Abstract: Medical stents having valves and their methods of manufacture are disclosed. The valve may be basket-shaped and formed integral to a medical stent to prevent undesirable backflow across the valve. The valve can be formed by converting the braided wires of the stent, by providing elastomeric material onto a mold or fixture to form an elastomeric valve, or by attaching a gasket valve. The valve is normally closed but configured to allow easy opening in response to a predetermined condition.

Abstract: A composition or device suitable for orthopedic or dental implantation to bone, characterized by tartrate-resistant acid phosphatase (TRAP) adsorbed to a porous hydroxyapatite substratum.

Abstract: Implantable devices useful for creating bony fusion particularly in intervetebral spinal fusion. The device is formed of bone and has a body portion with an upper flange member and an opposite lower flange member extending from the body portion. The upper and lower flange members are at least partially demineralized to create a flexible ligament extending from the body portion. In one application, the body portion is inserted into a disc space and the flexible ligament is secured to vertebrae on either side of the disc space. Techniques are also disclosed for making the implantable devices and for inserting the implantable device into an intervertebral disc space to promote interbody fusion.

Abstract: Methods and devices are provided for repairing or replacing damaged, injured, diseased, or otherwise unhealthy posterior elements, such as the facet joints, the lamina, the posterior ligaments, and/or other features of a patient's spinal column. In one exemplary embodiment, an implant is provided having an anterior portion that is adapted to be positioned between adjacent vertebrae and a posterior portion that is adapted to be positioned around a spinal cord and to couple to a posterior surface of at least one adjacent vertebra. In use, the implant can allow the adjacent vertebrae to move relative to one another, thereby restoring normal function to the vertebrae.

Abstract: The present invention relates to a medical device, and in particular, to a stent-based valve. The valve includes a radially expandable structural frame comprising a proximal anchor and a distal anchor. The proximal and distal anchors are formed from a lattice of interconnected elements, and have a substantially cylindrical configuration with first and second open ends and a longitudinal axis extending there between. The stent based valve also comprises one or more connecting members, each having a first and a second end. The first end of each connecting member is attached to the proximal anchor and the second end of each connecting member is attached to the distal anchor. A biocompatible valve assembly is attached to the proximal anchor and extends distally along the one or more connecting members.

Abstract: A liner for use with a prosthesis comprises an inner layer, a cushion layer, an outer layer, and a bead defining the upper edge of the liner. The bead can be disposed between the inner and outer layers and may comprise an elastomeric material of non-uniform thickness. A method for making a prosthesis liner comprises a) making a positive of the residual limb, b) constructing an inner layer on the outer surface of the positive, c) defining an upper edge of the liner, d) forming a mold that reflects the shape of the positive and the defined upper edge, e) using the mold to shape a cushion layer that has a defined upper edge, f) applying a bead along the desired upper edge of the liner, g) applying the cushion layer to the inner layer; and h) constructing an outer layer on the outer surface of the cushion layer.

Abstract: An immediate postoperative prosthesis including: a base adapted to receive a distal prosthetic component, the base comprising a substantially circular pan having a raised wall extending proximally about its periphery; a plurality of flexible straps mounted to and extending proximally from the interior face of the raised wall of the circular pan, the flexible straps adapted to interface with a postoperative residual limb; and wrap materials wrapped around and substantially solidified about the flexible straps. The invention also includes a process for postoperative fitting of a prosthetic component to a residual limb of a prosthetic recipient.

Abstract: A selector valve capable of maintaining a closed position for a while even if an operating force to a valve element (80) is eliminated when the selector valve (10) is switched from a closed position (braking state) to an open position. The valve element (80) of the selector valve (10) receives an operating force from the outside and a returning force in the opposite direction of the operating force by a valve spring (90). Accordingly, the valve element (80) opens and closes the valve by making the first end (801) of the valve element (80) seat on/unseat from a valve seat (48) on the housing (20) side according to the presence or absence of the operating force. A first port (31) and a second port (32) on both sides of the valve seat (48) are connected or cut off from each other by the opening and closing. The valve element (80) is formed in a stepped structure, and receives a force based on a difference in pressure receiving area by the stepped structure which results from the pressure of hydraulic fluid.

Abstract: A prosthetic foot device with variable stiffness response includes a variable energy transfer mechanism or variable resistance cell disposed between first and second foot members to transfer a variable amount of energy from the second member to the first member during use. The energy transfer mechanism or variable resistance cell includes a variable orifice with variable size to variably resist flow of fluid therethrough, and thus variably transfers energy between the first and second members to vary stiffness of the prosthetic foot device.

Abstract: A device used to treat heart disease by decreasing the size of a diseased heart, or to prevent further enlargement of a diseased heart. The device works by limiting the volume of blood entering the heart during each cardiac cycle. The device partitions blood within the heart, and protects the heart from excessive volume and pressure of blood. The device is placed within the interior of the heart, particularly within a ventricular cavity. The device is a hollow sac, with two openings, which simulates the shape and size of the interior lining of a ventricle of a normal heart. It allows the ventricle to fill through one opening juxtaposed to the annulus of the inflow valve to a predetermined, normal volume, and limits filling of the heart beyond that volume. It then allows blood to be easily ejected through the second opening through the outflow valve.

