Abstract: A dual poppet valve assembly for a pump assembly of an implantable penile prosthesis having a suction poppet engagable by a plurality of fingers allowing free travel of the poppet and to prevent vacuum lockup of the pump assembly. The suction poppet can also include an elongated shaft receivable within a corresponding bore of a cylinder poppet to prevent the suction poppet from becoming misaligned during the operation of the pump assembly.

Abstract: Porous biocompatible structures suitable for use as medical implants and methods for fabricating such structures are disclosed. The disclosed structures may be fabricated using rapid manufacturing techniques. The disclosed porous structures have a plurality of struts and nodes where no more than two struts intersect one another to form a node. Further, the nodes can be straight, curved, portions that are curved and/or portions that are straight. The struts and nodes can form cells which can be fused or sintered to at least one other cell to form a continuous reticulated structure for improved strength while providing the porosity needed for tissue and cell in-growth.

Abstract: An expandable intervertebral cage with living hinges manufactured using 3D printing. The intervertebral cage is configured to expand from an unexpanded to an expanded configuration. The intervertebral cage can include a deployment system, such as a variable volume pouch or deployment cable, to apply force to the intervertebral cage to deploy the intervertebral cage.

Abstract: This disclosure relates to arthroscopic resurfacing techniques for treating diseased bone. The techniques include passing a graft into a joint and fixating the graft against an articulating surface of a bone of the joint. A method for resurfacing a bone according to an exemplary aspect of the present disclosure includes, among other things, sizing a graft based on a replicate of a bone, arthroscopically positioning the graft against an articulating surface of the bone, and securing the graft to the bone using at least one suture anchor.

Abstract: A customized allograft that is bendable and suitable for allo-grafting of an articular joint, including the thumb.

Abstract: Herein disclosed is a tissue supplied in a configuration pre-shaped to the topography of the recipient surface for covering defects in the articulating surfaces of bones. Also discussed herein is a method of preparing a graft for reconstruction of a defect in an articular surface of a bone comprising determining the topography of the native articular surface and the corresponding underside of the cartilage layer; fabricating a pair of mating surfaces having the topography of the native articular surface and the underside of the cartilage layer; harvesting a cartilage graft from a cadaveric donor; and placing said graft between the mating surfaces and subjecting said graft to sufficient pressure for a sufficient duration to cause it to change shape to that of the deforming surfaces.

Abstract: Disclosed herein are devices, systems and methods for the automated design and manufacture of patient-specific/patient-matched orthopedic implants. While the embodiments described herein specifically pertain to unicompartmental resurfacing implants for the knee, the principles described are applicable to other types of knee implants (including, without limitation, other resurfacing implants and joint replacement implants) as well as implants for other joints and other patient-specific orthopedic applications.

Abstract: The femoral stem prosthesis includes a prosthesis body having a neck, stem, and porous coating receiving area. A portion of a transition between the porous coating receiving area and the stem is defined by a recess where the porous coating receiving area inwardly extends by a depth relative to the stem while the porous coating receiving area is approximately flush with the stem about a remainder of the transition between the porous coating receiving area and the stem. A porous coating overlying the porous coating receiving area has a thickness approximately equal to the depth of the recess to define a smooth transition between the porous coating and the stem along the portion of the transition by the at least one recess and a collar outwardly extending relative to the stem by approximately the thickness along the remainder of the transition between the porous coating receiving area and the stem.

Abstract: Disclosed are systems, methods, devices and surgical techniques for joint arthroplasty, including implant components that facilitate the position and implantation of a hip replacement using cutting guides and various femoral implant arrangements.

Abstract: The implantable prosthesis for replacing a human knee joint comprises a femoral prosthetic element (12) and a tibial prosthetic element (14) which are articulated with one another by means of a joint device (30) for the purpose of executing a knee bend. The tibial prosthetic element (14) has a through-opening (40) for the passage of a tool (84), a rod-like shaft anchoring part (32) or an intramedullary lengthening nail (80).

Abstract: The present disclosure relates to prosthesis systems having trays and liners having an asymmetrical locking mechanism to bias the strength of the liner to resist loading forces and associated methods. The tray has a lateral groove disposed in an inner surface of a lateral circumferential portion of the tray and a medial groove disposed in an inner surface of a medial circumferential portion of the tray. The liner has an upper segment and a lower segment. The liner has a locking portion for lockingly engaging the tray that includes the lower segment. The locking portion has a lateral toe positioned generally diametrically opposite a plurality of resiliently deformable medial fingers defined therein. The liner and the tray are engageable in a lateral-to-medial direction so that the plurality of medial fingers can resiliently deform to engage the medial groove subsequent to engagement of the lateral toe within the lateral groove.

