Abstract: For the better anchoring of a stent in its use area within a vessel, in the case of a stent expandable from a radially contracted introduction state into a radially expanded position state, in the radially expanded state at least one front end of the stent has a greater diameter than the remaining main stent body with ribs of the front end being longer than those in the main stent body.

Abstract: A reinforcement sheet for use in surgery includes an opening, for example to receive the spermatic cord or the round ligament in surgical hernia repair, with the opening defined at an interior of the sheet when the sheet is substantially flat, with the sheet having a first edge which extends from the opening to the perimeter of the sheet and a second edge, which is preferably provided by a flap, with the sheet substantially overlying the first edge of the sheet when the sheet and the flap are generally flat and with the second edge substantially overlying the sheet when the sheet is generally flat.

Abstract: Graft apparatus, delivery devices and methods for use in stent-graft systems are provided for use in treating aneurysms occurring in hollow-body organs or vessels and for treating arterio-venous fistulas. The graft and graft delivery devices provide the clinician with complete control over the location of the graft at any time prior to implantation of the stents, even when the graft is completely deployed from its introducer catheter. The graft and graft delivery devices also permit retrieval of the graft should it be desired to substitute a graft of a different size or to abort the procedure.

Abstract: A tibial prosthesis apparatus and its insertion/removal tool includes a tibial tray that receives a polymeric tray liner with an articulating surface. Dovetail connections are provided for interconnecting the liner and the tibial tray. An instrument is provided that can either insert or remove the liner relative to the tray. The surgeon is provided with cam and hook portions that are at the hooking end of the instrument opposite the lever end. The cam engages the anterior surface of the liner while the hook attaches to the tibial tray and the lever end is rotated to cam the insert into a locked position during insertion. The hook engages the distal side of the liner so that the surgeon can rotate the instrument to disengage or remove the liner from the tray.

Abstract: A modular tibial trial prosthesis for attachment to a patient's surgically cut proximal tibia includes a tibial tray having proximal and distal surfaces, the distal surface to be fitted against the patient's surgically prepared proximal tibia during knee joint replacement surgery. The proximal surface of the tray accepts any one of a plurality of plastic liner inserts that fits the tray at the proximal tray surface with an interlocking connection. The liner inserts each have a distal surface for attachment to the tray and a proximal articulating surface that is receptive of a distal femoral articulating surface. The proximal articulating surface has concavely-shaped portions. The concavely-shaped portions of the liner inserts provide different articular geometries for selection by the user. A plurality of spacers of different thicknesses can be positioned in between a selected one of the plastic liner inserts and the tibial tray. Each spacer has proximal and distal surfaces.

Abstract: A patellar component is provided for fixation to a patella and a total knee arthroplasty surgical procedure in which multiple surfaces are provided on an outer ring on the inferior surface of the patellar component to provide multi-directional load bearing surfaces available to resist loosening of the patellar component and which requires minimal bone removal for implantation.

Abstract: This implant comprises a substantially U-shaped body having an elastic flexibility in the area of its central portion, and two pairs of brackets projecting from the outer face of the two branches of the body, these brackets defining stirrups for receiving the spinous processes of the vertebrae and comprising means permitting them to be fixed to the processes.

Abstract: An implantable microporous ePTFE tubular vascular graft exhibits long-term patency, superior radial tensile strength, reduction in tear propagation, and increases in suture retention strength and crush resistance. The graft includes an ePTFE tubular structure having a preselected microporous structure. The tubular structure is wrapped externally with a PTFE yarn in a helical fashion. The helical wrap of yarn is bonded to the exterior surface of the tubular structure by application of heat or heat in combination with force to form a composite structure which substantially maintains the porosity of the underlying tubular structure while increasing the suture retention strength, radial tensile strength, crush resistance, and tear propagation resistance.