Abstract: A dental device comprises a distal part having a first lateral hole formed on a lateral side of the distal part; a middle part connected to the distal part; and a proximal part connected to the middle part, wherein the dental device has a central lumen penetrating the proximal part, the middle part, and the distal part and communicating to the first lateral hole and wherein the distal part has an exit of the central lumen at a distal end and the proximal part has an entrance of the central lumen at a proximal end.

Abstract: The invention relates to an optical measuring system (1) and to a method for measuring an object (9) in a three-dimensional manner. The measuring system (1) has at least one lens array (5), a first convex lens (6) arranged downstream, a second convex lens (8) which is arranged further downstream and which faces an object (9) to be measured, and additionally a means (7) which absorbs incident light or deflects incident light out of the illuminating beam path and which is arranged upstream of the second convex lens (8) or on the second convex lens (8) on a second convex lens (8) face facing the first convex lens (6) in the region of the optical axis (10).

Abstract: Pre-sintered blanks based on lithium metasilicate glass ceramic are described which are suitable in particular for the preparation of dental restorations.

Abstract: A comfortable way to daily remove inter-dental plaque would encourage dental hygiene and could improve health worldwide. The flossing by hand’ method is the most effect but its adoption is limited by the dexterity of the user especially among young and old people. Many efforts have been made to make flossing easier by extending floss from a device held outside the mouth, but most designs use a fixed, stretched, length of floss at the tooth. The method of use for these devices is dictated by the physical form of the device needed to mount the fixed stretched length of floss. But the goal of flossing devices is to emulate the ‘by hand’ method. This invention starts with the ‘by hand’ method and designs this device 1 to perform it. The “Loose Floss Method of Inter-dental Plaque Removal’ is strictly based on the ‘by hand’ method of flossing and provides a device 1 design exclusively to perform that method. closely without putting one's hands inside their mouth.

Abstract: A system configured to mitigate axial shocks and rotational vibration in a resonating power toothbrush (10). The system includes a motor mount (70), frame (40), and multi-function coil bobbin (90) that act in concert to absorb axial shocks originating from the motor shaft (60). The mount (70), frame (40), and coil bobbin (90) also act in concert to damp vibrations originating from the motor (50) to the housing (20).

Abstract: A resilient motor mount (70) for a power toothbrush (10) configured to limit the axial and rotational displacement of a shaft (60) of a motor (50). The displacement limits are designed to protect the toothbrush (10) from physical damage and to prevent rotational slipped poles, i.e. “cogging” errors, between the permanent magnets and poles of the resonating toothbrush motor (50).

Abstract: In an embodiment, a medical device is a bodily implant and includes an elongate member. The elongate member has an inner edge that defines an opening. At least a portion of the inner edge being treated.

Abstract: A product package includes a first member and a second member arrangeable in an unpackaged state and a packaged state. The package has a flexible member attached to the first and second members which assists in securing an implant to the first member. The flexible member is slack when the package is in the unpackaged state and is taut in the packaged state. The first member is coupled to the second member by a connector in the packaged state with the product secured between the first member and the flexible member. The flexible member is externally exposed when the package is in the packaged state. The package can also include an insert coupled to the first member to assist in securing the product in the package. The flexible member can have a pull tab forming a frangible connection with the flexible member to open the package. The flexible member may form a sterile barrier around the product.

Abstract: A spinal implant device has a synthetic or metallic or a combination thereof of these materials in an implant body structure and stem cells in a coating, or a sheet, wrap or a membrane wrap applied to surfaces on the implant body structure or alternatively filled with a plug of stem cell laden material. The implant body structure preferably has an aperture or channel The spinal implant device may include anchoring holes to secure the device to the spinal skeletal structure with fasteners or alternatively can simply be held in place by and between adjacent vertebrae.

Abstract: An embodiment of the invention relates to a cobalt-based alloy, which due to the composition exhibits twinning as the dominating deformation mechanism: Cr: 13.0 to 30.0% by weight Mn: 2.0 to 10.0% by weight W: 2.0 to 18.0% by weight Fe: 5.0 to 15.0% by weight C: 0.002 to 0.5% by weight N: 0 to 0.2% by weight Si: 0 to 2.0% by weight Ni: 0 to 5.0% by weight wherein the aforementioned alloying components and manufacturing-related impurities add up to 100% by weight, and the following restrictions according to formulas (1) and (2) apply to the contents of nitrogen and carbon, and the following restrictions according to formula (3) apply to the contents of oxygen, phosphorus and sulfur: 0.003%?C+N?0.5% weight??(1) N/C(wt. %)?1.00 for 0.07%<C<0.15% (weight)??(2) O+P+S<0.10% weight??(3).

