Abstract: An actuator (52) for a personal care appliance (50) comprises a housing (54), a spindle (64), a tangential actuator portion (70), and an axial actuator portion (72). The tangential actuator portion (70) includes first and second magnet and pole assemblies (76,78) that define a tangential spring function of the tangential actuator portion. The axial actuator portion (72) includes third and fourth magnet and pole assemblies (90,92) that define an axial spring function of the axial actuator portion. At least one of (i) the first and second magnet and pole assemblies (76,78) of the tangential actuator portion (70) and (ii) third and fourth magnet and pole assemblies (90,92) of the axial actuator portion are configured to enhance a corresponding spring function of the axial actuator portion or tangential actuator portion, respectively.

Abstract: Actuator for a personal care appliance comprising a housing, a spindle, a tangential actuator portion, an axial actuator portion, and a controller. The tangential actuator portion comprises a first magnet and pole assembly having a first sequence of individual grouped magnet segments spaced apart within the housing in a first radial orientation and polarity order, and a first pole assembly of pole members in a first radial configuration about the spindle, a second magnet and pole assembly having a second sequence of individual grouped magnet segments spaced apart within the housing in a second radial orientation and polarity order, and a second pole assembly of pole members in a second radial configuration about the spindle, and an electromagnetic coil disposed about the spindle in-between the first and second magnet and pole assemblies. The tangential actuator portion rotationally displaces the spindle with respect to the housing about a principal axis.

Abstract: A material management apparatus includes: an outer housing including a first left wall, a first right wall and a first rear wall; an inner housing including a second left wall, a second right wall, a front wall and a second rear wall; a top cover formed with an opening in which an antenna connector is disposed, wherein the antenna connector is connected to a RFID antenna which is connected to a RFID reader; and at least one case disposed in the inner housing, wherein each of the at least one case accommodates an object and the outer side thereof is equipped with a RFID tag; with the RFID tag, the RFID reader is able to count and manage the amount of objects being disposed in or taken out.

Abstract: An injection apparatus for injecting a medicament into a patient, the injection apparatus has a stationary head and a movable head that is movable with respect to the stationary head. A needle is attached to a needle holder that is held by the movable head and by the stationary head. When the movable head is urged rearwardly, a front edge of the needle moves forwardly with respect to a front face of the movable head.

Abstract: An animal protection device, comprising: a main body and a plurality of elastic fixing belts. In the animal protection device, the plurality of support rods are inserted into the corresponding insertion bags of the main body. Through the support of the support rods, the knee joint is kept from easy to slip. In addition, a plurality of fixing belts are provided on both sides of the main body. As such, when the animal protection device is installed on the leg of the animal, the fixing belts are wound around the rear of animal's knee in opposite directions, to connect them onto the main body through the connection portions, so that the animal protection device can be wrapped around the animal's leg tightly, to relieve the pains of the animal when it is walking or kneeling.

Abstract: Systems and methods are provided and adapted to engage and pull (e.g., pull up) or reposition paraurethral support tissue, such as the perineal membrane. The perineal membrane intersects the urethra and vagina at the midurethra or distal location and can thus be stabilized or controlled in a manner that helps restore continence. As such, the implants can be utilized to eliminate the need for mesh or other supportive structures under the urethra that is common with other incontinence slings.

Abstract: An implant delivery device for introducing and positioning implants within patients may comprise a sheath member having a distal end, a proximal end, and a central longitudinal axis, the sheath member defining a lumen along the central longitudinal axis. The implant delivery device may additionally include an implant delivery shaft having a distal end and a proximal end, the implant delivery shaft disposed at least partially within the sheath member and an implant spreader assembly disposed at the distal end of the implant delivery shaft. In some embodiments, the implant delivery device may further include a cap disposed at the distal end of the sheath member, the cap obstructing at least a portion of an opening into the lumen of the sheath member.

