Abstract: A mosaic implant (2010) comprises a mesh support frame comprising a plurality of polygonal support rings (2040 A, B, C) connected by a plurality of struts (2014), and a plurality of mosaic plates (2012). The support rings are positioned within the mosaic plates; the struts extend between adjacent plates. An implant (1510) for filling a bore hole comprises a plate (1512) and a support frame (1520) having a central portion (1522) located at least partially within the plate, a polygonal outer rim (1524) having a plurality of fastening points for attaching the implant to bone surrounding a bore hole, and a plurality of arms (1530) extending between the central portion and the outer rim. The plurality of arms extend inwardly and downwardly away from the outer rim such that the central portion is located below the plane of the outer rim and the upper surface of the plate is flush with or slightly above the upper surface of the outer rim.

Abstract: The invention relates to an acetabulum (1) for a hip prosthesis, comprising an inner cavity (2) and a rear outer surface (3) facing the bone. In order to be able to implant the acetabulum (1) without using cement, at least some areas of the outer surface (3) are porous and osseointegrative, and the acetabulum (1) is made exclusively of a ceramic material.

Abstract: An artificial joint cup (2), in particular a hip joint cup, for implanting in a cavity in a bone. The joint cup (2) is, in particular, substantially in the form of a spherical dome cup, having a convex outer surface (3) and a concave inner surface (4). In addition, the joint cup (2) comprises an outer diameter (OD) and an inner diameter (ID). The ratio of the difference (D) between the outer diameter (OD) and the inner diameter (ID) in relation to the outer diameter (OD) is in a region between 0.5 and 0.07, preferably between 0.3 and 0.075, particularly preferably between 0.2 and 0.1. The joint cup (2) is manufactured from a ceramic material, and the convex outer surface (3) has a micro-structuring.

Abstract: An elbow prosthesis constructed in accordance to one example of the present teachings can include a capitellar implant having an articulating head and a stem. The articulating head can have a first articulating surface positioned generally between a lateral side and a medial side. A passage can extend through the articulating head from the lateral side to the medial side. The articulating head can define a counterbore formed at the lateral side and that is concentric with the passage. According to other features, the elbow prosthesis can include a coronoid implant that has a body and a stem. The body can have a superior articulating surface that includes a central ridge and an anterior buttress. The central ridge can be configured to accommodate articulation with a trochlea in an implanted position.

Abstract: Arthroplasty components include an articular surface and a bone-facing surface. The bone-facing surface bears at least one anchoring element adapted for an oblique implantation trajectory. The articular surface may include a larger radius of curvature in the superior-inferior direction than in the anterior-posterior direction. An inferior chamfer may be present on the articular surface. Instruments and implantation methods are also disclosed.

Abstract: The invention concerns an arthrodesis implant (1) allowing promoting the bone fusion of two bones, said implant (1) comprising: a rigid and non-deformable anchoring body (4), designed to ensure the anchoring of the implant (1) in a first bone (2), a deformable portion (5) designed to ensure the anchoring of the implant (1) in a second bone, said deformable portion (5) comprising at least two anchoring arms (9, 10) which protrude beyond the anchoring body (4) from the base end (7) of the latter, the anchoring arms (9, 10) being separated from each other by a free space (E) so as to be able to be brought closer to each other by deformation of said anchoring arms under the action of the second bone. and being characterized in that at least one of the anchoring arms (9, 10) is provided with a longitudinal reinforcing fin protruding beyond the anchoring arm (9, 10) from a lateral side (20) of the latter. Osteosynthesis surgical implants.

Abstract: Devices and methods for altering the spacing and motion at the facet joints of the vertebral column are provided. One embodiment of the invention comprises a prosthesis with surfaces configured to articulate with the facets of the facet joint. A retaining member for anchoring the prosthesis within the facet joint is optionally included. Methods for surgically and less invasively implanting the prosthesis and securing the prosthesis to the articular processes or surrounding soft tissue are also provided.

Abstract: The embodiments provide a spinal implant that is configured for midline insertion into a patient's intervertebral disc space. The spinal implant may include structural guidance features to facilitate the angular approach of fixation elements into the apertures. The spinal implant may also be a configured with a tactile or visual feedback response feature to allow the user to know when the fixation elements are fully seated within the apertures.

