Abstract: Absorbable composite medical devices such as surgical meshes and braided sutures, which display two or more absorption/biodegradation and breaking strength retention profiles and exhibit unique properties in different clinical settings, are made using combinations of at least two types of yarns having distinctly different physicochemical and biological properties and incorporate in the subject construct special designs to provide a range of unique properties as clinically useful implants.

Abstract: A distal protection device provided with a filter basket having a self-expanding radial loop designed to position the filter basket within human vasculature and to hold the filter basket open during deployment.

Abstract: Apparatus is provided, including a housing configured for insertion into a body of a subject; at least one oxygen reservoir disposed within the housing; and at least one layer of transplanted cells, disposed within the housing; and gaseous oxygen disposed within the at least one oxygen reservoir. Other embodiments are also described.

Abstract: An apparatus is provided for applying a restrictive fiber matrix to a conduit to create a graft device. A rotating assembly rotates the conduit, and a polymer delivery assembly delivers the restrictive fiber matrix. A controller controls the polymer deliver assembly and the rotating assembly.

Abstract: Systems and methods for fixating a graft in a bone tunnel are provided. In general, the system includes a tissue fixation device having a delivery configuration and a deployed configuration, at least one graft retention loop coupled to the tissue fixation device, and a drill pin having a sidewall surrounding a cavity at a proximal end of the pin and at least one longitudinally oriented opening in the sidewall in communication with the cavity, the cavity being configured to fully seat the tissue fixation device. The drill pin is configured to substantially contain therein the tissue fixation device when in the delivery configuration and to enable deployment of the tissue fixation device through the opening. Drill pins configured to contain a tissue fixation device are also provided.

Abstract: Disclosed are an artificial breast implant in which the surface thereof is formed or modified with a silicone open cell (open pore) foam layer, and a method for producing the same. More specifically, disclosed are an artificial breast implant that has a surface including an open cell foam layer made of silicone and thus minimizes side effects such as in vivo rejection, which may occur after implantation of the implant into the body, in particular, the occurrence of capsular contracture to achieve superior biocompatibility and safety, and a method for producing the same.

Abstract: An improved posterior chamber phakic intraocular lens (PCP-IOL) having a haptic with a collar, self-adjusting struts, and lens is disclosed. Haptic or lens of the PCP-IOL may include a protected orifice. A disclosed PCP-IOL may be configured to fit anatomy of varying sizes, and may be self-centering; additionally, a PCP-IOL as set forth herein may allow peripheral aqueous flow between anterior and posterior chambers of a patient's eye.

Abstract: A method of designing a multifocal ophthalmic lens with one base focus and at least one additional focus, capable of reducing aberrations of the eye for at least one of the foci after its implantation, comprising the steps of: (i) characterizing at least one corneal surface as a mathematical model; (ii) calculating the resulting aberrations of said corneal surface(s) by employing said mathematical model; (iii) modelling the multifocal ophthalmic lens such that a wavefront arriving from an optical system comprising said lens and said at least one corneal surface obtains reduced aberrations for at least one of the foci. There is also disclosed a method of selecting a multifocal intraocular lens, a method of designing a multifocal ophthalmic lens based on corneal data from a group of patients, and a multifocal ophthalmic lens.

Abstract: A collapsible and expandable stent (320) extends in an axial direction from a proximal end to a distal end. The stent may include a plurality of first cells (324), each first cell having an open space defined by a first plurality of struts (322). The stent may further include a second cell (330) nested in the open space of one of the first cells, the second cell being defined by a second plurality of struts (330a-d). The stent may additionally include first and second connecting struts (332, 334) connecting the second cell to the one first cell. The second cell may be configured to pivot about the first and second connecting struts with respect to the one first cell. The pivoting may create a clearance space between the second cell and an outer perimeter of the stent in which portions of a native valve structure may be clamped.

Abstract: A percutaneous heart valve prosthesis (1) has a valve body (2) with a passage (9) extending between the first and second ends (7, 8) of the valve body (2). The valve body (2) is collapsible about a longitudinal axis (10) of the passage (9) for delivery of the valve body (2) via a catheter (18). One or more flexible valve leaflets (3, 4) are secured to the valve body (2) and extend across the passage (9) for blocking bloodflow in one direction through the passage (9). An anchor device (5), which is also collapsible for delivery via catheter (18), is secured to the valve body (2) by way of an anchor line (6).

