Abstract: An adjustable implant is disclosed herein. The adjustable implant may comprise a shell including membrane and a base and having a first diameter in a plane parallel to the base. A band may be disposed within the shell. The band may have a first end and a second end connected to a spool. The band may be in a round (e.g., elliptical) configuration having a second diameter in the plane that is less than the first diameter. By wrapping the band onto the spool, the diameter of the band may be decreased and the height of the implant may be increased. By unwrapping the band from the spool, the diameter of the band may be increased and the height of the implant may be decreased.

Abstract: Various embodiments of an adjustable implant are disclosed herein. The adjustable implant comprises a hydraulic mechanism disposed within the shell, which includes a first component and a second component that is moveable with respect to the first component, and a band with a first and second end disposed within the shell in a round (e.g., elliptical) configuration having a second diameter in the plane that is less than the first diameter. In some embodiments, the first end of the band may be connected to the first component and the second end of the band may be connected to the second component. In some embodiments, the mechanism may include a fluid and a pump that has a first actuator comprising a first chamber and a second actuator comprising a second chamber. Depressing the first actuator causes the first component to move in a first direction, which reduces the diameter of the band and increases the height of the implant.

Abstract: The present disclosure describes various embodiments of adjustable implants, particularly permanent breast implants, intended for implantation into a subject, particularly a human subject. In some embodiments, the adjustable implant comprises a shell including a resilient shell membrane, a first reservoir containing a fluid, e.g., a saline, a second reservoir including a resilient second-reservoir membrane, and a pump. The pump may include a first pump actuator, a first pump inlet, and a first pump outlet. The first reservoir and second reservoir may be disposed within the shell and be in fluid communication via the pump. Fluid may be transferred between the two reservoirs to change the profile of the implant.

Abstract: A bipolar medical device for extracting tissue including a handle, and an outer tube projecting from the handle, the outer tube extending along a longitudinal axis and including a proximal end connected with the housing and a distal end spaced from the proximal end. The medical device includes a split tube disposed within the outer tube, the split tube having a distal end including a first cutting element and an opposing second cutting element, a motor coupled with the split tube for selectively rotating the split tube and the first and second cutting elements about the longitudinal axis, and an electrosurgical generator coupled with the split tube, whereby the first cutting element is connectable with a first pole of the electrosurgical generator and the second element is connectable with a second pole of the electrosurgical generator for passing electrical current between the first and second cutting elements.

Abstract: An implant including a vaginal portion having a length, width, first and second ends with a central region positioned therebetween, and a sacral portion having a length, width, first end and second end. The first end of the sacral portion is coupled to the central region of the vaginal portion so that the width of the first end extends substantially perpendicularly to the length of the vaginal portion. The implant is made of the same substantially flat, planar mesh having an anisotropic knitted or woven structure that has a greater stiffness in a first direction than a second direction. The mesh is aligned such that the first direction is aligned in a longitudinal direction of the sacral portion and the mesh of the vaginal portion is aligned such that the stiffness in a longitudinal direction of the vaginal portion is less than that of the sacral portion.

Abstract: An implant including a vaginal portion having a length, width, first and second ends with a central region positioned therebetween, and a sacral portion having a length, width, first end and second end. The first end of the sacral portion is coupled to the central region of the vaginal portion so that the width of the first end extends substantially perpendicularly to the length of the vaginal portion. The implant is made of the same substantially flat, planar mesh having an anisotropic knitted or woven structure that has a greater stiffness in a first direction than a second direction. The mesh is aligned such that the first direction is aligned in a longitudinal direction of the sacral portion and the mesh of the vaginal portion is aligned such that the stiffness in a longitudinal direction of the vaginal portion is less than that of the sacral portion.

Abstract: A bipolar medical device for extracting tissue including a handle, and an outer tube projecting from the handle, the outer tube extending along a longitudinal axis and including a proximal end connected with the housing and a distal end spaced from the proximal end. The medical device includes a split tube disposed within the outer tube, the split tube having a distal end including a first cutting element and an opposing second cutting element, a motor coupled with the split tube for selectively rotating the split tube and the first and second cutting elements about the longitudinal axis, and an electrosurgical generator coupled with the split tube, whereby the first cutting element is connectable with a first pole of the electrosurgical generator and the second element is connectable with a second pole of the electrosurgical generator for passing electrical current between the first and second cutting elements.

