Abstract: A system and method for improving mechanical assemblies, such as prosthetic implants, intended to be installed in living tissue such as bone. Force-imparting devices are adapted and may include angularity, which may be introduced with specialized additive manufacturing, which may impart congruent cross-sections while providing variable stiffness. In some cases, the variable stiffness may be “stretchy” in a longitudinal direction and “rigid” in a radial directional which may provide an assembly bias. Additive manufacturing may allow the material of a prosthesis to be varied (e.g., density/porosity) to create variable stiffness over a length.

Abstract: An orthopaedic prosthesis for use in a hip replacement surgery includes an implantable stem component. The implantable stem component includes a core and a shell extending over the core. The shell includes a polymeric material and is configured to receive a femoral head component. Metal foam may extend over a portion of the shell.

Abstract: An orthopaedic prosthesis assembly includes a first prosthetic component, a second prosthetic component, and a fastener. The first prosthetic component includes a threaded bore. The second prosthetic component includes an opening and a threaded inner wall that extends inwardly from the opening. The fastener includes a first axial section having a first plurality of threads engaged with the threaded inner wall the second prosthetic component, and a second axial section having a second plurality of threads engaged with the threaded bore of the first prosthetic component to secure the first prosthetic component to the second prosthetic component.

Abstract: The invention relates to an implant with a shank which is insertible into a bone cavity, which shank is made of a plastic, in particular of a bioincompatible plastic, and defines at least one bone contact face, wherein the bone contact face is provided or coated with a first biocompatible bone contact layer or bears a biocompatible bone contact layer, wherein the shank of the implant is intended to be anchored in the bone cavity without bone cement and wherein the first bone contact layer is formed entirely closed.

Abstract: Shoulder arthroplasty systems and configurations for components thereof are described. For example, implant systems for a total should arthroplasty (TSA), hemi shoulder arthroplasty, and reverse should arthroplasty (RSA) are described. In addition, exemplary configurations for baseplates, glenoid components, glenosphere components, humeral components, humeral head components, humerosocket components, connectors, and adaptors, are described.

Abstract: Methods and devices are disclosed for joint (e.g., shoulder) arthroplasty. In one aspect, there is provided a device for determining inclination and/or version of a prosthetic head with respect to a prosthetic stem. In another aspect, there is provided a joint (e.g., shoulder) prosthesis. In another aspect, there is provided a method for setting an inclination angle and/or a version angle of a prosthetic head with respect to a stem implanted or to be implanted in a bone of a joint (e.g., shoulder).

Abstract: A system and method facilitating replacement of comminuted bone fractures or portions thereof adjacent bone joints. The system and method employs a prosthesis to replace at least a portion of the comminuted bone fractures. The prosthesis serves in reproducing the articular surface of the portion or portions of the comminuted bone fractures that are replaced. In doing so, the prosthesis serves in restoring joint viability and corresponding articulation thereof.

Abstract: A glenoid implant is provided and may include a body portion and a stem portion. The stem portion may extend from the body portion along a longitudinal axis. The body portion may include an articular side and a bone-engaging side opposite the articular side. At least a portion of the bone-engaging side may be disposed at a non-parallel angle relative to at least a peripheral edge of the articulation side.

Abstract: An inflatable and implantable balloon for treatment of degenerative disc disease, bones, lesions, spinal deformities and spinal motion segment instabilities. The balloon is comprised of adjustable and expandable volumes. Further disclosed are methods of forming, inserting, expanding, and implanting the multi-volume balloon for proper placement and stabilization of the spinal lesion or disease. Still further disclosed are kits for aligning and stabilizing elements of the spine.

Abstract: The present invention relates to a safety element, an implant comprising such a safety element and an implant system comprising an implant with the safety element. The safety element for an implant is arranged between an outer and inner part of an implant, wherein the safety element engages into the gearing of an expansion ring, wherein a releasing space between outer part and inner part of the implant is provided into that the safety element is to be radially moved for enabling rotation of the expansion ring.

