Abstract: Various surgical assemblies are provided, one embodiment of which includes a substantially flat template having first and second opposed sides, and having a plurality of graduated markings on said first side, and a substantially flat, flexible, surgical implant removably secured to the template and having first and second substantially flat opposed sides, and at least a first trimable portion. The surgical implant is removably coupled to the template so that the first side of the template is substantially adjacent to the first side of the surgical mesh, and so that the plurality of graduated markings are substantially adjacent to the first trimable portion of the surgical implant.

Abstract: Sealing device for sealing externally debouching, natural or artificial body canals of animals or human beings, the device enabling liquid tight sealing against the inner wall of the bowel system of the animal or human being, the device further being made from a resilient material. The device is soft and resilient and may thus not trigger the analreflex, but is still able to provide a fluid-tight seal.

Abstract: Systems and methods are provided and adapted to engage and pull (e.g., pull up) or reposition urethral support tissue, such as the portion of the perineal membrane above or below the urethra. The perineal membrane intersects the urethra and vagina at the midurethra or distal location and can thus be stabilized or controlled in a manner that helps restore continence.

Abstract: The surgical kit comprises at least one elongate strip for supporting the urethra of a patient, the strip comprising a knit of yarns forming empty spaces between one another, at least in the longitudinal middle portion of the strip that is to extend transversely under the urethra when the strip is implanted, said knit comprising both reinforcement constituted by longitudinal chains and an intermediate trellis transversely interconnecting the chains. In order to guarantee light obstructive support of the urethra, the treatment kit further comprises suture means adapted to be connected to the chains of the knit by being passed through the empty spaces so as to join the middle portion of the strip with the anatomical tissue under the urethra at at least two connection spots in alignment in a direction that is substantially perpendicular to the longitudinal direction of the strip.

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: Implantable devices are designed to provide support to the bulbar urethral region of a patient experiencing incontinence. Surgical methods are utilized to implant the devices, and surgical tools are utilized with the surgical methods.

Abstract: An apparatus for removing body fluids from a body cavity by suction, such as a thorax, gastric or any other human body cavity or a wound, comprises means (9) to increase the pressure difference between a pressure in a drainage lumen (3) and a pressure in the atmosphere when an auxiliary lumen (5) is open. The apparatus enables removal of clots or other plugs of the catheter and drainage tube in an efficient and not patient disturbing way.

Abstract: An overtube for use with an endoscopic surgical instrument. In various embodiments, the overtube may comprise a hollow tubular member that has an implantable tip detachably affixed to a distal end thereof. The implantable tip may have at least one retention member formed thereon to retain the tip within an organ wall. The implantable tip may further have a lumen extending therethrough to form a passageway through the organ wall. A plug member may be provided to selectively seal off the lumen within the implantable tip.

Abstract: A urethral support system is described, including an introducer device and tissue implant. The introducer device may include a needle with multiple curves, some of the curves having multiple radii. A sheath assembly may be utilized to assist the passing of the tissue implant through a patient's tissue. The sheath assembly may include connectors configured to connect the sheath assembly to an end of the needle and a tab configured to detachably couple sheath sides over the tissue implant.

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: A device for supporting the emptying of the bladder of a patient, the device comprising: an essentially stiff dome-shaped surrounding element for surrounding at least a part of the bladder having a variable volume, the device comprising at least one sensor for detecting the filling level of the bladder, the surrounding element being connectable with the bladder at a lower end of the surrounding element in a fluid-tight manner, so that an inner reservoir is defined in a hollow space between the surrounding element and the wall of the bladder.

Abstract: An implantable apparatus for controlling fluid flow within a host body includes a constricting member for allowing fluid flow within a body canal when in an open position, and for reducing fluid flow within a body canal when in an closed position. Remote telemetry can be used to operate the constricting member from a position outside the body. The constricting member can include a piston having at least two protrusions for contacting the vessel surface of the body canal. A fluid-operated member can receive fluid to reduce fluid flow within the body canal and expel fluid to allow fluid flow within the body canal. An actuating member is provided for operating the fluid-operated member between the open and closed positions. The actuating member has structure for flowing fluid into and out of the fluid-operated member. A control device is provided for operating the actuating member.

Abstract: An apparatus and method of use are disclosed to treat urological disorders. The biocompatible device includes a handle, needle, dilator and sling assembly configured to be minimally invasive and provide sufficient support to the target site. In addition, the configuration of the sling assembly also allows the sling to be adjusted during and/or after implantation. The device and treatment procedure are highly effective and produce little to no side effects or complications. Further, operative risks, pain, infections and post operative stays are reduced, thereby improving patient quality of life.