Abstract: A laparoscopic medical fluid delivery device includes a catheter having an articulating tip formed with shape memory properties and thus having a pre-shaped curvature. A tubular member is reciprocatingly slidable axially on the catheter to selectively cover and uncover portions of the articulating tip to thereby selectively vary the degree of curvature of the articulating tip. An actuator operatively linked to the tubular member selectively moves the tubular member reciprocatingly on the catheter. The pre-shaped articulating tip of the catheter is constrained by the tubular member from articulating to the pre-shaped curvature when the tubular member covers the articulating tip, and bends to a selected degree of curvature when the articulating tip is at least partially uncovered by the tubular member.

Abstract: A delivery system is provided for mixing and dispensing a plurality of components and a method for its use. The system includes a first assembly having first and second separate chambers capable of holding first and second components respectively, a second assembly having third and fourth separate chambers capable of holding third and fourth components respectively, and a coupling device for movably coupling the first and second assemblies such that the second assembly is movable relative to the first assembly between a first position wherein the first, second, third and fourth chambers remain isolated from one another, and a second position wherein at least the first and third, and second and fourth chambers are in communication with one another via at least one conduit therebetween.

Abstract: A laparoscopic medical fluid delivery device includes a catheter having an articulating tip formed with shape memory properties and thus having a pre-shaped curvature. A tubular member is reciprocatingly slidable axially on the catheter to selectively cover and uncover portions of the articulating tip to thereby selectively vary the degree of curvature of the articulating tip. An actuator operatively linked to the tubular member selectively moves the tubular member reciprocatingly on the catheter. The pre-shaped articulating tip of the catheter is constrained by the tubular member from articulating to the pre-shaped curvature when the tubular member covers the articulating tip, and bends to a selected degree of curvature when the articulating tip is at least partially uncovered by the tubular member.

Abstract: A delivery system is provided for mixing and dispensing a plurality of components and a method for its use. The system includes a first assembly having first and second separate chambers capable of holding first and second components respectively, a second assembly having third and fourth separate chambers capable of holding third and fourth components respectively, and a coupling device for movably coupling the first and second assemblies such that the second assembly is movable relative to the first assembly between a first position wherein the first, second, third and fourth chambers remain isolated from one another, and a second position wherein at least the first and third, and second and fourth chambers are in communication with one another via at least one conduit therebetween.

Abstract: A package assembly holds at least one applicator nozzle tip and, optionally, a fluid-containing vial adapted for attachment to the nozzle tip. By providing the vial with a fluid-dispensing end, it may be used with or without the nozzle tip. When used in combination, the vial and nozzle tip can be employed to dispense, for instance, a medical adhesive to a wound site.

Abstract: A tissue approximation device comprising two elongate arms, an attachment means to secure the elongate arms to each other, adhesive pads on at least a portion of the elongate arms to anchor the tissue approximation device to the skin, and a locking means to lock the elongate arms in place relative to each other.

Abstract: A package assembly holds at least one applicator nozzle tip and, optionally, a fluid-containing vial adapted for attachment to the nozzle tip. By providing the vial with a fluid-dispensing end, it may be used with or without the nozzle tip. When used in combination, the vial and nozzle tip can be employed to dispense, for instance, a medical adhesive to a wound site.

Abstract: A cutting and coagulating forceps includes a housing with a protruding barrel, a pair of electrocautery jaws which are closed by camming contact with the mouth of the barrel when the jaws are retracted, and an independently sliding blade which passes between the jaws. The jaws are opened by squeezing a trigger, and the blade is advanced by pressing a lever with the thumb. Forward blade movement is limited by a stop whose position is a function of jaw position, so that the blade cannot strike the jaws, yet always can travel short of contact with the tips of the jaws.