Abstract: Implants and instruments for providing an ideal trajectory for the insertion of instruments and screws during implantation of an interbody implant in a spinal surgery are disclosed.

Abstract: A method for inserting an intervertebral disc prosthesis into a space between two vertebrae involves inserting the prosthesis partway into the space under constraint to prevent endplates of the prosthesis from articulating, releasing the prosthesis from constraint, and inserting the unconstrained prosthesis farther into the space. In some embodiments, the method involves grasping the prosthesis with a grasping device to insert the prosthesis partway under constraint, loosing the grasping device to release the prosthesis from constraint, and pushing the prosthesis farther into the disc space using the grasping device and/or one or more separate pusher devices. A system includes a grasping device, at least one separate pushing device, and optionally a vertebral spreading device and/or a vertebral midline indicator device.

Abstract: According to various embodiments, a trial system (100) and instruments can be used to assist in confirming that a planned procedure is achieved. In various embodiments, the trial or provisional portions can include markings (110) on a trial or provisional portion to compare to one or more implanted members to ensure an planned position is achieved.

Abstract: A modular femoral prosthesis for use during performance of a hip revision procedure includes a proximal body component, a distal stem component, and a locking bolt. Surgical instruments and methods for use in implanting such a modular femoral prosthesis are disclosed.

Abstract: Disclosed is an external breast prosthesis (1), including an envelope (2) of flexible material with a breast shape, the envelope defining an internal cavity (6) closed by a protective lid (3) of which one face, called the external face (4), is designed to be pressed against the chest of a person, the cavity enclosing a filler and a weighted element intended to adjust the weight of the prosthesis. The weighted element is in the form of a plurality of ballast elements (7) which are distributed along a sagittal axis of the prosthesis substantially perpendicular to the plane of the protective lid.

Abstract: A prosthetic sleeve and sleeve pin alignment device has a support, and a body extending from the support. The body has a cup defining an inner wall surface defining a sleeve-receiving recess having a longitudinal axis and defining a sleeve pin-receiving guide hole to a sleeve-pin receiving pin guide aperture. The sleeve pin-receiving pin guide aperture has a central axis parallel to the longitudinal axis of the sleeve-receiving recess.

Abstract: Disclosed herein is a stent. The stent includes: a stent body in which a plurality of band parts having circumferences formed by supporting parts arranged in a connection state having a zigzag shape are formed in a connection state in which they configure a cylindrical shape; and a spiral support part extended and formed in a spiral wound state from one end portion of the stent body in a length direction toward the other end portion of the stent body in the length direction in a state in which it configures a supporting part of any one point among supporting parts of the respective band parts.

Abstract: In embodiments there is described a cardiovascular tube-shaped lockable and expandable bioabsorbable scaffold having a low immunogenicity manufactured from a crystallizable bioabsorbable polymer composition or blend.

Abstract: An endovascular prosthesis delivery system is disclosed. The system comprises: an inner cannula; a prosthesis releasably secured to the inner cannula, the prosthesis having a radially-inwardly contracted delivery configuration and a radially-expanded deployed configuration, wherein the prosthesis comprises at least two suture loops secured to an outer surface of the prosthesis and circumferentially spaced from each other; a releasable trigger wire extending along at least a portion of the length of the prosthesis, wherein the releasable trigger wire is wound around at least a portion of the inner cannula and wherein the releasable trigger wire engages at least one of the at least two suture loops to retain the prosthesis in the radially-inwardly contracted delivery configuration.

Abstract: Apparatuses and methods for coating and/or loading a medical device with a therapeutic agent prior to or during the placement of the medical device within the patient's body. In one variation, the medical device is coated and/or loaded with a therapeutic agent while the device is positioned in a delivery apparatus. In another variation, the delivery apparatus comprises a reservoir for retaining a therapeutic agent. The user may release the therapeutic agent from the reservoir prior to or during the placement of the device to coat and/or load the device with the therapeutic agent.

Abstract: A sheath for deploying a medical device to a target site in the body of a patient. A tubular inner liner has a proximal portion, a distal portion, and an outer surface. An outer jacket has a proximal portion, a distal portion, and an inner surface. A reinforcing member is received within a length of the outer jacket. The outer jacket is positioned longitudinally around the inner liner and bonded to the outer surface of the liner. The reinforcing member, which may be a triaxial braid, or an encapsulated longitudinal reinforcing wire, extends along the outer jacket length and is configured for inhibiting elongation of the sheath upon deployment of the device.