Abstract: An instrument for deploying a surgical implant includes a handle, an elongated shaft extending from the handle, and a frame arm. The frame arm includes a clip pair for releasably attaching the surgical implant to the frame arm. The clip pair includes first and second clips operably coupled by a spring member. The first and second clips are repositionable from a closed position to an open position. The spring member biases the first and second clips towards the closed position. A lock bar is coupled to the frame arm and translatable between an unlocked position and a locked position. In the locked position, the lock bar maintains the first and second clips in either the open or the closed position. When the lock bar is in the unlocked position, the first and second clips are freely rotatable between the open and closed positions.

Abstract: A hybrid medical device that can aid in reconstructive or augmentative surgery of the breast is disclosed. The device can utilize a suitable biological collagen tissue matrix combined with a synthetic material, for example, that can impart a high initial strength to the repair site while permitting proper healing and revitalization of the implanted device.

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

Abstract: In one embodiment, an apparatus includes a support member and a suture. The support member is configured to provide support to a portion of a body of a patient. The support member has a first end portion and a second end portion. The first end portion of the support member is configured to be disposed within a body of a patient. The suture is removably coupled to the first end portion of the support member and is configured to extend through an incision in the body of the patient from a location within the body of the patient to a location outside of the body of the patient.

Abstract: In general, the invention features an intra-vascular device (100) for filtering or deflecting emboli other large objects from entering a protected secondary vessel or vessels. The device of the invention may include a filter (201) to prevent a particle in a blood vessel from passing through the filter, a lateral structure (200) to hold the filter, and two wires (202, 203) attached the lateral structure, one each at its distal and proximal ends (206a, 206b). These wires may be used to control the deflection or orientation of the filter upon its installation within a blood vessel. Further, in some embodiments, these wires may be capable of readily detaching from the device, thus making it possible to install a filter without any significant appendages in a blood vessel.

Abstract: An absorbable vascular filter is disclosed for deployment within a vessel for temporary filtering of body fluids. A preferred embodiment is the placement of such absorbable vascular filter within the inferior vena cava (IVC) to filter emboli for the prevention of pulmonary embolism for a limited duration in time. Once protection from PE is complete, the filter is sequentially biodegraded according to a planned schedule determined by the absorption properties of the filter components. Hence the temporary absorbable vascular filter obviates the long term complications of permanent IVC filters such as increased deep vein thrombosis, while also circumventing the removal requirement of metal retrievable IVC filters.

Abstract: In accordance with the present invention, an implant in which cells are arranged in a fine pattern that is available for immediate implantation and that does not need to be removed after implantation is provided. The present invention relates to a cell-containing sheet, which comprises cells and a support comprising a bioabsorbable material, in which the support has a cell adhesion protein-containing layer on the surface thereof and the cells form a pattern on the support.

Abstract: A prosthesis and a method of manufacturing the prosthesis for controlling flow through a bodily lumen are provided. The prosthesis includes a body having a proximal portion, a distal portion and a lumen extending therethrough. The prosthesis also includes a valve operably connected to the body. The valve has a proximal portion, a distal portion and a lumen extending through the valve, where the valve lumen is connected to the body lumen. The valve is configured to be closed in the absence of an antegrade pressure and a retrograde pressure, the retrograde pressure being greater than the antegrade pressure. The valve includes a material portion operably connected to the valve, the material portion providing increased stiffness to the valve relative to the valve alone, wherein the material portion is configured to facilitate self-reversion of the valve to the closed configuration.

Abstract: This disclosure is directed toward sealable and repositionable implant devices that are provided with one or more improvements that increase the ability of implants such as endovascular grafts to be precisely deployed or re-deployed, with better in situ accommodation to the local anatomy of the targeted recipient anatomic site, and/or with the ability for post-deployment adjustment to accommodate anatomic changes that might compromise the efficacy of the implant.

Abstract: A debranching Great vessel stent graft and methods for its use, where the stent graft comprises, a main body stent graft with a first bifurcation defining a first leg and a second leg, the main body stent graft has distal and proximal ends, the main body stent graft has a diameter at the proximal end in the range from about 18 mm to about 28 mm, the first leg and the second leg each have a diameter in the range from about 12 mm to about 18 mm, the distance from the proximal end of the main body to the distal end of the first leg is in the range from about 30 mm to about 50 mm, and the distance from the proximal end of the main body to the distal end of the second leg is in a range from about 50 mm to about 70 mm.

