Abstract: A hybrid prolapse repair material comprising a polypropylene and a graft body attached together. Attachments are provided for detachably attaching a repair material to a needle. A needle and a system for using the needle are contemplated to get repair material closer to the ischial spine. Graft to arm attachment concepts are taught to couple a mesh to a graft body. Additionally, a hysterectomy tool is provided to allow a surgeon to track vital organs.

Abstract: Improved methods and apparatuses for treatment of pelvic organ prolapse are provided. A specialized sacral colpopexy mesh having a mesh cylinder attached to a first end of a main mesh is disclosed, and a method for use thereof in abdominal sacral colpopexy. A novel connector that is used to attach a mesh to the needle, including gripping features that improve the grip and allowing for easier connection and disconnection is disclosed, as well as a novel method and apparatus for connecting a mesh to a needle.

Abstract: Methods and apparatus for testing of the efficacy of therapeutic stimulation of pelvic nerves or musculature to alleviate one of incontinence or sexual dysfunction are disclosed. A therapy delivery device is operable in a therapy delivery mode and a test mode and an evoked response detector is employed in the test mode to detect the evoked response to applied test stimuli. The test stimuli parameters of the test stimulation regimen are adjusted prior to delivery of each test stimulation regimen, and the evoked responses to the applied test stimulation regimens are compared to ascertain an optimal test stimulation regimen. The therapy stimulation regimen parameters are selected as a function of the test electrical stimulation parameters causing the optimal evoked response.

Abstract: According to the invention methods and structures for determining whether impingement of x-ray radiation upon potentially vulnerable discrete components, circuits and/or circuit pathways of an implantable medical device (IMD) causes modifications or damage thereto. The invention includes structures for deflecting impingement of x-ray radiation from said potentially vulnerable components, circuits and/or circuit pathways. The x-ray radiation can be generated by various imaging modalities or unknown sources. Myriad IMDs can utilize the teaching of the present invention, including for example, a pacemaker, a drug delivery pump, a nerve stimulation device, a muscle stimulation device, an implantable cardioverter-defibrillator, a subcutaneous defibrillator, a deep brain stimulator or the like.

Abstract: An implantable medical device (IMD) includes a detector for detecting the presence of x-ray radiation, where the presence of x-ray radiation is detected in response to the strength of the x-ray radiation exceeding a first threshold. In one embodiment, the IMD includes a processor for adjusting a cardiac stimulation rate IMD in response to determining that the strength of the detected x-ray radiation exceeds a second threshold. The second pre-selected x-ray radiation threshold is greater than the first pre-selected x-ray radiation threshold. In another embodiment, the implantable device includes a detector for detecting the presence of any amount x-ray radiation and a processor for adjusting a stimulation rate provided by the IMD in response to detected x-ray radiation to reduce the chance of over-sampling artifacts or inappropriate therapy delivery.