Abstract: A method of producing organized skeletal muscle tissue from precursor muscle cells in vitro comprises: (a) providing precursor muscle cells on a support in a tissue media; then (b) cyclically stretching and relaxing the support at least twice along a first axis during a first time period; and then (c) optionally but preferably maintaining the support in a substantially static position during a second time period; and then (d) repeating steps (b) and (c) for a number of times sufficient to enhance the functionality of the tissue formed on the support and/or produce organized skeletal muscle tissue on the solid support from the precursor muscle cells.

Abstract: A method of inserting and securing a corneal implant in engaging and fluid-flow limiting relation to the posterior cornea, such as to treat edema. The method includes securing a corneal implant in fluid flow limiting relation to the posterior cornea through an incision in the eye and securing it in place by a variety of steps such as corneal insertion or laser bonding, and preferably by inserting a removable corneal implant including a central region and a plurality of retention member(s) disposed on the periphery thereof into the eye so as to releaseably and removably engage a portion of the eye and thereby retain the corneal implant in abutting and engaging relation with the posterior cornea. The retention members of the corneal implant may also comprise haptic leg(s) extending from the central region.

Abstract: An intraocular assembly includes a peripheral side wall (12) that has a rim (16) sized to receive therein an intraocular device, and a posterior peripheral edge (20) that is sharp and extends out from a posteriorly-facing end face (22) of the side wall. An interior perimeter of the rim is a combination of continuous concave and convex shapes.

Abstract: An ophthalmic lens comprising a main lens part, a recessed part, an optical center, and an optical axis through the optical center. The main lens part has at least one boundary with the recessed part and has an optical power of between about ?20 to about +35 diopter. The recessed part is positioned at a distance of less than 2 mm from the optical center and includes a near part having a relative diopter of about +1.0 to about +5.0 with respect to the optical power of the main lens part. The boundary or boundaries of the recessed lens part with the main lens part form a blending part or blending parts, are shaped to refract light away from the optical axis, and have a curvature resulting in a loss of light, within a circle with a diameter of 4 mm around the optical center, of less than about 15%.

Abstract: A prosthetic heart valve according to the present disclosure comprises a radially collapsible and expandable annular frame and a leaflet structure comprising a plurality of leaflets mounted within the frame. The frame in particular embodiments can have commissure attachment portions that are configured to support the commissures of the leaflets at locations spaced radially inwardly toward the longitudinal flow axis of the prosthetic valve relative to the frame portions circumscribing the moveable portions of the leaflets. When the leaflets open under pressure of blood flowing through the prosthetic valve, the moveable portions of the leaflets are retained at positions spaced inwardly from the inner surface of the frame to protect against abrasion of the leaflets.

Abstract: A prosthetic heart valve having a cuff attached to a stent provides a seal for preventing paravalvular leakage. The cuff may be constructed from known sealing materials to fill in and around paravalvular leakage gaps, while continuously collapsing down into a low profile volume within the stent. The cuff is coupled circumferentially about the stent by members which may be in the nature of dimension and/or shape memory material having a tensioned and relaxed state. The members may be in the form of elongated elastic members or coiled members. When in the tensioned state, the cuff is located within the stent volume to provide a low profile prosthetic heart valve. Upon relaxing of the members, the cuff is pulled over the abluminal surface of the stent to form a cuff seal circumscribing the stent for preventing paravalvular leakage.

Abstract: Devices and methods are provided for surgical repair of dilated aortic root to restore aortic valve competence while preserving native leaflets. In one aspect of the invention an expandable annuloplasty ring is provided for external placement at the base of a dilated aortic root. The expandable ring is capable of elastically expanding between a first diastolic diameter and a larger second systolic diameter to provide a physiologically representative surgical repair of the aortic root. In a further aspect of the invention, is provided a holder assembly for aortic annuloplasty ring and suitable for other cardiac valve prosthesis. The holder assembly consists of a holder body pivotingly coupled to a handle member through a ball-and-socket arrangement.

