Abstract: Methods and instruments for placement of orthopedic implants in bones of a patient. The placement may include selective placement of the implant relative to structure of the bone using a measurement system that may detect interfaces between layers of the bone. The orthopedic implants may be engaged by various embodiments of chucks. The chucks may include structure for engaging indexing features of a corresponding orthopedic implant to restrict movement of the implant relative to the chuck along a working axis. The chucks may allow for use of an instrument having a measurement system for accurate and repeatable placement of the implants using the instrument.

Abstract: Methods of manufacturing a flexible force sensor include forming a first sensor part providing a plurality of spaced first electrode plates in an electrically non-conductive material. A second sensor part is also formed and includes a plurality of second electrode plates in an electrically non-conductive material. The second electrode plates are identical to the first electrode plates at least in terms of spacing. The first part is assembled to the second part such that each of the first electrode plates are aligned with and parallel to, yet spaced from, respective ones of the second electrode plates, establishing a plurality of capacitive sensing components. The first electrode plates are movable relative to the corresponding second electrode plates, establishing a variable gap therebetween. The sensor parts can be ring-shaped. The sensor parts can be formed via MEMS techniques, with the non-conductive material being a polymer.

Abstract: A medical apparatus is described for providing visualization of a surgical site. The medical apparatus includes an electronic display disposed within a display housing. The medical apparatus includes a display optical system disposed within the display housing, the display optical system comprising a plurality of lens elements disposed along an optical path. The display optical system is configured to receive images from the electronic display.

Abstract: A system, in particular for image-guided surgery, comprising: at least two display devices; a position determinator for determining the relative position of the display devices; and an image generator for generating images, which are to be displayed by the display devices, in accordance with the determined relative position.

Abstract: A marker loading assembly for transferring an elongated positioning marker from a loader needle of said assembly into an insertion needle of a medical insertion device, the marker loading assembly comprises an elongated hollow housing having a manoeuvring end and a marker transfer end, and a loader needle mounted within said loading assembly along a longitudinal axis of said assembly, said loader needle being adapted to receive and hold said positioning marker until the positioning marker is transferred to said insertion needle, a transfer opening provided at the marker transfer end and being adapted to receive a distal end of the insertion needle, said transfer opening being provided with a shape gradually opening up in a direction away from said manoeuvring end, and said transfer opening at its narrow end leading to a transfer channel arranged along said longitudinal axis, and wherein the transfer channel has a circular cross-sectional shape having a diameter slightly larger than an outer diameter of the in

Abstract: Disclosed is a method for operating a dental diagnostic image generation system of at least two modalities for generating three-dimensional image data by means of X-rays and at least one further beam of a different modality, wherein at least two three-dimensional image data of different modalities are generated and the at least two three-dimensional image data are merged by means of a multimodal registration, it is in particular provided that the image data generation of the at least two three-dimensional image data at an object to be imaged is carried out with markers which overlap during the at least two irradiations of different modalities, that the image data generation of at least one modality is carried out with a capture area limited in accordance with the markers, and that the at least two three-dimensional image data is spatially associated by means of multimodal registration on the basis of the markers captured in the three-dimensional image data.

Abstract: Systems and methods are provided for degassing a medical device. In one embodiment, a flushing device is provided that includes a tubular member including first and second ends and a chamber therein. First and second ports are spaced apart from one another along the tubular member and communicate with the chamber. One or more sources of flushing fluid are connectable to the first and/or second ports to create a flushing circuit, e.g., delivering flushing fluid into the first port, through the chamber, and out the second port to remove air or other gases from the chamber. An introducing assembly carrying a stent-graft may be introduced into the chamber, flushed, and then transferred to a delivery device. 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 cleaning device for a medical implement such as a female Luer connector. The cleaning device includes a cap having an interior cavity and an opening adapted to receive a site of the medical implement. The interior cavity is defined by an interior wall that includes a male Luer protrusion extending in the direction of the opening from an end of the interior cavity opposite the opening. A skin of cleaning material overlies at least a portion of the interior wall. The cleaning material may be pre-loaded with a cleaning agent and is adapted to clean the site of the medical implement.

