Abstract: Natural urination washes out the pathogens in the urethra, preventing bladder infections. Urinary catheters used currently prevent this flushing action allowing bacteria to progress from the exterior and into the bladder. This invention is a urinary catheter that permits washing of the urethral walls to flush out pathogens. A variety of constructs is to accommodate gender differences and other variables.

Abstract: Stent delivery systems, components thereof, and methods for making and using stent delivery systems and components are disclosed. An example combination device may function as both an anchoring mechanism cover and a guidewire lock. The combination device may include a tubular body. The tubular body may define an inner diameter and may have a locking portion. The inner diameter may be sized to fit about an outer diameter of a drainage stent having an anchoring mechanism. The locking portion may be configured to secure the position of a guidewire relative to a catheter system.

Abstract: The present invention is directed to treatment methods for a disease or condition, in a subject in need of such treatment, that provide alternatives to treatment by injection that give, relative to treatment by injection, improved treatment outcomes, 100% treatment compliance, reduced side effects, and rapid establishment and/or termination of substantial steady-state drug delivery. The method typically includes providing continuous delivery of a drug from an implanted osmotic delivery device, wherein substantial steady-state delivery of the drug at therapeutic concentrations is typically achieved within about 7 days or less after implantation of the osmotic delivery device in the subject and the substantial steady-state delivery of the drug from the osmotic delivery device is continuous over a period of at least about 3 months. In one embodiment, the present invention is directed to treatment of type 2 diabetes mellitus using incretin mimetics.

Abstract: Embodiments of crimping devices for crimping stented prosthetic valves and other medical devices from a larger, expanded diameter to a smaller, crimped diameter are disclosed. Some crimping devices utilize a conical surface extending out-of-plane from the direction of crimping, where motion of the conical surface in the out-of-plane direction causes in-plane radially crimping. Other crimping devices comprise a funnel-shaped rigid body having a tapered inner lumen that compresses a medical device moving therethrough. Some funnel-shaped embodiments have slotted sides that allow portions of the medical device to project therethrough. Other funnel-shaped embodiments are used with a tubular sock to pull the medical device through the tapered lumen. Other crimping devices utilize rotating rollers that compress a medical device while the medical device spins between the rollers.

Abstract: Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

Abstract: A procedure and a medical kit for removing a ring from a swollen finger are described. The kit includes a panel set, a compression tape, and a compression tape puller. The panel set encircles the swollen finger with a cylindrical assembly that decreases in diameter when wrapped by said compression tape, forcing excess fluid from said swollen finger back into the hand. Swelling is thereby reduced allowing for removal of the ring.

Abstract: Portable laser hair removal of multi purpose use comprising a housing (2) with a head (11) and transparent dome (3) with bottom hole (4) having a laser illumination system with two diodes (5, 6), different in wavelength, power, opening, pulse period and average power pulse size in red and infrared, respectively.

Abstract: A laser device for treating skin is provided which includes a handholdable housing; a laser member arranged within the housing emitting an output beam; a capacitance sensor arranged at the first end of the housing which includes a plate surrounding and defining a window through which the output beam exits, the plate having at least three segments with each flexibly movable in and out of a common plane, each of the segments being connected to an electrode, the electrodes operating to determine dielectric constants of a skin surface; a signal and control storage device communicating with the sensor comparing input signals of measured dielectric constant values to a stored standard dielectric constant value, and wherein emission of the output beam is activated to fire only when all of the at least three segments align in a plane and sense the stored standard dielectric constant value.

Abstract: A light engine for a hand-held dermatological treatment device includes a heat sink, a laser package mounted to the heat sink, the laser package including a laser chip having at least one emitting edge or surface, a pair of lateral structures associated with the heat sink, and an elongated optical element positioned in front of the at least one emitting edge or surface of the laser chip. The elongated optical element extends between the pair of lateral structures associated with the heat sink, and is secured to each of the lateral structures at respective end of the elongated optical element.

Abstract: A catheter includes a catheter body having a temperature-controlled anchor element thereon that is configured to attach the catheter body to tissue by forming a congealed adherence layer between the anchor element and the tissue. An ablation element is connected to the catheter body and is configured to ablate tissue when the anchor element is attached to the tissue.

