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 gynecological device that corrects a vaginal opening that is large or stretched out without requiring surgery. The stretchable gynecological device includes a main body having a front surface, a rear surface, a first end, a second end, a first edge, a second edge, and an adhesive on the rear surface of the main body. The gynecological device also includes at least two arms having a front surface, a rear surface, a first end, a second end, a first edge and a second edge that extend outwardly from the second edge of the main body. An adhesive is on the rear surface of the arms. To apply the gynecological device, the arms are firmly pressed down to the vaginal vestibule bilaterally, the main body is then pulled up above the clitoral hood and then applied and pressed down across the lower abdomen towards the anterior superior iliac spines.

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.

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 helix coupled to the front end of the conduit. The helix functions as a fixation mechanism to anchor the implantable device to the tissue. The implantable device can be inserted into tissue using a sheath and can be rotated with the sheath by partially inflating the adjustable membrane element placed in a front end portion of the sheath, and the helix can be turned into the tissue by rotating the sheath.

An implantable device for penile construction can comprise an anchor plate and at least one attachment member. The anchor plate can be configured to engage with a first portion of a pelvic bone of a patient. The anchor plate can comprise a prosthesis attachment interface configured to be coupled to a penile prosthesis, and at least one attachment member configured to attach to the anchor plate. The at least one attachment member can be configured to engage with a second portion of the pelvic bone of the patient. The engagement of the anchor plate with the first portion of the pelvic bone and the engagement of the attachment member with the second portion of the pelvic bone can couple the pelvic bone between the anchor plate and the at least one attachment member.

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.

A Y-shaped support has a head section having a first free end and a second end secured to a leg section, with the leg section having a first leg extending from the second end of the head section and a second leg extending from the second end of the head section. A first connector is provided as a first interlocking stitch, with the first interlocking stitch passed through open leg spaces of the first leg and open head spaces in the head section. A second connector is provided as a second interlocking stitch, with the second interlocking stitch passed through the aligned open leg spaces of the first leg and the second leg to connect the first leg to the second leg. The second end of the head section is located outside a space where the first leg is connected to the second leg.

An apparatus for treating urinary incontinence in a patient includes at least one adjustable lifting device for supporting a patient's urethra to restore urinary control. The adjustable lifting device can post-operatively and non-invasively adjust the level of lift of a patient's urethra, to thereby affect the patient's incontinence. The adjustable lifting device is placed above the pubis bone of the patient. The device includes first and second fixation devices that are adjustable to thereby adjust the length of a sling that cradles and lift's the patient's urethra. The apparatus could also be used to treat anal incontinence.

Devices and methods for intra-vaginal bowel control.

This invention is directed to polymer-permeated grafts, including those which contain an active which provide for the controlled or sustained release thereof, and methods of making and using the same.