Abstract: Systems and methods for non-invasively assessing ciliary muscle accommodative potential in phakic eyes may include receiving a plurality of signals generated by a plurality of bipolar electrodes during a ciliary muscle assessment procedure, each of the plurality of signals indicating an electrical field associated with a patient's ciliary muscle, and analyzing the signals to evaluate the patient's ciliary muscle accommodative potential.

Abstract: An ophthalmic device includes at least one ophthalmic lens and at least one diffractive structure for the at least one ophthalmic lens. The ophthalmic lens(es) have at least one base focal length and a base power for a first wavelength of visible light. The diffractive structure(s) have a chromatic aberration such that the diffractive structure(s) have a first power for the first wavelength of visible light and a second power for a second wavelength of visible light. A difference between the first power and the second power is at least two diopters.

Abstract: Systems and methods are provided for improving overall vision in patients suffering from a loss of vision in a portion of the retina (e.g., loss of central vision) by providing a piggyback lens which in combination with the cornea and an existing lens in the patient's eye redirects and/or focuses light incident on the eye at oblique angles onto a peripheral retinal location. The piggyback lens can include a redirection element (e.g., a prism, a diffractive element, or an optical component with a decentered GRIN profile) configured to direct incident light along a deflected optical axis and to focus an image at a location on the peripheral retina. Optical properties of the piggyback lens can be configured to improve or reduce optical errors at the location on the peripheral retina.

Abstract: The disclosure relates to a phacoemulsification surgical workstation that is adapted to facilitate loading of an intraocular lens (IOL) into an inserter for use during phaco surgery. The workstation includes a camera positioned and oriented to assist an operator to visualize or magnify the IOL, the inserter, so as to aid the operator in loading the IOL into the inserter. The workstation can include a platform or a light source associated with the camera view to assist such loading.

Abstract: The invention relates to an intra-laryngeal prosthesis (PIL) for insertion into a larynx, said prosthesis PIL having an upper portion (PH) comprising: a tubular inner wall (1) with a first end, referred to as upper end (2), and a second end, referred to as lower end (3); a tubular outer wall (4) with a first end, referred to as upper end (2) and a second end, referred to as lower end (3), said outer wall (4) surrounding at least a portion of the inner wall (1); a plurality of ribs (5) extending in the direction of the main axis (X) of the prosthesis and connecting the inner wall (1) with the outer wall (4) such that a plurality of cells (6) are formed between the inner wall (1) and the outer wall (4).

Abstract: An implantable device is disclosed. The device includes a two or three-piece frame assembly that is configured to be delivered in a series configuration and subsequently nested or telescoped in-situ.

Abstract: A prosthetic heart valve having an inflow end and an outflow end includes a collapsible and expandable stent having a plurality of commissure features, a plurality of first struts and a plurality of second struts. The plurality of first struts define a substantially cylindrical portion and the plurality of second struts have first ends attached to the cylindrical portion and free ends projecting radially outward from the cylindrical portion and configured to couple to adjacent heart tissue to anchor the stent. A collapsible and expandable valve assembly disposed within the stent has a plurality of leaflets coupled to the commissure features.

Abstract: Embodiments of the present disclosure provide an introducer device for introducing a medical device into a patient's vasculature. In one embodiment, the introducer device comprises a housing, a distal sheath adapted to be inserted into a patient's vasculature with the housing positioned outside of the patient's vasculature, a hemostatic seal mounted within the housing, and a tube positioned within the housing and movable longitudinally relative to the hemostatic seal between a proximal position and a distal position. In the proximal position, a distal end of the tube is positioned proximal to the hemostatic seal with the hemostatic seal closed. In the distal position, the distal end of the tube extends through the hemostatic seal and permits the medical device to be inserted through the housing and into the patient's vasculature without contacting the hemostatic seal.

Abstract: A mould adapted to be introduced into a joint of a human patient for resurfacing at least one carrying contacting surface of said joint is provided. The mould is adapted to receive material for resurfacing at least one carrying contacting surface of said joint. The mould is further adapted to be resorbed by the human body or melt after having served its purpose.

Abstract: A load dissipating arthroplasty prosthesis comprising a shell, an articular device extending into the shell through a collar defined in the sell, a head and neck portion of the articular device extending from the collar, a shaft portion of the articular device extending into the shell, and a plurality of shock absorbing arcuate linkers spacing and allowing limited movement between the shell and the articular device.

