Abstract: An expandable intervertebral implant having an upper body portion, a lower body portion opposite the upper body portion, a wedge member connecting the upper body portion to the lower body portion, a nose member having a tapered distal end and a proximal end opposite the distal end, and an actuator disposed between the nose member and the wedge member, for translation of the wedge member along a longitudinal axis of the implant. A pin connects to the actuator for positioning the nose member relative to the actuator. Translation of the wedge member along the longitudinal axis of the implant displaces the upper body portion and the lower body portion away from each other, thereby expanding the intervertebral implant.

Abstract: A device and methods for intervertebral spinal fusion of adjacent intervertebral bodies. An intervertebral spacer is positioned within a narrow disc space between adjacent intervertebral bodies of a patient. The spacer is arranged with upper and lower guides. The guides are adapted to simultaneously guide the deployment of upper and lower anchors of an anchoring device into their respective intervertebral bodies. The spacer is also adapted to lock the upper and lower anchors to the spacer in the deployed position.

Abstract: A surgical instrument (100) and system incorporating such instruments, the instrument comprising: a stem (112), the stem having a proximal end (116) and having a distal end (110); a handle portion (114), the handle portion being provided towards the proximal end of the stem; and a guide element (108), the guide element being provided towards the distal end of the stem, wherein the guide element provides: a body element (131) defining a guide channel (128), the guide channel having a longitudinal axis (X-X) and being open at both ends along the longitudinal axis; and one or more positioning elements (130a, 130b). The instrument and system are suited to the removal of a polyethylene acetabular liner (25) from an implanted shell (27), for instance to remove that liner and replace it with another, whilst minimising the risk of damage to the shell holding it.

Abstract: A hard liner removal instrument includes a barrel containing a striking mass in slidable relation therewith and a spring positioned between a first end of the barrel and the striking mass. The spring selectively moves between a normal resting position and a loaded position where the striking mass is positioned a greater distance from a second end of the barrel opposite the first end than when the spring is in the normal resting position. As such, movement of the spring from the loaded position to the normal resting position accelerates the striking mass into the second end of the barrel to generate an impulse sufficient to interrupt a Morse taper to remove one orthopedic component from another, e.g., during revision surgery.

Abstract: A fixation member inserter instrument attaches to an interbody spacer and assists in the insertion of the interbody spacer into the intravertebral spacer. The distal end of the fixation member inserter instrument includes a fixation member guide with two or more fixation members that is configured to simultaneously deliver the two or more fixation members during the fixation member impaction process. The interbody spacer is attached to the inserter instrument by a threaded rod adjacent to the main body of the fixation member inserter instrument. There is an impaction rod extending through the device which connects to the two or more fixation members in the fixation member guide. When the impaction rod is impacted on a proximal end, the distal end contacts the two or more fixation members simultaneously and forces them into the vertebral body at the same time.

Abstract: In one aspect, a provisional tibial prosthesis system is shown and described. The provisional tibial prosthesis system optionally includes any one or combination of: a tibial component, a base component and a shim. The tibial component can have a rail that defines a pocket and a distal surface configured to seat on a resected proximal surface of a tibia. The base component can be configured to seat within the pocket of the tibial component when positioned thereon. When so positioned with the pocket, the base component can have a substantially flat proximal surface and a substantially flat distal surface. The shim can have a feature configured to couple with a second feature of the base component when disposed thereon. The shim can have a substantially flat proximal surface.

Abstract: A powered joint system that is configured to adaptively control powered joint movement during movement tasks includes a knee joint, one or more sensors, and a controller. The one or more sensors are configured to capture sensor data associated with a residual limb of a user. The controller comprises one or more processors and one or more hardware storage devices storing instructions that are executable by the one or more processors to configure the controller to perform various acts, including to: obtain a thigh orientation term, a thigh angular velocity term, and a thigh vertical acceleration term based on the sensor data; determine a target knee angle based on the thigh orientation term, the thigh angular velocity term, and the thigh vertical acceleration term; and output a signal configured to cause the knee joint to move toward the respective target joint angles.

