Abstract: Disclosed herein are flexible prosthetic components that are designed to be snap-fit to bone of a patient. The prosthetic components each have an outer articular surface and an inner bone contacting surface opposing the outer articular surface. The bone contacting surface has an anterior surface and an opposing posterior surface configured to contact corresponding anterior and posterior surfaces of the patient's bone. At least one of the anterior and posterior surfaces includes one or more protrusions extending outwardly therefrom. The anterior and posterior surfaces of the prosthetic components may flex toward and away from one another such that the one or more protrusions may snap-fit into corresponding recesses in the bone. The bone of the patient may be resected to include planar surfaces or resurfaced to include a curved surface corresponding to the respective bone contacting surface of the prosthetic components.

Abstract: Systems and methods for joint preparation and fusion are disclosed. The system includes a cutting device having a handle, and rigid blade member. The blade member may include cutting edges on first and second sides, and may be curved in one or more planes. The blade member may be deployed to project outside of an outer tube, and the cutting device may be rotated to create a circular cavity. In a method of use, a cannula provides access to a procedure site such as a joint. A pathway to the joint is created, and the cutting device is inserted and deployed to undercut a cavity in the joint. A fusion device may be implanted across the joint to provide compression and fuse the joint. The system may also include instrumentation for creating access to a joint, bone graft insertion and implant insertion.

Abstract: An acetabular hip implant and method includes an acetabular shell component having a first feature and a first insert having a second feature that cooperates with the first feature of the acetabular shell component and further includes a third feature. The implant further includes a second insert having a fourth feature that cooperates with the third feature of the first insert and further includes a fifth feature. A femoral head component includes a sixth feature that cooperates with the fifth feature. Interaction between the first and second features, between the third and fourth features, and between the fifth and sixth features mechanically constrains the acetabular hip implant to prevent dislocation of the femoral head during rotation.

Abstract: An orthopaedic prosthetic hip assembly and method for use during performance of a hip replacement procedure. The assembly includes a femoral stem component having a tapered trunnion and a femoral head component having a tapered bore. Upon insertion of the tapered trunnion into the tapered bore, a taper lock is formed and a seal provides a fluid-tight closure.

Abstract: An implant for shoulder arthroplasty includes a stem and optionally a head component or a cup component. The stem is sized and shaped to fit into an intramedullary canal of the humerus. The proximal portion of the stem has a concave taper and the distal portion of the stem has a taper. The distal taper includes an anterior-posterior taper and a medial-lateral taper. The shape of the stem loads the metaphysis of the humerus with a greater load than the load applied to the diaphysis of the humerus.

Abstract: Spacer device for the two-phase treatment of infections of anatomic and reverse shoulder prostheses, including a humeral component equipped with a stem, a head component and means for connecting or articulating the humeral component with the head component.

Abstract: Surgical implant systems, methods, and components are described herein. More particularly, the disclosure relates to joint arthroplasty systems, methods, and components. Particular embodiments described herein can be used to modify the subtalar joint (e.g., posterior facet of the subtalar joint), calcaneocuboid, talonavicular, and any other suitable joint. An exemplary implant system comprises a first implant component, a second implant component, and an insert.

Abstract: A vertebral body replacement device, dimensioned for implantation between a first and second vertebral bone is described. The vertebral body replacement device includes a superior endcap, an inferior endcap and a central core between the superior and inferior endcaps. The vertebral body replacement device further includes a fusion aperture extending through the superior and inferior endcaps and central core. The vertebral body replacement device is made of radiolucent material and can be implanted from a lateral or anterior approach to the spine.

Abstract: The present invention provides a supporting member for implanting into a vertebra of a subject, including: a hollow body including an upper surface and a lower surface opposite the upper surface; a first guiding part formed on the upper surface; a second guiding part corresponding to the first guiding part and formed on the lower surface; a first engaging part formed on the upper surface; and a second engaging part corresponding to the first engaging part and formed on the lower surface; wherein the second guiding part extends out an extending part from a side of the hollow body, and the extending part is configured to be slidably coupled to a first guiding part of another supporting member sliding to the lower surface of the supporting member, as a result two supporting members are slidably coupled to each other and engaged to each other.

