Abstract: A deflective medical device including a catheter shaft having a distal end, and an ablation electrode disposed at the distal end of the catheter shaft. A deflection body is provided within the catheter shaft, and the deflection body includes a longitudinally extending spine. Multiple slots are formed in the deflection body, and the slots define a group of ribs. A flex member is disposed distal to the deflection body, and an intermediate region is defined between the deflection body and the flex member. A deflection mechanism is coupled to the intermediate region, which includes a retaining member, a collar, and a pull wire coupled to the collar.

Abstract: Methods for treating a network of organs including generating a map of at least a portion of the network of organs using a rendering system; selecting at least one treatment location within the luminal passageway of the network of organs; and applying an energy therapy to the treatment location to treat the smooth muscle tissue, where the energy therapy applied to the respective treatment location is defined by a plurality of parameters that are associated with a map. Such a system allows for historical or ideal treatment parameters to be identified, visually or otherwise to actual treatment locations. Also, control systems and methods for delivery of energy that may include control algorithms that prevent energy delivery if a fault is detected and may provide energy delivery to produce a substantially constant temperature at a delivery site. In some embodiments, the control systems and methods may be used to control the delivery of energy, such as radiofrequency energy, to body tissue, such as lung tissue.

Abstract: A conduit assembly for transmitting energy between an electrosurgical energy generator and an energy delivering device comprises a first cable sub-assembly including a cable having a flexibility and an energy attenuation; a second cable sub-assembly including a cable having a flexibility and an energy attenuation; wherein the flexibility of the cable of the first cable sub-assembly is less than the flexibility of the cable of the second cable sub-assembly; and wherein the energy attenuation of the cable of the first cable sub-assembly is less than the energy attenuation of the cable of the second cable sub-assembly.

Abstract: A fat reducing device and method utilizing optical emitters includes an array housing a plurality of optical emitters which are positioned to produce an optical output directed to a recipient, and a controller for instructing an operation of the array. The optical output being generated by a plurality of LED's cumulatively producing red light at approximately 635 nm, and at approximately 40,000 Lux, measurable at the array. The method includes reducing the lipid content of subcutaneous adipocytes using the optical emitting device, by delivering red light at approximately 313.6 Lux at a wavelength of approximately 635 nm for between 1 and 8 minutes, resulting in a total delivery of 2.88 Joules to the subcutaneous adipocytes of the target area of the recipient.

Abstract: A kit and/or method for use during surgery is configured to decrease the risk of accidental retention of foreign objects, such as surgical items or medical devices, used in surgery inside of a patient after the surgery is completed. Specifically, illustrative kits may include, but not be limited to, a combination of one or more foreign objects, an anchoring member attached to a point outside of the patient or surgical field, and at least one or more connection members connecting the foreign objects to the anchoring member. Illustrative methods may include, but not be limited to, anchoring one or more foreign object by one or more connection members, wherein a first end of each connection member is attached to the foreign object, and a second end of each connection member is attached to a junction member; attaching the junction member to an anchoring member; and attaching the anchoring member to a structure that is outside the patient or surgical field.

Abstract: A medical device rack in which a medical device is detachably mountable, the medical device rack including: a main body; and a mounting section provided in the main body, the mounting section being configured such that the medical device is detachably mountable in a posture oriented in a lateral direction. The mounting section includes a supporting portion configured to be detachably fitted to the medical device to support the medical device in a rotatable manner.

Abstract: A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity is adapted to articulate instruments inserted therein. The surgical apparatus includes an anchor member configured to form a sealing relation with a tissue, a balloon member and a plurality of articulating arms extending distally from the anchor member. Inflating and/or deflating the balloon member effectuate articulation of the articulating arms.

Abstract: A robotic system for use in performing an arthroplasty procedure of a patient is provided. The robotic system includes a robotic mechanism, a cutting tool coupled to the robotic mechanism for resecting a portion of a bone of the patient through an incision in the skin of the patient, and a computer coupled to the robotic mechanism and configured to control the robotic mechanism. The robotic system also includes at least one navigation member positionable into engagement with tissue in the patient, an optical system coupled to the computer, a position sensor configured to provide movement information of the robotic mechanism relative to the bone, and an interface coupled to the computer, the interface configured to operate the computer.

