Abstract: Abutment for a dental implant including an apical base portion equipped with profiled sections, a rotationally symmetrical transition portion bordering coronally on the base portion, a section bordering coronally on the transition portion and equipped with a wave-shaped rim, and an occlusal portion bordering coronally on the transition portion, the occlusal portion not being configured circular symmetric, a shoulder of irregular width is formed between the upper rim of section and the lower rim of the occlusal portion, the variation in width of the shoulder increasing from a minimum width to a maximum width by about 30% to 150% with respect to the minimum width of the shoulder.

Abstract: A dental component having a first indexing element and at least two second indexing elements having apical ends located apically of the apical end of said first indexing element.

Abstract: A screw channel directing device for a dental superstructure includes a screw channel part and an implant cooperating part, the former having a screw member seat with an elongated screw hole in the proximal end. The proximal end of the screw channel part is bowl shaped, having a convex outer bottom. The implant cooperating part comprises a collar-shaped lower implant cooperating part to be connected to a dental implant and a collar-shaped upper implant cooperating part. The lower implant cooperating part and said upper implant cooperating part form a first ball joint. The upper implant cooperating part has a distal concave seat with a radius corresponding to the radius of the outer bottom surface of the screw channel part to form a second ball joint.

Abstract: A set of Osteotomes used for forming an implant socket during a ridge expansion osteotomy may be specially constructed to reduce crestal alveolar stress and to reduce likelihood of a crestal fracture. Each osteotome includes a conical working tip having a free end and a working base. A first osteotome of the set has a working tip formed with a first diameter, Y, at the free end, and a second diameter, X, at the working base, with the second diameter being larger than the first diameter, X>Y; and wherein for each successive osteotome of the set, the diameter at the free end increases linearly by a constant increment, k, and the diameter at the working base alternately increases by a constant increment, C, as a step function. Other interrelationships between the free end and the working base of the previous and successive osteotomes operate to maintain crestal integrity.

Abstract: A powered dental and interdental cleaning tool may include a body, an interdental cleaning member, and a drive member. The drive member may extend from the body at an angle to a longitudinal axis of the body. The drive member may be connected to the interdental cleaning member. A neck may extend from the body and define a drive member shaft for containing and supporting the drive member.

Abstract: A method of tooth treatment includes sensing a surface condition of tooth or gum and controlling ejection of a fluid jet against the tooth based on the sensed condition. The fluid may be a liquid and may be carried in a self-contained reservoir in a handle of a fluid ejection device. The liquid can be a cleansing solution and may contain cleaning particles. The ejection can be controlled to clean teeth at high pressure and to reduce pressure applied to gum, for example, to clean plaque. In some embodiments, the method may be used to remove soft tooth. The method may further include automatically scanning the fluid jet relative to a handle of an injection device. In an embodiment, the fluid is ejected by means of a fluid ejector comprising a stationary magnet assembly providing a magnetic field and a coil assembly, slidably disposed with respect to the magnet assembly, the coil assembly driving ejection of the fluid jet.

Abstract: A method for forming a disposable dental valve device is disclosed which comprises the steps of injecting a resin into a mold with the melt temperature of the resin being about 201° C. and the mold temperature being about 35° C., filling the resin in the mold for a fill time of about 0.70 seconds, providing a peak first stage fill pressure of about 61.9 Mpa, providing a pack pressure of about 49.5 Mpa, and providing a pack time of about 5 seconds.

Abstract: A bodily implant is provided that includes a support member and an arm member. The support member is configured to be placed within a body of a patient such that the support member surrounds a rectum of the patient. The arm member extends from the support member and is configured to be coupled to a portion of the body of the patient to help retain the support member in place within the body of the patient.

Abstract: According to an aspect of the present invention, medical devices are provided whose surfaces are partially covered with a coating that further comprises silver nanoparticles. Other aspects of the invention pertain to methods of making and using such medical devices.

