KR20080004419A - Method and apparatus for supporting a body organ, urethra and bladder neck - Google Patents

Abstract

A method and a device for supporting a body organ including the urethra and bladder neck are provided to minimize urinary incontinence by preventing the bladder neck from descending excessively without urethra obstruction by controlling the extension of a urethra support. A device(192) for supporting a body organ including the urethra and bladder neck has a body organ supporting elongated member made of biocompatible material including polymer or biological tissues and provided with a central portion. The elongated member comprises a first fixing and setting unit attached to one end and a second fixing and setting unit attached on the other end. The first and second fixing and setting units are adjusted according to the length of the elongated member.

Description

Method and apparatus for supporting a body organ, including the urethra and bladder neck {Method and apparatus for supporting a body organ, urethra and bladder neck}

The present invention relates generally to apparatus and methods for supporting body organs, and more particularly, to the treatment of urinary incontinence by the support of the urethra and the bladder neck, the bladder, the vagina. It relates to repairs and reconstruction surgery of the progression of pelvic floor body organs such as vagina, rectum, bowel and uterus. More specifically, the present invention relates to new designs, configurations, material selection and surgical methods of self anchoring urethal slings, introducer tools and tissue fixation means. . This surgical method involves urethral sling implantation using adjustable self anchoring fixation anchors for the support of the urethra and bladder neck for the treatment of urinary incontinence in women, and the escape of body organs at the bottom of the pelvis. It relates to the use of modular self-locking anchors for repair and reconstructive surgery.

Urinary incontinence is a common symptom, especially in women. In the United States, there are over 13 million people with urinary incontinence, of which 85% are women. Stress urinary incontinence is a condition in which urine leaks due to a sudden increase in abdominal pressure, whether male or female. This increase in abdominal pressure occurs in many cases of daily life, such as when laughing, sneezing, walking or getting up from a chair. An increase in abdominal pressure results in an increase in bladder pressure. Urinary incontinence occurs when the bladder pressure is sufficiently greater than the pressure of the urethral sphincter.

Various methods have been proposed for the treatment of stress incontinence. For more than 50 years, doctors underwent a sub-urethral sling procedure to treat severe or chronic congenital incontinence. Also known as the pubo-vaginal or transobturator sling procedure, this procedure, which forms a support in the urethra and bladder neck, has been used to treat complex incontinence. The formation of such a support also increases the urethral tightening pressure while increasing abdominal pressure, thereby relieving involuntary incontinence.

Conventionally, rectal fascia and fascia lata obtained from a patient or a processed tissue have been used as a material for making urethral slings. Recently chemically treated carcass femoral fascia and synthetic polymer materials have been used. These include sheets woven from polypropylene, Dacron and other biocompatible materials. The surgical method of implanting a urethral sling is to support the urethra with a synthetic sling, which is secured in place using screws, sutures or other fasteners to be attached to the patient's bone, skin or muscle. Can be. All current methods used for support of the urethra require surgical fixation or anchoring by physician. None of the urethral support devices currently in use are based on a self anchoring fixation design mechanism for supporting body organs, including the urethra and bladder neck.

It is an object of the present invention to propose a new design, construction, material selection and surgical method of a self-fixed urethral sling and insertion device for supporting a body organ including the urethra and bladder neck. It is another object of the present invention to provide an apparatus and method for a modular self-locking fixation means for fixing a surgical mesh to target tissue for repair and reconstructive surgery associated with the escape of the pelvic floor organs. .

      The present invention relates to a novel device for supporting body organs, including the urethra and bladder neck, wherein the selection of the material of the central and self-fixed anchoring ends and the structure of the support are designed to approximate the tissue surrounding the body organs. Due to the flexibility and elasticity of the support structure, it is configured to enable general vertical movement of the body organs including the urethra and the bladder neck without pinching or compressing the urethra to prevent pulmonary urine.

The urethral support device of the present invention has a central portion of a knitted or woven mesh constructed from a biocompatible polymer, such as polyflopropylene short fibers, and the self-fixing fixation means consists of a bioabsorbable polymer. And is bonded or attached to the polyflophylene mesh using fixed or adjustable modular 'snap-on' anchors. Self-fixed fixation means attached to the mesh tissue is appropriately supported to minimize the lowering of the urethra and bladder neck under elongation and abdominal pressure of the support. Under pressure, the bladder tree may slump downward and, if not properly controlled, can cause urinary incontinence due to the large movement of the bladder tree. The present invention minimizes urinary incontinence by controlling the elongation of the urethral support to prevent excessive falling of the bladder neck without urethral obstruction.

