Abstract: An apparatus and method for the treatment of stress urinary incontinence. The apparatus includes a suburethral sling having an adjustment member for adjusting the tension of the sling both during the procedure and post-procedure. The method includes using a needle to simultaneously implant the sling and to deliver a local anesthetic in the groin area while implanting the sling.

Abstract: A system for incisionless transvaginal sacrospinous ligament fixation, the system including an anchoring unit configured to affix a vaginal wall to a sacrospinous ligament; and a piercing tip configured to: pierce said vaginal wall, pierce said sacrospinous ligament, and deploy a first portion of said anchoring unit though said pierced vaginal wall and said pierced sacrospinous ligament, thereby disposing said first portion at said sacrospinous ligament.

Abstract: A method and system for confirming the siting of a surgical procedures prior to starting the procedure. The method is guided by a computer implemented surgery siting system operating in conjunction with at least one tangible component, such as a wearable device. The method and system are designed to confirm sidedness of a surgical procedure prior to initiating the surgical procedure through a series of checks and confirmations both by the computer implemented surgery siting system, and physical location of a wearable device containing machine readable data that correlates with the information accessible by the surgery siting system. The confirmation of the surgical siting is provided by following a series redundant and effective mechanisms that reduce the occurrence of wrong site surgeries.

Abstract: An apparatus and method for the treatment of stress urinary incontinence. The apparatus includes a suburethral sling having an adjustment member for adjusting the tension of the sling both during the procedure and post-procedure. The method includes using a needle to simultaneously implant the sling and to deliver a local anesthetic in the groin area while implanting the sling.

Abstract: A system for incisionless transvaginal sacrospinous ligament fixation, the system including an anchoring unit configured to affix a vaginal wall to a sacrospinous ligament; and a piercing tip configured to: pierce said vaginal wall, pierce said sacrospinous ligament, and deploy a first portion of said anchoring unit though said pierced vaginal wall and said pierced sacrospinous ligament, thereby disposing said first portion at said sacrospinous ligament.

Abstract: An apparatus and method for the treatment of stress urinary incontinence. The apparatus includes a suburethral sling having an adjustment member for adjusting the tension of the sling both during the procedure and post-procedure. The method includes using a needle to simultaneously implant the sling and to deliver a local anesthetic in the groin area while implanting the sling.

Abstract: An inter-vaginal device for performing a uterine suspension includes a rigid body for manipulating the uterus and implanting a suspension member, such as a mesh, for securing the uterus to an anchoring site (e.g., into a pelvic muscle or ligament). In one embodiment, a method includes inserting at least a portion of a uterine suspension member through an anterior or posterior vaginal incision. An end of the suspension member is anchored to a selected portion of a pelvic tissue. At least a portion of the suspension member is attached to a vaginal apex. A uterine manipulator is advanced in a direction toward the selected portion of the pelvic tissue such that at least a portion of a uterus is moved upward.

Abstract: In one embodiment, a method includes securing an implant that includes a pre-formed loop to a vaginal apex. An end of the suture is inserted through a selected portion of a pelvic tissue to dispose at least a portion of the implant within a pelvic region of the patient. The end of the suture is drawn through the loop while simultaneously advancing a uterus to approximate the vaginal apex to the selected portion of pelvic tissue. An apparatus includes an implant and a suture coupled to the implant having a pre-formed loop. configured to receive a portion of a delivery device therethrough. A trocar is coupled to an end of the suture that can be releasably coupled to an end of the delivery device. The trocar can be inserted through a pelvic tissue and drawn through the loop forming a knot to secure the implant to the pelvic tissue.

Abstract: Provided herein is a two-part coupling assembly for re-connecting a first hollow body part to a second body part and an instrument and method for emplacement. The coupling assembly comprises coupling parts having securement elements that are actuated by separate deployment mechanisms of the instrument and attach to the first and second body parts. The first and second coupling parts having interconnecting elements that couple the two-part assembly together and re-connect the first and second body parts.

Abstract: Provided herein is a two-part coupling assembly for re-connecting a first hollow body part to a second body part and an instrument and method for emplacement. The coupling assembly comprises coupling parts having securement elements that are actuated by separate deployment mechanisms of the instrument and attach to the first and second body parts. The first and second coupling parts having interconnecting elements that couple the two-part assembly together and re-connect the first and second body parts.

