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INTERNAL ORGAN SUPPORT OR SLING

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600 - Surgery

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DocumentTitleDate
20110201875REMOTELY ADJUSTABLE GASTRIC BANDING SYSTEM - An implantable device comprises a reservoir that contains a fluid for filling an inflatable portion of a gastric band. A device is coupled to the reservoir and includes stored potential energy having a first state and a second state. The first state represents a higher level of potential energy and the second state represents a lower level of potential energy. The implantable device further comprises a filling valve coupled between the reservoir and the gastric band, and the filling valve is configured to be opened in response to a first telemetric signal. The stored potential energy decreases from the first state to the second state when the filling valve is open, and a filling amount of the fluid moves from the reservoir to the gastric band when the stored potential energy decreases from the first state to the second state.08-18-2011
20130030243ANTI-BACTERIAL SURGICAL MESHES - According to an aspect of the present invention, surgical meshes are provided which release one or more antimicrobial agents in an amount sufficient to reduce the risk of microbial infection upon implantation of the mesh. Other aspects of the invention pertain to methods of making and using such surgical meshes.01-31-2013
20100152531IMPLANTABLE MEDICAL DEVICE FOR DRUG DELIVERY AND METHOD OF USE - An apparatus and method of preparing a cardiac harness for use in controllably delivering a medicament such as an mTOR inhibitor or aldosterone blockade from the surface of the cardiac harness to the epicardium of a patient's heart for the site-specific treatment of cardiac and non-cardiac maladies. The delivery of the medicament from the cardiac harness is achieved by: coating the medicament on the surface of the cardiac harness; coating the cardiac harness with a polymer material or dielectric material and impregnating the coating with the medicament; or by loading the medicament into an implant attached to the cardiac harness.06-17-2010
20110196197APPARATUS FOR TREATING OBESITY - An apparatus for treating obesity comprising a volume filling device assembled from at least two segments and is provided and following implantation, the device is placed resting against the stomach wall of the patient to reduce the inner volume of the stomach, thereby affecting the patient's appetite.08-11-2011
20110196196CARDIAC DISEASE TREATMENT AND DEVICE - A cardiac constraint device comprising a jacket of biological compatible material and an adjustment member. The jacket is adapted to be secured to the heart to snugly conform to an external geometry of the heart and assume a maximum adjusted volume to constrain circumferential expansion of the heart beyond the maximum adjusted volume during diastole and to permit unimpeded contraction of the heart during systole. The adjustment mechanism is configured to alter the internal volume defined by the jacket after the jacket is secured to the heart. The invention also provides a method for treating cardiac disease.08-11-2011
20110196195IMPLANTABLE SUBCUTANEOUS ACCESS PORT - The present invention generally provides a gastric banding system, including an implantable access port having a substantially ellipsoid shape. The access port is pliable and smooth, to increase the comfort of the access port to the patient, and to increase the aesthetic effect of the access port. The ellipsoid shape provides a large needle penetrable surface area for the access port, and enhances the ability of a physician to detect the access port through tactile means. A mesh layer may be incorporated in the housing of the access port, to increase durability of the housing, and to promote the self-sealing properties of the housing.08-11-2011
20130085324MULTI-LAYER FILM WELDED ARTICULATED BALLOON - A method of fabrication of a medical balloon, and a balloon device useful for various medical balloon procedures, such as gastrointestinal, vascular, reproductive system, urinary system and pulmonary applications. At least two layers of a thermoplastic film are sealed at their peripheral edges and heat sealed at one or more locations inside an area enclosed by the sealed edges at predetermined locations, in one implementation of the balloon device. Such configuration enables the balloon to articulate to a desired shape upon inflation, with the desired shape being selected to accommodate a specific medical application.04-04-2013
20100076256CARDIAC DISEASE TREATMENT AND DEVICE - A jacket of biological compatible material has an internal volume dimensioned for an apex of the heart to be inserted into the volume and for the jacket to be slipped over the heart. The jacket has a longitudinal dimension between upper and lower ends sufficient for the jacket to surround a lower portion of the heart with the jacket surrounding a valvular annulus of the heart and further surrounding the lower portion to cover at least the ventricular lower extremities of the heart. The jacket is adapted to be secured to the heart with the jacket surrounding at least the valvular annulus and the ventricular lower extremities. The jacket is adjustable on the heart to snugly conform to an external geometry of the heart and assume a maximum adjusted volume for the jacket to constrain circumferential expansion of the heart beyond the maximum adjusted volume during diastole and to permit unimpeded contraction of the heart during systole.03-25-2010
20120245412METHOD FOR MODULATING CHANGES IN INTRA-BAND PRESSURE IN A GASTRIC BAND - A gastric band assembly has one or more bladders incorporated therein to minimize or modulate changes in intra-band pressure in response to changes in stoma area and band stoma area. The balloon portion of the gastric band encircles stomach tissue thereby forming a band stoma area. With the bladders incorporated in the gastric band assembly, the affect that changes in band stoma area have on intra-band pressure are minimized so that the patient stays at or near the physician set intra-band pressure longer than with a gastric band alone.09-27-2012
20130079591MEDICAL DEVICE FOR DELIVERY OF BODILY IMPLANTS - A medical device and a method for delivering a bodily implant are disclosed. The medical device includes an insertion member, an adjustment member and a button. The insertion member further includes a tip. The insertion member has a curved portion proximate the tip and a straight portion distally located from the tip. The curved and straight portions are configured to be placed into a channel within a housing of the insertion member. The adjustment member is coupled to the insertion member distally and is configured to be advanced and retracted, thereby advancing and retracting the insertion member with respect to the housing. The button is moveable coupled to the housing of the insertion member.03-28-2013
20130079590MULTIPURPOSE SURGICAL SPONGEPADS, DEVICES, SYSTEMS, AND METHODS - Novel surgical sponge-pad devices that are highly absorbent, durable, and reusable are presented. The technical features of the surgical sponge-pad devices make possible unique surgical sponge-pad systems and methods that take advantage of the use, conditioning, and reuse of a single surgical sponge device again and again during a surgical procedure. The invention provides surgical-sponge-pad devices, systems, and methods that make possible a significant reduction in the number of surgical sponges needed for a given surgical procedure. In addition this multifunctional surgical sponge-pad will have significant and brand new applications in surgery for the protection and hydration of tissues, transmission of antibiotics and antimicrobials and other solutions, barriers in surgery and even use in transfer of transplanted organs as well as many other future medical and surgical uses as yet undefined and undiscovered.03-28-2013
20130035544ADJUSTABLE IMPLANT AND METHOD OF USE - A system includes an adjustable implant configured for implantation internally within a subject and includes a permanent magnet configured for rotation about an axis of rotation, the permanent magnet operatively coupled to a drive transmission configured to alter a dimension of the adjustable implant. The system includes an external adjustment device configured for placement on or adjacent to the skin of the subject having at least one magnet configured for rotation, the external adjustment device further comprising a motor configured to rotate the at least one magnet and an encoder. Rotation of the at least one magnet of the external adjustment device effectuates rotational movement of the permanent magnet of the adjustable implant and alters the dimension of the adjustable implant. Drive control circuitry is configured to receive an input signal from the encoder.02-07-2013
20130035543TOOLS AND METHODS FOR TREATMENT OF PELVIC CONDITIONS - Surgical procedures, systems, implants, devices, tools, and methods that are used for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue, adjusting the length of implant components, and cutting the implant to a desired length.02-07-2013
20100099945ELECTRICALLY ACTIVATED VALVE FOR IMPLANTABLE FLUID HANDLING SYSTEM - 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 including one or more piezoelectric valves.04-22-2010
20100041942STABILIZER - A stabilizer makes contact with an organ thereby to restrict movement of the organ. The stabilizer includes a contact section that makes contact with an organ in a body cavity and an insertion section that includes the contact section at a top end of the insertion section, and further includes a lumen in which an endoscope for monitoring the organ or a surgical instrument with which a predetermined procedure is performed, or a guide wire remaining at a desired position near the organ is inserted, the insertion section being selectively switched to a pliable state and a rigid state.02-18-2010
20090156893FLATTENED TUBULAR MESH SLING AND RELATED METHODS - The invention generally relates to surgically implantable supportive slings. More specifically, in various embodiments, the invention is directed to multilayer mesh slings formed from a tubular mesh material.06-18-2009
20090156892CARDIAC HARNESS - A cardiac harness for treating or preventing congestive heart failure is configured to be placed about at least a portion of a patient's heart so as to apply a mild compressive force on the heart. In one embodiment, the cardiac harness comprises a plurality of spaced apart conductive panels arranged so that there is no electrical continuity circumferentially around the harness. In an additional embodiment, a cardiac harness is provided that is insulated so as not to conduct electricity circumferentially about the harness.06-18-2009
20090156891Prolapse and Perineal Repair Concepts - A pelvic implant assembly having a support member and an insertion tool. The insertion tool having an implant support portion for supporting the support member as it is being inserted into a tight therapeutic location within a patient. The support member is coupled to and extends between the implant support portions prior to insertion into the incision. Once the insertion tool and accompanied support member are in the therapeutic location the insertion tool can open and spread out the support member. The insertion tool can also dilate the tissue as it opens, thereby, eliminating the need to dissect tissue.06-18-2009
20090137863Heart wall tension reduction apparatus - An apparatus for treatment of a failing heart by reducing the wall tension therein. In one embodiment, the apparatus includes a tension member for drawing at least two walls of a heart chamber toward each other.05-28-2009
20100030014Intracardiac device for restoring the functional elasticity of the cardiac structures, holding tool for the intracardiac device, and method for implantation of the intracardiac device in the heart - An intracardiac device for restoring the functional elasticity of the cardiac structures, in particular for the treatment of cardiomyopathies and or valvulopathies, by storing energy from the cardiac structures and ceding energy to the cardiac structures during the cardiac cycle, has an elongated shape, is at least partially wound in coils and is attachable to a cardiac structure; the coils are selected in material, number and dimension so as to allow an elastic elongation of the intracardiac device higher than 10% of the rest length of the intracardiac device and are exposed, in use, to the blood flow.02-04-2010
20100145140Method and Device to Deliver Pelvic Floor Implant - An apparatus includes a support member, a strap extending from the support member, and a sleeve releasably disposed over at least a portion of the strap. The support member is configured to support a portion of a body of a patient. The strap is configured to be inserted through at least a portion of a tissue of the patient. The sleeve is releasably coupled to the strap by a releasable joint. The sleeve is configured to be removed from the strap when at least a portion of the strap is disposed within the tissue of the patient.06-10-2010
20100094080CARDIAC SUPPORT DEVICE DELIVERY TOOL WITH RELEASE MECHANISM - An apparatus for placing a cardiac support device (CSD) on a heart. The apparatus includes a body, a deployment mechanism on the body for supporting the CSD in an open position for placement on the heart, and a release mechanism coupled to the deployment mechanism for releasably mounting the CSD to the deployment mechanism. The release mechanism includes a release element for releasably engaging the CSD, and a release actuator coupled to the release element for actuating the release element to release the CSD.04-15-2010
20120184805VAGINAL VAULT SUSPENSION DEVICE AND METHOD - An implantable medical device and a surgical instrument for using the device in a procedure for the treatment of vaginal vault prolapse are disclosed. In one form of the device, one attachment part attaches to the anterior and posterior parts of the vaginal apex, and the other attachment part attaches to anterior part of the sacrum. The two attachment parts are capable of being attached together during the procedure in a manner which permits appropriate adjustment of tension. The invention also includes an instrument which allows the pieces of the suspension material to be attached to each other and enables the appropriate suspension of the vaginal apex from the anterior part of the sacrum. In another form of the device, one attachment part attaches to the anterior part of the vaginal apex, another separate attachment part attaches to the posterior part of the vaginal apex, and another separate attachment part attaches to anterior part of the sacrum. The device and method permit the performance of a sacrocolpopexy by accessing the sacrum and vaginal tissues via the vaginal orifice, thus avoiding the abdominal cavity completely.07-19-2012
20130046135DEVICE FOR TREATING OBESITY - A device for treating obesity including a band part (02-21-2013
20090043153Apparatus, system, and method for applying and adjusting a tensioning element to a hollow body organ - An adjustable support pad for adjustably holding a tensioning line used to apply tension to a body organ. The adjustable support pad can include a locking mechanism for preventing slidable movement of the tensioning element in one or both directions. The locking mechanism may include spring-loaded locks, rotatable cam-like structures, and/or rotatable spool structures. The adjustable support pad may be formed from rigid, semi-rigid, and/or flexible materials, and may be formed to conform to the outer surface of a body organ. The adjustable support pad can be configured to adjustably hold one or more separate tensioning lines, and to provide for independent adjustment of one or more tensioning lines or groups thereof.02-12-2009
20130090523REMOTE PERICARDIAL HEMOSTASIS FOR VENTRICULAR ACCESS AND RECONSTRUCTION OR OTHER ORGAN THERAPIES - Embodiments described herein provide devices, systems, and methods that reduce the distance between two locations in tissue, often for treatment of congestive heart failure. For example, an anchor of an implant system may, when the implant system is fully deployed, reside within the right ventricle in engagement with the ventricular septum. The anchor may be deployed into the heart through a working lumen of a minimally invasive access tool. The minimally invasive access tool may have a plurality of grippers near a distal end of the working lumen. The grippers may engage epicardial tissue of the heart and may be moved radially inwardly relative so as to provide stabilization of the epicardial tissue and/or hemostasis near an access site where the anchor is inserted through the epicardium. The minimally invasive access tool may minimize blood loss from the access site and improve anchor implant processes.04-11-2013
20090306466DEVICE - A holding device is used during a laparoscopic surgery to hold an internal organ such as a gall bladder in a desired position in an insufflated abdominal cavity while maintaining pneumopertioneum. The device is used in association with an instrument which is used to introduce the device through an access port in the abdominal wall 12-10-2009
20090306465Gastric band - A gastric band of a belt type is presented for attaching around a circumference of a patient's stomach, so as to define the diameter of the stomach opening. The band comprises outer and inner surfaces, wherein the inner surface engages the stomach, and at least the outer surface is formed by an elongated member substantially non-extendable along a longitudinal axis thereof. A through-going opening is made in the elongated member and is located so as to define an end portion of the band having a predetermined length. An opposite end portion of the band is shaped so as to be insertable into the through-going opening for adjusting a desired inner diameter of the band in its closed operating position and fastening the opposite end portion to the outer surface of the band.12-10-2009
20090306463Gastric Ring - The gastric ring has two ends (12-10-2009
20090306462System for Controlling a Controllable Stomach Band - The invention relates to system for controlling a controllable gastric band (12-10-2009
20130072749DEVICES AND METHODS FOR MANIPULATING BODILY TISSUES - A medical device and a method for manipulating bodily tissues are described. The medical device includes an elongated portion having a proximal end portion and a distal end portion. The elongated portion has a defined width referred to as first width. The medical device further includes a head portion extending from the distal end portion of the elongated portion. The head portion includes a first flat surface on a first side and a second flat surface on a second side opposite the first side. The head portion has a defined width referred to as second width. The second width is greater than the first width.03-21-2013
20130072750SYSTEMS AND METHODS FOR TREATING OBESITY AND OTHER GASTROINTESTINAL CONDITIONS - Systems and methods affect tightening of the pyloric sphincter and/or serve to mediate or moderate receptive relaxation of muscles in the stomach, to treat or mitigate various physiologic conditions, such as obesity, biliary reflex, GERD, and/or Barrett's esophagus. The systems and methods may be used as either a primary treatment modality, or applied as a supplementary treatment before, during or after a primary intervention.03-21-2013
20130060080Pelvic Implant Needle System and Method - Various embodiments of a trocar or needle system for use in inserting and deploying pelvic implants are provided. The needle device can include a solid or hollow shaft portion with a non-circular cross-section. A grip element can be provided to slide along a length of the needle shaft to further facilitate handling.03-07-2013
20110015480ARTICLES, DEVICES, AND METHODS FOR PELVIC SURGERY - Described are implants, tools, and related methods, for use in pelvic surgery to treat conditions such as prolapse and incontinence, including one embodiment of a method that uses a transcoccyx tissue path; other embodiments that use particular implants with various features relating to, e.g., end portions; and other embodiments relating to particular tools.01-20-2011
20110015479METHOD AND APPARATUS FOR TREATING PELVIC ORGAN PROLAPSE - An apparatus for treating pelvic organ prolapse in a patient is provided. The apparatus includes a support portion having first and second ends. A first elongated end portion is connected to said first end of said support portion. The first elongated end portion includes a first dilator configured to attach securely with a tip of a needle. A second elongated end portion is connected to said second end of said support portion. The second elongated end portion includes a second dilator configured to attach securely with a tip of a needle. The first and second needles include a straight portion, a tip, a first radius, and a second radius distinct from the first radius. The first radius and the second radius are disposed between the straight portion and the tip. A method and kit for said treatment is further provided.01-20-2011
20110015478Delivery of cardiac constraint jacket - A cardiac constraint jacket is formed of flexible material defining a volume between an open upper end and a lower end. The jacket is dimensioned for an apex of a patient's heart to be inserted into the volume through the open upper end and for the jacket to be slipped over the heart. A delivery device is used to place the jacket on the heart. The delivery device includes a plurality of attachment locations. Each of the attachment locations is releasably secured to separate positions surrounding a periphery of the open upper end of the jacket. The delivery device also includes a control arrangement which is selectively movable between an open position and a closed position. The control arrangement is connected to the attachment locations such that the attachment locations are in a compact array urging the open upper end of the jacket into a collapsed configuration when the control member is in the closed position. When the control arrangement is in the open position, the attachment locations are in an open array. The attachment locations urge the open upper end of the jacket into an open configuration sufficient for the heart to be inserted into the jacket volume through the open upper end and for the jacket to be slipped over said heart.01-20-2011
20110015477SURGICAL ARTICLES AND METHODS FOR TREATING PELVIC CONDITIONS - Described are pelvic implants and methods of surgically placing pelvic implants, the implants optionally including the ability to engage a spreader tool for spreading the implant within the patient, also optionally including a stiffening frame (01-20-2011
20110015476Devices and Methods for Treating Cardiomyopathy - This application relates to cardiac medical devices, and specifically to adjustable tensioning devices for tissue anchors, to the intraventricular cardiac anchoring or banding devices themselves, to devices and methods for controlling the depth of penetration of tissue anchors, to devices and methods for the joining of both papillary muscles to the mitral valve, to devices and methods for non-invasive “sling” or “loop” tethering of papillary muscles, to devices and methods for establishing suction prior to and during tissue anchor implant, to a double-barreled needle delivery device, and to a method of remodelling the heart muscle by implanting one or more tethers, and then periodically reducing the tether distance over time.01-20-2011
20090137865Tissue Stabilizer and Methods of Use - Devices and methods are disclosed for stabilizing tissue within a patient's body during a surgical operation to provide a relatively motionless surgical field. The devices involve tissue stabilizers which provide superior engagement with a tissue structure to be stabilized, for example the beating heart. The tissue stabilizer may have one or more stabilizer feet which provide for adjustment of the orientation of the features which engage the surface of the tissue structure. In one instance, the orientation may be adjusted to ensure the engaging features will be properly aligned with the surface of the tissue structure before engagement. In addition, once engaged with or connected to the tissue structure the orientation may be adjusted to yield an optimum surgical presentation of a portion of the tissue structure, for instance a coronary artery or the like. The tissue stabilizer may be configured to use friction, negative pressure, or both to engage the surface of the heart.05-28-2009
20090023982Apparatus and method for incision-free vaginal prolapse repair - In a preferred application, e.g., the repair of vaginal prolapse after relocation of the vagina and any organs displaced by the prolapse, corrective surgery is initiated by applying a hollow tubular element, formed to forcibly insert a barbed anchor attached to a distal end of a first length of suture, without any incision, from the inside of the vagina through the vaginal wall (the supported tissue) into selected support tissue within a patient's pelvis. This involves puncturing and thus locally severe physical distressing of both the supported tissue and the support tissue. The barbed anchor is left in the support tissue as the tubular element is then withdrawn from the support tissue and out of the vagina, leaving the proximate end portion of the suture extending through the vaginal wall into the vagina. A second such anchor, with a second length of suture attached thereto, is similarly inserted adjacent to the first anchor. The proximate end portions of the sutures are tied to each other inside the vagina, to thereby secure the vaginal wall to the support tissue with corresponding punctures formed in each by the insertions of the two anchors being thereby held in respective, precisely aligned, intimate contact during healing. This results in a pair of fused scars that cooperate to permanently bond the vaginal wall locally to the support tissue. If the sutures and/or the anchors are made of absorbable material they will all eventually disappear and the fused scars will provide the permanent bonding. If the anchors are made of non-absorbable material they may remain where located. A plurality of such paired fused-scar bonds may be generated, at the surgeon's discretion, to ensure adequate support for the repaired vagina. The apparatus01-22-2009
20130066145MEDICAL DEVICE AND METHODS OF DELIVERING THE MEDICAL DEVICE - The present invention discloses a medical device and a method of placing the medical device within a patient's body. The medical device includes a support member, a first elongate member, a second elongate member and a coupling member. The first elongate member and the second elongate member extend from the support member. The coupling member includes a first portion and a second portion. The first portion of the coupling member is coupled to a distal end portion of the first elongate member and the second portion of the coupling member is coupled to a distal end portion of the second elongate member.03-14-2013
20130066146IMPLANTABLE MEDICAL DEVICE AND METHODS OF DELIVERING THE IMPLANTABLE MEDICAL DEVICE - A medical device and method of delivery of the medical device within a patient's body are disclosed by the present invention. The medical device includes a first elongate member and a second elongate member. A first portion and a second portion of the second elongate member are configured to form a defined non-planar shape such that the first portion is a first arm of the defined non-planar shape and the second portion is a second arm of the defined non-planar shape.03-14-2013
20120116154SELF-ANCHORING SLING AND INTRODUCER SYSTEM - 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.05-10-2012
20120116153APPARATUS AND METHOD FOR INTRA-ABDOMINALLY MOVING A FIRST INTERNAL ORGAN TO A POSITION AWAY FROM A SECOND INTERNAL ORGAN AND THEN HOLDING THE FIRST INTERNAL ORGAN IN THE POSITION WITHOUT MANUAL INPUT - An apparatus including a flexible length of cord and three tissue connectors positioned at the opposite ends of the cord and at an intermediate position of the cord is designed to be laparoscopically inserted through the abdominal wall and into the abdominal cavity, and used to move a first internal organ to a position away from a second internal organ where the apparatus holds the first internal organ in the position without further manual input, thereby providing surgical access to the second internal organ.05-10-2012
20120116152ARTICULATING ORGAN SUPPORT - An organ support apparatus includes: an enclosure having a floor, opposed side walls, opposed end walls, and a lid; a first support pad disposed on the floor of the enclosure, the first support pad comprising a plurality of inflatable and flexible chambers; and an inflation apparatus coupled to the chambers and operable to individually inflate or deflate each chamber.05-10-2012
20090012353Apparatus for Posterior Pelvic Floor Repair - Improved methods and apparatuses for treatment of posterior pelvic floor repair, including rectocele and related pelvic organ prolapse, are provided. A specialized mesh (01-08-2009
20100081869Ventricular Restoration Patch - A ventricular patch to restore the ventricular architecture of the heart includes a sheet of biocompatible material having a generally oval configuration, and a continuous ring fixed to the sheet. The ring has a generally oval configuration similar to the generally oval configuration of the sheet of biocompatible material. The ring defines a central generally oval region of the patch inside the ring and a circumferential region of the patch outside of the ring. The central generally oval region has a major axis and a minor axis. The ratio of the major axis to the minor axis is about 4:1.04-01-2010
20100081868SHAPE MEMORY DEVICES AND METHODS FOR RESHAPING HEART ANATOMY - Systems, methods and devices are provided for treating heart failure patients suffering from various levels of heart dilation. Such heart dilation is treated by reshaping the heart anatomy with the use of shape memory elements. Such reshaping changes the geometry of portions of the heart, particularly the right or left ventricles, to increase contractibility of the ventricles thereby increasing the stroke volume which in turn increases the cardiac output of the heart. The shape memory elements have an original shape and at least one memory shape. The elements are implanted within the heart tissue or attached externally and/or internally to a surface of the heart when in the original shape. The elements are then activated to transition from the original shape to one of the at least one memory shapes. Transitioning of the elements cause the associated heart tissue areas to readjust position, such as to decrease the width of the ventricles. Such repositioning is maintained over time by the elements, allowing the damaging effects of heart dilation to slow in progression or reverse.04-01-2010
20100081867Medical Device Delivery System Having Integrated Introducer - An apparatus for delivering a medical device onto a heart includes a housing within which is releasably disposed the medical device. The housing in one embodiment comprises inner and outer deflectors between which is delivered the medical device. Both deflectors are self-expanding. A deflector compression sheath is slidable longitudinally over the housing to a delivery position at which it moves the deflectors to a collapsed configuration. The compression sheath is retracted to a deployment position to permit the deflectors to deploy by self-expanding to their larger diameters. The outer deflector has an expanded diameter sufficient to engage the inner surface of the pericardium to hold it away from the delivery site while the second deflector guides the medical device into position over the heart while protecting the heart. In another embodiment, the housing includes only an outer deflector. The apparatus also functions as an introducer when the compression sheath is moved to the delivery or “introducer” position at which configuration, the apparatus functions as an introducer.04-01-2010
20100081866Pelvic Floor Mesh and Incontinence Sling - A support device includes a support member and a frame member. The support member has a body portion and an elongated arm extending from the body portion. The elongated arm has a width smaller than a width of the body portion of the support member. The body portion is configured to help support an anatomical structure located in a pelvic region of a patient. The frame member is coupled to the support member and comprised of a shape memory alloy.04-01-2010
20100081865Surgical method and mesh - A surgical mesh, having a mesh material having a first leaf, a second leaf, and a third leaf. The first leaf having first leaf targets disposed thereon, the second leaf having second leaf targets disposed thereon, the third leaf having third leaf targets disposed thereon. The leafs may also have an orientation line longitudinally disposed thereon. A surgeon can use the targets to identify the location of where to apply sutures through the mesh material to the patient to remedy prolapse.04-01-2010
20100081864METHODS AND DEVICES FOR PERFORMING GASTRECTOMIES AND GASTROPLASTIES - Methods and devices are provided for performing gastrectomies and gastroplasties. In one embodiment, a method includes gaining access to a stomach of a patient through an opening formed in the patient's abdominal wall and an opening formed in the patient's vaginal wall. Tissue attached to the stomach can be tensioned using a surgical instrument inserted through one of the abdominal and vaginal openings and can be separated from the stomach to free the stomach fundus using a dissecting surgical instrument inserted through another opening, e.g., through one of the abdominal and vaginal openings. The fundus can be at least partially transected using a surgical stapler inserted through one of the abdominal and vaginal openings, thereby forming a stomach “sleeve.” In another embodiment, the method is modified to form another opening in the patient's abdominal wall instead of forming an opening in the vaginal wall.04-01-2010
20100081863METHODS AND DEVICES FOR PERFORMING GASTRECTOMIES AND GASTROPLASTIES - Methods and devices are provided for performing gastrectomies and gastroplasties. In one embodiment, a method includes gaining access to a stomach of a patient through an opening formed in the patient's abdominal wall and an opening formed in the patient's vaginal wall. Tissue attached to the stomach can be tensioned using a surgical instrument inserted through one of the abdominal and vaginal openings and can be separated from the stomach to free the stomach fundus using a dissecting surgical instrument inserted through another opening, e.g., through one of the abdominal and vaginal openings. The fundus can be at least partially transected using a surgical stapler inserted through one of the abdominal and vaginal openings, thereby forming a stomach “sleeve.” In another embodiment, the method is modified to form another opening in the patient's abdominal wall instead of forming an opening in the vaginal wall.04-01-2010
