Abstract: A heat sterizable, independent dental water supply apparatus has a hand piece control head and a water supply container removably connected to the control head. The apparatus in connectible with a dental, hand piece, an air source and a controller such as a dental foot pedal. In use, the apparatus supplies sterile irrigation water at the band piece under the control of a dental practitioner. The apparatus is particularly useful of oral surgeons, prosthodontists and other dental specialists. Methods of making and using the apparatus are also disclosed.

Abstract: A technique for fabricating a surgical splint for use in correcting a dental condition of a patient. The technique involves obtaining a three-dimensional digital model of lower and upper arch dentitions of the patient having the dental condition. Relative positions of the lower and upper arch dentitions are adjusted with respect to each other in the three-dimensional digital model using a computing device. A relative positioning structure is added to the three-dimensional digital model using the computing device. A physical model of the patient's corrected dentition is then generated from the three-dimensional digital model. The physical model includes the relative positioning structure that connects the lower and upper arch dentitions of the physical model at the adjusted relative position. The surgical splint is then formed using the physical model. A non-surgical splint is also described.

Abstract: An orthodontic bracket includes a bracket body, a slide member, and a resilient member. The slide member is slidable relative to the archwire slot. The resilient member is coupled to and is slidable with the slide member. The resilient member is configured to engage a first portion of the bracket body in the opened position and a second portion of the bracket body in the closed position. The second portion is different from the first portion. The resilient member imposes a biasing force on the slide member in the direction of movement toward the archwire slot when the slide member is in the closed position. The resilient member may be configured to impose a biasing force on the slide member in the direction away from the archwire slot when the slide member is at a position intermediate the opened and closed positions.

Abstract: A self-ligating attachment intended to form part of an orthodontic appliance, the external surface of said attachment being provided with a groove for receiving an orthodontic arch. A elastic clip that can be reversibly moved between an open position forming an open passage allowing the insertion of the arch into the groove and a closed position sealing the groove. A base including an external surface that supports the attachment and an occlusal surface which is intended to rest on one of the patient's teeth, so as to hug the surface of the tooth. In addition, the base comprises a support for the attachment and said base assists in the guiding of the clip, cooperating with the attachment, as the clip moves between the open and closed positions.

Abstract: A system for dental implant restoration is provided. It includes universal aligning adaptors and prosthetic components having co-operable indices, which together form a translational, integrating system which aligns, synchronizes, and references the prosthetic components about an implant's central axis of rotation. Rotation of an adaptor about a prosthetic component, with its reference point becoming aligned to a predetermined reference point on the prosthetic component, followed by the rotation of the adaptor/prosthetic component assembly about the implant, situates the prosthetic component in a predetermined position such that all other prosthetic components become synchronized to the adaptor's reference point. The prosthetic component is mechanical for clinical or lab bench use, or is virtual for restoration design in a software program, prior to milling prosthetic abutments or devices.

Abstract: A temporary, flow-through oral shield system to protect an oral surgical area during a healing process includes a molded body forming a first channel extending from a distal end of the molded body to a proximal end of the molded body and an aperture formed in the molded body in fluid communication with the first channel.

Abstract: A pontic device for preserving soft tissue in a tooth-extraction site includes a generally curved apical end. The apical end has a first perimeter and is configured to rest in a tooth extraction socket and substantially conform to soft tissue of a tooth-extraction site immediately after a tooth has been extracted. The pontic device further includes an opposing, generally concave coronal end. The coronal end has a second perimeter that is configured to substantially correspond to and form a seal with gingival tissue surrounding the tooth-extraction site. The coronal end is configured to receive a tooth-shaped coronal pontic portion to form a final restoration.

Abstract: An dental implant has a substantially cylindrical solid base member; an abutment; an implant-abutment junction (IAJ) portion at one end of the base member to retain the abutment to the base member, so that the abutment is able to move within a predetermined distance alone an axial direction of the base member, a first cushion adapted to be mounted between the abutment and the base member, and a second cushion, preferably an elastomer, which is sandwiched between the IAJ portion and the abutment, wherein the first and second cushion are able to provide a resistance force when the abutment is pressed to move relatively toward the base member and providing a bouncing back force when the abutment is released from the pressing.

