Abstract: The present invention relates to a connection between a post part provided for being screwed into the jawbone and an associated superstructure part to which a dental prosthesis can be fastened. The connection between the post part and the superstructure part has a rotational self-centering action, wherein at least one of the surfaces provided for this purpose has a friction-minimizing modification and/or coating.

Abstract: An implant comprising two internal anti-rotational features. One anti-rotational feature is adapted to engage a driving tool, while the other anti-rotational feature is adapted to engage an abutment. An implant abutment system is provided with an angled abutment adapted to mate with one of the anti-rotational features. A second, straight abutment is adapted to engage with the other anti-rotational feature. An abutment is provided with resilient fingers to interface with the implant and provide tactile and audible feedback indicating when the abutment is properly seated. An abutment screw extends through the abutment and engages the implant bore distal of the stem of the abutment. The abutment screw limits axial movement of the abutment relative to the implant. A driving tool comprising one of at least retention structure and visual alignment indicia is provided to facilitate screwing the implant into a patient's bone.

Abstract: A 3D virtual model of an intra oral cavity in which at least a part of a finish line of a preparation is obscured is manipulated in virtual space by means of a computer or the like to create, recreate or reconstruct finish line data and other geometrical corresponding to the obscured part. Trimmed virtual models, and trimmed physical models, can then be created utilizing data thus created. The virtual models and/or the physical models may be used in the design and manufacture of copings or of prostheses.

Abstract: Systems for maintaining a vacuum in a patient's oral cavity comprises an oral device, a vacuum control system, and an assembly including first and second tubes for connecting the vacuum control system to the oral device. The oral device has an internal plenum, and a vacuum is drawn in the plenum by a vacuum pump connected by a first tube of the tubular assembly. The vacuum is maintained by an air source which is connected to the plenum by the second tube of the tubular assembly. By maintaining a constant circulating air bleed through the oral device and the connecting tubes, saliva may be removed from the system and collected in a saliva trap located before the vacuum pump.

Abstract: A dental aspiration device including an inside housing having a proximal portion and a distal portion with an interior surface; an outside housing having a proximal portion and a distal portion with an interior surface; at least one of the interior surfaces of the inside housing and the outside housing including vacuum channels; a hinge connection mechanism hingeably connecting the proximal portions of the inside housing and the outside housing; and a locking mechanism for removably attaching the distal portions of the inside housing and the outside housing to each other.

Abstract: A dental paste dispensing device having a modified dispensing end for atraumatic contact with soft tissue is disclosed. The dispensing device has a needle with an attachment end adapted to be attached to a capsule containing the dental paste and a dispensing end with a terminal edge for dispensing the dental paste to a location in a patient mouth containing soft tissue, wherein the dispensing end includes an atraumatic modification. The modification is a plastic tip member over the dispensing end having a flattened static position and a rounded dynamic position.

Abstract: An apparatus for treating urinary incontinence with a support section adapted for providing urethral support; an anchoring section for resisting movement of the apparatus; an insert, a portion of which is adapted to be positioned where the support section attaches to the node; and, wherein the insert urges the support section radially outwards from a central axis of the apparatus.

Abstract: Surgical procedures, kits and implants for alleviating human incontinence, and particularly providing improved methods and apparatus to secure a urethral sling (30) to pubic bone (24, 26) to support the urethra and alleviate incontinence are disclosed. Bone anchors (64) are driven into pubic bones with elongated bone anchor sutures (84) configured to be passed through openings of a urethral sling. Suture retainers are applied to the sutures to apply retentive force to the urethral sling to maintain the fixation of the urethral sling proximate to the pubic bone.

Abstract: An implantable device includes a body member having a bottom side that is parallel to a top side; a pair of legs extending from the bottom side of the body member; and a pair of arms extending from the body member perpendicular to the pair of legs and a second arm extending from the body member perpendicular to the pair of legs.

