Abstract: An orbital implant includes a bladder configured to be implanted between an orbit and an eyeball of a patient. The bladder defines at least one port and at least one compartment in fluid communication with each other. The at least one compartment defines an interior volume and is configured to hold a fill material so as to be adjustable responsive to injection of fill material into the at least one compartment through the at least one port as well as removal of fill material from the at least one compartment through the at least one port. Adjustment of the interior volume is configured to reposition the eyeball.

Abstract: An injector of intracorneal segments has a disposable segment holding head comprising a lancet (36) formed with a housing closed by the lid (37) wherein a sterilized corneal segment (11) is housed, behind which there is a needle (26) longitudinally slidable under the action of a trigger (31) and a spring (32). The head also has a manual selector (38) to deflect the needle to place the segment at 90° of the head to the right or left of a channel made in the cornea for injection. The segment pre-installed in the head is provided with recesses formed by knurling (16) on its outer chord (14) where it couples to the needle for the push.

Abstract: A system/method allowing hydrophilicity alteration of a polymeric material (PM) is disclosed. The PM hydrophilicity alteration changes the PM characteristics by decreasing the PM refractive index, increasing the PM electrical conductivity, and increasing the PM weight. The system/method incorporates a laser radiation source that generates tightly focused laser pulses within a three-dimensional portion of the PM to affect these changes in PM properties. The system/method may be applied to the formation of customized intraocular lenses comprising material (PLM) wherein the lens created using the system/method is surgically positioned within the eye of the patient. The implanted lens refractive index may then be optionally altered in situ with laser pulses to change the optical properties of the implanted lens and thus achieve optimal corrected patient vision. This system/method permits numerous in situ modifications of an implanted lens as the patient's vision changes with age.

Abstract: An intraocular lens configured to reduce or eliminate oblique incident light photic disturbances in the eye, said lens comprising anterior and posterior surfaces defining a central lens optic extending from said anterior to said posterior surfaces and a peripheral portion outside of the central lens optic, wherein the peripheral portion is a prismatic lens which redirects oblique incident light on the peripheral portion forward of the nasal retina in the eye and onto the ciliary body/pars plana region.

Abstract: An implantable device is disclosed. The device includes a two or three-piece frame assembly that is configured to be delivered in a series configuration and subsequently nested or telescoped in-situ.

Abstract: A holding device for a suture ring is provided. The holding device may include a retainer in which a suture ring can be releasably fixed, in particular clamped, and a handle which is connected to the retainer and which has an actuating mechanism for fixing and/or releasing a connection between the retainer and the suture ring. By means of the holding device, a suture ring can be fixed in the retainer such that a tubular part and/or object can be pushed into the suture ring without exerting forces on the tissue to which the suture ring is connected.

Abstract: This invention relates to a delivery apparatus and method for deployment of a mitral valve replacement.

Abstract: The present disclosure relates to heart valve prostheses, delivery devices, actuation handles, and other improved devices and methods that facilitate delivery of a heart valve prosthesis to a defective native valve structure in a patient, such as the aortic valve.

Abstract: Apparatus and methods are described herein for various embodiments of a prosthetic heart valve, delivery apparatus and delivery methods for delivering a prosthetic heart valve to a heart of a patient via a transapical or transvascular delivery approach. In some embodiments, a prosthetic heart valve includes an outer frame coupled to an inner frame and the outer frame is movable between a first configuration relative to the inner frame and a second inverted configuration relative to the inner frame. The valve can be delivered to a heart using an apparatus that includes a delivery sheath that defines a lumen that can receive the prosthetic heart valve therein when the outer frame is in the inverted configuration. Actuation wires are releasably coupled to the outer frame and can be used to help revert the outer frame after the valve is deployed outside of the delivery sheath and within the heart.