Abstract: A medical system, including a catheter body, an elongate body disposed in the catheter body; an expandable element having a proximal portion coupled to the catheter body and a distal portion coupled to the elongate body, the distal portion of the expandable element defining the distal-most portion of the medical device; a mesh or array of longitudinal splines substantially surrounding the expandable element, at least a portion of the mesh or splines being electrically conductive; and a coolant source in fluid communication with the expandable element.

Abstract: A catheter adapted for ablation has multiple dedicated irrigation tubings to supply fluid to their respective electrode or set of electrodes. The tubings provide parallel flow pathways through the catheter where irrigation fluid is delivered to irrigated tip and/or ring electrodes which can accomplish uni-polar or bi-polar ablation. Such separate and dedicated fluid pathways allow fluid to be delivered to the corresponding electrode or set of electrodes at different flow rates. An integrated ablation system using such catheter has an ablation energy source and an irrigation pump with multiple pump heads that can operate independently of each other. An integrated irrigation tubing set is included to extend between the fluid source and the catheter, with each pump head being able to act on a different tubing that delivers fluid to a different electrode or set of electrodes.

Abstract: An integrated catheter shaft with a guidewire and a radio frequency wire is used in a catheter to deliver radio frequency energy to a treatment site. The small entry wound and the long integrated catheter shaft allows a user to thread the shaft along a tortuous route along a spinal canal to reach a treatment site while causing a minimal amount of trauma to the patient.

Abstract: An apparatus comprises an end effector, an elongate shaft, and a handle assembly. The end effector is operable to grasp tissue. The elongate shaft extends between the end effector and the handle assembly. The handle assembly comprises a body portion, a trigger, and a trigger return lever. The trigger is movable relative to the body portion from a home position to an actuated position, and is thereby operable to control the end effector to selectively grasp tissue. The trigger includes a cam feature. The trigger return lever is positioned to engage the cam feature of the trigger. The trigger return lever is configured to bias the trigger toward the home position during at least part of a range of motion of the trigger from the home position to the actuated position.

Abstract: A method for performing an electrosurgical procedure is presented including providing an electrosurgical system having an electrosurgical generator, a first electrosurgical device including a first electrically conductive element, a second electrosurgical device including a second electrically conductive element configured to be coupled to a first location of a target tissue and a third electrosurgical device including a third electrically conductive element configured to be coupled to a second location of the target tissue. The method also includes the steps of positioning the second and third electrically conductive elements relative to one another, orienting and defining a direction and a length of a single resection line between the second and third electrically conductive elements, and moving the first electrically conductive element along the single resection line to desiccate or divide the target tissue.

Abstract: A medical system, including a medical device having a plurality of deployable arms, and at least one electrode on at least one of the plurality of arms; and an electric signal generator in communication with the medical device, the electric signal generator programmed to deliver pulsed energy to the medical device sufficient to induce irreversible electroporation ablation.

Abstract: A catheter comprises an elongated carrier and a balloon about the carrier in sealed relation thereto. The balloon is arranged to receive a fluid therein that inflates the balloon and has an inner surface. The catheter further includes a shock wave generator asymmetrically located within the balloon with respect to the inner surface of the balloon that forms a mechanical shock wave within the balloon. Because the shock wave generator is asymmetrically located within the balloon with respect to the inner surface of the balloon, each shock wave will impact the inner surface of the balloon in a non-uniform manner to prevent the hoop stress of the balloon from being exceeded.

Abstract: An endoscopic bipolar forceps includes a housing and a shaft, the shaft having an end effector assembly at its distal end. The end effector assembly includes two jaw members for grasping tissue therebetween. The jaw members are adapted to connect to an electrosurgical energy source which enable them to conduct energy through the tissue to create a tissue seal. A drive assembly is disposed within the housing which moves the jaw members. A switch is disposed within the housing which activates the electrosurgical energy. A knife assembly is included which is advanceable to cut tissue held between the jaw members. A movable handle is connected to the housing. Continual actuation of the movable handle engages the drive assembly to move the jaw members, engages the switch to activate the electrosurgical energy source to seal the tissue, and advances the knife assembly the cut the tissue disposed between the jaw members.