Abstract: This disclosure pertains, inter alia, to scaffold loading and delivery devices, assemblies, systems and methods of using the same.

Abstract: An intragastric device includes an elongated member having a proximal end and a distal end and an anchor connected to the elongated member. The anchor includes a stem, a first arch and a second arch, and a curvilinear element. The stem includes a proximal end and a distal end. The distal end of the stem is attached to the proximal end of the elongated member. Each arch has first and second ends and a proximal peak therebetween. The first end of each arch is attached to the proximal end of the stem, and the second end of each arch extends radially away from the stem. The curvilinear element connects the second end of the first arch to the second end of the second arch.

Abstract: A gastrointestinal assembly may be deployed within a patient's gastrointestinal tract in order to facilitate drainage of an abscess. The gastrointestinal assembly may include an outer stent and an inner stent disposed within the outer stent. The inner stent divides a volume within the outer stent into a primary passageway through which nutritional contents may pass and a secondary passageway protected from nutritional contents and configured to accommodate a passive drainage system for draining the abscess.

Abstract: Example embodiments of the brace assembly utilize an elastic cross strap attached to mounting facilities about a joint to provide progressive resistance to the extension, flexion or other movement of body parts about the joint. In some embodiments for a knee joint, the brace assembly provides a progressive resisting force to resist hyperextension of the knee. Some embodiments of the assembly may be able to accommodate different joints, different size wearer's of the assembly and different tension settings such as for athletes during competition. Some embodiments of the brace assembly may be used bilaterally and can be made without metal bracing to comply with the requirements of some sports. Some embodiments of the mounting facilities may have through holes.

Abstract: A lordosis adjustable back brace device supports a desired shape of the spine. The device includes a belt for extending around a torso of a human. The belt has a front closure and is positionable in a closed loop. A support panel is coupled to the belt such that the support panel projects from an inner surface of the closed loop towards a center of the closed loop. The support panel abuts the torso and has a curved surface facing the center of the closed loop. A curvature of the curved surface extending between lateral edges of the belt is adjustable.

Abstract: A thoracic lumbar sacral orthosis includes an upper body support for use with a torso orthosis. The upper body support has an anterior assembly including an anterior plate secured to the torso orthosis, a sternal assembly connected to the anterior plate, and a pectoral assembly connected to the sternal assembly. A posterior assembly is connected to the torso orthosis and is connected to the pectoral assembly by at least one strap. The sternal assembly has at least one pivot point arranged to pivot the sternal assembly relative to the anterior plate.

Abstract: A leg support that attaches to a user's leg and extends below the user's foot, where stepping on the portion below the user's foot causes the portion around the user's upper leg to tighten. This allows the leg support and the user's leg to bear the user's weight with the user's foot remaining untouched. When the user takes his or her weight off of the leg support, the portion around the user's upper leg loosens for the user's comfort. The leg support insures that there is zero pressure on the bottom of the user's foot and all of the user's weight and vertical shear pressure is converted into horizontal compression pressure around the user's leg.

Abstract: A folding menstrual cup comprising an outer cup body with a top accommodating cavity formed therein and a round opening provided on the top thereof and the bottom thereof being connected with a flow guiding pipe via a folding part at the side opposite to the opening; a flow guiding pipe providing with a pipe orifice communicating with the top accommodating cavity and a valve controlling communication to the pipe orifice; and a folding part being capable of protruding upward and enabling the top end of the flow guiding pipe to extend into the top accommodating cavity along with the folding part, and capable of straightening downward thereby a bottom accommodating cavity is formed inside the folding part. When in use, the folding part extends into the top accommodating cavity of the outer cup body and is placed in a body.

Abstract: A tongue grasping and restraining device holds the tongue securely during sleep in order to minimize the risk of the tongue slipping back and blocking the throat, a condition known as obstructive sleep apnea. Plural tongue gripping projections are coupled to upper and lower supports. The projections engage and hold the tongue. The upper and lower supports are biased toward one another into a tongue engaging position. The upper support is coupled to the user's upper jaw, for example, to a denture, dental appliance or by upper teeth engaging mechanisms. The lower support can be hinged or otherwise joined to the upper support or can be separate therefrom. A tube and rod mechanism in one embodiment couples the upper and lower supports together. Exemplary methods of manufacturing tongue gripping projections are also disclosed.

