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ГИДРОФИЛЬНЫЕ МАТЕРИАЛЫ С ВЫСОКИМ ПОКАЗАТЕЛЕМ ПРЕЛОМЛЕНИЯ

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СПОСОБ ЛЕЧЕНИЯ ОЖИРЕНИЯ И СНИЖЕНИЯ ВЕСА ТЕЛА С ИСПОЛЬЗОВАНИЕМ ВНУТРИЖЕЛУДОЧНОГО СТЕНТА ВМЕСТО ВНУТРИЖЕЛУДОЧНОГО БАЛЛОНА

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Изобретение относится к биотехнологии, медицине и ветеринарии, а именно к онкологии, разработке погружных медицинских изделий для персонализированной терапии, в частности для местной циторедуктивной терапии пациентов с солидными опухолями. Биодеградируемый металлический имплантат для локальной иммунотерапии пациентов с солидными опухолями представляет собой скаффолд из биодеградируемого сплава на основе магния после интенсивной пластической деформации, изготовленный в виде полого стержня с продольной прорезью, формирующей резервуар для действующей композиции, заполненный мобилизирующей клетки средой на основе гидрогеля, биомедицинским клеточным продуктом на основе аутологичных или аллогенных Т-лимфоцитов и натуральных киллеров, активированных ex vivo. Изобретение обеспечивает направленную транспортировку и длительное выживание клеток, депонированных в гидрогеле в области введения, а также обеспечивает реализацию ими пролонгированного местного цитотоксического воздействия клеток-эффекторов ...

Титановый имплантат с поверхностью, модифицированной для усиления клеточной адгезии, и способ его изготовления

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СПОСОБ ИЗГОТОВЛЕНИЯ КЛАПАНСОДЕРЖАЩЕГО КОНДУИТА ИЗ ЯРЕМНОЙ ВЕНЫ КРУПНОГО РОГАТОГО СКОТА

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СПЕЙСЕР ДЛЯ САМОРАСПРАВЛЯЮЩЕГОСЯ СЕТЧАТОГО ТИТАНОВОГО ЭНДОПРОТЕЗА ДЛЯ ЭНДОСКОПИЧЕСКОЙ ГЕРНИОПЛАСТИКИ

Полезная модель относится к области медицины. Саморасправляющиеся сетчатые эндопротезы представляют современный класс изделий, используемый для эндоскопической герниопластики. Данное сетеполотно может быть создано из кулирного или основовязального металлотрикотажа, выполненного из монофиламентных или полифиламентных титановых нитей, например, из титанового сплава. Титановое сетеполотно обладает хорошей биосовместимостью с тканями, не вызывая токсических, аллергических и других побочных реакций при имплантации, устойчиво к воздействию биологических жидкостей и к обработке, состоящей из дезинфекции, предстерилизационной очистки и стерилизации. Введение в структуру нитей саморасправляющихся элементов позволяет с большим удобством развернуть сетку в ограниченном пространстве операционной раны. Однако при этом элементы системы саморасправления могут несколько увеличить ее объем и несколько усложнить проведение сетки через троакар при эндоскопическом введении. Кроме того, многократное проведение ...

СОСТАВНОЙ РЕГУЛИРУЕМЫЙ ЭНДОПРОТЕЗ В ПЕЩЕРИСТЫЕ ТЕЛА С ДИСТАЛЬНЫМ ЭЛЕМЕНТОМ, ИМЕЮЩИМ ГРАДИЕНТ ТВЕРДОСТИ

Полезная модель относится к медицинской технике и касается протезов, применяемых в лечении больных, страдающих эректильной дисфункцией. Заявлен составной регулируемый эндопротез в пещеристые тела с упрощенной системой стыковки компонентов в операционном поле и атравматичным концевым элементом, имеющим градиент твердости. Эндопротез в пещеристые тела имеет систему интраоперационного регулирования длины и устанавливается при минимальном разрезе в белочной оболочке. Части импланта легко стыкуются в операционном поле за счет наличия системы удержания дистальной части, что значительно упрощает работу хирурга по его установке. 2 з.п. ф-лы, 4 ил. РОССИЙСКАЯ ФЕДЕРАЦИЯ (19) RU (11) (13) 202 343 U1 (51) МПК A61F 2/00 (2006.01) ФЕДЕРАЛЬНАЯ СЛУЖБА ПО ИНТЕЛЛЕКТУАЛЬНОЙ СОБСТВЕННОСТИ (12) ОПИСАНИЕ ПОЛЕЗНОЙ МОДЕЛИ К ПАТЕНТУ (52) СПК A61F 2/00 (2021.01) (21)(22) Заявка: 2020125887, 28.07.2020 (24) Дата начала отсчета срока действия патента: Дата регистрации: 12.02.2021 Адрес для переписки: 344045, г. Ростов-на-Дону, Лелюшенко, 5/1-32, а/я 6218, Кожевников М.А. (56) Список документов, цитированных в отчете о поиске: RU 2673915 C1, 03.12.2018. SU 1780509 A3, 07.05.1990. U 1 2 0 2 3 4 3 R U Стр.: 1 U 1 (54) СОСТАВНОЙ РЕГУЛИРУЕМЫЙ ЭНДОПРОТЕЗ В ПЕЩЕРИСТЫЕ ТЕЛА С ДИСТАЛЬНЫМ ЭЛЕМЕНТОМ, ИМЕЮЩИМ ГРАДИЕНТ ТВЕРДОСТИ (57) Реферат: Полезная модель относится к медицинской пещеристые тела имеет систему технике и касается протезов, применяемых в интраоперационного регулирования длины и лечении больных, страдающих эректильной устанавливается при минимальном разрезе в дисфункцией. Заявлен составной регулируемый белочной оболочке. Части импланта легко эндопротез в пещеристые тела с упрощенной стыкуются в операционном поле за счет наличия системой стыковки компонентов в операционном системы удержания дистальной части, что поле и атравматичным концевым элементом, значительно упрощает работу хирурга по его имеющим градиент твердости. Эндопротез в установке. 2 з.п. ф-лы, 4 ил. 2 0 2 3 4 3 (45) ...

УСТРОЙСТВО ДЛЯ ЗАЩИТЫ ПОЧЕЧНЫХ АРТЕРИЙ ОТ ДИСТАЛЬНОЙ ЭМБОЛИИ ПРИ ЭНДОВАСКУЛЯРНЫХ ВМЕШАТЕЛЬСТВАХ

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СПОСОБ ИЗГОТОВЛЕНИЯ БИОПРОТЕЗА КЛАПАНА СЕРДЦА НА ГИБКОМ ОПОРНОМ КАРКАСЕ С НИЗКИМ ПРОФИЛЕМ

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... 1. Нерасширяющееся одноразовое суппозиторное устройство, имеющее вершину, основание, длину, наружную поверхность, продольную ось, максимальный диаметр и минимальный диаметр, меньший максимального диаметра, при этом суппозиторное устройство содержит оказывающую давление область, выполненную с возможностью являться протяженной между передней стенкой влагалища и задней стенкой влагалища и оказывать давление на мочеиспускательный канал через стенку влагалища, при этом оказывающая давление область содержит максимальный диаметр, и при этом суппозиторное устройство содержит индикатор использования, видимый на наружной поверхности устройства после извлечения устройства из влагалища.2. Суппозиторное устройство по п.1, отличающееся тем, что индикатор использования имеет первый цвет до введения во влагалище и второй цвет после извлечения из влагалища.3. Суппозиторное устройство по п.1, отличающееся тем, что индикатор использования имеет первый индицирующий элемент до введения во влагалище и второй ...

ГЕЛЬ ГИАЛУРОНОВОЙ КИСЛОТЫ ДЛЯ ВНУТРИКОЖНОЙ ИНЪЕКЦИИ

... 1. Имплантат, который является инъецируемым подкожно или внутрикожно в форме монофазного гидрогеля, характеризующийся тем, что он содержит от 0,5% до 5% мас./мас., предпочтительно от 0,5 до 4%, более предпочтительно 2% гиалуроновой кислоты, где ! от 50 до 95%, более предпочтительно от 60 до 90%, наиболее предпочтительно 85% мас./мас. гиалуроновой кислоты находится в форме сшитого геля, ! от 5 до 50%, предпочтительно от 10 до 30%, наиболее предпочтительно 15% мас./мас. гиалуроновой кислоты находится в свободной форме или в форме одной из ее физиологически приемлемых солей молекулярной массы между 500 и 2800 кДа, предпочтительно между 750 и 2600 кДа, более предпочтительно между 800 и 2500 кДа, наиболее предпочтительно между 1000 и 1500 кДа, ! в физиологически приемлемой жидкости-носителе, где отношение между массой геля сшитой гиалуроновой кислоты и массой свободной гиалуроновой кислоты находится между 1:1 и 1:0,05. ! 2. Инъецируемый имплантат по п.1, характеризующийся тем, что гель, полученный ...

СПОСОБ ФИЗИЧЕСКОЙ РЕАБИЛИТАЦИИ ПАЦИЕНТОВ С АМПУТАЦИЯМИ НИЖНИХ КОНЕЧНОСТЕЙ

Изобретение относится к медицине, а именно к реабилитологии, и предназначено для физической реабилитации пациентов с ампутациями нижних конечностей. Проводят три последовательных периода - стационарный, постстационарный, протезирования и освоения протеза. В течение первого периода осуществляют компрессионную терапию культи. Выполняют приемы, направленные на увеличение общей выносливости, профилактику атрофии мышц культи и вышележащего от ампутации сегмента, тренировку силовых качеств, равновесия и баланса, опороспособности сохранной конечности. Осуществляют тренировку перемещений по ровной поверхности на коляске, а также с использованием ходунков, подмышечных или подлокотных костылей. Во втором периоде дополняют приемы первого периода тренировкой преодоления препятствий в виде ступенек и пандусов с использованием дополнительных средств опоры. В течение третьего периода последовательно осуществляют тренировку ходьбы по ровной поверхности на протезе с двумя дополнительными средствами опоры ...

OSTEOGENE VORRICHTUNGEN UND METHODE ZUR HERSTELLUNG DERSELBEN

Neurovaskuläres Brückenimplantat

Magnetanordnung für die Befestigung von Prothesen

Co-moulded single-piece prosthetic finger joint made from liquid silicone rubber and polyether ether ketone

An implantable prosthesis made from first and second materials which may be polyetheretherketone (PEEK) and a silicone rubber. The materials may be injection moulded into unitary finger joints and craniomaxillofacial implants (100, figure 12) in a co-moulding process. An exemplary finger joint has a body 20 made of silicone rubber which defines intramedullary shafts 12, 14 and a hinge portion 22. Regions 24, 26 of the body on opposing sides of hinge 22 are over-moulded with a protective reinforcing sleeve of PEEK. The co-moulding process may utilize heat from the first injected material to cure the second injected material.

ELECTRODE CONNECTOR DEVICES

... 1329576 Clips NATIONAL RESEARCH DEVELOPMENT CORP 19 April 1971 [17 April 1970] 18482/70 Heading E2B [Also in Division A5] An implantable prosthetic device for connecting electrodes to nerve endings comprises a base 1 of flexible electrically insulating material and a plurality of generally leaf-like parts 3 extending from said base in successive faceto-face array in the manner of the leaves of a book said leaf-like parts being resilient and tending to adopt a closed book configuration. Each leaf-like part may have its periphery remote from the base thickened so that a nerve fibre gripped between two adjacent leaves is held at one point only, the nerve ending being free in the tunnel formed between the bodies of the two leaves. Holes 4 may be formed in the base so that electrodes may pass through the base to contact the nerve endings. After satisfactory contact between nerve and electrode has been established the peripheral portion of the leaves may be cemented together to form a permanent ...

MEDIZINISCHES INSTRUMENT ZUM EINBRINGEN VON CHIRURGISCHEN IMPLANTATEN

IMPROVED SURGICAL INSTRUMENT FOR THE TREATMENT OF URINARY INCONTINENCE

ADJUSTABLE VAGINALSCHIENE FOR THE SUPPORT OF THE BASIN GROUND

PROCEDURE AND DEVICE FOR THE ATTITUDE AND EXPANSION OF HEMATOPOIETI MAIN CELLS AND/OR FORERUNNER CELLS

MESH FILE EQUIPMENT

BILATERAL LAMINOPLASTIE IMPLANTS

INTEGRIERTER SCHALTKREIS FÜR NEURALPROTHESEN, DER MIT EINEM LOGISCHEN WECHSELSTROM-STEUERSIGNAL ANGESTEUERT WIRD

Disclosed is a neural stimulator for neural prosthesis: including a power receiver which receives power from outside and supplies the received power to a circuitry including an electrical signal generator; the electrical signal generator which generates a neural stimulating electrical signal; and a casing which protects the power receiver and the electrical signal generator from bodily fluid, wherein the power supplied by the power receiver to the circuitry including the electrical signal generator is AC logic power. In accordance with this disclosure, a neural stimulator with reduced production cost, simplified production process and reduced size, as compared with those of the related art, while being safe, may be provided.

AKKOMODATIVES INTRAOKULARLINSENSYSTEM

LATTICE FOR THE OSTEOSYNTHESIS OR FOR FASTENING ARTIFICIAL PARTS OF THE BODY

IMPLANTIERBARES MEANS OF MOUNTING FOR EXTRA-ORAL APPLICATIONS.

ABSORBABLE MICRO DIAPHRAGM FOR THE REDUCTION OF SCAR FABRIC

Procedure for the production of non-sticking and hydrophoben coats on Organopolysiloxanelastomeren

Suture for lifting and manufacturing method therefor

A suture for lifting is disclosed. The suture comprises: a medical fiber yarn; fixing parts formed at one side of the fiber yarn and fixable to the skin; and anchor parts protruding on the outer circumference of the fixing parts, wherein the anchor parts are integrally formed with the fiber yarn through a double injection.

COLLAGEN COMPOSITIONS AND METHODS FOR PREPARATION THEREOF

Polymer coatings containing drug powder of controlled morphology

A method for depositing a coating comprising a polymer and pharmaceutical agent on a substrate, comprising the following steps: discharging at least one pharmaceutical agent in a therapeutically desirable morphology in dry powder form through a first orifice; discharging at least one polymer in dry powder form through a second orifice; depositing the polymer and/or pharmaceutical particles onto said substrate, wherein an electrical potential is maintained between the substrate and the pharmaceutical and/or polymer particles, thereby forming said coating; and sintering said coating under conditions that do not substantially modify the morphology of said pharmaceutical agent.

A medical package, a medical container, a medical package system and methods for removal of a medical component from a container

Implantable devices, systems, and methods for maintaining desired orientations in targeted tissue regions

Improved surgical instrument and method for the treatment of urinary incontinence

Prosthesis

A prosthesis comprising a plastics body and a plurality of barbed stakes extending from a bone- facing surface of said body; said stakes being sized and located to provide fixation on impaction ...

