Abstract: Provided are a dental implant abutment and a method of manufacturing the same, and more particularly, a dental implant abutment which forms an outer appearance of an artificial tooth, supports a porcelain prosthesis that is formed of a porcelain, and couples to and fixedly combines with a fixture. The dental implant abutment includes: a first part having a coupling structure that corresponds to an inner structure of the fixture, so that the first part couples to the fixture; a second part that extends upward from the first part and contacts gums; and a third part extending upward from the second part, having an outer circumferential surface which includes a side surface and a top surface, with a porcelain prosthesis attached to the outer circumferential surface, and including a shape in which a concave part, inwardly recessed, is formed on the side and a horizontal cross-sectional area increases in an upward direction from the concave part.

Abstract: The invention provides an oral care system comprising a gel in a pen dispenser, the dispenser comprising a chamber which permits dispensing of a measured amount of the gel, wherein the gel exhibits a Herschel-Bulkley yield stress of 10 to 230 dynes/cm2, a Herschel-Bulkley viscosity of 3 to 500 poise, and a Herschel-Bulkley rate index of 0.4 to 0.6, the specific viscosity permitting efficient application of the gel, as well as methods of using the same.

Abstract: Bird carriers and methods of restraining birds are disclosed. Each bird carrier may include a torso support, one or more leg clamps, and a head support. The head support may further include a beak receiving passage such that at least a portion of the birds' beaks are exposed. The bird carriers may restrain one or both legs and heads of the birds while supporting their torsos. Restraining the legs and the heads of the birds while supporting their torsos may produce a calming effect such that the birds exhibit significantly reduced struggling in an attempt to free themselves from the carrier.

Abstract: The system comprises a straw and a liquid dilution medium. The straw comprises a tube (11) extending between a first end and a second end and comprises a gas-permeable, liquid-tight plug, said plug being arranged in the tube (11) in the vicinity of the first end of same and extending between a first end turned towards the first end of the tube (11) and a second end turned towards the second end of the tube (11). Said plug comprises an element (14) impregnated with a reagent (22) at least in the vicinity of a first end turned towards the second end of the tube (11). The liquid medium is provided to produce, by mixing, in predefined conditions, the liquid substance (21). The reagent (22) and the medium(27) are configured such that, when the substance (21) comes into contact with the first end of the impregnated element (14), it forms a hydrogel.

Abstract: An embryo from a female animal is transferred to another animal by determining presence of an embryo in the uterus of a donor animal by ultra-sonic imaging and inserting an endoscope vaginally into the uterus to a location adjacent the embryo. A tool of the endoscope projects to a position to extract the embryo washed into a container of the tool which is then closed by moving a closure part to enclose the embryo and extracting the endoscope to remove the embryo for transfer to a recipient animal. The fluid into the container can be controlled in pressure to maintain a required pressure generally matching that inside the uterus.

Abstract: A method for treating urinary incontinence includes making a vaginal incision in a patient, and positioning a tape under the urethra through the incision such that one portion of the tape extends from under the urethra and diverts away from the bladder and other vital organs. In one embodiment, once positioned within the patient, the tape adopts a V-shape and provides support for the urethra without altering the position of the urethra.

Abstract: Systems for delivering a sheet-like implant including a means of deploying and orienting the sheet-like implant within the body.

Abstract: Implants are described herein which contain an activated adhesive on at least a portion of the surface of the implant. A release sheet may be positioned over at least a portion of the adhesive. Packages which contain the implants and methods of preparing the implants are also described.

Abstract: A vascular filter retrieval device and methods of using the same are disclosed. In particular, some embodiments disclose a vascular filter retrieval device having a strut engaging member coupled to a loop. A retrieval device with an elongate member coupling a strut engaging member and loop are also disclosed. The present disclosure also provides a device having an orienting member arranged to extend at least partially around a vascular filter and orient a strut engaging member with a portion of the vascular filter. Other embodiments are disclosed.

Abstract: Funnel-trap type devices or systems made of braid are described for capture and retrieval or, instead, capture and subsequent release of Inferior Vena Cava (IVC) filters or other medical devices. Delivery and/or retrieval devices, kits in which they are included, methods of use and methods of manufacture are all contemplated.

