Abstract: Methods and apparatus for holding and maneuvering a valve during preparation and attachment to patient, providing increased visibility of the prosthetic valve and the sewing ring to prevent suture entanglement. A handle attachment is spaced from the valve for improved visibility of the sewing ring and the outlet end of the valve during attachment. Commissure posts are bent inward at the tips while preventing crashing of the commissure posts into each other causing damage. A release force needed to remove the holder and unthread the holder sutures is reduced. The holder and related methods can provide a kink free holder suture path to reduce suture entanglement and prevent damage to the implanted valve during holder removal by reducing the release force needed to remove the holder sutures by up to 30%.

Abstract: Valve delivery catheter assemblies including components that limit trauma to the expanded prosthetic valve and body channels as the distal tip of the catheter is withdrawn through the expanded valve and thereafter from the body. Catheter assemblies according to the present invention can include a handle assembly, an introducer sheath, and a distal tip assembly. The handle assembly can include a fixed main handle and two or more rotating handles that allow a user to control the distal tip assembly of the catheter. A safety button can be included on the handle assembly to allow for precise and consistent positioning of the prosthetic valve in the body. A valve retaining mechanism can be included to assist in retaining the prosthetic valve prior to deployment.

Abstract: A delivery system for delivery of an implantable stented device to a body lumen that includes an elongated member having a distal tip and a proximal end portion, a wire connection member positioned between the distal tip and proximal end portion of the elongated member, and a plurality of capturing wires extending from a distal end of the wire connection member. Each of the capturing wires includes a distal end having a lower portion that is moveable relative to an upper portion between an open position and a closed position, and a slot defined by the upper and lower portions when they are in the closed position.

Abstract: A medical fastening device (100) for fastening or coupling an object (400A, 400B) into a tissue (20) have proximal (100A) and distal (100B) portions. It also comprises a helical body structure (107), where the helical body structure comprises a thread or ridge (104) having a lead (105) between said proximal and distal portions. The helical body structure comprises a first portion (101/103) and a second portion (102) next to said first portion (101).

Abstract: Devices and methods for the repair of the functioning of heart valves are provided. A device may comprise a ventricular winding having a generally spiral shape, wherein the device is free of any atrial stabilizing section. A method involves positioning the device such that chords associated with the heart valve are positioned within the path of the generally spiral shape of the ventricular winding and turning the ventricular winding such that the chords move closer to the center of the ventricular winding. The ventricular winding draws the chords closer together, thereby pulling the valve leaflets closer together in order to facilitate their coaptation and proper closing. A delivery system for maneuvering and releasing a heart valve repair device comprises an applicator tube and internal rod.

Abstract: A device, a kit and a method is presented for permanently augmenting the pump function of the left heart. The mitral valve plane is assisted in a movement along the left ventricular long axis during each heart cycle. The very close relationship between the coronary sinus and the mitral valve is used by various embodiments of a medical device providing this assisted movement. By means of catheter technique an implant is inserted into the coronary sinus, the device is augmenting the up and down movement of the mitral valve and thereby increasing the left ventricular diastolic filling when moving upwards and the piston effect of the closed mitral valve when moving downwards.

Abstract: An exemplary method of performing an annuloplasty procedure includes introducing a catheter into a left atrium of a heart, deploying a first member from the catheter, anchoring the first member to a posterior side of a mitral valve annulus in the left atrium, deploying a second member from the catheter, anchoring the second member to an anterior side of the mitral valve annulus in the left atrium, deploying a flexible tensile member from the catheter, attaching the tensile member to both the first member and the second member and applying tension to the tensile member to draw the first member and the second member toward one another and bring the posterior side and the anterior side of the mitral valve annulus into closer approximation. Annuloplasty systems and components are also disclosed.

Abstract: The invention relates to a device for testing the functioning of an aortic valve by placing the device on the free end of a cylindrical tubular prosthesis inserted into the aorta, said tubular prosthesis being connected, with its other end, to the aortic wall in the region of the aortic valve. According to the invention, the device consists of a multi-part housing provided with at least one through-flow channel for a control liquid, the housing being provided, on its lower side facing the free end of the tubular prosthesis, with a peripheral sealing device that can be placed around the edge of the tubular prosthesis, and at least one pressure-measuring sensor and at least one optical sensor element for video recording being arranged on the lower side.

