Abstract: An oral care implement including a handle and an oral care refill head. The handle has a gripping portion, an engagement component coupled to a distal end of the gripping portion, and a stem. The engagement component includes a plate portion and a first engagement feature. The stem extends through an opening in the engagement component and protrudes from the plate portion. The oral care refill head includes an oral care treatment portion and a sleeve portion. The sleeve portion has an inner surface that defines a sleeve cavity having a cavity axis and a second engagement feature. When the oral care refill head is detachably coupled to the handle, the first and second engagement features mate with one another to at least one of: (1) position the oral care refill head and the handle in an operational alignment; and (2) lock the oral care refill head to the handle.

Abstract: An apparatus for applying a medicant includes a carrier, and a matrix of absorbent material or expandable fiber attached to the carrier. The apparatus can be used to provide a dental or medical treatment and includes placing a medicant on the matrix of material and moving the carrier and material carrying the medicant to a treatment location.

Abstract: A surgical instrument system includes a pair of side-specific orthopaedic surgical instrument assemblies. The right-limb side-specific instrument assembly is kitted so as to be devoid of left-limb side-specific instruments and vice versa.

Abstract: A filter device insertable into a biological lumen includes a shaft portion and an elastically deformable portion interlocked with the shaft portion, the deformable portion having a plurality of wires braided in a mesh shape. The wires include wires of a first type, each having a diameter d. A sum of d3 of all of the wires is 0.08 to 0.25 mm3.

Abstract: An intravascular stent having a stent body and at least one cover overlying the stent body to cover the first portion of the stent body. The cover has a first region attached to the stent body and a second region unattached to the stent body. Multiple covers can be attached to the stent body in overlapping arrangement, each cover having a free unattached end. The free ends reduce the overall stiffness of the stent.

Abstract: An intravascular stent having a stent body and at least one cover overlying the stent body to cover the first portion of the stent body. The cover has a first region attached to the stent body and a second region unattached to the stent body. Multiple covers can be attached to the stent body in overlapping arrangement, each cover having a free unattached end. The free ends reduce the overall stiffness of the stent.

Abstract: A tendon repair implant for treatment of a complete or partial thickness tear in the supraspinatus tendon of the shoulder is provided. The implant may incorporate features of rapid deployment and fixation by arthroscopic means that compliment current procedures; tensile properties that result in desired sharing of anatomical load between the implant and native tendon during rehabilitation; selected porosity and longitudinal pathways for tissue in-growth; sufficient cyclic straining of the implant in the longitudinal direction to promote remodeling of new tissue to tendon-like tissue; and, may include a bioresorbable construction to provide transfer of additional load to new tendon-like tissue and native tendon over time.

Abstract: Embodiments herein relate to an implant for insertion into a patient. The implant comprises a plurality of unit cells arranged to form a three-dimensional lattice structure, the three-dimensional structure comprising a resting volume of the implant. The plurality of unit cells are arranged to form a porous network of the three-dimensional structure, and wherein the three-dimensional structure is a reversibly compressible three-dimensional structure, wherein a bulk porosity of the three-dimensional structure of the implant is at least 50%. Also disclosed is a method of tissue reconstruction or tissue augmentation. The method comprises implanting into the body of a subject an implant of the disclosure.

Abstract: A method for controlling an artificial iris comprises: receiving a measurement of light intensity detected by a sensor on or adjacent to the artificial iris; accessing a user-specific profile based on user calibration for determining one or more user-specific thresholds of light intensity of the user-specific profile, wherein the one or more user-specific thresholds are associated with light intensities for triggering a change of light transmittance through the artificial iris; comparing the received measurement of light intensity to the one or more thresholds in the user-specific profile; and determining, based on said comparing, whether to turn on or turn off one or more concentric rings of liquid crystals of the artificial iris for controlling an amount of light transmitted through the artificial iris.

Abstract: Various embodiments are described herein for an ocular device implantable in a user's eye and which has an adjustable optical element for varying one or more optical properties for the eye such as, but not limited to, providing a dynamically adjustable aperture stop to control the amount of incoming light, filtering incoming light, polarizing incoming light, and/or varying a depth of field for the eye.