Abstract: Implant devices for filtering blood flowing through the ostium of an atrial appendage have component structures one or more of which are expandable. Devices with component structures in their unexpanded state have a compact size suitable for intra-cutaneous delivery to an atrial appendage situs. The expandable component structures are expanded in situ to deploy the devices. A device may have sufficiently short axial length so that most or almost all of the device length may fit within the ostium region.

Abstract: The present disclosure provides a ureteral stent, having an elongated tube configured to be inserted into a ureter; a first end having a retainer portion configured to be inserted into a kidney; and a second end configured to be inserted into a bladder, the second end having an anchor portion fluidicly coupled with the first end, the second end having a collapsible wall expandable to a cross-sectional size greater than the cross-sectional size of the ureter; a tube port fluidicly coupled with the first end; and a flapper valve having at least two valve ends coupled to the anchor portion over the port; and a flexible middle portion between the at least two valve ends configured to flex toward the port to cover the port with a predetermined amount of ambient pressure in the bladder and flex away from the port when ambient pressure is lower than the predetermined amount.

Abstract: A radially expandable sheath is provided having a substantially closed distal end with at least two sidewalls extending proximally therefrom and defining a central lumen. Each sidewall can have a substantially concave outer surface adapted to seat a graft member, and each side wall is at least partially separated by a longitudinally oriented slot that extends from a proximal end along a substantial length of each sidewall. The slot preferably terminates at a position just proximal to the distal end. The device can also include a sheath expander that is adapted to be disposed in the central lumen of the radially expandable sheath and that is configured to flex the sidewalls to radially expand the sheath so as to fix a graft member within a bone tunnel.

Abstract: This document discusses, among other things, a system for translocating a multilayer patch. The system includes a support structure having a contact surface for bonding to the patch. The support structure has a shape configured to support the patch following separation of the patch from a surrounding tissue.

Abstract: A multifocal eye lenses including an optical part, which has a first optical side and an opposite second optical side viewed in the direction of a main optical axis (A) of the eye lens, and which has a plurality of annular optical zones that at least partly encircle the main optical axis (A) and are formed on at least one side, and zones each have at least one main sub-zone.

Abstract: A device and method for forming an adaptive optic in the capsule of a human eye is disclosed, comprising a capsular interface enclosing an optically acceptable medium. The device establishes a physiologic range of optical power in response to a range of ciliary contractile states. The preferred bi-phasic medium of the device is comprised of a solid three dimensional polymeric network suspended in a liquid aqueous phase and bonded to a capsular interface. The polymeric network provides shape to the capsular interface, optical power, and a physiologic response to the suspensory ligament. The three dimensional network of the bi-phasic medium mimics the stacked fiber configuration and elasticity of a natural lens. An alternative embodiment utilizing a single phase medium is also disclosed with associated structural features provided in the capsular interface.

Abstract: A multifocal ophthalmic lens includes an ophthalmic lens and a diffractive element. The ophthalmic lens has a base curvature corresponding to a base power. The diffractive element produces constructive interference in at least four consecutive diffractive orders corresponding a range of vision between near and distance vision. The constructive interference produces a near focus, a distance focus corresponding to the base power of the ophthalmic lens, and an intermediate focus between the near focus and the distance focus. A diffraction efficiency of at least one of the diffractive orders is suppressed to less than ten percent.

Abstract: This disclosure describes, inter alia, materials, devices, kits and methods for the treatment of chronic sinusitis. Disclosed are medical scaffolds configured for placement within a sinus of a patient, methods of making the implants and methods of treatment. The scaffolds comprise a woven or non-woven structure having a substantially tubular configuration, a conformal coating over the tubular scaffold and optionally, a drug coating.

Abstract: An ossicular prosthesis has a head plate as a first fastening element, a second fastening element for the mechanical connection to the ossicular chain, or to the inner ear, and a connecting element. The head plate has a central coupling region and radially outward extending bridging elements which are connected to the coupling region via a radially inner end region and each transition into an outer free end section. The bridging elements are connected to the coupling region so that they fold together upon introduction of a force component parallel to the longitudinal axis, wherein their end sections are pivoted radially closer to the longitudinal axis and thereby also execute an axial movement. The bridging elements, without this force, extend from the coupling region at a predefined, fixed angle. The prosthesis can be inserted into the middle ear of the patient more easily and through a much smaller artificial opening.

