Abstract: A method, system and apparatus for controlling a surgical navigation system are provided. The method 1 comprises receiving image data at a processor from a tracking system; receiving, at a processor, an identifier of a surgical instrument within a field of view of the tracking system; generating, at the processor, output data based on the identifier of the surgical instrument; and transmitting the output data to at least one output device connected to the processor, for controlling the output device.

Abstract: The invention includes apparatuses and methods for implanting dental implants in a patient's mouth that ensure that the implants are in the proper rotational position and depth. In one aspect, the invention includes a surgical guide with a guide tube having an indexing mechanism that mates with a corresponding indexing mechanism on a flange of an implant mount when the mount is used to screw an implant into a patient's mouth. This mating signals that the dental implant is in the proper rotational position and depth.

Abstract: A bone foundation guide system and method, the system could comprise a bone foundation guide comprising a body forming an open surgical space, the body further having a bottom contoured to reversibly affix to exposed bone of a dental surgical site and a top contoured to match a bottom side of a dental implant surgical guide; at least one anchoring strut that removably attaches to the body with an apex of the anchoring strut further denoting an one or more indentations for matching up with and receiving one or more portions of one alveolar ridge that opposes another alveolar ridge supporting the dental surgical site; alternatively to the anchoring struts and a tissue spacing gasket, the dental implant surgical guide that removably connects to the body; and alternatively to the anchoring struts or the dental implant surgical guide, the tissue spacing gasket that removably connects to the body.

Abstract: A medical syringe with a light source mounted on a distal end of the syringe to provide illumination of an injection site, a battery pack receiver configured to receive a battery pack with magnetic attraction a proximal end of the syringe, and a control circuit that is configured to illuminate the light source when the control circuit detects movement of the syringe and disconnects the battery from the light source either after a fixed period of time or after motion of the syringe ceases. Ideally the light source is a disc-shaped array of LED lights. The syringe is constructed of materials that can be sterilized.

Abstract: A coupling device for transferring a driving motion (and optionally, a working medium) from a vibration transferring handpiece to a medical or dental tool with a first coupling element provided on the handpiece and a second coupling element provided on the tool. One of the first and second coupling elements is designed as a coupling protrusion, and the other coupling element is designed as a coupling recess to receive the coupling protrusion. The coupling protrusion and the coupling recess each have a first section for releasable connection of the two coupling elements, and a second section for positioning the two coupling elements relative to their joint axis of rotation. The second section is formed on the coupling protrusion and on the coupling recess, such that the two coupling elements are guided toward one another and can be displaced along the joint axis of rotation before the two coupling elements are releasably connected to one another by the respective first sections.

Abstract: An orthodontic bracket includes a unitary bracket body and base and an archwire slot for receiving an archwire. A self-ligating gate is mounted on the bracket body and slides from an open position during which an archwire can be mounted in the archwire slot, to a closed position in which the ligating gate retains the archwire in the archwire slot.

Abstract: A dental appliance for adjusting the positioning of the lower jaw of a patient with respect to the upper jaw thereof, including an upper tray and a lower tray intended to fit the teeth of the upper and lower jaw, respectively, wherein the trays are connected to one another by means of a spring wire being substantially in the shape of a U, the spring wire arranged in an occlusal position between the trays without protruding into the vestibular regions of the mouth of the patient, wherein each end of the spring wire is mounted pivotably on a first of the lower and upper trays about an axis of pivoting arranged parallel to the occlusal plane of contact of the teeth of the lower and upper jaws, wherein the spring wire is pivotably and removably connected to a second of the lower and upper trays by means of a hook removably or non-removably fixed to the second tray, the hook being positioned in such a way that it produces an offset between the first and second trays in at least a direction perpendicular to the axi

Abstract: Bioresorbable inflatable devices and tunnel incision tool and methods for treating and enlarging a tissue or an organ or a tube or a vessel or a cavity. The device is composed of a hollow expanding pouch made of a resorbable material or a perforated material that can be attached to a filling element. The pouch can be filled with a biocompatible materials, one or more times in few days interval, after the insertion of the device. While filling the pouch every few days the tissue expands and the filling material if it is bioactive start to function. The tunnel incision tool composed of a little blade that emerges from the surface of the tool in order to make shallow incisions in the surrounding tissue therefore enabling easy expansion of the tissue.

