Abstract: A cloud based analytics medical system comprises a processor, a memory, an input/output interface to access data from medical hub communication devices, each coupled to a surgical instrument, and a database. The processor generates medical usage patterns of medical devices based on aggregation usage data of medical devices from medical hubs and aggregates patient outcome data from medical hubs. Patient outcome data comprises data pertaining to steps performed and corresponding timings for each step in patient procedures and allocation of resources used in procedures.

Abstract: Embodiments of an actuated cannula seal are disclosed In some embodiments, a cannula seal includes a base portion that engages with a cannula; and a seal portion integrally formed with the base portion, the sealing portion capable of engaging with an instrument shaft, the sealing portion capable of being actuated by an actuator so that the sealing portion is continually in motion relative to the instrument shaft. The actuation of the sealing portion can be accomplished by rotation or vibration of the sealing portion relative to the instrument shaft.

Abstract: In order to provide a simple device for positioning sterile instruments, particularly puncture needles, injection needles or surgical probes, with respect to a patient (P), where said device comprises a sheath (3) at least the inside of which is sterile and which at least partially encompasses a sterile instrument (2), as well as at least one gas-tight feedthrough provided on said sheath (3), it is suggested that the sterile instrument (2) has at least one sterile instrument holder (2?) and that, by moving the instrument holder (2?) outside of the sheath (3), said instrument may be moved in a controlled manner in at least two spatial directions.

Abstract: A re-usable medical procedure power tool includes a housing having a handle portion connected to a tool attachment portion and a power source portion. A removable, single use, contamination-blocking cover substantially covering the power source portion, the handle portion and the tool attachment portion. The housing has a first shape and the cover has a second shape similar to the first shape. The handle portion includes a tactile feel portion which is movable sufficient to move an associated trigger coupled to the housing.

Abstract: A holding clip is designed to be fixed in a holding contour of a housing part of a sterile container and/or to be removed from the holding contour without tools. The holding clip has at least one at least partly spring-elastic clamping section designed to provide a clamping force to secure the identifying element and at least two holding sections that adjoin the clamping section on both sides and that are designed to engage into an undercut of the holding contour in a form-fitting and/or force-fitting manner. A sterile container can include such a holding clip.

Abstract: Embodiments include a lighting assembly includes an elongate gasket body formed of a resilient, optically transmissive material. The gasket body includes a light source cavity at least partially defined by a light transmission portion and an attachment channel configured to attach the gasket body to a mount. A light source is disposed in the light source cavity. Other embodiments include securement ring including a clamp portion and a lighting assembly portion. The clamp portion includes first and second segments, each being semi-annular in shape and curving between first and second ends, the first end of the first segment coupled to the second end of the second segment and the second end of the first segment coupled to the first end of the second segment to collectively form an aperture. The lighting assembly portion includes a first and second segments, each being semi-annular in shape and including a light source.

Abstract: An imaging system includes an image generating device and two reflecting mirrors. The image generating device projects a light toward a gravity direction. The two reflecting mirrors are disposed with respect to each other and one of the two reflecting mirrors is disposed with respect to the image generating device. The light projected by the image generating device forms a virtual image through the two reflecting mirrors in sequence.

Abstract: A medical apparatus is described for providing visualization of a surgical site. The medical apparatus includes an electronic display disposed within a display housing. The medical apparatus includes a display optical system disposed within the display housing, the display optical system comprising a plurality of lens elements disposed along an optical path. The display optical system is configured to receive images from the electronic display.

Abstract: A stable affixation system for dental implantation includes a fixation tray having, for rapid placement, a housing defining a chamber whose inner surface is configured to house a flowable or malleable material (configured to harden) and be placed over one or more teeth during guided dental implantation surgery. A mechanism for urging the material against the teeth may comprise side walls having an inwardly directed extra flexible arm extension or an inwardly directed step. A lock mechanism may comprise a wedge positioned over the fixation tray to reduce or eliminate freedom of movement of the tray. For rapid removal, the system may include mechanisms (for example an element rotating inside the tray) for applying force on the tray and material and for ensuring that the material adheres more strongly to the tray than to the teeth. The system is sturdy enough to withstand forces including from various angles and leverage.