Abstract: An ultrasonic instrument includes a tip portion, a transducer configured to convert electrical energy into vibrational energy, an acoustic transformer interconnecting the transducer and the tip portion, and a grip portion disposed at least partially about the acoustic transformer. The grip portion is coupled to the acoustic transformer via a resilient nodal coupling at a nodal region of the acoustic transformer. The resilient nodal coupling is configured to provide rotational and axial stability to the acoustic transformer.

Abstract: A receiving sleeve receives surgical instruments. A holding device for storing and cleaning surgical instruments includes at least one receiving sleeve. A surgical instrument set includes a holding device and/or receiving sleeve. The receiving sleeve and the holding device have a light construction which allows the maximum flow of fluid to instruments held in the receiving sleeve or holding device. The receiving sleeve includes a cylindrical hollow body with a plurality of peripherally spaced inner clamping arms which have punctiform or linear engagement sections that are adjusted to come into contact with an inserted tool in a force-fit or form-fit manner for holding the tool within the receiving sleeve at a radial distance to the cylindrical body.

Abstract: Instruments and associated methods for performing endodontic treatment and that demand less time and fatigue onto the dentists and patients, while presenting the following accomplishments: debride the root canals in three dimensions and performing the optimal treatment; shape the root canals to facilitate the irrigation; these instruments are resistant to breakage and pressure while operating at high speed and torque; the instruments are capable of bypassing most obstacles, broken files, hypercalcification, curved roots canals, shoulders, and residual resistant pastes; and they present an alternative to arduous and expensive surgeries like endodontic or implant surgeries. As a result, they prevent fractures and procedural errors in making false canals or perforations of the root canals.

Abstract: An endodontic instrument adapted to be axially reciprocated within a root canal to remove material from walls of the root canal. The endodontic instrument includes an elongate shaft and a working portion. The elongate shaft includes a proximal end adjacent a handle and a distal end terminating at a tip spaced from the proximal end by the length of the instrument. The working portion includes a first helical fluted cutting surface for removing material from the walls of a root canal and a second helical fluted cutting surface for removing material from the walls of a root canal. The first helical fluted cutting surface and second helical fluted cutting surfaces are formed in opposing left-hand and right-hand directions such that material is removed form the walls of a root canal when the instrument is rotated in either a first or a second direction.

Abstract: Methods, systems, and apparatus's for improving orthodontic treatments. In an embodiment, an orthodontic system including a tactile object is provided for modulating an engagement between a tooth attachment and an orthodontic appliance.

Abstract: A physical model of at least a portion of a patient's dentition has model dental surfaces corresponding to real dental surfaces of the patient's dentition. The physical model includes one or more targets, each configured for facilitating placement of an 5 orthodontic appliance on the model at a desired location. The targets lack mechanical stops that are outwardly protruding from the original model dental surfaces. Also provided are a method of manufacturing a physical model for use in indirect bonding procedures, a method for indirect bonding for use in an orthodontic procedure, a method for providing an indirect bonding transfer tray for use in an orthodontic procedure, and a 10 system for providing a physical model for use in indirect bonding orthodontic procedures.

Abstract: The present disclosure provides self-ligating orthodontic brackets with improved control over access to the archwire slot. Access to the archwire slot is controlled by a latch assembly featuring a door rotatable about an axis relative to the bracket body and a lock positioned near the axis to prevent inadvertent rotation of the door. The lock engages a surface of the door and is capable of preventing undesired rotation between an open state, where an archwire is insertable into the archwire slot, and a closed state, where access to the slot is prohibited. The self-ligating brackets may also include a biasing spring to provide active ligation and further inhibit undesired rotation of the door.

Abstract: A magnet assembly for a dental magnetic attachment comprising a cup-shaped yoke of substantially Ni-free ferritic stainless steel, a permanent magnet received in a recess of the cup-shaped yoke, a seal member sealing an opening of the cup-shaped yoke, and an abutment-welded portion of the seal member and the cup-shaped yoke; the seal member comprising a center portion of substantially Ni-free ferritic stainless steel; an intermediate portion of substantially Ni-free austenitic stainless steel having a nitrogen content of 0.5-2.0% by mass, and a peripheral portion made of substantially Ni-free ferritic stainless steel having a nitrogen content of 1.3% or less by mass, smaller than in the intermediate portion.