Abstract: Embodiments of an apparatus, and a method for crimping expandable stents or prosthetic valves having a radially expandable and compressible annular body and one or more protruding anchors extending from the body using the apparatus, where the apparatus comprise a housing, a plurality of circumferentially arranged nesting jaws, and an actuator configured to move the jaws radially inwardly to reduce the size of the crimping aperture, thereby radially compressing the annular body of the prosthetic valve or stent. In particular embodiments, a selected set of the jaws, each having a front side and a recessed portion in its front side adjacent to its inner end. The recessed portions of the selected jaws collectively are sized and shaped to receive the one or more anchors of the prosthetic valve when the annular body is positioned within the crimping aperture.

Abstract: A device, a kit and a method is presented for permanently augmenting the pump function of the left heart. The mitral valve plane is assisted in a movement along the left ventricular long axis during each heart cycle. The very close relationship between the coronary sinus and the mitral valve is used by various embodiments of a medical device providing this assisted movement. By means of catheter technique an implant is inserted into the coronary sinus, the device is augmenting the up and down movement of the mitral valve and thereby increasing the left ventricular diastolic filling when moving upwards and the piston effect of the closed mitral valve when moving downwards.

Abstract: A tool adapted for inserting a penile prosthesis into a penis includes a first neck connected to a first end of a handle and a second neck connected to a second end of a handle, and a first guide connected to the first neck and a second guide connected to the second neck. The first guide has a first cylinder cradle and the second guide has a second cylinder cradle.

Abstract: Various embodiments of implant systems and related apparatus, and methods of operating the same are described herein. In various embodiments, an implant for interfacing with a bone structure includes a web structure, including a space truss, configured to interface with human bone tissue. The space truss includes two or more planar truss units having a plurality of struts joined at nodes. Implants are optimized for the expected stress applied at the bone structure site.

Abstract: The fusion device for fusing a synovial joint of a human or animal patient, in particular a human facet joint, finger joint or toe joint, includes two pin-shaped anchorage portions and arranged therebetween a stabilization portion. The anchorage portions include a thermoplastic material which is liquefiable by mechanical vibration. The stabilization portion preferably has a surface which is equipped for enhancing osseointegration. The anchorage portions have a greater thickness and a greater depth than the stabilization portion. Then the fusion device is pushed between the articular surfaces and mechanical vibration, in particular ultrasonic vibration, is applied to the proximal face of the fusion device. Thereby the liquefiable material is liquefied where in contact with the bone tissue and penetrates into the bone tissue, where after re-solidification it constitutes a positive fit connection between the fusion device and the bone tissue.

Abstract: A pre-operative planning and manufacturing method for orthopedic surgery includes obtaining pre-operative medical image data representing a joint portion of a patient. The method also includes constructing a three-dimensional digital model of the joint portion and manufacturing a patient-specific alignment guide for the joint portion from the three-dimensional digital model of the joint portion when the image data is sufficient to construct the three-dimensional digital model of the joint portion. The patient-specific alignment guide has a three-dimensional patient-specific surface pre-operatively configured to nest and closely conform to a corresponding surface of the joint portion of the patient in only one position relative to the joint portion.

Abstract: A method for treating arthritis of a joint includes identifying a bone lesion in a bone adjacent to the joint; and implanting in the bone a reinforcing member in or adjacent to the bone lesion. A kit for conducting the method includes: (a) at least one reinforcing member having a proximal face adapted to face the joint, a distal face adapted to face away from the joint, and a wedge-shaped edge adapted to pierce bone, wherein the at least one reinforcing member is planar and sterile; and (b) a container adapted to maintain the at least one reinforcing member sterile. Another kit includes: (a) a sterile fluid; (b) a syringe for injecting the fluid into a bone; (c) a curing agent adapted to cure the fluid to polymerize and/or cross-link; and (d) a container adapted to maintain the sterility of contents of the container.

Abstract: The system and method serves in facilitating replacement of comminuted bone fractures or portions thereof adjacent bone joints. The system and method employs a prosthesis to replace at least a portion of the comminuted bone fractures. The prosthesis serves in reproducing the articular surface of the portion or portions of the comminuted bone fractures that are replaced. In doing so, the prosthesis serves in restoring joint viability and corresponding articulation thereof.

