Abstract: A medical device includes an elongate member configured to be at least partially disposed within a body of a patient. The elongate member has an outer surface. The outer surface of the elongate member has a first ridge and a second ridge.

Abstract: An implant configured to treat prolapse of a pelvic organ includes a support member and an extension portion projecting from the support member. The extension portion has a barbed fixation means provided thereon for anchoring the extension portion into pelvic paravaginal tissue. The barbed fixation means allow bi-directional adjustment of the barbed fixation means relative to the tissue, and when suitably located, the barbed fixation means engage the tissue. The support member comprises a mesh material having a mass density of less than 50 g/m2.

Abstract: Described are implants, tools, and related methods, for use in pelvic surgery to treat conditions such as prolapse, including embodiments of methods that involve a tissue path above the arcus tendineus.

Abstract: A unitary or homogeneous patterned implant is provided. The implant is constructed of patterned cells formed by way of a molding, die casting, laser etching, laser cutting, extruding, and the like. Portions of the implant can be formed into sinusoid or other waveform strut members to control and promote elongation, expansion or contraction along single or multiple axes. As such, controlled and designated stress, tension and compression distribution is promoted across specific or localized areas of the implant.

Abstract: A medical product comprises a biodegradable filament and a non-biodegradeable coating. The biodegradable filament forms a stent body having a first end portion, a middle portion, and a second end portion opposite the first end portion. The middle portion extends between the first and second end portions. The non-biodegradeable coating encapsulates the at least one biodegradable filament along the middle portion of the stent body. The non-biodegradeable coating forms a barrier such that the non-biodegradeable coating prevents degradation of the at least one biodegradable filament along the middle portion. The first and second end portions are uncoated. After implantation, the end portions of the stent may biodegrade. The middle portion will not biodegrade due to its encapsulation by the non-biodegradeable coating.

Abstract: A method of retrieving a vascular implant from a patient includes winding a distal segment of a retrieval tool about a vascular implant, at least in part by rotating a proximal segment of the retrieval tool, coupling the retrieval tool with the vascular implant and removing the vascular implant and the retrieval tool from the patient. The retrieval tool may include a wire having proximal, middle and distal segments. The distal segment may include a guide segment and a coupling segment, a tip and at least two turns about a longitudinal axis defined by the middle segment. The wire may further have an increasing stiffness profile in a proximal direction from the tip. A vascular implant retrieval assembly includes a vascular implant, such as a vascular filter, a retrieval tool have a distal segment wound about the vascular implant and a sheath surrounding a middle segment of the retrieval tool.

Abstract: A distal protection device provided with a filter basket having a self-expanding radial loop designed to position the filter basket within human vasculature and to hold the filter basket open during deployment.

Abstract: Disclosed herein are muscle implants and methods of making muscle implants comprising one or more decellularized muscle matrices. The muscle matrices can, optionally, be joined to one or more decellularized dermal matrices. The muscle implants can be used to enhance muscle volume or to treat muscle damage, defects, and/or disorders. The decellularized muscle matrices in the implants retain at least some of the myofibers found in a muscle tissue prior to processing.

Abstract: A gravity sensitive silicone breast implant is provided which, in various embodiments, has a soft, natural feel and adapts shape after implantation responsive to gravity, according to movements of the patient.

Abstract: A soft prosthetic breast implant shell, such as a silicone breast implant, the implant including an outer surface having areas of different textures.

Abstract: An intraocular lens inserter can include a drive device with controllable advance motion. The drive device may include an actuator device and an energy device. The actuator device may include a piston rod that uses the advance motion to push an intraocular lens from a cartridge for insertion into an eye of an animal. The energy device may act upon the actuator device to generate the advance motion. The actuator device may include a dampening medium to control the advance motion, such as by controllably dampening the advance motion.

Abstract: An improved heart bioprosthetic device having a metal frame wireform or stent having an outer external surface. The metal frame has a bond layer coating at least a portion of the external surface and a coating layer disposed on at least a portion of the bond layer. The bond layer comprises a metal selected from the group consisting of: chromium, titanium, zirconium, aluminum, platinum, palladium, and niobium. The coating layer is selected from the group consisting of: a metal nitride, a metal oxide, a metal carbide, and combinations thereof. The coating layer may have a thickness of about 10 ?m or less and a grain size of about 10 nm to about 15 nm, and may be characterized as polycrystalline with randomly-oriented grains with both cubic and orthorhombic phases. In one embodiment, the bond layer comprises chromium and the coating layer comprises chromium nitride.