Abstract: A soft prosthetic implant shell, such as a silicone breast implant shell, that has discrete fixation surfaces thereon for tissue adhesion. The fixation surfaces may be provided on the posterior face of the shell, as well as either on the periphery or at discrete areas on the anterior face. Band-shaped fixation surfaces may be provided on the anterior face of the shell to generally match the angle of pectoralis major or pectoralis minor muscle groups. The fixation surfaces may be roughened areas of the shell, or may be separate elements adhered to the shell.

Abstract: Described herein is an implantable intraocular lens that can automatically adjust its optical power based on the eye's natural response for accommodation of targets at varying distances. The implantable intraocular lens includes a physiological sensor for detecting a physiological response of an eye associated with an ocular accommodation, and an electro-optical element configured to adjust optical power based on the detected physiological response of the eye.

Abstract: In general, the present invention relates to optical elements, which can be modified post-manufacture such that different versions of the element will have different optical properties. In particular, the present invention relates to lenses, such as intraocular lenses, which can be converted into aspheric lenses post-fabrication. Also, the present invention relates to a method for forming aspheric lenses post-fabrication.

Abstract: An intraocular lens (IOL) having a posterior prolate aspheric surface structured to bend or flex in response to force applied to such surface due to flexing of ciliary body muscle. The flexible and bendable haptic portions of the IOL, integrated with the central optical portion along its perimeter, as sized to have the distal sides of the haptic portions installed in the capsular membrane of a natural lens of an eye or in a space between the root of the iris and ciliary muscle. The optical power of the IOL is gradually modifiable due to change of curvature of the posterior prolate aspheric surface within the eye.

Abstract: A heart valve assembly includes an annular prosthesis and a valve prosthesis. The annular prosthesis includes an annular ring for dilating tissue within a biological annulus and a conformable sewing cuff extending radially from the annular member. The valve prosthesis includes a frame and a valve component. The annular ring is introduced into the biological annulus to dilate tissue surrounding the biological annulus and the sewing cuff conforms to tissue above the biological annulus. Fasteners are directed through the sewing cuff to secure the annular prosthesis to the biological annulus. The annular prosthesis may include a baleen element for biasing fabric on the annular ring outwardly to enhance sealing against the biological annulus. A valve prosthesis is then advanced into the sinus cavity, and secured relative to the annular prosthesis. The sewing cuff may enhance a seal between the valve prosthesis and annular prosthesis.

Abstract: Systems and methods for medical interventional procedures, including approaches to valve implantation. In one aspect, the methods and systems involve a modular approach to mitral valve therapy.

Abstract: Apparatus for use at a native heart valve of a subject is described. For some applications, the apparatus comprises a prosthetic valve support, configured (a) to be implanted at the native valve, (b) to facilitate, at a first period, implantation at the native valve of a first prosthetic valve, and (c) to facilitate, at a second period, implantation at the native valve of a second prosthetic valve. Other embodiments are also described.

Abstract: A method for implanting a heart valve into a patient's heart can include securing the heart valve prosthesis to a distal portion of an implanter apparatus. An opening is created in muscle tissue of the patient's heart, through which a length of the barrel is inserted such that an end of the barrel is advanced toward the implantation site. The heart valve prosthesis is advanced through the barrel to the implantation site. The heart valve prosthesis is positioned at the desired implantation site. The heart valve prosthesis can be expanded at the desired implantation site to anchor the prosthesis into adjacent tissue.

Abstract: Apparatus and methods are described herein for use in the transfemoral delivery and deployment of a prosthetic mitral valve. In some embodiments, a method includes inverting an outer frame of a prosthetic mitral valve when in a biased expanded configuration. After inverting the outer frame, the prosthetic mitral valve is inserted into a lumen of a delivery sheath such that the mitral valve is moved to a collapsed configuration. The delivery sheath is inserted into a femoral vein and moved through the femoral vein and a septum of a heart until a distal end of the delivery sheath is disposed in the left atrium of the heart. The prosthetic mitral valve is moved distally out of the delivery sheath such that the inverted outer frame reverts and the prosthetic mitral valve assumes its biased expanded configuration. The prosthetic mitral valve is then positioned within a mitral annulus of the heart.

