Abstract: A surgical system having a surgical device with an integrated user interface controllable by a hand of a surgeon, an adaptor for connecting the integrated user interface of the surgical device to a robotic arm and a control unit for remotely operating the surgical device when connected to the robotic arm.

Abstract: A passive end effector of a surgical system includes a base, a first mechanism, and a second mechanism. The base attaches to an end effector coupler of a robot arm positioned by a surgical robot. The first mechanism extends between a rotatable connection to the base and a rotatable connection to a tool attachment mechanism. The second mechanism extends between a rotatable connection to the base and a rotatable connection to the tool attachment mechanism. The first and second mechanisms pivot about the rotatable connections to constrain movement of the tool attachment mechanism to a range of movement within a working plane. The tool attachment mechanism is configured to connect to a surgical saw including a saw blade for cutting.

Abstract: Apparatus and associated methods relate to a robotic catheter cradle having a receiving module configured to releasably receive a steerable sheath after a distal end of the steerable sheath has been manually introduced into a patient independent of the receiving module. In an illustrative example, a steering drive module may be operably coupled to the robotic catheter cradle to robotically operate at least one interface of the handle to selectively actuate at least one guidewire of the steerable sheath such that a distal end of the steerable sheath is controllably deflected. An axial drive module may, for example, be operably coupled to the robotic catheter cradle to robotically translate the steerable sheath. Various embodiments may advantageously enable a human operator to remove the steerable sheath into a manual mode that permits operation mechanically independent of the robotic catheter cradle without withdrawing the distal end from the patient.

Abstract: A catheter-based procedure system comprises: a robotic drive body; a support arm supporting the robotic drive body; a first drive module configured to move along a longitudinal axis of the robotic drive body; a second drive module configured to move along the longitudinal axis of the robotic drive body, the second drive module being separate from the first drive module; and a sterile barrier.

Abstract: A support securing device for securing objects during transport is provided that includes a first planar surface formed by the device's periphery and a second planar surface recessed within the first planar surface. A locking member having a locking end and a working end that during use is moveably nested within a passage located in the recess formed by the second planar surface. The locking member holds an object with the working end within and against a wall of the recess during use. A plurality of barbs extending from the locking end of the locking member selectively secure a pair of barbs to the passage along the locking end of the locking member and thereby securing the working end of the locking member against an object and a wall of the recess during use.

Abstract: A system for interconnecting bones includes an implantable member configured to be mechanically coupled to a first bone, configured to be mechanically coupled to a second bone, configured to provide substantially no resistance to compression of the implantable member, configured to support a tensile load within a predetermined range of tensile loads extending from a first load to a second load, configured to have a predetermined elasticity within the range of tensile loads, configured to have a first characteristic at the first load, and configured to have a second characteristic at the second load. The system also includes a means for measuring the first characteristic and the second characteristic. And the system includes a means for calculating a tension between the first bone and the second bone based on the first characteristic and the second characteristic.

Abstract: The present disclosure discloses a guided positioning structure for a sterile adapter and a back end of a surgical instrument. The sterile adapter includes a backboard perpendicular to an upper surface of a body structure of the sterile adapter, the backboard is coupled to the back end of the surgical instrument, and the backboard includes a portion for guiding the back end of the surgical instrument to move in a first direction and a portion for guiding the back end of the surgical instrument to move in a second direction. The guiding and positioning structure for the sterile adapter and the back end of the surgical instrument in the present disclosure limits the range of movement of the back end of the surgical instrument to a smaller width and amplitude when the back end of the surgical instrument is mounted to fit with the sterile adapter.

Abstract: Disclosed is a surgical instrument suitable for protecting tissue during bone surgery, for example when cutting and/or drilling a bone. The surgical instrument includes a protective portion intended to be positioned in a protective subcutaneous position between the tissue to be protected and a bone. The surgical instrument further includes a temporary stabilization portion which is designed to temporarily secure the surgical instrument to the bone, in the protective position.

Abstract: Surgical retractors and methods thereof for retracting body tissue in a therapeutic procedure. The surgical retractor may include retractor blades have openings or channels configured to receive bone pins while maintaining accessibility and visibility of the operative window.