Abstract: An implant comprises a body including an articulation surface and an opposed bone contact surface and defining a predetermined thickness therebetween. The body defines at least one anchor hole sized and configured to receive an anchor therethrough. The anchor is configured to couple soft tissue to the body. The anchors are coupled to soft tissue and passed through the at least one anchor hole to anchor the soft tissue to the body of the implant.

Abstract: A talar implant system comprises a body. The body includes a bone contact surface and an articulation surface located opposite the bone contact surface. The body defines at least one angled fastener hole extending therethrough from the articulation surface to the bone contact surface along a longitudinal axis. The articulation surface is configured to mimic articulation of the talar dome. A fastener is sized and configured to be received within the at least one fastener hole at a first angle with respect to the longitudinal axis of the fastener hole. A fastener cap is sized and configured to be received within a proximal end of the at least one fastener hole. The fastener cap couples the body to the fastener.

Abstract: A subtalar implant includes a body having a sidewall defining an outer perimeter of the body. The sidewall defines an inner volume. A porous material is disposed within the inner volume. The porous material has a porosity configured to promote bone ingrowth. The porosity of the porous material can be about 30% to about 70% by volume. The sidewall can include a smooth surface configured to prevent bone ingrowth.

Abstract: The invention relates to an ankle prosthesis including a talar implant, a tibial implant, and an intermediate implant designed to be mounted to move relative to said talar implant in order to impart mobility to the ankle, said prosthesis further including embedded adjustment structure designed to alternate between a releasing state, in which they allow the intermediate implant to move relative to the tibial implant, and a locking state, in which they hold the prosthesis in the chosen assembly configuration, said prosthesis being characterized in that said adjustment structure can be controlled to be operable while the prosthesis is in the assembled state in vivo.

Abstract: The disclosed subject matter relates a medical instrument having a rotational drive mechanism that can be integrated into a variety of medical devices, including a tool used as an external retaining ring removal tool or as a non-marring bushing inserter, or in a spinal interbody device. The tool can include a knob portion at a proximal end and a drive mechanism at the distal end. The drive mechanism can include a plurality of drive pins that can be actuated to extend outward by rotating the knob portion. The spinal interbody device can include a drive mechanism configured to translate rotational motion into a linear driving motion to cause locking projections to move into engagement with vertebrae.

Abstract: Systems for minimally invasive disc augmentation include an anulus augmentation component and a nucleus augmentation component. Both are suited for minimally invasive deployment. The nucleus augmentation component restores disc height and/or replaces missing nucleus pulposus. The anulus augmentation component shields weakened regions of the anulus fibrosis and/or resists escape of natural nucleus pulposus and/or the augmentation component. Methods and deployment devices are also disclosed. Method of supporting and augmenting a nucleus pulposus by inserting a flexible biocompatible material into the disc space using an anchoring means are also provided.

Abstract: An intervertebral implant has a hollow space formed within the implant and accessible through an elongate opening extending through a recessed portion of the side wall, and the hollow space is shaped to receive an engagement portion of a drive shaft of an insertion tool; and the intervertebral implant includes at least two guiding surfaces facing each other and being configured for sliding engagement by a portion of a sleeve of the insertion tool movably holding the drive shaft.

Abstract: A nuclear disc implant includes an inner fillable enclosure and an outer fillable enclosure. After insertion into a enucleated disc cavity, the inner enclosure is filled with a fluid and the outer fillable enclosure is filled with a curable material. The curable material is allowed to cure and the fluid is removed from the inner enclosure to leave an inner enclosure surrounded by an cured outer enclosure. A reinforcing band may be provided around the nuclear disc implant. An inflation tool to fill the nuclear disc implant is provided.

Abstract: An adaptable spinal facet joint prosthesis may include a pedicle fixation element; a laminar fixation element; and a facet joint bearing surface having a location adaptable with respect at least one of the pedicle fixation element and the laminar fixation element. Methods of implanting an adaptable spinal facet joint prosthesis may include determining a desired position for a facet joint bearing surface; and attaching a prosthesis comprising a facet joint bearing surface to a pedicle portion of a vertebra and a lamina portion of a vertebra to place the facet joint bearing surface in the desired position. A facet joint prosthesis implant tool may include a tool guide adapted to guide a vertebra cutting tool; and first and second fixation hole alignment elements extending from the saw guide. Systems for treating spinal pathologies may include intervertebral discs in combination with spinal and facet joint prostheses.