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

Abstract: A method for inserting an intervertebral artificial disc is provided with the intervertebral disc including a first endplate having a plurality of protrusions for attaching to an adjacent vertebrae and an extension portion extending towards a second adjacent vertebrae. A second endplate is provided with a plurality of protrusions for attaching to a second adjacent vertebrae and an extension portion extending towards the first adjacent vertebrae. A flexible member having an upper portion and a lower portion and a slider plate positioned within the upper portion of the flexible member is also provided. The extension portion of the first endplate is adapted to fit within a first cavity in the upper portion of the flexible member and the extension portion of the second endplate is adapted to fit within a second cavity in the lower portion of the flexible member.

Abstract: An expandable interbody device for implantation within an intervertebral space is provided, together with methods and tools for use therewith. The interbody devices of the present invention include upper and lower bearing members configured to expand via an expansion mechanism configured to allow the insertion of osteoconductive materials and other structures into the interior of the interbody device before and after implantation, and before and after expansion of the interbody device. The insertion tool is configured expand the interbody device and to allow insertion of materials into the interbody device through a protected pathway.

Abstract: The technical description relates to expandable spinal cages. An example expandable spinal cage is configured to engage a vertebra. An example expandable spinal cage includes a fixed member a lifting member, a driving member, and a locking member. An example expandable spinal cage has a first configuration and a second configuration.

Abstract: A prosthetic intervertebral disc joint assembly for replacing at least a portion of an intervertebral disc between first and second adjacent vertebrae comprising: a first component 20, 120 for engaging a first vertebra, the first component having an intervertebral portion 20a, 120a insertable between adjacent vertebrae and having a bone-engaging side for engaging an endplate of the first vertebra and an inner side opposite the bone-engaging side, the inner side of the intervertebral portion 20a, 120a having an articulating surface 22, 122 comprising a generally convex surface; a second component 30, 130 for engaging a second vertebra, the second component having an intervertebral portion 30a, 130a insertable between adjacent vertebrae and having a bone-engaging side for engaging an endplate of the second vertebra and an inner side opposite the bone-engaging side, the inner side of the intervertebral portion 30a, 130a having an articulating surface 32, 132 comprising a generally concave surface; wherein the co

Abstract: Bone graft scaffold arrangements are described that can be used in minimally invasive posterolateral spinal fusion. The bone graft scaffold apparatus comprise a housing which comprises a cavity for receiving bone growth promoting materials and a plurality of apertures. In use these allow bone and blood vessels to grow through the plurality of apertures to form the bone bridge between vertebrae. Further the bone graft scaffold apparatus comprise at least one opening in the housing for receiving a shaft of an orthopaedic device, such as rod linking pedicle screws, or the shaft of a pedicle screw, or another suitable shaft in another surgical procedure. The apparatus can be attached to structural components such as rods and screws and used to form a continuous scaffold between vertebras to assist in forming a bone bridge.

Abstract: An orthopedic device for implanting between adjacent vertebrae comprising: an arcuate balloon and a hardenable material within said balloon. In some embodiments, the balloon has a footprint that substantially corresponds to a perimeter of a vertebral endplate. An inflatable device is inserted through a cannula into an intervertebral space and oriented so that, upon expansion, a natural angle between vertebrae will be at least partially restored. At least one component selected from the group consisting of a load-bearing component and an osteobiologic component is directed into the inflatable device through a fluid communication means.

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: A device promotes osseointegration between two adjacent vertebrae. The device includes a spacer fabric having a top layer, a bottom layer, and intermediate filler fibers connecting the top layer and the bottom layer. The spacer fabric is capable of expanding to fill a gap between two adjacent vertebrae.

Abstract: A method of delivering graft material to a surgical site includes positioning graft material in a tube of a delivery device. The tube defines an open end and a bend along its length. A plunger within the tube is advanced to dispense the graft material through the open end.

