Abstract: Provided is a needle unit for endodontic treatment, including a needle bent at predetermined angle; a needle unit body where the needle is rotatably mounted; and an inserter for pressing the needle to fix the needle to the needle unit body. The present invention provides an optimal needle for efficiently realizing a needle unit for endodontic treatment. To be specific, the needle unit can be easily used by an operator because a needle bent at a predetermined angle is rotatably mounted on a needle unit body. Also, a diffuser portion is provided at a proximal end of the needle and pressed by an inserter so that the needle is fixed at a constant pressure. Hence, the needle is not fixed too loosely or too tightly to an extent that much force is required to rotate the needle, so that the operator can easily rotate the needle in a desired direction.

Abstract: An In-situ Tooth Filling System and Method Utilizing External Curing Step. The method and system utilizes the heat-/light-/vacuum-curing process normally available only in a dental laboratory. Like the conventional dental prosthetic production process, the filling is attached to the tooth void utilizing curable cement. Unlike the conventional (indirect) method, however, the instant method is completed totally within a single appointment in the dentist's office. The system utilizes fill stems that are made from curable filling material. These stems will become a part of the filling when the filling is cured. The filling is partially cured and then removed from the tooth for final curing in a vacuum oven that heat- and/or light-cures the filling.

Abstract: A dispensing device for a dental substance which has a container for receiving the dental substance, a piston movable in the container, a catch for engagement by an applicator, and further a resilient resilient adapter. The device may be used in different types of applicators and is relatively inexpensive.

Abstract: The invention relates to a lithium silicate glass ceramic comprising CsO2 in an amount from about 6 to about 30 wt.-%. The invention also relates to a three-dimensional article comprising at least two layers (I) and (II), each layer (I) and (II) comprising a lithium silicate glass ceramic, the lithium silicate glass ceramics of layer (I) having a different translucency than the lithium silicate glass ceramic of layer (II).

Abstract: An apparatus for removing a dental appliance can include a body having a perimeter and a pry lip extending from the perimeter of the body. The pry lip includes a terminal ridge surface and an inclined surface disposed between the terminal ridge surface and the perimeter of the body. The apparatus for removing a dental appliance can be incorporated in a dental system which includes a dental appliance and the apparatus for removing a dental appliance. The apparatus for removing a dental appliance can be configured such that it fits within an area defined by an outer edge of the dental appliance. Thus, the dental appliance and the apparatus for removing the dental appliance can be stored within a dental appliance container with an internal cavity that closely conforms to the shape and size of the dental appliance.

Abstract: The present invention provides improved devices, systems and methods for repositioning teeth from an initial tooth arrangement to a final tooth arrangement. Repositioning is accomplished with a system comprising a series of polymeric shell appliances configured to receive the teeth and incrementally reposition individual teeth in a series of successive steps. The individual appliances may be formed from layers having different stiffnesses (elastic moduluses), and the stiffnesses of successive appliances may be different, or both.

Abstract: A maxillary skeletal expander includes a pair of bodies, an extending screw adjusting a space between the pair of bodies, guide rails having both sides inserted into the pair of bodies and guiding a movement of the bodies, a key hole integrally formed with the extending screw, screw insertion portions integrally formed with the bodies and having screw insertion holes guiding mini-screws implanted to an upper jaw, arms having one end fixed to the bodies and the other end extending toward teeth, and a teeth fixing part integrally formed with the arms and fixed to teeth of a patient.

Abstract: Provided is an orthodontic bracket that is capable of a more effective motion on the tooth surface. The orthodontic bracket includes a substrate surface that is bonded to the tooth surface and an arch wire retaining portion that is configured to retain an arch wire with the substrate surface as a bottom surface, the orthodontic bracket being connected by the arch wire and continuously applying a stress to individual teeth to thereby straighten a row of teeth, wherein the orthodontic bracket is in an approximately cambered cross-sectional shape that is orthogonal to the direction in which the arch wire is stretched with the substrate surface bonded to the tooth surface as the bottom surface, and is provided with a plurality of arch wire through holes respectively for inserting the arch wires into the holes and connecting adjacent orthodontic brackets by the arch wires.

