Abstract: A sacrocolpopexy support includes a Y-shaped body having a planar base and a pair of legs extending from the planar base, a first interconnecting member coupled to the planar base of the Y-shaped body, and an adjustable anchor coupled to and movable bi-directionally along the first interconnecting member.

Abstract: A vaginal manipulator includes a shaft and a head. The head includes a central plate having a distal end connected to the shaft, an expansion plate coupled to and configured to move radially away from the central plate, and a door having a constrained end and a free end. The constrained end of the door is hinged to the central plate and the free end of the door is configured to move away from the central plate. When the vaginal manipulator is inserted into a vagina, the expansion plate is movable relative to the central plate to displace an anterior wall of the vagina and the door is movable relative to the central plate to displace a posterior wall of the vagina into a trans-abdominal line of sight.

Abstract: A vaginal manipulator includes a shaft, a handle connected to a first end of the shaft, and a head connected to a second end of the shaft. The head includes a rigid anterior surface that moves independently from a rigid posterior surface of the head. When the vaginal manipulator is inserted into a vagina, the rigid anterior surface is movable to displace an anterior wall of the vagina and the rigid posterior surface is movable to displace a posterior wall of the vagina. A light source is provided on the head.

Abstract: A surgical device includes a rigid shaft connected between a handle and a head. The head of the surgical device is sized for insertion into an organ such as a vagina, a uterus, a rectum, or an esophagus. The head includes an expansion plate and a door coupled to a central plate. The central plate has a distal end connected to the rigid shaft, an anterior surface, and a recess formed in a posterior side of the central plate that provides a posterior surface opposite the anterior surface. The expansion plate is coupled to and movable relative to the anterior surface of the central plate. The door is coupled disposed within the recess of the central plate and movable relative to the posterior surface of the central plate. The expansion plate is movable independently of the door to allow the head to expand and move the organ.

Abstract: A method of implanting a fabric into a body to repair a pelvic floor includes preventing wrinkle formation in the fabric with a bio-absorbable support, and implanting the bio-absorbable support and the fabric into the body.

Abstract: A method of treating prolapse of a vagina includes securing a base of a support to tissue by inserting an anchor into the tissue, the anchor coupled to the support via an interconnecting member, securing a leg of the support that extends from the base of the support to a cuff of the vagina, and adjusting elevation of the cuff of the vagina relative to a patient's sacrum by sliding the interconnecting member relative to the anchor.

Abstract: A method of anchoring a support material to tissue includes forming an incision in a urogenital triangle of a patient for access to a pelvis of the patient; inserting a body portion of an anchor into a lumen in a cannula and having a spine portion of the anchor extending radially out of a wall of the cannula; and inserting a leading end of the cannula and the anchor into the incision. The method includes pushing the leading end of the cannula into periosteum tissue of the pelvis; engaging the spine portion of the anchor with the periosteum tissue; withdrawing the leading end of the cannula from the incision and leaving the anchor engaged in the periosteum tissue; and securing the support material to a suture that is attached to the anchor. The method includes delivering the support material through the incision to the pelvis.

Abstract: An incontinence treatment system for a male patient includes a support, a brace attachable to the support, and an introducer provided to deliver an anchor through the support and into periosteum tissue over a pubic bone of the pelvis of the male patient. The brace includes a base portion, a first post extending from the base portion and a second post extending from the base portion. A first hanger is attached to an end portion of the first post and a second hanger attached to an end portion of the second post. A first slot is formed between the end portion of the first post and the first hanger and a second slot formed between the end portion of the second post and the second hanger. The hangers are insertable into pockets formed in a pair of longitudinal arms of the support.

Abstract: A surgical system includes an anchor and an introducer provided to deliver the anchor into tissue. The anchor includes a body having a pointed leading end that is configured to pierce the tissue, a spine projecting radially away from the body and having a width and a height configured to allow the spine to engage with the tissue, an eyelet attached to a trailing end of the body, and a length of suture attached to the eyelet. The introducer includes a cannula with a pointed distal end, an opening formed in the cannula that is sized to receive the body of the anchor, and a slot formed in a wall of the cannula at a distal end portion of the cannula and sized to receive the width of the spine.

Abstract: A vaginal manipulator includes a head, a tissue index, a door, and a head extender. The head has a first end connected to a distal end of a shaft and a distal end opposite of the first end, and an anterior side opposite a posterior side. The anterior side of the head has a first lateral edge opposite of a second lateral edge, where the first and second lateral edges of the anterior side of the head extend between the first end and the distal end of the head. The tissue index is attached to the head. The door has a pivot portion attached to a distal portion of the head and a free portion that is movable away from the first end of the head. The head extender attached to the distal end of the head and configured to provide manipulation and control of an apex the vagina.