Abstract: A method of treating urinary incontinence includes implanting the urethral support into a patient, where the urethral support has a first anchor attached to a first end of a non-porous sling and a second anchor attached to the non-porous sling. The method includes moving an adjustment device through a channel formed in one of the anchors from a first position that locates the adjustment device between the anchor and the non-porous sling to a second position that locates the anchor between the adjustment device and the non-porous sling.

Abstract: A device is provided for applying pressure on a vaginal wall of a female subject, said device being configured for insertion into a vaginal cavity of said female subject. The device includes a first deformable element, a second deformable element and a transmission element. The first deformable element has a resting-state and at least one deformed state and is configured for undergoing deformation in response to an inner body pressure. When in the resting state, the first deformable element is configured to anchor the device inside the vaginal cavity. The second deformable element has a resting-state and at least one deformed state, and is configured for undergoing deformation to apply a second pressure on the vaginal wall, such second pressure being operable to narrow a urethral portion the female subject.

Abstract: A sling in accordance with the invention includes a synthetic material and a non-synthetic material positioned adjacent thereto. The non-synthetic material may be wrapped around or may be attached to the synthetic material. Additionally, the non-synthetic material may include slits. Methods for making such slings are also described.

Abstract: Disclosed are methods and devices for minimally invasive mastopexy, or other soft tissue suspension, which may be accomplished with our without augmentation.

Abstract: The present disclosure provides tissue fillers. The tissue fillers can include a plurality of tissue particles formed from acellular tissue matrix fragments. The tissue fillers can be used to fill tissue sites, such as voids formed after tissue resection. The disclosure also includes methods of treating tissue using the tissue fillers. The tissue particles can each be formed of tissue fragments having certain sizes.

Abstract: Bioresorbable stents for treating airway disorders and methods of treatment of the airway disorders using the bioresorbable stents are disclosed. Once implanted, the stents stabilize or maintain an airway lumen. The radial strength of the stents decreases with time which allows the airway to adjust from being artificially supported to a healed state without artificial support. The stent may be removed from the airway through bioresorption without intervention. The bioresorbable stents include a bioresorbable body having a shape that conforms or is conformable to the shape of the of airway lumen.

Abstract: The present invention relates to a preparation method of a tube and a transplantable polymer tube prepared by such method, which includes modifying the inner surface of a tube using plasma. A preparation method of a tube may include preparing a tube, modifying the inner surface of the tube using microplasma so as to have reactivity, forming a thin film layer on the modified surface of the tube to prevent aging or impart adhesiveness, and modifying the surface of the thin film layer using microplasma so as to enhance cell adhesion thereon.

Abstract: A method for constructing a vascular connector configured to bypass an occluded vessel which comprises a primary graft stem and a venous outflow stem. In general, the primary graft stem accepts a blood flow from an occluded vessel to bypass the occlusion. The venous outflow stem may extend from a wall of the primary graft stem and divert a portion of the blood flow to a native vein or other vessel of the vascular system. This configuration is beneficial in ensuring adequate blood flow at the vascular connector to inhibit the formation of clots and to extend the patency of the vascular connector.

Abstract: An interarticular ligament prosthesis is formed from a plurality of high strength high modulus polymeric fibers. The fibers are independent and free from intrinsic inter-fiber shear coupling found in braided or bonded fibers. The ligament prosthesis is installed with tubular, bone screw anchors. The fibers of the ligament prosthesis pass through the central hole of the anchors and are knotted at one end. The exit holes of the anchors include ceramic eyelets with polished edges. The edges are rounded to a defined radius for desired fatigue life of the prosthesis.

Abstract: An instrument for placing a graft into a bone tunnel comprises an elongated shaft having a forked distal end comprising a pair of tines. A suture spans a space defined between the tines whereby the graft may be positioned between the tines and against the suture so as to be manipulated into the bone tunnel. The tendon folds about the suture, the suture having a releasable tension such that the instrument can be removed from the bone, leaving the tendon behind without the tendon hanging up on the suture.

