Abstract: A prosthetic remodeling annuloplasty ring for use in tricuspid or mitral valve repairs to provide support after annuloplasty surgery. The annuloplasty ring includes a relatively rigid core extending around an axis that is discontinuous to define two free ends. A suture-permeable interface surrounding the core includes floppy regions adjacent both free ends of the core. Sutures are used to attach the annuloplasty ring to the annulus, including at least one suture through each of the floppy regions to secure the free ends of the ring and minimize the risk of ring dehiscence, or pull through of the sutures through the annulus tissue. The floppy regions may project from each free end into the gap toward each other, be radially enlarged such as paddle-like extensions, or may comprise outwardly lateral extensions at the free ends of the core.

Abstract: Disclosed systems for implanting annuloplasty rings and other prosthetic devices can comprise a plurality of microanchors, sutures threaded through the microanchors, the sutures passing through the prosthetic device, individual microanchor guides, such as tubes or spears, for each microanchor that contain the microanchors during delivery and allow for positioning and deployment of the microanchors into annular tissue. The systems can also comprise a bracket that is temporarily coupled to the prosthetic device, holds the plurality of microanchor guides in position relative to one another and relative to the prosthetic device, and/or guides the sutures passing through the prosthetic device. The prosthetic device can include suture locking mechanisms to secure the prosthetic device to the sutures and to the implanted microanchors after the deployment devices have been removed.

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: A method of forming an implant to be implanted into living bone. The implant includes titanium. The method includes deforming at least a portion of a surface of the implant to produce a first micro-scale topography. The method further includes removing at least a portion of the surface to produce a second micro-scale topography superimposed on the first topography. The second micro-scale topography is generally less coarse than the first micro-scale topography. The method further includes adding a submicron topography superimposed on the first and second micro-scale topographies, the submicron topography including tube-like structures.

Abstract: A device for strengthening new joints in animals after joint replacement surgery includes a flexible bone anchor that connects to the new implant material on one end and to cortical bone on the other end.

Abstract: A method of manufacturing a patient-customized tibial element for use in artificial knee joint surgery. A tibial element data table regarding sizes of proximal tibial prostheses is formed. Standard molds able to cover the tibial element data table are manufactured. A standard mold is selected from the standard molds in order to manufacture a patient-customized proximal tibial prosthesis. A proximal tibial prosthesis fitting a patient is formed using the selected standard mold.

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: There is provided a tibial component comprising: a tibial tray with an inferior side; and a support member connected to the inferior side of the tibial tray, the support member having a stem portion, the support member further comprising at least one opening. In one embodiment, the at least one opening is constructed and arranged to receive a sawblade or an osteotome. In another embodiment, the at least one opening is comprised of solid material but is radio-lucent. In yet another embodiment, the at least one opening is comprised of solid material and is frangible.

Abstract: Method and set of surgical instruments for fitting a shoulder prosthesis, and the shoulder prosthesis. The proposed method seeks to interpose a bone graft between the previously prepared glenoid surface (G) of a scapula (S) of a patient's shoulder and the face of a glenoid prosthetic component opposite the articular surface. The set of instruments permit the bone graft to be taken from the upper epiphysis of the humerus (H), either in situ or ex vivo.

Abstract: An endoprosthetic device for replacement of a diseased or damaged scapular glenoid fossa. The device includes a glenosphere or a glenosocket member, or provides the option of mating a glenosphere or glenosocket member via a Morse taper. The device also features opposing fixation plates that grip resected scapular area anteroposteriorly to fixate the device through use of a plurality of setscrews. An Oblique setscrew that engages the scapular body inferiorly may be added for improved fixation. A porous mesh surface treatment on the inner faces of the fixation plates may be utilized to improve osteoconductivity.

Abstract: Arthroplasty components include an articular surface and a bone-facing surface. The bone-facing surface bears at least one anchoring element adapted for an oblique implantation trajectory. The anchoring element includes a reinforcement plate, a dowel, and surface features. Each surface feature resists forces acting along a different direction.