Abstract: A cup impactor (1, 1?, 1?) is provided, adapted to assist a surgeon in controlling implantation of a cup prosthesis (9). The impactor has an impactor body (8), a drive train assembly (71), an impactor nose (38), and a clamping handle (5). The impactor body (8) has on its proximal end, an impaction plate (7) connected thereto, and an impactor handle (6) formed thereon for handling by the surgeon and, on the distal end, an impactor cup support portion (8a) having a receiver recess (8b) therein. A drive train assembly (71) has a prosthesis engaging interface (11) at a distal end thereof, and a proximal end on which a positioning knob (2) is formed. The assembly (71) received and rotatably mounted in the receiver recess (8b) of the body (8) so as to expose the prosthesis engaging surface (11). An impactor nose (38) mounts on the distal end of the impactor body (8), through which the prosthesis engaging interface (11) extends.

Abstract: An orthopaedic surgical instrument and method for positioning an acetabular prosthetic component in a patient's surgically-prepared acetabulum is disclosed. The orthopaedic surgical instrument has a base configured to engage the patient's pelvis, a first linkage pivotally coupled to the base, a locking mechanism operable to lock the first linkage in position relative to the base, and a second linkage removably coupled to the first linkage. The second linkage has an alignment axis corresponding to a desired abduction angle and a desired anteversion angle of the acetabular axis of the acetabular prosthetic component.

Abstract: An intervertebral prosthesis includes a body having first and second spaced apart major surfaces defining a longitudinal axis; a first aperture opening at one of the first and second major surfaces; a first anchoring element including a shaft having proximal and distal ends; a translator element coupled to the proximal end of the first anchoring element and having an engagement element that is releasibly engageable with a distal end of an external shaft element that enters the body through an aperture. The shaft element applies forces to the translator to: (i) move along a longitudinal axis within the body, (ii) translate the proximal end of the first anchoring element parallel to the longitudinal axis, and (iii) push the first anchoring element out through the first aperture.

Abstract: A prosthesis with a support part on which a pivot joint is secured or formed. A distal prosthesis component is secured to the support part via the pivot joint, and the pivot joint allows a flexion and extension of the distal prosthesis component about a pivot axis relative to the receiving element or to the support part. A damping device, spring device, and/or actuator is arranged between the distal prosthesis component and the support part, and the damping device, spring device, and/or actuator is mounted on the distal prosthesis component using a first bearing point and is mounted on a lever or an arm using a second bearing point. The lever is mounted on the distal prosthesis component in a pivotal manner about a pivot axis. A distal portion of the arm is mounted on the lever, and a proximal portion is mounted on the support part.

Abstract: A prosthetic foot device (1) having a longitudinal direction (L) and a transverse direction (T) and comprising a base spring blade (2), an ankle spring blade (3) being made from a composite material comprising glass fibres and a heel spring blade (4), the base spring blade (2) and the ankle spring blade (3) being connected in a forefoot region (5) of the prosthetic foot device (1), the base spring blade (2) and the heel spring blade (4) being connected in a heel region (7) of the prosthetic foot device and the ankle spring blade (3) and the heel spring blade (4) being connected in an ankle region (9) of the prosthetic foot device.

Abstract: Prosthetic devices and methods of controlling the same are provided. A prosthetic ankle device includes a foot unit and lower limb member moveable relative to one another and defining an ankle angle therebetween. The prosthetic ankle device further includes a controller to operate the device using different ankle angles depending on, for example, a user's gait speed. Methods of controlling the prosthetic ankle device include operating the device at different ankle angles depending on gait speed. For example, the prosthetic ankle device can provide for relatively more dorsiflexion at relatively slower gait speeds and relatively more plantarflexion at relatively faster gait speeds.

Abstract: A system for controlling a body part includes a number of sensing devices that sense signals from a hemisphere of a brain. A signal translating unit translates the signals into a command signal for controlling the body part, which is on a same side of the body as the hemisphere of the brain. A prosthetic device receives the command signal from the signal translating unit and manipulates the body part in response to the command signal.

Abstract: A prosthetic liner includes a flexible elongate, generally conical body portion formed from an elastomeric material. The body portion defines an inner surface, an outer surface forming a liner profile between a distal end and a proximal end, and an axis extending between the distal and proximal ends. At least one seal element extends circumferentially about the axis and protrudes radially outward a distance from the liner profile. The at least one seal element has a seal height defined between the liner profile and a radially outward end of the at least one seal element. The seal height varies circumferentially about the axis between a first seal height and a second seal height.

