Abstract: A filter assembly for an enclosure, particularly for an ostomy bag, is described having an enclosure side, a first layer which is gas permeable, and an adsorbent layer comprising adsorbent particles dispersed in a fine fiber web. The enclosure side of the filter assembly includes an adhesive zone in which adhesive is present having an outer adhesive perimeter and a weld area surrounding at least a portion of the adhesive zone, where the filter assembly is heat-sealable to the enclosure at the weld area. A method of assembly is also described.

Abstract: A medical appliance is configured with material that creates a fluid barrier with interior walls of a stoma on a patient. These configurations may include an annular disc with a stem on one side that inserts into the stoma. The material may reside on the stem, for example, in the form of a replaceable hollow tube that covers at least part of the stem. On the other side, a rotatable spigot inserts into a recess. The rotatable spigot has a first position that forms a flow path through the stem and the annular disc to allow waste to drain from the stoma. In one implementation, the rotatable spigot can couple with a collection device that receives the waste. The patient can return the rotatable spigot to a second position to prevent flow of waste.

Abstract: A disposable stoma plug includes an absorbent body and a grip device. The absorbent body has a bottom end and a top. The bottom end is configured for insertion into a stoma opening. The grip device is connected to the top of the absorbent body. The grip device is configured for handling the absorbent body for inserting and removing the absorbent body into and from the stoma opening. Wherein, the stoma plug is configured to briefly seal off the stoma opening of an urostomy, an ileostomy, or a colostomy to prevent bodily fluids from leaking from the stoma opening, thereby, keeping surrounding skin free and dry while changing dressings, bandages or a collection bag.

Abstract: Various devices and methods are provided with respect to inserting multiple surgical instruments through a single surgical access device. A medical device including a flexible tissue retractor a releasable insert having multiple instrument openings, and a member such as a sleeve is disclosed. The insert can be in the form of an insert assembly including multiple components. The sleeve can support the insert with respect to the retractor such that the insert and sleeve can be removed together with the retractor remaining in the incision. A method of using the insert is also described.

Abstract: An access device for surgical procedures is disclosed which includes a multiport end cap including a plurality of separate access ports for accommodating the introduction of individual surgical instruments into a body cavity or lumen of a patient, and a coupling for operatively connecting the multiport end cap to a tubular body.

Abstract: An device including a proximal portion adapted for placement intermediately within a hollow body cavity to capture and divert contents; the proximal portion being expandable from an initial state with an initial diameter, into an expanded state with a diameter greater than the initial diameter for engaging the proximal portion with an inner wall of the hollow body cavity; and a distal portion, connected to the proximal portion, adapted to extend through the abdominal wall or into the intestine to conduct the hollow body cavity contents out of the proximal portion.

Abstract: A guide apparatus for facilitating formation of a stoma includes a guide having an outer flange segment arranged about a central longitudinal axis and an insert segment. The flange segment is configured for engaging end margins of a body vessel extending through an opening in skin of a subject, and defines a plurality of apertures. The insert segment extends from the outer flange segment along the longitudinal axis. The insert segment is configured for at least partial positioning within the body vessel to maintain the patency of the body vessel. The guide apparatus further includes a plurality of fasteners for insertion within respective apertures of the flange segment of the guide. The fasteners are configured for penetrating the end margins of the body vessel extending through the opening in the skin to attach the end margins to the skin to thereby create a stoma.

Abstract: An non-loosening and vibration-proof expanding screw includes a screw cap defining a receiving cavity, and a rod body connected to the screw cap. The rod body defines a hollow cavity, a sealing ring, and an air inlet pipe. The sealing ring includes a main body with a receiving hole and an internal ventilation pipe. The internal ventilation pipe includes interconnected first and second holes. The air inlet pipe is received in the first hole and gas under pressure can be introduced into the hollow cavity through the second hole. Thus the expanding screw can be inflated to expand and thereby lock the expanding screw and a securable object together, or be deflated to allow its release.

Abstract: Methods and materials related to ostomy devices, and particularly to valves for use with continent ostomies (e.g., ileostomies) are provided herein.

Abstract: A medical device for providing direct port-like endoscopic access to the urinary bladder, or other orifice, of a patient and a method of utilizing and inserting the medical device. The medical device can include a hollow tube with a main channel and a separate channel, a cap with an inflation port and a hollow flexible stem fluidly connecting the inflation port and the separate channel. A method can include inserting a needle above the pubic symphysis of a mammal, threading a guide wire through the needle, removing the needle and inserting the medical device. The method can optionally include determining measuring the depth between the skin surface of the patient's suprapubic region and urinary bladder.

