Abstract: A method of treating urinary incontinence of a patient by introducing a surgical implant through a vaginal incision. The surgical implant includes a suburethral support having first and second suspending members and first and second tissue anchors. The width of each suspending member is less than the width of the suburethral support. Each tissue anchor has a conical tip and is coupled with a respective one of the first and second suspending members. The first and second tissue anchors are inserted into tissue on first and second sides, respectively, of a urethra of the patient without penetrating an abdominal wall. A position of the suburethral support relative to the patient's urethra is adjusted, including pulling the second suspending member through the patient's vagina to adjust the distance between the suburethral support and the second anchor, after which the distance between the suburethral support and the second anchor is fixed.

Abstract: A pelvic implant having a central support portion, and a plurality of extension members, is provided. The extension members can be positioned or extend from the central support portion in opposing pairs. The extension members are generally attached to the central support portion at respective junctions (e.g., via rivets), and sheaths or covers can be employed to cover at least a length or portion of the extension members. Further, one or more spanning members can extend from a first of the opposed and paired extensions to the opposing extension, e.g., under or across the central portion and the respective junctions to provide additional tensile strength for the implant during deployment or implantation.

Abstract: A sacrocolpopexy mesh that includes lateral support to improve vaginal contact during colpopexy and to prevent slipping.

Abstract: The present invention is directed to, in one aspect, a medical apparatus having a nasogastric tube with hypopharyngeal suctioning capability. In one embodiment, the medical apparatus has a flexible nasogastric tube for insertion through a patient's nose. The nasogastric tube has a first end defining a first opening, a distal, second end that defines a second opening, and a length sufficient to allow the second opening to be positioned in a patient's stomach. The medical apparatus also has a flexible oropharyngeal tube for insertion through a patient's mouth. The oropharyngeal tube has a first end and a distal, second end that defines a suction intake. The oropharyngeal tube has a length that is less than the length of the nasogastric tube and which allows the suction intake to be positioned in a patient's hypopharynx region. In another embodiment of the invention, the medical apparatus has a laryngeal mask with hypopharyngeal suctioning capability.

Abstract: An implantable article and method are disclosed for treating pelvic floor disorders such as vaginal vault prolapse. A surgical kit useful for performing a surgical procedure such as a sacral colpopexy is also described.

Abstract: A method of treating urinary incontinence includes making an incision and exposing urethral tissue in a patient and employing a tool to place an implant into the incision. The method also includes coupling a first end of the implant to the tool and directing the tool and the first end of the implant through a first obturator foramen of the patient and following the same approach on a contralateral side of the patient thus suspending the implant between the first obturator foramen and the second obturator foramen of the patient. The method additionally includes elevating a urethra of the patient with a central portion of the implant, and securing the first end of the implant relative to a first descending ramus of the patient and securing the second end of the implant relative to a second descending ramus of the patient.

Abstract: Provided are artificial muscle patches, which are adapted to be implanted adjacent a patient's heart, and artificial sphincter cuffs, which are adapted to be implanted around a body lumen, such as the urethra, the anal canal, or the lower esophagus. The devices of the present invention comprise: (a) one or more electroactive polymer actuators; and (b) a control unit for electrically controlling the one or more electroactive polymer actuators to expand or contract the devices.

Abstract: A pelvic non-folding hammock implant is provided. Such an implant can be constructed of a polymer material to provide an implant portion, e.g., support portion, having one or more extending and independent teeth-like features defining a fold control portion in a generally comb-like construct. The individual teeth resist folding by providing independently reacting extensions along the fold control portion.

Abstract: A surgical device for use in a minimally invasive procedure to treat urinary incontinence can include a dilator coupled to a curved needle at one end and a sling at the opposite end. Urinary incontinence can be treated minimally invasively. One treatment includes positioning the sling on an anterior portion of the urethra to provide proper coaptation to the urethra.

Abstract: A flexible membrane is situated within a rigid or semi-rigid cap. The edge of the cap wall is adhesively fixed to the tissue surrounding the stoma. The interior of the cap is pressurized to press the membrane to seal the stoma against the discharge of solid and semi-solid waste. Gas escapes through a vent with a filter element. The cap can be pressurized by an external pump or an integral pump member situated on top of the cap. A relief valve prevents over pressurization. A collection pouch can be provided as part of a device. The device can be removably mounted on a standard two-piece faceplate.

Abstract: A system for supporting the urethra using an introducer needle, the ends of which are flattened and which have openings therethrough, a handle having a latch mechanism which engages the opening in the flattened portion of the first end of the introducer needle, an implant, and a connector joining the end of the implant to the flattened portion of one of the ends of the introducer needle. These components are used to draw the implant into position, either through vaginal or abdominal incisions, to form a U-shaped loop beneath the urethra. The ends of the implant are adjusted to provide proper support for the urethra. The implant can have slits that open under applied tensile force.