Abstract: Two-piece bilateral illumination attachment for dental camera is a light source that is reversibly attachable to any dental camera. Two-piece bilateral illumination attachment for dental camera has two light sources that directly face each other. When properly attached to a dental camera, two-piece bilateral illumination attachment for dental camera effectuates sub-enamel illumination or bilateral illumination of a tooth, so that the dental camera may capture a photo or image of the illuminated tooth. Two-piece bilateral illumination attachment for dental camera has a specially shaped body that makes a slip-fit, press-fit, or snap-fit onto the exterior surface of any dental camera. Two-piece bilateral illumination attachment for dental camera has a distal section and a proximal section. The distal section is reversibly attachable to the proximal section. The distal section is sterilizeable.

Abstract: A rotatable endodontic file for cleaning/shaping a tooth root canal that includes an elongated shaft having a proximal end portion, a distal end and a tapered working portion having a rotational axis, the working portion extending from the proximal portion to the distal end; the external surface of the shaft working portion having a plurality of parallelogram-shaped cross sections along the working portion.

Abstract: A method for manufacturing an implant including the steps of providing an implant element, the implant element made of a non-metallic material, depositing a thin layer of titanium-based material directly over an outer surface of the implant element, and forming a titanium-based structural body in direct contact with the thin layer by three-dimensional (3D) printing, the structural body being thicker than the thin layer of titanium-based material.

Abstract: A method for imaging a tooth surface, the method executed at least in part on a computer, directs an excitation signal toward the tooth from a scan head and obtains a depth-resolved response signal emanating from the tooth, wherein the response signal encodes tooth surface structure information. Liquid and tooth surfaces are segmented from the depth-resolved response signal. The tooth surface structure information is adjusted based on the segmented liquid. A 3D image of the tooth is reconstructed according to the depth-resolved response signal and the adjusted tooth surface structure information. The 3D image content is displayed, stored, or transmitted.

Abstract: A connecting element, a base unit and a cleaning head for use in an oral care appliance are disclosed. The connecting element is configured to engage operatively with the cleaning head and the base unit to form a first connection and a second connection respectively.

Abstract: An assembly for supporting and charging a dental device. The assembly has three major components comprising a charging base, a rinsing cup and a dental device. The assembly allows the charging base to wirelessly charge the dental device when the dental device is placed within the rinsing cup, which is located on top of the charging base. The bottom interior surface of the rinsing cup has a convex dome that helps stabilize the assembly. The dental device further includes a magnet to ensure stability and promote reliable charging.

Abstract: In one embodiment, the invention may be a teeth cleaning device including: a first support structure comprising a first dentature channel configured to receive at least a first portion of a dentature of a user; a plurality of teeth cleaning pads located within the first dentature channel; a plurality of air bladders operably coupled to the teeth cleaning pads; an air-flow subsystem operably coupled to the air bladders; and a control unit operably coupled to the air-flow subsystem, the control unit configured to: (1) pressurize the air bladders with external air in a pressurization mode; and (2) transfer air between select ones of the air bladders in a cleaning mode.

Abstract: An electric toothbrush disclosed herein includes a vibrator having a housing and a motor. The housing encloses the motor and a portion of a switch operably coupled to the motor. The electric toothbrush also includes a head portion including a brush. A cap is coupled to the head portion. The head portion and the end cap enclose the vibrator.

Abstract: The invention relates to a light-curing device, comprising a plurality of individual LED chips, each associated to a reflector, which LED chips are in particular each separately controllable and are arranged about a common central axis, in particular in each case at the same distance, and comprising reflection elements of the reflectors which adjoin one another, wherein the distance of the reflectors from one another is in each case substantially less, in particular less than a fifth, of the reflectors' diameter. The reflection elements (14, 16, 18, 20) are arranged like a clover leaf and are part of a common reflector body (10) which separates the reflection elements (14-20) from one another by means of dividing walls (30, 32, 34, 36), and the reflector body (10) has externally on the reflection elements (14-20) reinforcing walls (40) which—in relation to each cone (14, 16, 18, 20)—lie opposite the central axis (12).