Abstract: A surgical instrument comprises an end effector including a pair of jaw members configured to move with respect to one another between an open configuration and a closed configuration for clamping tissue. At least one jaw member includes an elongate cam slot extending in a longitudinal direction over a substantial a length a tissue clamping surface of the at least one jaw member. A plurality of electrically isolated, and longitudinally spaced electrodes is supported by the tissue clamping surface and is configured to deliver electrosurgical energy to tissue. A reciprocating member engages the elongate cam slot and is extendable to a sealing position with respect to each of the electrodes to define a predetermined gap distance between a particular electrode and an opposing tissue clamping surface.

Abstract: A fixation system, including an intramedullary fixation assembly and an instrument for coupling the intramedullary fixation assembly to bones. The intramedullary fixation assembly includes a proximal screw member positioned at a proximal end of the intramedullary fixation assembly, a distal member positioned at a distal end of the intramedullary fixation assembly, where the proximal screw member is slideably coupled to the distal member and makes a fixed angle with the distal member.

Abstract: A method of stabilizing a fractured bone includes: a) providing a first support member in a medullary canal of a fractured bone; b) providing a second support member outside the fractured bone; c) providing a transverse connector adapted to link the first support member to the second support member in an angle-stable connection; d) connecting the transverse connector to the first and second support members in an angle-stable connection; e) providing one or more bone screws adapted to be connected to the second support member in an angle-stable connection; and f) implanting the bone screws such that the shank of the screw is implanted in the fractured bone while the head of the screw is connected to the second support member in an angle-stable connection. The system provides superior fixation of long bones that allows for early functional range of motion without loss of alignment or fixation.

Abstract: An intramedullary nail (20) defining a bore (34) is inserted into a medullary canal (26) of a bone (24). A threaded fastener (22) has a compression portion (48) presenting a compression portion diameter (DCP) and a threaded portion (50) presenting a threaded portion diameter (DTP). The fastener (22) extends through a near cortex hole (40) and/or a far cortex hole (42), and the threaded portion (22) threadedly engages the bore (34). A compression transmission device (54) is disposed between a head (44) of the fastener (22) and the intramedullary nail (20) for transmitting the compressional load of the threaded fastener (22) to the intramedullary nail (20). An interior space of the compression transmission device (54) is greater than the compression portion diameter (DCP) providing space about the threaded fastener (22) for allowing the fastener axis (A) to be variously disposed relative to the interior space.

Abstract: A new shape changing staple and instrument for the fixation of structures to include bone tissue and industrial materials. This new staple stores elastic mechanical energy to exert force on fixated structures to enhance their security and in bone affect its healing response. This staple once placed changes shape in response to geometric changes in the materials structure, including healing bone tissue. The staple is advanced over prior staples due to its: 1) method of operation, 2) high strength, 3) method of insertion, 4) compressive force temperature independence, 5) energy storing staple retention and delivery system, 6) compatibility with reusable or single use product configuration, 7) efficient and cost effective manufacturing methods, and 8) reduction in the steps required to place the device. In addition to the staple's industrial application an embodiment for use in the fixation of the musculoskeletal system is shown with staple, cartridge, and extrusion handle.

Abstract: A new shape changing staple and instrument for the fixation of structures to include bone tissue and industrial materials. This new staple stores elastic mechanical energy to exert force on fixated structures to enhance their security and in bone affect its healing response. This staple once placed changes shape in response to geometric changes in the materials structure, including healing bone tissue. The staple is advanced over prior staples due to its: 1) method of operation, 2) high strength, 3) method of insertion, 4) compressive force temperature independence, 5) energy storing staple retention and delivery system, 6) compatibility with reusable or single use product configuration, 7) efficient and cost effective manufacturing methods, and 8) reduction in the steps required to place the device. In addition to the staple's industrial application an embodiment for use in the fixation of the musculoskeletal system is shown with staple, cartridge, and extrusion handle.

Abstract: Some introducer tools for bone portals have a handle coupled to a driving member by a force-limiting coupling. A bone portal comprising a bone-penetrating portion and a bone stop may be driven to a desired depth in bone when the force-limiting coupling allows application of force to the bone portal that is sufficient to drive the bone-penetrating portion of the portal into the bone but not sufficient to drive the bone stop significantly into the bone. Bone portals of various types are described herein. Various configurations for stylets suitable for use in introducing bone portals or otherwise penetrating bone and methods for inserting bone portals are also described herein.

