Abstract: A surgical registration tool including a bone engagement structure comprising a distal condyle abutment structure, at least one posterior condyle abutment structure, a side condyle abutment structure, and an anterior shaft abutment structure. The distal condyle abutment structure includes a distal planar surface. The at least one posterior condyle abutment structure includes at least one planar surface extending distally from the distal planar surface and positioned perpendicular to the distal planar surface. The side condyle abutment structure includes a planar surface extending distally from the distal planar surface and positioned perpendicular to the distal planar surface and the at least one planar surface. The anterior shaft abutment structure extends distally from the distal planar surface and terminates at a distal tip. The registration tool also includes a handle coupled to the engagement structure and extending proximally therefrom, and a tracker array configured to couple to the handle.

Abstract: Examples of the disclosure include methods and systems for calibrating a C-arm imaging device for surgical navigation. Calibrating the C-arm imaging device may include, for a plurality of positions of the C-arm imaging device, determining the position of the C-arm imaging device, receiving an image of a calibration fixture from the C-arm imaging device, determining the position of the calibration fixture and a tracking array positioned on the C-arm imaging device, determining intrinsic parameters using the image and the position of the calibration fixture, and determining extrinsic parameters using the position of the tracking array relative to a detector of the C-arm imaging device. Calibrating the C-arm imaging device may include modeling parameters for the C-arm imaging device and iteratively tuning the model.

Abstract: Guided percutaneous uncertainty mapping device and method for providing visual representations of an uncertainty map with respect to an organ during a guided percutaneous procedure using an electromagnetic tracking (EMT) system comprising an EMT field generator and tracker, a catheter with a EMT sensor for placing in the organ to mark a percutaneous procedure target, and a needle with an EMT sensor and an electronic data processor configured for carrying out the steps of: receiving an indication of a percutaneous procedure target; receiving three-dimensional (3D) positions and orientations of the catheter and the needle tracked in real-time from the EMT system; estimating the uncertainty of the received position and orientation of the needle; estimating the uncertainty of the received position and orientation of the catheter: estimating a trajectory uncertainty of the needle departing from a current position and orientation of the needle; generating a visual representation of the estimated trajectory uncertai

Abstract: Methods and a kit for a navigated procedure, such as a navigated surgical procedure relate to an optical sensor system such as a sterile optical sensor system. The methods relate to using components of the optical sensor system and a processing unit, for example, performing a navigated procedure using an optical sensor as draped and using the processing unit coupled to the optical sensor. Performing the navigated procedure comprises receiving instructions for the navigated procedure from the processing unit, and using the optical sensor comprises interacting with a button on the optical sensor through the drape to provide input to the processing unit. A kit comprises optical sensor system components and instructions for performing a method.

Abstract: The disclosed technology includes a medical end effector comprising one or more spines extending along a longitudinal axis. The spines further comprising a first surface being outward from the longitudinal axis; one or more contact pads affixed to a portion of the first surface of the spine; and one or more flexible circuits disposed over respective ones of the one or more contact pads, the one or more flexible circuits each comprising an electrode and an inductive coil as one unit.

Abstract: A system for use with an electrophysiological procedure is disclosed. The system includes an elongated catheter assembly having a tracking sensor and a controller. The controller is configured to track catheter assembly positions within the organ based on a plurality of electrical signals from the tracking sensor, determine a first catheter assembly position based on a first electrical and determine a second catheter assembly position based on a second electrical signal, constrain the second position with the first position, and generate an anatomical map of an organ of the electrophysiological procedure with a visualization of the catheter assembly having the second position constrained with the first position.

Abstract: Shape-sensing systems and methods for catheters. The shape-sensing system can include a catheter, an optical interrogator, a console, and a display screen. The catheter can include an integrated optical-fiber stylet having fiber Bragg grating (“FBG”) sensors along at least a distal-end portion thereof. The optical interrogator can be configured to send input optical signals into the optical-fiber stylet and receive FBG sensor-reflected optical signals therefrom. The console can be configured to convert the reflected optical signals into plottable data for displaying plots thereof on the display screen. The plots can include a plot of curvature vs. time for each FBG sensor of a selection of the FBG sensors in the distal-end portion of the optical-fiber stylet for identifying a distinctive change in strain of the optical-fiber stylet as a tip of the catheter is advanced into a superior vena cava of a patient.

