One or more sensors are incorporated onto one or more of an implantable device and a surgical tool used for placement and/or adjustment of the implantable device. The implantable device includes an adjustable membrane element for controllable coaptation of a body lumen, such as coaptation of a urethra as treatment for urinary incontinence. In various embodiments, the one or more sensors can be configured to detect information indicative of at least one of a shape of the adjustable membrane element, a position of the adjustable membrane element relative to the body lumen, or a shape of the body lumen.

A method and device for augmentation or rejuvenation of vaginal tissue, which applies negative pressure through a plurality of channels of a hollow body against a region of the vaginal wall to cause microtrauma, edema, or hypertrophy; and optionally introducing a dermal filling or adipose tissue into the vaginal tissue where the region of edema and hypertrophy occurs and while the region remains swollen from the applied pressure.

Devices, systems and methods for compressing, cutting, incising, reconfiguring, remodeling, attaching, repositioning, supporting, dislocating or altering the composition of tissues or anatomical structures to alter their positional or force relationship to other tissues or anatomical structures. In some applications, the invention may be used to used to improve patency or fluid flow through a body lumen or cavity (e.g., to limit constriction of the urethra by an enlarged prostate gland).

A method for treating OAB in a female patient includes positioning a visualization scope in the patent's vagina; advancing a guide wire through a working channel of a visualization scope, until a tissue penetrating distal tip of the guide wire advances out of the working channel and penetrates a wall of the superior portion of the vagina; continuing to advance the guidewire tip submucosally through the wall of the vagina, until it is positioned within tissue of the bladder trigone; advancing a balloon dilation catheter over the guidewire until a balloon carried on a distal end portion of the balloon dilation catheter is positioned proximate the distal tip of the guidewire within the bladder trigone tissue; and inflating said balloon to form a first dissection plane between separated layers of tissue within the bladder trigone.

An improved trocar device or instrument configured for single or multiple uses is disclosed. The improved trocar device has a novel flexible surgical assembly including an introducer component or a handle with scissor-like members with a channel formed within to accommodate a shaft component that slides within the channel. The introducer component may be squeezed or compressed to cause a locking mechanism to engage the shaft component to secure it and maintain it steady near the active area of the surgical procedure. The improved trocar device or instrument is coupled to a monitoring system for automatically monitoring the penetration route and behavior of the trocar device held by a robotic arm or a surgeon to assist either one with navigating the trocar shaft into a patient's body.

An external endoluminal fixator device to fix rectal prolapse and/or vaginal and/or uterine and/or urinary bladder prolapse by passing through it, includes a head configured at distal end of the external endoluminal fixator device such that the head passes through an anorectum or a vagina of a body. The device then includes a hollow shaft connected with the head which is in angulation corresponding to usage in the anorectum or a sacral hollow or the vagina of the body and an endoluminal fixator device handle connected with the hollow shaft at proximal end of the external endoluminal fixator device, configured to remain outside of anus or vagina to have a sturdy grip so as to push up the head of the endoluminal fixator device either trans-anally or vaginally with the anorectum or the vagina against undersurface of the anterior abdominal wall.

Disclosed are a system and method to implement a novel treatment to restore bilateral longitudinal parallel paraurethral support, the system comprising a trocar, and introducer, and one or more barbed suture-type devices, the components used cooperatively to implant the one or more barbed suture-type devices in the patient to provide sufficient paraurethral support to restore continence in the patient.

A surgical device for blunt tissue dissection is provided as are a guide and delivery plunger that can be used along with the surgical device to deliver an implant in a tissue repair procedure.

Embodiments of elongate pelvic implants and methods for treating pelvic conditions, such as incontinence, are provided. The implants can include a tissue support portion, one or more extension portions and one or more anchors. The implant is constructed as a unitary sling implant. The implant can be constructed or formed in a generally elongate shape to provide a lattice support structure of repeated cells.

A medical device and method of use comprising a base portion having a length extending from proximal end and a distal end and a width extending from a first side to a laterally opposed second side. At least one arm extending from at least one of the first or second sides, the at least one arm extending a distance greater than the width of the base portion. The arm being configured to extend around at least a portion of a cervical isthmus.