TUBULAR MESH FOR SACROCOLPOPEXY AND RELATED PROCEDURES

• US 20100305394A1
• Filed: 05/28/2010
• Published: 12/02/2010
• Est. Priority Date: 05/28/2009
• Status: Active Grant

• Current Assignee: Rosenblatt Associates, LLC
• Original Assignee: Rosenblatt Associates, LLC
• Inventors: Rosenblatt, Peter L.
• Granted Patent: US 8,109,867 B2
• Time in Patent Office: Days
• US Class Current: 600/30
• CPC Class Codes: A61F 2/0045 Support slings
• CPC Class Codes: A61F 2/0063 Implantable repair or support meshes, e.g. hernia meshes
• CPC Class Codes: A61F 2002/0072 Delivery tools therefor
• CPC Class Codes: A61F 2230/006 Y-shaped
• CPC Class Codes: A61F 2230/0093 Umbrella-shaped, e.g. mushroom-shaped

Abstract

A sacrocolpopexy mesh that includes lateral support to improve vaginal contact during colpopexy and to prevent slipping.

Claims

1. A sacrocolpopexy mesh, comprising:

a sacral portion comprising a flap of mesh; and

a vaginal portion attached to the sacral portion and comprising;

an anterior portion comprising a flap of mesh;

aposterior portion comprising a flap of mesh attached to and extending away from the anterior portion, so that it is spaced apart from the anterior portion; and

support material attaching each lateral edge of the anterior portion to a corresponding lateral edge of the spaced-apart posterior portion;

such that the anterior portion, the posterior portion, and the support material define a sleeve sized and shaped for fitting around a vagina and maintaining contact with the vagina during colpopexy without slipping.

2. The mesh of claim 1, wherein the vaginal portion has a conical shape.

3. The mesh of claim 2, wherein mesh is not present in lateral cutouts extending along part of the vaginal portion from a distal free end of the vaginal portion.

4. The mesh of claim 1, wherein the sacral portion, the anterior portion, and the posterior portion form a Y shape, and the support material comprises mesh spanning the anterior and posterior portions on each side.

5. The mesh of claim 4, wherein the support material is secured to the anterior and/or posterior portions by suture.

6. The mesh of claim 3, wherein the support material comprises sutures or elastic bands woven through the anterior and posterior positions.

7. The mesh of claim 1, wherein the support material comprises suture bridging the anterior and posterior portions on each side.

8. The mesh of claim 1, wherein the mesh defines a hole in the vaginal portion.

9. The mesh of claim 8, further comprising a flap covering the hole.

10. The mesh of claim 8, wherein the hole is reinforced.

11. The mesh of claim 1, wherein the mesh defines a reinforced slit.

12. The mesh of claim 1, wherein an inner mesh surface of the vaginal portion comprises unidirectional way barbs oriented to grip a vagina when held in tension.

13. The mesh of claim 1, wherein an inner mesh surface is textured to increase its ability to grip a vagina.

14. A kit comprising the mesh of claim 1 and a vaginal probe.