Abstract: A three-pin skull clamp, including a U-shaped frame defined by an interconnectable base piece with a slot that receives the ratchet arm of a ratchet piece, also includes a plate movably connected to the base piece, thereby to permit inspection and cleaning of the slot which receives the ratchet arm. To increase the adjustability of the ratchet piece relative to the base piece, the base piece includes at least two pawls with offset engagement teeth, preferably with the offset equal to half the pitch of ratchet teeth located along the ratchet arm. This feature facilitates positioning of the skull clamp relative to a patient, and is particularly beneficial for radiolucent skull clamps.

Abstract: A system and method for instrument placement using an image based navigation system is disclosed. A target of interest is identified in a medical image of a patient. An image plane is displayed that goes through a center of the target. The image plane has a configurable orientation. The image plane is used to select a path for an instrument from a position on the patient's skin to the center of the target. A trajectory plane is viewed from a tip of the instrument to the center of the target. The trajectory plane reflects an orientation of the instrument. A particular trajectory plane is selected that is representative of a desired orientation of the instrument. An image of the particular trajectory plane is frozen. The instrument can then be inserted using a virtual guide and is navigated toward the target.

Abstract: The present invention relates to a medical pendant lifting system, comprising a main frame, a driving device, a transmission device, a main body component, a first connecting rod, a second connecting rod, a third connecting rod and a connecting head, wherein the driving device drives the main body component and the third connecting rod via the transmission device; the driving device is connected to the main frame by a first rotating shaft; the main body component is connected to the main frame by a third rotating shaft, connected to the output component of the transmission device by a second rotating shaft, connected to the connecting head by a fifth rotating shaft, and connected to the second connecting rod by a sixth rotating shaft; the third connecting rod is connected to the main frame by a fourth rotating shaft, and connected to the second connecting rod by a seventh rotating shaft; the first connecting rod is connected to the second connecting rod by a ninth rotating shaft, and connected to the connecti

Abstract: A dental tool having a handle with a first and second end, the first end having a cross sectional shape of a first side being half tetrahedral with rounded concave scoops terminating in a blade, the blade having an upturned point on the first side of said end and a brush on the first end. The brush may be extended from the end of said blade or positioned on the upper ridge of the tetrahedral side. The first end may have opposing tetrahedral sides with brushes along the central ridge defining the tetrahedral side. The opposite end of the tool may have a spoon shaped extension that is angled.

Abstract: A set of at least three endodontic files, the first file of the set being entirely non-landed and tapered and having a diameter at its tip end which is smaller in diameter than that of a second and a third file of the set at their respective tip end, and the second and third files each having the following characteristics: a machined length, preferably 16 mm, having cutting surfaces thereon and starting at a tip end and extending less than the overall length of the file (preferably 25 mm); an active length starting at the tip end and extending to at least half of the machined length, the active length being tapered; a non-active length extending a remainder of the machined length, the non-active length being non-tapered; and the active length being landed in the first one-third and non-landed in the remaining two-thirds of its length.

Abstract: A dental treating apparatus according to the present invention includes: a hand piece; a head unit; a driving unit; a resistor for load detection; a load comparing unit; and a control unit. The hand piece drivably holds a cutting tool on the head unit. The driving unit drives the cutting tool in a normal rotation direction or in a reverse rotation direction. The resistor for load detection detects a load applied to the cutting tool. The load comparing unit compares the detected load and a reference load each time driving for rotating the cutting tool in the reverse rotation direction by a predetermined rotation angle is performed. The control unit controls the driving unit based on a result of comparison by the load comparing unit.

Abstract: Implants for anchoring within bone are provided herein. An implant may include at least one thread extending around a core in a plurality of turns from the coronal region to the apical region. The thread(s) has a thread outer diameter that may define a cylindrical portion, wherein the thread outer diameter remains constant for more than one turn around the core, and define a conical portion, wherein the thread outer diameter decreases at a thread diameter decrease rate in the apical direction. The thread(s) may have a plurality of notches spaced radially and longitudinally from one another. The notches may be partially notched to reflect a portion of a semi-spherical surface and partially notched to reflect a portion of a semi-cylindrical surface.