Abstract: A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion.

Abstract: Disclosed herein are methods, compositions and tools for repairing articular surfaces repair materials and for repairing an articular surface. The articular surface repairs are customizable or highly selectable by patient and geared toward providing optimal fit and function. The surgical tools are designed to be customizable or highly selectable by patient to increase the speed, accuracy and simplicity of performing total or partial arthroplasty.

Abstract: Disclosed are femoral and tibial drill guides for use in posterior cruciate ligament replacement surgery. Each of the drill guides includes an arc shaped member and an elongate guide member, a stopper member, and an alignment arm member coupled thereto. Prior to preparing a tibial tunnel with a tibial drill guide and a femoral tunnel with a femoral drill guide, a rasp and/or cutter can be used to remove any remnants of the posterior cruciate ligament left prior to replacement thereof. The tibial drill guide includes a concave blocking surface and a viewing aperture on the alignment arm member to block the advancement and view the location of a guide pin exiting from a posterior portion of a tibia, respectively.

Abstract: An orthopaedic surgical instrument includes a patella drill guide. The patella drill guide includes a first bracket and a second bracket coupled to the first bracket and moveable relative to the first bracket. The second bracket includes a drill plate having a plurality of guide holes defined therein, and each of the plurality of guide holes is sized to receive a surgical drill. A gasket is pivotally coupled to the second bracket, and the gasket has a plurality of plugs configured to be received in the plurality of guide holes of the second bracket.

Abstract: A universal targeting apparatus includes a generally U-shaped body having one end configured to be coupled to the proximal end of the intramedullary implant and a mounting portion at an opposite end of said body. An arm is rotatably mounted to the mounting portion of the U-shaped body and includes bores defined at its opposite ends. Each bore is arranged at a different angle to correspond to the angle of a transverse aperture in the intramedullary implant. The arm can be rotated so an appropriate one of the angled bores is aligned with the transverse aperture to serve as a guide for creating targeting holes in the bone.

Abstract: An instrument assembly includes a downtube having a tubular body with a proximal end and a distal end. In one embodiment, the proximal end forms an opening for receiving a surgical tool, and the distal end forms at least two attachment members for attaching to a bone anchor. The tubular body forms a hollow passage extending from the proximal end to the distal end. The assembly includes a key for insertion into the proximal end of the downtube to attach the downtube to a bone anchor. The key includes an engagement end configured to engage the at least two attachment members when the key is inserted into the downtube. The key is rotatable within the tubular body between a clamping orientation and a releasing orientation.

Abstract: A Tibiotalar Arthrodesis Guide (TAG) used for fusion of the talus to the tibia is comprised of several basic components. The main component is a straight guide post upon which other components can slide. A curved arm is featured at the end of the straight guide post, featuring points at the ends which serve as indicators of the pins' exit sites based upon the lines of action of the parallel pins. The parallel guide cylinders are positioned on a movable arm which translates superiorly and inferiorly on the guide post of the handle, allowing a surgeon to adjust the device for varying ankle sizes. A “home-run” pin guide cylinder for a home-run guide pin is oriented superiorly and at an angle to the parallel guide cylinders. Using a similar concept as the parallel guide cylinders, the “home-run” guide is also attached to a movable arm that can translate inferiorly and superiorly along the main guide post.

Abstract: A system for breaking obstructions in body lumens includes a catheter including an elongated carrier, a balloon about the carrier in sealed relation thereto, the balloon being arranged to receive a fluid therein that inflates the balloon, and an arc generator including at least one electrode within the balloon that forms a mechanical shock wave within the balloon. The system further includes a power source that provides electrical energy to the arc generator.

Abstract: Medical, surgical, and/or robotic devices and systems often including offset remote center parallelogram manipulator linkage assemblies which constrains a position of a surgical instrument during minimally invasive robotic surgery are disclosed. The improved remote center manipulator linkage assembly advantageously enhances the range of instrument motion while at the same time reduces the overall complexity, size, and physical weight of the robotic surgical system.