Abstract: Provided is a stable mounting for a robotic arm, a tool changer for a robotic arm, a motion restrictor for a robotic-arm controlled steerable tool, a dispenser unit for applying a sterile drape over a robotic arm, and a tool radial actuation assembly (TRAA), a robotic arm fitting radial actuation assembly (FRAA).

Abstract: The present invention relates to apparatus and methods for cleaning, decontaminating, and/or sterilizing an instrument during the intraoperative phase of a surgical procedure. In exemplary embodiments, the apparatus comprises: a container having an aperture, a bottom portion, and at least one sidewall defining an instrument bath configured to hold a cleaning agent; a vibration means and radiation means coupled to the container; and a power supply. It is contemplated that at least one of the sidewalls of the container comprises a longitudinal channel disposed within the sidewall for housing the radiation means. It is further contemplated that the cleaning agent can comprise an aqueous solution of chlorohexidine, that the radiation means is configured to emit ultraviolet radiation in a range of at least 100 nanometers to 400 nanometers, and that the vibration means is configured to emit ultrasonic radiation in a range of at least 20 kilohertz to 120 kilohertz.

Abstract: An apparatus for use in clinical environments. The apparatus includes a trocar, having a cannula with a proximal end and a distal end. The cannula defines a lumen therethrough that extends from the proximal end to the distal end. A proximal port at the proximal end provides access to an interior of the lumen from an exterior of the cannula. Further, a distal port at the distal end provides access to the interior of the lumen from the exterior of the cannula. At least one trocar antenna is physically coupled to the trocar and is positioned and oriented to provide wireless communications coverage to at least a portion of an interior of the lumen and to any wireless communications transponders that pass through the lumen of the cannula.

Abstract: An endo motor (200) and an endo motor (200) control method. The endo motor (200) comprises a root canal handle (220), a root canal file (230), an electric motor and a first near field communication device (240), wherein the electric motor and the root canal file (230) are both connected to the root canal handle (220); the electric motor is configured to drive the root canal file (230) to rotate; the first near field communication device (240) is electrically connected to the electric motor; and the first near field communication device (240) is configured to control the electric motor on the basis of external information (250).

Abstract: An orthodontic appliance is constructed from shells shaped to receive teeth. The shells can be constructed from one or more polymer materials and affixed to one another about the edge of each shell, defining a narrow elongate chamber therebetween. The chamber serves to allow for the first shell contacting the teeth to flex and fit a wide range of teeth without sacrificing the overall flexural modulus of the appliance. Methods of making the appliance are also described.

Abstract: An indirect bonding (IDB) tray that can be positioned over a single tooth of a patient. The IDB tray can include a well to receive an orthodontic bracket therein. The IDB tray can be 3D printed with a rigid photopolymer material and a soft photopolymer material. The soft photopolymer material may be disposed on a gingival portion of the IDB tray such that the soft photopolymer material can be positioned proximate the gums of the patient to improve patient comfort and/or accommodate gum remodeling due to tooth movement. The soft photopolymer material may be disposed around an inner periphery of the well to facilitate bracket insertion and/or release from the well. The IDB tray can include separation indicia indicating where the IDB tray can be sectioned. The IDB tray can include long axis lines to indicate proper orientation of the IDB tray on a patient's one or more teeth.

Abstract: The present disclosure provides a digital implant system including: detecting an region where a intact first tooth among a plurality of teeth is disposed based on a panorama and a CT device for upper and lower jaws where the plurality of teeth of a user are disposed, and acquiring first oral information of the upper and lower jaws; acquiring first surface information by scanning a user's face through an imaging device; generating an image of a temporary denture based on an auto-bone tooth bone graft material; determining a disposition form of the upper and lower jaws of an implant subassembly; acquiring second oral information on the upper and lower jaws where the implant subassembly is disposed and second surface information by scanning the user's face through the imaging devices; and generating an image of a prosthesis that is coupled to the implant subassembly.

Abstract: A system comprises a dental tray comprising an array of cameras, wherein each camera of the first array of cameras has a fixed position and orientation relative to one or more other camera of the array of cameras, the array of cameras configured to generate a plurality of images comprising image data of at least a portion of the dental arch. The system further comprises a processing device to receive a plurality of images generated by the array of cameras, stitch the plurality of images together based on calibration data specifying predetermined image stitching parameters for combining the plurality of images, wherein the predetermined image stitching parameters are based on predetermined fixed relative positions and orientations of cameras from the array of cameras, and generate a three-dimensional model of a plurality of teeth based on the stitched plurality of images.