Abstract: A method and a device for treating dental caries using microwave energy applied directly to teeth at frequencies that are lethal to the bacteria in caries, without being destructive to tooth tissues. The method and a device will have a significant economic and health impact, leading to a reduction in traditional surgical interventions, as well by improving access to care for those with health disparities.

Abstract: Gluteal implants and gluteal implant systems are described herein, as are methods of manufacturing and implanting the same. In certain embodiments, the gluteal implant includes a body having a convex upper surface, a concave lower surface, and an edge, the edge being formed by the intersection between the convex upper surface and the concave lower surface. The body can take on various shapes, including a truncated ovoid shape, a truncated approximate ovoid shape, a truncated substantially ovoid shape, a truncated ellipsoid shape, a truncated approximate ellipsoid shape, or a truncated substantially ellipsoid shape, among others. In certain embodiments, the gluteal implant system includes first and second gluteal implants that have the same or different shaped bodies. In certain, the gluteal implants and gluteal implant systems are implanted in a buttock.

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

Abstract: An embolic protection and filtration device (EFD) that is deployable within the aortic arch of a patient to prevent emboli from entering the coronary arteries. The device includes a collapsible tubular chassis having enlarged opposing end portions and a midsection of smaller radial dimension. A filtration membrane is disposed at least on upstream and midsection portions of the chassis and is configured to filter and shunt large emboli down the descending aorta and away from the coronary arteries. A retrieval device is provided for retrieving the EFD from within the patient. The retrieval device automatically compensates for elongation of the EFD as the EFD is radially contracted such that the EFD is not moved or drug along the aorta as it is collapsed and retracted into a retrieval catheter.

Abstract: Urologic stents that are adapted for temporary use to provide relief following treatments for benign prostatic hyperplasia and other disorders of the prostate, urethra and ureters.

Abstract: Prosthetic augments to improve muscle mechanics are disclosed herein. A prosthetic augment of the present disclosure includes an augment member configured to engage a bone, the augment member having a first face adapted for contacting the bone; and a second face adapted for contacting an underside of a muscle, wherein at least a portion of the second face includes a bulbous surface adapted to alter a wrapping angle of the muscle around the bone, wherein a first thickness is defined between the first face and the second face at a first position on the augment member, wherein a second thickness is defined between the first face and the bulbous surface of the second face, and wherein the first thickness and the second thickness are not equivalent so as to result in the augment member having a non-uniform thickness.

Abstract: An enclosure device is disclosed for delivering an implantable sheet-like support or repair device, such as ligament, tendon or other soft tissue support or repair device, to a surgical site. The enclosure device protects the support or repair device from unwanted adhesion and deformation during delivery and facilitates its optimal positioning at the injury or repair site where the support or repair device will be implanted. The enclosure device has a planar body foldable along one or more fold lines into at least two panels configured to contain the repair device between the panels; an optional cutout in one or more panels of the planar body at the panel edge opposite the fold line configured to expose a portion of the repair device; an optional positioning tab extending out from the fold line; and an optional securing mechanism to secure the enclosure device in a folded position. Methods of using the enclosure device are described.

Abstract: Connective tissue-to-bone interface scaffolds (e.g., ligament-to-bone interface scaffolds, tendon-to-bone interface scaffolds, etc.). These scaffolds may be a single integrated implant or may be a modular (e.g., two-part) implant system.

Abstract: An open, seal-less intraocular lens is disclosed herein.

Abstract: Accommodating intraocular (AIOL) assemblies for enabling post implantation in situ manual selective displacement of an AIOL along a human eye's visual axis relative to stationary anchor points. Axial displacement may be over a continuous range or alternatively at discrete axial stopping positions typically from about 100 ?m to about 300 ?m apart. Novels AIOLs designed to be at least partially folded for facilitating insertion into a human eye through a relatively small incision.