Abstract: A prosthetic mitral valve includes an anchor assembly, a strut frame, and a plurality of replacement leaflets secured to the annular strut frame. The anchor assembly includes a ventricular anchor, an atrial anchor, and a central portion therebetween. The ventricular anchor and the atrial anchor are configured to flare radially outwards relative to the central portion. The annular strut frame is disposed radially within the anchor assembly and is attached to the anchor assembly. The central portion is configured to align with a native valve orifice and the ventricular anchor and the atrial anchor are configured to compress native cardiac tissue therebetween.

Abstract: The invention relates to a heart implant comprising an attachment element (2), particularly a tubular attachment element for attaching a sheath (4), preferably having a sheath (4) being coaxially positioned around at least a part of the attachment element (2) and fixed to it, the attachment element (2) having a lower end (2a) and an upper end (2b) and several strips (3) at least at one of the ends, preferably being split into several strips at least at one of the ends (2b), preferably only at the upper end (2b), the strips (3) forming an expandable anchoring cage, particularly for fixing the heart implant to a lumen of the heart, preferably the atrium, by surface contact between an exterior surface of the expandable cage and an interior lumen surface, the strips (3) of the anchoring cage ending in respective strip tips (7) at the end of their extension in the compressed state, particularly during delivery through a catheter (1), the strip tips (7) forming the distal or proximal end of the implant, particularl

Abstract: A maxillofacial orthognathic fixation implant assembly and its method of production and use, the implant being an assembly of an upper anchor implant member, a lower anchor implant member and at least one bridging implant member, the anchor implant members being adapted to be securely mounted to a maxilla and the at least one bridging implant member being adapted to connect the upper anchor implant member to the lower anchor implant member in a fixed and rigid manner. With the anchor implant members affixed to the maxilla and the maxilla surgically separated between the upper and lower anchor implant members to create a lower portion detached an upper portion, the at least one bridging implant member is connected between the upper and lower anchor implant members to secure and maintain the lower portion of the maxilla in a desired post-operative position relative to the upper portion of the maxilla.

Abstract: This surgical instrumentation assembly is for positioning a shoulder prosthesis, the shoulder prosthesis comprising a patient-specific shoulder implant adapted to fit onto a glenoid cavity of the scapula of a patient. The assembly comprises a patient-specific impacting device having an underside surface congruent with the glenoid cavity of the scapula of the patient, said underside surface being provided with protrusions adapted to perforate the cortical bone of the scapula upon impact of the impacting device against the scapula by a one-sided translation movement.

Abstract: An implant includes a component for fixed attachment to a bone. An underpass layer of a porous material is disposed on a first side of the component for fixed attachment. At least one strut is provided on the underpass layer. The at least one strut has a first surface contacting the underpass layer and a second surface opposite the first surface. The at least one strut comprises a non-porous material. An additional layer of the porous material fills a respective volume adjacent the at least one strut. The additional layer extends from a first side of the underpass layer to a predetermined height at or above the second surface of the at least one strut.

Abstract: An interlocking reverse hip prosthesis including an acetabular cup having an opening in the central portion of the cup being implanted in the acetabular cavity. The opening has a circular extending wall protruding into the concave portion of the cup a distance at least equal to the diameter of the opening. The inward extension of the cup provides a female Morse taper suited for receiving the male Morse tapered post of the acetabular ball. After implantation of the acetabular cup, the surgeon can easily secure the cup to the acetabular bone using several screws without the interference of the central peg (as in prior implants). The femoral ball is then attached to the cup via central Morse taper.

Abstract: A knee joint implant is capable of resolving issues of conventional cementless or uncemented implants. The knee joint implant improves fixing force of the implant in a vertical direction and provides improved initial fixation for the implant.

Abstract: A human knee prosthetic implant having a tibia component forming first and second medial concave surfaces and first and second lateral concave surfaces, and a femur component forming first and second medial convex surfaces and first and second lateral convex surfaces. The tibia and femur surfaces are formed to provide contact interaction in full extension, a mid flexion range and in a state of full flexion of the knee prosthetic implant.