Abstract: A method for beneficially displacing a papillary muscle, the method comprising: anchoring one end of an implant suture to a trigone or central fibrous body of the mitral valve; passing another end of the implant suture through a papillary muscle so that the implant suture extends between a trigone or central fibrous body of the mitral valve and the papillary muscle; tensioning the implant suture while displacing the papillary muscle toward the trigone or central fibrous body of the mitral valve; and securing the tensioned implant suture to the displaced papillary muscle so as to maintain the displaced papillary muscle in position relative to the trigone or central fibrous body of the mitral valve; wherein the foregoing steps of anchoring, passing, tensioning and securing are all effected while the heart is beating.

Abstract: The present invention relates to a minimally invasive method of performing annuloplasty. According to one aspect of the present invention, a method for performing annuloplasty includes accessing a left ventricle of a heart to provide a discrete plication element to the left ventricle, and engaging the plication element to tissue near a mitral valve of the heart. Engaging the plication element includes causing the plication element to gather a portion of the tissue to create a plication. In one embodiment, accessing the left ventricle of the heart to provide the plication element includes accessing the left ventricle of the heart using a catheter arrangement.

Abstract: A method for stabilizing a cardiac valve annulus is provided. The method includes intravascularly delivering a prosthesis to a region of a cardiac valve, expanding the prosthesis to secure the prosthesis to the region of the cardiac valve, and reducing the inner diameter of the prosthesis to form the region of the cardiac valve into a predefined shape.

Abstract: Apparatus and methods for repairing a cardiac valve, e.g., a mitral valve, are provided. The apparatus may include an expandable frame defining a curved structure in the expanded deployed state and a membrane coupled to the expandable frame. The membrane may curve around a native leaflet, e.g., the posterior leaflet, in a first plane and curve around another leaflet, e.g., the anterior leaflet, in an orthogonal plane. The membrane may be adapted to be suspended in the flow path of the cardiac valve such a first surface of the membrane abuts the native leaflet during systole and a second surface of the membrane abuts the other native leaflet during systole, thereby reducing cardiac valve regurgitation.

Abstract: Systems for mitral valve repair are disclosed where one or more mitral valve interventional devices may be advanced intravascularly into the heart of a patient and deployed upon or along the mitral valve to stabilize the valve leaflets. The interventional device may also facilitate the placement or anchoring of a prosthetic mitral valve implant. The interventional device may generally comprise a distal set of arms pivotably and/or rotating coupled to a proximal set of arms which are also pivotably and/or rotating coupled. The distal set of arms may be advanced past the catheter opening to a subannular position (e.g., below the mitral valve) and reconfigured from a low-profile delivery configuration to a deployed securement configuration. The proximal arm members may then be deployed such that the distal and proximal arm members may grip the leaflets between the two sets of arms to stabilize the leaflets.

Abstract: An apparatus for treating a heart valve in need thereof comprises a valve member, a connecting member, and an anchor member suitable for anchoring the apparatus. The valve member reversibly moves between an open position and a closed position to augment or replace the function of the native valve leaflets, thereby reducing valve regurgitation. Some embodiments include a stent that is positioned in the native heart valve with the valve member disposed therein.

Abstract: In some embodiments, the present invention provides tissue grafts, such as vascularized bone grafts, and methods for preparing and using such tissue grafts. In some embodiments the tissue grafts are made using pluripotent stem cells, such as autologous pluripotent stem cells. In some embodiments, the tissue grafts are made by creating a digital model of a tissue portion to be replaced or repaired, such as a bone defect, partitioning the model into two or more model segments, and then producing tissue graft segments having a size and shape corresponding to that of the model segments. Such tissue graft segments may be assembled to form a tissue graft having a size and shape corresponding to that of the tissue portion to be replaced or repaired.