20080312492MODIFICATION OF PROPERTIES AND GEOMETRY OF HEART TISSUE TO INFLUENCE FUNCTION - Materials, devices and methods for the treatment of congestive heart failure are disclosed. In these methods, the volume of the left ventricle is reduced, thereby increasing the efficiency of the pumping action of the heart. Volume reduction is accomplished by introduction of biocompatible materials into the wall of the left ventricle, or into the ventricle itself. Suitable biocompatible materials include those that undergo a phase transition within the ventricle or within the wall of the ventricle, and are thereby converted from a substantially liquid state to a substantially solid state. Such materials also include those which increase in volume during the transition from the liquid state to the solid state. Also disclosed is a method for ventricular geometry reduction wherein flexible, elastic bands are attached to the external surface of the heart to effect a decrease in the volume of the left ventricle. Finally, disclosed are devices including catheters and elastic bands that are usable in these treatments12-18-2008
20090018387Repair of Vaginal Prolapse - Described are methods and devices useful for treating pelvic prolapse, such as vaginal prolapse, the methods involving a tissue path that extends through pelvic floor (muscle) tissue.01-15-2009
20110263930Device and method for vaginal sacrocolpopexy - A surgical procedure for repairing vaginal prolapse, including apical descent (vaginal vault or uterine descensus), cystocele and/or rectocele, avoids bladder injury, the need for laparoscopic suturing, and difficulties in tensioning the mesh used to hold the vagina in the correct anatomical position, and can be practiced with off the shelf components. The procedure typically comprises exposing a female patient's peritoneum; making a peritoneal incision (e.g. over the patient's sacrum); mobilizing the peritoneum; incising the patient's vagina and attaching the anterior and posterior surfaces of a first (e.g. generally rectangular) mesh component, with a truncated stem and first locking element, to the apex of the patient's vagina; passing a mesh base component having a second locking element at a distal end, and a proximal end, underneath the peritoneum; moving the first and second locking elements together into locking relationship; anchoring the mesh base (e.g. to the sacrum, so that the mesh components suspend the vaginal apex from the sacrum); and closing the peritoneal incision. Particular mesh components with locking elements, and a surgical spreader for use in the procedure, are desirable.10-27-2011
20110184228COMPOSITE SURGICAL IMPLANTS FOR SOFT TISSUE REPAIR - According to one aspect of the invention, composite implants for soft tissue repair a provided which comprise (a) a substantially two-dimensional piece of biologic matrix material and (b) one or more non-absorbable synthetic polymeric filaments.07-28-2011
20110144422SYSTEMS, METHODS AND DEVICES RELATING TO A REMOVABLE SLEEVE FOR AN IMPLANTABLE SLING - Devices and methods for delivering of a sling assembly and removal of the sleeve at least partially enclosing the sling through a single orifice of incision are disclosed.06-16-2011
20110144421PARTIALLY ERODABLE SYSTEMS FOR TREATMENT OF OBSTRUCTIVE SLEEP APNEA - A method of maintaining airway patency in an airway of a patient. The method includes the steps of implanting a device into airway-forming tissue without affixing the device to the tissue and permitting a bioerodable portion of the device to bioerode to apply a force to the airway-forming tissue to maintain airway patency. The invention also provides devices for practicing the method.06-16-2011
20110144420Apparatus for Completing Implantation of Gastric Band - An instrument comprises a handle, an articulating shaft, an end effector, and a translatable hook member. The shaft defines a side aperture, proximal to an articulating section of the shaft, through which the hook member protrudes when the hook member is translated distally. The end effector is used to form a retrogastric tunnel through blunt dissection in tissue near a patient's gastro-esophageal junction; and then to pull a gastric band through the tunnel to position the gastric band about the gastro-esophageal junction. The end effector is then used to hold a first portion of the gastric band in place while the hook member is extended distally to engage a second portion of the gastric band. The hook member may then be retracted proximally to couple the second portion of the gastric band with the first portion of the gastric band, thereby latching the gastric band in place.06-16-2011
20110144419Support Apparatus for Gastric Band System Injector - A support apparatus connects with and provides fluid communication between a needle and a syringe. The support apparatus includes at least one arm that is configured to provide cantilever support of the needle and syringe while the needle is inserted in a patient. The arm engages the patient's skin, and may be rigid, malleable, hinged, stretchable, telescoping, and/or have other properties. The support apparatus may form part of an adapter that also includes a pressure sensor. The pressure sensor senses the pressure of fluid in a gastric band system when the needle is inserted in an injection port of the gastric band system. A cable may extend from the pressure sensor to a display device, and may include markings configured to provide measurement from the needle to a patient's xyphoid process. Such a measurement may be factored into a calculation to account for hydrostatic pressure differences in pressure readings.06-16-2011
20100022822Tissue Anchor System - A suburethral sling system including a suburethral sling body having first and second ends; a tissue anchor connected approximate to each of the first and second sling ends, the tissue anchors having barbs for retaining the anchors in soft tissue; and an anchor delivery device having a hand-grip and an anchor stay adapted to reversibly mate with the tissue anchors.01-28-2010
20110282137DEVICE FOR THE SURGICAL TREATMENT OF FEMALE PROLAPSE - A device having a reticular or laminar structure to be surgically implanted in uro-gynaecological treatments, useful in particular for the surgical treatment of total or partial prolapse of the female pelvic organs or of prolapse of the vaginal vault.11-17-2011
20110282136SYSTEM FOR INTRODUCING SOFT TISSUE ANCHORS - A system for providing support to an anatomical structure of the pelvis includes first and second soft tissue anchors, a suburethral support, an introducer, and a filament. The first soft tissue anchor has a proximal end and a distal end and includes a base having a hollow tubular structure, a plurality of barbs, and a tip. The sub-urethral support portion has first and second ends, the first and second soft tissue anchors extending from the first and second ends of the sub-urethral support portion. The introducer has an elongate shaft and a handle, the elongate shaft having a proximal end at the handle and a distal end with an aperture extending through the distal end. The filament extends through the hollow tubular section of the first soft tissue anchor and through the aperture in the distal end of introducer.11-17-2011
20120289769DIRECTIONLESS (ORIENTATION INDEPENDENT) NEEDLE INJECTION PORT - Generally described herein are certain embodiments directed to an orientation-independent injection port fluidly coupled to a gastric banding system. The injection port may be configured to simplify the port-targeting process when a medical professional attempts to penetrate the injection port with a needle during a gastric band-adjusting procedure. For example, the injection port may be orientation-independent with the entire outer shell acting as the needle access point. Alternatively, and/or in addition, the inner core of the injection port may be hard or firm, thereby allowing for easier locating (e.g., when the medical professional performs palpation). Furthermore, the hard inner core may prevent needle over-throws, and help stabilize pressure.11-15-2012
20130066144TISSUE ANCHOR WITH INSERTION DEVICE - In one embodiment, a medical device includes an elongate member and a tissue anchor. The elongate member defines a lumen. The elongate member has a retention member disposed within the lumen. The tissue anchor has a first arm portion, a second arm portion, and a base portion extending between the first arm portion and the second arm portion. The tissue anchor has a first configuration and a second configuration. The first arm portion is substantially linear when the tissue anchor is in its first configuration and the first arm portion is non-linear when the tissue anchor is in its second configuration. The tissue anchor is biased to its second configuration. The tissue anchor is configured to be disposed within the lumen defined by the elongate member such that the retention member engages the tissue anchor to help retain the tissue anchor in its first configuration.03-14-2013
20100217071DUAL BALLOON GASTRIC RING - The invention relates to an implantable surgical ring (08-26-2010
20120289770DELIVERY MEMBERS FOR DELIVERING AN IMPLANT INTO A BODY OF A PATIENT - In one embodiment, a medical device includes a first elongate portion and a second elongate portion. The first elongate portion defines a loop and has a first end portion and a second end portion. The first end portion is configured to be removably coupled to an implant. The second elongate portion has a first end portion and a second end portion. The first end portion of the second elongate portion is coupled to the first elongate portion. The second end portion of the second elongate portion is configured to be removably coupled to an insertion tool.11-15-2012
20120289771Pessary - There is disclosed a pessary 11-15-2012
20110301408MAGNETICALLY COUPLED IMPLANTABLE PUMP SYSTEM AND METHOD - A magnetically coupled, implantable pump system comprises an external controller and an implantable device. A non-implantable magnet in an external controller produces a magnetic field that couples the non-implantable magnet to a magnet in the implantable device. A non-implantable motor moves the non-implantable magnet in a rotational direction. When the non-implantable magnet moves in the rotational direction, a piston coupled to the magnet moves within the implantable device. As the piston moves, an amount of fluid from a reservoir in the implantable device moves out of the reservoir and into an inflatable portion of a gastric band. The implantable device may also move fluid out of the inflatable portion of the gastric band.12-08-2011
20110301410MEDICAL SLINGS - A medical sling made from material that is suitably shaped for use in a medical application has sides, portions of which are smoothed to prevent abrasion of surrounding tissue.12-08-2011
20110301409SYSTEMS AND METHODS FOR SLING DELIVERY AND PLACEMENT - Devices and methods for delivering and placing a surgical sling without resorting to an abdominal incision are disclosed.12-08-2011
20100280310Laparoscopic Gastric Band With Active Agents - A gastric banding system is provided which generally includes a gastric band and an active agent, for example, a metabolic agent or satiety inducing agent. The band may be structured to contain the agent and permit controlled release of the agent to the patient while the band is positioned around the stomach. Methods for treating obesity are also provided which include positioning a gastric band on the stomach of a patient and administering a satiety inducing agent to the patient while the gastric band is positioned on the stomach.11-04-2010
20120190919ASSEMBLY AND METHOD FOR AUTOMATICALLY CONTROLLING PRESSURE FOR A GASTRIC BAND - A bladder assembly is provided in order to maintain the pressure in the balloon portion of a gastric band in a range corresponding to a so-called Green Zone. Multiple bladders are connected by flexible tubing which is connected at a distal end to the balloon portion of a gastric band. The elastically expandable bladders provide fluid pressure on the balloon portion of the gastric band in order to maintain the intra-luminal pressure within a desired range over a prescribed fill volume. A flow restrictor is positioned between the balloon portion and the bladders to restrict fluid flow from the balloon to the bladders during patient swallowing.07-26-2012
20110295057SYSTEMS AND METHODS FOR GASTRIC VOLUME REGULATION - Devices and methods for modifying stomach volume include the formation of intragastric slots for wrapping one or more portions of the fundus therethrough with minimal interference with nerves and vasculature flow. Intragastric space occupying devices expand with environmental changes brought about by natural conditions inherent to the digestive cycle such as with changes in pH. Extragastric volume occupying balloons are placed into folded stomach sections. The balloons are fluidly coupled to external gastric filling devices. In yet another set of embodiments, methods and devices provide adjustable gastric volume reduction fundal wraps. In one embodiment, a device is placed in the fundus for Nissen fundoplication and permits postoperative adjustment to reach desired weight loss. Intragastric and extragastric balloons are optionally incorporated.12-01-2011
20110071341IMPLANTABLE RESTRICTION SYSTEM WITH RELEASE MECHANISM - An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engaging the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. A release mechanism is provided for the tension element.03-24-2011
20110295058VAGINAL DEVICE - The present invention refers to a vaginal device 12-01-2011
20110295056SYSTEMS AND METHODS FOR GASTRIC VOLUME REGULATION - Devices and methods for modifying stomach volume include the formation of intragastric slots for wrapping one or more portions of the fundus therethrough with minimal interference with nerves and vasculature flow. Intragastric space occupying devices expand with environmental changes brought about by natural conditions inherent to the digestive cycle such as with changes in pH. Extragastric volume occupying balloons are placed into folded stomach sections. The balloons are fluidly coupled to external gastric filling devices. In yet another set of embodiments, methods and devices provide adjustable gastric volume reduction fundal wraps. In one embodiment, a device is placed in the fundus for Nissen fundoplication and permits postoperative adjustment to reach desired weight loss. Intragastric and extragastric balloons are optionally incorporated.12-01-2011
20110295055Methods and Devices For The Rerouting Of Chyme To Induct Intestinal Brake - Methods and devices reroute chyme to induce intestinal brake in order to improve the effectiveness of bariatric surgical procedures and to improve comorbidity resolution. A bowel is manipulated to provide a shortened path for chyme to travel to the ileum. These methods and devices of rerouting chyme to induce intestinal brake may comprise one or more of a surgical procedure, an implanted device, or a combination of an implant with an improved surgical procedure.12-01-2011
20110295054Method of Filling an Intraluminal Reservoir with a Therapeutic Substance - Methods described herein involve introducing a nasogastric tube into a patient, connecting the nasogastric tube with a reservoir, anchoring the nasogastric tube with the nasal cavity, and introducing a substance into the reservoir through the nasogastric tube.12-01-2011
20100280309ENDOSCOPIC MESH DELIVERY SYSTEM WITH INTEGRAL MESH STABILIZER AND VAGINAL PROBE - A mesh delivery system (11-04-2010
20090131743LOW FRICTION DELIVERY TOOL FOR A CARDIAC SUPPORT DEVICE - A delivery device for efficiently delivering a cardiac support device of the type having a jacket. The device includes a body, a deployment mechanism and an actuating mechanism. The deployment mechanism is for releasable connection to a cardiac support device and movable within the jacket between retracted and extended states to drive the jacket between collapsed and open configurations. At least portions of the deployment mechanism within the jacket have a lubricious surface to substantially reduce friction between the jacket and a heart onto which the jacket is being positioned. The actuating mechanism moves the deployment mechanism between the retracted and extended states.05-21-2009
20100036195METHODS AND DEVICES FOR CARDIAC SURGERY - Methods for performing minimally invasive heart surgery include accessing a heart of a patient through a first incision on the left thorax of the patient, contacting the heart through the incision with a heart stabilizing device and/or a heart positioning device, introducing at least one coupling device through a second incision on the patient located apart from the first incision, coupling the coupling device with the heart stabilizing device or the heart positioning device, and performing a surgical procedure on the heart. Systems may include a retractor device, a heart stabilizing device, and a coupling device, for enhancing cardiac surgery. Any suitable heart surgery may be performed using methods, devices or systems of the present invention. In one embodiment, a CABG procedure is performed.02-11-2010
20100036194METHOD AND DEVICE FOR DEPLOYMENT OF A SUB-PERICARDIAL SACK - Various methods and devices for deploying a sub-pericardial sack about at least a portion of a heart to alleviate congestive heart failure. A medical device housing the sub-pericardial sack is inserted into the pericardial sack. An inverted umbrella framework is deployed through the medical device and into the pericardial sack to position the sub-pericardial sack adjacent the heart. The umbrella framework is then retracted through the medical device once the cardiac assist device is placed adjacent the heart. A steerable catheter can instead be deployed through the pericardial sack to deploy and position a cardiac assist device, such as a mesh, around the heart. The steerable catheter is covered by a sheath housing the cardiac assist device. Once the sheath is pulled back, the cardiac assist device is deployed and secured adjacent the heart. Filaments or tensions wires are used to tighten the mesh around the heart.02-11-2010
20120088962SELF-ADJUSTING GASTRIC BAND - Generally described herein are automatic, self-adjusting, gastric banding systems and improvements thereof, that are capable of automatically relaxing and contracting in response to a large bolus passing through the area of a patient's stomach constricted by a gastric band. Alternatively, and/or in addition in one or more embodiments, the gastric banding systems described herein may also help prevent pouch dilatation and/or erosion. The apparatus and systems described herein aid in facilitating obesity control and/or treating obesity-related diseases while generally being non-invasive once implanted. Furthermore, certain embodiments of the self-adjusting gastric banding systems disclosed herein are automatically adjustable without complicated fluid control mechanisms, flow rate limiting devices, and/or valves. The automatic adjustments may also be made in response to other changes in the patient's esophageal-gastric junction, for example, in response to size, shape, and or location changes.04-12-2012
20090099411DEVICE TO PERMIT OFFPUMP BEATING HEART CORONARY BYPASS SURGERY - A suction cup adapted to engage a surface of a beating heart with sufficient force to move the beating heart to an unnatural position upon moving the suction cup, while the suction cup maintains engagement with the surface of the heart and the heart continues to beat. Various suction cups are described each including at least a first chamber having a flexible rim and configured to engage the surface of the beating heart and a second chamber smaller than the first chamber and fluidly connected therewith. A suspension device configured to engage a beating heart and maintain engagement via suction while moving the suspension device to move the beating heart to an unnatural position and maintain the beating heart in the unnatural position to perform a surgical procedure, while the heart continues to beat, includes a suction cup and a support arm connected thereto. The suction cup has a first chamber configured to engage the surface of the beating heart and a second chamber smaller than the first chamber and fluidly connected therewith. The second chamber is adapted to fluidly connect the first chamber with a source of suction. The support arm is movable with the suction cup to effect movement of the beating heart after engagement of the suction cup to a surface of the beating heart. A method of manipulating a beating heart to orient the beating heart in a desired position for performing a surgical procedure includes providing a suction cup having a first chamber configured to engage the surface of the beating heart, and a second chamber smaller than the first chamber and fluidly connected with the first chamber, the second chamber being further fluidly connected to a source of suction; contacting a surface of the beating heart with the first chamber; applying suction between the first chamber and the surface of the beating heart, thereby engaging the suction member with the surface of the beating heart; and moving the suction member while maintaining engagement with the surface of the beating heart, thereby moving the beating heart.04-16-2009
20110270026DELIVERING PELVIC FLOOR REPAIR IMPLANTS - A medical device for the delivery of pelvic floor repair implants within a pelvic region of a body includes a handle, an elongated shaft member, and a head. A method of delivering a pelvic floor repair implant in a transvaginal implant procedure includes inserting and deploying at least a portion of the medical device into a pelvic region of a body.11-03-2011
20110270018SELF-ADJUSTING MECHANICAL GASTRIC BAND - A self-adjusting gastric band applies a substantially constant force to a patient's fundus in order to facilitate weight control. The self-adjusting gastric band is capable of automatically relaxing and contracting in response to changes in the patient's fundus or in response to a large bolus passing through the patient's fundus that is constricted by the gastric band. The self-adjusting gastric band is automatically adjustable without hydraulic fluid and without external physician intervention. The self-adjusting gastric band comprises a movable member and a biasing mechanism coupled to the movable member to facilitate applying the substantially constant force against the fundus as the fundus changes size, shape and/or position.11-03-2011
20110270016SELF-ADJUSTING GASTRIC BAND - A self-adjusting gastric band comprises an inflatable portion that includes a fluid such as saline. A reservoir is spaced from the inflatable portion according to a distance related to a wavelength of a peristaltic wave that propagates through the esophageal-gastric junction. A pressure-relief valve is coupled between the inflatable portion and the reservoir and allows an amount of the fluid to pass from the inflatable portion to the reservoir when a first force generates an increased pressure in the inflatable portion. The amount of fluid is released to allow the large bolus to pass through the esophageal-gastric junction. A contracted portion of the peristaltic wave is proximate the reservoir when an expanded portion of the wave is proximate the inflatable portion of the self-adjusting gastric band, to facilitate allowing the amount of the fluid to enter the reservoir.11-03-2011
20090177028Non-blood contact cardiac compression device, for augmentation of cardiac function by timed cyclic tensioning of elastic cords in an epicardial location - One embodiment of a device to augment the pumping function of a weakened heart. A set of connectors with elastic properties are positioned immediately proximate to the outer surface of the heart. Each of the elastic connectors is attached at one end to a circumferential band firmly attached to the exterior surface of the heart at around the level of the atrioventricular groove, an anatomical feature of the heart. At the other end, each of said elastic connectors is attached to a cap attached firmly to the heart exterior of the heart at the anatomical apex. A mechanism places the elastic connectors alternatively under tension (stretch) then shortening (relaxation). When the elastic connectors are stretched they draw the apex and circumferential band together, resulting in external compression of the heart. This movement causes the internal volume of the cardiac ventricles to be reduced, thereby encouraging expulsion of the blood contents of the ventricles to be expelled. This action will be timed so as to augment the natural cardiac contraction, and thereby improve its pumping function.07-09-2009
20100113868SYSTEMS AND METHODS FOR TREATING STRESS URINARY INCONTINENCE - Systems and methods are delineated for treating urinary incontinence (UI). An exemplary system comprises a strip of mesh having a primary axis and a secondary axis orthogonal to the primary axis; a first end and a second end, the first end and the second end located at opposite ends of the primary axis; and a first surface located on a first side of the strip, the first surface for providing support to the urethra of a patient under treatment for UI. The system also includes a first fastener including at least one barb coupled to the first end of the strip and a second fastener including at least one barb coupled to the second end of the strip. The system also includes a plurality of cords coupled to the strip for extracting the strip when desired.05-06-2010
20100113870SYSTEMS AND METHODS FOR TREATING POSTERIOR PELVIC ORGAN PROLAPSE - A system for treating posterior pelvic organ prolapse according to one aspect of the present invention comprises a cape for supporting a posterior organ (such as a rectum and/or bowel) that has prolapsed into a vagina, a plurality of support arms coupled to the cape, and a plurality of fasteners for attaching the support arms to a portion of the pelvic sidewall. Each one of the plurality of fasteners is coupled to a respective one of the plurality of support arms. The system may further include a tension adjustment system. Among other things, the present invention provides an integrated, pre-fabricated solution to treating posterior pelvic organ prolapse. All components of the system can thus be quickly deployed, without the need to build the repair system piecemeal. Additionally, the present invention provides a completely transvaginal solution to posterior pelvic organ prolapse, is easier for less experienced surgeons to perform, and poses far less risk of injury or death to the patient.05-06-2010
20100113869SYSTEMS AND METHODS FOR TREATING ANTERIOR PELVIC ORGAN PROLAPSE - A system for treating anterior pelvic organ prolapse according to one aspect of the present invention comprises a cape for supporting an anterior organ (such as a bladder) that has prolapsed into a vagina, a plurality of support arms coupled to the cape, and a plurality of fasteners for attaching the support arms to a portion of the pelvic wall. Each one of the plurality of fasteners is coupled to a respective one of the plurality of support arms. The system further includes a tension adjustment system. Among other things, the present invention provides an integrated, pre-fabricated solution to anterior pelvic organ prolapse. All components of the system can thus be quickly deployed, without the need to build the repair system piecemeal. Among other things, this results in quicker surgeries, less risk to the patient from anesthesia, and less risk of failure of the repair due to the improper assembly of the repair system. Additionally, the present invention provides a completely transvaginal solution to treating anterior pelvic organ prolapse, is easier for less experienced surgeons to perform, and poses far less risk of injury or death to the patient.05-06-2010
20100268020Method and Apparatus For Closing Off a Portion of a Heart Ventricle - Apparatus and methods to reduce ventricular volume are disclosed. The device takes the form of a transventricular anchor, which presses a portion of the ventricular wall inward, thereby reducing the available volume of the ventricle. The anchor is deployed using a curved introducer that may be inserted into one ventricle, through the septum and into the opposite ventricle. Barbs or protrusions along the anchor body combined with a mechanical stop and a sealing member hold the device in place once deployed.10-21-2010
20100268019CADIAC SUPPORT DEVICE DELIVERY TOOL WITH INDEPENDENTLY MOVABLE ARMS - A device for delivery of a cardiac support device for treating cardiac disease of a heart includes a multistage deployment mechanism and an actuating mechanism for controlling the positions of the deployment mechanism. The deployment mechanism is operable to change between a retracted state and an extended state, and includes a plurality of independent stages, including, in one embodiment, a first stage including a guide structure for location adjacent a portion of the patient's heart when in the extended state. A second stage is movably coupled to the first stage, and is guided by the guide structure between the retracted and extended states. The second stage further releasably engages and supports the cardiac support device and positions the cardiac support device at the desired implantation location, guided by the guide structure of the stage. In some embodiments, the deployment mechanism may include additional stages. The actuating mechanism drives the deployment mechanism between the retracted and extended states, and independently controls the positions of the multiple stages of the deployment mechanism.10-21-2010
20100268018DELIVERY SLEEVE FOR PELVIC FLOOR IMPLANTS - An apparatus includes an implant and a sleeve. The implant has a support portion and a strap extending from the support portion. The support portion is configured to support a portion of a body of a patient. The strap is configured to be inserted into a tissue of the patient. The sleeve has a distal end portion, a proximal end portion and a tapered portion. The tapered portion of the sleeve is configured to dilate the tissue of the patient when the implant is inserted into the body of the patient. The proximal end portion of the sleeve is releasably coupled to the strap.10-21-2010
20090149700METHOD AND APPARATUS FOR PUBIC SLING INSERTION - An adjustable-length support sling assembly for internal placement within a patient includes a generally flat sling member formed of a mesh material. Each respective end of the sling member is permanently affixed to a corresponding anchor member. A portion of the sling member adjacent each respective end is folded upon itself by a predetermined length and releasably secured within an annular slot in the corresponding anchor member. The dimensions of each respective annular slot is selected to retain the corresponding folded portion of the sling member within the slot until sufficient tension is applied by the sling member that exceeds a respective predetermined tension level. The anchor members are securable in the tissue of a patient by means of the proximally-directed prongs.06-11-2009
20100274074PELVIC FLOOR TREATMENTS AND RELATED TOOLS AND IMPLANTS - Described are implants, tools, and methods useful for treating pelvic conditions such as prolapse, by placing an implant to support pelvic tissue, the implants, tools, and methods involving one or more of an insertion tool that works in coordination with a sheath, adjusting engagements, specific implants and pieces of implants, placement of implants at locations within the pelvic region, and insertion, adjusting, and grommet management tools.10-28-2010
20130217958Surgical Needle Device - Various surgical introducer needle and anchor systems are provided. The systems can include an introducer needle and a tissue support implant or sling device. The implant device can include one or more anchoring devices. The introducer needle device can include a handle assembly and a needle assembly. The needle assembly can include a generally hollow needle, and a wire traversable therein. The wire can include a distal tip adapted to selectively retract or withdraw from the engaged anchoring device upon deployment of the anchor and/or implant.08-22-2013
20090306464IMPLANT FOR TREATING STRESS URINARY INCONTINENCE AND ANTERIOR VAGINAL WALL PROLAPSE - An implant and method for treating both stress urinary incontinence and anterior vaginal wall prolapse. The implant includes a central body having a central longitudinal axis and including a central base, two lateral supporting parts positioned on each side of the central base in regard to the central longitudinal axis, two inferior tapes extending laterally outward from the two lateral supporting parts, and two superior tapes extending laterally outward from each side of the central body. The inferior and superior tapes are oriented in the direction of the front of the implant, the inferior tapes configured to support the bladder and the superior tapes to correct stress urinary incontinence.12-10-2009
20090093672PELVIC IMPLANTS AND DELIVERY DEVICES AND METHODS OF USING THE SAME - An apparatus includes a first arm and a second arm coupled to the first arm. The second arm has a retracted configuration and an extended configuration. The first arm is configured to deposit a first end portion of an implant within a first portion of pelvic tissue when the second arm is in the retracted configuration. The second arm is configured to deposit a second end portion of the implant within a second portion of pelvic tissue on an opposite side of a urethra when in the extended configuration, such that a portion of the implant is positioned substantially beneath the urethra.04-09-2009
20120108895IMPLANT FOR SUPPORTING THE PELVIC FLOOR - In one aspect, the present invention is directed to an implant (05-03-2012
20120108894IMPLANT FOR PELVIC ORGAN PROLAPSE REPAIR - A medical article 05-03-2012
20120108892GASTRIC BAND DEVICE AND METHOD - An apparatus for forming a gastric restriction includes an implantable band and at least one tab. In some versions, the at least one tab may serve to stabilize the apparatus as it forms a gastric restriction. In some versions, an opening may be formed in the tabs such that sutures may be used. In some versions, a tissue scaffold and/or matrix may be used on the implantable band and/or the tabs to facilitate long term support for the implantable band, such as by substantially preventing the implantable band from sliding along an axis defined by an anatomical structure about which the implantable band is wrapped.05-03-2012
20090259094Method and Apparatus for Prolapse Repair - 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.10-15-2009
20090099409MEDICAL SHEET - A medical sheet has an intricate pattern of loops, struts and bridges and is made of a super elastic alloy. The medical sheet includes a plurality of amorphic circles which provide rounded surfaces attached to the outer edges which made the medical sheet a-traumatic when implanted. When the medical sheet is cooled the molecular phase becomes martensitic which allows the medical sheet to be compressed for easier insertion into a patient. When the medical sheet is heated, the molecular phase changes to austenitic which causes the medical sheet to expand to a size suitable for implantation. The medical sheet can be secured within the patient by suturing through holes in the amorphic circles.04-16-2009