Abstract: A method of preparing biological tissue for use as a component of an implant, in particular as part of a heart valve prosthesis, which can be implanted by catheter. The biological tissue is subjected to a dimensional and structural stabilization step and is dried. For the dimensional and structural stabilization, a combination of a first, polyethylene glycol-containing solution and at least one second, glycerol-containing solution is used.

Abstract: According to one representative embodiment, a method of treating aortic insufficiency comprises delivering a support structure to a position around the leaflets of a native heart valve. The support structure comprises an annular body defining an interior and at least one projection extending radially inwardly from the annular body. An expandable prosthetic heart valve can be advanced into the native heart valve and into the interior of the annular body. The prosthetic heart valve can be expanded into contact with the leaflets of the native valve, thereby causing the leaflets of the native valve to be frictionally secured between an inner surface of the annular body and an outer surface of the prosthetic heart valve and causing the at least one projection and a portion of one of the leaflets contacted by the at least one projection to extend into an opening of the frame of the prosthetic valve.

Abstract: A prosthetic heart valve includes a collapsible and expandable stent having a proximal end, a distal end, an annulus section adjacent the proximal end and an aortic section adjacent the distal end. The stent is formed of a plurality of struts. A cuff is coupled to the stent. The cuff has one or more features configured to reduce abrasion and/or perivalvular leakage.

Abstract: In various embodiments, an implant for interfacing with a bone structure includes a web structure including a space truss. The space truss includes two or more planar truss units having a plurality of struts joined at nodes and the web structure is configured to interface with human bone tissue. In some embodiments, a method is provided that includes accessing an intersomatic space and inserting an implant into the intersomatic space. The implant includes a web structure including a space truss. The space truss includes two or more planar truss units having a plurality of struts joined at nodes and the web structure is configured to interface with human bone tissue.

Abstract: Multilayer polymeric materials in the form of a cap contain polymeric layers having distinctive anisotropic properties which are beneficially utilized in a subject, e.g., the multilayer polymeric materials are biocompatible and may be used, for example, to replace or supplement cartilage in an articulated joint. The present invention relates generally to multilayer polymeric materials, in particular to biomaterials suitable for implantation into a mammal or other animal, and methods of manufacturing the biomaterial and various uses thereof.

Abstract: An intramedullary device comprises a tubular body extending along a center longitudinal axis. The tubular body includes a first end and a second end. The first end is configured to engage a stem of an implant.

Abstract: An orthopaedic knee prosthesis includes a tibial bearing component with articular features which operate to protect adjacent soft tissues of the natural knee, promote and/or accommodate desired articulation with an abutting femoral component, and facilitate expedient and effective implantation by a surgeon.

Abstract: A femoral implant for use as a component of an artificial knee having a thin, lightweight body with an articulating surface and an interior surface, the interior surface having one or more reinforcing members extending therefrom and extending across a substantial portion of said surface.

Abstract: A spinal implant having a support body and a main body. The support body is positioned between an upper section and a lower section of the main body which are moveable in relation to the support body to increase the distance between the sections. The support body employs an aperture placed through the middle of the support body for receipt of a threaded link having inclined ramps for separating of the sections.

Abstract: The present invention is directed to an adjustable corpectomy device which fits within the intervertebral distracted channel. The device includes a means for engaging an extendable member to accommodate the distracted channel. The corpectomy implant device is defined by a main body, a first expandable plate, and an opposing second expandable plate. Each expandable plate is adapted to fit within the main body in a compressed state, and extends away from the main body in a non-compressed, expanded state.

Abstract: A spinal implant for stabilizing two adjacent vertebrae having a damaged disc therebetween is assembled in situ. The implant consists of a bone tray, an anchor, a retainer plate, a retainer, and mounting screws. The bone tray bone tray is elliptical shaped and includes an open top side and an open bottom side, the top side and the bottom side adapted to engage the end plates of adjacent vertebrae, respectively, the bone tray having a sidewall connecting the top side and the bottom side, the sidewall having an bore therethrough. The retainer is slidably extending through the bore whereby the distractor anchor is adapted to be inserted between adjacent vertebrae and the retainer extends through the retainer plate. The retainer plate is secured to the vertebrae body by mounting screws. A driver, not shown, is adapted to rotate the retainer which engages the distractor anchor to engage the bone tray.