Abstract: This disclosure is directed to a resilient interpositional arthroplasty implant for application into a joint to pad cartilage defects, cushion, and replace or restore the articular surface, which may preserve joint integrity, reduce pain and improve function. The implant may endure variable joint compressive and shear forces and cyclic loads. The implant may repair, reconstruct, and regenerate joint anatomy, and thereby improve upon joint replacement alternatives. The walls of this invention may capture, distribute and hold living cells until aggregation and hyaline cartilage regrowth occurs. The implant may be deployed into debrided joint spaces, molding and conforming to surrounding structures with sufficient stability so as to enable immediate limb use after outpatient surgery. Appendages of the implant may repair or reconstruct tendons or ligaments, and menisci by interpositional inflatable or compliant polymer arthroplasties that promote anatomic joint motion.

Abstract: A tibial implant system has an ultra-high molecular weight polyethylene tibial insert which can engage with either one of two tibial trays through differing means of engagement. The tibial insert includes a locking wire and locking tab disposed along an anterior surface and a locking recess disposed along a posterior surface. A first polymeric tibial tray includes a bead along an anterior wall and an undercut area along a posterior wall. A second metallic tibial tray includes a plurality of barbs along an anterior wall and an undercut area along a posterior wall.

Abstract: Tibial prosthesis having one or more fins for use in a total or unicompartmental knee athroplasty procedure are disclosed. The one or more fins can be adapted to fix a tibial prosthesis to the tibia and can engage with corresponding channels formed in the resected tibia. Additionally, intercondylar components and methods for use in a total or unicompartmental knee athroplasty procedure are disclosed. The intercondylar component can be integral with or attached to a baseplate configured for attachment to a partially resected proximal surface of the tibia that retains at least a portion of the intercondylar eminence and the anterior cruciate ligament (ACL) and/or the posterior cruciate ligament (PCL). Inner surfaces of the intercondylar component can be configured to engage with at least a portion of the intercondylar eminence remaining with the partially resected tibia. In an example, the intercondylar component or the one or more fins can be formed of a porous material, such as to facilitate bone growth.

Abstract: A bone implant is disclosed. The implant comprises a body having a bone contact surface and an articulation surface. A first flange extends longitudinally from the bone contact surface. The flange defines a first screw hole configured to receive a targeted screw therethrough. The targeted screw couples the implant to a bone.

Abstract: A method of determining disc space geometry with the use of an expandable trial having endplate-mapping capabilities. An expandable trial is inserted into the disc space and its height is adjusted to obtain the desired decompression and spinal alignment (which is typically confirmed with the use of CT or Fluoroscopic imaging). The endplate dome/geometry dome is then determined by one of the following three methods: a) direct imaging through the trial, b) balloon moldings filled with flowable in-situ fluid (for example, silicon, polyurethane, or PMMA) from superior/inferior endplates or c) light-based imaging through superior & inferior balloons.

Abstract: Systems and methods are described for correcting sagittal imbalance in a spine including instruments for performing the controlled release of the anterior longitudinal ligament through a lateral access corridor and hyper-lordotic lateral implants.

Abstract: An intervertebral implant can include a core and a flexible end plate. The core can have a core body that is elongate along a first direction and defines first and second outer surfaces. The flexible end plate can define an inner surface and an opposed bone facing surface that is configured to abut a vertebral body. The flexible end plate can be coupled to the core such that at least a portion of the inner surface faces the first outer surface and is spaced from the first outer surface. The flexible end plate is configured to resiliently flex toward a compressed configuration such that as the flexible end plate flexes toward the compressed configuration, a first end moves relative to the core along the first direction and the portion of the inner surface moves toward the first outer surface.

Abstract: Medical devices suitable for implantation in spaces between bones are described. An example medical device suitable for use as an intervertebral spacer includes a main body having an exterior proximal wall, an exterior distal wall, a first exterior lateral wall, a second exterior lateral wall, an upper surface, a lower surface, an interior proximal wall, an interior distal wall, a first interior lateral wall, a second interior lateral wall, and a longitudinal axis. The interior proximal wall, the interior distal wall, the first interior lateral wall, and the second interior lateral wall cooperatively define an interior cavity. The first and second exterior lateral walls are outwardly directed at an angle from the lower surface to the upper surface relative to the longitudinal axis.