Abstract: A system for single tunnel, double bundle anterior cruciate ligament reconstruction includes implant constructs and instruments. The implant constructs provide a combination of cortical fixation and bone tunnel aperture fixation. The implant constructs separate a graft into distinct bundles. The instruments are used to prepare shaped bone tunnels to receive the implant constructs and graft bundles. Methods for reconstructing the antero-medial and postero-lateral bundles of the anterior cruciate ligament may rely on single femoral and tibial tunnels and a single strand of graft.

Abstract: Improved breast prostheses, methods of making breast prostheses, and methods of treatment using such breast prostheses are described.

Abstract: A cap configured and dimensioned to sweep or fold one or more haptics when removed from an insertion device. The cap may further have a pin, one or more snaps and/or one or more locks. The cap may also have one or more ports and/or one or more windows. An insertion system having a handpiece, a cartridge, and a cap configured and dimensioned to sweep or fold one or more haptics when the cap is removed from the insertion system. The cap is configured and dimensioned to couple with the distal end of the cartridge.

Abstract: Described herein is a prosthetic valve device having an optimized valve component for durability and functionality of the collapsible leaflets. Specially designed commissures contribute to the optimization along with identified parameters. In other embodiments, the invention is a frame formed from a unique cutting pattern.

Abstract: A prosthetic heart valve includes a balloon-expandable stent including a plurality of struts and a plurality of commissure posts, each commissure post containing an elongated slot. A plurality of leaflets is made from pericardial tissue and includes flaps. An intermediate polymer sheet is disposed between the stent and the plurality of leaflets. At least one reinforcing polymer core is attached to at least one leaflet and the intermediate polymer sheet using stitches that loop around an end of the at least one leaflet. A plurality of patches covers the elongated slots of the commissure posts, the flaps of the leaflets being attached to the patches. A cuff contacts an exterior of the stent, the cuff and the intermediate polymer sheet sutured to one another so as to cover an axial end of the stent.

Abstract: An improved heart bioprosthetic device having a metal frame wireform or stent having an outer external surface. The metal frame has a bond layer coating at least a portion of the external surface and a coating layer disposed on at least a portion of the bond layer. The bond layer comprises a metal selected from the group consisting of: chromium, titanium, zirconium, aluminum, platinum, palladium, and niobium. The coating layer is selected from the group consisting of: a metal nitride, a metal oxide, a metal carbide, and combinations thereof. The coating layer may have a thickness of about 10 ?m or less and a grain size of about 10 nm to about 15 nm, and may be characterized as polycrystalline with randomly-oriented grains with both cubic and orthorhombic phases. In one embodiment, the bond layer comprises chromium and the coating layer comprises chromium nitride.

Abstract: The disclosure provides systems and related methods for delivering a prosthesis to a target location. The system includes a tether delivery catheter and a prosthesis delivery catheter, and also can include a lock delivery catheter or knot pusher, as desired. Various embodiments of useful valve prostheses are also disclosed.

Abstract: A delivery device for a collapsible prosthetic heart valve may include an operating handle and a catheter assembly. The handle may include a housing, a piston cylinder, a piston longitudinally slidable within the piston cylinder, the piston and the piston cylinder together defining at least one pressure chamber, a deployment actuator coupled to the housing and rotatable relative thereto, and a pneumatic switch adapted to provide a pressurized fluid to the pressure chamber to apply a longitudinal force to the piston. The catheter assembly may include a first shaft around which a valve-receiving compartment is defined, the first shaft being operatively connected to the housing, and a distal sheath operatively connected to the piston, the distal sheath being moveable between a closed condition covering the compartment and an open condition uncovering the compartment. Longitudinal movement of the piston may move the distal sheath between the closed and open conditions.