Abstract: A glenoid implant for a shoulder prosthesis for implantation in the glenoid of a scapula according to embodiments of the present invention includes a central fixation element; an articular body configured for articulation with a humerus, the articular body comprising a plate, the plate comprising a side configured to be oriented toward the glenoid, the side comprising a central protrusion, wherein the central fixation element comprises a means for mechanically engaging with the central protrusion; a first means for locking rotation of the central fixation element with respect to the glenoid; and a second means for locking rotation of the articular body with respect to the glenoid.

Abstract: A toe bone implant for correction of toe bone deformities is provided. The toe bone implant includes a first portion having a socket portion. The toe bone implant also includes a second portion having a ball portion operatively connected to the socket portion. The toe bone implant is implanted in a joint such that the ball portion is configured to rotate a predetermined amount respective to the socket portion.

Abstract: Various devices, methods, and systems to implant and secure a fusion cage or intervertebral prosthesis during treatment of spinal injury or disease are provided. In various embodiments, such devices may comprise an instrument assembly having a body comprising a head, a shaft, and a handle; an insertion stop; and an intervertebral device retainer. Various embodiments also may comprise an impactor assembly comprising a housing; a bit comprising a head, a shaft, and a coupler; a transmission comprising a housing, a cam, a cam follower, a collet, and a driveshaft; and the motor. In various embodiments, the impactor assembly may be deployed with adjustments for the frequency, displacement, and force of impulses delivered to an anchor for the intervertebral device.

Abstract: An artificial disc is provided which more closely matches the movement of the natural spine. The artificial disc uses one or more projections and corresponding recesses to provide a sliding articulation. The artificial joint is inherently stable in that compressive forces placed on the disc such as the weight placed upon the joint or the tension of surrounding tissues urges the joint towards a neutral position and not farther away from a neutral position.

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: An expandable spinal implant for insertion in a disc space between two adjacent vertebrae. The expandable spinal implant is moveable from an unexpanded configuration to an expanded configuration. The expandable spinal implant includes a first plate having plastically deformable links, a second plate, two transverse members, and a screw. The screw forces apart the transverse members which causes rotational deformation of the links and separation of the plates.

Abstract: A spine cage (1) comprising a pair of opposite functional sides (2,3) and at least another pair of opposite functional sides (4,5), such that the cage can be positioned in at least two different positions providing at least two different configurations.

Abstract: An implant that includes a body and a plurality of arched bone contacting elements is disclosed. The body includes a peripheral structure and three support beams extending in a central region of the peripheral structure. Arched bone contacting elements extend between adjacent beams and between beams and the peripheral structure. The arched bone contacting elements include flared legs. The arched bone contacting elements may be arranged in V-like configurations on the superior and inferior sides.

Abstract: Disclosed is an expandable interbody fusion implant that is configured to have an initial configuration having a first footprint width suitable for being inserted into an intervertebral space and an expanded configuration having a second footprint width that is greater than the first footprint width. The implant may include a first body member and a second body member that is pivotally coupled to the first body member. The implant may be expanded using an inflatable balloon. The implant may be expanded bilaterally such that both body members rotate relative to the other or the implant may be expanded unilaterally such that one of the body members rotates relative to the other.

Abstract: A retaining mechanism is disclosed, which comprises a plate including a first surface adapted to engage with an implant and a second opposing surface, the plate having mechanically-weakened areas, such that the plate is compressible from a first dimension to a second reduced dimension via the weakened areas, wherein the plate includes at least one ledge adapted to engage with a recess in the implant to prevent a fixation member inserted into the implant from backing out. A tool is also disclosed for compressing and inserting the retaining mechanism into engagement with the implant, as are respective methods of compression and insertion of the retaining mechanism into engagement with the implant.

Abstract: A tooling system and method is disclosed for removing a head portion of a modular implant from a stem portion of the implant. The tooling system can include first and second tools configured to releasably mate together when the upper and lower tools are in an assembled position, and a holder configured to releasably secure the first and second tools in the assembled position. The first and second tools can be inserted between the head portion and an adaptor of the stem portion. When the first and second tools are rotated in opposite directions, the first tool can exert pressure on the head portion of the implant sufficient to release the head portion from locked engagement with the adaptor. The first and second tools can include mating features that disengage from each other as the tools are rotated in opposite directions.