Abstract: An intravascular stent and method of making an intervascular stent having a hybrid pattern a. The hybrid pattern comprises a plurality of circumferentially self-expansible members comprising a plurality of interconnected, geometrically deformable closed cells, adjacent self-expansible members interconnected by a plurality of bridge members linking a first interconnection between two closed cells in a first self-expansible member to a second interconnection between two closed cells in a second self-expansible member, wherein the second interconnection is circumferentially offset and non-adjacent to the first interconnection.

Abstract: An endograft delivery device assembly a guide wire cannula extending distally from the tip to a handle assembly at the distal end. A positioner is disposed around the guide wire cannula. A sheath extends from the handle assembly over the positioner towards the tip. A sheath splitter assembly is within the handle assembly, and includes a splitter body attached to the positioner and disposed within the sheath and at least one splitter arm. The splitter body defines a through-hole through which a guide wire cannula passes. The splitter arm extends laterally from the splitter body though a slit though the sheath to a support within the handle assembly. The splitter body includes a circumferential sealing surface extending towards the tip, the sealing surface and the inner surface of the sheath dimensioned such that the sheath is circumferentially stretched over the sealing surface thereby forming a seal.

Abstract: The present disclosure provides a method including positioning a first guidewire within a primary guidewire lumen of a multi-lumen tapered tip. A second guidewire is positioned within a secondary guidewire lumen and a shared guidewire lumen of the multi-lumen tapered tip, the second guidewire preventing the first guidewire from entering the shared guidewire lumen. A delivery system including the multi-lumen tapered tip is advanced over the second guidewire. By advancing the delivery system over a single guidewire, any possibility of entanglement of multiple guidewires during advancement of the delivery system is eliminated. The method further includes a guidewire exchange including releasing the second guidewire from the shared guidewire lumen, advancing the first guidewire through and out of the shared guidewire lumen, and advancing the delivery system over the first guidewire to a deployment location.

Abstract: Methods and a system for performing a medical procedure at a treatment site of an occlusion in a dural venous sinus of a brain of a patient including advancing a catheter and a flexible inner member retrograde to a target location distal to a sigmoid sinus relative to an access point of entry, positioning the catheter at the treatment site in the dural venous sinus, removing the inner member from the patient; and treating the occlusion through the catheter to restore outflow of blood from the brain through the dural venous sinus. Related devices, systems, and methods are provided.

Abstract: Embodiments include a delivery device for an auxetic device. The delivery device is comprised of an outer constraining device and a longitudinal controlling device disposed concentrically within the outer constraining device and offset to form a chamber for receiving the auxetic device. A mechanism coupled to the outer constraining device and the longitudinal controlling device allows the chamber size to adjust longitudinally as the auxetic device is deployed. Other embodiments may be described and/or claimed.

Abstract: Devices and methods for treating obesity are provided. More particularly, intragastric devices and methods of fabricating, deploying, inflating, monitoring, and retrieving the same are provided.

Abstract: An example medical device includes a stent having a radially expanding tubular framework. The radially expanding tubular framework includes a first end region, a second end region, a medial region positioned between the first end region and the second end region, and a lumen extending from the first end region to the second end region. The stent further includes a tubular structure positioned over the medial region, the tubular structure is formed from a bioabsorbable material, and is configured to hold the medial region in a first, compressed configuration. Upon bioabsorption of the tubular structure, the medial region of the tubular framework radially expands to a second, expanded configuration. One of the first end region or the second end region includes a first flange structure.

Abstract: An example medical device may include a stent including a radially expanding tubular framework having a radially outward surface, a radially inward surface, a first end region, a second end region, a medial region positioned between the first end region and the second end region, and a lumen extending from the first end region to the second end region. A first flange structure may be positioned near the first end region, and a second flange structure may be positioned near the second end region. One of the first end region or the second end region may include a third flange structure.

Abstract: A gastric bypass device includes an occlusion device that is adapted to be deployed relative to a patient's pyloric sphincter, an anastomosis anchor that is adapted to be deployed relative to an anastomosis between the patient's stomach and their small intestine, and a tether that extends through the patient's small intestine between the occlusion device and the anastomosis anchor. A dynamic leash may be secured relative to the occlusion device and may work in conjunction with the tether to help hold the occlusion device in place.