Abstract: A facet distraction prosthesis (10, 30) includes an array of facet distraction base elements (12, 32) connected to each other by one or more connector elements (14, 34). A pair of diagonally adjacent base elements (12, 32) are connected to each other by a set of or more connector elements (14, 34) which intersects with another set of one or more connector elements (14, 34) that connects another pair of diagonally adjacent base elements (12, 32). The connector elements (14, 34) are flexible so that the base elements (12, 32) can flex with respect to each other and adapt to a geometry of a facet joint.

Abstract: A spacer for separating bones of a joint, the spacer includes a first endplate configured to engage a first bone of the joint, and comprising a ramped surface; a tissue engaging subassembly disposed in a compartment of the first endplate; a second endplate configured to engage a second bone of the joint; and a frame subassembly that extends between the first endplate and the second endplate. The frame subassembly comprises a drive nut, a drive shaft coupled to the drive nut, a ramped carriage coupled to the drive shaft, wherein the ramped carriage comprises a ramped surface operable to engage the ramped surface of the first endplate, and an actuation bar coupled to the drive nut comprising a plate operable to engage the tissue engaging subassembly.

Abstract: A spinal implant for insertion into a disc space between an upper vertebral body and a lower vertebral body is provided. The spinal implant includes an upper first end plate portion and a lower second end plate portion each extending from at least adjacent a proximal end to a distal end of the spinal implant. The spinal implant is configured to facilitate insertion into the disc space and inhibit withdrawal from the disc space. To the end, the leading end of the spinal implant can be configured to facilitate ease of insertion into the disc space, and an upper surface and a lower surface of the upper first end plant portion and the lower second end plate portion, respectively, can be provided with depressions or dimples forming ridges and points therebetween to inhibit withdrawal from the disc space.

Abstract: Methods of additive manufacturing expandable medical implants is provided along with methods of patient imaging for 3D printing expandable spine cages and topographically matching patient specific implants. Methods for stabilizing and correcting the alignment of the spine are also provided. Spine pathologies such as lordosis, kyphosis and scoliosis can be corrected with properly expanding spine cages such as those described. Independent control and adjustment of the proximal and distal ends of spine cages allows for treating multiple horizontally affected intervertebral spaces.

Abstract: An intervertebral implant comprising a body formed as an open truss structure, the body having a generally annular shape with a superior surface, an inferior surface, and a perimeter surface extending around an outer periphery of the body. The body has a central portion and a peripheral portion, the peripheral portion extending inward from the perimeter surface toward the central portion. The peripheral portion includes a first set of trusses having a first density of trusses, and the central portion includes a second set of trusses having a second density of trusses. The first density of trusses in the peripheral portion is greater than the second density of trusses in the central portion. The first set of trusses includes a first strut and a first node, and the second set of trusses includes a second strut, wherein the first node connects the first strut with the second strut.

Abstract: An intervertebral implant includes a body formed as an open lattice structure by a plurality of struts. Some of the struts of the plurality of struts intersect at nodes. The nodes can include an enlarged contact member that extends over the node and at least a portion of the width of some of the struts. Enlarged contact members may have an asymmetrical shape with respect to the intersection of struts. The enlarged contact members can provide improved bone contact for the implant. The plurality of struts can have a cross-sectional shape that includes a flattened portion. The flattened portion of the plurality of struts can provide improved bone contact for the implant. An additive manufacturing process can be used to build the implant in a substantially vertical direction.

Abstract: An interbody fusion device including a body member, at least one side member engaging the body member, and at least one movement mechanism that engages at least one side member and the body member. A surgical method for maintaining a space between two vertebral bodies in a spine, including the steps of obtaining a medical device, such as an interbody fusion device, and inserting and coupling an expansion tool into an opening within the medical device. The surgical method also including slidingly inserting the medical device into a space between two vertebral bodies and rotating the expansion tool to move the at least one side member in a direction relative to the body member. The method may further include detaching the expansion tool from the medical device and removing the tool from the space between the two vertebral bodies in the spine.

