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

Abstract: A mitral valve prosthesis can be delivered within the native mitral annulus. The valve prosthesis has a valve component on which prosthetic valve leaflets are attached, and a lower support which anatomically and dynamically conforms to a native mitral valve annulus and which is flexibly attached to the valve component. The valve prosthesis can be delivered to the native mitral valve annulus in a collapsed configuration in which the valve component and anchoring element are serially rather than concentrically positioned to one another, thereby minimizing the diameter of the valve prosthesis during delivery. The devices and methods described are useful for treatment of various mitral valve disorders which result in, for example, mitral regurgitation.

Abstract: Prosthetic heart valve devices for percutaneous replacement of native heart valves and associated systems and method are disclosed herein. A prosthetic heart valve device configured in accordance with a particular embodiment of the present technology can include an expandable support having an outer surface and configured for placement between leaflets of the native valve. The device can also include a plurality of asymmetrically arranged arms coupled to the expandable support and configured to receive the leaflets of the native valve between the arms and the outer surface. In some embodiments, the arms can include tip portions for engaging a subannular surface of the native valve.

Abstract: Disclosed herein are embodiments of delivery capsules for delivering prosthetic implants around the relatively tight bends of a catheter. In particular, disclosed herein are delivery capsules including a tubular layer for holding the heart valve, a frame enclosing the tubular layer and an elongate element coupled to the frame for allowing the tubular layer and frame to expand. For example, the frame may be biased to expand and withdrawal of the elongate element from openings in the frame can release the frame to expand into a larger diameter. Another embodiment includes a helical wire wrapped around the capsule for easy delivery through bends and a second helical wire that is advanced between windings of the first helical wire to selectively stiffen the capsule for withdrawal. Other embodiments include sock-like capsules that can be crumpled into shorter lengths by pulling a pull line attached to the capsule.

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

Abstract: A prosthesis for implantation at a native semilunar valve includes a prosthetic distal valve, which includes a pliant material configured to collapse inwardly towards a longitudinal axis of the prosthesis during diastole, and to open outwardly during systole, and a distal fixation member configured to be positioned in a downstream artery of the subject. The apparatus also includes a proximal fixation member coupled to the distal fixation member, and configured to be positioned at least partially on a ventricular side of the native semilunar valve. The proximal fixation member is shaped so as to define a lattice that is shaped so as to define an intermediary portion that is coupled to the pliant material of the valve and diverges outwardly from the longitudinal axis, and a distal portion that is distal to the intermediary portion and diverges outwardly from the intermediary portion of the lattice. Other embodiments are also described.

Abstract: A prosthetic heart valve includes a self-expanding wire frame body, a valve disposed in the body, a leaflet clip coupled to the body, and a control element operably coupled to the leaflet clip. The body has a proximal end and a distal end. The leaflet clip is configured to be transitioned between a first configuration in which the prosthetic valve can be inserted into a heart, and a second configuration in which the leaflet clip is disposed to capture a native valve leaflet between the leaflet clip and the wire frame body when the body is disposed in a native annulus of an atrioventricular valve of a heart. The control element extends from the leaflet clip through a ventricle of the heart and out a wall of the ventricle to allow a user to transition the leaflet clip from its first configuration to its second configuration.

Abstract: Prosthetic heart valve devices for percutaneous replacement of native heart valves and associated systems and method are disclosed herein. A prosthetic heart valve device configured in accordance with a particular embodiment of the present technology can include an anchoring member having an upstream portion configured to engage with tissue on or near the annulus of the native heart valve and to deform in a non-circular shape to conform to the tissue. The device can also include a mechanically isolated valve support coupled to the anchoring member and configured to support a prosthetic valve. The device can further include an atrial extension member extending radially outward from the upstream portion of the anchoring member and which is deformable without substantially deforming the anchoring member. In some embodiments, the upstream portion of the anchoring member and the extension member may be deformed while the valve support remains sufficiently stable.