Tools for use in treatment of male urinary incontinence

Self-inflating intragastric volume-occupying device

Device for closing a natural or artificial anus

The invention relates to device (1; 1') for closing a natural or artificial anus, comprising an inflatable balloon (2) with an approximately toroidal structure made from a flat tube section, which is turned inside out and whose both ends (7, 8) extend coaxially into one another and are each joined to a sleeve (9). The outer layer (5) of the tube section that is turned inside out has a radially enlarged, patient-proximal area (3) for inserting into the rectum and has a patient-distal area (11, 7, 8), which is tapered thereto and which remains, at least in areas, outside of the rectum during use. The tube sections have, in the transanal area (11, 7, 8), a material hardness H of greater than 60 according to Shore hardness test A. According to the invention, a stiffening sleeve (14) is placed inside the interrectal area (3) of the inner layer (5) in such a manner that this sleeve is completely separated from the hollow space (10) inside the balloon (2) by its inner penetrable layer (5).

Closure device, deployment apparatus, and method of deploying a closure device

The present invention relates a closure device implant for sealing an opening formed through biological tissue including a plug, a rigid wire including a plastically deformable portion configurable between an unrestrained position and a restrained position relative to the plug, wherein a distal end of the wire is substantially spherically shaped, and a footplate attached to the wire, wherein the footplate comprises an elongated plate portion including a wire channel. The present invention also relates to a closure device deployment device including an elongated housing, a sheath assembly connected to the housing, and at least two sliding members slidably connected to the housing.

An adjustable shape changeable surgical implant system

An adjustable shape changeable surgical implant system comprises a shape changeable surgical implant (1) having a swelling body (2) adapted to absorb and release fluid to swell and shrink, respectively, thereby changing the shape of said implant (1), a selective receptor (3) anchored inside the swelling body (2) and configured to selectively bind a corresponding selective ligand (4), a shape control substance (5) which can be administered to a patient carrying the shape changeable surgical implant (1), wherein the shape control substance (5) comprises the selective ligand (4) as well as a hydrophilic substance (6) connected to the ligand (4), such that in response to the selective receptor (3) binding the selective ligand (4), the swelling body absorbs liquid through hydrophilization, thereby changing the shape of the implant (1).

System and method of bone processing

A system and method of processing bone is disclosed. A tissue separator is utilized to separate tissue comprising at least one of muscle, periosteum and connective tissue from bone in a safe, sterile and efficient manner. In one aspect, the particle reducer can include an impeller (206) positioned with respect to a cutting surface on a drum (204). At least one of the impeller and the drum is rotated by a power source such that harvested tissue frictionally engages the cutting surface. In another aspect, a source of pressurized fluid can be directed at tissue to separate bone from non-bone tissue.

Enhanced radiopacity of peripheral and central catheter tubing

Corkscrew reinforced left ventricle to coronary artery channel

Hernia prosthesis

Urinary incontinence device and method of making same

Sterilization process

The present invention relates to a process for sterilizing implantable biomaterials. In particular, the invention relates to a process for sterilizing a cross-linked collagen-based biomaterial comprising contacting said cross-linked collagen-based biomaterial with a sterilization solution comprising between 3% and 6% v/v propylene oxide and incubating said biomaterial between 30°C and 55°C for greater than 48 hours; with the proviso that the sterilization solution does not include alcohol.

Temporary embolic protection device and medical procedure for delivery thereof

ANTERIOR SEGMENT DRUG DELIVERY

A therapeutic system comprises an ocular insert placed on a region outside an optical zone of an eye. The ocular insert comprises two structures: a first skeletal structure and a second cushioning structure. The first structure functions as a skeletal frame which maintains positioning of the implant along the anterior portion of the eye and provides support to the second, cushioning structure. This first structure maintains the attachment of the therapeutic system to the anterior portion of the eye for at least thirty days. In some embodiments the first structure remains a constant size and shape, e.g. a ring shape, a ring with haptics, or a curvilinear ring that is confined to and restrainingly engages the inferior and superior conjunctival fornices so as to retain the implant within the tear fluid and/or against the tissues of the eye.

UNILATERAL LAMINOPLASTY IMPLANTS

Implants (1, 30) for maintaining a distance between cut spinal bones (10) are disclosed. The implants (1, 30) are made of metal, polymer or bone allograft having ends (6A, 6B) configured to conform to the cut bone ends (10). The implants ends (1, 30) have hollow regions (4) for packing osteogenic material. The implant ends (6A, 6B; 32A, 32B) have surface projections to reduce slippage. Implants (1, 30) made of bone allograft also have spine contacting ends (6A, 6B; 32A, 32B) made of demineralized bone to speed fusion of spine (10) and implant (1, 30); they may also have bone flaps (31A, 31B) to fix the implant (30) to the spine (10). Methods of using the implants (1, 30) are also disclosed.

TISSUE MATRIX WITH PREFORMED OPENINGS OR PILOT OPENINGS

The present disclosure relates to tissue matrix products. The products can include tissue matrices that have openings such as holes or perforations located at certain positions to improve various functions without substantial loss of strength or other important properties. The openings can facilitate implantation of the tissue matrices in surgical procedures thereby speeding operation times and potentially improving surgical results.

SUTURE FOR LIFTING AND MANUFACTURING METHOD THEREFOR

A suture for lifting is disclosed. The suture comprises: a medical fiber yarn; fixing parts formed at one side of the fiber yarn and fixable to the skin; and anchor parts protruding on the outer circumference of the fixing parts, wherein the anchor parts are integrally formed with the fiber yarn through a double injection.

EXTERNALLY PROGRAMMABLE MAGNETIC VALVE ASSEMBLY AND CONTROLLER

An externally programmable shunt valve assembly that includes a motor having a rotor that is operable in response to an externally applied magnetic field and configured to increase or decrease the working pressure of the shunt valve assembly. The motor may further include a position sensing mechanism that allows a position of the rotor, and associated pressure setting of the valve, to be determined using an external magnetic sensor. In certain examples the motor further includes a mechanical brake that is magnetically operable between a locked position and an unlocked position and which, in the locked position, prevents rotation of the rotor.

FLUIDIC TISSUE AUGMENTATION COMPOSITIONS AND METHODS

Compositions and method for augmenting tissue after delivery to localized area. The compositions include a hydrogel and a dermal filler. The hydrogel can polymerize and/or crosslink upon a first trigger event. The dermal filler can also optionally crosslink upon a second trigger event.

SINGLE PLANE TISSUE REPAIR PATCH

A novel single plane tissue repair device such as a patch is disclosed. The device has a base member with an opening therethrough, and a closure member associated with the opening. The mesh has a biaborbable polymeric adhesion barrier attached to the bottom side of the base member about its periphery to form a pocket that is accessible through the opening. The mesh may be used in open surgical procedures for hernia repairs and other repairs of body wall defects.

PELVIC IMPLANT AND DELIVERY SYSTEM

... ²²Described and depicted are pelvic sling implant and delivery systems. The ²sling implants can be ²used in treating stress incontinence and other pelvic floor disorders. The ²sling systems can ²include a mesh extension or support portion and one or more tip anchors. A ²delivery tool can ²include a handle (61), a needle (62) and a sheath (70), with the sheath having ²an elongate shaft ²portion slidable along at least a portion of the needle. The sheath can ²further include a distal ²hood portion having opposed flared portions (78) defining interior pleat ²channels adapted to ²selectively seat tine ends of the anchors.² ...

COLLAGEN SPONGE

A resilient resorbable chemically crosslinked collagen sponge for promoting soft tissue volume augmentation in the oral region, comprising 60-96 % (w/w) collagen and 4-40 % (w/w) elastin, which shows by mercury intrusion porosimetry interconnected pores with a median pore diameter between 50 and 90 µI.tau.I and at least 80 % porosity with a pore diameter more than 10 µI.eta.; an onset temperature of 45 to 57 °C and a density in dry state from 50 to 65 mg/cm3. -A process for preparing that resilient resorbable chemically crosslinked collagen sponge, and - That resilient resorbable chemically crosslinked collagen sponge for use as an implant in the oral cavity for soft tissue volume augmentation.

TISSUE PLUG

Tissue plugs for occlusion of hollow anatomical structures and methods for their use are provided. They comprise a first portion (10) which may be a fixed point or an anchoring member, an axial member (40) and at least one occluding which adjusts upon the axial member to fill the hollow anatomical structure, e.g. a fistula.

PELVIC IMPLANT AND DELIVERY SYSTEM

Described and depicted are pelvic sling implant and delivery systems. The sling implants can be used in treating stress incontinence and other pelvic floor disorders. The sling systems can include a mesh extension or support portion and one or more tip anchors. A delivery tool can include a handle (61), a needle (62) and a sheath (70), with the sheath having an elongate shaft portion slidable along at least a portion of the needle. The sheath can further include a distal hood portion having opposed flared portions (78) defining interior pleat channels adapted to selectively seat tine ends of the anchors.

BAG FOR FORMING AN IMPLANTABLE ARTIFICIAL ORGAN

Une poche pour former un organe artificiel implantable comporte une enveloppe (13) fermée et réalisée dans une membrane (131, 132) semi-perméable. Elle comporte en outre une nappe (14) contenue dans l'enveloppe (13), la nappe (14) comportant à sa surface des protubérances (141) afin de maintenir un espace pour des cellules entre la nappe (14) et l'enveloppe (13).

HEMOSTATIC DEVICE

A hemostatic device, method of making, and method of using for internal and external applications to wounds in the body of a patient to induce hemostasis at an anatomical site.

MEDICAL DEVICE COMPRISING AN ARTIFICIAL CONTRACTILE STRUCTURE

The present invention relates to a medical device comprising an artificial contractile structure which may be advantageously used to assist the functioning of a hollow organ. Said medical device comprises an artificial contractile structure comprising at least one contractile element (100) adapted to contract an organ, in such way that said contractile element (100) is in a resting or in an activated position, at least one actuator designed to activate said contractile structure, and at least one source of energy for powering said actuator. The ratio "current which is needed to maintain the contractile element in its activated position / current which is needed to change the position of the contractile element" is less than 1/500, preferably less than 1/800, and more preferably less than 1/1000.

PROCESS AND DEVICE FOR DETERMINING MEASURED QUANTITIES BY MEANS OF AN INTEGRATED OPTICAL SENSOR MODULE

PROCESS AND DEVICE FOR DETERMINING MEASURED QUANTITIES BY MEANS OF AN INTEGRATED OPTICAL SENSOR MODULE A method is described that allows a plurality of variables to be measured with the aid of an integrated optical sensor module. Because all the components necessary for carrying out the method are integrated on the same substrate, the sensor becomes small, compact, stable, malfunction-free and economical. The sensor module substantially comprises a sensor field, an analyzer, and an information field. The method comprises making the variables to be measured interact in sensor fields with guided waves, analyzing the effect on the wave, determining from that the value of the measuring variables, and displaying the results in the information field. (Fig. 1) ...

IMPLANTABLE FIXING MEANS FOR EXTRAORAL APPLICATIONS

Dispositif destiné à améliorer l'aspect de la poitrine.

Zur Lagerung im Inneren des menschlichen oder tierischen Körpers bestimmter Gegenstand.

Implant pour la chirurgie de l'os

Chirugisches Material

Polymerisierbare Mischung zur Herstellung einer weichbleibenden Unterfütterung von Zahnprothesen und zur Herstellung von Ergänzungsstücken am menschlichen Körper

Process and device for producing medical and dental precision mouldings from plastic

Polymerisable material is forced out of a supply container (20) through an injection opening (8, 8') into a polymerisation mould (12, 12'). In the polymerisation of the material, a polymerisation rate is maintained which decreases from the end of the polymerisation mould (12, 12') opposite the injection opening (8, 8'), via the injection opening (8, 8'), to the material supply (19). During the shrinkage, occurring during polymerisation, of the polymeric moulding formed, further polymerisable material is forced supplementarily out of the supply (19) into the mould (12, 12'). In order to maintain the gradient of polymerisation rate, the polymerisation mould (12, 12') can be heated by a heat source such that a temperature gradient occurs in it. The process prevents a premature polymerisation of the material in the supply container or at the injection opening, and mouldings with high accuracy of detail can be produced in a short polymerisation time. ...

With wire fastenable bone plate for the internal definition of a break.

Data drive framework for optimized regenerative medicine for artificial organ printing and support selection

Material for implants, prostheses and tools

BRAIDED PALATAL IMPLANT FOR SNORING TREATMENT

A method and apparatus for treating snoring of a patient includes providing an implant (102) for altering a dynamic response of a soft palate (SP) of the patient to airflow past the soft palate. The implant is embedded in the soft palate to alter the dynamic response. The implant has multiple fibers (103) braided along a length of the implant. The braid includes unbonded ends and/or air- textured yarns. © KIPO & WIPO 2007 ...

APPARATUS FOR FORMING ORGANIC MATTER STRUCTURE AND METHOD FOR FORMING ORGANIC MATTER STRUCTURE

The present invention relates to an apparatus for forming an organic matter structure and a method for forming an organic matter structure and, more specifically, to an apparatus for forming an organic matter structure and a method for forming an organic matter structure therethrough, capable of forming a precisely-shaped organic matter structure by cooling a material in a process of laminating materials containing the organic matter, while forming an organic matter structure by using 3D printing. COPYRIGHT KIPO 2016 ...

sistema e mÉtodo para prover suporte para tecido corporal para abrandar incontinÊncia

DEVICES SYSTEMS, AND METHODS TO FIXATE TISSUE WITHIN THE REGIONS OF THE BODY, SUCH AS THE PHARYNGEAL CONDUIT

Devices, systems and methods develop static and/or kinetic and/or pressure forces to fixate or brace tissue in targeted pharyngeal structures and individual anatomic components within the pharyngeal conduit.

PATIENT-SPECIFIC ACETABULAR GUIDE AND METHOD

An acetabular system includes an acetabular guide having a first surface and a second surface opposite to the first surface, the first surface made to conform to an acetabular rim surface around an acetabulum of a patient in accordance with a three-dimensional image of the acetabulum of the patient. The acetabular guide includes an aperture having an inner surface oriented at selected anteversion and abduction angles relative to the first surface for guiding an acetabular implant into the acetabulum at the selected anteversion and abduction angles.

THERAPEUTIC ELECTROSPUN FIBER COMPOSITIONS

The instant invention provides electrospun fiber compositions comprising one or more polymers and one or more biologically active agents. In specific embodiments, the biologically active agents are nerve growth factors. In certain embodiments, the electrospun fiber compositions comprising one or more biologically active agents are on the surface of a film, or a tube. The tubes comprising the electrospun fiber compositions of the invention can be used, for example, as nerve guide conduits.

Temporary embolic protection device and medical procedure for delivery thereof

An embolic protection device, kit, and medical procedure prevent embolic material from entering into side branch vessels of the aortic arch. The device is a collapsible embolic protection device devised for temporary transvascular delivery to an aortic arch of a patient and has a protection unit that comprises a selectively permeable unit adapted to prevent embolic material from passage with a blood flow into a plurality of aortic side branch vessels at the aortic arch. The protection unit is permanently attached to a transvascular delivery unit and a first support member that is at least partly arranged at a periphery of the selectively permeable unit. In an expanded state of the device, the connection point is enclosed by the first support member or arranged at said support member.

