Abstract: A method and system discloses a medical device comprising a pre-crimped stent mounted on an inflatable means for inflating the pre-crimped stent. The pre-crimped stent mounted on an inflatable means further includes a membrane with a centrally positioned opening with a second expandable diameter, wherein the membrane covers one end of the pre-crimped stent, thereby reducing pulmonary flow in a pulmonary artery.

Abstract: The described invention provides an endovascular device comprising a tube comprising at least one side-hole, a first segment comprising a primary opening and a second segment. The side-hole and the first segment form a working lumen. The second segment forms a support lumen where the support lumen is effective: (i) to provide stability to the working lumen of the endovascular device; (ii) to anchor the endovascular device within a blood vessel; (iii) to prevent catheter coil prolapse due to a counterforce against the endovascular device by one or more additional endovascular devices being delivered through the endovascular device to a more distal location or by a prolapsed coil tail of the endovascular device; and (iv) to facilitate placement of the second endovascular device distally.

Abstract: A surgical device for assisting in the placement of a prosthetic implant within a surgical pocket of a patient. The surgical device according to one embodiment comprises one or more sheets of polymer shaped in the form of a conical frustum in which a proximal end of the frustum is sealed and a distal end of the frustum forms a tip, the interior cavity of the frustum sized to hold a prosthetic implant. A lumen extends into the interior of the frustum to allow the injection of fluid into the interior of the conical frustum and thereby activate any surface coatings applied thereto.

Abstract: A device to be implanted in a subject's body to form an implant for replacing and/or increasing a volume of soft tissue, the device being of the type including a three-dimensional frame which defines an inner space in the frame. The frame is typically bio-absorbable and includes two side apertures forming a transverse passage for inserting a vascular pedicle. The device further has at least two bio-absorbable textile sheets that can be stacked on each other in the inner space of the frame.

Abstract: The breast implant of the present invention comprises a first pouch, a plurality of second pouches, and a plurality of third pouches. The first pouch has a first enclosing membrane and a first lumen formed by the first enclosing membrane. The interior of the first lumen includes a dome and a bottom portion corresponding to the dome. Each second pouch has a second enclosing membrane and a second lumen formed by the second enclosing membrane. The second pouches are provided in the first lumen and radiate from the center of the dome. Each third pouch has a third enclosing membrane and a third lumen formed by the third enclosing membrane. The third pouches are provided between the second pouches in the first lumen and are arranged in strings that extend from the center of the dome.

Abstract: A reconstruction support includes an upper half, a lower halfjoined to the upper half, a plurality of alignment perforations disposed on at least one of the upper half and the lower half, and a plurality of fenestrations disposed on at least one of the upper half and the lower half, the plurality of fenestrations configured to facilitate selective expansion of at least one of the upper half or the lower half, where the reconstruction support is inserted above muscle to facilitate breast reconstruction.

Abstract: A prosthetic heart valve is designed to be circumferentially collapsible for less invasive delivery into the patient. At the implant site the valve re-expands to a larger circumferential size, i.e., the size that it has for operation as a replacement for one of the patient's native heart valves. The valve includes structures that, at the implant site, extend radially outwardly to engage tissue structures above and below the native heart valve annulus. These radially outwardly extending structures clamp the native tissue between them and thereby help to anchor the prosthetic valve at the desired location in the patient.

Abstract: Embodiments of delivery systems, devices and methods for delivering a prosthetic heart valve device to a heart chamber for expanded implementation are disclosed. More specifically, methods, systems and devices are disclosed for delivering a self-expanding prosthetic mitral valve device to the left atrium, with no engagement of the left ventricle, the native mitral valve leaflets or the annular tissue downstream of the upper annular surface during delivery, and in some embodiments with no engagement of the ventricle, mitral valve leaflets and/or annular tissue located downstream of the upper annular surface by the delivered, positioned and expanded prosthetic mitral valve device.