Abstract: An expandable cage system for use in spinal surgery includes a top portion having an outwardly extending top arm, and a bottom portion having an outwardly extending bottom arm. The bottom arm is configured to engage with the top arm such that upon engagement, the top portion and the bottom portion are substantially restricted from movement relative to each other in an anterior-posterior direction, and in a medial-lateral direction. The expandable cage system further includes a removable shim configured to be positioned between the top portion and the bottom portion to hold the expandable cage in an expanded position within a spinal cavity.

Abstract: A spinal interbody implant includes a two-component cage and expander. The two-component cage, when assembled, accepts the expander through a reverse dovetail configuration between the assembled cage and the expander. The expander has a pair of legs that move within and along lateral channels formed by and between the two cage components for increasing the height of the two cage components relative to one another. The amount of expansion of the cage is determined by the height of the pair of expander legs. The cage accepts different expanders each having pairs of legs of different heights in order to provide different amounts of cage expansion and thus the interbody implant. The front of each expander leg is arch shaped for reception in the lateral channels of the assembled cage and to progressively expand the two cage components relative to one another as the expander is received by the assembled cage.

Abstract: Disclosed herein is an orthopedic implant device comprising a porous structure, approximating the shape of a bone, and having modulus of elasticity similar to that of said bone. Further disclosed herein is a method of treating injuries or diseases affecting bones or muscles comprising providing an orthopedic implant device, wherein the orthopedic implant device comprising a porous structure, approximating the shape of a bone, and having a modulus of elasticity similar to that of bone, and using the orthopedic implant device to treat injuries and diseases affecting bones and muscles in a mammal. Further disclosed herein is a method of manufacturing an orthopedic implant device using an additive manufacturing method comprising the steps: (a) providing a 3-dimensional model of the orthopedic implant device; (b) inputting the 3-dimensional model to an additive manufacturing device; and (c) using the additive manufacturing device to manufacture the orthopedic implant device.

Abstract: An expandable intervertebral spacer includes a body, a proximal end, and a distal end. The body includes quadrants that form a substantially cylindrical shape in a first configuration and a substantially cuboidal shape in a second configuration. Each quadrant includes a ramp portion with a ramp and a landing and a sliding portion with a sliding side and a foot. The ramp portion of a first quadrant engages the sliding portion of a second quadrant. The proximal end and the distal end couple with the plurality of quadrants and transfer an actuating force to expand the body from the first configuration to the second configuration.

Abstract: A device adapted to be positioned between two bone regions, the device comprising a body having a stabilising arrangement configured such that bone growing from one bone region toward the other engages the stabilising arrangement of the device.

Abstract: Surgical kits comprising a tool having a handle and a shaft affixed to the handle at one end and a free end having a threaded connection, at least two disc inserts, each disc insert comprising a rounded square having an annular wall surrounding a top surface and a bottom surface, wherein a threaded catch is formed in each disc insert to mate with the threaded connection, and wherein the interface between the disc insert top surface and annular wall forms a first perimeter and the interface between the disc insert bottom surface and the annular wall forms a second perimeter. At least a portion of the disc inserts can be radiopaque and a portion can be radiolucent. Also provided are kits having one or more disc inserts and one or more trial plates, each trial plate comprising a plurality of positioning guides.

Abstract: The disclosure provides apparatus and methods of use pertaining to a prosthetic finger assembly. In one embodiment, the assembly includes a coupling tip and a distal ring coupled with the coupling tip. The assembly further includes a proximal ring coupled with the distal ring. A rocker formed in an H-shape with a first end forming a first split prong and a second end forming a second split prong may extend between the coupling tip and the proximal ring. The coupling tip, distal ring, proximal ring, and H-shaped rocker may all be hingedly connected such that movements of the residual finger within the proximal ring articulate the distal ring together with the rocker to articulate the coupling tip. Other embodiments are also disclosed.

Abstract: An osseointegrated neural interface (ONI) is provided for control of a prosthetic. The ONI includes an elongated, hollow rod having a first end receivable in an intramedullary cavity of a bone, a second end operatively connected to the prosthetic and an inner surface defining a cavity. An electrode is receiveable on a terminal end of a peripheral nerve and positionable within the cavity of the rod. The electrode being capable of sensing the neural signals generated by the peripheral nerve and stimulating the peripheral nerve. A recording/stimulation unit, receiveable within the cavity of the rod, records the neural signals from the peripheral nerve sensed by the electrode and transmits the signals to a controller operatively connected thereto. The controller controls operation of the prosthetic in response to the neural signals recorded by the recording unit.