Abstract: The present invention is a device having a rigidly linked jaw that is decoupled from an articulating wrist. The device provides for articulating motion as well as actuation that may be used in grasping, cutting, suturing or the like.

Abstract: Sutures can be placed in difficult to access areas of the human body with devices, and related methods, utilizing a suture carrier with a sharpened tip and a notch for holding a formed suture tip.

Abstract: In accordance with the present invention there is provided a suture trimmer, the suture trimmer comprising a shaft having a proximal end and a distal end and an axis therebetween, the shaft having a groove formed in the side thereof, the groove in communication with an opening formed in the side of the shaft, the opening disposed proximal the distal end. The suture trimmer further including a cutting member slidably disposed within the shaft, and a suture retainer slidably disposed within the shaft. Wherein the suture trimmer in accordance with the present invention may be additionally utilized to position knots formed within a suture loop prior to trimming the free end(s) of the suture loop.

Abstract: Provided is a device comprising at least two layers, said at least two layers being at least partially overlapping (e.g., superposed) and contacting one another, wherein a first layer of said at least two layers comprises a non-biodegradable mesh, and wherein a second layer of the at least two layers comprises an electrospun element, and wherein the device is devoid of an extracellular matrix generated by mesenchymal progenitor cells, which are characterized by a reduced differentiation potential into an adipogenic lineage by at least about 50% as compared to differentiation potential of mesenchymal stem cells from an adult adipose source under identical assay conditions, and by an increased osteogenic differentiation potential by at least about 20% as compared to the osteogenic differentiation potential of adipose-derived MSCs under identical assays conditions.

Abstract: Apparatus is provided for applying one or more patches to a tubular structure in a body of a patient. The apparatus includes an applicator, which is configured to removably hold the one or more patches, and to place the one or more patches at least partially around the tubular structure. The applicator includes one or more patch supports. Each of the patch supports includes a yielding pad, which is removably coupleable to one of the patches; and a stiff back support structure, to which the yielding pad is fixed. Each of the patch supports is shaped so as to define at least one chamber that itself has a volume of at least 0.5 ml when the patch supports are in respective resting states. Other embodiments are also described.

Abstract: A method and system are provided for percutaneously gaining access to oxygenated blood with an anastomosis device and pumping such oxygenated blood to other arterial regions of the vascular system. In one embodiment, a system may include an anastomosis device extending through an opening of the atrial septum. A filament may be coupled to the anastomosis device. A snare access the right atrium through the superior vena cave, grasp the filament, and withdraw the filament through the superior vena cave. The filament may then he used as a guide to direct a catheter, a conduit or some other structure into the right atrium of the heart via the superior vena cava. A flow path may be defined between the anastomosis device and an arterial location, such as in the aorta, such that at least some oxygenated blood may by-pass the left ventricle and he discharged into the aorta.

Abstract: The present invention generally relates to the field of transcatheter device closure techniques for closing an opening in a tissue and more particularly, to occlusion devices for closing anatomical defects in tissue. More particularly the present invention refers to occlusion devices for closing septal abnormalities such as atrial septal defects and patent foramen ovale, and to methods of closing an anatomical defect in a tissue.

Abstract: An undercutting system for preparing a region between an ilium and a sacrum for sacroiliac fusion. The undercutting system includes a probe assembly and a cutting assembly. The probe assembly is operably mounted to the insertion apparatus. The probe assembly is moveable with respect to the insertion apparatus between a retracted configuration and an extended configuration. In the extended configuration at least a portion of the probe assembly extends laterally from the insertion apparatus. The cutting assembly is operably mounted with respect to the probe assembly and the insertion apparatus. The cutting assembly is movable with respect to the insertion apparatus between a retracted configuration and an extended configuration. In the extended configuration at least a portion of the cutting assembly extends laterally from the insertion apparatus.

Abstract: A trocar sleeve for minimally invasive surgery, having a first sleeve part, which has essentially the shape of a straight tubular piece with a longitudinal axis, and having a second sleeve part, which at least partly surrounds the first sleeve part in close contiguity and is movable during use with respect to the first sleeve part. The mobility of the second sleeve part in relation to the first sleeve part consists essentially only in rotatability of the second sleeve part around the first sleeve part, and in addition the first sleeve part and the second sleeve part each comprise on their distal axial ends a flange part that extends radially outward at an angle of less than 180 degrees from the respective sleeve part.