Abstract: An apparatus for treating urinary incontinence, comprising: a node; a support section adapted for providing urethral support attached to the node; and, an anchoring section adapted for resisting movement of the apparatus attached to the node opposite the support section. Optionally, the support section is adapted to treat incontinence according to at least one of: SUTFS, colpo-elevation or colpo-distension.

Abstract: A method for treating urinary incontinence includes making an incision in a region adjacent to the urethra, and positioning a tape under the urethra through the incision such that one portion of the tape extends from under the urethra through one obturator foramen and another portion of the tape extends from under urethra through the other obturator foramen.

Abstract: Provided are methods and devices for measuring pressure exerted against a surface. In an aspect, the surface corresponds to the urethra and the device measures the pressure exerted against the urethra. Methods include treatment of a patient suffering urinary stress incontinence. A pressure sensor system is used to determine, pre-surgically, the minimum pressure required to alleviate incontinence. During surgery, the pressure sensor system is employed to ensure the surgical intervention provides a corresponding minimum pressure that was clinically identified. In this manner, the surgical intervention is precisely monitored and measured to insure the appropriate pressure is exerted on the urethra to alleviate stress incontinence, thereby improving surgical outcome and decreasing post-operative complications.

Abstract: A method and device for the treatment of fecal incontinence is disclosed. The method includes disposing a bodily implant proximate to an anal canal of a patient. The bodily implant has a strip extending along a length between a first end portion and a second end portion. The strip has a set of first projections and a set of second projections extending along at least a portion of a longitudinal edge of the strip, such that the set of the first projections are inclined toward the second end portion of the strip and the set of the second projections are inclined toward the first end portion of the strip.

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: Systems for providing support to body tissue to alleviate incontinence are disclosed that comprise an elongated incontinence sling having a central support portion adapted to be positioned to support any one of the urethra or anus and first and second sling end portions extending from the central support portion through body tissue and a tension adjustment mechanism acting on or within one or both of the sling end portions. The sling tension adjustment mechanism is attached to and extends through an adjustment spacing between sling intermediate ends within at least one sling end portion. The adjustment spacing is lengthened to decrease sling tension and shortened to increase sling tension.

Abstract: Systems and related methods for measuring pelvic organ prolapse are disclosed. A plurality of positioning devices, such as RFID tags, ultrasound reflectors or magnetic field sensors, which may be active or passive, and which are preferably disposable, are set at predetermined positions within the patient and their relative positions recorded with one or more corresponding external receiving devices fixed to the patient while the patient is in a relaxed state. The patient is then instructed to perform an action (such as a valsalva maneuver) that causes the positioning devices to move and their movement relative to their initial recorded positions is measured.

Abstract: A method for treating anal incontinence is provided, in which a support member is implanted in a tissue pathway extending from a first location posterior to and adjacent the anus, through the perineum anterior to the anus and terminating at a location posterior to and adjacent the anus opposite the first location.

Abstract: A method for attaching flexible material to soft tissue in a patient's body includes providing a soft tissue anchor formed from absorbable material. The anchor includes a central portion having proximal and distal ends, one or more tissue engaging members extending from the central portion, and a bore extending through the central portion between the proximal and distal ends. An introducer tool is provided and engaged with the soft tissue anchor, including inserting an elongated body of the introducer tool into the bore of the tissue anchor and positioning the tool with respect to the anchor with the point of the tool body extending beyond the distal end of the anchor central portion. After insertion, the soft tissue anchor is released from the introducer tool and the introducer tool is removed from the patient, including retracting the point of the tool body through the central portion of the anchor.

Abstract: A device for treating fecal incontinence in a subject is provided. The device includes a plug configured for positioning mostly within an anal canal of the subject.

Abstract: A system for providing support to an anatomical structure of the pelvis includes a surgical implant and an introducer. The surgical implant includes first and second soft tissue anchors and a support. The first soft tissue anchor has a proximal end and a distal end and an introducer channel extending through the first soft tissue anchor from the proximal end to the distal end. The support has first and second ends, where the first soft tissue anchor is connected to the first end and the second soft tissue anchor to the second end. The introducer has a shaft and a handle, the shaft having a proximal end at the handle and a distal end, the distal end configured to be inserted through the introducer aperture of the first soft tissue anchor such that the distal end of the shaft protrudes from the distal end of the first soft tissue anchor.

Abstract: Using a sling that includes a central portion and at least two arms extending from the central portion, a method of treating anal incontinence may include positioning the central portion posteriorly to the rectum and/or anus of a subject, and extending each arm of the sling to a respective obturator region. Using a sling having the same or similar structure, a method of treating pelvic organ prolapse may include positioning the central portion beneath the ano-rectum of a subject, and extending each arm of the sling to a respective thigh incision near the obturator region.