Abstract: Devices and methods of treating sleep disordered breathing are provided herein. The devices are designed capable of preventing collapse of an oral airway tissue during sleep while maintaining normal velopharyngeal functions.

Abstract: An improved medical pad for contact thermal exchange with a patient includes a fluid circulation layer for containing a thermal exchange fluid circulatable therethrough, a first port and a second port for circulating the thermal exchange fluid in to and out of the fluid circulation layer, and a hydrogel layer interconnected to and extending across one side of the fluid circulation layer to define an adhesive surface for adherence to a patient's skin. The hydrogel layer comprises an ultra violet light-cured composition that includes a cross-linking copolymer in an amount of between about 15% to 30% by weight of the composition, water in an amount of between about 15% to 40% by weight of the composition, and glycerol in an amount of between about 25% to 35% by weight of the composition. The hydrogel layer is provided to have a thermal conductivity of at least about 1.9 ca//hr-cm-° C.

Abstract: The present invention relates to a therapeutic device capable of alternatingly outputting a low-frequency wave or an ultrasonic wave and heat, and more particularly, the present invention includes: a heat output unit; and a low-frequency wave output unit which generates a low-frequency wave that is outputted alternatingly with heat outputted by the heat output unit, or includes: a heat output unit; and an ultrasonic wave output unit which generates an ultrasonic wave that is outputted alternatingly with heat outputted by the heat output unit.

Abstract: A system is provided for stimulating a portion of skin, the system including at least two electrodes; a motor and an electrical system, the electrical system including a power source; and an end effector operably coupled to the motor and the electrical system, the end effector having at least one embedded electrode, from the at least two electrodes, disposed and operably coupled to the electrical system at which the end effector is configured to be in electrical communication with the portion of skin, wherein the motor is configured to subject the end effector to repetitive movements while contacting the skin to provide mechanical stimulation to the skin, wherein the at least one embedded electrode is configured to serve as a source electrode and another of the at least two electrodes is configured to serve as a return electrode, and wherein the power source is configured to bias the source electrode to the return electrode and form an electric field with the portion of skin.

Abstract: Systems and methods of real-time laser control and modulation for ophthalmic devices are described. The systems and methods can be used for precise laser delivery at sub-micron resolution in both laser treatment and scan imaging processes. In various embodiments, the systems can include a laser delivery device useful for surgical eye treatment, a laser delivery device useful for an ophthalmic scan imaging device, or both. In one embodiment, the system includes a laser surgery device integrated with a scan-based ophthalmic imaging apparatus. In such an embodiment, an eye motion signal obtained from the imaging apparatus can be used to provide fine-tuned control of the operation of the surgical laser beam in the laser surgery device.

Abstract: A method for delivering fluids, drugs, or medications to a patient's eye, and a system or apparatus for implementing the method, is disclosed. The system and method comprises the use of a corneal sponge to be deposited onto the cornea of the patient's eye while the patient's eyelids are maintained in open positions, and a scleral contact lens is disposed onto the sponge. The scleral lens has an irrigation fluid supply tube fluidically connected thereto for supplying a fluid, drug, or medication to the sponge which is saturated with the fluid, drug, or medication. Once the sponge and lens are inserted onto the corneal region of the eye, the patient's eyelids are closed thereby trapping and maintaining the sponge and lens upon the corneal region of the eye so as to permit the fluid, drug, or medication to be continuously supplied and applied to the corneal region of the eye.

Abstract: This application is related to a head-mounted display system and related methods for entertainment, diagnostics, and treatment. The HMD includes various sensors and tools to take physical measurements, perform physical procedures, adjust physical conditions, or manipulate digital data. In some embodiments, the HMD produces different types of sensory stimuli, such as releasing or filtering certain compounds in liquid or aqueous forms in the space near the HMD, or adjusting different physical features of the space near the HMD, such as temperature and flow, to enhance the augmented or virtual reality environment being displayed. In some embodiments, the HMD performs regular monitoring, a specific examination, a surgical intervention, or other care procedures on the eyes automatically or in conjunction with a device of an eye care professional across a computer network to care for the user's eyes in real time or on an ongoing basis.

