Abstract: Pump systems for use in suspension of a prosthetic device from a residual limb and methods of suspending a prosthetic device from a residual limb are disclosed. The pump systems include a mechanically activated pump having a first compression member coupled to a second compression member, a diaphragm disposed between the first and second compression members, and coupling elements that engage and couple together the first and second compression members. The mechanically activated pump may be connected with an electrically activated pump, forming a hybrid pump system to provide vacuum engagement between a prosthetic device and a residual limb.

Abstract: A mechanical interface connecting a biological body segment, such as a limb, portion of a limb or other body segment, to a wearable device such as a prosthetic, orthotic or exoskeletal device, is fabricated by quantitatively mapping a characterized representation of the body segment to form a digital representation of the mechanical interface shape and mechanical interface impedance. The mechanical interface includes a continuous socket defining a contoured inside surface and a contoured outside surface, and includes a material having an intrinsic impedance that varies through the material, so that the intrinsic impedance varies along the contoured inside surface.

Abstract: A liner with at least three substantially equally spaced attachment areas arranged longitudinally from the proximal to the distal end of the liner so as to permit relief areas between attachment areas and increase the radial thickness of the liner in the area of the liner inherently or through the addition of shims or other materials at the attachment areas. The liner and shims can be selected from a kit of different shaped liners and shims. Methods for making such a liner or liners for a kit. A method for iteratively attaching shims to the liner to prevent substantial movement of a limb's skeletal structure when the liner is worn with a socket.

Abstract: An adjustable socket system includes a base, longitudinal supports connected to the base and extending along a longitudinal axis, and shell components operatively connected to the longitudinal supports and defining a receiving volume adapted to receive a residual limb. The adjustable socket system is radially expandable between open and closed configurations. The shell components include a first shell component having distal and proximal parts that are longitudinally displaceable with respect to one another such that a length of the first shell component is adjustable between a first length and a second length different than the first length.

Abstract: A method of placing a prosthetic system over a residual limb, said method comprising the steps of: providing the prosthetic system; and placing an outer shell of the prosthetic system on the residual limb having an above-knee amputation, the outer shell at least partially surrounds the residual limb, an outer side and an inner side of the outer shell on opposite sides of the residual limb, an upper edge of the outer side above a greater trochanter, the inner side below a lowest edge of an ischium without being directly below the lowest edge of the ischium.

Abstract: Described herein are flexible implantable occluding devices that can, for example, navigate the tortuous vessels of the neurovasculature. The occluding devices can also conform to the shape of the tortuous vessels of the vasculature. In some embodiments, the occluding devices can direct blood flow within a vessel away from an aneurysm or limit blood flow to the aneurysm. Some embodiments describe methods and apparatus for adjusting, along a length of the device, the porosity of the occluding device. In some embodiments, the occluding devices allows adequate blood flow to be provided to adjacent structures such that those structures, whether they are branch vessels or oxygen-demanding tissues, are not deprived of the necessary blood flow.

Abstract: A stent with varying porosity is described. The stent can be comprised of multiple stents attached together. A braided stent may have selected regions of increased thickness. The stent may be comprised of wires that are welded together at their ends in order to minimize vessel trauma. The stent may comprise a helically wound radiopaque wire wound through the stent.

Abstract: Vascular remodeling devices can include a proximal section, an intermediate section, and a distal section. During deployment, the proximal section can expand from a compressed delivery state to an expanded state and anchor the device in an afferent vessel of a bifurcation. The distal section expands from the compressed delivery state to an expanded state that may be substantially planar, approximately semi-spherical, umbrella shaped, or reverse umbrella shaped. The distal section is positioned in a bifurcation junction across the neck of an aneurysm or within an aneurysm. The intermediate section allows perfusion to efferent vessels. Before or after the device is in position, embolic material may be used to treat the aneurysm. The distal section can act as a scaffolding to prevent herniation of the embolic material. The device can be used for clot retrieval with integral distal embolic protection.

Abstract: The present invention relates to a stent that uses a shape memory alloy wire, the stent being an expansion device installed on a part of a body lumen, which is constricted, or which has been constricted, so as to widen the passage of the lumen in response to the lesion part. The purpose of the present invention is to provide a method for manufacturing a stent using a shape memory alloy wire such that the stent maintains a high degree of conformability in a bent portion of a body lumen in which the same is inserted while substantially improving rigidness and durability against continuously applied fatigue, a stent manufactured thereby, and a jig for manufacturing the same.