Abstract: A gastric bypass device includes an occlusion device that is adapted to be deployed relative to a patient's pyloric sphincter, an anastomosis anchor that is adapted to be deployed relative to an anastomosis between the patient's stomach and their small intestine, and a tether that extends through the patient's small intestine between the occlusion device and the anastomosis anchor. A dynamic leash may be secured relative to the occlusion device and may work in conjunction with the tether to help hold the occlusion device in place.

Abstract: A gastric bypass device includes an occlusion device that is adapted to be deployed relative to a patient's pyloric sphincter, an anastomosis anchor that is adapted to be deployed relative to an anastomosis between the patient's stomach and their small intestine, and a tether that extends through the patient's small intestine between the occlusion device and the anastomosis anchor. A dynamic leash may be secured relative to the occlusion device and may work in conjunction with the tether to help hold the occlusion device in place.

Abstract: A gastric bypass device includes an occlusion device that is adapted to be deployed relative to a patient's pyloric sphincter, an anastomosis anchor that is adapted to be deployed relative to an anastomosis between the patient's stomach and their small intestine, and a tether that extends through the patient's small intestine between the occlusion device and the anastomosis anchor. A dynamic leash may be secured relative to the occlusion device and may work in conjunction with the tether to help hold the occlusion device in place.

Abstract: Apparatus for mobilising a human ankle joint comprising a base (2) having an upper surface shaped to receive a foot with its heel adjacent the rear of the base and toes towards the front of the base, and a strap (4) extending from points adjacent the rear to form a loop extending towards the front, the loop being sufficiently long when a foot is in the base to pass around the ankle at the talo-crural joint, the left side of the upper surface having an upwardly-extending protrusion (PL) shaped to provide medial arch support to the arch of a right foot and the right side having a second upwardly-extending protrusion (PR) shaped to provide medial arch support to the arch of a left foot, the upper surface of the base between the protrusions being lower than the protrusions to support the foot's lateral edge, to resist inversion or eversion of the foot during dorsiflexion.

Abstract: An external ankle brace is disposed on the exterior of a shoe having a heel portion, a toe portion, a sole, and oppositely disposed sides. The external ankle brace comprises a rigid heel enclosure having a rear portion, configured to receive the heel of the shoe, and a forward portion having a medial sidewall and a lateral sidewall for collectively and concurrently at least partially encircling the sides of the shoe. A lateral upright extension is present. A medial upright extension is present. A lower fastening system comprises at least one lower adjustable connecting strap for extending underneath the sole of the shoe. An upper fastening system comprises at least one upper connecting strap for selectively connecting the lateral sidewall to the medial sidewall across the top of the shoe.

Abstract: Embodiments of the present disclosure relate to a bunion splint assembly comprising a flexible body shaped to conform to a human foot, an elongated rigid member disposed within fabric layers of the flexible body, and a ring-shaped cushion sized to encompass a bunion on the big toe that is adapted to be removably secured to an inner surface of the flexible body.

Abstract: A wearable bottom garment for preventing hip dislocation includes a first strap extending from the upper side of the left hip joint to the lower side of the right hip joint, and a second strap extending from the upper side of the right hip joint to the lower side of the left hip joint, wherein the first strap presses the upper side of the left hip joint from top to bottom, and presses the lower side of the right hip joint from bottom to top, and the second strap presses the upper side of the right hip joint from top to bottom, and presses the lower side of the left hip joint from bottom to top.

Abstract: A back brace includes first and second flexible belt members; a back plate, means for securing the back plate to the belt members, and a height adjustment member. The back plate is contoured on one side to support a first portion of a wearer's back, and has pairs of openings spaced apart in a vertical direction. The height adjustment member is contoured on one side to support a second portion of the wearer's back, and has a plurality of pairs of protrusions configured to releasably couple to a corresponding plurality of the pairs of openings in the back plate at each of a plurality of different height-adjusted positions. The height adjustment member may have four protrusions that engage two pairs of the plurality of series of pairs of openings in the back plate, to provide greater support and stability to the height adjustment member.

Abstract: Wearable assistance devices and methods of operating the same are provided. A wearable assistance device includes an upper-body interface with a front side and a rear side and a lower-body interface with a front side and a rear side. The assistance device also includes one or more elastic members, each of the elastic members mechanically coupling the upper-body interface to the lower-body interface and extending from the rear side of the upper-body interface to the rear side of the lower-body interface and along a back of the user so as to provide an assistive force parallel to the back of the user. Further, the assistance device also includes a clutch mechanism associated with each one of the elastic members, the clutch mechanism configured for selectively adjusting the assistive force provided by the one of the elastic members.