Abstract: Molded member made of form-stabilized material, comprising at least one first component and one second component, characterized in that the second component has a different pigmentation than the first component and the second component is disposed inside the first element, forming a boundary surface, in such a way that the boundary surface represents a spatially curved surface.

Abstract: An intraoral biofilm control apparatus including a suction unit, a suction chamber positioned within and in communication with an inner space of the suction unit, a tubular connection member operably connected to and extending into the suction chamber, and an angular head member adjustably connected to an upper end of the tubular connection member is provided. The suction chamber, in communication with the suction unit, creates a negative air pressure in an inner space of the suction chamber. The angular head member in fluid communication with the suction chamber via the tubular connection member, contacts and suctions the intraoral biofilm from the intraoral areas into the inner space of the suction chamber when the negative air pressure is created. The angular head member having an angularly curved suction tip configurably accesses the intraoral areas. The angular head member having a suction plate suctions the intraoral biofilm from intraoral tongue areas.

Abstract: The brush head of the toothbrush has filaments that are pointed at one end and led through clearances in the bristle carrier. These filaments have a length of about 10-20 mm. The tips of the pointed filaments produce a height profile other than that of a plane and the ends of the pointed filaments that are remote from the tips are melted.

Abstract: The invention relates to the use of a semi-occlusive flexible flat wound dressing having a wound contacting layer consisting of an elastomer or a thermoplastic elastomer component in which hydrophilic polymers are embedded, for treating contaminated wounds in animals, in particular in the region of the body limbs.

Abstract: The invention relates to an implantable actuation mechanism, which can be switched between two stable positions, for an implant which can be switched between states or positions, having a support element which has an assembly plate for support at a bone and having a spring-loaded actuation element which is movable relative to the support element, which extends through the support element and which is connected by means of a cable to an activation part initiating a change between the two positions of the implant and provided at the other side of the support element. In accordance with the invention, the spring-loaded actuation element has a guide ring having more than one prolongation, wherein the prolongations are guided in a guide link such that they can latch into two latch positions defining the aforesaid positions under a spring load.

Abstract: A surgical implant includes at least two porous film layers each having a plurality of pores. The porous film layers are in a stacked configuration and are interconnected to one another at a plurality of attachment points to define at least one void between the porous film layers.

Abstract: Extracellular matrix (ECM) constructs having a biodegradable support scaffold and an anchoring mechanism, which includes a plurality of biodegradable microneedles that are capable of piercing tissue and anchoring therein. In a preferred embodiment, the support scaffold and anchoring mechanism comprise an ECM material. In some embodiments, the microneedles are also capable of administering a biologically active agent and/or a pharmacological composition to the engaged tissue.

Abstract: Provided are devices, systems and methods of selectively controlling air flow into one or more section of a patient's lungs. In particular, the devices may be valve devices having an inner lumen configured to transition between a first diameter and a second diameter smaller than the first diameter to control the airflow through the valve.

Abstract: A method for bonding a graft material to a support element employing a silane coupling agent, and a medical device obtainable by the method. A medical device including a graft material bound to a support element by a plurality of silane linkages is also described.

Abstract: A system for an anatomical joint includes a first fastener, a second fastener, a prosthetic ligament member, and a biasing member associated with at least one of the first and second fasteners. The first fastener is operable to be connected to a first bone portion. The second fastener is operable to be connected to a second bone portion. The prosthetic ligament member is flexible and is directly coupled to both the first and second fasteners to support the first bone portion and the second bone portion for relative movement. A portion of the prosthetic ligament member extends from the first fastener to the second fastener and has an adjustable length. The biasing member is operable to bias the prosthetic ligament member to thereby maintain tension in the prosthetic ligament member.

Abstract: Methods and devices are disclosed for breast reconstruction surgery. An implantable fixation device is attached to pectoralis muscle tissue and a tissue graft that forms a sling for supporting a tissue expander or permanent breast implant. The implantable fixation device provides flap stabilization of overlying skin and reduces breast reconstruction complications such as seroma formation.

