Abstract: A multi-filament flossing instrument which supports more than one flossing filament thereon. The instrument comprises a first arm, a second arm a third arm, and optionally, a fourth arm. The arms may radiate from a common point or from another arm. Each flossing filament spans two of the arms. One arm may be devoid of attachment to filaments, to function as a handle. Arms may be of different lengths. Filaments may be of different lengths and/or different diameters.

Abstract: An oral cleaning tool for an electric oral hygiene device is disclosed. The oral cleaning tool includes a housing having a head section with a head cavity for accommodating a movable oral cleaning head and a neck section with a neck cavity and a handle coupling section; a first magnetic coupling element including at least a permanent magnet or a magnetizable element being provided in the neck section for mechanical handle drive shaft connection by magnetic interaction. The first magnetic coupling element is mounted at a motion transmitter, the motion transmitter extending inside the neck cavity to the head cavity, the motion transmitter arranged so as to be movable in a linear or longitudinal direction. The motion transmitter is coupled with the oral cleaning head, the oral cleaning head arranged so as to oscillate in a rotational direction.

Abstract: The invention relates to a system and method for determining the occlusal surface of a patient's jaw. The system comprises a contact-detecting member designed to be inserted between the patient's teeth and means for calculating the distribution of occlusal forces in order to produce a map. The detector member comprises a removable flexible plate formed by a sheet of flexible plastic material solidly connected to a grid of pressure sensors comprising a first layer including three layers, two electrode layers sandwiching an intermediate layer having a resistivity that varies according to the pressure applied thereto. The electrodes define so-called intersection zones forming at least 5000 sensors having a square cross-section of less than or equal to 600 micrometres. The intermediate layer comprises a microcrystalline silicon semiconductor wafer having a thickness less than or equal to 50 nanometres.

Abstract: Disclosed is an apparatus for lifting and positioning four-legged animals, in particular dogs, comprising a main frame to be placed on the ground or floor, and a lifting device (2) supported by the main frame. The lifting device (2) comprises a vertically positioned or positionable column (3) that includes a vertically adjustable lifting cross-beam (4) and bars (5) which project from the lifting cross-beam (4), preferably in an orthogonal direction, and which support a mat, a cloth, a net or a plurality of straps acting as a holder for the animal.

Abstract: Described are methods, devices, and systems related to pelvic implants, including implants that include absorbable and non-absorbable materials.

Abstract: Systems for providing support to body tissue to alleviate incontinence are disclosed that comprise an elongated incontinence sling having a central support portion adapted to be positioned to support any one of the urethra or anus and first and second sling end portions extending from the central support portion through body tissue and a tension adjustment mechanism acting on or within one or both of the sling end portions. The sling tension adjustment mechanism comprises one or more of a sling tensioning suture or band, a tensioning device coupled to a suture or band free end, a tissue anchor coupled to one or more of a suture free end and a sling end, a mesh fold, a suture tube, and a sling sheath in various combinations.

Abstract: A surgical procedure kit for inserting a medical tube according to the present invention includes: an insertion pathway formation means configured to include a medical tube provided with a hollow tube main body, a tube member including a hollow conduit having the medical tube received therein and forming a pathway into which the medical tube is to be inserted, and a support member including a support rod which is inserted into the medical tube and has stiffness greater than that of the tube member; and a push means configured to be slidable within the conduit of the tube member and push the medical tube through the conduit of the tube member.

Abstract: A portable container is provided for handling an implant. The portable container comprises a sealed compartment enclosing a fluid of a pre-defined composition and at least one implant configured to be installed in a live subject. The portable container may further comprise at least one electrode made of an electrical conductive material, electrically associated with an electric conductor outside the sealed compartment and configured for applying a plasma generating electric field inside the sealed compartment. An apparatus for plasma treatment of an implant and having an activation device is further provided. The activation device comprises a slot configured to receive a portable container, and an electrical circuit configured to be electrically associated with at least one electrode.

Abstract: An intravascular filter device having a flexible arm which comprises a portion of an alarm system for detecting filling or plugging of the filter by captured emboli is described. The flexible arm may be made of ferromagnetic material, a magnet, or have at its tip a magnet which, as it moves under systolic and diastolic pressures, generates a signal detectable by an electrical sensor or a magnetometer. The signals from each of a pair of artery filters may be measured and compared to determine whether one filter is plugged. A system for detection and a method of use are also provided.

