Abstract: The present artificial insemination instrument may include a single use, hollow, elongate, metal pipette and a single disposable syringe that is not toxic to bovine sperm. The apparatus is used with any type of diluent that is not toxic to bovine sperm. In various embodiments, a technician may use non-sorted reduced sperm count semen straws from a bull stud, cut an unsorted semen straw into several pieces to use one piece at a time per cow, thaw one straw and mix the non-sorted semen with diluent, or use reduced sperm count semen straws filled with sex sorted semen by the manufacturer. A procedure is disclosed to use the artificial in semination instrument, reduced sperm count semen from any of the aforementioned sources, a non-toxic syringe, and a diluent to achieve conception rates at least as good as conventional prior art device and procedure conception rates.

Abstract: The present invention relates to a synthetic prosthesis for tissue reinforcement comprising: a porous knit made from a monofilament of a synthetic biocompatible material, said knit defining two opposite faces, a first face and a second face, a synthetic non porous biodegradable film comprising at least a copolymer of at least ?-caprolactone, said film covering at least part of said first face, a synthetic biodegradable binder bonding said film to said first face, said binder comprising at least a polymer of ?-caprolactone, wherein said second face of said porous knit is left open to cell colonization. The invention also relates to a method for forming such a prosthesis.

Abstract: A blood filter device having occlusion-resistant characteristics. The occlusion-resistant characteristics decrease the likelihood of the filter being blocked by thrombi. The filter device includes at least one anchor portion for anchoring the filter device within one or more arteries, and a filter portion for filtering thrombi from the blood entering the artery. In some embodiments, an anchor portion is capped with a filter cap. In various embodiments, the filter cap is protrudes into the aorta to promote occlusion resistance. In one embodiment, the device can be modified in situ to re-establish normal blood flow through the artery in the unlikely case of thrombotic or other blockage of the filter. In some embodiments, a bypass opening or open channel defining an access port is provided to accommodate passage of surgical instruments into the artery and to enable blood flow to bypass the filter should the filter become heavily occluded.

Abstract: Disclosed herein are biodegradable scaffolds for in situ tissue engineering. In some examples, biodegradable vascular grafts and methods of fabricating and uses of such are disclosed. In some examples, a vascular graft includes a biodegradable scaffold including a biodegradable polyester tubular core, a biodegradable polyester electrospun outer sheath surrounding the biodegradable polyester tubular core and/or a thromboresistant agent, such as heparin, coating the biodegradable scaffold. The disclosed vascular grafts can be used for forming a blood vessel of less than 6 mm, including, but not limited to a coronary or peripheral arterial.

Abstract: The present disclosure provides a method for creating a Biologically Modified Vein Graft with improved survival by pretreating the vein to be used as a vascular graft with compositions comprising oligo-L-arginine, or salts thereof, and an organic acid or a salt thereof. The disclosure further provides methods of improving vascular vein graft survival comprising pretreating the graft for a set period of time with a set concentration of oligo-L-arginines in a buffer comprising either the organic acid or the salt thereof and flushing the BMVG before implantation with the same buffer absent the arginine oligomer. This treatment may prevent vein graft disease in the transplanted vessel.

Abstract: A graft and method for implantation of the graft in a blood vessel of a patient is described. The graft may have proximal and distal ends, with an expandable mesh positioned adjacent the distal end that is configured to transition from an insertion diameter relative to a deployed diameter. The graft may also include a cover configured to extend at least from the proximal end to the distal end and a suture cuff positioned adjacent the distal end. During deployment, the distal end of the graft may be inserted through an opening in a wall of the blood vessel or an end of the vascular graft. The distal end of the graft is expanded from the insertion diameter to the deployed diameter to secure the graft within the blood vessel or the vascular graft. The suture cuff of the graft is sutured to the blood vessel or the vascular graft.

Abstract: In a biomimetic artificial muscle module, a biomimetic artificial muscle assembly having the biomimetic artificial muscle module, and a method of controlling the biomimetic artificial muscle module, the biomimetic artificial muscle module includes an operating part, an elastic part, a driving part, a locking part and first and second sensors. The operating part contracts or relaxes along a longitudinal direction. The elastic part is connected to a first end of the operating part, and behaves elastically behave according to an external force. The driving part is connected to a second end of the operating part, and drives the operating part to be contracted or relaxed. The locking part selectively blocks a length of the operating part from being changed. The first and second sensors respectively sense the elastic part and the operating part.

