Abstract: A system and a computer-implemented method of designing and/or manufacturing a post and core to match a bore of a tooth, said method including the steps of: a) obtaining at least one impression of a set of teeth comprising a bore; b) scanning the impression of the set of teeth comprising the bore; c) providing a three-dimensional scan representation of the impression comprising the bore; d) transforming the three-dimensional scan representation to a three-dimensional positive working model of the set of teeth and the bore; and e) designing a post and core model from the positive working model of the bore. In particular, CAD/CAM design and/or manufacture of post and core.

Abstract: There is provided a method of manufacturing a zirconia block for an artificial tooth having a color gradient. The method includes: preparing colored zirconia-based powder and white zirconia-based powder; preparing a plurality of raw materials in which the colored zirconia-based powder and the white zirconia-based powder are mixed in different weight ratios by mixing the colored zirconia-based powder and the white zirconia-based powder while changing a mixing ratio in order to express a desired color gradient; sequentially injecting the plurality of raw materials into a compression mold or a mold frame to mold in increasing or decreasing order of content of the colored zirconia-based powder of the raw material; and calcining a molding result. According to the present invention, it is possible to express aesthetics of a natural tooth by implementing a color gradient of the natural tooth in the zirconia block itself without using porcelain powder or a liquid color set.

Abstract: A process for making a dental restoration includes forming a dental restoration base, selecting a decal representing a natural oral cavity characteristic, and attaching the selected decal to the base. Thereafter, the decal and the dental restoration base are conditioned to create a finished dental restoration having desired oral cavity color and characteristics such as teeth, enamel, dentin, crazing lines, stains, veins, blood vessels, bony coloration, hyper-calcification, mucosal tissue or gum tissue. In an alternative embodiment, the process may include placing a sealant over the decal and at least a portion of the dental restoration base. Additionally, a secondary decal may be attached over the sealant, followed by glazing the secondary decal.

Abstract: The present invention includes apparatuses and methods for making a final hybrid prosthesis to be attached to one or more dental implants. One preferred method includes the step of making a temporary hybrid prosthesis and at about the same time also making a duplicate temporary hybrid prosthesis. The duplicate temporary hybrid prosthesis permits the final hybrid prosthesis to be made with fewer visits to a restorative dentist and with less dental laboratory time than is currently needed when making a final hybrid prosthesis.

Abstract: Syringe tips for use with dental syringes, connectors for connecting syringe tips to a dental syringe, and combinations thereof are described. In one embodiment, a syringe tip has an elastic inner tube with a flexible proximal portion extending proximally beyond a shoulder of an outer tube. An elongate fluid passageway extending from an entrance at the proximal end of the inner tube's flexible proximal portion to an exit at the distal end of the inner tube. The outer tube defines at least a portion of at least one additional elongate fluid passageway. In another embodiment, a syringe tip as described above is provided in combination with a connector that includes a tubular shaped portion adapted to be received within the fluid passageway of the inner tube and wherein the distal end of the tubular shaped member includes fingers adapted to radially expand the inner tube over the tubular shaped member.

Abstract: An approach is provided a device for an electric toothbrush. The device comprises a brush head, a motor and a controller. The brush head has multiple exposed brush sets. The motor is connected to the brush head which is configured for driving the exposed brush sets. The controller drives the motor with a power module, and sensing a current of the motor which drives the motor in a pulse activated mode when the sensed current exceeds the predetermined current threshold. The pulse activated mode will make the bristle tuft rotary motion in a pulsating bristle tuft motions, and a person can be physically noticed through gums and teeth that reminds the person to release the brush pressure. The controller will disable the motor and warn the person if the brush pressure remains in a predetermined period of time.

Abstract: A dental measuring device for three-dimensional measurement of a patient's teeth having projection means with a projection unit 8 to project a measuring structure onto a tooth to be examined. The device also has a camera to capture a measuring structure projected onto the tooth. According to the present invention, the projection unit has at least one UV light source, wherein the power output from the UV light source is selected or can be selected such that light-curing dental materials can be cured by the effect of the UV light, in such a way that the device can be used or is used for curing light-curing dental materials.