Abstract: A stockinette (200), suitable for covering an appendage (1440) of a patient, includes one or more folds (206). The fold (206) can be in a length of material (205) disposed between an open end (204) and a closed end (203). Alternatively, the fold (880) can be in an optional cuff (860) formed by a section of material (661) near the open end (603). Folds can be present both in the length of material (205) and in the cuff (860) as well. The cuff (860) can be disposed atop the fold (206) in the length of material (205). The stockinette (200) enables one person to apply the stockinette (200) to an appendage (1440) with one continuous motion that expands the folds.

Abstract: An apparatus for locating a central axis of a spinal column and method of using the same is disclosed. The apparatus and method includes one or more members capable of spanning a center line which may then be identified by at least one additional member positioned therebetween. Furthermore, the device may contain or be capable of accommodating various additional tools for marking the location of the central axis of a spinal column.

Abstract: A device and manufacturing method for a surgical navigation system, comprising a rigid frame member having a top portion, a plurality of mounts each having a top surface, wherein the plurality of mounts are disposed at prescribed locations of the top portion. The top surface of the plurality of mounts are configured to align on a common horizontal plane that extends in parallel with the top portion of the frame member.

Abstract: A maxillofacial or cranial-facial surgical stabilizer comprising a head frame fully or partially surrounding the head of a patient at an angle running from ears to temple, and that is fixated to the skull of the patient by multiple screws and/or ear holders and screws. One or more flexible/locking arms are removably attached to the head frame for holding and positioning a plurality of interchangeable instruments or accessories. One flexible/locking arm is a medial/center arm accessorized with a dental arch mold. A method of using a head frame to position the pieces of bones during maxillofacial or cranio-facial surgery is also provided.

Abstract: The invention relates to a visualization apparatus for visualizing quality of applying energy to an object. The quality of applying energy at a location on the object (3) is visualized based on a) a provided image of the object and b) a provided quality value representing the quality of applying energy to the object at the location on the object (3), wherein a visual property assigning unit (9) assigns a visual property to the location depending on the quality value and a display (10) displays the provided image and the assigned visual property at the location on the object shown in the image. In general a person who applies energy to the object is focused on the location at which energy is applied. Since quality information is shown at the location on which the person is already focused, the quality dependent information can easily be absorbed by the person.

Abstract: A cleaning fixture for cleaning a medical device comprising a shaft receiving portion configured to receive a shaft and end effector assembly of the medical device, the shaft receiving portion including at least one nozzle disposed towards a distal end of the shaft receiving portion such that the at least one nozzle is positioned adjacent the end effector assembly of the medical device upon receipt of the shaft and end effector assembly of the medical device within the shaft receiving portion, and a handle receiving portion configured to receive the housing and handle of the medical device, the handle receiving portion releasably securable with the shaft receiving portion to enclose the medical device therein, the handle receiving portion including at least one lever activation assembly positioned adjacent the handle and operable to selectively actuate the handle to manipulate the end effector assembly.

Abstract: An ultrasonic instrument includes a tip portion, a transducer configured to convert electrical energy into vibrational energy, an acoustic transformer interconnecting the transducer and the tip portion, and a grip portion disposed at least partially about the acoustic transformer. The grip portion is coupled to the acoustic transformer via a resilient nodal coupling at a nodal region of the acoustic transformer. The resilient nodal coupling is configured to provide rotational and axial stability to the acoustic transformer.

Abstract: A reference standard or reference system for dental feature location and orientation can include evaluating the facial appearance of one or more subjects based on aesthetic criteria and selecting a subset of subjects. The reference standard further includes constructing 3D representations, (e.g., a 3D virtual model), of the facial and dental features of the subset of subjects, from photographs of the face and mouth of each subject and determining the location and/or orientation of one or more dental features for each subject. The location and/or orientation values for each subject can be used to produce an average value and a standard deviation that forms the basis for a reference standard as part of reference system for evaluating patients. The method and system further includes constructing 3D representations (e.g.

