Abstract: A soft tissue tensioning system comprises a manual suture tensioning device having a bar and a finger guard which is orthogonal to the bar. A lateral suture cleat is disposed on each lateral end of the bar, and a primary suture cleat extends about a top and a bottom of each of the opposed lateral ends of the bar.

Abstract: Devices, systems, and methods employ an implant that is sized and configured to attach in, on, or near the annulus of a dysfunctional heart valve. In use, the implant extends either across the minor axis of the annulus, or across the major axis of the annulus, or both. The implant restores to the heart valve annulus and leaflets a more functional anatomic shape and tension. The more functional anatomic shape and tension are conducive to coaptation of the leaflets, which, in turn, reduces retrograde flow or regurgitation.

Abstract: Instrumentation for implanting an artificial intervertebral disc includes repositioners/extractors for repositioning and extracting the static trials or the artificial intervertebral discs, each of the repositioners/extractors including a shaft and at least two pins coupled to the shaft distal end and extending in a same direction and perpendicular to a plane passing through the shaft longitudinal axis, each pin being parallel to all others of the pins, wherein the disc includes at least two holes, at least two of the pins being sized, directed, and spaced for simultaneous engagement with at least two of the holes, and wherein such simultaneous engagement enables repositioning of the implant via application of pressure to the shaft.

Abstract: Disclosed is a mammary prosthetic implant with an expandable mammary prosthesis that expands to an enlarged state after implantation. A prosthetic device supports, and conforms to the shape of, the mammary prosthesis before, during, and after the mammary prosthesis is expanding within the implantation site. The prosthetic device has an absorbable main body formed of other than biological tissue, and is penetrable for the in-growth of dermal or subcutaneous tissue. The main body has an anterior end portion, an opposite posterior end portion, and a size relative to the mammary prosthesis upon implantation so that the anterior end portion engages an incised portion of a pectoralis major extending anteriorly of the mammary prosthesis while the opposite posterior end portion engages tissue inferiorly spaced from the incised portion of the pectoralis major and near the inframammary fold. Methods of preparing and using a prosthetic device as described herein also are disclosed.

Abstract: A method for treating a stenotic native aortic valve in a human heart is provided. The method comprises dilating the stenotic native aortic valve using a dilatation catheter and then deploying a prosthetic heart valve within the dilated stenotic native aortic valve. The prosthetic heart valve comprises a collapsible and expandable metallic stent and a valvular structure formed of a synthetic biocompatible material. The valvular structure is positioned substantially between the inlet and outlet ends of the stent for preventing the flow of blood in one direction. The prosthetic heart valve may further comprise an internal sleeve for creating a seal along at least a portion of the stent wall.

Abstract: A method is disclosed for arthroscopic or open rotator cuff repair by advancing a suture pin and a suture which the pin carries through a humerus, rotator cuff and adjacent soft tissue and skin using an insertional guide and thereafter tensioning and securing the suture.

Abstract: An annuloplasty ring for repairing a cardiac valve includes an expandable support member having oppositely disposed proximal and distal end portions and a main body portion between the end portions. The proximal end portion of the support member includes a plurality of wing members that extend from the main body portion. Each of the wing members includes at least one hook member for embedding into a cardiac wall and the valve annulus to secure the annuloplasty ring in the valve annulus. The annuloplasty ring may be expanded into full contact engagement with the annulus of the cardiac valve by an inflatable balloon. Methods for repairing a cardiac valve using the annuloplasty ring are also provided.

Abstract: Implantable medical devices having at least one porous layer, and methods for making such devices, and loading such devices with therapeutic agents are described. A mixture or alloy is placed on the surface of a medical device, then one component of the mixture or alloy is generally removed without generally removing the other components of the mixture or alloy to create the pores of the porous layer. The porous layer may be adapted for bonding non-metallic coating, including drug eluting polymeric coatings. A porous layer may have a random pore structure or an oriented or directional grain porous structure. The medical device may be a vascular stent having at least one porous layer adapted to resist stenosis or cellular proliferation.

Abstract: A fixation augmentation device (FAD) comprising a generally tubular body having a first end and a second end, said body having an opening adapted to receive a screw therein; a collar attached to the first end of said body, said collar having a non-circular shape and having an opening which is aligned with the opening in said body; and at least one flange disposed at the second end of said body, wherein said at least one flange is extendable from said body in response to a screw being inserted into the hole of said body.

Abstract: A volar fixation system includes a plate intended to be positioned against the volar side of the radial bone. The plate includes holes for receiving fasteners along a fixed axis relative to the plate. The plate is positioned against the radius bone, and a portion of the plate is preliminarily fixed to the radius bone. The fracture is reduced, and a plurality of fasteners are each inserted through a respective plate hole so as to extend immediately below the subchondral bone of the radius bone and is fixed in axial relationship relative to the plate. Together the fasteners form a stabilizing construct that conforms to the concave curvature of the articular surface of the radius bone.