Magnetic force device, systems, and methods for resisting tissue collapse within the pharyngeal conduit

Devices, systems and methods employ magnetic force to resist tissue collapse in targeted pharyngeal structures and individual anatomic components within the pharyngeal conduit during sleep.

APPARATUS AND SYSTEM FOR MEASURING OF PARTICLES GENERATED FROM MEDICAL DEVICES OR INSTRUMENTS UTILIZED DURING SIMULATED CLINICAL APPLICATIONS

An apparatus for measuring particles generated from a medical device during a simulated clinical application includes a platform configured for retaining at least one medical device and at least one simulated body lumen tubing. The platform includes the following: a medical device receptacle dimensioned to retain the at least one medical device; a pretest receptacle dimensioned to retain pretest tubing; and a test receptacle dimensioned to retain test tubing, said test receptacle having at least one substantially straight portion configured for straightening said test tubing when disposed therein and at least one tortuous portion configured for bending said test tubing into a tortuous pathway when disposed therein. Additionally, the platform includes a junction that interconnects the medical device receptacle, pretest receptacle, and test receptacle.

Systems, devices, and methods for sub-urethral support

Disclosed are single-incision surgical procedures for treatment of urinary incontinence and/or pelvic floor disorders and related uses, devices, kits, and methods. Implants are also disclosed for use in the exemplary procedures. In certain embodiments, soft tissue anchors are used to anchor the surgical implants to obturator membranes of a patient.

Prosthetic device and method of using in breast augmentation and/or breast reconstruction

A method of using a biocompatible surgical knitted, silk scaffold device in a breast augmentation or in a breast reconstruction cosmetic or surgical procedure such as single-stage or two-stage breast reconstruction. In an aspect of the invention, the silk scaffold employs a knit pattern that substantially prevents unraveling and preserves the stability of the mesh or scaffold device, especially when the mesh or scaffold device is cut. An example scaffold device employs a knitted mesh including at least two yarns laid in a knit direction and engaging each other to define a plurality of nodes. The at least two yarns include a first yarn and a second yarn extending between and forming loops about two nodes. The second yarn has a higher tension at the two nodes than the first yarn. The second yarn substantially prevents the first yarn from moving at the two nodes and substantially prevents the knitted mesh from unraveling at the nodes.

Устройство для измерения объема ткани удаленного препарата

Полезная модель относится к измерительной технике и может применяться для определения объема при удалении ткани молочной железы в онкологии. Цель создания полезной модели - увеличение точности измерения, что приведет к значимому улучшению эстетического результата операции за счет правильно подобранного по объему эндопротеза, повышение удобство для переноса устройства, погружения и извлечения ткани молочной железы. Эта цель достигается тем, что устройство для измерения объема ткани удаленного препарата выполнено в форме пластиковой колбы (1) объемом от 2000 мл до 3000 мл, колба снабжена двумя вертикальными ручками (2) и метками уровня с ценой деления 20 мл. К пластиковой колбе с помощью металлической цепочки длиной не менее 400 мм зафиксирована бельевая цапка (3) с возможностью подвешивания на наружный корпус устройства на крючок (4). 1 ил. РОССИЙСКАЯ ФЕДЕРАЦИЯ (19) RU (11) (13) 181 705 U1 (51) МПК A61M 37/00 (2006.01) A61F 2/00 (2006.01) G01F 17/00 (2006.01) ФЕДЕРАЛЬНАЯ СЛУЖБА ПО ИНТЕЛЛЕКТУАЛЬНОЙ СОБСТВЕННОСТИ (12) ОПИСАНИЕ ПОЛЕЗНОЙ МОДЕЛИ К ПАТЕНТУ (52) СПК A61M 37/00 (2006.01); A61F 2/00 (2006.01); G01F 17/00 (2006.01) (21)(22) Заявка: 2018101327, 15.01.2018 (24) Дата начала отсчета срока действия патента: (73) Патентообладатель(и): Ткачев Максим Валерьевич (RU) Дата регистрации: 26.07.2018 (56) Список документов, цитированных в отчете о поиске: "Пластиковая посуда (45) Опубликовано: 26.07.2018 Бюл. № 21 R U (54) Устройство для измерения объема ткани удаленного препарата (57) Реферат: Полезная модель относится к измерительной тем, что устройство для измерения объема ткани технике и может применяться для определения удаленного препарата выполнено в форме объема при удалении ткани молочной железы в пластиковой колбы (1) объемом от 2000 мл до онкологии. Цель создания полезной модели 3000 мл, колба снабжена двумя вертикальными увеличение точности измерения, что приведет к ручками (2) и метками уровня с ценой деления 20 значимому улучшению эстетического результата мл. ...

Протез слуховых косточек

Полезная модель предназначена для использования в медицине, а именно в хирургии среднего уха, и может быть использована для восстановления слуха при прерывании цепи слуховых косточек при проведении слухулучшающих операций. Цельнометаллический имплантат среднего уха содержит тело и средства фиксации. Тело выполнено в виде S-образно изогнутой пластины с образованием параллельно расположенных частей. Первая часть (опорная площадка), которая предназначена для установки под неотимпанальную мембрану и имеет овальное окно, вторая часть S-образной пластины выполнена цельной, а третья снабжена средствами фиксации в виде четырех отогнутых лепестков, выполненных с возможностью охвата элементов оссикулярной цепи. Первая и вторая части S-образной пластины связаны радиально изогнутой перемычкой, выполненной с возможностью изменения расстояния между параллельными первой и второй частями. Имплантат выполнен из титана ВТ1-0.Овальное окно предназначено для лучшего обзора оставшейся слуховой косточки. S-образное тело импланта позволяет изменять длину протеза в зависимости от размеров между неотимпанальной мембраной и слуховой косточкой. Протез оканчивается 4-мя лепестками, позволяющими моделировать их путем сжатия при установке на головку стремени. Техническим результатом является обеспечение возможности быстрой и точной установки протеза без дополнительных примерок и хорошего обзора через отверстие в опорной пластинке, что уменьшает длительность операции и снижает воздействие анестезиологического пособия на пациента. РОССИЙСКАЯ ФЕДЕРАЦИЯ (19) RU (11) (13) 183 105 U1 (51) МПК A61F 2/00 (2006.01) ФЕДЕРАЛЬНАЯ СЛУЖБА ПО ИНТЕЛЛЕКТУАЛЬНОЙ СОБСТВЕННОСТИ (12) ОПИСАНИЕ ПОЛЕЗНОЙ МОДЕЛИ К ПАТЕНТУ (52) СПК A61F 2/00 (2006.01) (21)(22) Заявка: 2018104541, 06.02.2018 (24) Дата начала отсчета срока действия патента: Дата регистрации: 11.09.2018 (45) Опубликовано: 11.09.2018 Бюл. № 26 Адрес для переписки: 414056, г. Астрахань, ул. Савушкина, 4, корп. 2, кв. 78, Объетанов Антон Андреевич 1 8 3 1 0 5 ...

Протез коленного сустава

Полезная модель относится к медицинской технике, а именно к протезам, и может быть использована при протезировании нижних конечностей. Для облегчения конструкции протеза коленного сустава, упрощения изготовления узлов крепления адаптера «пирамидки» к верхней опоре и протеза голени к нижней части центральной опоры протеза коленного сустава, снижения стоимости изготовления протез коленного сустава содержит центральную опору 1, верхнюю опору 2, адаптер «пирамидку» 3, малый рычаг 4, большие рычаги 5, 6, втулку 7, втулку 8, ось нижнюю 9, ось верхнюю 10, пневматический демпфер 11, хомут 12, стягивающий винт 13, винт 14, шайбу самоконтрящуюся 15, шайбу 16, гайку 17. 3 ил. РОССИЙСКАЯ ФЕДЕРАЦИЯ (19) RU (11) (13) 208 436 U1 (51) МПК A61F 2/00 (2006.01) ФЕДЕРАЛЬНАЯ СЛУЖБА ПО ИНТЕЛЛЕКТУАЛЬНОЙ СОБСТВЕННОСТИ (12) ОПИСАНИЕ ПОЛЕЗНОЙ МОДЕЛИ К ПАТЕНТУ (52) СПК A61F 2/00 (2021.08) (21)(22) Заявка: 2021119077, 28.06.2021 (24) Дата начала отсчета срока действия патента: Дата регистрации: 17.12.2021 (45) Опубликовано: 17.12.2021 Бюл. № 35 2 0 8 4 3 6 R U (54) Протез коленного сустава (57) Реферат: Полезная модель относится к медицинской технике, а именно к протезам, и может быть использована при протезировании нижних конечностей. Для облегчения конструкции протеза коленного сустава, упрощения изготовления узлов крепления адаптера «пирамидки» к верхней опоре и протеза голени к нижней части центральной опоры протеза Стр.: 1 коленного сустава, снижения стоимости изготовления протез коленного сустава содержит центральную опору 1, верхнюю опору 2, адаптер «пирамидку» 3, малый рычаг 4, большие рычаги 5, 6, втулку 7, втулку 8, ось нижнюю 9, ось верхнюю 10, пневматический демпфер 11, хомут 12, стягивающий винт 13, винт 14, шайбу самоконтрящуюся 15, шайбу 16, гайку 17. 3 ил. U 1 U 1 Адрес для переписки: 670013, Респ. Бурятия, г. Улан-Удэ, ул. Ключевская, 40в, стр. 1, ВСГУТУ, зав. ОИС Потапкиной В.О. (56) Список документов, цитированных в отчете о поиске: FR 2882647 B1, 25.01.2008. RU 2592248 C2, ...

Fold-Resistant Pelvic Implant System and Method

A pelvic non-folding hammock implant is provided. Such an implant can be constructed of a polymer material to provide an implant portion, e.g., support portion, having one or more extending and independent teeth-like features defining a fold control portion in a generally comb-like construct. The individual teeth resist folding by providing independently reacting extensions along the fold control portion.

Medical implant

A medical assembly includes an implant and an envelope at least partially enclosing a portion of the implant. The envelope may include a tongue to protect the implant, a scaffold to provide integrity to the envelope, a tab access to ease envelope withdrawal, and/or one or more discontinuities to ease envelope withdrawal.

Implantable plate for reconstruction of walls

The implantable plate for wall reconstruction comprises a textile support having anti-migratory protuberances on at least one face. If the support comprises thermoplastic fibres or filaments, each protuberance is formed with a conical configuration, by swaging, inside a peripheral zone in which said fibres or filaments are thermowelded, especially by ultrasound, a perforation being centred relative to the peripheral zone. The two faces can comprise protuberances, of a height substantially equal to the thickness of said support, for example distributed in a stagger and alternating from one face to the other, at the rate of 0.5 to 2 per cm 2 . The plate can comprise radio-opaque marking in the form of lines passing between the protuberances to constitute a grid.

Implantable Article and Method

An implantable article and method are disclosed for treating pelvic floor disorders such as vaginal vault prolapse. A surgical kit useful for performing a surgical procedure such as a sacral colpopexy is also described.

penile implant

Penile implant and system comprising such an implant. The penile implant comprises a number of features which improves the function of the penile implant, e.g. a certain surface structure and portions with specific functions.

Method for fusing a human or animal joint as well as fusion device and tool set for carrying out the method

The fusion device for fusing a synovial joint of a human or animal patient, in particular a human facet joint, finger joint or toe joint, includes two pin-shaped anchorage portions ( 1 ) and arranged therebetween a stabilization portion ( 2 ). The anchorage portions ( 1 ) include a thermoplastic material which is liquefiable by mechanical vibration. The stabilization portion ( 2 ) preferably has a surface which is equipped for enhancing osseointegration. The anchorage portions ( 1 ) have a greater thickness (T 1 ) and a greater depth (D) than the stabilization portion ( 2 ). Then the fusion device is pushed between the articular surfaces and mechanical vibration, in particular ultrasonic vibration, is applied to the proximal face ( 4 ) of the fusion device. Thereby the liquefiable material is liquefied where in contact with the bone tissue and penetrates into the bone tissue, where after re-solidification it constitutes a positive fit connection between the fusion device and the bone tissue.

Compositions and systems for forming crosslinked biomaterials and associated methods of preparation and use

Methods of preventing adhesion between issues are provided that utilizes in situ crosslinked biomaterials. The biomaterial contains at least the crosslinked product of two biocompatible, non-immunogenic components having reactive groups thereon, with the functional groups selected so as to enable inter-reaction between the components, i.e., crosslinking. Exemplary uses for the crosslinked compositions include preventing adhesions following surgery or injury, and preventing scar tissue formation.

Novel collagen materials and methods for obtaining same

The invention relates to novel collagen materials and, specifically, collagen membranes, tubes and threads. Said materials combine enhanced properties of resilience and strength. The invention also relates to a method for preparing collagen materials using acid fibrous collagen comprising coagulation and, optionally, cross-linking of the collagen in the presence of ammonia gas.

Apparatus and Method for Capsule Formation in Tissue

Capsules, emplacement apparatus, and associated methods for establishing a capsule within tissue are described herein. The emplacement apparatus may be catheter-based or implemented in a handheld unit. The emplacement apparatus serves to introduced an encapsulating membrane in a collapsed condition into the tissue, and then to expand the encapsulating membrane within the tissue into a capsule by injection of fill material into the encapsulating membrane. Other than being capable of injection through the emplacement apparatus, the fill material may be selected and formulated to achieve such mechanical and biological properties within the encapsulating membrane after injection as are desired to achieve the therapeutic effect sought for the patient. Mechanically, the fill material within the encapsulating membrane after injection may be a liquid, a semi-solid such as a gel, or a solid such as a cross-linked polymer. The fill material may or may not be sealed within the encapsulating membrane.

Second generation tape

A method for treating female stress urinary incontinence by implantable tapes. One embodiment are woven and knitted tapes having only macropores, a macropore is constructed by single threads, the threads at the crossing areas are bonded by heating them to the melting point of the surface of the threads. Other embodiment is molded tapes, having only macropores, a macropore is constructed by single threads. The crossing crossing areas of the threads may have a simple crossing configuration, a spherical crossing configuration and a cubical crossing configuration. A molded tape having one or three sections which have different construction. References Cited 1. Uster F C, Chaser J & Tuttle Jr. LLD. Use of Matrix mesh in the repair of incision Hernias. Am Surge 1958; 24:969. 2. Ulmsten U. & Petros P. Intravaginal slingoplasty (IVS) an ambulatory surgical procedure for treatment of female utinary incontinence. Scand J Urol Nephrol 1995; 29 (1):75-82. 3. Birch C. Best Practice & Research Clinical Obstetrics and Gynaecology Vol. 19, No 6, pp 979-991, 2005. 4. Milani R. Salvatore S. Soligo M. Pifarotti P. Mesvhia M. & Cortese M. Functional outcome of anterior and posterior vaginal prolapse repaire with prolene mesh. BJOG 2005; 112:107-111. 5. Cumberland V H. A preliminary report on the fabricated nylon weave in the repair of ventral hernias. Med J Aust 1952; 1:143-144. 6. Scales JT. Materials for hernia repair. Proc R. Sac Med 1953; 46:647-652. U.S. Patent Documents 6,273,852 B1 Aug. 2001 Jorn Lehe 6,638,211 B2 Oct. 2003 Patrice Suslian 7,025,063 B2 Apr. 2006 Eva S. Snitkin 7,393,320 B2 Jul. 2008 Karen Pilney Montpetit 7,347,813 B2 Mar. 2008 Jan Claren

Coating System, Articles and Assembly Using the Same and Methods of Reducing Sticktion

The present invention provides a coating system for an article including a first component having a surface in frictional engagement with a surface of a second component, wherein at least a portion of at least one surface of the component(s) is coated with a coating prepared from a composition including a first, curable organopolysiloxane comprising at least two alkenyl groups; and a second, curable organopolysiloxane comprising at least two polar groups, the second organopolysiloxane being different from the first organopolysiloxane, which can provide low breakloose force when used in syringe assemblies.