Abstract: A method for mitral valve annuloplasty includes inserting a catheter apparatus across an aortic valve, the catheter apparatus including a tissue penetration member having a distal fixation end. The method further includes penetrating an aortomitral continuity and tissue of a fibrous trigone with the catheter apparatus from a left ventricular outflow tract beneath the aortic valve, and advancing the catheter apparatus along annular tissue of a mitral valve annulus. The distal fixation end is deployed to engage the annular tissue, the tissue penetration member is retracted within the catheter apparatus to compress the annular tissue a desired distance for reduction of the annular tissue, and the retracted tissue penetration member is secured to anchor the annular tissue reduction.

Abstract: A delivery system for delivery of a radially expandable device to an implantation site in a patient, the delivery system including an elongated tubular member comprising a distal tip and an outer surface, first and second balloon portions spaced proximally from each other and the distal tip along a length of the tubular member, an annular space between the first and second balloon portions, a plurality of clip deployment tubes extendably moveable relative to the outer surface of the tubular member, and a plurality of clips, wherein each clip is moveable within a length of one of the clip deployment tubes between a retracted position and a deployed position.

Abstract: Valve devices, methods of making valve devices, and methods of treating various venous-related conditions, disorders and/or diseases are described. In one embodiment, a valve device includes an expandable support frame and a bioprosthetic valve attached to the support frame. The bioprosthetic valve comprises a leaflet and a contiguous wall portion harvested from a multi-leaflet xenogeneic valve. The contiguous wall portion includes the attachment region where the leaflets attaches to the vessel wall and, in some embodiments, includes the natural margins of attachment between the leaflet and vessel wall.

Abstract: A system and method for nonsurgical penile girth enhancement. Hydro-dissection creates a space along a length of the penis between Buck's Fascia and Darte's fascia. The filler material, such as hyaluronic acid, is injected into the space created and is modeled after injection. During the same procedure or a later procedure, additional spaces can be created and injected with the filler material, until the desired girth is obtained. The amount of filler material injected during any given procedure is limited to avoid challenging the lymphatics of the penis. By staging the girth enhancing injections, the risk of penile granulomas can be minimized, if not eliminated.

Abstract: A human or animal joint is treated by introduction of a device between the suitably prepared articulating surfaces of the joint, and the device is anchored in both these articular surfaces with a material having thermoplastic properties. For allowing at least limited articulation of the joint after implantation, the device includes two articulating portions, wherein one of the articulating portions is anchored in each articulating surfaces of the joint. On implantation a proximal face of the device is contacted with a vibrating tool and the vibration is transmitted through parts of the device to locations in which the material having thermoplastic properties is near the bone tissue of the articulating surfaces of the joint and in which liquefaction is desired.

Abstract: A system for installing a labral graft includes placing anchors into a bone thereby immovably coupling the anchors to the bone, coupling a suture to at least one of the anchors, coupling sutures to a graft, using the sutures coupled to the graft to manipulate the graft into position and tightening the sutures, thereby coupling the graft to the bone. Additionally, the system also includes a graft installation funnel having a tapered funnel body and an annular space within the tapered funnel body that is capable of retaining a graft and easing installation of the graft. Further, the system for installing a labral graft includes a graft preparation device including a block with a longitudinal recess, the longitudinal recess having a cross section that mimics the natural shape of a tissue that is to be replaced by a graft, and suture slots.

Abstract: Prostheses and methods for dorsal acetabular rim restoration at the acetabulum of the pelvis of a quadruped mammal, for example for treatment of canine hip dysplasia, are disclosed. The prosthesis includes a unitary implantable structure defining a pelvic portion and a concave portion with an arcuate rim extending from and at parts elevated relative to the pelvic portion. The pelvic portion is adapted for securement at an implant site utilizing suitable means.

Abstract: A tibial implant having a stem and a tibial sleeve. The tibial sleeve having a proximal end and a distal end, where the proximal end includes an annular male portion. The tibial implant also includes an offset ring having a central bore that is offset from the center of the offset ring, where the bore of the offset ring receives the annular male portion of the tibial sleeve. The tibial implant further includes a base plate having a proximal end and a distal end, where the distal end of the base plate forms a female portion, and the female portion receives both the offset ring and the male portion of the tibial sleeve.

