Abstract: A process for treating orthopedic injuries including the steps of presenting a set of treatment protocols; approving a treatment protocol from among the presented set of treatment protocols; capturing information identifying the approved treatment protocol from among the set of presented protocols; and generating information from the captured information into a form compatible with a handheld computer adapted for connection to an orthopedic sensor system. The generated information includes parameters of the identified approved treatment protocol. The process may also include the steps of basing the presented set of treatment protocols upon a database of historic patients, orthopedic injuries, treatment protocols and outcomes, and retaining information about the current patient, the patients injury, treatment protocol and outcome. A system for treating orthopedic injuries with a historic database on a central computer and a handheld computer attached to a sensor system.

Abstract: A surgical method for loading ligament grafts into a joint. A longitudinal-socket formed in a bone is intersected by a transverse pin. A flexible strand is drawn with the pin through the bone. A looped portion of the strand is diverted so as to protrude out of the entrance to the longitudinal socket. The ends of the strand remaining accessible on either side of the bone. The ligament graft is captured within the strand loop protruding from the entrance to the socket. The strand is retracted into the socket, drawing the graft into the socket by pulling on the accessible ends of the flexible strand. The graft is fixed in the socket using a transverse implant.

Abstract: A keratin hydrogel-filled implantable prosthetic device. One device is a breast implant for augmenting or reconstructing a human breast including an envelope containing a keratin hydrogel. One keratin hydrogel is formed from a solid precursor which forms a keratin hydrogel upon addition of water. One source of keratin is human hair. In one method, an envelope suitable for implantation and a solid keratin hydrogel precursor are provided. The solid can be in fibrous or powder form. The solid precursor can be inserted into the envelope interior. A small incision near the breast can be made and the envelope inserted into the incision. After insertion, water can be injected into the envelope interior, preferably through the incision and through a self-sealing port in the envelope. In one method, the implant is provided as a kit, with the envelope and keratin hydrogel provided. The hydrogel can be injected into the envelope either before or after insertion into the breast area.

Abstract: Polysiloxanes suitable for the preparation of intraocular lenses by a crosslinking reaction, having a specific gravity of greater than about 1.0, a refractive index suitable for restoring the refractive power of the natural crystalline lens and a viscosity suitable for injection through a standard cannula are provided. Moreover, injectable intraocular lens material based on these polysiloxanes and methods of preparing intraocular lenses by direct injection into the capsular bag of the eye are also disclosed.

Abstract: The present invention provide a biomaterial comprising an extirpated piece from a tissue selected from the group consisting of the cornea, muscle, tendon, cartilage, alimentary canal, liver, pancreas, spleen, kidney, heart, blood vessel, nerve and brain of Chondrichthyes, Osteichthyes or Cyclostomata.

Abstract: A mini capsulorhexis valve device is composed of a curved, flexible discoid flap-valve member shaped to align with an ocular lens capsular bag inner surface, and a curved, flexible retainer member shaped to align with an ocular lens capsular bag outer surface, the curved, flexible retainer member being attached at a fastening point to the curved, flexible discoid flap-valve member. Attachment of the curved, flexible discoid flap-valve member to the curved, flexible retainer member may be via bonding with a silastic adhesive. In a method of accessing an ocular lens, the mini capsulorhexis valve device establishes a portal controlling access to an ocular lens. The method may include inserting a cannula through the mini capsulorhexis valve device to permit removal of a crystalline lens matrix and replacement thereof with a capsular filling material.

Abstract: The destruction of undesired fat cells is achieved by use of a device and method whereby apoptosis inducing factors are delivered to undesired fat cells. Adipose inducing factors, such as UV light, IL-1, TNF and dexamethasone are brought into contact with undesired fat cells through the use of an endoscopic device which facilitates conveyance of such factors to such cells. Repeated delivery of such adipose inducing factors can be achieved by having fiberoptic fibers and/or conveyance tubes left beneath a patient's skin in contact with undesired fat.

Abstract: A method of creating a simulated aorta patterned from a natural aorta and having a preselected amount of compliance is disclosed. The dimensions of a simulated aortic root patterned according to the dimensions of a natural aorta are first selected and a mold provided. The amount of circumferential compliance desired in the simulated aorta is then selected, based on natural circumferential compliancies. A material such as silicone rubber formed of an elastomer and a filler is used to form the aorta, the durometer of the material being varied by varying the relative amount of the components, to provide the selected amount of circumferential compliance in a simulated aorta having the selected dimensions. The aorta is then formed curing the material in the mold for about 24 hours. Groups of simulated aortas so produced, sometimes having different sizes and/or compliancies are also disclosed. A method of testing non-stented valves using the aortas is included.

Abstract: Compositions and methods are provided which are effective in treating ovarian cancer. These compositions are easily administered by long term infusion schedules of at least 72 hours, and can be given in dosages that are safe and provide for manageable side effects. These methods and compositions for treating ovarian cancer in patients whose tumors progressed or failed to respond during prior taxane treatment of shorter duration. Surprisingly, it has been shown that longer infusion periods, such as 96 hours, give substantially lower neuropathy and certain other side effects than shorter term infusions.