Abstract: A digital dental tray system is described including a dental tray shaped to at least partially surround a plurality of teeth and a plurality of three-dimensional (3D) optical imaging elements attached to the dental tray. Each of the 3D optical imaging elements comprises a structured light projector to project a light pattern onto one or more teeth of the plurality of teeth and a camera to capture an image of the one or more teeth.

Abstract: Disclosed herein is a dental model articulator. The dental model articulator includes: a pair of base members (3) to which dental models (2) are fastened; and an upper fastening means (5) and a lower fastening means (6) to which the respective base members are removably fastened, and which are rotatably coupled to each other by a rotating shaft. A fastening hole (8) is formed through the end of each of the base members. An insert rod (9) is provided on each of the upper fastening means and the lower fastening means and is fitted into the fastening hole of the corresponding base member. Each of the upper fastening means and the lower fastening means includes an auxiliary fastening means (10) for pushing the corresponding base member so that pressure is applied to the base member toward the insert rod, thus increasing a base member fastening force.

Abstract: A lab analog for insertion into a cavity of a printed model and for accommodating an abutment comprises an essentially cylindrical base body that extends along a longitudinal axis, a first centering section for centering the lab analog in the cavity of the printed model, the first centering section adjoining the base body in the coronal direction, a second centering section for centering the lab analog in the cavity of the printed model, the second centering section adjoining the base body in the apical direction, restraining elements for restraining the lab analog in the longitudinal direction, and at least one fixing element to fix the lab analog against rotation.

Abstract: A saliva collector comprises a reservoir, a bubble barrier, and a membrane, where the bubble barrier and membrane are arranged in tandem on a flow path from an inlet to an outlet on the reservoir. Air aspirated from a patient's oral cavity enters the reservoir through the inlet, passes through the bubble barrier to remove foam and bubbles, passes through the membrane to remove entrained liquid saliva, and passes out through the outlet.

Abstract: A system having at least one dental blank and an associated shade guide. The dental blank exhibits a non-uniform color shading, and the shade guide comprises a plurality of shade specimens each exhibiting a particular color shading representing the same color shading present in a partial area within the dental blank. A method of making a dental restoration includes the use of the system. The invention facilitates making a dental restoration having a color shading resembling the color shading of a natural tooth.

Abstract: An injector for injecting pellets includes a main body, a delivery opening which is formed on the main body and to which a hollow-bore needle can be connected and a magazine guide formed in the main body for a magazine which, for accommodating the pellets, comprises several barrels. Each barrel includes a hollow cylindrical compartment with an open front end and an open rear end. The magazine guide brings the magazine, barrel by barrel, into an injection position, in which a plunger of the injector can be introduced into the barrel via the rear end of the barrel positioned in the injection position and moved in the direction of the delivery opening in order to deliver the pellet provided in the barrel via the delivery opening. A drawer is formed in the main body for accommodating a replacement hollow-bore needle.

Abstract: Various embodiments of sling or implant systems are provided. The sling or implant systems can be employed to treat incontinence, prolapse, and like conditions. A needle delivery device can be included, wherein the delivery device includes a needle and a rotatable sheath. The rotatable sheath can rotate upon actuation relative to the needle to selectively deploy or disengage an implant anchor from the distal end of the needle.

Abstract: A surgical device for deploying a surgical implant includes a proximal portion and a distal portion. The distal portion includes a frame arm. A spring clip system is coupled to the frame arm and includes a pair of clips and a spring member. The spring member is connected to each of the clips and biases the clips towards a closed position. In the closed position, the clips are configured to retain the implant in contact with the frame arm.