Abstract: A slidable locking device for fixing a position of a medical device, includes a housing having a passageway therethrough and an actuator coupled to the housing movable between a locked position and an unlocked position. The actuator includes at least two arms extending therefrom that are operatively coupled with at least two engaging members disposed within the housing, each engaging member having a slot configured to receive a respective arm of the actuator, the engaging members being biased towards the housing passageway, wherein the engaging members are disposed toward the housing passageway when the actuator is in the locked position, and the engaging members are disposed away from the housing passageway when the actuator is in the unlocked position.

Abstract: A method and device for treating hernia by implanting at least one collapsible hernia repair patch, such as a planar mesh body at least partially enveloped by one or more elastic collars. A posterior end of an applicator carrying the repair patch may be inserted through a hernia and into the wall of the abdominal cavity, and the patch may be released into the cavity, e.g., so as to helically deploy the patch such that the patch lies in parallel to the abdominal wall. A balloon, which is removably attached to the patch, may be inflated to help move the patch to a deployed configuration, and thereafter the balloon removed from the hernia site.

Abstract: A central access vena cava filter catheter having a multi-lumen catheter body with plural longitudinally extending parallel lumens within the single catheter body, a vena cava filter member disposed at a distal end of the catheter body and an outer sheath concentrically disposed about the multi-lumen catheter body and the vena cava filter member. The vena cava filter member may be removably coupled to the multi-lumen catheter for temporary placement and retrieval under recommended indications.

Abstract: An intestinal implant includes a proximal anchor self-expandable from a radially compressed position to a radially expandable position for engagement with a wall of the intestinal lumen and a flexible sleeve coupled to the anchor. The sleeve is implanted with the anchor downstream from the pylorus and the sleeve extending further downstream through the intestinal lumen.

Abstract: The invention relates surgical abdominal methods of treating a reflux disease in a patient by implanting a movement restriction device that, when implanted in a patient, restricts the movement of the stomach notch in relation to the diaphragm muscle preventing the cardia to slide up through the diaphragm hiatus opening. Also disclosed is a laparoscopic instrument for providing a movement restriction device to be invaginated in the stomach fundus wall of a human patient to treat reflux disease.

Abstract: A stent for use in a medical procedure having opposing sets of curved apices, where the curved section of one set of apices has a radius of curvature that is greater than the curved section of the other set of apices. One or more such stents may be attached to a graft material for use in endovascular treatment of, for example, aneurysm, thoracic dissection, or other body vessel condition.

Abstract: A modular stent graft system and methods of assembly are disclosed. The stent graft assembly comprises a first stent graft having an interface region at its distal end and a first locking stent secured to an internal surface of the interface region. A second stent graft having an interface region at its proximal end is configured to at least partially overlap with the interface region at the distal end of the first stent graft. The second stent graft comprises a second locking stent secured to an external surface of the interface region. The first and second locking stents are configured to be engaged such that the second locking stent is nested between the first locking stent and an internal surface of the interface region of the first stent graft thereby interlocking the first and second stent grafts to each other.

Abstract: An adjustable construct for fixation of a tendon or ligament graft in a tunnel. The construct comprises a flexible, adjustable loop connected to tissue (for example, graft, ligament or tendon). The adjustable loop may be integrated with an additional tissue supporting device (for example, a wedge or a plug). The tissue is secured within a bone socket/tunnel by adjusting the length of the flexible adjustable loop.

Abstract: A scleral prosthesis includes an elongated body configured to be implanted into scleral tissue of an eye. The body includes (i) opposing first and second free ends and (ii) a pair of first portions that form the first end and part of a remainder of the body between the ends. The first portions are separated along at least about half of a total length of the body by empty space such that the first portions meet at a point between the ends and are not connected to each other between that point and the first end. The ends are wider than the remainder. The scleral prosthesis also includes an insert configured to be placed between the first portions and to substantially fill the empty space. The insert, prior to insertion, includes one or more slots. The first portions include one or more ridges configured to engage with the one or more slots of the insert.