The new design and construction of the present invention can minimize clinical side effects, including sling extrusion, urethral erosion, and bladder perforation, which are commonly encountered in current sling products and surgical procedures. Biocompatible polymer mesh tissue combined with self-fixing bioabsorbable / nonabsorbable fastening means provides elastic and elastic support for the urethra and bladder, while preventing erosion of the urethra and protruding slings. Micro invasive procedures involving small incisions of the vagina for inserting the urethral support slings into the fibro-muscular tissue around the urethra using specially designed insertion instruments include peripheral bladder and bowel perforation. To prevent the risk of damaging the body's organs. An insertion instrument with a notched tip carefully moves the sling anchorage end into the fibrous muscle tissue around the urethra, including the pubo-urethral tissue of the retro pubic tissue space. It is configured to allow quick connection and disconnection of the sling attachment end for secure positioning.

One embodiment of the present invention is a non-absorbable complex such as polypropylene (PP), polyglycolide (PEG), polylactide (PLA-PLLA) and the center of the support of a biocompatible polymer such as polypropylene mesh , DPLA), Polylacide-co-glycolide (PLG), Poly-e-caprolactone (PCL), Poly Dioxanone (POD) It consists of magnetically anchored fixing means made of a bioabsorbable polymer or a bioabsorbable and nonabsorbable copolymer material. The surface of this polymer sling may be coated with antibiotics, anti-microbial agents, biological tissues, pharmaceuticals, lubricants, tissue growth agents or anti-inflammatory agents for the addition of functions, for the enhancement of functions and for the local supply of drugs to body organs. It can be coated with a variety of therapeutic agents including anti-inflammatory agents.

One embodiment of the present invention constitutes a central portion of a support made of a material comprising biocompatible polymers, processed tissues, tissue derivatives / by-products or combinations thereof that approximate the characteristics of the tissue surrounding the target body organ. It is also possible to impregnate therapeutics and pharmaceuticals for selective and local supply to target tissues / organs without acting on surrounding body organs.

Another embodiment of the present invention includes self-locking fastening means having spikes or serrated protrusions along the length and surface of the anchor for securing to tissue. This protrusion is configured on at least one side or surface of the fixing means. The protrusion can also be configured on three, four or more sides and surfaces positioned at an angle to the central axis of the fastening means. In addition, the self-fixing fixation means may be configured to be adjustable to facilitate adjustment of the urethral sling from one end or both ends during surgery.

Another embodiment of the magnetic fixation means comprises a device having a memory characteristic that can facilitate fixation to tissue. The fixing means are made of memory metal or polymer material and may contain thermal, cold, ultrasonic, pH, microwave, high frequency (RF), electrical, thermal or electromagnetic energy, by memorized shape or superelastic properties. It can be transformed into its original shape and structure through the application of an external magnetic pole.

Another embodiment of the magnetic fixation means includes an injectable biomaterial that can be injected into the tissue to form the fixation means for supporting the support. Injectable biomaterials may be liquids, semi-liquids, gels, pastes, semi-solids or suspensions or other forms of copolymers, organic materials, metal particle suspensions or combinations thereof suitable for infusion into tissues. Injectable preparations may be coagulated to form a fixation means upon injection into tissue or by application of an external stimulus comprising heat, cold, electromagnetic energy, pH, microwave, high frequency, electrical, thermal or electromagnetic energy. .

Another embodiment of the magnetic fixation tissue fixation means comprises a self-locking fixation means in the form of a modular snap-on, which is urinary sling, surgically operated by a physician to facilitate fixation to surrounding tissue during surgery. It may be attached or assembled to a dragon mesh or a living body mesh. The insertion instrument can be used to move and fix the sling or surgical mesh that has been pre-fixed with the modular anchor to the target tissue.