Abstract: A composite light adjustable intraocular lens, can include an intraocular lens (IOL), a light adjustable lens, attached to the intraocular lens, and haptics. In some cases, a composite light adjustable intraocular lens can include an intraocular lens, and haptics, attached to the IOL with light-adjustable hinges. A method of adjusting an implanted composite light adjustable intraocular lens can include planning a targeted optical outcome of an implantation of the composite light adjustable intraocular lens into an eye; implanting, the composite light adjustable intraocular lens into the eye; performing a diagnostic measurement to evaluate an implanted optical outcome of the implantation; determining a correction based on a comparison of the planned optical outcome and the implanted optical outcome; and applying a stimulus to adjust an optical characteristic of the composite light adjustable intraocular lens to induce the determined correction.

Abstract: Described embodiments are directed toward prosthetic valves having leaflets of particular shapes that control bending character. In accordance with an embodiment, a prosthetic valve has a plurality of leaflets. Each leaflet includes a central region and two side regions on opposite sides of the central region. The central region is defined by a shape of an isosceles triangle defined by two central region sides, the leaflet base and the leaflet free edge, wherein the two central region sides converge from the leaflet base. Each of the two side regions has a shape of a triangle and each is defined by one of the central region sides, one of the leaflet sides, and the leaflet free edge.

Abstract: Embodiments include prosthetic valves and related methods. In an embodiment, an implantable valve is included having a frame that includes a plurality of frame struts. The frame can define a central lumen. An outer skirt can be disposed on an abluminal surface of the frame. The outer skirt can include a flap having a first end and a second end. The first end of the flap can be fixed to the abluminal surface of the frame and the second end can be free to move away from the abluminal surface of the frame. Other embodiments are also included herein.

Abstract: A method for manufacturing a heart valve using bioprosthetic tissue that exhibits reduced in vivo calcification. The method includes applying a calcification mitigant such as a capping agent or an antioxidant to the tissue to specifically inhibit oxidation in tissue. Also, the method can be used to inhibit oxidation in dehydrated tissue. The capping agent suppresses the formation of binding sites in the tissue that are exposed or generated by the oxidation and otherwise would, upon implant, attract calcium, phosphate, immunogenic factors, or other precursors to calcification. In one method, tissue leaflets in assembled bioprosthetic heart valves are pretreated with an aldehyde capping agent prior to dehydration and sterilization.

Abstract: A prosthetic heart valve includes at least one sealing member. The sealing member is adapted to conform to any surface irregularities found on the inner surface of the valve annulus, including any calcium deposits formed on the valve leaflets. The sealing member can be self-expanding or non-expanding. When deployed, the sealing member is adapted to create a blood tight seal between the prosthetic heart valve and the inner surface of the valve annulus thereby minimizing and/or eliminating perivalvular leakage at the implantation site.

Abstract: A heart valve prosthesis delivery system can include a first sheath, a second sheath, a check valve, a check valve control lines, and a heart valve prosthesis carried within the first sheath or the second sheath. The check valve can be carried within the first sheath or the second sheath. The check valve has a check valve frame and a cover component, and the check valve control lines can be coupled to the check valve frame and configured to be manipulated by a physician to control release of the check valve. In use, the check valve can be configured to be deployed within the native valve structure for minimizing back flow of blood during placement of the valve prosthesis when the native valve leaflets are rendered non-functional by the presence of the delivery system.

Abstract: A prosthetic heart valve includes a collapsible and expandable annular frame. The frame includes a plurality of rows of hexagonal cells. Each of the hexagonal cells is defined by six struts, including: two opposing side struts extending parallel to each other, a first pair of angled struts extending from respective first ends of the side struts and converging to intersect with each other, and a second pair of angled struts extending from respective second ends of the side struts and converging to intersect with each other. The prosthetic heart valve can also include a valvular structure with a plurality of leaflets. The prosthetic heart valve can further include a sealing member.

