Abstract: A surgical implant for treating female urinary incontinence includes a suburethral support, first and second soft tissue anchors, and an elongated member. The first and second soft tissue anchors are connected to first and second opposite ends of the suburethral support, each anchor having a central portion, a proximal end, and a tip on a distal end of the anchor, and a plurality of projections extending from the central portion at longitudinally spaced locations along a length extending between the proximal and distal ends of the central portion. The elongated member extends between the proximal end of the first soft tissue anchor and the first end of the suburethral support to connect the anchor to the support and enable the position of the anchor with respect to the support to be adjusted.

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 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: 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: HVOF torches introduce fuel and oxidizer reactants into a central passage so as to form a concentric stream having an axial stream of oxidizer surrounded by an annular stream of fuel that is positioned against a sidewall that bounds the central passage. The fuel can be introduced so as to swirl about the axial stream of oxidizer. The torch can be formed by a body having the central passage therethrough and an insert residing in the central passage and having an oxidizer passage therethrough. A portion of the insert can have a reduced cross section so as to form an annular fuel chamber, from which the flow of fuel into a passage first section is restricted so as to distribute the fuel against the sidewall. The torch can be provided with a cooling jacket to prevent damage to the body.

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 system for providing support to an anatomical structure of the pelvis includes first and second soft tissue anchors, a suburethral support, an introducer, and a filament. The first soft tissue anchor has a proximal end and a distal end and includes a base having a hollow tubular structure, a plurality of barbs, and a tip. The sub-urethral support portion has first and second ends, the first and second soft tissue anchors extending from the first and second ends of the sub-urethral support portion. The introducer has an elongate shaft and a handle, the elongate shaft having a proximal end at the handle and a distal end with an aperture extending through the distal end. The filament extends through the hollow tubular section of the first soft tissue anchor and through the aperture in the distal end of introducer.

Abstract: A sling for treating urinary incontinence includes a suburethral support and first and second elongated suspending members. The suburethral support has opposite ends, is formed from a polymer and has first physical properties including a density, a length and a width. The first and second suspending members are formed from the same polymer as the suburethral support and have second physical properties including a density, a length and a width. The density of the suspending members is different than the density of the suburethral support. The first and second suspending members are each formed separately from and attached to one of the opposite ends of the suburethral support. The length of each of the suspending members is greater than the length of the suburethral support, and the width of each of the suspending members is less than the width of the suburethral support.

Abstract: An implantable delivery device system for delivery of a medicament to a bladder includes a device body, a drug coating disposed over at least a portion of the device body, and an insertion tool. The device body includes a first end and a second end opposite of the first end, the first end having a first diameter and including a sharp tip for penetrating tissue and the second end having a second diameter and including a head portion. The second diameter is larger than the first diameter. The drug coating is disposed over a portion of the device body and is provided for treatment of an over active bladder. The insertion tool has a shaft located between a proximal end of the tool that includes a handle shaft and a distal end of the tool that is attachable to the head of the device.

Abstract: A urethral stabilization system includes a suspending member attached between a stabilizer and support member. The support member is implantable into a patient to support a urethra. A first suspending member is attached between a first end of the support member and a first stabilizer, and a second suspending member is attached between a second end of the support member and a second stabilizer. A first thread member continuously extends between a first end that is attached to the first stabilizer and a second end of the first thread member that is free, and a second thread member continuously extending between a first end that is attached to the second stabilizer and a second end of the second thread member that is free.

Abstract: A medicament delivery device and method of delivering a medicament is provided wherein the device is insertable into the uterine myometrium for the delivery of medicaments to the pelvic area and organs thereof, for example, the bladder, peritoneum, the vulva, vagina, fallopian tubes, ovaries, and uterus, and then to the bloodstream.

Abstract: A urethral stabilization system includes a support member adapted to be implanted into a patient to support a urethra. The support member has a first end and a second end. A first suspending member is attached between the first end of the support member and a first stabilizer and a second suspending member attached between the second end of the support member and a second stabilizer. A first thread member continuously extends between a first end that is attached to the first stabilizer and a second end that is free. A second thread member continuously extends between a first end that is attached to the second stabilizer and a second end that is free. The first and second stabilizers are configured to be advanced into the tissue to increase tension applied to the support member and withdrawn through the tissue to decrease tension applied to the support member.