Occlusion devices and methods

The invention provides intrafallopian devices and non-surgical methods for their placement to prevent conception. The efficacy of the device is enhanced by forming the structure at least in part from copper or copper alloy. The device is anchored within the fallopian tube by a lumen-traversing region of the resilient structure which has helical outer surface, together with a portion of the resilient structure which is biased to form a bent secondary shape, the secondary shape having a larger cross-section than the fallopian tube. The resilient structure is restrained in a straight configuration and transcervically inserted within the fallopian tube, where it is released. Optionally, permanent sterilization s effected by passing a current through there resilisent structure to the tubal walls.

Biological tissue connection and repair devices and methods of using same

The instant invention provides compositions and methods for promoting the repair and/or growth of biological tissue, e.g., tubular biological tissue such as nerves. Specifically, the instant invention provides tissue connection devices and tissue repair devices and methods for using these devices.

Fortified mesh for tissue repair

A mesh to repair a hole in a muscle wall includes a resilient mesh body and fortifying structure such as mesh portions of thicker weave than other portions, or strengthening members that can be engaged with the mesh and then removed from the mesh once the mesh is place over the hole. The same principles can be applied to a plug that is engaged with the mesh for filling the hole.

Implantable Sling Having Bladder Support

Surgical implants operative to simultaneously function as a pubovaginal sling for the treatment of incontinence and as a support member to effectuate cystocele repair. The implant comprises a first sling portion operative to be positioned beneath the urethra, per conventional pubovaginal sling surgery. The implant further includes a second bladder support portion extending from the sling support portion that is oriented to extend beneath and be surgically attached to a portion of the bladder to thus enable the same to be supported to a degree necessary to effectuate cystocele repair. The implant may be fabricated from a unitary piece of harvested tissue, synthetic material or combinations thereof. Preferably, the sling portion of the implant is fabricated from a synthetic material whereas the bladder support portion of the implant comprises a segment of harvested tissue sewn to the sling portion.

Applicators for patches and adhesives

Apparatus is provided for use with a tubular structure ( 2 ) in a body of a patient. The apparatus includes an adhesive including first and second components, a container ( 27 ), one or more patches ( 3 ), and an applicator ( 1 ). The container ( 27 ) contains the first component of the adhesive and not the second component of the adhesive. The one or more patches ( 3 ) include the second component of the adhesive and not the first component of the adhesive. The applicator ( 1 ) is configured to removably hold the one or more patches ( 3 ), and to place the one or more patches ( 3 ) at least partially around the tubular structure ( 2 ). Other embodiments are also described.

Lamina implant set

An implant set for insertion into the lamina of a vertebra includes several reinforcing implants, each of which includes a main body with bearing surfaces on the vertebra and a fastening device. The main body has a front surface, a rear surface, and lateral and medial side surfaces, the medial side surface being offset rearwardly in relation to the lateral side surface. The side surfaces bear on sectioned surfaces of the lamina, and a rearwardly protruding extension with a lateral bearing surface on a spinous process of the vertebra is arranged on the rear surface. In this way, the resection opening can be easily and safely closed. Sleeves can be provided for the fastening by means of screws that are oriented such that the screws are guided through the adjoining facets and fuse the latter.

Methods and compositions involving (s)-bucindolol

Disclosed is bucindolol substantially free of its R-stereoisomer. Also disclosed are pharmaceutical compositions that include bucindolol substantially free of its R-stereoisomer or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier. Also disclosed are methods of treating a patient that involve administering to the patient a therapeutically effective amount of a composition of the present invention. Formula (I).

System for voice control of a medical implant

An implantable system ( 11 ) for control of and communication with an implant ( 17 ) in a body, comprising a command input device ( 12 ) and a processing device ( 13 ) coupled thereto, the processing device ( 13 ) being adapted to generate input to a command generator ( 16 ) which is comprised in the system ( 11 ) coupled to the processing device ( 13 ) and which is adapted to generate and communicate commands to the medical implant ( 17 ) in response to input received from the processing device ( 13 ), the system ( 11 ) further comprising a memory unit ( 15 ) connected to at least one of said devices in the system ( 11 ) for storing a memory bank of commands. The command input device ( 12 ) is adapted to receive commands from a user as voice commands, and the processing device ( 13 ) comprises a filter adapted to filter voice commands against high frequency losses and frequency distortion caused by the mammal body ( 10 ).

Method And Apparatus For Treating Airway Obstruction

Methods and Devices for treating airway openings and breathing disorders including obstructive sleep apnea are disclosed. Structures and methods disclosed herein maintain and preserve airway openings against posterior collapse of the tongue.

Implant for Treating Gastroesophagael Reflux Disease

An implant wrapped around the gastroesophageal junction to treat gastroesophageal reflux disease is provided. The implant is positioned around the junction by navigating the implant partly around the junction by a first needle and pulling the remainder of the distance with a second needle. A suture connector can be affixed to the implant with a suture, which can be used to pull the implant into place around the gastroesophageal junction.

Surgical Implant

A surgical implant comprises a body having a compressed state and an uncompressed state. An envelope contains the body in at least the compressed state. The envelope forms an air-tight seal around the body in the compressed state and is water-soluble or degradable in body fluids.

(Partial) apparatus for preventing incontinence with a fixing device to be immovably implanted in body tissue

The invention is concerned with an apparatus for preventing incontinence with a fixing device to be immovably implanted in body tissue, whereby a tubular body ( 3 ) features a first elongated guiding element ( 5; 105 ) inside, a tube-like retaining element is connected to the tubular body ( 3 ) which features a second longitudinal guiding element ( 13 ) inside which continues in an axial direction and terminates on its opposing side to the tubular body ( 3 ) in a finish. The first elongated guiding element ( 5; 105 ) features the fixing device, whereby it defines areas with projections ( 7 ) being axially displaced relative to each other, whereby the projections in a non-extended state are formed as slits ( 23 ) which protrude out of the surface of the first guiding element ( 5; 105 ) and are positioned through the formation of the finished projections when the first guiding element ( 5; 105 ) is compressed in an axial direction.

Surgical patch cover and method of use

A device for performing surgery on a patient includes: a mesh patch comprising a top surface and a bottom surface; and a removable cover positioned adjacent to and in facing engagement with the bottom surface of the mesh patch. The bottom surface has a plurality of hooks positioned thereon. The cover is removed from the mesh patch as the mesh patch is positioned at a surgical site such that the hooks on the bottom of the mesh patch grip surrounding tissue of a patient and secure the mesh patch to surrounding tissue of the surgical site. A method for performing a surgery using such a device is also provided.

Deflection member for delivering implants and methods of delivering implants

In one general aspect, an apparatus can include an elongate member configured to be associated with an implant and having a piercing portion. The apparatus can include a deflection member having a fixed curvature disposed within a plane. The deflection member can have a distal end configured to be disposed within a body of a patient. The deflection member can define a groove extending along at least a portion of the deflection member. The groove of the deflection member can be configured to deflect the piercing portion of the elongate member.

Instruments for delivering transfascial sutures, transfascial suture assemblies, and methods of transfascial suturing

An instrument for delivering a suture transfascially may include a handle, a shaft extending from the handle, and a pair of needles that are moveable to an extended position beyond the end of the shaft. One or more sutures are carried by the instrument and may be delivered transfascially. A transfascial suture assembly includes a suture having first and second segments and an intermediate segment therebetween. A force distributing member is locatable at the intermediate segment. Suture retainers may be provided at the end of each suture segment, and may have a connection that is moveable relative to the suture segment. A method of delivering transfascial sutures includes inserting a twin-needle instrument loaded with one or more sutures into an abdominal cavity and deploying, from within the abdominal cavity, the suture carrying needles through a soft tissue repair patch and then through at least part of the abdominal wall.

Immunoneutral silk-fiber-based medical devices

Silk is purified to eliminate immunogenic components (particularly sericin) and is used to form fabric that is used to form tissue-supporting prosthetic devices for implantation. The fabrics can carry functional groups, drugs, and other biological reagents. Applications include hernia repair, tissue wall reconstruction, and organ support, such as bladder slings. The silk fibers are arranged in parallel and, optionally, intertwined (e.g., twisted) to form a construct; sericin may be extracted at any point during the formation of the fabric, leaving a construct of silk fibroin fibers having excellent tensile strength and other mechanical properties.

Methods and apparatus for fixing sheet-like materials to a target tissue

A device for attaching a sheet-like implant to a target tissue. The device includes a fastener push rod including a first portion, a second portion and a force limiting mechanism operably coupled between the first portion and the second portion. A fastener is carried by the second portion of the fastener push rod. The force limiting mechanism transmits longitudinal movement of the first portion to the second portion while the forces applied to the fastener by the fastener push rod are less than a predetermined value such that longitudinal movement of the first portion of the fastener push rod causes substantially equivalent longitudinal movement of the second portion. The force limiting mechanism allows relative longitudinal motion between the first and second portions while the forces applied to the fastener are equal to or greater than the predetermined value such that the application of undue forces to the fastener is prevented.

Systems and methods for delivering a medical implant to an anatomical location in a patient

Medical implant delivery devices and systems are disclosed. In general, an exemplary delivery device comprises a shaft and a handle. An exemplary system includes any number of the following: a delivery device, a sling assembly, guide members, and connectors that interconnect the above. Embodiments of all the above components and their combinations are disclosed. Methods of using the above system in trans-obturator approaches are disclosed.

Pelvic floor repair system

Described herein are devices and methods comprising a system for tissue reinforcement, such as stabilization of fascial structures of the pelvic floor in vaginal wall prolapse. The surgical treatment can provide a mechanical support or bridging material for a fascial defect. An implant with four arms, for example two proximal arms and two distal arms, can provide post-surgical adjustability of the graft position, enabling tension free placement of the implant. In addition, a four-point fixation of the implant with apical support can ensure a suitable anatomical repair. Furthermore, instrumentation is disclosed herein, including an introducer device capable of fixing a wide variety of materials, such as mesh arms and suture, to tissue.

Materials for soft and hard tissue repair

Biomaterials and methods and uses for repair or augmentation of tissues are provided. In particular, the invention provides a multi-layered, naturally occurring multi-axial oriented biomaterial comprising predominately type I collagen fibers. The invention further provides methods and uses for repair or augmentation of tissues using biomaterials of the invention.

Prosthetic heart valve delivery apparatus

Certain embodiments of the present disclosure provide a prosthetic valve (e.g., prosthetic heart valve) and a valve delivery apparatus for delivery of the prosthetic valve to a native valve site via the human vasculature. The delivery apparatus is particularly suited for advancing a prosthetic heart valve through the aorta (i.e., in a retrograde approach) for replacing a diseased native aortic valve. The delivery apparatus in particular embodiments is configured to deploy a prosthetic valve from a delivery sheath in a precise and controlled manner at the target location within the body.

Implants, tools, and methods for treatment of pelvic conditions

Described are various embodiments of surgical procedures, systems, implants, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to supportive tissue and adjusting the implant.

Radio frequency-based surgical implant fixation apparatus

A radio frequency-based surgical implant fixation apparatus is provided and includes a housing and a shaft that is operably coupled to housing. A longitudinal axis is defined through the shaft. The housing is adapted to connect to a source of electrosurgical energy. An approximator assembly has an elongated rod that is coaxially coupled to the shaft and is configured to reciprocate therethrough from an extended position to a retracted position. A plurality of delivery arms is operably coupled to a distal end of the elongated rod. The delivery arms are configured to releasably receive a portion of a surgical implant and selectively connect to the energy source to transmit electrosurgical energy to the surgical implant to fuse the surgical implant to tissue upon actuation thereof.

Method and apparatus for the treatment of tissue

This disclosure presents methods and devices for treating a defect in soft tissue of a patient. The methods and devices can employ fixation delivery apparatuses and fixation apparatuses positioned, at least in part, in or on the soft tissue to be repaired. In some aspects, these techniques include the use of this includes a fixation apparatus that includes at least one bone anchor connected to at least one tissue anchor by a shortenable elongate member.

Pessary device

A non-expandable pessary device, the pessary device having a top, a base, a length, a longitudinal axis, a maximum diameter, and a minimum diameter that is less than the maximum diameter. The pessary device has a pressure region adapted to extend between an anterior vaginal wall and a posterior vaginal wall of a user to provide pressure on the user's urethra through the vaginal wall. The pressure region includes the maximum diameter, and the maximum diameter is less than 25 mm.

Pessary device with improved pressure profile

A non-expandable intravaginal pessary device capable of providing varying pressure along the length of a woman's urethra when inserted into the woman's vagina. The device has a top, a bottom, and a sidewall that extends between the top and the bottom, and the sidewall, top and bottom form an enclosed outer periphery defining a total area of the device. The sidewall has a convex bottom portion, a mid-section, and a convex top portion. The convex bottom portion connects the bottom to the mid-section, the convex upper portion connects the top to the mid-section, and the convex bottom portion and the convex upper portion are capable of providing pressure to two distinct locations on a woman's urethra when inserted into a woman's vagina.

Lobed pessary device

An intravaginal pessary device is provided. The device has a top, a bottom, a sidewall that extends between the top and bottom, and a length. The sidewall has a lower lobe, a mid-section, and an upper lobe. The lower lobe connects the bottom to the mid-section, the upper lobe connects the top to the mid-section, and the sidewall has curvilinear transitions from the upper lobe to the mid-section and from the mid-section to the lower lobe.

Fecal incontinence device, system and method

A device for treating fecal incontinence in a subject is provided. The device includes a plug configured for positioning mostly within an anal canal of the subject.

Anatomically Conforming Vaginal Insert

A vaginal insert formed from a composition that, prior to introduction to the vagina, has the physical properties of a liquid, semi-soft gel, paste, foam, or viscous material so that it can be effectively delivered to the vaginal canal. After introduction into the vagina, the composition will expand and/or solidify into a semi-solid or solid structure to substantially fill the entire “H” shaped space of the vagina and a portion of the rugal folds along the length of the vaginal canal. Upon solidifying, the composition defines an insert that, in one embodiment, is suitable for use as a tampon and, in another embodiment, is suitable for use as an incontinence device.