Abstract: An implantable medical device and a surgical instrument for using the device in a procedure for the treatment of vaginal vault prolapse are disclosed. In one form of the device, one attachment part attaches to the anterior and posterior parts of the vaginal apex, and the other attachment part attaches to anterior part of the sacrum. The two attachment parts are capable of being attached together during the procedure in a manner which permits appropriate adjustment of tension. The invention also includes an instrument which allows the pieces of the suspension material to be attached to each other and enables the appropriate suspension of the vaginal apex from the anterior part of the sacrum. In another form of the device, one attachment part attaches to the anterior part of the vaginal apex, another separate attachment part attaches to the posterior part of the vaginal apex, and another separate attachment part attaches to anterior part of the sacrum.

Abstract: Described are implants, tools, and methods useful for treating pelvic conditions such as prolapse, by placing an implant to support pelvic tissue, the implants, tools, and methods involving one or more of an insertion tool that works in coordination with a sheath, adjusting engagements, specific implants and pieces of implants, placement of implants at locations within the pelvic region, and insertion, adjusting, and grommet management tools.

Abstract: Absorbable polyester fibers, braids, and surgical meshes with prolonged strength retention have been developed. These devices are preferably derived from biocompatible copolymers or homopolymers of 4-hydroxybutyrate. These devices provide a wider range of in vivo strength retention properties than are currently available, and could offer additional benefits such as anti-adhesion properties, reduced risks of infection or other post-operative problems resulting from absorption and eventual elimination of the device, and competitive cost. The devices may also be particularly suitable for use in pediatric populations where their absorption should not hinder growth, and provide in all patient populations wound healing with long-term mechanical stability. The devices may additionally be combined with autologous, allogenic and/or xenogenic tissues to provide implants with improved mechanical, biological and handling properties.

Abstract: Valve implant systems positionable within a flow passage, the systems having an inlet, an outlet, and a remotely activatable valve between the inlet and outlet, with the valves being operable to provide intermittent occlusion of the flow path. A remote field is applied to provide thermal or magnetic activation of the valves.

Abstract: A tubular tissue graft device is provided comprising a tubular tissue and a restrictive fiber matrix of a bioerodible polymer about a circumference of the tubular tissue. The matrix may be electrospun onto the tubular tissue. In one embodiment, the tubular tissue is from a vein, such as a saphenous vein, useful as an arterial graft, for example and without limitation, in a coronary artery bypass procedure. Also provided is method of preparing a tubular graft comprising depositing a fiber matrix of a bioerodible polymer about a perimeter of a tubular tissue to produce a tubular tissue graft device. A cardiac bypass method comprising bypassing a coronary artery with a tubular tissue graft device comprising a vein and a restrictive fiber matrix of a bioerodible polymer about a circumference of the vein also is provided.

Abstract: The present teachings provide for a graft fixation assembly including a base member, a compression member, and a fastener. The base member includes a bone engaging surface and a first graft engaging surface opposite to the bone engaging surface. A plurality of first fixation members extend from the bone engaging surface and are configured to be impacted into bone. The compression member includes a second graft engaging surface and an outer surface opposite to the second graft engaging surface. The fastener is configured to secure the compression member relative to the base member such that a graft between the base member and the compression member is compressed therebetween and secured to the graft fixation assembly.

Abstract: An implantable prosthesis is provided having a membrane which holds a flowable substance. The membrane is separated into a first chamber and a second chamber with the first and second chambers being fluidly coupled via an orifice. The orifice has a size which may be adjusted by the user after implanting the prosthesis into the patient.

Abstract: Breast implants including sensor modules and related methods are described herein. Breast implants include those with: a shell configured to be substantially filled with a viscous material; a plurality of projections extending from an external surface of the shell, the projections forming a plurality of compartments adjacent to the external surface of the shell; at least one fluid-permeable cover attached to the projections, the cover completely enveloping the shell and the plurality of projections; a plurality of sensor modules attached to the shell, each of the sensor modules oriented to detect one or more analytes in a fluid within one of the plurality of compartments, wherein each of the plurality of sensor modules includes a unique identifier; and at least one power source operably attached to the plurality of sensor modules.