Abstract: A methodology integrating multiscale analysis and design optimization to design a novel bone replacement implant made of a functionally graded cellular material that meets fatigue requirements imposed by cyclic loadings. The pore microarchitecture, described by interconnectivity, porosity, pore size as well as pore topology, is optimally designed for tissue regeneration and mechanical strength. A bone implant with a graded cellular microstructure is also provided.

Abstract: A surgical procedure method includes accessing an implanted joint prosthesis having an implant engaged within a bone of the joint and a first articulating component mounted by a first mating component to a first insert component removably mounted to the implant, and partially disassembling the accessed implanted joint prosthesis by removing the first insert component with the first articulating component fixed thereto from the implant while the implant is engaged with the bone. The angular position of the first mating component with respect to the first insert component is then determined and replicated with a second insert component and a second mating component. The second insert component and the second mating component are then fixed at the replicated angle and the fixed second insert component and second mating component are mounted to the implant engaged within the bone. A new articulating component is then mounted to the second mating component.

Abstract: An apparatus including a joint spacer for treatment of a joint of a human subject. The joint spacer includes a bioresorbable stent having compressed and expanded configurations and a covering that covers an external surface of the stent. The joint spacer is configured to be inserted into a space of the joint, and is shaped, when the bioresorbable stent is in the expanded configuration, to provide mechanical support to the joint until the bioresorbable stent resorbs into a body of the subject. Treating a joint of a human subject includes inserting a joint spacer into a space of the joint while a bioresorbable stent of the joint spacer is in a compressed configuration, and transitioning the bioresorbable stent to an expanded configuration within the joint, such that the joint spacer provides mechanical support to the joint until the bioresorbable stent resorbs into a body of the subject.

Abstract: The present invention relates to an articular joint replacement system. The system has first and second components. Each component has a tapered head piece for covering the end of a bone and for acting as an articular surface, an integrally formed screw stem having a length sufficient to extend into the medullary canal, and inwardly angled bone grips affixed to the underside of the head piece to allow solid fixation to the bone by compression press fit. The head piece of the first component is provided with a shaped exterior surface which complements the shaped exterior surface of the head piece of the second component and which allows motion in three planes.

Abstract: The glenoid implant described here addresses wear of the implant's portion which articulates with a humeral head, and also addresses a frequent need to reverse the normal glenoid and humeral articulating surfaces. The new glenoid implant provides a coupling portion between the implant's bone fixation portion, which joins the implant to the glenoid bone, and the implant's articulating portion which articulates on an opposing humeral head. The coupling portion is joined to the bone fixation portion firmly but is disengageable without requiring the bone fixation portion's replacement so that the articulating portion can be removed from the implant and replaced without changing either the coupling portion or the bone fixation portion.

Abstract: A prosthetic disc can take the form of a sensing artificial disc that includes a resilient core and at least one sensor configured to sense one or more conditions within and/or experienced by the disc. The sensing artificial disc can serve as a replacement to a failed or injured disc between two vertebrae of a spine. The sensing artificial disc can include at least one element configured to change a condition or property of the resilient core in response to a condition sensed by the at least one sensor. A prosthetic disc can include therapeutic system configured to deliver medication to the body, which can include a reservoir of medication.

Abstract: The present invention provides an expandable fusion device capable of being installed inside an intervertebral disc space to maintain normal disc spacing and restore spinal stability, thereby facilitating an intervertebral fusion. In one embodiment, the fusion device includes a body portion, a first endplate, and a second endplate, the first and second endplates capable of being moved in a direction away from the body portion into an expanded configuration or capable of being moved towards the body portion into an unexpanded configuration. The fusion device is capable of being deployed and installed in both configurations.

Abstract: A spinal bone graft includes one or more cortical bone portions forming a first unit. The first unit includes an engagement surface for contacting bone, and a mating surface. The mating surface forms at least one first undercut. The bone graft also includes one or more cortical bone portions forming a second unit. The second unit includes an engagement surface for contacting bone, and a mating surface. The mating surface forms either at least one second undercut, or at least one connector. In the former, at least one connector is received in each of the first and second undercuts to interconnect the first and second units. In the latter, the at least one connector of the second unit is received in the first undercut of the first unit to interconnect the first unit and second unit.

Abstract: A bone graft loading system includes a loading funnel, syringe, cannula, plunger, and loading tool. The loading funnel includes an interior passageway to receive the cannula and a syringe docking portion. The syringe may be coupled to the syringe docking portion so that it extends along a longitudinal axis that is transverse to the longitudinal axes of the cannula and the loading funnel. A user may advance bone graft from the syringe to a holding area of the loading funnel. The user may then move the loading tool through the holding area and into the interior space of the cannula to load the cannula with bone graft. This process may be repeated until the cannula is fully loaded with bone graft. The cannula and the plunger inside the cannula may then be removed from the loading funnel and coupled to an injector assembly for use in surgery.