Abstract: A replacement heart valve device is disclosed. In some embodiments, the device includes a frame coupled to one or more leaflets that are moveable between open and closed configurations. In some embodiments, the frame comprises at least two frame sections that join at a pair of commissural posts. In some embodiments, the device may be geometrically accommodating to adapt to different vasculature shapes and sizes and/or to be able to change size while implanted within a growing patient.

Abstract: A method of implanting a prosthetic mitral valve includes advancing a delivery apparatus into a left side of a patient's heart and deploying a support structure from the delivery apparatus. The support structure extends around native mitral valve leaflets such that the native leaflets are disposed radially within the support structure. The method also includes advancing a prosthetic heart valve within the native leaflets. The prosthetic heart valve is separate from the support structure and includes an annular frame and a valve structure positioned within the annular frame, and prosthetic heart valve is in a radially collapsed configuration. The method further includes expanding the prosthetic heart valve from the radially collapsed configuration to a radially expanded configuration. In the radially expanded configuration, the annular frame of the prosthetic heart valve engages the native leaflets and is separated from the support structure by the native leaflets.

Abstract: Medical devices and methods for making and using medical devices are disclosed. An example delivery system for an implantable medical device includes an inner shaft having a proximal end region, a distal end region, a non-circular lumen extending therethrough. The delivery system also includes a tension resistance member extending at least partially between the proximal end region and the distal end region, a deployment catheter disposed along the outer surface of the shaft, and an actuation shaft disposed within the non-circular lumen. Further, the actuation shaft is coupled to the implantable medical device and translation of the actuation shaft shifts the implantable medical device from a first position to a second position.

Abstract: An instrument for repairing an atrioventricular heart valve, the instrument including a tubular element having an outer, distal end; a distal implant part arranged in the tubular element; an artificial chord arranged in the tubular element; a proximal implant part arranged in the tubular element; and, an anchor carrier arranged in the tubular element. The distal implant part and the proximal implant part are arranged in the tubular element beside one another, with the distal implant part being closer to the distal end of the tubular element than the proximal implant part The proximal implant part is assembled with the anchor carrier inside the tubular element so that the tubular element prevents the proximal implant part from escaping from the anchor carrier as long as the anchor carrier is within the tubular element.

Abstract: A prosthetic mitral annuloplasty ring includes a wire, an adjustment member for changing a length of the wire and a jacketing annulus for adjusting a radial dimension of the mitral valve annuloplasty ring. The jacketing annulus is sleeved over the wire and forms, together with the adjustment member, a shape matching that of a native mitral valve annulus. After the prosthetic mitral annuloplasty ring is implanted by suturing in a conventional surgical procedure and the patient's heart starts to beat again, the adjustment member can be connected to the delivery device and the wire length therein can be adjusted by a rotating operation of the delivery device so that the mitral valve annuloplasty ring will be expanded or contracted until the prosthetic mitral annuloplasty ring perfectly fits the native mitral valve annulus in shape, effectively avoiding the problem of incomplete mitral leaflet coaptation.

Abstract: A compliant biological scaffold incorporates a plurality of elongated apertures that form a geometric pattern enabling biaxial expansion or contraction. An elongated aperture has a pair of nodes located on opposing sides of the aperture and between a pair of antinodes located on the extended and opposing ends of the elongated aperture. A geometric pattern may have various geometric shapes, or tiles, between the plurality of apertures. The geometric tiles have a bounded perimeter formed by the plurality of elongated apertures. A substantial portion of the elongated apertures may be configured with the antinodes proximal to one of said pair of nodes of a separate elongated aperture; wherein the antinodes are closer to one of the pair of nodes than to any other antinode. This unique arrangement of the elongated apertures may be formed in biological material in vivo or ex vivo.