Abstract: A splint for use on a forearm, a wrist, and a hand of a user, including a rigid shell assembly with dorsal and a volar shell bodies, the dorsal and volar shell bodies each including a forearm portion, a wrist portion, and a hand portion. The dorsal and volar shell bodies are configured to releasably receive the forearm, wrist, and hand of the user therebetween. A dorsal compressible assembly and a volar compressible assembly extend along the inner surfaces of the dorsal and volar shell bodies, respectively. The volar compressible assembly includes an inflatable forearm bladder, an inflatable wrist bladder, and an inflatable hand bladder, each of which includes a valve to allow each of the inflatable bladders to be inflated independently of the other inflatable bladders.

Abstract: An external nasal dilator can be adhered across a bridge of a human nose and apply a recoil force to outer walls of nasal passages. The external nasal dilator has a transparent tinted portion that is tinted a first color. Packaging contacting the external nasal dilator is non-transparent and has a second color that contrasts with the first color. The first color is visually perceptible through the transparent tinted portion when the packaging is contacting the external nasal dilator and is visually imperceptible when the external nasal dilator is adhered to the nose.

Abstract: A nasal dilator includes a nose attachment member having an upper section that applies a recoil force to a nasal cavity of a human nose via adhesive attachment thereto. The nose attachment member also has a lower section including an arm that extends downwardly from the upper section to a nostril opening when the upper section is adhered to the wearer's nose. The arm has a scented portion.

Abstract: An adhesive laminate for application to skin, the laminate comprising a first, skin-facing adhesive layer and a second absorbent bulk layer. The skin-facing adhesive layer has a first proximal/skin-facing surface and a second distal surface and the bulk layer is provided on the second distal surface of the skin-facing adhesive layer. The skin-facing adhesive comprises hydrocolloid particles having a particle size D90 being less than 290 ?m and the skin-facing adhesive layer has a first thickness L and the ratio L/D90 is between 0.4-2.5.

Abstract: An integrated ostomy garment is disclosed. The garment includes a first upper layer having a shoulder portion and an internal pocket on the front side of the first upper layer. The internal pocket is capable of supporting an ostomy bag when the garment is worn and is accessible externally via side openings in the side seams of the first upper layer. The garment further includes a second upper layer connected to the first upper layer, also having a shoulder portion, as well as a lower portion. The garment further includes a waist portion connected to the second upper layer and the lower layer, which includes one or more apertures for accessing the wearer's stoma and through which the wearer's ostomy bag is placed when the garment is worn. The waist portion may further include one or more retention elements for supporting the ostomy bag, and may function as hernia belt.

Abstract: An example fluid collection device includes a sheath at least partially defining a chamber sized and dimensioned to receive at least a portion of a penis of a user therein. The sheath includes a proximal end region defining an opening configured to receive at least a urethral opening of a penis and a distal end region opposite to the proximal end region. The sheath also includes a first layer and a second layer. The first layer includes at least a nonwoven fabric extending at least partially between the proximal end region and the distal end region. The second layer includes a fluid permeable multilayer fabric at least partially positioned between the first layer and the chamber. The fluid collection device also includes an aperture proximate to the distal end region configured to receive or secure to a tube effective to provide fluid communication between the chamber and the tube.

Abstract: An oral appliance for treating sleep apnea in a user includes a mouthpiece configured for being positioned in an oral cavity of the user, and at least one pulse oximeter coupled to the mouthpiece. According to an aspect, the pulse oximeter is configured to monitor actual oxygen saturation of hemoglobin of the user when the oral appliance is positioned in the oral cavity of the user.

Abstract: A method of protecting a fetus from injury during umbilical cord prolapse includes delivering a device which includes a hollow sheath and a compliant portion partially or completely surrounding the hollow sheath into a vaginal canal of a patient. The device is maneuvered within the vaginal canal and/or cervical opening such that a prolapsed umbilical cord enters the hollow sheath. The device is then positioned within a uterus of the patient, such that a first face of the compliant portion contacts a fetus and a second face of the compliant portion contacts a wall of the uterus.