Abstract: An expandable implant device (100, 300, 600) for insertion between two vertebrae (400) is disclosed. The device (100, 300, 600) has a center body (10) one or more lift bodies (20, 40) and an external retaining band (60). The external retaining band (60) holds the sides (22, 42) of the one or more lift bodies (20, 40). The center body (10) has ramp surfaces (11) having a plurality or sets of ramps (11) sloped for allowing upward movement of the one or more lift bodies (20, 40). The sides (22, 42) have complimentary ramp surfaces that fit onto the ramps (11) of the center body (10). The height of the device (100, 300, 600) is increased by upward movement or downward movement or both of the one or more lift bodies (20, 40) driven by the lengthwise movement of the center body (10).

Abstract: A spinal implant includes a first member defining a longitudinal axis and including a wall that defines an axial cavity. The first member further defines at least one lateral cavity configured for disposal of an instrument and is oriented transverse relative to the longitudinal axis. A second member includes an axial surface defining gear teeth and being configured for disposal with the axial cavity such that the teeth are offset from the longitudinal axis. The instrument is engageable with the teeth to axially translate the second member relative to the first member. Surgical instruments, systems and methods are disclosed.

Abstract: A minimally invasive intervertebral body retaining cage insertion device is a cage insertion device for inserting a cage between adjacent vertebrae by using a screw driver for inserting a spine-retaining pedicle screw as a shaft.

Abstract: A method includes: making a first incision in a patient defining a first lateral direction to a first lateral side of the patient's spine; inserting an intervertebral prosthesis through the first incision and into an intervertebral space of the spine in the first lateral direction; locating the intervertebral prosthesis between an endplate of a first vertebral bone of a spine, and an endplate of an adjacent, second vertebral bone of the spine; closing the first incision; making a second incision in the patient defining a second lateral direction to a second lateral side of the patient's spine, opposite to the first direction and the first lateral side; reversing the locating of the intervertebral prosthesis from the endplate of the first vertebral bone of the spine, and from the endplate of the adjacent, second vertebral bone of the spine; removing the intervertebral prosthesis from the intervertebral space of the spine from the second lateral direction and out through the second incision; and closing the sec

Abstract: A hydraulic damping cylinder for a prosthetic knee joint, including a housing, a cylinder chamber in the housing and filled with a hydraulic fluid, and a piston arranged in the cylinder chamber and movable by a piston rod. In the housing there are provided at least two separate receiving chambers, which are of different size and are connected to the cylinder chamber by fluid ducts, for hydraulic fluid displaced from the cylinder chamber during a piston movement. The receiving chambers are each separated, by a diaphragm, from a compression chamber filled with a compressible fluid that forms an energy store. Upstream of the larger receiving chamber, there is connected a throttle device which forms a flow resistance for the hydraulic fluid flowing into the receiving chamber so that the hydraulic fluid can be distributed to the two receiving chambers in a manner dependent on speed of the piston movement.

Abstract: An assistive exoskeleton control system has a controller generating a positive assistance by shaping a closed loop integral admittance of a coupled human exoskeleton system to a desired assistance ratio Ad by modifying a control transfer function using a cut-off frequency of a low pass filter.

Abstract: Pump systems for use in suspension of a prosthetic device from a residual limb and methods of suspending a prosthetic device from a residual limb are disclosed. The pump systems include a mechanically activated pump having a first compression member coupled to a second compression member, a compressible bladder disposed between the first and second compression members, and coupling elements that engage and couple together the first and second compression members. The mechanically activated pump may be connected with an electrically activated pump within a fluid circuit of a hybrid pump system to provide vacuum engagement between a prosthetic device and a residual limb.

Abstract: A vacuum suspension system includes a pump mechanism operatively connectable to a prosthetic socket. The pump mechanism has a first member and a second member. First and second fluid chambers are located between the first and second members. The second fluid chamber is fluidly separate from the first fluid chamber, and arranged for fluid communication with the socket. An increase in volume of the first fluid chamber mechanically expands the second fluid chamber, which, in turn, creates a vacuum pressure in the second fluid chamber.

Abstract: A method and process for at least partially forming a medical device which improves the physical properties of the medical device.

