Abstract: A method for generating a virtual jaw image includes performing a movement recording method to obtain a movement record which comprises producing at least one position data record over a defined time. A position data record describes a spatial position of a lower jaw to an upper jaw at a specific time. Surface sections of the upper and lower jaw are scanned at the defined time during the movement recording method to obtain a spatial relation of the surface sections during the defined time. Digital upper and lower jaw images are recorded. A position data record of a virtual position of the digital lower jaw image is assigned to the digital upper jaw image. A position data record is selected to obtain a selected position data record. The digital lower and upper jaw images are virtually aligned based on the selected position data record to produce the virtual jaw image.

Abstract: Devices and methods for treating respiratory problems of a subject, such as those related to sleep apnea, are presented herein. An implementation of a device may be configured to provide a measured vertical dimension of occlusion (VDO) and/or mandibular advancement in a subject. Methods for treating a subject through the use of the device may include systematically increasing and/or decreasing the measured VDO provided by the device.

Abstract: A lifting and supporting table according to the present invention includes an upper platform having a receiving surface and a lower frame supporting the upper platform. The lifting and supporting table includes a linkage interacting with the lower frame such that adjustment of the linkage forces a height of the upper platform to change. A ramp assembly includes a ramp having a top surface that operatively extends the receiving surface of the upper platform, the ramp being selectively moveable between a horizontal position and an inclined position.

Abstract: Disclosed herein are devices and methods for intra-vaginal bowel control.

Abstract: A puncture device, a puncture apparatus, and a method are disclosed, the puncture apparatus including a puncture device for puncturing a biological tissue, a urethral-insertion member, a vaginal insertion member, and a supporting member which supports the urethral-insertion member, vaginal insertion member and a puncture member of the puncture device. The puncture device includes a puncture needle for puncturing a biological tissue, a shaft portion and a connection portion for connecting the puncture needle and the shaft portion to each other, and an implant assembly positioned at a distal end of the puncture needle and having a needle tip portion for puncturing a biological tissue and a biological tissue supporting implant. The puncture needle has a form of a pipe and has a tubular portion. The biological tissue supporting implant is accommodated in the hollow portion.

Abstract: An embolic protection device includes a shaft, a first magnet fixedly coupled to a distal portion of the shaft, a second magnet slidingly coupled to the shaft proximal to the first magnet, and a filter including a distal portion coupled to the first magnet and a proximal portion coupled to the second magnet. The first and second magnets are magnetically attracted to each other such that in a radially compressed configuration of the filter, the second magnet is spaced from the first magnet a first distance, and in a radially expanded configuration of the filter, the second magnet slides towards the first magnet such that the second magnet is spaced a second distance from the first magnet, wherein the second distance is smaller than the first distance.

Abstract: Systems and methods can remove material of interest, including blood clots, from a body region, including but not limited to the circulatory system for the treatment of pulmonary embolism (PE), deep vein thrombosis (DVT), cerebrovascular embolism, and other vascular occlusions.

Abstract: A balloon-expandable shunt is disclosed for shunting a vessel which has a graft with two ends and at least one expandable support element supporting the graft from within along a length at or near at least one of its ends. The shunt is bifurcated at an aperture that leads to a side-channel and which has a closed configuration and an open configuration such that when the aperture is in the closed configuration it defines a clot-resistant inner graft surface and when the aperture is in the open configuration it is configured to provide access to the shunt for a balloon that actuates the expandable support element. A balloon configured for actuating the shunt is also disclosed. A kit has a bifurcated graft with at least one expandable support element and a balloon for actuating the at least one expandable support element.

Abstract: The present disclosure relates to an assembly for fixing a ligament in bone. The assembly includes a suspension member and an implant having a mechanism for fixedly receiving the suspension member and at least partially suspending the suspension member and the received bone graft within the implant, allowing for bony in-growth. A method of fixing a ligament in bone is also disclosed.

Abstract: Using the simplified placement system and method for a tissue graft anchor of the present invention, a surgeon may introduce one or more sutures into a hole in a boney tissue, apply a precise amount of tension to the sutures to advance a soft tissue graft to a desired location, and then advance the anchor into the bone, preferably while maintaining the requisite pre-determined suture tension and without introducing spin to the suture. Particularly preferred embodiments of the present invention relate to multi-anchor constructs. Multi-anchor constructs of the present invention may employ threaded implants exclusively, push-in implants exclusively, or a combination of threaded and push-in implants.

Abstract: A system comprising a hollow member is used to deliver a constrained corneal implant into a corneal pocket. The hollow member may be tapered and the system may further include an implant deformation chamber and an axial pusher to advance the implant through the hollow member.

