Abstract: An implantable fluid operated device may include a fluid reservoir configured to hold fluid, an inflatable member, and a pump assembly configured to transfer fluid between the fluid reservoir and the inflatable member. The pump assembly may include one or more fluid pumps and one or more valves. An electronic control system may control operation of the pump assembly based on fluid pressure measurements and/or fluid flow measurements received from the one or more sensing devices. The electronic control system may include an internal component installed with the implanted device, and an external component that is operable by a user to provide user input, and to receive output from the implanted device.

Abstract: An implantable fluid operated device may include a fluid reservoir configured to hold fluid, an inflatable member, and a pump assembly configured to transfer fluid between the fluid reservoir and the inflatable member. The pump assembly may include one or more fluid pumps and one or more valves. One or more sensing devices may be positioned within fluid passageways of the fluid operated device. The electronic control system may control operation of the pump assembly based on fluid pressure measurements and/or fluid flow measurements received from the one or more sensing devices. The pump assembly may include a piezoelectric pump. The one or more sensing devices may include one or more pressure transducers positioned in the fluid passageways, one or more strain gauges measuring deflection of piezoelectric elements, voltage input/output at one or more piezoelectric elements, and other types of sensing devices.

Abstract: According to an aspect, an apparatus includes a bodily implant configured to be implanted into a body of a patient. The implant having an inflatable member, a sensor, and a calibration module. The inflatable member is configured to be disposed proximate a portion of the body of the patient. The sensor is operatively coupled to the inflatable member and is configured to detect a fluidic pressure within the inflatable member. The calibration module calibration module is configured to receive pressure data from the sensor and determine when the inflatable member is placing a pressure on the portion of the body of the patient.

Abstract: According to an aspect, an apparatus includes a bodily implant configured to be implanted into a body of a patient. The implant having an inflatable member, a sensor, and a calibration module. The inflatable member is configured to be disposed within a portion of the body of the patient. The sensor is operatively coupled to the inflatable member and is configured to detect a fluidic pressure within the inflatable member. The calibration module is configured to receive pressure data from the sensor and determine when the inflatable member is sufficiently inflated.

Abstract: According to a general aspect, an insertion device can include an elongate barrel having an opening defined in a distal end; a lumen defined within the elongate barrel, the lumen being accessible through the opening; and an obturator disposed within the lumen of the elongate barrel. The obturator can be movable within the lumen between a proximal position in the elongate barrel and a distal position in the elongate barrel. The obturator, in its distal position in the elongate barrel, can be configured to receive a needle via the opening. The obturator, in its proximal position in the elongate barrel, can be configured to secure the needle within the elongate barrel.

Abstract: A handle assembly includes a drive wire coupled to an expandable end effector, the wire having a diameter of no more than 3 French and a handle cannula receiving the wire therethrough, rotation of the handle cannula transferring torque to rotate the wire. The assembly also includes a shaft receiving the handle cannula, rotation of the shaft transferring torque to rotate the handle cannula. The assembly further includes an actuation assembly receiving the shaft, the actuation assembly coupled to a sheath sized to receive the wire and end effector therethrough, the actuation assembly moveable between a proximal configuration in which the sheath is moved proximally to expand the end effector and a distal configuration in which the sheath is moved distally to retract the end effector, the actuation assembly including a rotation mechanism transferring torque to the shaft to rotate the shaft.

Abstract: A handle assembly includes a drive wire coupled to an expandable end effector, the wire having a diameter of no more than 3 French and a handle cannula receiving the wire therethrough, rotation of the handle cannula transferring torque to rotate the wire. The assembly also includes a shaft receiving the handle cannula, rotation of the shaft transferring torque to rotate the handle cannula. The assembly further includes an actuation assembly receiving the shaft, the actuation assembly coupled to a sheath sized to receive the wire and end effector therethrough, the actuation assembly moveable between a proximal configuration in which the sheath is moved proximally to expand the end effector and a distal configuration in which the sheath is moved distally to retract the end effector, the actuation assembly including a rotation mechanism transferring torque to the shaft to rotate the shaft.

Abstract: Biodegradable implants including an ECM material and methods for treating a pelvic floor condition are described. ECM particles can be present within or on the surface of a pelvic implant, such as a biodegradable mesh, a pouch, or a urethral stent. After implantation the implant can provide tissue support, degrade over a period of time, and deposit the ECM material in the implantation area for regeneration of tissue and long term benefit.

Abstract: A medical system includes an insertion device including a handle and a delivery portion, a laser fiber, a conductive wire, and a lock. The laser fiber extends through the insertion device and is coupled to a laser slider to control a position of the laser fiber relative to a distal end of the delivery portion. The conductive wire extends through the insertion device and is coupled to a wire slider to control a position of the laser fiber relative to a distal end of the delivery portion. The lock is positioned within the handle and is movable in order to selectively lock either the movement of the laser slider or lock the movement of the wire slider.

Abstract: Aspects of access devices and methods are disclosed. One aspect of this disclosure is a device. The device may comprise: a needle guide body extending along a central axis between a distal end and a proximal end, a needle guide lumen extending through the distal and proximal ends of the needle guide body along the central axis, and a base monolithically attached to the needle guide body to define a non-variable patient-specific insertion path. Additional devices and methods are disclosed.

