Abstract: An energy applicator for directing energy to tissue includes a feedline having an inner conductor, an outer conductor and a dielectric material disposed therebetween, and an antenna assembly having a radiating section operably coupled to the feedline. The energy applicator also includes a first balun structure configured to substantially confine energy to the radiating section when the energy applicator is energized and disposed in tissue, and a second balun structure configured to substantially prevent energy emitted from the radiating section from propagating proximal to the second balun structure along the feedline when the energy applicator is energized but not disposed in tissue.

Abstract: A method and an apparatus are provided for producing SuperContinuum (SC) light for medical and biological applications is provided. Pulses are focused from a laser system into at least one of a pressurized cell and one or more fibers. A pump pulse is converted into the SC light at a specified rate of repetition. The SC light is applied at the specified rate of repetition to tissue for medical and biological applications.

Abstract: A multi-cladding optical fiber includes a core that conveys visible light used by a scanner for imaging a site within a patient's body, and an inner cladding that conveys high-power light, such as infrared light, used for providing therapy to site. The distal end of multi-cladding optical fiber is driven to scan the site when imaging or rendering therapy using an actuator. High-power light is coupled into inner cladding at proximal end of optical fiber using several different techniques. Some techniques use an axicon to direct the high-power light into the inner cladding, while visible light is coupled directly into the core. Another technique uses a multimode optical fiber in a coupling relationship with the multi-cladding optical fiber, to transfer high-power light from a core of the multimode fiber into the inner cladding of the multi-cladding optical fiber.

Abstract: Disposable covers for articles including stethoscopes are configured in such a way as to reduce the likelihood of the transmission of microbes among the patient; the stethoscope, medical device or other article; and the user/care-provider.

Abstract: An apparatus for providing at least one treatment to at least one tissue having a first structural arrangement configured to expand a first portion at a distal end of the apparatus, a second structural arrangement configured to expand a second portion at the distal end and at least one lumen associated with at least one of the first structural arrangement and/or the second structural arrangement. The first structural arrangement and/or the second structural arrangement can be configured to position the at least one lumen at a particular position with respect to the tissue. A tip is configured to aid in the insertion of the apparatus into the tissue(s).

Abstract: A control method of a single-port surgical robot, the single-port surgical robot comprising a slave device including a surgical instrument provided with an elbow and an end effector, and a master device to control motion of the slave device may comprise setting a virtual incision port to an arbitrary position; setting an operating position of the end effector; calculating a target position of the elbow using the set position of the virtual incision port and the set operating position of the end effector; calculating a movement angle of each joint used to move the elbow using the calculated target position of the elbow; and/or calculating a movement angle of each joint used to move the end effector using the calculated target position of the elbow and the set operating position of the end effector.

Abstract: The present invention provides a handheld robot for orthopedic surgery and a control method thereof. The handheld robot of the present invention includes a main body, a grip, a kinematic mechanism, a tool connector, a tool, a force sensor and a positioning unit. The handheld robot of the present invention combines the position/orientation information of the tool acquired by the positioning unit with the force/torque information acquired by the force sensor, and utilizes the combined information to adjust the position of the tool so as to keep the tool within the range/path of a predetermined operation plan. In this way, the precision of the orthopedic surgery can be enhanced, and the error occurred during the surgery can be minimized.

Abstract: Instrument device with an elongated, flexible shaft that is configured to both roll and articulate in a controllable manner. The claimed system and apparatus provides endoscopic rolling and articulating capabilities with minimal tradeoffs in control, allowing for greater ease of use and clinical efficacy.

Abstract: Waste container lid assemblies configured for attachment to a base having a lid body and cap portion slidably connected by a tether. The lid body having an opening sized to accept medical waste and restrict access to prevent individuals from reaching into the waste container through the opening. A slot is in the lid body to permit slidable movement of the tether through the slot such the cap can be moved from a resting position in which the opening is configured for receiving waste to a closed position such that the cap portion covers the opening.

Abstract: An illuminated microsurgical instrument includes a microsurgical instrument having a distal tip and an optical fiber for delivering a beam of light to a surgical site. The optical fiber includes a proximal end for receiving a light beam from a light source, and a distal end proximate to the distal tip of the microsurgical instrument for emitting the light beam. The distal end includes a beveled end face either oriented toward or oriented opposite from the distal tip of the microsurgical instrument.