Abstract: Provided is an impression tray which enables impressions of upper and lower jaws to be taken at the same time, and on which an impression material can be heaped sufficiently. The impression tray includes an outer frame that curves and extends from an incisors side toward a molars side, an inner frame that extends with a distance away from the outer frame, a connecting part that one end of which is fixed to the outer frame and another end of which is fixed to the inner frame, a face material that is spread over the distance between the outer frame and the inner frame, and a handle that is arranged at the incisors side of the outer frame. A portion of the outer frame at the incisors side is highest position, and its height is for no less than 2 mm and no more than 15 mm.

Abstract: A toothpick assembly that is engaged with a cover and is movable between extended, partially extended and retracted positions relative to the cover. The toothpick assembly includes a base with first and second ends; a locking assembly provided at the first end of the base that secures the base to the cover; and a toothpick provided at the second end of the base. The toothpick includes first and second regions. The first region defines sinusoidal grooves in the side faces thereof and a row of bristles extending outwardly from each groove. The bristles are integrally formed with rest of the toothpick assembly and taper in length from the base and towards the second region. The second region is bristle-free and terminates in an upwardly curving tip. The first and second regions taper in width moving toward the tip so that toothpick is easily inserted into an interdental space.

Abstract: A hybrid dental tool is disclosed herein. The hybrid dental tool includes a flosser having a flossing head. The flossing head can include a filament stretching between the first arm and a second arm. The flossing head can include a pick receptacle. The hybrid dental tool can further include a pick that has a first end and a second end. The pick can be sized and shaped to fit within the pick receptacle such that the first and second ends are protected. The pick can releasably connect with the flossing head to allow the separation of the pick from the flossing head.

Abstract: A lockable tensioning flosser is disclosed herein. The lockable tensioning flosser includes a flosser having a flossing head. The flossing head can include a link arm, a first arm connected to the link arm, a second arm pivotably connected to the link arm, and a filament, that can be tensionable, extending between the first arm and the second arm. The second arm can be moved from a first position to a second position to affect the tension of the filament. The second arm can be locked in one or several positions to secure a constant filament tension.

Abstract: The oral care appliance comprises: a fluid pump (46); a source of liquid (50); and a source of gas (12); wherein the pump is in operative communication with the sources of liquid and gas to produce a series of gas-injected fluid pulses and/or a jet fluid flow using liquid slugs in a selected sequence directed to a nozzle and from there to the teeth, and a control assembly for selecting pulse flow or slug flow with specific set times and sequence directed to a nozzle assembly (80) and from there to the teeth; wherein the pulses have a pulse width within the range of 0.001-0.5 seconds, a pulse height from 0.1-10 Newtons, a rise/fall time range of 0.5-250 ms, a repetition rate in the range of 2 H to 20 Hz, and wherein the gas/liquid mixture range from 40-95% volume to volume gas to liquid, or wherein the fluid slugs in the jet flow have a volume in the range of 0.05-0.5 ml per orifice, a diameter in the range of 0.1-2 mm and a repetition rate within the range of 2 Hz to 20 Hz.

Abstract: An apparatus (10) for discharging a dose of a fluid substance to an animal, the apparatus (10) including: a delivery assembly (12) adapted to discharge the dose of the substance to the animal; and a control system (100) operatively associated with the delivery assembly (12) so as to selectively operate the delivery assembly (12), wherein the control system (100) is adapted to measure the discharge of the fluid substance from the delivery assembly (12) such that the dose is discharged when the delivery assembly (12) is operated.

Abstract: An implant and suture locking system is provided. The implant can include a lateral or distal anchor, and a medial or proximal anchor. One or more suture loops can extend between and operatively connect the anchors. A medial suture loop can extend through apertures in the medial anchor to provide efficient and easily adjustable tensioning and suture locking for the implant.

Abstract: Provided is an implantable sling for supporting a body organ. The sling may be used, for example, as a urethral sling, a puborectal sling or a surgical mesh for pelvic organ prolapsed repair. The sling of the invention has a first sling element, having a first sling body and two or more slender first projections extending from the first sling body. The sling may further include a second sling element having a second sling body and two or more slender second projections extending from the second sling body, and one or more detachable connections connecting the first sling element and the second sling element. In some embodiments, the connections are configured to tear when the first and second sling elements are pulled apart.

Abstract: Disclosed herein is an implantable prosthesis for breast augmentation or reconstruction procedures. The prosthesis comprises a biocompatible and biodegradable fabric structure comprising one or more individual yarns comprised of sericin-extracted native fibroin fibers, wherein the yarns are intertwined to produce the fabric structure. The fabric structure extends in at least a first dimension and has at least a first surface that is adapted to engage and support natural breast tissue and/or a prosthetic breast implant in a patient. Also disclosed are methods of supporting breast tissue or a breast implant in a patient by inserting the prosthesis between the skin of the patient and the breast tissue and/or implant within the patient.