Abstract: One implementation of the present disclosure may include a method of sacroiliac joint fusion involving a joint implant and a delivery tool. The joint implant includes at least one integral anchor configured to move relative to a body of the implant when being brought into anchoring engagement with bone defining a sacroiliac joint space in which the body of the implant is located. In certain embodiments, the anchor extends distally and laterally relative to a body of the implant or the anchor rotates relative to the body of the implant via a center axle when being brought into anchoring engagement with the bone. The delivery tool may be configured to support the implant and to cause the displacement of the at least one anchor relative to the implant body so as to cause the at least one anchor to be brought into anchoring engagement with the bone.

Abstract: Fastener systems and methods for attaching two or more parts are disclosed. A fastener can include a nut component configured to extend into at least a portion of an aperture in a first part and at least a portion of an aperture in a second part. The fastener can further include a compression body configured to fit into an enlarged portion of the aperture in the second part, and a screw component having a head portion configured to engage with a top notch formed in the compression body and an elongated portion configured to engage with the nut component. A diameter of the head portion of the screw component can be less than a diameter of the top notch in the compression body such that the screw component can move in a radial direction relative to the compression body during placement of the fastener to attach two or more parts.

Abstract: Knee prosthesis includes a femoral component adapted to fit on a distal end of the femur and a tibial insert component. The femoral component includes a measured anterior/posterior dimension defined by the posterior condyle surface and the interior surface of the anterior flange and a distal peg provided on a distal bone facing surface of each of the lateral and medial condylar structures, wherein the distal pegs are positioned at a midpoint of the measured anterior/posterior dimension. The implant system provides two distinct sizing segments and the tibial insert has a medial tibial aspect ratio of 0.74 and a lateral tibial aspect ratio of 0.65 to 0.68 for all sizes.

Abstract: A replacement device for resurfacing a joint surface of a femur and a method of making and installing such a device is provided. The custom replacement device is designed to substantially fit the trochlear groove surface, of an individual femur, thereby creating a “customized” replacement device for that individual femur and maintaining the original kinematics of the joint. The top surface is designed so as to maintain centrally directed tracking of the patella perpendicular to the plane established by the distal end of the femoral condyles and aligned with the center of the femoral head.

Abstract: The present disclosure provides a provisional tibial prosthesis system for a set of prosthetic knee joints for implantation in a natural knee, the provisional tibial prosthesis system including a bearing component and a bearing support, the spacing of the bearing component from the bearing support is adjustable to allow for representation of a variety of different sized final tibial prostheses. In this system, only one provisional bearing component corresponding to each level of constraint is needed and shims are used to adjust the spacing of the bearing component from the bearing support. The shims are slidably insertable between the bearing component and the bearing support in an anterior/posterior direction to allow for adjustment of the spacing of the bearing component from the bearing support. The number of provisional components needed during knee surgery is reduced and adjustment of the system only requires the knee joint to be distracted by a distance equal to the height of a particular shim.

Abstract: A stemless humeral shoulder assembly having a base member and an anchor advanceable into the base member. The base member can include a distal end that can be embedded in bone and a proximal end that can be disposed at a bone surface. The base member can also have a plurality of spaced apart arms projecting from the proximal end to the distal end. The anchor can project circumferentially into the arms and into a space between the arms. When the anchor is advanced into the base member, the anchor can be exposed between the arms. A recess can project distally from a proximal end of the anchor to within the base member. The recess can receive a mounting member of an anatomical or reverse joint interface.

Abstract: A glenoid implant including a base plate and an articular component. The base plate can include a body and a support structure extending from a distal surface of the body. The body can include a plurality of openings. The articular component can be configured to removably couple to the base plate. The articular component can include a recessed portion configured to at least partially receive the body of the base plate. At least one engagement structure can protrude from a distal facing surface of the recessed portion. Each engagement structure can correspond to one of the plurality of openings in the body. A distal face of the articular component surrounding the recessed portion can be configured to abut the subchondral bone.