Abstract: An acetabular component anteversion and abduction measurement system, comprising: an acetabular component; one or more radiopaque guide lines disposed on or adjacent to a posterior surface of the acetabular component; and one or more radiopaque guide lines disposed on or adjacent to an anterior surface of the acetabular component; wherein predetermined alignment of selected of the one or more anterior guide lines with selected of the one or more posterior guide lines under intra-operative fluoroscopy or radiography indicates proper surgical alignment of the acetabular component within the anatomy of a patient. Proper surgical alignment means that the acetabular component is not retroverted or overly anteverted or abducted within the anatomy of the patient.

Abstract: A dispensing apparatus for a flowable component includes a storage container having a storage chamber for the reception of the component, a filling opening and a dispensing opening. A piston is displaceably arranged within the storage container in the direction of an expulsion direction. Moreover, dispensing apparatus includes an actuation element by which the piston can be displaced stepwise in the direction of the dispensing opening. After release of the actuation element actuation element is displaced from a final position into a starting position by a spring.

Abstract: A method and apparatus are disclosed enabling an orthodontist or a user to create an unified three dimensional virtual craniofacial and dentition model of actual, as-is static and functional anatomy of a patient, from data representing facial bone structure; upper jaw and lower jaw; facial soft tissue; teeth including crowns and roots; information of the position of the roots relative to each other; and relative to the facial bone structure of the patient; obtained by scanning as-is anatomy of craniofacial and dentition structures of the patient with a volume scanning device; and data representing three dimensional virtual models of the patient's upper and lower gingiva, obtained from scanning the patient's upper and lower gingiva either (a) with a volume scanning device, or (a) with a surface scanning device. Such craniofacial and dentition models of the patient can be used in optimally planning treatment of a patient.

Abstract: An orthodontic appliance includes features for reducing friction between an interior of an archwire slot portion of the appliance and an archwire to be placed within the archwire slot. Other embodiments include a rounded exterior occlusal surface. Embodiments further include one or more receptacles for receiving an installation tool.

Abstract: Methods of producing a dental product are disclosed. Certain methods include the steps of providing a pre-sintered blank made from a green body of ceramic material, performing a machining operation on the blank, and subsequently sintering the blank to its final density in a sintering operation performed at a temperature in the range of 1300° C. to 1650° C. The pre-sintered blank that is provided may have a strength in the range of 53-107 MPa.

Abstract: A toothpick device for cleaning teeth includes a toothpick. The toothpick is comprised of two separable portions and has at least one pointed end. A length of dental floss is provided with each end of the dental floss being secured to one of the two portions of the toothpick by melted wax. The dental floss is wound for storage between said two portions whereby separating the two portions unwinds the dental floss for use.

Abstract: An attachment for an oral hygiene device is disclosed. The attachment includes a housing; a shaft element movably arranged within the housing and arranged for being coupled to a drive shaft of a handle of the oral hygiene device; and a flexible sealing element attached to the shaft element. The flexible sealing element is arranged to seal a cavity within the attachment intended for accommodating at least a part of the drive shaft in an attached state.

Abstract: The invention relates to a polymeric mesh implant for use in reconstruction of tissue defects, which mesh implant comprises a first set of fibers arranged in a first pattern comprising apertures, wherein each aperture, or a subset thereof, comprises an elastic fiber arranged in a first direction of the mesh implant such that when the mesh implant is stretched in this first direction, the elastic fibers are elongated and also exert a restoring force on the first pattern.

Abstract: The present invention relates generally to a medical device and method of use, and more specifically to a method and apparatus with coaxial components used to treat venous diseases. The apparatus according to various embodiments operates as an inferior vena cava filter, a clot puller, a clot shredder, and as a prosthetic venous valve.

Abstract: Systems and methods are disclosed for filler injection. The apparatus includes a processor; a body sensor to provide body patient data to the processor; and an injector to inject a filler into a patient.

Abstract: The present invention relates to devices and methods for the treatment of diseases in the vasculature, and more specifically, devices and methods for treatment of aneurysms found in blood vessels. In a first embodiment of the present invention, a two part prostheses, where one part is an expandable sponge structure and the other part is an expandable tubular mesh structure, is provided. In the first embodiment, the expandable sponge structure is intended to fill the aneurysm cavity to prevent further dilatation of the vessel wall by creating a buffer or barrier between the pressurized pulsating blood flow and the thinning vessel wall. In the first embodiment, the expandable tubular mesh structure is placed across the aneurysm, contacting the inner wall of healthy vessel proximal and distal to the aneurysm.

