The present application relates to method and apparatus for reducing migration and rotation of implantable devices including an expandable element and an elongate portion.

The present application relates to method and apparatus for reducing migration and rotation of implantable devices including an expandable element and an elongate portion.

An automatically adjustable implantable system for managing urinary incontinence, the implantable system comprising a sling having an elongate body member with a proximal portion, a distal portion and an intermediate portion, wherein the intermediate portion is configured to be positioned underneath urethra of a patient; and a shape memory polymer member at least one of coupled with and integrated with the elongate body member, wherein the shape memory polymer member is configured to deform from an initial state to a second state in response to a signal received from a processing circuit, wherein the deformation in the shape memory polymer member allows for adjustments in a tensioning force provided to the elongate body member upon occurrence of a stress event.

An implantable device includes a conduit, an adjustable membrane element coupled to the conduit near the front end of the conduit for controllable coaptation of a body lumen, such as coaptation of a urethra as treatment for urinary incontinence, and a fixation mechanism at or near the front end of the conduit. In various embodiments, the fixation mechanism can anchor the implantable device to the tissue using a movement of a push wire. Optionally, the fixation mechanism can also allow the implantable device to be released from the tissue using another movement of the push wire, to allow for repositioning or removal of the implantable device.

An implantable device includes a conduit, an adjustable membrane element coupled to the conduit near the front end of the conduit for controllable coaptation of a body lumen, such as coaptation of a urethra as treatment for urinary incontinence, and a fixation mechanism at or near the front end of the conduit. In various embodiments, the fixation mechanism can anchor the implantable device to the tissue using a movement of a push wire. Optionally, the fixation mechanism can also allow the implantable device to be released from the tissue using another movement of the push wire, to allow for repositioning or removal of the implantable device.

An inflatable medical device may include an inflatable member. An inflatable medical device may include a fluid reservoir. An inflatable medical device may include an electronic pump device configured to be fluidly connected to the inflatable member and the fluid reservoir. The electronic pump device configured to execute operations, including inflating the inflatable member by transferring fluid from the fluid reservoir to the inflatable member, detecting that the inflatable member has been inflated for a period of time greater than a threshold level, and transmitting, via an antenna of the electronic pump device, a deflate signal to an external device. The deflate signal, when received at the external device, is configured to cause a deflate notification configured to be displayed on a display of the external device.

An implantable medical device may include an inflatable member. An implantable medical device may include a fluid reservoir. An implantable medical device may include an electronic pump device configured to transfer fluid between the inflatable member and the fluid reservoir. The electronic pump device includes a housing. The housing includes a fluidic manifold including a plurality of fluidic components. The manifold includes an inside edge and a shelf that extends from the inside edge. The housing includes a circuit substrate contacting the shelf. The circuit substrate includes a hole. The housing includes a coupling member that couples the circuit substrate to the shelf. The coupling member extends through the hole.

A medical device for reducing incontinence can be dimensioned to be placed in an interior region of a subject surrounded by muscle tissue. The medical device can include a first balloon having an interior space containing a fluid. The proximal end of a first fluid conduit can be coupled to an outlet of the first balloon. The medical device can also include a pressure sensing detector coupled to a distal end of the first fluid conduit. The pressure sensing detector can include a second balloon. The second balloon can also be in fluid communication with the interior space of the first balloon. The first balloon can be compressed from the contraction of the muscle tissue, which can displace a portion of the fluid within the interior space of the first balloon. The portion of fluid moves towards the second balloon and causes the second balloon to increase in interior volume thereby indicating a contraction force of the muscle tissue.