Abstract: A method of preventing rejection of an implant in the eye, includes forming a flap in the cornea of the eye, inserting an implant under the flap, cross linking corneal tissue surrounding an implant to make the corneal tissue surrounding an implant less vulnerable to enzymatic degradation, inserting polymeric material under the corneal flap so as to overlie corneal tissue, compressing a layer of the cornea from outside using a lens having a predetermined curvature to correct refractive error of the cornea, and cross linking corneal tissue that the polymeric material overlies.

Abstract: An intraocular lens wherein an outer edge of a support part has a curved concave shape at a base thereof and extends therefrom toward a tip thereof with a curved convex shape having a radius of curvature of 5.25 to 7.50 mm. In a region where a Y coordinate of an orthogonal coordinate system is 1.0 mm or greater, an origin of the coordinate system being a geometric center of an optical part, an inner edge of the support part is positioned between shapes obtained by offsetting the outer edge of the support part by 0.2 mm and by 1.0 mm towards the X-axis origin. The tip of the support part is positioned in a region where the Y coordinate is greater than a radius of the optical part, outside a circle with a radius of 5.0 mm centered on the origin.

Abstract: An accommodating intraocular lens for providing a range of accommodative vision includes a deformable optic. The deformable optic includes a plurality of layers that have a progressively increasing hardness and/or refractive index characteristic from the outermost layer to the innermost layer to provide a range of accommodative power.

Abstract: A Double Accommodating Intraocular Lens (DAIOL), which not only axially moves its flexible optic to accommodate, but also peripherally compresses or decompresses the optic to change its convexity or power, thus, double accommodating simultaneously upon contraction or expansion of the ciliary muscles and subsequently the lens capsule. The DAIOL includes a deployable semi-rigid or elastic haptic assembly and a flexible single optic. The DAIOL is further composed of three or four ring haptics and three or four deployable resilient lazy tongs, attached to a single elastically flexible plate encompassing a flexible optic. Accordingly, the radial compression of the capsular bag by the contraction of the ciliary muscles axially moves and radially compresses the flexible optic in the lens and vice versa upon radial expansion of the capsular bag, backward axial movement, and decompression of the optic, due to the resilient lazy tongs action, for double accommodation.

Abstract: A modular IOL system including intraocular primary and secondary components, which, when combined, form an intraocular optical correction device, wherein the secondary component is placed on the primary component within the perimeter of the capsulorhexis, thus avoiding the need to touch or otherwise manipulate the capsular bag. The secondary component may be manipulated, removed, and/or exchanged for a different secondary component for correction or modification of the optical result, on an intra-operative or post-operative basis, without the need to remove the primary component and without the need to manipulate the capsular bag. The primary component may have haptics extending therefrom for centration in the capsular bag, and the secondary component may exclude haptics, relying instead on attachment to the primary component for stability. Such attachment may include actuatable interlocking members.

Abstract: An intraocular lens delivery system has an injector body, a plunger, a nozzle portion, and a heater. The plunger is slidably movable within the injector body. The nozzle portion is located on a distal end of the injector body and has a hollow interior adapted for receiving the intraocular lens. The heater is integrated with the intraocular lens delivery system and is adapted to heat the intraocular lens.

Abstract: A medical implant including an anchor portion including a plurality of arms adapted to engage an internal tissue wall of a body from two opposite faces, wherein the anchor portion is configured such that at least one of the arms does not have an entirely overlapping arm on the other side of the wall and an opening portion adapted to define an opening for blood flow through the internal tissue wall, when the anchor portion engages the wall.

Abstract: A prosthetic heart valve is provided with a cuff having features which promote sealing with the native tissues even where the native tissues are irregular. The cuff may include a portion adapted to bear on the LVOT when the valve is implanted in a native aortic valve. The valve may include elements for biasing the cuff outwardly with respect to the stent body when the stent body is in an expanded condition. The cuff may have portions of different thickness distributed around the circumference of the valve in a pattern matching the shape of the opening defined by the native tissue. All or part of the cuff may be movable relative to the stent during implantation.