Abstract: A prosthetic valve for implanting in a patient's native valve has a self-expanding frame that comprises a first end, a second end opposite the first end, an anterior portion, and a posterior portion. The self-expanding frame has an expanded configuration adapted to engage tissue at a treatment site, and a collapsed configuration adapted to be delivered to the treatment site. The expandable frame also comprises a self-expanding atrial skirt near the second end, a self-expanding ventricular skirt near the first end, a self-expanding annular region disposed between first and second ends, a first self-expanding anterior tab disposed on the anterior portion, and a self-expanding foot coupled to the posterior portion and extending radially outward. The foot has an outer surface for engaging the tissue thereby facilitating anchoring of the prosthetic valve and minimizing or preventing rotation of the prosthetic valve.

Abstract: The present invention relates to a stent (10) for the positioning and anchoring of a valvular prosthesis (100) in an implantation site in the heart of a patient. Specifically, the present invention relates to an expandable stent for an endoprosthesis used in the treatment of a narrowing of a cardiac valve and/or a cardiac valve insufficiency. So as to ensure that no longitudinal displacement of a valvular prosthesis (100) fastened to a stent (10) will occur relative the stent (10) in the implanted state of the stent (10), even given the peristaltic motion of the heart, the stent (10) according to the invention comprises at least one fastening portion (11) via which the valvular prosthesis (100) is connectable to the stent (10). The stent (10) further comprises positioning arches (15) and retaining arches (16), whereby at least one positioning arch (15) is connected to at least one retaining arch (16) via a first connecting land (17).

Abstract: A method of treating or preventing endocarditis in a patient in need of therapy is disclosed. The method includes identifying a patient inflicted with or being at risk of contracting endocarditis caused by streptococci, staphylococci, or entercocci; and locally delivery in the vicinity of an aortic valve a therapeutically effective amount of an antibiotic or antimicrobial agent for the systemic delivery of the antibiotic or antimicrobial agent to the aortic valve for the treatment or prevention of endocarditis.

Abstract: An intravascular device delivery system includes a distal end cap to connect an elongated member of the intravascular device delivery system to an intravascular device. The distal end cap includes at least one connection member radially movable relative to the distal end cap that is configured to engage with a complimentary recess in the intravascular device.

Abstract: A catheter assembly according to the present invention includes a handle assembly, an introducer sheath, and a distal tip assembly. The distal tip assembly can include first and second retaining sleeves and a slotted tip with a non-traumatic tip guard positioned at the proximal end of the slotted tip. The handle assembly can include a fixed main handle and two or more rotating handles that allow a user to control the distal tip assembly of the catheter. Each control knob on the handle assembly controls a portion of the components on the distal tip of the catheter by allowing for precise manipulation of various delivery shafts. Each delivery shaft extends from the handle assembly to respective positions towards the distal end of the catheter.

Abstract: Coaptation assist device for repairing cardiac valves and associated systems and methods are disclosed herein. A coaptation assist device configured in accordance with embodiments of the present technology can include, for example, a fixation member configured to press against cardiac tissue proximate to a native valve annulus, and a stationary coaptation structure extending away from the fixation member. The coaptation structure can include an anterior surface configured to coapt with a first native leaflet during systole and a posterior surface configured to displace at least a portion of a second native leaflet. The device also includes at least one sensor configured to detect parameters associated with at least one of cardiac function and device functionality. The sensors can be pressure sensors configured to detect left atrial pressure and/or left ventricular pressure.

Abstract: Disclosed herein are minimally invasive systems and methods for intravascularly accessing the heart and performing a transcatheter repair of a heart valve by inserting one or more sutures as artificial chordae into a heart valve leaflet.

Abstract: Methods and apparatuses for pumping blood within a blood vessel are described. The methods and apparatuses are can be used for renal decongestion by pumping blood through the kidney(s), thereby increasing a pressure gradient across the kidney(s). The apparatuses can include one or more inflatable elements that can be repeatedly inflated and deflated to cause a pumping action within the blood vessel. In some embodiments, the one or more inflatable elements are positioned within one or more stents.

Abstract: According to an aspect, an implantable device includes a fluid reservoir configured to be implanted in a body of a patient at a first location, an inflatable member configured to be implanted in the body of the patient at a second location, and a pump assembly configured to be implanted in the body of the patient at a third location. The pump assembly is configured to transfer fluid from the fluid reservoir to the inflatable member in response to the implantable device being in an inflation mode, and the pump assembly configured to transfer the fluid from the inflatable member to the fluid reservoir in response to the implantable device being in a deflation mode. The pump assembly includes an electronic control module, an electronically powered pump, a first valve, and a second valve. The electronic control module is configured to activate or deactivate the electronically powered pump.

