Abstract: An instrument holder is described for mounting a medical instrument on a joint arm, comprising a body, a holder for holding the medical instrument on the body, and a coupling element for attaching the body to the joint arm. The holder comprises a threaded shank provided with an external thread, a receiving disc and a locking element provided with an internal thread. The receiving disc has a through-hole, by which the receiving disc can be put on the threaded shank and is rotatable about the threaded shank.

Abstract: A bone depth gauge having a distal handle to which a tip is releasably connected. The tip is formed by photochemical machining to produce a tip and hook on the distal end with an approximate hexagonal cross section. The manufacturing costs of the tip are low enough to provide it in a one use package. A tubular element is releasably telescoped over the tip and handle to enable determination of the depth of a hole formed in a bone.

Abstract: A patient positioning system associated with an electromagnetic field generator includes a patient fixation unit for fixing a patient or a part of the patient's body so as to be immobile with respect to the patient positioning system. The patient fixation unit and the electromagnetic field generator are installed so as to retain their position with respect to each other. A method for navigating a patient or a part of the patient's body by means of a medical navigation system is provided, wherein the patient or part of the patient's body is positioned by such a patient positioning system.

Abstract: A device may include a three-dimensional image sensor configured to scan an area including a closed or partially closed container, an output display, and a controller. The controller may be configured to: recognize an instrument that is detected by the three-dimensional image sensor, where a first section of the instrument is located inside of the container and a second section of the instrument is located outside of the container, and represent, on the output display, three-dimensional positions and orientations of the instrument, where a first position and a first orientation of the first section of the instrument is inferred from a second position and a second orientation of the second section of the instrument.

Abstract: The present invention provides a device and method for measuring tissue deformation during an invasive medical procedure. A device is provided comprising a flexible fiber having a proximal end and a distal end; at least one sensor embedded in the flexible fiber; a rigid mount having a transverse opening for the flexible fiber; a mechanism for inserting the flexible fiber into a tissue; a detector for receiving information from the sensor; and a tracking system for receiving information from the detector to calculate the sensor location.

Abstract: A patient side cart for a teleoperated surgical system may include a base, a column connected to the base, a boom connected to the column, a surgical instrument manipulator arm connected to the boom, and an obstacle indication system comprising an illumination source that directs light in a path of the boom. Various exemplary embodiments also encompass methods of providing obstacle indication via a patient side cart of a teleoperated surgical system, including directing light onto an object in a path of the boom to indicate that the object is located in a path of the boom, and methods of determining a predetermined height to be stored in a patient side cart for a teleoperated surgical system, including illuminating an object in the path of the patient side cart and storing a current height of the patient side cart as the predetermined height.

Abstract: A treatment device rotates a second rotation portion by operating an operation element. The second rotation portion switches between a first rotation position and a second rotation position. A direction of the end effector relative to the distal end of the sheath is changed in the first rotation position. A position of the end effector relative to the distal end of the sheath is maintained in the second rotation position.

Abstract: A system for illuminating a surgical site includes a surgical tool having a tubular shaped body with an outer wall that extends from a proximal end to a distal end of the tubular shaped body. An opening extends through the outer wall. The system includes an illumination device coupled with the surgical tool for providing light inside the tubular shaped body. The illumination device includes a proximal end having a housing with a power source, a distal end including a distal tip, an LED disposed inside the distal tip, and a flexible power line extending between the housing and the distal tip for interconnecting the LED with the power source. The distal tip is inserted into the opening extending through the outer wall of the tubular shaped body for providing light inside the tubular shaped body.

Abstract: A compliance-based cleaning device includes a receiving area configured to receive a piece of equipment to be cleaned, a cleaning member located in proximity to the receiving area and configured to perform a cleaning process on the piece of equipment, a compliance component configured to monitor the cleaning process performed on the piece of equipment, and a network component configured to transmit compliance data to a compliance database in response to the cleaning member performing the cleaning process on the piece of equipment. The compliance data includes identifying information obtained by the compliance component.

Abstract: An implant device identifiable after implantation comprises a main portion of the implant device and a coded portion of the implant device. The coded portion comprises a radiopaque element and indicia on the radiopaque element or indicia as a plurality of radiopaque elements disposed within the coded portion. The indicia are discernible by x-ray, fluoroscopy, computed tomography, electromagnetic radiation, ultrasound, or magnetic resonance imaging.