Abstract: A prosthetic mitral valve with a compressible and expandable stent that, when expanded, is circumferentially oval, elliptical, or D-shaped, with a major axis and a minor axis ratio of from about 3:4 to about 4:5. Embodiments of the stent comprise three commissure regions disposed towards an outflow end and three curved cusp regions between adjacent commissure regions. Three flexible leaflets are attached to the commissure regions in a tri-foil configuration. Embodiments of the prosthetic mitral valve include an atrial ring disposed at the inflow end of the stent.

Abstract: An active annuloplasty ring holder having a template that can be folded or pivoted to the side allowing the template to align longitudinally with the handle and enter the patient's chest through a small incision. The holder may include a mechanism to remotely detach sutures fastening the ring to the holder, thereby detaching the ring while avoiding the risk associated with introducing a scalpel into the operating field. A detachment mechanism may include a movable pin actuated by a pull wire that releases a plurality of holding sutures, or a hot wire, knives, or pull wire that severs the sutures. The holder may have a built-in light source for better visualization of the ring inside the heart. The holder may also have an optical means of visualizing the inside of the heart from the proximal end of the handle.

Abstract: An instrument for assembling an implant on a neck. The implant and neck being coupled via a taper having a taper axis. The instrument includes a frame having a distal portion and a proximal portion, the distal portion of the frame including a retaining member adapted to engage a portion of the neck. The instrument also includes a force applier retained in the proximal portion of the frame. The force applier includes a screw having a screw axis that is coaxial with the taper axis, wherein the screw is adapted to engage the implant. As the screw is turned, the force applier applies a force on the implant while the neck is held in place by the frame, thereby causing the tapers of the implant and neck to engage.

Abstract: Disclosed herein are methods and devices for repairing a knee joint, including customizable and/or highly selectable implants and/or implant components for each patient to provide optimal fit and function.

Abstract: The invention features acetabular components for an artificial hip. The invention also features methods and tools for assembling a hip prosthesis that includes the acetabular components of the invention.

Abstract: A femoral augment, or set of augments, for use with a knee joint prosthesis, where the femoral augment includes a main body portion, an aperture formed within the main body portion and extending in a generally distal/proximal direction, and a pair of legs extending outwardly from said main body portion in a generally posterior direction. In the preferred embodiment, the aperture is configured to receive a stem extension implant, and to allow it to pass through. Additionally, the legs of the femoral augment are preferably configured to be seated proximal of a proximal side of a pair of condylar portions of a femoral component of a knee joint prosthesis.

Abstract: A method of implanting a wrist prosthesis in a distal portion of an ulna for articulation at least near a radius and a carpal complex of a wrist joint is provided. The method can include forming an incision near a distal portion of the radius and ulna joint. The method can also include resecting a distal portion of the ulna and positioning a stage member in a fixed position relative to the ulna. The method can further include sliding a bearing member relative to the stage member to hold the bearing member relative to the stage member and the distal ulna. The method can also include fixing the bearing member to a bearing fixation member extending from the stage member, and attaching soft tissue to at least one of the bearing member and the stage member.

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: Embodiments of the present disclosure relate to devices and methods for treating one or more damaged, diseased, or traumatized portions of the spine, including intervertebral discs, to reduce or eliminate associated back pain. In one or more embodiments, the present disclosure relates to an expandable interbody spacer. The expandable interbody spacer may comprise a first jointed arm comprising a plurality of links pivotally coupled end to end. The expandable interbody spacer further may comprise a second jointed arm comprising a plurality of links pivotally coupled end to end. The first jointed arm and the second jointed arm may be interconnected at a proximal end of the expandable interbody spacer. The first jointed arm and the second jointed arm may be interconnected at a distal end of the expandable interbody spacer.

Abstract: An intervertebral implant includes opposing upper and lower endplates that are configured to engage respective vertebral surfaces in an intervertebral space. The implant carries a plurality of bone fixation spikes that extend out from each endplate. The spikes define a plurality of outer surfaces that extend from a base to a tip. The spikes are laterally staggered, and have a height that increases along a longitudinal direction from the front toward the rear of the implant, and a define recess formed in at least one outer surfaces.