Abstract: Insertion tool assemblies for positioning an implant at a target location in a patient. Insertion tool assemblies that comprise first and second jaw portions configured to engage an implant; a sleeve assembly coupled to the first and second jaw portions; and a handle coupled to the sleeve assembly.

Abstract: A device for attaching a positioning device to a bone of a patient at a predetermined position relative to a hip implant comprising a trial hip implant and a template. The trial hip implant has a support surface for resting on the bone of the patient The template can be secured to the trial hip implant and has at least one cylindrical opening with a longitudinal axis. The trial hip implant is shaped such that any straight line which runs through one of the at least one cylindrical opening and is parallel to the longitudinal axis of the respective opening does not intersect the trial hip implant when the template is secured to the trial hip implant.

Abstract: A prosthesis with a lower limb attachment part, a foot part, a connection element with a joint function that connects the lower limb attachment part with the foot part, and a release device which can be brought into a locking position in which the foot part and the lower limb attachment part are connected to each other in a rotationally fixed manner at least relative to a dorsal extension movement, and into a release position in which the foot part can be rotated relative to the lower limb attachment part. The release device is designed to passively switch from the locking position into the release position when a variable which correlates to an ankle torque (M) in the connection element lies above a pre-set threshold.

Abstract: Provided is an exoskeleton-type glove including: a glove type outer cover; a guide provided at a corresponding position between finger joints of a human body on the outer cover; a wire extended along the guide; an actuation module including an actuator that allows the finger joint of the human body to move by controlling an extension length of the wire and provided at a back side of a hand of the human body; and a buffer provided below the actuation module.

Abstract: An implantable medical device including a porous membrane that is treated with a hydrophilic substance to obtain rapid optimum visualization using technology for viewing inside of a mammalian body. These technologies include ultrasound echocardiography and video imaging such as that used during laparoscopic procedures.

Abstract: Lumen support devices and methods of their use are provided. A lumen support includes one or more plastically deformable cells having two stable configurations with no stable configurations between the two stable configurations. The lumen support device may be plastically deformed to other stable configurations.

Abstract: Novel devices and methods for implanting medical stents are provided. A novel apparatus, which may be in a first compressed position, may be inserted into the artery, such as by being positioned over a catheter. The apparatus may be expanded to a second position. In one embodiment, the apparatus is configured to expand away in two substantially opposing directions along a second axis away from the longitudinal axis. The second axis may be perpendicular to the longitudinal axis. The apparatus may include markers that are detectable to determine the orientation of the catheter or the apparatus and/or assist in the determination of the type or size of stent to utilize.

Abstract: A stent comprising a radially expandable elongate tubular support structure, the elongate tubular support structure comprising an inner surface and an outer surface and an anchoring element disposed on at least a portion of the outer surface of the tubular support structure, the anchoring element is separate and removable from the elongate tubular support structure.

Abstract: A stent having an axial end to which is attached a ring of spoons of a material different from that of the stent. In one aspect, the ring of spoons is connected to the axial end through a plurality of complementary male-female form-fitting portions. In one aspect, the ring of spoons include parallel straight side edges. In one aspect, each of the side edges lies within a first distance from a facing side edge of an adjacent spoon in a stent delivery configuration, and each of the side edges lies within a second distance, greater than the first distance, from the facing side edge of an adjacent spoon in a stent deployed configuration.

Abstract: An expandable stent for implanting in a body lumen, such as a coronary artery, peripheral artery, or other body lumen. In one aspect, the stent includes a butterfly pattern to which connecting links are attached. In another aspect, the stent embodies a non-directional structure.

Abstract: Methods of manufacturing polymeric stents by forming a pattern on a polylactic acid tube using a second harmonic generator laser and polylactic acid polymeric stents having a pattern formed using a second harmonic generator laser.

Abstract: Systems and methods are provided for removing air from a medical device, such as a stent-graft and/or its delivery device. In an exemplary embodiment, the stent-graft or its delivery system or both are exposed to perfluorocarbon, by immersing the stent-graft or flushing the delivery device to remove air from the stent-graft. Optionally, the stent-graft and/or delivery system may be flushed multiple times, e.g., with perfluorocarbon before or after flushing with carbon dioxide, saline, a bio-inert gas, and the like. Thereafter, the stent-graft may be introduced into a patient's body and deployed at a target location, such as the site of an abdominal aortic aneurysm.