Abstract: A endoprosthesis includes a body comprising a plurality of interconnected struts. The body includes a bioerodible metal. At least a first strut of the plurality of interconnected struts includes a stripe on the surface of the first strut. The stripe including a nitride of the bioerodible metal, a fluoride of the bioerodible metal, or a combination thereof. The stripe runs along the length of the first strut. The stripe is part of a continuous network of stripes on struts adjacent to the first strut.

Abstract: A sewing ring for prosthetic heart valves that is connected and configured to pivot outward. A biocompatible fabric covering surrounds at least a portion of the sewing ring, and the ring may be exclusively connected to a stent with the fabric. The sewing ring may be generally planar and of uniform thickness, or may be of varying thickness. The fabric may be used to encompass both the stent and the sewing ring, and may be a single piece. A seam may be provided in the fabric as a discrete pivoting line. The sewing ring may be convertible between bi-stable positions. The ring may extend outward in a frusto-conical shape so as to enable inversion between a position facing the inflow end of the valve and a position facing the outflow end of the valve. The sewing ring may have a compliant insert having a celled construction defined by outer walls and inner ribs. A method of implantation, and a method of assembly of the heart valve is also provided.

Abstract: Basal thumb joint implant has a head with a smooth, generally hemispherical, medio-proximally directed, articulating surface, and a generally abrupt, distally directed, truncation thereto; and a stem attached to the head, which arises from the truncation of the head and includes at least one of the following features: A) a general angle of attachment to the head which is acute in relation to the truncation of the head; B) a flanged cross-sectional stem profile; C) an inwardly curved stem; D) an eccentric head attachment site for the stem. The implant may be one-piece or modular in construction.

Abstract: Instrumentation for implanting an artificial intervertebral disc includes static trials and a dynamic trial for determining the appropriate size of disc to be implanted, static trial holders for manipulating the static trials, inserter/impactors for inserting and removing the static trials and for inserting the artificial intervertebral discs, repositioners/extractors for repositioning and extracting the static trials or the artificial intervertebral discs, and a leveler for setting the proper position of the artificial intervertebral disc. Methods for using the same are also disclosed. Features for artificial intervertebral discs and intervertebral spacer devices useful for manipulation by the instrumentation are also disclosed.

Abstract: A technique to manufacture small joint orthopedic implants includes the steps of taking standard radiographs of a pathologic joint and the corresponding non-pathologic joint. In order to provide an accurate frame of reference, a specialized marker is placed in the radiographic field. By inspection of the radiographs and by comparison with the marker, the dimensions of the cortical bone and the cancellous bone can be quickly and accurately determined. These dimensions can be used to manufacture a suitable implant and installation tool. Typically, the implant will include a stem from which a post projects. A radially extending collar is located at the intersection between the stem and the post. A mating head is attached to the post. The head closely approximates the size and shape of the natural head being replaced. The stem will be non-round in cross-section to prevent rotation of the stem in the bone.

Abstract: To prevent intimal hyperplasia within a dialysis graft, a flexible tube comprising the dialysis graft is coated interiorly with an anticarcinogen or mitosis-inhibiting agent for preventing cell division. The graft can also be irradiated by directing light into the lumen of the tube that has been grafted to the patient's blood vessel. The light source can be a light emitting diode (LED) or a chemical light source, i.e., a chemiluminescent substance for producing cool light energy at the site of the graft in sufficient amount to prevent undesired cell proliferation within the vessels, within the graft, or surrounding tissue where the invention is used without detectable damage to body tissue. Visible light can be used, e.g., visible blue or red light or the combination can be produced by an incandescent lamp or other suitable lamp, an LED, a laser or chemical light source with wavelengths predominantly between about 300 nm to about 800 nm.

Abstract: Stents and methods of manufacturing a stents with enhanced fracture toughness are disclosed.

Abstract: A stent may include a side branch cell comprising a plurality of petals. Each petal may comprise struts and turns, and may have a longitudinal axis oriented at an angle to the stent longitudinal axis. Each petal may include a plurality of straight struts which are substantially parallel to the stent longitudinal axis. Each petal may include at least one appendage which may be oriented substantially parallel to the stent longitudinal axis, and which may remain substantially parallel to the stent longitudinal axis as the stent is deployed. The dimension of the side branch cell about the circumference of the stent may increase more than the dimension of the side branch cell in a stent lengthwise directions as the stent is expanded.

Abstract: Instrumentation for implanting an artificial intervertebral disc includes static trials and a dynamic trial for determining the appropriate size of disc to be implanted, static trial holders for manipulating the static trials, inserter/impactors for inserting and removing the static trials and for inserting the artificial intervertebral discs, repositioners/extractors for repositioning and extracting the static trials or the artificial intervertebral discs, and a leveler for setting the proper position of the artificial intervertebral disc. Methods for using the same are also disclosed. Features for artificial intervertebral discs and intervertebral spacer devices useful for manipulation by the instrumentation are also disclosed.

Abstract: The present invention is directed to a stent for use in a bifurcated body lumen having a main branch and a side branch. The stent comprises a radially expandable generally tubular stent body having proximal and distal opposing ends with a body wall having a surface extending therebetween. The stent also comprises a branch portion that is deployable outwardly from the stent body into a branch vessel.