Abstract: Systems, devices, and methods are described for providing orthopedic implants that reduces the negative effects of stress shielding on surrounding bone structure. The orthopedic implants are comprised of two portions, a shell portion that forms an articulation interfaces and an intermediate portion that forms a bone interface. The shell portion is designed to reduce absorption of Carticulation forces and evenly distribute incident forces to the intermediate portion. The intermediate portion is designed to form a strong interface with native bone and transmit forces from the shell into the bone.

Abstract: A spinal implant comprises an implant body extending between an anterior surface and a posterior surface and includes a first vertebral engaging surface and a second vertebral engaging surface. The implant body includes an inner surface that defines at least one cavity that is oriented to implant a fastener oblique relative to a lateral axis of a subject body and adjacent an intervertebral space of the subject body. At least one indicia is disposed with the implant body to facilitate orientation of the implant body with the subject body. Systems and methods are disclosed.

Abstract: An expandable interbody spinal fusion device, including an inferior component including at least one hole, a superior component connected to the inferior component, the superior component including a plurality of catches operatively arranged to align with the at least one hole, and a locking screw operatively arranged to engage the plurality of catches and the at least one hole to lock the superior component with respect to the inferior component.

Abstract: An expandable intervertebral implant, including a support component, an inferior component, including a first proximate end connected to the support component, a first distal end, a first top surface, and a first bottom surface, a superior component, including a second proximate end connected to the support component, a second distal end, a second top surface, and a second bottom surface, and a wedging component operatively arranged to be slid along the first top surface and the second bottom surface and expand the expandable intervertebral implant.

Abstract: An expandable anterior lumbar interbody fusion device comprises a multiple piece construction that includes an outer shell, movable upper and lower endplates and a pair of laterally spaced supports therebetween. The endplates are initially nested within the outer shell and telescope through the outer shell when expanded by a secondary instrument. Each endplate includes fixation elements to anchor the expanded device in an intervertebral disc space. Bilateral internal pockets are formed within each of the endplates to fully contain the supports. Once the device is expanded, the supports are pushed into place by the instrument in a manner to maintain the expanded position. After the supports are in place, the expander instrument is removed, and the device remains anchored in the expanded state.

Abstract: A tool for delivery and/or compaction of bone graft material includes a cannula with an inner lumen extending along a longitudinal axis from a hopper end of the cannula to a delivery tip of the cannula. A hopper with an internal volume for storing bone graft material is connected to the hopper end of the cannula with the internal volume of the hopper in communication with the inner lumen of the cannula for delivery of bone graft material from the hopper to the delivery tip of the cannula. An output shaft within the inner lumen extends along the longitudinal axis. The output shaft includes a helical screw thread extending radially outward from the output shaft toward an inner surface of the cannula. An actuator is connected to the hopper and to the output shaft to drive the output shaft rotationally relative to the hopper and to the cannula.

Abstract: A device for a cup to be received in the cotyl of a hip. The device includes an insert, a gripping means for gripping the insert, a rod for imparting shock, and an impaction head having a surface in contact with a portion of the insert. The rod for imparting shock is designed to be held by a surgeon and is used for the application of an impaction shock to the insert when held by the gripping means opposite the cup to be introduced into the cotyl of a hip. The impaction head having a surface in contact with a portion of said insert and the rod are connected to one another so as form a head and rod assembly joined in rotation. The head and rod assembly is mounted pivotably at a pivot point in relation to the gripping means.

Abstract: An arrangement for the preparation of the proximal surface of the tibia for a tibia component of a prosthetic knee joint, wherein the arrangement includes a preparation plate that assists in defining a reference plane. A cutting guide arrangement includes an indicator that provides orientation for a cutting blade or saw to cut the final bone resection of the proximal surface of the tibia the same as the reference plane. There is also a mounting arrangement between the joint liner and the cutting guide arrangement, so that in a first mounting position the indicator of the cutting guide is aligned with the same referenced plane defined by the underside of the joint liner and wherein the mounting arrangement also provides a second mounted position wherein the indicator of the cutting guide is aligned with the same referenced plane orientation of the underside of the joint liner but below the initial resected proximal surface of the tibia where the final resection of bone will take place.

