Abstract: An intraocular lens inserting instrument (1) capable of folding a lens (2) and pressing it by a plunger (4) to discharge it into an eye and capable of taking out the folded lens (2) by tweezers (15). The intraocular lens inserting instrument (1) for inserting a foldable intraocular lens (2) into an eye has a tubular body (3) for allowing the intraocular lens (2) to pass through it and introducing it into the eye, and a plunger (4) for pressing the intraocular lens (2) to discharge it into the eye, wherein the intraocular lens (2) is folded by a folding member (8) provided at a lens placing section (5). The lens placing section (5) has an open/close lid (12) so that the folded intraocular lens (2) can be held by the tweezers (15).

Abstract: A prosthetic heart valve is circumferentially collapsible for less invasive delivery into a patient. The valve re-expands to operating size at the implant site in the patient. A frame structure of the valve includes restraining structure that can help to push one or more of the patient's native heart valve leaflets radially outwardly so that this native leaflet tissue does not interfere with the operation or service life of the prosthetic valve.

Abstract: Disclosed herein is a prosthetic heart valve, and associated methods therefore, configured to replace a native heart valve, and having a support frame configured to be reshaped into an expanded form in order to receive and/or support an expandable prosthetic heart valve therein. The prosthetic heart valve is configured to have an expansion-resistant configuration when initially implanted to replace a native valve (or other prosthetic heart valve), but to assume a generally expanded form when subjected to an outward force such as that provided by a dilation balloon or other mechanical expander.

Abstract: An endoluminal support structure includes strut members interconnected by swivel joints to form a series of linked scissor mechanisms. The structure can be remotely actuated to compress or expand its shape by adjusting the scissor joints within a range of motion. In particular, the support structure can be repositioned within the body lumen or retrieved from the lumen. The support structure can be employed to introduce and support a prosthetic valve within a body lumen.

Abstract: Described is a delivery system for minimally invasive delivery of a self-expandable stent to a body lumen, and particularly delivery of a prosthetic valve to the right ventricular outflow tract. Also described is a method of loading a stent onto such a delivery system, and a method of delivering a self-expandable stent to a desired anatomic site.

Abstract: A method for delivering a self-expanding prosthetic heart valve comprises positioning the prosthetic heart valve in an annulus of a native heart valve while mounted in a radially compressed state in a delivery cylinder, the delivery cylinder coupled to a distal end portion of the torque shaft, and rotating a torque shaft coupled to the delivery cylinder. Rotating the torque shaft retracts the delivery cylinder, thereby exposing the prosthetic heart valve, allowing the prosthetic heart valve to self-expand in the native valve annulus. In some embodiments, the torque shaft is rotated by a motor disposed in a handle at a proximal end of the delivery device.

Abstract: Devices and methods for the repair of the functioning of heart valves are provided. A device may comprise a first section having a generally spiral shape and a second section connected to the first section. A method involves positioning the device such that chords associated with the heart valve are positioned within the path of the generally spiral shape of the first section and positioning the second section on an opposite side of the heart valve. The first section may be turned in a manner such that the chords move closer to the center of the first section. The first section draws the chords closer together, thereby pulling the valve leaflets closer together in order to facilitate their coaptation and proper closing.

Abstract: Devices and systems including implants (which may be removable) and methods of using them for reducing ventricular volume. The implants described herein are cardiac implants that may be inserted into a patient's heart, particularly the left ventricle. The implant may support the heart wall, or may be secured to the heart wall. The implants are typically ventricular partitioning device for partitioning the ventricle into productive and non-productive regions in order to reduce the ventricular volume.

Abstract: Embodiments of the present invention encompass graft assemblies, and methods for their use and manufacture. An exemplary bone graft assembly includes first and second bone pieces having respective mating features which, when combined, define non-uniform press fit. Related embodiments encompass graft assemblies having enclosed or hidden mating features.

