Abstract: A system and related methods for maintaining the patentcy of the ureter comprising a pusher tube having a pusher tube lumen and an inflate lumen disposed within a wall of the pusher tube and a urinary stent having a proximal and distal portions with an elongated body portion therebetween configured to fit the ureter of the patient and defining a lumen. The system further includes an end-effector that may comprise an inflatable balloon positioned at the proximal portion of the urinary stent for retaining the proximal portion in the urinary bladder. At the distal portion, a retention end-piece is positioned for retaining the distal portion of the stent in the renal pelvis. The end-effector and the retention end-piece of the stent maintain the elongated body portion in situ. The end-effector may also include an inflatable balloon and may contain pharmaceutical or biologic agents for controlled release into the bladder.

Abstract: An endoluminal prosthesis is provided with an improved fixation system for coupling the endoluminal prosthesis to an inner wall of a lumen and to reduce distal migration. According to an embodiment of the present invention, a laterally protruding member atraumatically engages the ostium of a side or branch vessel. The protruding member may be fixed to a portion of a prosthesis. In one embodiment the protruding member is provided on a modular fixation device for initial fixation within the body lumen with the finger member within the side or branch vessel. A primary endoluminal prosthesis is then fixed to the modular fixation device to bypass a diseased portion of the anatomy.

Abstract: A stent is designed to be placed within a patient's ureter to facilitate drainage from the patient's kidneys to the bladder. An elongated portion of the stent includes a length sufficient to extend substantially within the ureter from the kidney to the bladder, and defines a lumen extending therethrough. A first end portion extends from one end of the elongated portion and is adapted to assume a retaining configuration when placed substantially within the kidney. A second end portion extends from another end of the elongated portion and flares outward when placed substantially within the bladder to maintain position. The second end portion allows fluids to flow through the lumen and into the bladder and is collapsible to prevent fluid from passing from the bladder to the kidney.

Abstract: An intestine dysfunction treatment apparatus comprises an electric stimulation device (56) implanted in a patient, who suffers from intestine dysfunction. The stimulation device comprises electric conductors adapted to directly engage with a muscle that directly or indirectly affects the transportation of the content of the patient's intestines, for example the anal sphincter (58) or a portion of the muscle that contracts the bowels, to electrically stimulate the muscle to increase the tonus thereof. A control device (62) is provided for controlling a source of energy (64), which may or may not be implanted, to release electric energy for use in connection with the power of the stimulation device. The apparatus can be used for treating patients suffering from anal incontinence or constipation.

Abstract: Several embodiments of an implant sleeve are shown for use with implants inserted through a wound into a surgical site. In some embodiments, the sleeve is useful to protect mating implant components from contamination during insertion through the wound. In other embodiments, the sleeve is useful to clean components that have become contaminated during insertion.

Abstract: A high gain lens system for implant into the capsular bag after removal of the natural crystalline lens. A preferred embodiment of the invention comprises a combination of a positive or convex lens and a negative or concave lens. These two lenses are spaced from one another and their relative spacing and respective focal lengths determine their combined focal length. When the lens system is inserted into the capsular bag, two opposed haptic flanges on each side, extend toward the inner radial edge of the bag adjacent the ciliary muscles. When the muscles contract, the bag is stretched thereby compressing the haptic flanges together or at least toward one another. This action cause the two lenses to separate further from each other and the increased spacing between the positive and negative lenses shortens the focal length to permit focusing of objects at near distances. On the other hand, when the muscles relax, the bag relaxes also, the haptic flanges separate and the lenses come closer together.

Abstract: A reverse shoulder prosthesis system has a humeral stem with a lower cylindrical portion, an upper cylindrical portion, an intermediate conical portion, and a central axis, a large flat with a small recess having an axis forming an angle of about 150 degrees to the central axis. A humeral socket has an upper surface machined as a hemisphere and an attached backing plate formed with a projection as a male Morse taper received in the small recess of the stem. A glenoid head is formed in a hemispherical configuration with a cylindrical pocket. A baseplate has a cylindrical central part, an exterior part, a long cancellous bone screw machined in the center of the exterior part, and an enlarged interior projection for assembly to the head.

Abstract: An endovascular stent graft is provided for use in treating abdominal aortic aneurysms. The endovascular stent has a tapered section which allows it to accommodate markedly large aortas such as the abdominal aorta and still connects to standard modular aortic stent grafts. Methods of utilizing the stent to treat abdominal aortic aneurysms and distal iliac aneurysms are also provided.

Abstract: A method of breast reconstruction utilizes a breast prosthesis having a plurality of chambers or compartments distributed through a body member or shell in the form of a breast. The chambers are disposed along the superior, lateral and inferior surfaces, as well as in the interior, of the body member. The chambers are differentially pressurized or filled in order to control the shape of the prosthesis upon implantation thereof. Valves are provided for regulating the flow of fluid into and from the chambers. The prosthesis and the fill levels of the respective chambers may be selected by computer.

Abstract: The invention relates to a ring (10) for a capsular bag, the ring being constituted by a curved elongate element presenting substantially constant thickness and having inner and outer edges. The elongate element comprises a first branch (30) extending between a first end (20) and a point B, and a second branch (32) extending between said point B and a second end (22), said outer edge of the elongate element when at rest and in its plane of symmetry being disposed substantially tangentially at a point A to a circle of center O and of radius R not less than the radius of the capsular bag, the outer edge of said first branch being defined by a portion of a circle of center O′ and of radius R′, where R<R′<1.10R, the outer edge of the second branch of said elongate element being defined by a portion of a hyperbolic spiral of center O and connected tangentially to said portion of a circle at said point B.