Abstract: Disclosed are devices and methods for treatment of aneurysms. In one variation, a device for treating an aneurysm includes a tubular graft comprising a longitudinal channel having a first end and a second end, wherein the longitudinal channel is bifurcated at a bifurcated portion. The device also includes an expandable anchoring member attached to the first end of the longitudinal channel and inflatable chambers on the exterior of the tubular graft. The inflatable chambers are configured to receive a filling medium. At least one of the inflatable chambers is positioned along the longitudinal channel on the side of the bifurcated portion toward the expandable anchoring member and is only partially around the circumference of the longitudinal channel.

Abstract: An intraocular lens (IOL), system, and method having a base lens and a complementary lens selected to form a curved image surface matching a retina surface when placed in an eye's line of sight.

Abstract: An electrolarynx includes tone-producing circuitry, a power switch to turn on the circuitry, a control button (i.e., a pushbutton) to actuate the power switch, a pressure-sensitive-resistor (PSR) that is physically coupled to the pushbutton, and a mode switch. PSR resistance is dependent on the amount of pressure applied to the pushbutton, and the tone-producing circuitry is configured to respond to such variations in PSR resistance according to a user-selected mode of electrolarynx operation set by operation of the mode switch. Said modes preferably include multiple frequency-varying modes (FVMs) in which the frequency of the electrolarynx tone is varied with different sensitivities to variations in PSR resistance, and multiple volume-varying modes (VVMs) having different sensitivities. A preferred embodiment also includes a communications-link mode, for receiving control information from an external device, and a disabled mode.

Abstract: A heart valve prosthesis that can be quickly and easily implanted during a surgical procedure is provided. The prosthetic valve has a base stent that is deployed at a treatment site, and a valve component configured to quickly connect to the base stent. The base stent may take the form of a self- or balloon-expandable stent that expands outward against the native valve with or without leaflet excision. The valve component has a non-expandable prosthetic valve and a self- or balloon-expandable coupling stent for attachment to the base stent, thereby fixing the position of the valve component relative to the base stent. The prosthetic valve may be a commercially available to valve with a sewing ring and the coupling stent attaches to the sewing ring. The system is particularly suited for rapid deployment of heart valves in a conventional open-heart surgical environment. A catheter-based system and method for deployment is provided.

Abstract: A prosthetic valve system for replacing a native aortic valve exhibiting regurgitation may include a support structure and a transcatheter heart valve (THV) that is separate from the support structure. The support structure may be radially collapsible and expandable, and deployable on an outflow side of the native aortic valve, circumscribing the native leaflets of the aortic valve. The THV may be radially collapsible and expandable, and deployable in an annulus of the native aortic valve to frictionally engage the native leaflets between an interior surface of the support structure and the THV.

Abstract: A delivery system for use with a prosthetic heart valve having a stent frame to which a valve structure is attached, includes a shaft assembly including a distal end and a coupling structure disposed near the distal end and configured to be coupled to a distal end of the prosthetic heart valve. The system includes a sheath assembly defining a lumen sized to slidably receive the shaft assembly. The delivery system is configured to transition from a loaded state in which the sheath assembly encompasses the prosthetic heart valve to a deployed state in which the sheath assembly is withdrawn from the prosthetic heart valve. The coupling structure is configured to provide a controlled expansion or contraction of the distal end of the prosthetic heart valve based on longitudinal movement of the distal end of the shaft assembly.

Abstract: A method of delivering a prosthetic mitral valve includes delivering a distal anchor from a delivery sheath such that the distal anchor self-expands inside a first heart chamber on a first side of the mitral valve annulus, pulling proximally on the distal anchor such that the distal anchor self-aligns within the mitral valve annulus and the distal anchor rests against tissue of the ventricular heart chamber, and delivering a proximal anchor from the delivery sheath to a second heart chamber on a second side of the mitral valve annulus such that the proximal anchor self-expands and moves towards the distal anchor to rest against tissue of the second heart chamber. The self-expansion of the proximal anchor captures tissue of the mitral valve annulus therebetween.

Abstract: A method is provided, including providing an implant shaped to define a lumen and a flexible strip disposed at least in part within the lumen, and a plurality of recesses, the implant including a locking mechanism to which first and second ends of the strip are coupled such that the strip defines a closed loop which shortens when the first end is advanced through the locking mechanism in a first direction, and expands when the first end is advanced in a second opposite direction; advancing the first end in first and second opposing directions with respect to the second end; maintaining a recess-engaging portion in a position in which the recess-engaging portion is not disposed in any of the recesses during the advancing; and restricting the advancing by facilitating active positioning of the recess-engaging portion in one of the recesses. Other embodiments are also described.