Abstract: A first tool is configured to cut a polymer implant, and includes a handle, a cutting portion, and a bending portion. A second tool is configured to cut a polymer implant, and includes a handle, a first cutting portion, and a second cutting portion. The cutting portions contain a cutter that is preferably a blade. In the second tool, the blades are preferably angled with respect to each other between about 45°. The tools can be used to reshape an implant that is to be used to replace a portion of a skull.

Abstract: The present invention relates to orthopaedic implants having a fenestrated hollow shell and a biologic core. These design features provide an improved interface between the implant and the surrounding tissue, aiding fixation, and provide a vehicle for applying new bone healing and enhancing modalities, such as gene therapy, tissue engineering, and growth factors.

Abstract: A reconfigurable orthopedic implant trial comprising: (a) a first orthopedic component; (b) a second orthopedic component that includes a second sensor on a second articulating surface thereof, the second orthopedic component configured to removably mount to the first orthopedic component; (c) a third orthopedic component that includes a third sensor on a third articulating; surface thereof, the third orthopedic component configured to removably mount to the first orthopedic component, where the second sensor and the third sensor are configured to generate kinematic data.

Abstract: The present invention provides a PS-type artificial knee joint implant, with which the gap balance can be adjusted in order to realize a stable deep flexion movement, the burden on a surgeon and a patient can be reduced, and the patient can perform a natural flexion movement. An artificial knee joint implant 1 includes femoral components, one of which is selected and attached to a distal portion of a femur of the patient, and tibial inserts, one of which is selected and attached to a proximal portion of a tibia of the patient. The femoral components have a cam portion that is disposed between posterior portions of two femoral joint faces, respectively. The tibial inserts have posts that can be brought into contact with the cam portion. The posts have different antero-posterior positions.

Abstract: Methods and systems for transosseous access and repair of joint surface are disclosed wherein one embodiment of the method comprises inserting a reaming rod through a bone tunnel positioned perpendicular to a first joint surface, connecting a reaming blade to the reaming rod, reaming the first joint surface with the reaming blade and removing the reaming blade and the reaming rod. In some embodiments, the reaming blade is configured to be inserted into the joint through an arthroscopic access portal. In some embodiments, an implant system comprises an implant anchor and an implant surface cap and the implant anchor is adapted to couple with a fixation element to anchor the implant anchor in a bone.

Abstract: A prosthesis is provided and includes a central body having an outer surface and a longitudinal axis extending between a first end having an opening operable to receive an installation tool and a second end spaced apart from the first end. The outer surface extends between and connects the first end and the second end and defines the length of the central body. The prosthesis additionally includes a plurality of arms each attached to the outer surface of the central body and having an outer shape defined by a porous coating independent from a shape of the central body. The porous coating completely covers the outer surface of the central body between the first end and the second end.

Abstract: The invention relates to devices, implants, systems, techniques and methods for addressing certain conditions of the spine, including devices, implants, systems and methods for performing spinal laminoplasty or other expansion of the spinal canal. The devices of the invention are expandable in situ, providing greater versatility for surgeons performing various procedures where expansion of the spinal canal is desired.

Abstract: A prosthetic intervertebral disc and methods for using the same are provided. The subject prosthetic discs are characterized by including top and bottom endplates separated by a fibrous compressible element that includes an annular region and a nuclear region. The two plates are held together at least one fiber wound around at least one region of the top endplate and at least one region of the bottom endplate. The subject discs may be employed with separate vertebral body fixation elements, or they may include integrated vertebral body fixation elements. Also provided are kits and systems that include the subject prosthetic discs.

Abstract: Prosthetic intervertebral discs and methods for using the same are described. The subject prosthetic discs include upper and lower endplates separated by a compressible core member. The prosthetic discs described herein include one-piece, two-piece, three-piece, and four-piece structures. The subject prosthetic discs exhibit stiffness in the vertical direction, torsional stiffness, bending stiffness in the saggital plane, and bending stiffness in the front plane, where the degree of these features can be controlled independently by adjusting the components of the discs. The interface mechanism between the endplates and the core members of several embodiments of the described prosthetic discs enables a very easy surgical operation for implantation.

