Abstract: Implantable corneal and intraocular implants such as a mask are provided. The mask can improve the vision of a patient, such as by being configured to increase the depth of focus of an eye of a patient. The mask can include an aperture configured to transmit along an optical axis substantially all visible incident light. The mask can further include a transition portion that surrounds at least a portion of the aperture. This portion can be configured to switch from one level of opacity to another level of opacity through the use of a controllably variable absorbance feature such as a switchable photochromic chromophore within a polymer matrix.

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 prosthetic valve delivery assembly is disclosed. The assembly includes a delivery apparatus having a shaft and a prosthetic valve mounted in a radially compressed configuration around a distal portion of the shaft. The delivery apparatus further includes an expansion assist device mounted on the shaft. The expansion assist device is independently radially expandable and compressible relative to the prosthetic valve between a radially compressed state and a radially expanded state. The prosthetic valve is radially expandable by applying an axially directed force against the prosthetic valve in a proximal or distal direction through contact between the prosthetic valve and the expansion assist device when the expansion assist device is in the radially expanded state.

Abstract: Some embodiments described herein include a heart valve replacement system that may be delivered to the targeted heart valve site via a delivery catheter. In some embodiments, the heart valve replacement system can assemble a valve device after the valve device is delivered to the heart. In some embodiments, heart valve replacement system includes two anterior flaps that are separate but overlap each other.

Abstract: A side-deliverable prosthetic heart valve includes an outer frame and a flow control component. The outer frame defines a central channel that extends along a central axis. The flow control component is disposed within the central channel and coupled to the outer frame. The flow control component has a set of leaflets mounted within an inner frame. The prosthetic valve is configured to be folded along a longitudinal axis and compressed along the central axis to place the prosthetic valve in a compressed configuration for delivery via a delivery catheter. The longitudinal axis is substantially parallel to a lengthwise axis of the delivery catheter when disposed therein. The prosthetic valve transitions to an expanded configuration when released from the delivery catheter. The flow control component elastically deforms from a substantially cylindrical configuration to a substantially flattened configuration when the prosthetic valve is placed in the compressed configuration.

Abstract: A delivery device for an implantable medical device having a retention member at an end thereof may include a shaft extending in a longitudinal direction and defining a longitudinal axis, an elongated sheath surrounding a longitudinal portion of the shaft, a compartment defined inside the sheath and adapted to receive the medical device in an assembled condition, a retainer positioned at one end of the compartment, and an energy storage element positioned on the longitudinal portion of the shaft and configured to be radially compressed by the medical device when the elongated sheath covers the compartment containing the medical device. The sheath may be slidable relative to the shaft in the longitudinal direction. The retainer may include a recess adapted to receive the retention member of the medical device in the assembled condition.

Abstract: A catheter and a method for using the catheter to implant a replacement aortic valve into a patient. The catheter includes an expandable wall, an outer sheath, a first tube operably coupled to the expandable wall, and a second tube operably coupled to the expandable wall. The catheter also includes a pusher that is fixed to the second tube, the pusher being spaced apart from the expandable wall by a distance that is sufficient to accommodate the replacement aortic valve. The outer sheath is movable relative to the expandable wall so that in one state the expandable wall is disposed within the outer sheath and in another state the expandable wall is located outside of the outer sheath. The expandable wall is configured to radially expand. The catheter also includes a handle assembly that is adjusted by a surgeon to achieve the functions of the catheter.

Abstract: An annuloplasty ring assembly includes an annuloplasty ring configured to be secured to an annulus of a heart valve and a ring holder having a template and a handle attachment assembly. The template includes an upper proximal face, a lower distal face, and a peripheral edge portion configured to receive the annuloplasty ring in conformal contact therewith. The handle attachment assembly includes a flexible shaft and a rigid handle adapter. The flexible shaft has a distal end attached to the template and a proximal end attached to the rigid handle adapter. The flexible shaft is rigid enough to maintain the shape of the annuloplasty ring assembly at a plurality of different positions during implantation while permitting the user to bend the flexible shaft to facilitate access and positioning of the annuloplasty ring on the annulus of the heart valve.