Abstract: A vascular filter device (1) has a support (2) for engaging the wall of a blood vessel. A filter has filter elements (5) having proximal segments (10) connected to the support (3) and distal segments at least temporarily restrained at a distal apex (7) by a holder when in a filtering closed position. At least one filter element (5) extends radially outwardly with respect to a device longitudinal axis when unconstrained. The filter element may extend in a curve with a concave portion facing radially outwardly in an unconstrained configuration.

Abstract: The disclosure provides a filter apparatus and method of filtering in a body vessel. The filter apparatus comprises a filter unit and an expandable introducer designed to deliver the filter unit to the target filtering site. The filter unit attaches to the expandable introducer via a plurality of anchors on the filter unit. The expandable introducer delivers and presses the anchors to the vessel wall during implantation. After implantation, the filter unit exerts minimal or about zero radial force against the vessel wall.

Abstract: An apparatus enables concurrent restoration of a gastroesophageal valve and tightening of the lower esophageal sphincter. The apparatus comprises a longitudinal member having a distal end arranged to be received within a stomach, a tissue shaper at the distal end of the longitudinal member that forms a gastroesophageal valve from stomach tissue, and a tissue gatherer that gathers fundus tissue at or aboral to the gastroesophageal junction to reduce an esophageal opening into the stomach and tighten the lower esophageal sphincter. A fastener deployer then deploys at least one fastener pair to maintain both the restored gastroesophageal valve and the tightened lower esophageal sphincter.

Abstract: The multi-material stent includes a renal portion and a bladder portion with respective, different hardness. A valve is disposed within the stent to guide liquid from the renal portion of the stent to the bladder portion of the stent. The present invention relates towards systems and method for stents. More particularly, the invention relates to a stent designed to increase patient comfort by minimizing irritation and reflux through the use of a stent that incorporates one or more flexible elements, which may involve materials with varying degrees of hardness, and a valve disposed therein.

Abstract: Disclosed herein are methods and devices for securing soft tissue to a rigid material such as bone. A tissue anchoring device is described that comprises an anchor body and a spreader such that tissue may be captured or compressed between outside surfaces on the anchor and inside surfaces of a bone tunnel to secure the tissue within the tunnel. Methods are described that enable use of the bone anchoring device to secure a tissue graft into the tibial and femoral bones during anterior cruciate ligament (“ACL”) reconstruction.

Abstract: A tapered sleeve is provided that includes a hydrophilic coating on an inner surface. In use, the device is typically removed from sterile packaging and soaked to activate the lubricous properties of the coating. An implant (e.g., a pre-filled silicon breast implant) is introduced into a large end of the sleeve and extruded into a surgical pocket of minimal access incision size through a small-sized end of the device.

Abstract: A method of treating keratoconus in an eye of a patient includes measuring a surface of a cornea of the eye to acquire eye topography data. The method includes, based on the eye topography data, selecting a topographic pattern from topographic patterns displayed in a graphical user interface. The method includes entering vision corrective parameters for the eye of the patient into the graphical user interface. The method includes actuating a processing module to obtain a surgical plan based on the selected topographic pattern and the entered vision corrective parameters. The method includes reviewing intrastromal corneal ring segment (ICRS) implantation surgery parameters specified by the surgical plan and displayed in the user interface. The ICRS implantation surgery parameters include specification of at least one ICRS. The method includes performing implantation surgery of the at least one ICRS into the eye of the patient according to the surgical plan.

Abstract: Systems and methods for generating an treatment shape for treating an eye of a patient involve obtaining a treatment effect corresponding to an operator influence profile, obtaining a base shape, producing a set of adjusted shapes that are based on a random fluctuation of the base shape and the treatment effect, evaluating the adjusted shapes of the set according to a merit function, selecting one of the adjusted shapes based on the evaluation, and generating the treatment shape based on the selected shape.

Abstract: Intraocular lens loading devices and methods of use. In some embodiment the devices are used to sequentially splay first and second haptics while loading the intraocular lens into a delivery lumen.

Abstract: A method and apparatus for treating a nasal valve condition including surgically forming an access path to create a pocket on a side of the patient's nose. The pocket is positioned between a soft tissue layer and opposing surfaces of upper and lower cartilages of the nose. The pocket spans a junction between the upper and lower cartilages. An implant is placed through the access path into the pocket with a length oriented to span the junction. A delivery system for placement of the implant includes a surgical tool for forming the access path and for delivering the implant into the access path.