Abstract: The present invention relates to an assembly having a acetabular cup has at least two snapping rims; the gripper is a subassembly separated from the handle, including a snapping teeth suitable for engaging with the snapping rims included by the acetabular cup. The gripper includes a movable pusher, capable, during its movement, of exerting thrust on the acetabular cup along the axis of revolution of said acetabular cup, so as to disengage the snapping rims comprised by the acetabular cup from their engagement with the snapping teeth included by the gripper; and the assembly includes an actuating device for actuating the movable pusher.

Abstract: A surgical tool for extracting an acetabular ball from an acetabular cup in an implanted hip prosthesis wherein the acetabular ball is affixed by means of a Morse taper to a stem extending from bottom of the concave portion of the acetabular cup. The surgical tool enables a surgeon to remove the ball without pulling on the acetabular cup and without disrupting any bone in-growth because the tool maintains pressure on the cup while exerting an opposing pressure pulling on the ball.

Abstract: A joint balancing insert with an actuated mechanism is for balancing a joint during a joint surgery is disclosed. The joint balancing insert includes a first plate, a second plate and an actuator there between. The second plate includes an integrated mounting portion for mounting a cutting block used to guide surgical cuts of the joint during the joint surgery. Various configurations of the integrated mounting portion may be implemented in the insert to provide for mounting various types of cutting blocks, such as cutting blocks for tibial cuts, femoral cuts, and distal femoral cuts.

Abstract: The present disclosure illustrates a prosthetic foot that may reduce snagging on external obstacles. In some embodiments, a prosthetic foot includes a symmetric wear member that is rotatable to allow a user to alter an orientation of the symmetric wear member for even wear. A cuff may couple to the symmetric wear member, and include the proximal end comprising a receptacle with an opening having an adjustable diameter. The receptacle may be sized and shaped to receive and selectively retain the prosthesis pylon by adjusting the diameter of the opening. The prosthetic foot may further include a vertical adjustment mechanism that selectively alters a depth of the receptacle of the cuff to vertically displace the prosthesis pylon.

Abstract: A hydraulic system for adjusting a prosthetic limb. The hydraulic system may include an expandable pad mounted onto an interior surface of a socket of the prosthetic limb. The hydraulic system may further include a hydraulic cylinder and a plunger mechanism. The hydraulic cylinder may be filled with a hydraulic oil. The hydraulic system may be configured to expand the expandable pad by pumping the hydraulic oil from the hydraulic cylinder into the expandable pad responsive to a volume decrease of the residual limb being more than a threshold.

Abstract: This disclosure is related to devices and related methods for isolating a treatment region in a human body from fluid pressure. In various embodiments, an implantable device for isolating a treatment region in a human body from fluid pressure comprises a first elongated segment, and a second elongated segment, and one or more branch segments in fluid communication with one of the first elongated segment and the second elongated segment. The elongated segments have a combined cross section that is substantially conformable to an intraluminal cross section of a body lumen into which they are implanted. A method of installing an implantable medical device into the body of a patient comprises deploying a first elongated segment, deploying a second elongated segment, and deploying one or more branch segments in a target region of a vasculature.

Abstract: A stent has a tubular shaped framework that includes a plurality of vertices that are each defined by a pair of struts. A plurality of induction responsive muscles are associated, respectively, with one of the plurality of vertices by being attached to each strut of a pair of struts. The induction responsive muscles have a relaxed state at body temperatures, and have a contracted state at an elevated temperature greater than body temperature. If the stent has an initial unsatisfactory implant orientation or position or other expansion irregularity, the application of an electromagnetic induction field may be applied to temporary 11 reduce the diameter of the stent to adjust its positioning and/or orientation.

Abstract: A medical device suitable for location in a body lumen is movable between a first loaded configuration and a second loaded configuration. The device has an unloaded configuration which is intermediate the first loaded configuration and the second loaded configuration. The device can be a stent for deployment in a blood vessel.

Abstract: Apparatus for delivering stents to body lumens include one or more tubular prostheses carried at the distal end of a catheter shaft, a sheath slidably disposed over the prostheses, and a guidewire tube extending from within the sheath to the exterior of the sheath through an exit port in a sidewall thereof. A guidewire extends slidably through the guidewire tube. The sheath can be moved relative to the catheter shaft and the guidewire tube to expose the prostheses for deployment. Methods of delivering stents are also provided.