Abstract: A protective cap having finger grips, a window, and port. The protective cap may also have one or more clips (or snaps), one or more relief slots, and/or one or more guides. Protective cap 200 may also have a fill indicator and/or a material relief. An insertion system having a handpiece, a pushrod assembly, a cartridge, and a cap with a window and a port. The cap is configured and dimensioned to couple with the distal end of the cartridge. The insertion system may also have a pushrod with a plunger having a marker configured and dimensioned to indicate axially translation of the pushrod assembly within the handpiece.

Abstract: A prosthetic heart valve for replacing a native valve includes a collapsible and expandable stent having a proximal end and a distal end, and a valve assembly including a plurality of leaflets, the valve assembly being disposed within the stent. The heart valve further includes a plurality of elongated legs each with a first end coupled to the stent and a free end, the elongated legs being configured to transition from an extended configuration to a relaxed configuration. A sealing portion connected to the plurality of legs forms a sealing structure when the legs transition to the relaxed configuration to reduce perivalvular leakage between the implanted valve and surrounding tissue.

Abstract: The invention relates to a valve prosthesis for replacing an atrioventricular valve of the heart, comprising an annular body, to which heart valve leaflets are attached and which can be inserted in the valve annulus of the heart, and further comprising at least one anchoring part, which protrudes from the annular body on the ventricle side and can be anchored in tissue.

Abstract: A system for implanting a heart valve includes a radially self-expandable tubular body having an inflow end and an outflow end and a preformed groove disposed at an outer surface of the tubular body between the inflow end and the outflow end. The preformed groove extends at least partially around the tubular body, and has a circumferential opening facing radially outward of the tubular body. A valve is disposed within and attached to the tubular body, and a trapping member is configured to be moved into the preformed groove and form at least a partial loop around the preformed groove. An insertion member is configured to push the trapping member into the preformed groove. Additionally, a coupling member can provide a releasable attachment between the trapping member and the insertion member.

Abstract: A delivery system for percutaneously delivering and deploying a stented prosthetic heart valve. The delivery device includes a delivery sheath slidably disposed over an inner shaft, and a capture assembly. The capture assembly includes a spindle and a biasing member. The spindle is attached to the inner shaft and defines slot. The biasing member is disposed within the slot and self-transitions from a deflected condition to a normal condition. In a delivery state, the delivery sheath retains the prosthesis over the inner shaft and coupled to the spindle via the capture slot, including a portion of the prosthetic valve being engaged within the slot and the biasing member forced to the deflected condition. In a deployment state, the delivery sheath is proximally withdrawn and the biasing member self-transitions toward the normal condition to eject the prosthetic valve from the capture slot.

Abstract: Disclosed herein are embodiments of a prosthesis and delivery device, as well as methods of use. The delivery device can be composed of an inner retention assembly configured to carry an expandable prosthesis to an in situ target location. The inner retention assembly can slide within an outer elongate hollow member which can cover the expandable prosthesis. The outer elongate hollow member can further be longitudinally collapsed into a receiving member located at the distal end of the outer elongate hollow member.

Abstract: An annuloplasty repair segment for heart valve annulus repair. In one embodiment a multi-stranded cable replaces solid core wire for both the tricuspid and mitral valves. Cable allows for greater deployment flexibility for minimally-invasive surgical (MIS) implant, while still maintaining the required strength and similar tensile properties of solid-core wire. Stranded cable provides a MIS annuloplasty ring with sufficient flexibility in the x-y plane to allow a surgeon to squeeze the ring into a small incision, such as being able to pass through an 18 Fr or smaller catheter, while maintaining structural rigidity under forces exerted on the implanted ring by the cardiac cycle. The particular shape of the annuloplasty ring is fixed using a heat setting process.

Abstract: A percutaneous implant (10) comprises a bone-fixation portion (20), a spigot portion (50) for the attachment of an external prosthesis, and a pear-shaped portion (40) having a porous outer region (44) comprising a mesh of wire mesh material around a central core. The portion (40) is disposed between the spigot portion (50) and a collar (30) which has a plurality of through holes (34) adjacent to its edge. The bone-fixation portion (20) may have extending parallel thereto a plate (72) for attachment to the side of a bone.