Abstract: Example ultrasound medical devices are disclosed. An example medical device includes a support member having a proximal end region and a distal end region and a sensing member having a proximal end region and a distal end region, the distal end region of the sensing member coupled to the distal end region of the support member. The medical device also includes one or more ultrasound sensors disposed along the sensing member and a support shaft having a first end coupled to the sensing member and a second end coupled to the support member. Additionally, the sensing member is configured to shift from a first configuration in which the sensing member is adjacent to the support member to a second configuration in which at least a portion of the sensing member extends away from the support member.

Abstract: According to an aspect, an implantable device for penile construction includes a penile implant having a distal portion and a proximal portion. The distal portion includes a shaft portion configured to be disposed in a neophallus. The proximal portion defines a first strut and a second strut, and the proximal portion is configured to be attached to a pelvis structure.

Abstract: According to an aspect, an implantable device includes a fluid reservoir configured to be implanted in a body of a patient at a first location, an inflatable member configured to be implanted in the body of the patient at a second location, and a pump assembly configured to be implanted in the body of the patient at a third location. The pump assembly is configured to transfer fluid from the fluid reservoir to the inflatable member in response to the implantable device being in an inflation mode, and the pump assembly configured to transfer the fluid from the inflatable member to the fluid reservoir in response to the implantable device being in a deflation mode. The pump assembly includes an electronic control module, an electronically powered pump, a first valve, and a second valve. The electronic control module is configured to activate or deactivate the electronically powered pump.

Abstract: Embodiments of a surgical laser system comprise a laser source (102), a laser fiber (104), a photodetector (106) and a controller (108). The laser source is configured to generate laser energy (1 10). The laser fiber is optically coupled to the laser source and is configured to discharge the laser energy generated by the laser source. The photodetector is configured to generate an output signal (1 12) that is indicative of an intensity level of electromagnetic energy feedback (114) that is produced in response to the discharge of the laser energy. The controller is configured to control the laser source based on the output signal.

Abstract: Embodiments of a surgical laser systems may include a laser source configured to generate a laser energy; a laser fiber optically coupled to the laser source to discharge laser energy; a photodetector configured to generate an output signal indicative of an intensity level of electromagnetic energy feedback produced in response to the discharge of the laser energy; and a controller configured to control the laser source based on the output signal. Embodiments of a method of controlling a surgical laser system also are disclosed, wherein laser energy is generated using a laser source and discharged through a laser fiber. Electromagnetic energy feedback produced in response to discharging the laser energy is delivered to a photodetector. An output signal from the photodetector is analyzed using a controller. The laser source is controlled in response to analyzing an output signal using the controller.

Abstract: A handle assembly includes a drive wire coupled to an expandable end effector, the wire having a diameter of no more than 3 French and a handle cannula receiving the wire therethrough, rotation of the handle cannula transferring torque to rotate the wire. The assembly also includes a shaft receiving the handle cannula, rotation of the shaft transferring torque to rotate the handle cannula. The assembly further includes an actuation assembly receiving the shaft, the actuation assembly coupled to a sheath sized to receive the wire and end effector therethrough, the actuation assembly moveable between a proximal configuration in which the sheath is moved proximally to expand the end effector and a distal configuration in which the sheath is moved distally to retract the end effector, the actuation assembly including a rotation mechanism transferring torque to the shaft to rotate the shaft.

Abstract: A tissue removal device may include a handle. The device may include a sheath coupled to the handle. A first portion of the sheath may be within the handle. A second portion of the sheath may protrude from the handle. The sheath may include a passage. The device may include an end effector coupled to an end of the sheath. The device may include a drive member coupled to the handle and to the end effector. The drive member may extend through the passage of the sheath to the end effector. Actuation of the handle may move the end effector between an open state, for receiving material, and a closed state, for holding onto material, by causing relative movement between the drive member and the sheath. Further actuation of the handle may move the end effector relative to the handle while the end effector remains in the closed state.

Abstract: An optical device including an optical fiber having a longitudinal axis and an optical fiber core with a distal end having a distal terminating end configured to discharge a first laser energy in a first direction and a second laser energy in a second direction. The optical device also includes a fiber cap having an interior cavity and an opening to the interior cavity, where the distal end of the optical fiber core is received within the interior cavity through the opening. A cladding is included on the distal end of the optical fiber core between the optical fiber core and the fiber cap.

Abstract: An optical device including an optical fiber having a longitudinal axis and an optical fiber core with a distal end having a distal terminating end configured to discharge a first laser energy in a first direction and a second laser energy in a second direction. The optical device also includes a fiber cap having an interior cavity and an opening to the interior cavity, where the distal end of the optical fiber core is received within the interior cavity through the opening. A cladding is included on the distal end of the optical fiber core between the optical fiber core and the fiber cap.

Abstract: According to a general aspect, an insertion device can include an elongate barrel having an opening defined in a distal end; a lumen defined within the elongate barrel, the lumen being accessible through the opening; and an obturator disposed within the lumen of the elongate barrel. The obturator can be movable within the lumen between a proximal position in the elongate barrel and a distal position in the elongate barrel. The obturator, in its distal position in the elongate barrel, can be configured to receive a needle via the opening. The obturator, in its proximal position in the elongate barrel, can be configured to secure the needle within the elongate barrel.