Abstract: A talar implant system and method in one embodiment includes an articulation component with an articulating surface extending upwardly from a first plane and configured to articulate with a tibial component, and a distal portion for implanting in a bone, the distal portion having a longitudinal axis and configured to be rigidly coupled with respect to the first plane at any angular position selected from a range of angular positions within a second plane perpendicular to the first plane.

Abstract: An orthopedic device for implanting between adjacent vertebrae comprising: an arcuate balloon and a hardenable material within said balloon. In some embodiments, the balloon has a footprint that substantially corresponds to a perimeter of a vertebral endplate. An inflatable device is inserted through a cannula into an intervertebral space and oriented so that, upon expansion, a natural angle between vertebrae will be at least partially restored. At least one component selected from the group consisting of a load-bearing component and an osteobiologic component is directed into the inflatable device through a fluid communication means.

Abstract: A composite implant is provided for repairing a tissue defect in a patient. In one embodiment, the implant is a porous tissue scaffold having at least one pocket formed therein and adapted to contain a viable tissue. The tissue scaffold can have a variety of configurations, and in one embodiment it includes top and bottom portions that can be at least partially mated to one another, and in an exemplary embodiment that are heated sealed to one another around a perimeter thereof to form an enclosed pocket therebetween. The pocket is preferably sealed with a viable tissue disposed therein. In another embodiment, the tissue scaffold is substantially wedge-shaped and the pocket comprises a hollow interior formed in the tissue scaffold, and/or at least one lumen extending into the tissue scaffold. The tissue scaffold can also optionally include at least one surface feature formed thereof to promote blood vessel formation.

Abstract: A tubular woven fabric is useful as a transport hose for a fluid or a powder, as a protective hose for linear bodies such as wires, cables and conduits, as a tubular filter, or as a base material of a vascular prosthesis. The tubular woven fabric includes warp yarns and weft yarns interwoven with each other, the tubular woven fabric having an outer diameter with a variation of within 10% along the warp direction and satisfying the formula: (L2?L1)/L1?0.1.

Abstract: A stent comprising a stent body and a plurality of cells is disclosed. Each cell includes two structural members extending in an undulating pattern. Each structural member includes a plurality of cell segments defining a plurality of peaks and valleys therebetween. A first segment and a second segment defining a first peak, the second segment and a third segment defining a first valley, the third segment and a fourth segment defining a second peak, the fourth segment and a fifth segment defining a second valley, the fifth segment and a sixth segment defining a third peak. The first peak, the second peak and the first valley include a first radius of curvature. The third peak and the second valley include a second radius of curvature. The first radius of curvature is larger than the second radius of curvature.

Abstract: A prosthetic heart valve, which may include an expandable annular outer frame having a tubular portion and at least one tissue anchor portion configured to extend from the tubular portion, may be provided. The at least one tissue anchor portion may have a plurality of attachment locations. The prosthetic heart valve may also include an expandable inner frame configured at least partially within the expandable annular outer frame. The expandable inner frame may be connected to the expandable annular outer frame solely at one or more of the plurality of attachment locations of the at least one tissue anchor portion.

Abstract: A multi-lumen stent-graft including a graft portion and a stent frame. The stent-graft includes multiple through-channels formed of the graft portion. The graft portion can comprise a PTFE material and the through-channels can be formed of fused portions of the graft portion. The stent-graft can be used in a prostheses that connects multiple vessel branches such as for the repair of aortic aneurysms or other vessels of the body.

Abstract: A frame for a prosthetic heart valve includes a plurality of strut members arranged to form an annular main body and coupled together by a plurality of pivot joints. The main body of the frame is radially collapsible to a collapsed configuration and radially expandable to an expanded configuration, and the frame has an inflow end and an outflow end. The frame further includes a plurality of leaflet clamps disposed on the exterior of the main body of the frame and coupled to the strut members. The leaflet clamps are movable between an open position corresponding to the collapsed configuration of the frame and a closed position corresponding to the expanded configuration of the frame. Motion of the main body of the frame between the collapsed configuration and the expanded configuration causes corresponding motion of the leaflet clamps between the open position and the closed position.

Abstract: An intravascular support device includes a support or reshaper wire, a proximal anchor and a distal anchor. The support wire engages a vessel wall to change the shape of tissue adjacent the vessel in which the intravascular support is placed. The anchors and support wire are designed such that the vessel in which the support is placed remains open and can be accessed by other devices if necessary. The device provides a minimal metal surface area to blood flowing within the vessel to limit the creation of thrombosis. The anchors can be locked in place to secure the support within the vessel.

Abstract: A support layer for a synthetic root comprises at least a first region and a second region. The pattern, material, density and/or tension of the support layer in the first region is different to that in the second region. The support may be formed from a knitted, woven, braided or 3D-printed material. The support layer may be comprised within a synthetic aortic or pulmonary root. In at least one region the synthetic root may have a multi-layered structure with the support layer disposed between an inner and an outer nanofiber layer.