Abstract: According to one example, a provisional system for a knee arthroplasty is disclosed. The system can include any one or combination of a first provisional component, a second provisional component, a stem provisional assembly and a fastener. The first provisional component can be configured to be disposed on a resected bone surface. The second provisional component can be configured to be disposed in a first recess beneath the resected surface of the bone. The stem provisional assembly can be configured to be disposed in a second recess, the stem provisional assembly configured to be engageable in vivo to position the first provisional component on the resected surface of the bone. The fastener can be configured to couple the first provisional component, the second provisional component and the stem provisional assembly together as an assembly.

Abstract: According to one example, a for revision knee arthroplasty is disclosed. According to this example, the method can include shaping a bone of a patient to create one or more recesses therein, selecting a stem provisional, disposing the stem provisional within the one or more recesses, and assembling in vivo the stem provisional with both a first provisional component configured to simulate a shape of one of a tibial tray implant or a femoral implant and a second provisional component configured to simulate a shape of at least one of a sleeve component, a cone component or a keel component of an implant.

Abstract: An actuator includes a plurality of power transmitters configured to transmit power sequentially, and an elastic element configured to connect a first power transmitter and a second power transmitter that are adjacent to each other and perform a coaxial rotation motion, among the plurality of power transmitters.

Abstract: A method of regulating pressure inside a prosthetic socket includes measuring pressure inside of a prosthetic socket using one or more sensors operatively coupled to a pump system to obtain pressure information associated with an inside of the prosthetic socket. The pump system has a pump mechanism in fluid communication with the inside of the prosthetic socket. The method involves actuating the pump mechanism without human intervention to regulate vacuum inside of the prosthetic socket based on the pressure information.

Abstract: A method of placing a prosthetic system over a residual limb, said method comprising the steps of: providing the prosthetic system; and placing an outer shell of the prosthetic system on the residual limb having an above-knee amputation, the outer shell at least partially surrounds the residual limb, an outer side and an inner side of the outer shell on opposite sides of the residual limb, an upper edge of the outer side above a greater trochanter, the inner side below a lowest edge of an ischium without being directly below the lowest edge of the ischium.

Abstract: Systems and methods for the manufacture of an hourglass shaped stent-graft assembly comprising an hourglass shaped stent, graft layers, and an assembly mandrel having an hourglass shaped mandrel portion. Hourglass shaped stent may have superelastic and self-expanding properties. Hourglass shaped stent may be encapsulated using hourglass shaped mandrel assembly coupled to a dilation mandrel used for depositing graft layers upon hourglass shaped mandrel assembly. Hourglass shaped mandrel assembly may have removably coupled conical portions. The stent-graft assembly may be compressed and heated to form a monolithic layer of biocompatible material. Encapsulated hourglass shaped stents may be used to treat subjects suffering from heart failure by implanting the encapsulated stent securely in the atrial septum to allow blood flow from the left atrium to the right atrium when blood pressure in the left atrium exceeds that on the right atrium. The encapsulated stents may also be used to treat pulmonary hypertension.

Abstract: The invention relates to a device (1) having a stent structure (2) intended for the insertion into blood vessels of the human or animal body, wherein the stent structure (2) assumes an expanded state during which it is in contact with the inner wall of the blood vessel and a contracted state during which the stent structure being located in a microcatheter can be moved through the blood vessel, wherein the stent structure (2) preferably being connected at its proximal end with an delivery wire (3) and wherein the device (1) being employed for the treatment of vasospasm. Moreover, the invention also relates to a relevant method for the treatment of vasospasm.

Abstract: A stent includes a first section and a second section. The first section and the second section each include a plurality of expandable modules and a plurality of bridging modules. Each expandable module includes a plurality of strut elements that join together at a plurality of apices, and each bridging module includes bridging elements that connect an apex of a first module with an apex of a second module. In some aspects, the first section is more flexible along the longitudinal axis of the stent than the second section and is configured to be placed in a specific region of a vessel that requires flexibility to accommodate surrounding anatomy. In some aspects, the first section is more radially stiff than the second section and is configured to be placed in a specific region of the vessel that requires radial stiffness to counteract crushing force caused by surrounding anatomy.

Abstract: A medical device includes a polymer scaffold crimped to a catheter having an expansion balloon. A sheath is placed over the crimped scaffold after crimping to reduce recoil of the crimped polymer scaffold and maintain scaffold-balloon engagement relied on to hold the scaffold to the balloon when the scaffold is being delivered to a target in a body. The sheath is removed by a health professional either by removing the sheath directly or using a tube containing the catheter.