Abstract: An ophthalmic surgical system includes at least one light source. The light source is configured to output light towards a fluidics cassette so a first portion of the light reflects from a deflectable diaphragm of the fluidics cassette, and a second portion of the light reflects from a reference portion of the fluidics cassette. The diaphragm is configured to deflect relative to the reference portion in response to a pressure associated with a fluid within the fluidics cassette. At least one sensor is configured to receive the first portion of the light reflected from the diaphragm and the second portion of the light reflected from the reference portion. A computing device in communication with the sensor is configured to determine the pressure associated with the fluid within the fluidics cassette based on the received first and second portions of the light. Associated devices, systems, and methods are also disclosed.

Abstract: An ultrasonic phacoemulsification needle with improved safety and manufacturability, comprising: a metal connection body and a plastic needle in a splitting structure. The plastic needle is connected at the distal end of the metal connection body, and the metal connection body is connected to the distal end of an ultrasonic hand piece. The ultrasonic phacoemulsification needle employing a design of splitting the connection body and the needle alleviates the difficulties for manufacturing otherwise caused by the conventional phaco tip designs. It reduces the surgical costs from patients. In addition, the ultrasonic phacoemulsification needle using a plastic body reduces the likeliness of punctuating the capsule bag, which otherwise easily occurs in the metal needle case due to the extremely sharp rigid tip at the end of the needle, thus the risks of surgery are reduced and safety is improved.

Abstract: An ophthalmic measurement and laser surgery system includes: a laser source; a corneal topography subsystem; an axis determining subsystem; a ranging subsystem comprising an Optical Coherence Tomographer (OCT); and a refractive index determining subsystem. All of the subsystems are under the operative control of a controller. The controller is configure to: operate the corneal topography subsystem to obtain corneal surface information; operate the axis determining subsystem to identify one or more ophthalmic axes of the eye; operate the OCT to sequentially scan the eye in a plurality of OCT scan patterns, the plurality of scan patterns configured to determine an axial length of the eye; operate the refractive index determining subsystem so to determine an index of refraction of one or more ophthalmic tissues, wherein at least one of the corneal surface information, ophthalmic axis information, and axial length is modified based on the determined index of refraction.

Abstract: A device for holding and aligning a trephine blade includes an elongated cylindrical component, a first alignment structure and a second alignment structure. The elongated cylindrical component extends along a first axis and comprises a hollow cylinder having an open proximal end, an open distal end, an inner cylindrical surface and an outer cylindrical surface. The first alignment structure is integral and co-planar with the proximal end and comprises a first circle attached to the inner cylindrical surface with one or more radially extending rods. The second alignment structure is arranged parallel to the first alignment structure within the hollow cylinder above the distal end and comprises a second circle attached to the inner cylindrical surface with one or more radially extending rods. The first and second circles are coaxial with the first axis and the first circle comprises a diameter that is greater than a diameter of the second circle.

Abstract: A compression bandage for treating lymphatic edema. The compression bandage includes a bandage body made of a resilient material to be wrapped around the body extremity, with a first group of fastening straps. The fastening straps of the first group are arranged on an end section of the bandage body, are separated from one another by notches in the bandage body, and, in each case, have first fastening elements, by which the respective fastening strap of the first group can be fastened to the outside of the bandage body when the body bandage is wrapped around the body extremity. In order to prevent the swollen body tissue from being able to pass through, between the notches in the first group of fastening straps, a second group of fastening straps is provided, which is fastened to the outside of the bandage body and whose fastening straps are arranged so that they cover the notches when the compression bandage is applied on a body extremity.

Abstract: In some illustrative examples, a bridge suitable for treating a tissue site may include a bridge sealing member and one or more bridge wicking layers. The bridge sealing member may extend along a length of the bridge, and may define an internal passageway in fluid communication between a receiving end of the bridge and a transmitting end of the bridge. The one or more bridge wicking layers may be disposed within the internal passageway of the bridge sealing member. Other apparatus, systems, and methods are disclosed.

Abstract: Systems, kits, methods of manufacturing, and a sealing member for creating a sealed space are described. The sealing member can include a film layer and a first adhesive layer coupled to the film layer. The sealing member can also include a second adhesive layer coupled to the first adhesive layer. A plurality of apertures may extend through the second adhesive layer. Each aperture can expose at least a portion of the first adhesive layer through the second adhesive layer. A plurality of polymer particles may be disposed in the first adhesive layer. The polymer particles can be configured to dissolve in response to interaction with a switching solution.