Abstract: A dental scanning system comprises an intraoral scanner and one or more processors. The intraoral scanner comprises one or more light projectors configured to project a pattern (comprising a plurality of pattern features) on a surface of a dental object, and two or more cameras configured to acquire one or more sets of images, wherein each set of images comprises at least one image from each camera, and wherein each image includes at least a portion of the projected pattern. The processors are configured to determine one or more image features within each set of images, solve a correspondence problem within each set of images such that points in 3D space are determined based on the image features, wherein said points form a solution to the correspondence problem, and wherein the correspondence problem is solved for groups of pattern features, and generate a digital 3D representation of the dental object using the solution to the correspondence problem.

Abstract: A dental model gripping system can include a dental model and a dental model gripper. The dental model can include a replica set of teeth and a flat bottom surface there beneath that can include first and second vertical openings spaced apart by an opening distance. The dental model gripper can have a flat top surface and first and second pins extending vertically therethrough that can slide toward and away from each other. The first and second pins can be slid to an engaging position where they are spaced apart by the opening distance and are insertable into the vertical openings of the dental model, can be slid away from each other to a gripping position while inserted into the vertical openings, and can press against internal surfaces within the vertical openings to grip firmly the bottom surface of the dental model against the top surface of the dental model gripper.

Abstract: A method is provided for shaping a custom dental restoration from a preform, wherein the preform comprises a preform body and a preform stem. A method is further disclosed for generating one or more nesting positions for the restoration design within the geometry of the preform body relative to the position of the preform stem. A method is further disclosed for generating machining instructions based on the selected nesting position to optimize machining for chair-side applications.

Abstract: A dental object (100), having an adhering region (103) for attaching the dental object (100) to a tooth, teeth (105) or the gums, including an array (101) of suction cups (107-1, . . . , 107-n).

Abstract: A biodegradable dental floss device, formed from a handle portion and a head portion, with a strand of dental floss secured within the head portion, and the handle portion and the head portion formed from a biodegradable material, such as cardboard.

Abstract: The invention discloses an integrated device for washing and brushing teeth, in particular to the technical field of oral care. The main body of the integrated device for washing and brushing teeth comprises a toothbrush head, a shell, a water pump assembly and an acoustic motor communicated with the water pump assembly; The toothbrush head is installed at one end of the shell, a water outlet pipeline is arranged in the toothbrush head, and at least two water outlet holes communicated with the water outlet pipeline are arranged on the bristle surface of the toothbrush head; The inside of the shell is provided with a cavity, and the water pump assembly and the acoustic motor are both installed in the cavity.

Abstract: A dental matching shade swatch comprising a shade tip, the shade tip comprising a transparent adapter central core, and an outer shade sample material surrounding the transparent adapter central core. The dental matching shade swatch also comprises a transparent fastener for rotatably connecting the shade tip to a post, the post insertable into a void of a housing, and a positioning notch extending above the transparent adapter central core, the positioning notch formed of a transparent material and the positioning notch facilitating positioning the outer shade sample material proximal to a patient's tooth.

Abstract: An implantable system for managing urinary incontinence includes a sling with an elongate body member having a proximal portion, a distal portion and an intermediate portion. The intermediate portion is configured to be positioned underneath urethra of a subject for providing an adequate support to prevent leakage of urine during a stress event. A pressure sensor communicatively coupled with the elongated body member is configured to be positioned in an abdominal cavity and adapted to sense an increase in intra-abdominal pressure. The pressure sensor generates a first signal that is indicative of a change in the intra-abdominal pressure upon occurrence of the stress event. A processing circuit processes the first signal sensed by the pressure sensor and generates a second signal causing an adjustment of tensioning force in the elongate body member thereby changing magnitude of a supporting force to the urethra.

Abstract: The present invention relates to a prosthesis (200) comprising: —one mesh (1) delimited by a peripheral exterior edge (1a), —a frame (2) fastened to said mesh and adopting the shape of said peripheral exterior edge of the mesh, said frame being set back from said peripheral exterior edge and being provided with two hinge points (3a, 3b), the line passing through said two hinge points also passing through the centre (1b) of the mesh and thus forming a line M for folding the mesh in two, characterized in that said prosthesis further comprises at least two anchor pieces (5) made of suturable material and located on a single face of the mesh (1) on either side of said folding line, each piece having a fixed part (5a) linked to said mesh and a free part (5b), said free part being linked to at least one thread-shaped element (7).