Abstract: A modular nucleus pulposus prosthesis having at least two hingedly connected tear drop shaped disc bodies which combined to form a discoid endoprosthetic disc. The complimentary segments are substantially identical including outer circumferential walls roughly equal to a semi-circle aligned along concave-convex inner wall inner walls forming a common “s” shaped border and are positioned to form a generally symmetrical discoid congruent structure which can be placed within the annulus of a spinal disc section. Disc segments may define structures to support, position and secure the segments to one another intradiscally.

Abstract: An expandable spinal prosthesis is provided for insertion unilaterally into an annulotomy hole created laterally in a spinal disc between two abutting vertebrae. The prosthesis is composed of an elongated rod having first threading at one end and second threading at its other end. A first member is threaded on the threading at one end of the rod. A second member is threaded on the threading at the other end of the rod. The members are disengageably engaged for rotation together. The first member has a plurality of resilient bands extending longitudinally between the two members, which are dependent on the spacing between the two members.

Abstract: The present application generally relates to orthopedic systems, and in particular, to systems including independent plates and spacers. A plating system can include a spacer and a plate that is independent from the spacer. A number of locking mechanisms can be provided to secure the plate to the spacer. In some cases, the spacer includes a pair of notches that extend on an outer surface of the spacer. The plate can include a pair of lateral extensions that can engage the notches to secure the plate to the spacer. In other cases, the spacer includes an opening including a pair of inlets. The plate can include an enclosed posterior extension that can be received in the pair of inlets to secure the plate to the spacer.

Abstract: A spinal implant comprises an implant body extending between an anterior surface and a posterior surface, and including a first vertebral engaging surface and a second vertebral engaging surface. The implant body further including an inner surface that defines at least a first cavity and a second cavity spaced from the first cavity. The first cavity is oriented to implant a fastener oblique relative to a bilateral axis of a subject body. The second cavity is oriented to implant a fastener in substantial alignment with the bilateral axis. Systems and methods of use are disclosed.

Abstract: A modular anchor bone fusion cage is provided. The cage includes a spacer configured to fit into a space between the faces of two bones that are to be fused together. A fusion plate having at least a main body portion is coupled to the spacer. Fasteners extend through the fusion plate to engage the bone. At least some of the fasteners also extend through the spacer to engage the opposed faces of the bone. A cover plate is coupled to the fusion plate to inhibit the fasteners from backing out prior to fusion of the bones.

Abstract: The present invention provides an intervertebral implant for implantation in a treated area of an intervertebral space between vertebral bodies of a spine. The implant includes a spacer portion having an inferior and superior surface, wherein the inferior and superior surfaces each have a contact area capable of engaging with anatomy in the treated area, and the inferior and superior surfaces define a through-hole extending through the spacer body. The present invention further provides screw holes extending from a side portion to the inferior and superior surfaces of the spacer portion and a plate portion rigidly coupled to the spacer portion through a coupling means, wherein the plate portion contains screws holes for receiving screws. A screw back out prevention mechanism adapted on the plate portion and prevents the back out of screws from the screw holes.

Abstract: An expandable implant device (100) for insertion between two vertebrae (400) is disclosed. The device (100) has an upper body (20), a lower body (40) and an external retainer band (60). The external retainer band (60) holds the upper body (20) and lower body (40) and has an inner surface having a plurality or set of upper ratchet teeth (80U) sloped for allowing upward movement and a plurality or set of lower ratchet teeth (80L) for allowing downward movement. The ratchet teeth (80) of the upper body (20) are mated or fitted to the upper teeth (80) of the retainer band (60) and the ratchet teeth (82) of the lower body (40) are mated or fitted to the lower ratchet teeth (82) of the retainer band (60). The height of the device (100) is increased by upward movement of the upper body (20) and downward movement of the lower body (40).

