Abstract: A dental handpiece and a dental cleaning procedure are disclosed. The dental handpiece includes an inner barrel for rotatably retaining an ultrasonic insert, the inner barrel configured for contacting the ultrasonic insert with a cooling fluid in the inner barrel, a coil unit arranged and disposed to apply an alternating magnetic field to the ultrasonic insert when positioned in the inner barrel, an outer sheath extending around at least a portion of the coil unit. The dental handpiece includes flow regions permitting steam, chemicals, and heat to flow into the inner barrel and out of the inner barrel during a sterilization technique. The dental cleaning procedure includes operating the dental handpiece and autoclaving the dental handpiece.

Abstract: A depth limiting bur is provided. The depth limiting bur can include a cutting head with a diameter of at least two millimeters, a depth cut limiter with a convex surface, and a rod.

Abstract: The present invention involves the field of numerous types of compounds including tooth whitening compounds and in particular, to specific apparatus which are used to retain tooth whitening compounds and then dispense them either into a dental tray where the tray is placed over the patient's teeth for a period of time or the tooth whitening compound is directly applied to the patient's teeth by the dentist or the dental assistant. More broadly described, the present invention includes compound and applicators used to dispense the compounds including tooth whitening compounds, dental bonding and filling compounds, adhesives, finely ground powder, jells, creams and paints.

Abstract: A dispensing apparatus for a flowable component includes a storage container having a storage chamber for the reception of the component, a filling opening and a dispensing opening. A piston is displaceably arranged within the storage container in the direction of an expulsion direction. Moreover, dispensing apparatus includes an actuation element by which the piston can be displaced stepwise in the direction of the dispensing opening. After release of the actuation element actuation element is displaced from a final position into a starting position by a spring.

Abstract: An apparatus and method define a fit of a set of upper and lower teeth of a patient by generating a computer representation of the teeth; and determining an occlusion from the computer representation of the teeth using one or more keys.

Abstract: An orthodontic appliance can easily achieve and ensure movement of correction target tooth row in a desired direction and achieve highly predictable treatment is provided while anchorage is satisfactorily ensured. A correction device includes a grip member formed to fit to an inner shape of an oral cavity of a patient so as to grip and cover a tooth row, gum parts, and alveolar bone parts of the patient. The correction device includes a first piece 20 covering an area extending from a crown part to a periphery of a cervical part of a correction target tooth and a second piece included in the grip member. The correction device further includes a force applying member 30 provided to connect the first piece 20 to the second piece 10 and configured to move the correction target tooth in a desired direction.

Abstract: An indirect bonding tray includes a least on tooth position each tooth portion includes an occlusal surface that conforms to an occlusal surface of an associated tooth of a patient's dentition. At least one of bracket arm includes a bracket arm tip configured to engage an orthodontic bracket. The at least one bracket arm movably attached to at least one tooth portion to move between a first position and second position relative to a bonding surface of the associated tooth. In the second position, the bracket arm is in a position configured to hold an orthodontic bracket in a predetermined treatment position relative to the bonding surface of the associated tooth.

Abstract: A bracket system for orthodontic appliances including a bracket combinatorial library having a plurality of brackets each interchangeably fixedly mountable to each of a plurality of teeth within a dentition group in a dental arch, whereby the plurality of brackets can be configured to provide incremental variation in tipping force moments, in-out force moments, and torqueing force moments over the entire useful range of orthodontic mechanics, allowing an orthodontic practitioner to prescribe a combination of tipping force moments, in-out force moments, and torqueing force moments unique for each tooth in relation to the plurality of teeth of a patient.

Abstract: A patient-specific bone implant has a porous body with a core material covered with tantalum. It is made with unique outer dimensions selected to match a specific patient.

Abstract: The invention relates to bone implants, namely screw-type implants and, more particularly, to a self tapping dental implant having at least two helical grooves running in opposite directions around the implant.

