144 results about "Vaginal walls" patented technology

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.

The invention relates to a surgical instrument and a method for treating female urinary incontinence. A tape or mesh is permanently implanted into the body as a support for the urethra. In one embodiment, portions of the tape comprise tissue growth factors and adhesive bonding means for attaching portions of the tape to the pubic bone. In a further embodiment, portions of the tape comprise attachment means for fastening portions of the tape to fascia within the pelvic cavity. In both embodiments the tape is implanted with a single incision through the vaginal wall.

The invention disclosed herein includes an apparatus and a method for treatment of vaginal prolapse conditions. The apparatus is a graft having a central body portion with at least one strap extending from it. The strap has a bullet needle attached to its end portion and is anchorable to anchoring tissue in the body of a patient. The invention makes use of a delivery device adapted to deploy the graft in a patient. The inventive method includes the steps of making an incision in the vaginal wall of a patient, opening the incision to gain access inside the vagina and pelvic floor area, inserting the inventive apparatus through the incision, and attaching the straps of the apparatus to anchoring tissue in the patient.

The invention relates to a surgical instrument and a method for treating female urinary incontinence. A tape or mesh is permanently implanted into the body as a support for the urethra. In one embodiment, portions of the tape comprise tissue growth factors and adhesive bonding means for attaching portions of the tape to the pubic bone. In a further embodiment, portions of the tape comprise attachment means for fastening portions of the tape to fascia within the pelvic cavity. In both embodiments the tape is implanted with a single incision through the vaginal wall.

The invention disclosed herein includes an apparatus and a method for treatment of vaginal prolapse conditions. The apparatus is a graft having a central body portion with at least one strap extending from it. The strap has a bullet needle attached to its end portion and is anchorable to anchoring tissue in the body of a patient. The invention makes use of a delivery device adapted to deploy the graft in a patient. The inventive method includes the steps of making an incision in the vaginal wall of a patient, opening the incision to gain access inside the vagina and pelvic floor area, inserting the inventive apparatus through the incision, and attaching the straps of the apparatus to anchoring tissue in the patient.

A modified Fletcher-Suit tandem tube applicator includes a balloon which can be inflated to both positionally secure the applicator within the vaginal canal and to distend the confronting vaginal wall thereby increasing the distance of such tissue from the radioactive source contained in the tandem tube of applicator and correspondingly reducing radiation damage to nearby tissues and organs such as the rectum and bladder.

Disclosed is a vaginal insert, which has a head for the holding of the user's hand, and a cylindrical front projection extending from the head for insertion into the vaginal of a rectocele patient to support the weakened lower vaginal wall in order to improve stool evacuation.

Transvaginal probes equipped with tactile sensors are configured for placement into vagina to record tactile response during insertion, acquire static tactile pattern from vaginal wall after the insertion is complete, and acquire dynamic tactile patterns during probe motion as well as recording dynamic tactile response during contraction of vaginal muscle. The acquired and recorded tactile data are transmitted to a data processor for composing tactile profile of vagina and visually presenting thereof on a display. Elasticity profile of vaginal tissue is calculated from the tactile response recorded from different parts of the probe during its insertion, from the static pressure pattern and from the dynamic tactile pattern. Pelvic floor muscle strength is defined as a contact pressure increase detected on fixed probe surface under the muscle contraction. Tactile profile of vagina is determined using the static tactile pattern, the elasticity profile and pelvic floor muscle strength. The data processor provides a comparative analysis of the tactile profile with a variety of vaginal tactile profiles recorded for a given population with known clinical conditions so as to assist in diagnosing a disease.

The invention provides devices, systems and methods for occluding arteries without puncturing skin or vessel walls. The devices, systems and methods for occluding arteries are configured to be applied to arteries externally of the arteries. Occlusion may be temporary or permanent, and may be partial or complete. Clamping a device to tissue near to an artery is effective to compress tissue around the artery and to indirectly compress the artery. The methods, devices and systems of the invention find use in, for example, treatment of uterine disorders and conditions which may be treated by occlusion of the uterine arteries. A uterine artery may be accessed via a patient's vagina by compressing a portion of the vaginal wall around a portion of a uterine artery to occlude a uterine artery. Clamping of an artery may also be performed by clamping a device directly onto an artery.

Methods of treating functional disorders of the bladder in mammalian females are disclosed. A therapeutic compound is delivered directly into the trigone of the bladder. The therapeutic may be delivered to the trigone through the vaginal wall. A device for delivering the therapeutic compound is also disclosed. The device may be an array of microneedles connected to a reservoir.