Abstract: A surgical fixation device is provided, including a preformed cranial mesh configured to generally conform to a predetermined averaged geometry. The cranial mesh includes a preformed flexible mesh body having opposed inner and outer surfaces, and a plurality of apertures that extend through the mesh body from the outer surface to the inner surface, each of the plurality of apertures extending along a respective central axis from the outer surface to the inner surface. The mesh body is configured as-manufactured to contact the predetermined averaged geometry at least at three spaced apart locations, such that 1) no portion of the mesh body crosses the predetermined averaged geometry in a first direction from the outer surface toward the inner surface, and 2) no location on the inner surface of the mesh body is spaced from the predetermined averaged geometry a distance greater than a select distance along the first direction.

Abstract: A prosthetic glenoid component for replicating the behavior of a patient's natural glenoid includes a rim that replicates the patient's natural glenoid labrum.

Abstract: A vertebral body spacer of the present invention is used by being inserted between a vertebral body and a vertebral body (intervertebral space). The vertebral body spacer has a block body constituted of titanium or a titanium alloy as a main component thereof, and provided with a pair of contact surfaces to be made contact with the vertebral body and the vertebral body. The block body includes needle parts formed into a needle shape having both end portions and a porous part having through holes passing through the porous part in a thickness direction thereof, and a porosity of at least a surface of the porous part is larger than a porosity of each of the needle parts. The needle parts are inserted into the through holes so that the both end portions are projected from the contact surfaces.

Abstract: The present disclosure relates to a spinal implant or spacer that addresses the variation in anatomy of vertebrae along the spine by having inferior and superior surface angle and convexity variations that are adapted to address the differences in lordosis and endplate surface convexity of the spine. The difference between the convexity of the superior and inferior surface of the spacer increases as the lordotic angle of the spacer increases. The spacers described herein thus provide overall improved fit into vertebral disc space and in some embodiments are even used in the absence of fusion for a prolonged period. The vertebral spacers described herein in some embodiments are used with supplemental internal fixation systems, such as an anchor plate. The interior of the spacer has channels and undercuts to increase graft volume and retention, support bony ingrowth, and bony stability for better secondary and tertiary stabilization.

Abstract: Various embodiments of implant systems and related apparatus, and methods of operating the same are described herein. In various embodiments, an implant for interfacing with a bone structure includes a web structure, including a space truss, configured to interface with human bone tissue. The space truss includes two or more planar truss units having a plurality of struts joined at nodes. Implants are optimized for the expected stress applied at the bone structure site.

Abstract: Expandable spinal implants and drivers connected by a bendable joint are disclosed. The flexible connector allows the implant and driver to move to different angular orientations with respect to each other, and to apply rotational force or torque from the driver to the implant and its expansion mechanism. During insertion of an implant into the desired position, the driver may be oriented in the same or different direction than the long axis of the implant. After the spinal implant is placed in the desired position, the driver is used to expand the implant in selected dimensions.

Abstract: An insertion tool for positioning intervertebral spacers into disc spaces. The insertion tool has a proximal end and a distal end, a T-handle secured to the proximal end and a pair of alignment rails extending to the distal end. The insertion tool includes a handle secured to the proximal end of the guide rails, and a shaft that extends through the handle, whereby the shaft has a threaded portion that extends to the T-handle. The insertion tool also includes a blocker that is secured to the distal end of the shaft. The blocker includes stop arms that guide the blocker through the guide rails and toward the distal end of the shaft. The blocker may be provided in a plurality of different sizes corresponding to the sizes of the implants to be inserted into a disc space. A lock is provided for locking the implant to the shaft.

Abstract: A sigmoid notch resurfacing prosthesis for application to the sigmoid notch of the distal radius. The sigmoid notch prosthesis generally includes a saddle and a radius portion for attachment to the distal radius. The saddle may be formed from ultra high molecular weight polyethylene or another durable self-lubricating material. The saddle includes an at least partially concave contoured depression having rounded edges that is securable to the radius portion. The saddle may be secured by a sliding notch snap fit design. The prosthesis may be adapted for articulation with the natural head of the ulna or with an ulnar head prosthesis that has replaced the ulnar head.