Abstract: A surgical implant for treating urinary incontinence by providing support to a urethra of a patient includes a suburethral support and first and second soft tissue anchors. The suburethral support is formed of a mesh and includes a folded portion formed by a fold in the mesh material, the fold extending substantially perpendicular to the longitudinal axis of the suburethral support. The first and second soft tissue anchors are coupled to ends of the suburethral support.

Abstract: A surgical implant for treating urinary incontinence by providing support to a urethra of a patient includes a suburethral support portion formed of a mesh material, the suburethral support having a first end and a second end. The implant also includes first and second anchoring portions that are substantially arrow-head shaped, have apertures, and include a plurality of barbs. First and second folded portions connect the first and second anchoring portions to the first and second ends of the suburethral support.

Abstract: A system for providing support to an anatomical structure of the pelvis includes first and second soft tissue anchors, a suburethral support, an introducer, and a filament. The first soft tissue anchor has a proximal end and a distal end and includes a base having a hollow tubular structure, a plurality of barbs, and a tip. The sub-urethral support portion has first and second ends, the first and second soft tissue anchors extending from the first and second ends of the sub-urethral support portion. The introducer has an elongate shaft and a handle, the elongate shaft having a proximal end at the handle and a distal end with an aperture extending through the distal end. The filament extends through the hollow tubular section of the first soft tissue anchor and through the aperture in the distal end of introducer.

Abstract: A system for treating urinary incontinence includes a suburethral support, first and second soft tissue anchors, and an introducer. The suburethral support is formed of a mesh material, the first and second soft tissue anchors each have a tip, a base, a first face, a second face, a plurality of barbs, and an aperture extending from the first face to the second face. The introducer is configured for delivering the first soft tissue anchor to a desired anchoring site of the pelvis, the introducer having an elongate shaft and a handle, the elongate shaft having a distal portion and a proximal portion, the elongate shaft being coupled at the proximal portion to the handle, the distal portion of the introducer forming a longitudinal recess adapted to receive the first soft tissue anchor such that a portion of the first soft tissue anchor engages a distal most end of the distal portion of the introducer.

Abstract: A non-absorbable surgical implant for use in the treatment of a vaginal prolapse is provided. The implant includes a knitted mesh having a mass density of less than 25 g/m2. The knitted mesh includes a monofilament, strands formed of the monofilament, major spaces located between adjacent strands and pores located within the strands. A method of treating a vaginal prolapse with a surgical implant is also provided.

Abstract: HVOF torches introduce fuel and oxidizer reactants into a central passage so as to form a concentric stream having an axial stream of oxidizer surrounded by an annular stream of fuel that is positioned against a sidewall that bounds the central passage. The fuel can be introduced so as to swirl about the axial stream of oxidizer. The torch can be formed by a body having the central passage therethrough and an insert residing in the central passage and having an oxidizer passage therethrough. A portion of the insert can have a reduced cross section so as to form an annular fuel chamber, from which the flow of fuel into a passage first section is restricted so as to distribute the fuel against the sidewall. The torch can be provided with a cooling jacket to prevent damage to the body.

Abstract: A surgical implant adapted to treat a prolapse is provided. The implant includes a knitted mesh having at least one monofilament, strands formed of the at least one monofilament, major spaces located between the strands and pores located within the strands. Methods of treating a vaginal prolapse with a surgical implant are also provided.

Abstract: A surgical implant adapted to treat a prolapse in a patient is provided. The implant comprises a knitted mesh having a mass density of less than 25 g/m2. The knitted mesh includes at least one biocompatible polypropylene filament and openings. The implant is configured to be implanted in a region of the prolapse, wherein the prolapse is selected from the group consisting of urethrocoele prolapse, cystocoele prolapse, vault prolapse, uterine prolapse, enterocoele prolapse, and rectocoele prolapse. Methods of using a surgical implant are also provided.