Abstract: A flexible tip electrode for an ablation catheter is disclosed. The catheter includes a catheter body and a hollow elongate tip electrode disposed at a distal end of the catheter body. The electrode includes a sidewall provided with one or more elongate gaps extending therethrough. The one or more elongate gaps providing flexibility in the sidewall for bending movement of the tip electrode relative to a longitudinal axis of the catheter body.

Abstract: The invention presents methods and systems for accessing a pericardial space and preventing strokes arising from a left atrial appendage (“LAA”) by achieving a complete occlusion of the LAA using an epicardial approach without creating a puckering of the LAA ostium. A complete occlusion of the LAA is desired because blood clots arising from the LAA often leads to embolic strokes. Due to the peculiar anatomy of the LAA ostium, traditional LAA ligation techniques using sutures can lead to puckering, thus compromising the occlusion of the LAA. The invention achieves a complete occlusion and a more effective hemostatic seal with the use of inflatable balloons having electromagnetic coils internally, as well as hydrogels, sponges, and caliber tubes attached to the respective balloon's exterior, anchoring balloons, a closure device having a suture looped through two semi-rigid hollow tube that can be coated with hydrogel or silicone, and locking mechanisms.

Abstract: According to some embodiments, methods and systems of enhancing a map of a targeted anatomical region comprise receiving mapping data from a plurality of mapping electrodes, receiving high-resolution mapping data from a high-resolution roving electrode configured to be moved to locations between the plurality of mapping electrodes, wherein the mapping system is configured to supplement, enhance or refine a map of the targeted anatomical region or to directly create a high-resolution three-dimensional map using the processor receiving the data obtained from the plurality of mapping electrodes and from the high-resolution roving electrode.

Abstract: An apparatus comprises a body, a shaft assembly, and an end effector. The shaft assembly extends distally from the body. The end effector is in communication with the shaft assembly. The end effector comprises a first jaw and a second jaw. The second jaw comprises a proximal portion and a distal portion. The second jaw is moveable relative to the first jaw between a first position, a second position, and a third position. The second jaw in the first position is open relative to the first jaw. The second jaw in the second position is positioned such that the distal portion is closer to the first jaw than the proximal portion. The second jaw in the third position is parallel the first jaw.

Abstract: Disclosed is a bilateral cooling type semiconductor laser system for medical beauty use, the contact window of which can make direct contact with the skin. The bilateral cooling type semiconductor laser system for medical beauty use comprises a semiconductor laser array, an optical waveguide located on the front end of the light emitting surface of the semiconductor laser array, a transparent contact window abutting against the light outlet end of the optical waveguide, a pair of cooling blocks and a first water throughflow block. The first water throughflow block is divided into a basal part and a U-shaped head located above the basal part, and the middle part and back part of the optical waveguide are embedded in the U-type header. A fixed block is provided above the corresponding optical waveguide to press and fix the optical waveguide. There is still a space between the optical waveguide and the side wall of the U-type header.

Abstract: A semiconductor laser system for laser medical cosmetology, comprising a semiconductor laser array (1), an optical waveguide (2), a boss-shaped transparent contact window (3) located at the light outlet end of the optical waveguide (2), and a refrigeration block (4) for conduction cooling of the contact window (3); the refrigeration block (4) consists of a base portion and a hollow head above the base portion; the front part of the hollow head presses against and is tightly fastened to the whole side wall of the contact window (3); the light outlet end of the optical waveguide (2) is located in the cavity of the hollow head, and has a gap between the waveguide and the inner wall of the hollow head; a thermoelectric semiconductor refrigerator (5) is disposed below the base portion of the refrigeration block (4); a first water supply block (6) is disposed below the thermoelectric semiconductor refrigerator (5); and a second water supply block (16) for heat dissipation is installed in the semiconductor laser arr

Abstract: Image-guided therapy of a tissue can utilize magnetic resonance imaging (MRI) or another medical imaging device to guide an instrument within the tissue. A workstation can actuate movement of the instrument, and can actuate energy emission and/or cooling of the instrument to effect treatment to the tissue. The workstation and/or an operator of the workstation can be located outside a vicinity of an MRI device or other medical imaging device, and drive means for positioning the instrument can be located within the vicinity of the MRI device or the other medical imaging device. The instrument can be an MRI compatible laser probe that provides thermal therapy to, e.g., a tissue in a brain of a patient.