Abstract: A system and process for placing a percutaneous valve device in a body lumen at the location of implantation is provided, which enhances the accuracy of the placement. Anchors and placement wires are used to fix the implantation target and guide the device to the implantation site. The system and method are applicable to preassembled percutaneous valve devices as well as a modular prosthetic valve device. The modular valve device comprises two or more device modules and is designed to be delivered unassembled and then assembled in the body lumen at or near the site where implantation occurs. The device modules may be assembled before or after the implantation target is fixed with the anchor, and then placed using the placement system in a manner similar to how a preassembled percutaneous valve device may be placed in accordance with the invention.

Abstract: A prosthesis can be configured to grasp intralumenal tissue when deployed within a body cavity and prevent axial flow of fluid around an exterior of the prosthesis. The prosthesis can include an expandable frame configured to radially expand and contract for deployment within the body cavity, and an outer skirt positioned annularly around an exterior of the expandable frame. In some embodiments, the outer skirt can extend outward from the frame and be secured to an outwardly extending anchor on the frame to create an axial barrier to fluid flow exterior to the frame when deployed within the body cavity.

Abstract: Apparatus is provided, including: (1) a delivery tube, transluminally advanceable to the heart of the subject; (2) a prosthetic valve support, configured to support a prosthetic valve at a native valve of the heart, and including an upstream support portion, the upstream support portion: (A) having a working configuration in which it is generally annular and (B) having a delivery configuration in which it defines a channel, and is configured to be disposed within the delivery tube; (3) a tissue anchor, slidable through the channel; and (4) an anchor driver. The anchor driver is slidable within the delivery tube and the channel, and configured to anchor the upstream support portion to tissue of the heart by driving the tissue anchor through the upstream support portion and into the tissue, while at least part of the upstream support portion is disposed within the delivery tube.

Abstract: The present invention relates to a complex support body for regenerating bone-cartilage, a method for manufacturing thereof, and a composition for treating bone and cartilage related diseases comprising the same as an active ingredient, and more particularly, to a complex support body for regenerating bone-cartilage, which comprises a bone regeneration layer consisting of a biodegradable polymer and a biocompatible ceramic, and a cartilage regeneration layer, which is coupled to the bone regeneration layer and in which cells that can be differentiated into cartilages cells are fixed; a method for manufacturing thereof; and a composition for treating bone and cartilage related diseases comprising the same as an active ingredient.

Abstract: A prosthesis system includes at least one stem including a cavity, a plurality of heads having a head coupling portion, at least one first coupler including a first upper coupling portion and a first lower coupling portion, the first upper coupling portion configured to couple with the head coupling portion of each of the plurality of heads and the first lower coupling portion configured to couple with the stem with a predetermined version angle and a predetermined inclination angle, and at least one second coupler including a second upper coupling portion and a second lower coupling portion, the second upper coupling portion configured to couple with the head coupling portion of each of the plurality of heads and the second lower coupling portion configured to couple with the stem with any of a plurality of version angles and any of a plurality of inclination angles.

Abstract: An implant having components comprising an oxidized zirconium bearing surface adapted to decrease pain, lower friction, and minimize wear when coupled with natural femoral articular cartilage. The implant components also provide for reduced backside wear effects in fixed and mobile implants. The implant components further provide for more ideal wear coupling between components in mobile bearing implants.

Abstract: Various embodiments of methods for obtaining kinematic information regarding a joint, including information regarding the joint in a weight-bearing position, are disclosed, as well as methods of designing implants, instruments, and surgical repair systems based on the kinematic information.

Abstract: A cage assembly for implanting between and securing together two portions of bone in a tibial tuberosity advancement includes an elongated cage body having a first end and a second end, and a securing member. The first end of the cage body and the securing member are engagable with each other so as to interlock in a manner that prevents the securing member from moving longitudinally away from the cage body. The securing member is arrangable, when interlocked with the cage body, such that it has a portion which extends laterally outwards beyond each opposing side of the cage body for use in attaching the securing member to the portions of bone. Different sizes of securing member may be engaged with the cage body. The cage assembly therefore provides a convenient and flexible approach to tibial tuberosity advancement procedures.

