Abstract: Surgical instruments, implantable articles and surgical procedures disclosed for treating medical disorders, particularly incontinence. Improved surgical sling procedures are disclosed. Novel surgical instruments and kits for use in sling procedures are also disclosed. The present invention affords options for surgeons with concomitant advantages to the patient and the healthcare provider.

Abstract: Surgical instruments, implantable articles and surgical procedures disclosed for treating medical disorders, particularly incontinence. Improved surgical sling procedures are disclosed. Novel surgical instruments and kits for use in sling procedures are also disclosed. The present invention affords options for surgeons with concomitant advantages to the patient and the healthcare provider.

Abstract: An anchor assembly for an implantable, pelvic support device includes a body, a collar, and a strand. The body defines a first central longitudinal axis, the collar defines a second central longitudinal axis and is received over the body such that the first central longitudinal axis and the second central longitudinal axis are substantially parallel and laterally offset. The strand extends through the collar and is received between the body and the collar such that the strand is frictionally engaged by the body and the collar. The strand is secured to the implantable, pelvic support device.

Abstract: An incontinence treatment device includes a support, a pump, and anchors each attached to a connection line. The support includes an inflatable bladder and the pump is body-implantable and attachable to the inflatable bladder. The pump is configured to selectively inflate the inflatable bladder to compress the tissue of the urethra. The connection lines are attached to the support. A first anchor is fixed to the first connection line and a second anchor is coupled to the second connection line, where the second anchor is an adjustable anchor. The adjustable anchor is configured to be movable and position-adjustable relative to the second connection line.

Abstract: A method of treating urinary incontinence in a patient includes providing an incontinence treatment device including a first connection line attached to a support, a second connection line attached to the support, and an inflatable bladder attached to the support, with an adjustable anchor coupled to one of the connection lines. The method includes creating a perineal incision in the patient; and directing the adjustable anchor through the perineal incision and inserting the anchor into tissue on one side of the patient. The method includes sliding one of the connection lines through the adjustable anchor and adjusting a position of the support relative to a urethra of the patient.

Abstract: Surgical instruments, implantable articles and surgical procedures disclosed for treating medical disorders, particularly incontinence. Improved surgical sling procedures are disclosed. Novel surgical instruments and kits for use in sling procedures are also disclosed. The present invention affords options for surgeons with concomitant advantages to the patient and the healthcare provider.

Abstract: Surgical instruments, implantable articles and surgical procedures disclosed for treating medical disorders, particularly incontinence. Improved surgical sling procedures are disclosed. Novel surgical instruments and kits for use in sling procedures are also disclosed. The present invention affords options for surgeons with concomitant advantages to the patient and the healthcare provider.

Abstract: An anchor assembly for an implantable, pelvic support device includes a body, a collar, and a strand. The body defines a first central longitudinal axis, the collar defines a second central longitudinal axis and is received over the body such that the first central longitudinal axis and the second central longitudinal axis are substantially parallel and laterally offset. The strand extends through the collar and is received between the body and the collar such that the strand is frictionally engaged by the body and the collar. The strand is secured to the implantable, pelvic support device.

Abstract: A penile prosthetic system includes a pump connected between a reservoir and an inflatable penile implant. The inflatable penile implant includes a cylinder and a distal end portion connected to a distal end of the cylinder along a major longitudinal axis of the cylinder. The distal end portion forms a fluid chamber that is in fluid communication with the cylinder, and a fluid conduit is integrally formed to communicate with the fluid chamber in the distal end portion. The fluid conduit has a minor longitudinal axis that forms an angle with the major longitudinal axis of 5 degrees or less.

Abstract: An incontinence treatment device includes a support, a pump, and anchors each attached to a connection line. The support includes an inflatable bladder and the pump is body-implantable and attachable to the inflatable bladder. The pump is configured to selectively inflate the inflatable bladder to compress the tissue of the urethra. The connection lines are attached to the support. A first anchor is fixed to the first connection line and a second anchor is coupled to the second connection line, where the second anchor is an adjustable anchor. The adjustable anchor is configured to be movable and position-adjustable relative to the second connection line.