Abstract: Methods and apparatus are disclosed to provide a patient with a monolithic ceramic dental restoration in one office visit. In some embodiments, a dentist is provided with a kit containing one or more machinable blocks, a chair-side milling machine to convert a selected machinable block into a finished dental restoration, and optionally, a scanner. Machinable blocks may have a fully sintered zirconia material solid body and a sintered zirconia mandrel. A plurality of machinable blocks may be provided in multiple shape, size, or shade selections.

Abstract: A virtual model of an intraoral cavity is provided, wherein this process is initialized by a dental clinic, and the design and manufacture of a suitable dental prosthesis for the intraoral cavity is shared between a dental lab and a service center.

Abstract: A zirconia sintered body is provided having a color tone equivalent to the color tone guides of various natural teeth and having the same aesthetics as a natural front tooth. The present invention provides a colored translucent zirconia sintered body comprising zirconia containing greater than 4.0 mol % and not greater than 6.5 mol % of yttria, less than 0.25 mol % of erbia, less than 2,000 ppm of iron oxide in terms of Fe2O3, less than 0.01 wt. % of cobalt oxide in terms of CoO, and less than 0.1 wt. % of alumina; the zirconia sintered body having a relative density of not less than 99.90%, a total light transmittance of not less than 25% and less than 40% for light having a wavelength of 600 nm at a sample thickness of 1.0 mm, and a strength of not less than 500 MPa.

Abstract: A post for a dental crown is disclosed having improved structural features—including increased post strength and reduced likelihood of root fracture. In one embodiment, the post includes a quadrangle (4-way) split shank for increased compliance and root stress reduction while providing very high mechanical grip strength and pull-out resistance. In another embodiment, a shortened threaded section and a thread-free shank tip minimize the possibility of root fracture while still providing high grip strength and pull-out resistance. Embodiments also include a radiused transition from a primary thread to a secondary thread portion of the shank for stress reduction, and axial grooves and other shape features of the post head for increased crown retention strength.

Abstract: The object of the invention is a brush head for an electric toothbrush, the brush head comprising a hollow body part (1), a back and forth rotating shaft (3) inside the body part (1), and a rotating bristle carrier (7) rotated back and forth by the shaft (3) at the first end of the body part (1), and where the second end of the shaft (3) comprises a protrusion (3a) that is in an inclined angle (A) in relation to the rotation axis of the shaft (3). The inclination angle (A) is substantially between 20-70 degrees, and the inclination of the protrusion (3a) is directed towards the rotation axis of the shaft (3).

Abstract: A dental light irradiation device is adapted to emit blue light. The device has a light source, means for collimating light emitted from the light source, and a light guide. The light collimating means comprising:—a plano-convex lens oriented with the planar side toward the light source, and—a reflector formed by a hollow ring-shaped structure having an inner conical and reflective surface. The reflector is arranged such that its inner cross-section widens toward the lens and extends over the entire distance between the planar side of the lens and the light source. The light source being positioned substantially at the effective focal length of the lens, and the light guide having an input side for receiving light emitted from the light source and an output side for the light.

Abstract: An artificial sphincter includes at least two elements associated with each other and hollow for containing a pressurized fluid; the elements being adapted to be arranged on the sides of the urethra of a patient and have a substantially semi-conical shape; each element has a respective contact surface with the urethra of substantially semi-cylindrical shape.

Abstract: According to an aspect, a medical device includes an elongate member, a needle, and a suture. The needle is movably coupled to the elongate member. The suture is disposed within a lumen defined by the elongate member. The suture has a coupling member coupled to a first portion of the suture. The coupling member is configured to be coupled to a second portion of the suture.