Abstract: A surgical instrument system comprising a prosthetic trial component and an orthopaedic surgical instrument is disclosed. The orthopaedic surgical instrument includes a distal tip sized to be received in a passageway of the prosthetic trial component. When the distal tip is positioned in the passageway of the prosthetic trial component and is in an expanded position, the distal tip is configured to engage an inner surface of the prosthetic trial component to secure the prosthetic trial component to the orthopaedic surgical instrument and permit the extraction of the trial component from a patient's bone. A method of use is also disclosed.

Abstract: A device for enhancing a user's grasping capability comprises a belt-like support configured to be tightly fitted about a user's part of the body; an articulated gripping element having a plurality of phalanxes: proximal, fixed to the support, intermediate and distal, which are articulated to each other by articular joints; a motor unit fixed to the support; a winding drum; a tendon partially wound on the drum and extending along the phalanxes and the joints, arranged so that, by pulling it from the drum, the phalanxes rotate about respective articular joints and move the articulated gripping element from an extended position to a gripping bow-shaped position, causing a flexion/extension movement of the articulated gripping element, the joints configured so that by releasing the tendon from the drum, the phalanxes rotate about the respective joints and move the articulated gripping element between gripping bow-shaped position and extended position.

Abstract: A prosthetic attachment system includes an insert arranged for connection to a prosthetic liner, and an attachment unit arranged for connection to a distal end of a prosthetic socket. The attachment unit comprises a body defining an axis and a central opening for selectively receiving the insert. The body carries a plurality of locking elements that are distributed circumferentially about the axis and radially repositionable relative to the axis. A release mechanism is slidably positioned on an outer surface of the body to move the prosthetic attachment system between a locked configuration in which the locking elements are radially repositioned to lock the insert in the central opening of the body and an unlocked configuration in which the insert is released from the central opening.

Abstract: An adjustable seal system, seal component for use in the system, and method are provided for forming a sealing interface between a residual limb and a prosthetic socket. The seal component is selectively placed over the outer surface of a suspension liner including a plurality of seal bands, which the seal component may removably and securely engage.

Abstract: The invention relates to a double stent comprising two coaxially arranged stents (2, 3), wherein a first membrane (4) being arranged between a first inner stent (2) and the second outer stents (3), and a second membrane (5) being arranged on the second stent (3), with the membrane ends of the first and second membrane (4, 5) being brought together at the ends of the stents (2, 3) and folded over onto the inside of the first stent (2) and secured/fixed there.

Abstract: The present disclosure relates generally to the field of medical devices. In particular, the present disclosure relates to delivering a variable length stent within a patient. In one example, a stent may include a body comprising coils about a longitudinal axis of the stent and along the length of the stent between a proximal end and a distal end in a substantially helical pattern. The coils may define a lumen along the longitudinal axis through the center of the body. A distal tube may have a wall extending from the distal end of the body. A first aperture may extend through the wall of the distal tube into the lumen. A distal retention member may extend from the distal tube. A distal suture may have a mid-portion. The mid-portion may extend through the first aperture.

Abstract: A medical device frame including an undulating frame element defining a series of peaks each defining a longitudinal splay angle, circumferential cant angle, or combinations thereof. In some examples, the series of peaks are non-overlapping when the frame is in an expanded configuration and overlap when the frame is in the collapsed configuration. The longitudinal splay angle and/0 or circumferential cant angle may remain relatively unchanged between the expanded and collapsed configurations (e.g., within about 15%).

Abstract: Self-expending stents that include circumferential rings of alternating interconnected struts connected by flexible connectors. The struts of the rings and flexible connectors have a structure, including areas of expanded or reduced width or thickness, to account for venous applications. When used for venous applications, the stents convey benefit from configurations that improve flexibility (due to the greater elasticity of venous applications) while maintaining enough stiffness to resist pressure on the venous structure in selected areas (such as for the May-Thurner syndrome). The stents include particular structural characteristics—often expressed as ratios between different measurements—that are particularly advantageous for (although not limited to) venous applications.