Male prosthesis and stimulators enhance stimulation during intercourse. Male prostheses and stimulators add to the friction and stimulation of the penis and vaginal walls by increasing the penis's girth and by the use of a filling within the male prosthesis and stimulator. A hollow tube which is arctuate in shape encloses a filling. The hollow tube is sufficiently flexible so that it can be rolled along its circumference to facilitate application to and removal from the shaft of the penis. A ridge is attached to the outer surface of the tube to optionally receive the O-ring of a condom. The movement of the filling against the penis enhances the male participant's pleasure. The added penis girth, as well as the movement of the filling within the male prosthesis and stimulator, is appealing to the female participant. The male prosthesis and stimulator may be packaged in a sealed package or sealed container.

A cover for a vaginal speculum that prevents the vaginal walls from collapsing and improves a physician's visibility during a surgical procedure or a gynecological examination is disclosed. The cover includes an elongated, generally tubular elastic sleeve made from a biocompatible mesh material. The sleeve has a proximal end and a distal end with an opening located at each end. The sleeve encircles and extends over the length of both of the arms of a vaginal speculum. Strings are located adjacent the proximal end of the sleeve and aid in the removal of the sleeve once the examination or procedure has been completed.

Methods of treating functional disorders of the bladder in mammalian females are disclosed. A therapeutic compound is delivered directly into the trigone of the bladder. The therapeutic may be delivered to the trigone through the vaginal wall. A device for delivering the therapeutic compound is also disclosed. The device may be an array of microneedles connected to a reservoir.

The invention discloses an implant. The implant may include a first flap and a second flap. The first flap may further include a first portion, a second portion and a transition region. The first portion may be configured to be attached proximate a sacrum. The second portion may be configured to be attached to an anterior vaginal wall. The transition region lies between the first portion and the second portion. The second flap may be fabricated such that a portion of the second flap is configured to be attached to a posterior vaginal wall. The implant may be configured such that a value corresponding to a biomechanical parameter defining a biomechanical attribute of the portion of the first flap attaching to the anterior wall is different from a value of the biomechanical parameter defining the biomechanical attribute of the portion of the second flap attaching to the posterior wall.

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 apparatusand method can be readily adapted to similarly effect deliberate, local, beneficial bonding between other adjacent living tissues in a patient.

An apparatus for use in connection with an endoscopic surgery comprises an elongated body adapted to be placed at least partially in the vagina of a female patient partially passing through the wall of the vagina such that an end portion of said elongated element is introduced into rectouterine pouch; the elongated body comprises at least an attachment means for accommodating at least a part of at least a surgical instrument comprising an end portion adapted to be received inside the vagina, the surgical instrument and the apparatus are movable to each other. An endobag having an elongated port is provided through the vagina into the pelvis. A method for use in a pelvic or peritoneal surgery is provided wherein at least an elongated end portion of a surgical instrument is provided in the cavity of the uterus through the vagina of a female patient such that the uterus can be repositioned by manipulating the surgical instrument and an incision is performed on the vaginal wall for accessing to the rectouterine pouch, a flexible element is provided in pelvis wherein the flexible element is looped around the uterus such that the flexible element encircles the uterus.

Devices, systems, and methods can treat incontinence by heating between about 100 and about 800 cubic millimeters of endopelvic fascia for sufficient time to effect substantial collagenous tissue shrinkage. A probe body may directly engage the endopelvic fascia, or may be separated from the endopelvic fascia, heating through (for example) the vaginal wall. In either case, tissue-penetrating electrodes may be inserted from the probe body so as to heat the endopelvic fascia.

The present invention provides a device that protects the tissue in the posterior part of the introitus vaginae, i.e. the commissura posterior. The origin of perineal tear starts here when the segment is stretched to double or triple its length during delivery of the head. Tears can be more extensive into the perineal body, continue into the anal sphincter and in worse cases even through the whole perineum into the anal canal. In use the device may protect against perineal tears of the posterior vaginal wall into the mucosa, perineal skin, muscles, even more profound down to the anal sphincter muscle and into the rectum and the rectal mucosa.

The present disclosure relates to a vaginal speculum comprising a vaginal assembly comprising at least two longitudinal separating elements connected at a distal end for insertion into the vagina of a subject. The vaginal speculum is configured for holding the vaginal walls of the subject apart, thereby permitting examination and / or suturing of at least the posterior part of the vaginal tissue. The present disclosure further relates to a set of vaginal specula comprising a number of specula according to the fist aspect of the invention, wherein said specula are provided in predefined sizes such that the specula suitably fit a range of anatomies. The present disclosure also relates to a method for providing an unobstructed view of at least the posterior part of the vaginal wall during suturing of a subject after said subject has given birth.