Abstract: Herein is disclosed a composition comprising: a layer of water-swellable hydrogel, wherein the hydrogel has embedded therein a reinforcement sheet of liquid-water-permeable material, wherein the layer of hydrogel has a wound-facing side and a non-wound-facing side and apertures extend through the layer of hydrogel from the wound-facing side to the non-wound-facing side and through the reinforcement sheet, wherein the mean area of the apertures on at least one of the wound-facing side and non-wound-facing side of the hydrogel is at least 5 mm2.

Abstract: A surgical drain device includes an adhesion matrix of biodegradable polymer material and a plurality of drain tubes attached to the matrix. The device is implanted within a surgical wound to treat the presence of seromas, for example, and is used to promote drainage, tissue adhesion, and wound closure. The drain tubes converge into a common collection tube that leads wound fluid outside the body under gravity feed or negative pressure applied to the collection tube. The matrix contains an array of apertures that allow tissue contact across the device. The device also can include a coating of surgical adhesive and a tissue anchoring system of hooks or barbs. The device can be used with a negative pressure system to further improve the drainage band can also be used with a wound dressing. The device and systems containing the device are particularly useful to promote the healing of surgical wounds from abdominal surgery.

Abstract: Devices, kits and methods described herein may be for wound healing, including the treatment, amelioration, or prevention of scars and/or keloids by applying and/or maintaining a pre-determined strain in an elastic skin treatment device that is then affixed to the skin surface using skin adhesives to transfer a generally planar force from the bandage to the skin surface. Applicators are used to apply and/or maintain the strains, and some of the applicators are further configured to provide at least some mechanical advantage to the user when exerting loads onto the skin treatment device.

Abstract: A unitized cast system for immobilizing and supporting a body part. The unitized casting system includes a first inner layer for padding and dissipating heat against the patient's skin. A second layer is formed from a thermoformable structural material such as perforated plastic. A protective third outer layer is provided to provide insulation for the second layer. These three layers are formed together to form a unitized cast system that is easily formed and applied to the patient.

Abstract: A device for cutting a web of fibrous material including movement means for moving a web of fibrous material to be cut, defining a feed surface for the web and having at least one first cutting zone, at least one laser source configured to generate a laser beam extending along its operating direction towards the first cutting zone to make, on the web, at least one incision extending along a predetermined cutting line, where a portion of the laser beam passes through the web of fibrous material at the first cutting zone. The device also includes recovery means for recovering the portion of the laser beam and at least partly located along the operating direction, at the first cutting zone, in such a way as to intercept the portion of the laser beam and direct it towards a second cutting zone to make a further incision or cut.

Abstract: The present invention generally relates a diaper (1) for infant or adult, comprising, an anterior portion (AP) capable of encapsulating a human anterior pelvic region, a posterior portion (PP) capable of encapsulating a human posterior pelvic region, and a center portion (CP) capable of encapsulating a human pelvic region, couples the anterior portion (AP) and posterior portion (PP) middle region (MR), perpendicularly length-wise.

Abstract: An absorbent article having a front region, a back region, and a crotch region extending between and connecting the front region and the back region generally includes an absorbent assembly extending longitudinally between the front region and the back region, and a waist assembly attached to the absorbent assembly along the front region and the back region. The absorbent assembly includes an inner layer for facing a wearer, an outer layer for facing away from the wearer, and an absorbent structure disposed between the inner and outer layers. The waist assembly defines a waist opening of the absorbent article when the article is in a wear configuration, and includes an elastic laminate including a non-apertured body-facing layer, an apertured garment-facing layer, and an elastic layer disposed between the body-facing layer and the garment-facing layer.

Abstract: The present invention generally relates to sanitary absorbent articles and in particular to disposable feminine sanitary absorbent articles that are extremely thin, highly absorbent and have superior structural integrity properties.

Abstract: The present invention generally relates to a diaper core, specifically a triple leak guard diaper core (1) for infant and adult, comprising: a center core (10) comprising liquid absorbing material (12) and a plurality of hollow sections (14) disposed on the core (10) longitudinally, allowing the core (10) to bend upward or forming a U-channel, and a center core top surface (CCTS) is provided facing a liquid discharge source (16); at least one layer of bottom core wrap (16) encapsulates the center core (10) with a bottom core gap (BCG) disposed on the center core top surface (CCTS); at least one layer of top core wrap (18) is disposed on the bottom core gap (BCG) and the bottom core wrap (16); and at least one layer of acquisition distribution layer (20) is disposed on the top core wrap (18).

