Abstract: A surgical implant for treating female urinary incontinence. The implant comprises an elongate polymer material suburethral support having a length and a width, first and second elongate and porous polymer material suspending members having a length and a width extending from opposite ends of the suburethral support, and first and second polymer tissue anchors having conical tips and wings on the first and second suspending members. The width of the suspending members is less than the width of the suburethral support. The length of the second suspending member between the suburethral support and the second anchor is adjustable.

Abstract: A method for supporting the urethra of a patient to treat urinary incontinence includes introducing a surgical implant through an incision in an upper wall of the patient's vagina. The surgical implant includes a suburethral support, first and second soft tissue anchors connected to the suburethral support, and a flexible filamentary member extending between a proximal end of the first soft tissue anchor and a first end of the suburethral support. The first and second soft tissue anchors are inserted into soft tissue without penetrating the abdominal wall. The method also includes adjusting a position of the suburethral support below the patient's urethra and manipulating the filamentary member to connect the proximal end of the first anchor to the first end of the suburethral support with the support at the adjusted position.

Abstract: A method for supporting a urethra of a patient includes making an incision on an upper wall of a vagina of the patient and inserting a first end of a surgical implant through the incision and on a first side of a urethra of the patient. The first end of the surgical implant has a first fixing zone with a retaining portion that is formed of a fiber entanglement and a mesh.

Abstract: An implant for supporting pelvic anatomy includes a first soft tissue anchor, a second soft tissue anchor, and a support portion. The first and second soft tissue anchors each include a central portion and a plurality of projections biased radially from the central portion of the soft tissue anchors, respectively. The implant is configured for selective adjustment of an effective length of the implant between the first and second soft tissue anchors.

Abstract: A method of treating urinary incontinence of a patient by introducing a surgical implant through a vaginal incision. The surgical implant includes a suburethral support having first and second suspending members and first and second tissue anchors. The width of each suspending member is less than the width of the suburethral support. Each tissue anchor has a conical tip and is coupled with a respective one of the first and second suspending members. The first and second tissue anchors are inserted into tissue on first and second sides, respectively, of a urethra of the patient without penetrating an abdominal wall. A position of the suburethral support relative to the patient's urethra is adjusted, including pulling the second suspending member through the patient's vagina to adjust the distance between the suburethral support and the second anchor, after which the distance between the suburethral support and the second anchor is fixed.

Abstract: A method of providing support to an anatomical structure of the pelvis includes inserting a first suspending member into a pelvic space on a first side of a urethra of a patient, the first suspending member being slidably received through a first end of a support. A second suspending member is inserted into a pelvic space on a second side of the urethra of the patient, the second suspending member being slidably received through a second end of the support. A position of the support under the urethra of the patient is adjusted by tensioning the first suspending member. The first suspending member is pulled through the first end of the support.

Abstract: A method of providing support to an anatomical structure of the pelvis includes making a vaginal incision for providing access for placement of a mesh support device below a urethra of a patient without penetrating an abdominal wall of the patient. The mesh support device includes a sling portion and first and second soft tissues connected to first and second ends of the sling portion. The mesh support device is delivered through the vaginal incision using an introducer including a curved elongate shaft having a distal portion and a proximal portion connected to a handle. A suture is passed through a hollow tubular section of the first soft tissue anchor. The suture passed through an aperture in a distal end of the introducer and the introducer is advanced over the suture until the first soft tissue anchor is located at the distal end of the introducer.

Abstract: A surgical system includes an implant for supporting pelvic anatomy. The implant includes a first suspending member, a second suspending member, and a support portion. The first and second suspending members are formed as flexible strips that extend from proximal to distal ends, the distal ends including first and second anchor portions, respectively, for anchoring to soft tissue in a space defined by a pelvis. The support portion is formed as a flexible strip that extends from a first end to a second end, the support portion having a first opening toward the first end of the support portion, the first opening slidably receiving the proximal end of the first suspending member such that a length of the first suspending member between the first anchor portion and the first end of the support portion is adjustable.

Abstract: A system for providing support to an anatomical structure of the pelvis includes a surgical implant and an introducer. The surgical implant includes first and second soft tissue anchors and a support. The first soft tissue anchor has a proximal end and a distal end and an introducer channel extending through the first soft tissue anchor from the proximal end to the distal end. The support has first and second ends, where the first soft tissue anchor is connected to the first end and the second soft tissue anchor to the second end. The introducer has a shaft and a handle, the shaft having a proximal end at the handle and a distal end, the distal end configured to be inserted through the introducer aperture of the first soft tissue anchor such that the distal end of the shaft protrudes from the distal end of the first soft tissue anchor.

Abstract: The present invention provides a surgical implant and method for supporting the urethra, the implant comprising a suburethral support suspended between two soft tissue anchors that do not penetrate the lower abdominal wall and are attached at either side of the suburethral support. The soft tissue anchors retain each anchor in soft tissue, suspending each side of the suburethral support. The suburethral support passes under the urethra to support the urethra. The implant has uses including treating urinary incontinence and uterovaginal prolapse.