Abstract: Lamina plate assemblies, systems, and methods thereof. A lamina plate assembly may be configured to provide lamina support following laminectomy, for example, in cervical and lumbar cases. The lamina plate assembly may include a generally elongate body having a first free end, a second free end, and a posterior portion disposed between the first free end and the second free end. Different embodiments of securing portions are used to secure the lamina plate assembly to a vertebra.

Abstract: An interbody fusion device includes a base member, a top member, and an expansion mechanism for moving the top member relative to the base member. The expansion mechanism may include a connector drive rod assembly, a gear, a threaded rod, and a support means. The gear ring is coupled to the threaded rod and is rotatable. The expansion mechanism may also include at least one load head coupled to the threaded rod. An alternative interbody fusion device is also disclosed and includes a bottom member, a superior member, and an expansion mechanism for moving the superior member relative to the base member, wherein the expansion mechanism comprises at least one expansion assembly for moving an end of the superior member relative to the bottom member.

Abstract: A device adapted to be positioned between two bone regions, the device comprising a body having a stabilising arrangement configured such that bone growing from one bone region toward the other engages the stabilising arrangement of the device.

Abstract: A spinal cage with a wall extending in a longitudinal direction defining an interior space is disclosed. There is also provided a deployable element in movable relation to the spinal cage.

Abstract: A method for assisting in positioning the acetabular cup comprises orienting a cup positioning instrument with a cup thereon in an initial reference orientation relative to an acetabulum of a pelvis with the cup forming a joint with the acetabulum, the cup positioning instrument comprising an inertial sensor unit with pre-planned orientation data for a desired cup orientation based on at least one landmark of the pelvis, The cup positioning instrument is rotated to a desired abduction angle as guided by an interface of the cup positioning instrument, based on movements relative to at least one landmark. The cup positioning instrument is rotated to a desired anteversion angle as guided by the interface of the cup positioning instrument, based on movements relative to the at least one landmark. Upon reaching the desired cup orientation as indicated by the interface, the cup is impacted into the acetabulum.

Abstract: The present invention relates to a medical apparatus (100) for use in manufacturing a plaster impression of limb stump, in particular of a lower stump, wherein the apparatus (100) comprises a pressure vessel (1) with a fluid chamber of pressure chamber (DK) for receiving or storing a fluid (F) being under pressure, wherein the pressure vessel (1) is limited against an exterior (Ä), wherein the pressure vessel (1) comprises an insertion opening (9) for the insertion of a limb stump (KS) into the interior (I) of the pressure vessel (1) and a fluid-tight membrane (5) made of two materials, which are arranged to form or limit the fluid chamber or the pressure chamber (DK). In addition, the present invention relates to a system (300) having a medical apparatus (100) and at least one contact surface (111). Furthermore, the present invention relates to a method.

Abstract: A valve includes a case comprising a pin bore, a pin configured to move axially in the pin bore, wherein the pin seals the pin bore, a first channel in communication with the pin bore, a second channel in communication with the pin bore, wherein the second channel comprises a restrictor at a location offset from the first channel, a third channel in communication with the pin bore, wherein the third channel comprises a check valve, and the second channel and third channel are in communication with each other. The valve can be a miniature valve that is used in the control of hydraulic fluid in prosthesis, such as a prosthetic ankle joint.

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: A method of connecting an expansion ring to at least one end of a braided implant, the method including positioning the braided implant about a tube; everting an end portion of the braided implant over a first end of the tube; assembling an expansion ring to the braided implant, the expansion ring being a multi-leaved expansion ring comprising clips terminating with an open-ended coupling opening, wherein the openings are pushed over a set of intersecting wires of the braided implant at respective circumferential locations on or adjacent the first end of the tube; closing the openings over the set of intersecting wire; trimming ends of the braided implant; and reversing eversion of the braided implant thereby positioning the expansion ring internal to the braided implant.