The invention is an intra-vaginal pessary device constructed of bio-compatible, medical grade, non-latex silicone, to manage and diagnose mild to moderate stress incontinence in women by providing a user-friendly, non-surgical, occasional, non-invasive option for mid-urethral support. The invention is an approximately oval, non-absorbent device with an embedded pull-string for removal when not in use. The pessary is self-inserted into the vagina by a woman, using the same technique she would use if she were inserting a tampon. The pressure the pessary provides against the vaginal wall has the effect of closing the urethra and thereby preventing urine leakage.

A speculum cover that is adapted to sheath the blades of a speculum, and to support lateral vaginal walls to facilitate vaginal / cervical examination during gynecological exams and surgery. The speculum cover includes top and bottom pockets for the respective blades of the speculum, and side portions having openings therein for sampling of tissue at the vaginal locus. In a specific implementation, the speculum cover is of a four-ply construction, formed by impulse welding or other polymeric film joining technique, and the two inner plies of the cover include rearwardly extending flaps to which are adhesively secured donning guide members for facilitating installation of the cover on the speculum.

The present invention refers to a vaginal device 1 of an elastic material, said vaginal device 1 comprising a longitudinal portion 2 having a geometrical centre line 3, an upper end 4 and a lower end 5 and which vaginal device 1 is intended to be inserted securely fixated inside of a vagina, the upper end 4 being the innermost of the vaginal device 1 in the vagina during use, to support against the urethra, through the vaginal wall, to prevent urinary stress incontinence in a woman, wherein the vaginal device 1 comprises at least one supporting portion 6 protruding from the longitudinal portion 2 and a reference member 7 protruding from the longitudinal portion 2 at the lower end 5, which reference member 7 during use is fixated against the vaginal introitus, holding the vaginal device 1 securely fixated inside of the vagina and ensuring said at least one supporting portion 6 to support against the urethra.

The invention provides devices, systems and methods for reducing or abolishing blood flow by occluding uterine arteries for treating adenomyosis and endometriosis. A non-invasive uterine artery occlusion device embodying features of the invention includes a pair of pressure-applying members with opposed tissue-contacting surfaces, a supporting shaft configured to adjust the distance between tissue-contacting surfaces, and at least one sensor for locating a uterine artery disposed on at least one pressure-applying member. Uterine arteries are occluded by indirectly compressing the artery by compressing tissue near to an artery. One uterine artery may be occluded or both may be occluded simultaneously. A uterine artery may be accessed via a body cavity, such as a patient's vagina, and may be occluded by compressing a portion of the vaginal wall around a portion of a uterine artery.

The present invention relates to a method for measuring the elasticity of the anterior walls of the human vagina. The elasticity of the vagina walls degrade as women age. When a condition occurs called pelvic organ prolapse, the vaginal walls have lost much of the visco-elastic properties. The ability to measure the elasticity in healthy women at an early age and track the changes over time will give researchers the chance to develop new therapies to manage this growing problem. The present invention makes multiple data measurements of vacuum pressures and proximity measurement, by the use of a small insertable, user friendly and quickly sterilizable vaginal device. The proximity sensor not only measures the deformation of the skin pulled into a small hole of the vaginal probe but also measures the skin deformation after the skin has retracted out of the probe hole.

A method for treating urinary incontinence is provided. The method includes providing a device having an expandable portion having an outer surface, a first electrode, and a second electrode, the first and second electrodes coupled to the outer surface of the expandable portion and configured to cause a contraction of a muscle in communication with the electrodes. The method further includes causing the expandable portion to inflate such that the first and second electrodes contact vaginal walls and causing a contraction of a muscle in communication with the electrode.

An inflatable vaginal speculum that includes diametrically and longitudinally expandable sidewalls with openings allowing observation of vaginal walls along the length of the speculum and a central opening allowing viewing down the length of the speculum to the cervix. The speculum may be positioned within an envelope together with a sterile saline solution. An array of the envelopes can be stored in a storage box together with bulb-type pump such as used with a blood pressure cuff. The envelope is opened by tearing down one side so that the speculum can be removed.

Methods and a probes are disclosed for vaginal tactile and electromyographic imaging, and location-guided female pelvic floor therapy. Methods include the steps of inserting a vaginal probe equipped with tactile sensors and electrodes acting as electromyographic sensors into a vagina along a vaginal canal to separate apart two opposing vaginal walls, recording a tactile response and an electromyographic response from at least one of two opposing vaginal walls during pelvic floor muscle contraction, determining locations along the vaginal canal for delivery of therapy based on presence of tactile response above a predetermined tactile threshold and / or presence of electromyographic response above a predetermined EMG threshold along the vaginal probe, selecting at least one of target locations to be used for location-guided therapy, and applying the therapy such as electrical muscle stimulation to at least one of selected locations using the same electrodes at these locations. The probe comprises a probe housing, a tactile sensors array, a plurality of electrodes which can be used as an electromyography array or as an electric muscle stimulation array, and at least one reference electrode.