Anchorsure® System
The Anchorsure® System (Neomedic International, distributed in the UK/Europe by JUNE Medical) is a PEEK-anchor-based sacrospinous ligament fixation (SSLF) device — a fundamentally different mechanism from suture-capturing devices like the Capio. Rather than passing a suture through the ligament, the Anchorsure embeds a small biocompatible PEEK anchor into the ligament substance, to which the apical-support suture is pre-attached.
Design
- Straight, narrow delivery device for atraumatic transvaginal introduction
- PEEK (polyetheretherketone) anchor — 100% biocompatible polymer, permanently implanted
- Pre-attached suture on the anchor
- Tactile feedback during ligament engagement — the device signals correct anchor seating
Rationale — Anchor vs Suture Capture
Traditional suture-based SSLF requires tight suture knots around or through the ligament, which may:
- Compress or compromise neurovascular structures (pudendal nerve, inferior gluteal vessels)
- Cause gluteal / buttock pain (a known complication of SSLF)
- Depend on ligament tissue quality to hold the knot
The anchor-based approach embeds fixation within the ligament substance rather than encircling it — theoretically reducing the risk of neurovascular compression and related pain.
Evidence
The Anchorsure vs Capio RCT (NCT03565640) directly compared the two devices for postoperative pain. Reported outcomes align with the underlying hypothesis — anchor-based fixation may reduce the characteristic gluteal pain of SSLF.
Regulatory / Commercial Status
- FDA-approved in the United States
- CE-marked in Europe
- Commonly distributed alongside the Uplift SCP mesh for laparoscopic prolapse repair
Use
- Vaginal vault prolapse after hysterectomy (apical suspension)
- Uterovaginal prolapse with sacrospinous fixation (Amreich–Richter technique)
- Post-hysterectomy vault prolapse repair
See also: Capio Suture Capturing Device, Saffron Fixation System, Miya Hook, Deschamps Ligature Carrier.