Abstract: A stent prosthesis for vascular surgery for inserting into an artery, particularly for bridging a vascular enlargement in the area of the aortic arch, comprising a tubular flexible and radially expandable stent body, on which at least one tear-proof long thread is attached in a fixed manner at a point of attachment on the outer peripheral surface of the stent body in the front portion thereof The thread can be recognized under x-ray radiation and has a free thread length of a number of decimeters and, starting from the point of attachment, is exposed outside the stent body so that the stent body, while following the thread, can be passed into the artery and can be placed, by means of the thread, in position inside the artery and can be subsequently fixed to the vascular wall.

Abstract: A bifurcated stent that is positionable adjacent to a branched body vessel. The stent includes a tapered middle portion with a side branch assembly for positioning within the deviating branch of a body vessel. The portion of the stent positioned within the first body vessel and the portion positioned within the main branch vessel have largely different sized diameters. The middle region tapers steeply to bridge this diameter differential. The tapered middle region also angles the side branch assembly which can easily be extended at an angle to the main body of the stent.

Abstract: An orthopedic device for ball and socket joint reconstruction. The anchor stem is adapted to be anchored in a medullary canal. A proximal portion of the anchor stem includes a threaded hole oriented along a longitudinal axis thereof. Metaphyseal portion includes a proximal end with recess and a longitudinal bore in fluid communication with the recess, and a distal end adapted to interface with the proximal portion of the anchor stem. An anti-rotation structure is preferably located at an interface of the anchoring stem to the metaphyseal portion to prevent rotation of the anchor stem relative to the metaphyseal portion around the longitudinal axis. A fastener is provided to extend through the longitudinal bore and to engage with the threaded hole on the anchor stem to fix the metaphyseal portion to the anchoring stem. The locking assembly is located in the recess and mechanically couples the head of the fastener to the metaphyseal portion to limit rotation of the fastener relative to the metaphyseal portion.

Abstract: An auditory ossicle prosthesis (10) which comprises, at one end, a plate-shaped first securing element (11) for bearing on the tympanic membrane or on the footplate of the stirrup, and, at its other end, a second securing element (12) for mechanical connection to the ossicular chain or to the inner ear, and also a connection element (13) that connects the two securing elements so as to conduct sound, wherein the first securing element has a radially inner coupling area (14) for coupling the first securing element to the connection element, and also a plurality of web elements (15, 15?, 15?) for radial connection of the coupling area to radially outer portions (16, 16?) of the first securing element, is characterized in that the coupling area and/or the web elements and/or the radially outer portions are of such a geometric configuration that they together form pieces of a jigsaw from which the first securing element can be assembled in its entirety, wherein the individual jigsaw pieces can be joined to one an

Abstract: An implantable valve prosthesis including a frame defining a lumen extending between a proximal frame end and a distal frame end and a leaflet positioned within the lumen and having a distal edge attached to the frame and a proximal edge free of the frame. The leaflet includes a first and a second slit extending distally from the proximal edge and defining a free portion of the leaflet between the first and second slits. The leaflet is movable between a position that allows fluid flow in an antegrade direction and a second position that restricts flow in a retrograde direction.

Abstract: An implantable endoluminal prosthesis for replacing a damaged aortic valve is provided. In one embodiment, the prosthesis includes a balloon-expandable stent, a tubular conduit that extends into the ascending aorta, and a self-expanding stent. The tubular conduit extends across the balloon-expandable stent. The tubular conduit includes an artificial valve. The self-expanding stent extends across the tubular conduit into the ascending aorta. The balloon-expandable stent, the tubular conduit, and the self-expanding stent are coupled to provide unidirectional flow of fluid into the aorta and further into the coronary arteries. Also provided is a method for implanting the endoluminal prosthesis.