Abstract: A knee replacement system, and a method for supplying and implanting a knee replacement system, for enabling natural knee movement in a leg in a patient, including: a medial femoral component having a medial femoral articulating surface with a sagittal plane profile including four medial femoral arcuate portions scaled by a first femoral scaling factor; a lateral femoral component having a lateral femoral articulating surface with a sagittal plane profile including four lateral femoral arcuate portions sealed by a second femoral scaling factor; a medial tibial component having a medial tibial articulating surface that articulates with the medial femoral articulating surface and includes a first raised medial edge that increases in width in an anterior direction; and a lateral tibial component having a lateral tibial articulating surface that articulates with the lateral femoral articulating surface and includes a second raised medial edge that increases in width in the anterior direction.

Abstract: A knee prosthesis system constructed in accordance to one example of the present disclosure can include a femoral component, a tibial component, a first femoral component insert, a second femoral component insert, a first tibial bearing, and a second tibial bearing. The knee prosthesis system may be configured in one of a non-hinged configuration and a second hinged configuration. In the first non-hinged configuration, the first femoral component insert is positioned relative to the femoral component and the first tibial bearing is positioned onto the tibial component. In the second hinged configuration, the second femoral component insert is positioned relative to the femoral component and the second tibial bearing is positioned onto the tibial component.

Abstract: A humeral prosthetic head has a non-spherical articulation surface coupled with an intermediate component connecting the head and the humerus, the intermediate component connected to the epiphysis, metaphysis, or diaphysis, or to one or more additional components connected to the humerus. The intermediate portion provides for axial and angular offset of the head with respect to a connection to the humerus, using a curvilinear tapered engagement.

Abstract: A talar implant is disclosed. The implant comprises a body comprising a bone contact surface and an articulation surface. A stem extends longitudinally from the bone contact surface. The stem comprises one or more features sized and configured to prevent rotational movement, anterior/posterior movement, and medial/lateral movement. The stem is configured to be received within a hole a talus.

Abstract: An expandable implant for augmenting a damaged or otherwise torn posterior annulus fibrosus. The implant is deployable into an evacuated posterior disc space following a subtotal nuclectomy. The implant includes an inflatable balloon which is fixed to the annulus fibrosus to protect against migration. When inflated with a curable polymer, the posterior wall of the implant is intimately disposed along the inner surface of the annulus fibrosus to provide a substantially fluid-tight seal of the annular tear or defect and reinforce the weakened posterior annulus. The anterior wall of the implant sequesters the nuclear remnant to guard against disc remnant herniation. The implant can restore intradiscal pressure and disc height. An integrated posterior reinforcement band creates a strong, yet flexible and resilient structure, resistant to penetration of the implant through the annular tear or defect.

Abstract: Superior and/or inferior facets of one or more facet joints may be replaced by superior and/or inferior facet joint prostheses. In one embodiment, a kit of superior or inferior prostheses is provided, in which the prostheses have at least two dimensions that vary among members of the kit independently of each other. Each prosthesis may have a bone engaging surface having a surface that is polyaxially rotatable against a corresponding resection of a vertebra. Each prosthesis may also have an articulating surface shaped such that, after attachment to the spine, the replaced or partially replaced facet joints provide a larger medial-lateral range of motion when the spine is flexed than when the spine is extended. Crosslinks may be used to connect left and right prosthesis together in such a manner that they are stabilized in a position in which they are seated directly against the vertebra.

Abstract: Methods for altering the natural history of degenerative disc disease and osteoarthritis of the spine are proposed. The methods focus on the prevention, or delayed onset or progression of, subchondral defects such as bone marrow edema or bone marrow lesion, and subchondral treatment to prevent the progression of osteoarthritis or degenerative disc disease in the spine and thereby treat pain.

Abstract: Surgically installed prostheses replace either the caudal portion of a natural facet joint, the cephalad portion of a natural facet joint, or both. The prostheses are readily attached to the pedicles of a vertebral body and support at least one element that defines an artificial facet joint structure. The caudal facet joint structure is sized and located to articulate with the cephalad facet joint structure. Together, the prostheses form a total facet replacement system. The system is suitable for use in virtually all levels of the spine.