Abstract: Heart valve prosthesis, comprising a ring-shaped supporting structure (3) to be anchored at the valve annulus, and a valve leaflet (5) supported by the supporting structure. The supporting structure comprises a support wall portion (31), at which a root end (51) of the valve leaflet is connected, and a complementary wall portion (32) opposite the support wall portion, which supports a coaptation surface (33) adapted to be sealingly engaged by a free end (52) of the valve leaflet (5), and extending in a direction parallel to the direction of movement of the free end (52) of the valve leaflet (5) at the coaptation surface (33). The free end of the valve leaflet (5) is connected to the support wall portion or to the complementary wall portion by means of a traction member (55), dimensioned in such a way that the free end (52) of the valve leaflet (5) is stopped at the coaptation surface.

Abstract: An assembly includes a prosthetic heart valve and a delivery apparatus for implanting the prosthetic heart valve within the native aortic valve of a patient. The prosthetic heart valve has a radially compressible and expandable metallic stent and a flexible valvular structure mounted within the stent. The delivery apparatus has a handle, a first shaft having a proximal end portion and a distal end portion, a second shaft extending co-axially through the first shaft and having a proximal end portion and a distal end portion, the proximal end portions of the first and second shafts extending distally from the handle, a valve cover coupled to the distal end portion of the first shaft, and a nose piece coupled to the distal end portion of the second shaft.

Abstract: A prosthesis retaining assembly for securing an implantable prosthesis to a catheter assembly can include a first member including a prosthesis retaining slot configured to retain a portion of the prosthesis. The retaining slot can have a first portion with a first width and a second portion with a second width. The first portion can be distal to the second portion. The second width can be larger than the first width, and the retaining slot can have an opening at a first surface of the first member. The prosthesis retaining assembly can also include a second member configured to be move relative to the first member. The second member can be configured to move to a position that obstructs a portion of the opening of the retaining slot.

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

Abstract: Anchors for securing an implant within a body organ and/or reshaping a body organ are provided herein. Anchors are configured for deployment in a body lumen or vasculature of the patient that are curved or conformable to accommodate anatomy of the patient. Such anchors can include deformable or collapsible structures upon tensioning of a bridging element in a lateral direction, or segmented tubes that can be adjusted by tightening of one or more tethers extending therethrough. Such anchors can be used as a posterior anchor in a blood vessel in implant systems having a tensioned bridging element extending between the posterior anchor and an anterior anchor deployed at another location within or along the body organ. Methods of deploying such anchors, and use of multiple anchors or multiple bridging elements to a single anchor are also provided.

Abstract: Disclosed herein are devices for improving coaption of the mitral valve leaflets to reduce or eliminate mitral valve regurgitation. The devices may be used to perform mitral valve annuloplasty, or to serve as a docking station for a transcatheter prosthetic heart valve. The various embodiments of devices are configured for percutaneous and, in some cases, transvascular delivery. Delivery systems useful for routing the devices to the mitral valve are also disclosed, including catheters, balloons and/or mechanical expansion systems. The devices themselves include at least one tissue penetrating member. Methods of delivery include partially embedding the devices in the mitral valve annulus via at least one tissue penetrating member. Tissue penetrating members may be embedded into the tissue in a simultaneous or a nearly simultaneous fashion. Upon embedding, the devices employ various expansion and/or contraction features to adjust the mitral valve diameter.

Abstract: Described embodiments include apparatus (20) that includes an assembly of tubes (34), each one of the tubes being shaped to define a tube lumen (62). The apparatus further includes a plurality of tissue anchors (60), each one of the tissue anchors being disposed within a respective one of the tube lumens, an expandable annular structure (36), including a plurality of teeth (40), coupled to the assembly of tubes, and a plurality of control wires (38) coupled to the annular structure, configured to position the tubes for deployment of the tissue anchors from the tube lumens, by manipulating the annular structure. Other embodiments are also described.