Abstract: An intraocular lens system comprising at least one intraocular lens having an anterior surface and a posterior surface, wherein at least one surface of the lens is aspherical to provide for a continuum of retinal images to be focused at the retina in an area between two retinal eccentricities. The system may include an anterior light-converging intraocular lens 16 for positioning within the eye, the anterior lens having an anterior surface and a posterior surface; and a posterior light-diverging intraocular lens 17 for positioning within the eye posterior to the anterior lens, the posterior lens having an anterior surface and a posterior surface; wherein one or both surfaces of the anterior lens and/or one or both surfaces of the posterior lens are aspherical.

Abstract: An intraocular lens injector with controlled insertion has in a pen-like casing (1) a rear part including an actuator (18) connected anteriorly to an insertion rod (19) for inserting the intraocular lens (IOL) in a patient's eye, and an intermediate handle portion (6) on which a device for controlling the advancement of the push rod (9) is provided. The push rod (9) has a prismatic shape, and is provided with a toothed rack (24), and the device for controlling the advancement of the push rod (9) engages and disengages with respect to the toothed rack (24) co-operating as an elastic return element abutting the pen-like casing (1) to control the advancement of the push rod (9).

Abstract: An injection system for an intraocular lens (IOL) utilizes a folding device for the IOL. The folding device comprises a pair of co-acting winglets pivotable between an open position and a closed position, and together defining a hinge axis and a receptacle for the IOL. Each winglet has an outwardly extending, unitary leg portion defining a base plane that includes the hinge axis and a motion limiting protuberance on each said leg portion extending from the base plane. The base planes are situated at an angle relative to one another and the protuberances abut one another when the winglets are in the open position. The base planes merge into a single plane when the winglets are in the closed position.

Abstract: The subject of the invention is a middle ear prosthesis (1), in particular of the middle ear conductive chain, comprising a first spring element (2) constituting a spring of at least one coil, having a length Lm in the range from 0.2 mm to 10 mm, and possibly a second spring element (3) constituting a spring of at least one coil, having a length Lk in the range from 0.1 mm to 4 mm, wherein N the first spring element (2) and the second spring element (3) are made of wire of a material having a Young's modulus E in the range from 7·1010 N/m2 to 11.4·1010 N/m2, a density p in the range from 4·103 kg/m3 to 20·103 kg/m3, a Poisson's ratio v in the range from 0.34 to 0.44, wherein the first spring element (2) is connected to the second spring element (3) in such a way that the rotational symmetry axis of the first spring element (2) is placed at an angle ??1 with respect to the rotational symmetry axis of the second spring element (3), included in the range from 5° to 160°.

Abstract: A single circular convex magnet leaflet prosthetic heart valve with an opposing upper and lower magnetic field mounted into a C-clamp, with a modulating sensory unit within the top housing frame comprising; 1) a single, disc-shaped magnetic leaflet that opens and closes against an opposing magnetic main housing frame, designed to reduce friction in order to avoid hemolysis and coagulation. 2) an attached sensory unit that communicates from the heart to the brain through the braingate and microprocessor, compensating for the native defective heart valve. These sensors are regulated through brain guidance that might be induced by the sympathetic or parasympathetic system assisting with the vagus nerve to help tranquilize blood flow. This can replace the tricuspid or bicuspid valve. 3) a C-clamp used to prevent installation errors. Once the C-clamp is installed, un-installing and re-installing the entire unit will be unnecessary, thus, expediting the process, which could be lifesaving. U.S. Pat.

Abstract: A valve repair system for repairing a native valve of a patient includes a catheter and a valve repair device. The valve repair device is disposed in the catheter. The valve repair device comprises a compressible spacer and a pair of paddles. The pair of paddles are moveable between an open position and a closed position. The valve repair device can transition to a compressed configuration with the compressible spacer between the pair of paddles in the closed position.

Abstract: An epicardial anchor system comprising a tether attachment member defining a portion of a tether passageway configured to receive a portion of a tether extending from a heart valve, a base having a rim defining a void along a circumference of the rim, and a tether capture device adjacent the tether attachment member and hingedly attached to the epicardial anchor, the tether capture device including an opening configured to receive the portion of the tether therethrough and a slot configured to capture the portion of the tether extending through the opening, and an actuation mechanism configured to flip the tether capture device from an unactuated condition to an actuated condition, wherein in the unactuated condition, the tether capture device is spaced from the void defined by the rim, and in the actuated condition, a first portion of the tether capture device is positioned within the void defined by the rim.