Abstract: An expandable vascular sheath utilizes a set of expandable members such as shape memory alloy wires for expanding its distal end. The wires are slidable along a portion of the sheath's elongate shaft. In certain embodiments, the distal end of the shaft is manufactured with a more pliable and elastic polymer relative to more proximal portions of the elongate shaft, so that as the wires advance into distal portions of the shaft, they expand, causing the distal end opening of the shaft to expand. A method for retrieving a foreign object from a vasculature utilizes a retrieval tool that can be advanced through the expandable vascular sheath.

Abstract: An apparatus and methods for use are provided, where the apparatus includes: (a) a filter, and (b) a frame having a first end and a second end, wherein the frame includes a first support and a second support extending between the first end and the second end, wherein at least the first support and the second support of the frame are coupled to at least a portion of a periphery of the filter, wherein the frame and the filter together define a lumen, wherein the frame has shape memory and is movable between a first position in which the lumen has a first diameter and a second position in which the lumen has a second diameter, and wherein the first diameter is smaller than the second diameter.

Abstract: The present invention relates to a medical device, for pancreas, equipped with drainage feature. The medical device includes a stent having an exterior surface, a proximal end and a distal end. The medical device further includes a drainage tube helically wrapped around the stent. The drainage tube includes an external surface, an internal surface, a proximal end, and a distal end. The external surface of the drainage tube is designed with a plurality of holes. The pluralities of holes are connected to the internal surface via a lumen. The plurality of holes can be configured to direct the fluid from side walls of pancreas and bring it out through lumen to avoid occlusion of the side walls in pancreas.

Abstract: In some aspects, a graft device can include a biodegradable inner layer, an outer layer, a first end portion, a second end portion, and a lumen therebetween. The biodegradable inner layer typically includes an inner surface and an outer surface. The outer layer typically includes a fiber matrix surrounding the outer surface of the inner layer. The graft device can include a reinforced end portion. At least 10% or at least 50% of the graft device can remain after 90 days of implantation. In some cases, at least 10% or at least 50% of the graft device can remain after 180 days of implantation. The graft device can include a kink-resisting element. The graft device can include at least one layer with a dynamic compliance less than or equal to at least one of: 20%/100 mmHg or 5%/100 mmHg.

Abstract: A dilatation or fatigue tester for a stent-graft prosthesis includes a sample holder having a compressible member that defines a chamber for receiving a stent-graft prosthesis in an expanded state, a bearing assembly disposed to contact and act on an exterior surface of the compressible member of the sample holder, and an actuation assembly operably coupled to the bearing assembly for rotating the bearing assembly relative to the sample holder. Rotation of the bearing assembly cyclically compresses the compressible member of the sample holder to thereby provide cyclical radial loading and unloading of a stent-graft prosthesis received therein for simulating physiologic loading conditions of a stent-graft prosthesis within a vasculature due to a beating heart.

Abstract: A graft ligament anchor includes a tubular body having a bore therethrough and proximal and distal ends. A flange is attached to the tubular body at the proximal end thereof and extends radially outwardly beyond the tubular body. A deformable wall is disposed in the tubular body bore and defines, at least in part, a chamber for retaining the graft ligament therein. An expansion device is configured for insertion into the tubular body axially of the tubular body, and for impinging upon the deformable wall to press the deformable wall, and hence the graft ligament received in the chamber, toward a wall of the bore, whereby to fix the graft ligament in the tubular body.

Abstract: A tapered sleeve is provided that includes a lubricating coating on an inner surface. An implant (e.g., a pre-filled silicon breast implant) is introduced into a large end of the sleeve and extruded into a surgical pocket of minimal access incision size through a small-sized end of the apparatus.

Abstract: The disclosure provides a method for selecting toric intraocular lenses (IOL) and relaxing incision for correcting refractive error. The one or more toric IOL and relaxing incision combinations can be used for off-axis correction of refractive errors such as astigmatism. The disclosure provides a method for selecting toric IOL and relaxing incision combinations that have combined astigmatism correcting powers and off-axis positions or orientations of the astigmatism correcting axes of the toric IOL and relaxing incision that are effective to yield lower residual astigmatism than on axis correction methods. The toric IOL and relaxing incision combinations also allow the user to avoid incisions that will radially overlap with a cataract incision thereby provided improved outcomes.