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 plug for causing expansion of the ends of the implant and therefore the bone engaging surfaces of the implant. The proximal plug member may be configured to move longitudinally such that the proximal end of the cage body resiliently expands. The distal plug member may be configured to move longitudinally such that the distal end of the cage body resiliently expands. The proximal and distal plug members are moved longitudinally independently from one another to allow for independent expansion and contraction of each of the proximal and distal ends of the cage body itself.

Abstract: A modular anchor bone fusion cage is provided. The cage includes a spacer configured to fit into a space between the faces of two bones that are to be fused together. A fusion plate having at least a main body portion is coupled to the spacer. Fasteners extend through the fusion plate to engage the bone. At least some of the fasteners also extend through the spacer to engage the opposed faces of the bone.

Abstract: A dynamic intervertebral spacer includes a ring which is split on an anterior portion. A posterior portion of the ring acts as a torsion spring. After implantation, the ring is able to act as a spring between superior and inferior vertebral bodies, thus allowing dynamic bone growth in fusion procedures.

Abstract: The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a central ramp, a first endplate, and a second endplate, the central ramp capable of being moved in a first direction to move the first and second endplates outwardly and into an expanded configuration. The fusion device is capable of being deployed down an endoscopic tube.

Abstract: The present disclosure is directed to composite bone grafts and to methods for providing such grafts for orthopedic and other surgical uses in a subject in need thereof. In some embodiments, the present disclosure provides a method for producing a composite bone graft, the method comprising, for example, the steps of: (i) selecting at least one donor site on at least one subject; (ii) removing at least one piece of bone, comprising cortical bone, from the at least one donor site; (iii) machining the at least one piece of bone to produce at least two bone components, each having a surface comprising at least one of a protuberance and a recess thereon; and (iv) joining the at least two machined bone components to produce a composite bone graft.

Abstract: An intervertebral prosthesis or disk prosthesis comprising a front side, a rear side, an upper side which can be placed on the base plate of vertebral body, a lower side which can be placed on the base plate of a vertebral body, a right side, a left side, a cavity which can receive a fluid hydraulic osteocementum, an opening in the cavity and several outlets out from the cavity. The total of the transversal surfaces of the outlets SV on the front side, the total of the transversal surfaces of the outlets SH on the rear side, the total of the transversal surfaces of the outlets SR on the right side and the total of the transversal surfaces of the outlets on the left side satisfy the following conditions: SL>SR or SR>SL or SH>SV or SV>SH.

Abstract: A locking grip extraction tool has plier handles with jaws having sharp beveled edges for moving in a direction so that an axis perpendicular to the plane of movement is oriented at an acute angle to the handles; the axis intersecting the plane of jaw movement at a point midway between the jaws. A locking link coupled to the handles is adapted to releasably lock the jaws onto an orthopedic implant. A connection rod can be threaded into a hole in one of the handles near the jaws, so that a force applying tool such as a slap hammer can be connected to the rod to apply force to remove the implant. The rod is in alignment with the axis, which alignment makes it easier to remove the implant.

Abstract: A method for inserting an intervertebral disc prosthesis into a space between two vertebrae involves inserting the prosthesis partway into the space under constraint to prevent endplates of the prosthesis from articulating, releasing the prosthesis from constraint, and inserting the unconstrained prosthesis farther into the space. In some embodiments, the method involves grasping the prosthesis with a grasping device to insert the prosthesis partway under constraint, loosing the grasping device to release the prosthesis from constraint, and pushing the prosthesis farther into the disc space using the grasping device and/or one or more separate pusher devices. A system includes a grasping device, at least one separate pushing device, and optionally a vertebral spreading device and/or a vertebral midline indicator device.