Abstract: The invention provides an intra ocular lens structure (IOL) for placement in the capsular bag and securing the IOL in an opening in an anterior part of a capsular bag, with an anterior capsular bag flap surrounding said opening, said IOL having an anterior side which in use when the IOL is implanted in an eye is directed towards a cornea of the eye, and a posterior side which in use when the IOL is implanted in an eye is directed towards a retina of the eye, said IOL comprising an optical structure, at least two posterior supports for when the IOL is implanted in the capsular bag residing in the capsular bag extending away from said optical structure, said posterior supports adapted for in use providing support surfaces for a posterior surface of an anterior capsular bag flap, and at least two anterior supports for when the IOL is implanted in the capsular bag residing outside the capsular bag extending away from said optical structure, said anterior supports adapted for in use providing support surfaces for

Abstract: A preloaded intraocular lens (IOL) system/method utilizing haptic compression is disclosed. The disclosed system/method utilizes an IOL packaged in a compressed state that is inserted into a patient using a cartridge and lumen through which the IOL is advanced. Within this context the haptics to the IOL are wrapped around the IOL in a coplanar fashion during the loading of the IOL to permit the IOL to be shipped and stored in a compressed state. This compressed state is achieve by wrapping the haptics of the IOL during the manufacturing process to ensure that the IOL is properly aligned and thus delivered in a predetermined orientation within the patient's eye. This compressed packaging of the IOL permits a more uniform and consistent placement of the IOL in the patient and eliminates the potential for physician error during the critical IOL placement procedure.

Abstract: Disclosed herein are heart valves made from a polymeric material, such as silicone. Specifically exemplified are heart valve embodiments made from a one or two-pieces of material, or which have low thrombogenic potential. Also disclosed are methods of fabricating such valves. Furthermore, also disclosed are systems for testing performance of heart valves.

Abstract: Heart valve prostheses are provided having a self-expanding frame that supports a valve body comprising a skirt and a plurality of coapting leaflets. The self-expanding frame includes an inflow section, a valve section, and an outflow section. The outflow section forms attachment loops in a collapsed configuration to attach the frame to a delivery system.

Abstract: A heart valve system, the system including a radially self-expandable tubular body, a valve, and a tubular fabric. The tubular body having an inflow end and an outflow end and including a plurality of struts with at least one motion buffer component integrated in the tubular body. The valve being coupled to the tubular body and including a plurality of valve leaflets. The fabric being disposed over an outer surface of the tubular body and over an outer surface of the motion buffer component. Additionally, when the outflow end of the tubular body moves radially inward from movement of the valve leaflets, the motion buffer component being configured so as to not move radially inward with the outflow end of the tubular body.

Abstract: The invention is a system and method for accurately positioning a prosthetic valve such as a prosthetic heart valve at a desired position for deployment. The invention includes extendable positioning elements which provide tactile feedback to a user to confirm proper positioning of the catheter with respect to the native valve annulus. During delivery, the extendable positioning elements lie against the catheter, over the prosthetic valve and expandable balloon, providing a low profile for advancing the catheter to the desired treatment location via small passages such as body lumens. Prior to valve deployment, the positioning elements are extended and brought into contact with tissue of the native annulus to confirm the proper positioning of the delivery system and prosthetic valve.

Abstract: A delivery device usable to deliver an inverting implant is provided that includes a positioning mechanism that automatically initiates the inversion process once a predetermined length of the implant has exited a delivery catheter. The positioning mechanism allows the implant to be safely and accurately deployed with reduced operator experience and in a greater variety of target locations.

Abstract: A method for stabilizing a cardiac valve annulus is provided. The method includes intravascularly delivering a prosthesis to a region of a cardiac valve, expanding the prosthesis to secure the prosthesis to the region of the cardiac valve, and reducing the inner diameter of the prosthesis to form the region of the cardiac valve into a predefined shape.

Abstract: A medical device configured for placement in a blood vessel, in which an elastic tube extends between first and second expandable anchoring stents. The elastic tube is constructed of a resilient material that deflects outward in response to increased blood pressure of a heart beat and that moves back inward as the blood pressure drops, thereby aiding the heart's pumping action.

Abstract: The present teachings provide devices and methods of treating a tricuspid valve regurgitation. Specifically, one aspect of the present teachings provides devices and methods for reshaping and resizing the right ventricle by reducing the distances between two papillary muscles. Another aspect of the present teachings provides devices and methods for reshaping and resizing the right ventricle by reducing the distances along the right ventricle wall. Another aspect of the present teachings provides devices and methods for reshaping and resizing the right ventricle by reducing the distance between the distance of right ventricle outflow track and the right ventricle wall. Another aspect of the present teachings provides devices and methods for reshaping and resizing the right ventricle by changing the right ventricle sphericity index. Another aspect of the present teachings provides devices and methods for reshaping and resizing the right ventricle by reducing the tricuspid valve tethering height.