Abstract: Methods are provided for reshaping the left ventricle to a more conical shape to counter the effects of dilation, thereby improving pumping efficiency. In an exemplary embodiment, a reshaping apparatus comprises an implantable body that can be delivered to a dilated left ventricle via the patient's vasculature in a minimally-invasive procedure. When deployed inside the left ventricle, the implantable body applies a longitudinal (downward) force against the inner surface of the left ventricle, thereby causing the left ventricle to distend or elongate downwardly. The implantable body preferably includes an anchor which is deployed adjacent the mitral valve for maintaining the longitudinal force against the inner surface of the left ventricle.

Abstract: A chamber or vasculature of a heart may be accessed via the pericardial space of the heart. Initially, the pericardial space may be accessed via a transmyocardial approach or a subxiphoid approach. A lead or other implantable apparatus may thus be routed into the pericardial space, through myocardial tissue and into the chamber or vasculature. The lead or other apparatus may be used to sense activity in or provide therapy to the heart.

Abstract: A base for a penile prosthetic implant is disclosed. The base includes a fluid distribution manifold attached to and in fluid communication with an inflatable cylinder sized for implantation into a corpora cavernosum of a penis. The fluid distribution manifold is also connected to a core sized for implantation into a crus of the penis and in fluid communication with an inflatable bladder. The inflatable bladder provides an outer surface of the base between a proximal end of the core and a proximal end of the fluid distribution manifold. A penile prosthetic system is also disclosed.

Abstract: The present invention comprises devices, systems, and methods for elongating bone using an extension implant having a first end and a second end. The first end of the extension implant is inserted into an opening in the live bone and the second end of the extension implant is combined with an enlarged implant. A plurality of channels extend through the components to serve as conduits for delivering fluids and physiological signals which induce bone formation. Some embodiments include a subcutaneous cage assembly for helping to support the implant as the bone heals around it.

Abstract: An orthopedic implant comprises an articulation head comprising a bearing surface and a reverse surface and a securement disk. The securement disk comprises an attachment surface attached to at least a portion of the reverse surface of the articulation head, a securement surface opposite the attachment surface and adapted for coupling to a fixation plate secured to a bone, and at least one opening formed in the securement surface of the securement disk and adapted to accept fasteners therein. The securement disk comprises a porous material.

Abstract: An elbow prosthesis constructed in accordance to one example of the present teachings can include a capitellar implant having an articulating head and a stem. The articulating head can have a first articulating surface positioned generally between a lateral side and a medial side. A passage can extend through the articulating head from the lateral side to the medial side. The articulating head can define a counterbore formed at the lateral side and that is concentric with the passage. According to other features, the elbow prosthesis can include a coronoid implant that has a body and a stem. The body can have a superior articulating surface that includes a central ridge and an anterior buttress. The central ridge can be configured to accommodate articulation with a trochlea in an implanted position.

Abstract: Captured element shoulder joint implant may be configured with a captured humeral ball; in a reverse shoulder configuration; to have a barrel- or disc-like humeral head to recessed glenoid articulation; and so forth. Multi-point fixation glenoid component may be provided. A humeral implant may have a universal joint connection, which can be mounted to or in a humeral bone and provide for a center of movement generally within a volume defined by an upper head of a normal humerus.

Abstract: A prosthesis, in particular a shoulder prosthesis, includes a socket part receiving a joint head; an anchoring part anchoring the prosthesis in a bone; and a connecting arrangement securely connecting the socket part to the anchoring part. The socket part is assigned at least one pin and the anchoring part has at least one guide. The guide is designed in such a way that the pin can be held substantially safe from tilting in the guide.

Abstract: The present application is generally directed to vertebral implants and implant trials for use with vertebral implant assemblies. The vertebral implants and implant trials may be used in conjunction with corpectomy procedures. One type of vertebral implant is a corpectomy device having a polyaxial endplate assembly. The polyaxial endplate assembly includes an articulatable plate member that is capable of angulation. The articulatable plate member can be fixed in place by, for example, using a clamping assembly to fix the articulatable plate member.

Abstract: A prosthesis includes: two pairs of elongated joint elements forming disc joint surfaces and facet joint surfaces; one pair of elements able to be positioned relative to each other. Each disc joint surface is in the shape of a hemisphere portion; positioning surfaces including posterior positioning surfaces; the prosthesis is associated with at least one rigid transverse element comprising positioning surfaces designed to be placed against the posterior positioning surfaces. Such placement permits one pair of joint elements to be positioned relative to the other pair of joint elements such that the disc joint surfaces are situated in a same geometric hemisphere.