Abstract: A prosthetic implant includes a circumferentially adjustable sealing collar and a rotatable sealer gear. The sealing collar has a central longitudinal axis. The rotatable sealer gear is coupled to and disposed within the sealing collar and configured to adjust the circumference of the sealing collar. The sealer gear is radially offset relative to the central longitudinal axis of the sealing collar. Rotating the sealer gear in a first direction relative to the sealing collar circumferentially expands the sealing collar. Rotating the sealer gear in a second direction relative to the sealing collar circumferentially contracts the sealing collar.

Abstract: A system for treating a bifurcation includes first and second delivery catheters, each having an expandable member and a stent. The stent on the second delivery catheter has a side hole. A portion of the first delivery catheter is disposed under a portion of the stent on second delivery catheter. The first delivery catheter is slidable relative to the second delivery catheter, and the first delivery catheter passes through the side hole.

Abstract: Methods for crimping a stent on an expandable member of a delivery catheter, and devices and methods for treating a bifurcation are disclosed. A method for crimping includes positioning a stent having a first portion and a second portion over the expandable member, and non-uniformly crimping the stent to the expandable member. The method can include routing an elongate shaft under the second portion of the stent and through the side hole so as to be routed external to the first portion. The stent second portion can be crimped so that the elongate shaft can be slidably disposed relative to the stent second portion prior to deployment of the stent.

Abstract: Apparatus and method for delivering and deploying an intravascular device into the vessel including an outer and inner tube that are axially linked by a housing structure at the proximal end of the catheter, and a retractable sleeve structure having a middle tube and sleeve tip. The sleeve tip is sealed to the inner tube at the distal end, and continuously extends into the middle tube. At the proximal end of the sleeve structure, the middle tube is sealed to either a housing structure or slideable proximal ring, forming a sealed chamber between the inner tube and the sleeve structure. A radial space is formed between the sleeve tip and the inner tube optimized for intravascular device placement. During retraction of the sleeve structure, the fold of the sleeve tip peels away from the device, which expands to its deployed state while minimizing axial forces and friction.

Abstract: Systems and methods for tracking unintentional high amplitude muscle movements of a user and stabilizing a handheld tool are described. The method may include detecting motion of a housing of the handheld tool when manipulated by a user while the user is performing a task with a user-assistive device attached to an attachment arm of the handheld tool, and storing the detected motion in a memory of the handheld tool as motion data. Furthermore, the method may include controlling a first motion generating mechanism and a second motion generating mechanism by generating a first motion signal and a second motion signal that respectively drive the first motion generating mechanism in a first degree of freedom and the second motion generating mechanism in a second degree of freedom to stabilize motion of the user-assistive device attached to the attachment arm of the handheld tool.

Abstract: An apparatus comprises a sleeve, a seal, and an anchor assembly. The sleeve is flexible and non-permeable and is configured to fit in a duodenum. The seal is positioned at the proximal end of the sleeve and is configured to seal the proximal end of the sleeve against the stomach mucosa, the pylorus, or the duodenum mucosa. The anchor assembly comprises a pair of atraumatic anchor ends and a resilient member positioned between the anchor ends. At least a portion of the resilient member extends along at least a portion of the length of the sleeve. The resilient member is configured to bias the anchor ends generally toward each other, to thereby substantially anchor the sleeve in the duodenum. The sleeve is configured to prevent chyme from contacting the mucosa of the duodenum; and to prevent enzymes excreted in the duodenum from mixing with chyme in the duodenum.

Abstract: A gastric tube for use in a bariatric surgical procedure includes an elongate tube and an anchor. The elongate tube has a proximal end portion and a distal end portion and defines a lumen along a length thereof. The proximal end portion defines an opening in communication with the lumen. The elongate tube includes a blunt tip, a light source, and an outer surface. The blunt tip is formed on the distal end portion and is at least partially transparent. The light source is in communication with the blunt tip for illuminating at least the blunt tip. The outer surface extends between the proximal and distal end portions and defines a side opening in communication with the lumen.