Abstract: An intraocular lens includes a plurality of lenses with a rear lens portion disposed in a posterior capsule from which an eye lens is extracted and a front lens portion disposed at the front side inside the eye in relation to the rear lens portion, and a support portion of the front lens portion among the lenses has flexibility. Accordingly, when the inside of the user's eye moves, the support portion is bent, and hence the front lens portion moves. When the front lens portion moves so that the gap between the front lens portion and the rear lens portion changes, a focal distance of a lens system including the front lens portion and the rear lens portion changes. Accordingly, it is possible to realize an intraocular lens capable of changing a focal distance in a manner such that a user moves the inside of an eye.

Abstract: A vascular implant for replacing a native heart valve comprises a self expanding stent supporting a valve body having leaflets. The stent preferably comprises an anchoring structure configured to prevent the implant from passing through the valve annulus. For delivery, the implant is compacted within a delivery device and secured at one end. During delivery the implant is partially released from the delivery device, and positioning of the implant can be verified prior to full release. The implant can be at least partially resheathed and repositioned if desired.

Abstract: A vascular implant for replacing a native heart valve comprises a self expanding stent supporting a valve body having leaflets. The stent preferably comprises an anchoring structure configured to prevent the implant from passing through the valve annulus. For delivery, the implant is compacted within a delivery device and secured at one end. During delivery the implant is partially released from the delivery device, and positioning of the implant can be verified prior to full release. The implant can be at least partially resheathed and repositioned if desired.

Abstract: A device for heart valve replacement comprises a valve component having at least two valve leaflets preferably made of pericardium tissue. Each valve leaflet includes at least two tabs. The device further includes a stent component configured to be radially compressible into a compressed state and expandable into a functional state. The stent component comprises a first end, a second end and at least one intermediate section arranged between said first and said second end. The intermediate section has at least two commissural posts generally aligned parallel to an axis spanning from the first end to the second end. The commissural posts are formed in the shape of a wishbone.

Abstract: Apparatus for use with a prosthetic heart valve includes a holder, to which the heart valve is releasably attached, and an elongated handle. The handle can be connected to the holder simply by pushing a distal end of the handle straight into a recess in the holder. After this has been done, the holder preferably releasable latches onto the handle, and the handle can also be rotated about its longitudinal axis to transmit torque to the holder (e.g., a rotatable portion of the holder). Rotation of such a rotatable portion of the holder can be used to deflect portions of the valve radially inward. This operation of a rotatable portion of the holder is preferably one-way-only. The handle can be released from the holder at any time, and it can similarly be reconnected to the holder at any time.

Abstract: Devices and methods for preparing a transcatheter heart valve system. The device includes a housing, sealing apparatuses and a port. The housing forms a chamber sized to receive a prosthetic valve and a portion of a delivery device. During use, the prosthesis is seated in the chamber, and the sealing apparatuses operated to seal the chamber about the delivery device. Air bubbles in a liquid delivered through the delivery device and to the chamber are removed from the system via the port, thereby flushing the system. Further, the device is manipulated to permit loading of the prosthesis into the delivery device in an air bubble-free environment.

Abstract: A heart valve assembly comprises a first prosthesis configured to expand from an unexpanded state to an expanded state at which the first annular prosthesis contacts native tissue of a body lumen. The heart valve assembly also comprises a second prosthesis comprising a valve, and a connection adapter that secures the second prosthesis to the first prosthesis, the connection adapter having a multi-lobed circumference.

Abstract: A tool for inserting a cylinder of a penile prosthesis into a patient includes a handle extending between first and second guides. The first guide is located at a first end portion of the tool and includes a first cylinder cradle on a first side of the tool and a first tubing cradle on a second side of the tool that is opposite of the first side of the tool. The second guide located at a second end portion of the tool and includes a second cylinder cradle on one of the first side or the second side of the tool and a second tubing cradle on the other side of the tool. The lateral width of the first tubing cradle and the second tubing cradle is the same and a lateral width of the first cylinder cradle is smaller than a lateral width of the second cylinder cradle.

Abstract: An osteoimplant composite comprising a plurality of particles of an inorganic material, a bone substitute material, a bone-derived material, or any combination thereof; and a polymer material with which the particles are combined. The composite is either naturally moldable or flowable, or it can be made moldable or settable. After implantation, the composite may be set to provide mechanical strength to the implant. The inventive composite have the advantage of being able to fill irregularly shape implantation site while at the same time being settable to provide the mechanical strength required for most orthopedic applications. The invention also provides methods of using and preparing the moldable and flowable composites.