Abstract: A virtual aperture integrated into an intraocular lens is disclosed. Optical rays which intersect the virtual aperture are widely scattered across the retina causing the light to be virtually prevented from reaching detectable levels on the retina. The use of the virtual aperture helps remove monochromatic and chromatic aberrations yielding high-definition retinal images. For a given definition of acceptable vision, the depth of field is increased over a larger diameter optical zone. In addition, thinner intraocular lenses can be produced since the optical zone can have a smaller diameter. This in turn allows smaller corneal incisions and easier implantation surgery.

Abstract: A prosthetic valve coaptation assist device (100) includes an anchor (101) and a single valve assist leaflet (102). The anchor may be a supporting ring frame, brace or arc structure and will usually be radially self-expandable so that it can expand against surrounding tissue. The valve assist leaflet may be made of pericardium or other biological or artificial material and is shaped like the native target valve leaflet. The valve assist leaflet is typically sized larger than the target leaflet so that after implantation a significant overlap of the device body occurs.

Abstract: In one representative embodiment, a prosthetic valve assembly comprises a valve component comprising a radially compressible and expandable frame and a valve structure supported inside of the frame. The valve structure is configured to allow blood to flow through the valve component in one direction and block the flow of blood in the opposite direction. The assembly further comprises a radially compressible and expandable anchor comprising an annular base and a plurality of cantilevered fixation members extending from the base. The fixation members are configured to pivot inwardly toward the valve component when the valve component is radially expanded within the anchor.

Abstract: An expandable stent-valve (1), having a stent component (2) and a valve component (3), preferably an aortic valve component, a mitral valve component or a tricuspid valve component, wherein the stent component (2) comprises an outer surface (10, 11, 23) area structured in a manner such that the surface (10, 11, 23) area has a higher coefficient of friction between the outer surface (10, 11, 23) and a duct wall than an untreated surface area of the stent component (2), said surface area preferably being structured with micro-incisions (12) or micro-grooves.

Abstract: In various embodiments, provided herein are methods, devices and systems for transcatheter mitral valve replacement in a double-orifice mitral valve. These methods, devices and systems are used to treat patients with mitral valve disease, particularly those who have had failed edge-to-edge leaflet repair, or patients presently considered anatomically unsuitable for edge-to-edge leaflet repair alone.

Abstract: A system for percutaneous delivery of a stented prosthetic heart valve. The system includes a delivery device with a self-expanding prosthetic heart valve attached thereto and a delivery sheath with an opening on a distal end thereof. The delivery sheath includes a funnel on a proximal end thereof. The delivery device is inserted into the funnel of the delivery sheath. As the delivery device is advanced into the funnel, the expanded heart valve is compressed by the shape of the funnel into a crimped arrangement. The delivery device further advances the heart valve distally within the delivery sheath past the delivery sheath opening. The delivery device is advanced relative to the delivery sheath in transitioning the heart valve from a crimped arrangement to the expanded and deployed arrangement.

Abstract: In one representative embodiment, a prosthetic valve assembly comprises a valve component comprising a radially compressible and expandable frame and a valve structure supported inside of the frame. The valve structure is configured to allow blood to flow through the valve component in one direction and block the flow of blood in the opposite direction. The assembly further comprises a radially compressible and expandable anchor comprising an annular base and a plurality of cantilevered fixation members extending from the base. The fixation members are configured to pivot inwardly toward the valve component when the valve component is radially expanded within the anchor.

Abstract: The invention is a system and method for accurately positioning a prosthetic valve such as a prosthetic heart valve at a desired position for deployment. The invention includes extendable positioning elements which provide tactile feedback to a user to confirm proper positioning of the catheter with respect to the native valve annulus. During delivery, the extendable positioning elements lie against the catheter, over the prosthetic valve and expandable balloon, providing a low profile for advancing the catheter to the desired treatment location via small passages such as body lumens. Prior to valve deployment, the positioning elements are extended and brought into contact with tissue of the native annulus to confirm the proper positioning of the delivery system and prosthetic valve.