Another embodiment of the invention includes a polymeric or biological surgical mesh having a modular, snap-on form, self locking and bioabsorbable polymeric tissue anchor. They can be fixed or adjusted, supporting the urethra, bladder, vagina, bladder, rectum, uterus or small intestine, prolapse of the vaginal vault, cystocele or rectocele, uterine prolapse, or enterocele Is used in the repair and reconstruction of the escape of the pelvic floor organs, including).

      The present invention proposes a new design, construction, material selection and surgical method of self-fixing urethral slings and insertion instruments for supporting body organs, including the urethra and bladder neck, and provides repair and reconstructive surgery involving the escape of the pelvic floor organs. To this end, there is an effect of presenting an apparatus and method for a modular self-locking fixing means for fixing a surgical mesh to a target tissue.

      The following detailed description, taken in conjunction with the accompanying drawings, which form a part of the detailed description, may better understand the present invention regarding the support of body organs, including the urethra and bladder neck.

A preferred embodiment of the present invention is shown in FIG. The sling mechanism 192 having a total length L3 for supporting body organs such as the urethra and the bladder neck includes a central length L5 composed of a mesh structure knitted or woven from polypropylene short fibers, and lengths L4 and L6. Self-locking end tabs 194, and 200 having spikes or serrated protrusions 204 across. The center of the sling instrument can also be made of a biological tissue or composite biomaterial & tissue matrix.

The anchoring anchor spikes project at an angle from the axis of the sling so that it can be secured to the surrounding tissue. The angle of the spikes may be straight, up or down as shown in FIGS. 1A and 1B.

The fastening fixation means is configured to be adjustable according to the length of the sling to enable the necessary length and tension adjustment of the elongated member for urethral support, as shown in FIGS. 1C and 1D. The length adjustment can be adjusted by pulling the sling at the midline away from the first, second or both fastening means.

The spike or serrated securing means forming the angle resists the movement of the anchor in the downward direction, thus having a self-locking function and a sling adjustment function up to 1.0 cm. The fixed end tabs are made of nonabsorbable or bioabsorbable polymers having a degradation life of at least three to six weeks. After implantation, a fibrosis process begins within days and weeks to provide additional tissue support around the anchoring anchor.

1A shows the detailed shape and angle of the spike structure. The anchoring anchor also has a hole 201 so that the insertion tool tip can quickly connect and detach the support sling to move the support sling to the target tissue. The insertion mechanism can be made of a variety of materials, including metals, semisolid thermoplastics, or mixtures thereof. In particular, the insertion mechanism can be made of a shaft portion with a stainless steel tip and an ergonomically designed ABS / polycarbonate handle.

FIG. 2 shows details of a urethral sling or surgical mesh structure with a smooth, rounded rim and midline reference marks for proper positioning around body organs to prevent erosion or folding of the urethra do. The central portion of the sling or mesh structure may be formed into a mesh structure woven or woven from polypropylene short fibers to impart stretch and elasticity. The exposed short fiber edges of the polypropylene mesh can be sealed together by applying a temperature controlled heating process that includes laser, high frequency, heat and other energy sources to minimize folding and unwinding.

 Stretching to the side of the support sling can also be minimized by heat sealing the end with the anchoring anchor. The support sling can also be configured in accordion shape or wave along length and width for additional stretch and elasticity. Polypropylene mesh structures also contain paints, antibacterial agents, therapeutic substances, tissue growth agents, tissue derivatives, tissue by-products, lubricants, electromagnetic enhancers, pharmaceutical agents and pharmaceuticals, chemical agents, and other biocompatible agents for additional function and function enhancement. It may be coated with a formulation and a biological. A midline reference mark on the center of the urethral sling is used as a guideline for positioning the sling along the centerline of the urethra or other body organs.

3A shows another embodiment of a sling structure with self-fixing fastening means for supporting body organs. The central portion of the support sling consists of a mesh structure knitted or woven from polypropylene short fibers that are attached to a magnetically anchored end tab. The fixed end tabs 195, made of a bioabsorbable or nonabsorbable polymeric material, consist of a series of triangular shaped spikes that are at an angle to the axis of the sling. The fixed end tab also has a small pocket 207 to quickly connect or disconnect the insert tip that moves the support sling to the target tissue. The shape, size and structure of the fastening means may vary depending on the structure of the target body organ and the position of the body organ.