Abstract: An ankle-foot prosthesis includes a foot plate, an ankle frame attached to the foot plate, a yoke pivotally connected to the ankle frame and including a member for attaching to a leg, a damper having a first end connected to the yoke and a second end connected to the ankle frame, and a control mechanism for switching the damper between low and high settings.

Abstract: The invention relates to a prosthetic socket for a residual limb of the lower extremity or upper extremity of an individual person. The residual limb has particular dimensions and anatomical contours; the prosthetic socket has dimensions and contours that fit the dimensions and contours of the residual limb. The prosthetic socket may also fit in a manner that is biomechanically particularly appropriate for the individual. The prosthetic socket is an assembly of components from groups of components that include (a) struts arranged longitudinally with respect to the residual limb, (b) proximal brim members arranged proximally to the struts and connected thereto; and (c) distal socket members disposed at the distal base of the prosthetic socket. The socket components within these groups may be modular in that they can vary with respect to dimensions and/or contours, and yet have common connecting features that permit assembly of the components together to form the prosthetic socket.

Abstract: Single, continuous PTFE layers having lateral zones of varied characteristics are described. Some of the lateral zone embodiments may include PTFE material having little or no nodal and fibril microstructure. Methods of manufacturing PTFE layers allow for controllable permeability and porosity of the layers, in addition to other characteristics. The characteristics may vary from one lateral zone of a PTFE layer to a second lateral zone of a PTFE layer. In some embodiments, the PTFE layers may act as a barrier layer in an endovascular graft or other medical device.

Abstract: A method of deploying an eversible branch stent-graft includes deploying the eversible branch stent-graft into a main vessel such that a collateral opening in a main stent-graft of the eversible branch stent-graft is aligned with an ostium of a branch vessel emanating from the main vessel. A branch stent ring suture threaded though outer exposed crowns of an outer stent ring of the branch stent-graft is grasped and pulled through the collateral opening to evert the branch stent-graft into the branch vessel as a branch anchor suture is removed to release a protruding end of a branch stent-graft from a proximal end of the main stent-graft.

Abstract: The present invention provides apparatus and methods for a conduit, such as an implantable conduit for a vessel. The conduit may comprise a main member and a side branch member. The conduit may be implanted with the side-branch member initially disposed within the main member. When positioned, the side-branch member may then be extended from within the main member and into a vessel side-branch, The materials for the conduit may include circumferentially distensible and/or low recoil materials.

Abstract: Methods and apparatus are disclosed for filling a therapeutic substance or drug within a hollow wire that forms a stent. The stent is placed within a chamber housing a fluid drug formulation. During filling, the chamber is maintained at or near the vapor-liquid equilibrium of the solvent of the fluid drug formulation. To fill the stent, a portion of the stent is placed into contact with the fluid drug formulation until a lumenal space defined by the hollow wire is filled with the fluid drug formulation via capillary action. After filling is complete, the stent is retracted such that the stent is no longer in contact with the fluid drug formulation. The solvent vapor pressure within the chamber is reduced to evaporate a solvent of the fluid drug formulation. A wicking means may control transfer of the fluid drug formulation into the stent.

Abstract: A system for the delivery, repositioning, and removal of a stent is provided that utilizes inherent properties of stents, such as wire woven helical stents, including foreshortening. The stent can be radially constrained to reduce its diameter by applying a tensile force along its proximal and distal ends to collapse the stent permitting the delivery, repositioning, and removal of the stent.

Abstract: A deployment device to deploy a prosthesis for interconnecting vessel portions of a body vessel is described herein. The device includes a support frame and an actuation member coupled to the support frame. The actuation member is movable between a first and a second position. A retaining member is movable between a closed and a open position. In the closed position, the retaining member forms a chamber to retain a length of a prosthesis in a compressed configuration. In the open position, the retaining member is positioned to allow the prosthesis to move to an expanded configuration. Movement of the actuation member to the second position causes movement of the retaining member to the open position. One or more retractable cuffs can be positioned over the ends of the prosthesis for selectively retaining the corresponding prosthesis ends in the compressed configuration.