Abstract: A surgical impactor (2) for inserting a prosthetic implant (26) into a bone, the surgical impactor (2) comprising: a movable retaining means (8) for releasably connecting the implant (26) to the surgical impactor (2), wherein the movable retaining means (8) has a first position in which the implant (26) is connected to the surgical impactor (2) and a second position in which the implant (26) is not connected to the surgical impactor (2); and a mechanism (14, 16) for moving the movable retaining means (8) between the first and second positions, wherein the movable retaining means (8) and the mechanism (14, 16) are removable from the surgical impactor (2).

Abstract: A sizing caliper for facilitating the selection of a femoral component of a knee prosthesis includes a caliper body, two drill guide bodies, a stylus tower configured to be slidably linked to each other wherein as the caliper body and the stylus tower are linearly displaced at an equal rate relative to the drill guide body portions and the drill guide holes remain located at the midpoint of an anterior/posterior dimension defined by the distance between the tip of the stylus and the base portion. The caliper body comprises a base portion configured to couple and decouple from the caliper body using a sliding mechanism.

Abstract: A prosthetic liner having a base elastic fabric layer impregnated with cushioning material on an interior surface of the base fabric layer and having one or more additional elastic fabric layers secured to and overlapping the base fabric layer to form pockets for introducing and retaining various types of padding selected by the user.

Abstract: A vacuum suspension system includes a rigid socket defining a socket wall having exterior and interior surfaces. The socket defines an aperture extending between the exterior and interior surfaces, and has a closed distal end and an open proximal end with an interior cavity defined by the interior surface. A fluid regulator is provided at the aperture and operatively engages the fluid regulator. A pump system includes a pump and a covering for securing over the exterior surface of the socket and carrying the pump. The pump is configured for placement proximate to the fluid regulator and arranged for drawing air from the socket through the aperture. A chamber having a variable volume is formed by a space defined between the exterior surface and an inner surface of the covering proximate to the pump.

Abstract: The invention relates to systems and methods for applying coatings to devices. In an embodiment, the invention includes a coating apparatus including a mandrel having a lengthwise axis and an exterior surface, the exterior surface of the mandrel defining a plurality of channels disposed parallel to the lengthwise axis, the mandrel configured to rotate around the lengthwise axis; and a spray head configured to direct a stream of material at the mandrel. In an embodiment the invention includes a method of applying a coating to a medical device. Other embodiments are also included herein.

Abstract: An implantable stent includes a plurality of rings. At least a distal end ring has an eased corner feature formed in the polymer substrate at a radially outward, distal-facing corner of the ring while relatively sharp corners of the polymer substrate are maintained in radially inward corners of the ring.

Abstract: A method of forming a stent includes forming a wave form from a formable material. The wave form includes a plurality of substantially straight portions and a plurality of curved portions, each curved portion connecting adjacent substantially straight portions. The method includes wrapping the wave form around a mandrel at an angle to form a helical coil comprising a plurality of turns, connecting a first curved portion of a first turn to an adjacent second curved portion of a second turn at a position along the wave form to define an end of the stent, and removing excess material from an end of the wave form extending past the first curved portion while smoothing the end of the stent.

Abstract: Ends of an outer spiral and an inner spiral of similar dimensions but wound in opposite directions are joined to form a double spiral stent which may be covered to make it a stent graft. The dimensions are related by the formula of C=(Lw?Ls)/N where C is circumference of the spiral, Lw the length of the wire, N the number of turns and Ls the length of the spiral. Thus when length of spiral (Ls) is increased and decreased by compression and stretching, circumference (C) inversely varies with Ls, as N and Lw do not change. Ls and thus C are controlled by a control wire in a control tube attached to the ends of the double spiral being changed either by screwing male threads on the control wire into and out of female threads in the control tube.

Abstract: A stent is described, which includes a plurality of stenting rings, each stenting ring including a plurality of struts and points of inflection, each point of inflection connecting adjacent struts, the points of inflection of adjacent stenting rings facing each other along an axis parallel to a longitudinal axis of the stent in a radially expanded stenting disposition while the stent is in an unbent configuration. Adjacent stenting rings are connected by connectors extending from a point of inflection on one stenting ring to a facing point of inflection on another stenting ring, the connectors being linear along an entire length thereof and parallel to the longitudinal axis of the stent, each of the connectors having a length shorter than a length of each of the struts.