Abstract: A spacer for separating bones of a joint, the spacer includes a first endplate configured to engage a first bone of the joint, and comprising a ramped surface; a tissue engaging subassembly disposed in a compartment of the first endplate; a second endplate configured to engage a second bone of the joint; and a frame subassembly that extends between the first endplate and the second endplate. The frame subassembly comprises a drive nut, a drive shaft coupled to the drive nut, a ramped carriage coupled to the drive shaft, wherein the ramped carriage comprises a ramped surface operable to engage the ramped surface of the first endplate, and an actuation bar coupled to the drive nut comprising a plate operable to engage the tissue engaging subassembly.

Abstract: The present invention relates to a cage device inserted between adjacent vertebral bodies to be used for anterior vertebral body fusion. The cage device includes: a cage; and a staple fixing the cage between adjacent vertebral bodies, in which the staple is configured to include an upper fixed arm extending toward a back surface of the cage while being spaced apart from an upper surface of the cage, a lower fixed arm extending toward the back surface of the cage while being spaced apart from a lower surface of the cage, and a support part fixing the fixed arms to a front surface of the cage and ruggedness is formed on any one of upper and lower surfaces of the upper fixed arm 22 and the lower fixed arm 23.

Abstract: An articulating fusible support cage comprises a first support member having a first and second end and a second support member having a first and second end. A first end cap is pivotally connected to the first and second support members at the first ends. The first end cap supports a jackscrew for rotation. A second end cap is pivotally connected to the first and second support members at the second ends opposite the first ends. The second end cap has a threaded sleeve configured to engage a portion of the jackscrew. Rotation of the jackscrew into the threaded sleeve causes the first and second support members to extend outwardly from a collapsed condition to a deployed condition.

Abstract: A distractible intervertebral implant configured to be inserted in an insertion direction into an intervertebral space that is defined between a first vertebral body and a second vertebral body is disclosed. The implant may include a first body and a second body. The first body may define an outer surface that is configured to engage the first vertebral body, and an opposing inner surface that defines a rail. The second body may define an outer surface that is configured to engage the second vertebral body, and an inner surface that defines a recess configured to receive the rail of the first body. The second body moves in a vertical direction toward the second vertebral body as the second body is slid over the first body and the rail is received in the recess.

Abstract: A bone stabilization plate system. The bone stabilization plate system includes a base plate configured to fit primarily between an anterior portion of a first bone's lip osteophyte and an anterior portion of a second, adjacent bone's lip osteophyte. The bone stabilization plate system includes a plurality of bone screws configured to fit in respective bone screw holes in the base plate to secure the base plate.

Abstract: An intervertebral fusion device comprising inferior and superior fusion cage devices that provide an ability to correct spondylolisthesis via in-situ adjustment.

Abstract: The present invention relates to minimally invasive graft delivery systems and devices. The systems and devices provide a means to deliver graft material minimally invasively, such as to a spacer within a disc space. A particular system can include a cannula, a syringe and an extrusion tool. The extrusion tool can be used to extrude material from the cannula and syringe, and can have multiple modes of operation to accommodate the extrusion of materials of different viscosities.

Abstract: A method of providing a minimally invasive hip arthroplasty in conjunction with a main incision formed through a patient's skin and soft tissue in the patient's hip, including providing an instrument having a main body and an arrangement for guiding the formation of a portal incision and a small path to the patient's acetabulum along an impaction axis. A trocar is placed through a guide ring on an arm of the instrument to form the portal incision and small path. Impaction of an acetubular shell is carried out along the impaction axis thus formed.

Abstract: A driving module may include a driving source configured to generate power, a gear train that includes a decelerating gear set configured to receive driving power from the driving source and a ring gear attached to one side of the gear train, and a rotary joint that includes at least one planetary gear configured to rotate in response to power received from an output end of the decelerating gear set and to revolve along the ring gear. The driving module may include one or more noise reducing members configured to mitigate noise produced based on interaction between one or more elements of the driving module. The driving module may be included in a motion assistance apparatus, where the driving module drives a module that supports a portion of a user body.