Abstract: The embodiments relate to cardiac assist devices that comprise a jacket that wraps the exterior of the heart, where the jacket comprises one or more pneumatic or hydraulic bladders. The pneumatic or hydraulic bladders are linked to a pump, and the pump fills the bladders with fluid and withdraws the fluid in a cycle to match beats of the heart to assist contraction and pumping of the heart in systole or to assist expansion and filling of the heart in diastole.

Abstract: A penile prosthesis kit of parts includes an inflatable implant, a reservoir adapted to contain a volume of liquid, a pump, tubing and tubing connectors provided for attachment of the inflatable implant and the reservoir to the pump, and instructions for use provided for implantation and use of the pump. The pump has a rotary valve located in a first flow path entering into the pump and in a second flow path exiting from the pump. When implanted, the rotary valve is constrained to rotate in only one direction to move a portion of the volume of the liquid from the reservoir through the first flow path and through the second flow path into the inflatable implant.

Abstract: Disclosed are femoral stem for hip implants, and methods of design and manufacture thereof. A femoral stem for a hip implant, comprising a femoral neck extending from a proximal end of the femoral stem towards a distal end of the femoral stem; an upper section connected to and extending from the femoral neck towards the distal end of the femoral stem, wherein the upper section comprises at least one proximal-distal solid rib flanked by an open lattice; and a lower section connected to and extending from the upper section to the distal end of the femoral stem, wherein the lower section comprises a closed lattice enclosed in a solid skin. Such femoral stems for hip implants are customized and manufactured using 3D printing technologies and provide a lightweight alternative to conventional him implants.

Abstract: The elbow prosthesis includes an ulnar component that has a bearing end and a stem. The stem is attached to the bearing end and extends in a distal direction from it. The elbow prosthesis also has a humeral component that includes a holder end and a stem with the stem extending in a proximal direction from the holder end. The prosthesis further includes at least one bearing member that is connected to the holder end with the bearing end being attached within the holder end to allow for rotation and articulation against the at least one bearing member. The bearing end and holder end are attached to each other by a coupling mechanism that includes an opening positioned on the posterior aspect of the holder end and a mating surface on the bearing body. A method of using the elbow prosthesis and a total elbow prosthesis kit are also disclosed.

Abstract: A knee prosthesis including a knee component and an indexing boss. The knee component includes a first engagement portion. The indexing boss includes a first terminal end surface, a second terminal end surface, and a second engagement portion at the second terminal end surface. The first terminal end surface and the second terminal end surface are arranged along non-parallel planes. The first and the second engagement portions are configured to selectively couple together at a plurality of rotational orientations to attain a corresponding plurality of angular orientations of the indexing boss relative to the knee component due to the first and the second terminal end surfaces being arranged along non-parallel planes.

Abstract: Methods of selecting and implanting prosthetic devices for use as a replacement meniscus are disclosed. The selection methods include a pre-implantation selection method and a during-implantation selection method. The pre-implantation selection method includes a direct geometrical matching process, a correlation parameters-based matching process, and a finite element-based matching process. The implant identified by the pre-implantation selection method is then confirmed to be a suitable implant in the during-implantation selection method. Methods of implanting meniscus prosthetic devices are also disclosed.

Abstract: According to one example, a tibial bearing component for articulation with a medial condyle and a lateral condyle of a femoral component in a knee replacement procedure is disclosed. The tibial bearing component can include a distal surface and an articular surface opposing the distal surface. The articular surface can include a medial compartment and a lateral compartment configured for articulation with the medial condyle and the lateral condyle of the femoral component, respectively. The lateral compartment can have a lateral articular track with a lateral anterior-posterior extent. The lateral articular track can comprise a plurality of distal-most points along a proximal surface of the lateral compartment that are contacted by the lateral condyle during rollback of the femoral component. The medial compartment can differ in configuration from the lateral compartment and can have an anterior lip height of between about 9 mm and about 13 mm.

Abstract: A toe bone implant for correction of toe bone deformities is provided. The toe bone implant includes a first portion having a socket portion. The toe bone implant also includes a second portion having a ball portion operatively connected to the socket portion. The toe bone implant is implanted in a joint such that the ball portion is configured to rotate a predetermined amount respective to the socket portion.