Abstract: A tissue fixation implant that includes leading fixation and trailing fixation members, each fixation member having a proximal head and an elongate shank with a distal tip, and each fixation member adapted to at least partially contact the other fixation member at one or more points along their respective lengths. The tissue fixation implant includes a proximal inter-engagement feature for fixedly engaging each of the two fixation members relative to one another when engaged within tissue, including bone tissue, soft tissue, and combinations of these, and has an interior chamber suitable for receiving osteogenic material to enhance new bone growth and fusion of the fixation implant within bone.

Abstract: An implantable acellular polymeric scaffold device functionalized with aggrecan is provided. Also provided are methods of fabricating a polymeric scaffold device, including methods of fabricating the scaffold device via 3D printing. Methods of treating a cartilage defect in a subject in need thereof comprise application of the disclosed scaffold device in combination with microfracture procedures. A specialized lid for a centrifugation well plate is also provided.

Abstract: An interbody spacer for spinal fusion surgery includes first and second opposite side walls that have open-cell metal foam at upper and lower faces, and a three-dimensional lattice disposed between open-cell metal foam at the upper and lower faces. The open-cell metal foam is in communication with the three-dimensional lattice so that bone growth can enter the three-dimensional lattice from the open-cell metal foam. The interbody spacer may be formed by additive manufacturing.

Abstract: A medical implant includes a body and a porous structure attached to the body. A boss integral with the body extends outwardly from a surface of the body. The porous structure has a surface that cooperates with the boss of the body to prevent pullout of the body from the porous structure. In fabricating the medical implant, the body and the porous structure are formed separately and subsequently secured together.

Abstract: Systems and methods for converting consumer coins, cash, and/or other forms of value for use with mobile commerce platforms implemented on, for example, smart phones, PDAs, and other mobile devices. In one embodiment, a method for implementing a mobile commerce account on a mobile device includes receiving coins and/or other funds from a user at a consumer-operated kiosk. The method can further include counting the coins and/or other funds to determine a value, and then communicating at least a portion of the value from the kiosk to the hand-held mobile device for deposit in the mobile commerce account.

Abstract: The present disclosure provides an iliac prosthesis, comprising: a prosthesis main body, the prosthesis main body including a first end portion contacted and matched with a sacrum and a second end portion contacted and matched with an acetabulum, a first screw hole being formed in the first end portion, a first screw seat being arranged in the first screw hole, the screw-rod structure including a connecting seat and a rod body, the connecting seat being connected with the prosthesis main body, and the rod body being fixed on the connecting seat; and an anti-dropping mechanism, the anti-dropping mechanism being arranged between the prosthesis main body and the connecting seat in a clamping manner. The technical solutions of the present disclosure can effectively, solve the problems of, unreliable supporting and easy fatigue break of the screw-rod system in the related technology.

Abstract: Methods and apparatuses for performing an orthopedic procedure in the sacroiliac region are disclosed. In one form, an aperture is formed that at least partially extends through at least one of an ilium and a sacrum. An undercutting system is inserted into the aperture. The undercutting system may include an insertion apparatus, a probe assembly, and a cutting assembly. The probe assembly is moved with respect to the insertion apparatus from a retracted position to an extended position. The probe assembly is manipulated within a joint between the ilium and the sacrum while the probe assembly is in the extended position. The cutting assembly is moved with respect to the insertion apparatus from a retracted position to an extended position. The cutting assembly is manipulated within the joint between the ilium and the sacrum while the cutting assembly is in the extended position to form a fusion region.

Abstract: A femoral hip joint spacer. The spacer has a prosthesis body with a ball head, a neck, a stem and an anchoring sleeve which encloses the stem on a proximal side of the stem with a circumferential fastening area, irrigation liquid inlet and outlet openings in the body surface, at least one irrigation liquid discharge opening on a distal side of the stem and at least one irrigation liquid intake opening on the ball head or on the neck. The discharge opening is connected in a liquid-permeable manner to the inlet opening but not to the outlet opening and the intake opening is connected inside the prothesis body in a liquid-permeable manner to the outlet opening but not to the inlet opening. A cavity open on two sides is formed inside the anchoring sleeve and connects a proximal side to a distal side of the sleeve in a liquid-permeable manner.

