Abstract: The present invention relates to a wing-shaped angle steel plate and a bone shaft fixation system. The wing-shaped angle steel plate comprises a wing fitting portion and a body fixation portion which are fixedly connected to each other. The wing fitting portion is used for supporting a fracture end and has a structure matched with an inner side surface of a bone shaft. The body fixation portion is used for fixing the wing fitting portion and has a structure matched with a front side of the bone shaft. The body fixation portion is provided with at least two first locking holes for passing through first locking screws at an intersection site with the wing fitting portion and is further provided with at least two second locking holes for passing through second locking screws in the structure matched with the front side of the bone shaft.

Abstract: An orthopedic plate is specifically configured for use in osteotomies, in which part of the plate extends into a portion of a first bone segment and part is external to the cortical surface of an adjacent bone segment to fix the segments to allow them to fuse. The plate has a first end and a second end where the end which is inserted into the bone has a chamfer and a through hole having a hole axis optionally at an oblique angle to the longitudinal axis of the plate, and which can receive a screw, peg or pin. The second end of the plate includes a locking screw hole and optionally including a compression slot extending in a direction toward a screw hole in the opposing end. Optionally, the non-locking hole has a shroud that forms an arc or portion of a cylinder over the hole. A plate driver having a recess that holds the plate is used to insert the plate into the bone.

Abstract: The present invention relates to an anterior cervical spine plate which is used to perform anterior fixation surgery on a cervical spine in orthopedic surgery and neurosurgery, which includes: a plate body formed to extend in a longitudinal direction thereof; two or more bone screw holes formed in the plate body to support head parts of bone screws; and a locking element configured to maintain the bone screws while being inserted into the bone screw holes, respectively. The locking element is rotatably coupled to the plate body, and the plate body has reinforcing parts formed at outer circumferences thereof.

Abstract: A polyaxial bone fixation system has a bone screw with a head having an outer thread and a shaft. A bone plate has an upper face and a lower face and a through-bore for receiving the bone screw. The bone screw is introduced into the through-bore at a selectable angle and can be fixed in the through-bore at the selected angle. Material openings extend around the through-bore such that between the through-bore and each material recess opening, a bridge is formed which runs continuously from the upper face to the lower face. The bridge forms a protuberance which protrudes into the through-bore and runs in the longitudinal direction of the through-bore. The radius of the through-bore is reduced in the region of the protuberance. The bridge can plastically deform when the bone screw is screwed into the through-bore.

Abstract: A low profile dorsal plate for internal fixation of a radius fracture can comprise a single longitudinal portion having a distal end, and a transverse portion fixed across the distal end at an angle of about 15° to about 30° from perpendicular with respect to the longitudinal portion. The transverse portion can also have a z-axis curvature, or can be flexible to form a z-axis curvature, where the z-axis curvature corresponds to a dorsal contour of a distal radius. Also included is a first plurality of screw holes aligned within the longitudinal portion and a second plurality of screw holes aligned within the transverse portion.

Abstract: A subtalar plate implant (12) for correcting and/or altering the alignment of a hyperpronated foot (10) comprises a plate portion (22) and an insert portion (24) that is connected to the plate portion (22). The plate portion (22) is selectively attachable to a lateral aspect of the calcaneus (16). The insert portion (24) is positionable within the subtalar joint (18). The insert portion (24) includes a top surface (236) that is selectively positionable substantially adjacent to a base of the talus (14), the top surface (236) being angled to allow the talus (14) to articulate over the top surface (236). The insert portion (24) further includes a bottom surface (238) that is selectively positionable substantially adjacent to a dorsal surface of the calcaneus (16). The insert portion (24) can include a groove (356) that is formed along the bottom surface (238) substantially parallel to the plate portion (22).

Abstract: This fixture for securing a bar for funnel chest correction to a chest of a patient, includes: a base member having a length that allows the base member to extend across a plurality of ribs; a pressing member configured to be overlaid on the base member; a protrusion formed on an upper face of the base member; a plurality of screw holes formed in the base member; a plurality of holes formed in the pressing member at positions corresponding to the respective screw holes; and a plurality of screws. The pressing member is overlaid on the base member in a state where two bars are respectively disposed on both sides of the protrusion, and a screw is screwed into any of the screw holes on each of both sides of the protrusion, whereby the two bars are fixed by being sandwiched by the base member and the pressing member.