Abstract: Hard-tissue implants are provided that include a bulk implant, a face, pillars, and slots. The pillars are for implantation into a hard tissue. The slots are to be occupied by the hard tissue. The hard-tissue implant has a Young's modulus of elasticity of at least 10 GPa, has a ratio of the sum of (i) the volumes of the slots to (ii) the sum of the volumes of the pillars and the volumes of the slots of 0.40:1 to 0.90:1, does not comprise any part that is hollow, and does not comprise any non-pillar part extending to or beyond the distal ends of any of the pillars. Methods of making and using hard-tissue implants are also provided.

Abstract: A covering for delivering a substance or material to a surgical site is provided. The covering, with substance provided therein, may be referred to as a delivery system. Generally, the covering may be a single or multi-compartment structure capable of at least partially retaining a substance provided therein until the covering is placed at a surgical site. Upon placement, the covering may facilitate transfer of the substance or surrounding materials. For example, the substance may be released (actively or passively) to the surgical site. The covering may participate in, control, or otherwise adjust, the release of the substance.

Abstract: An artificial hip joint consisting of multi-layer shell core composite structural components includes an artificial acetabular bone (1) and an artificial femoral head (2) which are mutually matched with each other. The artificial acetabular bone (1) has a multi-layer shell core composite structure and is constituted of a ceramic acetabular bone lining (1-1), transitional layers (1-2, 1-3), an acetabular bone shell made of a porous metal or a porous alloy or a porous toughened ceramic (1-4). The artificial femoral head (2) has a multi-layer shell core composite structure and is constituted of a ceramic spherical shell layer (2-1), a transitional layer (2-5) and a toughened ceramic inner core (2-2). The artificial acetabular bone lining and the artificial femoral head spherical shell layer of the hip joint have high rigid, anti-corrosion and anti-wear performance. The artificial acetabular bone shell layer and the femoral head inner core layer have high tough, shockresistant performance.

Abstract: A tool provides for coupling a first prosthetic to a second prosthetic. The tool can include a first arm having a first concave bearing surface configured to apply a force in a first direction. The tool can also include a second arm having a hook shaped member. The hook shaped member can have a second concave bearing surface configured to apply a force in a second direction opposite the first direction. The first arm and the second arm can be generally parallel, and the first arm can be translatable with respect to the second arm. The tool can include a translation force mechanism, which can apply force to the first arm and the second arm so as to cause generally parallel translation of the first arm and second arm.

Abstract: Disclosed herein are methods and devices for repairing articular surfaces in a knee joint. The articular surface repairs are customizable or highly selectable for each patient and geared toward providing optimal fit and function. Kits are also provided to enable customized repairs to be performed.

Abstract: Implementations described and claimed herein provide a spinal facet cage implant for implantation in a spinal facet joint. In one implementation, the implant includes a distal leading end, a proximal trailing end, a first face, and a second face. The distal leading end has a distal surface generally opposite a proximal surface of the proximal trailing end. The first face has a first surface that is generally parallel with a second surface of the second face. The first and second faces extend between the distal leading end and the proximal trailing end. The first and second surfaces having one or more textured features adapted to provide friction with the spinal facet joint. One or more windows are defined in the first and/or second surfaces, and one or more side windows are defined in the first and/or second side surfaces.

Abstract: Systems for minimally invasive disc augmentation include an anulus augmentation component and a nucleus augmentation component. Both are suited for minimally invasive deployment. The nucleus augmentation component restores disc height and/or replaces missing nucleus pulposus. The anulus augmentation component shields weakened regions of the anulus fibrosis and/or resists escape of natural nucleus pulposus and/or the augmentation component. Methods and deployment devices are also disclosed. Method of supporting and augmenting a nucleus pulposus by inserting a flexible biocompatible material into the disc space using an anchoring means are also provided.