Abstract: An implant introduction device designed to position a medical implant at a destination in a human or animal body. A sleeve extends in an axial direction has at least a first section and a second section opposite the first section in the axial direction. The two sections are connected with one another through a connection area around the sleeve in the peripheral direction. The first section is made of a first material and the second section is made of a second material, the first material having higher bending rigidity than the second material. The connection area defines a meandering course in the peripheral direction.

Abstract: An orthotic ankle garment is integrally knit of a body yarn, and comprises at least one compression zone incorporating elastic yarns integrated with the body yarn. A lateral fabric brace strap is integrally formed with the body yarn within the compression zone, and is adapted to extend vertically on an outside of the lower leg between the open leg end of the garment and a termination point proximate a lateral malleolus of the ankle. A medial fabric brace strap is integrally formed with the body yarn within the compression zone, and is adapted to extend vertically on an inside of the lower leg between the open leg end of the garment and a termination point proximate a medial malleolus of the ankle. The lateral and medial brace straps define vertically-disposed areas of reduced fabric stretch relative to directly adjacent areas of the compression zone.

Abstract: A foot plate for supporting a foot, wherein the foot plate has a front edge and at least one weakening which is spaced apart from the front edge and extends in the medial-lateral direction of the foot plate, a weakening on the underside having an orientation or rounded contour directed obliquely downwards from anterior to posterior, and a weakening on the upper side having an orientation or rounded contour directed obliquely upwards from anterior to posterior.

Abstract: A dual-hardness outsole includes a front section, a middle section, and a rear section, at least the middle section of the outsole including a wedge having a bottom surface which extends below another bottom surface of at least one of the front and rear sections such that the wedge carries more weight than the other bottom surface. The outsole comprises a hard portion and a soft portion that are secured to each other and together form the wedge, a cross-sectional profile of the hard and soft density portions being such that a center portion of the wedge is softer than opposite lateral portions thereof.

Abstract: An ostomy pouching device is configured to allow two-way flow of gas between the device and a stoma bag (100). A check valve (104) is configured to allow ambient air into a channel of the device, and thereby into the stoma bag, when a pressure of the gas in the channel is less than a pressure of the ambient air; another check valve (105) is configured to allow gas to flow into a deodorizing reactor (110) when a pressure of the gas in the channel is greater than a pressure of the ambient air. The deodorizing reactor includes a plasma reactor configured to generate plasma in the channel for deodorizing the gas in the channel before being expelled from the device into the ambient air. The plasma reactor is preferably a dielectric barrier discharge (DBD) reactor. It may also include a secondary active carbon filter.

Abstract: An RF (radio frequency) positioning system and related method for automated or assisted eye-docking in ophthalmic surgery. The system includes an RF detector system on a laser head and an RFID tag on a patient interface to be mounted on the patient's eye. The detector system includes four RF antennas located on a horizontal plane for detecting RF signals from the RFID tag, where one pair of antennas are located along the X direction at equal distances from the optical axis of the laser head and another pair are located along the Y direction at equal distances from the optical axis. Based on relative strengths and phase difference of the RF signals detected by each pair of antennas, the RF detector system determines whether the patient interface is centered on the optical axis. The RF detector system controls the laser head to move toward the patient interface until the latter is centered on the optical axis.

Abstract: Laser pulse modulation for laser corneal treatments is used to control the thermal energy imparted to the cornea. The optical energy of the laser pulses may be modulated to reduce or increase the thermal energy, depending upon an expected thermal load or a measured temperature at each position location of the cornea subject to laser treatment. The laser pulse modulation may involve pulse frequency modulation, pulse amplitude modulation, and pulse duration modulation.

Abstract: A treatment method and apparatus for surgical correction of defective-eyesight in an eye of a patient, wherein a laser device is controlled by a control device, said laser device separating corneal tissue by irradiation of laser radiation to isolate a volume located within a cornea, wherein the control device controls the laser device to focus the laser radiation, by providing target points located within the cornea, into the cornea, wherein the control device, when providing the target points, allows for focus position errors which lead to a deviation between the predetermined position and the actual position of the target points when focusing the laser radiation, by pre-offsets depending on the positions of the respective target points to compensate for said focus position errors.