20080207988APPARATUS AND METHOD FOR ORGAN SUSPENSION - Disclosed herein are a number of embodiments of methods for suspending an organ in a body, and many embodiments of apparatus for suspending an organ in a body. One embodiment provides an apparatus comprising a sleeve having a lumen. A dissecting instrument is slidably located within the lumen. The dissecting instrument includes a channel useful for hydrodissection. An operating instrument is slidably located within the lumen. The operating instrument includes a graft chamber for conveying a graft for fixation between the organ and the body. The operating instrument includes at least one operating channel that accepts a fixation device that fixes the graft between the organ and the body. In one method, an incision is made in the body. An operating instrument bearing a graft is inserted into a sleeve. The sleeve and the operating instrument are inserted through the incision. A fixation device is inserted into the operating instrument. The graft is fixed to the body with the fixation device. The fixation device is removed from the operating instrument. The operating device and the sleeve are removed through the incision. The graft is attached to the organ.08-28-2008
20080207989System For Positioning Support Mesh in a Patient - A surgical system for positioning organs in a patient. The surgical system includes a mesh retrieval device and a mesh support structure. The mesh support structure is suitable for implanting in the patient to position the organ at a desired location in the patient. The mesh retrieval device is engageable with the mesh support structure. The system includes specialized needles and cannulas for delivery of the mesh retrieval device to the mesh support structure and the subsequent positioning of the mesh support structure, which results in the positioning of the organ. Methods of positioning organs in a patient using such devices are also disclosed.08-28-2008
20090287040PERIPHERAL SEAL FOR A VENTRICULAR PARTITIONING DEVICE - A partitioning device for separating a patient's heart chamber into a productive portion and a non-productive portion which is suitable for treating patients with heart disease, particularly congestive heart failure. The partitioning device has a reinforced membrane with outwardly biased members to help seal the periphery of the membrane against the wall of the patient's heart chamber. In one embodiment, the outwardly biased member is an expansive strand that extends between adjacent ribs of an expandable frame which reinforces the membrane. In another embodiment, the outwardly biased member is a hydrophilic body such as foam which swells upon contact with body fluid such as blood in the heart chamber. The reinforced membrane has a central hub with a distally extending support stem with a plurality of feet which extend radially from a centerline axis and preferably have ends that are aligned in a common plane. The ends of the pods which extend radially away from the centerline axis may be interconnected by flexible struts and/or webs.11-19-2009
20090299132OPERATING FIELD SECURING DEVICE - An operating field securing device is configured as follows. Namely, An operating field securing device which secures an operating field when an internal organ is subjected to a predetermined procedure, the operating field securing device including a contact portion which comes in contact with the internal organ, and a manipulator holding portion which fixes the relative positions of the internal organ and a manipulator portion to subject the internal organ to the predetermined procedure, thereby holding the manipulator portion.12-03-2009
20090299133VENTRICULAR INFARCT ASSIST DEVICE AND METHODS FOR USING IT - This relates to surgical devices and methods of using them. In particular, the devices are used to support and to reform myocardial tissue in the region of and across an infarct. The devices provide tension across the infarct in varying degrees by attachment of the device to the myocardium at sites adjacent the infarct. A support-providing component across the infarct, between the heart attachment sites, provides support to the myocardial wall and support across the infarct. Optionally, but preferably, the support-providing component includes a time-delay element that variously may allow the device to be introduced onto the myocardial surface and to change the support of the support element over time.12-03-2009
20090299131Organ Manipulator Apparatus - Organ manipulation devices for atraumatically grasping the surface of an organ and repositioning the organ to allow access to a location on the organ that would otherwise be substantially inaccessible. Methods of accessing a beating heart, retracting the heart using an organ manipulation apparatus, and stabilizing a surgical target area with a stabilizer. Both the organ manipulator and stabilizer are fixed to a stationary object which may be a sternal retractor. A system for performing beating heart coronary artery bypass grafting includes a sternal retractor, organ manipulator and stabilizer.12-03-2009
20110270029GASTRIC BAND WITH ELECTRICAL STIMULATION - A gastric band system including a functional electrical stimulation component is provided. Stimulation electrodes on the gastric band may be used to stimulate the vagal nerve and/or splanchnic nerve, which can inhibit the patient's appetite. The gastric band may have an inflatable member for adjusting a stoma size. The stimulation electrodes may be mounted on the inflatable member. The system may include a controller including a pressure sensor for monitoring the hydraulic pressure within the inflatable inner member and for controlling the stimulation component.11-03-2011
20110270024SELF-ADJUSTING GASTRIC BAND HAVING VARIOUS COMPLIANT COMPONENTS - In some embodiments, the present invention generally provides self-adjusting gastric banding systems for the treatment of obesity and obesity related conditions, as well as systems for allowing the automatic self-adjustment of gastric bands when a patient swallows a large bolus. In some embodiments, the present invention generally provides for gastric banding systems having a satiety booster, for example, to increase satiety levels when a patient desires to curb appetite at a particular time. In some embodiments, the present invention may provide for gastric banding systems that allow for both the automatic self-adjustment of gastric bands when a patient swallows a large bolus and an incorporated satiety booster for increasing satiety levels when a patient desires to curb appetite at a particular time.11-03-2011
20110270023IMPLANTABLE DEVICE TO PROTECT TUBING FROM PUNCTURE - An implantable device used in a gastric band system includes an access port, a tube coupled to the access port, and a shielding device covering a portion of the tube. The shielding device is positioned adjacent to the access port and covers the end of the tube coupled to the access port. The shielding device is made from a puncture resistant material, to protect the tube from puncture by a misplaced syringe needle inserted by a physician.11-03-2011
20110270022BIOCOMPATIBLE AND BIOSTABLE IMPLANTABLE MEDICAL DEVICE - The present invention is related to a biocompatible and biostable implantable medical device. The present invention can include an implantable medical device including an electro-mechanical component. The electro-mechanical component can be coated with various novel and nonobvious coating combinations designed to promote biocompatibility and biostability. One layer of the coating combinations can be a tie layer. Another layer of the coating combinations can be a layer formed on top of the tie layer, and having biocompatible and biostable properties.11-03-2011
20110270020Linear tension internal organ supports and method for using the same - Compact and efficient linear tension internal organ supports and methods of maneuvering the organ supports so as to manipulate (i.e., lift, suspend or displace) an internal organ or soft tissue within the general operating field within the abdominal cavity of a patient undergoing surgery. In certain preferred embodiments, an internal organ support is attached directly to the organ or tissue to be manipulated or to the abdominal wall within the abdominal cavity. In other preferred embodiments, a displacement force is applied to an internal organ support from a location outside the patient's abdomen by way of linear tension lines attached to the organ support and removed from the abdominal cavity through a small exit incision made through the abdominal wall. By virtue of the internal organ supports and methods herein disclosed, only a single, small entry incision need be made so that only a small scar or no visible scar at all will remain on the patient's abdominal skin after the internal organ supports have been removed from the abdominal cavity following the surgery.11-03-2011
20110270019IMPLANTABLE DEVICE TO PROTECT TUBING FROM PUNCTURE - An implantable device used in a gastric band system includes an access port, a tube coupled to the access port, and a shielding device covering a portion of the tube. The shielding device is positioned adjacent to the access port and covers the end of the tube coupled to the access port. The shielding device is made from a puncture resistant material, to protect the tube from puncture by a misplaced syringe needle inserted by a physician.11-03-2011
20110207995INDUCTIVELY POWERED REMOTELY ADJUSTABLE GASTRIC BANDING SYSTEM - A power management system provides wireless power to operate components of a remotely adjustable gastric banding system. The power management system comprises an external power component transmitting power, and an implantable power management component receiving power and converting the power for use in powering one or more components of the remotely adjustable gastric banding system, such as a pump. The internal power management component and the external power component may be tunable. By utilizing the power management system, implantable batteries may be eliminated.08-25-2011
20100137679MINIMALLY INVASIVE BREAST LIFT METHOD WITH A SUPERIOR TISSUE SUPPORT AND AN INFERIOR ANCHOR - Described are methods and apparatus for use in supporting tissue in a patient's body. In some embodiments, the patient's breast or another tissue is supported. One method involves introducing a superior soft tissue anchor into a patient, the anchor having an inferiorly facing total surface area; and introducing at least one inferior soft tissue anchor into the patient, such that the at least one inferior soft tissue anchor is suspended from the superior soft tissue anchor, the sum of all of the at least one inferior soft tissue anchors having a superiorly facing total surface area. The inferiorly facing total surface area of the superior anchor can be greater, such as at least two times greater than the superiorly facing total surface area of the at least one inferior anchor.06-03-2010
20110207994Methods and Devices for Treating Morbid Obesity Using Hydrogel - An environmentally sensitive hydrogel material swells or collapses in response to a parameter such as pH level associated with consumption of food by a patient. This swelling or collapsing is harnessed to treat morbid obesity or some other condition of the patient. The swelling or collapsing of the hydrogel may be used to tighten a gastric band or gastric valve when the patient starts eating; then loosen the band or valve when the patient is between meals. The swelling or collapsing of the hydrogel may also be used to increase the size of a space occupying device in the patient's stomach when the patient starts eating; then decrease the size of the space occupying device when the patient is between meals. The swelling or collapsing of the hydrogel may also be used to selectively restrict the absorption of nutrients within a patient's gastrointestinal tract, such as in the duodenum.08-25-2011
20110270031SYSTEM AND METHOD FOR AIRWAY MANIPULATION - Methods and devices are disclosed for manipulating the airway, such as to treat obstructive sleep apnea. An implant is positioned within the body with respect to the airway. The spatial orientation of the airway is manipulated, directly or indirectly, to affect the configuration of the airway. In general, the implant is manipulated to displace the trachea in an inferior direction, resist superior displacement of the trachea and/or to alter the tracheal wall tension. The implant restrains the trachea in the manipulated configuration.11-03-2011
20110270030HYDRAULIC GASTRIC BAND WITH COLLAPSIBLE RESERVOIR - A self-regulating gastric band apparatus for adjusting stoma size. The apparatus includes an adjustable gastric band with an expandable inner ring. A band adjustment assembly includes a sensor for sensing fluid pressure in the inner ring and a pump assembly connected to the inner ring and to a controller for adjusting the volume of the fluid in the band based on the sensed fluid pressure. A memory stores an operating range of a target fluid pressure, and the pump assembly maintains the sensed band pressure within the operating range. An elongated fluid reservoir extends along part of a fill tube. An expandable fluid reservoir stores a volume of the fluid for adjusting the volume of fluid in the lumen. A protective outer sheath is provided around the exterior of an expandable fluid reservoir in both a first, deflated state, and a second, inflated state of the reservoir.11-03-2011
20090118570Apparatus and method for minimally invasive implantation of heart assist device - A method and related apparatus for the minimally invasive implantation about a heart of at least a deployable device such as a heart assist device or cardiac compression device. The method comprises the steps of performing a left thoracotomy or subxiphoid incision; obtaining access to the pericardial sac; making a generally linear incision in the pericardial sac; positioning an assembly having an insertion aperture member with an upper ring and a lower ring or flange and insertion tube having therein a deployable device. The apparatus of the present invention includes an insertion aperture member having an upper ring and a lower ring or flange; and an insertion tube having therein a deployable device adapted to be deployed from the insertion tube inside the pericardial sac via a generally linear incision.05-07-2009
20080281152HEART FAILURE TREATMENT DEVICE AND METHOD - A method and apparatus for treating heart failure is configured to be placed about at least a portion of a patient's heart to apply a mild compressive force on the heart over a range of elastic deformation of the apparatus. The apparatus can be shifted to second range of deformation. In some embodiments, the apparatus is shifted to the second range of deformation by application of a stimulus or alteration of environmental conditions beyond a threshold level.11-13-2008
20080281150Suction Cup Epicardial Stabilizer Device for Cardiac Surgery - An epicardial stabilizer foot comprises a frame configured to reside adjacent to a target portion of a beating heart and a number of self-retaining flexible suction cups attached to the frame for adhering the frame to the surface of the beating heart adjacent the target portion. The frame may be configured to partially surround the target portion with the associated suction cups surrounding the target portion as well. A method for stabilizing a target portion of a beating heart comprises pressing the suction cups of the suction cup stabilizer foot adjacent the target portion of a beating heart to form a partial vacuum attachment therebetween and fixing the position of the frame to prevent motion of the frame relative to the beating heart.11-13-2008
20080287732NEEDLE INSTRUMENTS AND IMPLANTABLE SLING ASSEMBLY; KITS COMPRISING THESE COMPONENTS; AND METHODS FOR USE - Kits and methods for implanting slings and other implantable materials for repair, reconstruction and repositioning of internal anatomical structures are provided. The kit comprises multiple different curved needle insertion instruments and a sling assembly that is mountable on multiple configurations of insertion instruments, permitting the medical professional to choose appropriate instruments and combinations for carrying out different interventional procedures for placement of the sling assembly. Methods for implanting the sling assembly involve advancing a needle portion of an insertion instrument through at least one of the tubular sleeves attached to the sling assembly until a distal end of the needle protrudes from a distal end of the sleeve; inserting one or both ends of the sling into a patient at a desired location using the insertion instrument; manipulating the insertion instrument to place the sling in a position that supports the internal physiological structure; removing the insertion instrument and the sleeves attached to the sling assembly from the patient; and separating the sling from the sleeves and the insertion instrument, leaving the sling supporting the internal anatomical structure.11-20-2008
20080312493External stress reduction device and method - An external heart wall stress reduction apparatus is provided to create a heart wall shape change. The device is generally disposed to the exterior of a heart chamber to reshape the chamber into a lower stress configuration.12-18-2008
20130217956Minimally Invasive Lung Volume Reduction Devices, Methods, and Systems - A lung volume reduction system is disclosed comprising an implantable device adapted to be delivered to a lung airway of a patient in a delivery configuration and to change to a deployed configuration to bend the lung airway. The invention also discloses a method of bending a lung airway of a patient comprising inserting a device into the airway in a delivery configuration and bending the device into a deployed configuration, thereby bending the airway.08-22-2013
20080281151PULMONARY PLEURAL STABILIZER - A pulmonary pleural stabilizer may be utilized to hold the visceral pleura of the lung during surgical procedures involving accessing the lung or lungs of a patient directly through the lung and not the native airways. The device allows the lung to be opened while another device is inserted and sealed to the lung.11-13-2008
20110207996DEVICES AND METHODS FOR CARDIAC ANNULUS STABILIZATION AND TREATMENT - Devices and methods generally provide enhanced stabilization, exposure and/or treatment of a cardiac valve annulus. Methods generally involve introducing a stabilizing member beneath one or more leaflets of a heart valve to engage the annulus at an intersection between the leaflets and the interior ventricular wall of the heart. Force is then applied to the stabilizing member to stabilize and/or expose the valve annulus. In some embodiments, the stabilizing member may include a series of hydraulically driven tethered anchors, such as hooks or clips, for engaging and cinching valve annulus tissue to decrease the diameter of a regurgitant valve. Alternatively, other treatments may be delivered by a stabilizing member, such as radiofrequency energy, drugs, bulking agents or shape memory stents. A second stabilizing member may also be introduced above the leaflets for further stabilization.08-25-2011
20080269552Pelvic floor health articles and procedures - Articles and procedures for preventing or treating vaginal prolapse, urinary incontinence, and other disorders of the pelvic floor.10-30-2008
20080269550Cardiac Apical Suction Device for Cardiac Surgery - A cardiac apical suction device (CASD) for supporting an apical region of a beating heart during off-pump, beating heart surgery. The apparatus consists of an outer frame configured to fit over the apical region of the heart having a flexible inner member. The inner member has an inner surface defining a cavity of select volume sized to receive the apical region of a heart. The inner member further has a peripheral lip sized to make sealing engagement along a contour of the surface of the heart. The inner member and outer frame are connected by an actuation member operative to selectively increasing the volume of the inner cavity. The CASD may be placed over the apical region of a heart such that the peripheral lip forms a sealing engagement with the surface of the heart. Upon operation of the actuation member, the increase in the volume of the inner cavity causes a decrease in the pressure within the inner member, resulting in suction adhesion between the CASD and the surface of the heart.10-30-2008
20100137677METHOD FOR TREATMENT AND PREVENTION OF PARASTOMAL HERNIAS - A method and device for preventing or treating parastomal hernia is provided. The method can include positioning a graft material between a rectus sheath and a rectus abdominus muscle surrounding a stoma.06-03-2010
20110270028BIOCOMPATIBLE AND BIOSTABLE IMPLANTABLE MEDICAL DEVICE - The present invention is related to a biocompatible and biostable implantable medical device. The present invention can include an implantable medical device including an electro-mechanical component. The electro-mechanical component can be coated with various novel and nonobvious coating combinations designed to promote biocompatibility and biostability.11-03-2011
20110270027METHOD AND SYSTEM FOR DETERMINING THE PRESSURE OF A FLUID IN A SYRINGE, AN ACCESS PORT, A CATHETER, AND A GASTRIC BAND - A method and system for determining pressure in a syringe, and more specifically to a syringe pressure accessory which can be connected to a syringe to determine pressure in a syringe and a gastric band. The syringe pressure accessory can detect a pressure of a syringe and/or a gastric band and digitally display the pressure. The syringe pressure accessory can include a durable unit and a disposable unit. The disposable unit can be disposed of after a single use, while the durable unit can be reused with multiple disposable units. The syringe pressure accessory can also include a syringe attachment unit and one or more display units for a caretaker or a patient. The display unit can be wirelessly connected to the syringe attachment unit to display a pressure chart or the results of various analysis of the pressure data. Markers can be added to the pressure chart.11-03-2011
20110270021ELECTRONICALLY ENHANCED ACCESS PORT FOR A FLUID FILLED IMPLANT - The present invention provides for an access port configured to detect its tilt within the body to facilitate a physician's access thereto. The access port can include a tilt detector to detect tilt datum, and a display screen to display the tilt of the access port. In addition, the tilt detector and the display screen can indicate whether the access port is flipped or not. The tilt detector can include an accelerometer to aid in determining the tilt of the access port.11-03-2011
20090030270Coronary artery bypass grafting device - A coronary artery bypass grafting device includes a plurality of attachment members each having: a flexible tube (01-29-2009
20100305398Methods and Devices for Stabilizing Tissue - Tissue stabilizers including a clamp assembly, a turret assembly, an articulating arm having a tension element extending therethrough, a collet assembly and a head-link assembly are disclosed. Methods of stabilizing tissue are also disclosed.12-02-2010
20090005634Multi-Leveled Transgluteal Tension-Free Levatorplasty For Treatment of Rectocele - Improved methods for treatment of pelvic organ prolapse are provided. Mesh implants are placed in the appropriate locations to effect multi-level support. The method is accomplished via a transgluteal approach.01-01-2009
20090137864Method and apparatus for treating pelvic organ prolapse - A method of treating pelvic organ prolapse is provided. The method generally includes the steps of establishing a first pathway between the external perirectal region of the patient to the region of the ischial spine in tissue on one side of the prolapsed organ, followed by establishing a second pathway in tissue on the contralateral side of the prolapsed organ. A support member, which includes a central support portion and two end portions, is positioned in a position to reposition said prolapsed organ in said organ's anatomically correct location. The end portions of the support member are introduced through the respective tissue pathways, followed by adjustment of the end portions so that the support member is located in a therapeutic relationship to the prolapsed organ that is to be supported. An apparatus and kit for said treatment is further provided.05-28-2009
20090177027PARTIALLY ERODABLE SYSTEMS FOR TREATMENT OF OBSTRUCTIVE SLEEP APNEA - The invention relates to devices and methods for reforming tissue surrounding the airway of a subject suffering from obstructive sleep apnea so as to open the airway and alleviate the occurrence of apneic events. Devices comprise a combination of resiliently deformable material and bioerodible material. The deformable portion of the device has a preferred shape that corresponds to the desired final shape of the device once placed in an airway. In making a transplant-ready device, however, the deformable portion is placed into a deformed shape and constrained in that shape by the bioerodible material. After implantation, the device gradually assumes the preferred shape as the constraining bioerodible material erodes. As the device gradually reforms toward the preferred shape, it reforms the tissue into the therapeutically desirable configuration. The gradual nature of the shape change generally stabilizes the device in the tissue, and supports tissue reforming into a stable configuration.07-09-2009
20090012354SYSTEM AND METHOD FOR INTRAVENTRICULAR TREATMENT - Various methods and devices are provided for remodeling a heart's ventricular walls and improving of the function of the atrioventricular valves from within the ventricle or atrium through the use of tensioning structures. In one embodiment, a device for stabilizing a ventricle is provided and can include a superior tension member having a substantially arcuate shape that is sized and configured to improve a functioning of atrioventricular valve leaflets. The device can also include a descending tension member extending inferiorly from at least a portion of the superior tension member that is shaped to correspond to a wall of a ventricular cavity. The device can further include a plurality of anchors provided at least on the descending tension member that have attachment features for holding a wall of a ventricular cavity to the descending tension member.01-08-2009
20080319256Transventricular implant tools and devices - A method and implantation tools for placing a transventricular splint including a tension member. The method includes gaining access to the patient's hearts and identifying entry or exit points for the tension member, marking those locations and delivering the tension member. Anchors for the tension member are also delivered. The length of the tensions member is measured and the walls of the heart drawn together. The pads are secured to the tension member and the tension member is trimmed to length. The pads are secured to the heart surface.12-25-2008
20080319254THERAPEUTIC METHODS AND DEVICES FOLLOWING MYOCARDIAL INFARCTION - Described herein are methods of treating a patient to prevent or correct cardiac remodeling following myocardial infarction. In general these methods may include inserting or implanting a device in a heart chamber to support the affected region within 72 hours after myocardial infarction. The device may be a support device (e.g., a resilient frame) and/or a partitioning device.12-25-2008
20080319255PERICARDIAL SPACE IMAGING FOR CARDIAC SUPPORT DEVICE IMPLANTATION - A method for implanting a cardiac support device (CSD) on a patient's heart. An amount of contrast agent sufficient to cause structures on the heart to be visible upon fluoroscopic or other imaging is introduced into the pericardial space surrounding the heart. The heart and contrast agent are imaged to provide a visual indication of the location of the structures of the heart. The CSD is placed on the heart using the visual indications provided by the imaging.12-25-2008
20130217957DEVICES AND METHODS FOR THE ENDOLUMENAL TREATMENT OF OBESITY - A surgical method for treating obesity by reducing the size and/or function of the stomach includes forming at least two plications or tissue folds in tissue of a patient using anchor assemblies having a loop. The plications are then optionally allowed to heal. A loop suture or wire is threaded through the loops. The loop suture is then tensioned to draw the plications towards each other. The loop suture is then secured via a knot or a cinch. When the method is performed in the stomach for treatment of obesity, forming the plications reduces the volume of the stomach. Drawing the plications together creates a contracted tissue area which further reduces the volume of the stomach. Additional plications may also be formed and drawn together with the same loop suture, or with a different loop suture.08-22-2013
20130217960APPLICATOR HAVING A COLOR GRADIENT - An applicator having a color gradient. The applicator includes an outer member having a first end, a second end disposed opposite the first end, a longitudinal axis, a length measured along the longitudinal axis, and an exterior surface. The outer member further includes a color gradient extending along at least a portion of the length from a first region to a second region, the color gradient being visible by a user viewing the exterior surface of the outer member.08-22-2013
20110224484METHODS FOR MODIFYING VASCULAR VESSEL WALLS - This invention relates in one aspect to the treatment of a vascular vessel with a biomaterial. The biomaterial can be a remodelable material that strengthens and/or supports the vessel walls. Additionally the biomaterial can include a variety of naturally occurring or added bioactive agents and/or viable cellular populations.09-15-2011
20090082620Methods and Apparatus Providing Suction-Assisted Tissue Engagement Through a Minimally Invasive Incision - Suction-assisted tissue-engaging devices, systems, and methods are disclosed that can be employed through minimal surgical incisions to engage tissue during a medical procedure through application of suction to the tissue through a suction member applied to the tissue. A shaft is introduced into a body cavity through a first incision, and a suction head is attached to the shaft via a second incision. The suction head is applied against the tissue by manipulation of the shaft and suction is applied to engage the tissue while the medical procedure is performed through the second incision. A system coupled to the shaft and a fixed reference point stabilizes the shaft and suction head. When the medical procedure is completed, suction is discontinued, the suction head is detached from the shaft and withdrawn from the body cavity through the second incision, and the shaft is retracted through the first incision.03-26-2009
20090281372CARDIAC HARNESS ASSEMBLY FOR TREATING CONGESTIVE HEART FAILURE AND FOR DEFIBRILLATION AND/OR PACING/SENSING - A cardiac harness assembly for treating congestive heart failure and for use in defibrillation and/or pacing/sensing is provided. The cardiac harness includes a number of longitudinal ribs spaced apart by connectors, the longitudinal ribs extending from the base to the apex of the heart. The longitudinal ribs have a high degree of longitudinal flexibility so that when the cardiac harness is mounted on the heart, the longitudinal ribs flex along the longitudinal axis of the ribs as the heart expands and contracts circumferentially. The cardiac harness provides a uniform and continuous compressive force on the heart throughout the cardiac cycle.11-12-2009
20110144425Apparatus and Method for Manipulating or Retracting Tissue and Anatomical Structure - Integrated systems and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchoring devices for such purposes.06-16-2011
20110230707PELVIC IMPLANT SYSTEM AND METHOD - A pelvic Implant system is provided. The system can include one or more implant devices (09-22-2011
20110230709PASS THROUGH INTRODUCER AND SLING - 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.09-22-2011
20110230706SURGICAL MANIPULATOR - Surgical Manipulator A surgical manipulator (09-22-2011
20110230708ADJUSTABLE SURGICAL IMPLANT FOR PELVIC ANATOMY - A surgical system includes an implant for supporting pelvic anatomy. The implant includes a first suspending member, a second suspending member, and a support portion. The first and second suspending members are formed as flexible strips that extend from proximal to distal ends, the distal ends including first and second anchor portions, respectively, for anchoring to soft tissue in a space defined by a pelvis. The support portion is formed as a flexible strip that extends from a first end to a second end, the support portion having a first opening toward the first end of the support portion, the first opening slidably receiving the proximal end of the first suspending member such that a length of the first suspending member between the first anchor portion and the first end of the support portion is adjustable.09-22-2011
20090099412Device to Permit Offpump Beating Heart Coronary Bypass Surgery - A system for manipulating a heart during cardiac surgery permits coronary surgery on a beating heart while maintaining cardiac output unabated and uninterrupted. Circumflex coronary artery surgery can be performed using the system. A component of the system engages the heart with a heart positioning device, repositions the heart into a displaced position and maintains it in the displaced position while the heart continues to beat with substantially unabated and uninterrupted cardiac output. One form of the system can be used in minimally invasive surgery.04-16-2009
20080262290Implantable Sling Having Bladder Support - Surgical implants operative to simultaneously function as a pubovaginal sling for the treatment of incontinence and as a support member to effectuate cystocele repair. The implant comprises a first sling portion operative to be positioned beneath the urethra, per conventional pubovaginal sling surgery. The implant further includes a second bladder support portion extending from the sling support portion that is oriented to extend beneath and be surgically attached to a portion of the bladder to thus enable the same to be supported to a degree necessary to effectuate cystocele repair. The implant may be fabricated from a unitary piece of harvested tissue, synthetic material or combinations thereof. Preferably, the sling portion of the implant is fabricated from a synthetic material whereas the bladder support portion of the implant comprises a segment of harvested tissue sewn to the sling portion.10-23-2008
20090118572Controllable gastric band - The invention relates to an adjustable stomach band with a rigid back and a chamber, arranged on the stoma side of the back, for control of stoma constriction by means of introduction or removal of fluid from the chamber. According to the invention, such a stomach band with a preferably automatic setting of the stoma constriction, depending on the food intake, is possible, whereby a second chamber is provided to the stoma side of the back, directly connected to, or cooperating with the first chamber, such that the control of the stoma constriction is achieved by means of displacing the fluid between the chambers or between a reservoir and the stoma-constricting chamber. An auto-regulation can be achieved, whereby a second chamber is embodied as sensor for recording a pressure rise in the stomach and the control of the stoma constriction is achieved depending on the recorded pressure by means of displacement of the fluid from the chamber, or from the reservoir into the stoma-constricting chamber.05-07-2009
20090118571METHOD AND IMPLANT FOR CURING CYSTOCELE - An implant for the treatment of cystocele, having a thin and supple structure, comprises a support body (05-07-2009
20090221867Integral Sling Connection System and Method - The present invention includes implantable sling systems for treating urinary incontinence and methods of forming such sling systems. In one embodiment, the sling includes connectors which are integrally molded over each end of the sling. The connectors are releasably attachable to a surgical needle during implantation in a tissue pathway to treat incontinence.09-03-2009