Abstract: A flow reducing implant for reducing blood flow in a blood vessel having a cross sectional dimension, the flow reducing implant comprising a hollow element adapted for placement in the blood vessel defining a flow passage therethrough, said flow passage comprising at least two sections, one with a larger diameter and one with a smaller diameter, wherein said smaller diameter is smaller than a cross section of the blood vessel. A plurality of tabs anchor, generally parallel to the blood vessel wall, are provided in some embodiments of the invention.

Abstract: The present embodiments provide systems and methods for deploying at least a portion of a stent. In one embodiment, the system comprises a cannula having an outer surface, and a coiled member having proximal and distal ends and a plurality of turns disposed therebetween. At least a portion of the coiled member is secured to the outer surface of the cannula. A stent is releasably secured to a portion of the coiled member. A protective cage may encircle the coiled member.

Abstract: A system for treating a bifurcation includes first and second delivery catheters. The first catheter has a first shaft, a first expandable member adjacent the distal end of the first shaft, an auxiliary expandable member disposed under the first expandable member, and a first radially expandable stent disposed over both the first expandable member and the auxiliary expandable member. The second delivery catheter has a second shaft, and a second expandable member adjacent the distal end of the second shaft. A portion of the second catheter is disposed under a portion of the first stent, and a portion of the second delivery catheter passes through a side hole in the first stent. The first stent is crimped over the first and second catheters such that the first stent remains attached to the first and the second catheters during advancement of the catheters through a blood vessel.

Abstract: A catheter system includes an introducer sheath and a delivery catheter having an external surface. A sleeve connector is supported on and axially movable relative to the external surface of the delivery catheter. A collapsible sleeve has a first end attached to the external surface of the delivery catheter at a first attachment and a second end attached to the sleeve connector at a second attachment. The catheter system includes a medical device placement configuration in which the delivery catheter is received through the introducer sheath, the sleeve connector is removably attached to the introducer sheath, and the collapsible sleeve is positioned radially between the external surface of the delivery catheter and an internal surface of the introducer sheath.

Abstract: Apparatus and method for delivering and deploying an intravascular device into the vessel including an outer and inner tube that are axially linked by a housing structure at the proximal end of the catheter, and a retractable sleeve structure having a middle tube and sleeve tip. The sleeve tip is sealed to the inner tube at the distal end, and continuously extends into the middle tube. At the proximal end of the sleeve structure, the middle tube is sealed to either a housing structure or slideable proximal ring, forming a sealed chamber between the inner tube and the sleeve structure. A radial space is formed between the sleeve tip and the inner tube optimized for intravascular device placement. During retraction of the sleeve structure, the fold of the sleeve tip peels away from the device, which expands to its deployed state while minimizing axial forces and friction.

Abstract: In various embodiments, the medical device delivery system described herein can be configured to position and deliver a medical device in a body lumen. The medical device delivery system can comprise an elongate member, a medical device and a leash. During deployment, the medical device can be tethered to the catheter by the leash, to stabilize and prevent unwanted shifting of the medical device as it deploys at the treatment site.

Abstract: A method for manufacturing a catheter, includes forming a mandrel by arranging at least first and second elongate members in an at least partial longitudinal juxtaposed relation with respect to a longitudinal axis defined by the mandrel, mounting an inner liner having an internal surface about the mandrel, treating the inner liner whereby the first and second elongate members of the mandrel cause irregularities within the internal surface of the inner liner, positioning an outer member about the inner liner and removing at least the inner liner from the mandrel, thereby forming a catheter having the inner liner with irregularities.