Abstract: Medical device for embolic protection in an aortic arch, comprising a catheter having a shaft and a distal end portion of the shaft, an expandable embolic protection device having a filter membrane and a frame. The frame comprises a frame loop and an elongated frame shaft having a distal end portion connected to the frame loop in a connection point, in its expanded state the frame loop spans said filter membrane and bending means to bend the distal end portion of the catheter and/or the distal end portion of the frame shaft. The medical device comprises a protective state in which the distal end portion of the catheter is bent, the embolic protection device is expanded, the frame shaft extends in a longitudinal direction of the bent distal end portion and the expanded frame loop being completely positioned distally of the connection point.

Abstract: A tubular patch (3) made of PGA fabric, optionally containing within it a mesh tubular support in PGA/PLA, for implantation to replace one or more urethral and/or ureteral removed segments for use in tissue reconstruction of the removed segments for the treatment of diseases such as necrosis, stenosis, tumours, trauma, iatrogenic injuries and the like, or congenital malformations.

Abstract: The invention relates to an implantable stomach prosthesis for surgically replacing or augmenting all or part of the antrum and/or pylorus of a stomach. The prosthesis controls the passage of food from the stomach to the small intestine, The prosthesis may be configured to chum ingested material and release it from the stomach through a prosthetic pyloric valve. At least one expandable member is arranged to be expanded to control the passage of food and/or to mimic the churning action of a patient's stomach. The prosthesis includes an outer support structure, a flexible inner member forming a conduit for the movement of material, and at least one expandable member located between the outer support structure and inner member. An implantable pump system is provided for inflating and deflating the expandable member(s).

Abstract: An intraluminal device and method of fixation of an intraluminal device at a recipient having an esophagus, a stomach with a cardiac portion and a GE junction between the esophagus and the cardiac portion of the stomach includes deploying the intraluminal device to the recipient. The intraluminal device has a wall defining a cardiac member that is configured to the size and shape of the cardiac portion of the stomach and deployed to the cardiac portion of the stomach and an esophageal member that is configured to the size and shape of a portion of the esophagus and deployed to the esophagus. The intraluminal device having a connector connected with the esophageal portion and cardiac portion and deployed to the GE junction. The wall is fixed to the recipient to resist distal migration of the wall. The fixing includes the wall having a wall characteristic that is configured to facilitate tissue ingrowth.

Abstract: A graft device for a mammalian patient tubular conduit comprises a fiber matrix surrounding the tubular conduit and a spine comprising a first support portion and a second support portion. At least one of the first support portion or the second support portions can be constructed and arranged to rotate relative to the other to receive the tubular conduit. The first support portion can comprise a first set of projections and the second support portion can comprise a second set of projections that interdigitiate with the first set of projections. Tools for creating the spine and for applying the spine are also provided.

Abstract: A stent for use in a medical procedure having opposing sets of curved apices, where the curved section of one set of apices has a radius of curvature that is greater than the curved section of the other set of apices. One or more such stents may be attached to a graft material for use in endovascular treatment of, for example, aneurysm, thoracic dissection, or other body vessel condition.

Abstract: An intraocular lens with an anterior ridge designed to provide a space in front of the lens optic.

Abstract: An intraocular lens comprises a flexible optic and at least one haptic connected to the optic. The at least one haptic comprises a rigid structure.

Abstract: This invention discloses methods and apparatus for providing a variable optic insert into an ophthalmic lens. A liquid crystal layer may be used to provide a variable optic function and in some examples, an alignment layer for the liquid crystal layer may be patterned in a cycloidally dependent manner. The patterning may allow for a polarization dependent lens in some examples. An energy source is capable of powering the variable optic insert included within the ophthalmic lens. In some examples, an ophthalmic lens is cast-molded from a silicone hydrogel. The various ophthalmic lens entities may include electroactive liquid crystal layers to electrically control optical characteristics.

Abstract: This invention discloses methods and apparatus for providing a variable optic insert into an ophthalmic lens. A liquid crystal layer may be used to provide a variable optic function and in some examples, an alignment layer for the liquid crystal layer may be patterned in a cycloidally dependent manner. The patterning may allow for a polarization dependent lens in some examples. An energy source is capable of powering the variable optic insert included within the ophthalmic lens. In some examples, an ophthalmic lens is cast-molded from a silicone hydrogel. The various ophthalmic lens entities may include electroactive liquid crystal layers to electrically control optical characteristics.