Abstract: A medical device comprising a compressed, inflatable, detachable single-lobed metal balloon attached to a catheter and methods of use for occluding blood vessels or treating vascular aneurysms are disclosed. The balloon can be made with ductile metals such as gold, platinum, or silver so that the balloon will conform to the shape of the void space during inflation and so that the balloon can be subsequently shaped by the application of an external force. The balloon can be configured such that it can be detached from the catheter by physical means or by electrolysis. The surface of the balloon can be configured to promote the growth of tissue into the wall of the balloon and to release drugs or pharmacologically active molecules, so that vessel occlusion or the sealing of an aneurysm will be maintained over time.

Abstract: A delivery catheter comprises an inner shaft and an outer sheath. A stent-graft is held on a region of the inner shaft. An enlarged diameter distal region of the outer sheath constrains the stent-graft. Its retraction allows the stent-graft to deploy. A finger wheel on a handle is used to retract the outer sheath and is coupled to a sliding block with cable(s). The sliding block is coupled to the outer sheath and is held within a sliding track. The wheel can be actuated to tension the cable(s) and deform latch(es) coupled to sliding block, freeing them from slot(s) in the sliding track and allowing retraction of the sliding block and the outer sheath. A reinforcement sleeve is coupled to a smaller diameter proximal region of the outer sheath. A gap between the outer sheath distal region and the reinforcement sleeve allows the distal outer shaft region to be retracted.

Abstract: An adaptive device for a hand for individuals with mobility impairment. The adaptive device comprising a body; wherein the body has a proximal end and a distal end, and wherein the body supports a palm and a wrist when worn by a user. The adaptive device includes two sidewalls extending upward from the body and on opposite sides of the body from each other. At a proximal end of each sidewall, each sidewall includes a slot for receiving a securing member, and wherein the securing member removably secures the hand with the adaptive device when worn by the user. The adaptive device includes a retention member positioned on the body at the distal end and the retention member provides a separation between an index finger and a thumb of the hand, and the retention member removably couples with an interchangeable implement member.

Abstract: The present invention relates to a reflux disease treatment apparatus, comprising an implantable movement restriction device with an elongated shape that maintains cardia in the correct position and an implantable stimulation device adapted to engage with the cardia sphincter of a patient. The movement has proximal and a distal end, wherein the distal end is adapted to stabilize and hold the distal end. The invention further comprises a control device for controlling the stimulation device to stimulate the cardia sphincter. The distal end can be further adapted to treat obesity, for example by stretching the wall of the stomach or filling out a volume of the stomach.

Abstract: Intestinal devices and methods for facilitating weight loss. In at least one embodiment of a method of patient treatment of the present disclosure, the method comprises the step of positioning a device, that is configured to reduce or limit localized intestinal distension, around a portion of an intestine of a patient.

Abstract: Embodiments relate generally to a nasal dilator comprising a body for insertion into a nasal cavity of a nose. The body includes a loop structure having an inner surface, a reverse outer surface, a first side and a second side opposite to the first side. The inner surface defines an aperture and the reverse outer surface is configured for urging against a nasal passage wall of the nose. The body further includes an arm member having a first end coupled to the loop structure and a free end, the arm member extending outwardly from the loop structure and configured to extend along a nasal passage of the nasal cavity and engage with an internal surface of a nostril of the nose.

Abstract: In embodiments, an adjustable orthotic foot device may include a shell layer including an upper surface and a contoured lower surface, and a soft insole layer coupled to the upper surface of the shell layer, the soft insole layer defining an arch support structure on an upper surface of the soft insole layer along a medial edge of the soft insole layer. The adjustable orthotic foot device may further include one or more structural support inserts configured to be removably inserted within a pocket formed between the shell layer and the soft insole layer in order to adjust an arch height of the arch support structure. In embodiments, the one or more structural support inserts may be defined by a curved lateral edge and a convex curved medial edge.