Abstract: Prosthetic heart valve devices for percutaneous replacement of native heart valves and associated systems and method are disclosed herein. A prosthetic heart valve device configured in accordance with a particular embodiment of the present technology can include an anchoring member having an upstream portion configured to engage with tissue on or near the annulus of the native heart valve and to deform in a non-circular shape to conform to the tissue. The device can also include a mechanically isolated valve support coupled to the anchoring member and configured to support a prosthetic valve. The device can further include an atrial extension member extending radially outward from the upstream portion of the anchoring member and which is deformable without substantially deforming the anchoring member. In some embodiments, the upstream portion of the anchoring member and the extension member may be deformed while the valve support remains sufficiently stable.

Abstract: A stent-valve for transcatheter implantation to replace a cardiac valve, the stent valve being compressible to a compressed state for delivery, and expandable to an operative state for implantation, the stent-valve comprising a stent, a plurality of leaflets for defining a prosthetic valve, an inner skirt, an outer skirt, and a paravalve seal for sealing against surrounding tissue. In some embodiments, the paravalve seal comprises material that swells in response to contact with blood. In some embodiments, the seal comprises a flap or pocket that is distensible in response to backpressure and/or paravalve back-flow of blood.

Abstract: A prosthesis including a frame configured for positioning at or near a native heart valve annulus, shaped and sized to prevent the frame element from shifting downstream of the native heart annulus, and at least two frame extensions attached to the frame at a first end proximal to the frame, the frame extensions configured and circumferentially arranged to extend between native heart valve leaflets, wherein the frame is configured for positioning at or near the native heart valve annulus with minimal interfering with opening and closing of the native heart valve leaflets, and the frame extensions are at least as long as the native heart leaflets, and are configured to extend between the native heart valve leaflets without interfering with opening and closing of the native heart valve leaflets. Related apparatus and methods are also described.

Abstract: Apparatus and methods for transcatheter valves. Specific embodiments relate to transcatheter flutter valves configured for pediatric use.

Abstract: A prosthetic heart valve comprises a radially crimpable and radially expandable, net-like, annular support frame and a valve assembly disposed therein, the valve assembly comprising a conduit tapering from an inlet towards an outlet thereof. Some embodiments or the support frame comprise a proximal portion and a distal portion, a diameter of the proximal portion smaller than a diameter of the distal portion. The proximal portion is dimensioned for deployment in an annulus of a native aortic valve and a distal portion for deployment in an ascending aorta. Some embodiments of the conduit comprise a support construction with a three-cusp, crown-shaped cut line, the support construction sutured to the support frame around a bottom portion thereof and around the cut line. A method for using the prosthetic heart valve to replace a defective native aortic valve uses a minimally invasive procedure.

Abstract: The present disclosure includes a device for reshaping a heart valve. The device may include a central ring about a central axis and a plurality of arms coupled to the central ring, each of the arms coupled to the central ring at a pivot point at a first end of the arm, the arm comprising an attachment feature at a second point along the arm, the pivot point configured to allow movement of the arm about the pivot point through a plane extending radially from the central axis through the arm. Additionally, the plurality of arms may be contractable and may be extendable such that the hooks extend beyond a dilated heart valve. The present disclosure also includes associated methods and systems.

Abstract: Apparatus, systems, and methods are provided for percutaneous transcatheter delivery and fixation of annuloplasty rings to heart valves. An annuloplasty ring includes an outer tube, an inner body member, and an anchor deployment system. The outer tube includes a plurality of windows and has an axis along its length. The internal body member includes a plurality of anchors formed perpendicular to the axis. The anchor deployment system selectively rotates the internal body member with respect to the axis of the outer tube. The rotation deploys the plurality of anchors through the plurality of windows.

Abstract: Disclosed here are devices and methods for treating functional tricuspid valve regurgitation and related conditions. Disclosed devices are adapted for applying force to an area of a patient's heart along or near the atrioventricular groove, and can include a tensioning element configured to be delivered by a flexible member guided through a catheter and positioned generally along or near the atrioventricular groove, and a compression member positionable along the tensioning element and over a desired segment of the atrioventricular groove to develop force to be applied to an adjacent area of the heart by selective tensioning of the tensioning element.

Abstract: A tool for implanting an inflatable penile prosthetic cylinder includes a barrel having a solid central portion and a groove formed in an exterior side surface of the barrel between a first convex curved exterior surface and a second convex curved exterior surface of the barrel. The groove extends to and forms an opening at the distal end of the barrel and forms a cavity extending into the barrel from the exterior side surface toward the solid central portion. The cavity has a first gap dimension measured at the exterior side surface that is smaller than a second gap dimension measured inboard relative to the exterior side surface of the barrel.