Abstract: A stoma adapter is described that is especially suited to a recessed stoma or a flush stoma. The stoma adapter effectively extends the discharge passage from the stoma, protects peristomal skin, and forms a bridge at the interface between the stoma and an ostomy appliance. The stoma adapter contains a substantially unobstructed discharge passage, at least for effluent flowing in a discharge direction. The stoma adapter includes a seal for sealing against the bowel wall. The stoma adapter has collapsing, expanding, flexible and reinforced designs.

Abstract: A hollow celiac minimally invasive surgery endoscopic channel may include an extracorporeal combined platform and an intracorporeal expandable shell body. The combined platform and the intracorporeal expandable shell body may be engagingly combined into a detachable structure. The intracorporeal expandable shell body may be in a triangular frustum shape. A portion of the intracorporeal expandable shell body that is located below the triangular frustum surface may be a two-layer structure body. Partition stiffeners that are distributed horizontally may be provided between an inner and outer layers at each face of the shell body. An inflation port may be disposed at the inner layer.

Abstract: Surgical access ports useful in minimally invasive surgical procedures are provided. The access ports comprise a cannula that defines a passageway for one or more surgical instruments through a tissue tract and a dome extending from the cannula to provide an expanded diameter for receiving one or more surgical instruments.

Abstract: A device for closing at least one opening leading to an anatomical cavity is delivered via a catheter positioned in a first opening leading to the anatomical cavity. An orientation control unit is positioned within the anatomical cavity. The orientation control unit defines an orientation of a portion of a tissue surface within the anatomical cavity that is skewed with respect to the first opening and orients a closure member of the device with the tissue surface. An occluding member and a constricting unit of the device are positioned within the anatomical cavity with the occluding member blocking a portion of an opening that is constricted by the constricting unit. An intermediate member of the device is positioned within the anatomical cavity and a closure unit employing at least one piercing element pierces through the intermediate member into a tissue wall surrounding the anatomical cavity.

Abstract: A surgical access device includes a proximal housing having proximal and distal end portions, the distal end portion of the housing being configured and adapted to engage a proximal portion of a flexible wound retractor. The proximal housing can be provided with a plenum chamber being defined therein, the plenum chamber being in fluid communication with at least one nozzle. The nozzle is preferably configured to direct pressurized fluid in an axial direction from the plenum chamber into a central bore of the surgical access device to provide a constant gaseous seal around a surgical instrument inserted therethrough, while inhibiting a loss of pressurized fluid from the body cavity therethrough. The plenum chamber can be adapted and configured to receive pressurized fluid and conduct the pressurized fluid to the at least one nozzle.

Abstract: A stomal implant comprising a longitudinal portion configured to envelop at least a section of the bowel or ileal conduit, said longitudinal portion comprising: a proximal end for positioning at a stomal opening; a distal end for positioning within an abdomen; and a reversibly pressure-exerting device providing an ascending pressure gradient from the distal end to the proximal end, such that pressure exerted at the proximal end provides complete closure of the bowel or urethra.

Abstract: The invention relates to a device for sealing and draining an intestinal outlet, the device comprising an inflatable balloon of a generally toroidal structure, whose two ends extend one inside the other, creating a sealed-off volume inside the balloon, whereby the filling of the volume can be adjusted from outside and a draining lumen radially inside the inner layer of the balloon, the outer layer of the tube comprising a radially expanded intra-rectal device which is placed inside the rectum or the intestine of a patient during use, and comprising a trans-anal device which extends through the anus of the patient or his abdominal wall, and a stiffening sleeve element positioned inside the draining lumen of the device, keeping the lumen open and facilitating the uptake and passage of feces through the intra-rectal segment of the draining lumen.

Abstract: An orifice insertion device includes a stent and a plurality of sealing elements where each sealing element is operatively attached to the stent. Two sealing elements of the plurality of sealing elements include an expandable section configured to be disposed within the orifice and to exert a pressure on an orifice wall sufficient to seal the orifice without appreciable deformation of the orifice wall. The two sealing elements are formed from different materials and a further one of the plurality of sealing elements is configured to seal an opening of the orifice. Other embodiments are disclosed.

Abstract: A fluid volume alarm system is presented. The alarm system has a container for storing fluid, and alarm module coupled to the container for notifying a user or observer that the fluid within the container has reached a predetermined level. The container has at least one exterior wall and defines an interior volume for at least temporary storage of fluid. In one aspect, there are at least two electrodes disposed on an interior portion of the exterior wall of the container and positioned at a position thereon an interior portion of the exterior wall corresponding to a predetermined fluid level at which it is desirable to receive an alarm. The system also has an alarm module configured to alert the practitioner that the fluid has met or has exceeded the predetermined level.