Abstract: A container for collecting liquid for transport, comprising: a web of flexible porous material defining at least a portion of a chamber in which liquid can be collected for transport. The chamber is configured to receive a tube in a position within the chamber that enables the tube to transport liquid from the chamber while the liquid collects within the chamber upon being drawn through the web when a partial vacuum is applied within the chamber via the tube. The porous material comprises a web of spun plastic fibers, such as spun polyester fibers. In one embodiment, the web of spun plastic fibers is configured to define an elongated portion of the chamber. In another embodiment, a backing of non-permeable material covers a portion of the web and is so combined with the web as to further define the chamber.

Abstract: An improved surgical drainage reservoir support to securely support surgical drainage reservoirs with an easily located and grasped handles on the surface attachment elements containing multiple hooks.

Abstract: An ostomy appliance includes a dual-chamber pouch, which can continuously drain liquids from body waste, while collecting solids in the pouch. The ostomy appliance can also include a flat output tap including a lumen, the size of which can be increased by applying pressure.

Abstract: The present disclosure is related to methods of using an intrauterine system (insertion device) including an intrauterine device (IUD), an insertion device or applicator for inserting the IUD into the cervix of a female patient, methods related to the insertion procedure, and methods of manufacture for the insertion device.

Abstract: A heating device has a receiving space for holding water and a flexible wall. An inorganic phase change material for at least temporarily controlling a temperature of the water is disposed in the receiving space. The phase change material has a property of absorbing energy during an endothermic phase transition when warmed by the water and releasing energy in the form of heat during an exothermic phase transition. The phase change material may partially or completely undergo the endothermic phase transition when hot water is poured into the receiving space. The phase change material is disposed in a housing formed as a flexible film composed of a polymer material. An actuating means for triggering the exothermic phase transition is in fluid communication with the phase change material.

Abstract: Described here are systems and methods for accessing Schlemm's canal and for delivering an ocular device, tool, or fluid composition therein. The ocular devices may maintain the patency of Schlemm's canal without substantially interfering with transmural fluid flow across the canal. The fluid composition may be a viscoelastic fluid that is delivered into the canal to facilitate drainage of aqueous humor by disrupting the canal and surrounding trabeculocanalicular tissues. Some systems described here may be configured to cut or tear the trabecular meshwork with the body of an elongate member located within Schlemm's canal. Other tools for disrupting these tissues and minimally invasive methods for treating medical conditions associated with elevated intraocular pressure, including glaucoma, are also described.

Abstract: An eye drop alignment assembly includes a ring that has a bottle of eye drops being extendable therethrough. The ring has a plurality of engagements thereon and the engagements are spaced apart from each other and are positioned at strategic points around the ring. A plurality of legs is each movably coupled to a respective one of the engagements. A plurality of extensions is each pivotally coupled to a respective one of the legs. Each of the extensions is positionable at a selected angle with respect to the respective leg for aligning with a respective top and bottom eyelid. Additionally, each of the extensions spaces the ring away from the eyeball associated with a top and bottom eyelids. In this way the ring aligns the bottle of eye drops with the eyeball for successfully dispensing eye drops onto the eyeball.

Abstract: A method that includes illuminating an eye with light at a first time and a second time and generating a first image of the eye based on the light that illuminates the eye at the first time. The method includes generating a second image of the eye based on the light that illuminates the eye at the second time. The method further includes positioning a laser source relative to the eye, wherein the laser source generates a therapeutic laser beam to be directed to the eye, wherein the first time is just prior to the therapeutic laser beam being directed to the eye and the second time is prior to the first time. The method further includes correcting orientation of the laser source relative to the eye based on a correlation function that is defined for the first and second images of the eye.

