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 supportive tissue and adjusting the 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.

The object of the present invention is to provide an improved laparoscopic, surgical instrument, particularly though not exclusively for gynaecology and in particular for Laparoscopic Colposuspension. According to the invention there is provided a laparoscopic, surgical instrument having an elongate shank, a ball head on one end and an eye in the other end. The instrument is such that the ball head is of a larger diameter than that of the elongate shank.

A tissue fastener having fixed points of tissue attachment including a first elongate elastic component and a second elongate component having one or more elongate sections each adjacent section delineated by at least one frangible point.

A medical device and a method for preparing a patient's body to receive a bodily implant are provided. The medical device includes a needle member configured to be inserted into a tissue layer. The needle member has a proximal end portion and a distal end portion. An adjustment member is coupled to the proximal end portion of the needle member. The adjustment member includes an adjustment screw and a nut for setting a predetermined depth of insertion of the needle member within the tissue layer. The adjustment member further includes an adjustment member support configured to provide a support to the adjustment screw and the nut. The adjustment member is configured to move between a first position and a second position with respect to the adjustment member support to limit insertion of the needle member within the tissue layer to the predetermined depth.

Surgical articles, implants and components suitable creating composite slings are described. Novel procedures for assembling and utilizing composite slings are also detailed.

In one embodiment, a medical device includes a delivery tool having a carrier member, and a cartridge. The cartridge is coupled to the delivery tool. The cartridge defines an opening. The cartridge is configured to retain an anchor defining a lumen. The carrier member has a retracted configuration and an extended configuration. The carrier member is configured to extend through the lumen defined by the anchor and through the opening defined by the cartridge when the cartridge is coupled to the delivery tool and the carrier member is in its extended configuration.

An artificial urinary sphincter (AUS) system includes a cuff, a pump, and a single tube that provides the system with an inflatable storage compartment. The single tube is connected between the cuff and the pump and includes a first lumen communicating between the cuff and the pump and a separate second lumen communicating between the cuff and the pump. The cuff is inflatable with a cuff volume of liquid that is sized to selectively close the urethra for treatment of urinary incontinence. The pump is operable to move the cuff volume of liquid out of the cuff to provide the cuff with a deflated state that allows the urethra to open and pass urine. The second lumen has a storage compartment sized to retain the cuff volume of liquid.

A tool includes a brace and a hook. The brace includes two posts extending from a base portion. The two posts include a first post that is spaced a distance apart from a second post, with the first post disposed in a first plane and the second post disposed in a second plane that is not the same as the first plane. A side of the base portion opposite from the first post and opposite from the second post includes a recess formed in the base portion. The hook is connected to a handle. The hook has a first section attached to the handle, a second section that is curved to have a J-hook curvature configured for accessing an obturator foramen of the patient, and a third section including a tip. The tip of the hook is removably insertable into the recess formed in the base portion.

In a general aspect, a medical device can include an external arm having a receiving mechanism, and an internal arm coupled to the external arm such that the receiving mechanism of the external arm is movable with respect to the internal arm. The medical device can also include a sliding component including a needle configured to be coupled to a portion of an implant and configured to slidably move the needle toward the receiving mechanism of the external arm.