Abstract: A stent and a securely-installed artificial valve replacement device having the same, the stent being of a cylindrical structure; the top of the stent is provided with a fixed ear (60); the fixed ear (60) has a neck portion (601) connected to the top of the stent, and a head portion (602) engaged with the fixed head of the stent; the head portion (602) has a bending structure for improving the overall radial thickness; and the artificial valve replacement device is comprised of a stent and a prosthetic valve fixed on the stent. The stent with a bending structure overcomes the problem of easily disengaging from the fixed head of the stent, while not affecting the release of the stent.

Abstract: The invention relates to methods and apparatus for manufacturing intravascular stents wherein the intravascular stent has its inner surface treated to promote the migration of endothelial cells onto the inner surface of the intravascular stent. In particular, the inner surface of the intravascular stent has at least one groove formed therein.

Abstract: The present invention provides systems and methods for deploying implantable devices within the body. The delivery and deployment systems include at least one catheter or an assembly of catheters for selectively positioning the lumens of the implant to within target vessels. Various deployment and attachment mechanisms are provided for selectively deploying the implants.

Abstract: The invention relates to a balloon catheter, in particular for the widening of stents in fenestrations, being provided with a first inner balloon (4), a second outer balloon (5), with said second balloon (5) completely enclosing the first balloon (4), separate supply lines in the catheter (2) leading to the first (4) and second balloon (5), which allow the balloons (4, 5) to be pressurized independently of one another, a central lumen (3) for a guidewire, wherein in the expanded state, both balloons (4, 5) in the proximal region (P) have a diameter which is enlarged in relation to that of the distal region (D).

Abstract: The present disclosure describes implantable medical devices comprising covers, such as a balloon cover. Such devices can comprise a first layer of a porous polymeric material, such as ePTFE, surrounded by layers of a porous polymeric material having an imbibed elastomer, such as polyurethane. The cover can be used to assist in deployment of an expandable implant, such as a stent-graft, within the body of the patient.

Abstract: A deployment system for a self expanding stent includes a catheter assembly with a tip attached to a distal end segment of an elongate tube. The tip includes a proximal portion molecularly joined to a distal portion, which has a lower durometer hardness than the proximal portion. The proximal portion includes an anchor surface in contact with the distal portion, and oriented perpendicular to a central axis of the elongate tube. The elongate tube may be formed from a thermosetting polyimide, and the overmolded tip may be made from two different colored and different hardnesses of polyether block amide material. The tip is overmolded onto an untreated external surface of the elongate tube.

Abstract: An adjustable tension knee brace for unloading weight from a knee joint afflicted with osteoarthritis, thus reducing pain and improving mobility, comprising: an upper and lower rigid posterior portion, anterior straps, and a tension adjustable geared hinge assembly. Four embodiments are disclosed of hinge assemblies useable with the knee brace, or other types of braces. The hinge assemblies comprise: two subunits housing intermeshed gears, and at least one elastic band extending between the hinge subunits over a cam surface above the gears. In three embodiments, U-shaped connectors secure the subunits and gears together, and the subunits may comprise a user mechanism that adjusts the elastic band's tension and thus the amount of weight unloaded, then releases it. Another embodiment comprises a core bracket to protect the band(s) and a mechanism to compress the elastic band at various points to increase the amount of tension, and with a quick release mechanism.

Abstract: An orthopedic device has first and second elongate struts each having a strap coupling member, and a flexible strap securing to the first and second struts by the strap coupling members. The orthopedic device includes various embodiments of hinge assemblies including flexion and extension stops and locks for maintaining the hinge assembly in a fixed configuration. The orthopedic device has various embodiments of strap assemblies for securing components to cuff assemblies.

Abstract: The present disclosure describes an infant brace for treating an infant with a fractured clavicle. The infant brace includes a torso portion for receiving the donning infant's torso, and an arm portion for receiving the donning infant's arm on the side coinciding with the fractured clavicle. The infant brace is formed from an elastic netting material. The infant brace provides effective immobilization of the infant's affected upper arm while minimizing risks of over-heating or causing pressure sores.

