Abstract: A sexual aid useful for men that have some degree of erectile dysfunction. The device inflates to provide rigidity for sexual intercourse, or to assist in maintaining an erection. Inflation of the device according to the invention results from the reaction of non-toxic chemicals. The gas inflates a condom and supports the condom in a posture that is sufficiently rigid to facilitate sexual intercourse or inflates a constriction ring and holds blood in the penis that may maintain sufficient erectile function to facilitate sexual intercourse.

Abstract: A method for delivering a graft or synthetic mesh for anatomical repair to the repair site, with the graft or synthetic mesh in position for attachment to repair the defect. A plurality of spaced apart, flexible fingers is connected to the graft or synthetic mesh. The flexible fingers are initially in a position that is generally parallel to a direction of travel of the actuator. The actuator moves the plurality of flexible fingers from the initial to form a radial array, which opens or extends the graft or synthetic mesh. The graft or synthetic mesh may then be attached. A novel trocar is disclosed that is useful with the device. A measuring device including a measuring scale that is useful for determining the required size of the graft is also disclosed.

Abstract: A medical device includes a filament having a first end portion and a second end portion. The first end portion of the filament is coupled to a needle. The medical device also includes an energy delivery device. The energy delivery device has a first arm and a second arm. The energy delivery device is configured to delivery energy to a portion of the filament when the portion of the filament is disposed between the first arm and the second arm.

Abstract: A medical device includes a filament having a first end portion and a second end portion. The first end portion of the filament is coupled to a needle. The medical device also includes an energy delivery device. The energy delivery device has a first arm and a second arm. The energy delivery device is configured to delivery energy to a portion of the filament when the portion of the filament is disposed between the first arm and the second arm.

Abstract: In a generic aspect, an apparatus for delivering attachment devices includes a needle defining a lumen and a distal opening, and a plurality of attachment devices disposed within the lumen of the needle. Each attachment device includes a first attachment part, a second attachment part, and a connecting member coupled to the first attachment part and the second attachment part. The apparatus further includes an actuator configured to drive each attachment device out of the distal opening of the needle during a surgical procedure.

Abstract: A method for delivering a graft or synthetic mesh for anatomical repair to the repair site, with the graft or synthetic mesh in position for attachment to repair the defect. A plurality of spaced apart, flexible fingers is connected to the graft or synthetic mesh. The flexible fingers are initially in a position that is generally parallel to a direction of travel of the actuator. The actuator moves the plurality of flexible fingers from the initial to form a radial array, which opens or extends the graft or synthetic mesh. The graft or synthetic mesh may then be attached. A novel trocar is disclosed that is useful with the device. A measuring device including a measuring scale that is useful for determining the required size of the graft is also disclosed.

Abstract: A medical device includes a filament having a first end portion and a second end portion. The first end portion of the filament is coupled to a needle. The medical device also includes an energy delivery device. The energy delivery device has a first arm and a second arm. The energy delivery device is configured to delivery energy to a portion of the filament when the portion of the filament is disposed between the first arm and the second arm.

Abstract: In a generic aspect, an apparatus for delivering attachment devices includes a needle defining a lumen and a distal opening, and a plurality of attachment devices disposed within the lumen of the needle. Each attachment device includes a first attachment part, a second attachment part, and a connecting member coupled to the first attachment part and the second attachment part. The apparatus further includes an actuator configured to drive each attachment device out of the distal opening of the needle during a surgical procedure.

Abstract: An enteral feeding tube provides a conduit for the flow of liquid nutritional material. Most of the enteral feeding tube that is external to the patient is generally horizontal when the device is positioned in a stoma of a user lying in a prostrate position. A housing surrounds the horizontal portion enteral feeding tube, provides a low profile, aids in holding the enteral feeding tube in place, and protects the enteral feeding tube. The bottom surface of the housing comprises a resilient material that contacts the skin of the patient. The enteral feeding tube comprises a balloon that is positioned in the stomach to retain the device in the stomach. An air conduit extends generally vertically from an upper portion of the housing and through the enteral feeding tube to communicate with the balloon.

Abstract: Method for implanting a percutaneous endoscopic jejunostomy tube in a patient and access needle for use in the method. In one embodiment, the method comprises the steps of (a) providing an access needle wherein the distal end of the stylet extends distally for an appreciable distance beyond the distal end of the cannula; (b) inserting the stylet, but not the cannula, into the jejunum; (c) grabbing the stylet with an endoscopically-positioned snare; (d) anchoring the jejunum against the abdominal wall using the snared stylet; (e) loosening the snare slightly while advancing the cannula into the jejunum and into the loosened snare; (f) tightening the snare around the cannula; (g) removing the stylet from the cannula; (h) inserting a guide wire or suture through the cannula into the jejunum; and (i) proceeding in the conventional fashion to implant a PEJ tube into the patient using the guide wire or suture.

Abstract: A protective sheath for protecting elongated medical devices positioned in, or through, the sheath while performing a surgical procedure. The sheath is formed of a thin, flexible material that provides and maintains a clean and sterile and reliable path for medical instruments to travel within. The device provides a barrier between a medical instrument, the orifice/opening in which the instrument enters the human body, and the path these instruments travel to other body organs or locations, and reduces unwanted translocation.