Abstract: A disposable urinary incontinence device comprises a liquid-stable resilient member, and a cover sheet that envelops the liquid-stable resilient member to form an elongated member having a tubular profile. The elongated member has a first end, a second end, a first fold region disposed between the first end and the second end, a second fold region disposed between the first end and the first fold region, a third fold region disposed between the second end and the first fold region, a first portion located between the first end and the second fold region, a second portion located between the second end and the third fold region, a third portion located between the first fold region and a second fold region, and a fourth portion located between the first fold region and the third fold region to form a W-shaped incontinence device.

Abstract: An apparatus for treating urinary incontinence, comprising: a support section adapted for providing urethral support; an anchoring section for resisting movement of the apparatus; an insert, a portion of which is adapted to be positioned where the support section attaches to the node; and, wherein the insert urges the support section radially outwards from a central axis of the apparatus.

Abstract: An apparatus for treating urinary incontinence, comprising: a support section adapted for providing urethral support; an anchoring section for resisting movement of the apparatus; an insert, a portion of which is adapted to be positioned where the support section attaches to the node; and, wherein the insert urges the support section radially outwards from a central axis of the apparatus.

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 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: A magnetic gastric reduction device includes magnetic elements adapted to couple to a stomach and a sensor adapted to detect stomach properties. The device also includes a control device operably coupled to the magnetic elements. The control device is adapted to operably communicate with the sensor and is configured to control the magnetic elements based on a property of the stomach detected by the sensor to cause the magnetic elements to selectively compress or decompress the stomach.

Abstract: A medical device having a valve member and a securing member is provided. The valve member is configured to be positioned inside a bodily passageway. The valve member includes a plurality of flaps configured to move from a first position to a second position at a predetermined pressure or in response to being exposed to a predetermined pressure. The securing member is configured to be positioned outside the bodily passageway. The securing member is configured to help retain the valve member in place within the bodily passageway.

Abstract: The invention relates to a device for sealing and draining an intestinal outlet, the device comprising an inflatable balloon of a generally toroidal structure, whose two ends extend one inside the other, creating a sealed-off volume inside the balloon, whereby the filling of the volume can be adjusted from outside and a draining lumen radially inside the inner layer of the balloon, the outer layer of the tube comprising a radially expanded intra-rectal device which is placed inside the rectum or the intestine of a patient during use, and comprising a trans-anal device which extends through the anus of the patient or his abdominal wall, and a stiffening sleeve element positioned inside the draining lumen of the device, keeping the lumen open and facilitating the uptake and passage of feces through the intra-rectal segment of the draining lumen.

Abstract: The proposed device includes two segments adapted to enclose a body part in a form-fitting manner. Each segment contains an electroactive-material-based actuator, which is adapted to receive an electrical control signal and in response thereto adjust the actuator's morphology, so as to cause the segment to apply a basic pressure profile to the body part. A pressure transition is adapted to redistribute the basic pressure profiles between the first and second segments. A control signal in respect of the first segment causes the pressure transition system to apply a first adjusted pressure profile to at least part of the second portion of the body part, and vice versa, a control signal in respect of the second segment causes the pressure transition system to apply a second adjusted pressure profile to at least a part of the first portion of the body part.

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: A vaginal insert device includes a support segment having a distal end and a proximal end, the support segment defining a support segment plane; and a stabilizing segment extending from the distal end of the support segment, the stabilizing segment defining a stabilizing segment plane, wherein the stabilizing segment plane is generally perpendicular to the support segment plane when the vaginal insert device is in an in-use configuration. A vaginal insert device system including the vaginal insert device can also include an applicator coupled to the vaginal insert device when the vaginal insert device is in an insertion configuration.

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: 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: An incontinence treatment device has a solid rod connected between a proximal portion and a distal portion. The proximal portion is insertable into a urinary bladder. The solid rod is configured for placement in the urethra. The solid rod has a length that adapts the distal portion to be positioned outside and distal to the urethra with the proximal portion positioned in the urinary bladder. The proximal portion has a lateral dimension that is at least a factor of 3 greater than a lateral dimension of the solid rod and is so configured to block a neck of the urinary bladder and impede flow of urine out of the urinary bladder. A force applied to the distal portion displaces the proximal portion away from the neck of the urinary bladder to allow urine to exit the urinary bladder.

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 present invention provides methods and devices for the abatement of noise emanating from surgically created abdominal stomas. In one embodiment, the present invention provides a sound abatement device for an abdominal stoma. The device includes a noise suppressor formed of sound dampening material, which defines an opening and cavity suitable in size and shape for receiving and enveloping a stoma formed through a body wall of an individual. The device further includes a support arm extending from the noise suppressor, which includes a first end connected to the noise suppressor and a second end disposed opposite thereof. The device further includes a base member disposed proximate the second end of the support arm, which includes an attachment for connection to an individual. The device also includes an attachment feature for releasable attachment of the second end of the support arm to the base.