Abstract: This invention discloses methods and apparatus for providing a variable optic insert into an ophthalmic lens. A liquid crystal layer may be used to provide a variable optic function and in some examples, an alignment layer for the liquid crystal layer may be patterned in a cycloidally dependent manner. The patterning may allow for a polarization dependent lens in some examples. An energy source is capable of powering the variable optic insert included within the ophthalmic lens. In some examples, an ophthalmic lens is cast-molded from a silicone hydrogel. The various ophthalmic lens entities may include electroactive liquid crystal layers to electrically control optical characteristics.

Abstract: An accommodating intraocular lens includes an optic portion, a haptic portion. The optic portion of the lens includes an actuator that deflects a lens element to alter the optical power of the lens responsive to forces applied to the haptic portion of the lens by contraction of the ciliary muscles and a secondary deflection mechanism. Movement of the lens element by the actuator causes the lens element to deform and the secondary deflection mechanism causes the lens to further deform.

Abstract: Embodiments of intraocular lenses described herein include features that enhance depth of focus and/or reduce chromatic aberration. These features may include different optical fluids, multiplexed or asymmetric lens arrangement, dispersive or diffusive elements, and others.

Abstract: A method for insertion of an intraocular lens into the eye of a patient, the method including removably attaching loop extensions to loops of an intraocular lens prior to insertion of the intraocular lens into the eye of a patient, initially inserting into the eye of the patient the loop extensions, pulling on the loop extensions through sclerectomies formed in the sclera of the eye of the patient, inserting the intraocular lens into the eye of the patient, positioning the intraocular lens in a desired position in the eye of the patient by pulling on the loop extensions through the sclerectomies, and fixing the loops to the sclera of the eye of the patient at the sclerectomies and detaching the loop extensions from the loops.

Abstract: A tubular seal includes an outflow end region and an inflow end region. The inflow end region is a portion of a polymeric web retaining a woven fabric, wherein the woven fabric has a non-linear edge defining an interface between the inflow end region and the outflow end region.

Abstract: Disclosed herein are representative embodiments of methods, apparatus, and systems used to deliver a prosthetic heart valve to a deficient valve. In one embodiment, for instance, a support member is positioned to at least partially surround the native leaflets of a valve. A locking member is used to couple both ends of the support member, forming a support band. An expandable prosthetic heart valve is delivered into the native heart valve and expanded while the expandable prosthetic valve is at least partially within the support band, thereby causing one or more of the native leaflets of the native heart valve to be frictionally secured between the support band and the expanded prosthetic heart valve.

Abstract: A therapeutic device includes a prosthetic heart valve including a collapsible and expandable stent having an aortic section and an annulus section, and a valve assembly disposed within the annulus section of the stent, the valve assembly including a plurality of leaflets; and a graft coupled to the aortic section of the stent. The graft has a body and at least one lining disposed on the body and defining a lumen therethrough.

Abstract: This invention relates to the design and function of a compressible valve replacement prosthesis which can be deployed into a beating heart without extracorporeal circulation using a transcatheter delivery system. The design as discussed focuses on the deployment of a device via a minimally invasive fashion and by way of example considers a minimally invasive surgical procedure preferably utilizing the intercostal or subxyphoid space for valve introduction. In order to accomplish this, the valve is formed in such a manner that it can be compressed to fit within a delivery system and secondarily ejected from the delivery system into the annulus of a target valve such as a mitral valve or tricuspid valve.