Abstract: An intervertebral implant includes opposing upper and lower endplates that are configured to engage respective vertebral surfaces in an intervertebral space. The implant carries a plurality of bone fixation spikes that extend out from each endplate. The spikes define a plurality of outer surfaces that extend from a base to a tip. The spikes are laterally staggered, and have a height that increases along a longitudinal direction from the front toward the rear of the implant, and a define recess formed in at least one outer surfaces.

Abstract: An intervertebral fusion implant for the fusion of two vertebrae comprises an upper bearing body for placing on a lower end-plate of a vertebra, a lower bearing body for placing on an upper end-plate of a vertebra, and a central piece arranged between the bearing bodies. The central piece comprises a claw coupling which, in a coupling position, couples the two bearing bodies in a rotationally fixed manner to each other. In an open position of the claw coupling, the bearing bodies are freely movable in relation to each other. The claw coupling is actuated automatically via a plastic blocking body which, in its initial position, holds the claw coupling open and, under a load transferred from one vertebra to the other vertebra, is slowly deformable until it reaches a final coupling position in which the claw coupling is closed. This results in the slow fusion of the vertebrae.

Abstract: Systems for and methods of fusing a sacroiliac joint are provided which include an implant assembly adapted to be inserted into the joint space defined by the bones of a sacrum and an ilium, a delivery tool and means for inserting the implant assembly into the joint. The implant assembly includes a body disposed intermediate distal and proximate end portions thereof and having oppositely disposed side members adapted to expandably engage the sacroiliac joint following insertion of the assembly into the joint space. A tool is provided and provides a means for placing the implant assembly adjacent the sacroiliac joint, inserting it into the joint space and expanding means are thereafter applied to expand the oppositely disposed side members into operative engagement with the joint.

Abstract: An orthopedic device for implanting between adjacent vertebrae comprising: an arcuate balloon and a hardenable material within said balloon. In some embodiments, the balloon has a footprint that substantially corresponds to a perimeter of a vertebral endplate. An inflatable device is inserted through a cannula into an intervertebral space and oriented so that, upon expansion, a natural angle between vertebrae will be at least partially restored. At least one component selected from the group consisting of a load-bearing component and an osteobiologic component is directed into the inflatable device through a fluid communication means.

Abstract: An intervertebral scaffolding system is provided having a central beam having a proximal portion having an end, a grafting portion having a top and a bottom, a distal portion having a end, a central beam axis, a graft distribution channel having an entry port at the end of the proximal portion, a top exit port at the top of the grafting portion, and a bottom exit port at the bottom of the grafting portion. These systems can also include a laterovertically-expanding frame operable for a reversible collapse from an expanded state into a collapsed state. The expanded state, for example, can be configured to have an open graft distribution window that at least substantially closes upon the reversible collapse.

Abstract: An interbody fusion cage comprised of two support elements that separate after insertion into the interbody space to form a pocket into which graft material may be inserted. The expansion of the support elements deploys ribbons between the two support elements to further insulate the pocket into which the graft material is inserted, thereby holding it securely in place. Ribbons may be formed of a flexible material so that graft material can be inserted by a surgeon above or below them. Ribbons may also be deployed manually by the surgeon so as to allow insertion of graft material before the ribbon is deployed.

Abstract: An interbody fusion cage comprised of two support elements that separate after insertion into the interbody space to form a pocket into which graft material may be inserted. The expansion of the support elements deploys a band between the two support elements to further insulate the pocket into which the graft material is inserted, thereby holding it securely in place. The band may be formed of a flexible material so that it can fold to fit into a space between the support elements prior to separation of same.

Abstract: An intervertebral disc prosthesis designed to be substituted for fibrocartilaginous discs ensures a connection between the vertebra of the vertebra column or the end of the latter. The prosthesis includes a pair of plates spaced from each other by a nucleus. The prosthesis has increased stability by providing the nucleus with a translation or rotation stop, or by inducing an angular correction between its plates contacting vertebra, or a combination of these characteristics. The stop includes parts external to the nucleus and contact surfaces perpendicular to their contact directions. Surgical methods and instrumentation for implanting the prosthesis are also described.