Abstract: Devices and methods for fixating a graft tendon in a bone tunnel for a ligament reconstruction or repair procedure are provided. In general, the described implantable tissue fixation device includes first and second elongate, substantially rigid support members that are discrete elements separated from each other, and at least one flexible member connecting the rigid support members. The tissue fixation device can have changeable dimensions such that it has at least one dimension that is smaller in a delivery configuration than in a deployed configuration. In both delivery and deployed configurations, the first and second rigid support members are positioned in a non-intersecting orientation with respect to one another. A graft retention loop coupled to the tissue fixation device has the graft tendon coupled thereto and extending into the bone tunnel so as affix the graft into the bone.

Abstract: A surgical kit for tendon fixation on a bone comprises a working end for passing suture through a bone tunnel and a cannulated device for housing the suture within a channel to provide a dynamic suture fixation that yields a compressive force on the bone over the tendon fixation region.

Abstract: A breast implant includes an outer shell made of a polymer and a filler material disposed within the outer shell. At least one opaque marking is disposed on the outer shell. The opaque marker is visible through the skin when a light emitter emits light through the chest tissue. This allows a user to determine if the breast implant is flipped or rotated based on the location of the opaque marker.

Abstract: Reversibly deformable corneal implants for replacing excised corneal tissue, the implants including an optical portion and an anchoring portion having different mechanical properties from each other.

Abstract: Materials and methods of manufacturing intraocular lenses, including polymeric materials for the intraocular lenses, fluids for intraocular lenses, and adhesives for intraocular lenses. The intraocular lenses can include an optic portion and a peripheral region in fluid communication.

Abstract: Ossicular prostheses, and methods for producing such, are disclosed for treatment of middle ear damage caused by a malady of the middle ear such as cholesteatoma. The ossicular prostheses comprises a strut component attached to a disc via a rigid or flexible connecting joint. The strut is attachable to a head or footplate of a subject's stapes. The disc is attachable to the subject's existing tympanic membrane, or, alternatively, to an artificial tympanic membrane graft. In some embodiments, a scaffold is used to support the ossicular prosthesis and the tympanic membrane graft.

Abstract: A delivery system includes an elongate shaft, a handle, a first clasp control member, and a second clasp control member. The handle is connected to a proximal portion of the elongate shaft. The first and second clasp control members each extend into a distal portion of the elongate shaft, through at least a portion of the elongate shaft, out of the proximal portion of the elongate shaft, and through the handle. The first and second clasp control members have paths that include a first parallel portion in the elongate shaft where the first clasp control member and the second clasp control member are parallel, and a diverging portion that is proximal to the first parallel portion where the first clasp control member diverges from the second clasp control member.

Abstract: Described embodiments are directed toward prosthetic valve leaflets of particular configurations that control bending character. In embodiments provided herein, valve leaflets are operable to bend along a base of the valve leaflets.

Abstract: Methods of compressing a stented prosthetic heart valve are disclosed. The method including inserting a stented prosthetic heart valve having a self-expandable stent frame into a container, initiating a cooling element in the container, transferring heat through a thermal conductor to cool an interior of the container, reducing a temperature of the self-expandable stent frame while located within the container to a critical temperature of not greater than 8° C., and compressing an outer diameter of the stented prosthetic heart valve while the stented prosthetic heart valve is at the critical temperature.

Abstract: A heart valve assembly includes a base including a multi-lobular annular shape within a plane, a valve member or other annular body including a multi-lobular shape complementary to the shape of the base, and cooperating connectors on the base and the annular body for connecting the annular body to the base. The base includes an anchoring ring, and a flexible cuff for attaching the base to a biological annulus. The base and the annular body include guides for aligning their multi-lobular shapes, e.g., visual, tactile, or other markers, or tethers that extend from the base that are slidable through the annular body. During use, the base is attached to a biological annulus, the annular body is directed adjacent the annulus, oriented such that the multi-lobular shape of the annular body valve member is aligned with the base, and the annular body is attached to the base.