Abstract: A catheter for delivery of an expandable intracorporeal device and method of using the catheter. The catheter may have an elongate shaft with a proximal section, distal section, proximal end and distal end. The distal section has a radially expandable shear barrier which is at least partially radially constrained by an outer radially constraining section. An expandable intracorporeal device, specifically an expandable endovascular graft, is disposed within an inner space within the radially expandable shear barrier. The catheter is guided to a desired site within a patient's body and the radial constraint of the outer radially constraining section is at least partially removed from the radially expandable shear barrier so as to allow the shear barrier and expandable intracorporeal device to expand and deploy.

Abstract: A kit (100) for use in performing joint arthroplasty on a head of a long bone (4) is provided. The kit (100) includes a first trial (102) including a first trial articulating surface (106) and an opposed first trial mounting surface (108) having a first trial location feature (110). The kit (100) also includes a second trial (104) including a second trial articulating surface (112) and an opposed second trial mounting surface (114) having a second trial location feature (116). The first trial articulating surface (106) and the second trial articulating surface (112) have different geometries and the first trial location feature (110) and the second trial location feature (116) have substantially identical geometries whereby different trials may be used with a common location feature.

Abstract: An alignment assembly for a modular prosthesis. The alignment assembly includes a plurality of modular components that can be selectively connected to each other for providing selectively linear adjustability along first and second non-parallel axes, and rotational/angular adjustability about three orthogonal axes.

Abstract: A stent is adapted to be implanted in a duct of a human body to maintain an open lumen at the implant site, and to allow viewing body tissue and fluids by magnetic resonance imaging (MRI) energy applied external to the body. The stent constitutes a metal scaffold. An electrical circuit resonant at the resonance frequency of the MRI energy is fabricated integral with the scaffold structure of the stent to promote viewing body properties within the lumen of the stent.

Abstract: Methods, systems and devices for preventing prosthetic articulating surfaces from separating from each other. A containment system according to one embodiment seeks to prevent an implant stem head from dislocating from a prosthetic component while providing an increased range of motion over conventional contrained components. In one embodiment, an implant structural member includes a cavity and an opening having a lip, including a web along a portion of the lip. An implant stem head has a cooperating surface that corresponds with the web, so that when the cooperating surface of the implant stem head is aligned with the web, the head may be inserted into the implant structural member. The implant stem head is then rotated and the femoral stem component attached, thereby preventing dislocation of the head.

Abstract: A prosthetic stent with a tubular wall having local inwardly or outwardly formed elevations. Stents having such elevations have a higher mechanical stability if bent according to the curvature of the body vessels to be supported or repaired. Also a method for manufacturing a stent with such elevations is described.

Abstract: An interbody spacer includes concave lateral surfaces extending at an angle with respect to the longitudinal axis. In one aspect, the interbody spacer includes upper and lower convex surfaces defined by an arc extending from a center point offset from the spacer midpoint. In another aspect, lateral edges of the upper and lower surfaces are also defined by convex arcs extending from a center point offset from the spacer midpoint.

Abstract: An intraocular lens (IOL) for insertion in a capsular bag of an eye includes an optic for focusing light and a movement assembly coupled to the optic. The movement assembly is adapted to cooperate with the capsular bag to effect accommodating movement of the optic. The movement assembly includes one or more elongated fixation members coupled to a periphery of the optic and adapted to convert radial movement of the capsular bag to axial movement of the optic. The fixation members extend spirally at least half-way around the optic. Angled transition sections may be provided between each fixation member and the optic periphery. The anterior and posterior edges of the optic periphery may have relatively sharp angles to reduce epithelial cell growth.

Abstract: A urethral prosthesis with prostatic and bulbar segments connected by two types of ties allows the prosthesis to assume at least two configurations different with inter-segmental distances adapted to situations where the patient either has or does not have normal control of the external sphincter. This is particularly useful for a patient undergoing an anesthetic procedure that affects the external sphincter muscles. When the muscles are anesthetized, the prosthesis may provide constant urine voiding, and when the anesthetic effects wear off, the prosthesis may assume a different configuration to allow the sphincter to reassert control over urinary voiding.

Abstract: An acetabular component for a hip replacement system comprises an acetabular shell, and a liner having a seal for insertion into the acetabular shell. In the preferred embodiment, the shell has a smooth tapered surface in its peripheral inner surface, and the liner has several annular ridges protruding from its outer surface. Upon insertion of the liner into the shell, the annular ridges of the liner come into sealing engagement with the smooth tapered surface of the shell. This sealing engagement substantially prevents a migration of debris along an interface of the liner with the shell. The liner is provided with several peripheral tabs for interference fit with several peripheral notches in the shell. An interlock comprising another liner ridge and a shell groove, provide a positive engagement to hold the liner in the shell as it bottoms therein.