Abstract: An anal incontinence disease treatment apparatus and method include and use an operable restriction device implanted in a patient and engaging the colon or engaging the rectum to form a restricted fecal passageway in the colon or rectum. A source of energy for energizing the restriction device is provided, as well as a control device for releasing energy from the source of energy from outside the patient's body. The released energy is used in connection with the operation of the restriction device, i.e. to enlarge and contract the fecal passageway to allow or substantially prevent passage of fecal material through the passageway.

Abstract: A urinary incontinence treatment apparatus comprises an operable restriction device (4) to be implanted in a patient for engaging the urethra (66) or urine bladder, to form a restricted urine passageway in the urethra or urine bladder. The restriction device is operable to change the restriction of the urine passageway. An energy transmission device (10) is provided for wireless transmission of energy from outside the patient's body to inside the patient's body for use in connection with the operation of the restriction device including enlarging or restricting the urine passageway.

Abstract: Surgical articles, implants and components suitable for a transobturator surgical procedure are described.

Abstract: Surgical instruments for prolapse repair are disclosed. The surgical instruments have straight portions and helical portions.

Abstract: The invention, in one embodiment, is directed to systems and methods for adjusting support to an anatomical location using an expandable chamber.

Abstract: The present disclosure is generally directed to surgical articles useful for implanting support members in patients. The articles disclosed herein include a support member, such as a sling for urinary incontinence, tissue anchors, filamentary elements for associating the support member with the anchors, and introducer needles for placing the anchors in a patient. The support members can also be configured for use in pelvic floor repair, such as for treating cystoceles, rectoceles, and enteroceles.

Abstract: A flexible membrane is situated within a rigid or semi-rigid cap. The edge of the cap wall is adhesively fixed to the tissue surrounding the stoma. The interior of the cap is pressurized to press the membrane to seal the stoma against the discharge of solid and semi-solid waste. Gas escapes through a vent with a filter element. The cap can be pressurized by an external pump or an integral pump member situated on top of the cap. A relief valve prevents over pressurization. A collection pouch can be provided as part of a device. The device can be removably mounted on a standard two-piece faceplate.

Abstract: In a method of treating urinary incontinence, fecal incontinence, constipation and/or pathological retention of urine, at least one electrode of a lead is implanted in contact with a pelvic muscle of the patient. A proximal end of the lead is connected to a hermetically sealed implantable stimulator device configured to apply an electrical waveform through the at least one electrode. The electrical waveform is delivered from the stimulator device to the pelvic muscle through the lead and the at least one electrode. The electrical waveform provides at least partial relief from at least one of urinary incontinence, fecal incontinence, constipation and pathological urine retention.

Abstract: A method of treating incontinence includes inserting a rigid implant peri-urethrally into a patient, aligning a longitudinal axis of the rigid implant substantially parallel to a urethra of the patient, and limiting mobility of the urethra with the rigid implant.

Abstract: An incontinence treatment device includes a urethral support and first and second connectors. The urethral support extends between a first end and a second end and has porosity that is configured to allow tissue in-growth through the urethral support. The first connector is attached to the first end of the urethral support and the second connector is attached to the second end of the urethral support. At least one of the first connector and the second connector is a cross-linked polymer connector having a glass transition temperature between 40-70 degrees Celsius. The cross-linked polymer connector has an initial length that is elongated to an implant length that is greater than the initial length. Means for heating the cross-linked polymer connector from an extracorporeal location through intact skin is provided, thereby shortening the cross-linked polymer connector.

Abstract: A sacrocolpopexy support includes a body having a base and a leg extending from the base that is attachable to a cuff of a vagina, a first interconnecting member coupled to the base of the sacrocolpopexy support, and an adjustable anchor attachable to a ligament. The adjustable anchor is slidably coupled to the first interconnecting member to permit bi-directional movement along the first interconnecting member and is configured to exert a compressive force generating frictional interference with the first interconnecting member so as to inhibit the bi-directional movement of the adjustable anchor along the first interconnecting member until sufficient force is applied to overcome the frictional interference.

Abstract: Devices and methods for augmenting or otherwise enhancing closure of body lumens comprise magnetic or magnetizable components or particles which are implanted in the wall of the lumen. The magnet fields exerted by the components or particles act to close the body lumen with a desired force.

Abstract: Described are surgical instruments for use in surgical procedures, related methods, systems, and kits, the instruments including features that optionally include one or more specific dimensions, and features that may result in an ergonomic advantage during use.