Abstract: The present disclosure includes systems and a method for in situ application of a surgical patch during minimally invasive surgery. The method includes the steps of inserting a surgical patch into a bag; transferring a polymeric bag containing a hemostatic patch into a body cavity; removing the surgical patch from the polymeric bag while the polymeric bag is within the body cavity; and applying the surgical patch to a tissue within the body cavity.

Abstract: Catheter-delivered endovascular medical devices are described. The devices may include a pull wire attached to a deployable dual basket system. The deployable dual basket system may include a proximal basket and a distal basket that are connected by basket connector tether memory metal strips that rotate/twist relative to the longitudinal axes of the basket and form flex points of the system. The proximal basket and the distal basket may be comprised of a plurality of cells and the proximal basket may taper at its proximal end and the distal basket may be tapered at its distal end. Methods of using and making the devices are also described.

Abstract: A retrieval catheter operable by a single clinician that will neither displace a deployed stent nor cause undue trauma to the vascular lumen or lesion. The retrieval catheter may be sized to accommodate both a guidewire and a balloon wire. The retrieval catheter is easy to navigate through tortuous passageways and will cross a previously deployed stent or stent-graft easily with minimal risk of snagging on the deployed stent or stent graft. The sheath and dilator are adapted to allow a guidewire or balloon wire to pass through the walls of both and to allow the sheath and dilator to move axially with respect to each other.

Abstract: Disclosed is a covered stent having bending characteristics, capable of maintaining a bent state and preventing a lesion from invading into the covered stent by solving the problem of a conventional stent having bending characteristics. The present invention provides a stent, wherein pieces of PTFE tape made of the same material can be prevented from being separated from each other to be maintained only through partial adhesion on the inside and outside of a cylindrical stent, invasion of the lesion can be prevented since the state where an entire outer surface of the stent is wrapped with the PTFE tape can be maintained, and the bent state of the cylindrical stent can be freely maintained since the PTFE tape located on the outside and the cylindrical stent can maintain a free state with each other by allowing no PTFE tape at a part of the inside of the cylindrical stent.

Abstract: Vascular devices and methods for addressing pathologies in the hemiarch of the aorta are provided. The device includes a main body (110) and a secondary body (120). The main body has ends (112, 114) that are designed to be connected to corresponding ends of the native blood vessel. The secondary body has a free end (122) and a fixed end (124) that is engaged with an inner surface of the main body. The vascular device is movable from a retracted configuration, in which the secondary body is at least partially contained within the main body and the free end is on a proximal side of the fixed end, to an extended configuration, in which the secondary body is extended distally from the main body and the free end is on a distal side of the fixed end to address defects in the aorta downstream of the hemiarch.

Abstract: The present invention relates to a removable implant for generating a tendon or a ligament as a replacement for a torn tendon or ligament, said implant having a hollow tubular body (2) made of a biocompatible and non-resorbable material, with an internal lumen (3) delimited by a lateral wall (4) through which one or more outlet orifices (5) open out to the outer surface of the tubular body via lateral openings, said tubular body opening out, at first and second ends (6-1, 6-2) intended to he fixed to a first and a second member, via first and second end openings (7-1, 7-2), the cumulative surface area of the one or more lateral openings representing more than 10% and less than 25% of the outer surface of said tubular body.

Abstract: The invention relates to a device for trapping the end of at least one fascicle (10) of soft material in a bone tunnel (1), comprising: a ferrule (100), a screw (200) and a washer (300), the ferrule comprising a proximal upper rim (140) and screwing elements (150), with a longitudinal axis (151) inclined ? degrees in relation to the longitudinal axis (101) of the ferrule, and an inner thread (152) reciprocal to the outer thread (201) of the screw, the assembly being designed such that as the screw, with the washer, screws into the inner thread (152), the outer face (301) of the washer (300) approaches the inner face (142) of the proximal upper rim (140), an upper passage being formed between the two, via which the soft material projects, which is trapped in this way.

Abstract: The present disclosure relates to an assembly for fixing a ligament in bone. The assembly includes a suspension member and an implant having a mechanism for fixedly receiving the suspension member and at least partially suspending the suspension member and the received bone graft within the implant, allowing for bony in-growth. A method of fixing a ligament in bone is also disclosed.