Abstract: The apparatus for diverting blood from the retro hepatic inferior vena cava (IVC) and internally shunting renal and infra renal IVC blood into the right atrium during surgery on the liver, its vessels, or the retro hepatic IVC is described. It is symmetrical on its mid horizontal axis permitting similar utility whether venous access was above or below the liver. It is a hollow plastic tube with two sidewall openings, one at each end with four intervening completely encircling balloons. It is continuous with a proximal component which serves to remotely manipulate, infuse fluids and inflate the balloons in the distal component. Once introduced into the venous system by right atriotomy or infrarenally by venotomy, the distal component would be advanced and seated in the right atrium and supra renal IVC.

Abstract: Intraocular lenses for implanting within natural capsular bags of human eyes have features on distal end portions to prevent movement or sliding thereof relative to fibrosis pockets or tunnels defined about proximally adjacent haptic portions to fixate haptics against dislocation.

Abstract: The object of the invention is to make available implant elements or other medical products made of biological material with optimum mechanical and biological properties for a wide group of materials by introduction of a specially designed surface layer onto a strong core, where the surface layer is densified by means of hot isostatic pressing and dimensioned according to the basic fracture mechanics equation so that the thickness of the surface layer is less than c in the equation KIC=Y&sgr; c½, where Klc is the fracture toughness, Y a position and shape factor, c the critical defect size, and &sgr; the permitted stress for the actual material and the chosen design stress.

Abstract: A reduced profile eyelid weight longer and wider than traditional eyelid weights but thinner so as to provide a less protruding profile.

Abstract: Apparatus and method is provided for enhancing the action of anti-cancer agents, which includes the introduction of anti-cancer agent into or proximate a tumor within a body and thereafter introducing ultrasonic energy at the solid tumor with the introduced anti-cancer agent. The ultrasonic energy is sufficient to increase the anti-cancer activity on the solid tumor without significant heating of the solid tumor or surrounding tissue.

Abstract: This invention is a method for treating a patient diagnosed with atrial arrhythmia by forming a circumferential conduction block along a circumferential path of tissue in a pulmonary vein wall that circumscribes the pulmonary vein lumen and transects the electrical conductivity of the pulmonary vein such that conduction is blocked along the longitudinal axis of the vein wall and into the left atrial wall. The method is performed to treat a patient with a focal arrythmogenic origin along the pulmonary vein wall by either ablating the focal origin or by isolating the focal origin from the atrial wall with the circumferential conduction block. The circumferential conduction block is also formed in a pulmonary vein in order to bridge the adjacent ends of two linear lesions, wherein each linear lesion is formed to extend between the pulmonary vein and another adjacent pulmonary vein in a less-invasive “maze”-type procedure.

Abstract: In a method of treating a viral infection involving activation of NK cells, the improvement comprising administering to a patient receiving such treatment an effective NK-cell-activity facilitating amount of a histamine H2 or 5-HT1A receptor agonist.

Abstract: A method of modifying the surface characteristics of a substrate having a surface with an amide-functional polymer thereon. The method involves contacting the amide-functional polymer with a source of hydroxide ions and a source of hypohalite ions at a temperature of at least about 20° C. for a time effective to convert at least a portion of the amide-functional groups to amine-functional groups to form a substrate surface comprising an amine-functional polymer, wherein the hydroxide ions are present in a molar excess relative to the hypohalite ions and at a concentration of no more than about 0.1 M, based on the total volume of the reaction mixture. A biomolecule is attached to the resultant amine-functional polymer.

Abstract: An esophageal prosthesis (10) for preventing reflux of gastric fluids through the esophagus. The esophageal prosthesis process includes a tubular frame (11) with a sleeve (13) disposed around and longitudinally along the tubular frame as well as extending from the distal end (14) of the frame. The lower portion (28) of the sleeve has a readily collapsible lumen (15) that forms a one-way valve for preventing the reflux of gastric fluids in an antegrade manner through the esophagus. Fluids however readily flow through the sleeve in a antegrade direction. In response to a pressure build up in the stomach of a patient wanting to belch or vomit, the lower portion of the sleeve inverts through the passage (12) of the tubular frame, thereby relieving the pressure build up or voiding the patient's stomach.

Abstract: The invention relates to a method for in vitro production of bone tissue, comprising the steps of: (a) applying undifferentiated mammalian cells, in particular autologous marrow cells, on a substrate; (b) directly contacting said cells with a culture medium for a sufficient time to produce a continuous matrix; (c) removing the substrate with the matrix from the culture medium. The produced matrix can be used for joint prostheses, maxillofacial implants, special surgery devices, or bone fillers. The contacted culture medium can also be used for the production of active factors such as growth factors.

Abstract: Percutaneous implants are disclosed including a portion implantable into a patient, a dermal bonding region capable of forming a bond between the implant and a dermal layer of the patient after the implantable portion is implanted into the patient, and the dermal bonding region including a substrate with a discontinuous coating of particulate bioactive glass wherein the average spacing between the particles of bioactive glass is predetermined and at least about 20 microns prior to implantation into the patient. Also disclosed are bioactive coatings including a substrate and fibers and/or particles of bioactive glass distributed on the substrate with a predetermined average interfiber distance of at least about 20 microns.