Abstract: Embodiments herein are generally directed to spinal implants, systems, apparatuses, and components thereof that can be used in spinal fusion and/or stabilization procedures, as well as methods of installation. The spinal implants may be expandable. In some embodiments, the spinal implants may be configured to be backfilled with bone graft material after insertion.

Abstract: The present invention relates to a vertebral implant, in particular for corpectomy, to a device for attaching a vertebral implant and to implantation instrumentation, the implant including at least one first body (2) and at least one second body (3) each having at least one face having shapes and dimensions mating those of at least one face of another body (3, 2) and forming mutual fitting means, in order to allow assembling of said bodies (2, 3) by sliding along a sliding axis and, on the other hand, at least one locking means (4) retained in at least one of the bodies (2, 3) and at least one abutment portion of which is laid out for passing from a so-called open position, allowing sliding for the assembling of said bodies (2, 3), to a so-called closed position, locking said bodies (2, 3) assembled together by the contact between at least said abutment portion and at least one abutment (42, 43) of at least one of said bodies (2, 3), said abutment (42, 43) being oriented not parallel to the sliding axis and s

Abstract: An interbody spacer for the spine is provided. The interbody spacer includes a polymer cage and a plurality of bone screws configured to anchor the cage between two vertebrae of the spine. The cage includes a screw receiver configured to receive a metallic plate screw for attaching a plate to cover the proximal ends of the bone screws to prevent them from backing out over time with respect to the cage. The screw receiver has deflectable extensions that snap into cage to retain the screw receiver to the cage. The screw receiver also includes a transverse flanges that provide anti-rotation and alignment to the screw receiver relative to the cage and; furthermore, the screw receiver further includes a self-locking feature that increases purchase on the plate screw providing a secured cover plate for anti-backout protection for the bone screws.

Abstract: Interbody spacers are expandable horizontally and vertically by an application of axial force, and lockable in an expanded configuration. The spacers include support members interconnected to end bodies by pivotable link members. The spacers are introduced between vertebral bodies in a compressed configuration and expanded to fill the intervertebral space and provide support and selective lordotic correction. Graft material may be introduced into the expanded spacer. Provisional and/or supplementary locking means lock the spacers in the expanded configuration. Embodiments of the spacers include symmetrically and asymmetrically configured spacers. Methods of expansion include symmetric expansion or asymmetric expansion along each of two directions.

Abstract: The present invention provides an intervertebral fusion apparatus for positioning and combining vertebrae, which use a solidifiable material and an intervertebral fusion cage concurrently. By diffusing the solidifiable material from the top or bottom surface of the intervertebral fusion cage, the contact area with vertebrae and hence the stability can be increased. In addition, the intervertebral fusion cage provided by the present invention can further include a wing member connected pivotally on the side and operated concurrently with the solidifiable material to change the shape and thus avoid slipping off the operation opening. By using the intervertebral fusion apparatus, the stability of the intervertebral fusion cage during and after surgeries can be improved effectively. Thereby, the success rate and safety of vertebral fusion surgeries can be increased.

Abstract: The present invention provides an intervertebral implant for implantation in a treated area of an intervertebral space between vertebral bodies of a spine. The implant includes a spacer portion having an inferior and superior surface, wherein the inferior and superior surfaces each have a contact area capable of engaging with anatomy in the treated area, and the inferior and superior surfaces define a through-hole extending through the spacer body. The present invention further provides screw holes extending from a side portion to the inferior and superior surfaces of the spacer portion and a plate portion coupled to the spacer portion through a coupling means, wherein the plate portion contains screws holes for receiving screws. A screw back out prevention mechanism adapted on the plate portion and prevents the back out of screws from the screw holes.

Abstract: The present application is generally directed to implantable systems, devices and related methods pertaining to spinal surgery. In particular, the present application discloses a frame and spacer system for inserting into a disc space. The frame and spacer system is of low profile. The frame can receive different fixation devices, including threaded and non-threaded fixation devices.

Abstract: The present application is generally directed to implantable systems, devices and related methods pertaining to spinal surgery. In particular, the present application discloses a frame and spacer system for inserting into a disc space. The frame and spacer system is of low profile. The frame can receive different fixation devices, including threaded and non-threaded fixation devices.