3B shows another embodiment of a support sling structure with modular self-fixed fixation (anchor) means for supporting body organs. Self-locking, snap-on anchoring anchors may be attached to the ends or sides of a mesh of biocompatible material or to biological tissue using mechanical assembly or thermal means.

3C shows another embodiment of a modular support sling structure with adjustable modular anchoring anchor means for supporting body organs. The adjustable self-locking anchor may be attached to the end or side of the mesh of biocompatible material or to biological tissue using mechanical assembly or thermal means.

4 shows injectable securing means of a sling structure for supporting body organs. The central portion of the support sling consists of a structure knitted or woven from polypropylene short fibers attached to a magnetically fixed anchoring end tab. The central portion of the support sling may be secured to the target tissue by a flowable biomaterial that can be injected into the tissue to form a support fixation means. Injectable biomaterials may be polymers, organic materials, metals or combinations thereof in the form of liquids, semi-liquids, gels, pastes, semi-solids or other materials suitable for infusion into tissue. The injectable preparation, once injected into the tissue, is intended to be formed by fixation means by itself or by application of an external stimulus comprising heat, cold, ultrasound, pH, microwave, radio frequency, electrical, thermal, magnetic or electromagnetic energy. Can be solidified.

5 is an embodiment of a biocompatible polymer surgical mesh used for repair or reconstructive surgery involving the escape of body organs in the pelvic floor, including vaginal vault escape, bladder escape, rectal escape, and uterine escape using injectable fixation means. An example is shown. The polymeric surgical mesh can also be made of polypropylene short fiber material. Polymeric surgical meshes are flat mesh support structures of varying sizes depending on the body of the patient and the escaped body organs that require support. The material and design of the fixing means of the surgical mesh are also designed as fixed or adjustable modular anchors.

FIG. 5A illustrates an embodiment of a modular, bioabsorbable, magnetic lock, snap-on anchor anchor means for securing a polymeric mesh or biological material used to support escaped body organs. The modular fixed or adjustable self locking anchoring anchor may be attached to the end or side or biological tissue of the mesh made of bioadaptable material by mechanical or thermal means. The shape, profile, material and structure of the self locking anchoring anchor may vary depending on the material or function of the mesh to be attached during the surgical procedure.

5b, c, d and e illustrate various embodiments of modular bioabsorbable self-locking snap-on anchor anchor means for anchoring a polymer mesh or biological material used during repair or reconstruction of body organs at the pelvic floor; do. The modular fixed or adjustable self-locking anchor may be attached to the end or side or biological tissue portion of the mesh of the biomaterial by the surgeon. The design of the self-locking fasteners can be varied in various ways, such as single snap, double snap, side snap, etc., depending on the anchored or adjustable anchor means.

FIG. 6 is a pro chart illustrating a sling transplant procedure. The urethral sling transplant procedure is as follows.

 (1) Using a speculum, open the vaginal canal.

 (2) Make a small incision to expose the urethra, and isolate the urethra by blunt dissection.

 (3) Attach the self-fixed end tab of the urethral sling to the tip of the insertion instrument and insert this assembly through the vaginal incision around the urethra.

 (4) Using the insertion device, push the fixed end tab to the stop and insert it into the fibrous muscle tissue, and thread the insertion device to release the sling to the surrounding tissue.

 (5) Attach the other end of the sling to the tip of the insertion instrument, insert it to the other end of the urethra until its stop and remove it from the insertion instrument.

 (6) Using the midline reference mark as a guide, adjust the center position of the urethral support sling around the urethra and maintain proper tension to prevent urethral obstruction.

 (7) Pull the central portion of the first, second or both adjustable magnetic fixation fixing means as necessary to maintain proper tension for urethral support.

 (8) The vaginal incision is closed and the procedure is finished.

 (9) Optionally, a modular snap-on self locking anchoring anchor may be attached to the elongated member for surgical treatment.

7 shows an insertion mechanism for moving the support sling structure. The insertion mechanism is made of stainless steel 222 with a notched distal end 226 to facilitate quick connection and disconnection of the magnetically fixed end tabs. The handle 224 of the insertion mechanism has an end stop 225 and is ergonomically designed to allow easy and safe insertion. The stop is designed to insert the tip of the insertion instrument to a predetermined depth for safe and secure mounting of the magnetically fixed end tabs. The centrifugal tip of the insertion instrument may be modified to correspond to the configuration and shape of the magnetically fixed end tab. The structure of the insert tool tip relative to the injectable fastening means depends on the method of movement of the preformed anchorless polymer mesh structure.