Abstract: Disclosed herein are methods of manufacturing an oral appliance, the method comprising the steps of: a) importing into a computer aided design (CAD) computer program a digitized data set obtained from a three-dimensional scan of a patient's dentition; b) preparing a three-dimensional electronic model of the patient's dentition; c) subtracting the three-dimensional electronic model of the patient's dentition from an image of a solid block to obtain an appliance data set; and d) manufacturing a dental appliance in accordance with the appliance data set. Also disclosed are devices made by the above method, and methods of treating a condition, for example a sleep breathing disorder, by using a device made by the above method.

Abstract: Bird carriers and methods of restraining birds are disclosed. Each bird carrier may include a torso support, one or more leg clamps, and a head support. The head support may further include a beak receiving passage such that at least a portion of the birds' beaks are exposed. The bird carriers may restrain one or both legs and heads of the birds while supporting their torsos. Restraining the legs and the heads of the birds while supporting their torsos may produce a calming effect such that the birds exhibit significantly reduced struggling in an attempt to free themselves from the carrier.

Abstract: A device for wrapping around a bodily organ and preventing overexpansion thereof. The device comprises inner and outer surfaces with a pliant material located therebetween. The inner surface defines a passage and accommodates and reinforces a bodily organ. The bodily organ, following surgical implantation, extends through the passage and is surrounded by the device. The inner surface, in an uncompressed/slightly compressed state, defines a normal state which supports the bodily organ and permits flow of bodily material therethrough. As the bodily organ expands, due to the bodily material flowing therethrough, the inner surface and the pliant material are compressed and, in turn, correspondingly exert a collapsing force, against the outer wall of the bodily organ, which limits and opposes the expansion of the bodily organ and forces the outer wall of the bodily organ back toward its normal state which still permits flow of bodily material through the bodily organ.

Abstract: A bodily implant is provided to support body tissues of a patient. The bodily implant includes a strip having a first portion and a second portion. The strip is configured to be stretched in a manner such that the second portion is stretched from a first length to a second length. The second portion of the strip is configured to maintain the second length. The strip is further configured to be disposed proximate to the patient's body tissues.

Abstract: A hernia repair device is provided which may include a soft tissue repair prosthesis and an expandable device configured to be removably connected with the soft tissue repair prosthesis. Attachment components may be used to removably connect the soft tissue repair prosthesis with the expandable device. The hernia repair device may be manipulated into a reduced configuration for insertion into the body. When expanded, the expandable device may be configured to position the soft tissue repair prosthesis adjacent a hernia defect. The expandable device and/or the attachment components may be shaped and/or configured to minimize the maximum dimension of the hernia repair device in its reduced configuration.

Abstract: An apparatus includes a delivery catheter having a deployable dynamic valve that dynamically opens and closes in response to relative fluid pressure thereabout, particularly while in an anatomical lumen. The valve is maintained in a collapsed configuration during introduction to a treatment site. The valve is adapted to automatically move from the collapsed configuration to a deployed configuration at the treatment site.

Abstract: A sheath for retaining a prosthesis for use in repair of a damaged portion of a body vessel during an open surgical procedure. The prosthesis is of a type having a constricted condition for delivery to the damaged vessel portion and an expanded condition upon deployment from the sheath. The sheath includes a generally cylindrical body having a distal end portion, a proximal end portion, a passageway extending therethrough, and an elongated tab member at the proximal end portion. The tab member is positionable along the generally cylindrical body for initiating the splitting of the generally cylindrical body from the distal end portion of the sheath body toward the proximal end portion.

Abstract: The present disclosure relates to an endoluminal prosthesis, such as a stent graft that includes one or more fenestrations to accommodate endovascular disease, such as an aneurysm in cases where one or more side branches is involved. In one aspect, the prosthesis includes fenestrations that are pivotable to accommodate the dynamic geometry of the aortic branches. In another aspect, the pivotable fenestrations include a first perimeter, a band of flexible material attached and surrounding the first perimeter, and a second perimeter attached to and surrounding the band of flexible material. The first perimeter, band of flexible material, and second perimeter have a geometric shape. In one aspect, the prosthesis includes at least three pivotable fenestrations.