Implantable medical device having enhanced endothelial migration features and methods of making the same

An implantable medical device having enhanced endothelial migration features, generally comprises: a structural member including a leading edge and a trailing edge interconnected by a third surface region, the leading edge including a second surface region in a generally curvilinear cross-section, and the trailing edge including a fourth surface region in a generally curvilinear cross-section, whereby blood flow over the second surface region generate shear stress at the second surface region without an eddy region in the second surface region.

Prophylactic bactericidal implant

A medical implant system is described for inhibiting infection associated with a joint prosthesis implant. An inventive system includes an implant body made of a biocompatible material which has a metal component disposed on an external surface of the implant body. A current is allowed to flow to the metal component, stimulating release of metal ions toxic to microbes, such as bacteria, protozoa, fungi, and viruses. One detailed system is completely surgically implantable in the patient such that no part of the system is external to the patient while the system is in use. In addition, externally controlled devices are provided which allow for modulation of implanted components.

Medical product and production thereof

A medical product for use in treating/managing hernias, prolapses, urinary incontinence and/or dyspareunia in humans and/or animals including at least one textile fabric having a textile ground structure and thread structures which protrude from the trextile ground structure, wherein at least some of the thread structures are interloped with the textile ground structure.

Implantable Sling Systems and Methods

Various embodiments of sling or implant systems are provided. The sling or implant systems can be employed to treat incontinence, prolapse, and like conditions. A needle delivery device can be included, wherein the delivery device includes a needle and a rotatable sheath. The rotatable sheath can rotate upon actuation relative to the needle to selectively deploy or disengage an implant anchor from the distal end of the needle.

Adjustable Implant

An implantable support member having at least one adjusting portion operable for adjusting a length or tension of the support member after placement of support member anchors. The support member is operable to provide mid-urethral support for treating urinary incontinence.

Devices for surgical applications

Provided is a device comprising at least two layers, said at least two layers being at least partially overlapping (e.g., superposed) and contacting one another, wherein a first layer of said at least two layers comprises a non-biodegradable mesh, and wherein a second layer of the at least two layers comprises an electrospun element, and wherein the device is devoid of an extracellular matrix generated by mesenchymal progenitor cells, which are characterized by a reduced differentiation potential into an adipogenic lineage by at least about 50% as compared to differentiation potential of mesenchymal stem cells from an adult adipose source under identical assay conditions, and by an increased osteogenic differentiation potential by at least about 20% as compared to the osteogenic differentiation potential of adipose-derived MSCs under identical assays conditions.

Adjustable implant and method of use

A system includes an adjustable implant configured for implantation internally within a subject and includes a permanent magnet configured for rotation about an axis of rotation, the permanent magnet operatively coupled to a drive transmission configured to alter a dimension of the adjustable implant. The system includes an external adjustment device configured for placement on or adjacent to the skin of the subject having at least one magnet configured for rotation, the external adjustment device further comprising a motor configured to rotate the at least one magnet and an encoder. Rotation of the at least one magnet of the external adjustment device effectuates rotational movement of the permanent magnet of the adjustable implant and alters the dimension of the adjustable implant. Drive control circuitry is configured to receive an input signal from the encoder.

Surgical spreadable sheet delivery and positioning system and method

A prepackaged mesh unit which comprises a spreadable sheet, a guide rod configured for remotely positioning the spreadable sheet within a body cavity, and a plurality of self-extending elements collapsed with the spreadable sheet and held at one end by the guide rod, wherein the self-extending elements have an elastic property and store elastic energy while collapsed with the spreadable sheet, wherein the number and configuration of the self-extending elements is selected to match a size and shape of the spreadable sheet.

Surgical articles for placing an implant about a tubular tissue structure and methods

A minimally invasive surgical instrument for placing an implantable article about a tubular tissue structure is disclosed. The surgical instrument is particularly useful for treating urological disorders such as incontinence. Surgical methods using the novel instrument are also described.

Access and tissue modification systems and methods

Described herein are methods and systems for precisely placing and/or manipulating devices within the body by first positioning a guidewire or pullwire. The device to be positioned within the body is coupled to the proximal end of the guidewire, and the device is pulled into the body by pulling on the distal end of the guidewire that extends from the body. The device may be bimanually manipulated by pulling the guidewire distally, and an attachment to a device that extends proximally, allowing control of both the proximal and the distal ends. In this manner devices (and particularly implants such as innerspinous distracters, stimulating leads, and disc slings) may be positioned and/or manipulated within the body. Guidewire exchange systems, devices and methods are also described. A guidewire may be exchanged between different surgical devices and may be releaseably or permanently coupled.

Device for supplying energy to hydraulically or pneumatically actuated active implants

A device for supplying energy to hydraulically or pneumatically actuated active implants. The device can take the form of pumping systems, metering systems, and/or occlusion systems. The device comprises a receiving coil for generating an electric voltage due to a changing magnetic flux that is generated by an extracorporeal transmitting coil. The receiving coil is designed such that said coil can be implanted into subcutaneous tissue. Furthermore, an electric line is provided for transmitting the electric current that is generated by the receiving coil from the receiving coil to the active implant. The device further comprises a compensation container for temporarily receiving a transmitter fluid, by means of which the active implant is activated. The compensating container is mounted on the receiving coil and/or on the electric line such that the compensating container together with the receiving coil and/or the electric line can be implanted into a common tissue or muscle pocket in the body of a patient.

PROCESSING OF BIOCOMPATIBLE COATING ON POLYMERIC IMPLANTS

The present invention provides polymeric substrates comprising a biocompatible coating and methods of preparation thereof. In particular, the coating may be a ceramic material, especially a calcium phosphate material, which may be functionally graded. The invention provides the ability to apply high quality coatings to polymeric substrates without damaging the substrate (e.g., melting the polymeric material). The functionally graded coating can provide crystalline calcium phosphate near the coating interface with the substrate and provide amorphous calcium phosphate at the outer surface of the coating. 1. A biocompatible coated substrate comprising:a substrate having a surface formed of a polymeric material; anda biocompatible coating layer comprising calcium phosphate overlying at least a portion of the substrate surface and bonded thereto; anda thermal barrier coating between the substrate and the calcium phosphate coating layer;the calcium phosphate in the coating layer being in a predominantly crystalline form in an area of the coating layer proximal to the substrate and being in a predominantly amorphous form in an area of the coating layer distal to the substrate.2. The coated substrate of claim 1 , wherein the thermal barrier coating comprises a material selected from the group consisting of zirconia claim 1 , yttrium stabilized zirconia claim 1 , or combinations thereof.3. The coated substrate of claim 1 , wherein said substrate is a prosthetic implant.4. The coated substrate of claim 3 , wherein said prosthetic implant is selected from the group consisting of a dental implant and an orthopedic implant.5. The coated substrate of claim 1 , wherein the polymeric material is polyetheretherketone (PEEK).6. The coated substrate of claim 1 , wherein the polymeric material is carbon fiber reinforced PEEK.7. The coated substrate of claim 1 , wherein the polymeric material is polyurethane.8. The coated substrate of claim 1 , wherein the calcium phosphate coating has ...

Expandable Implant System

Various embodiments of a sling implant system are provided. Embodiments of the implants can include one or more collapsibility and expandability features or portions adapted to improve introduction and deployment of the implant within the patient. The implants can be folded, collapsed or otherwise reduced in size or construct to fit within a delivery tool or catheter for later expandability upon deployment of the implant. 1. An implant to treat incontinence , comprising:a support portion positionable proximate a urethra;at least two expansion members operatively coupled to the support portion, the expansion members defining a bulking area positionable near the urethra to operatively engage a portion of the urethra;at least two end portions coupled to the support portion and extending generally away from the expansion member, each end portion having a free end positionable proximate anchoring tissue; andat least one anchor coupled to the free end of the end portions to anchor the implant into the anchoring tissue.2. The implant of wherein the expansion member is adjustable between a collapsed state and an expanded state.3. The implant of wherein the expansion member comprises a nitinol coil.4. The implant of wherein a segment of the support portion has a width less than a width of the end portions.5. The implant of wherein the segment of the support portion having a width less than a width of the end portions is disposed between the expansion members.6. The implant of wherein the support portion is composed of an absorbable or nonabsorbable material.7. The implant of wherein the implant comprises holes that are sized and shaped to encourage tissue ingrowth.8. The implant of where in the support portion is foldable during implantation.9. The implant of wherein the segment is constructed of a flexible material.10. The implant of claim 1 , wherein the support portion comprises a porous woven mesh material.11. The implant of made from a material selected from the group ...

Medical device for delivery of bodily implants

A medical device and a method for delivering a bodily implant are disclosed. The medical device includes an insertion member, an adjustment member and a button. The insertion member further includes a tip. The insertion member has a curved portion proximate the tip and a straight portion distally located from the tip. The curved and straight portions are configured to be placed into a channel within a housing of the insertion member. The adjustment member is coupled to the insertion member distally and is configured to be advanced and retracted, thereby advancing and retracting the insertion member with respect to the housing. The button is moveable coupled to the housing of the insertion member.

Irradiated Cortical Bone Sheet Allografts and Method of Forming Irradiated Cortical Bone Sheet Allografts

There is disclosed an irradiated cortical bone sheet allograft. In an embodiment, the allograft includes a unitary sheet of at least partially demineralized, irradiated cortical bone having a thickness, a width, and a length. The thickness of the unitary sheet of irradiated cortical bone is less the width and the length. In another embodiment, a method of forming the allograft includes obtaining a natural bone from a donor different than a recipient. The natural bone contains a layer of a cortical bone. The method includes cleaning the natural bone to produce a unitary sheet of cortical bone. The method includes at least partially demineralizing the unitary sheet of cortical bone. The method includes freezing the unitary into a frozen state within a sealed package. The method includes irradiating the unitary sheet in the frozen state within the sealed package to sterilize the cortical bone and produce the irradiated cortical bone sheet for implantation in the recipient other than the donor. Other embodiments are also disclosed.

CONTROLLING RESORPTION OF BIORESORBABLE MEDICAL IMPLANT MATERIAL

The resorption of a medical implant can be controlled with the use of particles embedded in a resorbable bulk material forming the implant or portion thereof. The implant can be removed from a body of a mammal by natural biological mechanisms after use. The resorption of the implant can involve swelling and/or hydrolyzing of the particles within the implant upon contact with a body fluid such that porosity and flow of fluid within the bulk material of the implant is increased. Resorption of the implant may also involve the use of particles with magnetic properties embedded within the implant such that an applied magnetic field causes the particles to vibrate within the bulk material thereby increasing the porosity and thus the flow of fluid, hence facilitating resorption of the implant. The resorption rate of the implant can be controlled by modulating swelling, hydrolysis, or movement of the embedded particles. 120-. (canceled)21. A coating material for use in a medical device for regulating resorption of said medical device , said coating material comprising (a) a bioresorbable ionically or covalently crosslinked polymeric material that allows diffusion into said medical device by a body fluid at a pre-selected rate; and (b) particles embedded in said bioresorbable polymeric material , said particles causing said bioresorbable polymeric material to resorb upon contact with a body fluid at a controllable resorption rate.221. The coating material of claim , wherein the resorption of said bioresorbable polymeric material is further controlled by varying the size or the amount of said embedded particles.231. The coating material of claim , wherein said controllable resorption rate is different from a resorption rate of said bioresorbable polymeric material without said embedded particles.241. The coating of claim composition of claim , wherein said bioresorbable polymeric material comprises an ionically cross-linkable polymeric material comprises at least one polymer ...

Radially expandable polymer prosthesis and method of making same

Polymeric stents having fracture toughness and resistance to recoil after deployment are disclosed along with methods of manufacturing such stents. Improvements to mechanical characteristics and other improvements may be achieved by having polymer chains within individual stent struts oriented in a direction that is closer to or in line with the axis of the individual stent struts. The struts are connected to each other by hinge elements that are configured to bend during crimping and deployment of the stent. Ring struts form ring structures. A ring structure can have an overall curvilinear length from about 12 mm to about 15 mm.

Medical device comprising an artificial contractile structure

A medical device including artificial contractile structures generally devised to be used in the medical field. Such structures may be advantageously used to assist the functioning of an organ. The medical device includes an artificial contractile structure having at least two contractile elements ( 100 ) adapted to contract an organ, in such way that each of the contractile elements ( 100 ) can be in a resting or in an activated position, independently of the position of each other, the activated position being defined with the contractile element ( 100 ) constricting the organ and the resting position being defined with the contractile element ( 100 ) not constricting the organ, and at least one actuator designed to activate the contractile structure. Each contractile element ( 100 ) is connected to an adjacent contractile element ( 100 ), while remaining flexible one with respect to the other.

METHOD AND APPARATUS FOR ENDOSCOPICALLY TREATING RECTAL PROLAPSE

A method for treating rectal prolapse, the method comprising: inserting a rectum-gripping and advancement apparatus into a prolapsed rectum via the anus; maneuvering the rectum-gripping and advancement apparatus so that the rectum-gripping and advancement apparatus securely engages the rectum; advancing the rectum-gripping and advancement apparatus distally so as to return the prolapsed rectum to its normal, non-prolapsed state; and securing the rectum to supporting tissue whereby to retain the rectum in its normal, non-prolapsed state. 1. A method for treating rectal prolapse , the method comprising:inserting a rectum-gripping and advancement apparatus into a prolapsed rectum via the anus;maneuvering the rectum-gripping and advancement apparatus so that the rectum-gripping and advancement apparatus securely engages the rectum;advancing the rectum-gripping and advancement apparatus distally so as to return the prolapsed rectum to its normal, non-prolapsed state; andsecuring the rectum to supporting tissue whereby to retain the rectum in its normal, non-prolapsed state.2. A method according to wherein the method comprises the additional step of withdrawing the rectum-gripping and advancement apparatus from the rectum via the anus.3. A method according to wherein the rectum-gripping and advancement apparatus comprises a shaft having a distal end comprising a tissue support for engaging the interior wall of the rectum.4. A method according to wherein the tissue support comprises an opening.5. A method according to wherein the tissue support is in the form of a generally circular shape claim 4 , with the opening located in the middle of the tissue support.6. A method according to wherein the exterior of the tissue support includes texturing.7. A method according to wherein the texturing comprises a layer of at least one selected from the group consisting of suture claim 6 , foam and fabric secured to the tissue support.8. A method according to wherein the shaft ...

DEVICE AND METHOD FOR TREATMENT OF INCISION OR HERNIA

Devices and methods for treating an abdominal incision or hernia are described. An implant for the restoration or prophylactic treatment of an abdominal wall comprises an elongate element and at least one sheet connected to the elongate element along a longitudinal axis of the elongate element. The elongate element is positioned along the line of incision, and the at least one sheet is secured to the abdominal muscles surrounding the incision. 1. A device for treating an incision , hernia , or abdominal wall defect , comprising:an elongate element having a first longitudinal axis; and 'wherein the at least one sheet comprises a porous biocompatible matrix and the elongate element has a strength that is at least equal to that of the at least one sheet.', 'at least one sheet connected to the elongate element along the first longitudinal axis;'}2. The device of claim 1 , wherein the at least one sheet is connected to the elongate element substantially along an approximate midline of the sheet.3. The device of claim 1 , wherein the at least one sheet comprises a non-synthetic mesh.4. The device of claim 1 , wherein the at least one sheet comprises an acellular tissue matrix.5. The device of claim 4 , wherein the at least one sheet comprises a dermal matrix.6. The device of claim 4 , wherein the acellular tissue matrix is derived from tissue that is xenogeneic to a human recipient.7. The device of claim 6 , wherein the tissue is from an α1 claim 6 ,3-galactosyltransferase (α1 claim 6 ,3GT) deficient pig.8. The device of claim 4 , wherein the acellular tissue matrix is derived from tissue that is allogeneic to a human recipient.9. The device of claim 1 , wherein the elongate element comprises an acellular tissue matrix.10. The device of claim 9 , wherein the acellular tissue matrix is rolled concentrically into a cylindrical structure.11. The device of claim 9 , wherein the acellular tissue matrix is thicker than the at least one sheet.12. The device of claim 1 , wherein ...