Abstract: Systems for partitioning a ventricle of a heart include a partitioning device or implant, and an applicator for inserting, repositioning and/or removing the partitioning device. The implant may support the ventricle wall and may reduce the volume of the ventricle. The delivery system for delivering and deploying a partitioning device into a ventricle may include a catheter having a distal coupling element for coupling to a partitioning device in a collapsed configuration; the catheter may also have an expansion member for applying force to the partitioning device to fully expand it into a deployed configuration and to secure or seal it against the ventricle wall.

Abstract: A method for valve replacement or valve repair is disclosed comprising the steps of acquiring an anatomical image of a patient, correlating the image to the patient, guiding a valve replacement delivery member or a valve repair delivery member within the patient while tracking the position of the delivery member in the patient, positioning the valve replacement member or valve repair member in a desired position to place a valve or repair valve and removing the delivery member from the patient. In one aspect, a method and device are provided that involve imaging a native root using an interoperative technique, then introducing a device that is easily visualized in a chosen imaging modality.

Abstract: An implant system includes a fixation device that, in turn can include an expandable implant alone or in combination with an auxiliary implant. The expandable implant includes an expandable implant body that is made from an expandable material. The expandable material includes a polymer matrix and an expandable gas source contained within at least a portion of the polymer matrix. The implant system can further include an energy source configured to heat the polymer matrix to a temperature above its glass transition temperature, thereby causing the gas source to expand inside the polymer matrix. The fixation device can further include an insertion instrument configured to implant the fixation device into an anatomical cavity.

Abstract: A resorbable bone graft scaffold material, including a plurality of overlapping and interlocking fibers defining a scaffold structure, plurality of pores distributed throughout the scaffold, and a plurality of glass microspheres distributed throughout the pores. The fibers are characterized by fiber diameters ranging from about 5 nanometers to about 100 micrometers, and the fibers are a bioactive, resorbable material. The fibers generally contribute about 20 to about 40 weight percent of the scaffold material, with the microspheres contributing the balance.

Abstract: A resorbable bone graft scaffold material, including a plurality of overlapping and interlocking fibers defining a scaffold structure, plurality of pores distributed throughout the scaffold, and a plurality of glass microspheres distributed throughout the pores. The fibers are characterized by fiber diameters ranging from about 5 nanometers to about 100 micrometers, and the fibers are a bioactive, resorbable material. The fibers generally contribute about 20 to about 40 weight percent of the scaffold material, with the microspheres contributing the balance.

Abstract: Bone graft retention devices, systems, and methods for retaining bone graft material at a desired site are described. The devices may attach to existing bone fusion systems or components thereof, such as rods or cross connectors, or may be integrated directly into a cross connector. The devices include a fin, and optionally one or more attachment elements. The bone graft material is attached to the fin, such as via an adhesive or by friction fit inside a cavity. Optionally, during insertion in a patient, the fin is flipped upwards so that it does not hinder the insertion. Following insertion of the rod or cross-connector in the desired location and tightening of the screws into their final positions, the fin of the bone graft retention device is flipped into place such that it aligns with the spine, pressing the bone graft material against the spine.

Abstract: According to some embodiments, a method of creating for creating a reverse tapered opening within tissue comprises creating a cylindrical opening within a targeted anatomical site of a subject using a first device and removing additional tissue from the sidewalls of the cylindrical opening using a cutting member to create a reverse tapered opening within the targeted anatomical site using a second device, wherein, once the reverse tapered opening is created, a diameter or other cross-sectional dimension of a bottom surface of the opening is larger than a diameter or other cross-sectional dimension of a top surface of the opening.

Abstract: A mould adapted to be introduced into a joint of a human patient for resurfacing at least one carrying contacting surface of said joint is provided. The mould is adapted to receive material for resurfacing at least one carrying contacting surface of said joint. The mould is further adapted to be resorbed by the human body or melt after having served its purpose. Further, a method of treating hip joint osteoarthritis in a human patient by providing an artificial hip joint surface using a mould is provided.

Abstract: A surgical method and internal elbow hinge apparatus for minimally invasive treatment of an unstable elbow (with or without humeral/ulnar bone fractures). The method includes surgically installing the internal elbow hinge which includes a humeral plate, an ulnar plate, and a hinge arm pivotally connected to the humeral plate and fixedly connected to the ulnar plate.