Abstract: A balloon dilation catheter includes a substantially rigid inner guide member and a movable shaft coupled to a balloon that is slidably mounted on the substantially rigid inner guide member. To treat a sinus cavity of a subject using the balloon dilation the substantially rigid inner guide member is advanced into a drainage pathway of the sinus (e.g., frontal recess or maxillary sinus) of the subject via a nasal passageway. The shaft and balloon are advanced in a distal direction over the substantially rigid inner guide member to place the balloon in the drainage pathway. The balloon is inflated to expand or otherwise remodel the drainage pathway.

Abstract: A balloon dilation catheter includes a substantially rigid inner guide member and a movable shaft coupled to a balloon that is slidably mounted on the substantially rigid inner guide member. To treat a sinus cavity of a subject using the balloon dilation the substantially rigid inner guide member is advanced into a drainage pathway of the sinus (e.g., frontal recess) of the subject via a nasal passageway. The shaft and balloon are advanced in a distal direction over the substantially rigid inner guide member to place the balloon in the drainage pathway. The balloon is inflated to expand or otherwise remodel the drainage pathway.

Abstract: A device and a method for increasing or restoring a flow in a body lumen are provided. The device and the method may treat conditions related to a stroke, such as an ischemic stroke, by removing an occlusion from a blood vessel and/or reopen a blood vessel. The device may comprise a pusher tube and an expandable compartment. The expandable compartment may comprise a control element, a reconfigurable element, and supportive element. The supportive element is configured to adjust a radial force and a configuration of the reconfigurable element, thereby allowing highly efficient removal of an occlusion from a blood vessel and/or reopen a blood vessel with least or no damage to the body lumen.

Abstract: A device and a method for increasing or restoring a flow in a body lumen are provided. The device and the method may treat conditions related to a stroke, such as an ischemic stroke, by removing an occlusion from a blood vessel and/or reopen a blood vessel. The device may comprise a tubing compartment, a central wire, and an engaging compartment. The engaging compartment may comprise a distal engaging element and a proximal engaging element. A clot or occlusion present in the body lumen such as an artery may be engaged in and/or between the distal and proximal engaging elements. Further, the positions of one or both of the engaging elements and the distance therebetween can be adjusted to ensure the engagement of the clot or occlusion.

Abstract: A laparoscopic surgical device comprising a pair of jaws (115, 116) defining a mouth within which at least a portion of an organ or tissue may be grasped is described. The jaws are biased towards one another so as to normally adopt a closed configuration, the device being dimensioned to be operably passed fully through a trocar into the abdominal cavity wherein it may be manipulated by a surgeon or other operator to grasp the desired target organ or tissue.

Abstract: A system for repairing a meniscus includes a suture that includes a first anchor, a second anchor, and a flexible portion connecting the first anchor and the second anchor. The flexible portion includes a self-locking slide knot between the first anchor and the second anchor. The system also includes a needle having a longitudinal extending bore and an open end. The bore is configured to receive the first anchor and the second anchor. The system further includes a body portion operatively connected to the needle at a distal end of the body portion. The body portion has a lumen. The system also includes a pusher configured to rotate and slide within the lumen of the body portion and the longitudinal extending bore of the needle. The pusher has first and second stop surfaces, each of which is constructed and arranged to engage a proximal end of the body portion.

Abstract: [Problem] To safely and properly correct the pelvis by pressing the coccyx using the weight of a recipient himself/herself. [Solving Means] A coccyx contact treatment member (9a) is placed in a cylindrical casing (7) so as be vertically movable through an elastic member (10). A coccyx contact buffering member (11) made of sponge or the like is provided on the upper end of the coccyx contact treatment member (9a). A recipient straddles and takes a sitting posture on the coccyx contact buffering member (11) to place his/her coccyx on the coccyx contact buffering member (11). In this posture, the recipient slightly lifts his/her legs from the floor to apply his/her weight onto the coccyx contact buffering member (11), so that the coccyx is pushed up from below. At this time, the recipient maintains an erect posture while pressing his/her upper body against a posture holding member (2) and gripping a handle with his/her both hands.