Abstract: A prosthetic stented heart valve which includes a compressible and expandable stent structure having first and second opposite ends, an expanded outer periphery, and a compressed outer periphery that is at least slightly smaller than the expanded outer periphery when subjected to an external radial force. The valve further includes a valve segment comprising a dual-layer sheet formed into a generally tubular shape having at least one longitudinally extending seam, and a plurality of leaflets formed by attachment of an outer layer of the dual-layer sheet to an inner layer of the dual-layer sheet in a leaflet defining pattern. The valve segment is at least partially positioned within the stent structure. The valve may further include at least one opening in the outer layer of the dual-layer sheet that is spaced from both the first and second ends of the stent structure.

Abstract: A method of treating a bodily lumen with a stent including disposing a stent within a bodily lumen in which the stent has a plurality of deformable struts that are substantially circumferentially aligned is described. The deformable struts are configured to selectively deform in a circumferential direction in localized regions in the struts upon application of an outward radial force. The stent is expanded by applying the outward radial force which causes selective deformation of the deformable struts in a localized region in the struts.

Abstract: Branched braided stent or graft devices and processes for fabrication of the devices are disclosed in which a trunk portion and two hinge leg portions are fabricated in one piece braided from a single plurality of filaments, whereby the legs contain the full plurality of filaments and the trunk portion contains a subset of the same plurality of filaments. The fabrication process involves braiding the hinged legs on a mandrel while retaining loops of filament between the hinged leg portions for subsequent braiding of the trunk portion of the stent or graft.

Abstract: Glenoid prosthesis with a hybrid design (combining both peg and keel designs), and surgical methods for reconstitution of a shoulder joint. The hybrid design combines both peg and keel components into one device. The hybrid glenoid component of a shoulder prosthesis includes an oval body having a concave lateral articulating surface and an opposing convex medial surface. The medial surface is provided with a plurality of pegs and a single inferior protrusion. The pegs are used to attain both a superior location as well as a central location. The inferior protrusion provides stability in the superior-to-inferior translation of the humeral head, as well as rotational articulation of the same.

Abstract: A self-expanding or otherwise expandable artificial valve prostheses for deployment within a body passageway, such as a vessel or duct of a patient. The valve prostheses include a support structure having an outer frame, a supporting member and a valve leaflet. The portion of the valve leaflet is supported by the supporting member and is positioned away from the wall of the body passageway when the device is deployed within the body passageway.

Abstract: An intraocular lens is disclosed, with an adjustable optic that changes shape in response to a deforming force exerted by the zonules of the eye. A haptic supports the optic around its equator and couples the optic to the capsular bag of the eye. The haptic may include a cap on the anterior and/or posterior surfaces of the lens. The lens may include a force transfer member, such as a hinge, that couples forces from the haptic to the cap, so that a radial force on the haptic changes the curvature of the cap. The haptic and optic may be refractive index-matched. The cap may be made of the haptic material, which is stiffer than the optic material, and can influence the deformation of the lens during accommodation. A cap on the anterior surface may produce an axial movement of the lens in an anterior direction during accommodation. The cap may also protect the surfaces of the optic during handling and installation.

Abstract: As a novel biodegradable metallic material the degradation speed of which in vivo can be controlled over a broad scope while achieving desired mechanical properties such as strength, work hardening and ductility without restricting the shape of an implant device, it is intended to provide a magnesium-based biodegradable metallic material which comprises Mg containing Mg as the major composition and having a concentration of inevitable impurities equal to or less than 0.05 atomic %, is free from precipitates or intermetallic compounds, and has an average grain size being regulated to equal to or less than ¼ of the minimum part of the material.

Abstract: An orthopedic prosthetic implant comprises a metal alloy stem element (13, 63, 113), which has one end portion (19, 69, 119) constructed to reside in the medullary cavity of a bone and an integral connector (23, 73, 123) at the opposite end to which crystalline brittle head (17, 67, 117), preferably made of pyrocarbon-coated graphite, is joined. The head interfaces with human bone, and its effective joinder to the stem element is achieved through a polymeric insert (15, 65, 115) of proportional shape and design which has selected elastic properties. The design and material of the polymeric insert allow it to be securely received within an interior cavity (35, 77, 131) of the pyrocarbon-coated graphite head and mated to the stem connector in an either rigidly or bi-polar arrangement. The method of joinder allows the construction of composite implants that utilize the most desirable properties of metallic and brittle crystalline materials.