Abstract: A biomechanical optimization (BMO) prosthetic implant utilizes a thin cross-section of metallic material that is conformable. Preferably, the BMO prosthetic implant is conformable both at the time of implant in response to manipulation and fixation by the surgeon, as well as during the life of the implant in response to stresses and loads experienced by the implant and thereby communicated and responded to by living bone tissue. For most metallic alloys, the BMO prosthetic implant will have an effective cross-sectional thickness of 4 mm or less, and preferably 3 mm or less. In one embodiment, the BMO prosthetic implant is provided with one or more fins extending from the fixation surface(s) of the implant which preferably includes retaining structures, such as cross-pinned apertures or T-shaped edge ridge.

Abstract: An orthopaedic assembly. The orthopaedic assembly includes a first member adapted to be coupled to a bone and an adjustable connector assembly including an adjuster having a threaded end and a tapered end. The assembly also includes an articulation component including a bearing surface and adapted to be coupled to the tapered end of the adjustable connector assembly. The threaded end is adapted to engage the fixation plate.

Abstract: The invention relates to an attachment member (2) and a connecting member (16) for a carpometacarpal thumb joint prosthesis (1) as well as to said thumb joint prosthesis. The attachment member (2) comprises a screw-like part (4) for attachment by screwing into the second meta-carpal bone and a locking device (8) for locking the screw-like part to the connecting member (16). The connecting member comprises an elongated, arcuate element (16) which at one end portion (16a) thereof is configured with a hole (14) for connection to the attachment member (2) for the second metacarpal bone and which at the opposite end portion (16b) thereof is configured with a hole (15) for connection to an attachment member (3) for the first metacarpal bone.

Abstract: A device for percutaneous transpedicular fusion includes at least two straight pedicular cannulas arranged respectively on the upper or lower vertebra, or on the two vertebrae of the spinal segment, at least one guide pin with a curved profile, which is implanted in the endplate of the corresponding vertebra through the corresponding pedicular cannula, of a flexible cannulated drill bit guided around the corresponding guide pin and driven in back and forth movements by a cannulated drive system to nibble out gradually slots in the lower and upper endplate of each vertebra and reduce to flaps the nucleic tissues of an intervertebral disk for the production of the intersomatic space, of an injection device connected to one of the straight pedicular cannulas for the injection of the graft into the intersomatic space, and closing devices that are screwed into the holes left free after retraction of the straight pedicular cannulas.

Abstract: Methods for altering the natural history of degenerative disc disease and osteoarthritis of the spine are proposed. The methods focus on the prevention, or delayed onset or progression of, subchondral defects such as bone marrow edema or bone marrow lesion, and subchondral treatment to prevent the progression of osteoarthritis or degenerative disc disease in the spine and thereby treat pain.

Abstract: A fusion cage has a first component that defines an outside surface that is configured to engage a vertebral endplate, and an interior surface. The fusion cage has a second component that defines first and second opposed surfaces. One of the first and second opposed surfaces can mate with the interior surface of the first component. The fusion cage can include vertical and lateral throughholes adapted to enhance fusion.

Abstract: An expandable interbody fusion device includes superior and inferior endplates that are configured to receive a sequentially inserted stack of interlocking expansion members or wafers. The like-configured wafers include features on their top and bottom surfaces that interlock the wafers in multiple degrees of freedom so that the wafer stack is not disrupted when the fusion device is fully expanded. One of the interlocking features includes a plurality of prongs projecting from an upper surface of the wafers and into a recess defined in the lower surface of an adjacent previously inserted like-configured wafer. The prongs and recesses are configured to prevent retrograde movement of each new wafer in a direction opposite the direction of insertion. Other interlocking features prevent movement in the direction of insertion, transverse to the insertion direction and vertically within the stack.

Abstract: An intervertebral scaffolding system is provided having a laterovertically-expanding frame operable for a reversible collapse from an expanded state into a collapsed state, the laterovertically-expanding frame having a stabilizer that slidably engages with the distal region of the laterovertically-expanding frame and is configured for retaining the laterovertically-expanding frame from a lateral movement that exceeds the expanded state. The expanded state, for example, can be configured to have an open graft distribution window that at least substantially closes upon the reversible collapse.