Abstract: An ophthalmological device for processing eye tissue comprises a laser source for generating a pulsed laser beam, a focusing optical unit for focusing a processing laser beam into the eye tissue, and a scanner system for deflecting the processing laser beam into the eye tissue. The ophthalmological device additionally comprises a beam splitting system disposed upstream of the scanner system and configured to generate the processing laser beam from the pulsed laser beam in such a way that the processing laser beam comprises two beam parts, wherein one of the beam parts is focused by the focusing optical unit onto the lower outer surface of a lenticule to be cut in the eye tissue, and the other beam part is focused onto the upper outer surface of the lenticule to be cut, such that both the lower and the upper outer surfaces are processed when the processing laser beam is deflected into the eye tissue.

Abstract: A tool communication adapter system is provided. One exemplary system described herein includes a tool communication adapter having an adapter body including first and second mechanical attachment ends, a first electrical connector proximate the first mechanical attachment end and a second electrical connector proximate the second mechanical attachment end, a first supply channel having an opening extending through the body between the first and second mechanical attachment ends, and including a first supply channel connector at the first attachment end and a second supply channel connector at the second mechanical attachment end, and a control unit in communication with the first and second electrical connectors. The control unit is configured to provide a filter command signal to a protective filter in response to a signal received at the first electrical connector. An exemplary tool communication adapter thus allows communication between a tool and personal protective equipment.

Abstract: A swab comprises a support structure, a first cap and a second cap. The support structure has a first end, a central portion and a second end. The first cap has a first cap end and a first open end, wherein the first cap end includes a first end outer surface, a first end inner surface and a first plurality of protrusions protruding from the first end outer surface. The second cap has a second cap end and a second open end, wherein the second cap end includes a second end outer surface and a second end inner surface. The support structure is insertable into the first open end such that the first end contacts the first end inner surface and is insertable into the second open end such that the second end contacts the second end inner surface.

Abstract: An external ear canal pressure regulation device including a fluid flow generator, an earpiece having an axial earpiece bore, and a valved conduit fluidicly coupled to the fluid flow generator and the axial earpiece bore, whereby the earpiece has a compliant earpiece external surface configured to sealably engage an external ear canal as a barrier between an external ear canal pressure and an ambient pressure.

Abstract: A system, method, and apparatus are disclosed for dressing a wound. The apparatus comprises a liquid and gas permeable transmission layer, an absorbent layer for absorbing wound exudate, the absorbent layer overlying the transmission layer, a gas impermeable cover layer overlying the absorbent layer and comprising a first orifice, wherein the cover layer is moisture vapor permeable.

Abstract: Disclosed herein are several embodiments of a wound treatment apparatus employing glue on the backing layer of a wound dressing. In some embodiments, the glue limits saturation of an absorbent layer beneath the backing layer.

Abstract: A nonwoven fabric. The nonwoven fabric can include a first surface and a second surface and a visually discernible pattern of three-dimensional features on one of the first or second surface. Each of the three-dimensional features can define a microzone comprising a first region and a second region. The first and second regions can have a difference in values for an intensive property, and wherein in at least one of the microzones the first region exhibits a Contact Angle of greater than 90 degrees, as measured by the Contact Angle Test Method detailed herein.

Abstract: Disclosed is an absorbent article with biocompostable properties, such as a baby diaper or adult incontinence product. Particularly, the present invention is directed to a biocompostable absorbent sanitary article including a blend of synthetic and bio-based superabsorbent polymers with a high degree of biocompostability. The sanitary article comprises, in one embodiment, at least a top layer, a back layer, and absorbent core, wherein the absorbent core includes a superabsorbent polymer, and wherein at least the superabsorbent polymer is biocompostable.

Abstract: The present invention relates to an apparatus and method for making an absorbent structure for an absorbent article, comprising a supporting sheet and thereon an absorbent layer, the absorbent layer comprising an absorbent material. According to the present invention a first moving endless surface is provided which has one or more substantially longitudinally extending first mating strips, and at least one further auxiliary moving endless surface is provided which acts against the first mating strips. Pressure is applied between the first moving endless surface and the auxiliary moving endless surface to the first and second supporting sheets at least within a part of the area of the channels, so as to adhere together the first and second supporting sheets.