Abstract: Systems, methods, and devices are described for providing a fluid control means for an inflation system. The control directs fluid flow from an inlet to one or more outlets of the control. The outlets are independently connected in fluid communication with the inlet by through the control. The control allows a user to create a fluid path between the inlet and a selected outlet by positioning the control in an orientation corresponding to the desired outlet. Each outlet is independently connected in fluid communication with the inlet in various orientations of the control.

Abstract: An adjusting mechanism has a longitudinal axis, a lateral axis, a first assembling component, a second assembling component, a worm assembly, a ratchet component, and a knob. The longitudinal axis and the lateral axis are perpendicular to each other. The second assembling component is pivotally mounted to the first assembling component and is able to swing along the longitudinal axis. The worm assembly is mounted to the first assembling component, is able to rotate along the lateral axis, and has a thread twisting along the lateral axis. The ratchet component is mounted to the first assembling component, is able to rotate along the longitudinal axis, is connected to the second assembling component, and has a toothed portion with multiple engaging teeth parallel with the longitudinal axis engaging with the thread of the worm assembly. The knob is mounted to the worm assembly and is rotatable with the worm assembly.

Abstract: A fecal catheter or ostomy pouch made of an odor barrier material including a thermoplastic elastomer, odor barrier modifier and an antiblocking agent.

Abstract: An ostomy support device having a housing extending between a first end and a second end and a base member extending between said first end and said second end. A cavity adapted for protective positioning of a pouch is formed in-between a central portion of an elongated member engaged at both ends to the base member and a facing surface of the base member. One or a plurality of ridges positioned on the elongated member form stiffeners resisting bending of the elongated member. A belt pathway may also be formed between two such ridges positioned on the elongated member.

Abstract: Two cylindrical parts (2, 3) are provided which are able to be coupled to each other with an axial sliding movement, of which, a first outer part (2) includes securing means (21) for the menstrual cup (4) to be placed, and a second inner part (3), which includes pushing means (31) which deploy the menstrual cup (4) from the securing means (21). The outer part (2) has an inner through hollow (22) suitable for receiving the inner part (3) in a fitted manner. The securing means (21) are made up of corresponding elastic arms which emerge parallel from the distal end (2a) of said part (2). The proximal end (2b) of the external part (2) has a smooth section (23). The appendages (31) of the inner part (3) have a perimeter edge and a length. The inner part (3) has an inner perforation (34) for inserting a thread-like element of the menstrual cup (4) as extraction means (4a).

Abstract: An anti-obstructive airway dental orthotic (10) having multiple fixed jaw displacement adjustments is provided. A maxillary retainer (100) is connected to a mandibular retainer (200) by a strut having a length variable between a fixed minimum and a fixed maximum length. The maxillary retainer (100) has two pivot points (120, 125) such that the strut (300) may be moved from the second pivot point (125) to the first pivot point (120) to effect a progressive adjustment of mandibular advance. Additionally, the maxillary retainer (100) may be provided with a spacing area (140) that creates a minimum vertical separation between a cusp of the user's maxillary premolar and a cusp of the user's opposing mandibular premolar. Other fenestrations and cut-outs in the device (10) may also be provided.

Abstract: A temperature regulating pad has an air-permeable top layer, a perforated middle layer, and a bottom layer. The perforated middle layer is located between the top layer and the bottom layer. The top layer and the perforated middle layer delimit an upper airspace and the perforated middle layer and the bottom layer delimit a lower airspace. Forced air is received into the lower airspace and flows from the lower airspace into the upper airspace through the perforated middle layer, exiting the air-permeable top layer into an external airspace above the top layer. The pad may be placed on an underlying support surface on which a patient rests.

Abstract: A method of conducting a stimulus treatment includes the steps of examining health conditions of a subject to obtain examination data information of the subject, registering the examination data information in an information accumulation device, planning a schedule of the stimulus treatment determined to be suitable for the subject based on the examination data, and conducting the stimulation application treatment by applying a stimulation to a stimulation receiving site of the subject with a stimulation application device so as to increase the blood flow in the subject by 60% or more after the application of stimulation, as compared to the blood flow before the application of the stimulation.