Abstract: A device for treating fecal incontinence in a subject is provided. The device includes a plug configured for positioning mostly within an anal canal of the subject.

Abstract: The invention describes methods and apparatus for creating permanent occlusion of body lumens such as the fallopian tubes. The methods and apparatus use non-surgical approaches to deliver permanent implants which create acute occlusion of desired body lumens which resolve to permanent occlusions of the lumens.

Abstract: The invention, in various embodiments, is directed to systems, devices, and methods relating to pre-pubic approaches to delivering a supportive sling to periurethral tissue of a patient.

Abstract: The invention relates generally to surgical implants, and in various embodiments to surgical implants configured for promoting growth of well-organized collagenous tissue at an anatomical site.

Abstract: A semen extender composition is provided. The semen extender composition includes a sperm cell protecting amount of phospholipid, an effective amount of surfactant to reduce ice crystal formation during freezing of the composition; a carbohydrate, and a biological buffer to provide a semen extender use solution having a pH of between about 6.9 and about 7.5, and wherein the use solution exhibits an osmolality of about 250 mOsM to about 350 mOsM. Methods for manufacturing and using a semen extender composition are provided.

Abstract: An implant for supporting a urethra of a man which includes two elongate flexible strips that are substantially inextensible in length between opposite ends thereof and that include middle portions that are disposed adjacent to one another in side by side relationship such that a side edge of each strip faces towards the other strip, and wherein the strips are connected to each other at the middle portions, and wherein the strips have intermediate portions that extend between the middle portion and each opposite end of each strip along which the strips are separate from each other. The implant supports the urethra in such a manner that the two strips may be placed under tension independently of each other with the middle portions thereof supporting the urethra over a total width of the strips.

Abstract: The present invention relates to a telescopic device comprising at least two sections, wherein an extraction force is needed to extend the device from a short telescope configuration to an extended configuration and securing the sections in extended configuration; a separation force is needed to pull the at least two sections apart; retention means coupling at least one of the two sections to at least one attachment point; and the uncoupling strength of the retention means is larger than the extraction force but smaller than the separation force. This allows the telescopic device to be properly extended into its extended configuration before the retention means uncouples the telescopic device from the at least one attachment point.

Abstract: A timed-release tensioned core-shell fiber comprises a core positioned within a shell. The shell is configured to hold the core under said tension or compression. The shell is at least partially removable and releases at least a portion of the tension or compression of the core in response to the shell being removed. The shell is at least partially removable by erosion or degradation due to mechanical, chemical, electrical, physical, or thermal processes, or combinations thereof. In some embodiments, the erosion or degradation of the shell may include biodegradation, bioerosion, photooxidation, or photodegradation. A fiber mesh comprised of core-shell fibers may be tuned for timed release of contraction or expansion forces in response to timed release of tension or compression of the core. The fiber mesh may be used in a medical device, bandage, implant, tissue construct, or sling. A suture may also comprise a core-shell fiber.

Abstract: A method of implanting an anal sling in a patient having an anal sphincter with a defective portion, including: linking a first point on the anal sphincter and a second point on the anal sphincter, wherein the second point opposes the first point across the defective portion of the anal sphincter and tightening the anal sling across the defective portion of the anal sphincter. In a preferred embodiment, linking the first and second points on the anal sphincter includes passing a first end of the anal sling, coupled to a first-side needle tool, through the anal sphincter at the first point and passing a second end of the anal sling, coupled to a second-side needle, through the anal sphincter at the second point.

Abstract: The invention generally relates to surgically implantable supportive slings. More specifically, in various embodiments, the invention is directed to systems, devices and methods relating to a surgically implantable supportive sling having an adjustable shape.

Abstract: Various embodiments of a sling implant system are provided. Embodiments of the implants can include one or more collapsibility and expandability features or portions adapted to improve introduction and deployment of the implant within the patient. The implants can be folded, collapsed or otherwise reduced in size or construct to fit within a delivery tool or catheter for later expandability upon deployment of the implant.

Abstract: A bodily implant is provided to support body tissues of a patient. The bodily implant includes a strip having a first portion and a second portion. The strip is configured to be stretched in a manner such that the second portion is stretched from a first length to a second length. The second portion of the strip is configured to maintain the second length. The strip is further configured to be disposed proximate to the patient's body tissues.

Abstract: Various embodiments of an implant system for treating fecal incontinence are provided. The devices and systems can include a mesh or like device that can include a variable porosity to control the degree of expansion of the anal canal. The mesh can be constructed at least in part of patterned strut members allowing for various geometric configurations, with varying load and tension properties for the designated portions of the device according to the needs for a particular patient application.