Abstract: Systems and methods are disclosed for prosthetic devices. In one embodiment, an apparatus comprises a first section attachable to an abutment screw of a percutaneous implant; a second section attachable to a prosthetic limb; a latch for coupling the first section with the second section, the latch releasable in response to an overload on the prosthetic limb. A compliance component may be positioned between the first section and the second section, such that when the latch releases in response to the overload, the compliance component provides a tension between the first section and the second section.

Abstract: A method of reducing blood flow within an aneurysm includes: injecting a contrast agent into a blood vessel including an aneurysm; expanding a stent, from a delivery device, across the aneurysm; and confirming that a stagnated area forms in the aneurysm. The stagnated area can form a crescent shape, a mushroom shape, a hemispherical shape, and/or a flat side. Upon confirming that the stagnated area forms in the aneurysm, the delivery device can be withdrawn from the blood vessel. The stagnated area can include the contrast agent. If the stagnated area does not form in the aneurysm, a second occluding device may be deployed.

Abstract: A personalized prosthesis for implantation at a treatment site of a patient includes a self-expanding mesh or membrane having collapsed and expanded configurations. The collapsed configuration is adapted to be delivered to the treatment site, and the expanded configuration engages the personalized prosthesis with the treatment site. The mesh or membrane is personalized to match the treatment site in the expanded configuration, and has an outer surface that substantially matches the treatment site shape and size. The self-expanding mesh or membrane forms a central lumen configured to allow blood or other body fluids to flow therethrough. Methods of manufacturing and delivery of the personalized prosthesis are also disclosed.

Abstract: A personalized prosthesis for implantation at a treatment site of a patient includes a self-expanding mesh or membrane having collapsed and expanded configurations. The collapsed configuration is adapted to be delivered to the treatment site, and the expanded configuration engages the personalized prosthesis with the treatment site. The mesh or membrane is personalized to match the treatment site in the expanded configuration, and has an outer surface that substantially matches the treatment site shape and size. The self-expanding mesh or membrane forms a central lumen configured to allow blood or other body fluids to flow therethrough. Methods of manufacturing and delivery of the personalized prosthesis are also disclosed.

Abstract: A personalized prosthesis for implantation at a treatment site of a patient includes a self-expanding mesh or membrane having collapsed and expanded configurations. The collapsed configuration is adapted to be delivered to the treatment site, and the expanded configuration engages the personalized prosthesis with the treatment site. The mesh or membrane is personalized to match the treatment site in the expanded configuration, and has an outer surface that substantially matches the treatment site shape and size. The self-expanding mesh or membrane forms a central lumen configured to allow blood or other body fluids to flow therethrough. Methods of manufacturing and delivery of the personalized prosthesis are also disclosed.

Abstract: A biodegradable stent that is degraded in a living body includes a stent body that is made of a biodegradable material and is deformed to have an expanded diameter in the living body; and a biodegradable drug-coating portion formed on the stent body. The drug-coating portion is degraded, in an expansion retention period during which an expansion retention force (radial force) of the deformed diameter-expanded stent body that acts on an inner wall of a lumen thereof is maintained, and before 60% of a degradation period from indwelling of the stent body in the living body to complete degradation thereof elapses.

Abstract: A self-sealing tubular graft is provided for implantation within a patient's body that includes an elongate tubular body including first and second self-sealing cannulation regions and a loop region extending between the first and second cannulation regions. The loop region includes one or more reinforcement members attached to a first length of the loop region and extending at least partially around a circumference of the tubular body. For example, the reinforcement members may include one or more sinusoidal or zigzag members extending along the first length with alternating peaks and valleys extending at least partially around a circumference of the tubular body. Self-sealing patches are also provided that include one or more reinforcement members embedded within base material.

Abstract: The invention relates to a stent and a system for putting in place a stent. Said stent is used especially for splinting a vein and consists of a braided, tubular supporting member (2) that has a minimum length of 60 mm. The supporting member is braided from one or more wires in such a way that portions of the wire or wires, resp., delimit rhombuses. The disclosed stent is characterized in that in the unloaded state of the stent, the longitudinal size of most of the rhombuses (7) in the longitudinal direction (15) of the stent (1) is not shorter than the transversal size of the rhombuses.