Abstract: A modular catheter system including a sheath projecting distally from a delivery catheter having a main body module An inner core module carrying a stent thereon, the inner core being axially movable through the main body of the delivery catheter and the delivery catheter sheath, a handle member supported by the main body of the delivery catheter, the handle member being selectively axially engageable with the inner core such that the handle member and the inner core move together in an axial direction when the handle member is engaged with the inner core; and an adjustment member supported by the main body, the adjustment member being configured such that rotation of the adjustment member causes the adjustment member to move axially along the main body by either axially sliding the handle member relative to the main body or by rotating the adjustment member.

Abstract: An orthosis to be placed on the hand of a user, including a supporting member having the general shape of a horse saddle and having an inner flange and an outer flange, to be placed at the thumb-index commissure with the inner flange against the palm and the outer wing against the back surface of the hand, in order to enable a spacing to be maintained between the thumb and the index finger. The orthosis includes a strap to be placed around the hand and the supporting member so as to retain said supporting member such that the metacarpal bone of the thumb is trapped inside the orthosis between the strap and supporting member.

Abstract: A brace has a plurality of elongated beams that extend in parallel along the length of the brace. The adjacent beams are coupled to posts that extend around the circumference of the brace in a staggered pattern and hold the beams in place around the brace. The beams and posts define a plurality of elongated fenestrations. The configuration of the beams and fenestrations allow the brace to be strong in compression and bending and also provide elastic radial expansion.

Abstract: An erection-facilitating sleeve for counteracting the effects of erectile dysfunction. The erection-facilitating sleeve includes two open ends at each distal end spaced apart by a plurality of inflatable, semi-rigid passages that extend in a braided, or crisscross, configuration from the base to the top of the sleeve. The sleeve is inserted onto the penis and is made of a resilient material that wraps tightly around the sex organ of a user. The semi-rigid passages are of a predetermined material and thickness so that a user's sex organ maintains at least partially erect even while suffering from erectile dysfunction.

Abstract: An ostomy appliance comprising a pouch and a filter construction is provided. The filter construction has a first and second foil layer to provide an enclosure for the elements in the filter construction. The filter construction is attached inside the pouch so that the filter construction is free-hanging inside the pouch. The two foil layers may be generally parallel with the walls of the ostomy bag. The foil layers are provided with numerous holes functioning as gas-inlets for the filter construction. The filter construction includes a pre-filter element and a deodorizing filter. A method for collecting discharge as well as an ostomy appliance is provided. A method for reducing the number of balloonings and an ostomy appliance for reducing the number of balloonings is also provided. A method of increasing the time to ballooning as well as an ostomy appliance for increasing the time to ballooning is also provided.

Abstract: An ostomy appliance for attachment to the stoma body comprising an adhesive wafer and a collecting pouch attachable to an adhesive wafer, the wafer comprises a backing layer and a skin-facing adhesive layer, wherein the adhesive skin-facing surface of the wafer is provided with a release liner covering the skin-facing surface of the adhesive layer, the release liner comprising at least a first part and a second part, the first and the second part being interconnected along a predefined folding line and wherein both the first and the second part of the release liner is in contact with the adhesive. The construction facilitates stepwise application.

Abstract: Methods, devices, and systems are disclosed for controlled delivery of a therapy, such as a stimulant, to a mouth of a subject via an oral device positioned in a secured configuration in the mouth. At least one of a tongue position stimulator (TST) and tongue position sensor (TSE) is provided, according to certain aspects. According to another aspect, a stimulus is delivered to the mouth and/or tongue via a mouthpiece secured to the subject's teeth. In another regard, a stimulus is delivered that generates a natural response to eliminate or reduce sleep disorders, such as for example at least one of snoring and obstructive sleep apnea.