Abstract: Inflatable multi-chambered devices are provided for repairing or replacing spinal discs and distracting neighboring vertebral elements. Also included are cushioning devices that may be used in a joint replacement device cushioning system. Further included are kits and systems that include such devices, methods for making such devices, and methods of treating patients in need of such devices. Examples further include cosmetic augmentation and restoration devices.

Abstract: An expandable intervertebral implant having an upper body portion, a lower body portion opposite the upper body portion, a wedge member connecting the upper body portion to the lower body portion, a nose member having a tapered distal end and a proximal end opposite the distal end, and an actuator disposed between the nose member and the wedge member, for translation of the wedge member along a longitudinal axis of the implant. A pin disposed in a center of the nose member connects to the actuator for centering the nose member with the actuator. Translation of the wedge member along the longitudinal axis of the implant displaces the upper body portion and the lower body portion away from each other, thereby expanding the intervertebral implant.

Abstract: An expandable intervertebral fusion device is provided including a core, an upper endplate for contacting a first vertebral body and a lower endplate for contacting a second vertebral body. The expandable intervertebral fusion device is configurable in a first state, a second state and a third state. In the first state, the upper and lower endplates are generally planar to one another and define a first height. In the second state, the upper and lower endplates remain generally planar to one another and define a second height greater than the first height. In the third state, a lordotic angle is defined between the upper and lower endplates.

Abstract: Interbody fusion devices, insertion tools, methods for assembling an interbody fusion device, and methods for inserting a medical device between two vertebral bodies are disclosed. The interbody fusion device includes a base member, a top member, and at least one movement mechanism. The base member includes at least one of a pivotal cylinder and a hinge channel. The top member includes at least one of a pivot cylinder and a hinge channel. The at least one pivot cylinder of the base member engages the at least one hinge channel of the top member and the at least one pivot cylinder of the top member engages the at least one hinge channel of the base member. The at least one movement mechanism engages the top member and the base member. Also disclosed are a vertebral spacer device and an interbody spacer system including an insertion tool and an interbody fusion device.

Abstract: An implant assembly including an angled intermediate plate inserted between two sections of mesh cage. The intermediate plate offers a safe and secure connection to the mesh cages while providing lordosis/kyphosis angling at the center of the construct instead of at the end of the cage only. One or more angled endplates may be included which allow the surgeon to make a construct unique to the patient's anatomy. The endplates and intermediate plate may include integrated clips configured to snap into corresponding holes in the mesh cage for a secure fit.

Abstract: An implant assembly including a curved mesh cage and angled endplates. The implant assembly offers a safe and secure mesh cage while providing lordosis/kyphosis angling at the center of the construct instead of at the end of the cage only. One or more angled endplates may be included which allow the surgeon to make a construct unique to the patient's anatomy. The endplates press-fit into corresponding holes in the mesh cage for a secure fit.

Abstract: A system and method are provided for electronically capturing a subject's anatomy comprising an electronic device with a camera, display screen, and end-user software program to interface with the user. The software program tracks a target placed in view area, and gives visual feedback to the user based on target tracking. The software program includes criteria represented visually, via audio feedback, or haptic feedback, to the user indicating how to position the camera relative to the anatomy. The end-user software program may have means to automatically capture anatomy on the electronic device based on the criteria being met. The end-user software program may have means to electronically transmit the anatomical information to a remote location where said information can be used to build a custom orthotic device. The system may also have the means to detect and distinguish anatomic contours from other objects in the view area.

Abstract: A hydraulic device includes a first plate that pivots in a first direction, a second plate that pivots in a second direction orthogonal to the first direction, a first hydraulic system comprising a first cylinder and piston, a second cylinder and piston and, channels connecting the first cylinder to the second cylinder, the first hydraulic system filled with hydraulic fluid, wherein the transfer of fluid between the first cylinder and second cylinder pivots the first plate, and a second hydraulic system comprising a third cylinder and piston, a fourth cylinder and piston and, channels connecting the third cylinder to the fourth cylinder, the second hydraulic system filled with hydraulic fluid, wherein the transfer of fluid between the third cylinder and fourth cylinder pivots the second plate.