Abstract: The invention relates to an orthopedic locking screw, an orthopedic locking system, and a method for manufacturing an orthopedic locking screw. The orthopedic locking screw may be used for locking an intramedullary nail. The orthopedic locking screw comprises a screw shaft. The screw shaft comprises a recess. The recess extends at least partially along a longitudinal axis of the screw shaft. The recess extends at least partially along a chord of a cross section of the screw shaft. A surface of a circular segment comprising the chord is at least partially provided with a threaded portion.

Abstract: A perforated sheath is anchored in a tissue opening with the aid of a tool, wherein the anchorage is achieved with the aid of mechanical vibration and a material which is liquefiable by the vibration. The tool includes a vibrating element and a counter element. Distal portions of both elements are introduced into the sheath to be in contact with each other at an interface. The vibrating element is connected to a vibration source and the vibrating element and the counter element are held against each other for effecting liquefaction of the liquefiable material at the interface. Under the effect of the force applied to the vibrating and counter element for holding them against each other, the liquefied material flows from the interface through the sheath perforation and penetrates the tissue.

Abstract: According to one example, a valve for an apparatus configured to mix bone cement is disclosed. The valve can include a base defining a first portion of a passage. The passage can be configured to allow a component of the bone cement through the valve. The valve can include a projection extending from the base to a base opposing end and forming a second portion of the passage that communicates with the first portion. The projection can have a frustoconically shaped surface that comprises one of an outer surface or an inner surface that forms a part of the second portion of the passage.

Abstract: An endometrial ablation tool is configured for modified endometrial ablation, rather than global endometrial ablation. The tool can work according to various different methodologies including ablation by thermal energy (hot or cold), ablation by RF energy, ablation by microwave energy, ablation by plasma gas heating or ablation by other endometrial contact methodologies for ablation thereof. The ablation tool is shaped so that it avoids ablation in cornual areas. In one embodiment, the tool is configured with a unique posterior and anterior portion, with only one such portion configured to perform ablation, so that ablation occurs only with the anterior endometrium or only the posterior endometrium.

Abstract: Catheter ablation systems are used to isolate the Left Atrial Appendage (“LAA”), or portions of the LAA, by using balloons. The systems deliver an ablation fluid such as alcohol in order to destroy the LAA tissue isolated between the balloons, deliver saline to dilute the ablation fluid, and remove excess fluid and particulates by suction to prevent excess residual alcohol from remaining in the LAA.

Abstract: A method for manufacturing a jaw assembly configured for use with an electrosurgical forceps is provided. A seal plate with an inwardly facing tab member extending along a peripheral edge thereof is formed. A cavity defined along the inwardly facing tab member of the seal plate is formed. Subsequently, the seal plate is overmolded to a jaw housing. The cavity is configured to receive an insulative substrate therein to facilitate securing the seal plate to the jaw housing.

Abstract: An electrosurgical flux supply unit includes a first terminal configured to deliver a first electrical flux, the first terminal being configured to be electrically coupled with a first electrode of a first electrosurgical instrument, a second terminal configured to receive a second electrical flux; the second terminal being configured to be electrically coupled with a second electrode of the first electrosurgical instrument, and an electrical switching mechanism selectively configurable between a first state and a second state. In the first state, the electrical switching mechanism electrically couples the first electrode with the first terminal and, in the second state, the electrical switching mechanism electrically isolates the first electrode from the first terminal. The electrosurgical flux supply unit is configured to maintain the electrical coupling of the second terminal with the second electrode in both the first state and the second state of the electrical switching mechanism.

Abstract: A bipolar electrosurgical device is disclosed that operates in a mechanical cutting mode and a hemostasis mode. The device includes a housing and a blade assembly extending from the housing. The blade assembly forms a cutting tip and cutting window at a distal end region to provide mechanical cutting of tissue and first and second electrode assemblies to provide electrical energy to tissue. The first and second electrode assemblies can each include a rotary connection assembly to allow spatial orientation of the cutting window relative to the housing and/or cutting tip.

Abstract: A surgical system including a cartridge having a first tissue sealing electrode and a surgical instrument including a first jaw and a second jaw, wherein the first jaw comprises a second tissue sealing electrode facing the second jaw, and wherein the second jaw is configured to removably receive the cartridge in a position where the first tissue sealing electrode is opposite the second tissue sealing electrode. The surgical system further includes a cut and seal controller, wherein the cut and seal controller automatically generates a command to the surgical instrument to reduce a clamping force between the first and the second jaws after sensing that tissue sealing is complete.