Abstract: An absorbent article (20) having an absorbent core comprising at least about 80% of superabsorbent polymers (SAP) by weight of its absorbent material. An acquisition-distribution system (ADS) (50) is at least partially disposed between the absorbent core and the topsheet. The ADS extends in the longitudinal direction of the absorbent article at least from a point A1 disposed at a distance D from the front edge to a point A2 disposed at a distance D from the back edge of the article, D being equal to 32% of the length L of the article. The ADS has a basis weight which may be at least 20% lower at the point A2 than at the point A1.

Abstract: A cast and bandage protector that uses a seal ring but avoids water pooling and seepage. It uses a flexible, stretchable and deformable diaphragm stretched tightly over a seal ring in order to seal the ordinarily open end of a flexible sleeve of waterproof material. The rigid seal ring flexible holder holds the flexible sleeve open and the diaphragm tightly stretches over and above it to minimize water pooling seepage and leaking about the interface of the diaphragm and the limb of the patient wearing the cast and the cast protector.

Abstract: A wheelchair control system and a control method using the same is provided. Firstly, providing a wheelchair which has a back provided with a first sensor and at least one second sensor arranged above the first sensor. The first sensor and the second sensor are electrically connected with a control device. A sitter sits in the wheelchair to trigger the first sensor and the second sensor, whereby the control device controls the wheelchair to operate. When the first sensor and the second sensor are triggered or non-triggered, the control device controls the wheelchair to stop or operate. The present invention controls the wheelchair to operate by changing the posture of the sitter, improves the conventional wheelchair to move by another person, and provides an automatic wheelchair for a sitter with upper limbs that inconveniently move. The sitter only moves his back to control the wheelchair to operate.

Abstract: The invention is a control apparatus for a personal vehicle, in particular for wheelchair (10), the control apparatus comprising: a first motion sensing unit (11) adapted for being mounted on a body part and for determining orientation with respect to an external frame of reference, a second motion sensing unit (12) adapted for being mounted on the personal vehicle and for determining orientation with respect to the same external frame of reference, and a processing unit (13) adapted for outputting an inertial control signal corresponding to a relative orientation of the first motion sensing unit (11) and of the second motion sensing unit (12) determined on the basis of a first orientation supplied by the first motion sensing unit (11) and of a second orientation supplied by the second motion sensing unit (12). The invention is furthermore a personal vehicle provided with the control apparatus, and a control method therefore.

Abstract: A mechanical steering system for a wheelchair to permit a user's foot to pivotably adjust a pair of caster wheels of the wheelchair is provided. The system includes a platform coupled to a frame of the wheelchair, a foot controller assembly pivotably mounted to the platform and having a foot plate to receive the user's foot and a rod coupled to the foot plate, a drag linkage member coupled to the rod of the foot controller assembly, and a pair of lever arm assemblies pivotably mounted to the drag linkage member, each lever arm assembly having a lever rod coupled to a fork member, the fork member being coupled to one of the caster wheels. Pivotable movement of the foot plate is transferred through the drag linkage member to permit both lever rods of the lever arm assemblies to pivot, thereby enabling simultaneous pivotal adjustments of the caster wheels.

Abstract: A device for facilitating movement of a user between upright and seated positions relative to a piece of furniture such as a couch is disclosed. The device includes at least one portion to be gripped by the user and at least two stabilizing the device under the furniture cushions during operation thereof.

Abstract: The invention is directed to a hydraulic assisted machine in the form of a wheelchair that aids in handicapped personnel with many types of disabilities, aids with medical personnel, caregivers, hospitals, rehabilitation services, etc. also providing little to no assistance for the disabled. The materials used for construction of such machine is a structured based metal, or metallic alloy, rubber, plastic metal, polyester, and leather. Special features enabled in the wheelchair are: Hydraulic lift with springs, armchair remote, Lift assist tilting. This invention provides for a wheelchair including a hydraulic pump below the patient seat panel actuated using a remote or a hand gear or a push button to lift the user to their feet without limited or no help.