7A and 7B show the insertion mechanism for moving the support sling and the surgical mesh assembly. The insertion device was configured to move the support sling and the surgical mesh with a modular (fixed or adjustable) snap-on anchor preassembled to soft tissue close to the target body organ.

8 shows details of the tip 222 of the insertion tool for quickly connecting / disconnecting the fixed end tabs of the sling structure. Nazid centrifugal end 226 of the tip of the insertion instrument is configured to engage the aperture of the magnetically fixed end tab for quick connection and disconnection. The centrifugal end of the insertion mechanism may engage the pocket 207 of the magnetically fixed sling shown in FIGS. 3A, 3B or 3C.

9 shows the shape of the assembly of the insertion instrument tip and the support sling structure before insertion. The handle of the insertion mechanism is ergonomically designed to have a stop at the end and to allow easy and safe insertion. The stop is designed to insert the tip of the insertion instrument to a predetermined depth for safe and secure mounting of the magnetically fixed end tabs.

10 shows the location of the central and self-fixed end of the urethral sling structure relative to the urethra and bladder tree. The magnetically fixed end tabs are securely located in the fibrous muscle tissue around the urethra at least 1.0 inch away from the urethral midline. The urethral support sling does not require any additional sutures, anchors, screws or other fasteners. For optimal treatment results, the urethral support sling can be placed in a hammock or U shape, depending on the patient's body and physician preference, using a curved or straight insertion device.

1 shows the structure of a self-fixed urethral support sling.

1A shows the detailed shape of the magnetically secured end tabs of the sling structure.

FIG. 1B shows a detailed shape of another embodiment of a magnetically secured end tab of a sling structure.

1C shows the detailed shape of an embodiment of the adjustable self-locking end tab of the sling structure.

1D shows a detailed shape of another embodiment of an adjustable self-locking end tab of the sling structure.

Figure 2 details the structure of the support mesh with a midline reference mark for proper positioning and a smooth, rounded edge to prevent folds and erosion.

3A shows another embodiment of a magnetic fixation fixation means for supporting a body organ.

3B illustrates another embodiment of a support sling structure with a modular self-fixing anchoring anchor for supporting body organs.

3C shows another embodiment of a modular support sling structure with an adjustable modular anchoring anchor for supporting body organs.

4 shows another embodiment of a support sling structure with injectable fastening means. Figure 4a shows the sling arranged in a hammock shape, Figure 4b shows the sling arranged in a U shape.

5 is an embodiment of a biocompatible polymer or biological surgical mesh used for support, repair or reconstruction of the pelvic floor organs including vaginal vault escape, bladder escape and rectal escape, uterine escape using injectable anchoring anchors. Shows.

FIG. 5A is a modular magnetic lock used to support, repair or reconstruct the bottom organ of the pelvis, including vaginal vault escape, bladder escape and rectal escape, uterine escape using a modular fixable or adjustable absorbent polymer tissue anchor. Examples of polymer or biological surgical mesh with anchors are shown.

5b, c, d and e illustrate various embodiments of fixed or adjustable modular magnetic locking, magnetic locking, snap-on bioabsorbable polymer anchoring anchors.

FIG. 6 is a prow chart outlining the urethral sling transplant procedure.

7 shows an insertion mechanism for moving the urethral sling structure. The insertion mechanism is designed in a straight or curved shape to move the support sling structure in the hammock or U shape around the urethra.

7A and 7B show the insertion mechanism for moving the support sling and the surgical mesh assembly. The insertion instrument is designed to move the support sling and surgical mesh with a modular (fixed or adjustable) snap-on anchor that is preassembled to a soft tissue near the target body organ.

8 shows in detail the nazi structure of the insertion instrument tip for quick connection / disengagement of the anchoring means of the sling structure and the surgical mesh.

9 shows the assembly of the tip of the insertion instrument and the anchoring end of the support sling prior to insertion into the target tissue via a vaginal incision.