Abstract: A method of treating urinary incontinence in a patient includes providing an incontinence treatment device including a first connection line attached to a support, a second connection line attached to the support, and an inflatable bladder attached to the support, with an adjustable anchor coupled to one of the connection lines. The method includes creating a perineal incision in the patient; and directing the adjustable anchor through the perineal incision and inserting the anchor into tissue on one side of the patient. The method includes sliding one of the connection lines through the adjustable anchor and adjusting a position of the support relative to a urethra of the patient.

Abstract: An anatomical augmentation device configured to augment a tubular member of a human body includes an inflatable bladder, a support coupled to the inflatable bladder, and a pump coupleable with the inflatable bladder. The support includes a first connection line and a second connection line that are each attachable to soft tissue to position the inflatable bladder relative to the tubular member of the human body. The device is a body-implantable device and the pump is configured to selectively inflate the inflatable bladder to occlude the tubular member of the human body.

Abstract: A system for repair of a prolapsed organ in a patient includes a support and a deployment instrument having a handle extending from a barrel and a trigger offset from the handle, the trigger is operable to advance the support out of the barrel of the deployment instrument and into the patient.

Abstract: An implantable device for anatomical support includes a sling, a first interconnecting member that is coupled to the sling, and a second interconnecting member that is coupled to the sling. An adjustable anchor is slidably coupled to the first interconnecting member to permit bi-directional movement along the first interconnecting member, and configured to exert a compressive force generating frictional interference between the adjustable anchor and the first interconnecting member, to inhibit the bi-directional movement of the adjustable anchor along the first interconnecting member unless sufficient force is applied to overcome the frictional interference. Also, a fixed anchor is fixedly coupled to the second interconnecting member.

Abstract: An instrument configured to prepare a penis for implantation of a penile prosthetic includes a rigid shaft extending between a proximal end and a distal end that is insertable into the penis, and an expandable member coupled to a distal end portion of the shaft. The expandable member is movable between a first position having a first diameter that is substantially equal to a diameter of the rigid shaft and a second position having a second diameter that is larger than the diameter of the rigid shaft and configured to dilate tissue of the penis.

Abstract: A method of preparing an opening formed in a penis for reception of a penile prosthetic includes measuring a length of the opening formed in the penis with a shaft of an instrument; aspirating a fluid through an orifice formed in a distal end of the shaft; expanding, with the fluid, a balloon that is attached to the shaft; and dilating a diameter of the opening formed in the penis with the expanded balloon.

Abstract: A penile implant includes an inflatable bladder providing a fluid chamber, a distal tip extending from a distal end of the inflatable bladder, and a proximal tip assembly extending from a proximal end of the inflatable bladder. The proximal tip assembly includes a tip core providing a first proximal tip diameter and a tip sleeve disposed over the tip core to provide a second proximal tip diameter that is larger than the first proximal tip diameter. The tip sleeve is removable from the tip core to provide the penile implant with a proximal tip that is convertible between the first and second proximal tip diameters.

Abstract: A pump connected to a body implantable penile prosthesis including a reservoir maintaining a fluid volume that is transferrable into a cylinder of the penile prosthesis is described. The pump includes a pump bulb connected to a pump body that is in fluid communication with the reservoir and the cylinder; an inlet valve operable to allow a portion of the fluid volume to be drawn from the reservoir and delivered into the pump bulb; an exhaust valve operable to allow the portion of the fluid volume delivered into the pump bulb to be pumped into the cylinder; and an anti-autoinflation (AAI) valve disposed in the pump body and comprising a seal that is biased to prevent fluid flow from bypassing the pump bulb and flowing from the reservoir to the cylinder.

Abstract: A minimally invasive surgical instrument for placing an implantable article about a tubular tissue structure is disclosed. The surgical instrument is particularly useful for treating urological disorders such as incontinence. Surgical methods using the novel instrument are also described.

Abstract: A method of preventing inadvertent inflation of an implantable prosthetic includes biasing a valve assembly such that an outlet is substantially closed and using inadvertent pressure increases from the inlet to supplement the biasing of the valve assembly. It may further include the step of preventing fluid flow through the outlet by selectively varying fluid pressure within a bypass passageway having a first end which is in fluid communication with an inlet and a second end which is in fluid communication with a chamber. And, may also additionally include the step of displacing a flexible abutting wall disposed between the chamber and the valve assembly so that the abutting wall is caused to contact the valve assembly and urge the valve assembly into a closed position when the fluid pressure within the chamber exceeds a predetermined amount.