Abstract: The invention concerns a prosthesis liner for application to a limb stump, with an elastic liner layer (20) of elastomer, wherein the liner layer (20) has pores (26) in at least one distal portion (30) thereof.

Abstract: Devices and methods for protecting the neurovascular structures about the vertebral column are provided. One embodiment of the invention comprises a neuroprotective stent or device adapted for placement in an intervertebral foramen of a vertebral column and configured to resist compression or impingement from surrounding structures or forces. The stent or device may further comprise a flange or hinge region to facilitate attachment of the device to the vertebrae or to facilitate insertion of the device in the foramen, respectively.

Abstract: Inflation devices for inflating intragastric devices and associated systems and methods are disclosed herein. In several embodiments, an inflation device can include a tube, an inner detent, and an outer detent. The tube can extend from a proximal portion of the inflation device to a distal portion of the inflation device, and can include a handle at the proximal portion and a barb at the distal portion. The barb can have a cross-sectional dimension greater than a cross-sectional dimension of a corresponding inflation port of an intragastric device. The inner detent can be positioned over the barb and can include a mating interface. The outer detent can be positioned over the inner detent, and can be configured to attach over a proximal cap of the intragastric device.

Abstract: A foot pivoting device for correcting drop foot includes a belt that is configured to extend around a waist of a person, such that the belt is supported on the waist of the person. The device also comprises a strap that has a first end and a second end. The first end is couplable to the belt such that the strap is configured to extend along a front side of a leg of the person. A fastener is coupled to the second end of the strap. The fastener is configured to couple the second end of the strap to a shoe worn by the person proximate to a front end of the shoe. The front end of the shoe is pivoted upwardly when the leg of the person is pivoted forwardly at the hip.

Abstract: An ostomy pouch vent includes a venting portion and a closure portion. The venting portion includes a cylindrical vent body defining a through-opening passage though the body. The closure portion including a closer body that is adapted to engage the vent body to selectively close the through-opening and a support member supporting the closure body. The support member manipulates the closure body into registration with the vent body to close the through-opening and manipulating the closure body away from the vent body to open the through-opening. A pair of grasping members extends in generally opposite directions from the support member. The grasping members have a grasping surface configured to be engaged by fingers of a user to apply a force to the support member.

Abstract: A disposable female urinal comprises a funnel shaped body formed from a moulded fibre material. The body includes a relatively wide receiving mouth at one end narrowing along the length of the body to an outlet opening at the opposing end which forms a spout. The receiving mouth is surrounded by a sealing rim having a shape configured to be pressed against a user's pubic area in use. The rim comprises a curved return edge such that the exposed end surface of the moulded fibre body is directed away from the front end of the device that faces the user in use, ensuring that the edge does not contact the user when the device is pressed against the user in use to improve user comfort.

Abstract: A wearable device for snoring including a head support and harness configured to retain the head support between the chin and the collar bone of the user-wearer when worn. The harness having an adjustable attachment mechanism for a variety of adjustment lengths around the neck of the user-wearer. The device provides a means by which to deter snoring and provide a more restful sleep while offering a variety of positions of the head with respect to the body.

Abstract: The present invention is a non-rolled adhesive condom with adhesive coating on its external surface supported by one or more releasing strips, a configuration that allows easy manufacture and deployment of said condom. Deployment involves donning the external surface of the closed end of said condom onto penis and pulling the releasing strips proximally and away from said condom, thereby inverting the adhesive coated external surface outside-in to adhere to penis. The condom may be constructed by sealing two or more membranes, even with the supporting films on. The tip of the closed end of condom has an adhesive-free area to serve as seminal receptacle. It can be opened to aid deployment of urinary condom catheter. Based on the above principle, a number of shortened non-rolled adhesive condoms (abbreviated condoms) comprising a seminal receptacle and adhesive flange(s) that wrap around the distal part of penis are also presented.