Abstract: A reinforced graft construct for repairing a tendon or ligament formed by inserting a piece of material, such as suture, through the graft lengthwise. The material may be inserted along only a portion of the graft or along the entire graft. The material may be a reinforcement (reinforcing) material such as suture, tape, weave, or mesh passed lengthwise through the graft (for example, along the center of the graft). The ends of the graft may be whipstiched to provide additional fixation when implanted. The material may be bioabsorbable such that it will resorb away after a period of time in the body.

Abstract: Various methods and devices are provided for a graft fixation device for fixing a graft member within a bone tunnel. In one embodiment, a graft fixation device is provided having a radially expandable sheath adapted to be disposed within a bone tunnel, and a sheath expander adapted to be received within the radially expandable sheath to expand the sheath and thereby anchor a graft between the sheath and the bone tunnel. In an exemplary embodiment, the graft fixation device is particularly useful to affix a graft within a femoral tunnel.

Abstract: A bone block assembly including a bone block having a proximal end, a distal end, a central axis defined therethrough, and a hole formed therethrough, and a threaded screw having a proximal end, a distal end, and a first eyelet formed on the proximal end of the threaded screw, the threaded screw configured to be received within the hole of the bone block. The first eyelet of the threaded screw is, at least partially, exposed on the proximal end of the bone block when the threaded screw is fully engaged with the bone block. The first eyelet of the threaded screw is configured to receive a suture.

Abstract: A mastopexy implant for maintaining the breast in an elevated and aesthetically pleasing position includes a lower pole support comprising end portions which may be affixed to the chest wall or to a previously installed upper suspension strut. The implant is loaded in an insertion device. The insertion device is inserted through a small incision and into a subcutaneous pocket created in an inferior half of the breast. The lower pole support may have various constructs and in one embodiment includes a unitary conformable mesh having a plurality of arm or band members which are attached across the breast parenchyma and to the chest wall.

Abstract: The object of providing a device for reversibly attaching an implant to an eye, with which the implant can be attached in a simple way to the eye and can if necessary be detached or removed from the eye, is achieved according to the present invention by means of a device for attaching an implant by means of a pin that comprises a substantially elongated shaft, wherein the implant includes an implant film for contacting living tissue or nerves in the visual system of the eye and the implant film has an opening through which the shaft of the pin can be at least partially inserted, characterised in that the device includes a holding element that can be arranged on the shaft of the pin so that the holding element engages on the shaft of the pin and is fixed in an attachment position to the pin.

Abstract: Intraocular implants and methods of making intraocular implants are provided. The intraocular implants can improve the vision of a patient, such as by increasing the depth of focus of an eye of a patient. In particular, the intraocular implants can include a mask having an annular portion with a relatively low visible light transmission surrounding a relatively high transmission central portion such as a clear lens or aperture. This construct is adapted to provide an annular mask with a small aperture for light to pass through to the retina to increase depth of focus. The intraocular implant may have an optical power for refractive correction. The intraocular implant may be implanted in any location along the optical pathway in the eye, e.g., as an implant in the anterior or posterior chamber.

Abstract: Heart valve regurgitation is reduced by sizing a coapting element to provide a gap between the coapting element and a heart valve when the heart is in a diastolic phase. The size of the coapting element is also selected such that the heart valve seals against the coapting element when the heart is in the systolic phase. The coapting element allows flow through the coapting element when the heart is in a diastolic phase and prevents flow through the coapting element when the heart is in a systolic phase.

Abstract: A prosthetic heart valve includes a stent extending in a longitudinal direction and having a plurality of commissure features. A valve assembly is secured to the stent, the valve assembly including a cuff and a plurality of leaflets. Each of the leaflets has a pair of attachment regions and a free edge extending between the attachment regions. A deflection feature disposed in each attachment region is configured and arranged to prevent the free edges of the leaflets from contacting at least one of the stent or the cuff.