Abstract: An orthopedic prosthesis includes a head which internally accommodates the major motion of a patient, e.g., during walking, thereby reducing wear against a cup or liner. A neck may be utilized which rotates within the distal member about an axis aligned with the major motion of the patient. The orthopedic prosthesis may also include a sacrificial anode, a seal made of natural fibers, and utilize lubricant made of honey.

Abstract: Methods, systems and apparatuses are disclosed including apparatuses that can be used in a total knee replacement procedure. According to one example, a tibial implant is disclosed. The tibial implant can be configured for attachment to a tibia in a knee arthroplasty and can include a baseplate having a lateral portion and a medial portion oriented relative to an anteroposterior axis and a fixation member. Each of the lateral portion and the medial portion can have a distal surface configured to interface with a resected proximal surface of a tibia. The fixation member can be coupled to and extend both distally and medially from the baseplate such that the fixation member is oriented at an acute angle relative to the distal surface of the medial portion.

Abstract: A reverse shoulder replacement system including a humeral liner defining a split curvature bearing surface that includes a plurality of curvature regions. The plurality of curvature regions are configured to engage a glenosphere of a glenoid implant individually or in combination to provide an improved fit between the glenosphere and the humeral liner.

Abstract: The present disclosure describes an intervertebral disk replacement system. The system can include a tissue-engineered intervertebral disc that is combined with a bioresorbable stabilization system for structural guidance. The system can prevent or reduce intervertebral disk implant displacement and can increase the stiffness when compared to the implantation of the intervertebral disk implant without the stabilization system.

Abstract: An interbody implant includes an implant body extending between an anterior surface and a posterior surface. The implant body includes a first vertebral engaging surface and a second vertebral engaging surface. At least one of the vertebral engaging surfaces defines a cavity configured for disposal of bone growth detectable via medical imaging. Systems, spinal constructs, surgical instruments and methods are disclosed.

Abstract: An expandable spinal implant is provided having a frame with a distal wall for retaining an expansion plug such that bone growth promoting material may be introduced to a proximal portion of the implant after expansion. Various implants, systems and methods are disclosed.

Abstract: A spine implant (e.g., for a TLIF surgical procedure) is configured to be steered into place during implantation in conjunction with a complementary insertion instrument. The cage of the implant is constrained to a limited range of rotation about a post carried by the cage. The insertion instrument is configured to hold the post while controllably rotating the cage relative to the post in order to angularly position the implant during implantation. Range of rotational motion is controlled by the configuration of a groove in the post. A retaining pin of the implant extends from the cage into the groove of the post to rotationally connect the cage to the post.

Abstract: The variable or adjustable depth medical implants in this application are capable of depth adjustment prior to implantation. The variable depth implants permit a single implant to provide multiple footprint configurations, allowing a surgeon footprint adjustability in the operating room. The implants can comprise a metallic lattice designed for specific physical properties, such as an elastic modulus. In some examples, the main body of the implant is taller than the adjustable portion of the implant (also referred to as the second implant body) so that the physical properties of the main body of the implant are controlling at the implant site. In some embodiments, the variable implant is constructed in an additive process as a single unit.

Abstract: An implant extractor tool including first and second pivotably connected arms having jaws at their distal ends adapted to engage an implant. The tool further includes an adjustment mechanism having an adjuster and a biasing member biasing one of the first and second arms, and an actuator operatively engageable with the adjustment mechanism. The actuator is movable between a first position locking the adjustment mechanism in a fixed position and a second position spaced from the adjustment mechanism permitting movement of the adjustment mechanism relative to the actuator. The implant extraction tool can be operated using one hand to engage an implant to be extracted.

Abstract: A cutting device is provided that includes an expandable tube having a base and a hollow interior for receiving the implant therein. The expandable tube includes cutting segments extending from the base and terminating to form a distal end of the expandable tube. At least one of the cutting segments has a cutting end with cutting teeth at the distal end of the expandable tube. Spring shaped sections are provided that extend the cutting segments. A method for removing an implant from a target bone is also provided based on the cutting device. A system for removing material directly surrounding an outer surface of an implant in an intramedullary canal of a target bone is also provided based on the cutting device and a sheath. A retractable opening is formed of leaflets at a distal end of the sheath, and a proximal end opposite the distal end.

