Abstract: A helicoil interference fixation system comprising: a helicoil comprising a helical body comprising a plurality of turns separated by spaces therebetween, the helical body terminating in a proximal end and a distal end, and at least one internal strut extending between at least two turns of the helical body; and an inserter for turning the helicoil, the inserter comprising at least one groove for receiving the at least one strut; the helicoil being mounted on the inserter such tin at the at least one strut of the helicoil is mounted in the: at least one groove of the inserter, such that rotation of the inserter causes rotation of the helicoil.

Abstract: A device for attaching soft tissue to a prosthetic implant. The device includes a body that includes a frame and a porous section disposed within the frame, wherein the porous section permits the passage of body fluids therethrough to encourage the healing of the soft tissue as well as the growth of soft tissue into and through the porous section.

Abstract: The present disclosure provides devices and methods relating to surgical breast procedures. The devices can include a holder and backing to assist in positioning a biological material adjacent to a tissue expander or implant.

Abstract: A valvular sleeve for valvular prostheses including a tubular body extending between an inflow end and an outflow end, the tubular body including a sheet member folded at the outflow end, whereby the tubular body includes an inner tubular portion and an outer tubular portion surrounding the inner tubular portion.

Abstract: A transcatheter heart valve prosthesis configured in accordance herewith includes an expandable frame having a plurality of commissure posts extending therefrom, a radially expandable tubular component inflow member attached to the plurality of commissure posts, and a locking mechanism operably coupled to a wire. The wire is at least partially slideably disposed within a channel formed in a wall of the tubular component inflow member and the locking mechanism is configured to permit the wire to be advanced within the channel to thereby transition the inflow member tubular component into a deployed configuration that at least partially engages tissue at the native heart valve.

Abstract: A prosthetic heart valve having identifiers for aiding in radiographic positioning is described.

Abstract: Medical devices and delivery systems for delivering medical devices to a target location within a subject. In some embodiments the medical devices can be locked in a fully deployed and locked configuration. In some embodiments the delivery systems are configured with a single actuator to control the movement of multiple components of the delivery system. In some embodiments the actuator controls the independent and dependent movement of multiple components of the delivery system.

Abstract: A delivery device for delivery and deployment of a heart valve prosthesis with a torque anchoring mechanism includes a balloon having a shaped surface configured to engage a corresponding shaped surface of the heart valve prosthesis. The balloon is configured to rotate about a central longitudinal axis of the delivery device to rotate the heart valve prosthesis.

Abstract: A device for repairing a heart valve comprises a medical device (10). The medical device (10) comprises an element in order to downsize the annulus upon insertion and allow the leaflets to open and close properly. The medical device (10) provides a temporary or permanent downsizing of the heart valve. An annuloplasty implant and/or heart valve prosthesis is in embodiments releasably attached to the medical device for insertion to the annulus and permanent fixation of the latter in a desired shape.

Abstract: In some embodiments, an apparatus includes a handle, an actuator, a pusher device, and a puncture member. A distal anchor is disposed at a distal end portion of an artificial chorda, or suture, and is in a delivery configuration. The artificial chorda, or suture, is coupled to the actuator and extends through a lumen of the puncture member. The actuator can be actuated to move the puncture member distally a preset distance, and to move the pusher device distally such that at least a portion of the distal anchor is moved distal to the distal end of the puncture member and the distal anchor is moved from its delivery configuration to a deployed configuration.

Abstract: Mitral valve prolapse and mitral regurgitation can be treating by implanting in the mitral annulus a transvalvular intraannular band. The band has a first end, a first anchoring portion located proximate the first end, a second end, a second anchoring portion located proximate the second end, and a central portion. The central portion is positioned so that it extends transversely across a coaptive edge formed by the closure of the mitral valve leaflets. The band may be implanted via translumenal access or via thoracotomy.

Abstract: An inflatable penile prosthetic system includes a pump adapted for attachment to a reservoir; a penile prosthetic assembly including an inflatable bladder having a distal end sized for placement within a glans penis, a base connected to the inflatable bladder, with base including an interior channel extending an entire length of the base from a hole formed in a proximal end of the base to the inflatable bladder, and a tubing port coupled to an exterior surface of the base, with the tubing port adapted for attachment to the pump, a plug sized for insertion into the hole; and a push rod.

Abstract: A subcutaneous prosthesis subcutaneously implanted within a penis, the prosthesis forming two sides of an elongated cylinder, the sides hinged along top longitudinal edges of their sides. One end of the prosthesis has a gauze sheath providing a means to secure the prosthesis from moving relative to the corpora cavernosa around which it is placed. When the penis is erect it grows in girth thereby causing the two sides of the cylindrical prosthesis to spread divergently and forcing a press-rib against the deep dorsal vein of the penis, thereby restricting blood flow out of the penis so as to improve erectile rigidity and duration.