Abstract: A base plate for an ostomy appliance is disclosed, the base plate comprising a first adhesive layer with a proximal side configured for attachment of the base plate to the skin surface of a user, the first adhesive layer having a stomal opening with a center point; and a plurality of electrodes including a ground electrode, a first electrode, and a second electrode, the ground electrode comprising a ground connection part, the first electrode comprising a first connection part, and the second electrode comprising a second connection part; wherein the ground electrode forms a ground for the first electrode and the second electrode.

Abstract: An external urine collection system for collecting urine excreted by a female user through the female user's external urethral orifice includes a urinary assembly having a sleeve and a cup that define a collection chamber. The sleeve can be attached to an area around the female user's external urethral orifice by an adhesive. The cup can be coupled to the sleeve through a male connector and female connector that form a liquid tight seal between the sleeve and the cup. An outlet is defined by at least one of the sleeve and the cup for draining urine excreted by the user into the urinary assembly.

Abstract: Menstrual cups comprise a resilient body having an open top and a closed bottom and defining an internal volume sized to hold menstrual fluid. The resilient body comprises a wall structure that extends from the open top to the closed bottom. The wall structure has an outer surface opposite the internal volume and an inner surface facing the internal volume. The resilient body is biased to an open conformation, and the resilient body has a longitudinal axis that extends through a center of the internal volume when in the open conformation.

Abstract: A bladder pressure estimator has in sequence a pump, a first hose, a supply pressure sensor, a second hose, a bladder having an inlet coupled to the second hose, a bladder outlet coupled to a third hose of substantially equal length to the second hose, a return pressure sensor, and a fourth hose coupled to the return pressure sensor and returning fluid from the pump to the reservoir. A pressure estimate is formed by establishing the second hose length and inner diameter as the same as the third hose length and inner diameter, and forming the pressure estimate by averaging the supply pressure and return pressure. In an alternative embodiment, a control regulator forms an error signal from the difference between a setpoint and the average of the supply and return pressures. A head pressure measurement may be done by turning the pump off after a steady state reading is made.

Abstract: A non-user assisted, portable, entirely self-managed capable hypothermia device to eliminate hair loss caused by the side effects of certain chemotherapy treatments or to reduce the metabolic rate of ischemic tissue along with the severity of swelling is disclosed. The device consists of a conformal cap system, a thermally conductive liquid located between the body part to be cooled and the cap system, thermal transfer fluids, phase change materials, thermally insulated cooler, physical measuring devices, mechanical and electrical components, a ‘smart’ user interface device, a battery, and an uninterruptible power controller.

Abstract: The subject matter of the invention relates to therapy wraps for the application of compression and/or thermal therapy to a patient. The wraps are formed of at least two layers of material which are sealed together to form at least one cavity between them. The wraps may be used in conjunction with a therapy machine which fills the cavity or cavities of the wraps with fluid such as a gas and/or a liquid. The unique shapes of the wraps are particularly suitable for providing therapy to the human body. The shapes permit the manipulation of the wraps around various portions of the human body such as the shoulder, back and foot.

Abstract: A container-closure system includes a container configured to hold a therapeutic liquid and having a dispensing tip configured to dispense a dose of the therapeutic liquid. A vented cap is configured to fit over at least a portion of the container including the dispensing tip and having one or more vents that allow air to pass into and out of a cavity defined between the vented cap and the dispensing tip. A second cap is configured to fit over at least a portion of the vented cap. A tamper evident seal is coupled to the second cap and one or both of the container and the vented cap.

Abstract: An apparatus includes a pad assembly, an injector assembly, an injector driver, and a fluid source. The pad assembly is sized and configured to be placed on a forehead of a patient. The injector assembly includes a body, a flexible cannula, and a needle. The body is configured to be removably secured to the pad assembly. The cannula is sized to be inserted through an incision in an eye of a patient. The needle is slidably disposed in the cannula. The injector driver is operable to drive the needle longitudinally relative to the flexible cannula. The fluid source assembly is in fluid communication with the needle.