Abstract: Embodiments of the present disclosure relate generally to a Sizer, Introducer, and Cutting Template Device. Embodiments find particular use as a sizer, introducer, and cutting template device for an orbital floor implant surgery. The disclosed device allows a surgeon or other practitioner to use a single component for sizing, introducing, and cutting a template for an orbital floor implant.

Abstract: A femoral trialling kit and method for assessing acetabular cup orientation during a left hip joint surgical procedure and a right hip joint surgical procedure are described. The kit includes a trial femoral head (104, 414, 514, 614, 814) having an inner wall defining a cavity extending along a head axis and a visual alignment guide on an outer surface of the trial femoral head and a trial femoral neck (126, 412, 512, 612, 812) having a taper at a free end, the taper being receivable within the cavity. One of the taper and the inner wall has a first anti-rotation feature (684, 698) and a second anti-rotation feature (686, 700), the first anti-rotation feature and the second anti-rotation feature being inclined, and the other of the taper and the inner wall has a third anti-rotation feature (702).

Abstract: The disclosure provides apparatus and methods of use pertaining to a biomechanical finger brace assembly. In one embodiment, the assembly includes a coupling tip, a proximal ring configured to concentrically receive a user's finger, a distal ring configured to concentrically receive the finger, and a rocker formed in an H-shape. The distal ring and the rocker are pivotally suspended between a proximal coordinated pivot point anchored on the proximal ring and a distal coordinated pivot point anchored on the coupling tip, such that movements of the finger within the proximal ring articulate the distal ring together with the rocker to articulate the coupling tip. The coupling tip may include an open end or an enclosed recess to accept a minimally-amputated or non-amputated finger. Other embodiments are also disclosed.

Abstract: A pet prosthetic for a stump of an animal including: a clamp portion configured to clamp to an upper portion of the stump above an elbow joint of the animal or a knee joint of the animal; a stump holder configured to receive the lower portion of the stump below the elbow joint of the animal or the knee joint of the animal; a stump holder cradle configured to receive and support the stump holder; a left rear support operably connecting the clamp portion to the stump holder cradle; a right rear support operably connecting the clamp portion to the stump holder cradle; an ankle joint operably connected to the stump holder cradle; a left forward support operably connecting the clamp portion to the ankle joint; a right forward support operably connecting the clamp portion to the ankle joint; and an artificial paw operably connected to the ankle joint.

Abstract: A prosthetic attachment system and corresponding lock assembly for connecting a distal end of a prosthetic liner to a distal end of a prosthetic socket. The lock assembly includes a base arranged to be supported by the distal end of the prosthetic socket, and defining a bore. An attachment pin is arranged to be carried by the prosthetic liner and insertable through the bore. A lock mechanism is arranged to be carried by the base and is rotatable about a rotation axis. The lock mechanism includes a control knob extending outwardly from a side of the base. The attachment pin is arranged to interact with the lock mechanism cause the control knob to spin at least one projection of the control knob about the rotation axis.

Abstract: An example medical device for treating a body lumen is disclosed. The medical device includes an expandable scaffold including a first end region, a second end region opposite the first end region and an outer surface. The medical device also includes a covering disposed along the outer surface of the expandable scaffold, the covering having an outer surface. The medical device further includes a plurality of granular particles disposed along the covering. Additionally, the expandable scaffold is configured to shift from a collapsed state to an expanded state, the covering is configured to contact an inner surface of the body lumen in the expanded state and the granular particles are designed to prevent migration of the expandable scaffold upon implantation in the body lumen.

Abstract: A stent that includes a plurality of quill filaments. Each quill filament includes filament material, a surface, and a plurality of quills. Each quill has a tip, a body, and a base where the body extends from the base to the tip. The quill filaments can be interwoven to form the stent or the quill filaments can be engaged to the framework of a stent.