Abstract: The present application is generally directed to an expandable sleeve component of an implantable penile prosthesis, to a prosthesis containing the sleeve, and to related methods of preparation and use. More specifically, the present application is directed to an implantable penile prosthesis having a cylindrical polymeric (e.g., extruded, molded, etc.) sleeve for controlling cylinder expansion upon placement of the prosthesis within a corpus cavernosum and expansion during use.

Abstract: A method for physically reconstructing a body part using multi-material additive manufacturing includes receiving image data of the body part in the form of arrays of voxels, each array of voxels representing image data pertaining to cross-section of the body part, translating the image data in the arrays of voxels to printable bitmap images representing combinations of modeling materials for reconstructing the body part, and dispensing the combinations of modeling materials responsive to the bitmap images in a layerwise manner.

Abstract: A method is provided for manufacturing a template, whereby a digital or physical model of the shape of at least a part of the jaw is generated. A desired shape for the jaw bone for positioning a bone superstructure is compared to the model and a bone part of the jaw bone is identified, which bone part is to be removed in order to approach the desired shape. A guide surface is provided on the template to guide a milling element in order to remove the identified bone part. A bone superstructure is also described.

Abstract: A tibial insert includes a base and a post extending from the base along a longitudinal axis. The post has a medial surface, a lateral surface, and a height along the longitudinal axis. The medial surface has a medial section, and the lateral surface has a lateral section oriented substantially parallel to the medial section. The medial section and the lateral section each have a width in a substantially anterior-posterior direction that is sufficient to enable varus/valgus constraint over a flexion/extension range from extension to about 90 to 120 degrees of flexion when the tibial insert is mated with a femoral component. The tibial insert further configured such that the medial bearing surface extends further in an inferior direction than the lateral bearing surface and a bottom point of the medial bearing surface is disposed closer to an anterior end portion of the medial bearing surface than a posterior end portion of the medial bearing surface.

Abstract: The present invention provides a uni-compartmental knee joint prosthesis (1) which includes a tibial component (2) and a femoral component (3). The tibial component (2) has a fixation portion (10) adapted to be fixed to an upper end of a prepared tibia (T) in a patient, and a bearing portion (30) presenting an articulation surface (32) formed from a ceramic material, wherein the bearing portion (30) is adapted for movement relative to the fixation portion (10). The femoral component (3) is adapted to be fixed to a lower end of a prepared femur (F) in a patient, and comprises a body portion (50) presenting an articulation surface (56) formed from a ceramic material for engagement with the articulation surface (32) of the tibial component (2). The articulation surfaces (32, 56) of the tibial and femoral components are adapted for essentially congruent engagement over a full range of movement of the prosthesis.

Abstract: The present application concerns a shoulder prosthesis assembly. The shoulder prosthesis assembly comprises a humeral stem including a first articulating coupling means, a base portion of a substantially disc shaped geometry including a second articulating coupling means. Said first articulating coupling means and said second articulating coupling means connect the stem to the base portion. The ratio between the circumference of the disc shaped base portion and the peripheral thickness of the disc shaped base portion is at least 18:1.

Abstract: The invention relates to a wrist prosthesis (1), comprising a proximal prosthesis body (21) and a distal prosthesis body (11), wherein, at least in a deployed state of the wrist prosthesis, a portion of the proximal prosthesis body that faces away from the distal prosthesis body is provided with a convexly curved surface (22). Additionally, a portion of the distal prosthesis body that faces away from the proximal prosthesis body is furthermore provided with a convexly curved surface (12). Furthermore, the surfaces of the proximal prosthesis body and the distal prosthesis body that are facing each other are provided with complementary convex-concave curved surfaces (13, 23). The invention further relates to a set of components for such a wrist prosthesis, which allows the wrist prosthesis to be placed in a wrist, without anchoring means, and with a high degree of adaptation to the specific situation.

Abstract: An expandable medical implant is provided with an implantable cage body. Methods for stabilizing and correcting the alignment of a spine with an expandable medical implant are provided. The proximal and distal ends of the cage body may each be provided with a tapered or cam portion. The implant may further include a proximal flexure, a distal flexure, a proximal plug member having a tapered portion configured to mate with the tapered portion of the proximal end of the cage body, and a distal plug member having a tapered portion configured to mate with the tapered portion of the distal end of the cage body. The proximal plug member may be configured to move longitudinally such that the distal flexure moves and the circumference of the proximal end of the cage body resiliently expands. The distal plug member may be configured to move longitudinally such that the proximal flexure moves and the circumference of the distal end of the cage body resiliently expands.