Abstract: A stent delivery device is provided that includes an inner member defining a distal tip and a stent holding region, and an outer tubular member slidingly disposed over the inner member and configured to engage the distal tip. Seal members may be disposed on one or more of an outer surface of the inner member, the distal tip, and the outer tubular member. The seal members define a liquid-tight sealed chamber surrounding the stent holding region.

Abstract: A wearable apparatus for the treatment or prevention of osteopenia or osteoporosis, stimulating bone growth, preserving or improving bone mineral density, and inhibiting adipogenesis is disclosed where the apparatus may generally comprise one or more vibrating elements configured for imparting repeated mechanical loads to the hip, femur, and/or spine of an individual at a frequency and acceleration sufficient for therapeutic effect. These vibrating elements may be secured to the upper body of an individual via one or more respective securing mechanisms, where the securing mechanisms are configured to position the one or more vibrating elements in a direction lateral to the individual, and the position, tension, and efficacy of these vibrating elements may be monitored and/or regulated by one or more accelerometers.

Abstract: To provide a joint support unit, etc. capable of being worn on both left and right joints. A joint support unit includes a first link worn on one end side of a joint portion, a second link worn on the other end side of the joint portion, and rotatably coupled to the first link, a driving unit configured to perform rotation driving of the second link, and a rotation regulating unit configured to regulate a rotation direction and a rotation range of the second link. The rotation regulating unit includes an engagement body provided in one of the links, and an engagement part provided in the other one of the links, and engaging with the engagement body, the engagement part includes two guiding paths and that guide the engagement body moving according to the rotation direction of the second link in different directions, and a communication path.

Abstract: An articulating clamshell for ankle foot orthosis and method of use thereof is described herein. A proximal articulation clamshell (PACS) system can comprise a fixed shell, a movable shell, and a fastening device. The fixed shell can comprise a fixed shell proximal end and a fixed shell distal end. The fixed shell can form-fit with a portion of a lower leg. The movable shell can comprise a movable shell proximal end and a movable shell distal end. The moveable shell can form-fit with a second portion of the lower leg. The movable shell proximal end can connect with the fixed shell proximal end wherein the movable shell can articulate in relation to the fixed shell. The movable shell can be capable of being in an open position and a closed position. The fastening device can secure the movable shell in the closed position.

Abstract: The invention is directed to a system and methods to reduce a hip joint dislocation. Embodiments of the system may include a unitary or multipartite leg support assembly having about a 90-degree bend that is shaped to accommodate a leg, a lifting component, and a component for securing a leg to the leg support assembly. Embodiments of the multipartite leg support may be adjustable to accommodate any leg length. Embodiments of the system provide a mechanical advantage that may be used to reduce the hip joint, while simultaneously decreasing the possibility of injury to the user.

Abstract: A Diastasis Recti Splinting Garment is described which includes a plurality of attached torso straps and pelvic straps which the user wraps around their body and connects to the garment so as to approximate the 2 sides of the abdominal wall, providing support to the linea alba and fascial sheathes to allow for tissue healing. Furthermore, the adjustable angled straps encircle the torso and pelvis of the user to restore the integrity of the core, providing stability to the ribcage, spine and pelvis. Restoring the integrity of the core lends itself to optimal activation of the deep core stabilizers, including the abdominal muscles as well as the musculature of the pelvic floor, back, and diaphragm. This in turn aids in dynamic stability of the spine, ribcage and pelvis.

Abstract: An auxiliary support apparatus includes a bearing member and a wear member, wherein the bearing member is used to support the user's head, the wear member includes a wear body extended from the bearing member downwardly while the bearing member is adjustably connected to the wear body.

Abstract: A mobile joint restraint for treating a medical condition for which the mobile joint restraint is required is provided. The mobile joint restraint may include a first part comprising a pair of cut-out pieces, a pair of holes with a strap configured to secure the first part to a limb, and a pair of holes at the ends of arms of the first part configured to attach to a second part. The second part may comprise a pair of restricting protrusions configured to sit within the cut-out piece, a pair of holes with a strap configured to secure the second part to a limb, and a pair of flanges at the ends of arms of the second part configured to couple with the pair of holes at the ends of the arms of the first part.

Abstract: A nasopharynx stent (100, 200) for anti-snoring comprises a nasal tube (1) configured as a soft nasal tube; a balloon (2) configured as a soft balloon and communicated with a terminal end of the nasal tube (1). The balloon (2) is provided with a vent hole (23) in communication with the nasal tube (1) and first mesh-shaped through holes (21, 20) formed in a peripheral wall of the balloon (2).