Abstract: An annuloplasty ring assembly with detachable handle includes an annuloplasty ring configured to be secured to an annulus of a heart valve and an annuloplasty ring. The annuloplasty ring is attached to the ring holder such that the annuloplasty ring is in conformal contact along a lower surface of a peripheral edge portion of the ring holder. The assembly includes a handle adapter extending proximally from an upper proximal face of the ring holder. The handle adapter is also attached or attachable to a distal attachment end of the handle on one side and removably attached to the annuloplasty ring holder on another side.

Abstract: A medical product, preferably for use in treating, in particular filling and/or closing a bone cavity, wherein the product comprises a plurality of interconnected members, wherein each member has a peripheral boundary and the boundaries of adjacent members engage with one another. And a method for producing a medical product, preferably for use in treating, in particular filling and/or closing a bone cavity, wherein the product comprises a plurality of interconnected members, wherein each member has a peripheral boundary and the boundaries of adjacent members engage with one another.

Abstract: An implant for fusing at least two bone components and method of using the implant. The implant has a body with first and second anchoring portions. The first anchoring portion has a stem configured to be directed to within a first bone component and is further configured to cooperate with at least a first fastener usable to fix the stem in an operative position relative to the first bone component. The second anchoring portion is configured to overlie at least a second bone component at a placement location at which bone has been strategically removed and is further configured to cooperate with at least a second fastener usable to fix a part of the second anchoring portion to the second bone component with the second anchoring portion in an operative position.

Abstract: The present invention is an internal osseointegrated transfemoral amputee implant device and related methods. The device is designed to restore the enclosed nature of the bone marrow system which is disrupted by amputation, plus provide a pressure tolerant (weight-bearing) surface and mechanical anchoring for the iliotibial band.

Abstract: A knee joint structure includes a knee joint head portion, a knee-joint body portion, and at least one curved plate. The knee joint head portion includes a position-returning device made up of a piston, an elastic body, and an adjustment cap and a transmission axle. The transmission axle includes a push-bar axle, which is pivotally coupled to a push bar operable to drive and move the piston. The knee-joint body portion includes a connection rod pivotally connected to the knee joint head portion. The curved plate connects the transmission axle and the knee joint body portion.

Abstract: An orthopaedic implant includes a tibial component having a metal base with a polymer bearing molded thereto. A method for making a tibial component is also disclosed.

Abstract: A method of repairing a fractured humerus may include implanting a prosthetic humeral stem into a humeral canal of the fractured humerus. First and second tuberosities of the fractured humerus may be robotically machined to include first and second implant-facing surfaces that are substantially negatives of first and second surface portions of the proximal end of the prosthetic humeral stem. The first and second tuberosities may be machined so that the first and second tuberosities have first and second interlocking surfaces shaped to interlock with each other. During implantation, the first and second implant-facing surfaces are in contact with the first and second surface portions of the proximal end of the prosthetic humeral stem, and the first interlocking surface interlocks with the second interlocking surface.

Abstract: The invention relates to a glenoid (shoulder socket) implant prosthesis, a humeral implant prosthesis, devices for implanting glenoid and humeral implant prostheses, and less invasive methods of their use for the treatment of an injured or damaged shoulder.

Abstract: Provided is a structure of a porous spinal implant including a cage body inserted between adjacent vertebral bodies and divided by an upper surface, a lower surface, a left surface, a right surface, a front surface, and a rear surface, a plurality of vertical pores formed on the upper surface and the lower surface of the cage body, and a plurality of horizontal structures stacked on the left surface and the right surface of the cage body, wherein the plurality of vertical pores and the plurality of horizontal structures are each formed in a pattern that repeats in up-down, left-right, and front-rear directions. The structure of a porous spinal implant is capable of reducing strength of a cage body close to that of a vertebral body.

Abstract: Technologies for aligning an acetabular prosthetic component in a patient's surgically prepared acetabulum include a reference sensor module securable to the patient's bony anatomy, an inserter sensor module securable to an acetabular prosthetic component inserter, and a display module. Each sensor module generates sensor data indicative of the orientation of the sensor module and/or structures to which the sensor module is coupled. The display module receives the sensor data from the sensor modules, determines the orientation of the acetabular prosthetic component relative to the patient's bony anatomy, and displays indicia of the determined orientation on a display.