Abstract: Medical procedure trays and related methods are provided to accommodate joining a first non-sterile medical device with a second sterile medical device and maintaining required sterilization of the second sterile medical device to perform an associated medical procedure. One example of such medical procedures includes biopsy of a bone and/or associated bone marrow using a non-sterile powered drive and a sterile biopsy needle or biopsy needle set. Medical procedure trays and related methods may also be provided for use during aspiration of bone marrow and/or stem cell transplant procedures. Each medical procedure tray may include a containment bag or sterile sleeve. A coupler assembly, one or more sharps protectors, a biopsy sample ejector and/or associated ejector funnel may also be included.

Abstract: Devices, systems, and methods for providing commanded movement of an end effector of a manipulator concurrent with a desired movement of one or more joints of the manipulator according to one or more consolidated null-space objectives. The null-space objectives may include a joint state combination, relative joint states, range of joint states, joint state profile, kinetic energy, clutching movements, collision avoidance movements, singularity avoidance movements, pose or pitch preference, desired manipulator configurations, commanded reconfiguration of the manipulator, and anisotropic emphasis of the joints. Methods include calculating multiple null-space movements according to different null-space objectives, determining an attribute for each and consolidating the null-space movements with a null-space manager using various approaches. The approaches may include applying weighting, scaling, saturation levels, priority, master velocity limiting, saturated limited integration and various combinations thereof.

Abstract: The invention relates to a module for driving a robotic catheterization system, comprising a base and mobile equipment that rotates in relation to the base about a rotational axis, and comprising a support receiving a flexible medical body; a device for driving in translation, suitable for generating a translation of said body in the main direction; a regulating device comprising a push element which is mobile in relation to the receiving space in a lateral adjustment direction perpendicular to the main direction; and a system for transferring motive energy comprising a control part carried by the base and a transmission part carried by the mobile equipment, the motive energy transfer system being suitable for moving the push element irrespective of the relative orientation of the mobile unit and the base.

Abstract: Devices and methods for applying tension to an area of skin during various cosmetic or dermatological procedures, in particular for follicular unit removal and/or implantation in a hair transplantation procedure, are provided. The systems and methods utilize a segmented structure configured to conform to the body surface of various sizes, shapes and/or textures, thus allowing for customization in order to fit a variety of persons. In some embodiments, the tensioning device may be temporary secured, for example, to a patient chair.

Abstract: Systems and methods for surgical guidance and image registration are provided, in which three-dimensional image data associated with an object or patient is registered to topological image data obtained using a surface topology imaging device. The surface topology imaging device may be rigidly attached to an optical position measurement system that also tracks fiducial markers on a movable instrument. The instrument may be registered to the topological image data, such that the topological image data and the movable instrument are registered to the three-dimensional image data. The three-dimensional image data may be CT or MRI data associated with a patient. The system may also co-register images pertaining to a surgical plan with the three-dimensional image data. In another aspect, the surface topology imaging device may be configured to directly track fiducial markers on a movable instrument. The fiducial markers may be tracked according to surface texture.

Abstract: An articulated surgical instrument for enhancing the performance of minimally invasive surgical procedures. The instrument has a high degree of dexterity, low friction, low inertia and good force reflection. A unique cable and pulley drive system operates to reduce friction and enhance force reflection. A unique wrist mechanism operates to enhance surgical dexterity compared to standard laparoscopic instruments. The system is optimized to reduce the number of actuators required and thus produce a fully functional articulated surgical instrument of minimum size.

Abstract: Surgical system, in particular a dental system including a surgical instrument, in particular a dental instrument and a device for controlling the electronic instrument. The device for controlling the electronic instrument includes a first electronic module. The instrument includes a rotary motor for driving the tool and a second electronic module. The rotary motor of the instrument is electrically powered by the first electronic module of the control device through the first electrical conductors dedicated to supply the rotary motor. The instrument is powered and/or electrically controlled by the first electronic module of the control device only through the second electrical conductors distinct from the first electrical conductors. The system also includes a management module of the second electrical conductors for sending on the second electrical conductors a number of signals larger to a number of second electrical conductors.

Abstract: A medical or dental handpiece has a grip 3. The grip 3 includes first to third rotation shafts 101, 201, and 301. The first and second shafts are connected through a first gear mechanism 1000 and the second and third shafts are connected through a second gear mechanism 2000 so that a rotation is transmitted from the first shaft through the first gear mechanism to the second shaft and then from the second shaft through the second gear mechanism to the third shaft. The first or second gear mechanism has an internal gear secured on shaft and an external gear secured on the other shaft, the internal and the external gears being engaged with each other. The external gear is substantially enclosed within a cylindrical plane 1001, 2001 extending along a peripheral edge of the internal gear.