Abstract: The present invention is an anatomic system which uses the principle of applying higher elastic tonus than the rest tonus of the agonist muscles to provide the function of the antagonist muscles, and which is designed in a simplest way to provide the said purpose and which can be integrated to the body. The static mechanism of the invention is an elastic mechanism which applies a continuous stable tension in order to keep the joints open. The tension of the mechanism is calibrated by increasing or decreasing the amount of the liquid in a chamber which has flexible and elastic walls up to a certain via a port. In the dynamic mechanism of the invention, the tension applied by the elastic mechanism can be changed according to the motion the patient wants to perform.

Abstract: In some embodiments, the present disclosure pertains to a method of fabricating an artificial heart muscle (AHM) patch. In some embodiments, the method includes obtaining and/or isolating cells from a subject. In some embodiments, the cells are primary cardiac cells. In some embodiments, the method further includes forming a scaffold. In some embodiments, the method includes seeding the cells in the fibrin gel scaffold. In some embodiments, the method includes culturing the cells seeded in the fibrin gel scaffold under conditions appropriate for the formation of an artificial heart muscle (AHM) patch. In some embodiments, the present disclosure pertains to a method of fabricating a bioartificial heart (BAH). In some embodiments, the present disclosure pertains to a method of treatment of cardiac tissue injury in a subject in need thereof. In some embodiments, the method includes implanting the aforementioned artificial heart muscle patch in the injured area of the subject.

Abstract: The present disclosure relates to a delivery device and screw combination. The combination includes a delivery device comprising a handle and a shall coupled to the handle, the shaft including a proximal end, a distal end, a non-circular cannulation, and markings along a length of the shaft; an interference screw coupled to the delivery device comprising a proximal end and a distal end, the screw including threads extending in an open helical form from the proximal end to the distal end, a suture bridge located at a distal end of the screw and housed within a slot of the delivery device shaft, and a plurality of runners extending longitudinally along an interior of the screw, the runners housed within grooves of the delivery device shaft; and a suture disposed around the suture bridge, ends of the suture extending through the cannulation of the delivery device shaft.

Abstract: A soft prosthetic implant, such as a silicone breast implant, is provided. The implant has a variety of different surfaces, for example, different textures, located on different areas of the outer surface of the implant.

Abstract: Intraocular lens with accommodation capacity comprising a first optical member (1) having a dynamic optical power, to which a second optical member (2) with a fixed optical power is affixed, in such a manner that at least a central part of each of one of one of the curved surfaces (2a, 2b) of the second optical member (2) and of at least one of the surfaces (1a, 1b) of the first optical member (1) are in contact with each other, the second optical member (2) and the first optical member (1) providing a joint optical power which is variable between a condition of minimum optical power corresponding to a condition of disaccommodation and a condition maximum optical power corresponding to a condition of accommodation, and the first optical member and an anchoring system (3) being designed to change the curvature of at least one of the surfaces (1a, 1b) of the first optical element (1) progressively between a maximum curvature corresponding to the condition of accommodation in response to a minimum effective trac

Abstract: Provided is an intraocular lens having a novel structure with high utility which is easy to adapt to patients, and can improve quality of vision (QOV). In an intraocular lens, an optical characteristic is set rotationally symmetric around an optical axis, and a spherical aberration of a size corresponding to a coma aberration remaining in a patient's eye after extraction of a human lens of the eye is set.

Abstract: A venous valve with a frame and a cover on the frame for unidirectional flow of a liquid through the valve.

Abstract: A sizing device for a collapsible prosthetic heart valve, the sizing device includes a collapsible and expandable balloon having a proximal end, a distal end. At least one microelectromechanical sensor is coupled to the balloon, the at least one sensor being capable of measuring information related to size and stiffness of tissue.