Abstract: An electrosurgical instrument includes a needle configured as a first electrode and a coil extending through the needle and configured as a second electrode. The coil movable relative to the needle, and as the needle and the coil are inserted into tissue and energized with an electrical energy source, the needle and the coil apply current to the tissue to coagulate the tissue. The coil includes a fluid transmission feature that allows a fluid to flow distally for cooling the coil.

Abstract: A medical instrument includes a shaft, multiple flexible spines and multiple electrodes. The shaft is configured for insertion into a body of a patient. The multiple flexible spines have respective first ends that are connected to a distal end of the shaft and respective second ends that are free-standing and unanchored. The spines are bent proximally such that the second ends are more proximal than the first ends. Each of the flexible spines includes a tensile layer configured to cause the flexible spine to bend proximally. The multiple electrodes are disposed over the flexible spines.

Abstract: The invention relates to a tissue ablation system including an ablation device having a deployable applicator head configured to be delivered to a tissue cavity and ablate marginal tissue surrounding the tissue cavity. The deployable applicator head is configured to be delivered to a tissue cavity while in a collapsed configuration and ablate marginal tissue surrounding the tissue cavity while in an expanded configuration.

Abstract: A method includes generating a plurality of primary beams from a laser beam, and generating, from a primary beam one or more secondary beams. The method also includes focusing the first secondary beam to a first focal region in the target tissue and the second secondary beam to a second focal region in the target tissue. The first focal region and the second focal region can be located at different depths in the target tissue.

Abstract: The present invention is directed towards medical optical fibers with protective tips for use with endoscopes for laser based treatment of internal bodily organs and method of manufacture therefor. The medical optical fibers have a short stripped medical optical fiber section and a protective tip provided thereon to encapsulate both the stripped medical optical fiber section and the jacket tip immediately therebehind.

Abstract: The present invention patent refers to a system for vascular-surgery simulation that corresponds to an equipment and system designed to produce, by means of 3D printing using a 3D printer, real images of the aorta of the patients obtained by imagined examinations such as computed tomography and/or nuclear magnetic resonance in order to enable doctors to acquire complex skills and/or to refine their operating techniques, training in a controlled environment and with suitable guidance, without putting the patient at risk, being characterized in that it comprises connectors (2) made of silicone, pulsating flow pump (3), negatoscope (4), black box (5), camera (not shown) and monitor (6) such as to reproduce, in silicone or translucent resin, the aortic arch, thoracic aorta, abdominal aorta and the iliac arteries.

Abstract: Disclosed herein are apparatuses and methods for intraoperative on-demand implant customization in a surgical setting. An apparatus may include a storage portion, an implant customization portion and an interface. The storage portion may house implant blanks and implant accessories. The implant customization portion may customize the implant blanks. The interface may be configured to receive implant customization information and utilize the same to intraoperatively manipulate the implant blank to a patient-specific implant within a sterile environment. A method to customize an implant in a surgical care environment may include the steps of obtaining information related to the implant location, selecting an implant blank based on the information, and customizing the implant blank in a surgical care setting with a customization apparatus.

Abstract: An apparatus includes a shaft assembly, an end effector, and a sensor. The shaft assembly defines a longitudinal axis. The end effector is positioned at a distal end of the shaft assembly. A portion of the end effector is offset from the longitudinal axis. The sensor is configured to generate a signal in response to a magnetic field. The signal is configured to indicate a position of the end effector within three-dimensional space. The sensor is coaxially positioned about the longitudinal axis.

Abstract: Methods, systems, and techniques are provided to a position determination device for determining a position of an instrument within a tubular structure. The position determination device comprises a first curvature values providing unit for providing first curvature values being indicative of first curvatures of the tubular structure at several first locations along the tubular structure and a second curvature values providing unit for providing second curvature values being indicative of second curvatures of the instrument at several second locations along the instrument. A position determination unit determines the position of the instrument within the tubular structure based on the first and second curvature values.