Abstract: A prosthetic limb includes a plurality of extendable segments configured to adjust the length of the prosthetic limb. Also included is a first end assembly operatively coupled to the plurality of extendable segments, wherein the first end assembly is radially adjustable to manipulate the thickness of the prosthetic limb. Further included is a second end assembly operatively coupled to the plurality of extendable segments, wherein the second end assembly is radially adjustable to manipulate the thickness of the prosthetic limb.

Abstract: Biomimetic Hybrid Actuators employed in biologically-inspired musculoskeletal architectures employ an electric motor for supplying positive energy to and storing negative energy from an artificial joint or limb, as well as elastic elements such as springs, and controllable variable damper components, for passively storing and releasing energy and providing adaptive stiffness to accommodate level ground walking as well as movement on stairs and surfaces having different slopes.

Abstract: A prosthetic assembly operative to evacuate an interior of a prosthetic socket, and control systems for use therewith. The prosthetic assembly employs evacuation devices for evacuating the socket. The evacuation devices preferably include at least an electrically powered vacuum pump and a power source located within a housing. Associated control systems may be of various design and may employ wired or wireless communication. When wireless communication is employed, a hand held controller or other remote control device may be used to remotely control operation of the evacuation device.

Abstract: Stents or scaffolds made from magnesium or magnesium alloys including additives or barrier coatings that modify the corrosion rate of the stent are disclosed. Methods of forming barrier coatings that modify the corrosion rate of the stent are disclosed.

Abstract: A stented valve including a stent structure including a generally tubular body portion having a first end, a second end, an interior area, a longitudinal axis, and a plurality of vertical wires extending generally parallel to the longitudinal axis around a periphery of the body portion, wherein the plurality of vertical wires includes multiple commissure wires and at least one structural wire positioned between adjacent commissure wires, and a plurality of V-shaped wire structures having a first end, a second end, and a peak between the first and second ends, wherein a first end of each V-shaped structure extends from a first vertical wire and a second end of each V-shaped structure extends from a second vertical wire that is adjacent to the first vertical wire, wherein each V-shaped structure is oriented so that its peak is facing in the same direction relative to the first and second ends of the body portion, and a valve structure including a plurality of leaflets attached to the stent structure within the

Abstract: An implantable medical device includes a frame that includes at least one elongate member. The implantable medical device also includes a fixation member that has a first cuff, a second cuff, a tissue engagement member configured to anchor to tissue at an implant site to thereby hold the implantable medical device in a position at the implant site, and a cuff joining member that has an arcuate shape and that is connected at a first end to the first cuff and at a second end to the second cuff. The first cuff substantially surrounds a perimeter of a first portion of the at least one elongate member, the second cuff substantially surrounds a perimeter of a second portion of the at least one elongate member, and the cuff joining member does not substantially surround a perimeter of any portion of the at least one elongate member.

Abstract: A stent with at least one cross-section having either a vertex or having first and second contour points where the radius of curvature of the first point is at least 2.5 times the radius of curvature of the second point.

Abstract: A control system for controlling movement of a medical device delivery system, a stent delivery system and a method for controlling movement of a medical device delivery system are provided. The control system includes a first extendable arm comprising a plurality of first struts interconnected at intermediate points and end points of the first struts. The first arm is movable between a first position and a second position and the first arm is operably connected to one of the first shaft and the second shaft. The control system also includes a first actuator operably connected to the first arm and the first actuator is operable to move the first arm from the first position to the second position. Movement of the first arm moves the first shaft relative to the second shaft to change the position of the second shaft relative to the first shaft.

Abstract: A delivery system for delivering and deploying a stent graft includes a guidewire catheter, an apex release catheter, an apex capture device, a relatively rigid, hollow catheter, and a distal nose. The apex capture device includes a distal capture portion fixedly connected to the distal end of the guidewire catheter and having a distal portion and a proximal stopper having an exposed side facing distally in a plane approximately perpendicular to a longitudinal axis of the guidewire catheter. The apex capture device also includes a proximal capture portion fixedly connected to the distal end of the apex release catheter and has fingers extending toward the distal capture portion in a distal direction that define an interior cavity to receive the proximal stopper. The proximal and distal capture portions of the apex capture device define a stent capture state.