Abstract: The present invention relates to a calcium aluminate based paste forming a chemically bonded biomaterial on hydration thereof for in vivo anchoring of new implants, or stabilizing of existing implants in situ to an adjacent bone tissue, which paste provides a controlled pH value and temperature as well as initial hardening time. By virtue of the pH value and temperature the paste exhibits antibacterial and/or bacteriostatic properties. The present invention also relates to a method of preparing implants to be implanted wherein the implant is coated with the paste, a method of implanting a coated implant, as well as methods of preventing and treating implant related conditions, such as periimplantitis, and kit for preparing the paste. The invention is especially intended for re-stabilization of dental implants, and implantation into low quality bone tissue.

Abstract: A method to form a dental implant that has a coronal body that connects at an interface to a bone fixation body. The bone fixation body is made separately from the coronal body, has a porous structure with a cylindrical shape, and has the porous metal structure with a size and a shape that emulate a size and a shape of a porous structure of natural bone. The bone fixation body connects to the coronal body after the bone fixation body is separately made from the coronal body.

Abstract: The present disclosure relates to a device for seating or orienting a component relative to a dental fixture. The device comprises three arms, each having a gripping surface, for holding said component, and the device further comprises a driver tube and a driver having an interchangeable tip for engaging the head of a screw for securing the component to the dental fixture.

Abstract: The present invention provides a curable composition allowing a cured product having high aesthetic quality, strength and durability along with having high surface lubricating property to be formed. The curable composition according to the present invention comprises: an inorganic powder and a polymerizable monomer. The inorganic powder contains a spherical crystallization control powder. The spherical crystallization control powder has a silicon dioxide content in the range of 97 to 100 mass %. An amorphous portion and a crystalline portion are mixed within the spherical crystallization control powder. A refractive index difference is not more than 0.05 between the spherical crystallization control powder and a cured product obtained by curing only constituents other than the spherical crystallization control powder.

Abstract: An electric toothbrush for use by an operator and capable of being connected to a suction device. The electric toothbrush includes a head with a plurality of bristles, at least one irrigation port, and at least one suction port, and an injection port in fluid communication with the at least one irrigation port. The electric toothbrush also includes a handle with a ventilation port in fluid communication with the at least one suction port, a user interface, and a controller. The ventilation port permits suction from the suction device to the at least one suction port and the controller is configured to actuate at least one of rotation, oscillation, and vibration of the bristles for a preset time period in response to a predetermined feedback from the operator through the user interface.

Abstract: Disclosed herein is a dental anesthetic injection device. The dental anesthetic injection device includes a laser generator, a pressure generator filled with a liquid for generating pressure, which expands due to a laser emitted by the laser generator, an anesthetic container which contains an anesthetic for dental use, a separation film disposed between the pressure generator and the anesthetic container and formed to be elastically deformable to transfer expansion energy of the pressure generator to the anesthetic container, and a replacement nozzle detachably coupled with the anesthetic container to be replaceable depending on an oral environment and configured to jet the anesthetic of the anesthetic container toward an oral cavity.

Abstract: A method for synchronizing ovulation in sows and gilts by a single injection of hormones is disclosed. A hormone, gonadotropin releasing hormone (GnRH), luteinizing hormone (LH), follicle stimulating hormone (FSH), human chorionic gonadotropin (hCG), analogs, derivatives, agonists or combinations thereof is administered to an open sow post weaning at a specific time to stimulate ovulation of mature responsive follicles. The sow is then bred, without heat detection, at a specific subsequent timed interval after injection with hormone, with one or two artificial or natural breedings. In gilts, the hormone is injected at a timed interval from onset of estrus or at a specific timed interval following Prostaglandin F2a for those gilts which have been held in a state of pseudopregnancy.

Abstract: Devices and methods for treating an abdominal incision or hernia are described. An implant for the restoration or prophylactic treatment of an abdominal wall comprises an elongate element and at least one sheet connected to the elongate element along a longitudinal axis of the elongate element. The elongate element is positioned along the line of incision, and the at least one sheet is secured to the abdominal muscles surrounding the incision.