Abstract: The present invention is directed to vascular implants and methods for fabricating the same. The implantable devices include but are not limited to stents, grafts and stent grafts. In many embodiments, the devices include one or more side branch lumens interconnected with the main lumen.

Abstract: The invention relates to an expandable vascular implant for implantation into vessels of a patient, the vascular implant being convertible from a compressed state to an expanded state, and the vascular implant comprising the following: a hollow cylindrical main body having a longitudinal direction and a proximal end and a distal end, and a main body lumen which extends from the proximal to the distal end. The hollow cylindrical main body is formed by a tubular lattice structure, the tubular lattice structure having at least one first and at least one second region, the first region being fixedly connected to the second region, the first region being designed to be self-expandable, and the second region is designed to be balloon-dilatable.

Abstract: A multi-element, bioresorbable, vascular stent may be used to maintain or enhance patency of a blood vessel. The stent may be used in peripheral blood vessels, which may be long and/or tortuous. By using multiple, separate stent elements that are balloon expandable, the multi-element stent may be stronger than a traditional self-expanding stent but may also be more flexible, due to its multiple-element configuration, than a traditional balloon-expandable stent. Thus, the multi-element, bioresorbable, vascular stent described herein may be particularly advantageous for treating long lesions in tortuous peripheral blood vessels.

Abstract: extending slot so that the rear part of the housing is rotatable, a runner with a cap screwed on the extending slot so that the rear part of the housing is rotatable, a runner with a cap screwed on the runner thread, a collet with hooks accommodated in the runner so at to be rotatable around its axis, a retainer with ears, wherein the runner cap is arranged inside the retainer. When the device is prepared for use, a coronary stent: carried by a delivery system is first progressively inserted inside the device and then the coronary stent carried by the delivery system is advanced manually to an affected area of a coronary artery, the delivery system is fixed Inside the device and is positioned within a coronary artery by means of rotating the rear part of the housing.

Abstract: A multipurpose handle incorporated into a medical device delivery system. The multipurpose handle includes an elongate handle body, an actuation button, and a locking member. The elongate handle body has a proximal end extending to a distal end, which defines a longitudinal axis. The elongate body further includes a cutout that creates a movement space therein in which the actuation button is disposed and is connected to a medical device. The actuation button is movable within the cutout along the longitudinal axis and rotatable within the cutout. The locking member is connected to the elongate handle body and movable between a locked position and unlocked position. The locking member may be in contact with the actuation button and be configured to restrict the movement of the actuation button along the longitudinal axis when in the locked position.

Abstract: A single-seat electric-vehicle travel control apparatus controls traveling of a single-seat electric vehicle by using output of a user-input detection device which has an input scheme different from those of conventionally proposed input apparatuses and which is highly versatile. A first user-input information acquisition unit acquires first user-input information, which indicates a first user action detected by the first user-input detection device. A second user-input information acquisition unit acquires second user-input information, which indicates a second user action detected by the second user-input detection device without contact with the second part of the user's body. A multi-input controller determines a first user intention based on first user-input information acquired by a first user-input information acquisition unit. The multi-input controller determines a second user intention based on second user-input information indicative of a second user action.

Abstract: A sphincter assist device includes a plurality of interconnected and adjacent links which define a ring. Each link includes a body section and a latch cam. The body section includes a first set of side beams and a first set of snap arms. The latch cam includes a post extending from the body section and a cam disposed at an end portion of the post. The cam is engagable with the first set of snap arms of an adjacent link. Translation of the cam displaces the first set of snap arms and the first set of side beams to transition the sphincter assist device between open and closed configurations. The first set of snap arms, in combination with the first set of side beams, exert a positive non-linear force profile on the cam, thus defining a non-linear force profile of the sphincter assist device between the open and closed configurations.

Abstract: The invention features delivery systems for delivering a gastrointestinal device into the gastrointestinal tract of a patient and anchoring the gastrointestinal device with an anchor (e.g., a disintegrable anchor). Also provided are methods of delivering such gastrointestinal devices using the delivery systems described herein. The methods and delivery systems of the invention can be used for treatment of metabolic diseases, such as type 2 diabetes, non-alcoholic steatohepatitis (NASH), non-alcoholic fatty liver disease (NAFLD), obesity, and related comorbidities thereof.