Abstract: Medical devices suitable for implantation in spaces between bones are described. An example medical device suitable for use as an intervertebral spacer includes a main body having an exterior proximal wall, an exterior distal wall, a first exterior lateral wall, a second exterior lateral wall, an upper surface, a lower surface, an interior proximal wall, an interior distal wall, a first interior lateral wall, a second interior lateral wall, and a longitudinal axis. The interior proximal wall, the interior distal wall, the first interior lateral wall, and the second interior lateral wall cooperatively define an interior cavity. The first and second exterior lateral walls are outwardly directed at an angle from the lower surface to the upper surface relative to the longitudinal axis.

Abstract: The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations.

Abstract: An expandable device for expanding and supporting body tissue comprises an inferior endplate having an outer surface configured to contact one body tissue surface and a superior endplate having an outer surface configured to contact an opposing body tissue surface. The inferior endplate and the superior endplate are movable relative to each other in a direction of expansion. The device includes an elevator captively supported between the inferior endplate and the superior endplate for independent movement along the direction of expansion. In the first direction the elevator is moved toward said superior endplate to lift the superior endplate and expand the device. In the second direction the elevator moves away from said superior endplate toward said inferior endplate to create a space for insertion of an insert into the expanded device.

Abstract: A vertebral fusion device having a support element configured for insertion between two corresponding vertebral portions of two adjacent vertebrae, such as spinous processes and transverse processes, or joint surfaces of the vertebral bodies or of the facets, comprising a granular osteosynthesis material, preferably in cortico-spongeous chips made of bone bank human bone, which is plastically deformable, and a hollow container body that contains the osteosynthesis material and has a side wall, for example made with a network of interlaced meshes, and two open end portions to allow a contact between the osteosynthesis material and respective surfaces of said corresponding vertebral portions, so that the osteosynthesis material is kept in a compressed condition between said corresponding vertebral portions and receives mechanical loads therefrom which promote osteosynthesis.

Abstract: In various embodiments, an implant for interfacing with a bone structure includes a web structure including a space truss. The space truss includes two or more planar truss units having a plurality of struts joined at nodes and the web structure is configured to interface with human bone tissue. In some embodiments, a method is provided that includes accessing an intersomatic space and inserting an implant into the intersomatic space. The implant includes a web structure including a space truss. The space truss includes two or more planar truss units having a plurality of struts joined at nodes and the web structure is configured to interface with human bone tissue.

Abstract: In various embodiments, an implant for interfacing with a bone structure includes a web structure including a space truss. The space truss includes two or more planar truss units having a plurality of struts joined at nodes and the web structure is configured to interface with human bone tissue. In some embodiments, a method is provided that includes accessing an intersomatic space and inserting an implant into the intersomatic space. The implant includes a web structure including a space truss. The space truss includes two or more planar truss units having a plurality of struts joined at nodes and the web structure is configured to interface with human bone tissue.

Abstract: This invention concerns a vertebral body replacement element to be inserted into an intervertebral space, thus supporting the spinal column of a patient. The present invention further concerns a system and method for expanding and distracting a vertebral body replacement into and within the spinal column of a patient.

Abstract: The present invention involves a system and methods for assembling and implanting a vertebral body implant. The vertebral body implant includes, but is not necessarily limited to, an expandable core body and endplates that can be attached at both ends. Endplates of various shapes, sizes and angles are attachable to the expandable core so that a suitable vertebral body implant can be implanted between vertebrae.

Abstract: A method of inserting an intervertebral disc implant into a disc space includes accessing a spinal segment having a first vertebral body, a second vertebral body and a disc space between the first and second vertebral bodies. The method includes securing a first pin to the first vertebral body and a second pin to the second vertebral body, using the first and second pins for distracting the disc space, and providing an inserter holding the intervertebral disc implant. The method also desirably includes engaging the inserter with the first and second pins, and advancing the inserter toward the disc space for inserting the intervertebral disc implant into the disc space, whereby the first and second pins align and guide the inserter toward the disc space.