Abstract: In various embodiments, an implant for interfacing with a bone structure includes a web structure including a space truss. The space truss includes two or more planar truss units having a plurality of struts joined at nodes and the web structure is configured to interface with human bone tissue. In some embodiments, a method is provided that includes accessing an intersomatic space and inserting an implant into the intersomatic space. The implant includes a web structure including a space truss. The space truss includes two or more planar truss units having a plurality of struts joined at nodes and the web structure is configured to interface with human bone tissue.

Abstract: An intervertebral scaffolding system is provided having a laterovertically-expanding frame operable for a reversible collapse from an expanded state into a collapsed state, the laterovertically-expanding frame having a stabilizer that slidably engages with the distal region of the laterovertically-expanding frame and is configured for retaining the laterovertically-expanding frame from a lateral movement that exceeds the expanded state. The expanded state, for example, can be configured to have an open graft distribution window that at least substantially closes upon the reversible collapse.

Abstract: Various embodiments of components, devices, systems and methods are provided for a pneumatic surgical instrument having a probe or an impactor disposed at a distal end thereof and configured to make contact with a selected portion of an orthopedic implant or device. The instrument is configured to generate a shock wave, which is then transferred to the distal end of the probe or impactor, and thence into the orthopedic implant or probe.

Abstract: Instruments and a surgical instrument system adapted for manipulating the position of implants within a spinal disc space to enable sequential addition of two or more implants during a surgical procedure, particularly a spinal surgery, and more particularly a spinal surgery selected from posterior and transforaminal interbody fusion surgery. The system permits controlled manipulation of an initially inserted implant within the disc space to allow for insertion of at least one additional implant adjacent the initial implant.

Abstract: An osteoimplant is provided which comprises a coherent aggregate of elongate bone particles, the osteoimplant possessing predetermined dimensions and shape. The osteoimplant is highly absorbent and sponge-like in nature. Also provided herein are a method of fabricating the osteoimplant and a method of repairing and/or treating bone defects utilizing the osteoimplant.

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

Abstract: A digit for a prosthetic hand is provided. The digit has a base member (12) attachable to the hand and at least one digit member (18) pivotably connected to the base member. The at least one digit member (18) has a digit tip (22) remote from the base member (12), and the digit member is at least partially covered with at least one conductive substance (26,40) which defines a conductive path which leads from the digit tip towards the base member. A method of manufacturing such a digit is also provided.

Abstract: A vertical suspension system for a prosthetic foot includes a first member operatively coupleable to an amputee's residual leg. The suspension system can also include a second member coupleable to a prosthetic foot. One or more upper leaf springs and one or more lower leaf springs extend between and are attached to the first and second members such that at least one of the ends of each leaf spring is rotationally fixed to the first or second members, where the upper an lower leaf springs are spaced apart from each other.

Abstract: Prosthetic feet and foot covers that provide a more natural appearance and improved performance are provided. A foot element for a prosthetic foot can extend from a heel end to a toe end and include a heel, arch, forefoot, and toe regions. The forefoot region can be wider than the arch and heel regions. The toe region can include a U-shaped cut out to define a big toe. Various features of the foot element can guide rollover of the foot through the big toe during use. A foot cover can be designed to receive a prosthetic foot including such a foot element. The foot cover can have a region of increased flexibility at a transition between the forefoot region and toe region. The foot cover can also have a padded area extending from the heel region across a lateral part of the arch region and forefoot region.

Abstract: A prosthetic foot may comprise a resilient lower member, a resilient upper member and an upper bracket. The resilient lower member may comprise a front end, a middle, and a rear end. The resilient upper member may comprise a front end and a rear end. The rear end of the upper member is coupled to the rear end of the resilient lower member and the resilient upper member is positioned over the resilient lower member. The mounting bracket may comprise a front end and a rear end. The front end is coupled to the front end of the resilient upper member and the rear end is configured to attach to the residual limb of the user. The resilient lower member and resilient upper member of the prosthetic foot fit completely within a foot shell.