Abstract: A method is disclosed for introducing a spinal disc implant into an intervertebral space of a subject. The subject is placed in a lateral position, and the anterior face of the spinal disc intervertebral space is accessed, between the L5 and S1 vertebrae, from an anterior and lateral retroperitoneal approach. An operative corridor to the anterior face of the spinal disc space is established by introducing a retractor instrument anterolaterally to the spinal disc space between the anterior superior iliac spine and the anterior inferior iliac spine. The damaged spinal disc contents are removed from the intervertebral space through the operative corridor, and the implant is advanced into the intervertebral space at an oblique angle and pivoted to position the implant substantially laterally within the intervertebral space. Elongated retractor and insertion instruments, as well as a modified disc implant, are also disclosed for carrying out the method.

Abstract: The present invention provides an orthopedic surgical tool for moving an implant to a surgical sight and installing the implant. The tool allows the surgeon the ability to navigate the implant through a surgical tube, then rotate the implant after reaching the sight and effect installation of the implant, and then effect its release from the tool. The implant can be rotated at any time during its installation within the constraints of other surgical devices.

Abstract: A stemless humeral component for replacing the humeral head of a patient's humerus includes a support flange having a number of cantilevered legs extending distally away from a bottom surface thereof. Instruments and methods for surgically installing the stemless humeral component are also disclosed.

Abstract: The present invention relates to artificial limbs generally and to joints for the same. In particular, the present invention provides hydraulic functional units, generally classified as damping devices as connected between artificial limbs whereby enabling movement of artificial joints to closely correspond with natural human movement. In accordance with the invention, there is provided hydraulic damper control elements for prostheses which utilize a pressure differential due fluid flow as a direct control input for a at least one hydraulic valve. The valve can comprise a moveable element which abuts a mounted element which reduces the size of an aperture as the force increases. Further, a moveable body acts upon the valve enabling increase or decrease of flow of hydraulic fluid through the valve, whereby enabling an increase in gait by way of reduction of resistance to flow or reducing or stopping flow by way of a stumble recovery mechanism.

Abstract: A hollow tubulous composite structure and method for prosthetic limbs is described.

Abstract: Methods for manufacturing an endovascular stent having channel(s) formed therein for containing a therapeutic material. A molding and sintering process forms a thin-walled tubular component having a tubular core structure encapsulated therein. Portions of the thin-walled tubular component are removed to form at least a portion of the endovascular stent in a pattern corresponding to that of the tubular core structure such that the tubular core structure or corresponding channel(s) left thereby are captured within a wall of the formed stent. The tubular core structure is removed to leave a corresponding channel(s) in its stead. A plurality of holes is formed in the stent wall for filling the stent channel(s) with the therapeutic material and for eluting the therapeutic material therefrom.

Abstract: An implantable tissue filler including a particulate material suspended in a carrier, the particulate material having more than about 70% by weight magnesium and about 2-20% by weight lithium, wherein the particulate material is substantially free of rare earth metals.

Abstract: The present invention relates to an endoluminal device for implantation in a body lumen, such as a pancreatic duct. The device is provided with a distal end region having greater flexibility than that of a medial region of the device.

Abstract: An apparatus and method for a micro-patterned thin film Nitinol (TFN) that is used as a cover for an expandable stent structure, and has elongation/expansion properties that are configured to match the elongation/expansion properties of the expandable stent structure is presented.

Abstract: A guide wire may include a core shaft and an external coil body covering a distal portion of the core shaft. The external coil body includes a first coil portion and a second coil portion that is distal to the first coil portion. An outside diameter of the second coil portion is smaller than an outside diameter of the first coil portion. Similarly, the guide wire may include a core shaft, a first external coil body, and a second external coil body. An outside diameter of the second external coil body is smaller than an outside diameter of the first external coil body. The external coil body or first and second external coil bodies enable the performance of a pushing-out operation and a drawing-in operation of the stent; yet, the flexibility of the guide wire is maintained.

Abstract: Systems and methods are adapted for treating the carotid artery. The systems include interventional catheters and blood vessel access devices that are adapted for transcervical insertion into the carotid artery. Embodiments of the systems and methods can be used in combination with embolic protection systems including blood flow reversal mechanisms, arterial filters, and arterial occlusion devices.

Abstract: Intragastric volume-occupying devices and methods for treating obesity are provided. The devices, which are inflated by carbon dioxide, include an aluminum or silicon oxide barrier layer providing carbon dioxide retention and an alkylene vinyl alcohol polymer layer providing structural integrity in vivo.