Abstract: A stent-graft prosthesis for implantation within a body vessel includes a graft material, a frame, and a channel. The graft material includes a proximal end, a distal end, and a graft lumen extending between the proximal and distal ends. The frame is coupled to the graft material. The channel is configured to relieve pressure associated with pulsatile blood flow during implantation of the stent-graft prosthesis within a body vessel. The channel permits blood to flow from an upstream side of the stent-graft prosthesis to a downstream side of the stent-graft prosthesis when the stent-graft prosthesis is in a partially expanded configuration in the body vessel. The channel may be a plurality of channels.

Abstract: A stent retractor/distractor includes a radially flexibly enlargeable, pipe-shaped sheath which is divided up in the circumferential direction in at least two sections, namely one stiffening section and one enlarging section with differing radial flexibilities, which are connected with each other in one piece of material. The stent retractor/distractor defined in that way is made on the whole by a laser or water jet cutting procedure, preferably from a pipe blank.

Abstract: The present invention provides devices for treating functional mitral regurgitation and methods of use thereof. The devices translocate a subject's mitral valve in an apical direction. The devices thereby treat mitral regurgitation while preserving a subject's original mitral valve and chordae tendinae.

Abstract: A tapered implantable device includes an ePTFE tubular member having a tapered length portion. The tapered length portion provides rapid recovery properties. The tapered length portion can feature a microstructure that includes a multiplicity of bent fibrils.

Abstract: Technology is described for easy and safe attachment of a prosthetic limb to a percutaneous post that has been osseointegrated into the remnant limb of an individual with limb loss. A quick-disconnect device for a prosthetic limb can comprise a percutaneous post support assembly comprising a post locking assembly attached to a percutaneous post. A roller support can be coupled to the percutaneous post support assembly and can support torsional breakaway rollers. A release housing assembly can be coupled to the percutaneous post support assembly, and can comprise a limb support housing supporting a limb attachment structure to support a prosthetic limb. The release housing assembly comprises a torsional breakaway spring. The plurality of torsional breakaway rollers are each biased to the torsional breakaway spring to generate a spring force to restrict or limit rotation of the percutaneous post support assembly. Other breakaway springs and rollers are provided for bending release and axial release.

Abstract: Provided is a flexible stent with which it is possible to further improve visibility of an impermeable member which is disposed upon a stent and to further improve operability of the stent. Provided is a flexible stent 11, comprising: a plurality of ring-shaped pattern bodies 13 which have a wavy line-shaped pattern and are positioned side by side in an axial direction LD; and a plurality of connecting elements 15 which connect the adjacent ring-shaped pattern bodies 13. When viewed in a radial direction RD which is perpendicular to the axial direction LD, a ring direction CD of the ring-shaped pattern bodies 13 is or is not oblique with respect to the radial direction RD. A plurality of impermeable members 31 which are highly impermeable to radiation are disposed upon and/or positioned in proximity to struts which configure the ring-shaped pattern bodies 13 and/or the connecting elements 15.

Abstract: A surgical heart valve includes a non-collapsible frame having features that enable the frame to expand from an initial condition having a first diameter to an expanded condition having a second diameter larger than the first diameter after the valve has been implanted within a patient. The frame may include members that prevent the unintended expansion of the frame, such as during implantation, and members that prevent the over-expansion of the frame. The surgical heart valve further includes a valve assembly connected to the frame and including a plurality of leaflets.

Abstract: An exemplary valve repair device for repairing a native valve of a patient includes: a strip of material; a coaption element formed from the strip of material; a collar connected to the coaption element; and a pair of paddles formed from the strip of material and connected to the coaption element. The paddles are movable between an open position and a closed position and are configured to attach to the native valve of the patient.

Abstract: A prosthetic heart valve can include an inner support structure, a valve member, and an outer support structure. The inner support structure can have a plurality of first struts coupled together by first pivot joints and forming a first lumen. The valve member can be disposed within the first lumen and coupled to the inner support structure. The valve member can include a plurality of leaflets configured for permitting blood flow through the valve member in one direction. The outer support structure can have a plurality of second struts coupled together by second pivot joints and can form an annulus portion, an outflow portion, and a second lumen. The outflow portion can extend radially outwardly relative to the annulus portion, and the inner support structure and the valve member can be disposed within the second lumen and be coupled to the outer support structure.

Abstract: In certain embodiments, a multiple component heart valve prosthesis includes an abutment ring and a removable bioprosthetic heart valve. The abutment ring is configured for attachment at a heart valve annulus location and includes a locking system. The removable bioprosthetic heart valve includes a valve frame and at least one locking feature. The at least one locking feature is configured to be received by the locking system. The bioprosthetic heart valve can be rotated relative to the abutment ring such that the at least one locking feature transitions from a disengaged position to a first engaged position. When in the disengaged position the bioprosthetic heart valve may be removed from the abutment ring, and when rotated to the engaged position the bioprosthetic heart valve is restrained from axial movement relative to the abutment ring.