Abstract: A magnetic positioning system and related method for automated or assisted eye-docking in ophthalmic surgery. The system includes a magnetic field sensing system on a laser head and a magnet on a patient interface to be mounted on the patient's eye. The magnetic field sensing system includes four magnetic field sensors located on a horizontal plane for detecting the magnetic field of the magnet, where one pair of sensors are located along the X direction at equal distances from the optical axis of the laser head and another pair are located along the Y direction at equal distances from the optical axis. Based on relative magnitudes of the magnetic field detected by each pair of sensors, the magnetic field sensing system determines whether the patient interface is centered on the optical axis. The system controls the laser head to move toward the patient interface until the latter is centered on the optical axis.

Abstract: In some embodiments, a microsurgical instrument includes a trocar having a rigid, hollow shaft formed with a lumen extending from a proximal end to a distal end of the shaft. The distal end of the shaft may be shaped for tissue penetration. The instrument may further include a composite microcannula slidably engaged with the trocar in the lumen. The microcannula includes a light guide and a flexible hollow tube having an outer diameter less than an inner diameter of the lumen in the trocar. Other embodiments include placing the microcannula in the lumen of the trocar, illuminating the end of the trocar by illuminating the end of the microcannula, advancing the trocar from a selected entry point on an eye into a selected structure in the eye, and extending the illuminated end of the microcannula from the trocar into the selected structure.

Abstract: In some embodiments, a microsurgical instrument includes a trocar having a rigid, hollow shaft formed with a lumen extending from a proximal end to a distal end of the shaft. The distal end of the shaft may be shaped for tissue penetration. The instrument may further include a composite microcannula slidably engaged with the trocar in the lumen. The microcannula includes a light guide and a flexible hollow tube having an outer diameter less than an inner diameter of the lumen in the trocar. Other embodiments include placing the microcannula in the lumen of the trocar, illuminating the end of the trocar by illuminating the end of the microcannula, advancing the trocar from a selected entry point on an eye into a selected structure in the eye, and extending the illuminated end of the microcannula from the trocar into the selected structure.

Abstract: An ophthalmic surgical laser system includes: a laser that produces a pulsed laser beam having a pulse energy and pulse repetition rate; a high frequency fast scanner; an XY-scan device; a Z-scan device; and a controller. The controller controls the high frequency scanner to produce a scan line having a scan width; controls the XY-scan device and the Z-scan device to carry out of first sweep of the scan line in a first sweep direction and to carry out a second sweep of the scan line in a second sweep direction that is not parallel to the first sweep direction thereby defining an overlap region. At least one of the pulse energy, repetition rate, XY-scan speed, and the scan width is varied so as to accelerate the cutting speed and reduce the exposure of ophthalmic tissue in the overlap region to multiple exposures of laser pulses configured to modify ophthalmic tissue.

Abstract: An eyeshade (10) includes a head band (12) and two eye covers (20). The head band (12) includes a middle section (14), an end section (15) horizontally extending from the middle section (14), and at least one first hook-and-loop strap (142). The first hook-and-loop strap (142) is arranged on an inner surface (141) of the middle section (14). Each eye cover (20) includes an inner pad (22) and a covering portion (24). Each inner pad (22) includes an inner pad outer surface (221) and a depression (222). The covering portion (24) includes a cavity (241) corresponding to the depression (222) and includes a second hook-and-loop strap (242). The second hook-and-loop strap (242) is removably attached to the first hook-and-loop strap (142). The eyeshade (10) has modular replaceable eye covers (20) which can be quickly attached to head band (12) to provide various functions as required.

Abstract: Guards for a space access device are configured to be attached to, as well as removed from the space access device by hand, without the need to resort to any tools to perform the attachment or the removal. A distal guard includes at least first and second filters separated by at least one convoluted pathway, and also includes outwardly extending members projecting outwardly from a base of the distal guard. A proximal guard forms at least one convoluted pathway with a cap forming a proximal end of the space access device. A pull tab provides redundancy against failure. The pull tab may be incorporated into the distal guard.

Abstract: An acoustic earmuff device comprising a pair of earmuff cup assemblies such that each is configured to be arranged at a location proximate to an ear of an user, wherein each earmuff cup assembly comprises means (320) for adapting a pressure applied to the location proximate to the ear so that the pressure around the ear is evenly distributed and a even seal is achieved, wherein the means for adapting a pressure comprises an adaptive layer (324) that is configured to apply the pressure around the ear evenly regardless whether that location comprises any protruding element (2).