Abstract: Methods are disclosed including thermally processing a scaffold to increase the radial strength of the scaffold when the scaffold is deployed from a crimped state to a deployed state such as a nominal deployment diameter. The thermal processing may further maintain or increase the expansion capability of the scaffold when expanded beyond the nominal diameter.

Abstract: According to one aspect of the preset invention, a fatigue resistant stent includes a flexible tubular structure having an inside diameter, an outside diameter, and a sidewall therebetween and having apertures extending through the sidewall. According to other aspects of the invention, processes for making a fatigue resistant stent are disclosed. According to further aspects of the invention, delivery systems for a fatigue resistant stent and methods of use are provided.

Abstract: Tubular prosthesis for deployment in a human body passageway comprises a tubular member adapted for placement in a passageway in a human body and a tube. The tubular member has a tubular wall, first and second end openings, and a side opening formed in the tubular wall between the first and second end openings. The tube has a first end portion and a second end portion. The first end portion of the tube is disposed in the tubular member and has an opening arranged relative to the side opening such that an elongated element (e.g., a guidewire) can be passed through the tube and out from the side opening in the tubular wall where it can enter a branch passageway. The tube can be releasably secured to the tubular member in such as manner that it can be detached from the tubular member and withdrawn after the elongated element is passed through the side opening and placed in a desired position.

Abstract: The instant invention provides for a pivoting ring that can be used as a seal for an inflatable member. The pivoting ring seal offers a mechanical action which acts to tighten with increasing inflation and/or expansion of an inflatable member. As the inflatable member increases in pressure and/or size, one side of the ring is lifted and pivots around a fulcrum in the middle of the ring seal causing the opposite side of the ring seal to decrease in diameter. The pivot ring causes the opposite part of the seal to tighten about an inner member allowing for a higher-pressure seal. In addition to a higher pressure seal, the working length of the inflatable member can be adjusted by moving the ring along the length of the inflatable member.

Abstract: Some embodiments are directed to a deployment system for deploying a stent graft within a passageway, including a delivery catheter having an outer sheath, a proximal end, and a distal end, a stent having a first end and a second end, a graft having a first end and a second end, and at least one connecting element extending from the second end of the stent to the first end of the graft so as to connect the stent to the graft. In some embodiments, the stent can be supported within the outer sheath at a first axial position in a collapsed state, and the graft can be supported within the outer sheath at a second axial position different than the first axial position in a collapsed state, such that the stent does not overlap or substantially overlap the graft in the collapsed state within the deployment system.

Abstract: A stent graft (40) for treating Type-A dissections in the ascending aorta (22) is provided with a plurality of diameter-reducing suture loops (56-60) operable to constrain the stent graft during deployment thereof in a patient's aorta. The diameter-reducing loops (56-60) allow the stent graft (40) to be partially deployed, in such a manner that its location can be precisely adjusted in the patient's lumen. In this manner, the stent graft can be placed just by the coronary arteries (26, 28) with confidence that these will not be blocked. The stent graft (40) is also provided with proximal and distal bare stents (44,52) for anchoring purposes.

Abstract: A gastrointestinal bypass device for directing food and liquids from an esophagus and/or a proximal portion of a stomach into an intestines is described. The device comprises a receiver, a sleeve, and a device coupling. The receiver may be configured to be positioned in the esophagus and/or the stomach. A proximal portion of the receiver may be configured to open and close to at least partially conform to an inside of the esophagus and/or a proximal portion of the stomach. The receiver may be configured to receive food and liquids from the esophagus and/or a proximal portion of the stomach into a lumen of the receiver. The sleeve may be coupled to a distal portion of the receiver. The sleeve may be configured to be positioned in the stomach and the intestines. The sleeve may have a lumen in communication with the lumen of the receiver. The sleeve may be configured to direct the food and the liquids from the receiver into the intestines.

Abstract: A composite material 10 for forming custom fitted orthopedic and other products. The composite material is easily formable when heated to temperatures of about two hundred degrees Fahrenheit for a time of at least six to eight minutes and then is rigid at temperatures of about one hundred thirty degrees. The composite material can be sewn and formed in complex shapes when initially heated to about two hundred degrees. Closure attachments 60 can be secured to the composite material as needed on site rather than at the manufacturing facility. The composite material can be custom fitted to a patient in situ.