Abstract: A scaffold (12) for tissue engineering comprises an inner portion (14), an outer portion (16), and a base portion (22) connecting the inner portion and the outer portion. The inner portion (14) comprises a channel (18) surrounded by a first set of one or more walls. The outer portion (16) comprises a second set of one or more walls. The portions are arranged such that the second set of one or more walls substantially surrounds the first set of one or more walls with a spacing between the first and second sets of walls defining a cavity (20) between the inner portion (14) and the outer portion (16). The inner portion (14) and the outer portion (16) may have different shapes; and/or the scaffold (12) may further comprise a filler material in the cavity (20) defined between the inner and outer portions.

Abstract: Techniques for fabrication of implant material for the reconstruction of fractured eye orbit may include using an image processing system to analyze a set of two-dimensional images representing a three-dimensional scan of a skull of a patient, automatically detect an orbital fracture in the skull based on the set of two-dimensional images, and identify which/both of the two eye orbits containing any orbital fracture. The techniques may further include, for each of the two-dimensional images in which the orbital fracture is detected, determining a region of interest, and extracting the region of interest. The techniques may further include generating a three-dimensional reconstruction model for the fractured eye orbit, and outputting model data for generating an implant mold for the fractured eye orbit.

Abstract: In one embodiment, the present disclosure relates to an acetabular cup for implantation into a prepared acetabulum. The acetabular cup includes an inner surface, an outer surface, and an end face that separates the inner surface and the outer surface. The end face is opposite a polar region of the acetabular cup and circumscribes an open end of the acetabular cup. A plurality of protrusions project outwardly from the outer surface at predefined locations. The acetabular cup is operatively engaged to the prepared acetabulum in a planned orientation when the plurality of protrusions are received in corresponding predefined recesses in the prepared acetabulum.

Abstract: An orthopedic medical device assembly that includes a first bearing for attachment to an implant and a second bearing for attachment to an implant, such as a glenosphere.

Abstract: Implants, instruments, and methods are presented for fixing adjacent bone portions to promote fusion of the bone portion.

Abstract: A fusion implant and fusion members for fusing target bones of an upper extremity. The fusion implant including internally threaded apertures of a first thread lead, and the fusion members including threading of the first thread lead and threading of a second thread lead that is less than the first thread lead. The fusion implant and a targeting instrument being configured to couple to one another in a predefined orientation. The predetermined orientation resulting in alignment of aspects of the fusion implant with aspects of the targeting instrument. A guide clamp for facilitating forming of an implant cavity in adjacent bones for implantation of the fusion implant therein. A surgical method for facilitating fusion of adjacent target bones utilizing a fusion implant, fusion members, a targeting instrument and a guide clamp to reduce space between the adjacent bones such that they at least abut one another.

Abstract: A spinal implant includes a first member having a wall that defines an axial cavity. A second member extends between a first end and a second end and defines a longitudinal axis. The second member is configured for disposal with the axial cavity and translation relative to the first member. A third member has an outer surface engageable with tissue and an inner surface disposed to dynamically engage the first end in response to the engagement of the outer surface with the tissue. Systems and methods are disclosed.

Abstract: The present invention provides a spinous process implant and associated methods. In one aspect of the invention, the implant includes a spacer that is connectable to two extensions. One of the two extensions is connectable to the spacer at a first end and coupled to the spacer by a rotational connection. The other of the two extensions is movably connectable to the second end of the spacer and translatable over the outer surface of the spacer from the second end.

Abstract: An expandable, adjustable inter-body fusion device is presented. The inter-body fusion device can have a first plate, a second plate, and an insert positioned substantially therebetween the first plate and the second plate. The first plate, the second plate, and the insert define an interior cavity. Moving the insert longitudinally with respect to the first and second plates increases or decreases the distance of the first plate with respect to the second plate, effectively expanding the inter-body fusion device and increasing the volume of the interior cavity. The angle between the first plate and the second plate is selectively adjustable.