20090099410Papillary Muscle Attachment for Left Ventricular Reduction - The surgical implantation of a link, which may be in the form of a tether or a looped band, is proposed to connect and reduce the spacing between papillary muscles, to reduce dilation of the left ventricle. The implanted link thus improves heart function by reducing left ventricular failure.04-16-2009
20090221868SLING ANCHOR SYSTEM - 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.09-03-2009
20120197069ASSEMBLY AND METHOD FOR AUTOMATICALLY CONTROLLING PRESSURE FOR A GASTRIC BAND - A bladder assembly is provided in order to maintain the pressure in the balloon portion of a gastric band in a range corresponding to a so-called Green Zone. Multiple bladders are connected by flexible tubing which is connected at a distal end to the balloon portion of a gastric band. The elastically expandable bladders provide fluid pressure on the balloon portion of the gastric band in order to maintain the intra-luminal pressure within a desired range over a prescribed fill volume.08-02-2012
20090198096LONG FATIGUE LIFE CARDIAC HARNESS - A high fatigue life superelastic nickel-titanium (nitinol) wire, ribbon, sheet, tubing, or the like is disclosed. The nitinol has a 54.5 to 57.0 weight percent nickel with a balance of titanium composition and has less than 30 percent cold work as a final step after a full anneal and before shape setting heat treatment. Through a rotational beam fatigue test, fatigue life improvement of 37 percent has been observed.08-06-2009
20090240102Apparatus and method for repairing vaginal reconstruction - Described are pelvic implants for treating vaginal prolapse, systems including the described pelvic implants, and methods of using the described implants and systems.09-24-2009
20090192347Methods and Systems for Treatment of Prolapse - Described are implants, tools, and related methods, for use in pelvic surgery to treat conditions such as prolapse, including embodiments of methods that involve a tissue path above the arcus tendineus.07-30-2009
20120035414CONTOURED ELASTOMERIC BARRIER FOR BOWEL RETENTION AND METHOD OF USE - The invention provides a device for bowel packing having an essentially elliptical shape that is essentially symmetrical along a minor axis of the ellipse, and the device includes a notch located on the minor axis below the major axis. The device is composed of material comprising an elastomeric polymer and the device is appropriately sized for retaining the intestines of a mammal. The invention further provides methods of use of the devices of the invention for bowel packing. The invention further provides methods for increasing bowel packing speed, increasing effectiveness of bowel retention, decreasing the formation of post-operative intraperitoneal adhesions, and increasing temperature of the abdominal cavity during surgery by use of the device.02-09-2012
20100274076Heart Wall Tension Reduction Apparatus and Method - Devices and methods for treatment of a failing heart by reducing the heart wall stress. The device can be one which reduces wall stress throughout the cardiac cycle or only a portion of the cardiac cycle.10-28-2010
20100274075CARDIAC SUPPORT DEVICE - A highly compliant and elastic cardiac support device is provided. The device is constructed from a biocompatible material is applied to an external surface of a heart. The device can be used to resist dilatation of the heart, to provide acute wall support, or to enhance reduction in the size of the heart using stored potential energy, without interfering with systolic contraction.10-28-2010
20100160720Closed-chest stabilization system and methods for minimally invasive heart surgery - Stabilization systems and methods for various procedures (e.g., tissue ablation procedures) are disclosed. An exemplary stabilization system for use in a medical procedure may include a housing structure having a base portion, the housing structure insertable into a patient's body. The system may also include a securement element on the base portion of the housing structure. The system may also include a deployment mechanism in the housing structure and operably associated with the base portion. The deployment mechanism is operable to extend the base portion so that the at least one securement element engages a tissue in the patient's body after the housing structure is positioned adjacent a target area inside a patient's body. Embodiments of the securement element may include a membrane, a chamber, a frictional surface, at least one needle, peg, gasket, adhesive, and/or a collar.06-24-2010
20100152532Gastric Band System with Esophageal Sensor - An apparatus for providing a restriction and sensing a parameter associated with an anatomical structure comprises a restriction device and a sensing device. The restriction device is secured around a portion of anatomical structure and is operable to form a restriction within anatomical structure. The restriction may be formed or adjusted in response to a bolus located within anatomical structure. The restriction may be formed in response to bolus such that the restriction is formed before bolus reaches restriction device. Once the bolus passes and no more boluses are present, the restriction relaxes and loosens anatomical structure. The restriction device may comprise a gastric band, among other things, and the sensing device may comprise a strain gauge that is configured to detect a bolus passing down an esophagus.06-17-2010
20100160721CARDIAC SUPPORT DEVICE WITH DIFFERENTIAL COMPLIANCE - A cardiac support device comprising a jacket of flexible and biocompatible material having a first axis for alignment generally parallel to a longitudinal axis of a patient's heart and a second axis that is transverse to the first axis. The material exhibits an amount of expansion in response to a force applied to the material along the first axis that is different than an amount of expansion in response to the force applied to the material along the second axis.06-24-2010
20100160719DEVICES, SYSTEMS, AND METHODS FOR PERICARDIAL ACCESS - Devices, systems, and methods for accessing tissue, including the internal and external tissues of the heart, are disclosed. At least some of the embodiments disclosed herein provide access to the external surface of the heart through the pericardial space for localized delivery of leads to the heart tissue. At least some of the embodiments disclosed herein provide access to the pericardial space for removal of accumulated fluid. In addition, various disclosed embodiments provide devices, systems, and methods for engaging a tissue, for removing fluid from a space within a body, and for the delivery of substances to a targeted site for therapeutic purposes.06-24-2010
20120197070PARTIALLY ERODABLE SYSTEMS FOR TREATMENT OF OBSTRUCTIVE SLEEP APNEA - The invention relates to devices and methods for reforming tissue surrounding the airway of a subject suffering from obstructive sleep apnea so as to open the airway and alleviate the occurrence of apneic events. Devices comprise a combination of resiliently deformable material and bioerodible material. The deformable portion of the device has a preferred shape that corresponds to the desired final shape of the device once placed in an airway. In making a transplant-ready device, however, the deformable portion is placed into a deformed shape and constrained in that shape by the bioerodible material. After implantation, the device gradually assumes the preferred shape as the constraining bioerodible material erodes. As the device gradually reforms toward the preferred shape, it reforms the tissue into the therapeutically desirable configuration. The gradual nature of the shape change generally stabilizes the device in the tissue, and supports tissue reforming into a stable configuration.08-02-2012
20100185050COMPLIANT CARDIAC SUPPORT DEVICE - A jacket of biological compatible material has an internal volume dimensioned for an apex of the heart to be inserted into the volume and for the jacket to be slipped over the heart. The jacket has a longitudinal dimension between upper and lower ends sufficient for the jacket to surround a lower portion of the heart with the jacket surrounding a valvular annulus of the heart and further surrounding the lower portion to cover at least the ventricular lower extremities of the heart. The jacket is adapted to be secured to the heart with the jacket surrounding at least the valvular annulus and the ventricular lower extremities. The jacket is adjustable on the heart to snugly conform to an external geometry of the heart and assume a maximum adjusted volume for the jacket to constrain circumferential expansion of the heart beyond the maximum adjusted volume during diastole and to permit unimpeded contraction of the heart during systole.07-22-2010
20100185048PORTABLE REGULATED VACUUM PUMP FOR MEDICAL PROCEDURES - In various embodiments of the invention, an electro-vacuum pump can be used either as a stand alone unit to create, monitor and control a vacuum or to maintain, assist or as a back up for a hand operated pump in a variety of surgical procedures. The vacuum pump is controlled by a processor and is automatically activated when the vacuum is below a pre-selected parameter or a parameter selected on the fly by the surgeon. Visual or audio feedback is used to allow the surgeon increased control of the vacuum device while carrying out the surgical procedure.07-22-2010
20100185049DOME AND SCREW VALVES FOR REMOTELY ADJUSTABLE GASTRIC BANDING SYSTEMS - An implantable device controls the movement of fluid to an inflatable portion of a gastric band. The implantable device includes a body. The body has an inlet, an outlet and a valve seat positioned between the inlet and the outlet. The body defines a fluid passage from the inlet to the outlet. The implantable device also includes a diaphragm. The diaphragm has one or more edges coupled to the body. The diaphragm is made of an elastomeric material and capable of being moved between a closed position that blocks the valve seat and does not allow the fluid to move from the inlet to the outlet and an open position that does not block the valve seat and allows the fluid to move from the inlet to the outlet.07-22-2010
20100168508Obesity Systems Placed Between the Abdominal Wall and Stomach - Disclosed are methods and apparatus for implantation into the walls of an organ such as the stomach. Deformable or inflatable anchors with a connector between are used to pull the walls of the organ together, or to implant devices in the wall of the organ. Also disclosed are surgical instruments useful in practicing the disclosed methods.07-01-2010
20100261953APPARATUS AND METHOD FOR PELVIC FLOOR REPAIR IN THE HUMAN FEMALE - A prosthesis for addressing pelvic organ prolapse in females comprises a frame fabricated from a shape memory material that supports a thin, flexible sheet in a stretched condition when the frame is unconstrained. The frame is shaped so as to conform to and be supported by bone structures and muscle tissue in the pelvic basin while providing needed support to pelvic organs to maintain them in a proper position. The use of a shape memory material allows the prosthesis to be rolled or folded into a reduced size for ease of placement through a small incision in the wall of the vagina, but that springs back to its memorized shape following deployment from a delivery sheath.10-14-2010
20100261952Surgical articles and methods for treating pelvic conditions - Described are pelvic implants and methods of surgically placing pelvic implants, that provide treatment for pelvic floor disorders by support of the levator. A pelvic implant (10-14-2010
20100261957CARDIAC WALL TENSION RELIEF WITH CELL LOSS MANAGEMENT - Methods and apparatus are disclosed for treating congestive heart failure. The method includes relieving wall stress on a diseased heart by an amount to decrease a rate of myocardial cell loss. Further, the method includes pharmacologically encouraging a myocardial cell gain. Cell gain may be encouraged by cell replication, cell recruitment or inhibition of cell death. Further embodiments of the method include a passive cardiac constraint selected to reduce wall stress on the heart. An apparatus of the present invention includes a passive cardiac constraint and a pharmacological agent to encourage cell gain.10-14-2010
20100261956Apparatus and Method for Pelvic Floor Repair in the Human Female - A prosthesis for addressing pelvic organ prolapse in females comprises a frame fabricated from a shape memory material that supports a thin, flexible mesh sheet in a stretched condition when the frame is unconstrained. The mesh sheet is formed with two finger receiving pockets proximate its posterior periphery to be used by the surgeon in steering the prosthesis to a desired disposition within the pelvic basin. The frame is shaped so as to conform to and be supported by bone structures and muscle tissue in the pelvic basin while providing needed support to pelvic organs to maintain them in a proper position. The use of a shape memory material allows the prosthesis to be rolled or folded into a reduced size for ease of placement through a small incision in the wall of the vagina, but that springs back to its memorized shape following deployment from a delivery sheath.10-14-2010
20110060182SYSTEMS FOR ENGAGING A BODILY TISSUE AND METHODS OF USING THE SAME - Systems for engaging a bodily tissue and methods of using the same. In at least one embodiment of an exemplary system for use with a vacuum source for engaging a tissue of the present disclosure, the system comprises an engagement catheter comprising a proximal end, a distal end, first and second lumens extending between the proximal end and the distal end, and a skirt operatively connected to the distal end, an inducer sheath having a proximal portion, a distal portion, and a lumen extending therethrough, the inducer sheath configured so that it is capable of insertion into the second lumen of the engagement catheter, a dilator comprising a tapered tip at a distal end and a hollow channel extending therethrough, the dilator sized and shaped for insertion into the lumen of the inducer sheath, and a vacuum port located at the proximal end of the engagement catheter, the vacuum port being operatively connected to the first lumen of the engagement catheter and capable of operative connection to a vacuum source. In various embodiments, the systems further comprise an inflatable balloon at or near the distal portion of the inducer sheath.03-10-2011
20110060181Biphasic and Dynamic Adjustable Support Devices and Methods with Assist and Recoil Capabilities for Treatment of Cardiac Pathologies - The present invention provides a direct cardiac contact device adapted to be implanted in a patient suffering from congestive heart failure and related cardiac pathologies, said cardiac device having means for providing ventricular assist, ventricular support and diastolic recoil, or for providing ventricular support and diastolic recoil only.03-10-2011
20090171140DEVICES AND METHODS FOR DELIVERING FEMALE PELVIC FLOOR IMPLANTS - In one embodiment, an apparatus includes an elongate body that defines a lumen and a suture coupled to the elongate body and at least partially disposed within the lumen. The suture extends at least partially from a proximal end of the elongate body and forms a loop configured to couple a portion of a pelvic implant to the elongate body. In another embodiment, an apparatus includes an elongate body having a distal end configured to releasably couple the elongate body to a delivery device. A tubular member is movably disposed over at least a portion of the elongate body. A coupler is disposed at a proximal end of the elongate body and is configured to releasably couple an implant to the elongate body. The tubular member can be slidably disposed over at least a portion of the implant when the pelvic implant is coupled to the elongate body.07-02-2009
20100228080APPARATUS AND METHODS FOR CORRECTIVE GUIDANCE OF EATING BEHAVIOR AFTER WEIGHT LOSS SURGERY - Apparatuses and methods for corrective guidance of eating behavior of a patient equipped with a gastric restriction device. The apparatus provides continuous monitoring or one or more parameters related to food passing through the gastric restriction device. Each monitored parameter is processed to provide a visual indication of the current eating behavior. The visual indication is used as input to the patient or a caregiver to modify the eating behavior. In some embodiments, the apparatus includes an emergency relief mechanism that automatically relieves excess pressure developing in the gastric restriction device. In some embodiments, the apparatus is enabled to deliver an appetite suppressant to modify the eating behavior.09-09-2010
20100217070SURGICAL DEVICES AND METHODS FOR TREATING PELVIC CONDITIONS - Described are tools, implantable devices, combination, kits, and systems thereof, and related methods of use for treating pelvic conditions, wherein the tools and devices involve a connector that engages two tools for manipulating the connector.08-26-2010
20100234680METHOD OF TREATMENT OF PROLAPSES - The present invention relates to a method of treatment of a urogenital prolapse, said method comprising the following steps: 09-16-2010
20100210899Method for percutaneous lateral access to the left ventricle for treatment of mitral insufficiency by papillary muscle alignment - This invention relates to devices and methods for the therapeutic changing of the geometry of the left ventricle of the human heart. Specifically, the invention relates to the left-ventricular lateral wall introduction of an anchoring device to align the papillary muscles.08-19-2010
20090043152DELIVERY DEVICE FOR CARDIAC HARNESS - A delivery system for providing and deploying a cardiac harness over a heart. The delivery system includes an introducer tube having a plurality of distal fingers biased into a compressed delivery diameter. A dilator tube is slidably mounted within the introducer tube for dilating the fingers into an expanded diameter for deploying a suction cup into secure attachment with the heart. The suction cup is used to manipulate the heart as the cardiac harness is also deployed from the dilator tube over the suction cup, and over the heart. The suction cup is shaped to securely attach to the apex of the heart in one embodiment.02-12-2009
20110112357SURGICAL IMPLANTS, TOOLS, AND METHODS FOR TREATING PELVIC CONDITIONS - Described are pelvic implants (e.g., urinary incontinence sling, hammock, etc.) that provide treatment for pelvic floor disorders such as incontinence, stress urinary incontinence, prolapse (e.g., cystocele, enterocele, rectocele, vault prolapse), fecal incontinence, and the like, wherein the implant involves the ability to adjust dimensions of an implant before, during, or after implantation. In a preferred embodiment the implant (680) comprises a support portion piece (682) and an extension portion piece (688, 690) adjustably connected to the support portion piece through a frictional adjusting element (696) comprising an aperture through which a segment of extension portion extends.05-12-2011
20130217959Methods and Apparatus Providing Suction-Assisted Tissue Engagement Through a Minimally Invasive Incision - Suction-assisted tissue-engaging devices, systems, and methods are disclosed that can be employed through minimal surgical incisions to engage tissue during a medical procedure through application of suction to the tissue through a suction member applied to the tissue. A shaft is introduced into a body cavity through a first incision, and a suction head is attached to the shaft via a second incision. The suction head is applied against the tissue by manipulation of the shaft and suction is applied to engage the tissue while the medical procedure is performed through the second incision. A system coupled to the shaft and a fixed reference point stabilizes the shaft and suction head. When the medical procedure is completed, suction is discontinued, the suction head is detached from the shaft and withdrawn from the body cavity through the second incision, and the shaft is retracted through the first incision.08-22-2013
20100137678SELF-ADJUSTING ATTACHMENT STRUCTURE FOR A CARDIAC SUPPORT DEVICE - A cardiac support device including a jacket and elastic attachment structure for self-securing the jacket to a heart. The attachment structures can include undulating metal and polymer elements, a silicone band and elastomeric filaments on a base end of the jacket.06-03-2010
20110237878PELVIC IMPLANT SYSTEMS AND METHODS WITH EXPANDABLE ANCHORS - An implant for supporting pelvic anatomy includes a first soft tissue anchor, a second soft tissue anchor, and a support portion. The first and second soft tissue anchors each include a central portion and a plurality of projections biased radially from the central portion of the soft tissue anchors, respectively. The implant is configured for selective adjustment of an effective length of the implant between the first and second soft tissue anchors.09-29-2011
20100198003IMPLANTABLE DEVICES, TOOLS AND METHODS FOR ANATOMICAL SUPPORT - 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 bi-directional 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.08-05-2010
20100198004IMPLANTABLE ANATOMICAL SUPPORT - An implantable anatomical support includes a non-rectangular support body with a plurality of arms extending from the support body; an interconnecting member that is coupled to each of the arms; and an adjustable anchor slidably coupled to at least one of the interconnecting members to permit bi-directional movement along the interconnecting member and so configured to exert a compressive force generating frictional interference between the adjustable anchor and the interconnecting member to inhibit the bi-directional movement of the adjustable anchor along the interconnecting member unless sufficient force is applied to overcome the frictional interference.08-05-2010
20090240104Surgical Articles and Methods for Treating Pelvic Conditions - An implant, insertion tool, combinations, and associated methods, that involve placement of a self-fixating tip at tissue of the pelvic region, wherein an insertion tool includes one or more of an aperture for engaging a guide and an extension guard, the method optionally allowing for initial placement of a self-fixating tip at tissue of the pelvic region and adjustment of the location of the self-fixating tip. A threading guide is provided to assist in threading the guide through the aperture. An anchor also provided to with a retaining member to retain the anchor in tissue.09-24-2009
20090318752IMPLANTS FOR THE TREATMENT OF PELVIC FLOOR DISORDERS - An implant for repairing pelvic floor disorders, such as urinary incontinence or prolapse, by lifting the prolapsed tissue or organ into a more anatomically correct position is provided. The prosthesis is shaped with a central support section and one or more lateral anchoring sections or arms extending outwardly from the central section. The support section lifts the prolapsed organ to a more anatomically correct position, whereas the anchoring secton(s) are positioned through soft tissue away from the organ being supported to hold the implant in place by allowing tissue ingrowth into the anchoring sections. The implant may be formed of both synthetic and more natural materials.12-24-2009
20080312494DELIVERY OF CARDIAC CONSTRAINT JACKET - A cardiac constraint jacket is formed of flexible material defining a volume between an open upper end and a lower end. The jacket is dimensioned for an apex of a patient's heart to be inserted into the volume through the open upper end and for the jacket to be slipped over the heart. A delivery device is used to place the jacket on the heart. The delivery device includes a plurality of attachment locations. Each of the attachment locations is releasably secured to separate positions surrounding a periphery of the open upper end of the jacket. The delivery device also includes a control arrangement which is selectively movable between an open position and a closed position. The control arrangement is connected to the attachment locations such that the attachment locations are in a compact array urging the open upper end of the jacket into a collapsed configuration when the control member is in the closed position. When the control arrangement is in the open position, the attachment locations are in an open array. The attachment locations urge the open upper end of the jacket into an open configuration sufficient for the heart to be inserted into the jacket volume through the open upper end and for the jacket to be slipped over said heart.12-18-2008
20090137862ADJUSTABLE TISSUE SUPPORT MEMBER - The present disclosure relates to implants having two arms and a support portion configured to support a body tissue, such as a urethra. The implants are anchored in soft tissue with tissue anchors having a plurality of barbs. The tissue anchors contain an aperture through which a portion of arm is maintained. A locking member is disposed within at least one of the arms to facilitate fixation of the arm to at least one of the anchors.05-28-2009
20110237876METHOD FOR IMPLANTING WITH AN ANCHOR INTRODUCER CHANNEL - A method for supporting the urethra of a patient to treat urinary incontinence includes introducing a surgical implant through an incision in an upper wall of the patient's vagina. The surgical implant includes a suburethral support, first and second soft tissue anchors connected to the suburethral support, and a flexible filamentary member extending between a proximal end of the first soft tissue anchor and a first end of the suburethral support. The first and second soft tissue anchors are inserted into soft tissue without penetrating the abdominal wall. The method also includes adjusting a position of the suburethral support below the patient's urethra and manipulating the filamentary member to connect the proximal end of the first anchor to the first end of the suburethral support with the support at the adjusted position.09-29-2011
20100222642EXPANDABLE DIGESTIVE PILL AND METHOD OF USE THEREOF - A digestible capsule containing a balloon or expandable material is disclosed. The capsule comprises a container containing a gas therein and a means for generating a signal to the container to release the gas contained therein to expand the balloon to a known size or shape. In one aspect of the invention, a first portion of said capsule material is dissolved a predetermined time after encountering an acid, and the means for generating the signal generates the signal to the container after exposure to the acid. In another aspect of the invention, the means generates the signal to the container in response to an external signal. In still another aspect of the invention, the capsule further includes acid measuring means to determine an acid level and the signal generating means generates the signal in response to a known acid level. In still another aspect the capsule includes means for generating a second signal to cause the capsule to return to its original volume or less. In still another aspect the capsule material is dissolved a predetermined time after encountering an acid or allows for the leakage of the gas released therein.09-02-2010
20080275295METHODS OF USING PERICARDIAL INSERTS - Devices, systems and methods are provided which are capable of applying pressure and constraint to the heart and use the pericardium to assist in the application of the pressure and force to the heart.11-06-2008
20080269551STEERABLE LESION EXCLUDING HEART IMPLANTS FOR CONGESTIVE HEART FAILURE - Devices, systems, and methods for treating a heart of a patient may make use of one or more implant structures which limit a size of a chamber of the heart, such as by deploying a tensile member to bring a wall of the heart toward (optionally into contact with) a septum of the heart.10-30-2008
20100191044Implants And Procedures For Supporting Anatomical Structures For Treating Conditions Such As Incontinence - An implantable system for supporting anatomical structures and, more particularly, a sling-like implant for the treatment of incontinence and method of implementing the same is provided. The implant comprises a support portion and at least one anchor portion extending therefrom. The anchors are inserted through the supporting portion and have a removable filament extending therefrom. An end of the removable filament extends from an entry point into the patient's body and can be used so as to guide the delivery tool back to the anchor of the implant in the event that it is necessary to adjust the anchor.07-29-2010
20100312046ASSEMBLY AND METHOD FOR AUTOMATICALLY CONTROLLING PRESSURE FOR A GASTRIC BAND - An elastic bladder is provided that is in constant fluid communication with the expandable balloon portion of a gastric band in order to automatically and continuously adjust the gastric band. The fluid pressure between the bladder and the balloon portion of the gastric band automatically and continuously adjusts so that there is no lasting pressure differential between the bladder and the expandable balloon. As the level of restriction imparted by the gastric band on the stomach of the patient changes, fluid from the bladder automatically and substantially instantaneously flows to or from the expandable balloon portion of the gastric band thereby maintaining neutral fluid pressure equilibrium between the bladder and the balloon and automatically adjusting the band to the correct level of restriction to keep the patient in the optimum zone for weight loss.12-09-2010
20090069628Spacer for sling delivery system - The invention features systems, methods, and devices relating to delivering a sling to an anatomical site in the body of a patient.03-12-2009
20090069627Device for supporting the abdominal wall relative to underlying organs during minimally invasive surgery - Device for supporting the abdominal wall away from organs positioned thereunder for freeing up a surgical space in minimally invasive surgery, having multiple tube-shaped hollow bodies, which are fillable via a hose line (03-12-2009
20100312050METHOD AND INSTRUMENT FOR TREATING OBESITY - A surgical or laparoscopic method of treating obesity of a patient using a device adapted to stretch a portion of the stomach wall of said patient. The method comprising the steps of: cutting a hole in the abdominal wall of said patient, dissecting an area around the stomach, placing said device in contact with the stomach, and fixating, direct or indirect, through invagination of the stomach wall, said device to the stomach wall such that said device can stretch a portion of said stomach wall.12-09-2010
20100324360APPARATUS FOR TREATING GERD - An apparatus for the treatment of acid reflux disease has an implantable movement restriction device adapted to be at least partly invaginated by a patient's stomach fundus wall. A substantial part of the outer surface of the movement restriction device is adapted to rest against the stomach wall without injuring the latter in a position between the patient's diaphragm and at least a portion of the lower part of the invaginated stomach fundus wall, such that movement of the cardiac notch of the patient's stomach towards the patient's diaphragm is restricted, to thereby prevent the cardia from sliding through the patient's diaphragm opening into the patient's thorax, so as to maintain the supporting pressure against the patient's cardia sphincter muscle exerted from the patient's abdomen. The movement restriction device has a size of at least 125 mm12-23-2010
20090036730Device for Proactive Modulation of Cardiac Strain Patterns - A direct cardiac assist device which may aid in ventricular recovery. The device proactively modulates cardiac strain pattern to produce a contraction strain pattern that induces beneficial growth and remodeling of the myocardium or prevents or reduces apoptosis of the myocytes. The device may include an outer shell. membrane, or mesh and an inner membrane. The space between the outer member and the membrane may be filled with fluid that is pressurized during contraction. The device prescribes a beneficial strain pattern during heart contraction. This strain pattern does not invert the curvatures or grossly alter the curvatures of the heart and may assist in myocyte regrowth and healing of the failing heart.02-05-2009
20110034760FEEDBACK SYSTEMS AND METHODS TO ENHANCE OBSTRUCTIVE AND OTHER OBESITY TREATMENTS - Feedback systems and methods enhance obstructive and other obesity treatments by presenting feedback regarding patients' actual eating and/or exercise habits. An ingestion restricting implant body can be deployed along the gastrointestinal tract. In some embodiments, ingestion alters the implant body, which, in turn, generates signals. The generated signals can be used to inhibit unhealthy ingestion by the patient. In other embodiments, the implant body can be altered by signals so as to selectable change the restriction imposed on the gastrointestinal tract, optionally in response to ingestion events, an eating schedule, or the like. The implant body may comprise a gastric band or an intragastric balloon. Sensor signals may be processed to identify ingestion and/or characterize ingestion of a solid or a liquid, and the results may be displayed on a screen for a patient or coach to view.02-10-2011
20100331614METHODS AND INSTRUMENTS FOR TREATING OBESITY AND GASTROESOPHAGEAL REFLUX DISEASE - The invention relates surgical abdominal methods of treating obesity in a patient by implanting a volume filling device that, when implanted in a patient, reduces the food cavity in size by a volume substantially exceeding the volume of the volume filling device. Also disclosed is a laparoscopic instrument for providing a volume filling device to be invaginated in the stomach wall of a human patient to treat obesity.12-30-2010
20100331616METHOD AND INSTRUMENT FOR TREATING OBESITY - A gastroscopic method of treating obesity of a patient using a device adapted to stretch a part of the stomach wall of said patient. The method comprising the steps of: inserting said device into the stomach of said patient through the esophagus, placing said device in contact with the stomach wall and fixating said device to the stomach wall such that said device can stretch a part of said stomach wall.12-30-2010
20100331615METHOD AND INSTRUMENTS FOR TREATING GERD - The invention relates surgical abdominal methods of treating a reflux disease in a patient by implanting a movement restriction device that, when implanted in a patient, restricts the movement of the stomach notch in relation to the diaphragm muscle preventing the cardia to slide up through the diaphragm hiatus opening. Also disclosed is a laparoscopic instrument for providing a movement restriction device to be invaginated in the stomach fundus wall of a human patient to treat reflux disease.12-30-2010
20110009690External Anchoring Configurations for Modular Gastrointestinal Prostheses - Components may be used separately or in combination to create anchoring systems for intra-luminal implants for the treatment of metabolic disorders such as obesity and diabetes. Various systems include an external component adapted for deployment around a portion of the gastrointestinal tract (e.g., the duodenum) and an internal component adapted for implantation within the gastrointestinal tract. Various systems use anchoring means that are based on mechanical interference, elasticity, spring force, shape memory transformation, magnetic attraction, repulsion and/or levitation. Various embodiments rely on longitudinal anchoring of the implants with minimal force against tissue.01-13-2011