Abstract: An implantable penile prosthesis having an inflatable cylinder with at least one piezoelectric pump for transferring fluid between an integrated reservoir and pressure chamber within the inflatable cylinder. The piezoelectric pump includes an actuator powered by an inductor coil integrated into the inflatable cylinder allowing for wireless control of the inflation and deflation of the inflatable cylinder. An external control system having a corresponding inductive coil can be used to supply a magnetic field for creating a current in the inductor coil integrated into the inflatable cylinder.

Abstract: A method of preparing a preformed bone shape for implantation provides irradiating at least a portion of a preformed bone shape by a Neutral Beam derived from a GCIB, and the preformed bone shape so irradiated.

Abstract: The disclosure is directed to a resilient implant for implantation into human or animal joints to act as a cushion allowing for renewed joint motion. The implant endures variable joint forces and cyclic loads while reducing pain and improving function after injury or disease to repair, reconstruct, and regenerate joint integrity. The implant is deployed in a prepared debrided joint space, secured to at least one of the joint bones and expanded in the space, molding to surrounding structures with sufficient stability to avoid extrusion or dislocation. The implant has opposing walls that move in varied directions, and an inner space filled with suitable filler to accommodate motions which mimic or approximate normal joint motion. The implant pads the damaged joint surfaces, restores cushioning immediately and may be employed to restore cartilage to normal by delivering regenerative cells.

Abstract: Improved tools and procedures relate to the immobilization of the sacroiliac joint for the treatment of pain associated with the joint. Kits comprise, for example, a guide element and an immobilization element of a biocompatible material with a size and shape suitable for placement within the sacroiliac joint. Suitable immobilization elements include, for example, pins, nails, screws, darts, wedges, shims and hardening material. A bioactive agent can be delivered into the joint to compliment the immobilization and promote healing. Suitable procedures can be done in a less invasive procedure through a cannula or the like.

Abstract: A prosthesis according to the present disclosure includes a shell. A liner is disposed within the shell, and a femoral head may be disposed within the liner. A locking mechanism may assist in securing the liner within the shell. The locking mechanism may be removed when the shell, liner, and femoral head are implanted. The shell extends beyond a hemisphere of the shell, and the liner extends beyond a hemisphere of the liner.

Abstract: Implants, and processes for installing them, which replace the medial condyle and portions of the patellofemoral channel but preferably not portions of the lateral condyle that articulate relative to the tibia. Processes are provided which allow proper location and orientation of an anterior resection and a distal resection on the femur, which make use of a transition point which can be designated on the bone, for navigating proper positioning of such implants. Proper positioning of the implant relative to the femur for insuring a smooth transition between lateral portions of the implant and the lateral condyle is thus reduced to determining proper medial/lateral location of the implant on the anterior and distal resections.

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

Abstract: In one embodiment, the present invention is a laminal implant including: a first body including a first flange adapted to engage a first lamina end, a tab and a receiving channel; and a second body including a second flange adapted to engage a second lamina end, and a plurality of teeth adapted to engage the tab, at least a portion of the second body adapted to be positioned within the receiving channel, the first and second bodies adapted to slideably engage one another.

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 spinal implant configured for positioning within a space between adjacent vertebral bodies includes an upper body, a lower body, a ratchet mechanism, and a plurality of bone screws. The upper body and lower body are pivotably affixed at a first end and are capable of movement relative to each other. The ratchet mechanism is slidably disposed on one of the upper and lower body and is capable of engaging the opposite one of the upper and lower body thereby permitting movement of the upper and lower body relative to each other in a first direction, but not in a second direction. An insertion instrument capable of being attached to the expandable spinal instrument and a method of performing spinal surgery is also disclosed.

Abstract: An adjustable spinal implant includes a lower body, an upper body, a locking pawl, and a locking key. The upper body and the lower body are pivotable relative to one another between a collapsed position and an expanded position. The upper body includes a locking flange that extends towards the lower body. The locking pawl is coupled to the lower body and is moveable between a locked position such that the upper and lower bodies are fixed relative to the one another and an unlocked position such that the upper and lower bodies are moveable relative to one another. The locking key is moveable between a locked state such that the locking pawl is fixed in the locked position and an unlocked state wherein the locking pawl is moveable between the locked position and the unlocked position.