Abstract: An apparatus houses a plurality of surgical elements, such as needles and sutures, both before and after use. The largest cross-sectional dimension of the housing is preferably less than about 12 mm. In some embodiments, the apparatus includes a substantially rigid housing having a first section that holds a plurality of unused needles and a second section that receives the plurality of needles after use. In other embodiments, the apparatus includes a flexible panel having a plurality of pockets therein, wherein each pocket is configured to house a single needle.

Abstract: A surgical implant and a surgical apparatus for implanting the implant into a subject. The apparatus includes an insertion needle, a retainer fitted over the needle, and a handle for manipulating the needle. The implant includes a mesh sling, a distal anchor, and a proximal anchor, with the mesh held to the needle by the retainer during implantation. In use, the needle is inserted into the subject, the distal and proximal anchors are set, and the retainer is removed to deploy the mesh into place. A tensioning assembly can be manipulated to tension the mesh. In some embodiments, a lumen in the needle is used to deliver an anesthetic to the surgical site and/or an epoxy to the mesh to form anchors.

Abstract: Provided herein is a two-part coupling assembly for re-connecting a first hollow body part to a second body part and an instrument and method for emplacement. The coupling assembly comprises coupling parts having securement elements that are actuated by separate deployment mechanisms of the instrument and attach to the first and second body parts. The first and second coupling parts having interconnecting elements that couple the two-part assembly together and re-connect the first and second body parts.

Abstract: An apparatus houses a plurality of surgical elements, such as needles and sutures, both before and after use. The largest cross-sectional dimension of the housing is preferably less than about 12 mm. In some embodiments, the apparatus includes a substantially rigid housing having a first section that holds a plurality of unused needles and a second section that receives the plurality of needles after use. In other embodiments, the apparatus includes a flexible panel having a plurality of pockets therein, wherein each pocket is configured to house a single needle.

Abstract: An inter-vaginal device for performing a uterine suspension includes a rigid body for manipulating the uterus and implanting a suspension member, such as a mesh, for securing the uterus to an anchoring site (e.g., into a pelvic muscle or ligament). In one embodiment, a method includes inserting at least a portion of a uterine suspension member through an anterior or posterior vaginal incision. An end of the suspension member is anchored to a selected portion of a pelvic tissue. At least a portion of the suspension member is attached to a vaginal apex. A uterine manipulator is advanced in a direction toward the selected portion of the pelvic tissue such that at least a portion of a uterus is moved upward.

Abstract: An apparatus houses a plurality of surgical elements, such as needles and sutures, both before and after use. The largest cross-sectional dimension of the housing is preferably less than about 12 mm. In some embodiments, the apparatus includes a substantially rigid housing having a first section that holds a plurality of unused needles and a second section that receives the plurality of needles after use. In other embodiments, the apparatus includes a flexible panel having a plurality of pockets therein, wherein each pocket is configured to house a single needle.

Abstract: An inter-vaginal device for performing a uterine suspension includes a rigid body for manipulating the uterus and implanting a suspension member, such as a mesh, for securing the uterus to an anchoring site (e.g., into a pelvic muscle or ligament). In one embodiment, a method includes inserting at least a portion of a uterine suspension member through an anterior or posterior vaginal incision. An end of the suspension member is anchored to a selected portion of a pelvic tissue. At least a portion of the suspension member is attached to a vaginal apex. A uterine manipulator is advanced in a direction toward the selected portion of the pelvic tissue such that at least a portion of a uterus is moved upward.

Abstract: In one embodiment, a method includes securing an implant that includes a pre-formed loop to a vaginal apex. An end of the suture is inserted through a selected portion of a pelvic tissue to dispose at least a portion of the implant within a pelvic region of the patient. The end of the suture is drawn through the loop while simultaneously advancing a uterus to approximate the vaginal apex to the selected portion of pelvic tissue. An apparatus includes an implant and a suture coupled to the implant having a pre-formed loop. configured to receive a portion of a delivery device therethrough. A trocar is coupled to an end of the suture that can be releasably coupled to an end of the delivery device. The trocar can be inserted through a pelvic tissue and drawn through the loop forming a knot to secure the implant to the pelvic tissue.

Abstract: An apparatus and method for the treatment of stress urinary incontinence. The apparatus includes a suburethral sling having an adjustment member for adjusting the tension of the sling both during the procedure and post-procedure. The method includes using a needle to simultaneously implant the sling and to deliver a local anesthetic in the groin area while implanting the sling.