Abstract: Surgical guidance systems and methods visually mark a structure of interest (SOI) of an organ on intraoperative images captured by a locatable imaging device. A location of the SOI relative to a body structure (e.g., a passageway system) associated with the organ is determined in a preoperative image that is captured by a medical diagnostic imaging (MDI) system. The location of the SOI relative to the body structure in the preoperative image is then mapped onto a reconstructed version of the body structure based on location information provided by localization sensors distributed on the body structure. An intraoperative image taken by the locatable imaging device is aligned with the reconstructed version of the body structure and an image object representing the SOI is overlaid on the intraoperative image at a location that is mapped from the reconstructed version of the body structure.

Abstract: Surgical systems for use in surgical procedures utilizing robotic devices. The surgical system having one or more components for housing a sensor or one or more tools for anchor or sensor delivery. The surgical system may include a surgical sensor anchor and/or a surgical sensor anchor delivery tool. A method of performing a robotically assisted surgical procedure, comprising using a surgical sensor anchor during a surgical procedure which utilizes a robot to track movement of at least one portion of a body structure undergoing a surgical procedure or to track movement of a body structure near a surgical site.

Abstract: Devices, systems, and methods for providing a surveillance marker configured to detecting movement of a dynamic reference base attached to a patient a robot-assisted surgical procedure are provided. The surveillance marker and the dynamic reference base are connected to a bony structure independent of each other.

Abstract: Systems, methods, and instrumentalities may be provided for a smart surgical instrument or device monitoring other surgical instruments or devices in a peer-to-peer interconnected surgical ecosystem. Monitoring and/or recording may be performed using the peer-to-peer surgical ecosystem may be performed without engaging a central computing device. A surgical instrument based on respective capabilities may configure itself as a monitoring surgical instrument and other surgical instrument that is part of the surgical ecosystem as a peer surgical instrument. The monitoring surgical instrument may establish a peer-to-peer connection with the peer surgical instrument. to monitor and record the surgical task on the second surgical instrument. The monitoring surgical instrument, using the established peer-to-peer connection, may begin monitoring and/or recording of surgical data associated with a surgical task being performed on the peer surgical instrument.

Abstract: An apparatus includes an end effector, a shaft assembly, an instrument base, and a bailout assembly. The instrument base includes at least one input assembly capable of engaging an output assembly of a robotic arm. The bailout assembly includes an actuating body and a driving assembly. The actuating body is capable of actuating relative to instrument base from a pre-bailout position, an engaged position, and a bailout position. The driving assembly is capable of actuating from a first position toward a second position to drive the output assembly of the robotic arm out of engagement with the at least one input assembly of the instrument base in response to the actuating body actuating from the engaged position into the bailout position. The driving assembly remains in the first position while the actuating body is in the pre-bailout position.

Abstract: A registration system includes a probe and an implant. The probe has a body, a tip including an apex with a central axis therethrough, and an outer surface extending away from the apex. The implant is connectable to a bone and has an exterior surface with a plurality of registration features thereon. Each of the registration features has an apex with a central axis therethrough, and an inner surface extending about the apex. The registration system is compatible with a surgical navigation system such that a location of the apex of the probe tip within an intraoperative coordinate space is detected by a localizer of the navigation system and communicated to a processor of the navigation system. Further, when the probe tip is fully received in any one of the registration features, the apices of the respective probe tip and registration feature are coincident.

Abstract: An apparatus includes an elongate body, first and second tendons, and first and second stiffening members. The tendons extend through the elongate body and have respective distal ends that are fixedly secured relative to the distal end of the elongate body. The tendons are operable to drive articulation of the distal portion of the elongate body. The stiffening members have respective distal ends that are fixedly secured relative to the distal end of the elongate body. The first tendon and the first stiffening member are positioned adjacent to each other along the proximal portion; and are angularly offset from each other along the distal portion. The second tendon and the second stiffening member are positioned adjacent to each other along the proximal portion; and are angularly offset from each other along the distal portion.

Abstract: A robotic surgical system includes a surgical instrument and a processor. The surgical instrument includes an elongate, hollow shaft having a proximal end, a distal end, and a flexible section. The surgical instrument further includes a sensor apparatus configured to generate sensor data about the flexible section and a force transmission mechanism coupled to the proximal end of the shaft. The processor is communicatively coupled to at least the sensor apparatus. The processor is configured to receive the sensor data about the flexible section from the sensor apparatus and to combine the sensor data received from the sensor apparatus with known information regarding stiffness of the surgical instrument to derive an internal actuation force applied by the force transmission mechanism.