Abstract: The present embodiments provide an expandable mesh comprising a first coupling element, a second coupling element, and an intermediate portion disposed between the first coupling element and the second coupling element. Proximal retraction of the first coupling element relative to the second coupling element causes the intermediate portion to flare out to an enlarged width. In one embodiment, the first coupling element comprises a first tube and the second coupling element comprises a second tube.

Abstract: Devices and methods for treatment of bodily lumens and sphincters are disclosed. Some embodiments include methods and devices for inducing an inflammatory response and development of fibrosis, collagen, and/or scar tissue. In some embodiments, scaffolds may be composed of a matrix of filaments. Application of the methods and devices disclosed herein to treat Gastroesophageal Reflux Disease (GERD) and other sphincter disorders are discussed. Biodegradable scaffolds configured to induce an inflammatory response are also disclosed.

Abstract: Devices and methods for treatment of bodily lumens and sphincters are disclosed. Some embodiments include methods and devices for inducing an inflammatory response and development of fibrosis, collagen, and/or scar tissue. In some embodiments, scaffolds may be composed of a matrix of filaments. Application of the methods and devices disclosed herein to treat Gastroesophageal Reflux Disease (GERD) and other sphincter disorders are discussed. Biodegradable scaffolds configured to induce an inflammatory response are also disclosed.

Abstract: An in-situ fenestration device including a cutting staple, a delivery staple, and a backplate catheter. The cutting staple has a delivery position, a cutting position, and a deployed position. The delivery catheter is configured to deliver the cutting staple to an in-situ fenestration site of a graft material situated within an artery. The backplate catheter is fixated to the delivery catheter as the cutting staple transitions from the delivery position to the cutting position to cut an in-situ fenestration at the in-situ fenestration site. The backplate catheter includes one or more channels configured to transition the cutting staple from the cutting position to the deployed position anchoring the cutting staple to the graft material around a periphery of the in-situ fenestration.

Abstract: Provided herein is a biocompatible polymeric material having a textured surface with an arithmetical mean height value (Sa) in a range of 0.1 to 10 ?m, a developed interfacial area ratio (Sdr) above 1.0, determined according to ISO 25178 using a Gaussian low pass S-filter with a nesting index value of at least 0.25 ?m. Also provided is a process for preparing such a biocompatible polymeric material using a microstructured template and a medical device that includes the biocompatible polymeric material.

Abstract: An implantable prosthetic valve may include an annular frame having an inner surface and an outer surface and the frame has an inflow end and an outflow end and a central longitudinal axis extending from the inflow end to the outflow end. A leaflet structure may be positioned within the frame. An inner skirt may be positioned along the inner surface of the frame. An outer skirt may be positioned around the outer surface of the frame. Various portions of the leaflet structure, the inner skirt, or outer skirt may incorporate a material inclusive of electrospun silk.

Abstract: Apparatus and methods for a prosthetic heart valve are provided. The apparatus may include a prosthetic heart-valve fitting. The fitting may be seated in a valve annulus of the heart. The fitting may be a fitting that does not include a tissue-penetrating anchor. The fitting may be a fitting that does not include a tissue-penetrating barb. The apparatus may include a brace. The brace may be urged by an atrial tissue of the heart to maintain a position of the fitting in the annulus.

Abstract: A heart valve leaflet replacement system for a diseased heart valve including a replacement valve that is configured to be selectively guided and implanted in a native annulus of the diseased heart valve. The replacement valve can include: a frame with a rigid portion to house and maintain the integrity of the replacement leaflets and a flexible portion enabling it to conform to the native vessel geometry, at least one prosthetic leaflet coupled to an inner surface of the stent, and a plurality of prong structures operatively coupled to and extending between portions of the at least one prosthetic leaflet and the inner surface of the bottom ventricular portion of the stent to selectively constrain the movement of the at least one prosthetic valve relative to the bottom ventricular portion of the stent.