Abstract: A system and method creates a patient-specific surgical plan for use during a surgical procedure. The plan may reference an instrument for registering a portion of a patient during the procedure. The plan may be based on a computer-generated model of a portion of the patient's anatomy. The plan may be provided to a surgeon who uses the registration instrument to register the portion of the patient's anatomy according to the plan. Spatial location data for a plurality of points on the instrument and/or on the patient's anatomy may be obtained, and a patient-based coordinate system may be established using the registration instrument, the captured spatial location data or combinations thereof. The coordinate system may be used to attach one or more prosthetic components to the patient at locations and/or orientations specified in the plan.

Abstract: Transducer-based systems can be configured to display a graphical representation of a transducer-based device, the graphical representation including graphical elements corresponding to transducers of the transducer-based device, and also including between graphical elements respectively associated with a set of the transducers and respectively associated with a region of space between the transducers of the transducer-based device. Selection of graphical elements and/or between graphical elements can cause activation of the set of transducers associated with the selected elements. Selection of a plurality of graphical elements and/or between graphical elements can cause visual display of a corresponding activation path in the graphical representation. Visual characteristics of graphical elements and between graphical elements can change based on an activation-status of the corresponding transducers.

Abstract: Medical robot systems, surgical tool assemblies, devices, and methods regarding the same. The medical robot system may include a robot coupled to an end-effector having a guide tube. The robot may be configured for controlled movement and positioning of the end-effector. The system further includes a motor assembly coupled to the robot. The motor assembly may be configured to move the end-effector along one or more of an x-axis, a y-axis, and a z-axis. The surgical instrument is positionable and/or slidable within the guide tube. The surgical instrument includes at least one detectable feature, such as a reflective lens or stripe. A detection device is configured and arranged to detect the at least one detectable feature. The system enables a depth of the surgical instrument in the guide tube to be determined by the at least one detectable feature on the instrument.

Abstract: Medical robot systems, surgical tool assemblies, devices, and methods regarding the same. The medical robot system may include a robot coupled to an end-effector having a guide tube. The robot may be configured for controlled movement and positioning of the end-effector. The system further includes a motor assembly coupled to the robot. The motor assembly may be configured to move the end-effector along one or more of an x-axis, a y-axis, and a z-axis. The surgical instrument is positionable and/or slidable within the guide tube. The surgical instrument includes at least one detectable feature, such as a reflective lens or stripe. A detection device is configured and arranged to detect the at least one detectable feature. The system enables a depth of the surgical instrument in the guide tube to be determined by the at least one detectable feature on the instrument.

Abstract: A Robotic control system has a wand, which emits multiple narrow beams of light, which fall on a light sensor array, or with a camera, a surface, defining the wand's changing position and attitude which a computer uses to direct relative motion of robotic tools or remote processes, such as those that are controlled by a mouse, but in three dimensions and motion compensation means and means for reducing latency.

Abstract: A controller in a computer-assisted teleoperated surgical system automatically moves a part of the system, in response to a user tapping the part, to facilitate draping of that part. This speeds the draping process and diminishes the likelihood that the sterile surgical drape is damaged or contaminated during the draping of that part of the system.

Abstract: Systems and methods for a teleoperational system and control thereof are provided. An exemplary system includes a first manipulator configured to support an instrument moveable within an instrument workspace, the instrument having an instrument frame of reference, and includes an operator input device configured to receive movement commands from an operator. The system further includes a control system to implement the movement commands by comparing an orientation of the instrument with an orientation of a field of view of the instrument workspace to produce an orientation comparison. When the comparison does not meet certain criteria, the control system causes instrument motion in a first direction relative to the instrument frame in response to a movement command. When the comparison meets the criteria, the control system causes instrument in a second direction relative to the instrument frame in response to the movement command. The second direction differs from the first direction.

Abstract: In accordance with an exemplary embodiment, a surgical instrument comprises a shaft and an actuation member extending through a bore of the shaft and operably coupled to an end effector. A sleeve is disposed around the actuation member and within the bore of the shaft. A flux conduit configured to transmit a surgical flux to the end effector is at least partially received within a negative feature of the sleeve. In accordance with another exemplary embodiment, a surgical instrument comprises a shaft, a wrist mechanism coupling an end effector to the shaft, and an actuation member operably coupled to the end effector. A sleeve surrounds the actuation member and has a straight passage. A flux conduit operably coupled to the end effector is received within the straight passage. A portion of the flux conduit is slack in a region of the shaft through which the sleeve does not extend.