Abstract: A device for repair surgery of cylindrical organs, particularly ruptured tendons, is configured as a tubular sheath (T) made of a biocompatible and biodegradable polymer. The tubular sheath comprises an elastic fiber mesh formed by electrospinning of said polymer and has an inner wall surface and an outer wall surface substantially parallel thereto. One of said wall surfaces is comparatively rough (WR) and the other one of said wall surfaces is comparatively smooth (WS), with the tubular sheath having a Young elasticity modulus of about 2 to about 5 MPa and an elongation at break of about 50 to about 1,000%. Preferably, the polymer is a biodegradable polyester urethane block copolymer with poly-hydroxy-butyrate as a hard 10 segment and ?-caprolactone as a soft segment.

Abstract: A blood filter includes a hub, a plurality of legs, and a plurality of arms. Each of the legs includes a hook at a distal end thereof, a first linear segment extending substantially parallel to a hub longitudinal axis, a second linear segment extending obliquely with respect to the longitudinal axis at a first angle, and an intermediate linear segment coupled to the first and second segments, the intermediate segment extending obliquely with respect to the longitudinal axis at a second angle less than the first angle. Each of the arms has a free end closer to the longitudinal axis than the hook of each of the legs. The free ends of the arms are spaced radially transverse to the longitudinal axis at substantially the same radial distance.

Abstract: An endoluminal prosthesis system includes a tubular graft having a pocket on the exterior of the graft. The graft further includes a wire extending within a lumen of the graft, with the wire extending through the passageway and into the pocket. An extension prosthesis can be inserted over the wire and into engagement with the pocket and the passageway, where the extension prosthesis can be sealed with the pocket and the passageway to seal the otherwise unused passageway in the graft.

Abstract: A breast implant and process to optimize the treatment of breast cancer patients that offers more effective alternatives in breast reconstruction and simultaneously administers regional therapies in order to minimize the possibility of local recurrences. The breast implant comprises an inner porous core contained by an elastic holding layer with a system of tubes and conducts within it covered with biodegradable chemotherapeutic and attaching layers.

Abstract: An adjustable implant for volumetrically altering, replacing, expanding, or augmenting tissues is provided. The implant includes an elastomeric membrane enclosed or partially enclosed about a main chamber. The implant is adapted to expand when filled with a fluid. The membrane includes an outer zone formed from at least one outer elastomeric layer; an inner zone formed from at least one inner elastomeric layer; and a middle zone formed from at least one elastomeric middle layer positioned between a least a portion of the outer zone and at least a portion of the inner zone. The implant is configured such that the middle zone is under contraction from a contracting force provided by the outer zone or the inner zone. A method of forming a fluid-filled adjustable implant for volumetrically altering, replacing, expanding, or augmenting tissues is also provided herein.

Abstract: An intraocular lens having a single-focus, acrylic optic and at least one semi-rigid, acrylic haptic connected to the optic. The intraocular lens can have a fixed longitudinal length, e.g., the same fixed length pre-operatively and post-operatively. The intraocular lens can resist deformation, despite contraction and relaxation of the ciliary muscle and fibrosis within the capsular bag, after implantation into the eye using, for example, by the semi-rigid haptics. The intraocular lens can be sufficiently flexible to be compressed from an original configuration to a compressed configuration for insertion into the eye through a small incision and return to the original configuration after implantation into the eye.

Abstract: A system and method of replacing a lens to treat a cataract is disclosed. Cataractous tissue is ablated via a multi-photon process using focused, ultra-short laser pulses. Multi-photon ablation requires an energy intensity between 1013 to 1015 W/cm2. Using lasers having femto-second duration pulses, this intensity is achieved with 50 micro-Joules of energy, allowing material disruption with very little heating or shock. The multi-photon ablated material is removed through a micro-channel that leads from the multi-photon ablated region to at least the surface of the eye. Once the material is removed a pre-polymer fluid is injected in to fill the void. This polymerizes into a gel once inside the lens. The polymerized, transformed material matches both the transparency to visible light and the Young's modulus of healthy lens.

Abstract: A lens driver or lens driver circuitry for an ophthalmic apparatus comprising an electronic system which actuates a variable-focus optic is disclosed herein. The lens driver is part of an electronic system incorporated into the ophthalmic apparatus. The electronic system includes one or more batteries or other power sources, power management circuitry, one or more sensors, clock generation circuitry, control algorithms and circuitry, and lens driver circuitry. The lens driver circuitry includes one or more power sources, one or more high voltage generators and one or more switching circuits.