Abstract: A force tactile feedback device at master end of robot assisted system for vascular interventional surgery includes a surgeon operating rod, a circumferential directional surgeon operation action capturing and force tactile feedback unit, a compressible and extendable rhombus structure, a transmission directional surgeon operation action capturing and force tactile feedback unit, a housing and a support plate. The force tactile feedback device at master end of robot assisted system for vascular interventional surgery keeps consistent with a traditional manual vascular interventional surgery in operation mode, and not only reduces a learning cycle and use difficulty for a surgeon on a master end apparatus, but also allows the surgeon to make full use of accumulated experience and skills.

Abstract: Systems and methods for actuating an end-effector of a surgical instrument are provided. The surgical instrument includes a surgical instrument interface operatively coupled to an instrument shaft having an end-effector. The surgical instrument interface includes a pair of actuators slidably disposed within longitudinal openings of a housing of the surgical instrument interface and engaged with a grooved opening of a barrel rotatably disposed within the housing, such that translational movement of the actuators within the longitudinal openings is converted to rotational movement of the barrel along the grooved opening. The surgical instrument interface further may include a torsion spring pre-loaded with a predetermined torque such that rotation of the barrel causes rotation of the instrument shaft if the torque generated between the barrel and the instrument shaft is less than the predetermined torque of the spring. Rotation of the instrument shaft actuates the end-effector via a cam mechanism.

Abstract: A sequence of input samples that are measures of position or orientation of an input device being held by a user are received. A current output sample of a state of linear quadratic estimator, LQE, is computed that is an estimate of the position or orientation of the input device. The current output sample is computed based on i) a previously computed output sample, and ii) a velocity term. An updated output sample of the state of the LQE is computed, based on i) a previously computed output sample, and ii) a new input sample. Other embodiments are also described and claimed.

Abstract: The medical apparatus includes a driving source, a base unit including a coupling portion connected to the driving source, a bendable unit including a bending portion, and a linear member configured to bend the bending portion, an operation portion, and a deceleration mechanism including an output member that is driven by a force transmitted from the operation portion. The coupling portion includes a retaining portion configured to be transited between a retaining state and a releasing state, and a switching portion configured to be moved by the output member and configured to switch the retaining portion between the retaining state and the releasing state. In a case where the operation portion is moved for a first movement amount, the output member is configured to be moved for a second movement amount that is smaller than the first movement amount.

Abstract: A system comprises a sensing means for sensing an arrangement of a manipulator assembly. The system further comprises a control means for: determining a motion limit of the manipulator assembly based on the sensed arrangement; and selecting a threshold limit from a plurality of pre-stored threshold limits based on which procedure type is to be performed with the manipulator assembly. The selected threshold limit is associated with a procedure type and defines a limit of a range to be potentially travelled by the manipulator assembly to perform a procedure. The control means are further for: comparing the motion limit to the selected threshold limit to determine whether the selected threshold limit is outside a range of motion bounded by the motion limit; and providing a notification indicative of whether the selected threshold limit is outside the range of motion bounded by the motion limit.

Abstract: A robot system (100) includes a slave robot (10) including a hand (12) to hold a treatment member (101) and operable to perform a procedure on a person to be treated (S) using the treatment member held by the hand, a master robot (20) to remotely control the slave robot, and a controller (50) configured or programmed to restrict movement of the hand according to a step of the procedure on the person to be treated using the treatment member held by the hand.

Abstract: An apparatus includes a proximal elongate portion, a distal elongate portion, a coupler, a proximal tendon assembly, and a distal tendon assembly. The proximal and distal elongate portions share a central longitudinal axis. The coupler is longitudinally interposed between the proximal elongate portion and the distal elongate portion. The coupler includes a first channel. The proximal tendon assembly extends through the proximal elongate portion. The proximal tendon assembly includes a proximal portion of a tendon positioned at a first radial distance from the central longitudinal axis. The distal tendon assembly extends through the distal elongate portion. The distal tendon assembly includes a distal portion of the tendon positioned at a second radial distance from the central longitudinal axis. The tendon passes through the channel of the coupler, which accommodates repositioning of the tendon from the first radial distance to the second radial distance.