Abstract: Embodiments of a medical or dental handpiece are disclosed. A medical or dental handpiece may include a rotatable drive element to drive a tool that can be connected to the handpiece, a rotational speed measuring device which is designed to generate a variable electric rotational speed measurement signal assigned to the rotational speed of the drive element, a lighting device that can be supplied with electric power for emitting radiation, in particular visible light, onto a treatment site, and at least one shared electric line, which is provided for transmitting electric power to the illumination device and the rotational speed measurement signal of the rotational speed measurement device. Further a corresponding method for the operation of a medical or dental handpiece is disclosed.

Abstract: Milling strategies for machining dental ceramic materials are provided that reduce milling time while maintaining strength, accuracy and marginal integrity.

Abstract: Devices, systems, and methods for adjusting a prescription of a plurality of orthodontic brackets are disclosed herein. The devices include an orthodontic prescription-defining device that includes a plurality of contacting structures and a plurality of prescription-defining engagement structures. The systems include the orthodontic prescription-defining device and a plurality of orthodontic brackets. The methods include unlocking each of a plurality of orthodontic brackets, operatively contacting a plurality of contacting structures of an orthodontic prescription-defining device with a plurality of intra-oral reference points, urging each of a plurality of archwire slots to a respective preselected orientation, and locking each of the plurality of orthodontic brackets in the preselected orientation.

Abstract: The present invention relates to a dental post for supporting dental prostheses by a screw attachment and method for the manufacture thereof which provides a customizable optimum solution for each case, both from the mechanical viewpoint and from the aesthetic viewpoint, essentially comprising an upper hole into which the retaining screw is screwed for retaining the prosthesis on the post such that the upper hole can be located at any point of the surface of the post once said post has been customized in terms of the shape thereof and type of retention to the prosthesis depending on the mechanical and aesthetic needs of the type of rehabilitation suitable for each particular case.

Abstract: An insert for a dental prosthesis screwed onto an implant, in particular of the type having a superstructure and an implant to be integrated in the bone, which are reciprocally joined by a screw. The insert is composed of an element made of a damping material interposed between the coupling surface of the superstructure and the implant. With an insert according to the invention, a dental prosthesis screwed onto an implant is obtained, which reproduces the natural anchoring state of the tooth to the bone, so that the stress peaks on the superstructure are damped before being discharged onto the implant and consequently also onto the bone. An insert according to the invention also offers the advantage of sealing the contact area between the superstructure and the implant, thus preventing dangerous bacterial infiltrations.

Abstract: The invention relates to a method for producing a dental prosthesis, wherein the dental prosthesis comprises a prosthesis base and a plurality of prosthesis teeth, wherein the method is carried out making use of a virtual three-dimensional dental prosthesis model of the physical dental prosthesis which is to be produced, and wherein the virtual three-dimensional dental prosthesis model comprises virtual prosthesis teeth and a virtual prosthesis base, with the steps: from the external form of the vestibular surfaces and/or occlusal surfaces of the virtual prosthesis teeth, and from the external form of the vestibular surface of the virtual prosthesis base of the virtual three-dimensional dental prosthesis model, a virtual model of a template is calculated, such that a region of the virtual surface of the virtual template is formed by a negative of the vestibular surfaces and/or occlusal surfaces of the virtual prosthesis teeth and of the virtual prosthesis base, wherein the location and the orientation of t

Abstract: A method of manufacturing an article, including taking an article formed in an initial state via an additive manufacturing process and performing a second manufacturing process to transform the article into a second state, which includes mounting the article in a holding device, processing at least one first feature on the article, which includes processing at least one set of mounting features on the article, re-mounting the article via the at least one set of mounting features, and then processing at least one second feature on the article.

Abstract: The invention relates to a tooth made of ceramics, a composite or plastic, which is produced in a mold, said tooth having a basal surface (16) that comprises a trough (18). The especially elliptical or circular trough (18) is adapted to the basal surface (16) and has a trough edge (22, 24) which extends at least partially in an angle of more than 45 degrees, in particular more than 60 degrees or 70 degrees, with respect to the adjacent basal surface (16).

Abstract: Polymeric shells which fit over natural teeth to change the perceived color of the teeth, and optionally to provide orthodontic support. The shells are prepared by thermoforming selected polymeric sheets which contain optical additives; the optical additives cause the combination of the shell and the teeth to have a desired appearance. The shell preferably has transparency of greater than 75%, particularly greater than 85%.