Abstract: Prosthetic heart valves, which are collapsible to a relatively small circumferential size for less invasive delivery into a patient and which then re-expand to operating size at an implant site in the patient, include a collapsible/expandable stent-like supporting structure and various components of flexible, sheet-like material that are attached to the supporting structure. For example, these sheet-like other components may include prosthetic valve leaflets, layers of buffering material, cuff material, etc. Improved structures and techniques are provided for securing such other components to the stent-like supporting structure of the valve.

Abstract: Bioprosthetic tissues and methods for making same, comprising fixing bioprosthetic implant tissue by treatment with 0.1 to 10 wt. % glutaraldehyde at elevated temperature, capping said fixed tissue by treatment with a diamine crosslinking agent, and treating said capped tissue with about 0.6 wt. % glutaraldehyde.

Abstract: A method for performing an annuloplasty includes positioning an annuloplasty ring structure along an atrial surface of an annulus of a heart valve. While a distal portion of a tube is longitudinally advanced through a channel of the ring structure, it faces a first portion of tissue of the annulus. A first tissue anchor is anchored to the first portion of tissue, from within the channel, while the distal end of the tube faces the first portion of the tissue. After moving the distal portion of the tube to a second portion of the structure, the second portion of the structure is anchored to a second portion of tissue by anchoring a second tissue anchor to the second portion of the tissue while the distal end of the tube faces the second portion of the tissue. Other embodiments are also described.

Abstract: A prosthetic heart valve is provided with a cuff having features which promote sealing with the native tissues even where the native tissues are irregular. The cuff may include a portion adapted to bear on the LVOT when the valve is implanted in a native aortic valve. The valve may include elements for biasing the cuff outwardly with respect to the stent body when the stent body is in an expanded condition. The cuff may have portions of different thickness distributed around the circumference of the valve in a pattern matching the shape of the opening defined by the native tissue. All or part of the cuff may be movable relative to the stent during implantation.

Abstract: A prosthetic heart valve is provided with a cuff having features which promote sealing with the native tissues even where the native tissues are irregular. The cuff may include a portion adapted to bear on the LVOT when the valve is implanted in a native aortic valve. The valve may include elements for biasing the cuff outwardly with respect to the stent body when the stent body is in an expanded condition. The cuff may have portions of different thickness distributed around the circumference of the valve in a pattern matching the shape of the opening defined by the native tissue. All or part of the cuff may be movable relative to the stent during implantation.

Abstract: A dynamic, adjustable annuloplasty ring sizer can include an adjustable ring replica, which can be adjusted through a range of sizes corresponding to available prosthetic annuloplasty repair ring sizes. Actuation of an adjustment trigger on a handle portion of the ring sizer can displace tension wires that extend through a malleable shaft and through a plurality of articulating segments that form the ring replica. Displacement of the tension wires causes flexion of the joints between adjacent articulating segments, thereby reducing the overall size of the ring replica. Releasing the tension wires can allow an elastic extension wire to act on the ring replica, enlarging the ring replica to its maximum, at-rest size. In this manner, the appropriate size of annuloplasty ring prosthesis can be determined with a single device, without requiring a plurality of static ring sizers that require individual insertion and placement for the conventional trial-and-error sizing methods.

Abstract: A pressurizable implant, comprising a cylindrical body and at least one porous arm extending from and interconnected to the cylindrical body, the at least one porous arm being configured to accommodate a pressure gradient that is created by a device removably connectable to the cylindrical body.

Abstract: The embodiments provide provides devices, instruments, and associated methods for treating joint pain. A joint is evaluated using magnetic resonance imaging to detect any defects in the subchondral bone. For example, using T2-weighted MRI images, bone marrow lesions or edemas can be identified, and using T1-weighted MRI images, associated regions of sclerotic bone adjacent to the bone marrow lesion can be identified. The treatment method may involve introducing a bone void filler material at the site to address the bone marrow lesion or edema, and/or drilling and inserting an implant to address the sclerotic bone, bone marrow lesion or edema, and insufficiency or stress fractures. An access path is mapped to a location in the subchondral region where the insufficiency fracture resides. The access path attempts to preserve an articular surface of the joint. A reinforcing member that stabilizes the insufficiency fracture is then implanted via the access path.