Abstract: Endodontically treated teeth can be restored with porcelain facial veneer restorations-layering ceramic and porcelains. The method includes the steps of providing a cement material for preventing microleakage into gutta percha and for forming a post-barrier space. A rhomboid access inlay-shaped porcelain core is provided with an anatomical post extension extending below a level of an existing crest of bone into a root canal space, the length of the post extension being less than one-half the length of a root canal. The modified post is seated into a post barrier cement to prevent the egress of moisture or bacterial microleakage to the apex of the root canal.

Abstract: The present application describes a method for designing and manufacturing an implant-supported denture device for a patient. A method is described for designing a virtual denture and manufacturing an implant-supported functional fitting replica denture from the virtual denture. An apparatus comprising a functional fitting replica denture is prepared having denture teeth having a fit substantially similar to the final denture. The methods and apparatus described herein reduce the number of visits required to manufacture the final denture.

Abstract: A cannula for evacuating irrigation fluid, saliva and/or blood for use in the dental field is formed of three interconnected tubular conduits and includes two hollow tube members one of which includes a first aperture formed on a buttressed plate parallel to the first tubular member, a second aperture being located on an upper part of the distal portion of the second tubular member allowing simplified placement and removal by engaging forceps in the apertures and use of the cannula with a first branch of the cannula inserted between the teeth and the tongue of a patient and the second branch of the cannula inserted between the teeth and the cheek of the patient.

Abstract: A dental diagnosis device has an occlusion sound detection member that detects occlusion sounds by teeth and an analysis member that analyzes the teeth occlusion based on detected occlusion sounds by the occlusion detection member. The occlusion detection member comprises a sucker shaped suction member that sticks to a tooth, a hollow passage connected to a through-hole installed in the suction member and it is operably controlled to appropriate negative pressure by which the suction member is adhered to a tooth, and a detection member connected to the suction member, which detects occlusion sound via the suction member.

Abstract: The device for verifying parallelism of abutment teeth for dental appliance insertion provides a visual indicator for a dental practitioner for determining parallelism in a pair of abutment teeth. The device for verifying parallelism of abutment teeth for dental appliance insertion includes a housing having a top end, a bottom end, and longitudinally-extending slot formed therethrough. First and second rods are received within the longitudinally-extending slot and are longitudinally slidable therein, with each of the first and second rods extending laterally (i.e., perpendicular to the longitudinal direction) through the longitudinally-extending slot. First and second plates are respectively suspended from central portions of the first and second rods and are longitudinally slidable through an opening formed through the bottom end of the housing. First and second ratcheting mechanisms respectively limit rotational movement and rotational direction of the first and second plates with respect to the housing.

Abstract: A urinary incontinence device for insertion in a urethra of a user. The device includes a non-absorbent body having an outer surface, the body having a leading end and a trailing end; a removal mechanism having a first end attached to the body and a portion of the removal mechanism located outside the user; a portion of the body having a generally bulbous shape for positioning within the urethra and providing a seal within the urethra preventing urinary leakage from the urethra; and a coating applied to the outer surface of the body for engaging a wall of the urethra and securing the device within the urethra of the user. Another embodiment relates to a method of controlling urinary incontinence comprising: engaging an applicator with the body of the device and introducing into the urethra the device wherein the device is positioned in the user's bulbar urethra.

Abstract: In one embodiment, a medical device includes a resorbable material that is configured to be disposed within the body of the patient proximate a bodily implant. The resorbable material is configured to frictionally retain the implant in place within the body of the patient for at least a period of time. In one embodiment, a kit includes an implant and a resorbable material. The implant is configured to be disposed within a body of a patient. The resorbable material is configured to be disposed within the body of the patient proximate the implant to frictionally retain the implant in place within the body of the patient for a period of time. The resorbable material is configured to be resorbed by the body after the period of time.

Abstract: Devices and methods for intra-vaginal bowel control.