Abstract: Assemblies of one or more implant structures make possible the achievement of diverse interventions involving the fusion and/or stabilization of the SI-joint and/or lumbar and sacral vertebra in a non-invasive manner, with minimal incision, and without the necessitating the removing the intervertebral disc. The representative lumbar spine interventions, which can be performed on adults or children, include, but are not limited to, SI-joint fusion or fixation; lumbar interbody fusion; translaminar lumbar fusion; lumbar facet fusion; trans-iliac lumbar fusion; and the stabilization of a spondylolisthesis.

Abstract: An expandable anterior lumbar interbody fusion device comprises a deformable monolithic body having posterior and anterior ends, an upper bone contact structure and a lower bone contact structure. The body is expandable along a height axis between a first smaller height to a second larger height. The body comprises a pair of opposed side structures, each including a translatable center section being movable in a direction transverse to the height axis, a first locator arm adjacent the posterior end, a second locator arm adjacent the anterior end and a pair of formable load-bearing columns supported by the upper bone contact structure, the lower bone contact structure and the center section. The columns are not formed at the first height but are operative upon expansion of the body to the second height to form load-bearing columns along the height axis between the upper and lower bone contact structures.

Abstract: Methods and apparatuses for restoration of human or animal bone anatomy, which may include introduction, into a bone of an expansible implant capable of expansion in a single determined plane, positioning the expansible implant in the bone in order to correspond the single determined plane with a bone restoration plane and opening out the expansible implant in the bone restoration plane. A first support surface and a second support surface spread tissues within bone. The embodiments of the invention may also include injecting a filling material around the implant.

Abstract: A fitting ring can be provided that is attachable to an edge of a liner for an acetabular shell. The fitting ring can include an alignment portion shaped or configured to engage a lip portion of the acetabular shell as the liner is inserted into the acetabular shell to center the liner and correct any pivoting of the liner relative to the acetabular shell. A driving force can be applied to the liner to drive the liner into the acetabular shell while the fitting ring guides the liner as the liner is inserted into the acetabular shell. Driving the liner into the acetabular shell can also cause the fitting ring to disengage from the liner.

Abstract: A minimally invasive intervertebral implant includes a circuitous body defining a luminal axis extending longitudinally therethrough. The circuitous body includes proximal and distal ends oppositely disposed along a lateral axis of the circuitous body. Each of the proximal and distal ends includes an aperture disposed therethrough such that the circuitous body includes a first configuration wherein the proximal and distal ends are at a maximum separation and a second configuration wherein the proximal and distal ends are closer together than in the first configuration.

Abstract: A technology for a prosthetic above-knee device is provided. A socket may be used to attach the device to a residual limb, and may have a rigid body coupled to the socket. The device may include a first link with a first link end coupled through the rigid body to the socket and a second link end coupled to the rigid body. The second link of the device may have a third link end attached to the rigid body, and a fourth link end coupled to a housing. The device may include a hydraulic cylinder with a piston and a hydraulic cylinder link coupled between the rigid body and the piston of the hydraulic cylinder. The stability adjustment nut may adjust a travel distance of the hydraulic cylinder link with respect to the hydraulic cylinder to provide an adjustment of an instant center for stability modification.

Abstract: A stent design reduces the likelihood of contact among structural members when the stent diameter is reduced before insertion into the body. In one approach, an undulating link has a J-shaped profile or has an angled portion on one side at the peak of the link, in order to reduce contact during crimping. The stent may also include structural features that improve such aspects as flexibility, the coatibility of a drug coating onto the stent, flare reduction, stent retention within the body and/or reduction of the minimum diameter of the stent during crimping.

Abstract: A coronary predilatation and stent deployment catheter assembly includes a single sheathless unitary catheter body having a proximal end and a distal end, a predilatation balloon located at the distal end of the body, and a stent inflation balloon located along the body a distance of between about 5 millimeters and about 15 millimeters proximally of the predilatation balloon. An expandable stent is disposed over the stent balloon. A predilatation balloon inflation connection is located proximally of the stent inflation balloon and in fluid communication with the predilatation balloon through a predilatation inflation lumen. A stent balloon inflation connection is located proximally of the stent inflation balloon and in fluid communication with the stent inflation balloon through a stent balloon inflation lumen. At least one radiopaque marker is disposed on the predilatation balloon and at least one radiopaque marker is disposed on the stent inflation balloon.