Abstract: Packaging for prosthetic heart valves including an assembly for securely retaining a heart valve within a jar and facilitating retrieval therefrom. The assembly includes a packaging sleeve that fits closely within the jar and has a clip structure for securing a valve holder. Contrary to previous designs, in one embodiment the valve holder is directed downward into the jar, and the valve is retained with an inflow end upward. The valve may have flexible leaflets, and a leaflet parting member on the end of the shaft extends through the leaflets and couples with the valve holder. The assembly of the packaging sleeve, valve, and holder can then be removed from the jar and a valve delivery tube connected with the holder, or to the leaflet parting member. The packaging sleeve may be bifurcated into two halves connected at a living hinge to facilitate removal from around the valve/holder subassembly.

Abstract: A delivery device for percutaneously delivering a stented prosthetic heart includes a sheath, a handle, and adjustment device including a fine adjustment mechanism, and an outer stability shaft. The sheath defines a lumen and is configured to compressively constrain the stented prosthetic heart valve. The handle is coupled to the proximal portion of the sheath and includes an actuator mechanism coupled to a proximal portion of the sheath that is configured to selectively move the sheath relative to the housing to release the stented prosthetic heat valve. The adjustment device is coupled to the handle and includes an adjustment lumen through which the sheath and the handle slidably extend. The outer stability shaft is coupled to the adjustment device. The fine adjustment mechanism is configured to selectively move the handle and the sheath relative to the adjustment device and the outer stability shaft.

Abstract: A delivery apparatus for delivering a stent-valve for implantation within the body, the delivery apparatus configured for introduction into the body through an arterial introducer of a type having a stem insertable into the body and a mouth section that remains outside the body, the mouth section including a haemostasis valve, and wherein the delivery apparatus comprises: a first constraining sheath at a stent-valve accommodation region of the apparatus at a distal end of the apparatus, and configured for constraining at least a portion of a stent-valve at the accommodation region in a radially collapsed configuration; a delivery introducer captive on the delivery apparatus, and slidable between a first position surrounding at least a portion of the stent-valve accommodation region, and a second position in which the delivery introducer slides proximally of the stent-valve accommodation region; wherein the delivery introducer is insertable at least partly into the mouth of a said arterial introducer, the deli

Abstract: A delivery device for percutaneously delivering a stented prosthetic heart includes a sheath, a handle, and adjustment device including a fine adjustment mechanism, and an outer stability shaft. The sheath defines a lumen and is configured to compressively constrain the stented prosthetic heart valve. The handle is coupled to the proximal portion of the sheath and includes an actuator mechanism coupled to a proximal portion of the sheath that is configured to selectively move the sheath relative to the housing to release the stented prosthetic heat valve. The adjustment device is coupled to the handle and includes an adjustment lumen through which the sheath and the handle slidably extend. The outer stability shaft is coupled to the adjustment device. The fine adjustment mechanism is configured to selectively move the handle and the sheath relative to the adjustment device and the outer stability shaft.

Abstract: A delivery device for a collapsible prosthetic heart valve includes a support shaft around which a compartment for the valve is defined, a distal sheath adapted to selectively cover and uncover the compartment and the valve, and a marker cage having a collapsed condition when the distal sheath covers the compartment and an expanded condition when the compartment is uncovered. The marker cage includes at least one rib having a radiopaque marker for determining the positioning of the valve as it is deployed. The valve may be assembled around the marker cage so that the marker cage does not interfere with the radial expansion of the valve during deployment.

Abstract: Implants or systems of implants and methods apply a selected force vector or a selected combination of force vectors within or across the right atrium, which allow tricuspid valve leaflets to better coapt. The implants or systems of implants and methods make possible rapid deployment, facile endovascular delivery, and full intra-atrial retrievability. The implants or systems of implants and methods also make use of strong fluoroscopic landmarks. The implants or systems of implants and methods make use of an adjustable implant. The implants or systems of implants and methods may utilize a bridge stop to secure the implant.

Abstract: An implantable device for regulating blood flow through a blood vessel comprising an elongated support dimensioned and configured to be implanted in a blood vessel. The support includes a linking member linking axially spaced apart portions to one another. A valve membrane extends between the axially spaced apart support portions and includes first region folded over the first linking member and attached thereto and a second region adjacent the first region and unattached to the first linking member. The second region is movable between a first position to enable blood flow and a second position to inhibit blood flow.