Abstract: Device and method for correcting urinary incontinence and urinary retention, by implanting a urinary flow control device for elective user control of urinary function in male and female patients. The device is a mechanical valve for a natural or artificial bladder, and includes a longitudinally extended housing, preferably attached to the abdominal wall. Preferably a bladder anti-prolapse skirt is attached between the bladder and control valve, and the skirt may repair or replace the bladder. The device provides a urine flow channel that passes through the valve from one side to the other of a valve seat where an actuator with a mating stopper is controlled to open and close the valve at the election of the user with an external controller. The valve is an occlusion type, or a pinch type. Preferably the flow channel is an artificial urethra passing through a pinch valve between stopper and valve seat.

Abstract: A medical device comprises a mesh and suture combination, the suture having retaining mechanisms such as beads, balls, ratchet surfaces, oblate spheres and/or disks extending along at least a portion of the length of the suture. A clip or tab may be combined with the retaining mechanisms to fix the suture in place, such as during reconstructive surgery. For example, the mesh and suture combination may be used to fix tendons in place with respect to bones as a bone anchor and/or as a support mesh for repair of torn tendons.

Abstract: A prosthesis and a method for securing a prosthesis at a treatment site are provided. The prosthesis includes a material portion. The material portion includes a liquid-impermeable material layer, a porous material layer having a pore size adapted for promoting tissue ingrowth, and an adhesive portion provided on the porous material layer adapted to secure the material portion to a site for at least 24 hours following implantation of the prosthesis at the site. In some embodiments, the prosthesis further includes a body.

Abstract: A percutaneous transluminal angioplasty device includes an embolic filter mounted to the catheter shaft at a location distal to the angioplasty balloon. Thus the filter is downstream from the blockage and is properly positioned to capture embolic particles that may be set loose into the blood stream as the angioplasty procedure is performed. The embolic filter is normally collapsed against the catheter shaft to facilitate introduction and withdrawal of the device to and from the operative site. Once the angioplasty balloon is properly positioned, however, means operatively associated with the embolic filter are actuated to erect the filter to position a filter mesh across the lumen of the vessel.

Abstract: A temporary diameter reduction constraint arrangement for a stent graft is disclosed. The arrangement comprises: primary and secondary release wires extending along the graft; a plurality of loops of thread, each loop engaged with either the primary or secondary wire and engaged around a portion of the graft circumferentially spaced away from its release wire, and drawn tight to reduce the diameter of the graft; an end constraint arrangement comprising four of the plurality of loops of thread arranged into a first and second pairs engaged with respective primary and secondary wires; and an intermediate constraint arrangement comprising a fifth and sixth of the plurality of loops of thread arranged into a third pair, the third pair engaged with the primary release wire, the primary release wire deviating towards the secondary release wire so as to locate the intermediate constraint arrangement substantially in-line with the end constraint arrangement.

Abstract: A breast implant device product that mimic the natural pectoral fat pad of the breast and is characterized by an incomplete pyramid with isosceles triangular base and wedge-shaped edges and sloping faces that meet at acute angles with variable degree located medially, laterally and on the top and a footprint characterized by a semicircular lower portion and an oval paraboloid upper portion and a center of gravity located closer to the base than to the profile, the said footprint is advantageously converging and moving towards the underlying surface as the chest wall with a method of manufacturing and a method of use of the said implant including a breast pyramid sizing system.

Abstract: A method for replacing a native heart valve with a prosthetic heart valve comprises moving a first portion of a prosthetic heart valve towards a second portion of the prosthetic heart valve along a plurality of guide wires, and lock the first portion to the second portion in a final, radially expanded configuration. The prosthetic heart valve is radially contractible and expandable, and in some embodiments, is self-expanding. Embodiments of the method are minimally invasive.