Abstract: An artificial heart valve suitable to be delivered percutaneously, comprises a plurality of support elements in the form of a plurality of base segments and a plurality of posts; a plurality of flexible leaflets, each leaflet attached to two of the posts; and one or more strings passing through the plurality of support elements. The artificial heart valve is configurable between a collapsed delivery configuration in which the posts are located side-by-side and closer together and an expanded operational configuration in which the posts are located side-by-side and further apart. When the artificial heart valve is in the collapsed delivery configuration, application of tension to the one or more strings pulls each support element into engagement with adjacent support elements until the artificial heart valve adopts the expanded operational configuration in which the support elements together form a support structure defining an aperture for blood flow.

Abstract: A prosthetic heart valve includes a non-collapsible annular frame extending between an inflow edge and an outflow edge, the frame having a plurality of annularly spaced commissure posts adjacent the outflow edge. A valve assembly including a plurality of leaflets is connected to the frame. The frame includes a weakened portion such that the frame is expandable from an initial condition having a first diameter to an expanded condition having a second diameter larger than the first diameter when a radially outward force is applied to an inner surface of the frame. A stabilizing strut may be positioned adjacent the weakened portion to reinforce the frame. The prosthetic heart valve may include an expandable ring positioned around the expandable frame.

Abstract: Devices, systems and methods to position a prosthetic heart valve such that the prosthetic valve is more accurately positioned. Guide devices promote positioning the prosthetic valve within a native aortic valve and, optionally, to center the prosthetic valve within the native heart valve. Prosthetic valves may include one or more cut-outs, openings or recesses configured to align with the conduction tissue so that the conduction tissue is not contacted in a way that would lead to higher incidents of complete heart block.

Abstract: Anchors and systems for docking a prosthetic heart valve at a native heart valve are disclosed. An anchor can include at least three coils and a seal positioned between at least two adjacent coils of the at least three coils. The seal circumscribes at least a portion of the at least two adjacent coils and has opposite ends that are spaced away from corresponding opposite ends of the at least three coils.

Abstract: A crimping device for reducing the size of prosthetic heart valve devices and other medical devices. A hydraulically operated piston advances a pusher toward an opening of a funnel. An interior surface of the funnel is configured to provide substantially uniform compression forces to a prosthetic heart valve device between the pusher and the funnel as the pusher advances the prosthetic heart valve device into the funnel. A system may comprise the crimping device and a prosthetic heart valve device positioned between the pusher and the funnel. A technique for using the crimping device includes delivering a pressurized fluid and crimping a prosthetic heart valve device using the interior surface of the funnel.

Abstract: A delivery system for side-delivery of a prosthetic valve includes a compression device defining a lumen having a first perimeter at a proximal end that is larger than a second perimeter of the lumen at a distal end. A loading device is coupleable to the compression device and defines a lumen having substantially the second perimeter. A distal end of the loading device includes a first gate that is movable between an open state and a closed state to at least partially occlude the lumen of the loading device. A delivery device defines a lumen having substantially the second perimeter. A proximal end of the delivery device is coupleable to the distal end of the loading device and includes a second gate movable between an open state and a closed state to at least partially occlude the lumen of the delivery device.

Abstract: A heart valve prosthesis includes a frame and a prosthetic disposed within a lumen of the frame. The frame includes a plurality of struts and crowns and has a radially collapsed state and a radially expanded state. A stiffness of the plurality of struts is varied by varying the width of at least one strut of the plurality of struts such that when the frame is in the radially expanded state, the frame has a substantially elliptical shape.

Abstract: A heart valve delivery system may include a handle, a shaft having a proximal end fixedly connected to the handle and extending distally along an axis away from the handle to a free end, and a tube surrounding the shaft. The tube may have a proximal end connected to the handle and extend distally along the axis away from the handle to a distal end. The tube may be axially movable relative to the shaft and the handle between a fully extended position at which the tube extends distally farther than the shaft, and a fully retracted position at which the shaft extends distally farther than the tube. The system may include an inserter for guiding insertion of the tube. In addition or in alternative to the inserter, the system may include a funnel for loading the prosthetic valve into the tube.