Abstract: An impaction device (1) intended to impart a blow to a stem, the stem itself being coupled to an element forming an insert intended to be inserted into a receiving element, in particular a ceramic insert in a cup of a cotyloid cavity of a hip; the impaction device (1) including an element (4) forming a barrel defining a channel (5) or an internal chamber that has an opening via which at least part of the stem, in particular a proximal end segment of the stem, can be inserted; means of applying a blow intended to apply to the part of the stem introduced into the chamber a pre-determined blow force; and means (12, 14) for triggering the blow application means.

Abstract: A device, e.g. a medical device, includes an energy absorbing polymeric compound. An orthopedic implant system includes an implant configured and adapted for implantation in orthopedic applications. An insertion tool is operatively connected to the implant during insertion of the implant. A hammer includes a layer of gel on a distal facing side configured to engage with the insertion tool during insertion of the implant to attenuate impact forces and protect the implant from damage.

Abstract: The present invention provides tools and methods designed to aid in the placement of artificial facet joints at virtually all spinal levels. One aspect of the present invention is a measurement tool for installing an artificial cephalad facet joint including a fixation measurement element and a support arm element. This measurement tool assists in the selection and/or configuration of an artificial cephalad facet joint for implantation in a patient. Another aspect is a measurement tool for installing a caudad facet joint including a stem element and a trial caudad bearing surface element. This measurement tool assists in the selection and/or configuration of a caudad facet joint for implantation in a patient. Yet another aspect is a measurement tool holder including a measurement surface connected to a holder element. This tool holder assists in determining the measurements obtained with the caudad facet joint measurement tool.

Abstract: There is disclosed a biomechanically driven prosthetic thumb assembly. Embodiments include an H-shaped rocker and a distal ring configured to receive a user's residual thumb, the distal ring and the rocker each independently and rotatively coupled between a coupling tip and a proximal anchor plate configured for affixing to a hand strap secured to a user. The coupling tip is articulated in response to a pulling force of the H-shaped rocker. Additional embodiments include a bidirectional thumb assembly including a ring mounted upon an adjustable ring tendon that is rotatively coupled between a coupling tip and a proximal anchor plate, which is rotatively coupled with a hand strap attached to the user. Vertical movement of the residual thumb within the ring actuates the coupling tip within a vertical plane. Lateral movement of the residual thumb within the ring actuates the coupling tip within a lateral plane. Other embodiments are disclosed.

Abstract: Implementations of a quasi-passive assistive device are disclosed. Such a device may comprise a spring mechanism that increases stiffness similar to a biological ankle. In one implementation, the spring mechanism may comprise a piston, valve, springs, or other elements to match a biological stiffness profile similar to that of a biological ankle. In one implementation, an apparatus for an artificial ankle is disclosed, comprising a piston coupled to a spring and the piston connected to a valve. The spring and the piston may store energy during dorsiflexion of the ankle and the spring and the piston release energy during plantarflexion of the ankle. The piston may store and release energy through the use of the valve.

Abstract: A prosthetic system includes a prosthetic foot having an upper foot element with a concave-forward facing portion and foot portion extending forwardly therefrom. An intermediate foot element is disposed below the upper foot element and has a front portion coupled to the foot portion of the upper foot element. A lower foot element is disposed below the intermediate foot element. A pump system is coupled to the prosthetic foot and comprises a pump mechanism including a housing defining a cavity, and a membrane situated in the cavity. The pump mechanism is movable between an original configuration and an expanded configuration. An arm member is connected to the pump mechanism and operatively coupled to the intermediate foot element. The arm member is arranged to move the pump mechanism toward at least the expanded configuration upon movement of the intermediate foot element relative to the upper foot element.

Abstract: A walking assistance apparatus may include a driver configured to assist movements of a first joint related to a right leg of a user and a second joint related to a left leg of the user, a sensor configured to measure a first joint angle corresponding to the first joint and a second joint angle corresponding to the second joint, and a controller configured to generate a walking assist profile based on a previous step of the user, modify the walking assist profile based on the first joint angle and the second joint angle, and control the driver based on the modified walking assist profile.

Abstract: A prosthetic system includes a liner adapted to receive a residual limb and having a liner body formed from an elastomeric material. The liner body defines an outer surface and an inner surface opposite the outer surface. The inner surface includes a first part arranged to form a seal between the liner and the residual limb, and a second part of the inner surface has at least one flow channel arranged for promoting movement of fluid away from a skin surface of the residual limb. An outlet is defined in the second part and extends between the inner and outer surfaces. The at least one flow channel is defined in the elastomeric material forming the liner body and is in fluid communication with the outlet.