Abstract: The invention relates to an inserter for an intrauterine system, comprising a handle (3) having a longitudinal opening (8) at its first end, said opening (8) having a longitudinal axis parallel to the longitudinal axis of the inserter, a first end (8a) and a second end (8b), a movable slider (5) arranged in said longitudinal opening (8) and having a first end (5a) and a second end (5b), a plunger (2) attached to the handle (3), an insertion tube (6) arranged around the plunger (2) having a first end and a second end, with its second end attached to the slider (5), wherein the inserter further comprises locking means for reversibly locking the intrauterine system in relation to the plunger (2) via a removal string of the intrauterine system, said locking means being controllable by the slider (5) and/or the insertion tube (6).

Abstract: Systems for treating a subject's tissue can include a thermally conductive cup, a sealing member, and/or a liner assembly. The systems can include an applicator capable of being reconfigured for a particular treatment site. Components of the applicator can be replaced to achieve a desired configuration. The replaceable components can include contoured heads, liners, and/or sensors. The applicator can draw a vacuum to install various components and/or draw tissue into the applicator. The applicator can cool and/or heat the tissue to affect targeted tissue.

Abstract: A system for warming or cooling a mammal by affecting blood flow to a portion of the body that is warmed or cooled, the system. The system has at least one magnet having a magnetic field. The at least one magnet contacts, directly or indirectly, the body portion, a second body portion, or combinations thereof to increase blood flow, minimize vasoconstriction and/or encourage vasodilation. The system may have a heating or cooling source for delivering a thermal energy to the surface of the body portion while the at least one magnets increase blood flow, minimize vasoconstriction and/or encourage vasodilation, so that the vasodilation in the body or increased blood flow promotes absorption and transfer of the thermal energy from the body portion's surface to the mammal's core body.

Abstract: The present invention is directed to personal heating devices, known as heated packs. Heated packs of the invention include a frame and a heating assembly disposed within the frame. The heating assembly may include a heating panel, an intelligent circuit, and a battery. In certain embodiments, one or more sides of the frame include a material configured to absorb heat or release heat in response to the energy outputted by the heating assembly. In further embodiments, the intelligent circuit is configured to change the temperature of the heating pack based a sensory input received by a user.

Abstract: A heat exchanger, and method of manufacture of a heat exchanger configured to be placed into contact with an object to regulate the temperature of the object. The heat exchanger comprises a layer of material defining a passage through which a heat transfer fluid may flow. The material layer has a first side for contact with the object; and a second side which, in use, will face away from the object. The first side has a relatively high coefficient of thermal conduction. The second side has a relatively low coefficient of thermal conduction compared to the first side.

Abstract: A heat exchanger cap, and method of manufacture of a heat exchanger cap configured to conform to a human head the cap comprising a first element for covering one side of the head; a second element for covering the other side of the head; and an intermediate joining element joined to, and which spaces apart, the first element and second element. Each of the elements define a single passageway for the passage of fluid through the cap. Each of the elements are provided with a flow interface in the region where the elements are joined. The flow interface defines an inlet for the passage of fluid into the passageway of one of the elements, and an outlet for the passage of fluid from the passageway out of the same element.

Abstract: A system for local thermal treatment includes a solid-state heat pump, a controller, a power supply, a heat sink, a thermal conductor, and a thermal pack. The solid-state heat pump may increase or decrease the temperature of the thermal pack to a desired temperature for providing heat or cold treatment. The controller provides control of the solid-state heat pump and its associated components. The heat sink may include an air heat exchanger with fins and a fan, and a liquid heat exchanger with a coolant loop and pump. The coolant loop may allow the heat sink to be separated from the thermal pack for convenient use in constrained spaces. The thermal conductor and thermal pack may be flexible and may be configured specifically to conform to individual body parts. The thermal pack provides local thermal treatment to a subject's body for an extended duration.

Abstract: A means for controlling the temperature of a warming material includes an air-permeable film or the like. The warming material includes the temperature control means and a heating composition. The temperature control means for controlling the heating temperature of the warming material includes one or more aliphatic compounds that have a melting point of 35-65° C. and a solubility in water (g/100 mL) at 20° C. of 5 or less.

Abstract: A method in which a location is determined on the skin that is proximate to a sensory nerve that is associated with a painful condition. At least one needle of a cryogenic device is inserted into the location on the skin such that the needle is proximate to the sensory nerve. The device is activated such that the at least one needle creates a cooling zone about the sensory nerve, thereby eliminating or reducing severity of the painful condition.