Abstract: Various embodiments provide a computer-implemented method for dynamically manipulating a three-dimensional virtual model representing a patient's teeth so as to facilitate visualization of an orthodontic treatment plan being applied thereto. The method comprises: rendering the three-dimensional virtual model based, at least in part, upon one or more images of a patient's teeth, and manipulating the three-dimensional virtual model via a translational movement in a two-dimensional computer display area and along a plane vertically oriented relative to the oppositely-oriented teeth. The translational movement imposes a translational manipulation upon a first one of the two sets of oppositely oriented teeth and a rotational manipulation upon a second one of the two sets of oppositely oriented teeth, the simultaneous manipulation being configured to open the teeth relative to one another so as to facilitate visualization of an orthodontic treatment plan.

Abstract: The present invention relates to a tool for adhering an orthodontic bracket, comprising: a pair of bracket holding portions for holding a bracket to be bonded to teeth while approaching or separating from each other; and a pair of handle portions connected to the pair of bracket holding portions, for controlling the bracket holding portions to allow the same to approach or separate from each other, wherein a scale for measuring the height of a bracket for the end of teeth is formed in at least any one of the pair of bracket holding portions. Therefore, an operation is convenient, measurement is easy and measurement time can be reduced since the tool has a simple and uncomplicated structure. In addition, it is possible to improve the effectiveness of orthodontic treatment since a bracket can be bonded by precisely setting the height of the bracket.

Abstract: A method for producing a patient-specific modular bracket having a pad and a bracket body. A bracket body library of bracket bodies includes bodies that are formed from a raw bracket body having a spacer section. A first parameter is established for cutting through the spacer section from a slot of the bracket body to set a height of the bracket body. A second parameter is established for cutting through the spacer section at an angle to a mesio-distal axis of the bracket body to set a torque value of the bracket body. A third parameter is established for cutting through the spacer section at an angle to an occlusal-gingival axis to set a rotation value of the bracket body. The spacer section is cut through according to the first, second and third parameters. Patient specific set-ups are then created by selecting and attaching pads from a raw pad library.

Abstract: A high-speed automatic dental flosser (10) includes a detachably connected flossing attachment (12) having a pair of flossing tines (46) and (48) for supporting a movable floss span (47) to floss teeth, a floss supply spool (15) for continuously supplying fresh floss spans, and a floss take-up spool (17) includes a built-in floss gripper. A power driver (14) includes a dual-shaft geared motor (20) having an anterior drive shaft (22) drivingly connectable to the take-up spool and a posterior drive shaft (24) for drivingly rotating an eccentrically supported weight (40) to oscillate the floss span. An electric momentary switch (28) actuates the motor energized by a power cell (26). A built-in floss-cutter (29) is provided for cutting off used floss. An alternative flossing attachment (12B) includes an alternative floss gripper built into a take-up spool (39). Additional flossing attachments (12C) and (12D) are included.

Abstract: An implant for treating an obstructive airway disorder includes an elongate implant body configured for implanting in airway-interface tissue. At least a portion of the elongate body carries a light transmission material for permitting light transmission therein. Systems and methods of treating an airway disorder including implanting an implant in an airway-interface tissue are also provided.

Abstract: A method of manufacture for a vaginal insert. The vaginal insert may have a core, a cover, and a removal element. In various embodiments, the cover can be conformed to the vaginal insert.

Abstract: An apparatus (60) for use within a woman's urethra (9) for inhibiting urine outflow when her intra-abdominal pressure rises. The apparatus (60) includes a generally tubular device (50) having a proximal end and a distal end and defining a longitudinal axis. Device (50) comprises structure (5) that is constructed and arranged to define a longitudinal passageway (14) that extends entirely through the device (50) from the proximal end to the distal end. Structure (5) is further constructed and arranged to be altered via an increase in intra-abdominal pressure, from a first state in which the passageway (14) is open along its length and able to conduct urine to a second state in which the passageway (14a) is more restricted or is closed off, to inhibit the passage of urine.

Abstract: An implant includes a central portion composed of at least one yarn interconnected to form openings therein and a peripheral portion extending around the central portion. The peripheral portion includes at least one high strength yarn.