Abstract: Described embodiments are directed toward prosthetic valves having leaflets that move asymmetrically in that a leaflet second side region of the leaflet initially moves toward the open position before a leaflet first side region and the leaflet first side region initially moves toward the closed position before the leaflet second side region. In the fully open position, the leaflet first side region opens less than the leaflet second side region. Asymmetric opening and final open position, in synchrony with the other leaflets having the same motion and final open position creates spiral flow exiting the open valve that increases blood flow on the downstream side of the leaflet and thus reduces stagnation of the blood that might lead to thrombus formation. Controlled asymmetric movement of the leaflet reduces closing volume by initiating closure on the leaflet first side region and finishing closures on the leaflet second side region.

Abstract: This document provides devices and methods for the treatment of heart conditions. For example, this document provides prosthetic heart valves and transcatheter heart valve replacement methods. The prosthetic heart valves can be configured into a low-profile configuration for containment within a small diameter delivery sheath. The prosthetic heart valves include can include a valve member attached to a stent frame. In some embodiments, the valve member is a molded biomaterial with a novel shape and resulting performance characteristics. Localized protective covering members can be attached to the stent frame to prevent the valve member from contacting the stent frame as the valve member cycles between its open and closed configurations.

Abstract: A prosthetic heart may include an expandable frame and prosthetic leaflets that each have a free edge, an attached edge having a contour, a first flat surface facing toward the frame, and a second flat surface facing away from the frame. A spacer fabric may be attached to each leaflet, the spacer fabric having a first surface, a second surface, and an inner matrix between the first and second surfaces.

Abstract: Delivery devices for delivering a self-expanding prosthetic heart valve are disclosed. The delivery device includes at least one cord is configured to selectively cinch the self-expanding prosthetic heart valve. The delivery device further includes at least one self-expanding release pin comprising a proximal segment, a distal segment, and an intermediate segment positioned between the proximal segment and the distal segment. The at least one self-expanding release pin includes a normal, expanded condition wherein the intermediate segment extends radially outward relative to a central axis of the spindle from the proximal segment to the distal segment. The delivery device further includes a capsule configured to be distally extended relative to the spindle to collapse the at least one self-expanding release pin from the normal, expanded condition of the at least one self-expanding release pin to a collapsed condition of the at least one self-expanding release pin.

Abstract: Methods, apparatuses, and systems for performing a valve replacement or repair. Apparatuses may include systems and may include an outer catheter, one or more interchangeable inner catheters, a guidewire and an expandable chordae tendinae deflector. Also described herein are rapid pacing sheaths that may be used with any of these apparatuses and methods.

Abstract: A delivery system includes a delivery sheath with a control device and at least one supra-annular support being movable through a lumen of the delivery sheath. The control device includes a connection member coupled to a distal end of a control catheter. The connection member is configured to removably couple to the prosthetic valve at a proximal position along a supra-annular portion of the prosthetic valve. The control device is operable to advance the prosthetic valve in a compressed configuration through the delivery sheath and to at least partially deploy the prosthetic valve in an expanded configuration into a native valve annulus. The supra-annular support(s) is/are removably coupleable at one or more positions along the supra-annular portion of the prosthetic valve and is/are configured to stabilize or actuate at least a portion of the prosthetic valve relative to an annular plane of a native heart valve during deployment.

Abstract: The present disclosure describes devices, systems, and methods for intravascularly delivering an intravascular device to a targeted cardiac valve.

Abstract: A method for connecting an annuloplasty implant with a delivery and retrieval device includes retracting the annuloplasty implant towards a locking structure of the delivery and retrieval device with a retrieval element. The retrieval element connects the annuloplasty implant with the delivery and retrieval device when the annuloplasty implant is disconnected from the delivery and retrieval device. A complementary mating surface at an end portion of the annuloplasty implant is interlocked with a locking structure of the delivery and retrieval device. The complementary mating surface has a recess for locking longitudinal movement of the annuloplasty implant when it is received in the locking structure. The complementary mating surface has a first locking surface aligned in a first radial direction (R) to lock rotational movement of the annuloplasty implant, when received in the locking structure, around the longitudinal direction.