Abstract: A locking implant is provided for a long bone. The locking implant comprises a head portion, a stem portion extending from the head portion, and an anchor disposed at an end of the stem portion for engagement within a resected long bone. The anchor defines at least one locking feature, such as a cam, configured to engage an interior of the resected long bone upon rotation of the implant, thereby locking the head portion to the long bone. The implant may comprise a two component modular design. Methods of locking the implant to a long bone structure are also provided.

Abstract: An acetabular socket (1) for a hip endoprosthesis comprises a socket shell (7) and a socket insert (8). The socket shell (7) is configured for implantation in a pelvic bone (2) of a patient and has an inner surface (12) that defines an accommodating space (10) extending about an axis of rotation (11). The socket insert (8) is coupleable with the socket shell (7) and is configured to provide a bearing for a joint head (6) of a prosthesis stem (3). The socket insert (8) has an outer surface (14) configured to be seated in the accommodating space (10) of the socket shell (7). A moveable anti-lock means (17) is provided between the socket shell (7) and the socket insert (8). In a first position the anti-lock means (17) restrains the socket insert (8) from seating within die accommodating space (10) of the socket shell (7) but the anti-lock means (17) is moveable into a second position wherein the socket insert (7) is capable of seating within the socket shell (7) and of coupling therewith.

Abstract: A deformable prosthetic member, including an acetabular shell, can be formed of appropriate materials to engage a liner. The deformable member can include one or more feature to deform and engage a second member, such as a liner, in a selected position. A plurality of deformable features allows for a plurality of possible positions for the second member.

Abstract: An acetabular cup system includes an acetabular cup having a wall with an inner surface and an outer surface. The acetabular cup includes a fixation opening through the wall, the fixation opening including a first wall portion adjacent to the inner surface and a second wall portion adjacent to the outer surface. The acetabular cup system also includes a fixation fastener including a head and a shaft with a bone-anchoring portion. The fastener can be inserted though the fixation opening. The head includes a first head portion engageable with the first wall portion and a second head portion engageable with the second wall portion.

Abstract: A medical device for treating hip joint osteoarthritis in a human patient is provided, the hip joint comprises an acetabulum, being a part of the pelvic bone, and a caput femur, being connected to the collum femur and being the upper extremity of the femoral bone. The caput femur and collum femur further comprises cortical bone, the outer more sclerotic bone, and cancellous bone, placed in the bone marrow, said medical device comprising: an artificial caput femur surface, adapted to be in contact with the acetabulum surface or an artificial replacement therefor, and a fixating member adapted to at least partly be stabilized by the cortical bone of a stabilizing part of the collum femur.

Abstract: The present invention relates to a straight stem (10) for the implantation into a proximal femur, the stem (10) comprising a proximal stem section (12) and a distal stem section (14), the distal stem section (14) having a distal end (24) and a distal tip (26) arranged directly adjacent to the distal end (24) and defining a distalmost point of the distal end (24), the stem (10) having, in an anterior-posterior view, a medial contour and a lateral contour, and the stem (10) having a straight stem center axis (20) between the medial contour and the lateral contour, wherein the distal end (24), in an anterior-posterior view, has a convexly curved contour, and wherein the convexly curved contour of the distal end (24) merges with straight sections (46, 48) of the medial contour and of the lateral contour at a medial merging point (22) and a lateral merging point (28), respectively, wherein the medial merging point (22) and the lateral merging point (28) are offset with respect to each other in a direction parallel

Abstract: Knee implant systems and methods for implantation or use in a knee joint, are disclosed. A knee implant system can include at femoral component having a femur-contacting surface and an opposing articulation surface, and proximal, distal, anterior and posterior portion. The femoral component can include a medial condyle and a lateral condyle, where each of the condyles define respective distal-most points and have substantially equal widths. The width of each of the condyles can define respective condyle midpoints, where the distal-most points can be located laterally from the midpoints. The femoral component can include a trochlear groove that can define a distal-most sulcus point located halfway between the distal-most point of the medial condyle and the distal-most point of the lateral condyle.

Abstract: Systems and methods for the treatment of a joint are provided. These systems and methods may also include a subchondral treatment of bone of the same joint. These joint treatment methods may be non-surgical or surgical. Also provided are devices and instruments associated with the methods.