Abstract: A surgical system for selective connection to a robotic arm includes an instrument drive unit, an instrument support platform coupled to the instrument drive unit, an instrument carriage coupled to the instrument support platform, and a surgical instrument releasably coupled to the instrument carriage. The surgical instrument includes an end effector controllable to perform surgery in response to telemanipulation of actuators in the instrument drive unit.

Abstract: Example embodiments relate to robotic arm assemblies. The robotic arm assembly may include forearm segment, upper arm segment, and elbow coupling joint assembly. Upper arm segment includes a motor. Elbow coupling joint assembly connects forearm and upper arm segments. Elbow coupling joint assembly includes distal and proximal elbow joint subassemblies. Distal elbow joint subassembly is connected to the forearm segment. Distal elbow joint subassembly includes gear train system having gear stages including first distal elbow gear stage, second distal elbow gear stage, third distal elbow gear stage, and fourth distal elbow gear stage. First distal elbow gear stage includes bevel gears. Second distal elbow gear stage includes spur gears. Third distal elbow gear stage includes bevel gears. Fourth distal elbow gear stage includes a planetary gear assembly. Proximal elbow joint subassembly connects the upper arm segment to the distal elbow joint subassembly.

Abstract: A surgical instrument includes a shaft with a proximal end and a distal end, a movable component coupled at the distal end of the shaft, a force transmission mechanism coupled at the proximal end of the shaft, and an actuation element with a first end coupled to the force transmission mechanism and a second end coupled to the movable component. The actuation element being configured to transmit an actuation force from the force transmission mechanism to the movable component. A coil spring is coupled to the actuation element between the first and second ends. First and second ends of the coil spring are coupled to longitudinally separated locations on the actuation element. The coil spring is configured to passively expand and contract in response to tension changes in the actuation element. A distance between the longitudinally separated locations changes as the coil spring passively expands and contracts.

Abstract: An apparatus includes a housing, a cable guide, a first cable, and a second cable. The housing is coupled to a shaft of a medical instrument. The cable guide is coupled to the housing, and defines a shaft opening into a passageway defined by the shaft. A first guide groove and a second guide groove are defined by the cable guide, with each of the first guide groove and the second guide groove being splayed outward from the shaft opening. The first cable is routed within the first guide groove and through the shaft opening, and is configured to slide within the first guide groove. The second cable is routed within the second guide groove and through the shaft opening, and is configured to slide within the second guide groove.

Abstract: A medical glove is disclosed that includes a suctioning device that is integrated into the glove. The medical glove may have one or more orifices at an end and may include a channel. In one example, the medical glove may be formed using a hand former with pre-formed channel. The channel may include one or more biosensors.

Abstract: A surgical drape is disclosed herein that is to be used for medical procedures in order to ensure sterile portions are not contaminated. The surgical drape can be configured to be placed around a surgical site where an operative procedure is to be conducted. The surgical drape includes a u-shaped opening, at least one sleeve, and at least one flap on its proximal end. The at least one sleeve and the at least one flap extend outwardly from a top surface of the drape. The at least one flap includes adhesive components on one side that allow the at least one flap to be folded back on to itself to provide additional protective harder from contamination.

Abstract: Arrangements described herein relate to systems, apparatuses, and methods for an enclosure for a device having a probe supported by a housing. The housing defines a cavity through which the probe protrudes. The probe is configured to move within the cavity. The enclosure includes a removable enclosure body. The enclosure body is configured to enclose at least a portion of the housing while covering an entirety of the cavity. The enclosure further includes a probe interaction portion in the enclosure body. The probe interaction portion is configured to be operatively engaged with the probe such that the probe is configured to transmit acoustic energy to a subject from within the enclosure.

Abstract: An apparatus including a sterilizable tray having a base and at least one fixture connected to the tray adapted for removably securing an implant insertion device to the tray. The tray can be free of a first wall portion for permitting the proximal end of an implantable device to axially align with the end of the implant insertion device for coupling to the implant insertion device and can be free of a second wall portion for permitting a tool to axially align with the end of the implant insertion device so as to threadedly couple the implant insertion device to the implantable device. Related methods and apparatus are provided.

Abstract: A method of operating a surgical tool includes positioning the surgical tool adjacent a patient for operation, the surgical tool including a wrist having a distal clevis rotatably coupled to a proximal clevis, a shaft or the shaft adapter coupled to the proximal clevis, and an end effector having one or more jaw members rotatably mounted to the distal clevis. Portions of the wrist and the end effector are insulated with a protective sleeve having a distal end and a proximal end and defining an aperture at the distal end through which the one or more jaw members protrude. When the protective sleeve moves axially from an assembled position to a migrated position, a positive indicator is provided.