Abstract: Embodiments of the invention described herein thus provide implants and methods for manufacturing an implant having an outer cortical layer that is porous. The porous outer cortical layer can help encourage tissue ingrowth into the implant. The porous outer cortical layer may be positioned around a core structure this is solid or that has a hollow interior. The core structure may be spherical or any other appropriate shape for a medical implant.

Abstract: Compositions comprising a cartilage sheet comprising a plurality of interconnected cartilage tiles and a biocompatible carrier are provided. Methods of manufacturing cartilage compositions comprising a cartilage sheet comprising a plurality of interconnected cartilage tiles are also provided.

Abstract: A process and system for performing orthopaedic surgery to create a series of channels with a subject's bone to allow a reduced pressure system to be applied directly to the bone-implant interface to enhance bone healing is provided. The process for to promote healing of a bone of a subject includes creating a three-dimensional model of the bone; preoperatively planning a location of an implant relative to the model; creating a plan for the location of precision channels that reach the bone-implant interface based on the model and the implant; resurfacing the bone to fit the implant into or onto the bone based on the preoperative plan; and milling the precision channels into the bone in the location to promote healing of the bone and/or bone implant interface; and applying a pressure reduction system at the bone-implant interface to promote bone healing.

Abstract: Systems and methods for providing a tibial prosthesis are disclosed. In some cases, the prosthesis includes a tibial component for replacing at least a portion of a proximal end of a tibia, the tibial component having an undersurface and a stem that extends from the undersurface, wherein the stem is configured to contact an inner, anterior surface of the tibia when the stem is inserted into the tibia and the undersurface of the tibial component is in contact with a cut surface of the tibia. Other implementations are described.

Abstract: Patient-adapted articular repair systems, including implants, instruments, and surgical plans, and methods of making and using such systems, are disclosed herein. In particular, various embodiments include knee joint articular repair systems designed for posterior stabilization, including patient-adapted posterior-stabilizing features.

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 stemless humeral component for replacing the humeral head of a patient's humerus includes a support flange having a number of cantilevered legs extending distally away from a bottom surface thereof. Instruments and methods for surgically installing the stemless humeral component are also disclosed.

Abstract: A stemless humeral component for replacing the humeral head of a patient's humerus includes a support flange having a number of cantilevered legs extending distally away from a bottom surface thereof. Instruments and methods for surgically installing the stemless humeral component are also disclosed.

Abstract: A stemless humeral component for replacing the humeral head of a patient's humerus includes a support flange having a number of cantilevered legs extending distally away from a bottom surface thereof. Instruments and methods for surgically installing the stemless humeral component are also disclosed.

Abstract: A surgical system including an expandable device is provided, including an inflatable body and a compliant sleeve. The compliant sleeve includes a distal end, a proximal end, and a cavity extending from the proximal end to the oppositely disposed distal end configured to receive a portion of the inflatable body. The cavity is defined by an inner wall and an outer wall of the compliant sleeve. The distal end of the compliant sleeve forms a closed portion of the cavity and the proximal end includes an opening.

Abstract: The invention relates to medical implants, including spinal implants and bone grafts, for fixation and integration with hard tissue. The bone medical implants include at least one rotational fixation mechanism that further includes or is attached to one or more sharp protrusions configured to penetrate and become lodged into hard tissue to provide support and positional stability. Such support is useful to ensure that the spinal bone graft may be used without additional stabilizing or anchoring structures, such as supporting plates or screws.

Abstract: An implant to be surgically positioned between two adjacent vertebrae made of a biocompatible material having two distinct areas of geometry—a front/anterior distracting portion and a second stabilizing back end/posterior portion. The device is inserted into the disc space on its side—in a first position—up until a point and then the device is rotated 90 degrees along a z-axis—into a second position—and then pushed the remainder of the way into the disc space. As viewed from the bottom of the device (in the second position—the position of the implant after rotation, the device is L-shaped, about L-shaped, or an angled dual leg configuration. A base member forms an angle anywhere between 30 to 150 degrees with a connected extended member.

Abstract: A spinal implant comprises a first vertebral engaging surface and a second vertebral engaging surface. A wall extends between the surfaces. The wall includes an inner bone growth resistant layer and an outer layer. Systems and methods of use are disclosed.

Abstract: A system and method for spinal fusion comprising a spinal fusion implant of non-bone construction releasably coupled to an insertion instrument dimensioned to introduce the spinal fusion implant into any of a variety of spinal target sites.