Abstract: A frame assembly (222) includes a tubular portion (32) that defines a lumen along an axis; a plurality of arms (46) coupled to the tubular portion at a first axial level, each of the arms extending radially outward from the tubular portion to a respective arm-tip; and a plurality of ventricular legs (50) that are coupled to the tubular portion at a second axial level, and that extend radially outward from the tubular portion. A first sheet (440) has a greater perimeter (446), and a smaller perimeter (448) that defines an opening. The first sheet is stitched onto the plurality of arms, with the opening aligned with the lumen. Subsequently, an outer perimeter (454) of a second sheet (450) is stitched to the greater perimeter of the first sheet. Subsequently, the second sheet is everted by passing an inner perimeter (452) of the second sheet around the arm-tips.

Abstract: A transcatheter valve prosthesis includes a balloon expandable stent and a prosthetic valve. An inflow portion of the stent includes a plurality of crowns and a plurality of struts with each crown being formed between a pair of opposing struts. Endmost inflow side openings and endmost inflow crowns are formed at the inflow end of the stent and the inflow end of the stent has a total of twelve endmost inflow crowns. An outflow portion of the stent includes a plurality of crowns and a plurality of struts with each crown being formed between a pair of opposing struts. Endmost outflow crowns are formed at the outflow end of the stent and the outflow end of the stent has a total of six endmost outflow crowns. The prosthetic valve is disposed within and secured to the stent.

Abstract: A modular valve prosthesis includes an anchor stent and a valve component. The anchor stent includes a self-expanding tubular frame member configured to be deployed in the aorta and a proximal arm component extending from a proximal end of the tubular frame member and configured to be deployed in the sinuses of the aortic valve. The anchor stent further includes attachment members extending from an internal surface of the tubular frame member. The valve component includes a valve frame configured to be deployed within the tubular frame member of the anchor stent such that the valve frame engages with the attachment members of the tubular frame member and a prosthetic valve coupled to the valve frame.

Abstract: Apparatus and methods are described herein for use in the delivery and deployment of a prosthetic mitral valve into a heart. In some embodiments, an apparatus includes a catheter assembly, a valve holding tube and a handle assembly. The valve holding tube is releasably couplable to a proximal end portion of the catheter assembly and to a distal end portion of the handle assembly. The handle assembly includes a housing and a delivery rod. The delivery rod is configured to be actuated to move distally relative to the housing to move a prosthetic heart valve disposed within the valve holding tube out of the valve holding tube and distally within a lumen of the elongate sheath of the catheter assembly. The catheter assembly is configured to be actuated to move proximally relative to the housing such that the prosthetic valve is disposed outside of the lumen of the elongate sheath.

Abstract: A tray and packaging system for a prosthetic valve delivery system permits conversion from a storage and/or shipping configuration to a set up and preparation configuration. In a first configuration, a delivery system can be supported by first and second main trays with the elongate catheter of the delivery system arranged to extend linearly from the first main tray to the second main tray, and in a second configuration, the delivery system can be supported by the first and second main trays with the elongate catheter of the delivery system turned back in a U-shaped manner with the deployment portion of the delivery system positioned to the side of the control handle portion of the delivery system.

Abstract: Methods of deploying and securing a heart valve prosthesis are disclosed. A heart valve prosthesis having a plurality of anchor guides is loaded within a catheter-based delivery device, wherein each of the anchor guides is releasably engaged by a respective elongate member and wherein tensioning of the elongate members aids in collapsing the prosthesis during loading. The delivery device is advanced via a transcatheter procedure to position the heart valve prosthesis at an implantation site. The heart valve prosthesis undergoes controlled deployment by controlling the release of tension on the elongate members. After deployment of the heart valve prosthesis, an anchor tool is advanced along at least one elongate guide member to the anchor guide associated therewith and positioned at a securement site. When the securement site is reached, an anchor clip is released from the anchor tool to secure the prosthesis to the heart.

Abstract: A percutaneous device including a temporary valve attached to a sheath, the sheath having an inverting section for delivery and removal thereof from a blood vessel. The sheath is inverted for delivery, housing the valve between inverted layers thereof. To deploy said valve, the sheath is everted to position the temporary valve on an outer surface thereof. The temporary valve and sheath are reversibly movable between inverted and deployed configurations. Upon eversion, the temporary valve assumes a radially expanded canopy shape having an outer diameter selected to contact the vessel wall and allow blood flow in only one direction. The temporary valve may be removed by releasing one end of the valve from the sheath, flattening the temporary valve along the longitudinal axis of the sheath. Also provided is a temporary valve system comprising a dilator for inverting and everting the sheath, said dilator being removably connected to the sheath.