Abstract: A sheath used to protect a medical device has one or more strips formed over a portion thereof. The medical device is a scaffold crimped to a balloon and mounted to a catheter. The sheath is two-piece, including a protecting and constraining sheath part. The strips facilitate removal of the constraining sheath from the scaffold in manner that reduces instances of damage caused by improper removal of the sheath from the medical device.

Abstract: An implantable device system is disclosed. The implantable device system includes, a first energy transceiver system, a second energy transceiver system at least partially implanted within an organic tissue and capable of communication with the first energy transceiver system, and a sensing system capable of communication with the second energy transceiver system. An implantable device system array is also disclosed. A method of monitoring a physical parameter is also disclosed.

Abstract: An ankle control system, having a form-fitting sock or brace, a relatively-rigid support member, a lever motion stabilizing strap, and collar. The form-fitting sock or brace has opposing medial and lateral sides, a foot portion having an arch portion, and an ankle portion having an upper attachment element. The relatively-rigid support member is connected to the form-fitting sock or brace and contours about a wearer's leg. The lever motion stabilizing strap acts as a lasso to restrict inversion, eversion, and plantar flexion/inversion through the lever action of the foot with respect to the ankle.

Abstract: A simple and inexpensive prosthetic device for manually challenged patients comprising a tube of moderately elastic material which can be stretched over a portion of the patient's anatomy, such as a hand, forearm stub or the like, and which can receive and firmly hold a variety of tools to enable the patient to perform numerous tasks which normally require the use of fingers.

Abstract: A progressive strap assembly includes an elongate, inelastic body having first and second ends, and an elastic body having first and second ends, the first end of the elastic body anchored to the second end of the inelastic body. The elastic body is arranged to stretch a plurality of lengths and has a maximum stretchable length. A tension limiter is connected to the first and second ends of the elastic body and is arranged to inhibit a predetermined stretchable length of the elastic body short of the maximum stretchable length.

Abstract: A hinged ankle brace having a semi-rigid ankle cuff and a semi-rigid foot bed rotatably connected by a medial hinge and a lateral hinge provides enhanced stability and support to a wearer's ankle. The medial hinge of the ankle brace may be higher than the lateral hinge to accurately replicate the bending motion of an ankle. The ankle brace also includes ratchetably interconnected semi-rigid straps. These semi-rigid straps provide a semi-rigid structure encircling the ankle of a wearer for enhanced support. The ratchet mechanism may include a curved window that enables angular adjustment of the ratchting straps. The ankle brace may also include a soft inner liner and a soft outer sleeve. The outer sleeve is configured to provide compression to the semi-rigid shell, which in turn provides additional compression to the ankle. The semi-rigid foot bed may include posterior extensions that cup and support the wearer's heel, and a posterior cut-out portion that receives the wearer's heel.

Abstract: A nasal dilator is constructed as a single body truss having a resilient member structure comprising a plurality of overlaid, island-placed, or overlapping resilient members. Methods of mass producing dilator devices, individual resilient members, and overlapped, overlaid, and island-placed resilient member structures are also disclosed.

Abstract: A nasal dilator of vertically laminated layers, each consisting of one or more components. The laminated layers form a unitary truss with end regions for engaging outer wall tissues of a user's nasal passages and for traversing the bridge of the nose. The dilator includes means to direct its resilient properties comprising material separations or shape discontinuities formed in at least one region of the truss and extending through at least one layer of the dilator. Said material separations or discontinuities may comprise an opening, relief cut, slit or notch, and may be configured to separate or vertically protrude from the dilator when it is in use. The separations transform the angle of focused delaminating spring biasing forces generated by the resilient layer from primarily peel forces into primarily shear forces, and further redistribute the transformed forces to tissue-engaging surface areas extending outward and beyond the separations.

Abstract: In accordance with one embodiment, a head and neck support apparatus is provided that comprises a seat attachment portion and a portion which is worn by the child passenger. The worn portion comprises an elastic member that will, when worn, encircle the child's head. The rear of the worn portion will further comprise a first engagement member which will removably connect to a second engagement member connected to the seat where the child may foreseeably fall asleep.