Abstract: The present application relates to an assembly for replacing a heart valve or coronary angioplasty assembly, including an insertion sheath (13) of an introducer (1) or a delivery catheter (1?), which is smaller in size than an introducer, intended for being inserted into an artery of a human body. The application involves integrating the metal substrate of an electrode of the cardiac stimulator directly into the sheath for insertion into the artery of a patient.

Abstract: Annuloplasty prosthesis device (1), which is suitable for remodeling a native annulus (2), comprises a body having the shape of at least one ring portion defining a longitudinal direction, coinciding with or locally parallel to the longitudinal development direction of said body; said portion (5) being opposite to said first arcuate section (4), and the body comprises a first arcuate section (4) and at least a second segment (5); said first arcuate section (4) is flexible in a first direction, locally transverse to the longitudinal direction, so as to be deformable under flexion along said first direction; said first arcuate section (4) defines a plane of storage substantially parallel both to the longitudinal direction and to the first direction; said at least a second section (5) is rigid under flexion in said plane of storage (XY); said second section (5) is flexible in a second direction (ZZ), transverse to the plane of storage, so as to be deformable under flexion along said second direction.

Abstract: Fixation device for fixation of leaflets of a heart valve includes a central assembly and at least one arm moveably coupled relative to the central assembly. The at least one arm includes a deformable frame having a first end and a second end and a longitudinal axis defined therebetween, the second end being moveable between a closed position and an open position. The deformable frame further includes first and second deformable flex portions, each flex portion extending along a respective lateral side of the deformable frame and having a deformed condition and an undeformed condition, and each flex portion having an outer lateral edge. The at least one arm has a maximum deformed arm lateral cross-dimension with the flex portions in the deformed condition.

Abstract: Methods and devices for transvascular prosthetic chordae tendinea implantation are disclosed. A catheter is advanced into the left atrium, through the mitral valve, and into the left ventricle. A ventricular anchor is deployed from the catheter and into a wall of the left ventricle, leaving a ventricular suture attached to the ventricular anchor and extending proximally through the catheter. A leaflet anchor is deployed to secure a mitral valve leaflet to a leaflet suture, with the leaflet suture extending proximally through the catheter. The leaflet suture is secured to the ventricular suture to limit a range of travel of the leaflet in the direction of the left atrium. Also disclosed is an assembled in situ mitral valve leaflet restraint, having a neo papillary muscle and a neo chordae tendinea.

Abstract: A valve prosthetic implant for treating a vein or other blood vessel includes a tubular, expandable anchoring frame extending from a proximal end to a distal end of the implant, a valve seat formed at or near the middle of the anchoring frame, an expandable ball disposed within the lumen of the anchoring frame, and a ball retention tether attached to the expandable ball and to the valve seat and/or the anchoring frame. The anchoring frame may include a cylindrical proximal portion at the proximal end, a cylindrical distal portion at the distal end, an inwardly angled inlet portion between the cylindrical proximal portion and a middle of the anchoring frame, and an inwardly angled outlet portion between the cylindrical distal portion and the middle of the anchoring frame.

Abstract: Porous biocompatible structures suitable for use as medical implants and methods for fabricating such structures are disclosed. The disclosed structures may be fabricated using rapid manufacturing techniques. The disclosed porous structures each have a plurality of struts and nodes where no more than two struts intersect one another to form a node. Further, the nodes can be straight, curved, and can include portions that are curved and/or straight. The struts and nodes can form cells that can be fused or sintered to at least one other cell to form a continuous reticulated structure for improved strength while providing the porosity needed for tissue and cell in-growth.

Abstract: Devices to repair bone defects prevent the formation of depressions and palpable tissue at bone repair sites. The devices can be used to repair burr holes in the cranium, providing an improved cosmetic result that reduces or eliminates functional handicaps that can result from combing and hairdressing. The devices are secured in bone defects with filament elements, by expanding the device inside the bone defect, or by gluing. Tissue in-growth into the device regenerates bone at the defect site, and prevents the formation of depressions or palpable tissue. The devices preferably comprise a ceramic and poly-4-hydroxybutyrate or copolymer thereof, or a ceramic and poly(butylene succinate) or copolymer thereof.

Abstract: Methods are provided for modifying a porous surface of an implantable medical device by subjecting the porous surface to a modified micro-arc oxidation process to improve the ability of the medical device to resist microbial growth, to improve the ability of the medical device to adsorb a bioactive agent or a therapeutic agent, and to improve tissue in-growth and tissue on-growth of the implantable medical device.