Abstract: A hearing protector (1) having an ear cup (11) forming a space for a wearer's ear. The ear cup has a shell (13) with an ear facing inner side (22) and a passageway extending through the shell between the ear facing inner side and an outer side (16) of the shell. The ear cup further has a loudspeaker assembly which seals the passageway from the outer side. The loud speaker assembly further has a seal member (18) and a loudspeaker module (17). A portion of the seal member is arranged between the shell and a fastener (25), and the fastener retains the loudspeaker assembly at the shell. The hearing protector facilitates manufacturing and maintenance and provides for maximize wearing comfort and technical reliability.

Abstract: A heat transfer device particularly structured for application of thermal therapy from a contact surface to a human ear. A device may be passive (pre-cooled), active (thermoelectrically active), or include elements of both. A device may be structured to apply thermal treatment from a contact surface of a contact cavity only to a localized posterior area relative to the circumference of an ear. Preferably, a device provides an uninterrupted opening extending in a line-of-sight between an ear canal and the local environment. A device may include both of a contact cavity and a bulk cavity, with heat transfer media disposed in each cavity. Typically, a bulk cavity holds at least twice the media volume contained in a contact cavity. The cavities may be disposed in fluid communication, or separated by a barrier to permit only thermal communication there-between. When a barrier is present, a device may include different heat transfer media in each cavity.

Abstract: A wound dressing, a method of manufacturing a wound dressing, and a method of treating a patient are disclosed. The wound dressing may include an absorbent layer for absorbing wound exudate; and an obscuring element for at least partially obscuring a view of wound exudate absorbed by the absorbent layer in use.

Abstract: The invention relates to a system for treating surfaces of bodies, in particular a vacuum dressing, comprising at least one connection means (5a) for the fluidic attachment of a negative-pressure generator for generating negative pressure in a space that can be positioned on the surface of a body, and at least one means for plasma generation (8, 8a, 15) by which the space in which negative pressure can be generated can be at least partly filled with plasma or a plasma-activated medium. The device according to the invention is particularly suitable for the combined negative pressure and plasma treatment of a wound.

Abstract: An absorbent article includes an absorber including cells, each of which is surrounded by bonded portions of a front surface side sheet and a back surface side sheet and in each of which the front surface side sheet and the back surface side seat are not bonded, and including superabsorbent polymer particles contained in each of the cells. The bonded portions are arranged in dotted line shapes according to a pattern in which same-sized octagonal portions having all interior angles of 135°, and having two pairs of opposite sides whose facing directions are mutually orthogonal are equal in length, and diamond-shaped portions each having equal length of all sides and being formed in portions among the octagonal portions, are arranged without any space in the front-back direction (LD) or the width direction (WD).

Abstract: Described herein are nonwoven materials including a plurality of fibers. At least some of the plurality of fibers include a filler. The plurality of fibers have a Thermal Conductivity from about 0.25 W/m/K to about 70 W/m/K.

Abstract: An absorbent article, preferably a disposable absorbent article such as a diaper, is disclosed that provides an improved immobilization of absorbent polymer material when the article is fully or partially urine loaded. This absorbent core is useful for providing an absorbent article of increased wearing comfort. Specifically disclosed is an absorbent core useful for an absorbent article comprising a substrate layer and absorbent material, the absorbent material comprising an absorbent polymer material, the absorbent material optionally comprising absorbent fibrous material, the absorbent fibrous material not representing more than 20% of the weight of absorbent polymer material, wherein the absorbent material is immobilized when wet such that the absorbent core achieves a wet immobilization of more than 50%, preferably of more than 60%, 70%, 80% or 90% according to the Wet Immobilization Test described herein.

Abstract: Various embodiments for a washable and reusable absorbent incontinence pad are disclosed. An incontinence pad may include a top layer configured to be positioned against skin of a wearer, a bottom layer configured to be positioned against an undergarment, a moisture-absorbing inner layer, and a water-resistant inner layer. The moisture-absorbing inner layer and the water-resistant inner layer may be positioned between the top layer and the bottom layer. A raised coating layer may also be laminated on the bottom layer, where the raised coating layer is configured to retain a water-soluble adhesive thereon to secure the incontinence pad to an undergarment. The water-soluble adhesive may be configured to fully wash away from the pad and garment and make the pad removable from the undergarment without damaging the undergarment or leaving a substantial amount of residue thereon.