Abstract: A silicone prosthesis that has elements for attachment to muscle or breast tissue, which does not move or modify the initial appearance, said silicone prosthesis being formed of a front surface (6) and a back surface (3), which form the material that covers the prosthesis (1), having elements for attachment in the form of protrusions (2), which are joined to the material that covers the prosthesis (1), wherein each of the protrusions (2) has a hole (4) through which a suture can be threaded and the protrusions (2) are distributed around the circumference (5) or along orthogonal axes on the front surface (6) of the base of the prosthesis (Ia). Another prosthesis model, in the form of a partial prosthesis (Ic), has a spherical half-cap shape and is provided with elements for attachment in the form of protrusions (2c). The holes (4) in the protrusions (2) can be provided with reinforcements (7).

Abstract: A temporary expandable tissue support device includes a plurality of helical filaments superimposed on top of one another to form a tubular body. A first end of the tubular body is coupled to an inner shaft, and a second end of the tubular body is coupled to an outer shaft slidably disposed over the inner shaft. Actuation of the inner and outer shafts in a first direction compresses the plurality of filaments thereby radially expanding the tubular body into an expanded configuration adapted to engage and support tissue at a treatment site without obstructing a fluid from flowing past the tubular body. Actuation of the shafts in a second direction opposite the first direction tensions the plurality of filaments thereby radially collapsing the tubular body into a collapsed configuration that is adapted to be delivered to or removed from the treatment site.

Abstract: In one embodiment according to the present invention, a stent is described having a generally cylindrical body formed from a single woven nitinol wire. The distal and proximal ends of the stent include a plurality of loops, some of which include marker members used for visualizing the position of the stent. In another embodiment, the previously described stent includes an inner flow diverting layer.

Abstract: Various aspects of the present disclosure are directed toward apparatuses, systems, and methods that include steering an implantable medical device. The apparatuses, systems, and methods may include an actuation line; a pivot coupled to the implantable medical device; and a tether attached at one end to the actuation line and arranged through the pivot.

Abstract: Some embodiments relate in part to endovascular prostheses and delivery catheter systems and methods for deploying same. Embodiments may be directed more specifically to graft bodies having self-expanding members, including inflatable graft bodies, and catheters and methods for deploying same within the body of a patient.

Abstract: A system and method for loading a self-expandable prosthetic device into a delivery device. The system includes a compression member that has a chamber with a tapered inner surface, a support member, a splay member and a constriction member. The compression member and the constriction member can be releasably attached to each other directly or via a spacer element, in two different positions relative to each other. The first position offers an optimal configuration for releasable attachment of the prosthetic device to the delivery device and the second position offers an optimal configuration for reducing the diameter of the delivery device. The risk of damaging the delivery device and to the prosthetic device during the loading procedure is thereby reduced.

Abstract: A delivery device according to principles described herein includes a catheter having three concentric shafts including an inner core, an outer sheath over the inner core and an outer support shaft at least partially extending over the inner core and the outer sheath. A timing belt having a plurality of belt teeth on a surface of the timing belt is coupled to an outer sheath over a medical device or stent on the inner core such that movement of the timing belt link causes movement of the outer sheath from its position over the medical device or stent. The delivery device is actuated by rotation of a thumbwheel a thumbwheel coupled to a barrel having a plurality of teeth such that rotation of the thumbwheel causes movement of the barrel such that the barrel teeth engage the belt teeth to cause movement of the timing belt causing movement of the outer sheath.

Abstract: A system for delivering an anti-migration anchor to an implantable device includes a locator system having a head portion adapted to mate with the neck portion of the device, a locator capsule coupled to the head portion, and a plurality of arms coupled to the head portion and the locator capsule, the arms having a collapsed and an extended configuration. The system includes a catheter having a distal portion coupled to and extending from the head portion. The system includes a handle coupled to a portion of the catheter, the handle having a mechanism to effect relative motion between an inner and an outer member of the catheter to cause the arms to transition from the collapsed to the extended configuration. The system includes a plurality of elongate elements having a distal end coupled to the arm and configured to facilitate the delivery of an anti-migration anchor to the arm.