Abstract: A self-aligning prosthetic foot and ankle assembly has an ankle unit pivotally mounting a foot component. The ankle unit contains a hydraulic piston and cylinder assembly having a piston which is linearly movable within a cylinder. The axis of the cylinder is coincident with a shin axis defined by a shin connection interface on the ankle unit. Bypass passages containing damping resistance control valves provide continuous hydraulic damping of dorsi and plantar ankle flexion, the unit being such that, over the major part of the range of damped movement, there is no resilient biasing in either the dorsi or the plantar direction. This confers a number of advantages, including stabilization of standing, balance control, and improved stair-walking and ramp-walking.

Abstract: A scaffold includes a radiopaque marker connected to a strut. The marker is retained within the strut by one or more of a mechanical interference fit, a polymer coating or melt, and/or by friction. The marker can take the form of a bead, rivet or snap-in marker, or a tube deformed when attached to the strut. The strut is made from a tube. The strut has a thickness of about 100 microns.

Abstract: A stent including a wire tube and at least one pressure sensor in electrical contact with the wire tube. The pressure sensor includes a diaphragm in communication with a reservoir of liquid, a channel in fluid communication with the reservoir of liquid, and at least one pair of electrodes disposed on opposite sides of the channel, wherein deflection of the diaphragm causes fluid to move from the reservoir into the channel.

Abstract: A stent is formed from a wire that in cross-section includes an outer member having a lumen and a radiopaque core member partially filling the lumen. A substance for elution through openings formed through the outer member fills the portion of the lumen not filled by the radiopaque core member. In a method of forming the stent, a composite wire including an outer member and a dual core member is shaped into a stent pattern. The dual core member includes a first core member and a second, radiopaque core member. The shaped composite wire is processed to remove the first core member from the outer member without adversely affecting the outer member and the second core member. The portion of the lumen that was occupied by the first core member may be filled with a substance for elution through openings from through the outer member to the lumen.

Abstract: A system precise stent deployment in synchronization with the cardiac cycle includes a cable set having a first connector for connection to a source of a signal that is indicative of the status of the cardiac cycle, and a second connector for connection to a processor. The processor converts cardiac cycle data into a control signal for controlling inflation of a balloon catheter such that the balloon catheter reaches inflation at a point within the range of from about 55% to about 85% into the R-R interval. An inflation pump is provided for inflating the balloon responsive to the control signal. A third connector is in communication with the inflation pump, for releasable connection to the balloon catheter.

Abstract: A variable scale medical implant deployment device comprising a variable inner diameter scale sleeve insert is provided. Also described are kits containing the variable scale medical implant deployment device and methods for deploying a medical implant into a body lumen using a variable scale medical implant deployment device.

Abstract: Methods and devices are disclosed that provide therapeutic benefit and treatment for a variety of neurologic and physiologic conditions that include obesity, urinary incontinence, and sensory system disorders.

Abstract: Systems and methods for effecting bariatric procedures are disclosed. Each system includes an instrument, a control valve and, optionally, a suction controller. The instrument is in the form of an elongated, flexible sizing tube having a distal end portion including a plurality of apertures. The control valve enables suction to be applied to the patient's stomach via the apertures to drain gastric fluids and to bring adjacent portions of the patient's stomach into engagement with the sizing tube to provide a visually perceptible delineation line along which a portion of the stomach may be resected, sealed and tested.

Abstract: Systems and methods are provided for supporting an arm of a user that includes a harness configured to be worn by the user, and an arm support coupled to the harness and including an arm rest to support an arm of the user. The arm support is configured to accommodate and follow movement of the arm without substantially interfering in such movement. The arm support may at least partially offset a gravitational force acting on the arm as the user moves and the arm support follows the movement of the user's arm. For example, the arm support may transfer at least a portion of the weight of the user's arm to the torso or other region of the user's body and/or may apply an opposing force to at least partially offset the gravitational force acting on the arm.

Abstract: An ostomy wafer (1) comprising a proximal surface in an axial direction facing the user during use provided with an adhesive layer (7), a distal surface (5) in the axial direction facing away from the user during use provided with a backing layer, coupling means for attaching a collection bag, an opening having an inner radial boundary defining a stoma receiving opening, and an outer radial boundary defining the peripheral edge of the ostomy wafer. Furthermore, the wafer is provided with a reinforcement structure (6).

Abstract: An ostomy barrier seal comprising an open-ended conical base 1; and a flange portion 2 extending radially from the base; wherein the conical base 1 has a top opening 3 and a bottom opening 5 for receiving a stoma of a user and the top opening diameter 9 is smaller than the bottom opening diameter 11; such that the stoma of the user fits through the bottom opening and the top opening expands to snuggly fit around and seal along the stoma wall; a related ostomy appliance incorporating the barrier seal; and a related method using the barrier seal to reduce the incidence of waste leakage in an ostomy patients.