Abstract: Provided is a torque output timing adjustment method and apparatus, wherein an assistance power provided by a walking assistance apparatus is determined based on an output assistance power and a joint angle rate, a pattern of a joint angle rate varies for each user based on a gait pattern varying for each user, and an assistance torque provided to a user is adjusted in response to an adjustment of a torque output timing.

Abstract: A prosthetic foot comprising a foot part, a proximal connecting member which is swiveled to the foot part and an adjustment device with which the foot part can be adjusted relative to the connecting member, and at least one position sensor associated with the adjustment device and being coupled to a signal generating element.

Abstract: Systems and methods for providing torque to an assistive device are disclosed. In an embodiment, an apparatus comprises a material arranged to define a volume of space. The material may comprise a flexible portion and having a first surface and a second surface. The material may have a first position, in which the material is bent along the flexible portion and the first surface contacts the second surface. When the material is in the first position, an increase in pressure to the space creates a force between the first surface and the second surface. The material transitions from the first position to a second position in response to the force between the first surface and the second surface. The apparatus may be attached to an assistive device or other machine, such as an orthosis or prosthesis, in order to provide a torque.

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

Abstract: An implantable biodegradable device having two or more layers composed of one or more biodegradable materials is disclosed. The two or more layers are coated with one or more drugs. The implantable biodegradable device further having one or more inert layers is composed of a biodegradable material. The one or more inert layers of the implantable biodegradable device are degraded in response to introduction of one or more external triggers when the implantable biodegradable medical device is placed within a living organism. Further, a layer of the two or more layers having a position above an inert layer is degraded prior to degradation of the inert layer. Subsequently, a layer of the two or more layers having a position below the inert layer is degraded subsequent to degradation of the inert layer.

Abstract: Devices and methods for treating aneurysms, such as abdominal aortic aneurysms (“AAA”) generally include one or more stent-graft devices. Some embodiments include self-expanding and/or balloon-expandable stent components and one or more graft components coupled with the stent components. Using various combinations of self-expanding stent members, balloon-expandable stent members, graft members, and/or anchoring members enhances the anchoring abilities of a stent-graft device to prevent leakage around it, and may further allow the device to be adjusted after placement at a site for treatment. Some embodiments further include a skirt graft member for further prevention of leakage and/or device slippage.

Abstract: An implantable prosthesis, including a generally tubular substrate and a continuous shape memory member disposed over the outer surface of the substrate. The shape memory member may include a series of zig-zag struts alternating between a first strut with a first length and a second strut with a second length different from the first length. A graft member may be positioned over the substrate and shape memory member.

Abstract: The invention relates to a stent having a tubular woven structure (3) formed from wire strands (1, 2) interwoven with one another, wherein at least one first wire strand (1) is formed by at least two individual wires (1.1, 1.2) which run adjacently and contact one another, wherein the first wire strand (1) winds helically in a first direction around an axis of rotation of the woven structure (3) and crosses at least one second wire strand (2), which comprises at least one individual wire (2.1) and winds helically in a second direction around the axis of rotation of the woven structure (3), and wherein at least one individual wire (1.1) of the first wire strand (1) comprises an X-ray visible core material which is encased by a sheath material having a lower X-ray visibility than the core material.

Abstract: An assembly including a deployment device for deploying a stent device into an aorta of a patient is provided. The deployment device includes a rod translatable within an aorta of a patient and a first release wire configured for releasing one or more radially constraining members, wherein the radially constraining members are configured to constrain a diameter of the stent device. The stent device is at least partially permeable and engaged with the deployment device in an initial configuration, wherein a diameter and a length of the stent device in a deployed configuration can be altered by axial translation of the rod and releasing one or more of the radially constraining members by translation of the first release wire.

Abstract: The present invention provides a stent that can obtain sufficient strength while an inner side of the stent is easily endothelialized and moreover, can prevent occlusion of a branch blood vessel. Specifically, a stent body capable of diameter expansion is provided. A tubular film 3 is held by the stent body. In the tubular film 3, a plurality of communication holes 4 communicating between an inside and an outside are formed. Band-shaped portions 7 and 8 are formed between the communication holes 4 adjacent to each other. A wide-width portion and a narrow portion are not generated in the band-shaped portions 7 and 8. Strength of a part of the band-shaped portions 7 and 8 is not lowered. Generation of the wide-width portion in the band-shaped portions 7 and 8 is prevented.

