• i-Stitch
  • i-Stitch
  • i-Stitch

Accessories for single-incision vaginal mesh procedure


i-Stitch is a surgical instrument that is used for placing suspension sutures on tissue structures (Amreich-Richter) and/or surgical mesh implants during pelvic floor reconstruction. It facilitates the attachment of sutures to structures that are difficult to reach without extensive dissection.

Technical features

  • Blunt, non-cutting suture tip
  • Resorbable or non-resorbable suture material
  • Additional suture clamp option
  • Suitable cleaning accessories

Benefits 1, 2, 3, 4, 5, 6, 7

  • Safe, precise and reproducible application for suture fixation
  • Minimal transvaginal dissection needed, without excessive preparation. No visualization of sacrospinous ligament is required.
  • Very low intra-operative complications (e.g. minimal blood loss)
  • Reduced operating time
  • Easy access to pelvic floor tissue structures
  • i-Stitch and i-Stitch up support a good usability for the surgeon. Comfortable suture placement and instrument handling.

Easy handling

Just a few steps are necessary to easily use the instrument:

  1. Secure the suture in the suture clamp of i-Stitch loading unit. Load i-Stitch with the loading unit.
  2. i-Stitch is guided along surgeon’s finger to intended suture attachment point, push tip into tissue.
  3. Push loading unit forward, suture penetrates tissue.
  4. Release suture from suture clamp and remove loading unit completely.
  5. Carefully retrieve i-Stitch instrument. Suture will remain firmly in place. Tie the knot.

Animation video


1 Brandt et al. (2019)
1-Year Outcome After Treatment of Uterovaginal Prolapse With a 6-Point Fixation Mesh

2 Deltetto et al. (2021)
Effectiveness and Safety of Posterior Vaginal Repair with Single-Incision, Ultralightweight, Monofilament Propylene Mesh: First Evidence from a Case Series with Short-Term Results

3 Hemptenmacher et al. (2020)
Bilateral Sacrospineous Colposuspension ( BSC ) in the Treatment of Female Genital Prolapse: Risk-Benefit Considerations and Six Months Follow-up

4 Haşegan et al. (2016)
Sacrospinous ligament in urogenital prolapse repair using A.M.I. I-Stitch

5 Retzke et al. (2013)
Original article Caution ‘FDA 2011’: A modern pelvic floor mesh with a new form of cranial fixation. An observational study with 6-month follow-up on the A.M.I.® CR-Mesh and i-Stitch

6 Kieback (2019)
Bilateral Sacrospinous Colposuspension (BSC) for the treatment of vaginal vault prolapse – description of a novel method

7 Haşegan et al. (2016)
Transvaginal urogenital prolaps repair using i-Stitch