Abstract: This invention relates to new apparatuses for draining material from a stomach and infusing fluid into the stomach comprising a tubing connector, a housing unit, and a one-way valve. In an embodiment the connector can have a first port, a second port, a third port and a branched lumen that extends through each of the first, second and third ports. The housing unit can have a housing lumen that is sized and shaped to receive the third port and the housing unit is sized and shaped to receive the connector. The one-way valve can be sized and shaped to be received in the housing lumen.

Abstract: A prosthesis (14) that is useful as an anti-reflux device or an anti-obesity device within a gastro-intestinal tract of a living organism, such as a human, comprises an elastic portion including a helical elastic spring (15) embedded in a biocompatible material.

Abstract: A bowleg correction device 1 includes a pair of left and right foot mounting units 10 configured to respectively mount user feet from upper surface sides thereof; and rotating portions 20 respectively fixed to the foot mounting units 10, each of which has at least a part protruded from a lower surface side of the corresponding foot mounting unit 10, wherein each of the rotating portions 20 includes: a fixed portion 21 fixed to the corresponding foot mounting unit 10; and a shaft portion 22 rotatably engaged with the fixed portion 21, extending in a vertical direction and having a floor-contacting surface 22a which contacts a floor at a position that is protruded from a bottom surface 12a of the foot mounting unit 10, and when the foot mounting unit 10 is rotated around the shaft portion 22 in a direction, a returning force is generated in the opposite direction.

Abstract: A disclosed knee orthosis has provides support to the knee of a patient with a damaged or severed posterior cruciate ligament by supporting the knee with a brace, and providing an air bladder to create force against the rear of the tibia.

Abstract: An improved joint support for limiting the range of motion of an anatomical joint comprises intermeshing gears for allowing adjustment of the range of motion of the joint, and comprises plural mechanisms for securing the gears in engagement with one another, whereby adjustment can be made without tools and without disassembly of any components.

Abstract: An orthopedic walking boot including a base to support a user's foot; a support assembly extending from the base to support the user's lower leg; and an outer sole overmolded to the base.

Abstract: A device comprising a casing and having an initial configuration, an intermediate configuration, and a final configuration, wherein in the initial configuration the casing contains: a plurality of beads, a rupturable first container containing one or more isocyanates and a rupturable second container containing one or more polyols. In the final configuration the casing is substantially filled by a polyurethane in which the plurality of beads is embedded. In the intermediate configuration the device is transformed from the initial configuration to the final configuration by rupturing the first container and rupturing the second container so that the one or more isocyanates react with the one or more polyols in a reaction that forms the polyurethane. As the polyurethane is formed during the reaction the polyurethane surrounds the plurality of beads. The casing includes one or more vent tubes configured to allow gases formed by the reaction to escape the casing.

Abstract: A nasal breathing assist device includes one or two open-ended tubular elements each extending along a central tube axis between a relatively large first end and a relatively small second end, and at least one non-resilient tab extends from the first end toward the second end of the tubular element. In embodiments with two tubular elements, a coupler element extends between the first ends of the tubular elements. Each tubular element may further include a liner-shaped filter having a liner portion extending along a central axis between a relatively large end and a relatively small end, and a filter medium spanning at least one of the relatively large end and the relatively small end. The filter is adapted to snap-fit in the tubular element. The tubular element may further include at least one stiffening element affixed to the tubular element.

Abstract: An apparatus for supporting an arm during medical procedures such as radial catheterization and carpal tunnel procedures is disclosed. The apparatus includes an arm support section configured to support an arm of a patient, an intermediary valley section connected to a second end of the arm support section, a wrist flexing section connected to a second end of the intermediary valley section and configured to promote a downward flexing of the wrist, and a hand-hold section connected to the wrist flexing section. The hand-hold section is configured to hold the wrist in the downward flexing position.

Abstract: Various apparatus, e.g., braces or supports, and methods for stabilizing a shoulder and/or arm of a subject are provided herein. In certain variations, a shoulder stabilization apparatus includes one or more inelastic, non-stretchable and/or rigid components which restrict or limit various types of shoulder and/or arm motion, e.g., abduction. The shoulder stabilization apparatus may include various accessory straps which restrict or limit various types of shoulder and/or arm motion.