Abstract: The present invention provides a joint implant component as well as a method for the implantation thereof. The joint implant component (1), in particular of a hip endoprosthesis, has a proximal joint section (10), a distal anchoring section (30) and a transition section (20) having a fixation structure (21) between the joint section (10) and the anchoring section (30), the fixation structure being arranged in at least one part of the perimeter of the transition section (20) as an elongate recess (22) for guiding suture material.

Abstract: An insert is advanced and at least partially secured into a prosthetic device configured for use in a joint. The prosthetic device includes a shell with a cavity defined by an interior surface. The interior surface includes first and second portions that share an edge and that abut an edge of the interior surface. The first portion includes a partially spherical surface while the second portion is a partially cylindrical shape. A maximum radius of the second portion is larger than a radius of the first portion. A center defining the maximum radius of the second portion is offset from a center defining the radius of the first portion. The geometry of the interior surface allows the insert to be advanced into the shell in a single orientation. When advanced sufficiently into the shell, the insert is rotated to constrain the insert within the shell.

Abstract: An orthopaedic prosthesis for use in a hip replacement surgery. The orthopaedic prosthesis includes an elongated stem component that has a proximal body, a neck extending superiorly and medially from the proximal body and a tapered stem extending inferiorly from the proximal body. An anchor is positioned on the neck and is configured to be engaged by a surgical instrument. A system for use in assembling the orthopaedic prosthesis and a method of assembly are also disclosed.

Abstract: Methods for achieving an anatomically accurate reconstruction with a modular arthroplasty assembly that includes a generally disc shaped coupler component having a prosthesis component side that includes a recess configured to interchangeably engage a prosthesis component selected from a concave cup and a convex head that is either hemispherical or hemielliptical.

Abstract: A prosthesis for primary artrodhesis can be used for artroplasty and a prosthesis for artroplasty comprises members for artrodhesis. The prosthesis (1b) for primary artrodhesis comprises a locking member (33b) with an attachment portion (16b) which is insertable into a hole (8b) in a first attachment member (4b) of the prosthesis for location of the locking member therein, and a lockable member (34b) integral with a second attachment member (5b) of the prosthesis. The lockable member (34b) is configured for adjustable setting thereof relative to the locking member (33b) and for fixation thereof, in set position, to the locking member. Alternatively, the lockable member comprises an attachment portion which is insertable into a hole in the second attachment member for location of the lockable member therein.

Abstract: The invention relates to an implant (1) for sealing a defect (7c) in the annulus fibrosus (7a) of an intervertebral disc (7), comprising a retaining portion (3) for introducing into the defect (7c), a flexible sealing element which is connected to an inner end of the retaining portion, and a securing element (2) which is connected to the outer end of the retaining portion and which can be fixed to a vertebra (8) adjoining the intervertebral disc in order to hold the retaining portion (3) in a fixed position. According to the invention, this is achieved in that a securing limb (2), which is angled relative to the longitudinal axis of the retaining portion, is arranged on the outer end of the retaining portion (3), said securing limb being designed for laterally contacting a bony structure of a vertebra adjacent to the intervertebral disc and being securable on the vertebra by means of a fixing element which can be moved relative to the securing limb. The sealing element has inner reinforcements.

Abstract: An implant for performing interbody fusion within a human spine, inserters for such an implant, and associated methodology. The implant is preferably formed in situ from at least two separate but lockable members (a base member and a closure member). The base member may be implanted into an interbody space first, after which the end plates may be finally prepared and the base member packed with fusion promoting substances before engaging and locking the closure member. The closure member provides structural support for the adjacent vertebral bodies (along with the base member) and may be selected after implantation of the base member having a specific length, width, height, taper, etc. . . . to ensure an optimal sizing of the implant for desired restoration of disc height, coronal taper, sagittal taper, etc. . . .

Abstract: Embodiments herein are generally directed to spinal implants, systems, apparatuses, and components thereof that can be used in spinal fusion and/or stabilization procedures, as well as methods of installation. The spinal implants may include an intervertebral spacer and a plate member.

Abstract: An impactor tool can include a handle, an impactor, a lock, an actuator, and a pin. The impactor can be coupled to the handle. The lock can be extendable from the impactor to engage an implant and retractable into the impactor to secure the lock and the impactor to the implant. The actuator can protrude from the impactor and can be coupled to the lock. The actuator can include a cam defined by a channel extending through the actuator. The pin can be coupled to the lock and disposed within the cam channel, where the actuator can be operable along a path defined by the cam and the pin to extend and retract the lock.