Biocompatible extremely fine tantalum fiber scaffolding for bone and soft tissue prosthesis

A tissue implant member for implanting in living tissue is provided. The implant is formed of a fibrous mat of tantalum filament having a diameter less than about 10 microns.

IMPLANTABLE COLLAGEN DEVICES AND RELATED METHODS AND SYSTEMS OF MAKING SAME

The invention relates to implantable collagen devices made by seeding at least one elongate collagen construct, e.g., comprising at least one elongate synthetic collagen fiber with a plurality of cells and applying a strain and/or stress to the at least one elongate collagen fiber to induce the cells to differentiate into target phenotypes, e.g., tendon or ligament phenotype cells (and/or fibroblasts), typically with an extracellular matrix of collagen to organize into a tissue on the at least one collagen fiber. 1. An implantable collagen fiber construct , comprising:a plurality of elongate collagen fibers; anda plurality of cells attached to the elongate collagen fibers,wherein (i) the cells comprise tendon or ligament phenotype cells; or (ii) the cells comprise tendon or ligament phenotype cells and an extracellular matrix comprising collagen, wherein collagen is present in an amount greater than other extracellular matrix proteins.2. The construct of claim 1 , wherein the plurality of elongate collagen fibers are arranged as a construct body claim 1 , and wherein the attached tendon or ligament phenotype cells and extracellular matrix comprising collagen are organized into tendon-like or ligament-like tissue that increases a volume of the construct body claim 1 , measured dry claim 1 , by between about 20-200% or that increases a thickness of the construct body by between 10%-200%.3. The construct of claim 1 , wherein the plurality of elongate collagen fibers are arranged as a construct body claim 1 , and wherein the tendon or ligament phenotype cells and extracellular matrix of collagen extend over at least 50% of a length of the construct body shape about the elongate collagen fibers.4. The construct of claim 1 , wherein the fibers include tendon phenotype cells and at least 20% extracellular matrix of collagen by volume claim 1 , dry.5. The construct of claim 1 , wherein the plurality of elongate collagen fibers define a construct body with a shape claim 1 , ...

SYSTEMS, IMPLANTS, TOOLS, AND METHODS FOR TREATMENTS OF PELVIC CONDITIONS

Described are various embodiments of surgical procedure systems, devices, tools, and methods, useful for treating pelvic conditions in a male or female, the pelvic conditions including incontinence (various forms such as fecal incontinence, stress urinary incontinence, urge incontinence, mixed incontinence, etc.), vaginal prolapse (including various forms such as enterocele, cystocele, rectocele, apical or vault prolapse, uterine descent, etc.), and other conditions caused by muscle and ligament weakness, the devices and tools including devices and tools for anchoring an implant to tissue, devices and tools for transvaginally accessing a posterior region of pelvic anatomy, devices (including certain types of implants, anchors, and tools) for connecting (e.g., adjustably) a vaginal apex to a region of sacral anatomy to provide support to the vaginal apex, and related methods. 1. A multi-functional tool useful in a transvaginal procedure for installing a pelvic implant , the tool comprisinga proximal end and a distal end, the proximal end comprising a handle,a shaft extending from the handle to the distal end, illuminating a surgical site at the distal end,', 'transmitting images of a surgical site from the distal end to the proximal end for viewing,', 'dissecting tissue at the distal end by a first dissection mechanism,', 'dissecting tissue at the distal end by a second dissection mechanism,', 'delivering fluid at the distal end,', 'distending tissue by expanding an expandable structure,', 'removing fluid from a surgical site at the distal end,', 'steering the shaft at the distal end, and', 'placing an anchor at tissue at a surgical site at the distal end., 'the multi-functional tool being capable of performing two or more of2. A multi-functional tool according to capable of:dissecting tissue at the distal end by a first dissection mechanism comprising hydrodissection,dissecting tissue at the distal end by a second dissection mechanism comprising a mechanical cutting ...

THREE-DIMENSIONAL SCAFFOLDS, METHODS FOR FABRICATING THE SAME, AND METHODS OF TREATING A PERIPHERAL NERVE OR SPINAL CORD INJURY

One aspect of the invention provides a three-dimensional scaffold including at least one layer of highly-aligned fibers. The at least one layer of highly-aligned fibers is curved in a direction substantially perpendicular to a general direction of the fibers. Another aspect of the invention provides a method for fabricating a three-dimensional scaffold. The method includes: electro spinning a plurality of fibers to produce at least one layer of highly-aligned fibers and forming the at least one layer of highly-aligned fibers into a three-dimensional scaffold without disturbing the alignment of the highly-aligned polymer fibers. A further aspect of the invention provides methods for using a three-dimensional scaffold to treat nerve or spinal cord injury. 1. A three-dimensional scaffold comprising:at least one layer of highly-aligned fibers;wherein the at least one layer of highly-aligned fibers is curved in a direction substantially perpendicular to a general direction of the fibers.2. The three-dimensional scaffold of claim 1 , wherein the fibers are electrospun fibers.3. The three-dimensional scaffold of claim 1 , wherein the fibers are fabricated from one or more polymers.4. The three-dimensional scaffold of claim 1 , wherein the one or more polymers are selected from the group consisting of: poly-L-lactic acid (PLLA) claim 1 , polylactic-co-glycolic acid (PLGA) claim 1 , PLGA coated with polypyrrole claim 1 , polycaprolactone claim 1 , poly(ethersulfone) claim 1 , poly(acrylonitrile-co-methylacrylate) (PAN-MA) claim 1 , and combinations thereof.5. The three-dimensional scaffold of claim 1 , wherein the fibers are biocompatible.6. The three-dimensional scaffold of claim 1 , further comprising:a base layer coupled to the fibers such that the base layer is also curved along one or more axes substantially parallel to a general direction of the fibers.7. The three-dimensional scaffold of claim 6 , wherein the base layer includes a polymer film.8. The three-dimensional ...

Hard-tissue implant

Hard-tissue implants are provided that include a bulk implant, a face, pillars, and slots. The pillars are for implantation into a hard tissue. The slots are to be occupied by the hard tissue. The hard-tissue implant has a Young's modulus of elasticity of at least 10 GPa, has a ratio of the sum of (i) the volumes of the slots to (ii) the sum of the volumes of the pillars and the volumes of the slots of 0.40:1 to 0.90:1, does not comprise any part that is hollow, and does not comprise any non-pillar part extending to or beyond the distal ends of any of the pillars. Methods of making and using hard-tissue implants are also provided.

Implantable device deployment apparatus

Systems and methods are disclosed for delivering a stent to a lumen internal to a body of a patient and for sheathing a stent just prior to an insertion procedure. One embodiment comprises a delivery device having a partially sheathed configuration, a fully sheathed delivery configuration, and a deployed configuration. A panchor (combination pusher and anchor) is configured to engage and limit proximal and distal movement of the implantable device. An outer sheath surrounds a distal portion of an inner member and retains the implantable device near the distal end. The outer sheath is slidably moveable relative to the inner member to deploy the implantable device. Proximal movement of a trigger results in movement of the outer sheath to deploy the implantable device. A sheathing mechanism is configured to crimp and fully sheathe the implantable device prior to a deployment procedure.

Silk based implantable medical devices and methods for determining suitability for use in humans

Methods for determining suitability of an implantable silk scaffold for use in human soft tissue repair by implanting a silk scaffold in a quadruped. The silk scaffold is completely or essentially completely bioresorbed by twelve months after implantation, the silk scaffold (to the extent remaining) with ingrown tissue shows at least about a 60% strength increase by 12 months after implantation, and the thickness of the silk scaffold (to the extent remaining) with ingrown tissue increases by more than 100% by 12 months after implantation.

Anodizing container

A device is for treating and packaging implants. The device includes a container including a chamber therein. The chamber is closed by a removable seal. The device also includes a carrier sized and shaped to be inserted into the chamber. The carrier includes a carrying structure configured to connect an implant thereto. A portion of the carrier may be formed of an electrically conductive material.

EMBOLIC PROTECTION DEVICE AND METHOD

An embolic protection device adapted for placement in a left subclavian artery, a right subclavian artery and to cover a left and a right carotid artery, the device having a reduced state and an expanded state, the device comprising an expandable support structure, the expandable support structure comprising a frame, the frame further comprising a porous material, the frame defining the circumference of the porous material in the expanded state. 1. An embolic protection device adapted for placement in a left subclavian artery , a right subclavian artery and to cover a left and a right carotid artery , the device having a longitudinal axis , a reduced state and an expanded state , the device comprising an expandable support structure , the expandable support structure comprising a frame , the frame further comprising a porous material , the frame defining the circumference of the porous material in the expanded state.2. The embolic protection device of wherein said porous material comprises openings of about 50 microns to about 400 microns.3. The embolic protection device of wherein the frame of the device rolls toward the longitudinal axis in the reduced state resulting in a closed structure.4. The embolic protection device of comprising a distal end claim 1 , a proximal end and a central portion claim 1 , the device configured and arranged so that when expanded in a patient's body claim 1 , the distal end of the device is disposed in the left subclavian artery claim 1 , the proximal end of the device is disposed in the right subclavian artery and the central portion of the device covers the right carotid and left carotid arteries.5. The embolic protection device of comprising a distal end claim 1 , a proximal end and a central portion claim 1 , the device configured and arranged so that when expanded in the arteries claim 1 , the proximal end of the device is disposed in the left subclavian artery claim 1 , the distal end of the device is disposed in the right ...

Human implantable tissue expander

A human implantable tissue expander including a biocompatible implantable structural skeleton element having a predetermined overall three-dimensional shape and defining at least one wall portion having formed therein apertures extending from an interior thereof to an exterior thereof and being operative, when implanted in human tissue, to permit fluid flow through the apertures and to generally maintain the predetermined three-dimensional shape generally independently of its orientation relative to gravitational acceleration.

Orogastric calibration tube with magnets

An orogastric calibration tube has a magnet tip attached at a distal end of the flexible tube. The tube also includes a balloon cavity, and means for inflating the balloon cavity. 1. An orogastric calibration tube comprising:a flexible tube having proximal and distal ends, and including a balloon cavity proximate said distal end; anda magnet tip attached at the distal end of the flexible tube.2. A bariatric surgical method comprising:{'claim-ref': {'@idref': 'CLM-00001', 'claim 1'}, "inserting transorally into a patient's orogastric tract an orogastric calibration tube according to ;"}manipulating a magnet extraluminal to the orogastric tract, said extraluminal magnet attracting the magnet tip of said orogastric calibration tube, thereby positioning said orogastric calibration tube against the lesser curvature of the patient's stomach; andinflating the balloon cavity of said orogastric calibration tube,wherein said orogastric calibration tube forms a template for bariatric surgery.3. An orogastric calibration tube as claimed in claim 1 , further comprising an ancillary tube fluidly communicating with the balloon cavity for inflation thereof.4. An orogastric calibration tube as claimed in claim 3 , wherein the ancillary tube is mounted to the flexible tube by a Y-fitting.5. An orogastric calibration tube as claimed in claim 1 , further comprising means for inflating the balloon cavity.6. An orogastric calibration tube as claimed in claim 1 , wherein the magnet tip is ogive.7. An orogastric calibration tube as claimed in claim 1 , wherein the balloon cavity is configured to form a banana shape upon inflation.8. A bariatric surgical method as claimed in claim 2 , further comprising securing the extraluminal magnet in position claim 2 , prior to inflating the balloon cavity.9. A bariatric surgical method as claimed in claim 2 , further comprising securing the extraluminal magnet to the stomach wall claim 2 , prior to inflating the balloon cavity.10. A bariatric surgical ...

MEDICAL ASSEMBLY FOR DELIVERING AN IMPLANT

The present invention discloses a medical assembly including an elongate member having a proximal end portion and a distal end portion with a tapered tip. The tapered tip is configured to slide through a bodily tissue. The elongate member has a width referred to as a first width across at least a portion of the elongate member. The medical assembly further includes an implant having a first surface and a second surface. The implant is coupled to the elongate member such that a portion of the first surface of the implant is overlaid over a portion of the elongate member while the second surface faces opposite to the elongate member and is configured to contact the bodily tissue while being inserted. The implant has a width referred to as a second width such that the second width is smaller than the first width of the elongate member. 1. A medical assembly comprising:an elongate member having a proximal end portion and a distal end portion with a tapered tip, the tapered tip configured to slide through a bodily tissue, the elongate member having a first width across at least a portion of the elongate member; andan implant having a first surface and a second surface, the implant being coupled to the elongate member such that a portion of the first surface of the implant is overlaid over a portion of the elongate member while the second surface faces opposite to the elongate member and is configured to contact the bodily tissue while being inserted, wherein the implant has a second width, the second width being smaller than the first width of the elongate member.2. The medical assembly of claim 1 , wherein the tapered tip includes folded edges of the distal end portion.3. The medical assembly of claim 1 , wherein the tapered tip includes a taper-cut at the distal end portion.4. The medical assembly of claim 1 , wherein the lumen is formed by folded edges at the distal end portion of the elongate member.5. The medical assembly of claim 1 , wherein the lumen is formed by ...

DRY COMPOSITION WOUND DRESSINGS AND ADHESIVES

Patches comprising dry gelatin compositions and methods of use and manufacture thereof. 1112-. (canceled)113. A patch comprising an implantable surgical mesh , a cross-linkable protein matrix and a protein cross-linking enzyme in contact with said matrix for cross-linking said cross-linkable protein , wherein said matrix is incorporated into , layered on or surrounding said mesh , with the proviso that said enzyme is not thrombin , wherein said cross-linkable protein comprises gelatin , wherein said gelatin is present in a protein matrix and wherein said matrix has a density in a range of from 5 to 100 mg/cm.114. The patch of claim 113 , wherein said enzyme is present at a depth of at least 0.5 mm in said protein layer claim 113 , wherein said enzyme is a non-blood derived enzyme and wherein said cross-linkable protein matrix comprises porous gelatin foam.115. The patch of claim 113 , wherein said enzyme is incorporated either homogeneously throughout the matrix or present in the matrix at a depth of at least one of 0.5 mm claim 113 , 1 mm or up to 20 mm from the matrix surface.116. The patch of claim 113 , wherein said foamed gelatin comprises dried or lyophilized foamed gelatin solution.117. The patch of claim 113 , further comprising a reinforcing backing layer claim 113 , wherein said surgical mesh is located at one or more of between the reinforcement layer and the gelatin matrix; in the middle of the gelatin matrix; or on top of the gelatin matrix; or a combination thereof.118. The patch of claim 117 , wherein said enzyme is present in an enzymatic layer and wherein said gelatin is positioned in one or more of the following locations: within said patch claim 117 , on said enzymatic layer claim 117 , in said enzymatic claim 117 , layer claim 117 , on said reinforcing back layer claim 117 , in said reinforcing back layer claim 117 , or between said an enzymatic layer and said reinforcing back layer.119. The patch of claim 113 , wherein said gelatin has a density ...