Abstract: Provided herein are a foot bracing device and methods of using the device to anatomically stabilize the three primary aspects of foot movement desired to protect the ankle complex during load bearing forces.

Abstract: A shoulder brace for patients who have lost mass in their upper torso due to a shoulder injury. The shoulder brace provides a plurality of pockets selectively placed so that when the shoulder brace is wrapped about the patient's shoulder, padding placed within the plurality of pockets mimics the look of upper body mass lost due to atrophy.

Abstract: A back-bracing apparatus and associated methods of use and/or manufacture are provided. The apparatus includes support and belt portions. The support portion includes a plurality of posterior ribs configured to abut and extend along a low back of a user and a bracing web component having a plurality of crossing structures coupling adjacent ribs. At least one rib includes first and second upper slots disposed at opposite sides of an upper portion of the rib and first and second lower slots disposed at opposite sides of a lower portion of the rib. The belt portion includes an inner strap coupled to the support portion and configured to wrap around a torso and a low back of the user, and upper and lower outer straps configured to pass through the first and second upper slots and the first and second lower slots, respectively, and wrap around the inner strap.

Abstract: There is provided an orthosis that includes an insole having a lateral side portion and a medial side portion. The medial side portion is formed from a first material having a first density and the lateral side portion formed from a second material having a second density, wherein the second density is greater than the first density. The medial side portion and the lateral side portion join at an oblique angle. In addition, the medial side portion of the insole has a contoured arch support portion. In some embodiments, the orthosis further includes a lateral wedge coupled to a bottom of the insole, wherein the lateral wedge having an opposite side thereof positioned at a lateral side of the orthosis.

Abstract: An elastomeric device for improving the erection of the human penis may include a frustoconical collar sized to receive and snugly jacket the user's penis and apply effective pressure on the dorsal penile veins, and a radially extending pubic shield adapted to overlay the pubic area of the user. An elastic strap attached to the pubic shield may encircle the underside of the scrotum to apply effective pressure on the deep veins behind the scrotum and to retain the device on the user's penis during sexual activity. When used in combination with a conventional vacuum erection device, substantially airtight seals are established around the open end of the vacuum device, the base of the penis, and the anterior sealing surface of the pubic shield during evacuation pumping. Related methods are also described.

Abstract: An ostomy appliance includes an ostomy hydrocolloid having a body-facing side, a pouch-facing side and a stoma opening, at least one fluid aperture formed in the body-facing side and at least one fluidic channel embedded in the ostomy hydrocolloid having a proximal portion disposed in fluid communication with the at least one fluid aperture. The ostomy appliance also includes at least one window formed in the pouch facing side, the at least one window aligned with a distal portion of the fluidic channel such that a portion of the fluidic channel is visible through the window. In another embodiment, an ostomy appliance includes a skin barrier material and an ultrasonic detection device for monitoring the skin barrier material.

Abstract: A medical device according to certain embodiments generally includes a first wall, a second wall, and a first deformable reinforcing member. The first wall and the second wall are joined to one another such that a cavity is formed between the first wall and the second wall. The cavity has an outlet opening formed at a proximal end of the medical device. The first deformable reinforcing member is attached to the first wall, and is deformable by manual application of pressure to lateral edges of the first deformable reinforcing member so as to radially distend the outlet opening. The first deformable reinforcing member includes at least one first notch formed in at least one lateral edge thereof. Each notch is configured to receive a portion of a user's digit to facilitate manual application of pressure to said lateral edges.

Abstract: In a laser cataract procedure that also corrects for astigmatism, an iris registration method compares an iris image of a patient's eye taken when the eye is not docked to a patient interface device with an iris image of the same eye that is docked to the patient interface, to calculate a rotation angle between the two images. The astigmatism axis of the eye is measured when the eye is not docked, and the measured axis is rotated by the calculated rotation angle to obtain a rotated astigmatism axis relative to the iris image of the docked eye. The laser cataract procedure is performed based on the rotated astigmatism axis. The rotation angle is calculated by optimizing a transformation that transforms the undocked iris image to match the docked iris image, where the transformation includes a dilation factor that accounts for different pupil dilation of the two iris images.

