim 9 further comprising:
engaging the delivery system with the second anchor by passing a suture extending from the second anchor and out the entry point through the slot in the delivery system and advancing the delivery system towards the second anchor until the second anchor is received by the delivery system.