Abstract: An implant for repairing an articular cartilage defect site including an implant fixation portion with an upper segment and at least one bone interfacing segment and a top articulating portion with an articulating surface and an engagement surface. The upper segment includes a supporting plate with a first locking mechanism segment. The engagement surface includes a second locking mechanism segment. The first locking mechanism segment with at least two channels is structured to couple to the second locking mechanism segment with at least two protrusions. The at least one bone interfacing segment structured for insertion into the articular cartilage defect site. An implant including an implant fixation portion, a top articulating portion, and a locking mechanism with a first locking segment coupled to the upper segment and a second locking segment coupled to the at least one engagement surface and structured to couple to the first locking segment.

Abstract: The invention relates to an implant for replacing bone or cartilage material, which is constituted by a plurality of elements (B, B1, B2, B3, B4) produced from a non-metallic, linearly elastic material, an element (B, B1, B2, B3, B4) being connected to adjacent elements (B, B1, B2, B3, B4) by a viscoelastic polymer material such that gaps (L) remain between the adjacent elements (B, B1, B2, B3, B4) and that the adjacent elements (B, B1, B2, B3, B4) can move relative to one another.

Abstract: An orthopaedic prosthesis system includes a femoral component configured to be attached to a distal end of a patient's femur. A tibial tray is configured to be attached to a proximal end of a patient's tibia. A tibial insert is configured to be positioned between the femoral component and the tibial tray. An elongated pin rotatably couples the tibial insert to the femoral component.

Abstract: An orthopaedic prosthesis includes a femoral component configured to be attached to a distal end of a patient's femur. A tibial tray is configured to be attached to a proximal end of a patient's tibia. A tibial insert is configured to rotate relative to the tibial tray. A modular insert is received in a cavity defined in the tibial insert. The femoral component is rotatably coupled to the body of the modular insert.

Abstract: The invention relates to a femoral component (1) of a knee replacement assembly. The knee replacement assembly is arranged to articulate about an articulation axis (X). The femoral component comprises an outer surface (100), wherein the outer surface is arranged to define a replacement condyle; and an inner surface (200), opposed to the outer surface, wherein the inner surface is adapted for attachment to a prepared distal femur. The inner surface comprises portions (210, 220, 230, 240) provided with mutually-parallel ridges (201) and grooves (202). The ridges and grooves are arranged to provide an increased or reduced stiffness of the femoral component when cantilevered about the articulation axis compared with a stiffness of the femoral component when cantilevered about a transverse axis.

Abstract: A fixation device for a knee replacement. The fixation device includes a stem configured to be fixedly attached to one of a tibial component of the knee replacement and a femoral component of the knee replacement. The stem has a continuously tapered outer surface and has a distal end that is distal to said one of the tibial component and the femoral component. A tapered projection is positioned on the continuously tapered outer surface and is tapered in the same direction as the continuously tapered outer surface. The stem and the tapered projection are configured so that the continuously tapered outer surface and the tapered projection engage a patient's bone when the stem is inserted into a bone canal within the patient's bone. In addition, the continuously tapered outer surface of the stem at the distal end of the stem and the tapered projection are configured to mechanically fix the knee replacement to the patient's bone by being wedged within the bone canal.

Abstract: A total knee prosthesis to be implanted in a human patient includes a femoral element having a longitudinal axis, a tibial plateau having a longitudinal axis and a mobile plate. The mobile plate is interposed between the femoral element and the tibial plateau to form two joints with them wherein: a) the surfaces of mutual friction of the femoral element with the mobile plate and the surfaces of mutual friction of the tibial plateau with the mobile plate are entirely constituted by one and the same massive ceramic material; and b) the mobile plate includes two condylar bowls, and the femoral element includes two condyles, the condyles and the condylar bowls each having surfaces of mutual friction spaced apart from each other by a distance smaller than 100 ?m when the longitudinal axes of the femoral element and the tibial plateau form an angle of 0° to 75°.