Abstract: An ophthalmic laser treatment system and method providing for a liquid optical interface (LOI) with a patient eye surface (PES) using an elliptical ocular suction ring (OSR) is disclosed. A disposable ocular patient interface (OPI) provides for simultaneous differential vacuum mating of the PES, OSR, OPI, and an optical window retainer (OWR). The PES, OSR, OPI, and OWR form an enclosed volume in which liquid may be interjected to cover the PES during laser treatment. A vacuum suction pump (VSP) provides controlled vacuum to the OPI ensuring proper differential vacuum mating (DVM) between the PES, OSR, OPI, and OWR during laser treatment. The OWR connects to a laser objective bracket (LOB) via an ocular force sensor (OFS) and an optical separator bracket (OSB). The OFS senses applied pressure to the PES and provides data to a computerized control device (CCD) that limits applied pressure to the PES during laser treatment.

Abstract: An ophthalmic system may comprise an imaging device having a field of view oriented toward the eye of the patient; a patient interface housing defining a passage therethrough, having a distal end coupled to one or more seals configured to be directly engaged with one or more surfaces of the eye of the patient, and wherein the proximal end is configured to be coupled to the patient workstation such that at least a portion of the field of view of the imaging device passes through the passage; and two or more registration fiducials coupled to the patient interface housing in a predetermined geometric configuration relative to the patient interface housing within the field of view of the imaging device such that they may be imaged by the imaging device in reference to predetermined geometric markers on the eye of the patient which may also be imaged by the imaging device.

Abstract: A flip-to-wear eye shield system is provided. By integrating a hinge into elements of the frame and/or the lens, the eye shield can be manufactured and assembled more quickly and with less costs. In an embodiment, a lens may click (or snap) onto molded posts of a frame in a substantially flat position. An integrated living hinge in the frame may bend to allow the lens to flip downwards toward the frame to a second position for use. The posts may also click (or snap) into place in an underside of the frames. In another embodiment, a lens may click (or snap) onto molded posts of a flame in a substantially flat position. An integrated living hinge, formed by notches in the lens, may allow the lens to bend to flip downwards to the frame to a second position for use. A dispenser allows storing the eye shields in the flat position and dispensing in the second position for use.

Abstract: There is provided a protective goggle comprising: a lens frame to support at least one lens; and an anti-fogging and dust-removal assembly disposed in or on the frame, wherein the anti-fogging and dust-removal assembly is configured to suction an air on an inner face of the lens and discharge the suctioned air onto an outer face of the lens. The assembly provides concurrently both functions of anti-fogging and dust-removal on the lens of the goggle.

Abstract: An eardrum incision device includes a main body, a replaceable inserting portion and a display device. The replaceable inserting portion is detachably connected to the main body. The replaceable inserting portion has an insertion end located on a side far away from the main body and adapted to be inserted into an ear canal of a user. The replaceable inserting portion includes an image-capturing device, a mounting hole and a replaceable incision component. The image-capturing device is disposed at the insertion end. The mounting hole extends in a direction from the insertion end toward the main body. The replaceable incision component is removably disposed in the mounting hole and adapted to pierce out of the mounting hole in a direction toward the insertion end, so as to incise the eardrum of the user. The display device is disposed on the main body and electrically connected to the image-capturing device.

Abstract: An apparatus and method for use in treating tinnitus, employs a sound processing unit, a tactile unit, and an interface therebetween. The tactile unit comprises an array of stimulators each of which can be independently actuated to apply a tactile stimulus to a subject, and an input for receiving a plurality of actuation signals from the interface and directing individual actuation signals to individual stimulators. The sound processing unit receives an audio signal at an input, analyses the signal with a digital signal processor to generate the actuation signals which are representative of the audio signal, and provides the plurality of actuation signals to the interface. In a preferred embodiment the digital signal processor divides the audio signal into a series of frames in the time domain, performs a transform on each frame to generate a set of coefficients representing said frame, and maps the set of coefficients to a set of actuation signals to be applied to the array.

Abstract: Provided is a perforated plastic film comprising a plastic film having a large number of through holes, and the perforated plastic film has a moisture permeability of 300 to 3500 g/m2·24 h and has a low skin irritation potential.