Abstract: An apparatus includes a pad assembly, an injector assembly, an injector driver, and a fluid source. The pad assembly is sized and configured to be placed on a forehead of a patient. The injector assembly includes a body, a flexible cannula, and a needle. The body is configured to be removably secured to the pad assembly. The cannula is sized to be inserted through an incision in an eye of a patient. The needle is slidably disposed in the cannula. The injector driver is operable to drive the needle longitudinally relative to the flexible cannula. The fluid source assembly is in fluid communication with the needle.

Abstract: A surgical tool includes a housing having a driver and a surgical blade configured to be bi-directionally rotated by the driver. The surgical tool also includes a footplate configured to receive the surgical blade. The footplate includes a bottom portion configured to rest on ocular tissue of a patient's eye. The bottom portion includes a slot configured to allow passage of a portion of the surgical blade through the bottom portion of the footplate and into the ocular tissue of the patient's eye. The footplate also includes multiple walls having multiple openings. The openings are configured to receive additional portions of the surgical blade such that the surgical blade is rotatable relative to the footplate. The footplate further includes an additional opening or open side configured to allow viewing of the surgical blade and the slot during use.

Abstract: An enhanced adhesive bandage sandwich (FIG. 1) for compressing blood vessels and a kit for assembling said bandage sandwich. A bandage or kit can be used as a medicament, particularly, for use in treating varicose veins. A bandage sandwich or kit can be used to compress veins or arteries. A method to produce said bandage sandwich can include providing a first adhesive bandage layer; applying an elastic body to the first adhesive bandage layer; and applying a second adhesive bandage layer to the first bandage layer. The elastic body of the bandage sandwich can be shaped to follow the contours of veins or arteries to be compressed.

Abstract: A therapeutic cushioning boot including a body at least partially fiber filled, the body including a first sidewall panel, a second sidewall panel, and a rear panel; the boot also including at least one boundary portion disposed between the panels, and a fiber filled foot gate attached to the body portion between the panels.

Abstract: An applicator for and method of guiding a first web to a base web in a nonlinear pattern as the base web is advanced in a machine direction are disclosed. The applicator can include a support structure, a cantilever arm, a guide roller, and a connecting link. The cantilever arm can be supported by the support structure and moveable through a range of motion relative to the support structure in a cross machine direction. The guide roller can guide the first web onto the base web and can be pivotally mounted on the cantilever arm for pivotal movement of the guide roller with respect to the cantilever arm. The connecting link can be operatively coupled to the guide roller. Pivotal movement of the guide roller can be dependent on movement of the connecting link. Positioning of the guide roller in the cross machine direction can be dependent on movement of the cantilever arm.

Abstract: Methods of separating and positioning discrete articles formed from a continuous length of articles are provided. The methods may comprise the steps of receiving a first portion of the continuous length on a first head in a receiving position of an orbit about a first rotational axis and receiving a second portion of the continuous length on a second head in the receiving position of the orbit about the first rotational axis. The methods may comprise providing a laser system configured to produce and direct a laser beam, and ablating a portion of the continuous length of articles intermediate the first head and the second head with the laser beam to separate the first portion of the continuous length of articles from the second portion of the continuous length of articles, thereby forming a discrete article on the first head.

Abstract: A production system of a water-absorbent core. The supplying component thereof is configured to convey the fluffy cotton to the starting end of the transmission component, and the plurality of outlets of the supplying component for conveying the mixture of the fluff pulp and the hot-melt fibers to the transmission component are all located in the middle portion of the transmission component, the feeding port for conveying the super absorbent polymer to the transmission component and the outlets are arranged alternately along the transmitting direction of the transmission component, and each feeding port is located between the two outlets; the vacuum adsorption device can cause the mixture to be absorbed on the transmission component; the hot air penetration device performs hot air penetration treatment on the laminate; and the ultrasonic cutting device of the slitting mechanism is configured to ultrasonically cut the laminate after the hot air penetration treatment.

Abstract: An absorbent article in which an absorbent body is provided between a liquid permeable topsheet and a backsheet, includes a concave groove-like or a slit-like absorbent body concave portion provided at a liquid permeable topsheet side of the absorbent body along a longitudinal direction of the absorbent article at an area including a urine expelling site, both end portions of the absorbent body concave portion in the longitudinal direction respectively being zones of a gradually decreasing width, each having a tapered shape whose width is gradually decreased toward an end portion side, each of the zones of a gradually decreasing width being formed to have a length that is greater than or equal to 20% of the total length of the absorbent body concave portion.