20110021869SINGLE-INCISION MINIMALLY-INVASIVE SURGICAL REPAIR OF PELVIC ORGAN/VAGINAL PROLAPSE CONDITIONS - A system includes surgical instruments, implantable articles and procedural steps for stabilizing, introducing, delivering and affixing an absorbable or permanent biocompatible implantable graft into a patient. The instruments, implantable articles and procedural steps can be employed in transvaginal pelvic reconstructive applications to re-suspend the anterior, posterior and/or apical vaginal compartments including the bladder, rectum, bowels (i.e., enterocele) and vaginal apex with or without a uterus in situ. The surgical instruments can be incorporated into a surgical kit having an implantable graft, a graft-retaining clamp, a tacker guide, a tacker device, an affixing anchor, a retractor and a fenestrated spatula.01-27-2011
20110034759SURGICAL ARTICLES AND METHODS FOR TREATING PELVIC CONDITIONS - Described are devices, implants, insertion tools, combinations, and associated methods, that involve placement of a self-fixating tip at tissue of the pelvic region, wherein an insertion tool includes one or more of an aperture for engaging a guide and an extension guard, the method optionally allowing for initial placement of a self-fixating tip at tissue of the pelvic region and adjustment of the location of the self-fixating tip.02-10-2011
20110112358MEDICAL SLINGS - A medical sling made from material that is suitably shaped for use in a medical application has sides, portions of which are smoothed to prevent abrasion of surrounding tissue.05-12-2011
20090062601SYSTEM FOR IMPROVING CARDIAC FUNCTION - A system for improving cardiac function is provided. A foldable and expandable frame having at least one anchoring formation is attached to an elongate manipulator and placed in a catheter tube while folded. The tube is inserted into a left ventricle of a heart where the frame is ejected from the tube and expands in the left ventricle. Movements of the elongate manipulator cause the anchor to penetrate the heart muscle and the elongate manipulator to release the frame. The installed frame minimizes the effects of an akinetic portion of the heart forming an aneurysmic bulge.03-05-2009
20090062600Levator for Repair of Perineal Prolapse - Improved methods and apparatuses for treatment of pelvic organ prolapse are provided. A specialized mesh having a shape for effective placement via the ischiorectal fossa is provided, as is a method of use of such a device.03-05-2009
20110245597PELVIC IMPLANT WITH ANCHORING FRAME - An implant for a pelvis is provided, wherein suturing is not necessary for anchoring the implant in place. The implant includes a flexible sheet and a solid frame, wherein the frame can be compressed or expanded. Upon insertion through the narrow openings of the pelvis, the frame is compressed, and upon delivery at the site, the frame is expanded, and is designed to anchor to the surrounding anatomical structures.10-06-2011
20110245598CLOSED LOOP GASTRIC RESTRICTION DEVICES AND METHODS - In some embodiments, methods to sense parameters associated with restriction procedures and/or devices are disclosed. In some embodiments, the parameters are sensed directly from the region of the procedure and/or device and in other embodiments, associated neural pathways are sensed. Methods for further optimization of the obesity treatment regimens are also disclosed.10-06-2011
20110245595METHODS OF DEPLOYING AN IMPLANTABLE INJECTION PORT - A surgical fastening system for implantable devices is disclosed. The implantable device may contain a plurality of fasteners in pre-deployment position, may have a housing fitted over or around fit which contains a plurality of fasteners in pre-deployment position, or may be a part of a two-part system into which it fits. Accordingly, the present invention also encompasses a deployment system or tool that optionally positions the implantable device, and which causes the fasteners to move into post-deployment position. The fasteners may be staples, metal loops, coils, springs or hooks formed of biocompatible materials, including shape memory alloys such as NiTi.10-06-2011
20110245594INCONTINENCE IMPLANT WITH SOFT TISSUE ANCHORS AND LENGTH NOT ALLOWING ABDOMINAL WALL PENETRATION - A surgical implant for treating female urinary incontinence comprises a suburethral support and first and second polymer soft tissue anchors. The suburethral support has a first end portion and a second end portion located opposite the first end portion. Each of the first and second soft tissue anchors is connected to a respective one of the first and second opposite end portions of the suburethral support. The first and second anchors are configured to penetrate and retain in soft tissue. A length of the implant between the first and second soft tissue anchors is configured to allow the suburetnral support to be positioned below a urethra of a patient and to allow the anchors to be retained in soft tissue on first and second sides of the urethra without the anchors penetrating the abdominal wall.10-06-2011
20110130625APPARATUS AND METHODS FOR CORRECTIVE GUIDANCE OF EATING BEHAVIOR AFTER WEIGHT LOSS SURGERY - Apparatuses and methods for corrective guidance of eating behavior of a patient equipped with a gastric restriction device. The apparatus provides continuous monitoring or one or more parameters related to food passing through the gastric restriction device. Each monitored parameter is processed to provide a visual indication of the current eating behavior. The visual indication is used as input to the patient or a caregiver to modify the eating behavior. In some embodiments, the apparatus includes an emergency relief mechanism that automatically relieves excess pressure developing in the gastric restriction device. In some embodiments, the apparatus is enabled to deliver an appetite suppressant to modify the eating behavior.06-02-2011
20100217069IMPLANTABLE INTRODUCER - In one embodiment, an introducer includes a needle having an inner lumen and an opening that provides access to the inner lumen, an extendible snare positioned within the inner lumen of the needle, the snare having an implant coupling element, and a sheath provided on the needle, the sheath being positionable in a first position in which the sheath substantially surrounds the needle and a second position in which the sheath extends beyond a tip of the needle.08-26-2010
20110087066DEVICES AND METHODS FOR DELIVERING AN ENDOCARDIAL DEVICE - Described herein are systems for partitioning a ventricle of a heart. The systems may include a partitioning device or implant, and an applicator for inserting, repositioning and/or removing the partitioning device. The implant may support the ventricle wall and may reduce the volume of the ventricle. In particular, described herein are systems for delivering and deploying a partitioning device into a ventricle. The delivery system may include a catheter having a distal coupling element for coupling to a partitioning device in a collapsed configuration; the catheter may also have an expansion member for applying force to the partitioning device to fully expand it into a deployed configuration and to secure or seal it against the ventricle wall.04-14-2011
20100261955PELVIC FLOOR TREATMENTS AND RELATED TOOLS AND IMPLANTS - Described are implants, tools, and methods useful for treating pelvic conditions such as prolapse, by placing an implant to support pelvic tissue, the implants, tools, and methods involving one or more of adjusting engagements, specific implants and pieces of implants, placement of implants at locations within the pelvic region, and insertion, adjusting, and grommet management tools.10-14-2010
20120136201CARDIAC SUPPORT DEVICE - A highly compliant and elastic cardiac support device is provided. The device is constructed from a biocompatible material is applied to an external surface of a heart. The device can be used to resist dilatation of the heart, to provide acute wall support, or to enhance reduction in the size of the heart using stored potential energy, without interfering with systolic contraction.05-31-2012
20100016655Cardiac Anchor Structures, Methods, and Systems for Treatment of Congestive Heart Failure and Other Conditions - Medical devices, systems, and methods reduce the distance between two points in tissue, often for treatment of congestive heart failure and often in a minimally invasive manner. An anchor is inserted along an insertion path through a first wall of the heart. An arm of the anchor is deployed and rotationally positioned according to a desired alignment. Application of tension to the anchor may draw the first and second walls of the heart into contact along a desired contour so as to effect a desired change in the geometry of the heart. Additional anchors may be inserted and aligned with the first anchor to close off a portion of a ventricle such that the ventricle is geometrically remodeled and disease progression is reversed, halted, and/or slowed.01-21-2010
20090240103Elongation Resistant Fabric and Devices - An elongation resistant fabric, devices, and methods can include an elongation resistant yam laid in a knit structure of the fabric between knit loops in selected adjacent wales and partially about the loop in one adjacent wale in predetermined courses. In this manner, the fabric can be adapted to resist elongation in a walewise direction along the length of the fabric. The elongation resistant fabric can be a mesh fabric. In a mesh fabric, the size and a shape of pores in the fabric can be maintained when the fabric is pulled in the walewise direction. The elongation resistant yam can have a diameter larger than the individual diameters of other yarns in the fabric. The elongation resistant yarn can be, for example, a monofilament yarn, such as a polypropylene or polyester monofilament yarn.09-24-2009
20090048480CARDIAC HARNESS DELIVERY DEVICE - An apparatus for delivering a cardiac harness onto a heart includes an elongate body and a plurality of elongate push rods longitudinally movable with respect to the elongate body. The elongate body has a tubular housing that is sized to contain the cardiac harness which is removably attached to the push rods. The cardiac harness is releasably attached to the push rods such that advancement of the push rods in a distal direction moves the cardiac hearness from a compacted configuration in the housing to an expanded configuration outside the housing. A deflector is attached to the elongate body and is configured to flare radially outwardly. As the push rods advance out of the housing, the push rods slide over the deflector to more easily and safely advance over the enlarged heart and position the cardiac harness over the heart.02-19-2009
20090312598CATHETER-BASED TISSUE REMODELING DEVICES AND METHODS - Devices and methods utilizing a catheter to remodel soft tissue of a patient and, in a preferred embodiment, to reduce the volume of the left ventricle of a heart. In some embodiments, one or more sutures are passed through a wall of the ventricle. The ends of the one suture and, more preferably, the multiples sutures are drawn together to draw tissue portions towards one another. In some embodiments, a tissue remodeling clip is implanted into a wall of the ventricle. Ends of the clip are resiliently biased to move relative to one another to draw tissue portions towards one another. In some embodiments, a tissue remodeling anchor includes a base and a plurality of legs attached to the base. The legs of the tissue anchor are implanted into a wall of the ventricle and moved toward one another to draw tissue portions toward one another.12-17-2009
20090312597Methods and devices for limiting gastric expansion - Disclosed are methods and devices for limiting expansion in at least one portion of gastric tissue.12-17-2009
20100069707GASTRIC BAND WITH POSITION SENSING - The problem of accessing an injection port transcutaneously is resolved using wireless position transducers in an inflation port assembly and in an injection syringe. The measurements provided by the transducers indicate to the practitioner the position and orientation of syringe relative to the injection port. A console provides a visual indication of the relative position and orientation so as to guide the practitioner to insert the syringe at the proper site and in the proper direction and to penetrate the port cleanly and correctly.03-18-2010
20090216075Methods and Apparatus for Treating Pelvic Floor Prolapse - This invention relates to a surgical implant system for repairing pelvic prolapse in a patient. In particular, the present invention relates to an implant, a delivery device and a method for implanting and securing the implant to tissue structures in the pelvic region of the body.08-27-2009
20110152608FLOW CONTROL METHOD AND DEVICE - Apparatus and methods are provided comprising an implantable non-hydraulic ring that encircles and provides a controllable degree of constriction to an organ or duct and an external control that powers and controls operation of the ring. The ring includes a rigid dorsal periphery that maintains a constant exterior diameter, and a compliant constriction system that reduces intolerance phenomena. A high precision, energy efficient mechanical actuator is employed that is telemetrically powered and controlled, and maintains the ring at a selected diameter when the device is unpowered, even for extended periods. The actuator provides a reversible degree of constriction of the organ or duct, which is readily ascertainable without the need for radiographic imaging. Methods of use and implantation also are provided.06-23-2011
20110251453IMPLANTABLE COUPLING DEVICE - The present invention provides a system for attaching a fluid access port to a patient. The system generally comprises an implantable access port and method for attaching an access port to a patient. In addition, a tube guard, tube shroud, tissue guard, porous coupling member and a prefabricated mesh member may be attached to the access port. For example, the prefabricated mesh may be coupled to the access port to facilitate securing the access port to the tissue of the patient.10-13-2011
20110098525VENTRICULAR VOLUME REDUCTION - Devices and systems including implants (which may be removable) and methods of using them for reducing ventricular volume. The implants described herein are cardiac implants that may be inserted into a patient's heart, particularly the left ventricle. The implant may support the heart wall, or may be secured to the heart wall. The implants are typically ventricular partitioning device for partitioning the ventricle into productive and non-productive regions in order to reduce the ventricular volume.04-28-2011
20110098527APPARATUS AND METHOD FOR SUSPENDING A UTERUS - An inter-vaginal device for performing a uterine suspension includes a rigid body for manipulating the uterus and implanting a suspension member, such as a mesh, for securing the uterus to an anchoring site (e.g., into a pelvic muscle or ligament). In one embodiment, a method includes inserting at least a portion of a uterine suspension member through an anterior or posterior vaginal incision. An end of the suspension member is anchored to a selected portion of a pelvic tissue. At least a portion of the suspension member is attached to a vaginal apex. A uterine manipulator is advanced in a direction toward the selected portion of the pelvic tissue such that at least a portion of a uterus is moved upward.04-28-2011
20110082331MINIMALLY INVASIVE LEVATOR AVULSION REPAIR - Described are pelvic implants and methods of surgically placing pelvic implants that provide treatment for pelvic floor disorders by support of the levator by creating an incision that allows access to a region of tissue of the pelvic floor and inserting a pelvic implant comprising a tissue support portion delivered by a delivery tool. A pelvic implant for supporting levator tissue comprising: a tissue support portion having a first end and a second; a tissue fastener disposed on the first end of the tissue support portion for fastening it to levator tissue; a guide extension portion disposed on the second end of the tissue support portion; and a support backer member attachable to the guide extension portion to adjust a tension of the tissue support portion and concomitantly the levator tissue.04-07-2011
20110082330METHOD OF IMPLANTING A FABRIC TO REPAIR A PELVIC FLOOR - 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.04-07-2011
20110077457BODY IMPLANTABLE FABRIC - An implantable fabric includes a bio-inert portion having a first surface and an opposing second surface, with each of the first and second surfaces configured for tissue ingrowth and a bio-absorbable portion attached to the bio-inert portion in a manner that substantially prevents wrinkles on each of the first and second surfaces of the bio-inert portion.03-31-2011
20120149976SURGICAL ARTICLES AND METHODS - Described are devices, implants, kits, and related methods for treating pelvic conditions such as urinary in incontinence, in a male or a female patient.06-14-2012
20110034762GASTRIC RING INCLUDING A ONE-PIECE BELT - The invention relates to an implantable surgical ring (02-10-2011
20120203061BARIATRIC DEVICE AND METHOD FOR WEIGHT LOSS - A bariatric device for use in inducing weight loss, comprising a cardiac element and a fixation element wherein the fixation element attaches the cardiac element to the upper stomach to allow the cardiac element to apply at least intermittent pressure to the upper stomach which produces a satiety signal to the user, giving the recipient a feeling of fullness and reducing his or her hunger feelings. The device may also contain an esophageal element which is connected to the cardiac element by a connecting element.08-09-2012
20120203060Minimally Invasive Implant and Method - Apparatus and methods are provided for treating urinary incontinence, fecal incontinence, and other pelvic defects or dysfunctions, in both males and females, using one or more lateral implants to reinforce the supportive tissue of the urethra. The implants can be configured as a sling device having at least one extension arm and a tissue support portion having an eyelet, wherein a portion of the at least one extension arm is adapted to slide through and adjustably attach with the eyelet.08-09-2012
20100004504EPICARDIAL CLIP - An epicardial clip for reshaping the annulus of the mitral valve of a heart. The epicardial clip includes a curved member having an anterior segment configured to be positioned in the transverse sinus of the heart, a posterior segment configured to be positioned on the posterior side of the heart, such as on or inferior to the atrioventricular groove, and a lateral segment extending between the anterior segment and the posterior segment. The lateral segment includes a curve such that the first end of the member is positioned at or above the plane of the mitral valve and the second end of the member is positioned at or below the plane of the mitral valve.01-07-2010
20120123197Implantable injection port with tissue in-growth promoter - A surgically implantable injection port has a tissue in-growth promoting surface associated with a fluid conduit that is coupled to the injection port. The injection port includes a housing, a fluid reservoir defined in part by the housing, a needle penetrable septum, a fluid conduit in communication with the reservoir, and a tissue in-growth promoting surface coupled to the fluid conduit. The tissue in-growth promoting surface may be provided by surgical mesh wrapped around the conduit or through which the conduit is threaded. The injection port and the fluid conduit may be used as part of a gastric band system or some other type of system.05-17-2012
20110152607Apparatus and Method for Manipulating or Retracting Tissue and Anatomical Structure - Integrated systems and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchoring devices for such purposes.06-23-2011
20090143638Method and System for Organ Positioning and Stabilization - This invention provides a system and method for positioning, manipulating, holding, grasping, immobilizing and/or stabilizing a heart including one or more tissue-engaging devices, one or more suction sources, one or more fluid sources, one or more energy sources, one or more sensors and one or more processors. The system and method may include an indifferent electrode, a drug delivery device and an illumination device. The system's tissue-engaging device may comprise a tissue-engaging head, a support apparatus and a clamping mechanism for attaching the tissue-engaging device to a stable object. The system may be used during various medical procedures including the deployment of an anastomotic device, intermittently stopping and starting of the heart, ablation of cardiac tissues and the placement of cardiac leads.06-04-2009
20090082619METHOD OF TREATING CARDIOMYOPATHY - The surgical implantation of a link, which may be in the form of a tether or a looped band, is proposed to connect and reduce the spacing between facing walls of the left ventricle, to reduce dilation of the left ventricle. Decreasing the distance between the facing portions of the ventricle may also more appropriately align the chordal apparatus to decrease mitral regurgitation. The implanted link thus improves heart function by reducing left ventricular failure.03-26-2009
20110257472METHOD AND APPARATUS FOR CYSTOCELE REPAIR - A method for cystocele repair comprising the steps of: establishing four pathways in tissue around a bladder of a patient, introducing a strap into each of said pathways, and positioning beneath said bladder of said patient a support member having each said strap connected thereto such that said bladder of said patient is supported by said support member and a bulge of said bladder into a vagina of said patient is reduced.10-20-2011
20100331617DEVICE, SYSTEM AND METHOD FOR TREATING OBESITY - An obesity treatment device is provided, the device comprising: at least one operable stretching device implantable in an obese patient and adapted to stretch a portion of the patient's stomach wall and an operation device for operating the stretching device when implanted to stretch the stomach wall portion such that satiety is created.12-30-2010
20100056858PACING SYSTEM FOR USE DURING CARDIAC CATHETERIZATION OR SURGERY - Cardioprotective pacing is applied to prevent and/or reduce cardiac injury associated with cardiac catheterization or surgery. Pacing pulses are generated from a pacemaker and delivered through one or more pacing electrodes incorporated onto one or more devices used in the cardiac catheterization or surgery. The pacemaker controls the delivery of the pacing pulses by executing a cardioprotective pacing protocol. In one embodiment, the one or more pacing electrodes are incorporated onto an intravascular ultrasound (IVUS) catheter. In another embodiment, the one or more pacing electrodes are incorporated onto one or more cardiac surgical instruments such as a heart stabilizer and a sternal retractor.03-04-2010
20110054249APPARATUS, SYSTEM AND METHOD OF MINIMALLY INVASIVE REPAIR OF PELVIC ORGAN PROLAPSE - A system for repair of a prolapsed organ in a patient includes a support and a deployment instrument having a handle extending from a barrel and a trigger offset from the handle, the trigger is operable to advance the support out of the barrel of the deployment instrument and into the patient.03-03-2011
20110054248GASTRIC BAND WITH ELECTRIC STIMULATION - A gastric band system including a functional electrical stimulation component is provided. Stimulation electrodes on the gastric band may be used to stimulate the vagal nerve and/or splanchnic nerve, which can inhibit the patient's appetite. The gastric band may have an inflatable member for adjusting a stoma size. The stimulation electrodes may be mounted on the inflatable member. The system may include a controller including a pressure sensor for monitoring the hydraulic pressure within the inflatable inner member and for controlling the stimulation component.03-03-2011
20110021868Tissue Repair Device - The present invention relates to a tissue repair device for use in surgical methods. The tissue repair device comprises a filiform having a longitudinal axis and a transverse width, wherein a force of at least 30 N can be exerted along the longitudinal axis of the device without distortion of the device and at least part of said filiform comprises interstices on a surface of the filiform, the interstices having a cross-sectional width in the range of 50 micrometers to 200 micrometers. In surgical methods, features of the device can provide for lubricious movement of the device within surrounding tissue for up to 72 hours, providing for adjustment of the device and positioning of the device in the body after its initial placement. Subsequently, traction of the device to the surrounding tissue can be achieved as the features of the device cause the device to act as a scaffold for tissue ingrowth into and around the structure of the device.01-27-2011
20100305397HYDRAULIC-MECHANICAL GASTRIC BAND - An implantable banding system for treating obesity is disclosed. The implantable banding system includes a telemetric control unit, a gastric band having at least one inner fluid compartment and an outer mechanical adjustment mechanism, the at least one inner fluid compartment being filled with a fixed volume of fluid, and the outer mechanical adjustment mechanism comprising a device configured to adjust the gastric band through a variety of diameters, an implant circuit coupled to the device and configured to receive an adjustment signal to control the operations of the device, and a sensor positioned within the at least one inner fluid compartment, configured to monitor a parameter of the fixed volume of fluid, generate an adjustment signal based on the parameter and one or more parameter control limits, and automatically activate the device based on the adjustment signal or transmit the adjustment signal to the telemetric control unit.12-02-2010
20100324361APPARATUS FOR TREATING OBESITY - An volume filling device for treatment of obesity is placed outside the stomach wall of the patient to reduce the inner volume of the stomach, thereby affecting the patient's appetite. By providing the volume filling device outside the stomach wall, contact with stomach acids is avoided, thereby increasing the life of the device.12-23-2010
20100324362APPARATUS FOR TREATING OBESITY AND REFLUX DISEASE - An apparatus for treating obesity and reflux disease of an obese patient has a volume filling device to be invaginated by a stomach wall portion with the outer surface of the volume filling device resting against the stomach wall, such that the volume of the food cavity is reduced in size by a volume substantially exceeding the volume of the volume filling device. An implantable movement restriction device to be invaginated by the stomach fundus wall has an outer surface to be rested against the stomach wall in a position between the patient's diaphragm and the lower part of the invaginated stomach fundus wall, such that movement of the cardiac notch of the patient's stomach towards the patient's diaphragm is restricted, to thereby prevent the cardia from sliding through the patient's diaphragm opening into the patient's thorax.12-23-2010
20100324359FATIGUE-RESISTANT GASTRIC BANDING DEVICE - A fatigue-resistant inflatable gastric banding device suitable for laparoscopic placement around the stomach of a patient for the treatment of obesity and a method for such treatment are disclosed. The device includes a gastric band having a chambered inflatable member, substantially coextensive with an inner stomach facing surface of the band, that does not crease, wrinkle or fold when adjusted, so as to present a substantially smooth contour along the inner circumference, and to avoid fatigue or failure of the member itself. A gastric band having multiple inflatable compartments or chambers, which may be inflated together or individually is also disclosed.12-23-2010
20100324358HYDRAULIC GASTRIC BAND WITH COLLAPSIBLE RESERVOIR - A self-regulating gastric band apparatus for adjusting stoma size. The apparatus includes an adjustable gastric band that has an inner ring expanding with injected fluid. A band adjustment assembly is provided for implanting with the gastric band that includes a sensor for sensing fluid pressure in the inner ring. The band adjustment assembly further includes a pump assembly connected to the expandable inner ring and to a controller that can operate the pump assembly to adjust the volume of the fluid in the band based on the sensed fluid pressure. The band adjustment assembly includes memory storing an operating range relative to a target fluid pressure, and the pump assembly is operated to maintain the sensed band pressure within the operating range. The target pressure being set to maintain pressure variations below a predefined variation limit generally corresponding with satiated fill volumes for a particular patient and implanted band. An elongated fluid reservoir may extend along a substantial part of a fill tube. A balloon-like expandable fluid reservoir in fluid communication with the pump assembly may store a volume of the fluid for adjusting the volume of fluid in the lumen. A protective outer sheath may be provided around the exterior of an expandable fluid reservoir in both a first, deflated state, and a second, inflated state of the reservoir.12-23-2010
20100152530Biocompatible Fiber Based Device for Guided Tissue Regeneration - Tissue engineering devices for pelvic floor repair are disclosed. More specifically, tissue engineering devices made of an implant, having a central portion at least partially embedded within a nonwoven felt are disclosed.06-17-2010
20100121136Methods and apparatus for capturing and manipulating body parts - A device for grasping a body part is preferably a catheter having a proximal end and distal end, the proximal end being juxtaposed a user while in use. A grasping section is attached to the catheter near or at the distal end. The grasping section has a first position wherein a body part may be received by the grasping section and a second position wherein the grasping section grasps the body part with sufficient force to enable the operator to move the body part to a desired location.05-13-2010
20090171143DEVICES AND METHOD FOR TREATING PELVIC DYSFUNCTIONS - In one embodiment, a method includes securing an implant that includes a pre-formed loop to a vaginal apex. An end of the suture is inserted through a selected portion of a pelvic tissue to dispose at least a portion of the implant within a pelvic region of the patient. The end of the suture is drawn through the loop while simultaneously advancing a uterus to approximate the vaginal apex to the selected portion of pelvic tissue. An apparatus includes an implant and a suture coupled to the implant having a pre-formed loop. configured to receive a portion of a delivery device therethrough. A trocar is coupled to an end of the suture that can be releasably coupled to an end of the delivery device. The trocar can be inserted through a pelvic tissue and drawn through the loop forming a knot to secure the implant to the pelvic tissue.07-02-2009
20090171142DEVICES AND METHODS FOR TREATING PELVIC FLOOR DYSFUNCTIONS - In one embodiment, an apparatus includes a support portion disposable within a pelvic region and a strap extending from the support portion. The strap has a length and is configured to be disposed at least partially within a pelvic tissue. A sleeve is releasably disposed over at least a portion of the strap. The sleeve has a length that is longer than the length of the strap. In some embodiments, the length of the sleeve is at least twice as long as the length of the strap. In some embodiments, a suture couples the sleeve to the strap. The apparatus can also include a suture disposed at least partially within an interior of the sleeve and forming two strands of suture within the interior of the sleeve. The two strands are separated by a distance defined by a separator portion of the sleeve.07-02-2009
20090171141Anterior Repair - Needle Path and Incision Sites - In one embodiment, a medical device includes a support portion having a first end portion and a second end portion opposite the first end portion. An elongate member extends from the first end portion of the support portion and has a length sufficient to extend from the first end portion of the support portion to a location above a pubic bone when the support portion is disposed between the bladder and a vagina of the patient. An elongate member extends from the second end portion of the support portion and has a length sufficient to extend from the second end portion of the support portion and through an obturator membrane of the patient when the support portion is disposed between the bladder and the vagina of the patient.07-02-2009
20090171139DEVICES AND METHODS FOR DELIVERING A PELVIC IMPLANT - An apparatus according to an embodiment of the invention includes an elongate body having a distal end configured to releasably couple the elongate body to a delivery device. A lock tube is movably disposable within a lumen of the elongate body. A connector is disposed at a proximal end of the elongate body and is configured to releasably couple a pelvic implant to the elongate body. The lock tube is configured to be slidably moved to a position adjacent the pelvic implant to secure the pelvic implant to the elongate body. A method according to an embodiment of the invention includes placing a portion of an implant through an opening defined by a dilator. A first elongate body of the dilator is moved relative to a second elongate body of the dilator to secure the implant to the dilator.07-02-2009
20110071342SPACE ENSURING DEVICE - In a pericardioscopic procedure, without providing an endoscope or surgical instrument with special space ensuring means and without unnecessarily dilating the pericardial space, a space necessary for operation of the endoscope or surgical instrument is ensured, so that maneuverability is improved while suppressing complications. Provided is a space ensuring device comprising: a pericardium pressing part for pressing a pericardium from the pericardial space side; a heart pressing part for pressing the surface of a heart from the pericardial space side; and an interconnecting part interconnecting the pericardium pressing part and the heart pressing part, wherein the interconnecting part generates the resilient force enabling expansion against a pressure applied by a pericardium and a heart so as to ensure a space between the pericardium pressing part and the heart pressing part.03-24-2011
20110087067INTERNAL RETRACTOR SYSTEMS - A retractor system is provided having an anchor coupled to soft tissue and a surgical mesh configured to suspend tissue and/or organs. An adjuster is also provided and coupled to the anchor. Further, a wire is provided having one end coupled to the surgical mesh and the other end coupled to the adjuster where the wire is operable to suspend the surgical mesh at a desired suspension length.04-14-2011
20110130626Non-Invasive Measurement of Fluid Pressure In An Adjustable Gastric Band - A food intake restriction device for forming a restriction in a patient's gastro-intestinal tract and non-invasively communicating pressure data regarding the restriction to an external monitor. The device includes a food intake restriction device implanted substantially about a patient's gastro-intestinal tract to form a restricted opening in the tract. A port is connected to the restriction device. The port contains a working fluid for affecting the size of the restricted opening. A pressure sensing system communicates with the working fluid to measure the pressure of the working fluid. A transmitter communicates the measured fluid pressure to the external monitor.06-02-2011