FIG. 10 shows the central and self-fixed end of an implanted urethral sling structure that surrounds the urethra and bladder neck in a hammock or U shape. FIG. 10A illustrates the sling in a hammock shape, and FIG. 10B illustrates the sling in a U shape.

Claims (24)

As a device for supporting body organs: (a) consisting of a biocompatible material comprising a polymer or biological tissue and comprising a central portion of an elongate member for supporting body organs, the member comprising: (b) first fixing and securing means attached to one end of said elongate member, (c) a second securing and securing means attached to the other end of said elongate member. As an adjustable device for supporting body organs: (a) consisting of a biocompatible material comprising a polymer or biological tissue and comprising a central portion of an elongate member for supporting body organs, the member comprising: (b) an adjustable first fastening and securing means attached to one end of said elongate member and adjustable according to the length of said member, (c) an adjustable second fixation and fixation means attached to the other end of said elongate member and adjustable according to the length of said member. As a modular device for supporting body organs: (a) consisting of a biocompatible material comprising a polymer or biological tissue and comprising a central portion of an elongate member for supporting body organs, the member comprising: (b) a modular first fixation and fixation means attached to one end of the elongate member by a doctor, by mechanical or other assembly means, prior to surgical treatment; (c) a second modular fixation and fixation means attached to the other end of the elongate member by a physician, by mechanical or other assembly means, prior to surgical treatment; and (d) first and second or both modular fastening and securing means attached to said elongate member is fixed or adjustable along the length of said elongate member. As a device for supporting the urethra, bladder, bladder or vagina: (a) consisting of a biocompatible material comprising a polymer or biological tissue and having a central portion of an elongated member for supporting the urethra, bladder, bladder or vagina, the member comprising: (b) first fixing and securing means attached to at least one end of the elongate member; and (c) a second fixation and fixation means attached to at least the other end of said elongate member. As an adjustable device for supporting the urethra, bladder, bladder or vagina; (a) a biocompatible material comprising a polymer or biological tissue and having a central portion of an elongated member for supporting the urethra, bladder, bladder or vagina, the member comprising: (b) adjustable first fixing and securing means adjustable along the length of the member and attached to one end of the elongate member; (c) an adjustment for supporting the urethra, bladder, bladder or vagina, which is adjustable according to the length of the member and has adjustable second fixation and fixation means attached to the other end of the elongate member. Device available. As a modular device for supporting the urethra, bladder, bladder or vagina: (a) consisting of a biocompatible material comprising a polymer or biological tissue and having a central portion of an elongated member for supporting the urethra, bladder, bladder or vagina, the member comprising: (b) a first modular fixation and fixation means that a surgeon can attach to one end of the elongate member by mechanical or other assembly means prior to surgical treatment; (c) prior to surgical treatment, the surgeon comprises a second modular fixation and fixation means that can be attached to the other end of the elongate member by mechanical or other assembly means; (d) supporting the urethra, bladder, bladder or vagina, wherein the first, second or both modular fastening and securing means attached to the elongate member is fixed or adjustable along the length of the member. Modular device for. The method of claim 1, wherein one or more fixed or adjustable modular magnetic locks, magnetically fixed, bioabsorbable polymer fastening means attached to the elongate member or surgical mesh are used to treat urinary incontinence, To support the vagina, bladder, rectum, uterus or small intestine to escape the pelvic floor organs including vaginal vault, cystocele, rectocele, uterine or small intestine (enterocele) Apparatus for supporting a body organ, characterized in that for performing treatment, repair or reconstructive surgery. The polymer mixture of claim 1, wherein the polymer is a polymer strip, knitted polymer mesh, woven polymer mesh, molded polymer mesh, cast polymer mesh, perforated polymer ribbon, polymer tape, polymer matrix, layered polymer mixture with biological tissue Device for supporting body organs, characterized in that it is selected from the group consisting of rapid coagulation liquids, gels or suspension polymers, or other copolymers.        