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 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: An apparatus, system, and method for storing liquid from a tissue site are presented. The apparatus includes a delivery tube that may have at least one lumen. The delivery tube may be operable to transmit reduced pressure to the tissue site and to receive liquid from the tissue site. The apparatus may also include an absorbent material disposed in the at least one lumen. The absorbent material may be operable to absorb the liquid from the tissue site. The delivery tube may be formed with a number of recesses.

Abstract: A surgical system for small-pit closure in hollow organs is provided. The surgical system is provided with a surgical device for small-pit closure in hollow organs, with the surgical device including the following components: a suture-member cartridge in which a pair of parallel tubular members that accommodate respective suture members are feedably connected to the rear ends of a pair of arrow-shaped members that latch into tissue in a hollow organ; an auxiliary shooting unit having plungers respectively provided in a pair of cylinders open at both ends; a hollow-organ-insertable unit configured of a pair of flexible air tubes; and a gas shooter that sequentially discharges compressed air or high-pressure gas into the open-ended cylinders in response to operations of a trigger, for sequentially ejecting the arrow-shaped members and driving the same into tissue in the hollow organ on both sides of a small pit site.

Abstract: The present invention is directed to an apparatus for use with an ostomate device. The apparatus of the present invention may provide protection and sound attenuation (e.g. reduction or elimination) of a stomal aperture for an ostomate having undergone an ostomy procedure. The present invention enables an ostomate safety when undergoing physical activity and confidence in social environments.

Abstract: Various aspects of the present invention enable robust, reliable control functionality for effectors present on intraluminal, e.g., vascular leads, as well as other types of implantable devices. Aspects of the invention include implantable integrated circuits that have self-referencing and self-clocking signal encoding, and are capable of bidirectional communication. Also provided by the invention are effector assemblies that include the integrated circuits, as well as implantable medical devices, e.g., pulse generators that include the same, as well as systems and kits thereof and methods of using the same, e.g., in pacing applications, including cardiac resynchronization therapy (CRT) applications.

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 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: The invention relates to a closing system for a natural or an artificial anus, comprising an inflatable balloon having an approximately toroidal structure, composed of a plane tubular section folded in on itself, the ends of which (13, 14) extend coaxially within each other and are linked to a sleeve.

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: 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: A method for treating urinary incontinence includes the steps of inserting into the woman's vagina a first disposable device, removing the first disposable device, and inserting a second disposable device substantially identical to the first disposable device. The disposable devices have a working portion with opposed faces to provide support to an associated urinary system and, optionally, an anchoring portion to maintain the disposable device in place during use. The working portion also has. The working portion also has an insertion equivalent diameter ranging from about 10 to about 25 mm and a use equivalent diameter ranging from about 25 to about 35 mm under an expansion pressure of about 20 to about 150 cm H2O.

Abstract: The present invention involves systems and related methods for performing surgical procedures and assessments, including the use of neurophysiology-based monitoring to: (a) determine nerve proximity and nerve direction to surgical instruments employed in accessing a surgical target site; (b) assess the pathology (health or status) of a nerve or nerve root before, during, or after a surgical procedure; and/or (c) assess pedicle integrity before, during or after pedicle screw placement, all in an automated, easy to use, and easy to interpret fashion so as to provide a surgeon-driven system.

Abstract: The invention relates to a device for sealing and draining an intestinal outlet, the device comprising an inflatable balloon of a generally toroidal structure, whose two ends extend one inside the other, creating a sealed-off volume inside the balloon, whereby the filling of the volume can be adjusted from outside and a draining lumen radially inside the inner layer of the balloon, the outer layer of the tube comprising a radially expanded intra-rectal device which is placed inside the rectum or the intestine of a patient during use, and comprising a trans-anal device which extends through the anus of the patient or his abdominal wall, and a stiffening sleeve element positioned inside the draining lumen of the device, keeping the lumen open and facilitating the uptake and passage of feces through the intra-rectal segment of the draining lumen.

Abstract: The invention relates to an appliance for irrigation and/or drainage, which appliance comprising a body side member comprising an adhesive wafer for securing the appliance to the patient's skin, said wafer can be provided with an aperture for receiving a stoma, surrounding a wound, a fistula or a drainage site, a wall of flexible material, the wall comprising a rear wall and a front wall, the rear wall being attached to the wafer and having an opening suitable for surrounding the surface area of the skin to be cleansed, and the front wall comprising a coupling flange adapted for removable coupling and sealing to matching coupling means, an sealed chamber which, when inflated, provides a distance between the adhesive wafer and the coupling flange.