Abstract: A set includes glenoid components that each include a body defining, on two of its opposite faces, respectively, a joint surface, intended to cooperate with a humeral head, and a bearing surface bearing against the socket of a shoulder blade. In this set, the glenoid components are provided in several different sizes, respectively defined by the dimensions of the joint surface of their body. At least two glenoid components of which the bearing surfaces respectively have different dimensional geometrics are provided so as to allow the surgeon to improve the durability of the mechanical cooperation between the implanted component and the operated socket.

Abstract: Systems and methods are described for correcting sagittal imbalance in a spine including instruments for performing the controlled release of the anterior longitudinal ligament through a lateral access corridor and hyper-lordotic lateral implants.

Abstract: A prosthetic intervertebral disc is formed of first and second end plates sized and shaped to fit within an intervertebral space and to be implanted from the back of the patient, thereby decreasing the invasiveness of the procedure. The posterior approach provides for a smaller posterior surgical incision and avoids important blood vessels located anterior to the spine particularly for lumbar disc replacements. The first and second plates are each formed of first, second and third parts are arranged in a first configuration in which the parts are axially aligned to form a low profile device appropriate for insertion through the small opening available in the TLIF or PLIF approaches described above. The three parts of both of the plates rotate and translate with respect to one another in situ to a second configuration or a deployed configuration in which the parts are axially unaligned with each other to provide a maximum coverage of the vertebral end plates for a minimum of insertion profile.

Abstract: Interbody fusion devices including deployable fixation members. The implant may include a spacer, optionally, an end member coupled to the spacer, and one or more fixation members configured to extend into adjacent vertebrae. The fixation members may include screws, nails, shims, tangs, spikes, staples, pins, blades, fins, or the like, and combinations thereof.

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 an exemplary embodiment, the present invention provides an intervertebral implant. The intervertebral implant may be configured to transition from a collapsed configuration having a first height and a first width to an expanded configuration having a second height and a second width.

Abstract: Implants, tools and methods for performing unilateral posterior lumbar interbody fusion are provided. An interbody implant includes a body having a top and bottom surface extending along a length thereof; and first and second side surfaces extending between the top and bottom surfaces on opposite sides of the body. The height of the first side surface is greater than the height of the second side surface.

Abstract: Systems, devices, and methods are provided for measuring forces in the space of a knee during surgery. Such forces can be caused by tension in the ligaments of the knee. A femoral member is engaged with a distal femur. While the knee is flexed, partially extended, or fully extended, a force sensor and a gauge shim can be placed in the gap between the femoral member and the tibial plateau to measure the forces therebetween. The force sensor provides an accurate and quantifiable measurement of force, making knee replacement surgery and ligament tension balancing more accurate, standardized and repeatable. The force sensor comprises an elongate housing which comprises a thin force sensing distal portion and a proximal handle portion.

Abstract: Devices and methods are provided for measuring and/or adjusting the distance between two opposing surfaces of a work space, such as two vertebral bodies separated by a disc space. A sizing device may include at least one distraction member, an actuator, and an actuator controller. The actuator controller is movable to move the actuator, with movement of the actuator changing the height dimension of the distraction member. The amount of movement of the actuator controller is generally linearly related to the change of the height dimension of the distraction member. The amount of expansion force applied by the distraction member is also generally linearly related to the amount of movement of the actuator controller.

Abstract: An artificial disc device for replacing a damaged nucleus is disclosed. In one form, the device may be inserted in components such that the device may be assembled within and retained by the natural annulus therein. In another form, the device may be inserted into the natural annulus in a collapsed or compressed state or arrangement and then be expanded within and retained by the annulus therein. In a further form, the device may be provided with a releasable connection so that the device may be connected in an insertion configuration and may be released in an operable configuration. Insertion tools and methods are also disclosed.

Abstract: A stable shock absorbing prosthetic foot that transfers energy between heel strike and toe-off. A toe plate is separated from one or more other plates by a bumper assembly located at each of the toe end and heel end of the foot. Certain embodiments of the shock absorbing foot of the present invention are designed for use with a prosthetic ankle. A torsion adapter may also be used to attach a prosthetic foot of the present invention to the remainder of a prosthesis.