Abstract: A portable monitoring device for whole-body monitoring can include a receiver configured to receive wireless signals representing real-time neural activity from a neural sensor and to process the wireless signals into digital signals. The portable monitoring device can also include a first processor coupled to the receiver configured to receive the digital signals from the receiver and a programmable processor coupled to the first processor. The programmable processor can be configured to process the digital signals and generate a mapping of the neural activity into a person's behavior, a person's mood, a person's health condition, a person's memory, or a person's intentions.

Abstract: A buoyant, expandable intragastric device is provided that can be inserted into the stomach of a patient. The device is inflated, or expanded, with gas or other low density material to partially fill the stomach and enabling the device, or implant, to be buoyant within the stomach by floating toward the highest location possible relative to the contents of the stomach and the configuration of the stomach walls. The implant moves around as the body changes orientation or as the stomach contents change. Therefore, continual impingement on the same tissues of the gastrointestinal tract is minimized. The implant, being buoyant and floating to the top of the stomach, can beneficially generate increased pressure on, or stretching of, the tissues at the top of the stomach and the vagal nerves causing signals to the brain indicating that the stomach is full.

Abstract: The present invention relates to a reusable thermoplastic cast. The cast according to the present invention is characterized by comprising: a core material (10) having a net shape as a result of molding a synthetic resin elastomer into a net shape by means of injection molding or press-working; and a structure (20), which consists of a polycaprolactone composite material and is molded to surround the outer circumferential surface of the core material (10) by means of insert injection. The present invention improves breathability by forming a cast in a net shape and provides a cast which is structurally sturdy and appropriate for mass production by molding the cast by a mechanical means such as insert injection.

Abstract: The shock absorbing device for ankle and knee joints may include a shoe part; a weight dispersing pad part configured to accommodate a user's leg inserted therein; a piston unit including a plurality of pistons respectively connected to upper portions of the shoe part in a vertical direction and configured to be moved upwards and downwards; and a damper part connected between the piston unit and the weight dispersing pad part, wherein the damper part has an annular shape so as to be connected to the weight dispersing pad part along the circumference of the weight dispersing pad part, the pistons are inserted into an internal space of the damper part, and the damper part performs a damping operation through oil stored in the internal space of the damper part according to the upward/downward movement of the piston.

Abstract: Active wearable body brace embodiments provide selectable conformation control of the interface between the trunk of a human subject and the brace, which conformation may be varied over time and responsively to feedback and an updateable prescription. Further active wearable body brace embodiments provide selectable movement control of the interface between the trunk of a human subject and the brace with up to six degrees of freedom between elements to allow a controller to implement operations such as muscle challenges, active support, and passive-like support where actuators mimic springs. Further embodiments may also provide detection functions such as quantifying muscle weakness. The features of these embodiments may be combined in various ways to provide still further embodiments.

Abstract: Disclosed herein is a pannus support device that includes a pannus pouch configured to receive an abdominal panniculus of a wearer that is extending to cover at least a portion of the thigh, a shoulder support structure, and at least one strap connecting the pannus pouch to the shoulder support structure. The shoulder support structure, the at least one strap and the pannus pouch are configured to distribute the weight of the abdominal panniculus to the shoulders of the wearer and off at least the portion of the thigh of the wearer. Further disclosed is a system including a removable pannus pouch liner, and a method of distributing the weight of the abdominal panniculus.

Abstract: Head-and-neck immobilization devices may include a yoke sized and shaped to contact a person's back and shoulders. Straps may extend from the yoke, the straps configured to secure the yoke to the person's torso. Two head immobilization pads may be sized and shaped to respectively contact opposing sides of the person's head, each of the two head immobilization pads connected to the yoke by a respective selectively rotatable, selectively rigid connection. A majority of the person's head may remain unobstructed by the head-and-neck immobilization device when the two head immobilization pads contact the two opposing sides of the person's head and are rigidly secured in place to immobilize the person's neck and head.