Abstract: A method and prosthesis is provided for percutaneous repair of an anatomical defect, such as an inguinal hernia. The method involves percutaneously accessing the inguinal canal of a patient. Following hernia reduction, if required, the hernia defect may be accessed and repaired percutaneously from within the inguinal canal. An implantable prosthesis may be percutaneously delivered into the inguinal canal. The prosthesis may be advanced along the inguinal canal from the percutaneous entry location to the defect site, where it may be deployed over and/or within the defect. A biocompatible foam material may be percutaneously delivered into the inguinal canal to reduce and/or repair the hernia defect. The foam may fill and solidify in the canal to prevent abdominal viscera from reentering the canal. Ablative therapy may be performed within the inguinal canal to cause a fibrotic response resulting in scar tissue formation and/or tissue shrinkage that narrows the canal.

Abstract: The present invention relates to a method for producing a knit, said method comprising the following steps:—a) knitting first yarns of biocompatible polymer materials, a second yarn, which is a monofilament yarn, and a third yarn, which is a monofilament yarn, which are made of the same biocompatible hot-melt material, the diameter of the second yarn being strictly greater than the diameter of the third yarn:—said second and third yarns generating loops protruding from one face of said knit,—b) thermosetting the knit obtained at a),—c) placing the face of the knit with loops flat on a heated cylinder, resulting in i) the complete melting and elimination of the loops formed from the third yarn, and ii) the partial melting of the loops formed from the second yarn, said partial melting causing the rupture of each loop and, therefore, the formation, for each loop, of two barbs protruding outwards from the face of said knit.

Abstract: The present invention relates to a composite implant comprising: a prosthetic fabric having a first side and a second side, a non-porous film of bacterial cellulose secured to the first side of the fabric. The invention further relates to a method of making such an implant.

Abstract: A vessel filter comprising a first region and a second region wherein the filter is movable between a collapsed position for delivery to the vessel and an expanded position for placement within the vessel. A first region has a filter portion having a converging region to direct particles toward the center of the filter and having a plurality of spaced apart elongated struts and, a plurality of connecting struts extending at an angle from the elongated struts to form closed geometric shapes. The second region is flared in the expanded position to have a transverse dimension increasing toward a second end portion opposite the first end portion. The second region includes vessel engaging hooks at the second end portion. The first region has a plurality of closed looped spacer struts extending radially with respect to a longitudinal axis of the filter when the filter is in the expanded position.

Abstract: An angioplasty device has a filter associated with it to capture embolic particles that may be broken free during an angioplasty procedure. In one embodiment the embolic filter has a frame in which struts are connected to end rings and to each other by a plurality of interconnected oval members. In another embodiment the device includes an actuator at the proximal end of an actuator wire. By rotating a knob on the device, the physician can smoothly tension the wire by a predetermined amount to prevent the filter from opening too much or too little. Various other embodiments of filter frames are also disclosed.

Abstract: A method of improving the mechanical properties of a tissue patch is provided. The method includes the steps of providing a tissue patch and placing at least one barbed suture along at least a portion of the tissue patch. The method may further include the step of placing one or more additional barbed sutures in a laterally spaced relation to the barbed suture. The barbed suture may be biodegradable or non-biodegradable.

Abstract: The invention relates to biodegradable, metal alloy-containing compositions, methods for their preparation and applications for their use. The compositions include magnesium and other components, such as yttrium, calcium, silver, cerium, and zirconium; or zinc, silver, cerium, and zirconium; or aluminum, zinc, calcium, manganese, silver, yttrium; or strontium, calcium, zinc. The compositions are prepared by vacuum induction/crucible melting together the components and casting the melted mixture in a preheated mild steel/copper mold. In certain embodiments, the compositions of the invention are particularly useful for forming medical devices for implantation into a body of a patient.

Abstract: A product comprising a natural acellular xenogenic vascular tissue matrix having at least an 80% reduction in DNA content as compared to an untreated control vascular tissue matrix and being antigenically inert by being substantially free of epitopes capable of reacting with pre-formed human antibodies and also without having the ability to substantially activate complement. The invention also includes methods of preparing such products and uses of the products especially in bypass surgery.

Abstract: Implantable medical devices are described. For example, various implantable medical devices having a sleeve with differential wall thicknesses are described. An exemplary medical device comprises a frame and a sleeve that has a first configuration where the sleeve is in an extended position and a second configuration where the sleeve is in an inverted position.