Abstract: Medical implants may include a core body of a first material and one or more attached portions of a second material that enhances osseointegration into the medical implant. The attached portions may include wall-like shapes, sleeve-like shapes, or combinations thereof. The attached portions may be attached to perimeter surfaces of the core body of the implant. The attached portions may conform to and be in substantially continuous contact with the portions of the perimeter surfaces to which they are attached. The attached portions may generally sheathe the geometric area of the portions of the perimeter surfaces to which they are attached.

Abstract: The present invention generally relates to bone implants. More specifically, the present invention relates to bone implants used for the fixation and or fusion of the sacroiliac joint and/or the spine. For example, a system for fusing and or stabilizing a plurality of bones is provided. The system includes an implant structure having a shank portion, a body portion and a head portion. The body portion is coupled to the shank portion and is configured to be placed through a first bone segment, across a bone joint or fracture and into a second bone segment. The body portion is configured to allow for bony on-growth, ingrowth and through-growth. The head portion is coupled to the proximal end of the shank portion and is configured to couple the shank portion to a stabilizing rod. Methods of use are also disclosed.

Abstract: An expandable, adjustable inter-body fusion device is presented. The inter-body fusion device can have a first plate, a second plate, and an insert positioned substantially therebetween the first plate and the second plate. The first plate, the second plate, and the insert define an interior cavity. Moving the insert longitudinally with respect to the first and second plates increases or decreases the distance of the first plate with respect to the second plate, effectively expanding the inter-body fusion device and increasing the volume of the interior cavity. The angle between the first plate and the second plate is selectively adjustable.

Abstract: Spinal implants that are configured for a minimally invasive approach to a patient's intervertebral disc space, optimized to avoid blood vessels and nervous tissue, maximizing endplate coverage and promoting sagittal balance, are provided. Insertion and fixation can be accomplished through a narrow access window, thereby allowing better access to more spinal levels while being less invasive than other approaches. The spinal implants may facilitate fusion, and include visualization features to assist in the implantation and verify proper placement and vary segmental angle of lordosis. Methods of implanting the spinal implants to treat a patient's spine are also disclosed.

Abstract: The present disclosure in one aspect provides a surgical implant comprising an upper bone contacting surface comprising a plurality of irregularly shaped pores having an average pore size, where the pores are formed by a plurality of struts, a lower bone contacting surface comprising a plurality of irregularly shaped pores having an average pore size, wherein the pores are formed by a plurality of struts; and a central body comprising a plurality of irregularly shaped pores having an average pore size, wherein the pores are formed by a plurality of struts, wherein the average pore size on the upper and lower bone contacting surfaces is different than the average pore size on the central body.

Abstract: An intervertebral implant includes a three-dimensional body and a securing plate. The three-dimensional body includes a front surface and a rear surface. The three-dimensional body further includes a plurality of boreholes for accommodating fixation elements. The intervertebral implant also includes a front plate disposed at the front surface of the three-dimensional body and has a plurality of boreholes. A securing plate can be fastened to the front plate.

Abstract: A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.

Abstract: A dilation introducer for orthopedic surgery is provided for minimally invasive access for insertion of an intervertebral implant. The dilation introducer may be used to provide an access position through Kambin's triangle from a posterolateral approach. A first dilator tube with a first longitudinal axis is provided. A second dilator tube may be introduced over the first, advanced along a second longitudinal axis parallel to but offset from the first. A third dilator tube may be introduced over the second, advanced along a third longitudinal axis parallel to but offset from both the first and the second. An access cannula may be introduced over the third dilator tube. With the first, second, and third dilator tubes removed, surgical instruments may pass through the access cannula to operate on an intervertebral disc and/or insert an intervertebral implant.

Abstract: An osteotome having a shaft assembly that includes a guide extending in a longitudinal direction of the shaft assembly, and a blade adjacent the guide and extending in the longitudinal direction of the shaft assembly.