Abstract: An endoprosthesis for replacing the ankle joint includes a lower component which is configured to be connected to the ankle bone, an upper component which is configured to be connected to the shin bone, and an intermediate part which forms a slide joint both with the lower and upper components. The intermediate part, which is wedge-shaped in sagittal section, is provided in order to compensate for anatomical or surgical irregularities. The upper component can also be wedge-shaped in frontal or sagittal section.

Abstract: The present application generally relates to orthopedic systems, and in particular, to systems including independent plates and spacers. A plating system can include a spacer and a plate that is independent from the spacer. A number of locking mechanisms can be provided to secure the plate to the spacer. In some cases, the spacer includes a pair of notches that extend on an outer surface of the spacer. The plate can include a pair of lateral extensions that can engage the notches to secure the plate to the spacer. In other cases, the spacer includes an opening including a pair of inlets. The plate can include an enclosed posterior extension that can be received in the pair of inlets to secure the plate to the spacer.

Abstract: A height measuring tool may include a body member configured to releasably couple to an implant component. A slidable member having a distal end surface may be coupled to the body member. A height reference member may also be coupled to the body member. Movement of the sliding member in a distal direction in relation to the body member may cause corresponding movement of the height reference member in the distal direction when the sliding member is engaged to the height reference member and the height reference member is in an unlocked state. Generally, when an implant component is attached to the height measuring tool, a user may insert the implant component at least partially into a bone, with the slidable member and the height reference member used in conjunction to objectively mark off a height of the implant component relative to the bone.

Abstract: A surgical instrument includes a body extending between a first end and a second end and includes at least one mating element engageable with an interbody implant. A first member is disposed with the body and engageable with the interbody implant to move the interbody implant between a first configuration and a second, expanded configuration. A second member is disposed with the body and engageable with the interbody implant to fix the interbody implant in a selected second configuration. Systems and methods are disclosed.

Abstract: An in-situ formed spinal implant is provided, including an elongate strip having a proximal end and an opposite distal end, the strip having a plurality of spaced teeth disposed along edges of the strip. The strip has a generally arcuate or concave cross-section and is configured for being coiled into a spiral from the proximate end to the distal end for placement between adjacent spinal vertebrae, such that upon formation of the coiled shape, the teeth on a first edge engage one of the vertebrae, and teeth of an opposite, second edge engage the other of the vertebrae.

Abstract: A bone sizing guide for assessing the size of an end of a bone includes a body (6) having a foot component (2) with a first surface (10) to rest against an end surface of the bone and a foot (12) extending transverse to the first surface to contact a side surface of the bone. A superstructure (40) is coupled to the body so that the superstructure can slide relative to the body towards and away from the body, at least one of the superstructure and the body being adjustable so that the rotational direction in which the superstructure extends relative to the foot component about a first axis extending transverse to the first surface is adjustable. A stylus (53) extends from the superstructure transverse to the first surface of the body, the stylus having a tip to contact a surface of the bone, and a scale (64) is coupled to or formed on a first one of the superstructure and the body. An indicator (52) is coupled to or formed on a second one of the superstructure and the body to identify a position on the scale.

Abstract: The socket system includes a socket and a vacuum liner. A one-way valve is positioned within the closed distal end of the socket and provides controlled fluid communication between the interior socket space and an external environment. The closed distal end of the vacuum liner includes a distal portion formed of a higher durometer elastomeric material than the surrounding portions of the liner, and including a concave section extending from an external surface thereof towards the interior liner space. The socket, on the interior of the closed distal end thereof, includes a receiving portion that corresponds to and receives the distal portion of the vacuum liner (e.g. matching the perimeter and depth of the distal portion). The receiving portion includes a bottom surface (e.g. a flat surface) opposite to the concave section of the vacuum liner when received therein, and defining an exterior liner space therewith.