Systems and methods for the fixation or fusion of bone

A stem-like bone fixation device allows for bony in-growth on its surface and across fracture fragments or between bones that are to be fused.

Systems, devices, and methods for anchoring orthopaedic implants to bone

Methods, devices, and systems for delivering and attaching flexible implants to a bone or joint surface. An implant container includes a first component for surrounding and enclosing an implant and a second component adapted for maintaining, supporting, and conforming the shape of the implant. The implant container designed to have at least one component attachable to the implant and to a delivery instrument or tool. The implant container component having a material allowing transmission of light through a thickness of the container and a thickness of an attached implant to cure an adhesive placed between the implant and a bone surface. Additionally, embodiments described provide delivery instruments and tools for attaching implants and implants within containers to a joint or bone surface.

Textile-Templated Electrospun Anisotropic Scaffolds for Tissue Engineering and Regenerative Medicine

The present invention includes an anisotropic scaffold, which is prepared by electrospinning a solution of matrix material upon a textile template. The present invention further includes a method of preparing such scaffold. The anisotropic scaffold of the invention finds use in tissue engineering and regenerative medicine. 1. A composition comprising an anisotropic scaffold , wherein said scaffold is prepared by electrospinning a solution of matrix material in a solvent upon a textile template.2. The composition of claim 1 , wherein said matrix material comprises a protein or a polymer.3. (canceled)4. The composition of claim 2 , wherein said polymer is selected from the group consisting of poly(urethane) claim 2 , poly(siloxane) claim 2 , poly(ethylene) claim 2 , poly(vinyl pyrrolidone) claim 2 , poly(2-hydroxy ethyl methacrylate) claim 2 , poly(N-vinyl pyrrolidone) claim 2 , poly(methyl methacrylate) claim 2 , poly(vinyl alcohol) claim 2 , poly(acrylic acid) claim 2 , polyacrylamide claim 2 , poly(ethylene-co-vinyl acetate) claim 2 , poly(ethylene glycol) claim 2 , poly(methacrylic acid) claim 2 , polylactide claim 2 , polyglycolide claim 2 , poly(lactide-co-glycolide) claim 2 , polyanhydride claim 2 , polyorthoester claim 2 , polycarbonate claim 2 , and combinations and co-polymers thereof.56-. (canceled)7. The composition of claim 2 , wherein said polymer is co-span with at least one compound selected from the group consisting of gelatin claim 2 , elastin and mixtures thereof.8. (canceled)9. The composition of claim 2 , wherein said polymer is co-span with at least one conductive polymer.10. The composition of claim 9 , wherein said conductive polymer is selected from the group consisting of polyfluorene claim 9 , polyphenylene claim 9 , polypyrene claim 9 , polyazulene claim 9 , polynaphthalene claim 9 , polypyrrole claim 9 , polycarbazole claim 9 , polyindole claim 9 , polyazepine claim 9 , polyaniline claim 9 , polythiophene claim 9 , poly(3 claim 9 ,4- ...

Method And Apparatus For Coupling Soft Tissue To A Bone

A method and apparatus for surgically repairing a tear in soft tissue is disclosed. A plurality of collapsible tubes are positioned about the suture. The collapsible tubes are pushed through soft tissue and orthopedic mesh on opposite sides of a tear in soft tissue. When tension is applied to the suture, the tubes are compressed to fix the suture to the soft tissue and draw the soft tissue portions together.

COMBINATION THREE-DIMENSIONAL SURGICAL IMPLANT

The present disclosure provides a compound three-dimensional surgical implant and methods of forming and using the same. The compound three-dimensional surgical implant includes a grip-type knit mesh defining pores and including a plurality of spiked naps extending from a surface the grip-type knit mesh, a prosthetic knit mesh defining principal cells and peripheral cells being layered on the grip-type knit mesh such that at least a portion of the spiked naps grip at least a portion of the cells of the prosthetic knit mesh. The grip-type knit mesh and the prosthetic knit mesh are folded together into a predetermined three-dimensional structure such that at least a portion of the spiked naps grip at least a portion of the pores of the grip-type knit mesh to hold the three-dimensional structure of the surgical implant. 1. A compound three-dimensional surgical implant comprising:a grip-type knit mesh defining pores and including a plurality of spiked naps extending from a surface the grip-type knit mesh;a prosthetic knit mesh defining principal cells and peripheral cells being layered on the grip-type knit mesh such that at least a portion of the spiked naps grip at least a portion of the cells of the prosthetic knit mesh;the grip-type knit mesh and the prosthetic knit mesh being folded together into a predetermined three-dimensional structure such that at least a portion of the spiked naps grip at least a portion of the pores of the grip-type knit mesh to hold the three-dimensional structure of the surgical implant.2. The compound three-dimensional surgical implant of claim 1 , wherein the grip-type knit mesh and the prosthetic knit mesh comprise materials selected from the group consisting of biodegradable claim 1 , non-biodegradable claim 1 , and combinations thereof.3. The compound three-dimensional surgical implant of claim 1 , wherein the material defining the pores of the grip-type knit mesh is non-biodegradable.4. The compound three-dimensional surgical implant ...

VISUAL STABILIZER ON ANCHOR LEGS OF VENA CAVA FILTER

A removable vena cava filter () configured for reduced trauma and enhanced visualization of anchoring hook placement relative to the vessel wall is disclosed. The filter includes a plurality of struts (-), each having an anchoring hook () and a stop member () proximate the anchoring hook. The stop members are configured to engage the vessel wall to prevent excessive penetration of the anchoring hooks into the vessel wall and to aid in the identification of anchoring hook placement relative to the vessel wall. 1. A filter for capturing thrombi in a blood vessel , the filter comprising:a plurality of struts having a collapsed state for filter retrieval or delivery and an expanded state for engaging with a vessel wall of the blood vessel, the struts having first ends attached together along a longitudinal axis of the filter extending to second ends, each strut including a proximal portion extending from the first end and a distal portion extending from the proximal portion to the second end, the distal portion of each strut including an anchoring hook configured to penetrate the vessel wall and a stop member proximate the anchoring hook, the stop member being configured to engage the vessel wall to prevent further penetration of the anchoring hook into the vessel wall, wherein the stop member enhances visualization of the anchoring hook and its position relative to the vessel wall.2. The filter of claim 1 , wherein the stop member is formed from a radiopaque material.3. The filter of claim 1 , wherein the stop member includes a plurality of dimples formed on an outer surface thereof.4. The filter of claim 1 , wherein the stop member is formed separately from the strut and attached to the strut by one of welding claim 1 , soldering claim 1 , gluing claim 1 , and crimping.5. The filter of claim 1 , wherein the stop member is disposed distally relative to the anchoring hook such that each strut second end terminates with the stop member claim 1 , the stop member extending ...

Intra-Vaginal Devices and Methods for Treating Fecal Incontinence

Devices and methods for intra-vaginal bowel control. 1. A method of selectively occluding a rectum to inhibit stool passage in a female user , the method comprising:inserting an intravaginal device into the user's vagina, the device comprising an occluding portion;engaging vaginal anatomy to stably support the occluding portion proximal to the vagina's perineal body;extending the occluding portion against a recto-vaginal septum of the vagina proximal to the vagina's perineal body during the engaging step to at least partially occlude the user's rectum; andretracting the occluding portion during the engaging step to permit stool to pass through the rectum.2. The method of wherein the engaging step comprises engaging internal vaginal anatomy to stably support the occluding portion against a recto-vaginal septum of the vagina proximal to the perineal body.3. The method of wherein the engaging step comprises engaging internal vaginal anatomy proximal to the inferior pubic ramus to stably support the occluding portion against a recto-vaginal septum of the vagina.4. The method of wherein the engaging step comprises engaging a distal portion of the intravaginal device on an anterior side of the vagina adjacent the pubic symphysis to stably support the occluding portion against a recto-vaginal septum of the vagina.5. The method of wherein the extending step comprises inflating the occluding portion to a pressure of 40-150 mm Hg.6. The method of wherein the extending step comprises applying a pressure of 40-150 mm Hg to the recto-vaginal septum.7. The method of wherein the extending step comprises inflating the occluding portion with 10-60 cc of fluid.8. The method of wherein the engaging step comprises engaging internal vaginal anatomy to stably support the occluding portion proximal to the vagina's perineal body while maintaining slack in the vagina wall.9. The method of wherein the engaging step comprises distending lateral walls of the vagina proximal to the occluding ...

SURGICAL ARTICLES AND METHODS FOR TREATING PELVIC CONDITIONS

Described are devices, implants, insertion tools, combinations, and associated methods, that involve placement of a self-fixating tip at tissue of the pelvic region, wherein an insertion tool includes one or more of an aperture for engaging a guide and an extension guard, the method optionally allowing for initial placement of a self-fixating tip at tissue of the pelvic region and adjustment of the location of the self-fixating tip. 1. An insertion tool comprising a handle and a needle extending from the handle , the needle comprising a proximal end attached to the handle and a distal end that includes a needle tip , the needle tip comprises an aperture that allows guided relative movement of the needle tip along a guide , wherein the aperture exits a surface of the needle shaft at a location distal to the needle shaft proximal end.2. The tool of wherein the aperture includes a bore having a diameter in the range from 0.1 to 2 millimeters.3. (canceled)4. The tool of wherein the aperture comprises a longitudinal bore extending from a needle tip end into the needle tip claim 1 , and a channel extending from the bore further along a surface of the needle tip.5. In combination claim 1 , an insertion tool according to in combination with an implant claim 1 , the implant comprising a support portion claim 1 , an extension portion claim 1 , and a self-fixating tip connected to the extension portion.6. A combination according to comprising a guide extending through the aperture in the needle tip claim 5 , the guide also being engaged with the self-fixating tip.7. A combination according to wherein the self-fixating tip engages the needle tip to allow the needle to push the self-fixating tip for surgical implantation.8. A combination according to whereinthe self-fixating tip comprises an aperture that allows passage of a guide, andwhen the needle tip engages the self-fixating tip, a guide can pass through the aperture and the self-fixating tip.9. A combination according to ...

MAGNESIUM ALLOY

The invention relates to a magnesium alloy containing (in % by weight) more than 0.0 to 7.0% zinc, optionally more than 0.0 to 1.0% zirconium, optionally more than 0.0 to 1.0% calcium, optionally more than 0.0 to 1.0% manganese, optionally more than 0.0 to 0.5% silicon, optionally more than 0.0 to 1.0% silver, a max. up to 0.5% aluminum and at least one element selected from the group comprising more than 0.05 to 0.6% yttrium, more than 0.05 to 4.0% ytterbium, more than 0.05 to 4.0% gadolinium, with the residue being magnesium and impurities due to production. The invention also relates to a use of a magnesium alloy of this type and an implant therefrom and a method for producing a body of a magnesium alloy according to the invention. 1. A magnesium alloy , containing (in % by weight)more than 0.0 to 7.0% zincoptionally more than 0.0 to 1.0% zirconiumoptionally more than 0.0 to 1.0% calciumoptionally more than 0.0 to 1.0 manganeseoptionally more than 0.0 to 0.5% siliconoptionally more than 0.0 to 1.0% silvermax. up to 0.5% aluminumand at least one element selected from the group comprisingmore than 0.05 to 0.6% yttriummore than 0.05 to 4.0% ytterbiummore than 0.05 to 4.0% gadoliniumthe residue being magnesium and impurities due to production.2. The magnesium alloy according to claim 1 , containing 1.0 to 5.0% claim 1 , preferably 2.5 to 4.5% zinc.3. The magnesium alloy according to claim 1 , containing more than 0.1 to 0.6% zirconium and/or more than 0.1 to 0.4% calcium.4. The magnesium alloy according to claim 3 , wherein a sum content of zirconium and calcium is 0.6 to 1.0%.5. The magnesium alloy according to claim 1 , containing at least one element selected from the group comprisingmore than 0.1 to 0.5% manganesemore than 0.1 to 0.5% siliconmore than 0.1 to 0.5% silver.6. The magnesium alloy according to claim 1 , containing at least one element selected from the group comprisingmore than 0.05 to less than 0.5% yttriummore than 0.1 to 1.2% ytterbiummore than 0.1 ...

INTRA-VAGINAL DEVICES AND METHODS FOR TREATING FECAL INCONTINENCE

Devices and methods for intra-vaginal bowel control. 1. An intravaginal device for the control of passage of stool in an adult human female user , the device comprising:an occluding portion; and the device being sized and configured to maintain position and stability through engagement of internal vaginal anatomy during a first state wherein the occluding portion is not extended and a second state wherein the occluding portion extends to at least partially occlude the rectum.2. The device of claim 1 , wherein said device is sized and configured to at least partially occlude the user's rectum proximal to the perineal body.3. The device of claim 1 , wherein said device comprises a stabilizing portion to which the occluding portion is secured.4. The device of claim 1 , wherein said device includes a control element that allows the user to control the extension.5. An intravaginal device for the control of passage of stool in an adult human female user claim 1 , the device comprising:an occluding portion; and 'wherein said device is sized and configured to fit entirely proximal to the inferior pubic ramus.', 'the device being sized and configured to maintain position and stability through engagement of internal vaginal anatomy during a first state wherein the occluding portion is not extended and a second state wherein the occluding portion extends to at least partially occlude the rectum;'}6. The device of claim 5 , wherein said device is sized and configured so that the distal portion of the device is disposed in the anterior portion of the vagina adjacent the pubic symphysis when the device is in the first and second states.7. The device of claim 6 , wherein said device is configured so that the distal portion of the device fits in the notch formed near the pubic symphysis.8. The device of claim 5 , wherein device is sized and configured to fit between the areas of the ischiopubic ramus and posterior formix.9. An intravaginal device for the control of passage of stool ...