Abstract: An acetabular liner having a closed first end, an open second end, and a liner wall having a distal peripheral edge. The acetabular liner wall can include an interior surface, an exterior surface configured to be received within an acetabular shell, a first cutout through the liner wall, a second cutout parallel to the first cutout and through the liner wall, and a third cutout in the interior surface partially through the liner wall, the third cutout extending between the first and second cutouts, and at least one movable tab extending from the peripheral edge inwardly towards an axial center of the liner and having sidewalls defined by one of the sets of cutouts, the tab comprising at least one projection on an exterior surface of the tab configured to removably secure to a portion of an acetabular shell.

Abstract: An example stent delivery system is disclosed. The example stent delivery system includes an outer shaft having a distal end region, an inner surface and a lumen extending therein. The delivery system also includes an inner shaft extending within the outer shaft lumen, the inner shaft having a stent receiving region disposed along a distal end region thereof. Additionally, the delivery system includes a stent disposed along the stent receiving region and a braided member positioned radially outward from an outer surface of the stent and radially inward from the inner surface of the outer shaft, the braided member being attached to an outer surface of the inner member proximal of the stent. Additionally, the delivery system includes a plurality of tether members coupled to the braided member, wherein longitudinal retraction of the outer shaft relative to the inner shaft exposes the stent from the braided member.

Abstract: A stent delivery system includes a cannula with a proximal end separated from a distal carrier segment by an unbroken inner surface and an unbroken outer surface. The distal carrier segment is attached to a tip, and the proximal end of the cannula is attached to a hub. A pusher is co-axially mounted about the cannula and has a proximal end attached to the hub. A retractable sheath is co-axially mounted about the cannula and the pusher, and is movable between a first position covering the distal carrier segment and a second position uncovering the distal carrier segment. A self expanding stent is mounted about the distal carrier segment. The hub includes exactly one flushing port in fluid communication with a lumen of the cannula and annular passage between the cannula and the pusher.

Abstract: A gastric positioning device includes a distal tip disposed at a distal end portion of an elongate shaft. The distal tip has an asymmetrical geometry including a closed distal end having a blunt apex aligned along a tip axis that is laterally offset from a central longitudinal axis of the elongate shaft. The gastric positioning device may additionally or alternatively include a handle extending from a proximal end portion of the elongate shaft and a force monitoring system including a force sensor for detecting force applied to the distal tip and an indicator for signaling when the force exceeds a pre-set force threshold value.

Abstract: Movement restraining device (1) for partially immobilizing a body joint (10) facilitating rotation of a body part (20) about a joint axis (40). The device comprises a) a first stopper element (50) having an abutment surface (70); b) a second stopper element (60), comprising an abutting surface (100), pivotable, relative to the first stopper element. The second stopper element can be pivoted into an abutting pivot position, in which position the abutting surface is in surface contact with the abutment surface; c) skin attachment means (90) for attaching the stopper elements to skin at the body joint; and d) electrical contact elements (310, 320), connectable to an indicator device for providing an indication when the contact elements are in electrical contact with each other. The first contact element can be brought into electrical contact with the second contact element by pivoting the second stopper element into the abutting pivot position.

Abstract: The present invention relates to sanitary protection article that is structured and arranged to maintain menstrual fluid within the vagina and thereby prevent the menstrual fluid from escaping the body. The present invention also relates to a method of selectively maintaining menstrual fluid within the vagina by means of using such article.

Abstract: An ostomy appliance comprising: first and second walls connected to each other at or near their peripheries, the first wall having a stoma-receiving opening; a connection member connected to the first wall for attaching the appliance to a user; an aperture located in either of the first and/or second walls for permitting waste gases to exit the appliance; a multi-layer filter positioned adjacent and covering the aperture on an exterior surface of the respective first and/or second wall, wherein a layer of the filter is hydrophobic and wherein said hydrophobic layer is positioned directly adjacent the respective first and/or second wall, wherein the hydrophobic layer has a first side and a second side and wherein the first side is connected directly to the respective first and/or second wall, said connection holding the multi-layer filter relative to the wall.