Abstract: A joint replacement implant is disclosed. The implant includes a body having a bone contact surface and an articulation surface. An expandable stem extends longitudinally from the bone contact surface. The expandable stem includes a plurality of flanges. The plurality of flanges are expandable from a first diameter to a second diameter to anchor the implant to a bone.

Abstract: Artificial intervertebral discs include an annulus fibrosus portion and a nucleus pulposus portion. Annulus fibrosus portions disclosed and contemplated herein include a plurality of layers. Fibers within the layers are arranged to provide a crisscross pattern between adjacent layers. Nucleus pulposus portions disclosed and contemplated herein can include a flexible, sealed enclosure.

Abstract: A prosthetic system for implantation between upper and lower vertebrae having an upper joint component and a lower joint component. The joint is adapted for implantation within a disc space between the upper and lower vertebrae, allowing the upper and lower vertebrae to move relative to one another. The system further includes a bridge component extending posteriorly from the lower joint component and from the disc space, with the bridge component having a lower contact surface configured for engaging a resected bone surface of a pedicle of the lower vertebrae. The distal end of the bridge component comprises a connection component adapted to receive a fastener.

Abstract: Apparatus and associated methods relate to a laterally expandable spinal implant configured with pivoting wings adapted to secure the implant when inserted between vertebrae with stabilizing force applied to the vertebrae by shaft-driven wedges coupled with the wings. In an illustrative example, the wings may pivot along a hinge axis to swing outward from the implant central body until they press against vertebral endplates superior and inferior. The hinge may be, for example, disposed longitudinally to the implant central body. In some examples, four wings may be mounted axially in the implant central body. Some embodiments may include shaft-driven wedges coupled with the wings and adapted to force the wedges out laterally from the central body. Various examples may advantageously provide improved post-implant spinal stability, enhanced post-implant bone growth, and increased implant contact area with bone, based on the implant pressing the wings against the endplates as the shaft rotates.

Abstract: A long-pitch, helical anchor includes splines radially extending and helically progressing circumferentially around and along the arcuate length of a curved center line (central curve). The center line may progress along the curved length of the anchor with all splines meeting near the center line. In other embodiments, the center line passes along the center of a lumen or channel from which the splines extend radially along the length. A solid point acts as a cutting edge on a distal end of the anchor. All the splines converge to the center line. Installation may be with or without a stabilizing frame, such as may be used to fill gaps and promote bone growth between joined members. The anchors may be used directly to connect and provide compression between two bones or bone structures.

Abstract: A cage for implanting in bone includes a main body having a fastener mounting receiver. The main body includes a first surface that contacts a first bone surface, a second surface that contacts a second bone surface, a side wall extending between the first and second surfaces, and a front wall comprising a connection surface, wherein the fastener mounting receiver extends from the connection surface. A fastener is placed within the fastener mounting received and configured to engage and fix a plating device on the connection surface of the main body.

Abstract: An intervertebral implant for implantation in an intervertebral space between vertebrae. The implant includes a body, an articulating element, and a blocking member. The articulating element can articulate in-situ, thereby allowing articulation of the spinal implant into a desired position within the disc space.

Abstract: A graft compression system for compressing soft tissue grafts used in connection with reconstructive surgery on the anterior cruciate ligament (ACL). The graft compression system includes a compression chamber having an elongate hollow shaft body having two ends that are threaded to mate with correspondingly threaded collet nuts. Collets are removably inserted into, and engage, the collet nuts fastened to opposing ends of the compression chamber A surgical graft may be inserted into a hollow compression tube having a lumen with a compressible diameter, said compression tube being sized for insertion into the collets and compression chamber. When such collet nuts are tightened by a user of the graft compression system, the inner diameters of the respective collet nuts nested within such collet nuts are decreased, causing the diameter of the lumen of the hollow compression tube to in turn be decreased and compress the surgical graft within.

Abstract: In some embodiments, the present disclosure relates to a system that includes an insertion tool and a drill guide. The insertion tool includes a body with a distal portion and a distal end. The body has a first engagement feature extending longitudinally along the distal portion and two arms extending longitudinally from the distal end of the body. The drill guide includes two bores and an open faced channel therebetween. The open faced channel includes a second engagement feature slidably engageable with the first engagement feature on the body of the insertion tool. The two bores are adapted for the disposal of a fastener driver tool therethrough.

