Abstract: A muscle-driven endoprosthesis system may include a bone extension, an intramedullary stem extending form a first end of the bone extension, a joint at a second end of the bone extension, a moveable portion coupled to the hinge, and synthetic tendons coupled to the moveable portion. The bone extension, intramedullary stem, hinge, and movable portion are sized and shaped to fit within a skin of a patient.

Abstract: The present invention is directed to guides for use in anastomotic procedures, and in particular in small intestine anastomosis. An anastomotic guide of the invention preferably comprises a tubular body comprising a wall having an abluminal surface, a luminal surface and two ends; the wall comprising at least one sheet of a biocompatible material in a laminate structure having two or more layers, the layers of the laminate structure being joined by a water soluble adhesive polymer, the tubular body being insertable into the lumen of an organ having a luminal surface so that the abluminal surface of the anastomotic guide contacts the luminal surface of the organ.