Abstract: The following relates to catheter-based devices, systems, and methods for minimally-invasively delivering an inflatable pericardial support into the pericardial space of a mammalian myocardium. The devices and systems include extending and positioning plural support members through a catheter into the pericardial space and then positioning the inflatable member on the epicardial surface of the myocardium. Once positioned, fluid can be delivered to the inflatable member to provide a confining pressure to the myocardium.

Abstract: Devices and methods for providing localized pressure to a region of a patient's heart to improve heart functioning, including: (a) a jacket made of a flexible biocompatible material, the jacket having an open top end that is received around the heart and a bottom portion that is received around the apex of the heart; and (b) at least one inflatable bladder disposed on an interior surface of the jacket, the inflatable bladder having an inelastic outer surface positioned adjacent to the jacket and an elastic inner surface such that inflation of the bladder causes the bladder to deform substantially inwardly to exert localized pressure against a region of the heart.

Abstract: Various methods and devices are provided for reducing the volume of the ventricles of the heart. In one embodiment, a method for reducing the ventricular volume of a heart chamber is provided including the steps of inserting an anchoring mechanism onto dysfunctional cardiac tissue, deploying one or more anchors into the dysfunctional cardiac tissue, raising the dysfunctional cardiac tissue using the anchors, and securing the anchors to hold the dysfunctional cardiac tissue in place. Further, a device for reducing the volume of the ventricles of a heart chamber is provided where the device has one or more clips for placement on dysfunctional cardiac tissue of a heart, one or more anchors for deployment and securement into the dysfunctional cardiac tissue, and a lifting mechanism for raising the one or more anchors and the dysfunctional cardiac tissue.

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: Rear tip extenders include a tether attached to a collar that can be mounted onto a respective cylinder forward of a fluid line (that communicates with a scrotal pump) to prevent full separation or detachment from the cylinder during a revision procedure.

Abstract: The present invention relates to multiphasic, three-dimensionally printed, tissue repair devices or scaffolds useful for promoting bone growth and treating bone fracture, defect or deficiency, methods for making the same and methods for promoting bone growth and treating bone fracture, defect or deficiency using the same. The scaffold has a porous bone ingrowth area containing interconnected struts surrounded by a microporous shell. At the ends of the scaffold, the shell may be extended as a guide flange to stabilize the scaffold between ends of bone. The center of the scaffold may be empty and may serve as a potential marrow space.

Abstract: Systems, devices, and methods for providing orthopedic augments having recessed pockets that receive a fixation material. The orthopedic augments include an outer surface that interfaces with a patient's tissue or bone, and an inner surface that interfaces with an implant, the inner surface defining a recessed pocket configured to receive a fixation material, a rim around at least a portion of the recessed pocket, and a port in the rim, wherein the recessed pocket extends along the inner surface in at least a direction laterally from the port.

Abstract: Embodiments of biomedical implants and other devices made up of a composite of materials comprising metal and/or metal alloys and ceramics. In some embodiments, a modular biomedical implant may comprise a first metallic member comprising at least one of a metal and a metal alloy, a second metallic member comprising at least one of a metal and a metal alloy, and a ceramic sleeve positioned in between the first metallic member and the second metallic member so as to at least substantially prevent contact between the first metallic member and the second metallic member.

Abstract: A joint replacement device is provided that includes an inner surface configured to accommodate at least one of a portion of an outer surface of a femoral head of a femur and a prosthetic secured to the femoral head, an outer surface configured to accommodate at least one of a portion of an outer surface of an acetabulum socket and a prosthetic secured to a pelvis, wherein the inner surface and outer surface each have a circular curvilinear shape and together include an inner perimeter and an outer perimeter, and wherein the inner perimeter is joined to the outer perimeter to form a posterior limb and an anterior limb, and further including, a posterior portion, an anterior portion, and a superior portion formed from the inner surface and the outer surface; wherein the superior portion further includes a posterior superior portion and an anterior superior portion.