The method of claim 1, wherein the polymeric material is selected from the group of non-absorbent polymers, bioabsorbable polymers, memory shape polymers, intelligent polymer gels, superelastic polymers, polymers with color dyes, copolymers, and mixtures. A device for supporting body organs. The polymer material of claim 1, wherein the polymer material is a non-absorbent polymer such as polypropylene (PP) or polyglycolide (PEG), polylactide (PLA-PLLA, DPLA), polylacside-co-glycolide (Polylacide). selected from the group consisting of a bioabsorbable polymer material such as -co-glycolide (PLG), poly-di-caprolactone (PCL), polydioxanone (POD) or a combination of a bioabsorbable copolymer and a nonabsorbable copolymer. A device for supporting body organs, characterized in that: 2. The method of claim 1, wherein the first and second fastening and securing means are self-locking and have a plurality of spike protrusions projecting at an angle to at least one side of the fastening means along a length to secure the support to the body organ. Apparatus for supporting a body organ, characterized in that it comprises a.  The apparatus of claim 1, wherein the first and second securing and securing means are adjustable along the length of the elongate member and protrude at an angle along the length at least one side of the securing means for securing the support device to body tissue. And a plurality of spike protrusions. The method of claim 1, wherein the polymeric material consists of antibiotics, antimicrobial agents, pharmaceuticals, lubricants, biological tissue matrices, tissue growth agents, or anti-inflammatory agents for adding functionality to the target body organs, enhancing functionality, and local supply of the agent. Apparatus for supporting body organs, characterized in that the therapeutic agent selected from the group consisting of is coated or impregnated. The center of the elongated member for supporting the urethra, bladder neck and other body organs is provided with a midline reference mark as a guideline for disposing the elongated member along the centerline of the urethra and other body organs. And a smooth, rounded rim along the side of the elongate member to minimize erosion. The method of claim 1, wherein the magnetic fixing means is based on a shape memory feature and a superelastic feature, or is heat, low temperature, ultrasonic wave, pH, microwave, radio frequency (RF), electrical, thermal, magnetic or electron-. An apparatus for supporting a body organ, characterized in that it consists of a mixture of nanoparticles, a polymer, a copolymer of a shape memory alloy that can be transformed into its original shape or structure by the application of an external stimulus comprising magnetic energy. The body organ of claim 1, wherein the magnetic fastening means consists of one or more injectable flowable biocompatible materials or copolymers that can be injected into a target tissue to form a fastening means for supporting body organs. Device for supporting. The non-absorbent or bioabsorbable polymer, copolymer, organic material, metal, in a liquid, semi-liquid, gel, paste, semi-solid or suspension, or other flowable material state suitable for infusion into tissue. An apparatus for supporting body organs, characterized in that it is an injectable biomaterial or copolymer formulation selected from the group consisting of nanoparticles or combinations thereof. The method of claim 1, wherein the magnetic fixation means is formed by itself or by means of application of an external stimulus comprising heat, low temperature, ultrasound, pH, microwave, high frequency, electrical, thermal, magnetic or electromagnetic energy. An apparatus for supporting a body organ, characterized in that it is one or more injectable and flowable biocompatible materials that can be converted into a solid form to be. The method of claim 1, wherein the magnetic fastening means is attached to the tip of the insertion mechanism that moves the fixation fixation means to the target tissue in close proximity to the body organ, the insertion mechanism being curved into a straight or straight metal part and into the target body organ. And an ergonomic handle having a reference mark for guiding the insertion depth, wherein the insertion mechanism comprises a tip for quickly connecting and disconnecting the fastening means. The modular snap-on magnetic lock of claim 1, wherein the first and second fixation and fixation means can be attached or combined to an elongate member by a surgeon during surgery to facilitate fixation to the target tissue. Apparatus for supporting body organs, characterized in that it comprises a fixing means. 2. The method of claim 1, wherein the first and second fixation and fixation means comprises: urinary, bladder, vaginal, bladder, rectal, uterus or small intestine escape of the vaginal vault, bladder escape, rectal escape, uterine escape or Having a fixed or adjustable modular snap-on, self-locking, bioabsorbable polymer anchor with polymer or biological surgical mesh for surgery to repair and reconstruct the prolapse of the pelvic floor organs, including the small intestine prolapse. A device for supporting body organs, characterized in that: As a way of supporting body organs: (a) identify and create optimal surgical access paths for accessing body organs through small incisions or inherent body openings; (b) attaching the elongated first fixation means of the member to the insertion instrument to move into the target tissue surrounding the body organs; (c) detaching the fixation fixation means from the tip of the insertion instrument to securely position the fixation means in the