Abstract: Methods and devices for correcting wear pattern defects in joints. The methods and devices described herein allow for the restoration of correcting abnormal biomechanical loading conditions in a joint brought on by wear pattern defects, and also can, in embodiments, permit correction of proper kinematic movement.

Abstract: A prosthetic ankle includes a tibial portion likely to be connected to the lower end of a tibia, a talus portion likely to be connected to a talus, and a pad inserted between the tibial portion and the talus portion. The tibial portion includes an articular surface likely to engage with a contact surface of the pad. The talus portion includes a curved articular surface likely to engage with a contact surface of the pad. The articular surface of the tibial portion is curved, concave and includes a flat section forming an extension to the rear of said articular surface.

Abstract: An expandable intervertebral implant is disclosed for use in between adjacent vertebral bodies in a spine. An expandable intervertebral implant may include an upper plate having a first upper side and a second upper side, a lower plate having a first lower side, a second lower side, and a first lattice that connects the first upper side to the first lower side. The expandable intervertebral implant may further include a second lattice that connects the second upper side of the upper plate to the second lower side of the lower plate and an opening having a longitudinal axis between the upper plate, lower plate, first lattice, and second lattice. The expandable intervertebral implant may further include an expansion mechanism comprising a driver that expands the upper plate and the lower plate away from each other along a cephalad-caudal axis by deforming the first lattice and the second lattice.

Abstract: The present invention provides a supporting member and a supporting member assembly including the same to be implanted into or between a subject's bones, and a template plug and a tamper corresponding to the supporting member. The supporting member comprises a main body; a first connecting portion and a second connecting portion formed on the upper and lower sides of the main body respectively and forming a dovetail joint with each other; and a guiding structure formed at a side of the main body and including guiding holes as well as a buffer groove for mating with an external template plug. The supporting members of the invention can be sequentially implanted and connected into a bone or between two connected bones, and improve the defect of the conventional one-size giant implants injuring the surrounding nerves.

Abstract: An intervertebral cage with an outer frame, an open inner core region and a porosity gradient within the outer frame is provided. The outer frame includes a posterior wall, an anterior wall, a pair of side walls extending between the posterior wall and the anterior wall and the porosity gradient may comprise at least one of: a decreasing average pore diameter in a direction from an outer surface to an inner surface of at least one of the pair of side walls; an increasing average pore diameter in a direction from an outer surface to an inner surface of at least one of the pair of side walls; a decreasing average pore diameter in a direction from an upper surface to a lower surface of at least one of the side walls; and an increasing average pore diameter in a direction from an upper surface to a lower surface of at least one of the side walls.

Abstract: A bone joint spacer has two endplates which have a bone engaging surface on one side, and ramps extending from an opposite side. A shaft has a threaded end, and another end which has ramp followers which mate with the endplate ramps of both endplates. A collar slides over the threaded end of the shaft, and also has ramp followers which mate with the endplate ramps of both endplates. A nut threads onto the end of the shaft and pushes the collar towards the ramp followers of the shaft. This movement causes the ramp followers to slide the ramp followers of the collar and the shaft against the endplate ramps, pushing the endplates apart. Two of these spacers can be combined by a link plate so that the spacers can be aligned or curved into a U-shape to be inserted into the body and positioned between bony surfaces, respectively.

Abstract: A method of treating a patient in need of an orthopedic implant is described. The method includes obtaining the T-score or bone density of the patient's native bone at a site of implantation, said T-score or bone density being determined by a DEXA scan or other means of determining a T-score or bone density. The method further includes selecting an orthopedic implant that has about the same density as the native bone at the site of implantation, and implanting the orthopedic implant at the site of implantation.

Abstract: Systems and methods for joint replacement are provided. The systems and methods include a surgical orientation device, a reference sensor device, and at least one orthopedic fixture. The surgical orientation device, reference sensor device, and orthopedic fixtures can be used to locate the orientation of an axis in the body, to adjust an orientation of a cutting plane or planes along a bony surface, or otherwise to assist in an orthopedic procedure(s).