Abstract: A tool for inserting a spinal implant is disclosed. The tool includes a tube with a handle end, an inserter end having an opening, and a curved portion located between the handle end and the inserter end. A driveshaft with an actuator extends within the tube so that the actuator is proximate to the opening. A knob is attached to the handle end and the driveshaft, wherein turning the knob rotates the actuator. Methods of utilizing the tool, as well as variations of the tool are also disclosed.

Abstract: A tool for insertion of an intervertebral insert into an intervertebral space is provided. The tool includes a shaft having a proximal end and a distal end. The distal end of the shaft is configured to be coupled to the intervertebral insert. The tool includes a tapered section located at the distal end of the shaft, the tapered section tapering toward the longitudinal axis of the shaft and away from the proximal end of the shaft. The tool further includes a recess formed in the tapered section, the recess configured to receive the intervertebral insert such that at least a portion of the intervertebral insert is located within the recess when the intervertebral insert is coupled to the shaft.

Abstract: Devices, systems and methods are provided for facilitating knee balancing during a knee replacement surgery. A system can include a force sensor, a main body, a moveable sensor platform, and an adjustment mechanism. The force sensor can sense one or more forces applied within a knee joint, including forces applied on a medial side and a lateral side. The movable sensor platform can be coupled between the force sensor and the main body. The adjustment mechanism can adjust the moveable sensor platform, relative to the main body, thereby adjusting a collective height of the system. A method can include inserting portions of a knee balancing system into a gap formed between a cut distal end of a femur and a cut proximal end of a tibia, adjusting an adjustable mechanism of the system to increase or decrease a collective system height, and sensing and displaying the medial and lateral forces.

Abstract: A variable gain impedance controller for use in a control system for controlling a motorized prosthetic or orthotic apparatus provided with a joint The controller comprises a sensor input for receiving a signal indicative of an interaction between the apparatus and the ground, a torque sensor input for receiving a signal indicative of the torque at the joint and a variable gain scheduler in communication with the sensor input so as to receive data therefrom thereby providing a variable torque gain. The variable gain impedance controller adjusts its control on the apparatus based on the variable torque gain and the indicated torque so as to a) increase the joint resistance to motion when the signal received from the sensor input indicates an interaction between the apparatus and the ground and b) decrease the joint resistance to motion when the signal received from the sensor input indicates an absence of interaction between the apparatus and the ground.

Abstract: An artificial foot having a longitudinal axis extending from a heel area to a toe area, a length, a width and a height is provided. The artificial foot includes a connection to a lower leg part, an upper supporting structure in the direction of height, an elastic sole structure extending from the heel area to the toe area, an elastic connecting element arranged between the upper supporting structure and the sole structure, and a coupling system. The upper supporting structure is connected to the sole structure approximately in a middle of the foot with respect to its length by means of the coupling system. The coupling system allows a relative tilting motion between the upper supporting structure and the sole structure while keeping a distance between the upper supporting structure and the sole structure in a middle of the coupling system constant, at least while a patient places weight on it when standing.

Abstract: Endovascular treatment of, for example, delayed cerebral vasospasm involves the placing of a microcatheter in the affected vessels followed by the teachings of the instant disclosure, which is clinically improved with comparison to slow infusion of a vasodilating compound. Systems, processes and self-expanding designed stents and stent-like members are featured and highlighted. The stents and stent-like members being retrieved, nothing is left in the vessel. Drug-eluting stents, resorbable stents and angiographically imagable coatings, including tantalum brushes over part or all of subject system components are also disclosed.

Abstract: A composite stent graft has a balloon expandable stent portion (3), a tubular graft material portion (1) inside or outside of the balloon expandable stent portion and self expanding stents (5) associated with the tubular graft material portion. Part (7) of the balloon expandable stent portion can extend beyond the proximal end (9) of the tubular graft material portion. The tubular graft material can be polytetrafluoroethylene, dacron, polyamide, sub intestinal mucosa or any other suitable biocompatible material. A method of deploying which includes flaring a part (7) of the balloon expandable stent portion is also discussed.