Abstract: An inter-vertebral cage for use in repairing a damaged inter-vertebral disc includes a plurality of cage sections and a hinge element that connects adjacent ones of the cage sections together for relative movement. The hinge elements automatically urge the cage sections to move from an extended orientation to an installed orientation.

Abstract: The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. The fusion device is capable of being deployed down an endoscopic tube.

Abstract: An expandable implant for inserting within a skeletal space is provided, and a method for using the implant to expand the skeletal space. The implant is preferably designed to be inserted into an intervertebral space to replace at least part of an intervertebral disc between adjacent vertebral bodies. The expandable implant contains at least one first expansion compartment and at least one second expansion compartments, which compartments can be inflatable balloons that are inflated by a catheter. Inflating the first expansion compartment expands the implant in a first direction and inflating the second expansion compartment expands the implant in a second direction.

Abstract: A prosthetic foot comprises an attachment member and two or more flexible members. The attachment member can include a connector configured to connect the attachment member to a user or another prosthetic device. The two or more flexible members can be rotatably attached to the attachment member by rotatable joints such that the flexible members can both rotate and flex relative to the attachment member when the prosthetic foot contacts the ground.

Abstract: A single piece stent construction having a plurality of commissure posts, each of which extends upwardly from a solid ring along a bend line and generally along a central longitudinal axis of the stent.

Abstract: The invention relates to a method of manufacture of an intravascular functional element that can be introduced into a hollow organ and that comprises at least one wire (10) of an alloy having nickel and titanium as alloying elements, with the following steps: preparation of a metal body of the wire (10) with a metallic surface, then formation of a first oxide layer on the metallic surface of the metal body, then performance of a heat treatment of the wire (10) in a nitrogen-containing salt bath for thermal formation of a second mixed oxide layer on the first oxide layer, wherein the total layer thickness is 15 nm to 100 nm and the mixed oxide layer contains TiO2 and at least one nitride, especially titanium oxynitride and/or titanium nitride.

Abstract: An intravascular device (100) includes an elongated shaft (3) extending in an axial direction and an expandable braided arrangement (110) of a plurality of filaments. The braided arrangement has a proximal end, a distal end (1), and an intermediate region therebetween. The intravascular device can include an endpiece (112-1) located proximate an intersection of the elongated shaft and the braided arrangement. The endpiece can be configured to orient the filaments in a substantially single file continuum. At a junction with the endpiece, the filaments can initially extend in a substantially parallel, non-crossing manner, and as the filaments extend toward the intermediate region, the initially extending non-crossing filaments can cross each other.

Abstract: A vascular device includes a body having a first, collapsed configuration and a second, expanded configuration. The body includes a plurality of heat-set strands that are braided such that when the body is in the second configuration, the strands form a plurality of pores and one or more apertures between the strands. The apertures are generally disposed at a longitudinal center region of the body. When the body is in the second configuration, the pores at proximal and distal portions of the body are generally uniform in size and smaller in size than the apertures. The pores and the apertures are substantially the same size when the body is in the first configuration.

Abstract: Preferred embodiments of a stent with a high degree of flexibility are shown and described. The stent can include a continuous helical winding having interconnected struts joined at vertices, and having bridges connecting sections of the helical winding to each other. An annular ring can be provided at one or both ends of the helical winding, and the annular ring can have extensions extending to connect to the helical winding. One of the extensions can connect to a bridge and another extension can connect to a vertex. The struts at the ends of the helical winding can have strut lengths that differ from the strut lengths of the struts in a central portion of the winding between the ends of the winding.

Abstract: A method for automatic endovascular alignment of a prosthesis includes loading the prosthesis in a distal delivery assembly, positioning a guidewire into a curved implantation site, and threading a guidewire lumen over the guidewire with the delivery assembly and into an implantation site to at least approximately align the curved distal portion to a curve of a curved implantation site and, thereby aligning the prosthesis.

Abstract: A system for delivering an implant within a patient is described. The activation of the heater coil causes the degradation, melting or reduction of a component that brings the heater coil into or out of electrical contact with another component, or causes the individual loops of the coil to contact each other, thereby resulting a notable change in resistance in the circuit supplying the heater coil with electricity. A core wire terminates prior to the distal end of the device, allowing for greater flexibility.