Abstract: An apparatus (100, 100?) is configured such that passage of a fluid (30) through an open port of a distal tip (112, 112?) enables detection of a substance (116) that may be present on a surface (31, 33), e.g., a surface of a tooth, based on measurement of a signal correlating to a substance at least partially obstructing the passage of fluid (30) through the open port. The apparatus (100, 100?) includes a proximal pump portion (124) and at least one distal probe portion (110) configured to be immersed in another fluid (11), e.g., water in toothpaste foam. A corresponding system (3000) includes one or two such apparatuses (3100, 3200). A method of detecting the presence of a substance on a surface includes probing an interaction zone (17) for at least partial obstruction of flow of the second fluid medium (30) through a distal probe tip.

Abstract: A toothbrush system includes a handle with a chamber, a motor coupled to a plunger, a power supply, and a control switch; and a toothbrush head with a bristle unit, and an opening between the chamber rand the bristle unit.

Abstract: Apparatus and methods are provided for treating urinary incontinence, fecal incontinence, and other pelvic defects or dysfunctions, in both males and females, using one or more lateral implants to reinforce the supportive tissue of the urethra. The implants are configured to engage and pull (e.g., pull up) pelvic tissue to cause the lateral sub-urethral tissue, such as the endopelvic fascia, to tighten and provide slack reduction for improved support. As such, certain embodiments of the implants can be utilized to eliminate the need for mesh or other supportive structures under the urethra that is common with other incontinence slings.

Abstract: A method of post-operatively adjusting a urethral support in treating urinary incontinence of a woman is disclosed. The method includes passing a support through an incision and locating the support under a urethra. The support is a porous mesh adapted to allow tissue in-growth. The method include adjusting the support by applying tension to one of a first member that is secured to a first end of the support or a second member that is secured to a second end of the support. The first member and the second member each has an end that exits the skin. The first and second members are adapted to prevent tissue in-growth into the first member and the second member.

Abstract: Pelvic or other types of implants are provided that can include tensioning feedback components or portions, such as color changing polymer materials, such as polyacetylene. The color changing polymer can be included with, coated on or otherwise provided with a portion of slings or implant devices to provide targeted feedback to the user or physician of the tension applied to a particular device. A first color can be used to indicate a first (initial) tension or compression stage, and a second color can be used to indicate tensioning of the device beyond a predefined threshold.

Abstract: Various embodiments of sling or implant systems are provided. The sling or implant systems can be employed to treat incontinence, prolapse, and like conditions. A needle delivery device can be included, wherein the delivery device includes a needle and a rotatable sheath. The rotatable sheath can rotate upon actuation relative to the needle to selectively deploy or disengage an implant anchor from the distal end of the needle.

Abstract: Various embodiments of a mesh or implant systems are provided. The implants can include one or more anchors, arms and the like. The anchors can include hingeable or patterned finger extension to facilitate tissue penetration and retention. Various tensioning and adjustment mechanisms, devices and methods are further provided for the implant systems.

Abstract: The invention relates to a system for controlling a device (3) implanted in a human or animal body on the basis of voluntary commands issued by a user without the use of any external peripheral. The user issues a voluntary command to the implanted device by applying a specific and predetermined code, consisting of at least one mechanical action and of at least one additional piece of information. Each mechanical action and each additional piece of information are measured by at least one sensor. The output signal(s) of the sensor(s) are processed and used to validate the predetermined code by means of the identification of at least one mechanical action executed by the user and combined with at least one piece of additional information, and the comparison thereof with a corresponding reference model. The invention further relates to a method for detecting an actuation control of an implantable device.

Abstract: A method of stimulating a renal nerve in a human patient comprising, selecting a span of renal artery in the patient for implantation of a self-expanding stent, the artery having a first internal diameter, an artery wall, and being surrounded by peri-adventitial space through which at least one renal nerve extends; measuring the first internal diameter; selecting a self-expanding stent configured to be capable of expanding to have a second diameter that, in an expanded condition once implanted within the artery, is between 2 mm and 4 mm larger than the first diameter; implanting the stent in the span of the renal artery, whereby the stent eventually expands to the second diameter and thereby passes through the artery wall to become embedded in peri-advential space; and at least partially blocking the renal nerve or modulating a function of the nerve.

Abstract: A reinforcing ring (10) for a fenestration (32) of a stent graft which can be surface treated such as by passivation and/or electropolishing. The reinforcing ring has several turns of a substantially inextensible resilient wire (12) in a circular two dimensional planar shape and terminal ends (14) at each end of the wire. The terminal ends each comprising a loop (14) and a tail (16). The tail is folded back and extends around the circular shape. Each of the tails of the terminal loops can have an enlarged end. The reinforcing ring can be straightened out for surface treatment such as passivation and/or electropolishing with substantially no part of the circular shape, the loops or tails touching each other.