Abstract: A mouth guard includes a tray configured to encompass at least anterior teeth of a dental arch. The tray includes a pair of protrusions extending away from the tray, each protrusion configured to generally overlie a canine of the dental arch. The protrusions are configured to engage one or more anterior teeth of a dental arch, whereby damage to the at least anterior teeth of the dental arch is reduced or prevented.

Abstract: A retainer appliance includes a retainer body, a frame, a first clasp, and a second clasp. The retainer body is configured to contour a roof of a mouth of a patient and includes a bite block extending therefrom. The frame is secured to the retainer body and extends therefrom. The first clasp extends from a left portion of the retainer body and is configured to couple to a first tooth located in the mouth of the patient. The second clasp extends from a right portion of the retainer body and is configured to couple to a second tooth located in the mouth of the patient.

Abstract: A surgical device for the protection of intrauterine device removal threads during surgical procedures, the device comprising: a shaft having a proximal end and a distal end; and a retriever coupled to the distal end of the shaft and having; a flange projecting therefrom, a proximal aperture, and a distal aperture.

Abstract: Systems, methods and kits for self-insertion and self-removal of an IUD device.

Abstract: An electrotherapy insole apparatus comprises an electrotherapy device and an insole. The electrotherapy device provides the electrotherapy stimulation and/or heat to the insole, and the insole contacts the foot of a user for the electrotherapy. The electrotherapy device attaches to and detaches from the insole. This allows the user to wash the insole if necessary. Also, this allows the user to replace the insole if necessary, providing an affordable replacement of insole and a long use of the electrotherapy device. The integrated circuit board inside the electrotherapy device is powered by the rechargeable battery or similar power source.

Abstract: A rollable apparatus includes a housing being annular in shape, a heating element mounted about the exterior of the housing, a vibration-inducing motor mounted in the interior of the housing and attached thereto, and a set of batteries mounted in the interior of the housing. The set of batteries is provided for powering the heating element to control the temperature of the housing and for powering the vibration motor to induce oscillatory motion in the housing. The apparatus also includes a set of user controls mounted so as to be accessible at the exterior of the housing, a front cover removably mounted so as to form a portion of the exterior of the housing at one end thereof, and a skin of pliable cushioning material covering the housing.

Abstract: A thermal control unit for delivering temperature-controlled fluid to one or more patient therapy devices (e.g. pads, blankets, etc.) that are in contact with a patient is disclosed. The thermal control unit allows multiple patient therapy devices to be fluidly coupled thereto and to individually monitor the temperatures, flow rates, and/or connections/disconnections of the patient therapy devices. A user interface enables a user to designate outlet ports to the therapy devices as active or inactive, and the control unit provides notifications to the user if any of the active ports experience an undesired condition, or if a patient therapy device is connected to an inactive port. The user interface further allows the user to designate one of multiple patient temperature probes as a primary probe. The primary probe is used to control the temperature of the fluid circulating through the control unit.

Abstract: A cooling system (10) for cooling at least one extremity, such as a finger or toe, or body part of a human is provided. The cooling system (10) comprises at least one malleable thermal conductive viscoelastic material (11), adapted to be formed into a homogenous body around and fully covering the at least one extremity or body part, thereby providing for a complete and continuous direct contact between the malleable thermal conductive viscoelastic material and the at least one extremity or body part. Moreover, the cooling system (10) comprises a cooling circuit (12) for providing cooling at least partly around said homogenous body of malleable thermal conductive viscoelastic material (11).

Abstract: Cold plates through which refrigerant flows define a slot between them that can receive a cassette through which sterile working fluid with a relatively low flow rate flows from an intravascular heat exchange catheter or external pad. The slot may have bulge cavities along the edges to permit the membrane of the cassette to expand and thus establish fluid supply and return passageways.