Abstract: Articles comprising an expanded polytetrafluoroethylene membrane having serpentine fibrils and having a discontinuous coating of a fluoropolymer thereon are provided. The fluoropolymer may be located at least partially in the pores of the expanded fluoropolymer membrane. In exemplary embodiments, the fluoropolymer is fluorinated ethylene propylene. The application of a tensile force at least partially straightens the serpentine fibrils, thereby elongating the article. The expanded polytetrafluoroethylene membrane may include a microstructure of substantially only fibrils. The articles can be elongated to a predetermined point at which further elongation is inhibited by a dramatic increase in stiffness. In one embodiment, the articles are used to form a covered stent device that requires little force to distend in the radial direction to a first diameter but is highly resistant to further distension to a second diameter (stop point).

Abstract: There is provided a stent element comprising a central portion with two arms extending therefrom, optionally in a V-shaped or Y-shaped configuration. The arms of the stent-element are resiliently deformable to facilitate packing and suitable material for forming the stent-element is nitinol or PEEK. The stent element can be used to stabilise two adjacent ring stents on a stent graft by attachment to the graft material between the ring stents, for example by sewing. The stent element stabilises the ring stent without risk of fracture. A stent graft having two ring stents and the stent element located between the ring stents is also described.

Abstract: Devices and methods for treating defects in connective tissue are provided along with methods for making such devices. The devices can include acellular arterial tissue matrices that facilitate regrowth of the damaged tissue.

Abstract: Corneal implant to be introduced into the optical center (Z) of the cornea of the human eye for the purpose of correcting impaired vision, in particular presbyopia, or presbyopia in combination with hypermetropia or myopia. To propose a corneal implant which is suited for introduction into the optical center (Z) of the human eye, and which may be applied for correcting presbyopia on its own or in combination with hypermetropia or myopia, the effective thickness (d) of the corneal implant (2), measured in the direction of the optical axis (5) of the eye, must be larger than 50 ?m and the maximum width (b), measured in a plane perpendicular to the direction of thickness, must be less than 1 mm, the corneal implant (2) having no imaging function in relation to the human eye.

Abstract: A switchable intraocular lens assembly includes an optic body having a guiding surface, a holding chamber, a blocking channel, and a laser accessible cavity at a portion of the blocking channel. An elastic film is disposed over the guiding surface, wherein the elastic film is sealed at or near the guiding surface periphery forming a transparent chamber between the guiding surface and the elastic film. A laser flowable blocking element has an enlarged head connected to an extension portion, where a length of the extension portion is more than a distance along the blocking channel from the blocking channel opening to the fluidic connection of the transparent chamber. The extension portion of the laser flowable blocking element is disposed inside the blocking channel. An optical fluid is disposed within the holding chamber under a pressure greater or lesser in comparison to a pressure in the transparent chamber.

Abstract: Novel bioabsorbable, nasal spreader graft implant devices are disclosed. The devices are useful in rhinoplasty and nasal reconstruction surgical procedures, as well as other surgical procedures. The devices have biodegradable core plates and biodegradable spreader plates or tissue ingrowth plates. The plates may have tissue ingrowth properties.

Abstract: An implantable prosthetic valve has an in situ formable support structure. The valve comprises a prosthetic valve, having a base and at least one flow occluder. A first flexible component is incapable of retaining the valve at a functional site in the arterial vasculature. The first component extends proximally of the base of the valve. A second flexible component is incapable of retaining the valve at a functional site in the arterial vasculature. The second component extends distally of the base of the valve. At least one rigidity component combines with at least one of the first and second flexible components to impart sufficient rigidity to the first or second components to retain the valve at the site.

Abstract: An implantable prosthetic valve has an upper frame section and a lower frame section. The upper frame section has a plurality of struts and a first leaflet receiving surface at a lower portion of the upper frame section. The lower frame section has a second leaflet receiving surface at an upper portion of the lower frame section. An edge of a flexible leaflet is disposed between the first and second leaflet receiving surfaces to attach the leaflet to the upper and lower frame sections.

Abstract: A compressible and expandable stent assembly for implantation in a body lumen such as a mitral valve, the stent assembly including at least one stent barrel that is shaped and sized so that it allows for normal operation of adjacent heart structures. One or more stent barrels can be included in the stent assembly, where one or more of the stent barrels can include a cylinder with a tapered edge.