Abstract: An endoprosthesis has an expanded state and an unexpanded state, the endoprosthesis includes a stent, wherein the stent has a first end, a second end, an inner surface defining a lumen, an outer surface, and a thickness defined between the inner surface and the outer surface; and a stent end covering disposed at one of the first and second ends, the stent end covering including a polymeric coating that includes a base and a plurality of protrusions, the base including a first major surface facing the outer surface of the stent, the base further including a second major surface from which each of the plurality of protrusions extends outwardly, the first major surface opposing the second major surface, wherein the protrusions are arranged in a micropattern. Methods of making and using an endoprosthesis are provided.

Abstract: An ostial stent is operable to be placed at the ostium of a patient's vascular system so as to improve vessel patency in the ostial region. The ostial stent includes a stent tube that presents spaced apart proximal and distal stent openings and a longitudinal stent passage that extends between the openings. The stent tube includes a selectively-expandable tube section and a self-expandable tube section. The self-expandable tube section projects longitudinally from one of the stent openings, and is automatically expandable to a flared condition for placement within the ostium.

Abstract: An anchor stent assembly to be used with a valve component includes a generally tubular frame having a first end and a second end, the frame defining a central passage and a central axis. A secondary passage is defined between n inner surface of the frame and an outer surface of an inner rib disposed closer to the central axis than the frame. An extension tube is disposed through the secondary passage. The extension tube includes an extension tube lumen having a first opening at a first end of the extension tube and a second opening at a second end of the extension tube.

Abstract: An endograft includes a main body having a wall separating interior and exterior surfaces and adapted to be inserted within the vessel. The main body is characterized by a single proximal opening and two distal openings and at least one aperture extending through the wall. At least one stent is secured to the main body that upon expansion pressure fits the main body into the vessel. An open tunnel is secured to the interior surface of the main body around the main body aperture and secured somewhere along the tunnel length to provide fluid communication between the interior and exterior surfaces of the main body through the aperture and with the vascular branch in proximity to the main body aperture. The insertion of a sleeve positioned partly within the tunnel and extending beyond the exterior surface of the main body into the vascular branch assures to the vascular branch.

Abstract: An expandable helical stent is provided, wherein the stent may be formed of an amorphous metal alloy or other non-amorphous metal with a securement. The stent is formed from flat or tubular metal in a helical coiled structure which has an undulating pattern. The main stent component may be formed of a single helically coiled component. Alternatively, a plurality of helically coiled ribbons may be used to form a stent heterogeneous in design, material, or other characteristic particular to that stent. The helical tubular structure may be secured with a securement, such as a weld, interlock or a polymer, to maintain the helical coils in a tubular configuration. The helical coils of the main stent component may be spaced apart or nestled to each other-maintain the tubular shape of the helically coiled stent and prevent the polymer layer from sagging at any point between cycles of the coils.

Abstract: An endoprosthesis is conditioned prior to use within a patient by placing a scaffold of the endoprosthesis in contact with a sterile liquid optionally at body temperature, following by causing the scaffold to bend. The scaffold may be bent by moving the scaffold through a conditioning tube.

Abstract: A modular handle assembly for a prosthesis delivery device is disclosed. The modular handle assembly comprises a stationary main handle having a proximal end and a distal end. A first handle extends proximally from the main handle and is rotationally moveable relative to the main handle, the first handle having a proximal end and a distal end and wherein a rotational interface is located at the distal end. A second handle extends distally from the main handle and is rotationally moveable relative to the main handle, the second handle having a proximal end and a distal end and wherein a rotational interface is located at the proximal end. The proximal end of the main handle comprises a first rotational interface that is configured to engage with a rotational interface at the distal end of the first handle and wherein the distal end of the main handle comprises a second rotational interface that is configured to engage with the rotational interface at the proximal end of the second handle.

Abstract: A handle assembly for a prosthesis delivery device is disclosed. The handle assembly comprises a stationary main handle having a proximal end and a distal end and an outer surface extending therebetween. A first helical groove is formed in at least a portion of the outer surface of the main handle and a first trigger wire actuation mechanism disposed about the main handle and rotatably moveable relative to the main handle. A first trigger wire is operatively connected to the first trigger wire actuation mechanism, the first trigger wire having a prosthesis capture condition and a prosthesis release condition. Movement of the first trigger wire actuation mechanism causes movement of the first trigger wire thereby moving the first trigger wire from the prosthesis capture condition to the prosthesis release condition. Additional trigger wire actuation mechanisms operatively connected to one or more additional trigger wires may also be disposed about the main handle.