target tissue; (d) inserting the elongate member of biocompatible material around the body organs to provide the necessary support; (e) attaching a second fixation fixation means to the insertion instrument to move to the target tissue on the other side of the body organ; (f) separating the fixation fixation means from the tip of the insertion instrument and reliably positioning the fixation means in the target tissue; (g) if necessary, using the reference marks of the midline and adjustable magnetic fastening or magnetic locking fastening means to adjust the position of the central part of the elongate member and the fastening means to provide adequate tension to the support of the body organs; (h) Optionally, a device with a snap-on modular anchor by attaching a modular snap-on self-locking anchorage to the elongate member for surgical treatment instead of using a device with a pre-formed anchor by a physician. A method of supporting a body organ comprising the step of using it. As a method of supporting the urethra or bladder neck in the urethral sling implant for urinary incontinence treatment: (a) using a speculum to make a small incision in the upper wall of the vagina to open the vaginal canal and expose the urethra, and isolate the urethra with non-incisional detachment for lower support of the urethra; (b) selecting a straight or curved insertion device for mounting the urethral support in a hammock or U shape according to the patient's body and preferences of the physician; (c) attaching the first self-fixing fixation end tab of the urethral sling to the tip of the insertion instrument, inserting the assembly through the vaginal incision around the urethra, and using the insertion length guide stop line of the insertion instrument, Sliding the attached insertion mechanism into the body tissue to place the sling in fibrous muscle tissue; (d) separating the fixation means from the tip of the insertion instrument and reliably positioning the fixation means in the target tissue; (e) attaching the other end of the magnetically anchored end tab to the tip of the insertion instrument and inserting the assembly to the other end of the urethra up to the guide stop and then detached from the insertion instrument; (f) Adjust the position of the urethral support sling around the urethra, using a midline reference mark as a guide, to maintain adequate tension for urethral support, if necessary, to ensure proper tension is maintained to prevent obstruction of the urethra. Pulling the central portion of the sling using first, second or both adjustable magnetically anchored means to (g) close the vaginal incision and terminate the treatment; (h) Optionally, snap-on modular anchors by attaching a modular snap-on self-locking anchorage to a polymer sling or surgical mesh for surgical treatment instead of using a device with a preformed anchor by a physician. A method of supporting a urethra or bladder during implantation of a urethral sling for the treatment of urinary incontinence, comprising the step of using a urethral support sling with Surgical procedures for pelvic floor reconstruction and methods of supporting the escaped bladder, vaginal vault, rectum, uterus, small intestine and other body organs during restoration of the pelvic floor organs: (a) attaching and securing modular fixed or adjustable self-locking anchor means to the end or side of a surgical mesh made of polymeric mesh or biological material and, where necessary or desirable, to minimize insertion and removal of the insertion instrument; Attaching a plurality of modular self-locking fastening means to the end or side of the surgical mesh; (b) Selecting the insertion instrument according to the patient's body and the physician's preferences, the assembly of the surgical mesh and the self-locking anchor anchor to the target tissue in close proximity of the escaped body organs, including the bladder, vagina, uterus or rectum. Access a location for movement; (c) using an insertion mechanism to slide the assembly of the surgical mesh and the self-locking anchor below the target body organ and secure the anchoring anchor to surrounding tissue to adequately support the body organ; (d) detaching the fixation fixation means from the insertion instrument and securing the fixation means securely to the target tissue; (e) attaching the other end of the surgical mesh to a fixed or adjustable self-locking anchor, moving the assembly to a second position proximate to the target body organ using an insertion instrument and surrounding tissue for additional support Fix the self-locking anchor to the device and repeat the procedure using the additional self-locking anchor until the escaped body organ is satisfactorily supported; (f) Adjust the tension of the surgical support mesh using reference marks to satisfactorily support the target body organs, and, if necessary, by means of adjustable self-locking fastening means to maintain proper tension in the body organs. A surgical procedure for reconstructing the pelvic floor and evacuating the bladder, vaginal vault, rectum, uterus, small intestine, and the surgical procedure for reconstructing the pelvic floor, characterized by pulling one or more ends or sides of the surgical mesh. How to support other body organs.

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