Abstract: A disposable absorbent article comprising a first waist region, a second waist region, a crotch region disposed between the first waist region and second waist region; a first waist edge and a second waist edge; and a first longitudinal edge and a second longitudinal edge; the disposable absorbent article comprising a waistband and a leg gasketing system, wherein the waistband has a first gather count and the leg gasketing system has a second gather count such that the ratio of the first gather count to the second gather count is from about 0.75 to about 1.25.

Abstract: Disclosed is a disposable wearing article in which a front waist region has an appropriate retaining force and free from a possibility that the lower abdominal region may be tightened. On a body facing surface, an elastic strip extending in a lateral direction between both lateral edges is located along a lower edge area of a front waist region of the disposable wearing article.

Abstract: An absorbent core and an absorbent article respectively with improved properties, especially rewet performance, are disclosed. The absorbent core has at least two layers, wherein each layer comprising from 0 to 10% by weight fibrous material and from 90 to 100% by weight water-absorbent polymer particles, based on the sum of water-absorbent polymer particles and fibrous material. The surface-postcrosslinked water absorbent polymer particles within the upper layer have a sphericity of at least 0.89 and a CRC of at least 34 g/g. Preferably the water-absorbent polymer particles have a sphericity of at least 0.89 and the sum of the CRC and AUL (0.3 psi, 21 g cm?2) (EDANA 442.2-02) of the water absorbent polymer particles is at least 65 g/g.

Abstract: An absorbent structure comprising a planar substrate, an auxiliary glue applied on the substrate, an absorbent material comprising from 80% to 100% by weight of superabsorbent particles deposited on the substrate on an absorbent material deposition area comprising a pattern of absorbent material land areas separated by absorbent material-free junction areas, wherein the deposition area can be notionally divided in eight deposition zones of equal length along the longitudinal direction. A fibrous thermoplastic adhesive layer immobilizes at least some of the absorbent material. The absorbent material is profiled along the longitudinal direction so that at least one of the eight deposition zones is a zone of lower absorbent material amount and the auxiliary glue is absent, or present at a level of at least 50% by weight lower than the average amount of auxiliary glue in at least one of these zones of lower absorbent material amount.

Abstract: A absorbent article has a concave groove that satisfies (1) a relationship between a depth “h” of a bottom surface portion of the concave groove, and a distance “S” from a bottom end “G” of the concave groove to an upper end “K” from which a concavity of the concave groove starts is 1.5h<S, (2) a relationship between a width “b” of a bottom surface of the concave groove, and a width “B” of a liquid collection area expressed by a distance between the upper ends “K” and “K” at both sides of the concave groove is B?3b, and (3) a relationship between a dimension “a” of a square concave groove expressed by a product of the width “b” of the bottom surface and the depth “h” of the bottom surface, and a cross-sectional dimension “A” of the concave groove is A?2a.

Abstract: The present invention relates to an absorbent laminate structure, and disposable absorbent article incorporating the structure, wherein first and second absorbent matrices comprising particulate superabsorbent polymeric material and filamentary adhesive are arranged between two outer substrate layers. The relatively porous, intermediate or central substrate layer, positioned between the absorbent matrices, promotes liquid transport within the laminate structure.

Abstract: An evaluation method of a wearing state of a disposable diaper including an elastic region in a waist portion or leg-surrounding portions, the evaluation method including: an evaluation image acquiring process in which a terminal including a photographing function acquires an image including at least a part of the elastic region as an evaluation image in the wearing state of the disposable diaper; and an evaluation process of evaluating the wearing state of the disposable diaper based on a degree of deformation of the evaluation image.

Abstract: The invention relates to a wound care product, comprising a wound care article located in a sterilized sealed chamber defining a sterile environment. The wound care product also comprises an openable and reclosable container which has at least one outer surface portion in said sterile environment. The invention further relates to a method for using such a wound care product.