Abstract: The invention relates to an ankle prosthesis (1) comprising a talar implant (2) designed to be implanted in or on the talus (3), a tibial implant (4) designed to be implanted in or on the tibia (5), and an intermediate implant (6) designed to be interposed between the tibial implant and the talar implant, said intermediate implant (6) being designed to be mounted to move relative to said talar implant (2) at a contact interface (7) in order to allow the ankle to move, said ankle prosthesis (1) being characterized in that it is provided with configurable coupling means (10) designed to enable the intermediate implant (6) to be arranged relative to the tibial implant (4) in a specific configuration chosen from among a plurality of possible configurations.

Abstract: A device, system, and method for performing a spinal procedure. The device includes first and second shape-memory outer platforms, the outer platforms expanding at a temperature greater than the transformative temperature, a core member having first and second expansion bodies and first and second wedge members, the first expansion body being coupled to the first outer platform and the second expansion body being coupled to the second outer platform, and a screw rotatably disposed within the core member, the screw passing through at least a portion of each of the first and second wedge members. Rotation of the screw causes the first and second wedge members to move toward each other and the first and second expansion bodies to move away from each other. Thus, reaching a transformation temperature and rotating the screw expands the device to come in contact with and anchored against both of the adjacent vertebrae.

Abstract: An intervertebral implant system installable between a pair of vertebrae. The implant includes a spacer that fits between the pair of vertebrae with a screw aperture for passage of a first screw and angled to orient the first screw into a first vertebrae at an angle relative to the rear sidewall of the spacer so that the first screw will enter an endplate of the first vertebrae. A plate is installable onto the rear sidewall of the polymeric spacer. The plate includes an angled screw aperture that is aligned with the screw aperture of the spacer when the plate is installed on the spacer. An elevated screw support extends upwardly or downwardly from the plate so as to extend opposite the direction of the angled screw aperture. The elevated screw support locates a second screw to enter a second vertebrae through an anterior surface of the second vertebrae.

Abstract: An intervertebral implant for supporting vertebrae that includes an anterior end element, a posterior end element, and four wings disposed between the anterior end element and the posterior end element. The four wings and the anterior and posterior end elements define a substantially open central space. The wings are arranged in pairs facing in opposed directions and include teeth facing in those opposed directions for gripping substantially planar surfaces at opposite sides of the implant.

Abstract: An intervertebral implant has at least one arm (14) pivotally connected to a base (10). At least one worm gear configuration includes a worm in (18) mounted within the base (10) so as to be rotatable, and a set of gear teeth (20) associated with the arm (14). When the worm (18) is rotated about its central axis, the arm (14) is driven through a range of pivotal motion relative to the base so as to change an angle of inclination between a direction of elongation (16) of the arm and the direction of elongation (12) of the base. Embodiments of the invention include devices with a hollow proximal worm allowing access into the implant via the worm, distally deployed worms, and devices with a pair of worm gear assemblies that operate synchronously or independently.

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

Abstract: Implants, systems and methods of making and using thereof are described herein. The implants are formed from one or more coils, preferably a plurality of coils. Optionally the coils are included in a set or group of more than one coil. Optionally, the implant is symmetric about one or more planes. Typically an implant includes at least two coils (or sets or groups of coils) that are adjacent to each other intersect with each other at one or more intersection regions. Two or more coils may intersect at a plurality of intersection regions, optionally along an array of intersection regions, within the implant or on the outer side wall of the implant. Optionally, the implants include one or more plates to aid in fixation and/or insertion. The implants may be used in a variety of different spaces in the body that require bone growth.

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.

Abstract: A dynamic intervertebral spacer includes a ring which is split on an anterior portion. A posterior portion of the ring acts as a torsion spring. After implantation, the ring is able to act as a spring between superior and inferior vertebral bodies, thus allowing dynamic bone growth in fusion procedures.

Abstract: Described here are deformable, monolithic, stabilization implants suitable for use within bone and between bones to fuse vertebral bodies, to repair herniated discs, or to repair spinal compression fractures. The implants are introduced into a chosen site at a first, smaller height and then plastically deformed to achieve a second, but unique, pre-selected, larger height. Variations of the device provide one or more specific larger heights. The devices are suitable as intervertebral spinal fusion implants for the immobilization of adjacent vertebral bodies. Methods of and instruments for deployment of the implants are also described. Also described are variations of the device suitable as sizing instruments.