Abstract: A sleeve insertion tool includes an elongate cylindrical body having a closed distal end, an open proximal end, and an inner chamber extending from the proximal end toward the distal end. A jaw cavity is defined within the body and extends distally from the inner chamber, and a protective sleeve is receivable within the inner chamber and defines an aperture at a distal end thereof. An end effector with one or more jaw members is receivable within the interior and the one or more jaw members are extendable through the aperture of the protective sleeve and receivable into the jaw cavity.

Abstract: A positioning device configured for introduction within a body lumen. Some embodiments include a catheter shaft with a longitudinal axis; an expandable element coupled along a length of the shaft, the expandable element being substantially thin and flexible in an unexpanded state and exerting a gentle outward force in an expanded state; and a deflection mechanism located within the shaft, wherein the deflection mechanism is flexible when in a non-deflected state and wherein, in the deflected state, the deflection curves in a predetermined lateral direction such that the positioning device laterally deflects the body lumen. In some embodiments, the deflection is a lateral curve that moves the body lumen away from a surgical site, such as a cardiac ablation site.

Abstract: Trajectory frame assemblies for image guided surgical systems have a trajectory frame with a support column that can removably secure different components such as a tracking probe and an MER driver adapter to define and/or follow a desired intrabody trajectory. The trajectory frame assemblies include fins attached to the column support and a platform optionally with an X-Y table and/or arcuate reference brackets that are attached to the trajectory frame assemblies and can hold a reference frame with fiducials.

Abstract: In certain embodiments, an illuminating endoprobe system includes one or more light sources, a housing, a vitreous visualization fiber, and a general illumination fiber. The light sources generate a visualization light and an illumination light. The housing receives the visualization and illumination light, and has a probe tip with a probe axis. The vitreous visualization fiber transmits the visualization light through the probe tip. The visualization light has a visualization axis and a visualization beam angle at the probe tip. The general illumination fiber transmits the illumination light through the probe tip. The illumination light has an illumination axis and an illumination beam angle at the probe tip. The illumination beam angle is greater than the visualization beam angle, and the illumination axis is at an offset angle relative to the visualization axis, where the offset angle greater than 5 degrees.

Abstract: An apparatus for supporting a medical device on a patient includes a mounting structure configured to be fitted onto the patient to encircle at least a portion of a body part of the patient. The mounting structure includes an inner layer and an outer layer that define a confinement. A jamming material is contained within the confmement. The jamming material is configured to flow within the confmement to conform to the shape of the body part of the patient onto which the mounting structure is fitted. The mass of jamming material is configured to harden and become rigid in its conformed shape in response to a vacuum being formed in the confinement.

Abstract: Medical procedure related objects (e.g., instruments, supplies) tagged with transponders are accounted for in a medical procedure environment via a medical object accounting system using a number of antennas, and optional readers. A first set of antennas is configured to interrogate sterile fields and/or non-sterile fields which do not encompass a body of a patient to account for the objects proximate a start and an end of a medical procedure. Readers (e.g., symbol, RFID) may be employed. A database is maintained with information including a current status of each instrument or supply, for instance as checked in or checked out. On notification of a discrepancy, a handheld antenna and/or second set of antennas interrogate a volume encompassing a body of a patient for retained instruments or supplies. The system is automatically configured (e.g., loading appropriate software) on communicative coupling of a device (e.g., antenna, reader, peripheral device).

Abstract: A dental device is described. The dental device includes a surgical template having one or more sites for drilling osteotomies in the maxillary or mandibular jaw and a false teeth set. The surgical template and false teeth set are configured to fit together to form a denture prosthesis that can be implanted in a patient. Also described are a method for creating a surgical dental template, a method for implanting a dental prosthesis, and a method for reducing jaw bone in a patient.

Abstract: A dental appliance includes an attachment mechanism suited to attach the appliance on the teeth of a patient's upper jaw. The appliance includes a constraining mechanism linked to the attachment mechanism, where the constraining mechanism is suited to limit the movement of a central zone of the tongue and allow the anterior and lateral edges of the patient's tongue to perform movements necessary for speech and swallowing.