Abstract: A female incontinence device according to the present invention includes one or more rings of water swellable gel forming material mounted on a female incontinence plug or catheter. The water swellable ring swells upon insertion of the device into the urethra and non-traumatically secures the device in the urethra while providing a seal between the device and the walls of the urethra. The water swellable ring may be replaced by other stimuli sensitive materials which allow the ring to be swollen and later reduced in volume for removal of the device. The stimuli sensitive materials which may be used in the invention include materials sensitive to light, pH, electrical field, mechanical stress, temperature, and solvent interaction.

Abstract: A wound closure device which maintains pneumoperitoneum while allowing a surgeon to capture an mount of tissue which is substantially wider than the diameter of a trocar cannula through which the device is inserted. The wound closure device includes, an elongated guide member, a hook shaped needle and a retracting mechanism for moving the needle from an open position to a closed position. In the closed position, the tip of the needle is positioned within the guide member so that the needle can be easily inserted into a body. In the open position, the needle tip is positioned outside of the guide member at a distance from the guide member which is greater than the diameter of the guide member.

Abstract: An improved device and method for suturing penetrations and incisions through tissue into a body cavity. The device should find particular use in laparoscopic and other types of minimally invasive surgical procedures. A device according to the invention includes a shaft and an inverted needle joined to the shaft. Two ends of a length of suture material are attached at or near a sharpened proximal tip on the needle. The device may include a movable shield that is slidable to alternately cover and expose the sharpened tip of the needle. This shield may include a blunt distal end and an inclined proximal surface to assist the surgeon in guiding the hook into and out of the body cavity. The device may be provided with a visual and tactile indicator on one side of the device to assist the user in threading and removing the suture material into and out of a selected side of the hook.

Abstract: A tissue segmentation device incorporated in an isolation bag for segmenting tissue during an operation such as in laparoscopic surgery. The device includes one or more loops of high strength wire which can be mechanically reduced in size to cut the tissue into smaller pieces. The wire loops can be heated electrically to aid in cutting through hard-to-cut parts of the tissue. The wire can be of a shape memory alloy which shrinks when heated to form a smaller diameter loop.

Abstract: A self-introducing infusion catheter comprises a substantially rigid, elongate shaft having a longitudinal passage therethrough and an infusion port at its distal end. An electrode is further mounted at the distal end. The electrode is electrically coupled to a connector at the proximal end of the shaft which may be connected to an electrosurgical power supply. The connector is further in communication with the passage in the shaft and provides fluid connection with an infusion fluid delivery device. In the method of the invention, the catheter is connected to an electrosurgical power supply and ablative energy is applied to abdominal tissue through the electrode. This facilitates penetration of the tissue to position the device in the abdominal cavity through the abdominal wall. The distal end of the catheter is positioned through an incision in a body structure, such as the cystic duct, and the proximal end is connected to an infusion fluid delivery device.