Abstract: An intracranial prosthesis comprised of a flat body having an interior ultrasound-compatible window and means about the outer portion capable of engaging a plurality of diagnostic instruments and/or intracranial delivery systems so that a practicing medical professional can monitor certain parameters of a patient or deliver therapeutic agents to the patient while using an ultrasound-monitoring device to image the patient's brain. The prosthesis is designed to allow for the continuous, uninterrupted, simultaneous monitoring of a number of parameters of a patient's brain at the patient's bedside.

Abstract: A system, comprises an implant including an outer sleeve and a head element, the outer sleeve extending longitudinally and including a channel extending therethrough, the head element including a shaft portion and a bone-engaging portion, the shaft portion received within the channel of the outer sleeve and longitudinally movable relative thereto and a clip device removably assembled with the implant to hold the outer sleeve and the head element in a desired position relative to one another, the clip device including a body extending longitudinally along with a separation portion connected to a proximal end of the body via a releasable connection to engage the proximal end of the outer sleeve and a spacer portion connected to the proximal end of the body to releasably engage a portion of the shaft portion between a proximal end of the bone-engaging portion and the distal end of the outer sleeve.

Abstract: A prosthesis for spinal surgery includes a spacer adapted to be secured into the bone and attached to one of a plurality of configuration plates. The configuration plates are interchangeable and each one is configured to utilize a different combination of bone screws, anchors or both. The prosthesis may further include a retaining mechanism to prevent bone screws and/or anchors from backing out.

Abstract: An implantable medical device for implantation in a mammal joint having at least two contacting surfaces is provided. The medical device comprises; an artificial contacting surface adapted to replace at least the surface of at least one of the mammal's joint contacting surfaces, wherein the artificial contacting surface is adapted to be lubricated, when implanted in said joint. Furthermore the medical device comprises at least one inlet adapted to receive a lubricating fluid from a reservoir, at least one channel at least partly integrated in the artificial contacting surface in connection with the at least one inlet for distributing the lubricating fluid to the surface of the artificial contacting surface. The medical device could be adapted to be operable by an operation device to receive the distributed lubricated fluid from a reservoir.

Abstract: This invention related to a method of forming a polymer component and comprises blending polymer particles with antioxidant to form a mixture in which the antioxidant coats the polymer particles, irradiating the polymer particles to cross-link the polymer particles therein and forming the irradiated mixture into a consolidated component. The invention also relates to a method of forming an articular surface for a prosthesis and a prosthesis having a polymer articular bearing surface wherein at least one predetermined portion of the bearing surface is provided with cross-linked polymer bonds.

Abstract: A joint implant for temporary or permanent use has a femoral component and tibial component. The femoral component has a base and rod extending therefrom and defines a pin. The tibial component has a base and rod extending therefrom and defines a bore in which the pin is seated so that the femoral component is rotatable relative to the tibial component.

Abstract: A method for treating a spine includes the steps of: creating a surgical pathway in a body along a first surgical approach to a surgical site including vertebral tissue; creating a surgical pathway in the body along a second surgical approach to the surgical site including the vertebral tissue; disposing a fulcrum with an intervertebral disc space of the vertebral tissue via the first surgical approach; and manipulating the vertebral tissue via the second surgical approach. Spinal implants, surgical instruments and systems are disclosed.

Abstract: A method of delivering a fusion cage to an intervertebral disc space bounded by adjacent vertebral endplates, comprising the step of delivering the fusion cage into the disc space without contacting its teeth to the vertebral endplates during delivery, wherein a sheath is interposed between a cage surface and the endplates to prevent contact therebetween during delivery.

Abstract: Devices and methods of correcting vertebral misalignment, including, e.g., spondylolisthesis, are disclosed. In one embodiment, a vertebral implant may include an assembly configured to be secured to a first vertebral body, wherein the assembly includes a frame made of a first material and at least one end plate made of a second material different than the first material; a reducing plate configured to be slidably received over the central portion, wherein the reducing plate is configured to be secured to a second vertebral body; and an actuator configured to move the reducing plate relative to the frame.