20100191046Implants And Procedures For Supporting Anatomical Structures - Implants for the treatment of pelvic support conditions and methods of implementing the same. The implants comprise relatively soft, flexible bodies and relatively strong arms extending in predetermined orientations therefrom. Methods and devices for placing the implants minimize trauma to the pelvic floor and provide well-anchored support to pelvic organs without interfering with sexual or other bodily functions.07-29-2010
20100191045Implants And Procedures For Supporting Anatomical Structures For Treating Conditions Such As Pelvic Organ Prolapse - Implants for the treatment of pelvic support conditions and methods of implementing the same. The implants comprise relatively soft, flexible bodies and relatively strong arms extending in predetermined orientations therefrom. Methods and devices for placing the implants minimize trauma to the pelvic floor and provide well-anchored support to pelvic organs without interfering with sexual or other bodily functions.07-29-2010
20110263932PELVIC FLOOR REPAIR IMPLANTS AND METHODS - The invention generally relates to surgically implantable supportive slings. More specifically, in various embodiments, the invention is directed to sling assemblies for pelvic floor repair that utilize one or more materials, attached without a mechanical fixation device, and related methods of use and fabrication.10-27-2011
20110263931ELASTIC SLING SYSTEM AND RELATED METHODS - The invention provides, in various embodiments, systems, devices and methods relating to adjustable length implantable sling assemblies for providing support to anatomical locations. In certain embodiments, the sling includes at least one elastic member to aid in the placement and tensioning of the sling.10-27-2011
20110190573BODY IMPLANTABLE FABRIC HAVING CLOSED LOOP KNIT - A body implantable fabric includes an organ support device separated from a knit material and has a filament forming a chain of loops that extend along a length of the knit material. The chain of loops are coupled together by having each loop suspended by a neighboring loop, and at least one loop in the chain of loops having the filament tied around that one loop to form a closed loop.08-04-2011
20110201877SLING ASSEMBLIES FOR TREATING URINARY INCONTINENCE AND METHODS RELATED THERETO - A surgical fastener for use in surgical procedures comprises a first member, a second member, and an anchor. Surgical materials may be secured within the surgical fastener. Methods of securing the surgical fastener to an anatomical structure are disclosed herein.08-18-2011
20110201876MINIMALLY INVASIVE IMPLANT AND METHOD - Apparatus and methods are provided for treating urinary incontinence, fecal incontinence, and other pelvic defects or dysfunctions, in both males and females, using one or more lateral implants to reinforce the supportive tissue of the urethra. The implants are configured to engage and pull (e.g., pull up) pelvic tissue to cause the lateral sub-urethral tissue, such as the endopelvic fascia, to tighten and provide slack reduction for improved support. As such, certain embodiments of the implants can be utilized to eliminate the need for mesh or other supportive structures under the urethra that is common with other incontinence slings.08-18-2011
20110201874REMOTELY ADJUSTABLE GASTRIC BANDING SYSTEM - An implantable device comprises a reservoir for holding a fluid and a sensor positioned between the gastric band and the reservoir. The sensor monitors a parameter of the fluid when filling and draining the inflatable portion of the gastric band. A first flow control device controls a flow of the fluid when filling and draining the inflatable portion of the gastric band. A pumping device moves the fluid into and out of the inflatable portion of the gastric band, and the pumping device is capable of being activated and deactivated using a telemetric signal received from a remote device.08-18-2011
20100030015SYSTEM FOR TREATING RECTOCELE IN A WOMAN - A system for treating rectocele in a woman includes an implant comprising a support body from which there extends at least to upper suspension stabilizers each disposed on either side of a sagittal plane on a longitudinal axis, the longitudinal axes forming between them an angle greater than 45°, and two lower suspension stabilizers disposed on either side of the sagittal plane; and an introduction device for inserting the implant in the woman, the introduction device shaped analogous to that of the implant and comprising a hollow body defining a cavity configured to receive the support body of the implant, tubular straps extending from the hollow body with each defining a cavity for receiving one of the suspension stabilizers of the implant, traction means extending from an end of each of the tubular straps, and a cut initiator provided on the hollow body.02-04-2010
20100030016Methods and Implants for Treating Urinary Incontinence - Described are methods, implants, insertion tools, and related systems and kits, for placing an implant to treat urinary incontinence; the implants include soft tissue anchors that are capable of engaging needles of the insertion tools, and the implants are designed to place a central support portion at a location to support a urethra with extension portions and soft tissue anchors extending to tissue at regions of an obturator foramen.02-04-2010
20100022823METHODS AND DEVICES FOR TISSUE GRASPING AND ASSESSMENT - Devices, systems and methods are provided for stabilizing and grasping tissues such as valve leaflets, assessing the grasp of these tissues, approximating and fixating the tissues, and assessing the fixation of the tissues to treat cardiac valve regurgitation, particularly mitral valve regurgitation.01-28-2010
20100022821Method and system for improving diastolic function of the heart - The present invention provides a system for improving diastolic function of the heart comprising elastic elements and attachment elements, wherein said elastic elements and said attachment elements are configured such that they are capable of being interconnected to form a chain formed of an alternating series of said elastic elements and said attachment elements, and wherein said attachment elements are adapted to be anchored in the wall of the heart and with option for drug delivery to the wall of the heart. The invention further provides devices, methods and kits, for mounting the ventricular function assisting device of the invention.01-28-2010
20110218394APPARATUS AND METHOD FOR TREATING GERD - An apparatus for the treatment of acid reflux disease comprising two or more movement restriction device segments adapted to be assembled movement restriction device of a controlled size. The assembled movement restriction device can at least partly be invaginated by a patient's stomach fundus wall. A substantial part of the outer surface of the movement restriction device is adapted to rest against the stomach wall without injuring the latter in a position between the patient's diaphragm and at least a portion of the lower part of the invaginated stomach fundus wall, such that movement of the cardiac notch of the patient's stomach towards the patient's diaphragm is restricted, to thereby prevent the cardia from sliding through the patient's diaphragm opening into the patient's thorax, so as to maintain the supporting pressure against the patient's cardia sphincter muscle exerted from the patient's abdomen.09-08-2011
20110218393MEDICAL DEVICE POSITIONING ASSEMBLIES AND METHODS - A medical retrieval device of an embodiment of the present disclosure includes an assembly for positioning a medical device includes a sleeve having a lumen configured to accept a medical device, and a tab. The tab includes a distal portion and a proximal portion. The distal portion is configured to receive the sleeve for positioning the sleeve proximate the proximal portion. The proximal portion is configured such that severing the tab along the proximal portion maintains the tab in one piece.09-08-2011
20110105836System and Method for Treating Prolapse and Incontinence - A system and method of treating vaginal prolapse and incontinence comprises a kit. The kit includes a mesh graft configured for attachment to the anterior and posterior vaginal walls to thereby treat the vaginal prolapse. A graft delivery device is also provided for introducing and placing the mesh graft to a location deep within the peritoneal cavity and for attaching the graft thereto. A leg assembly is provided and coupled to an end of the mesh graft and cooperates with the graft delivery device to anchor and affix the mesh graft to the desired anatomical structures. The method according to the present invention contemplates a laparoscopic graft placement utilizing the components of the kit.05-05-2011
20110137113Method for Supporting Vaginal Cuff - Described are methods and devices useful for supporting posterior vaginal tissue for various purposes such as treating or preventing vaginal prolapse or enterocele, especially in a patient not having a uterus, the devices including implants designed to contact the vaginal cuff and connect to sacral anatomy such as the sacrum or the uterosacral ligaments.06-09-2011
20130012768BIOABSORBABLE MESH FOR SURGICAL IMPLANTS - Described are methods, devices, and systems related to pelvic implants, including implants that include absorbable and non-absorbable materials.01-10-2013
20110306826OVER MOLDED IMPLANTABLE DEVICE TO PROTECT TUBING FROM PUNCTURE - An implantable device used in a gastric band system includes an access port, a tube coupled to the access port, and a shielding device covering a portion of the tube. The shielding device is positioned adjacent to the access port and covers the end of the tube coupled to the access port. The shielding device is made from a puncture resistant material, to protect the tube from puncture by a misplaced syringe needle inserted by a physician.12-15-2011
20120041257APPARATUS AND METHODS FOR SUPPORTING CARDIAC ISCHEMIC TISSUE - Apparatus and methods are disclosed for supporting ischemic tissue of the heart using scaffolds that may be placed within the heart percutaneously. A scaffold assembly may include a layer of biocompatible material detachably secured to a placement rod, such that the placement rod may be used to urge the layer of biocompatible material through a catheter to adjacent an area of ischemic tissue. Anchors may secure the layer of material to the myocardium. Multiple layers of biocompatible material may be placed in the ventricle separately to form the scaffold. In some embodiments, a scaffold is formed or reinforced by injecting a polymer, such as a visco-elastic foam, around an inflatable member inflated within a ventricle.02-16-2012
20090054724IMPLANTABLE DEVICE FOR TREATMENT OF VENTRICULAR DILATION - A device and method for reducing ventricular dilation by placing one or more cardiac bridges into vessels extending along a length of the ventricle. Each cardiac bridge preferably includes a pair of anchors and a bridge member secured therebetween. The tension in the bridge member is increased to compress the ventricle and thereby reduce the dilation. In another embodiment, the bridge member is tensioned to reshape the left ventricle for reducing tension on the chordae tendinae in the heart to improve valve function.02-26-2009
20120041258IMPLANTABLE ACCESS PORT SYSTEM - An implantable injection port for use with a gastric band for treating obesity and for attaching to a tissue of a patient is disclosed. The implantable injection port includes a base having an anchor opening, a gear coupled to the base and rotatable about a central axis, the gear having a plurality of gear teeth, an anchor coupled to the gear, and a top portion spaced apart from the base and having a plurality of top teeth that engage with the plurality of gear teeth. The top portion is rotatable causing rotation of the gear such that the rotation of the gear causes movement of the anchor through the anchor opening of the base and into the tissue of the patient.02-16-2012
20110098526PELVIC FLOOR REPAIR SYSTEM - Systems, method, and devices related to surgically implantable supportive slings are presented herein. More specifically, in various embodiments, the systems, devices and methods relate to a surgically implantable supportive sling adapted to anchor in patient tissue.04-28-2011
20100030017BARIATRIC DEVICE AND METHOD - A bariatric device and method of causing weight loss in a recipient includes providing a bariatric device having an esophageal member, a cardiac member and a connector connected with the esophageal member and the cardiac member. The esophageal member has an esophageal surface that is configured to generally conform to the shape and size of a portion of the esophagus. The cardiac member has a cardiac surface that is configured to generally conform to the shape and size of a portion of the cardiac portion of the stomach. The esophageal surface is positioned at the esophagus. The cardiac surface is positioned at the cardiac portion of the stomach. The bariatric device stimulates receptors in order to influence a neurohormonal mechanism in the recipient.02-04-2010
20120046520PARE PIEZO POWER WITH ENERGY RECOVERY - The present invention generally relates to medical systems and apparatus and uses thereof for treating obesity and/or obesity-related diseases, and more specifically, relates to systems and methods for energy recovery in a laparoscopically-placed gastric banding system operably coupled to a piezo actuator. The energy recovery may be obtained utilizing an energy recovery device, such as an inductor, coupled to the piezo actuator. The energy recovery device may utilize two circuits to facilitate energy recovery, and the two circuits may include diodes with opposite orientations to control current flow.02-23-2012
20120004501Method and Apparatus for Prolapse Repair - A surgical support apparatus and method includes a central support member or portion and six or more straps or arms, with each of the straps comprising a connector configured to mate with a tip of a needle device. Each connector is adapted for attachment to target tissue within the pelvis of a patient such that attachment of the connectors to the patient tissue allows for selective placement of the central support member to provide internal pelvic support, e.g., treat vaginal prolapse. Further, a neo-ligament apparatus can be provided. The neo-ligament apparatus generally includes a first member, and a second member connected to and extending out from first member at a junction, at a predetermined angle.01-05-2012
20120004500SYSTEMS, DEVICES, AND METHODS FOR SUB-URETHRAL SUPPORT - 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.01-05-2012
20120010462SNAP FIT SLING ANCHOR SYSTEM AND RELATED METHODS - The invention provides, in various embodiments, systems, devices and methods relating to employing soft tissue anchors in combination with an implantable sling to treat urinary incontinence.01-12-2012
20120010461METHODS AND DEVICES FOR TISSUE GRASPING AND ASSESSMENT - Devices, systems and methods are provided for stabilizing and grasping tissues such as valve leaflets, assessing the grasp of these tissues, approximating and fixating the tissues, and assessing the fixation of the tissues to treat cardiac valve regurgitation, particularly mitral valve regurgitation.01-12-2012
20120010460TISSUE DISPLACING METHOD - An organ displacing method implemented for performing a procedure in a patient's body cavity, the method includes a gravitational movement step in which the body position of the patient is changed, whereby surrounding organs adjacent to a hollow organ are moved in a primary direction by gravity; and a non-gravitational movement step in which, by using a medical instrument inserted into the hollow organ, the hollow organ is moved in a secondary direction where the hollow organ is separated from the surrounding organs.01-12-2012
20110166412SELF-ADJUSTING ATTACHMENT STRUCTURE FOR A CARDIAC SUPPORT DEVICE - A cardiac support device including a jacket and elastic attachment structure for self-securing the jacket to a heart. The attachment structures can include undulating metal and polymer elements, a silicone band and elastomeric filaments on a base end of the jacket.07-07-2011
20110166413COMPLIANT CARDIAC SUPPORT DEVICE - A jacket of biological compatible material has an internal volume dimensioned for an apex of the heart to be inserted into the volume and for the jacket to be slipped over the heart. The jacket has a longitudinal dimension between upper and lower ends sufficient for the jacket to surround a lower portion of the heart with the jacket surrounding a valvular annulus of the heart and further surrounding the lower portion to cover at least the ventricular lower extremities of the heart. The jacket is adapted to be secured to the heart with the jacket surrounding at least the valvular annulus and the ventricular lower extremities. The jacket is adjustable on the heart to snugly conform to an external geometry of the heart and assume a maximum adjusted volume for the jacket to constrain circumferential expansion of the heart beyond the maximum adjusted volume during diastole and to permit unimpeded contraction of the heart during systole.07-07-2011
20120065462METHOD AND APPARATUS FOR TREATMENT OF VAGINAL ANTERIOR REPAIRS - 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.03-15-2012
20120065461DEVICES AND METHODS FOR DELIVERING SUTURES AND IMPLANTS - A medical device for the delivery of sutures and implants through tissue of a patient's body. The medical device includes a handle, an elongated shaft member, a needle carrier, and a slideable mechanism. A method of delivering a suture or an implant includes inserting and deploying a medical device including a handle, an elongated shaft member, a needle carrier, and a slideable mechanism into tissue of a patient's body.03-15-2012
20120065460IMPLANTABLE ACCESS PORT SYSTEM - An implantable injection port comprises a base. A first gear is coupled to the base, and a first anchor is coupled to the first gear. A second gear is coupled to the base, and a second anchor is coupled to the second gear. A top portion of the injection port is spaced apart from the base of the port and has a first plurality of top teeth that engage with a first plurality of gear teeth on the first gear. This engagement occurs prior to rotation of the second gear. The top portion rotates, which causes rotation of the first gear, which in turn causes movement of the first anchor through the anchor opening of the base and into the tissue of the patient. The first gear and the second gear rotate non-simultaneously.03-15-2012
20120065463FORTIFIED MESH FOR TISSUE REPAIR - A mesh to repair a hole in a muscle wall includes a resilient mesh body and fortifying structure such as mesh portions of thicker weave than other portions, or strengthening members that can be engaged with the mesh and then removed from the mesh once the mesh is place over the hole. The same principles can be applied to a plug that is engaged with the mesh for filling the hole.03-15-2012
20120016185Vaginal Manipulator Tips and Related Systems and Methods - This invention relates to vaginal manipulator tips and related systems and methods. In certain aspects of the invention, a vaginal manipulator tip assembly includes a body and an expandable member secured to the body. The tip assembly can be configured to be inserted into a vagina, and the body can be configured to receive a cervix.01-19-2012
20100331613MEDICAL IMPLANT - The present invention relates to a medical implant which is equipped with an antimicrobial composition which comprises silicon dioxide and metal-containing nanoparticles, and processes for producing the medical implant.12-30-2010
20120022321Coated Pelvic Implant Device and Method - Implant systems and methods are provided to include a treatment material with a pelvic implant device. The pelvic implant device, such as an incontinence sling, can include the treatment coating combination of polycarbonate (PC) and an infection prevention material, such as InhibiZone® (IZ) technology. The treatment material can be coated onto, or impregnation or integrated with, polypropylene mesh in order to prevent infection and promote healing.01-26-2012
20120022320GASTRIC RING WITH A FITTING ROD - The invention relates to an implantable medical device (01-26-2012
20120022322Methods and Devices for Treating Obesity - Methods and devices for treating obesity. Pressure is applied to gastric walls in at least one segment of a stomach such that the pressure distends the gastric walls and induces satiety. A hollow capsule can be used to distend the gastric walls. Alternatively, a doughnut- shaped ring may be inflated to an amount sufficient to create intragastric tension and induce satiety. A c-ring including at least one balloon may be placed at a segment of the stomach, where the balloon inflates to a size that creates tension at the segment. A biocompatible material can be injected into the fundus and antrum of the stomach to stiffen the gastric wall to create a fullness feeling.01-26-2012
20120022319Systems and Methods For Reducing Gastric Volume - Systems and methods maintain a fold, e.g., an intussusception, formed in a portion of the stomach wall. In one example, a system includes a holding device that is positioned at least partially in a stomach and receives a portion of a wall of the stomach. The holding device includes a first section connected to a second section. The holding device is operable to move the second section relative to the first section into a position in which a cavity is defined between the first section and the second section. The cavity receives the portion of the wall of the stomach. The system includes a securing device that is positionable around the second section while the portion of the stomach wall is received by the cavity. The securing device is operable to provide a force around the second section to maintain the portion of the stomach wall stably in the cavity.01-26-2012
20080275294PERICARDIAL INSERTS - Devices, systems and methods are provided which are capable of applying pressure and constraint to the heart and use the pericardium to assist in the application of the pressure and force to the heart.11-06-2008
20120059217PELVIC IMPLANTS AND METHODS OF IMPLANTING THE SAME - In one embodiment, an implant is configured to be placed within a body of a patient. The implant includes a support member. The support member is configured to be placed adjacent a vaginal apex of a patient. The support member has a length sufficient to extend the length of the vaginal apex but not of a length sufficient to extend from the vaginal apex to a location between a vagina of the patient and a rectum of the patient. The implant also includes first and second arm members coupled to the support member. The arm members are configured to be coupled to bodily tissue of the patient to help secure the implant within the body of the patient.03-08-2012
20120059216REMOTELY ADJUSTABLE GASTRIC BANDING SYSTEM - A fluid reservoir for use in a remotely adjustable gastric banding system comprises a housing and a flexible reservoir pouch positioned within the housing. The flexible reservoir pouch is coupled to an inflatable portion of a gastric band via flexible tubing. A pump coupled to the flexible reservoir pouch facilitates filling and draining the inflatable portion of the gastric band. The pump may be located within or outside of the housing. A receiving coil may be coupled to the housing, and the receiving coil forms a loop around the housing. The receiving coil receives radio frequency signals to drive the pump. A circuit board may be disposed in the housing for driving the pump to move the fluid between the flexible reservoir pouch and the inflatable portion of the gastric band. A portion of the circuit board may be a flexible circuit board to allow the housing to flex.03-08-2012
20120157760Tissue Restraining Devices and Methods of Use - Tissue restraining systems and devices as well as methods of using these devices are disclosed herein. According to aspects illustrated herein, there is provided a tissue restraining device that may include a first anchor having one or more contact points along a portion of the first anchor in a spaced relation to one another. The tissue restraining device may also include a second anchor for placement in a substantially opposing relation to the first anchor. A restraining matrix may extend from the contact points of the first anchor to the second anchor.06-21-2012
20120157761Implantable Slings and Anchor Systems - Various embodiments of a mesh or implant systems are provided. The implants can include one or more anchors, arms and the like. The anchors can include hingeable or patterned finger extension to facilitate tissue penetration and retention. Various tensioning and adjustment mechanisms, devices and methods are further provided for the implant systems.06-21-2012
20120209060Devices, Systems, and Methods for Containing Internal Body Parts During Insertion Into the Body - Devices for containing exposed internal body parts during insertion into the body of a human or veterinary patient are provided. The devices include a surgical pouch for containing the exposed internal body parts. The devices also include one or more sealing elements disposed on the surgical pouch between the proximal end and the distal end of the surgical pouch such that a section of the pouch is closed off when each sealing element is sealed. Also provided are methods for containing exposed internal body parts of a human or veterinary patient during insertion into the body of the patient.08-16-2012
20120108893DEPLOYABLE AND RETRACTABLE MEMBER FOR INJECTION PORT - An apparatus comprises a housing and one or more deployable protrusions. The apparatus defines a fluid reservoir and presents an upper surface. The housing is sized and configured to be implanted within a patient. The protrusions are selectively movable from a first position to a second position. The protrusions are at least partially retracted relative to the housing when the protrusions are in the first position. The protrusions are at least partially extended relative to the housing when the protrusions are in the second position. The protrusions may be in the form of substantially cylindraceous posts, semi-circular members, or other shapes. The protrusions may be actuated mechanically, electromechanically, or otherwise. The apparatus may be provided as an injection port, as part of a gastric band system or otherwise. The deployed protrusions may facilitate location of the implanted port through external palpation of the patient's abdomen.05-03-2012
20110040141CLOSURE SYSTEM FOR TUBULAR ORGANS - In one embodiment, a surgically implantable adjustable ring comprises a ring body, which includes a closure system having first and second end parts. The ring body is designed to be closed around a tubular organ by the closure system, constricting the tubular organ by forming a loop. The first end part is shaped like a sleeve having a first and second end portions, and is designed to receive the second end part of the ring. The sleeve is substantially perpendicular to the main direction of the first end part of the ring, and the second end part of the ring includes a locking protrusion adapted to hold the sleeve in position, securing the ring in a closed position by engaging the locking protrusion in an opening disposed on the sleeve.02-17-2011
20110034761GASTRIC RING WITH MEMBRANOUS BRIDGE - The invention relates to an implantable surgical ring (02-10-2011
20120123198PORT WITH CONDUIT WRAPAROUND FEATURE - An injection port includes a port body having a fluid reservoir and a connector in fluid communication with the reservoir. The injection port further includes a conduit protection feature that is configured to protect against kinking of the conduit, decoupling of the conduit from the connector, or penetration of the conduit by a needle. The protection feature may include an anchor for anchoring the conduit to tissue to reduce conduit movement. The protection feature may include a recess that is configured to receive part of the conduit. The protection feature may include a bend formed in the connector to reduce transverse stresses in the conduit. The protection feature may include a bell-shaped shroud encompassing the connector. A sleeve may further protect the conduit and/or the coupling between the connector and the conduit.05-17-2012
20120123195GASTRIC BAND WITH ASYMMETRICAL MEMBER - An apparatus comprises a strap and an inflatable bladder secured to the strap. The apparatus is sized and configured to wrap along a first plane to encompass an anatomical feature such as an esophagus or stomach. The bladder may have a cross-sectional profile that is asymmetric about the first plane, such as a tapered profile or a contoured profile. The wall thickness of the bladder may be substantially uniform or may vary about the perimeter of the bladder. The bladder may include an expansion section that allows the bladder to transition from having a substantially flat cross-sectional configuration in a non-inflated state to having a substantially tapered cross-sectional configuration an inflated state. The expansion section may include folds, pleats, gussets, or the like. The strap may have a cross-sectional profile that is asymmetric about the first plane. Such a strap may include annular ribs of varying sizes.05-17-2012
20120149977PELVIC IMPLANT WITH SUSPENDING SYSTEM - A urethral stabilization system includes a support member adapted to be implanted into a patient to support a urethra. The support member has a first end and a second end. A first suspending member is attached between the first end of the support member and a first stabilizer and a second suspending member attached between the second end of the support member and a second stabilizer. A first thread member continuously extends between a first end that is attached to the first stabilizer and a second end that is free. A second thread member continuously extends between a first end that is attached to the second stabilizer and a second end that is free. The first and second stabilizers are configured to be advanced into the tissue to increase tension applied to the support member and withdrawn through the tissue to decrease tension applied to the support member.06-14-2012
20120149975LAPAROSCOPIC ADJUSTABLE GASTRIC BAND - An adjustable gastric band (AGB) positionable around a human stomach to limit the flow of food therethrough is provided with an improved structure for receiving and retaining suture from the stomach to the gastric restrictive device and thereby enabling a safer gastro-gastric plication while simultaneously preventing movement of the gastric fundus relative to the gastric restrictive device while additionally reducing the risk of tissue in-growth around and through the fenestrations, apertures or interstices of prior adjustable gastric band (AGB) structures for receiving and retaining sutures, which will render this embodiment safer in regard to the need for any potential revision procedures which may require relocating, removing or replacing the adjustable gastric bands in the future as well as enabling a safer gastro-gastricbuttress plication which will reduce the incidence of both “slippage” and “erosion.”06-14-2012
20120123194PRESSURE LIMITING DEVICE FOR GASTRIC BAND ADJUSTMENT - A pressure sensing or monitoring device may be used with an implantable band system. In some versions, the device may be used with a syringe. The device may comprise a visual indicator for monitoring pressure. The device may govern operation of the syringe by setting a threshold pressure to limit the amount of pressure applied to an implantable band system by the syringe.05-17-2012
20110184229LAPAROSCOPIC GASTRIC BAND WITH ACTIVE AGENTS - A gastric banding system is provided which generally includes a gastric band and an active agent, for example, a metabolic agent or satiety inducing agent. The band may be structured to contain the agent and permit controlled release of the agent to the patient while the band is positioned around the stomach. Methods for treating obesity are also provided which include positioning a gastric band on the stomach of a patient and administering a satiety inducing agent to the patient while the gastric band is positioned on the stomach. In one embodiment, the active agent may be contained in a reservoir and dispensed to a portion of the patient's body.07-28-2011
20110184227PROSTHETIC DEVICE AND METHOD OF MANUFACTURING THE SAME - An implantable device for use in tissue and ligament repair comprising at least one knitted section and at least one single continuous fiber traversing the at least one knitted section, the at least one single continuous fiber forming a plurality of traverses extending through the at least one knitted section. The implantable device may comprise at least one single continuous silk fiber. The implantable device is suitable for use in a variety or reconstructive or support applications such as breast reconstruction, mastoplexy, breast augmentation revision, breast augmentation support, standard breast augmentation, chest wall repair, organ support, body contouring, abdominoplasty, facial reconstruction, hernia repair, and pelvic floor repair.07-28-2011
20120123196GASTRIC BAND DEVICES AND DRIVE SYSTEMS - Gastric banding devices, and drive systems designed to operate gastric banding devices, are disclosed. The gastric banding devices and drive systems intend to increase performance, durability, and simplicity over known gastric banding systems. Embodiments include transmission systems configured to output a variable force. Embodiments also include banding structures biased to apply a constrictive force to a patient's stomach. Supporting, or skeletal, structures are also disclosed. Various drive systems designed to improve power efficiency are also disclosed.05-17-2012
20120316387ADJUSTABLE GASTRIC WRAP (AGW) - The invention relates to devices, systems and methods for weight reduction. Specifically it relates to the reduction of the stomach with the use of an adjustable wrap around the stomach that is less invasive compared to other stomach reduction surgeries.12-13-2012
20120215063PELVIC FLOOR REPAIR SYSTEM - Described herein are devices and methods comprising a system for tissue reinforcement, such as stabilization of fascial structures of the pelvic floor in vaginal wall prolapse. The surgical treatment can provide a mechanical support or bridging material for a fascial defect. An implant with four arms, for example two proximal arms and two distal arms, can provide post-surgical adjustability of the graft position, enabling tension free placement of the implant. In addition, a four-point fixation of the implant with apical support can ensure a suitable anatomical repair. Furthermore, instrumentation is disclosed herein, including an introducer device capable of fixing a wide variety of materials, such as mesh arms and suture, to tissue.08-23-2012
20120215062REMOTELY ADJUSTABLE GASTRIC BANDING DEVICE - A remotely controllable gastric banding device (08-23-2012