Abstract: A cryotherapy apparatus including a heat exchanger, a cryotherapy chamber, cryogenic nitrogen supply and exhaust conduits to and from the heat exchanger, an air return conduit to flow warmed air from the cryotherapy chamber to the heat exchanger, an air supply conduit to flow chilled air from the heat exchanger to the cryotherapy chamber, a variable speed fan to cause flow of air through a loop including the air supply and return conduits, the heat exchanger, and the cryotherapy chamber, and a controller programmed to control the flow rate of air by regulating the speed of the variable speed fan according to a treatment protocol; and a method of delivering cryotherapy according to a customized treatment protocol taking into account one or more of: a patient's treatment goals, a customization factor, a personalization factor, and an adaptation factor.

Abstract: A temperature management device for warming or cooling a person's body includes a device body, which has a fluid conduit for flowing fluid through the device body. The device body includes a contact surface to face and contact the person's body on which the device body is applied and is configured to conform to the person's body wherein the contact surface contacts the person's body and follows a surface topography of the person's body, and further provides a thermally conductive surface for transmitting thermal energy from the fluid flowing through the fluid conduit to the person's body.

Abstract: Methods, systems, and devices are disclosed for providing selective and non-selective cooling and warming of a patient. Multiple embodiments of devices are disclosed for performing rapid induction and maintenance of therapeutic hypothermia either in a hospital setting or in the field so that hypothermic treatment can be quickly instituted before significant tissue damage occurs. Methods are also disclosed for targeting brain cooling by irrigating the upper airway, aerodigestive tract, and/or more generalized cooling by irrigating the esophagus and/or stomach.

Abstract: Devices, systems and methods for controlling the temperature of all or part of the body of a human or animal subject.

Abstract: Methods and apparatus for the treatment of a body cavity or lumen are described where a heated fluid and/or gas may be introduced through a catheter and into treatment area within the body contained between one or more inflatable/expandable members. The catheter may also have optional pressure and temperature sensing elements which may allow for control of the pressure and temperature within the treatment zone and also prevent the pressure from exceeding a pressure of the inflatable/expandable members to thereby contain the treatment area between these inflatable/expandable members. Optionally, a chilled, room temperature, or warmed fluid such as water may then be used to rapidly terminate the treatment session.

Abstract: A laser eye surgery system that has a patient interface between the eye and the laser system relying on suction to hold the interface to the eye. The patient interface may be a liquid-filled interface, with liquid used as a transmission medium for the laser. During a laser procedure various inputs are monitored to detect a leak. The inputs may include a video feed of the eye looking for air bubbles in the liquid medium, the force sensors on the patient interface that detect patient movement, and vacuum sensors directly sensing the level of suction between the patient interface and the eye. The method may include combining three monitoring activities with a Bayesian algorithm that computes the probabilities of an imminent vacuum loss event.

Abstract: The present invention relates to an ophthalmic treatment apparatus and a control method therefor, and provides an ophthalmic treatment apparatus and a control method therefor, the ophthalmic treatment apparatus comprising: a setting unit formed so as to set a treatment mode; a therapeutic light emission unit emitting therapeutic light at a target position of an eyeground multiple times so as to perform treatment; a monitoring unit for monitoring information on the state of the target position by the therapeutic light during the emission of the therapeutic light; and a control unit for determining whether a treatment intensity according to the treatment mode has been reached, by using the information monitored by the monitoring unit, and for controlling an operation of the therapeutic light emission unit on the basis of the determination.

Abstract: An implantable device comprising a substrate capable of capturing an intraocular target molecule and to methods of use thereof. The substrate may be capable of capturing a target molecule present in the eye and/or from fluid of the eye (e.g., an intraocular target molecule). In some embodiments, the substrate has a relatively high affinity for a target molecule.

Abstract: A water jet instrument may be used for manually performing surgery. The water jet instrument may be manually controlled or controlled by a system with a robotic control. The water jet apparatus defines a jet cutting area that is based at least in part on a flow rate meter and a feedback loop.