Abstract: Provided is an apparatus for processing teeth in bone material, including a reactor, configured for treating said teeth by immersion in liquids, and including connection means, with a cartridge including a plurality of containers for washing and processing liquids, separated liquid-tight from each other, a reaction chamber configured for containing the teeth during processing, and the washing and processing liquids, commandable transfer means of the liquids from the containers to the reaction chamber configured for placing only one of said containers at a time in fluidic connection with the reaction chamber, ejection means of the liquids from the reaction chamber.

Abstract: A force and rotation sensing device can be suitable for measuring a force within a knee joint. A force sensor can measure a force exerted between opposing surfaces of a housing. A force display positioned on the housing can visually represent a value of the measured force, such as with a dual-sided light-emitting diode display that is visible from opposing sides of the housing. A first rotation sensor can measure a flexion/extension position of the housing. A flexion/extension display can visually represent a value of the measured flexion/extension position. In some examples, a zero button can set a reference orientation of the housing, so that the first rotation sensor can measure the flexion/extension position as a relative rotation with respect to the reference orientation. In some examples, circuitry can wirelessly transmit data corresponding to the value of the measured flexion/extension position.

Abstract: A prosthesis socket retaining device and a system for securing a prosthesis socket to an upper extremity, comprising a securing part that can be guided along the torso below the axilla of the contralateral, unprovided side of a patient, and a coupling element which can be secured to the prosthesis socket and connected to the securing part, wherein the coupling element is displaceably mounted on the securing part.

Abstract: Urological (prostatic) implant, system, and method for retracting or/and supporting periurethral tissue enclosing a prostatic urethra along lengths of prostate lobes, for example, in BPH patients. Prostatic implant includes independently actuatable distal retractor incorporating craniolateral corners and proximal retractor incorporating caudolateral corners. Retractors may be connected via elongated spine member, and formed as paired curved wing-liked structures having interconnecting members. May further include tissue support members extending between elongated edge members connecting retractors to spine member, and tissue support members extending between elongated edge members and spine member. Tissue support members are sized and configured for supporting portions of prostatic lateral lobes when spine member engages anterior interlobar groove extending between prostatic lateral lobes, and when elongated edge members engage posterolateral interlobar grooves.

Abstract: A percutaneous, transluminal, angioplasty system includes a non-foreshortening stent and a stent anchor to hold the stent in place until delivery. The stent comprises rings and fused rings comprising various motifs such as butterfly or pinched ellipsoid motifs. Stent anchors can release the stent after an outer sheath uncovers the stent or uncovers the stent and biased or bent fingers of the stent anchors.

Abstract: A prosthesis is disclosed for placement at an Os opening from a main body lumen to a branch body lumen. The prosthesis includes a radially expansible support at one end, a circumferentially extending link at the other end and at least one frond extending axially therebetween. The support is configured to be deployed in the branch body lumen, with the circumferentially extending link in the main lumen and the frond extendable across the Os.

Abstract: A convertible nephroureteral catheter is used in the treatment of urinary system complications, particularly on the need for a single surgically delivered device to treat patients who must be seen by an interventional radiologist (IR). In many current procedures, patients need to return to the operating room to remove a previously delivered nephroureteral catheter to exchange this catheter with a fully implanted ureteral stent delivered though the same access site at the flank. The present convertible nephroureteral catheter reduces the need to return for a second surgical procedure. Two weeks after initial implantation, the proximal portion of the convertible nephroureteral catheter extending out from the body may simply be removed. A simple action at the catheter hub allows this proximal portion to be removed, leaving behind the implanted ureteral stent within the patient's urinary system. Other medical procedures, devices, and technologies may benefit from the described convertible catheter.

Abstract: Apparatus and methods are provided for flaring a stent deployed within a branch vessel including an ostium communicating with a main vessel, a first end of the stent extending at least partially from the branch. A catheter is provided that includes a balloon having a reinforced region adjacent an unreinforced region. When the balloon is positioned at a desired location, e.g., within a stent, prosthetic valve, or other tubular prosthesis, the balloon may be inflated to a first pressure causing the reinforced and unreinforced regions to expand substantially simultaneously. Upon inflation of the balloon beyond the first pressure, the reinforced region of the balloon remains at the first diameter and the unreinforced region continues to expand, e.g., to flare one or more ends of the prosthesis.