Abstract: An anatomically-shaped, human bone graft may be cultivated ex vivo using a bioreactor capable of perfusing large complex porous scaffolds. Scaffolds derived from image-based modeling of a target are seeded with human mesenchymal stem cells and cultivated. A bioreactor configured to house complex three-dimensional scaffold geometries provides controlled flow for perfusion of the cells. Dense uniform cellular growth can be attained throughout the entire scaffold as a result of the medium perfusion. In an embodiment, the bioreactor has a mold into which perfusion medium is pumped under pressure and multiple ports through which the medium exits the mold.

Abstract: A knee prosthesis is provided for use in knee arthroplasty. In one exemplary embodiment, the present invention provides a tibial prosthesis having a tibial baseplate with a fixed medial bearing component and a mobile lateral bearing component. In one exemplary embodiment, the lateral bearing component is secured to the lateral portion of the tibial baseplate utilizing at least one prosthetic ligament. Additionally, in one exemplary embodiment, a stop is provided to limit anterior or posterior movement of the lateral bearing component relative to the tibial baseplate. For example, the stop may be defined by cooperating shoulders formed on the lateral bearing and the tibial baseplate.

Abstract: A prosthesis having: a) a first assembly with a first base portion to be placed against, and operatively secured to, a patient's first bone; and b) a second assembly with a second base portion to be placed against, and operatively secured to, a patient's second bone. The first and second assemblies respectively define first and second surfaces that cooperate with each other to guide articulated movement between the first and second bones. At least one of the first and second base portions is configured to cooperate with a separate first component defining at least a part of one of the first and second surfaces to maintain the first component in an operative state. A second component is configured to define at least a part of the one of the first and second surfaces and can be placed in an operative state selectively in place of the first component.

Abstract: A prosthesis including a magnetic implant approximating the size of a bone to be replaced; a first magnetic bone implant securable to a first bone adjacent the bone to be replaced; and a second magnetic bone implant securable to a second bone adjacent the bone to be replaced. Each of the first and second magnetic bone implants have a magnetic relationship with the magnetic implant. A method of reconstructing a wrist includes removing a patient's scaphoid to create a void. The scaphoid has a plurality of adjacent bones, each of the adjacent bones comprising a surface generally facing the void. The surface of at least two of the adjacent bones is prepared by affixing a magnetic element thereto and a magnetic scaphoid implant is inserted into the void. A magnetic relationship exists between the magnetic elements and the magnetic scaphoid implant.

Abstract: The described devices are spinal implants that may be surgically implanted into the spine to replace damaged or diseased discs using a posterior approach. The discs are prosthetic devices that approach or mimic the physiological motion and reaction of the natural disc.

Abstract: Insertion and expansion devices for use in inserting motion discs, and associated methods of use.

Abstract: A prosthesis system comprises plates that can be positioned against vertebrae and a selected resilient core that can be positioned between the plates to allow the plates to articulate. The selected resilient core can be chosen from a plurality of cores in response to patient characteristics, such as age and/or intervertebral mobility, such that the prosthesis implanted in the patient is tailored to the needs of the patient. The plurality of cores may comprise cores with different resiliencies, and one of the cores can be selected such that the upper and lower plates articulate with the desired shock absorbing resiliency and/or maximum angle of inclination when the one selected core is positioned between the plates.

Abstract: A system and methods for promoting fusion across an intervertebral disc space, the system including a plurality of spinal fusion implants wherein the maximum length of an individual implant less than the maximum depth dimension of the endplate of the inferior vertebral body into which the system of spinal fusion implants is inserted.

Abstract: The present invention involves a system and methods for assembling and implanting a vertebral body implant. The vertebral body implant includes, but is not necessarily limited to, an expandable core body and endplates that can be attached at both ends. Endplates of various shapes, sizes and angles are attachable to the expandable core in a plurality of positions so that a suitable vertebral body implant can be implanted between vertebrae from an anterior, anterior-lateral, lateral, posterior or posterior-lateral approach.