Abstract: A method for connecting at least two structural parts of an orthopedic component, wherein the structural parts are retained in an orienting device while oriented in relation to each other, and an intermediate space thus being formed between the structural parts. The orienting device and the structural parts together form a cavity, which has a flow connection to at least one feed connection, via which an adhesive for adhesively bonding the structural parts is introduced into the cavity.

Abstract: It is an object of the present invention to provide a technique capable of making a knee joint of an artificial leg close to a movement of a knee of a human body with a simple configuration.

Abstract: A system with a foot shell, which has a forefoot inner contour and a heel inner contour, at least two prosthetic feet, each with a forefoot region and a heel region, and at least two forefoot inserts that can be positioned at the forefoot region of at least one prosthetic foot, and/or at least two heel inserts that can be positioned at the heel region of at least one prosthesis region, wherein each prosthetic foot has an outer contour of the forefoot with at least one forefoot insert positioned at its forefoot region, which is adapted to the forefoot inner contour of the foot shell, and/or that each prosthetic foot with at least one heel insert positioned at its heel region has a heel outer contour which is adapted to the heel inner contour of the foot shell.

Abstract: A prosthetic foot cover device is described. The prosthetic foot cover may include a lattice framework formed to resemble a human foot. The lattice framework has a plurality of lattice cells to form the lattice framework. The prosthetic foot cover may have an inner cavity formed in the lattice framework which is sized and shaped to contain a prosthetic foot, and the inner cavity has an opening to receive the prosthetic foot. The prosthetic foot may have a foot pad that is an outer membrane layer and is joined with a portion of the lattice framework to support a portion of the lattice foot framework.

Abstract: A prosthetic foot comprises a hollow triangular lightweight top section that is an integral part of a first leafspring that originates from a top portion to the toe of the prosthetic foot. The prosthetic foot further comprises a second leaf spring. The second leaf spring originates from the heel to the toe.

Abstract: Exemplary embodiments herein relate to a unique 4-bar linkage transmission provided between two adjacent links of a powered augmentation device that provides a varying mechanical advantage. Due to the kinematics of the linkage, the mechanical advantage between the actuator and the augmented joint varies with the position of the linkage. Thus, a high mechanical advantage can be provided in positions at which relatively high joint torque is required, and low mechanical advantage in positions at which relatively high joint speed is required. Consequently, the speed-torque (or velocity-force) operating area of the actuator can be consolidated by mapping the widespread output regions onto a smaller input region. This allows the actuator to be optimized for a narrower range of usage.

Abstract: A stimulation device for stimulating reinnervated nerve cell ends, includes: at least one vibration generator, where the at least one vibration generator is connected to at least one decoupling element in a vibration-proof manner. A prosthesis device having at least one stimulation device for stimulating nerve cell ends, in particular nerve area sections typical of the physiognomy, and having a prosthesis shaft as well as at least one vibration generator, where the at least one vibration generator is connected in a positionally fixed manner to the prosthesis shaft via at least one decoupling element.

Abstract: A prosthetic liner having a lower longitudinal stretch in the distal region than in either the proximal or optional intermediate region. The distal region may stretch anywhere from 0-30% vertically and 10-200% horizontally as compared to the proximal region's vertical stretch of 55-125% and 100-175% horizontally. The stretch of the liner at various pressure sensitive regions of a residual limb can also be lowered or heightened depending on the area. A variety of stitches may be used at the distal end to implement this lowered longitudinal stretch. Preferably, the liner is made of a stretchable material. The liner also has an interior layer of elastomer gel. The design of this prosthetic liner is primarily to prevent the “pistoning” of the amputee's residual limb within the liner and for comfort over pressure-sensitive areas of the residual limb.

Abstract: The present disclosure provides stents, particularly self-expanding stents, useful for the GI tract, and more particularly, useful for treating esophageal strictures. The stents provided herein include a medial region and proximal and distal cuffs having external diameters greater than the medial region diameter when the stent is in the deployed state. The medial region comprises an open weave wire construction. An elastomeric coating circumscribes the medial region, while the may be an extension of the wire construction or separate elements. Preferably, the cuffs have a textured surface for contact with the esophageal wall tissue to resist stent migration. The elastomer coated medial region provides a barrier to tissue ingrowth, and has an enhanced radial restoring force to maintain an open passageway in a body lumen. Optionally, the stent includes an exterior sheath with a surface pattern, to which the stent couples.