Abstract: An apparatus includes an elongate body and a tendon assembly. The elongate body includes a sidewall comprising a flexible material, a proximal portion, and a distal portion. The tendon assembly is operable to drive deflection of a portion of the elongate body away from the central longitudinal axis. The tendon assembly includes a tendon housing and a tendon. The tendon extends through the sidewall. The tendon housing has a distal end secured at a longitudinal position along the elongate body. The tendon is slidably disposed in the tendon housing. The tendon has a distal portion extending distally from the distal end of the tendon housing. The distal portion of the tendon is fixedly secured relative to the elongate body.

Abstract: The present disclosure relates to an end tool of a surgical instrument, and more particularly, to an end tool of a surgical instrument that is mountable on a robotic arm or manually operable for use in laparoscopic surgery or various other surgeries.

Abstract: A surgical manipulator linkage assembly may comprise a linkage arm that includes a first pulley and a second pulley. Each of the first pulley and the second pulley comprise a first drive track and a second drive track. The first drive track and the second drive track are substantially co-planar, and the first drive track extends at least partially around the second drive track. The linkage arm also includes a first drive member section extending between the first drive tracks of the first pulley and the second pulley. The linkage arm also includes a second drive member section extending between the second drive tracks of the first pulley and the second pulley. The first drive member section is wound around the first pulley in a first tensile direction and the second drive member section is wound around the first pulley in a opposite second tensile direction.

Abstract: Connector assemblies for connecting a robotic arm with a medical end effector are disclosed. An example apparatus for connecting a robotic arm with a medical end effector may include a connector housing. An actuation mechanism may be disposed within the connector housing. The actuation mechanism may include a plurality of linkage members and a gear assembly coupled to the linkage members. Each of the plurality of linkage members may be configured to shift between a locked configuration and an unlocked configuration. At least one of the plurality of linkage members may include a first linkage member having an end region. A roller member may be disposed adjacent to the end region of the first linkage member. An actuator may be coupled to the actuation mechanism.

Abstract: A parturition drape (100) includes a drape (101) and a twin pouch assembly (102). The twin pouch assembly defines a first pouch (1101) and a second pouch (1301) attached to a major face of the drape. A flap (103) is attached to the major face of the drape. The flap (103) is selectively insertable into an open end of either the first pouch or the second pouch.

Abstract: A medical device system configured to occlude an opening in a heart, the medical device system including a delivery system and an implant. The delivery system including a handle and a catheter, the implant removably coupled to the catheter. The implant includes a frame work and a tissue growth member. The tissue growth member includes an inner sheet, an outer sheet, and a reinforcement textile. The inner sheet is positioned along an inner side of the framework and the outer sheet is positioned along an outer side of the framework. The reinforcement textile is positioned between the inner and outer sheets to define a texture along an outer surface of the tissue growth member.

Abstract: A composite-material for use in portable surgical systems is disclosed. The composite material may comprise two layers of a first material and one layer of a second material. The layer of the second material may comprise a plurality of holes and may be disposed between the layers of the first material. The composite-material may further include a series of bonding regions extending, from one layer of the first material to the other layer of the first material, through the plurality of holes of the layer of the second material. The bonding regions may seal the holes of the layer of the second material such as to form an impenetrable composite-material layer even when the layers of the first material are not impermeable. The bonding regions may cause the layers to attach to each other. The composite-material may be used to make a sterile sleeve of the portable surgical system.

Abstract: The present disclosure relates to a packaging system for a medical tubing set for extracorporeal therapy, wherein the packaging system includes a tray, which is configured to receive an inlay as well as to reversibly fasten the inlay in the tray, and an inlay with one or more recesses for receiving the tubing set, wherein a cavity is formed between the tray and the inlay. For example, such a packaging system can have a modular design and allows the medical tubing set to be unpacked in the order of use. The disclosure also relates to the use of such a packaging system for packaging a medical tubing set as well as a method for packaging a medical tubing set.

Abstract: A carrier can comprise a case that defines an interior volume, a supply tray that defines a plurality of supply compartments, and a sample tray that defines one or more sample compartments and comprises a thermally-insulative material. The supply tray and the sample tray and each be removably coupled to the case in the interior volume.

Abstract: An inventory system configured for detecting and counting potentially retained surgical items within a body of a patient includes a signal generator which generates an energizing signal for a first RFID tag affixed to a secure package or the second RFID tag affixed to a surgical item, an antenna operably coupled to the signal generator, a processor, and a memory. The antenna is configured to receive at least one of the first return signal transmitted by at least one of the first RFID tag or the second return signal transmitted by the second RFID tag. The memory includes instructions which when executed by the processor cause the system to energize the first RFID tag, receive from the antenna the first return signal including a first unique identifier, and generate a key based on the first unique identifier and a master private key stored on the memory.