Abstract: A plurality of branch bars is provided on opposing sides of paired strut pieces connected by links in a strut to protrude from one towards the other side, and a plurality of ratchet teeth is formed on the side of the branch bars respectively. When a stent made of polymer material having a cylindrical constitution in which a plurality of struts is connected by links is deformed to enlarge its diameter, the paired struts are deformed to come near to each other, so that the branch bars overlap each other with the ratchet teeth formed thereon engaging with each other. As the effect of engagement of the ratchet teeth with each other, while deformation of the struts so as to enlarge the diameter of the stent is allowed, deformation so as to reduce the diameter of the stent is inhibited.

Abstract: A fenestrated graft deployment system, with a delivery catheter having a catheter body, a first fenestration alignment device, and an endoluminal prosthesis having a main graft body having a lumen therethrough and a first opening laterally therein. The first fenestration alignment device is configured to extend through at least a portion of the delivery catheter and is configured to be axially moveable relative to the first guidewire. The first fenestration alignment device can cause the main graft body adjacent to the first opening to move with the end of the first fenestration alignment device to allow an operator to align the first opening in the side of the endoluminal prosthesis with an ostium of a target branch vessel into which said first opening is to extend and act as a guide and seal for a subsequently delivered branch graft endoluminal prosthesis.

Abstract: A system for delivering an endolumenal device through an endoscope includes a delivery tool and an adaptor. The delivery tool has an elongate tube configured to hold a portion of the endolumenal device therein and a first connecting feature on a distal end of the elongate tube. The adaptor is configured to attach to a handle of the endoscope. The adaptor includes a channel therethrough and a second connecting feature configured to mate with the first connecting feature of the delivery tool. The elongate tube of the delivery tool is configured to align with the channel of the adaptor when the first and second connecting features are mated.

Abstract: The knee pain treatment apparatus comprises an upper member constructed to encircle a leg above a knee. The upper member includes an outer surface, an inner surface and an opening for exposing a front of the knee. The upper member further includes a tensioning member integral with the upper member and depending downwardly therefrom. A patella biasing device is secured on the inner surface of the upper member and is arranged and constructed to border the opening. The apparatus further includes a flexible lower member arranged and constructed to encircle the leg below the knee and at least one tensioning member fastening system. The tensioning member fastening system is arranged and constructed for connecting the upper member and the lower member.t When the upper member and lower member are mounted on the leg and connected, the at least one tensioning member is stretched creating a downward biasing of the patella.

Abstract: A heel float therapeutic footwear for people that spend a large amount of time in bed. The heel float therapeutic footwear includes a lower leg support portion, a foot support portion, and a wing support structure. The foot support portion extends from the lower leg support portion and includes a foot support platform. The wing support structure is permanently attached to the foot support platform. The wing support structure is adjustably fastenable to a side of the lower leg support portion to adjustably support a position and an angle of the foot support platform with respect to the lower leg support portion. A method of making a heel float therapeutic footwear is also disclosed.

Abstract: An ankle stirrup has a base, an ankle holder, a holder extender, and four combination structures. The ankle holder is pivotally combined with the base. The holder extender is pivotally combined with the ankle holder and located over the ankle holder. The four combination structures are disposed on the base, the ankle holder, and the holder extender to combine with the base, the ankle holder, and the holder extender. The ankle stirrup can achieve a fixing effect for an ankle of a user.

Abstract: Embodiments may include a traction system, for example a cervical traction system for a neck of a user. Systems may include a housing assembly, plate assembly, handle assembly, and cable assembly. The housing assembly may include a drive assembly. The plate assembly may be operatively connected to the drive assembly. The handle assembly may be operatively connected to the drive assembly. The handle assembly may be configured to actuate movement of the plate assembly relative to the housing assembly. Embodiments may be configured to apply traction to the neck thereby providing a distraction distance or force to a portion of the cervical spine.