Abstract: A controlled evacuation ostomy appliance comprises a membrane that is urged into sealing engagement with a stoma, by the generation of radial tension in the membrane. A tensioning device applies tension, with respect to the stoma, at one or more positions that are (i) outboard of the periphery of the projecting portion of the stoma, and/or (ii) between the level of the peristomal skin and the level of the most projecting part of the stoma. Tension limiting means are disclosed. The membrane may be gas-permeable to allow flatus to be vented.

Abstract: Devices and methods for augmenting or otherwise enhancing closure of body lumens comprise magnetic or magnetizable components or particles which are implanted in the wall of the lumen. The magnet fields exerted by the components or particles act to close the body lumen with a desired force.

Abstract: A perianal support device is provided that is configured to inhibit the formation and/or progression of tissue damage in the perianal region of the body. A method is provided to apply the perianal support device to patients during childbirth to inhibit the formation and/or progression of tissue damage in the perianal region of the body.

Abstract: Described are devices, implants and kits for treating incontinence in a male or female.

Abstract: An implantable incontinence device and method provides for occluding the urethra in preventing urine leakage. The device includes an occluding member connected to a control mechanism. The occluding member is movable from a contracted (occlusive) condition to an expansive (non-occlusive) condition by activating and deactivating the control mechanism. A drug coating is disposed on a portion of the implantable incontinence device. The drug coating elutes a bioaffecting or pharmaceutical composition to minimize capsular tissue formation, so that prevention of urine leakage can be facilitated.

Abstract: An apparatus for repairing cystocele including an adjustable support member, a pair of superior support arms continuously knitted with said support member, and a pair of inferior support arms continuously knitted with said support member, wherein the distance between the pair of superior support arms and pair of inferior support arms can be increased or decreased by modifying the shape of the support member.

Abstract: A surgical instrument for treating incontinence includes a handle portion elongate along a handle axis and a needle portion connected to the handle portion. The needle portion has a spacer portion along the handle axis, and has a distal end. The needle portion includes a substantially helical portion that is a variable spiral portion, extending from the straight spacer portion. The variable spiral portion is sized and shaped to extend from an incision substantially adjacent the patient's obturator foramen through the obturator foramen along a path in a region between the superior pubic ramus and the inferior pubic ramus. The needle portion has a structure near the distal end that associates the instrument with an implantable material configured to treat incontinence.

Abstract: The invention relates to a cerclage device in which the following components form a single part, namely: a main resilient body (1) and a closure tongue (2) including one end (20) and a plurality of blunt longitudinal teeth (8) that are inserted through a locking aperture (5) provided at the end (11) of the main body opposite to the closure tongue, such that the aforementioned main body essentially forms a ring encircling a portion of the intestinal rectum. The main body (1) is a hollow section or tube having a laminar side wall with perforations (3) that increase the elasticity thereof Moreover, the end (10) of the body from which the closure tongue extends is adapted to be inserted through the opposite end (11) of the main body and when the closure tongue passes through the locking aperture (5) the tongue lies parallel to a portion of the thick wall (12) of the body (1).

Abstract: Methods and implant materials are provided for treating urinary incontinence. The methods may include providing a composition that includes at least one pharmaceutically active formulation capable of retropubic fat dissolution; and introducing the composition into the retropubic space, preferably via a minimally invasive procedure, to contact adjacent tissue and promote dissolution of retropubic fat therein and consequent induction of adhesions. The implant material for treating urinary incontinence may include at least one pharmaceutically active detergent for promoting retropubic fat dissolution; and a biodegradable carrier material, wherein the implant material is sized and shaped for placement within a patient's retropubic space. The implant material may further include an auxiliary adhesion-promoting material.

Abstract: Disclosed are single-incision surgical procedures for treatment of urinary incontinence and/or pelvic floor disorders and related uses, devices, kits, and methods. Implants are also disclosed for use in the exemplary procedures. In certain embodiments, soft tissue anchors are used to anchor the surgical implants to obturator membranes of a patient.

Abstract: An implantable article and method are disclosed for treating pelvic floor disorders such as vaginal vault prolase. A surgical kit useful for performing a surgical procedure such as a sacral colpopexy is also described.

Abstract: The invention, in various embodiments, provides systems, devices, and methods for treating urinary incontinence.

Abstract: The present invention provides a surgical implant and method for supporting the urethra, the implant comprising a suburethral support suspended between two soft tissue anchors that do not penetrate the lower abdominal wall and are attached at either side of the suburethral support. The soft tissue anchors retain each anchor in soft tissue, suspending each side of the suburethral support. The suburethral support passes under the urethra to support the urethra. The implant has uses including treating urinary incontinence and uterovaginal prolapse.