Abstract: The present invention relates to a stent for the positioning and anchoring of a valvular prosthesis in an implantation site in the heart of a patient. Specifically, the present invention relates to an expandable stent for an endoprosthesis used in the treatment of a narrowing of a cardiac valve and/or a cardiac valve insufficiency. So as to ensure that no longitudinal displacement of a valvular prosthesis fastened to a stent will occur relative the stent in the implanted state of the stent, even given the peristaltic motion of the heart, the stent according to the invention comprises at least one fastening portion via which the valvular prosthesis is connectable to the stent. The stent further comprises positioning arches and retaining arches, whereby at least one positioning arch is connected to at least one retaining arch via a first connecting web.

Abstract: Disclosed are a system and method for performing a medical procedure using direct percutaneous access of an aorta. A main sheath is introduced through an incision formed in proximity to the sternum, and positioned along (and preferable against) a posterior portion of the sternum. Instruments passed through the main sheath are used to form a purse-string suture in an exterior wall of the aorta. An opening is formed in the wall of the aorta in a region encircled by the purse-string suture, and a distal end of an introducer sheath is advanced through the opening into the aorta. A medical procedure, which may be a transcatheter aortic valve replacement, is performed using instruments passed through the introducer sheath into the aorta. After the medical procedure, the introducer sheath is withdrawn from the aorta and, as the introducer sheath is withdrawn, the purse-string suture is tightened to close the opening.

Abstract: The disclosure pertains to a vessel for holding replacement heart valves and associated positioning and installation apparatus which is configured and adapted to contain a biocidal sterilization fluid during and following exposure of a delivery system for the replacement heart valve to sterilization by ionizing radiation and methods of use therefor. The vessel includes a shield which limits exposure of biologically derived material therein to radiation. The vessel also provides a storage and shipping container for the replacement heart valve in which the biologically derived material is maintained in a sterile fluid environment.

Abstract: Method for delivering an expandable member to a treatment location includes an elongate shaft and an expandable member coupled to a distal end of the elongate shaft. Embodiments of the expandable member are moveable between a collapsed configuration and an expanded configuration, and have an inner expandable member and a plurality of outer expandable members that at least partially surround the inner expandable member, and are suitable for delivering prosthetic heart valves and performing vavuloplasties.

Abstract: A method of manufacturing a resorbable, macroporous bioactive glass scaffold comprising approximately 24-45% CaO, 34-50% SiO2, 0-25% Na2O, 5-17% P2O5, 0-5% MgO and 0-1% CaF2 by mass percent, produced by mixing with pore forming agents and specified heat treatments.

Abstract: A method of using an orthopedic implant includes providing a main body, as well as a porous augment having a bone ingrowth surface. The main body is removably attached with another surface of the porous augment to form an orthopedic implant. A portion of a bone is extracted from the body of a patient and, subsequently, the orthopedic implant is implanted into the body of the patient. The porous augment is positioned such that a bone interfacing surface of the porous augment interfaces with a cut surface of the bone from which the portion of bone is extracted to facilitate bone ingrowth into the porous augment.

Abstract: Methods for the prevention, or delayed onset or progression of, bone marrow edema or bone marrow lesion, and subchondral treatment to prevent the progression of osteoarthritis of a joint are disclosed. The methods involve treating the subchondral bone, while preserving, as much as possible, the joint's articular and cartilage surface. The methods could be performed before, during, or after an initial arthroscopic surgery to repair the joint. Associated devices and instruments for treatment of the subchondral bone are also disclosed.

Abstract: Bifunctional and assembled implants are provided for osteochondral implantation.

Abstract: Systems, devices, and methods are provided for orthopedic implants. The implants may include a base member, such as an acetabular shell or an augment, that is configured to couple with an augment, flange cup, mounting member, or any other suitable orthopedic attachment. Any of the implantable components may be include one or more porous surfaces. The porous surface may be textured by protrusions that connect to and extend from the surface. The sizes and concentration of the protrusions may be varied for specific applications to accommodate different implants and patient anatomies. A porous implant may also include one or more internal or external solid portions that strengthen the implant.