Abstract: The invention is an apparatus, system, and or method that provides a compliant force distribution interface system for prosthetics or orthotics users, to suspend force loads around such user's body segments by utilizing a compliant fabric member adapted for positioning around the user's body segments.

Abstract: According to aspects described herein, there is disclosed an improved hot balloon catheter delivery system for shape memory tubular stents. An outer sheath is provided on the delivery system that facilitates stent placement on a balloon during delivery through an endoscope. In one embodiment, the stent may be positioned between radiopaque markers/electrodes and the balloon may be heated. The stent may be prevented from moving proximally relative to the catheter as the delivery system is tracked through the patient's anatomical passageways. The outer sheath may be positioned to ride over the proximal cone of the hot balloon catheter and abut the proximal end of the stent to facilitate proper alignment of the balloon for deployment. Upon deployment of the stent in an appropriate position, the sheath may be pulled away from the stent to expose the proximal cone of the balloon and thereby allow balloon and stent expansion.

Abstract: A plaque tack can be used for holding plaque against blood vessel walls such as in treating atherosclerotic occlusive disease. The plaque tack can be formed as a thin, annular band for holding loose plaque under a spring or other expansion force against a blood vessel wall. Focal elevating elements and/or other features, such as anchors, can be used to exert a holding force on a plaque position while minimizing the amount of material surface area in contact with the plaque or blood vessel wall and reducing the potential of friction with the endoluminal surface. This approach offers clinicians the ability to perform a minimally invasive post-angioplasty treatment and produce a stent-like result without using a stent.

Abstract: There is disclosed a novel endovascular prosthesis that has an improved rotational range of proper placement of the prosthesis with respect to the opening of the aneurysm and provides improved flexibility with respect to longitudinal positioning of the device in the artery. This provides the clinician with a significant advantage over the prior art devices described above. The present elongate endovascular prosthesis comprises a first expandable portion expandable from a first, unexpanded state to a second, expanded state to urge the first expandable portion against the wall of the vascular lumen such as an artery. The endovascular prosthesis further comprises a retractable leaf portion attached to the first expandable portion; the retractable leaf portion serves to facilitate stasis and thrombotic occlusion of the aneurysm. The retractable leaf portion comprises at least one spine portion and a plurality of rib portions attached to the spine portion.

Abstract: In at least one embodiment, the invention is directed to an endoluminal device comprising a stent and a sleeve. In one embodiment, the endoluminal device is implanted in a portion of the gastrointestinal tract. In some embodiments, the stent has a first region and a second region where the first and second regions provide different levels of radial force. In one embodiment, the first region is made from a plurality of first wires having a first diameter and the second region is made from a plurality of second wires having a second diameter which is smaller than the first diameter. In other embodiments, the endoluminal device has at least one engagement mechanism engaging the stent to the sleeve, the endoluminal device to a body lumen, and any combination thereof. In at least one embodiment, the endoluminal device has a wall with at least one opening therein.

Abstract: A stent includes a mesh wall including a plurality of filament crossings, the mesh wall defining at least a first stent section with a first diameter, a second stent section with a second diameter smaller than the first diameter, and a transition section where the mesh wall transitions from the second diameter to the first diameter. Each of the plurality of filament crossings has a braiding angle, and all braiding angles in each of the first stent section, the second stent section and the transition section are within 5 degrees of one another.

Abstract: A stent has strut parts bent in a zigzag shape, connected at both ends thereof, and formed in a ring shape, and bridge parts for connecting the strut parts in an axial direction, peak parts of strut parts excluding a strut part at the lead toward one end are all connected by bridge parts and clustered a plurality thereof at a time by the bridge parts, and connected to valley parts of struts adjacent toward the one end of the stent, and each strut part includes valley parts which are not connected to a bridge part.

Abstract: Methods are disclosed including thermally processing a scaffold to increase the radial strength of the scaffold when the scaffold is deployed from a crimped state to a deployed state such as a nominal deployment diameter. The thermal processing may further maintain or increase the expansion capability of the scaffold when expanded beyond the nominal diameter.