Abstract: An apparatus includes a body and a pair of rigid legs extending from the body. The body includes an engagement feature configured to engage a deployment instrument. The legs are parallel with each other. Each leg has a sharp tip. The legs both extend along a plane. The body defines a guide opening. The guide opening is oriented transversely relative to the plane associated with the legs. The guide opening is sized to receive a cannula having a generally flat profile. The guide opening is configured to guide the cannula through a sclerotomy at a substantially tangential orientation.

Abstract: A small gauge surgical instrument assembly is shown with advantages such as diminished “play” at the tip. A surgical instrument assembly is also shown with support along a length of the instrument that can be selected by the surgeon. In particular, very small and flexible instruments for vitreous surgery are shown with selectable stiffness, thus providing control as well as access to all parts of the vitreous cavity. Embodiments as shown are safer, and increase the variety of cases for which these instruments can be used.

Abstract: A viewing device for off-road activities, comprising a visor (5), at least a package (2) of tear-off lenses (3) mountable on a lens (6) of the visor (5), and retaining means of the visor (5), wherein the tear-off lenses (3) have superimposable through holes (9). The device further comprises a retaining thread (4) reversibly associated with the visor (5) and with the retaining means of the visor (5), wherein the tear-off lenses (3) after being torn off are able to be retained by the retaining thread (4) sliding along it by means of the through holes (9).

Abstract: Provided are vertically lapped nonwoven layers in eyewear with the effect of reducing condensation and moisture buildup near the face of the wearer while simultaneously improving antifogging and comfort in wearing the eyewear. Exemplary vertically lapped nonwoven dual layers comprise one or more hydrophobic layers and one or more hydrophilic layers that are adhered to each other by a plurality of methods and are further integrated into the frame of the eyewear so that the hydrophilic layer is in direct contact with the wearer's face. The hydrophilic part of the dual layer wicks sweat or bodily fluid from the wearer into the nonwoven and transports the moisture to the hydrophobic layer for fast evaporation, thus eliminating the tendency to develop fogging while keeping the skin dry. The nonwoven dual layer is environmentally friendly as the layers can be made of recycled materials and may be fully recyclable.

Abstract: Disclosed embodiments relate to apparatuses for wound treatment. In certain embodiments, a negative pressure wound therapy apparatus includes one or more electronic components configured to be incorporated into layers of the wound dressing or integrated on top of the wound dressing. In some embodiments, a negative pressure source is incorporated into the wound dressing. The negative pressure source can be sealed between two moisture vapor permeable cover layers or enclosed in a moisture vapor permeable pouch, and may be received in a recess of an absorbent layer or spacer layer of a wound dressing apparatus.

Abstract: A surgical drain device includes an adhesion matrix of biodegradable polymer material and a plurality of drain tubes attached to the matrix. The device is implanted within a surgical wound to treat the presence of seromas, for example, and is used to promote drainage, tissue adhesion, and wound closure. The drain tubes converge into a common collection tube that leads wound fluid outside the body under gravity feed or negative pressure applied to the collection tube. The matrix contains an array of apertures that allow tissue contact across the device. The device also can include a coating of surgical adhesive and a tissue anchoring system of hooks or barbs. The device can be used with a negative pressure system to further improve the drainage band can also be used with a wound dressing. The device and systems containing the device are particularly useful to promote the healing of surgical wounds from abdominal surgery.

Abstract: An elastic hosiery formed of a stretchable elastic textile material, wherein the elastic textile material has the elastic property that when a length of unstretched material is stretched to different circumferential lengths, with different yield rates, the pressure exerted by such different circumferential lengths having the same length of unstretched elastic material varies less than 30% over a range of approximately circular circumferences providing a range of yield rates from ?1 to ?2, wherein ?2/?1>1.8. The elastic textile material may be a weft knitted material, and including elastic threads or yarns of an elastic material arranged as inlays in weft direction.