Abstract: Intended to prevent self-extubation of nasal or oral tubes of an awake patient who may reflexively attempt removal of such and allow the early mobilization and exercise necessary for preservation of as much muscle strength as possible, promotion of diaphragmatic motion necessary for liberation from a ventilator, reduction of patient stress allowing for sedation minimization and improved cognition for reduction of delirium and post-intensive care syndrome, and relief of medical staff and healthcare dollars to focus more on healthcare rather than on protection from self-harm.

Abstract: A shoulder immobilizer (20) includes a semi-rigid or rigid orthosis, in the form of an arm support (22), which supports the upper arm, elbow, forearm and wrist of a patient. A bolster (24) is positioned between the patient and the arm support (22). A body strap (26) extends around the patient and attaches to the arm support (22) and/or the bolster (24), holding the arm support and bolster in position against the body of the patient. In embodiments, the shoulder immobilizer (20) may utilize a shoulder strap (28), but such a shoulder strap is not necessary for shoulder immobilization of the patient.

Abstract: A multilayer film including an odor barrier layer having sound dampening properties is provided. The odor barrier layer is formed from a polyamide modified with a functionalized vinyl-bond rich triblock copolymer.

Abstract: Ostomy appliances with a filter system that is resistant to clogging by waste expelled by the stoma are provided for waste management.

Abstract: A urine collection and drainage device and system adapted to facilitate drainage for patients to that prefer to stay standing during drainage and avoid removal of clothing near the collection bag. A collection vessel is designed to be secured to a user's waist and leg and allows for quick drainage with low initial compression. Drainage can also be accomplished for handicapped patients that have challenges getting out of bed or a wheelchair.

Abstract: A device for the treatment of bruxism may include an articulation plate worn on one of the upper or lower jaw and a bite plate worn on the other of the upper or lower jaw, coupled by posts extending from one of the bite plate or articulation plate into housings in the other of the bite plate or articulation plate. First articulating components on one of the bite plate or articulation plate may engage second articulating components on the other of the bite plate or articulation plate to allow for 360 degree articulating motion. Removable bite pads between the bite plate and the teeth received in the bite plate, and/or between the articulation plate and the teeth received in the articulation plate may provide cushioning and impact absorption, and may be removed and replaced to promote good oral hygiene and avoid excessive wear.

Abstract: An apparatus for sexual activity usage between a first user, the wearer, having a body orifice, such as but not exclusive to a vagina, an anus or a mouth, and a second user having a body-extending member, such as but not exclusive to a penis, a tongue or a finger, the apparatus comprising: a garment assembly being configured to be worn by the first user, the wearer, relative to the body orifice of the first user, the wearer; and a fluid-impenetrable receiver being configured to: form, at least in part, an entryway being configured to receive, at least in part, the body-extending member of the second user; be affixed to the garment assembly at a fixed position and fixed orientation relative to the body-extending member; and be spaced apart from and be positioned and remain entirely outside of the body orifice of the first user once the first user wears the garment assembly in such a way that transfer of a sexually-transmittable fluid between the first user and the second user and physical contact with any orif

Abstract: Apparatus for adapting a body temperature, connected or connectable to an infusion device, preferably configured as an infusion needle, and a further temperature adaption device comprising a heat exchanger, preferably configured as an intravascular catheter or pad comprising the heat exchanger, wherein during use the infusion device and the further temperature adaption device share a fluid circuit portion through which fluid infusible to the patient and fluid intended for heat exchange in the further temperature adaption device flow; a controller adapted to control the body temperature by controlling the infusion of the infusion device and the heat exchange of the further temperature adaption device; and/or a fluid supply providing fluid for adapting the body temperature.

Abstract: An exemplary ocular implant insertion system includes a case and a preloaded ocular implant insertion apparatus. The apparatus includes first and second movable structures that move the ocular implant in a predetermined sequence. The respective configurations of the case and the ocular implant insertion apparatus are such that the ocular implant insertion apparatus is not removable from the case when the ocular implant insertion apparatus is in the pre-use state and is removable after the first movable structure has moved at least a portion of the optical implant.