Abstract: A method to enhance a male erection or female arousal in a mammal includes topically administering a compound of Formula 1 to the mammal.

Abstract: Methods, systems, and apparatus to treat glaucoma of the eye are disclosed. They apply energy to the tissue adjacent collector channels and/or Schlemm's Canal. Applying energy to the surface of the eye, such as the sclera, adjacent the collector channels and/or their ostia can dilate the collector channels and/or their ostia to improve uveoscleral outflow to reduce intraocular pressure. In some examples energy is applied to the eye with a laser at a sufficient energy to shrink the tissue on opposing sides of the collector channels to induce channel dilation.

Abstract: The air flow system includes a hose member having an exterior flow channel and an interior flow channel, a distal connector, a proximal connector, and a flow chamber. The air flow in the interior flow channel is separate from the exterior flow channel. Air flows from the exterior flow channel, through a flow chamber, around a treatment site of inflammation and back to the interior flow channel. The system for air circulation therapy also includes a connector to the hose member, an air pump supply in an inner chamber, and an air recovery unit in an outer chamber. The proximal connector includes a nozzle head, a tubular sleeve, a first set of slot openings, a second set of slot openings, a cover sleeve, and a locking ring. The system includes the flow chamber of a flexible polymeric material.

Abstract: The invention relates to a heating and/or cooling device (10) for delivering heating and/or cooling energy to the body of a living being (28). The heating and/or cooling device (10) comprises a heating and/or cooling pad (12) which can be connected to the body of the person (28). The heating and/or cooling pad has an upper face (122) and a lower face (121), and an adhesive surface (1210) is provided on the lower face (121) for attaching the heating and/or cooling pad (12) to the surface of the skin of the person (28). The heating and/or cooling pad comprises at least one heating and/or cooling element (26) by means of which electrical energy output by an electrical energy source (22) can be converted into heating and/or cooling energy. The heating and/or cooling device (10) further comprises a control unit (14) which is provided for fixedly or detachably accommodating the energy source (22) and has a signal processor (16).

Abstract: The subject matter of the invention relates to therapy wraps for the application of compression and thermal therapy to a patient by fluid pumped through the wrap. The wraps are formed of at least two layers of material which are sealed together to form at least one cavity between them. At least two layers of the wrap are sealed together using a plurality of different seal patterns. The unique shape of the wrap and placement of the seals provides a wrap that may be folded to fit a patient's head and circulate fluid in a manner to compress the wrap against the wearer's head, particularly in areas where hair growth is desired while avoiding the application of therapy to other areas of the head, particularly the forehead and ears.

Abstract: For the purposes of working on eye tissue, an ophthalmological apparatus comprises a laser source that is configured to produce a pulsed laser beam, a focusing optical unit that is configured to focus the pulsed laser beam into the eye tissue, and a scanner system for deflecting the pulsed laser beam onto work target points in the eye tissue. A circuit controls the scanner system in such a way that the scanner system guides the pulsed laser beam into work trajectories that extend next to one another, in order, initially, to produce cut trajectories, separated by remaining tissue bridges, of a tissue cut to be undertaken in an area and in order, thereafter, to guide the pulsed laser beam in the remaining tissue bridges between the cut trajectories in order to complete the tissue cut.

Abstract: A surgical system includes a replaceable surgical cassette that is configured to be received by a surgical console, the surgical cassette permitting fluid flow through the cassette, the surgical system controlling the flow of fluid through the cassette via one or more flexible valves actuated by one or more actuation plungers located on the surgical console. The one or more flexible valves of the surgical cassette and the one or more actuation plungers of the surgical console include a positioning feature configured to assist with positioning the one or more actuation plungers to apply uniform and symmetric pressure to the one or more valves during actuation.

Abstract: Disclosed is a surgical instrument directed to phacoemulsification for cataract eye surgery. The instrument generally includes a hollow titanium needle extending from a vibration generating handpiece. Together, the hollow needle and handpiece form an aspiration pathway to suck cataractous debris from an eye. A piezoelectric transducer in the handpiece generates both high and low ultrasonic frequency vibrations that rings the needle. The low frequency produces a node-free standing wave along the needle and the high frequency produces a standing wave along the needle with a node of minimum amplitude along the needle. Both frequencies produce a high anti-node at the needle's tip. The low frequency causes higher cavitation for emulsifying the cataract and the high frequency facilitates fragmentation of the cataract with a low heat portion of the needle at the eye incision point. The placement of the node along the needle can be tailored by way of a tapered section in a step horn region of the handpiece.