Abstract: A handheld device for producing electrospun fibrous mat comprises: a housing configured to be handheld by a user; a container accommodating at least one electrospinning medium; at least a nozzle in fluid communication with the container; a mechanism dispensing the medium from the container via said nozzle; an auxiliary electrode surrounding the nozzle; and a power supply providing electric potentials to the nozzle and the auxiliary electrode. The housing comprises an electrically conductive portion configured to be gripped by the user during operation. The electrically conductive portion is connected to the power supply.

Abstract: The present invention relates to wound dressings. In particular, the invention relates to antimicrobial wound dressings, methods of making the same and uses of the same. The wound dressing of the present invention comprises a wound contact layer and an absorption layer, wherein the wound contact layer comprises at least one antimicrobial agent and wherein the lateral wicking rate of the wound contact layer is the same or higher than the lateral wicking rate of the absorption layer. The wound dressing of the present invention provides an absorbent, conformable and anti-microbial medical device that may be used in a variety of medical situations, including post and/or pre-operative.

Abstract: Systems and methods of stimulating or activating fluids for use in wound treatment systems.

Abstract: An orthopedic cast system, which includes: a padding layer configured to be disposed within the cast and support a portion of a patient's limb; a casting material configured to harden around the padding layer and form an outer shell of the cast surrounding the patient's limb; and a cutting wire configured to be disposed within the cast and extend along a longitudinal axis of the cast. A total contact cast including a cutting wire between the patient's skin and the casting material forming an outer shell of the cast, as described herein, allows for easy and safe removal of the cast by pulling at least one end of the cutting wire in a direction of the opposite end of the cutting wire so as to cut through the outer shell of the cast.

Abstract: In a foot bandage for compression therapy of lymphedema on the foot, with a sole section, side sections connected laterally to sole section, which are joined to each other at least in a section that comes to lie above the heel when the foot bandage is applied, and at least a distal tab section made of an elastic material, which can be wound around the instep and fastened to a side section in order to exert compression on the foot, in which the distal tab section or each tab section has at least one pull tab on which fasteners are arranged, a proximal compression band made from elastic material fastenable removably to the side sections is provided. The compression band has at least a first fastener and is attached to the side sections by means of the first fastener above the heel, when the foot bandage is applied in area.

Abstract: Manufacturing a multiple use absorbent article includes producing an absorbent article having a liquid permeable chassis topsheet, a liquid impermeable chassis backsheet, and a chassis absorbent core sandwiched between the chassis topsheet and the chassis backsheet. The method also includes producing an absorbent insert having an insert topsheet, an insert backsheet, and an insert absorbent core. The method also includes producing a separable line of weakness within or adjacent to the peripheral sealing region, and bonding the insert backsheet to the chassis topsheet, wherein the line of weakness provides for separation of the absorbent insert into a removable portion configured to be removed from the chassis absorbent unit, and a resident portion that remains bonded to the chassis absorbent unit.

Abstract: The present invention is an equipment and a method for handling web materials, in particular for recombining portions as are cut out from an essentially continuous web material machine-directionally offset with this web.

Abstract: An absorbent article which can be more readily adaptable to meet the needs of the individual wearer of the absorbent article includes a topsheet layer, a backsheet layer, and an absorbent core between the topsheet layer and the backsheet layer. The absorbent article further includes an extendable portion capable of being utilized by the wearer to provide additional area of coverage as deemed suitable by the wearer of the absorbent article.

Abstract: An absorbent article which can be more readily adaptable to meet the needs of the individual wearer of the absorbent article. The absorbent article can have a topsheet layer, a backsheet layer, and an absorbent core between the topsheet layer and the backsheet layer. The backsheet layer can have a garment attachment mechanism located on a garment facing surface of the backsheet layer. The absorbent article can further have a protection layer situated over and engaged with the garment attachment mechanism. The protection layer can be capable of being at least partially dis-engaged from the garment attachment mechanism. The protection layer of the absorbent article can be utilized by the wearer to provide additional area of coverage as deemed suitable by the wearer of the absorbent article.

Abstract: An absorbent article (10) can include a pocket (64) disposed in the front waist region 12. The pocket (64) can include a first side edge (70), a second side edge (72), an upper lateral edge (74), and a lower lateral edge (76). The pocket (64) can be closed with respect to the absorbent assembly (36) at least at the first side edge (70) and the second side edge (72) and can be open with respect to the absorbent assembly (36) at least at the lower lateral edge (76). The pocket (64) can be configured such that it has improved accessibility for a caregiver.