Abstract: A urethra support having an elongated mesh tape portion and a mesh extension affixed to the tape portion transverse thereto. In accordance with a method of the invention, the urethra support is inserted into the lower pelvic cavity of a patient with the tape portion forming a sling extending beneath and supporting the urethra of the patient. In this position, the tape portion is generally perpendicular to the urethra. The extension is inserted into the peri-urethral fascia along at least a portion of the length of the urethra. This induces the formation of scar tissue proximate the extension, with the scar tissue eventually contracting thereby compressing the urethra.

Abstract: A sling in accordance with the invention includes a synthetic material and a non-synthetic material positioned adjacent thereto. The non-synthetic material may be wrapped around or may be attached to the synthetic material. Additionally, the non-synthetic material may include slits. Methods for making such slings are also described.

Abstract: Surgical articles, implants and components suitable for a transobturator surgical procedure are described.

Abstract: Disclosed is a tension delivery device for preventing urinary incontinence, which includes: Retzius space-insertion portions which are respectively to be inserted into the Retzius spaces positioned on the left side and right side of the urethra and move in response to the pressure or the Retzius spaces; and a urethral support portion which extends convergently from the Retzius space-insertion portions and serves to support the urethra upward, wherein the lateral cross section of the urethral support portion becomes thinner from Retzius space-insertion portions toward the distal end, and a mesh structure may be provided along the outer surface of the tension transfer device.

Abstract: The present invention provides a urethral prosthesis including a first and a second arm that join to form a junction, and a stem that is also joined to the junction. The junction is adapted to exert sufficient pressure on a portion of a patient's urethra to prevent unintentional voiding of the patient's bladder. However, upon exerting a tension force on the stem, the pressure exerted by the junction is reduced such that the patient's bladder may be intentionally voided.

Abstract: The invention, in one embodiment, is directed to systems, devices and methods for supporting an anatomical location using a self-supporting implantable device without a need for an anchor.

Abstract: This application relates to a sling for treatment of urinary incontinence. The sling includes arms having a series of three-dimensional subunits that are shaped and sized such that, when implanted in the human body, the sling is held more securely in the intended location than a sling that is held in place solely by sutures. The application is also directed to a surgical kit containing at least one sling and at least one instrument for implanting the sling.

Abstract: A novel method of treating female incontinence by use of nonablative, broadband near-infrared light applied to seven defined treatment areas of the female external genitalia to achieve skin reduction and improve skin tone of the urethra and the supportive tissues surrounding the urethra, thereby treating urinary incontinence by improving both intrinsic and extrinsic urethral support non-surgically, non-invasively, without pain, without anesthesia and without recovery time. This method represents the first use of this technology as a medical treatment, outside of cosmetic use. This method solves the problems related or inherent to surgical treatment options for female incontinence because the advantage of this technology, with light penetration just 1 to 3 mm into the skin, is that there is no cutting or trauma to the skin and there is no potential for complications such as urethral scarring, over-correction, over-tightening or obstruction.

Abstract: Systems and surgical methods and procedures for performing transvaginal apical suspension are provided.

Abstract: An anterior implant adapted to treat central and lateral cystoceles present in a female patient includes laterally extending stabilizing straps for supporting the implant between the patient's bladder and vagina independently of the patient's arcus tendineous fascia pelvis. Rectocele and hysterocele repairs can be carried out using, a single posterior implant which, like the anterior implant, is provided with laterally extending stabilizing straps for supporting the implant between the patient's rectum and vagina.

Abstract: An anterior implant adapted to treat central and lateral cystoceles present in a female patient includes laterally extending stabilizing straps for supporting the implant between the patient's bladder and vagina independently of the patient's arcus tendineous fascia pelvis. Rectocele and hysterocele repairs can be carried out using a single posterior implant which, like the anterior implant, is provided with laterally extending stabilizing straps for supporting the implant between the patient's rectum and vagina.

Abstract: An implantable sling for the treatment of male or female incontinence and method of implementing the same. The sling comprises a urethral support portion and at least one anchoring portion extending therefrom. The anchoring portion is operatively positioned through the obturator foramen and about at least one ramus portion of the pelvis such that the support portion of the implant is operatively positioned at or distal to the bulbar urethra (male) or mid-urethral region (female) to treat urinary incontinence. In a preferred embodiment, the implant will have first and second anchoring portions extending from the support portion with each respective one of said anchoring portions being operative to be secured about dedicated ones of the patient's pubic ramus. The implants may further be fabricated from tissues, synthetic materials or combinations thereof.

Abstract: The invention relates to a device for the prevention of incontinence, especially urinary incontinence, with an expandable balloon (3) that is connected to at least one fluid conduit (6) by means of which the volume of the balloon (3) can be adjusted. The band is embodied as a porous tube (1). The balloon (3) is located inside the porous tube.