Abstract: A valve repair device, e.g., for treating mitral valve regurgitation, includes a tubular body defining a longitudinal axis, paddles supported by the tubular body and movable to change abduction of the paddles relative to the longitudinal axis, and retention members supported by the tubular body proximal the paddles and similarly movable to change abduction of the retention members relative to the longitudinal axis to facilitate capture of native valve leaflets between pairs of paddles and retention members. Movement of the paddles and/or retention members is provided by one or more control mechanisms including a collar a shaft extending within the tubular body. Each shaft is threadedly engaged to a respective collar and coupled to one or more of the movable elements such that, when the collar is rotated, the shaft translates to change abduction of the movable element relative to the longitudinal axis.

Abstract: Delivery systems, methods and associated devices to facilitate delivery and deployment of a heart implant. Such delivery systems and methods of delivery include use of a pair of magnetic catheters, including an anchor delivery catheter carrying an anchor, which can be stacked with or can be axially offset from the magnetic head. Such systems further include use of a puncturing guidewire advanceable through the magnetic head of the anchor delivery catheter to establish access to a chamber of a heart and which is attached to a bridging element such that continued advancement of the guidewire draws a bridging element attached to the first anchor across the chamber of the heart while the bridging element remains covered by the magnetically coupled catheters. Methods and devices herein also allow for cutting and removal of a bridge element of a deployed heart implant.

Abstract: A tissue anchor includes a tissue-engaging element, a head, and a protrusion. The tissue-engaging element has a sharpened distal tip, and is configured to be driven into tissue of a subject. The head is coupled to a proximal end of the tissue-engaging element, and includes a driver interface that is configured to be reversibly engaged by an anchor driver. The protrusion protrudes away from the head such that driving the tissue-engaging element into the tissue presses the protrusion against the tissue, and is configured to move with respect to the head automatically in response to being pressed against the tissue. Other embodiments are also described.

Abstract: The present invention provides an active substance application insert for an implant, in particular a joint implant. The active substance application insert has a main body, an active substance chamber formed in the main body, an application side which forms a front face of the active substance chamber, wherein the application side has a plurality of application openings, and a securing means with which the main body can be detachably secured in the implant. In a state in which the main body is inserted into the implant, the application side faces outwards relative to the implant, such that the application openings connect the active substance chamber to the environment of the implant. Furthermore, within the scope of the present invention an implant with a recess for receiving an active substance application insert is provided.

Abstract: A joint prosthesis implant having: a main body made mainly of ceramic and including a joint outer surface made of ceramic, of concave or convex shape, at least one tightening screw configured to tighten the main body on the patient's bone or on an intermediate element attached to the bone, at least one added ring in the main body configured to homogeneously distribute in the main body the mechanical stresses caused by tightening the tightening screw, the added ring having a first member and a second member separate from each other.

Abstract: Systems and methods for verifying the quality of patient specific implants are disclosed. A system can generate implant data, such as design files or fabrication instructions, for manufacturing the implant. The system can manage access to the implant data based on authentication levels. Based on the determined authentication level of the user requesting access to the implant data, the system can permit the user to access some or all of the implant data. The system can perform a quality check on a manufactured implant by scanning the manufactured implant to identify any errors in the manufactured implant.

Abstract: A pelvic implantation device that includes at least two outwardly directed, flat, fastening brackets arranged at an edge of a fastening ring, the fastening ring forming an opening; and a socket support body that includes a convex outer face configured to contact a pelvic bone; a distal edge that extends substantially orthogonally from a circumferential surface of the socket support body; and a tab, wherein the tab forms a portion of the circumferential surface of the socket support body, the tab including a proximal edge that extends substantially orthogonally from a surface of the tab, wherein the distal edge and the proximal edge are configured to contact an upper surface of the fastening ring.

Abstract: An acetabular cup assembly for use with liners is described. The acetabular cup assembly includes a cup and a liner. The cup has an outer surface, a generally concave inner surface and a top face. The inner surface includes a cylindrical band having a plurality of inward-facing recessed scallops, a tapered wall adjacent to the band, and an inner spherical surface adjacent the tapered wall. The inner spherical surface has a substantially uniform radius of curvature. A single groove interrupts the spherical surface. The liner has a substantially convex outer surface and includes a rim and a plurality of outward-projecting scallops adjacent the rim. The scallops of the liner are configured to engage the scallops of the cup when the liner is seated in the cup. Related methods of use are also provided.