Abstract: Generation of treatment recommendations for topographic-based excimer laser surgical procedures is described that includes generating accurate cylinder compensation and spherical compensation values that are adjusted to compensate for unique characteristics of topographic-based excimer laser surgical systems. Generating treatment recommendations generally includes determining a topographic vector, a posterior astigmatism vector and an anterior astigmatism vector, and generating an internal astigmatism vector using the topographic vector, the posterior astigmatism vector, the anterior astigmatism vector, and a manifest astigmatism vector. In embodiments, the cylinder compensation is generated using multiple vectors while subtracting the internal astigmatism vector and the posterior astigmatism vector which remain in the eye after treatment, and the spherical compensation is generated using an initial spherical compensation modified by addback modifiers and a regression analysis nomogram.

Abstract: A patient interface system is disclosed for positioning a patient's eye opposite a laser device for laser surgery. The system including a patient interface for coupling to the patient's eye and a patient interface holder for arranging the patient interface on the laser device. The patient interface holder includes a connection device for coupling a camera system. The patient interface holder and the patient interface have corresponding channels that delimit an optical path between the connection device and the patient interface. The channel of the patient interface is arranged such that is runs at least partially on an outer circumference of a suction cup part of the patient interface. Also disclosed are a camera system, a method for coupling a patient interface with a patient interface holder, as well as a patient interface and a patient interface holder, for a patient interface system.

Abstract: The present invention provides a cannulation device for administering an active agent containing composition into the eye. The invention provides methods of treatment of an ocular disease or condition accordingly. The invention also provides a method for injection of a material accordingly.

Abstract: In an ophthalmic laser surgical system, a real-time optical coherence tomography (OCT) measurement method acquires OCT data during laser treatment. The treatment laser beam and OCT sample beam are generated simultaneously, and the optical delivery system scans them simultaneously in the eye tissue, where the focus of the treatment laser beam and the focus of the OCT beam coincide with each other in space. While both beams simultaneously scanned in the eye tissue, the OCT device detects returned OCT light from the sample during a data acquisition period, and generates an OCT A-scan based on the detected OCT light. Based on the A-scan, a controller determines a structure of the eye in a depth direction relative to the focus of the OCT beam, and controls the operations ophthalmic laser surgical system accordingly. One exemplary application is the formation of an arcuate corneal incision in cataract surgery.

Abstract: In some examples, a laser-based ophthalmological surgical system (hereinafter “system”) includes a therapeutic radiation source configured to emit therapeutic radiation at a first intensity during a therapeutic portion and to emit probe radiation with a second intensity which is less than the first intensity during a probe portion. The system may also include one or more optical elements configured to direct the therapeutic portion and the probe portion into an eye of a patient and to collect reflected radiation from the eye of the patient. The reflected radiation may be indicative of dynamics of microbubbles in the cells of the eye of the patient.

Abstract: A full depth ophthalmic surgical system includes a femtosecond laser source and an optical coherence tomographer. The system is capable of performing surgical procedures along the entire length of the eye from the cornea to the retina. The optical system of the ophthalmic surgical system is optimized to focus the laser beam and imaging light in the vitreous humor of the eye. In some embodiments, the illumination light source and the scanning mirrors are imaged by the system's objective lens and the patient interface lens to locations near the pupil, to increase the volume of the vitreous humor reachable by the illumination light and laser beam. For procedures performed posterior to the lens, a method for calibrating the full depth ophthalmic surgical system is also provided. The system can be used to perform treatment in the vitreous humor, including treating floaters and liquification of the vitreous humor.

Abstract: An apparatus having an inserter device with a shaft disposed in an interior space and an intraocular implant adapted to self-retain to an inner wall of Schlemm's canal. The intraocular implant has a proximal portion sized and shaped to reside within an anterior chamber of the eye, the proximal portion having a proximal opening; a distal portion sized and shaped to reside within Schlemm's canal of the eye, the distal portion having a distal opening, and a passageway extending in a straight line from the proximal opening to the distal opening to conduct fluid from the anterior chamber to Schlemm's canal. The shaft of the inserter device is adapted to advance the intraocular implant out of the interior space and through an inner wall of Schlemm's canal.