Abstract: System, including apparatus, methods, and kits, for replacement of the proximal end of a radial bone with a prosthesis having a floating articular member. The prosthesis may include a head portion connected or connectable to a stem portion. While the stem portion remains operatively connected to the head portion, the head portion and/or an articular member thereof may be permitted to float in position relative to the stem portion. The head portion/articular member may float transversely (e.g., translationally) and/or rotationally with respect to the stem portion. The articular member may articulate with a humeral bone or both a humeral bone and an ulnar bone. In some embodiments, the head portion may include a fixed member for articulation with an ulnar bone and a floating member for articulation with a humeral bone.

Abstract: Methods and devices are provided for knee joint replacement with anterior cruciate ligament (ACL) substitution. Generally, the methods and devices can allow a knee joint to be partially or totally replaced in conjunction with substitution of the knee joint's ACL. In one embodiment, a knee replacement prosthesis can include a medial or lateral femoral implant, a femoral intercondylar notch structure, a medial or lateral tibial insert, and an ACL-substitution member. The ACL-substitution member can be configured to engage with the femoral intercondylar notch structure during a full range of knee motion and/or during only early knee flexion.

Abstract: A method of performing a total knee arthroplasty including the steps of inserting a first pin into the distal femur and through the knee center, locating the femoral mechanical axis, inserting at least one additional pin into the distal femur, locating the tibial mechanical axis, sizing the femur and applying a femoral cutting block having at least one cutting guide to an end of the femur, positioning a tibial cutting block having a least one cutting guide in a cutting position relative to the tibia, aligning the femoral cutting block relative to the tibial cutting block, aligning the femur relative to the tibia, cutting the femur using the at least one femoral cutting guide, cutting the tibia using the at least one tibial cutting guide, removing the femoral and tibial cutting blocks, and positioning permanent femoral and tibial components on the cut portions of the femur and tibia, respectively.

Abstract: Knee prostheses featuring components that more faithfully replicate the structure and function of the human knee joint in order to provide, among other benefits: greater flexion of the knee in a more natural way by promoting or at least accommodating internal tibial rotation in a controlled way, replication of the natural screw home mechanism, and controlled articulation of the tibia and femur respective to each other in a more natural way. In a preferred embodiment, such prostheses include an insert component disposed between a femoral component and a tibial component, the insert component preferably featuring among other things a reversely contoured posterolateral bearing surface that helps impart internal rotation to the tibia as the knee flexes.

Abstract: Systems and methods for providing a tibial prosthesis are disclosed. In some cases, the prosthesis includes a tibial component for replacing at least a portion of a proximal end of a tibia, the tibial component having an undersurface and a stem that extends from the undersurface, wherein the stem is configured to contact an inner, anterior surface of the tibia when the stem is inserted into the tibia and the undersurface of the tibial component is in contact with a cut surface of the tibia. Other implementations are described.

Abstract: An orthopedic knee prosthesis is provided including a tibial baseplate component having a distal, bone-contacting surface with one or more fixation structures extending distally therefrom, in which the fixation structures are asymmetrically arranged within the baseplate periphery.

Abstract: The concepts disclosed herein offer a new simple and reliable reconstructive option for the treatment of first carpal-metacarpal joint (basal joint) arthritis and consists of an intra-articular basal joint stabilizer sling combined with a surgical method of implantation.

Abstract: The present invention relates to an expandable implant for engagement between vertebrae generally comprising an inner member, outer member, and gear member positioned coaxial with respect to each other such that the inner and outer members are moveable relative to each other along an axis. The gear member is axially fixed to the outer member and freely rotatable with respect to the outer member and the gear member threadedly engages a threaded portion of the inner member to translate inner member along the axis. The implant is configured to engage the vertebrae in a predetermined alignment and the gear member includes gear teeth exposed to the exterior and configured to be accessible by a tool member at a plurality of angular positions around the perimeter of the implant device.