20120215061HYDRAULIC GASTRIC BAND WITH REVERSIBLE SELF-OPENING MECHANISM - The present invention provides for a gastric banding system including an adjustment system that automatically increases the size of a constricted portion of a gastric lumen in response to an obstruction passing through the gastric lumen. The size of the constricted portion of the gastric lumen increases rapidly when the obstruction approaches a gastric band constricting the lumen. The adjustment system is also configured to slowly return the constricted gastric lumen to an equilibrium size the lumen had prior to the obstruction passing through the lumen. Various embodiments of gastric banding systems and adjustment systems are disclosed.08-23-2012
20120136200SURGICAL STABILIZER AND CLOSURE SYSTEM - A system for stabilizing the heart via a helical needle, providing access to the interior of the heart via an introducer sheath, and forming a purse string suture using suture delivered by the helical needle. A helical needle projects distally from the device and terminates in a sharp distal tip. The helical needle is advanced into the heart wall, and is used to stabilize the heart and to pass a purse string suture through the heart tissue. An access port provides access to the interior of the heart via an opening passing through the heart wall in an area circumscribed by the helical needle. The helical needle may have a deflection segment adjacent the distal tip that is more flexible than the rest of the helical distal portion of the helical needle.05-31-2012
20120136202METHOD AND APPARATUS FOR EXTERNAL STABILIZATION OF THE HEART - The present disclosure is directed to an external cardiac basal annuloplasty system (ECBAS or BACE-System: basal annuloplasty of the cardia externally) and methods for treatment of regurgitation of mitral and tricuspid valves. The BACE-System provides the ability to correct leakage of regurgitation of the valves with or without the use of cardiopulmonary bypass, particularly when the condition is related to dilation of the base of the heart. This ECBAS invention can be applied to the base of the heart epicardially, either to prevent further dilation or to actively reduce the size of the base of the heart.05-31-2012
20100174134SURGICAL ARTICLES AND METHODS FOR TREATING PELVIC CONDITIONS - Described are pelvic implants and methods of surgically placing pelvic implants, that provide treatment for pelvic floor disorders by support of the levator.07-08-2010
20120083650SYSTEMS AND METHODS FOR ADJUSTING GASTRIC BAND PRESSURE - The present invention provides for an obesity treatment system for use in conjunction with a gastric band suitable for laparoscopic placement around a stomach of a patient to create a stoma. The obesity treatment system may use real-time objective measurement and clinical data to provide an optimal gastric band adjustment for the patient. The obesity treatment system may include a pressure sensing device coupled to the gastric band, and configured to detect a maximum tolerable pressure, and a pressure changing device coupled to the gastric band, and configured to adjust the gastric band for asserting an optimal pressure against the stomach of the patient, the optimal pressure based on an optimal pressure percentage and the maximum tolerable pressure.04-05-2012
20100048987RETRIEVABLE CARDIAC DEVICES - Removable cardiac implants, applicators for inserting, repositioning and/or removing them, and methods of using them are described. In particular, removable or repositionable ventricular partitioning devices are described. Systems including removable implants and applicators for inserting and/or removing them are also described.02-25-2010
20100298632Resistive Anti-Obesity Devices - A patient is provided with an increased sense of satiety by increasing resistance to the outflow of food from the stomach and through the intestines. Stomach emptying may be slowed with devices implantable within the gastrointestinal tract below the stomach. Implants are preferably removable and can include artificial strictures that may be adjustable to vary the rate of stomach emptying. Slowing gastric emptying may induce satiety for a longer period and may therefore reduce food consumption. Many of the embodiments include intestinal liners or sleeves, but they need not. The resistor concept may be applied to a simple anchor and resistor without a long liner.11-25-2010
20100298631SATIATION DEVICES AND METHODS - A device for inducing weight loss in a patient includes a tubular prosthesis positionable at the gastro-esophageal junction region, preferably below the z-line. In a method for inducing weight loss, the prosthesis is placed such that an opening at its proximal end receives masticated food from the esophagus, and such that the masticated food passes through the pouch and into the stomach via an opening in its distal end.11-25-2010
20100298630PELVIC FLOOR TREATMENTS AND RELATED TOOLS AND IMPLANTS - Described are implants, tools, and methods useful for treating pelvic conditions such as prolapse, incontinence, and others, by placing an implant to support pelvic tissue, the implants, tools, and methods involving placement of implants at locations within the pelvic region by placing an extension portion within tissue of the pelvic region.11-25-2010
20100298629DEVICE AND METHOD FOR SUSPENDING AN ORGAN DURING SURGERY - An organ suspending device is adapted for suspending an organ in a patient's body cavity during surgery, and includes an organ holding member and a suspending member. The organ holding member is adapted to be disposed in the patient's body cavity so as to hold the organ. The suspending member is adapted to be disposed in the patient's body cavity, and has two hanging elements and two piercing elements. The organ holding member together with the organ can be pulled in a direction toward a cavity wall of the patient's body cavity and away from its original position when the piercing elements are pulled outwardly of the cavity wall.11-25-2010
20120178988PERICARDIUM REINFORCING DEVICES AND METHODS FOR USING THEM - A surgical device for reinforcing the pericardial sac surrounding the heart to assist in the treatment of congestive heart failure includes an enclosure having an interior and an exterior. The interior surface limits adhesions or accepts ingrowth with the myocardial tissue of the epicardium. The exterior surface is adapted to adhere to or otherwise attach to the pericardium to provide reinforcement.07-12-2012
20120178989METHODS AND APPARATUS FOR CORRECTION OF URINARY AND GYNECOLOGICAL PATHOLOGIES, INCLUDING TREATMENT OF MALE INCONTINENCE, AND FEMALE CYSTOCELE - The present invention relates to apparatus and methods for treatment of male incontinence and a method for female cystocele repair in which a sling material is positioned between the descending rami of the pubic bone. In such an operation a “hammock-like” sling material is positioned below the urethra in males, or below the posterior bladder wall in the case of cystocele in females.07-12-2012
20100010291IMPLANTABLE PUMP SYSTEM WITH CALIBRATION - 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.01-14-2010
20120253112CARDIAC SUPPORT DEVICE DELIVERY TOOL WITH RELEASE MECHANISM - An apparatus for placing a cardiac support device (CSD) on a heart. The apparatus includes a body, a deployment mechanism on the body for supporting the CSD in an open position for placement on the heart, and a release mechanism coupled to the deployment mechanism for releasably mounting the CSD to the deployment mechanism. The release mechanism includes a release element for releasably engaging the CSD, and a release actuator coupled to the release element for actuating the release element to release the CSD.10-04-2012
20120190918APPARATUS AND METHODS FOR SUPPORTING CARDIAC ISCHEMIC TISSUE BY MEANS OF EMBEDDED STRUCTURES - Systems and methods are disclosed for reinforcing ischemic tissue of a heart. A reinforcing element is initially positioned within a lumen of a delivery needle. The delivery needle is urged into the ischemic tissue and the reinforcing element is urged out of the needle into the ischemic tissue. The reinforcing element may be embodied as a coiled, undulating, or arcuate spring and may include a shape-memory material. A bioabsorbable material may maintain the reinforcing element in a deformed state. The reinforcing element may be tensioned as it is positioned within the myocardium in order to provide a cinching force by means of a cord lock selectively releasing the reinforcing element. The reinforcing element may be embodied as a number of spiral portions secured to a hub and urged outwardly by rotation of the hub.07-26-2012
20120232334IMPLANT FOR HERNIA REPAIR - A hernia repair implant includes a first layer for facing a body structure having a hernia defect to cover the defect while promoting tissue growth into the first layer from the body structure. The implant also includes a second layer opposed to the first layer and made of anti-adhesion material to prevent growth of tissue into the second layer from body structures contacting the second layer. Furthermore, the implant includes at least one engagement strap connected to the first layer and extending therefrom to terminate at a free end. The engagement strap defines opposed thin edges and opposed flat surfaces extending between the edges. At least one barb extends from at least one edge and/or at least one flat surface of the strap and is configured to impede motion of the strap in only a single direction.09-13-2012
20100324357Insertion Device and Method for Delivery of a Mesh Carrier - An insertion device includes an elongate member and a stylet. The elongate member has a proximal end portion, a distal end portion, and defines a lumen therethrough. The stylet has a proximal end portion, a distal end portion, and is slidably coupled to the elongate member. The stylet is configured to move from a first position to a second position with respect to the elongate member. The proximal end portion of the stylet is configured to removably couple a mesh carrier thereto. A portion of the proximal end portion of the stylet is disposed outside of the lumen of the elongate member when the stylet is in its first position and is disposed within the lumen when the stylet is in its second position.12-23-2010
20100331612MINIMALLY INVASIVE TISSUE SUPPORT SYSTEM AND METHOD WITH A SUPERIOR TISSUE SUPPORT AND AN INFERIOR ANCHOR - Described are methods and apparatus for use in supporting tissue in a patient's body. In some embodiments, the patient's breast or another tissue is supported. One method involves introducing a superior soft tissue anchor into a patient, the anchor having an inferiorly facing total surface area; and introducing at least one inferior soft tissue anchor into the patient, such that the at least one inferior soft tissue anchor is suspended from the superior soft tissue anchor, the sum of all of the at least one inferior soft tissue anchors having a superiorly facing total surface area. The inferiorly facing total surface area of the superior anchor can be greater, such as at least two times greater than the superiorly facing total surface area of the at least one inferior anchor.12-30-2010
20110004054Gastric Constriction Device - A gastric constriction device (01-06-2011
20110004053 BOLSTER FOR SECURING A SEPTAL SPLINT TO A CARDIAC WALL, A METHOD OF USE THEREOF, AND A SYSTEM INCLUDING THE SAME - The invention is generally concerned with supporting the ventricular septum (01-06-2011
20110046437TISSUE RESTORATION DEVICES, SYSTEMS, AND METHODS - Tissue restoration devices, systems, and methods. In at least one embodiment, an implantable restraining device of the present disclosure comprises a first engaging component and a second engaging component, each component configured for laparoscopic insertion into a body cavity, a first swivel arm defining a first bend and a second swivel arm defining a second bend, the first swivel arm coupled to the first engaging component at a first pivot point and coupled to the second engaging component at a second pivot point, and the second swivel arm coupled to the first engaging component at a third pivot point and coupled to the second engaging component at a fourth pivot point, and a first interconnection arm and a second interconnection arm, the first interconnection arm connected to the first swivel arm relative to the first bend, and the second interconnection arm connected to the second swivel arm relative to the second bend.02-24-2011
20110218392IMPLANTABLE BOTTOM EXIT PORT - The present invention provides a system for attaching a fluid access port to a patient. The system generally comprises an implantable access port with a bottom exit port and method for attaching an access port to a patient. In addition, a tube guard, flexible tube exit port, tissue guard, and porous coupling member are disclosed.09-08-2011
20110237879PELVIC IMPLANT WITH FIBROUS ANCHOR - A surgical implant for supporting pelvic anatomy includes a first fixing zone, a second fixing zone, and a supporting zone. The first fixing zone has a retaining portion that is absorbable and formed of a fiber entanglement and a mesh for anchoring the first fixing zone in soft tissues in a space defined by a pelvis. The second fixing zone has a retaining portion that is absorbable and formed of a fiber entanglement and a mesh for anchoring the second fixing zone in soft tissues in a space defined by a pelvis. The supporting zone is formed of a mesh and is interposed between the first and second fixing zones.09-29-2011
20110237877PELVIC IMPLANT WITH SUSPENDING SYSTEM - A method of providing support to an anatomical structure of the pelvis includes inserting a first suspending member into a pelvic space on a first side of a urethra of a patient, the first suspending member being slidably received through a first end of a support. A second suspending member is inserted into a pelvic space on a second side of the urethra of the patient, the second suspending member being slidably received through a second end of the support. A position of the support under the urethra of the patient is adjusted by tensioning the first suspending member. The first suspending member is pulled through the first end of the support.09-29-2011
20110237875SURGICAL IMPLANT WITH ANCHOR INTRODUCER CHANNEL - A surgical implant for treating female urinary incontinence includes a suburethral support, first and second soft tissue anchors, and an elongated member. The first and second soft tissue anchors are connected to first and second opposite ends of the suburethral support, each anchor having a central portion, a proximal end, and a tip on a distal end of the anchor, and a plurality of projections extending from the central portion at longitudinally spaced locations along a length extending between the proximal and distal ends of the central portion. The elongated member extends between the proximal end of the first soft tissue anchor and the first end of the suburethral support to connect the anchor to the support and enable the position of the anchor with respect to the support to be adjusted.09-29-2011
20110237874ADJUSTABLE SURGICAL IMPLANT AND METHOD FOR TREATING URINARY INCONTINENCE - A method of treating urinary incontinence, the method including introducing a surgical implant through an incision made on an upper wall of a patient's vagina. The surgical implant includes a suburethral support, first and second suspending members, and first and second polymer tissue anchors. Each tissue anchor is coupled with a respective one of the first and second suspending members, wherein a distance between the suburethral support and the second anchor is adjustable. The first tissue anchor is inserted into tissue on a first side of a urethra of the patient without penetrating an abdominal wall. A position of the suburethral support is adjusted relative to the patient's urethra by pulling the second suspending member through the patient's vagina to adjust the distance between the suburethral support and the second anchor. And the distance between the suburethral support and the second anchor is fixed.09-29-2011
20110237873PELVIC IMPLANT WITH SELECTIVE LOCKING ANCHOR - A surgical implant for supporting pelvic anatomy includes a first suspending member, a second suspending member, a first anchor, a second anchor, and a suburethral sling. The first and second suspending members have proximal and distal portions. The first anchor is connected to the distal portion of the first suspending member and the second anchor is connected to the distal portion of the second suspending member. The suburethral sling is configured to support a urethra of a patient and includes a first coupling mechanism configured to receive the proximal portion of the first suspending member and to releasably secure the proximal portion of the first suspending member to the suburethral sling.09-29-2011
20110237872DYNAMIC HEART HARNESS - A reversibly adjustable heart harness is configured to surround at least a portion of a heart and to provide a compressive force to the heart during at least a portion of a cardiac cycle. The heart harness includes a plurality of wires forming a mesh structure, and one or more tensioning motors connected to the mesh structure. The one or more tensioning motors are configured to selectively increase or reduce tension in the mesh structure to readjust the compressive force provided that the heart harness provides to the heart.09-29-2011
20110237871CONTROLLER SUPPORT APPARATUS - An apparatus comprises a controller for remotely controlling an implantable device that is used to adjust a gastric band, and the controller transmits a telemetric signal to the implantable device. The apparatus further comprises a table that provides support for the controller. A rail is oriented in a first direction with respect to the table, and a tray is slidably coupled to the rail. The tray receives the controller, and the rail moves the tray and the controller in the first direction with respect to the table. The apparatus further comprises a roller coupled to the rail. The roller aids in moving the rail, the tray, and the controller in a second direction with respect to the table. The apparatus further comprises an attachment mechanism for securing the controller to the tray. The apparatus locates the controller in a desired location with respect to a patient.09-29-2011
20100234682CLOSED LOOP GASTRIC RESTRICTION DEVICES AND METHODS - In some embodiments, methods to sense parameters associated with restriction procedures and/or devices are disclosed. In some embodiments, the parameters are sensed directly from the region of the procedure and/or device and in other embodiments, associated neural pathways are sensed. Methods for further optimization of the obesity treatment regimens are also disclosed.09-16-2010
20100234681URETHRAL SUPPORT SYSTEM - 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.09-16-2010
20100234679PELVIC IMPLANT SYSTEMS AND METHODS - Systems and methods for implanting pelvic implants (09-16-2010
20120277524IMPLANTABLE ACCESS PORT DEVICE HAVING A SAFETY CAP - A system for attaching an access port to bodily tissue includes an access port assembly and including an access port having a generally central axis. The access port assembly further includes an attachment mechanism structured to enable the access port to be attached, for example, to an abdominal muscle of a patient. The system includes a safety cap which lies substantially flush against the anchor base to provide no space for movement of the anchors. The safety cap prevents the anchors from deploying prematurely.11-01-2012
20110245593DEVICES AND METHODS FOR TISSUE RESTORATION - Devices and methods for tissue restoration. In at least one exemplary embodiment of an implantable restraining device of the present disclosure, the device comprises a first engaging component and a second engaging component at least substantially parallel to one another, a first swivel arm, comprising a first fixed arm, a first expandable arm, and a first hub, wherein the first fixed arm is pivotally connected to the first engaging component at or near a first fixed arm first end and is coupled to the first hub at or near a first fixed arm second end, and wherein the first expandable arm is pivotally connected to the second engaging component at or near a first expandable arm first end and is connected to the first hub at or near a first expandable arm second end by way of a first hub bracket, a second swivel arm, comprising a second fixed arm, a second expandable arm, and a second hub, wherein the second fixed arm is pivotally connected to the first engaging component at or near a second fixed arm first end and is coupled to the second hub at or near a second fixed arm second end, and wherein the second expandable arm is pivotally connected to the second engaging component at or near a second expandable arm first end and is connected to the second hub at or near a second expandable arm second end by way of a second hub bracket.10-06-2011
20120330095IMPLANTABLE INJECTION PORT - The present invention provides a access port assembly for use with a gastric band assembly. The system generally comprises an implantable access port and a porous material on the port for facilitating tissue ingrowth.12-27-2012
20120330096VACUUM SUCTION TISSUE STABILIZING DEVICE - A system is provided for the control of soft tissues, the system having a negative pressure supply; a negative pressure applicator, coupled to the negative pressure supply and configured to apply a negative pressure to the soft tissue, atraumatically and releasably securing the soft tissue to the negative pressure applicator; and the rigid negative pressure supply being configured to be disposed in an access port without inhibiting the insertion and manipulation of an surgical instrument.12-27-2012
20110319706SURGICAL IMPLANT AND METHODS OF USE - A method of treating a vaginal prolapse is provided. The method includes accessing a vaginal prolapse, inserting an implant comprising a knitted mesh into a patient, and securing the knitted mesh in place such that the implant supports the pelvic floor of the patient. The knitted mesh has a mass density of less than 20 g/m12-29-2011
20110319705SURGICAL IMPLANT - A surgical implant suitable for treatment of a prolapse is provided. The implant comprises a knitted mesh having a density of less than 20 g/m12-29-2011
20110319704IMPLANTS AND METHODS OF SECURING THE SAME - In one embodiment, an implant includes a support member defining an opening and a strap being configured to extend through the opening defined by the support member. The strap includes a first retention member and a second retention member. The first retention member is configured to engage the support member to couple the strap to the support member. The second retention member being configured to engage bodily tissue of a patient to couple the strap to the bodily tissue. In another embodiment, an implant includes a support member defining an opening and a strap defining an opening. The strap is configured to be coupled to the support member and to bodily tissue of a patient. The strap is configured to extend through the opening defined by the support member and the opening defined by the strap.12-29-2011
20100261954Apparatus and Method for Pelvic Floor Repair in the Human Female - A prosthesis for addressing pelvic organ prolapse in females comprises a frame comprising first and second segments or halves fabricated from a shape memory material that together support a thin, flexible sheet in a stretched condition when the frame is unconstrained. The frame is shaped so as to conform to and be supported by bone structures and muscle tissue in the pelvic basin while providing needed support to pelvic organs to maintain them in a proper position. The use of a shape memory material allows the prosthesis to be rolled or folded into a reduced size for ease of placement through a small incision in the wall of the vagina, but that springs back to its memorized shape following deployment from a. delivery sheath. By providing a two-piece segmented frame, removal of the frame structure post implantation of the prosthesis is facilitated.10-14-2010
20100168507Apparatus and method for securing the stomach to the diaphragm for use, for example, in treating hiatal hernias and gastroesophageal reflux disease - A patient's stomach may be secured to the patient's diaphragm. A method to accomplish this includes visualizing a wall of a patient's stomach adjacent the patient's diaphragm from within the patient's stomach, inserting a fastener deployment apparatus down the patient's esophagus and into the mammalian's stomach, and fastening the patient's stomach to the patient's diaphragm with the fastener deployment apparatus and from within the stomach. The procedure may be employed to advantage to treat a hiatal hernia, for example, either alone or in conjunction with the restoration of the patient's gastroesophageal flap valve.07-01-2010
20110144424METHOD OF IMPLANTING A FLUID INJECTION PORT - A method for implanting an injection port within a patient. The method involves providing a port having a housing with a closed distal end, a open proximal end, a fluid reservoir therebetween, a needle penetrable septum attached to the housing about the opening, and at least one attachment mechanism mounted to the housing at a pivot point along an outer periphery of the housing. The attachment mechanism is an arcuate hook pivotable with respect to the housing, the arcuate hook having a length extending substantially at least 180° about the pivot point. The method further involves placing the distal end of the port adjacent tissue, and rotating the arcuate hook at least 180 degrees so that a free end of the hook extends into tissue and back out again.06-16-2011
20110144423Median Lobe Retraction Apparatus and Method - A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for comprising, distracting and/or retracting the lobes of a prostate.06-16-2011
20110137112GASTRIC BAND WITH ELECTRIC STIMULATION - Apparatus and methods for stimulating one or more nerves by incorporating a gastric band system and an electrical stimulation component. Stimulation electrodes on the gastric band may be used to stimulate the vagal nerve and/or splanchnic nerve, which may inhibit the patient's appetite and/or control obesity. The gastric band may have an inflatable member for adjusting a stoma size. The stimulation electrodes may be mounted on the inflatable member. The system may include a controller including a pressure sensor for monitoring the hydraulic pressure within the inflatable inner member and for controlling the stimulation component.06-09-2011
20110160529PELVIC IMPLANT AND DELIVERY SYSTEM - Described and depicted are pelvic sling implant and delivery systems. The sling implants can be used in treating stress incontinence and other pelvic floor disorders. The sling systems can include a mesh extension or support portion and one or more tip anchors. A delivery tool can include a handle (06-30-2011
20110160528DEVICES AND METHODS FOR CARDIAC ANNULUS STABILIZATION AND TREATMENT - Devices and methods generally provide enhanced stabilization, exposure and/or treatment of a cardiac valve annulus. Methods generally involve introducing a stabilizing member beneath one or more leaflets of a heart valve to engage the annulus at an intersection between the leaflets and the interior ventricular wall of the heart. Force is then applied to the stabilizing member to stabilize and/or expose the valve annulus. In some embodiments, the stabilizing member may include a series of hydraulically driven tethered anchors, such as hooks or clips, for engaging and cinching valve annulus tissue to decrease the diameter of a regurgitant valve. Alternatively, other treatments may be delivered by a stabilizing member, such as radiofrequency energy, drugs, bulking agents or shape memory stents. A second stabilizing member may also be introduced above the leaflets for further stabilization.06-30-2011
20110160527Suture-less Tissue Fixation for Implantable Device - A suture-less pelvic implant system and method is provided for treating pelvic conditions, such as incontinence or vaginal prolapse. The implant can include a fixation portion, rectangular or suture line, having a plurality of fixation elements, e.g., barbs, extending therefrom to fixate within target pelvic tissue, such as the vaginal apex. In a sacralcolpopexy, an opposing end or anchor of the implant is fixated within the sacrum or like structure to stabilize, raise, support or reposition the vaginal apex.06-30-2011
20130023727RESTRICTIVE AND/OR OBSTRUCTIVE IMPLANT FOR INDUCING WEIGHT LOSS - Described herein is a system for inducing weight loss in a patient, which comprises an extragastric space occupier positionable in contact with an exterior surface of a stomach wall to form an inward protrusion of wall into the stomach, and a retention device positionable in contact with the wall to retain the inward protrusion and to thereby capture the extragastric space occupier within the protrusion.01-24-2013
20080234543SURGICAL DEVICES AND METHOD FOR VAGINAL PROLAPSE REPAIR - In accordance with at least one exemplary embodiment, a vaginal prolapse repair procedure can use a perirectal pass in placing an anterior graph arm. For example, the superficial straps of an anterior graft can be place via the transobturator path. The deep straps can be placed via perirectal passes. An exemplary anterior graft can include deep straps that extend from the body of the anterior graft at an angle between about 25 and 60 degrees. Also, an exemplary anterior graft can have a biologic or an absorbable, synthetic strip for providing a window in the implanted graft. An exemplary trocar sheath can be extended and can have a side entry port for cooperating with a trocar. Also, exemplary graspers or retrieval portions of exemplary sheaths can have a reversible locking/mating mechanism for coupling graft arms. Moreover, an exemplary trocar can be provided.09-25-2008
20110263929SYSTEM AND METHOD FOR DETERMINING AN ADJUSTMENT TO A GASTRIC BAND BASED ON SATIETY STATE DATA AND WEIGHT LOSS DATA - A system and method for determining an adjustment to a gastric band, and more specifically to determining an adjustment to a gastric band based on satiety state data and weight loss data. The gastric band information system can determine an adjustment of the gastric band using a gastric band adjustment algorithm. The gastric band information system can wirelessly transmit the adjustment to the gastric band. The gastric band information system can receive gastric band data, weight data, glucose data, and/or blood pressure data and display a gastric band chart, a weight chart, and/or a blood pressure chart. The gastric band information system can also receive gastric band implantation data, patient data, and/or any other medical data. The various data can be received from a computer or medical devices in a wired or wireless manner.10-27-2011
20130178697SMOOTH SURFACE GASTRIC BAND DEVICE AND SYSTEM - A gastric band that includes a band portion having securing system that secures the gastric band in a closed position, and an inflatable portion associated with the band portion that includes a stomach contacting wall. The tissue contacting wall includes an exterior surface and an interior surface that includes at least one relief area that defines a pillow portion in the tissue contacting wall.07-11-2013
20130178698METHODS, INSTRUMENTS AND DEVICES FOR EXTRAGASTIC REDUCTION OF STOMACH VOLUME - Methods, instruments and systems are provided for separating opposite walls of the stomach by extragastric application of suction. Plication of the stomach can be performed between the separated walls after which the separate walls are brought back toward one another. In another aspect, methods, instruments, devices and systems are provided for reducing the effective volume of a stomach by performing one or more extragastric plications of the stomach.07-11-2013
20130178696BODILY IMPLANTS FORMED FROM DIFFERENT MATERIALS - In one embodiment, an implant includes a body member and an extension member. The body member is formed of a first material and has a first side portion and a second side portion. The extension member is formed of a second material different than the first material. The extension member has a first arm portion, a second arm portion, and a mid-portion disposed between the first arm portion and the second arm portion. The mid-portion extends from the first side portion of the body member to the second side portion of the body member. The first arm portion extends from the first side portion of the body member along a first axis. The second arm portion extends from the second side portion of the body member along a second axis different than the first axis.07-11-2013
20130178699MINIMALLY INVASIVE TISSUE SUPPORT - Described are methods and apparatus for use in supporting tissue in a patient's body. In some embodiments, the patient's breast is supported. In some embodiments, the methods provide ways of supporting and adjusting tissue, and the apparatus includes components and embodiments for supporting and adjusting the tissue. Some embodiments include a supporting device, having a first portion, a second portion, and a support member positioned between the first portion and second portion. Some embodiments include advancing the first portion of the supporting device into the body to a first location in the body; advancing the second portion of the supporting device into the body to a second location in the body; securing the first portion of the supporting device at the first location; and shifting soft tissue in the body with the support member.07-11-2013
20080221386Devices for minimally invasive pelvic surgery - The invention, in various embodiments, provides systems, devices, and methods for treating urinary incontinence.09-11-2008
20120253111ORGAN RETRACTOR - A medical device of the present invention includes one or more anchors and an elongated member. Advantageously, the elongated member may be coupled to the anchors. The elongated member and anchors are configured to generate a force on a mesentery. The force is sufficient to retract a bowel of the patient into an upper portion of an abdominal cavity of the patient. When the patient is in a slightly angled position, the weight of the medical device pulls the mesentery into the upper abdomen. Since the bowel is connected to the mesentery, the device also indirectly pulls up the bowel. In some implementations of the device, a slight angle may be unnecessary. In others, the device may also inversely retract the mesentery and attached organs into the lower abdomen to facilitate surgical access to the upper abdomen. In some implementations of the device, a slight angle may be unnecessary.10-04-2012
20110270025REMOTELY POWERED REMOTELY ADJUSTABLE GASTRIC BAND SYSTEM - A remotely adjustable remotely power gastric band system may include a control device, an implant electronic device, and an implantable gastric band. The control device may telemetrically power and communicate with the implant electronic device, which may be used for adjusting the diameter of the implantable gastric band. The implant electronic device may store the gastric band adjustment history records of a patient and regulate the power received from the control device. To improve transmission efficiency, the implant electronic device may adopt a double modulation scheme for communicating with the control device. Furthermore, the implant electronic device may detect and resolve motor blockage issues related to the implantable gastric band.11-03-2011