Abstract: A stent that includes a stent body, which includes a strut formed from a cylindrical base material. The strut possesses a manufactured minimum outer diameter when the strut is formed from the cylindrical base material. The stent body is configured to be compressed onto an outer surface of an expandable member of a catheter. The stent body is configured to be expanded radially outward by applying a nominal pressure directed by a manufacturer within the expandable member. The strut possesses an expanded outer diameter when the stent body is expanded by the expandable member at a pressure which is two atm lower than the nominal pressure. The manufactured minimum outer diameter of the strut is equal to or larger than expanded outer diameter of the strut when the stent body is expanded by the expandable member at the pressure which is two atm lower than the nominal pressure.

Abstract: Tortuosity of vessels at or leading to the site of minimally invasive procedures is a problem for conducting such procedures as they increase the difficulty to guide the procedural catheters through tortuous vessels. Methods and apparatus for stabilization of the sheaths and catheters during access, procedures, and withdrawal in these tortuous vessels are disclosed. The apparatus and method for improving access include application of a pull component to the stabilized procedural catheter using a stabilization catheter/wire in addition to a push component from the percutaneous access to make the access easier while enabling use of more flexible catheters and softer wires. These methods and devices address the problems of trauma to the vessels during access, procedure and removal of catheters and wires, improve pushability of softer catheters and wires, and also substantially reduce substantially the procedure time.

Abstract: A stent delivery system includes an elongated shaft, a balloon and a stent. The balloon is dilatable from a contracted position to an expanded position when a fluid flows into an interior of the balloon. The stent is formed by wires that are spaced apart so that at least one gap is formed between the wires. The stent is mounted on the outer surface of the balloon when the balloon is contracted. The balloon includes a protruding portion which protrudes radially outward through the gap of the stent when the stent is mounted on the balloon and the balloon is in the contracted position. A lubricant is disposed on the outer surface of the balloon at least on a part of the protruding portion of the balloon, and an other portion of the balloon covered by the stent does not have the lubricant.

Abstract: A catheter for delivering a self-expanding stent-graft prosthesis includes an inner shaft component having a distal segment over which the stent-graft prosthesis is loaded in a compressed delivery configuration. The distal segment has a covering that is intimately disposed thereover. The covering forms a raised outer surface on the distal segment and includes a plurality of protrusions that extend radially outward from the raised outer surface. An outer shaft component is slidingly disposed over the distal segment of the inner shaft component for holding the stent-graft prosthesis in the compressed delivery configuration. In the compressed delivery configuration, the stent-graft prosthesis is disposed over and makes contact with the covering of the distal segment of the inner shaft component such that at least the plurality of protrusions provide sufficient friction to of the covering secure a longitudinal position of the stent-graft prosthesis relative to the inner shaft component.

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

Abstract: Devices and methods of endolumenal formation of gastric sleeves are described. Some embodiments allow templating of a gastric sleeve by a gastric bougie, exposing a selected amount of tissue for suturing access, while maintaining sufficient internal working space for suturing within the template lumen.

Abstract: The present disclosure provides an inflatable weight control device that is implanted long-term with an endoscope in obese and bariatric human patients to promote early and prolonged satiety. The device includes a flexible, inflatable member coupled to a valve body assembly and an elongated durable module residing within the flexible member. The flexible member is selectively inflated to form two bulbs with a central passageway extending through the bulbs and the valve body assembly. Once the bulbs are inflated, the device is retained within the patient's pyloric valve to form a gastric outlet obstruction wherein chyme accumulates and then is directed through the central passageway to reach the patient's duodenum. Due to its unique configuration, the implanted device reduces gastric outflow which results in early and prolonged satiety when the patient consumes normal-sized meals or food portions, thereby reducing food consumption and increasing the patient's weight loss.