Abstract: An implant for therapeutically separating bones of a joint has two endplates each having an opening through the endplate, and at least one ramped surface on a side opposite a bone engaging side. A frame is slideably connected to the endplates to enable the endplates to move relative to each other at an angle with respect to the longitudinal axis of the implant, in sliding connection with the frame. An actuator screw is rotatably connected to the frame. A carriage forms an open area aligned with the openings in the endplates. The openings in the endplates pass through the carriage to form an unimpeded passage from bone to bone of the joint. The carriage has ramps which mate with the ramped surfaces of the endplates, wherein when the carriage is moved by rotation of the actuator screw, the endplates move closer or farther apart.

Abstract: An elastomeric artificial joint and prosthesis system combining motion preservation and shock absorption through the interaction of core and endplate components. The core is comprised of: a“hub” having congruent concavity with the endplate surface allowing for rotation, translation, flexion and extension, orbital, lateral bending, and compression motion similar to that of a joint or natural intervertebral disc; a“flange” attached to the hub and able to move congruently with the hub, and having negative spaces providing an internal structure for an elastomer; and a bio-compatible elastomer casted around and through the flange providing shock absorption. The endplate has a low-friction surface and engages the elastomer, and a structural component that engages the vertebral endplate or bone surface. The device has medical applications such as in total joint arthroplasty, disc replacement, and industrial applications such as in robotics that are modeled to move similar to human anatomical motion.

Abstract: An expandable anterior lumbar interbody fusion device comprises a deformable monolithic body having posterior and anterior ends, an upper bone contact structure and a lower bone contact structure. The body is expandable along a height axis between a first smaller height to a second larger height. The body comprises a pair of opposed side structures, each including a translatable center section being movable in a direction transverse to the height axis, a first locator arm adjacent the posterior end, a second locator arm adjacent the anterior end and a pair of formable load-bearing columns supported by the upper bone contact structure, the lower bone contact structure and the center section. The columns are not formed at the first height but are operative upon expansion of the body to the second height to form load-bearing columns along the height axis between the upper and lower bone contact structures.

Abstract: An embodiment includes an expandable intervertebral body fusion device with two expansion wedges within a generally hollow main body. After implantation into the intervertebral disc space, the expansion wedges are simultaneously moved from the center of the device toward the ends, which flexes the arms of the cage and increases the size of the implant. This expansion stabilizes the device in the disc space and increases the disc height, thereby reducing foraminal compression of spinal nerves and creating a stable motion segment for eventual fusion. Other embodiments are described herein.

Abstract: A spinal fixation device includes a body having a first end defining an aperture, an engaging portion configured to engage a vertebral body, and an adjustment member configured to be received in the body through the aperture. The adjustment member is operatively coupled with the engaging portion to selectively position the engaging portion at one of a plurality of orientations relative to the body.

Abstract: Systems, methods, and devices are described for providing orthopedic implant augments having fastener locking mechanisms. The augments include a surface for mating with an implant component and a surface for interfacing with a patient's bone. The fastener locking mechanisms are aligned such that the augment may be locked in a variety of orientations while maintaining close contact with both an implant and a patient's bone. The alignment of the locking mechanisms provides variability and adjustability to the augment to address a variety of bone anatomies and requirements.

Abstract: Systems and methods for providing deeper knee flexion capabilities. In some instances, such systems and methods include an a modular anterior flange that includes a first surface configured to interface with an anterior portion of a distal end of a femur; a second surface configured to articulate against at least one of a patella and a patellar implant; a proximal end; and a distal end, wherein the distal end is configured to interface with a proximal end of an anterior portion of a femoral component that is configured to replace a distal portion of the femur. Other implementations are also discussed.

Abstract: A method and devices for placing spinal implants including placing the implants completely within a spaced defined between adjacent vertebral bodies where the implants are supported by the cortical bone of the vertebral bodies. An insertion instrument places the implants in pairs with a variable-sized space placed in between. The implants are made of a biocompatible material and are particularly suited for anterior lumbar interbody fusion surgery. The spinal implants used to facilitate spinal fusion, correct deformities, stabilize and strengthen the spine.