Abstract: An ab externo method of placing an intraocular implant into an eye can include advancing a needle, in which the implant is disposed, into the eye through sclera of the eye. The implant can include a drug deliverable to the eye. The implant can thereafter be released to be anchored in the eye and elute the drug to the eye.

Abstract: The present invention relates to a method for controlling an eye surgical laser for the separation of a volume body with predefined interfaces from a human or animal cornea, comprising controlling the laser by means of a control device such that it emits pulsed laser pulses in a predefined pattern into the cornea, wherein the interfaces of the volume body to be separated are defined by the predefined pattern and a surface of the cornea and the interfaces located in the cornea are generated by means of photodisruption. The invention further relates to a treatment device with at least one eye surgical laser for the separation of a predefined corneal volume with predefined interfaces of a human or animal eye by means of photodisruption and at least one control device for the laser or lasers, which is formed to execute the steps of the method according to the invention.

Abstract: The present invention relates to a method for controlling an eye surgical laser for the separation of a volume body with predefined interfaces from a human or animal cornea, comprising controlling the laser by means of a control device such that it emits pulsed laser pulses in a predefined pattern into the cornea, wherein the interfaces of the volume body to be separated are defined by the predefined pattern and the interfaces are generated by means of photodisruption, wherein the interfaces of the volume body are determined such that a pathological and/or unnaturally altered area within the stroma of the cornea is enclosed. Furthermore, the invention relates to a treatment device with at least one eye surgical laser for the separation of a predefined corneal volume with predefined interfaces of a human or animal eye by means of photodisruption and at least one control device for the laser or lasers, which is formed to execute the steps of the method according to the invention.

Abstract: An eye-protection headgear including a rigid visor with a window bearing an optical filter, and with a flexible fabric bib and a flexible fabric cap.

Abstract: Methods, dressings, and systems for promoting epithelialization of a wound or other tissue are presented. The methods, dressings, and systems help form simulated rete pegs. In one instance, an epithelialization dressing is disclosed that may include a dressing body having a plurality of projections. A plurality of apertures is formed on a portion of the dressing body. The dressing helps manage fluids on the wound and the projections form cavities into which epithelial tissue migrates to from epithelial columns that function like rete pegs. Other dressings, methods, and systems are disclosed.

Abstract: A device and associated method for treating a skin graft donor site includes a sheet having dimensions to cover the skin graft donor site and an area of skin surrounding the skin graft donor site. An adhesive is provided that has properties of adhering to the skin and the sheet in a manner that forms a liquid impermeable boundary surrounding the skin graft donor site. A port is integrated with the sheet that enables a suction force to be applied therethrough to produce a negative pressure between the sheet and skin graft donor site to manage fluid produced by the skin graft donor site.

Abstract: An adhesive tape (1) comprises a base material layer, an adhesive layer, and a release material layer, wherein two edges (11 and 12) extending in the longitudinal direction of the adhesive tape include parallel portions (11a and 12a), the length of one of the two edges (11 and 12) is greater than the length of the other, the ends of the two edges (11 and 12) are connected to the ends of two other edges (13 and 14), and two angles formed between the longer edge of the two edges (11 and 12) extending in the longitudinal direction and the two other edges (13 and 14) are acute angles.

Abstract: The present invention provides a wireless communication device including: a circuit unit; and an antenna which is connected to the circuit unit and which transmits and receives signals to and from a transceiver in a non-contact manner. The wireless communication device transmits different signals to the transceiver, depending on the presence or absence of contact between at least a part of the circuit unit and moisture.

Abstract: An incontinence detection pad has an RFID tag in which an authentication code, such as an electronic product code (EPC), is stored. A reader in wireless communication with the RFID tag of the incontinence detection pad verifies that the incontinence detection pad is an authorized detection pad. Thus, unauthorized incontinence detection pads that do not have the proper authentication code are not able to be used in an incontinence detection system.