Abstract: A control device (20) includes a control unit (23) that dynamically controls an operation of heating and cooling stimulation by a heating and cooling stimulator (30) that repeatedly gives alternate heating stimulation and cooling stimulation to a body part of a user.

Abstract: A brow saving device, including a first end portion, a second end portion; a middle section adjacent to the first end portion and the second end portion; a hook at an end of the first end portion; a loop at an end of the first end portion configured to connect the loop to the hook; and a pocket to an inside portion of the middle section, the pocket configured to hold two or more ice packets.

Abstract: Aspects of the present disclosure include fluid dispensers configured to administer pharmaceutical agents to a user's eye. The fluid dispensers and systems described herein include mechanisms for protecting a fluid dispensing nozzle or opening from contamination, preventing dehydration of the fluids, and for sterilizing the dispensing components. A fluid dispenser may include a housing configured to receive a fluid cartridge, the fluid cartridge comprising a nozzle. The housing further comprises a shutter coupled to the housing and configured to articulate between a closed position and an open position. The shutter may be configured to obscure the nozzle in the closed position and to expose the nozzle in the open position. The shutter may further include protrusion configured to engage and actuate a nozzle cover of the fluid cartridge when the shutter articulates to the open position.

Abstract: The here described invention generally relates to systems for laser eye surgery. It certain embodiments it discloses systems to perform femtosecond eye surgery without docking between the laser delivery system and the patient's eye as well as certain laser delivery system configurations that allow integration of laser delivery systems into a surgical microscope in specific ways, as well as integration into a slit lamp system.

Abstract: An ophthalmological device and system is described that allows the simultaneous imaging of an eye using both scanning laser ophthalmoscopy (SLO) and optical coherence tomography (OCT). Further the device and system is capable of targeting and delivering a treatment laser for treatment of an eye condition.

Abstract: Particular embodiments disclosed herein provide a system for treating vitreous floaters. Light from a first laser (e.g., laser diode) is focused at a plurality of points within a vitreous of a patient's eye using a scanner while measuring reflected light from the plurality of points. The reflected light (e.g., images) are evaluated to identify a portion of the plurality of points corresponding to one or more vitreous floaters. Second light from a second laser (e.g., pulsed laser) is focused at the portion of the plurality of points using the scanner in order to disintegrate the one or more vitreous floaters.

Abstract: An earcup for a medical headgear includes a base, a sidewall extending from the base, a flange extending radially from an end of the sidewall opposite the base, and a retaining flange disposed on a portion of a circumferential peripheral edge of the base. The retaining flange extends radially outward from the base along a longitudinal direction of the earcup.

Abstract: Embodiments provide for improved determination of whether an audio protector is sufficiently fit to a wearer. By automatically performing the improved fit testing processes described, embodiments may warn users in circumstances where fit of their audio protector is dissatisfactory. Some embodiments include receiving external audio data and internal audio data including a filtered range of frequencies, generating comparative internal data by applying the internal audio data to an inverse attenuation model, identifying an audio processing mode based at least in part on the external audio data and/or the internal audio data, the audio processing mode associated with an audio comparison model, computing energy differential data by applying the comparative internal data and the external audio data to the audio comparison model; and determining a fit result based at least in part on the energy differential data.

Abstract: Disclosed embodiments relate to dressings for treating a tissue site with negative pressure. Some dressing embodiments may be configured to allow the depth of the dressing to be expandable. For example, dressing embodiments may comprise a segmented manifold having one or more vertical expansion joints between segments of the manifold. Some embodiments may comprise a first layer adjacent to a first surface of the manifold and a second layer adjacent to a second surface of the manifold. In some embodiments, the first layer may comprise one or more folds configured to extend between adjacent segments, and the second layer may also comprise one or more folds configured to extend between adjacent segments; and the folds in the first layer may match the folds in the second layer to jointly form the vertical expansion joints. Additionally disclosed are other apparatus, dressings, systems, and methods.

Abstract: Dressings for use in negative pressure therapy and methods of making the dressings are provided herein. The dressings may comprise at least two layers in a stacked configuration. The first layer may comprise a manifold layer and the second layer may comprise a silicone gel layer. The second layer may have perforations to form fluid restrictions that can open and close when used in negative pressure therapy. The perforated second layer may be formed by a first and a second curing step.