Abstract: A method of manufacturing a composite interbody device includes assembling superior and inferior endplates, this including forming or layering micro-porous titanium on opposing sides of a solid titanium sheet. A first of the opposing sides provides a micro-porous bone interface layer and a second of the opposing sides provides a micro-porous core interface side. The solid titanium sheet therebetween forms a central barrier layer. The inferior and superior endplates are placed in a mold, on each side of a core cavity, with the core interface sides facing the core cavity and the bone interface sides facing away from the cavity. Molten plastic is injection-molded into the core cavity to form a plastic core between the endplates, the molten plastic extruding into pores of the microporous core interface sides. The plastic is set to bond the core with the endplates.

Abstract: An expandable interbody device for implantation within an intervertebral space is provided, together with methods and tools for use therewith. The interbody devices include a leading first and trailing second bearing member configured to expand laterally via connecting portions disposed at the trailing end of the first being member and at least the leading end of the second bearing member. In some forms, the connecting portions have an arcuate configuration. The insertion tool is configured expand the interbody device by holding the first bearing member while shifting the second bearing member.

Abstract: An intervertebral insert member and an instrument for positioning the insert in a space between vertebral bodies in vivo. The insert member is advanced by the instrument into a prepared site located between adjacent vertebral bodies. Upon reaching the appropriate insertion point, the sleeve is retracted and a pivotal motion is imparted to the insert. The insert member is pivotally attached to the distal end of the delivery instrument such that it can be articulated about a pivot point that is located on the insert member until it is properly positioned. The positioning instrument is then released from the insert member and removed from the space between the vertebral bodies. An adjustment screw is available to expand the surfaces of the insert member by displacement of a wedge member within the insert.

Abstract: A cleaning module for cleaning bone stock used in surgical procedures. The cleaning module includes a shell. The shell defines a void space to receive the bone stock. A cutter is located within the void space. A shaving tube is coaxially disposed about the cutter to move at different speeds and/or directions relative to the cutter. When actuated, the cutter rotates to clean the bone stock by cutting soft tissue from the bone stock. A tumble plate reorients the bone stock, while an arm moves across the tumble plate from a disengaged position to an engaged position to press the bone stock into the cutter through a window in the shaving tube. A drive assembly actuates the cutter, shaving tube, arm and tumble plate.

Abstract: A finger actuator, includes a plurality of fluidically interconnected inflatable chambers, wherein each chamber comprises outer walls having an embedded extensible layer selected to constrain radial expansion and freestanding inner walls; and an inextensible layer connected to the chambers at a base of the chambers, the inextensible layer comprising a flexible polymer and having an embedded inextensible layer that extends along the length of the finger actuator.

Abstract: In one aspect, the invention provides methods and apparatus facilitating an adjustable-stiffness prosthesis or orthosis (including approximations to arbitrarily definable non-linear spring functions). Spring rates may be varied under no-load conditions during a walking gate cycle to minimize power consumption. In another aspect, the invention provides methods and apparatus for outputting positive power from a prosthesis or orthosis, facilitating high-performance artificial limbs. In one embodiment of the invention, the positive power is transferred from a functioning muscle to the prosthesis or orthosis, which mimics or assists a non-functioning or impaired muscle. In another embodiment of the invention, the positive power comes from an on-board power source in the prosthesis or orthosis.

Abstract: The present invention mainly relates to knee joint and more particularly to the polymeric composite or nanocomposites based polycentric knee joint.

Abstract: An ankle module for a prosthetic foot can have an adapter portion pivotally coupled to a base portion. The base portion can be coupled to the prosthetic foot. The adapter portion can have a coupling member that removably couples the prosthetic foot to a prosthetic pylon or socket. The adapter portion can also have cylinders housing pistons slidably displaceable within the cylinders. An actuator is selectively actuatable to place the cylinders in fluid communication, allowing a fluid to flow between the cylinders as an angular position of the adapter portion is adjusted relative to the base portion, thereby adjusting the dorsi-plantar position between the adapter portion and the base portion of the ankle module. The actuator can be selectively actuatable to fluidly isolate the cylinders from each other so that the angular position of the adapter portion relative to the base portion remains substantially fixed.

Abstract: Described are various embodiments of an improved endoprosthesis with a device to mitigate or even eliminate Type I endoleaks in AAA stent-graft.