Abstract: An enteral feeding tube provides a conduit for the flow of liquid nutritional material. Most of the enteral feeding tube that is external to the patient is generally horizontal when the device is positioned in a stoma of a user lying in a prostrate position. A housing surrounds the horizontal portion enteral feeding tube, provides a low profile, aids in holding the enteral feeding tube in place, and protects the enteral feeding tube. The bottom surface of the housing comprises a resilient material that contacts the skin of the patient. The enteral feeding tube comprises a balloon that is positioned in the stomach to retain the device in the stomach. An air conduit extends generally vertically from an upper portion of the housing and through the enteral feeding tube to communicate with the balloon.

Abstract: Method for implanting a percutaneous endoscopic jejunostomy tube in a patient and access needle for use in the method. In one embodiment, the method comprises the steps of (a) providing an access needle wherein the distal end of the stylet extends distally for an appreciable distance beyond the distal end of the cannula; (b) inserting the stylet, but not the cannula, into the jejunum; (c) grabbing the stylet with an endoscopically-positioned snare; (d) anchoring the jejunum against the abdominal wall using the snared stylet; (e) loosening the snare slightly while advancing the cannula into the jejunum and into the loosened snare; (f) tightening the snare around the cannula; (g) removing the stylet from the cannula; (h) inserting a guide wire or suture through the cannula into the jejunum; and (i) proceeding in the conventional fashion to implant a PEJ tube into the patient using the guide wire or suture.

Abstract: An improved mechanism for attaching a feeding tube to a feeding delivery system is presented. The feeding delivery system is attached to an elongated connecting member that is pivotally attached to a bolster. After attachment, the elongated connecting member is rotated to engage another tube at the base of the pivot. Before pivoting, the passageway is blocked by the interference of the elongated connecting member. As the elongated connecting member is rotated, the conduit system aligns and becomes a passageway to and from the stomach. The device provides a three part rigid plastic fit that does not wear out over a number of uses. The device prevents splash events, which occur when a feeding adapter is opened or when the adapter or valve is forced open by a cough or gastric pressure build up.

Abstract: A catheter assembly including a foldable internal bolster. According to one embodiment, the catheter assembly includes a catheter, a first flexible filament and a second flexible filament. The catheter includes a tubular body and a pair of flexible legs. The tubular body is a generally cylindrical member shaped to include a proximal end, a distal end, a longitudinal lumen, a pair of external notches, a first bore extending from the proximal end to one of the notches, and a second bore extending from the proximal end to the other of the notches. Each of the flexible legs has a fixed end and a free end, the fixed end being integrally formed on the distal end of the tubular body. One end of the first filament is fixed to one of the flexible legs, and the opposite end of the first filament is slidably inserted up through the first bore. One end of the second filament is fixed to the other of the flexible legs, and the opposite end of the second filament is slidably inserted up through the second bore.

Abstract: An intragastric catheter provides satiety due to its presence in the stomach cavity. Efficacy is improved by the tactile sensation provided by a plurality of fingers that extend from the device. Normal peristaltic action upon the device moves the fingers relative to the stomach. The structure of the intragastric catheter reduces the level of precision required in placement of the device, and blockage of conduits to and from the stomach by the device is unlikely.

Abstract: A universal percutaneous endoscopic gastrostomy (PEG) tube that may be used with either the push or the pull insertion method. A loop extends from the tube. A void is formed in the tube at or near the proximal end of the tube. The void communicates with the internal void that acts as a conduit for material that is transported by the tube. The tube of the invention provides the option of changing technique from push method to pull method, or from pull method to push method. The device provides a mechanism at the tip or at mid catheter, thereby allowing for change over of method.

Abstract: A balloon is inflated with a flowable material that is semi-solid, or sets and becomes solid after it has entered the balloon. The flowable material is injected into the balloon through the balloon port, enters the balloon, and inflates the balloon. The viscosity of the material, or the solid nature of the material after it sets and solidifies, provides a lower anchor for a device that extends percutaneously into the body, such as a feeding tube.

Abstract: A catheter assembly including a foldable internal bolster. According to one embodiment, the catheter assembly includes a catheter, a first flexible filament and a second flexible filament. The catheter includes a tubular body and a pair of flexible legs. The tubular body is a generally cylindrical member shaped to include a proximal end, a distal end, a longitudinal lumen, a pair of external notches, a first bore extending from the proximal end to one of the notches, and a second bore extending from the proximal end to the other of the notches. Each of the flexible legs has a fixed end and a free end, the fixed end being integrally formed on the distal end of the tubular body. One end of the first filament is fixed to one of the flexible legs, and the opposite end of the first filament is slidably inserted up through the first bore. One end of the second filament is fixed to the other of the flexible legs, and the opposite end of the second filament is slidably inserted up through the second bore.

Abstract: A method of sequentially transitioning a thermally active shape memory device progressively translocates the thermally active shape memory device through a first controlled temperature zone and through an additional controlled temperature zone. The thermally active shape memory device is thermally transitioned and changed in geometric shape as a result of thermal communication of the shape memory device with either or both of the controlled temperature zones to produce a transitioned thermally active shape memory device. Novel devices produced according to the method are also disclosed.