Abstract: An implant suitable for treatment of treatment of vaginal and/or uterine prolapse and/or pelvic floor reconstruction. The implant comprises a vaginal support member substantially sized or shaped to the portion of the vaginal wall to be supported and at least two extension portions projecting from the support member, wherein at least one extension portion has fixation means for anchoring the extension portion into pelvic paravaginal fibro-fatty issue without being faxed into defined structural tissues. A method of treating treatment of vaginal and/or uterine prolapse and/or pelvic floor reconstruction using the implant is also provided.

Abstract: The present invention provides a surgical implant and method for supporting the urethra, the implant comprising a suburethral support suspended between two soft tissue anchors that do not penetrate the lower abdominal wall and are attached at either side of the suburethral support. The soft tissue anchors retain each anchor in soft tissue, suspending each side of the suburethral support. The suburethral support passes under the urethra to support the urethra. The implant has uses including treating urinary incontinence and uterovaginal prolapse.

Abstract: An implant suitable for treatment of treatment of vaginal and/or uterine prolapse and/or pelvic floor reconstruction. The implant comprises a vaginal support member substantially sized or shaped to the portion of the vaginal wall to be supported and at least two extension portions projecting from the support member, wherein at least one extension portion has fixation means for anchoring the extension portion into pelvic paravaginal fibro-fatty issue without being faxed into defined structural tissues. A method of treating treatment of vaginal and/or uterine prolapse and/or pelvic floor reconstruction using the implant is also provided.

Abstract: The present invention relates to a tissue repair device for use in surgical methods. The tissue repair device comprises a filiform having a longitudinal axis and a transverse width, wherein a force of at least 30 N can be exerted along the longitudinal axis of the device without distortion of the device and at least part of said filiform comprises interstices on a surface of the filiform, the interstices having a cross-sectional width in the range of 50 micrometers to 200 micrometers. In surgical methods, features of the device can provide for lubricious movement of the device within surrounding tissue for up to 72 hours, providing for adjustment of the device and positioning of the device in the body after its initial placement. Subsequently, traction of the device to the surrounding tissue can be achieved as the features of the device cause the device to act as a scaffold for tissue ingrowth into and around the structure of the device.

Abstract: The present invention provides a surgical implant and method for supporting the urethra, the implant comprising a suburethral support suspended between two soft tissue anchors that do not penetrate the lower abdominal wall and are attached at either side of the suburethral support. The soft tissue anchors retain each anchor in soft tissue, suspending each side of the suburethral support. The suburethral support passes under the urethra to support the urethra. The implant has uses including treating urinary incontinence and uterovaginal prolapse.

Abstract: The present invention provides a surgical implant and method for supporting the urethra, the implant comprising a suburethral support suspended between two soft tissue anchors that do not penetrate the lower abdominal wall and are attached at either side of the sururethral support. The soft tissue anchors retain each anchor in soft tissue, suspending each side of the suburethrasl support. The suburethral support passes under the urethra to support the urethra. The implant has uses including treating urinary incontinence and uterovasginal prolapse.

Abstract: A surgical implant suitable for treatment of hernias is provided. The implant comprises a mesh having a residual maximum mass density of 50 g/m2. The mesh comprises strands forming spaces and the strands comprise filaments forming pores. The spaces and pores are sized to minimise foreign body mass for implantation and to encourage integration of the implant. The mesh may be delivered using Dual Phase Technology™ for ease of handling, cutting and placement. The Dual Phase Technology™ may include encapsulation or coating with hydrogel.

Abstract: A system, method, and computer-readable medium that provide virtual user access to a database system are provided. Middle-tier application end users issue requests to a middle-tier application that submits the requests to a database system on behalf of the middle-tier end users. The middle-tier application may authenticate end users and maintain a session pool for maintaining sessions with the database system for virtual users comprising valid middle-tier application end users. The middle-tier application is able to assert the identity of virtual users corresponding to the end users for use in access rights checking and auditing of queries without establishing a new logon session for the user. To facilitate middle-tier application assertion of virtual user identities, the middle-tier application is registered as a valid database user with the database system.

Abstract: A system, method, and computer-readable medium that facilitate key rotation without disrupting database access are provided. Generation identifiers that specify a particular encryption key are stored in association with cipher text of encrypted columns in database tables. When data is to be read from an encrypted column, the cipher text is read along with the associated generation identifier. An encryption key corresponding to the generation identifier is then read to decrypt the cipher text. When data is to be written to the encrypted column, a most recent encryption key is retrieved from the key repository to encrypt the data. The cipher text is then written to the encrypted column in association with the generation identifier of the key used to encrypt the data. Advantageously, the key rotation may be performed without requiring that the table or database to be taken offline or otherwise unavailable during key rotation.

Abstract: The subject matter herein relates to database management systems and, more particularly, compression of encrypted data in database management systems. Various embodiments provide systems, methods, and software that compress encrypted column values stored tables. Some other embodiments include declaring tables with column encrypt and compress attributes.