Abstract: A spinal immobilization device including a base member and a spinal support member configured to overlay the base member. The base member includes an elongate board having a curvate top surface, a plurality of openings surrounding at least a portion of the elongate board, and a channel defined within the top surface. The spinal support member may include a bladder, a valve controlling passage of fluid into the bladder, and a plurality of fluid absorbing members within the bladder. The channel defines an impression within the top surface that matches a shape of a portion of the bladder.

Abstract: An ambulance cot and cot loading and unloading system for an emergency vehicle comprises a cot having a head end, a base for mounting to a deck of an emergency vehicle, a track mounted for linear movement along said base, and an arm mounted for linear movement along said track from a retracted position to an extended position. The arm is and configured to engage the cot, and wherein when the track is extended along the base and the arm is extended along the track the arm is extended from the base in an extended position and is configured for lifting the cot and providing cantilevered support to the cot while in the extended position.

Abstract: A ramp assembly for use to accommodate a wheel-chaired passenger to enter or exit a motorized vehicle includes a ramp body having a length defined along a longitudinal direction, a first side rail pivotably coupled to the ramp body, a second side rail pivotably coupled to the ramp body, and a hinge plate pivotably coupled to the ramp body. The ramp assembly further includes a first arm and a second arm coupled to a bottom surface of the ramp body. The first side rail and second side rail are pivotably moved between a folded position in which the first and second side rails pivot inwardly and a raised position in which the side rails are oriented perpendicular to the ramp body. The first arm operably pivots the first side rail between its folded and raised position, and the second arm operably pivots the second side rail between its folded and raised position.

Abstract: An enhanced mobility wheelchair with semi-autonomous control logic includes criteria for selecting level, stair, and slope modes. Each mode progresses through criteria-invoked phases as the wheelchair travels. Each axis performs an assigned duty for each mode and phase combination to seek a defined target. Control logic invokes stair mode from the level mode when steps are sensed. Criteria restricts negotiating obstacle angles and heights encountered beyond capability and permits reversed travel to exit obstacle. Front and rear support systems include the ability to sense both forward and backward facing steps by adding distance sensors, sensing linkage and rotary sensors. Legrest adjustment raises the feet for forward step climbing and shortens the wheelchair length for tight turns. Steep down slope and steep up slope modes are invoked from a small angle slope mode. Absolute measurement of spider rotation and spider cam engagement does not require adjustment.

Abstract: An extremity stabilization apparatus and methods for supporting and immobilizing an extremity during venous access. One example of an apparatus includes a cuff having a top surface structured for receiving a limb of a patient, the cuff having a front end and a back end. The surface of the cuff may be c-shaped such that the cuff partially surrounds the extremity received in the cuff. The apparatus further includes a handle having a grip for receiving the hand of a patient, the grip arranged offset from the front end of the cuff, and an assembly coupled to the cuff, the assembly movable between at least a first position and a second position to change the position of the top surface of the cuff, each of the first position and second positions corresponding to a different angle of the top surface of the cuff.

Abstract: Wheelchair convenience systems including a removably attachable footrest that has a biased footrest platform and a lever for moving the footrest platform from a first position to a second position. The invention also includes a cane retainer that positions a cane between a first and a second handgrip of the wheelchair and allow the cane to be used as a handlebar to more easily maneuver the wheelchair.

Abstract: Disclosed herein are patient-turning assemblies including a patient-turning assembly for turning a patient, which patient-turning assembly may include: a sling having: a first sling portion having a handle; and a second sling portion extending from the first sling portion; a sleeve fixedly coupled to the second sling portion; a channel disposed between the sleeve and the second sling portion; and a cushion capable of either ingress into or egress from the channel, or both.

Abstract: A patient transport apparatus comprises a base, a patient support deck, a wheel assembly, and a braking system. The wheel assembly includes a wheel and a braking mechanism. The braking system includes a linkage assembly, a manual actuator, and an electrical braking assembly. The linkage assembly is arranged to place the braking mechanism in a braked state and a released state. The manual actuator moves the linkage assembly manually to place the braking mechanism in the braked state and the released state. The electrical braking assembly includes a driving assembly that moves to a first position and to a second positing that causes the linkage assembly to place the braking mechanism in the braked state and the released state, and to a home position that allows the linkage assembly to move relative to the driving assembly to enable the braking mechanism to be manually actuated with the manual actuator.