Abstract: A disassembly tool for disassembly of a first component of a prosthesis to a second component of the prosthesis for use in joint arthroplasty. The tool includes a first member having a radial portion operably associated with the first component and adapted to exert a radial force on the first component. A second member operably associated with the second component is also included and the second member has a second member longitudinal axis. A drive mechanism is coupled to the second member, such that as the drive mechanism is activated, the second member exerts a force against the second component in the direction of the longitudinal axis. Such exertion of force against the second member further causes the second member to move relative to the first member along the second member longitudinal axis.

Abstract: A trial instrument assembly for use in a surgical procedure to replace an orthopaedic joint includes a trial implant having a stem portion for fitting within a prepared cavity in the patient's bone. The stem portion defines a stem axis. A neck portion is connected to the stem portion to protrude from the cavity when the stem portion is within the cavity. The assembly includes a plane guide that extends from the neck portion in a plane that is selected from (i) a plane perpendicular to the stem axis, and (ii) a plane parallel to the stem axis, for use in determining the location of the trial implant relative to an anatomical feature in a direction measured along the stem axis or perpendicular to the stem axis, respectively.

Abstract: A trial implant system including a trial implant configured to be temporarily inserted into an intervertebral space defined by a superior vertebral body and an inferior vertebral body is disclosed. The trial implant may include a superior plate and an inferior plate coupled to the superior plate. The superior plate may have a first mating portion that defines a first articulating interface and the inferior plate may have a second mating portion that defines a second articulating interface. The second articulating interface may be configured to interact with the first articulating interface of the superior plate such that at least one of the superior plate and the inferior plate is capable of movement relative to the other. The first and second articulating interfaces may be primary or auxiliary articulating interfaces. For example, the first and second articulating interfaces may be corresponding curved surfaces or they may be corresponding engagement features.

Abstract: A prosthetic foot comprises a resilient bottom member, a resilient top member, wherein the anterior top end is connected to the anterior bottom end of the resilient bottom member, and wherein the resilient top member is positioned over the resilient bottom member, and an elastomeric bumper member comprising a tapered surface configured to contact the resilient bottom member and attached to an underside of the posterior of the resilient top member. The prosthetic foot can further comprise a toe pad having a spacer coupled to, and creating space between, the bottom member and the top member, and an adhesive bonding one of the bottom member and one end of the top member, where the adhesive is commingled with the spacer between the first bottom end and the first top end.

Abstract: A prosthetic device includes a first place including a first end portion arranged for attachment to a foot member of a prosthetic foot. A second end portion is arranged to extend freely over at least a portion of the top surface of the foot member. A second plate includes a first end extending over a heel member of the prosthetic foot and a second end extending over and attached to the second end portion of the first plate. The second end portion of the first plate situated between the foot member and the second plate. A pump mechanism includes a housing secured to the second plate and a membrane operatively connected to the first place and the housing. The pump mechanism defines a fluid chamber between a bottom surface of the housing and a top surface of the membrane.

Abstract: An endoprosthesis includes a stent having an inner surface defining a lumen and an outer surface; and a polymeric cover on the outer surface of the stent. The polymeric cover includes a base and adhesion elements. When the endoprosthesis is expanded to the expanded state in a lumen defined by a vessel wall, the adhesion elements create an interlock between the vessel wall and the endoprosthesis.

Abstract: A stent for placement in a body lumen is fabricated by forming a tube having an undeployed diameter sized for the tube to be placed on a deployment balloon and advanced through a body lumen to a deployment site. The tube is expandable upon inflation of the balloon to an enlarged diameter sized for the tube to be retained within the lumen at the site upon deflation and withdrawal of the balloon. The tube has a stent axis extending between first and second axial ends of the tube. The tube has an exterior surface and an interior surface. The tube is polished to polish the exterior surface to a smooth surface finish and with at least a portion of the interior surface having a rough surface finish rougher than the surface finish of the exterior surface.

Abstract: A method of making a stent-graft is provided. The method includes mounting a stent on a mandrel so that the stent is stretched when it is on the mandrel. A graft layer is then adhered to the stent while it is mounted on the mandrel. When the stent-graft is removed from the mandrel, the stent contracts and the graft layer becomes partially wrinkled when the stent is in its expanded relaxed state.