Abstract: A stent delivery system is provided with an inner elongate shaft having a proximal portion and a distal portion and an outer elongate shaft having a lumen extending at least partially therethrough, wherein the proximal portion of the inner elongate shaft is at least partially movably disposed within the lumen. The system also includes a stent positionable about the inner elongate shaft having collapsed and expanded configurations. The system includes a proximal restraining member removably engaged with the outer elongate shaft and attached the stent, and a distal restraining member removably engaged with the inner elongate shaft and attached to the stent. The system also has a proximal biasing member operatively engaged with a distal portion of the outer elongate shaft, a distal biasing member operatively engaged with the distal portion of the inner elongate shaft, and an outer tube with a lumen movably disposed over the inner elongate shaft.

Abstract: A handle assembly for a prosthesis delivery device is described. The handle assembly comprises a stationary main handle having a proximal end and a distal end and an outer surface extending there between. A first handle extends proximally from the main handle and is rotationally moveable relative to the main handle, the first handle having a proximal end and a distal end and defining a first handle interior. A second handle extends distally from the main handle and is rotationally moveable relative to the main handle, the second handle having a proximal end and a distal end and defining a second handle interior. The first handle comprises a threaded internal surface extending between the proximal and distal ends and the second handle comprises a threaded internal surface extending between the proximal and distal ends.

Abstract: A delivery system for a medical implant and a method of delivering the medical implant. The delivery system includes an inner catheter and an outer catheter. The inner catheter includes a wire coil disposed between an inner tube and an outer tube, the wire coil having gaps between turns of the coil at a proximal and a distal region thereof. The outer catheter is disposed about the inner catheter. The system includes a flow path for liquid from a proximal end to a distal end thereof, the flow path including a radially extending portion through the gaps. The method includes inserting the delivery system into a body lumen, injecting visualizing fluid into the proximal end of the system, the visualizing fluid moving through the flow path and exiting the distal end of the system, and retracting the outer catheter to release the medical implant.

Abstract: A prosthesis fixation system includes a delivery device having a distal end and a proximal end. The delivery device includes an inner cannula extending between the distal end and the proximal end of the delivery device, a positioner disposed coaxially over a first portion of the inner cannula, and a tip assembly attached to a proximal end of the inner cannula. A prosthesis is releasably coupled to the delivery device at the proximal end of the delivery device. At least one trigger wire extends longitudinally within a lumen of the positioner and at least one suture loop is attached to the proximal end of the positioner. A proximal end of the trigger wire extends proximally beyond the proximal end of the positioner such that trigger wire passes through the at least one suture loop and is removably attached to an end of the prosthesis.

Abstract: A prosthesis delivery device includes an inner cannula, a positioner disposed coaxially over a first portion of the inner cannula, a concentric cannula disposed coaxially over a second portion of the inner cannula, and a tip assembly disposed over a third portion of the inner cannula. A distal end of the concentric cannula is attached to a proximal end of the positioner. The tip assembly comprises a distal tip segment and a proximal tip segment, with the distal tip segment attached to a proximal end of the concentric cannula and the proximal tip segment attached to a proximal end of the inner cannula. A prosthesis is carried on the concentric cannula and a sheath is mounted coaxially over the prosthesis. The sheath comprises a split defining a proximal sheath segment and a distal sheath segment. A proximal end of the proximal sheath segment is attached to the proximal tip segment.

Abstract: A gastrointestinal device for treating obesity includes a three-dimensional porous structure configurable between a compressed pre-deployment configuration to facilitate delivery and an expanded post-deployment configuration. The porous structure includes a first opening at its proximal end and a larger second opening at its distal end. The porous structure also includes a sleeve coupled to its distal end. Optionally, the device further includes a suture at the proximal end of the wire mesh structure to facilitate retrieval and an anti-migration component positioned at the junction of the porous structure with the sleeve. The porous structure is deployed in a patient's stomach such that the anti-migration component sits proximal to the patient's pylorus and prevents migration of the entirety of the device into and through the pylorus. The sleeve extends through the pylorus, into the duodenum and ends in the duodenum or jejunum.