Abstract: A method of making a prosthetic heart valve may include providing an annular stent having a plurality of annularly spaced commissure portions having tips, covering each of the tips with a first fabric cover, covering the first fabric covers and the remainder of the stent with a second fabric cover, covering the second fabric cover with a first tissue membrane, and covering the outside of the first tissue membrane with a second tissue membrane, the second tissue membrane forming leaflet portions that extend inwardly between the commissure portions.

Abstract: A medical device handle may include an elongated handle housing, a rotatable collar disposed about the handle housing, a rotatable control knob disposed about the collar, and a slidable door disposed about the collar. The door may be rotatably locked to the collar to prevent relative rotation between the door and the collar. The door may slidable from a closed position to a first open position, and slidable from the first open position to a second open position.

Abstract: This disclosure pertains generally to prosthetic devices and related methods for helping to seal native heart valves and prevent or reduce regurgitation therethrough, as well as devices and related methods for implanting such prosthetic devices. In some cases, a spacer having a single anchor can be implanted within a native heart valve. In some cases, a spacer having dual anchors can be implanted within a native heart valve. In some cases, devices can be used to extend the effective length of a native heart valve leaflet.

Abstract: The invention relates to catheter system for introducing an expandable heart valve stent (150) into the body of a patient, the catheter system comprising: a catheter tip (10) having a seat portion for accommodating the stent (150) in its collapsed state and a stent holder (15) for releasably fixing the stent (150), wherein the seat portion is constituted by a first sleeve-shaped member (11) and a second sleeve-shaped member (21), said sleeve-shaped members (11, 21) being moveable relative to each other and relative to the stent holder (15), and a catheter shaft (30) for connecting the catheter tip (10) to a handle (70).

Abstract: The systems and devices and methods relate to surgical and percutaneous repair of heart valve regions. The systems and devices are structured to conform to the desired shape of a specific patient. The devices may include a mounting structure and a valve support onto which leaflets of the valve may coapt or rest. The devices may be structured to be mounted directly onto a leaflet of the valve.

Abstract: An elongate, longitudinally oriented outer sleeve includes an outer sleeve surface and has a sleeve body. A stem-receiving cavity extends from a distal sleeve end into the sleeve body. The distal sleeve end includes a sleeve interference protrusion extending from the distal sleeve end away from the sleeve body. A joint articulating member includes an elongate, longitudinally oriented stem. The joint articulating member includes a joint articulating surface spaced apart from a distal stem end by an angularly extending connector neck. When the stem is inserted into the stem-receiving cavity, the stem and the outer sleeve are configured for selective relative rotation about a shared longitudinal axis, and the connector neck impinges upon the sleeve interference protrusion responsive to a predetermined amount of relative rotation between the stem and the outer sleeve to prevent relative rotation between the stem and the outer sleeve outside a predetermined range of allowable rotation.

Abstract: An implant for a hip can include a lateral augment adapted to be coupled to a lateral side of a femoral body implant. The lateral augment can include a body portion having a first surface, a second surface opposite the first surface, and a protrusion extending from the second surface. The protrusion can have a shape adapted to mate with a complementary shaped recess formed in the lateral side of the femoral body implant. An aperture can be positioned in the body portion and extend through the protrusion. A fastener can be received through the aperture and adapted to be threadably secured to the lateral bore. The fastener can be configured to have a length sufficient to pass through a portion of a greater trochanter for securing the portion of the greater trochanter and the lateral augment to the femoral body implant.

Abstract: A humerus implant includes a cup shaped body and a locking adapter. The cup shaped body has a center portion and a plurality of flexible first sidewall segments and second sidewall segments, with gaps between neighbored sidewall segments. The first sidewall segments have a plurality of locking fins while the second sidewall segments having a plurality of recesses and holes. The locking adapter has means for fixing the locking adapter to the cup shaped body and a locking ring for locking the sidewall segments into their final positions.

Abstract: A glenoid trial and implant assembly for use in reverse total shoulder arthroplasty is provided along with a method for using the same. The glenoid trial and implant assembly includes a baseplate assembly, an adapter assembly, a glenoid trial, a glenoid implant, a humeral cup, and a positioning guide. The glenoid trial is coupled to the adapter assembly when the glenoid trial and implant assembly is assembled in a trialing configuration. The glenoid implant is coupled to the adapter assembly when the glenoid trial and implant assembly is assembled in an installed configuration. A temporary connection, which may be magnetic, releasably couples the glenoid trial to the adapter assembly and provides separation of the glenoid trial and the adapter assembly without requiring disassembly of the adapter assembly. A permanent connection fixes the glenoid implant to the adapter assembly.