Abstract: A stent loading and deployment device includes an outer elongate tubular member having opposed proximal and distal ends and an inner elongate tubular member having opposed proximal and distal ends and slidably disposed within the outer tubular member. When the distal ends of the outer tubular member and the inner tubular member are axially aligned, a stent deployment region is defined there in between. The device further includes a stent loading member having opposed proximal and distal ends and slidably disposed between the outer tubular member and the inner tubular member. The distal end of the stent loading member is slidable to a distal position past the distal end of the outer tubular member for receiving a stent and is further slidable toward the proximal end of the outer tubular member to a location past the stent deployment region for disengagement of a stent from the stent loading member.

Abstract: A system is provided to effectively position a stent within a vessel. The system includes a delivery catheter and a core wire extend through the catheter. The core wire includes an engaging surface region and a capture member disposed thereon, which cooperate to engage a stent such that the stent is able to be advanced or retracted with the advancement or retraction of the core wire. The engaging surface region and the capture member can generally be configured to engage the stent when a portion of the stent is disposed within the lumen of the catheter, and release the stent when no portion of the stent is within the lumen.

Abstract: Disclosed is an intragastric device (200) comprising a sleeve (501) including a pyloric sleeve region (205) and a duodenal sleeve region (209), a rounded element (405) at a distal end of the duodenal sleeve region (209) and an expandable duodenal anchor (207), which is positioned between the pyloric sleeve region (205) and the duodenal sleeve region (209).

Abstract: A gastric implant includes a distal sleeve portion configured to be disposed in a duodenum of a patient, and a pyloric restriction portion connected to a proximal end of the distal sleeve portion. The pyloric restriction portion is configured to be disposed in a pylorus of a patient. Also, the implant includes a proximal anchor portion connected to a proximal end of the pyloric restriction portion. The proximal anchor portion is configured to be disposed in a lower stomach of the patient. The proximal anchor portion has at least one eyelet for fastening to the stomach to secure the implant to the gastrointestinal tract.

Abstract: To provide a practical technique for assisting the lower body of a subject by internally rotating thigh muscles. A lower body assisting device includes a right leg strap 10R for internally rotate right thigh muscles, a left leg strap 10L for internally rotate left thigh muscles, and a waist/hip strap 20 linking them to each other. Both ends of the waist/hip strap 20 is connected to the back sides of the right and left leg straps 10R and 10L, respectively.

Abstract: A therapeutic footwear apparatus includes a boot and a lateral support device for laterally supporting the boot. The boot includes a lower leg support portion and a foot support portion. The lower leg support portion is configured to at least partially wrap a lower leg. The lateral support device has a mounting face abutted to a side wall of the lower leg support portion. The mounting face has a curved surface complementary to a curved shape of the side wall of the lower leg support portion.

Abstract: An exoskeletal orthosis includes a proximal cuff including a hinge along an upper edge of the cuff; an ankle section/footplate; and at least one posterior strut connecting the proximal cuff to the ankle section and foot plate.

Abstract: Improved urine output collection apparatus and monitoring device features are provided. The disposable urine collection apparatus includes a collection reservoir and a diverter for controlling the flow of urine to a first passageway of the diverter in a first position and to a second passageway of the diverter in a second position, wherein the first passageway is fluidly interconnected to the collection reservoir. The disposable urine collection apparatus may include a cartridge having an internal chamber and inlet and outlet members interconnected to the cartridge, wherein the inlet member is selectively, fluidly interconnectable to the second passageway of the diverter, and wherein the outlet member is selectively, fluidly interconnectable to the collection reservoir. The monitoring device is interconnectable with the cartridge and operable to monitor a volume and/or level of urine collected within the cartridge.

Abstract: A menstrual cup (10) having a flared bottom portion (20), including a plurality of non-convex grip surfaces (22, 24) that are distributed in substantially axisymmetric manner at least on said flared bottom portion (20) and that are configured so as to be able to be pinched between the fingers in order to facilitate removal of the cup.

Abstract: A modular prosthesis cooling system may comprise a port disposed in the wall of a prosthesis socket, and a plug module removable disposed in the port. The plug module may comprise cooling element, such as a TEC, and a heat-dissipation element, such as a heat sink or fan. A protective heat-dissipating shroud may be disposed about plug module. The prosthesis socket wall may comprise a heat-conductive layer in a heat-exchange relationship with the cooling element.

Abstract: Cosmetic method and apparatus are provided that can provide cooling and/or freezing of skin tissue proximal to the skin surface to generate an appearance of lightening or reduced pigmentation in the skin. The skin can be cooled to a temperature of less than about ?5 degrees Celsius for a duration of about one minute or less, using a cooled surface that is at least 3 cm in width. A cooling arrangement can be provided to provide controlled heat removal from the skin tissue being treated. A sensor can optionally be provided to detect freezing of tissue proximal to the cooled surface.