Abstract: Devices for anchoring spinal implants in an intervertebral disc space are provided. Spinal implants are also provided that are resistant to lateral deformation. The implants may include a flexible peripheral supporting band disposed circumferentially about an elastic body. Methods for anchoring spinal implants and methods for reducing deformation of spinal implants are also provided.

Abstract: A artificial blood vessel for facilitating the introduction of fluids into or withdrawal of fluids from the vascular system of an individual, or both, includes a tubular portion that lies beneath skin of the individual and is grafted to a natural blood vessel. Located along the tubular portion where it is offset laterally from the tubular portion is at least one pocket which encloses a chamber that communicates with the lumen of the tubular portion. The artificial blood vessel also includes a port which is attached to the pocket and has grommet that lies over the skin and contains access bore. The port also has a valve which lies at the end of the access bore to normally prevent blood from escaping through the access bore, but does allow access to the chamber for medical procedures.

Abstract: The present invention refers to an annular prosthesis for mitral valve. In one of its embodiments the annular prosthesis for mitral valve is made up of a posterior half-ring and an anterior half-ring coupled to each other on a first transverse plane which defines a maximum width section of the prosthesis, characterised in that the ratio between the distance between said anterior half-ring and said posterior half-ring, as measured along a second plane, perpendicular to said first plane and equidistant to said couplings, and said maximum width of the prosthesis is lower than 3/4.

Abstract: A stent having a multi-layered coating adhered to its surface which can prevent restenosis and thrombosis at the implant site. The stent coating is comprised of two layers. The first layer is a polymeric coating with one or more biologically active agent(s) dispersed therein. The second layer is comprised of a hydrophobic heparinized polymer that inhibits blood coagulation and provides a hydrophilic surface for reducing the friction between stent and lesion site. In preferred embodiments of the invention, the multi-layered stent is effective in deterring restenosis and thrombosis at the implant site. In these same preferred embodiments, the multi-layered stent is capable of reducing the burst release of the biologically active agents from the first layer and sustaining a release of an effective amount of these agents for a relatively extended period of time. Methods of applying the multi-layered coating to the stent surface are also part of this invention.

Abstract: A stent in the form of a thin-walled, multi-cellular tubular structure is provided. The tubular structure has a longitudinal axis and the stent includes a plurality of circumferential sets of strut members. Each set of the strut members is longitudinally displaced from each other and connected to each other by longitudinally extending links. Each set of the strut members forms a closed and cylindrical portion of the stent. Further, each set of the strut members includes a plurality of connected curve sections and diagonal sections. The sets of the strut members further include end sets of strut members located at each end of the stent and central sets of strut members located between the end sets of the strut members. The diagonal sections of the end sets of the strut members have a center portion and two ends.

Abstract: An endovascular stent graft assembly (10) for use with abdominal aorta aneurysms (70) and having a main stent graft body (12) and a separate attachment graft tube (14) that extends proximally therefrom having the proximal attachment stent (50) thereon for infrarenal attachment of the assembly (10) to the aorta (74). A distal end portion (44) of the attachment graft tube (14) underlies the proximal end portion (30) of the main stent graft body (12) and presses outwardly there against forming a a friction fit, at an overlapping region (64). The main stent graft body (12) has an ipsilateral leg (22) and a contralateral stump (24) at the bifurcation (26); and prior to deployment of the attachment graft tube (14), the main stent graft body is pulled against the vessel bifurcation (72). After deployment of the attachment graft tube (14), the contralateral leg (16) is deployed at the contralateral stump to complete the stent graft assembly (10).

Abstract: An implantable system for treating male impotence by delivering a vasodilator agent directly to the erectile bodies of the penis comprising an implantable supply pump; deformable reservoir; conducting catheter; and a dispensing catheter. The supply pump is implanted into the abdominal wall. It includes a fluid chamber for holding a vasodilator substance and pressure chamber for exerting a pressure on a plate positioned between the two chambers for delivering the substance into a conducting catheter. The pressure chamber is either spring driven or driven by a liquid-vapor pressure reservoir. The deformable reservoir is preferably implanted in the scrotum and being manually deformable for forcing the substance therefrom and into a dispensing catheter to the erectile bodies of the penis. The dispensing catheter tip is preferably expandable and is operable to expand when the substance is forced into the catheter.

Abstract: A first catheter has a return bend formed near its distal free end and a first magnet is mounted on the distal free end. The first catheter is introduced through a sheath in a first common femoral artery into an elongate leg of a stent graft and pulled back until the return bend positions the first magnet near a truncate leg of the stent graft. A second catheter having a second magnet on its distal free end is introduced through a second common femoral artery and positioned near the first magnet so that the magnets become interconnected. The second catheter is pulled into the stent graft, a guide wire is inserted through it, and a second sheath is introduced into the stent graft. A contralateral limb is deployed through the second sheath and the second sheath is removed. In another embodiment, catheters with magnets pull a nephroureteral stent from a kidney.

Abstract: Disclosed is a stent having improved characteristics of its structural design and improved radiopacity characteristics. Specifically, the present invention is a stent that has circumferential sets of strut members at the ends of the stent and central sets of strut members that are longitudinally placed between the end sets of strut members. Optimal radiopacity is achieved when the end sets of strut members are more radiopaque as compared to the radiopacity of the central sets of strut members. Also disclosed is the concept of adjusting the strut width of the curved sections of the end and central sets of strut members so that equal strain in all curved sections is achieved as the stent is expanded even though the diagonals sections of the end sets of strut members are shorter than the diagonal sections of the central sets of strut members.

Abstract: Collars are disposed on loops of intraocular lenses for improved fixation of loops in rims of capsular bags of eyes. A collar may preferably be positioned on an outer portion of a loop and retained on the loop by an enlarged end portion of the loop.