Abstract: An implantable apparatus for controlling fluid flow within a host body includes a constricting member for allowing fluid flow within a body canal when in an open position, and for reducing fluid flow within a body canal when in an closed position. Remote telemetry can be used to operate the constricting member from a position outside the body. The constricting member can include a piston having at least two protrusions for contacting the vessel surface of the body canal. A fluid-operated member can receive fluid to reduce fluid flow within the body canal and expel fluid to allow fluid flow within the body canal. An actuating member is provided for operating the fluid-operated member between the open and closed positions. The actuating member has structure for flowing fluid into and out of the fluid-operated member. A control device is provided for operating the actuating member.

Abstract: An implant includes a support body defining a longitudinal axis, two transverse arms, two pubic arms, and a pubic arm attachment mechanism. The two transverse arms are aligned on a common transverse axis of the implant. The two pubic arms include a first pubic arm spaced a distance apart from a second pubic arm and both the first and second pubic arms are parallel to the longitudinal axis. The pubic arm attachment mechanism is attached to an end of each of the first and second pubic arms. Each of the first and second pubic arms has an arm length that is less than a body length of the support body.

Abstract: An implant includes a support body defining a longitudinal axis, two transverse arms, two pubic arms, and a pubic arm attachment mechanism. The two transverse arms are aligned on a common transverse axis of the implant. The two pubic arms include a first pubic arm spaced a distance apart from a second pubic arm and both the first and second pubic arms are parallel to the longitudinal axis. The pubic arm attachment mechanism is attached to an end of each of the first and second pubic arms. Each of the first and second pubic arms has an arm length that is less than a body length of the support body.

Abstract: A system for facilitating obesity control includes an inflatable gastric banding device, a fluid reservoir couplable to the inflatable portion, and an implantable fluid handling device coupled to the fluid reservoir and the inflatable portion. The fluid handling device includes remotely operable components housed in a biocompatible housing. The fluid handling device includes a micropump effective to pump fluid to the band and a flow sensor. The system also includes a controller/microprocessor including an algorithm programmed to automatically calibrate the pump using data from the flow sensor, prior to adjustments made to the inflation of the gastric band.

Abstract: Disclosed herein are expandable surgical implants that may be expanded one or more times by directly or indirectly uncinching one or more expansion loops. Use of the expandable surgical implant permits a physician to expand, with minimal invasion, a surgical implant that was over-tensioned by a surgeon during implantation or became over-tensioned due to changes in the patient's anatomy.

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: An apparatus for selectively opening and closing a body lumen within a patient's body is provided. The apparatus includes an elongate member and a shape memory element. The elongate member is configured to at least partially surround the body lumen and defines a lumen. The shape memory element is disposed of adjacent to the lumen defined by the elongate member. Further, the shape memory element is adapted to change its configuration based on a change in temperature. These changes in the configuration of the shape memory element causes selective the apparatus to move between a first configuration and a second configuration.

Abstract: A method for treating anal incontinence is provided, in which a support member is implanted in a tissue pathway extending from a first location posterior to and adjacent the anus, through the perineum anterior to the anus and terminating at a location posterior to and adjacent the anus opposite the first location.

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 bidirectional 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 implantable apparatus and a method for controlling fluid flow within a host body, for example for use as an incontinence device. A constricting member is provided for reducing fluid flow within a body canal when in a closed position, and for allowing fluid flow within the body canal when in an open position. In addition, there is a control mechanism for controlling movement of the constricting member between said open and closed positions. A link member links the constricting member and the control mechanism such that the constricting member and the control mechanism are implantable in different parts of the host body. A coupling for selectively transmitting axial movement to the link member may be provided between the link member and the control mechanism so that the constricting member cannot apply a damaging amount of force to the body canal.

Abstract: Disclosed herein are systems and methods of performing a sphincter repair in a patient. The methods can include inserting a stabilization and an anchor deployment tool into the patient, positioning the stabilization tool to access a muscle associated with a sphincter, stabilizing tissue with the stabilization tool, the tissue including or in communication with the muscles associated with the sphincter, advancing the anchor deployment tool into the tissue cavity, advancing the plurality of tissue anchors out of the anchor deployment tool and transmurally through the tissue; tensioning the anchors to shorten the muscle associated with the sphincter, and withdrawing the stabilization tool from the patient.

Abstract: An insertion needle that is turnably mounted on a handle, which holds the insertion needle, wherein the insertion needle includes a turn arm that turns so as to face the tip of the insertion needle, and a target site that guides the insertion needle provided on the tip of the turn arm, and is further provided with: through-holes in two locations that are provided separated in the longitudinal direction of the tip of the insertion needle; an indentation formed between these through-holes; and a groove in the direction from the tip of the insertion needle toward the base of the insertion needle. Furthermore, the insertion needle is suitably used in urinary incontinence surgery, pelvic organ prolapse surgery or the like.