Abstract: A thermal control system for controlling a temperature of a fluid delivered to a patient is provided. The thermal control system includes a cavity that removably receives a cartridge housing the fluid. The thermal control system includes a heat exchanger in thermal contact with at least one of the opposing walls of the cavity. The cartridge includes opposing surfaces defining a chamber therebetween for housing the fluid, the cartridge adapted to be removably received within the cavity. A biasing element is incorporated into the cartridge and adapted to bias the opposing cartridge surfaces away from one another and into contact with the opposing cavity walls. Contact between the cartridge surfaces and the cavity walls facilitates the transfer of thermal energy between the heat exchanger and the fluid housed within the cartridge.

Abstract: Devices, systems and methods for controlling a patient's body temperature by endovascular heat exchange.

Abstract: Devices, systems and methods for controlling a patient's body temperature by endovascular heat exchange.

Abstract: The systems and methods in accordance with the principles of the invention can promote correction of an aesthetic or functional defect in a target tissue. A method can include non-invasively applying a cooling agent to a surface of a target tissue; and cooling one or more tissue layers of said target tissue to a predetermined therapeutic temperature, wherein applying the cooling agent is performed such that cryoablation of said one or more layers of the target tissue does not occur. The system can include: a controller and a probe having a distal end configured for non-invasive contact with a surface of a target tissue to cool the target tissue based on treatment parameters.

Abstract: A laser surgical method for performing a corneal incision while maintaining iris exposure below a predetermined exposure limit includes: determining an initial iris exposure based on an initial treatment scan, determining whether the initial iris exposure is less than the predetermined exposure limit; generating a revised treatment scan comprising one or more treatment scan modifying elements when the initial iris exposure is greater than the predetermined exposure limit, and scanning the focal zone of a pulsed laser beam according to the revised treatment scan, thereby performing the corneal incision, wherein the one or more treatment scan modifying elements causes the iris exposure to be smaller than the predetermined exposure limit.

Abstract: An ophthalmic surgical apparatus includes: a laser source emitting a beam of one picosecond to one nanosecond pulses; an optical system focusing the beam on a focal point; and a system for moving the focal point along a predetermined path. The laser source generates the beam, focused next to a surface of the anterior segment of the eye, the focal point located at a distance from an optical axis of symmetry of the anterior segment of the eye. The system for moving the beam includes a single degree of freedom of rotation about an axis of rotation to move the focal point along a curved path located in an annular area about the optical axis of symmetry of the anterior segment of the eye. The ophthalmic surgical apparatus has a numerical aperture limiting the geometric optical aberrations at the focal point and on the entire curved path.

Abstract: A small gauge surgical instrument is shown with advantages such as diminished “play” at the tip. A surgical instrument assembly is also shown with support along a length of the instrument that can be selected by the surgeon. Devices and method described provide adjustability of the instrument without protruding into a gripping surface of the instrument.

Abstract: A system and method are provided for removing a natural lens and inserting an Intraocular Lens (IOL) into the lens capsule of an eye. Specifically, this is accomplished by inserting the IOL through an opening on the posterior capsule that is created using a focused laser beam. The system includes a laser unit, a detector for creating images of the interior of the eye, and a computer that controls the cooperative functions of the detector and the laser unit. Based on images of the posterior capsule provided by the detector, the computer is used to control movements of the focal point through tissue of the posterior capsule to perform Laser Induced Optical Breakdown (LIOB) on posterior capsule tissue. The result is a laser capsulotomy that creates an opening through the posterior capsule allowing the natural lens to be removed and the IOL to be implanted.

Abstract: The present disclosure provides a system and method for cutting a flap in laser ophthalmic surgery using polarization sensitive optical coherence tomography (PS-OCT). The system includes a PS-OCT system, a femtosecond laser, control device, and processor. The PS-OCT system includes a PS-OCT source, a polarization component, a reference reflector, a beam splitter, a wave plate, and a detector. The processor receives data relating to an interference pattern of a reflected PS-OCT beam, received at the detector, determines a relative fiber orientation of the sample, determines whether a photodisruption pattern generated by the femtosecond laser to cut the flap should be adjusted horizontally or vertically, based on the relative fiber orientation, and may generate a control signal to adjust the photodisruption pattern generated by the femtosecond laser. The disclosure further provides a method for cutting a flap on an eye using PS-OCT.