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

Abstract: 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: Devices, systems, and methods are provided to treat diseased cardiac valves. The device includes a percutaneous heart valve having an expandable valve frame including valve frame members, a valve leaflet coupled to the valve frame, and an expandable stent anchoring frame coupled to the valve frame including stent frame members defining a first portion and a second portion having greater flexibility than the first portion, where the first portion and the valve frame define a length, and where the stent frame members and the valve frame members along the length provide a contiguous surface over which a delivery device can repeatedly slide over the length in its entirety in two longitudinal directions when the first portion and the valve frame are in a partially expanded state during delivery from the delivery device.

Abstract: Apparatus and method are described including identifying a subject as suffering from a condition that causes the subject to have elevated central venous pressure. In response thereto, a device is placed inside the subject's vena cava such that an upstream end of the device is placed at a location upstream of junctions of the vena cava with all of the subject's renal veins. The device defines a passage through the device, at least a portion of the passage converging in a direction from an upstream end of the device to downstream end of the device. Other applications are also described.

Abstract: A stent for use in a prosthetic heart valve has a plurality of expandable and collapsible closed cells, a portion of which form an annulus section adapted for placement within the annulus of the native heart valve. Anchor features of the stent residing within at least some closed cells are adapted to engage tissue of the heart, including native valve leaflets, the sinotubular junction, or another implanted device when the prosthetic valve is implanted in the heart. The anchor features may help to retain the prosthetic valve in position, without interfering with the opening and closing of the valve leaflets. Furthermore, the anchor features may be configured to allow the stent to be resheathed into a delivery device after the portion of the stent with the anchor feature has expanded out of the delivery device.

Abstract: The present disclosure relates to valve replacement devices that are foldable for catheter-based deployment to the site of implantation, as well as systems for the delivery of valve prostheses, including prostheses having the special characteristics of the disclosed valve replacement devices. The devices include highly effective adhering mechanisms for secure and enduring precision implantation. The adhering mechanisms may employ a unique sealing mechanism that includes a cuff that expands slowly whereby the device is not secured in place until the completion of the implantation procedure. The implanted device, optionally together with the cuff, prevents perivalvular leaks and incorporate an appropriate leaflet system for reliable functioning in situ.

Abstract: A heart valve assembly has a leaflet support structure and a leaflet assembly. The leaflet support structure has a wire frame that supports the leaflet assembly. The leaflet assembly has first and second separate leaflets, each of which is comprised of a skirt section and a sinus leaflet section. Each skirt section has a flange portion and a body portion that has a smaller diameter than the flange portion, with the body portion having opposing side edges, and a curved opening defined by a first stitching edge at about the central portion of the body portion. Each sinus leaflet section has an outflow edge, and a curved second stitching edge, with the sinus leaflet section stitched to the skirt section along the first and second stitching edges. The opposing side edges of the body portion of the first leaflet are stitched to the corresponding side edges of the body portion of the second leaflet.

Abstract: A valvuloplasty device comprises an expandable anchor and an expansion member mounted about an outer surface of the expandable anchor. The expansion member is either an annular balloon or a sleeve. The valvuloplasty device can be used for valvuloplasty and for valve implantation.

Abstract: Systems, devices and methods for resizing a valve annulus are described. An implant is delivered proximate a mitral valve, the implant comprising a tubular body and a plurality of piercing helical anchors, the tubular body comprising an proximal diameter and a distal diameter. Tissue proximate the mitral valve is engaged by rotating the plurality of anchors with corresponding rotational drivers. The tubular body may be transitioned from a first structural configuration having the proximal diameter smaller than the distal diameter to a second structural configuration having the proximal diameter larger than the distal diameter.

Abstract: Systems, devices and methods for resizing a valve annulus are described. An implant is delivered proximate a mitral valve, the implant comprising a tubular body and a plurality of piercing helical anchors, the tubular body comprising an proximal diameter and a distal diameter. Tissue proximate the mitral valve is engaged by rotating the plurality of anchors with corresponding rotational drivers. The tubular body may be transitioned from a first structural configuration having the proximal diameter smaller than the distal diameter to a second structural configuration having the proximal diameter larger than the distal diameter.