Abstract: A surgical instrument and method for inserting a spinal implant in the intervertebral disc space between two adjacent vertebrae and an anchor engageable with the implant and an adjacent vertebra are provided. The instrument includes an inserter having an engagement portion including a distal engagement surface for interfacing with the implant and a handle portion. The engagement portion includes a track for slidably translating the anchor toward the engagement surface. A kit is provided including the inserter and a tamp to force the anchor into engagement with the implant and the adjacent vertebra. The kit may also include a cutter for piercing the adjacent vertebra.

Abstract: A minimally invasive intervertebral implant includes a circuitous body defining a luminal axis extending longitudinally therethrough. The circuitous body includes proximal and distal ends oppositely disposed along a lateral axis of the circuitous body. Each of the proximal and distal ends includes an aperture disposed therethrough such that the circuitous body includes a first configuration wherein the proximal and distal ends are at a maximum separation and a second configuration wherein the proximal and distal ends are closer together than in the first configuration.

Abstract: At least one of axial stiffness (i.e. bending stiffness) and radial stiffness of a luminal stent of a luminal stent assembly, or of the luminal stent assembly, linking a fenestrated aortic prosthesis to a branch of a branched artery, decreases with increasing distance from a proximal end of the luminal stent or the luminal stent assembly, and a method of their use implants the luminal stent, the luminal stent, or a luminal stent system that includes at least one of the luminal stent or stent assembly in a branched artery to therapeutically treat a diseased tissue at the branched artery.

Abstract: A retrievable stent and retrieval catheter for biological usage.

Abstract: A bioresorbable biopolymer stents can be deployed within a blood vessel and resorbed by the body over a predetermined time period after the blood vessel has been remodeled. A ratcheting biopolymer stent can include a ratcheting mechanism that allows the biopolymer stent to be deployed on a small diameter configuration and then expanded to a predefined larger diameter configuration wherein after expansion, the ratcheting mechanism locks the biopolymer stent in the expanded configuration. A folding biopolymer stent can be deployed in a folded, small diameter configuration and then expanded to an unfolded configuration having a larger diameter. The bioresorbable biopolymer can include silk fibroin and blend that include silk fibroin materials.

Abstract: A stent graft system includes a tubular graft component, a bare stent component, an infrarenal stent component at least one suprarenal barb extending distally from at least one suprarenal portion of the bare stent component and at least one infrarenal barb extending distally from at least one infrarenal portion of the bare stent component. A stent graft system can also include at least one barb.

Abstract: The present invention relates to a reflux disease treatment apparatus comprising an implantable movement restriction device that maintains cardia in the correct position and an implantable stimulation device adapted to engage with the cardia sphincter of a patient. The invention further comprises a control device for controlling the stimulation device to stimulate the cardia sphincter. The invention can be combined with various methods for treating obesity, in particular methods that creats satiety by stretching the wall of the stomach or fills out a volume of the stomach.

Abstract: Methods and apparatus are disclosed regarding orthopedic support devices adapted for stabilizing a part of a body of a wearer, in which an integrated pressure modulation mechanism is adapted to be coupled to at least one evacuable bladder containing molded beads. An exemplary orthopedic support device comprises an orthopedic walker adapted for stabilizing a foot of a wearer. The orthopedic walker comprises an integrated adjustable stabilization system comprising an integrated pressure modulation mechanism, a bladder, a plurality of molded beads inside the bladder, and a bladder coupling. The bladder coupling couples the bladder with the integrated pressure modulation mechanism.

Abstract: An orthopedic device for treatment of anterior cruciate ligament complications, including a knee support with a strap system for providing variable assistance during gait, particularly as a user flexes a knee. A method for using the orthopedic device involves providing increased loading at certain flexion angles and diminished loading at other flexion angles and extension.

Abstract: The present disclosure disclosed a device and a method for cleaning excrements. The device comprises a cleaning machine, an outer cover an inner body. The outer cover is wearable to a person and is coupled to the inner body. The inner body comprises at least one sensor and a cleaning assembly. The sensor is configured for sensing excrement and triggering the cleaning machine to collect the excrement through the tube. The cleaning assembly is connected to the cleaning machine and is configured for cleaning the person. The method comprises acts of cleaning excrement based on the modes and the excrement sensed result. Therefore, the present disclosure is able to assist people without autonomy to clean up excrements in a comfortable manner without others help.