Escala Medical is developing a nonsurgical, incision-free, mesh-free repair device to treat women with pelvic organ prolapse. The company’s transvaginal technology mirrors a surgery-based repair to fixate the vaginal apex to the sacrospinous ligament in a safe, quick outpatient procedure. The device is a tissue-anchoring, approximation, and fixation system intended for anchoring sutures to ligaments of the pelvic floor. The device utilizes an incision-free vaginal approach enabling fixation of the vaginal apex to the sacrospinous ligament for apical suspension. Apical suspension is considered to be the most important component in prolapse repair, increasing the long-term success rates for the repair procedure.