Abstract: The present disclosure concerns embodiments of a reshaping apparatus and methods for restoring the conical shape of a dilated heart ventricle, or at least reshaping the ventricle to a more conical shape to counter the effects of dilation, thereby improving pumping efficiency. In an exemplary embodiment, a reshaping apparatus comprises an implantable body that can be delivered to a dilated left ventricle via the patient's vasculature in a minimally-invasive procedure. When deployed inside the left ventricle, the body is adapted to apply a longitudinal (downward) force against the inner surface of the left ventricle that causes the ventricle to distend or elongate downwardly relative to the base of the heart so as to at least partially restore the conical shape of the heart. In other embodiments, one or more tension members can be secured to heart tissue inside a heart chamber or on the outside of the heart and placed in tension to reshape the geometry of the heart.

Abstract: A stent is disclosed that generates an elevated degree of scaffolding to a bodily vessel while retaining a highly flexible structure. In one embodiment, a stent includes an essentially tubular body formed by a web structure that is configured to expand from a contracted delivery configuration to an expanded deployed configuration and that is composed of a plurality of longitudinally adjacent web rings. Those web rings are formed by a plurality of web elements disposed circumferentially around the longitudinal axis of the stent and adjoined one to the other with a junction bend. Each junction bend in a first web ring is coupled to another junction bend in a neighboring ring with as-shaped connector, and the coupled junction bends are not longitudinally aligned but are instead laterally offset.

Abstract: A medical implant, in particular a stent for insertion in a bodily lumen, having a base structure (2, 3), wherein a passive electronic oscillating circuit configuration (4), comprising at least one inductor (L) and at least one capacitor (C1 through C4), is integrated in the base structure (2, 3), whose natural frequency (fres0) in the implanted state of the implant (1) is externally detectable by exciting the oscillating circuit configuration (4) using electromagnetic radiation such that a significant identification feature or a change of the base structure (2, 3) is detectable by the value or a change of the natural frequency (fres0) of the oscillating circuit configuration (4).

Abstract: An implantable prosthesis for use in positioning a breast implant comprising a sheet of a prosthetic material configured to form a sling-shaped receiving area for receiving and supporting the breast implant. The surface area of the implantable prosthesis contacting the breast implant comprises a biocompatible or chemically inert material to prevent abrasion of or reaction with the breast implant. The implantable prosthesis of the present invention can be used during corrective procedures to reposition and support a malpositioned breast implant or during reconstructive or cosmetic procedures at the time the implant is first positioned within the patient. The prosthesis is used with implants in the partial sub-muscular, completely sub-muscular, and sub-glandular position and is used to prevent medial, lateral and inferior displacement of the implant.

Abstract: A porous prosthesis for delivering a medication to the site of implantation. The prosthesis, such as a stent, includes a first porous region and a second porous region and is at least partially formed from a molybdenum-rhenium alloy. The porous regions can have different porosity. A stent includes first, second and third porous region, the first porous region being between the second and third porous regions, and a therapeutic agent is disposed in the first porous region. A stent can also include a solid core and inner and outer porous layers surrounding the core.

Abstract: Polymeric stents having fracture toughness and resistance to recoil after deployment are disclosed along with methods of manufacturing such stents. Improvements to mechanical characteristics and other improvements may be achieved by having polymer chains within individual stent struts oriented in a direction that is closer to or in line with the axis of the individual stent struts. The desired orientation of polymer molecules may be achieved by one or any combination of extruding polymers into hollow tubes to induce axially oriented polymer chains, applying a tensile load to polymer tubes to induce axially oriented polymer chains, and radially expanding polymer tubes to induce circumferentially oriented polymer chains. Stent patterns include struts defining diamond shaped cells and/or W-shaped cells.