Abstract: An accommodating intraocular lens (IOL) comprises a lens, a flexible surface, and an articulating member joining the lens and the flexible surface. The articulating member comprises first and second arms extending from and joined to form a peripheral portion. The peripheral portion has a length extending radially away from a point at which the first and second arms join together and a thickness that is greater than each of a thickness of the first arm and a thickness of the second arm, first and second arms coupling the lens and the flexible surface, respectively. A flex region is disposed about the second arm and at a distance from the peripheral portion. The flex region permits the flexible surface to articulate relative to the second arm. The flex region has a reduced thickness as compared to each of the second arm and the flexible surface.

Abstract: A system, devices and methods for performing an osteotomy on a bone of a multi-axis joint are provided. A cutting guide system is provided for performing one or more cuts to the bone, using the articular surfaces of the articulating bones as a reference. If desired, a prosthesis can be used to emulate the osteotomy and substitute for a damaged articular surface of a bone of a multiaxis joint.

Abstract: A vascular device includes a body having a first, collapsed configuration and a second, expanded configuration. The body includes a plurality of heat-set strands that are braided such that when the body is in the second configuration, the strands form a plurality of pores and one or more apertures between the strands. The apertures are generally disposed at a longitudinal center region of the body. When the body is in the second configuration, the pores at proximal and distal portions of the body are generally uniform in size and smaller in size than the apertures. The pores and the apertures are substantially the same size when the body is in the first configuration.

Abstract: Tibial prosthesis systems for implantation or use in a knee joint are disclosed. A tibial prosthesis system can include a bearing component, a base component, a shim component, and optionally a spacer component. The shim or spacer component can be inserted between an inferior surface of the bearing component and a superior surface of the base component. The insertion of the shim or spacer component can provide spacing adjustment between the bearing and base components. The shim component can include one or both of a medial edge having a different height than a lateral edge or an anterior edge having a different height than a posterior edge. The differing edge height of the shim component can provide a surgeon with knee joint kinematic insight regarding an angled bone cut before the cut is made, and can allow for sizing of an appropriately permanent prosthesis system using a reduced number of provisional components.

Abstract: A medical device with a radially compressible and expandable lattice structure (10) contains at least one closed cell (15) delimited in each case by four webs (11, 12, 13, 14) coupled to one another in one piece, of which at least one web (11, 12, 13, 14) is embodied as a stabilisation web (11, 13) with a first web width b1 and at least two further webs (11, 12, 13, 14) are embodied as connecting webs (12, 14) with a second web width b2, wherein the connecting webs (12, 14) are arranged inside the cell (15) so that they lie parallel opposite one another and are connected to one another by the stabilisation webs (11, 13) and wherein the ratio b1/b2 between the first web width b1 and the second web width b2 is at least 1.2.

Abstract: An implantable orthopaedic knee prosthesis assembly includes a femoral component, a stem component, a fastener, and a retention device. The femoral component is configured to be implanted into a distal end of a femur of a patient and includes a stem post having a proximal tapered bore, a distal passageway, and a threaded passageway connecting the proximal tapered bore and the distal passageway. The stem component is configured to taper fit to the femoral component and includes a bore formed therein extending proximally and a threaded aperture defined at a proximal end of the bore. The head of the fastener is configured to be received in the distal passageway, whereas the proximal end of the shaft of the fastener is configured to be positioned in the threaded aperture. The retention device is received in the threaded passageway and prevents the proximal end of the fastener from reentering the threaded passageway.

Abstract: A collar (2) arranged to couple to a prosthetic component for implantation at the end of a long bone, the prosthetic component having a distal portion arranged to couple to the bone and a proximal neck portion arranged to couple to an articulation component. The collar (2) comprises a plate including a neck hole (4) to receive a neck portion, such that the collar can rotate about the neck portion. The collar (2) further comprises a plurality of attachment portions (12) for coupling the plate to bone fragments or soft tissues. The collar (2) is lockable to the neck portion to prevent further rotation. A prosthesis comprising a combination of a collar (2), a prosthetic component and an articulation component, and a surgical method of using the collar (2) are also disclosed.

Abstract: The disclosure describes methods of making collagen based biocomposite constructs and related devices. The methods include: (a) winding at least one collagen fiber a number of revolutions about a length of a support member having a long axis, the winding having at least one defined pitch and/or fiber angle relative to the long axis of the support member to form an elongate construct; and (b) applying a fluid polymeric material, such as, for example, an acrylate emulsion and/or other thermoplastic material, onto the collagen fiber during the winding step. Optionally, the fluid polymeric material can include antibiotics and/or other therapeutic agents for additional function/utility.

Abstract: An orthopedic surgical instrument including a femoral trial component configured to be coupled to a surgically-prepared distal end of a patient's femur. The femoral trial component has a fixation side configured to engage a posterior aspect of the surgically-prepared distal femur.

Abstract: Surgical tools, kits, and methods for breast implants are provided. One surgical tool is a rigid or semi-rigid form that matches the size and shape of a corresponding breast implant. The form may be employed to determine skin tension when inserted into a breast. The form may also be employed to mark a fixation suture line for attachment between an acellular dermal matrix and the chest wall of a patient in some instances. However, in other instances a breast implant template surgical tool may be employed to mark one or more fixation suture lines. The breast implant template may be thin and flexible, and define a perimeter matching the size and shape of a footprint of a corresponding breast implant. Marking around the perimeter of the form or the breast implant template allows for convenient selection of fixation suture lines which may result in desirable overall breast symmetry.