Abstract: A vaginal manipulator includes a head with a tissue index, a door, and a head extender that are attached to the head. The head has an anterior side opposite a posterior side. The tissue index has a first arm that is slidingly engaged with a first groove formed in a first lateral edge of the head, a second arm that is slidingly engaged with a second groove formed in a second lateral edge of the head, and a rib connected between the first and second arms and disposed laterally across the anterior side of the head. The door is coupled to and movable relative to the posterior side of the head. The head extender is removably attached to a distal end of the head.

Abstract: A method of implanting a support in a patient includes providing an anchor introducer that is wearable on a finger, and wearing the anchor introducer on the finger and positioning the anchor introducer such that at least a distal tip of the finger is available for palpating tissue internal to the patient. The method also includes attaching an anchor to the anchor introducer, and inserting the finger that is wearing the anchor introducer into an incision and palpating a tissue landmark inside a pelvis of the patient with the distal tip of the finger. The method additionally includes driving the anchor into the tissue landmark inside the pelvis of the patient, detaching the anchor from the anchor introducer, associating the support with the anchor, and securing the support to the tissue landmark inside the pelvis of the patient.

Abstract: A vaginal manipulator includes a head with a tissue index, a door, and a head extender that are attached to the head. The head has an anterior side opposite a posterior side. The tissue index has a first arm that is slidingly engaged with a first groove formed in a first lateral edge of the head, a second arm that is slidingly engaged with a second groove formed in a second lateral edge of the head, and a rib connected between the first and second arms and disposed laterally across the anterior side of the head. The door is coupled to and movable relative to the posterior side of the head. The head extender is removably attached to a distal end of the head.

Abstract: A vaginal manipulator includes a head with a door and a head extender attachable to the head. A shaft is connected between a handle of the manipulator and the head. The head includes a proximal end that is connected to the shaft and a distal end opposite the proximal end, an anterior side opposite a posterior side, and a recess formed in the posterior side of the head. The shaft is curved to locate the anterior side of the head closer to the handle than the posterior side of the head is to the handle. The door is disposed in the recess and has a pivot portion connected to the head and a free portion opposite the pivot portion that is movable into and out of the recess. The head extender is removably attached to the distal end of the head.

Abstract: A digital suture fixation system includes an anchor, an introducer that is attachable to a finger of a person such that at least a distal tip of the finger is available to palpate tissue and identify a landmark within a patient, and a delivery device attached to the introducer. The anchor is removably attached to the delivery device. The anchor is exposed on an exterior of the delivery device and the delivery device is positioned to allow the finger to push the anchor into the landmark.

Abstract: A vaginal manipulator includes a shaft, a handle connected to a first end of the shaft, and a head connected to a second end of the shaft. The head includes a rigid anterior surface that moves independently from a rigid posterior surface of the head. When the vaginal manipulator is inserted into a vagina, the rigid anterior surface is movable to displace an anterior wall of the vagina and the rigid posterior surface is movable to displace a posterior wall of the vagina. An index is provided on the head to locate a suture placement position a calculated distance away from a leading proximal end of the head.

Abstract: A surgical device includes a rigid shaft connected between a handle and a head. The head of the surgical device is sized for insertion into an organ such as a vagina, a uterus, a rectum, or an esophagus. The head includes an expansion plate and a door coupled to a central plate. The central plate has a distal end connected to the rigid shaft, an anterior surface, and a recess formed in a posterior side of the central plate that provides a posterior surface opposite the anterior surface. The expansion plate is coupled to and movable relative to the anterior surface of the central plate. The door is coupled disposed within the recess of the central plate and movable relative to the posterior surface of the central plate. The expansion plate is movable independently of the door to allow the head to expand and move the organ.

Abstract: A vaginal manipulator includes a shaft and a head. The head includes a central plate having a distal end connected to the shaft, an expansion plate coupled to and configured to move radially away from the central plate, and a door having a constrained end and a free end. The constrained end of the door is hinged to the central plate and the free end of the door is configured to move away from the central plate. When the vaginal manipulator is inserted into a vagina, the expansion plate is movable relative to the central plate to displace an anterior wall of the vagina and the door is movable relative to the central plate to displace a posterior wall of the vagina into a trans-abdominal line of sight.

Abstract: A vaginal manipulator includes a shaft, a handle connected to a first end of the shaft, and a head connected to a second end of the shaft. The head includes a rigid anterior surface that moves independently from a rigid posterior surface of the head. When the vaginal manipulator is inserted into a vagina, the rigid anterior surface is movable to displace an anterior wall of the vagina and the rigid posterior surface is movable to displace a posterior wall of the vagina. A light source is provided on the head.

Abstract: A method of treating Peyronie's disease manifested in an erect penis having a first penis side with an unaffected length and a second penis side with an affected length that is shorter than the unaffected length includes attaching an elastic device subcutaneously to the first penis side; and providing the elastic device with a stretch stop that limits elongation of the first penis side to an erection distance that is approximately equal to the affected length of the erect penis.