Abstract: A delivery system deploys a prosthesis for open surgical repair of a body vessel. The system includes a sleeve to retain segments of a prosthesis in a compressed configuration and retraction members. The sleeve has outer segments associated with each end of the prosthesis. Retraction of the retraction members removes the outer segments of the sleeve from the prosthesis outer ends to allow for expansion of the outer ends of the prosthesis in an outside-in direction. The system can include a handle and an actuation member movably attached to the handle. The actuation member is coupled to the sleeve outer segments so that movement of the actuation member corresponds to removal of the sleeve. The system can include elements to retain the sleeve outer segments to the actuation member and to redirect the retraction members to a direction different from the axis of the prosthesis.

Abstract: An endovascular stent-graft is provided that includes a structural member, which includes structural stent elements, at least a portion of which define a stent body when the stent-graft assumes a radially-expanded state; and a fluid flow guide. When the stent-graft assumes the radially-expanded state, (a) a first subset of the structural stent elements are configured to cause the stent body and the fluid flow guide to define a bulge that extends radially outward and has a greatest cross-sectional area that is equal to at least 120% of a cross-sectional area of a narrowest portion of the stent-graft rostral to the bulge, and (b) a second subset of the structural stent elements are not configured to cause the fluid flow guide to define the bulge. The structural stent elements of the first subset at least partially overlap the structural stent elements of the second subset lengthwise along the stent body.

Abstract: A construct is disclosed that may be used to repair or replace a natural ligament. The construct may be formed of materials for biocompatibility and/or resorbtion. The construct may be provided or connected to a soft anchor for connection to a bone portion.

Abstract: A construct is disclosed that may be used to repair or replace a natural ligament. The construct may be formed of materials for biocompatibility and/or resorbtion. The construct may be provided or connected to a soft anchor for connection to a bone portion.

Abstract: A graft fixation device comprising: a graft separator comprising a distal end, a proximal end, a cavity disposed between the distal end and the proximal end, and at least one guide rib disposed radially outboard of the cavity and extending between the distal end and the proximal end; and an interference screw rotatably mountable within the cavity, the interference screw comprising a distal end, a proximal end, and a screw thread disposed intermediate thereof, the screw thread disposed radially outboard of at least a portion of the graft separator and radially inboard of the at least one rib.

Abstract: A soft prosthetic implant shell, such as a silicone breast implant shell, that has discrete fixation surfaces thereon for tissue adhesion. The fixation surfaces may be provided on the posterior face of the shell, as well as either on the periphery or at discrete areas on the anterior face. Band-shaped fixation surfaces may be provided on the anterior face of the shell to generally match the angle of pectoralis major or pectoralis minor muscle groups. The fixation surfaces may be roughened areas of the shell, or may be separate elements adhered to the shell.

Abstract: An intraocular lens comprises a flexible optic and at least one haptic connected to the optic. The at least one haptic comprises a rigid structure.

Abstract: Aspheric optical lenses (e.g., intraocular lenses and contact lenses) are provided. The intraocular lens includes a body portion defining an anterior optical surface and an opposing posterior optical surface. The anterior optical surface includes a central region surrounded by a first outer region and a second outer region. The central region has a first asphericity profile. The first outer region has a second asphericity profile that is different than the first asphericity profile of the central region. The second outer region has a third asphericity profile that is different than the second asphericity profile of the first outer region. The overall asphericity profile of the optical lens provides different depths of focus for different pupil sizes. The result is an optical lens that provides increased depth of focus or pseudo-accommodation while maintaining desired optical power and performance.

Abstract: A method of treating a biological tissue that enables dry storage of said tissue is disclosed. In one embodiment, the method comprises contacting the biological tissue with a non-aqueous treatment solution comprising a polyhydric alcohol and a C1-C3 alcohol and removing a portion of the treatment solution from the solution-treated biological tissue. Also disclosed is biological tissue prepared using the above process and prosthetic devices made with such tissue.

Abstract: The present invention is directed to prostheses including a support structure having a proximal end and a distal end, and a motion limiting member attached to the distal end of the support structure, wherein the motion limiting member is configured to restrict radial expansion of the distal end of the support structure. Methods for delivering the prosthesis are also provided.

Abstract: A cardiac valve with a support frame having a first end member and a second end member opposing the first end member in a substantially fixed distance relationship, and a cover extending over the support frame to allow for unidirectional flow of a liquid through the valve.