Abstract: A device for implantation into the heart of a mammal and a method for treating tricuspid regurgitation using the device. The device comprises two tubular stent members separated by a stent graft member which has a functional stented valve member attached thereto allowing unidirectional blood flow from the vena cava into the right atrium.

Abstract: A bifurcated graft including a first branch having a first leg graft; a second branch having a second leg graft spaced apart from and not overlapping the first leg graft; and a trunk including a first layer having a first portion, a second portion, and a saddle extending therebetween the first portion and the second portion. Each of the first portion and second portion have opposite side edges that are spaced apart to define a first width. The saddle has opposite sides that are spaced apart to define a second width. The second width of the saddle is less than the first width of each of the first portion and second portion. The saddle extends along a bifurcation between the first leg graft and second leg graft.

Abstract: A stent has a braided wire body formed from at least a first wire and a second wire. The first wire has a first cross-sectional area and the second wire has a second cross-sectional area different from the first cross-sectional area. The proximal end of the braided wire body has a plurality of peaks, the peaks including first peaks and first loop ends. The first loop ends alternate circumferentially with the first peaks and the first loop ends extend proximally beyond the first peaks.

Abstract: A method of manufacturing a polymeric stent by forming a pattern on a polymer tube with a laser, where the pattern formed on the polymer tube comprises a plurality of repeating units comprising a plurality of unit cells, each having a V-shaped configuration and polymeric stents formed by the methods. The pattern may be formed on the polymer tube (e.g., polylactic acid tube) using a second harmonic generator laser in which a wavelength ranging from 940 nm to 1552 nm is converted.

Abstract: An aneurysm bridging device can be placed in the neurovasculature of a patient by advancing the aneurysm bridging device in a small-diameter configuration a delivery catheter to a target region within the neurovasculature and securing the distal region of the aneurysm bridging device to the neurovasculature. While the distal region of the aneurysm bridging device is secured to the neurovasculature, the proximal region of the aneurysm bridging device can be advanced to permit the aneurysm bridging device to expand from the small-diameter configuration and to deform and twist in a central region of the aneurysm bridging device. The proximal region of the aneurysm bridging device can be secured within the neurovasculature to maintain the central region of the aneurysm bridging device in a deformed state.

Abstract: A method of making a vascular phantom based on imaging data of vasculature of a subject. A mold having a core and a shell is constructed based on the imaging data. A liquid precursor is introduced into the mold and is cured. The mold is removed, leaving a model of the vasculature of the subject. A plaque component is fabricated by making a plaque mold and introducing liquid precursors containing T1 and T2 modifiers to mimic the T1 and T2 of portions of the plaque. The plaque components are attached to the vasculature using adhesive.

Abstract: An introducer assembly includes a first actuating mechanism for actuating a constraining sheath between a first state releasably constraining a vascular implant and a second state allowing deployment of the vascular implant; a second actuating mechanism for actuating a blocking mechanism between a blocked state for blocking other functions of the handle and an unblocked state for allowing operation of the other functions of the handle; and an operating knob operatively coupled to both of the first and second actuating mechanisms for concurrent operation of both of the first and second actuating mechanisms in response to actuation of the operating knob.

Abstract: A catheter assembly includes a tubular first and second catheters in fluid communication with each other, wherein the second catheter includes a port fitting and can be elastically longitudinally strained to cinch the first and second catheters together.

Abstract: An anchoring guidewire and methods for use, where the anchoring guidewire comprises: (a) an outer core, (b) an anchoring basket, (c) a steerable tip, and (d) an actuator core. The outer core, the anchoring basket and the steerable tip are axially aligned with one another. Further, the actuator core may be movably disposed within both the outer core and the anchoring basket and may be coupled to the steerable tip.

Abstract: A system for endoluminal delivery of a medical device, wherein the medical device includes a bifurcated stent graft having a trunk, a first leg and a second leg shorter than the first leg. The system includes a sheath having a tubular wall having a cylindrical inner surface defining a lumen for receiving the stent graft therein to constrain the stent graft toward a delivery configuration suitable for endoluminal delivery, and a generally cylindrical core member extending through the lumen. The core member has a first annular surface for engaging an end of the first leg. The core has a second annular surface for engaging an end of the second leg while at least the end of the second leg remains constrained by the sheath.