Abstract: A dock for a surgical equipment holder is disclosed. The dock for a surgical equipment holder includes a base having a central arm mount and a lower clamping jaw. The dock for a surgical equipment holder also includes an upper clamp jaw movably coupled to the base. The dock for a surgical equipment holder also includes a central docking arm coupled to the central arm mount and a central ball cup coupled to the to the central docking arm. The dock for a surgical equipment holder also includes a central attachment nut coupled to the central ball cup. The central attachment nut may include an extendable moment arm, and the dock may also include a ball coupled between the central ball cup and the central attachment nut and a surgical equipment holder attached to the ball.

Abstract: A medical handling device comprises an instrument holder for holding an observation instrument that is equipped with an image capturing unit for capturing an image section of an object plane. The handling device further comprises a robotic handling unit that supports the instrument holder and a control device that comprises a handling control unit for controlling the robotic handling unit and an instrument control unit for controlling the observation instrument. An input device is coupled to the control device for selecting an image section to be reproduced. The control device is adapted to detect a present orientation of the observation instrument and to control the robotic handling unit, while taking into account the present orientation of the observation instrument, in response to user inputs at the input device. The observation instrument is movable with respect to a pivot point in the object plane at a defined object distance along a curved path.

Abstract: A method may include creating a digital preoperative dental model of an oral structure of a patient in a CAM compatible file format based on preoperative scan data of the oral structure. The preoperative scan data may include a plurality of preoperative scan data sets that are aligned and combined with one another. The digital preoperative dental model may include (i) preoperative scan coordinates that represent an unexposed jawbone structure of the patient obtained from tomography scan data and (ii) preoperative surface scan coordinates that represent at least one of gum tissue, an existing dentition, and an existing artificial restoration of the patient. The method may also include creating a digital design of a surgical drill guide in a CAM compatible file format based on the digital preoperative dental model to directly engage at least one surface structure of the patient and a jawbone of the patient simultaneously.

Abstract: Apparatuses and methods for assessing a dental x-ray image and predicting tooth eruption and/or exfoliation. The apparatuses may use one or more trained neural networks to assess a patient's x-rays as well as dental measurements determined from the patient's x-rays to predict approximately when a permanent tooth may erupt to replace a baby tooth. The neural networks may be trained using a data training set of x-ray images and accompanying dental measurement data.

Abstract: Methods for forming dental appliances with laser marks. The methods may include identifying a target marking area of a dental appliance to receive a laser mark, and identifying a laser access area on a surface of the dental appliance. The methods may also include forming a surface texture to disperse laser energy received at the laser access area to form the laser mark in the target marking area.

Abstract: An apparatus for use with braces or aligners includes a member of flexible material that includes at least one ingredient to improve oral care during treatment with braces or aligners. The material comprises a single layer of a hydrogel material. The flexible member has adhesive properties to permit application over the teeth, braces, gums, soft tissues, and/or aligners positioned in the mouth, and remains in place in the mouth for about 30 minutes or more.

Abstract: A dental device having one or more fastening components each having a longitudinal axis and a wing region that extends radially outwardly from the longitudinal axis. The longitudinal axis of the fastening component is configured to mate with a dental attachment in a dental arch. The wing region has a top surface, a bottom surface, side surfaces, and a vertical structure protruding from the top surface. The wing region also has one or more attachment areas configured to couple with one another and/or a frame member. The frame member has a top surface, a bottom surface, and one or more attachment area configured to couple with the wing regions of the fastening components.

Abstract: The present disclosure provides an orthodontic spacer including a composite body formed from a curable and dimensionally stable resin formulation. The composite body has a first contact surface, a second contact surface, and a predetermined thickness between the first contact surface and the second contact surface. The spacer limits movement of the patient's mouth and inhibits the patient's teeth from biting or otherwise contacting an orthodontic appliance.