Abstract: The invention relates to a method for controlling an eye surgical laser for the separation of a volume body with a predefined posterior interface and a predefined anterior interface from a cornea, comprising controlling the laser by means of a control device such that it emits pulsed laser pulses in a shot sequence 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 an interaction of the individual laser pulses with the cornea by the generation of a plurality of cavitation bubbles generated by photodisruption, wherein the predefined pattern is generated by means of a mesh-like guidance of the emitted laser pulses and the control device controls the shot sequence of the laser such that a common overlap area of the cavitation bubbles is generated between adjacent cavitation bubbles.

Abstract: The invention relates to a method for controlling an eye surgical laser for the separation of a volume body from a cornea by controlling the laser by means of a control device such that it emits pulsed laser pulses in a shot sequence in a predefined pattern into the cornea, wherein interfaces of the volume body to be separated are defined by the predefined pattern and the interfaces are generated by the generation of a plurality of cavitation bubbles generated by photodisruption, wherein the plurality of cavitation bubbles is generated along at least one cavitation bubble path and the control device controls the shot sequence of the laser for generating a preset smoothness value such that a common overlap area of the cavitation bubbles is generated at least between adjacent cavitation bubbles located on the same cavitation bubble path depending on a geometry of the respective cavitation bubble.

Abstract: Refractive index writing system and methods employing a pulsed laser source for providing a pulsed laser output at a first wavelength; an objective lens for focusing the pulsed laser output to a focal spot in an optical material; a scanner for relatively moving the focal spot with respect to the optical material at a relative speed and direction along a scan region for writing one or more traces in the optical material defined by a change in refractive index; and a controller for controlling laser exposures along the one or more traces in accordance with a calibration function for the optical material to achieve a desired refractive index profile in the optical material. The refractive index writing system may be for writing traces in in vivo optical tissue, and the controller may be configured with a calibration function obtained by calibrating refractive index change induced in enucleated ocular globes.

Abstract: A device, including a first attachment connected at a side of the head of a user to a piece of equipment worn by the user, and a second attachment connected at another side of the head of the user to the piece of equipment, where a covering extends between the first attachment and the second attachment

Abstract: A system including a head-mounted device having a face shield; a respirator coupled to or embodied in the head mounted device; a light having a light intensity; a light detector, and a computing device communicatively coupled to the at least one light detector that receive from the light detector data indicting a type and intensity of light, and determine that the light matches a particular type of light and whether it exceeds a threshold, and on the basis of this determination, modifies the intensity of the light.

Abstract: A system includes a device having a conduit having a proximal end having a proximal end radius, a distal end opposite the proximal end and having distal end radius, an inner surface connecting the proximal end and the distal end and forming a proximal angle at the ends, the inner surface having surface properties, and an outer surface connecting the ends; the distal end radius, the proximal end radius, the distal angle, the proximal angle, and the surface properties of the inner surface are selected to: allow entry of a first material to the distal, transport of the first material through the conduit along the inner surface toward the proximal end, and exit of the first material from the proximal end, and to resist entry of a second material into the proximal end; and the Young-Laplace pressure for the first material is less for the second material.

Abstract: An earplug (10, 80) for selective attenuation of sound has a body with at least one sound path. An insert (34) is housed in the body (13), which has at least one sound passage with an acoustic filter. The acoustic filter is configured to provide a specific frequency response and thus a determined attenuation of sound passing through the earplug. Means (14) is arranged at a top surface adapted to activate or deactivate the sound path. Each acoustic filter comprises an upper acoustic port (36, 37), at least one acoustic mesh (35) and/or acoustic membrane (37, 39), an acoustic chamber (41, 44) and a lower acoustic port (42, 43). An insert (34) with an acoustic filter for selective attenuation of sound is provided for use in an earplug.

Abstract: An adjustable hands-free compression device for application of a treatment to a locus of a wound. The compression device is capable of exerting compression on specific locations post-surgery after an injury or any trauma that requires compression to a specific point or area of the body to secure placement of therapeutic media such as an ice pack or post-surgical site or injury. The compression device has a body engagement band for bilateral adjustment engagement of a compression assembly track having independent adjustable compression engagement elements against the treatment device. As such, the structure will conform to the area of the body to which it is secured and allow for easy adjustment of the compression of the targeted location of the site and the amount of compression required to achieve the best outcome.