Abstract: The disclosure pertains to a process line (62) for manufacturing absorbent articles comprising a plurality of assembly modules (64), the process line (62) comprising at least one channel (70) fluidically connecting at least one assembly module (64) and a main pump (38), said main pump being arranged downstream, with respect to the airflow, of said assembly module (64) wherein at least one booster pump (72) is arranged between an assembly module (64) and said main pump (38), said at least one channel (70) fluidically connecting said assembly module (64), booster pump (72) and main pump (38).

Abstract: Disclosed is a disposable hygiene article having a transverse direction, longitudinal direction and longitudinal centerline, the article having a front portion, crotch portion and rear portion, and including a liquid-permeable topsheet, a liquid-impermeable backsheet, and absorbent core arranged between the topsheet and backsheet, the topsheet and backsheet extending beyond the absorbent core to provide an outer boundary region of the article, the outer contour of the absorbent core being defined by mutually symmetrical mirror-imaged portions about the longitudinal centre line, the core including a neck region, the portion of the core forward of the neck region being defined as a head region and the portion of the core rearward of the neck being defined as the body portion, the article including at least one asymmetrical wing including an outer edge, the at least one asymmetrical wing outer edge meeting the disposable hygiene article at front and rear wing junctions.

Abstract: A disposable diaper whose deformation while the wearer is walking, is suppressed to alleviate discomfort, first slits extend from ventral section to the front of crotch section in their side portions at a distance from and in parallel to first oblique parts, a second slit extends in parallel to straight parts, in the central part in the width direction of middle area of the crotch section, third slits extend at a distance from second oblique parts in the back of the crotch section in its side portions, with the back end of each third slit located outwards of its front end, fourth slits extend crossing each other in parallel to the second oblique parts, in the middle area of dorsal section, back ends of the first slits are located inwards of the straight parts, and front ends of the fourth slits are at a longitudinal distance from the back ends of the third slits.

Abstract: An absorbent article having a front section, a central section and a rear section located along a longitudinal axis is described. A first pattern of adhesive is applied to the central section of a garment facing surface of the backsheet. The first pattern of adhesive has a first plurality of stripes extending substantially parallel to the transverse axis on a first side of the central longitudinal axis. A second plurality of stripes extends substantially parallel to the transverse axis on a second side of the central longitudinal axis. A first gap between the first plurality of stripes and the second plurality of stripes extends over the central longitudinal axis.

Abstract: Disclosed is a sanitary article including a topsheet, backsheet and absorbent core, the sanitary article having an extension in longitudinal and transverse directions, the sanitary article having first and second longitudinal edges extending in the longitudinal direction and front and rear transverse edges extending in the transverse direction, the sanitary article being divided in a front portion, crotch portion and a rear portion, the absorbent core including a head portion, body portion and neck portion forming a transitional region between the head portion and the body portion, the head portion being positioned in the front portion and the body portion being positioned in the crotch portion and rear portion, wherein a transverse width at the neck region is smaller than a maximum transverse width of the absorbent core in the head portion and the body portion, wherein the absorbent core comprises three individual and separate embossed functional design elements.

Abstract: A skin patch for delivering scent to a human nose includes a flexible base member configured to be adhered between a base of the nose and a vermillion border. The flexible base member defines an outer perimeter having a left edge, a right edge, an upper edge extending from the left edge to the right edge, and a lower edge opposite the upper edge and extending from the left edge to the right edge. The flexible base member includes a first side and a second side opposite the first side, the second side including a skin contact adhesive. A plurality of perforations through the flexible base member extend from the first side to the second side. The perforations are distributed across the flexible base member. A non-perforated section of the flexible base member carries a scented portion.

Abstract: Systems for facilitating movement of a patient transport apparatus are provided and include user input control device that includes a mode switch selectable between a longitudinal transport mode and a multidirectional mode and a driving assist device actuatable between at least one engaged state and a non-engaged state. The mode switch generates signals based on the selected mode and the driving assist device generates engaged or non-engaged signals which are received by a controller. The controller is configured to generate an output signal sent to a lift actuator, swivel actuator, and/or a powered drive system to assist a user in propelling the apparatus in a desired manner.