Abstract: An endoluminal prosthesis that includes a support structure having a plurality of struts and an anchor that is attachable to the support structure. The anchor includes an anchor body and one or more barbs extending outwardly from the anchor body. The anchor body includes a cannula having a first end, a second end, and a middle section. The middle section includes a plurality of open portions arranged in a plurality of arrays around the anchor body.

Abstract: A method of manufacturing a tubular medical implant is provided. The method includes forming a hollow first tube with a first diameter and a first plurality of pores formed thereon and a hollow second tube with a second unstretched diameter and a second plurality of pores formed thereon. The second unstretched diameter is greater than the first diameter. At least a portion of the first tube slides within the second tube to create an overlapped area of the first tube and the second tube. The first tube and second tube are then bonded together in the overlapped area.

Abstract: Devices, systems, and methods for the prevention of stroke. Devices and systems hereof comprise stents configured to fit within at least part of an artery extending from an aortic arch, and at least one component comprising parallel convex struts for diverting emboli from entering an artery when the component is positioned at or near its ostium. The stents and the deflection component(s) are coupled in a linked configuration. Additionally, a retrieval system is provided, the retrieval system comprising a sleeve catheter and a retrieval device slidably disposed therein. The distal end of the retrieval device comprises an attachment portion configured to engage a device positioned within an artery extending from the aortic arch.

Abstract: A catheter for detachably receiving an expandable and/or decollapsible or unfoldable, respectively, implant, in particular a stent may include at least one assembly for controlling the expansion and/or the unfolding or decollapsing, respectively, of the implant from a first diameter to a second diameter and/or its return back from the second diameter to the first diameter. Furthermore, an implant, in particular a stent, and a set including a catheter and an implant are proposed.

Abstract: Systems and methods are disclosed for delivering a stent to a lumen internal to a body of a patient and for sheathing a stent just prior to an insertion procedure. One embodiment comprises a delivery device having a partially sheathed configuration, a fully sheathed delivery configuration, and a deployed configuration. A panchor (combination pusher and anchor) is configured to engage and limit proximal and distal movement of the implantable device. An outer sheath surrounds a distal portion of an inner member and retains the implantable device near the distal end. The outer sheath is slidably moveable relative to the inner member to deploy the implantable device. Proximal movement of a trigger results in movement of the outer sheath to deploy the implantable device. A sheathing mechanism is configured to crimp and fully sheathe the implantable device prior to a deployment procedure.

Abstract: A device and method for deploying an endoluminal sleeve is disclosed. The endoluminal sleeve has a proximal end that is rolled with a thread. The distal end is disposed about a balloon and can be expanded to contact the lumen wall. An adhesive holds the sleeve in place and the endoluminal sleeve is unrolled. The balloon is deflated and moved to a second location. The balloon is then inflated again expanding the endoluminal sleeve proximate the second location.

Abstract: A medical device-includes a polymer scaffold crimped to a catheter having an expansion balloon. The scaffold is crimped to the balloon by a process that includes inflating the delivery balloon during a diameter reduction to improve scaffold retention. A crimping temperature is maintained at about the onset of glass transition of the polymer material to facilitate more rapid stabilization of mechanical properties in the scaffold following crimping.

Abstract: A medical device-includes a scaffold crimped to a catheter having an expansion balloon. The scaffold is crimped to the balloon by a process that includes one or more balloon pressurization steps. The balloon pressurization steps are selected to enhance scaffold retention to the balloon and maintain a relatively uniform arrangement of balloon folds about the inner surface of the crimped scaffold so that the scaffold expands in a uniform manner when the balloon is inflated.

Abstract: A sealing device attached to an intragastric balloon device having a head flexibly attached to a body by a pivot portion, where the pivot portion provides the head with a closed state and an open state relative to the body and the intragastric device. The sealing device having one or more plugs configured to seal an aspiration port of a lumen when the head is in a closed state and further configured to release the aspiration port of the lumen when the head is in an open state.