Abstract: A medical device for treating a heart valve insufficiency, with an endoprosthesis which can be introduced into a patient's body and expanded to secure a heart valve prosthesis in the patient's aorta. In an embodiment, the endoprosthesis has a plurality of positioning arches configured to be positioned with respect to a patient's aorta and a plurality of retaining arches to support a heart valve prosthesis. The endoprosthesis includes a first collapsed mode during the process of introducing it into the patient's body and a second expanded mode when it is implanted.

Abstract: Packaging for prosthetic heart valves including an assembly for securely retaining a heart valve within a jar and facilitating retrieval therefrom. The assembly includes a packaging sleeve that fits closely within the jar and has a clip structure for securing a valve holder. Contrary to previous designs, in one embodiment the valve holder is directed downward into the jar, and the valve is retained with an inflow end upward. The valve may have flexible leaflets, and a leaflet parting member on the end of the shaft extends through the leaflets and couples with the valve holder. The assembly of the packaging sleeve, valve, and holder can then be removed from the jar and a valve delivery tube connected with the holder, or to the leaflet parting member. The packaging sleeve may be bifurcated into two halves connected at a living hinge to facilitate removal from around the valve/holder subassembly.

Abstract: A delivery device for an implantable medical device having a retention member at an end thereof may include a shaft extending in a longitudinal direction and defining a longitudinal axis, an elongated sheath surrounding a longitudinal portion of the shaft, a compartment defined inside the sheath and adapted to receive the medical device in an assembled condition, a retainer positioned at one end of the compartment, and an energy storage element positioned on the longitudinal portion of the shaft and configured to be radially compressed by the medical device when the elongated sheath covers the compartment containing the medical device. The sheath may be slidable relative to the shaft in the longitudinal direction. The retainer may include a recess adapted to receive the retention member of the medical device in the assembled condition.

Abstract: A guide wire control device and methods of use are described herein. A guide wire is retained by a lock mechanism to a translating assembly within a stationary tubular structure. A rotating actuator controls the translation of the translating assembly and resulting guide wire. The guide wire control device provides improved control of guide wires and angles of a deployment capsule during transcatheter surgical procedures.

Abstract: A device is intended to be attached to or interconnected with a medical implant, and intended to be attached to or interconnected with a catheter. The catheter is intended for implanting the implant. A catheter is suited for receiving at least one such device and a method provides a delivery implement with an implant detachably disposed in the device.

Abstract: A method is provided, which includes providing an annuloplasty ring, which comprises (a) a flexible sleeve, and (b) a contracting assembly. During a percutaneous transcatheter procedure, the flexible sleeve is placed entirely around an annulus of a mitral valve of a subject in a closed loop. The sleeve is fastened to the annulus by coupling a plurality of tissue anchors to a posterior portion of the annulus, without coupling any tissue anchors to an anterior portion of the annulus between left and right fibrous trigones of the annulus. Thereafter, a longitudinal portion of the sleeve is contracted. Other embodiments are also described.

Abstract: A device for measuring an internal dimension of a native cardiac valve annulus includes an elongated support member having a proximal portion and a distal portion. A measuring portion is coupled to the distal portion, and an indicator is coupled to the proximal portion of the support member. The measuring portion is biased towards a deployed configuration such that when deployed it applies an outwardly directed radial force to the native valve annulus.

Abstract: Femoral and/or tibial knee implant component includes a body and an elongate stem. The stem, at least for a substantial portion, has a polygonal shape when taken in cross-section generally perpendicular to its length. Modularity can be provided.

Abstract: A knee replacement system including a first tibial baseplate, a second tibial baseplate, and an intercondylar bridge member. Each one of the first and second tibial baseplates includes a bone engaging surface and a bearing engaging surface opposite to the bone engaging surface. Each one of the first and second tibial baseplates also includes a first baseplate coupling portion and a second baseplate coupling portion. The first baseplate coupling portion is configured to couple with the intercondylar bridge member for coupling the second tibial baseplate to the first tibial baseplate. The second baseplate coupling portion is configured to couple an insert to the first and second tibial baseplates.

Abstract: A tibial prosthesis has a bearing component configured for an anterior-medial insertion, which advantageously avoids the extensor mechanism of the knee. A tibial tray may include a banana-shaped boss that corresponds to a notch formed in the bearing component. After the bearing component is inserted along the anterior-medial path, the boss is received within the notch by rotating the bearing component with respect to the tibial tray. This rotation seat the bearing component upon the tibial tray in the manner of a fixed-bearing prosthesis. Alternatively, the boss and notch may define angled central axes which allow straight anterior-medial insertion of the bearing component and locking engagement to the tibial tray.