Abstract: An emergency hemostatic head trauma bandage cap with a strap system and method of use, which, when applied to the head, delivers minimal pressure to control bleeding, doesn't compromise cervical spine immobilization, allows for fast and effective application of cold packs and other cooling materials to control intracranial/internal swelling, or hot packs to prevent hypothermia in non-trauma situations, doesn't come apart during treatment and transport, and doesn't require a caregiver to re-wrap the dressing.

Abstract: A nose compression device for treating a nosebleed of a person. The device includes a wire frame having a straight middle section and two end sections angled with respect to the middle section. The device also has a body attached to the wire frame, and two nasal sponges attached to the body for insertion into the person's nasal passages. The end sections are wider than the user's nose, and the device is slid upward on the user's face so that the nasal sponges enter the user's nasal passages. The end sections are then bent inward to a pinch position where they pinch the upper lateral side surfaces of the user's nose. The nasal sponges can be pre-treated with medication to further stop the nosebleed. Ice pack may also be provided that extends over the compression device. The combination of compression, medication, and cooling facilitate treatment of the nosebleed.

Abstract: An absorbent article has one or more fluid filter layers to inhibit electrode traces from being exposed to low volumes of fluid to reduce the number of false positives that are indicated by an RFID tag of the incontinence detection pad. An antenna inlay has a sacrificial trace portion to permit testing for proper operation of an RFID chip electrically coupled to the antenna inlay. After testing, the sacrificial trace portion is severed. A fluid barrier layer blocks fluid from reaching portions of electrode traces that are located on a backsheet outside a periphery of an absorbent core of an incontinence detection pad. The power at which an antenna transmits to wirelessly energize a passive RFID tag of an incontinence detection pad is controlled to reduce the number of false positives indicated by the RFID tag.

Abstract: A folded absorbent article includes an absorbent core sandwiched between a liquid-permeable topsheet and a liquid-impermeable backsheet. The absorbent article defines, in an unfolded and planar state, a longitudinal center line and a transverse center line. Each transverse side of the absorbent article is folded along a respective longitudinal fold line, such that each of first and second transversely opposed side edges are folded onto a topsheet surface of the absorbent article thereby forming a firstly folded absorbent article. The firstly folded absorbent article is thereafter folded along a first transverse fold line located in the region of the transverse center line thereby forming a secondly folded absorbent article. Finally, the secondly folded absorbent article is folded along a second transverse fold line located approximately in the middle between the transverse center line and a waist edge thereby forming a thirdly folded absorbent article.

Abstract: A disposable absorbent pant that includes a central chassis and a belt structure is disclosed herein.

Abstract: This disclosure includes absorbent articles that comprise a chassis having a recessed region disposed between opposing longitudinal edge portions. A thickness of the chassis within the recessed region can be at least 10% smaller than a thickness of the chassis within each of the longitudinal edge portions such that the chassis defines a longitudinally-extending recess configured to receive a phallus of a wearer.

Abstract: An absorbent article having a body contacting surface a garment contacting surface; and an absorbent core disposed therebetween is disclosed. The garment contacting surface has a garment contacting layer with a plurality of graphic elements. A circumferential edge of the article truncates a portion of the plurality of graphic elements.

Abstract: An incontinence product permanently-bonded to an interior garment fabric of an incontinence garment in a position to absorb incontinent leakage. The incontinence product includes a one-way wicking layer configured to receive the incontinent leakage; an outer shell fabric layer adjacent the interior garment fabric; an absorbent fabric layer intermediate the one-way wicking layer and the outer shell fabric layer; and a leakproof hydrophilic layer intermediate the absorbent fabric layer and the outer shell fabric layer. A perimeter portion of the outer shell fabric layer forms a window through which the one-way wicking layer is configured to receive the incontinent leakage.

Abstract: A rescue device includes a support plate connected to a rescue basket. The support plate includes one or more alignment slots. One or more alignment tabs on a weight transfer member of a frame are inserted into the alignment slots to align the support plate on the frame. An extension member connected to the frame moves a set of handles away from the frame to accommodate the rescue basket. A wheel on the frame is driven by a motor to facilitate the rescue of individuals.