Abstract: A gastrointestinal device and method for retrieving the device are disclosed. The device may include a stent including a plurality of strands forming first and second ends, the strands configured to move between a retrieval configuration, with substantially parallel strands, and a deployed configuration, wherein the strands form proximal and distal portions having first and second diameters larger than the pyloric sphincter. The device may include a connector assembly including proximal, middle, and distal connectors. The middle connector may be coupled to the proximal and distal connectors when the strands are in the deployed configuration. The strands may be attached to the proximal and distal connectors and the first and second ends. The device may include a release mechanism configured to decouple the proximal connector from the middle connector. Decoupling of the proximal and middle connectors may allow the strands to move from the deployed to retrieval configuration.

Abstract: A blocking device (20) for fastening orthoses used in the orthopedic-rehabilitation sector to parts of the body of a person comprises a casing (21) housing a cable (40) wound on a reel (23) by the rotation of a knob (27) restrained to the casing (21) during the winding stage and partially releasable from the casing by pushing and/or pulling the knob, in order to operate with respect to a ratchet-type non-return system, wherein the ratchet-type non-return system consists of elastic tabs (32) which are part of the casing (21), and an inner toothed edge (31) of the knob (27).

Abstract: The magnetorheological (MAR) medical brace includes a flexible outer shell that fits around the anatomical area to be braced and a plurality of adjustable straps for securing the shell onto the anatomical area. The shell encases a MAR pack filled with magnetorheological fluid or gel. A plurality of magnets is attached to or encased in the shell to provide magnetic field acting on the MAR pack. The interaction of the magnetic field with the MAR pack adjustably increases or decreases the stiffness of the shell depending on the strength of the magnetic field. A control mechanism is provided for selective adjustment of the magnetic field and other functions.

Abstract: An abductor device includes a pair of cuffs for interfacing to respective legs of a user. There is a mechanism for removably holding each cuff of the pair of cuffs to a respective leg of the user and a mechanism for maintaining a range of separation between each cuff of the pair of cuffs. This range of separation ranges from a minimum distance between each cuff of the pair of cuffs to a maximum distance between each cuff of the pair of cuffs.

Abstract: A spine support device includes a support plate having front and rear faces, a central opening, and a pair of stabilizing stirrups formed on the rear face of the support plate in spaced parallel relationship to augment the support provided by the support plate when positioned at its front face in contact with a portion of a person's back surrounding a region of spinal vertebra visible through the central opening in the support plate. The support plate has opposing inner side edge portions at opposing sides of the central opening and opposite peripheral side edge portions spaced outwardly therefrom with the stabilizing stirrups therebetween. The opposing inner side edge portions and the opposite peripheral side edge portions of the support plate have respective alternating peak and valley shapes for accommodating interconnecting facets of the spinal vertebra region visible through the central opening in the support plate.

Abstract: Disclosed is a base plate 1 for an ostomy collection device, comprising a cover layer 2 whereon an adhesive layer 3 is at least partly disposed. Immediately surrounding a through-going hole 6, the base plate has an inner area wherein the cover layer extends beyond the adhesive layer in a radial direction toward the through-going hole, thereby providing an overlap 7 protecting the adhesive material from contact with stomal output.

Abstract: An oral appliance fixed to lower jaw teeth comprises a body having a shape corresponding to a teeth arrangement, a lower teeth recess formed in a lower portion of the body to allow lower jaw teeth to be inserted therein, an upper teeth recess formed in an upper portion of the body to allow upper jaw teeth to be inserted therein and allowing the lower jaw to move backward by a predetermined distance, and an upper teeth guide part formed to extend from the body to face a side of the upper jaw teeth. The lower teeth recess further comprises a lower molar fixing recess formed to strongly engage with at least a portion of left and right molars of the lower jaw teeth by frictional force, and a lower incisor recess formed to allow other lower jaw teeth except the left and right molars to position therein.

Abstract: An orthotic device for redefining an occlusal plane includes a left portion, a right portion including an upper surface, a bite block coupled to either the left portion or the right portion, and a lingual portion coupled to the left portion and the right portion. The orthotic device is configured to engage teeth located along a left portion and a right portion of a mandible. The bite block is disposed along the upper surface of either the left portion or the right portion and extends upward relative to an upper surface of the left or right portion.