Abstract: Dental attachment assemblies for a mouth of a patient are provided. Contemplated dental attachment assemblies may include an abutment member, and a retention member for attachment to the abutment member. The retention member may comprise an upper end and a continuous, unbroken skirt projecting from the upper end for fixed, non-patient removable, fixed engagement over an outer locating surface of the abutment member. The retention member can be constructed from a rigid material, such as PEEK, such that it provides a retentive force of about 10 to 75 pounds. The abutment member may be configured for attachment to an implant having an upper portion including a threaded portion configured to screw into a threaded recess of an abutment, and a lower portion including an angled platform and a threaded post extending from the platform.

Abstract: A system and method for creating a model of a patient's mandible and any teeth supported from the mandible and manipulating the mandible relative to anatomical features of the patient's maxilla. The system uses markers positioned on the mandible and on the maxilla to create a functional mandibular axis that approximates an axis through the condyles of the patient. The functional mandibular axis and geometric and anatomical information about the patient's upper and lower jaw are then used to create prostheses for the patient. The system is also used for making corrections to the prosthesis.

Abstract: A smart oral cleaner includes a tooth-cleaning component, the tooth-cleaning component includes a first wall body and a second wall body, a hollow structure is formed between the first wall body and the second wall body, the second wall body is recessed towards the first wall body, the second wall body has a first wall surface and a second wall surface arranged opposite to one another, the first wall surface and the second wall surface are provided with jet holes, the second wall body has a shape adapted to a shape of a tooth, and an end surface of the tooth-cleaning component is in a shape of a slope-shaped depression.

Abstract: A method for preparing and/or caring for a medical or dental instrument is defined in that the instrument jointly with a connection adapter is first connected to a first preparation and/or care device and subsequently to a second preparation and/or care device. Furthermore, a coupling device is described which is configured to connect a preparation and/or care device for a medical or dental instrument to a connection adapter. A plug-in coupling arrangement and a system are also disclosed.

Abstract: A system and method for forming a sterile dental pack is disclosed. The method includes preparing a first wrap and a second wrap; arranging a plurality of dental disposable supplies on the first wrap; and wrapping the plurality of dental disposable supplies within the first wrap and the second wrap to form an airtight container. Also disclosed is a sterile dental pack dispensing system. The sterile dental pack dispensing system may include a storage container with an opening, the storage container being configured to store a wrapped sterile dental pack; an output configured to receive the wrapped sterile dental pack from the storage container; and a fiber optic indicator configured to cause the wrapped sterile dental pack to move from the storage container to the output through the opening.

Abstract: A gingival pocket measurement device for facile and accurate measurement of a depth of a gingival pocket includes a rod, which in turn comprises first and second segments that extend from first and second ends of the rod, respectively. The second segment is tapered between the second end and a junction of the first and second segments so that the second end is circumferentially smaller than the junction. The bands of a plurality of bands are attached to the second segment at 1.0 mm increments from the second end. Each band extends circumferentially around the rod and has a respective color so that the plurality of bands comprises bands of variety of colors. The first end is selectively attachable to an elongate shaft, enabling a user to insert the rod into a gingival pocket to measure its depth by observing a respective band that is not covered by a gum.

Abstract: An adjustable midurethral sling is provided. The adjustable midurethral sling includes a midurethral sling, a frame, an adjustment suture, a housing, two end parts, tunnel opening hooks, outlets, and tunnel opening hook insertion holes. The adjustable midurethral sling is used in a surgical treatment of an involuntary leakage, wherein the involuntary leakage is defined as a urinary incontinence in cases of an abdominal pressure increase as a result of coughing, sneezing etc.

Abstract: Aspects of the disclosure relate to synthetic tissue or organ scaffolds and methods and compositions for promoting or maintaining their structural integrity. Aspects of the disclosure are useful to prevent scaffold damage (e.g., delamination) during or after implantation into a host. Aspects of the disclosure are useful to stabilize tissue or organ scaffolds that include electrospun fibers.

Abstract: A repair prosthetic for repairing a hernia is disclosed. In some embodiments, the repair prosthetic includes a patch body, a frame that assists in spreading the patch body from a reduced configuration to an expanded configuration, and a plurality of tethers attached to the patch body at locations between the frame and a periphery of the patch body. In various embodiments, the tethers can be tensioned to mitigate curling or creasing in the patch body to flatten the patch to facilitate attachment to tissue.

Abstract: An integrally woven or knitted textile, such as a tubular graft or sheet, includes a base textile layer and at least one pouch or flap. In the case of a graft, the textile has at least one longitudinal tubular graft portion, and at least one pouch or flap integrally woven from at least a portion of the same set of yarns. Methods of making the same are also disclosed.