20110270017SELF-ADJUSTING GASTRIC BAND HAVING VARIOUS COMPLIANT COMPONENTS - A self-adjusting gastric band is automatically adjustable without complicated fluid control mechanisms, flow rate limiting devices, and/or valves. The self-adjusting gastric band may automatically adjust to allow a large bolus of food to pass through a constriction in the patient's stomach formed by the gastric band. The self-adjusting gastric band comprises an inflatable portion that is disposable about an esophageal-gastric junction of the patient. A first compliant portion is coupled to the inflatable portion. The first compliant portion automatically relaxes the constriction formed by the self-adjusting gastric band and allows the large bolus to pass through the constriction. After the bolus passes through the constriction, the self-adjusting gastric band automatically returns to its previous state.11-03-2011
20130096371Pelvic Implant Sizing Systems and Methods - Various embodiments of a mesh or implant sizing system are provided. An implant can include a gauging portion included with a support portion of the implant, to assist a surgeon in determining what size implant to insert into the pocket created in a tissue plane of the patient.04-18-2013
20130096372SYSTEMS AND METHODS RELATING TO ASSOCIATING A MEDICAL IMPLANT WITH A DELIVERY DEVICE - The present invention provides devices and methods for associating an implantable sling with a delivery device for delivering the sling to an anatomical location in a patient.04-18-2013
20130102841METHOD AND APPARATUS FOR ENDOSCOPICALLY TREATING RECTAL PROLAPSE - A method for treating rectal prolapse, the method comprising: inserting a rectum-gripping and advancement apparatus into a prolapsed rectum via the anus; maneuvering the rectum-gripping and advancement apparatus so that the rectum-gripping and advancement apparatus securely engages the rectum; advancing the rectum-gripping and advancement apparatus distally so as to return the prolapsed rectum to its normal, non-prolapsed state; and securing the rectum to supporting tissue whereby to retain the rectum in its normal, non-prolapsed state.04-25-2013
20130102840IMPLANTABLE INJECTION PORT - Injection ports are disclosed for use with a gastric band for the treatment of obesity. An injection port may include a septum having a top surface, a bottom surface, and a side wall connecting the top surface to the bottom surface. The injection port may also include a housing including a first inner side wall being tapered inwards such that an opening defined at a first end is larger than an opening defined at a second end, the tapering of the first inner side wall being used to secure the septum within the housing. The housing may further include a second inner side wall having a first end and a second end, the first end of the second inner side wall joined to the second end of the first inner side wall, and a bottom surface joined to the second end of the second inner side wall.04-25-2013
20130123573INTERIOR NEEDLE STICK GUARD STEMS FOR TUBES - Generally described herein are apparatus, systems and methods related to a stem insertable into the access port tubing for the prevention of fluid leaks. More particularly, the stem or stems may be larger than the interior diameter of the access port tubing thereby providing a fluid seal to keep the fluid within the access port tubing. However, these fluid seals might not be absolute and may still allow a certain degree of leakage. In one embodiment, by including barbs which further presses against the interior diameter of the access port tubing, the sealing of the fluid may be substantially improved. The stem itself, while impenetrable by a needle, may still allow for bend flexibility of the access port tubing by employing a ball and socket joint for connecting to a next stem. In this manner, fluid leak prevention is improved while retaining the mobility of the access port tubing.05-16-2013
20130131440Orogastric calibration tube with magnets - An orogastric calibration tube has a magnet tip attached at a distal end of the flexible tube. The tube also includes a balloon cavity, and means for inflating the balloon cavity.05-23-2013
20130131441MEDICAL ASSEMBLY FOR DELIVERING AN IMPLANT - The present invention discloses a medical assembly including an elongate member having a proximal end portion and a distal end portion with a tapered tip. The tapered tip is configured to slide through a bodily tissue. The elongate member has a width referred to as a first width across at least a portion of the elongate member. The medical assembly further includes an implant having a first surface and a second surface. The implant is coupled to the elongate member such that a portion of the first surface of the implant is overlaid over a portion of the elongate member while the second surface faces opposite to the elongate member and is configured to contact the bodily tissue while being inserted. The implant has a width referred to as a second width such that the second width is smaller than the first width of the elongate member.05-23-2013
20130144115SURGICAL ARTICLES AND METHODS FOR TREATING PELVIC CONDITIONS - Described are devices, implants, insertion tools, combinations, and associated methods, that involve placement of a self-fixating tip at tissue of the pelvic region, wherein an insertion tool includes one or more of an aperture for engaging a guide and an extension guard, the method optionally allowing for initial placement of a self-fixating tip at tissue of the pelvic region and adjustment of the location of the self-fixating tip.06-06-2013
20110213199IMPLANTABLE ACCESS PORT DEVICE AND ATTACHMENT SYSTEM - A system for attaching an access port to bodily tissue includes an access port assembly and including an access port having a generally central axis. The access port assembly further includes an attachment mechanism structured to enable the access port to be attached, for example, to an abdominal muscle of a patient. The delivery tool includes a handle having a generally longitudinal axis and a delivery head structured to engage the access port assembly, and an activation mechanism for enabling deployment of the attachment mechanism when the delivery head is so engaged with the access port assembly. The delivery tool is configured such that the longitudinal axis of the handle is spaced apart from the generally central axis of the access port when the delivery head is so engaged with the access port assembly.09-01-2011
20100286474INTER-ORGAN SPACER FOR USE IN ENDOSCOPIC SURGERY - The invention provides a surgical device for endoscopic surgery having the function of temporarily storing liquid (a first function), the function of keeping a physical space for surgery and a sufficient endoscopic field (a second function), and the function of protecting organs (a third function), and an insertion device for inserting the surgical device into a body.11-11-2010
20100286473SUSPENSION/RETRACTION DEVICE FOR SURGICAL MANIPULATION - A device that can be delivered into a body cavity to manipulate tissue intracorporeally while being controlled extracorporeally and a method of using the device to perform a single-port laparoscopic or natural orifice surgery. The device is being capable of being passed through an interior diameter of a single port into the body cavity. The device comprises an anchor or suspension element that is attachable or mountable to the tissue intracorporeally, a guide element attached to the anchor or suspension element that allows for manipulation of at least one structure in at least one direction, and at least one structure attached to a suture or thread that is passable through the interior diameter of the port and positionable by the guide element. The structure is controllable extracorporeally by manipulating the suture or thread so that the structure moves in at least one direction intracorporeally.11-11-2010
20100286472NEEDLE FOR SURGICAL THREADING AND METHOD FOR USING THE SAME - In one aspect, the present invention may be directed to a needle for surgical threading of a strap of an implant through a tissue, the needle comprising: a trap for trapping the strap to the needle while the needle may be at the accessible side of the tissue; a tip for threading the trapped strap from the accessible side to the opposing side; and a mechanism for releasing the trap, the mechanism driven from the accessible side of the tissue, thereby allowing return of the tip to the accessible side of the tissue while abandoning the strap at the threaded point, thus performing the threading from the accessible side of the tissue.11-11-2010
20110245596VIRTUAL PORTS DEVICES AND METHOD - A device auxiliary to surgery, for anchoring and lifting cavity walls or internal organs of a patient. The device provides a virtual port; that is an instrument that can be non-invasively, or minimally invasively and removably attached to the undersurface of a patient's cavity, or to various tissues within a cavity, and to which various retracting means are attached. The device includes means allowing it to be moved from one position to another and reattached to the undersurface of the abdominal wall, or to various tissues within a cavity, without creating any additional openings in the cavity wall. The device includes means for attaching various retractors.10-06-2011
20110251452STOMA STABILITATING DEVICE AND METHOD - A method and device may be used to avoid surgically re-opening a stoma or the like in an animal, including human beings. The stoma stabilitating device comprises an anchoring portion, preferably flat, that includes an opening configured to surround a stoma. The anchoring portion preferably includes an inner tension ring attached to an inner edge to define the opening and a tension ring attached to an outer edge. The anchoring portion may include additional structural rings. The device may be of a mesh construction and used to maintain, for example, a stoma, a fistula, a tracheotomy and any other pathway from outside the body to the inner part of the body. The device may be used to maintain an open pathway for air and to maneuver devices within a cavity. The device may also be used internally.10-13-2011
20110275887SELF-REGULATING GASTRIC BAND WITH PRESSURE DATA PROCESSING - A self-regulating gastric band apparatus for adjusting stoma size is disclosed. The apparatus includes an adjustable gastric band that has an expandable portion containing a volume of fluid. A band adjustment assembly is provided for implanting with the gastric band that includes a sensor for sensing fluid pressure in the expandable portion. The band adjustment assembly further includes a pump assembly connected to the expandable portion and to a controller that operates the pump assembly to adjust the volume of the fluid in the band based on the sensed fluid pressure. The band adjustment assembly includes memory storing an operating range relative to a target fluid pressure, and the pump assembly is operated to maintain the sensed band pressure within the operating range. The target pressure is set to maintain pressure variations below a predefined variation limit generally corresponding with satiated fill volumes for a particular patient and implanted band.11-10-2011
20130150664TUBE CONNECTOR WITH A GUIDING TIP - Generally described herein are apparatus, systems and methods related to utilizing a guiding tip to connect two open ends of respective tubes of a gastric banding system. More particularly, one of these tubes may include a barbed element at or near the point of connection which makes it difficult to connect the two tubes as the barbed element may be larger than an opening to receive the barbed element. The guiding tip provides a solution to this problem by acting as an interface between the barbed element and the receiving tube. In this manner, the sealing functionality of the barbed element may be retained while improving the ease of inserting the barbed element into the receiving tube.06-13-2013
20100312049APPARATUS FOR TREATING OBESITY - An volume filling device for treatment of obesity is placed outside the stomach wall of the patient to reduce the inner volume of the stomach, thereby affecting the patient's appetite. By providing the volume filling device outside the stomach wall, contact with stomach acids is avoided, thereby increasing the life of the device.12-09-2010
20100317918Septum attached ventricular support - A method and device are disclosed for treating congestive heart disease. The material of the device is secured to the heart proximate the septal wall. The material covering the ventricles may or may not have the same tension and or compliance. The device can be constructed as a unitary “jacket” that is slipped over the apex of the heart. Alternately, the device implanted as one, two or more separate components. In one embodiment, the material covers both the left and right ventricles. In another embodiment, the material covers only one ventricle. The device may include at least one adjustment mechanism configured to adjust the tension of the material. Preferably, the device includes a first adjustment mechanism configured to adjust a tension of the material covering the right ventricle and a second adjustment mechanism configured to adjust the tension of the material covering the left ventricle such that the tension of the material covering the left ventricle can be different than the tension of the material covering the right ventricle.12-16-2010
20120283511Elongate Implant System and Method for Treating Pelvic Conditions - Implant systems can include one or more needles, such as those used in pelvic floor repair procedures, and one or more elongate implants. A syringe or similar style hollow needle can be used to deliver the elongate mesh or other implant devices through one or more small stab incisions into the target tissue location inside the pelvis, proximate the vagina. The implant devices can be placed upon insertion through the incisions to engage and pull or tighten support tissue, such as the endopelvic fascia, pubocervical fascia, rectovaginal fascia, levator muscles, or other supportive muscles or tissue within the pelvis of the patient.11-08-2012
20120283510Pelvic Implants having Perimeter Imaging Features - An implant adapted to treat various pelvic disorders can include one or more imaging features constructed of a material adapted to provide visualization on an imaging machine (e.g., X-Ray, fluoroscopy, etc.). The imaging feature generally follows along the perimeter shape of at least a portion of the implant to visually confirm how the implant is lying in a patient's body during implantation. The imaging feature can be constructed of a wire (e.g., platinum-iridium), a radio-opaque material or substance, or like materials or constructs adapted to provide the desired visualization.11-08-2012
20130158343SELF-SEALING FLUID JOINT FOR USE WITH A GASTRIC BAND - Generally described herein are apparatus, systems and methods related to a mechanical interlock joint geometry for various components and joining of components thereby creating a reliable seal against fluid leaks that is resistant at typical pressures experienced when the components are implanted into a human body. Furthermore, the seal may be enhanced when a fluid pressure exerted inside the components is increased (e.g., from 1 to 10 psi).06-20-2013
20130184519CARDIAC SUPPORT DEVICE WITH DIFFERENTIAL COMPLIANCE - A cardiac support device comprising a jacket of flexible and biocompatible material having a first axis for alignment generally parallel to a longitudinal axis of a patient's heart and a second axis that is transverse to the first axis. The material exhibits an amount of expansion in response to a force applied to the material along the first axis that is different than an amount of expansion in response to the force applied to the material along the second axis.07-18-2013
20130184520HEART STABILIZER - Disclosed is a heart stabilizer used when a coronary artery of a heart is operated. The heart stabilizer allows an intake tube connected to a suction unit for holding the heart to perform a suctioning operation while preventing clogging in any circumstances, allows the direction of the suction unit to be converted to forward, rearward, leftward, and rightward directions, allows the angle of the suction unit to be minutely adjusted even after the suction unit is primarily fixed, and is cleaned while the suction unit maintains the adjusting function of the adjustor for adjusting and fixing the angle.07-18-2013
20130123574PRE-LOADED SEPTUM FOR USE WITH AN ACCESS PORT - Generally described herein are apparatus, systems and methods related to a pre-loaded septum insertable in an access port housing for increasing the control of the compression within the septum and the interference between the septum and the housing. For example, a pair of washers having mating portions may be positioned on respective sides of a rubber septum and bent such that the mating portions of one of the washer are interlocked with the mating portions of the other washer, the interlocked portions forming a tight ring about the septum and generating lateral compression on the septum, thereby “loading” the septum. In addition, fluid seals made of a rubber material with lower durometer than the rubber septum may be used at the interface between the rubber septum and the housing to enhance the fluid sealing functionality while promoting the self-sealing features of the rubber septum.05-16-2013
20110295059DEVICES, SYSTEMS, AND METHODS FOR RESHAPING A HEART VALVE ANNULUS, INCLUDING THE USE OF A BRIDGE IMPLANT HAVING AN ADJUSTABLE BRIDGE STOP - Implants or systems of implants and methods apply a selected force vector or a selected combination of force vectors within or across the left atrium, which allow mitral valve leaflets to better coapt. The implants or systems of implants and methods make possible rapid deployment, facile endovascular delivery, and full intra-atrial adjustability and retrievability years after implant. The implants or systems of implants and methods also make use of strong fluoroscopic landmarks. The implants or systems of implants and methods make use of an adjustable implant and a fixed length implant. The implants or systems of implants and methods may also utilize an adjustable bridge stop to secure the implant, and the methods of implantation employ various tools.12-01-2011
20110306827NEEDLE GUARD TO PROTECT ACCESS PORT TUBING - An inflatable tissue expander, suitable for implantation in a breast, is provided. In addition, a needle guard assembly, suitable to protect tubing leading from an implantable access port, is provided. The needle guard assembly may include a first composite guard and a second composite guard, each composite guard including an arrangement of puncture resistant members and a flexible substrate having a first side on which the puncture resistant members are positioned. The needle guard assembly may comprise a sleeve extending over an end of the tube.12-15-2011
20110306825INTRACAVITY BALLOON CATHETER - A device and method for minimizing exposure of soft mucosa tissues to radiation, the device including a low-volume intracavity balloon catheter having multiple expansion portions, including an isometrically expanding portion and a substantially planar anterior portion.12-15-2011
20110306824REMOTELY ADJUSTABLE GASTRIC BANDING SYSTEM - An implantable system comprises a housing that includes a flexible reservoir. The flexible reservoir is coupled to an inflatable portion of a gastric band via a fluid inlet/outlet. The flexible reservoir contains a fluid and has an expanded configuration and a contracted configuration. An access port may be coupled to the flexible reservoir and/or the gastric band to facilitate filling and draining the reservoir and/or the gastric band. A movable wall is slidably positioned around the flexible reservoir to move the flexible reservoir between the expanded configuration and the contracted configuration to move the fluid into and out of the inflatable portion of the gastric band. A driving mechanism is positioned around the movable wall and is capable of changing the size of the movable wall to compress or expand the flexible reservoir. A motor, coupled to the driving mechanism, may actuate the driving mechanism.12-15-2011
20110313241Method of Treating Vaginal Prolapse - A method of treating prolapsed vagina by tacking the prolapsed vagina to tissue proximate the obturator foramens with anchor mechanisms applied from inside the vagina.12-22-2011
20110313240FLOW RESTRICTOR AND METHOD FOR AUTOMATICALLY CONTROLLING PRESSURE FOR A GASTRIC BAND - A bladder assembly is provided in order to maintain the pressure in the balloon portion of a gastric band in a range corresponding to a so-called Green Zone. Multiple bladders are connected by flexible tubing which is connected at a distal end to the balloon portion of a gastric band. The elastically expandable bladders provide fluid pressure on the balloon portion of the gastric band in order to maintain the intra-luminal pressure within a desired range over a prescribed fill volume. A flow restrictor is positioned between the balloon portion and the bladders to restrict fluid flow from the balloon to the bladders during patient swallowing.12-22-2011
20130190558SYSTEMS, TOOLS, AND METHODS FOR TREATMENTS OF PELVIC CONDITIONS - Described are surgical procedure systems, devices, tools, and methods, useful for treating pelvic conditions in a male or female, involving an expansion member.07-25-2013
20130190557GASTRIC BANDS FOR REDUCING OBSTRUCTIONS - Generally described herein are apparatus, systems and methods related to gastric bands which provide increased compliance to reduce food obstructions and/or reduces over restriction causing symptoms such as gastric enlargement and pouch dilatation. In one embodiment, a dual ringed reservoir band or inflatable portion is provided. In one embodiment, an additional ring or a middle pouch may be added to the dual ringed reservoir band. The addition of an additional ring or middle pouch may further increase band compliance resulting in even fewer food obstructions. In another embodiment, one or more funnels can also be implemented into a gastric banding system to induce satiety and/or for guiding a bolus through the gastric band.07-25-2013
20090143637Methods and Apparatus for Correction of Urinary and Gynecological Pathologies, including Treatment of Male Incontinence, and Female Cystocele - The present invention relates to apparatus and methods for treatment of male incontinence and a method for female cystocele repair in which a sling material is positioned between the descending rami of the pubic bone. In such an operation a “hammock-like” sling material is positioned below the urethra in males, or below the posterior bladder wall in the case of cystocele in females.06-04-2009
20120010459ASSEMBLY AND METHOD FOR AUTOMATICALLY CONTROLLING PRESSURE FOR A GASTRIC BAND - An elastic bladder is provided that is in constant fluid communication with the expandable balloon portion of a gastric band in order to automatically and continuously adjust the gastric band. The fluid pressure between the bladder and the balloon portion of the gastric band automatically and continuously adjusts so that there is no lasting pressure differential between the bladder and the expandable balloon. As the level of restriction imparted by the gastric band on the stomach of the patient changes, fluid from the bladder automatically and substantially instantaneously flows to or from the expandable balloon portion of the gastric band thereby maintaining neutral fluid pressure equilibrium between the bladder and the balloon and automatically adjusting the band to the correct level of restriction to keep the patient in the optimum zone for weight loss.01-12-2012
20120016186IMPLANT FOR TREATING A GENITAL PROLAPSE, AND ASSOCIATED TREATMENT METHOD - The invention relates to an implant (01-19-2012
20120029275BODILY IMPLANTS AND METHODS OF ADJUSTING THE SAME - A medical device includes a support member, a tether, and a retainer. The support member is configured to be placed within a body of a patient and provide support to a portion of the body of the patient. The tether forms a loop and is coupled to the support member. The tether is configured to extend from the body of the patient when the support member is placed within the body of the patient. The retainer is configured to be coupled to the tether at a first location on the tether and at a second location on the tether different than the first location. The retainer is configured to be disposed outside of the body of the patient when the support member is placed within the body of the patient.02-02-2012
20120029274IMPLANTS AND METHODS OF IMPLANTING THE SAME - In one embodiment, an apparatus includes a support member and a suture. The support member is configured to provide support to a portion of a body of a patient. The support member has a first end portion and a second end portion. The first end portion of the support member is configured to be disposed within a body of a patient. The suture is removably coupled to the first end portion of the support member and is configured to extend through an incision in the body of the patient from a location within the body of the patient to a location outside of the body of the patient.02-02-2012
20120029273IMPLANTS AND METHODS FOR ENHANCING IN-VIVO ULTRASOUND IMAGES OF THE SAME - An implant includes a substrate and a carrier coupled to the substrate. The carrier including a plurality of objects configured to reflect energy emitted by an ultrasound device. In some embodiments, the carrier includes a plurality of air bubbles that are configured to reflect energy emitted by an ultrasound device. In one embodiment, a method of forming a bodily implant includes forming a substrate, disposing a plurality of air bubbles within a carrier, and applying the carrier to the substrate.02-02-2012
20120029272APPARATUS AND METHODS FOR PROTECTING ADJACENT STRUCTURES DURING THE INSERTION OF A SURGICAL INSTRUMENT INTO A TUBULAR ORGAN - A device for protecting tissues and structures adjacent to a tubular organ during performance of a surgical procedure on a portion of the tubular organ. Various embodiments may comprise a member that may be deployed through a surgical instrument in a first configuration and expanded to a second configuration such that when in the second configuration, the protective member may extend substantially around an outer circumference of the portion of the tubular organ.02-02-2012
20120029271Tissue Stabilizing Device and Methods Including a Self-Expandable Head-Link Assembly - A tissue stabilizer including an elongated arm, a collet, and a head-link assembly. The collet is disposed at a distal end of the arm. The head-link assembly includes a tube and a spreading mechanism. The tube forms an intermediate section and opposing arms each terminating at a tip. The spreading mechanism can adjust a lateral distance between the tips, and includes first and second articulating members each having a leg and a collet interface body. The first member further includes a female hinge feature, whereas the second member includes a male hinge feature differing from the female hinge feature. The legs of are mounted to discrete regions of the tube, and the male hinge feature is pivotably coupled to the female hinge feature. Automatic spreading of a lateral distance between the tips occurs in response to a compressive force applied to the collet interface bodies.02-02-2012
20130197300IMPLANTS WITH ABSORBALBE AND NON-ABSORBABLE FEATURES FOR THE TREATMENT OF FEMALE PELVIC CONDITIONS - Described are methods, devices, and systems related to implants for the treatment of a female pelvic condition. The implants include absorbable and non-absorbable materials and can be introduced into the pelvic area transvaginally. Meshes of the invention provide benefits relating to improved tissue integration into the mesh, reduced infection likelihood, improved patient comfort following implantation, or combinations of thereof.08-01-2013
20130204077SURGICAL SCAFFOLDS - According to an aspect of the present invention, surgical scaffolds for soft tissue repair are provided. The surgical scaffolds comprise a sheet of a material within which through-holes are formed. Further aspects of the invention, among others, pertain to methods of using such surgical scaffolds and to kits containing such surgical scaffolds.08-08-2013
20130204078POROUS SURGICAL FILMS - According to an aspect of the present invention, surgical films for soft tissue repair are provided. The surgical films comprise at least one sheet of a non-filamentous material within which pores are formed. Further aspects of the invention, among others, pertain to methods of using such surgical films and to kits containing such surgical films.08-08-2013
20130204079Apparatus and Method for Manipulating or Retracting Tissue and Anatomical Structure - Integrated systems and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchoring devices for such purposes.08-08-2013
20120083651SURGICAL IMPLANT AND METHODS OF USE - A method of treating a vaginal prolapse is provided. The method includes accessing a vaginal prolapse, inserting an implant comprising a knitted mesh into a patient, and securing the knitted mesh in place such that the implant supports the pelvic floor of the patient. The knitted mesh has a mass density of less than 20 g/m04-05-2012
20120088961BOWEL PACKING DEVICE HAVING A SUPPORT STRUCTURE - An elastomeric device for packing the bowels of a subject comprising: a central portion and one or more flaps collectively manually positionable within the subject to retain the bowels of the subject in an operational, displaced position and to provide a surgical operational space; and a support structure disposed in at least one of the central portion and the flaps configured to provide rigidity to the device.04-12-2012
20120088960BOWEL PACKING DEVICE HAVING A TETHER - A kit for packing the bowels of a subject. The kit comprises an elastomeric bowel packing device manually positioned within the subject to retain the bowels of the subject in an operational displaced position and to provide a surgical operational space; and an elongate tether having a distal end coupled to the device via an attachment arrangement.04-12-2012
20120088959ORGAN PACKING DEVICE HAVING TRANSFORMABLE SUPPORT MEMBERS - An elastomeric device for packing the organs of a subject. The device comprises a central portion and one or more flaps collectively manually positionable within the subject to retain the organs of the subject in an operational, displaced position and to provide a surgical operational space; and at least one transformable support member disposed in at least one of the central portion and the flaps configured to transform from a first substantially compliant configuration to a second substantially rigid configuration.04-12-2012
20120088958NON-FIBROUS BARRIER FOR ORGAN RETENTION - A method of packing organs of a subject, the method including accessing an interior cavity of the subject, repositioning the organs to provide a surgical space in the abdominal cavity, and positioning a non-fibrous body against the organs to provide a barrier between the organs and the surgical space.04-12-2012
20120095288SELF-ADJUSTING GASTRIC BAND - Generally described herein are automatic, self-adjusting, gastric banding systems and improvements thereof, that are capable of automatically relaxing and contracting in response to a large bolus passing through the area of a patient's stomach constricted by a gastric band. Alternatively, and/or in addition in one or more embodiments, the gastric banding systems described herein may also help prevent pouch dilatation and/or erosion. The apparatus and systems described herein aid in facilitating obesity control and/or treating obesity-related diseases while generally being non-invasive once implanted. Furthermore, certain embodiments of the self-adjusting gastric banding systems disclosed herein are automatically adjustable without complicated fluid control mechanisms, flow rate limiting devices, and/or valves. The automatic adjustments may also be made in response to other changes in the patient's esophageal-gastric junction, for example, in response to size, shape, and or location changes.04-19-2012
20130211191APPARATUS FOR POSTERIOR PELVIC FLOOR REPAIR - Improved methods and apparatuses for treatment of posterior pelvic floor repair, including rectocele and related pelvic organ prolapse, are provided. A specialized mesh (08-15-2013
20130211188METHOD FOR INCREASING DISTENSIBILITY IN A GASTRIC BAND - A gastric band assembly has one or more bladders incorporated therein so that the distensibility of the gastric band assembly is increased. The distensibility relates to the relative strength with which the gastric band assembly with a bladder resists the application of additional band contact pressure. Distensibility is quantified by measuring the change in band contact dimension (e.g., diameter or area) versus the change in band contact pressure.08-15-2013
20130211189METHOD FOR PROVIDING HIGH BASAL INTRA-LUMINAL PRESSURE USING A GASTRIC BAND - A gastric band assembly has one or more bladders incorporated therein so that basal intra-band pressure in the band can be set higher than typical Green Zone basal intra-band pressures. The higher basal intra-band pressures equate to higher basal intra-luminal or contact pressures from 35 mmHg and above.08-15-2013
20130211190METHOD FOR INCREASING DISTENSIBILITY IN A GASTRIC BAND - A gastric band assembly has one or more bladders incorporated therein so that the distensibility of the gastric band assembly is increased. The distensibility relates to the relative strength with which the gastric band assembly with a bladder resists the application of additional band contact pressure. Distensibility is quantified by measuring the change in band contact dimension (e.g., diameter or area) versus the change in band contact pressure.08-15-2013
20130211192IMPLANTABLE SUPPORT WITH DILATOR ATTACHED TO ARM - A pelvic organ prolapse treatment device includes an implantable support configured to treat a prolapsed area of a patient such as urethrocele prolapse, cystocele prolapse, vault prolapse, uterine prolapse, enterocele prolapse, or rectocele prolapse. The support includes a body portion and an arm connected to the body portion, a knot connecting a suture to an end portion of the arm, and a tubular dilator disposed over and permanently connected to the knot. The tubular dilator has an aspect ratio of greater than 7.08-15-2013
20130211193IMPLANTS, TOOLS, AND METHODS FOR TREATMENTS OF PELVIC CONDITIONS - Described are various embodiments of surgical procedures, systems, implants, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue.08-15-2013
20130211194DEVICES, SYSTEMS, AND METHODS FOR IMPROVING ACCESS TO CARDIAC AND VASCULAR CHAMBERS - Devices, systems and methods are provided for enhancing mechanical strength of tissue, allowing direct and secure access to cardiac and vascular structures, either through tiny incisions or percutaneously. The devices may include a sheath including an open channel configured to accept interventional devices and configured to be inserted into an access channel. The device may include mechanisms for injection of a tissue-stabilizing composition into, around, and/or adjacent to the tissue surrounding the sheath. The device may include at least one energy-transducing element configured to deliver energy to a tissue surrounding the sheath. The energy-transducing element may be configured to heat, shrink and seal the tissue around the sheath. The energy-transducing element may be disposed on an introducer, on a sleeve, or on the sheath. A sealing delivery device for sealing the access channel may be configured to deliver a sealing device into the mechanically enhanced access channel, achieving permanent closure.08-15-2013

Patent applications in class INTERNAL ORGAN SUPPORT OR SLING