Abstract: Stent embodiments formed of a scaffolding structure are disclosed. Some embodiments may include a valve. A portion of the scaffolding structure may include a lattice structure formed by a plurality of interconnected arms arranged to form quadrilateral-shaped cells, such as diamond-shaped cells. The scaffolding structure may be formed by rows of strut arms arranged as annular segments and adjacent annular segments interconnected by connectors that extend in the longitudinal direction. The scaffolding structure may also be formed by rows of strut arms arranged in a helical pattern. The scaffolding structure has components configured to allow at least a portion of the stent to decrease in diameter in response to an axial force applied to the stent. Further, the components and elements of the stent may be configured to balance transverse forces applied to the stent, thus reducing the incidence of infolding.

Abstract: Biocompatible coatings for medical devices are disclosed. Specifically, polymer coatings designed to control the release of bioactive agents from medical devices in vivo are disclosed wherein the solubility parameters of polymers and drugs are closely matched to control elute rate profiles. The present application also discloses providing vascular stents with controlled release coatings and related methods for making these coatings.

Abstract: A stent device delivery system and method of making. The stent device delivery system includes a stent device and an outer sheath overlaying the stent device in a radially compact, delivery configuration of the stent device. The outer sheath may include a first layer of polymeric material and a reinforcement layer of polymeric material that are laminated together.

Abstract: There is disclosed herein a method of loading a self-expanding stent (10) into a delivery sheath (12) that is by itself strong enough to preserve the stent in a radially compressed pre-deployment configuration, comprising the steps of: (i) compressing the stent (10) to a relatively small diameter; (ii) providing a loading sheath (18) with an inner diameter d1; (iii) with the stent (10) exhibiting an outside diameter of d2, where d2<d1, providing relative translational movement between the stent (10) and the loading sheath (18), whereby the stent is accommodated within the lumen of the loading sheath (18); (iv) advancing the loading sheath (18), containing the stent (10), into the lumen (16) of the delivery sheath (12); and {v} deploying the stent into the lumen (16) of the delivery sheath (12), by withdrawing the loading sheath (18) while restraining the stent (10) from axial movement out of the lumen (16) of the delivery sheath (12).

Abstract: The present disclosure is directed to a branched endoprosthesis comprising a graft component and at least one support component. In various embodiments, the branched endoprosthesis comprises a body portion and at least two leg portions, wherein at least two legs are in an aligned configuration for ease of cannulation. In various embodiments, at least one leg is in an open configuration for ease of cannulation. Cannulation methods are also taught.

Abstract: An elongate hand unit for deploying an elongate implant from the distal end of a delivery catheter. The hand unit has a distal end and a proximal end separated by a hand unit length. The hand unit may include a pull component and a push component. The pull component may include a pull grip sliding on the push component to deploy the implant. The push component may be operatively connected to the push element and include at its proximal end a push surface to receive during deployment of the implant a force that pushes on the push element shaft to resist proximal movement of the implant during deployment. The push component may provide a guide rail that defines a guide path for the pull grip, whereby proximal movement of the pull grip along the guide path deploys the implant.

Abstract: The present embodiments provide systems and methods for deploying at least a portion of a stent, comprising a retaining member having a main body. At least one slot is formed into the main body. The at least one slot comprises a circumferentially enclosed segment and an axial opening. A portion of a stent is restrained from moving radially outward when disposed within the circumferentially enclosed segment, and the portion of the stent is self-expandable radially outward when aligned with the axial opening.

Abstract: A modular catheter system including a sheath projecting distally from a delivery catheter having a main body module An inner core module carrying a stent thereon, the inner core being axially movable through the main body of the delivery catheter and the delivery catheter sheath, a handle member supported by the main body of the delivery catheter, the handle member being selectively axially engageable with the inner core such that the handle member and the inner core move together in an axial direction when the handle member is engaged with the inner core; and an adjustment member supported by the main body, the adjustment member being configured such that rotation of the adjustment member causes the adjustment member to move axially along the main body by either axially sliding the handle member relative to the main body or by rotating the adjustment member.