Abstract: Osteochondral implants for repair of chondral defects and providing bone fixation through bone ongrowth and/or ingrowth. The implant is provided with a base allowing for bone ongrowth and/or ingrowth and a top attached to the base, the top being formed of a material having a compressive resistance similar to that of the cartilage. The material of the top is polycarbonate urethane, for example. The base may comprise a porous substrate for bony ingrowth formed of metal or PEEK and having a pattern porosity about similar to the porosity of cancellous bone. One side of the top attaches to the base for stability, and the other side of the top forms a surface for articulating with the opposing cartilage surface of the joint.

Abstract: A medical implant includes a metal composite that contains a cellular nanomatrix having a metallic nanomatrix material and a metal matrix disposed in the cellular nanomatrix, the medical implant being configured to disintegrate in response to contact with a fluid. A method for repairing tissue includes disposing an implant in a patient, the implant including a metal composite which contains: a cellular nanomatrix having a metallic nanomatrix material; and a metal matrix disposed in the cellular nanomatrix; contacting tissue of the patient with the implant, the tissue being in need of repair; and non-operatively removing the implant to repair the tissue.

Abstract: The present disclosure provides an artificial iris prepared by forming a ring-shaped hydrophilic region on a biocompatible substrate, coating a curable material thereon and then coating a photoreactive material mimicking the iris frills through optical irradiation. The artificial iris may be implemented into the real human eye and is capable of regulating the intensity of the light reaching the retina through the pupil depending on the intensity of ambient light.

Abstract: A femoral prosthesis system is provided which includes femoral prosthesis and an instrument for inserting/extracting the femoral prosthesis. The femoral prosthesis includes a stem and a neck portion. The stem includes a proximal end portion which defines a proximal stem axis. The neck portion is located proximally of the proximal end portion. The neck portion includes a proximal surface and an insertion/extraction cavity which extends distally from the proximal surface. The insertion/extraction cavity is configured to couple with the insertion/extraction instrument. The insertion/extraction cavity defines an insertion/extraction cavity axis which, when projected onto a coronal plane including the proximal stem axis, is not parallel with the proximal stem axis. The insertion/extraction instrument includes a distal end portion configured to couple with the insertion/extraction cavity.

Abstract: A meniscus implant including a c-shaped scaffold having an arcuate middle section extending between an anterior end and a posterior end. A reinforcing network of fibers independent from the scaffold is embedded therein. Fibers of said network fibers exit each end of the scaffold to form respective anterior and posterior attachment segments which extend parallel to a central axis of the scaffold. The network of fibers is configured to convert an axial compressive force on said scaffold to tensile loads on said attachment points.

Abstract: A stent in a non-expanded state has a first and second expansion column, each consisting of a plurality of expansion strut pairs. An expansion strut pair includes a first expansion strut, a second expansion strut and a joining strut that couples the first and second expansion struts at one end. A connecting strut column, formed of a plurality of connecting struts couples the first and second expansion columns. Connecting struts include a proximal section, a distal section and an intermediate section. The proximal section is coupled to the corner of an expansion strut pair of the first expansion column, and the distal section is coupled to the joining strut of an expansion strut pair of the second expansion column intermediate the expansion strut pair first corner and the expansion strut pair second corner.

Abstract: A method of implanting an aortic stent comprising steps of: putting a main tube on a metal guide wire; moving the main tube along the metal guide wire to the descending aorta, the main tube is constrained by a first cover, and first and second tube bifurcations are branched from the main section; removing the first cover; inserting a second and third metal guide wire through the first tube bifurcation into the ascending aorta and branchiocephalic artery respectively; a first and a second tube branch moving into the ascending aorta and the branchiocephalic artery respectively; inserting a fourth and fifth metal guide wire through the first tube bifurcation into the ascending aorta and branchiocephalic artery respectively; a third and a fourth tube branch moving into left common carotid artery and the left subclavian artery respectively; removing a second cover constraining said tube branches.

Abstract: A method for performing an orthopaedic surgical procedure on an acetabulum of a patient includes the steps of securing an acetabular shell component to an acetabulum of a patient and securing a first insert to an acetabular shell component configured to be implanted within an acetabulum of a patient. The method further includes the steps of securing a second insert to the first insert such that the outer surface of the second insert contacts the inner surface of the first insert and securing a femoral head configured to be secured to a femoral stem to the second insert such that the outer surface of the femoral head contacts the inner surface of the second insert.

Abstract: An orthopaedic knee prosthesis includes a femoral component which exhibits enhanced articular features, minimizes removal of healthy bone stock from the distal femur, and minimizes the impact of the prosthesis on adjacent soft tissues of the knee.

Abstract: A vascular remodeling device has a plurality of sections, sized for deployment in a blood vessel, that is radially expandable from a collapsed state to an expanded state. Each section has a plurality of interconnected struts that define a waist, a proximal face, and a distal face. Each face comprises (i) a plurality of distal strut portions extending proximally from a distal side of the face, (ii) a plurality of proximal strut portions extending distally from a proximal side of the face, and (iii) a plurality of sub-struts, wherein, from each proximal strut portion, two of the sub-struts each extend to a different one of the distal strut portions.