BODILY IMPLANTS AND METHODS FOR DELIVERY AND PLACEMENT OF BODILY IMPLANTS INTO A PATIENT'S BODY

A method and device for the treatment of fecal incontinence is disclosed. The method includes disposing a bodily implant proximate to an anal canal of a patient. The bodily implant has a strip extending along a length between a first end portion and a second end portion. The strip has a set of first projections and a set of second projections extending along at least a portion of a longitudinal edge of the strip, such that the set of the first projections are inclined toward the second end portion of the strip and the set of the second projections are inclined toward the first end portion of the strip. 1. A method for the treatment of fecal incontinence , the method comprising:disposing a bodily implant proximate to an anal canal of a patient, the bodily implant having a strip extending along a length between a first end portion and a second end portion, the strip having a set of first projections and a set of second projections extending along at least a portion of a longitudinal edge of the strip, the set of the first projections inclined toward the second end portion of the strip and the set of the second projections inclined toward the first end portion of the strip;securing the set of first projections to a first portion of body tissue such that the set of the first projections allows movement of the bodily implant with respect to the first portion of the body tissue in a first direction and restricts movement of the bodily implant with respect to the first portion of the body tissue in a second direction; andsecuring the set of the second projections to a second portion of the body tissue such that the set of the second projections allows movement of the bodily implant with respect to the second portion of the body tissue in the second direction and restricts movement of the bodily implant with respect to the second portion of the body tissue in the first direction.2. The method of wherein the first portion of the body tissue is disposed on a first side of a ...

Device and method for measuring pressure exerted on a surface

Provided are methods and devices for measuring pressure exerted against a surface. In an aspect, the surface corresponds to the urethra and the device measures the pressure exerted against the urethra. Methods include treatment of a patient suffering urinary stress incontinence. A pressure sensor system is used to determine, pre-surgically, the minimum pressure required to alleviate incontinence. During surgery, the pressure sensor system is employed to ensure the surgical intervention provides a corresponding minimum pressure that was clinically identified. In this manner, the surgical intervention is precisely monitored and measured to insure the appropriate pressure is exerted on the urethra to alleviate stress incontinence, thereby improving surgical outcome and decreasing post-operative complications.

MARKED PROSTHESIS

The present invention relates to a prosthesis () intended to be implanted at an implantation site, comprising information means designed to guide the surgeon in order to implant the prosthesis in a specified position, said prosthesis comprising at least one fabric called the base fabric () and having at least one apertured surface (), said information means comprising at least one patch () having a colour different from that of the base fabric, said patch being provided with at least one barb () projecting from one of its surfaces and grippingly fastening said patch to said apertured surface of said base fabric at a specific place on said surface, the presence of said patch at said specific place bearing information designed to facilitate implantation of the prosthesis in said specified position. The invention also relates to a kit comprising a fabric and a patch. 111-. (canceled)12. A prosthesis comprising:at least one base fabric having at least one apertured surface, andan information means comprising at least one patch having a color different from that of the base fabric, the patch being provided with at least one barb projecting from a surface of the patch designed to fasten the patch to the apertured surface of the base fabric at a specific place on the surface, the presence of the patch at the specific place bearing information designed to facilitate implantation of the prosthesis in said specified position.13. The prosthesis according to claim 12 , wherein the information means comprises a plurality of patches grippingly fastened at specific places on the apertured surface of the base fabric.14. The prosthesis according to claim 12 , wherein the base fabric has two apertured surfaces and one or more patches are grippingly fastened to each of the two apertured surfaces.15. The prosthesis according to claim 12 , wherein the base fabric is a knit.16. The prosthesis according to claim 12 , wherein the base fabric is a two-dimensional knit.17. The prosthesis ...

PROSTHESIS HAVING A RADIOPAQUE ELEMENT

The present invention relates to a prosthesis () intended to be implanted at an implantation site, comprising i) at least one fabric called the base fabric () having at least one apertured surface (), ii) and at least one patch () provided with at least one barb () projecting from one of its surfaces and grippingly fastening said patch to said apertured surface of said base fabric at a specific place on said surface, said patch comprising at least one radiopaque element. The invention also relates to a kit comprising a fabric and a patch. 111-. (canceled)12. A prosthesis comprising:i) at least one base fabric having at least one apertured surface,ii) and at least one patch provided with at least one barb projecting from a surface of the patch and designed to fasten the patch to the apertured surface of the base fabric at a specific place on the surface, the patch comprising at least one radiopaque element.13. The prosthesis according to claim 12 , wherein the prosthesis comprises a plurality of patches each comprising at least one radiopaque element claim 12 , the patches being grippingly fastened at specific places on the apertured surface of the base fabric.14. The prosthesis according to claim 12 , wherein the base fabric has two apertured surfaces and one or more patches are grippingly fastened to each of the two apertured surfaces.15. The prosthesis according to claim 12 , wherein the base fabric is a knit.16. The prosthesis according to claim 12 , wherein the barbs are made of a radiopaque material and constitute the radiopaque elements of the patches.17. The prosthesis according to claim 12 , wherein the patch is made of a gripping fabric.18. The prosthesis according to claim 17 , wherein the radiopaque element includes one or more radiopaque yarns forming the gripping fabric.19. The prosthesis according to claim 17 , wherein the gripping fabric is apertured.20. The prosthesis according to claim 12 , wherein the radiopaque element is in the form of a coating ...

RESILIENT DEVICE

An intravaginal device has a working portion (e.g., intravaginal urinary incontinence device suppository, tampon) and an anchoring portion comprising at least one member extending beyond at least one end of the working portion to maintain the working portion in place during use. 2. The device according to wherein the working portion comprises a slotted tube.3. The device according to wherein the working portion comprises a wire form.4. The device according to wherein the working portion comprises a sinusoidal wire form.5. The device according to wherein the elastic material is a shape memory polymer.6. The device according to wherein the elastic material is a metal alloy.7. The device according to wherein the metal alloy is a nickel-titanium alloy.8. The device according to wherein the anchoring portion is arranged and configured to expand widthwise to engage lateral walls of the vagina.9. The device according to wherein the anchoring portion comprises at least two extensions beyond the at least one end of the working portion.10. The device according to wherein the anchoring portion comprises a basket handle shape.11. The device according to wherein the anchoring portion comprises a dog bone shape.12. The device according to wherein the anchoring portion comprises a rabbit ear shape.13. The device according to wherein the working portion comprises a metallic material.14. The device according to wherein the working portion comprises a shape memory polymer.15. The device according to wherein the wire form comprises a plurality of struts that at least partially extend in and define and support the opposed faces of the working portion. This application is a continuation of U.S. Ser. No. 11/456,376 filed Jul. 10, 2006, the complete disclosure of which is hereby incorporated herein by reference for all purposes.1. Field of the InventionThe present invention relates to a resilient device. More specifically, this invention relates to a device that has a working portion ...

APPARATUSES FOR THE AMELIORATION OF URINARY INCONTINENCE IN FEMALES

An apparatus for treating urinary incontinence, comprising: a node; a support section adapted for providing urethral support attached to the node; and, an anchoring section adapted for resisting movement of the apparatus attached to the node opposite the support section. Optionally, the support section is adapted to treat incontinence according to at least one of: SUTFS, colpo-elevation or colpo-distension. 1. An apparatus for treating urinary incontinence , comprising:a plurality of interconnected pieces of tubing, each piece of tubing aligned to provide both anchoring for the apparatus in a vagina and support of a urethra; and,a device for interconnecting the plurality of pieces of tubing together.2. An apparatus according to claim 1 , wherein support of the urethra is provided according to at least one of: SUTFS claim 1 , colpo-elevation or colpo-distension.3. An apparatus according to claim 1 , wherein the plurality of pieces of tubing are connected at a midpoint of each of the pieces of tubing.4. An apparatus according to claim 1 , wherein the plurality of pieces of tubing are connected at an anchoring section of each of the pieces of tubing.5. An apparatus according to claim 1 , wherein the plurality of pieces of tubing are connected at a support section of each of the pieces of tubing.6. An apparatus according to claim 1 , wherein at least a portion of at least one of the pieces of tubing is curved.7. An apparatus according to claim 1 , wherein the pieces of tubing are flexible.8. An apparatus according to claim 1 , wherein:(a) each piece of tubing is characterized by a proximal section, a midsection and a distal section; and,(b) the device for interconnecting is comprised of an anchor base and a support base, the anchor base and the support base adapted with a plurality of grooves to engage and retain each piece of tubing at the proximal section and the midsection respectively.9. A device for interconnecting a plurality of tubes of an apparatus for treating ...

Rotate-to-Advance Catheterization System

An apparatus for accessing a bodily passageway includes: an endoscope including an insertion portion configured to inserted into the bodily passageway; a drive tube including a lumen configured to receive the endoscope; a helically-wound thread disposed on an outer wall of the drive tube and configured such that rotation of the drive tube causes the drive tube with the endoscope to move along the passageway; a flexible drive shaft configured to transfer rotary motion generated by a power supply; and a rotatable drive collar disposed on the endoscope and configured to rotate the drive tube relative to the endoscope, the rotatable drive collar including a stator, a rotor rotatable over the stator and detachably coupled to the drive tube, a rotary gear configured to transfer the rotary motion from the flexible drive shaft to the rotor to rotate the drive tube, and a watertight seal disposed between the stator and the rotor. 1. An apparatus configured to access a passageway comprising:a visualization apparatus configured to visualize an interior surface of the passageway;a tube being configured to receive the visualization apparatus;a helically-wound thread disposed on an outer wall of the tube and configured such that rotation of the tube causes the tube with the visualization apparatus to move along the passageway;an inner rotor disposed in the visualization apparatus;a watertight cover being configured to cover an outer surface of the inner rotor such that the watertight cover separates inside and outside of the visualization apparatus, the inner rotor being configured to contact with an interior surface of the watertight cover, wherein one or more projections are configured to form on an outer surface of the watertight cover; andan outer rotor configured to engage the one or more projections such that rotary motion of the inner rotor is transferred to the outer rotor across the one or more projections, the tube being configured such that the tube is coupled with the ...

Rotate-to-Advance Catheterization System

An apparatus for accessing a bodily passageway includes: an endoscope including an insertion portion configured to inserted into the bodily passageway; a drive tube including a lumen configured to receive the endoscope; a helically-wound thread disposed on an outer wall of the drive tube and configured such that rotation of the drive tube causes the drive tube with the endoscope to move along the passageway; a flexible drive shaft configured to transfer rotary motion generated by a power supply; and a rotatable drive collar disposed on the endoscope and configured to rotate the drive tube relative to the endoscope, the rotatable drive collar including a stator, a rotor rotatable over the stator and detachably coupled to the drive tube, a rotary gear configured to transfer the rotary motion from the flexible drive shaft to the rotor to rotate the drive tube, and a watertight seal disposed between the stator and the rotor.

Implantable Prosthetic Devices and Solvent-Casting Methods for Manufacturing Same

Implantable prosthetic devices are provided. Such devices include substantially planar supports such as a mesh for surgical use made of polypropylene, and a porous coating membrane formed on at least one face of said support, said porous membrane being formed in situ on the support by the solvent casting technique. Methods for making such prosthetic devices are also provided. 114-. (canceled)15. A method of manufacturing a prosthetic device , having a substantially planar support and a porous coating membrane of polymeric material formed on at least one face of the support , the method comprising:i) laying on at least one face of the support of the device a solution of the polymeric material dissolved in a first solvent, the solution comprising particles of a pore-forming material dispersed therein;ii) drying the solution by evaporation of the first solvent, thereby obtaining a membrane of polymeric material formed on at least one face of the support of the device, the membrane comprising particles of a pore-forming material dispersed therein; andiii) dipping the prosthetic device obtained in step ii) in a second solvent capable of dissolving the particles of the pore-forming material, thereby forming pores in the membrane.16. The method of claim 15 , wherein the polymeric material of the porous coating membrane is selected from the group consisting of: polycaprolactone (PCL) claim 15 , polylactic acid (PLA) claim 15 , polyglycolic acid (PGA) claim 15 , polyurethane (PU) and copolymers thereof17. The method of claim 15 , wherein the pore-forming material is selected from the group consisting of polyethylene oxide (PEO) claim 15 , polyvinylpyrrolidone (PVP) claim 15 , polyvinyl alcohol (PVA) claim 15 , glucose and sodium chloride (NaCl).18. The method of claim 15 , wherein the solution of polymeric material comprises polycaprolactone (PCL) and polyethylene oxide (PEO).19. The method of claim 18 , wherein the proportion of polycaprolactone (PCL) to polyethylene oxide ...

BODY CANAL CONTACTING MEANS FOR BODY FLUID FLOW CONTROL METHODS AND DEVICES

An implantable apparatus for controlling fluid flow within a host body includes a constricting member for allowing fluid flow within a body canal when in an open position, and for reducing fluid flow within a body canal when in an closed position. Remote telemetry can be used to operate the constricting member from a position outside the body. The constricting member can include a piston having at least two protrusions for contacting the vessel surface of the body canal. A fluid-operated member can receive fluid to reduce fluid flow within the body canal and expel fluid to allow fluid flow within the body canal. An actuating member is provided for operating the fluid-operated member between the open and closed positions. The actuating member has structure for flowing fluid into and out of the fluid-operated member. A control device is provided for operating the actuating member. An implantable drive mechanism for a constricting member or other medical device includes a sealed housing for implantation in a patient body, a drive magnet positioned within the housing, an actuator for moving the drive magnet, and a magnetically susceptible drive member positioned outside the housing such that movement of the drive magnet within the housing will move the drive member outside of the housing. 1. A system for controlling fluid flow within a host body comprising:a constricting member for allowing fluid flow within a body canal when in an open position and for reducing fluid flow within said body canal when in a closed position;an actuator for operating the constricting member between said open position and said closed position; anda control structure for operating said actuator, said control structure being operated by a telemetry device from a position outside the host body.27.-. (canceled)8. The system of claim 1 , wherein said constricting member comprises at least one inner surface having at least two protrusions adapted to contact said body canal such that a force ...

BARBED IMPLANTABLE DEVICES

The present disclosure describes implantable medical devices which include at least one tissue-gripping element, such as a barbed loop or a barbed and spiked nap. In certain embodiments, the implantable medical devices include a biocompatible substrate having a surface containing at least one barbed loop. The at least one barbed loop may protrude perpendicularly from the surface of the biocompatible substrate. In embodiments, a plurality of barbed loops may be positioned along any portion of the surface of the biocompatible substrate. 117-. (canceled)18. An implantable medical device comprising a biocompatible substrate having a surface comprising barbed and spiked naps.19. The implantable medical device of claim 18 , wherein the barbed and spiked naps are oriented perpendicularly to the surface of the biocompatible substrate.20. The implantable medical device of claim 18 , wherein the barbed and spiked naps comprise a substantially rectilinear body claim 18 , a free end having a head of greater width than that of said rectilinear body claim 18 , and barbs that protrude from said rectilinear body in the portion between the free end and an end attached to the substrate.21. The implantable medical device of wherein the biocompatible substrate comprises a bioabsorbable material selected from the group consisting of polylactides claim 18 , poly(lactic acid) claim 18 , polyglycolides claim 18 , poly(glycolic acid) claim 18 , poly(trimethylene carbonate) claim 18 , poly(dioxanone) claim 18 , poly(hydroxybutyric acid) claim 18 , poly(hydroxyvaleric acid) claim 18 , poly(lactide-co-α-caprolactone-)) claim 18 , poly(glycolide-co-(ε-caprolactone)) claim 18 , polycarbonates claim 18 , poly(pseudo amino acids) claim 18 , poly(amino acids) claim 18 , poly(hydroxyalkanoate)s claim 18 , polyalkylene oxalates claim 18 , polyoxaesters claim 18 , polyanhydrides claim 18 , polyortho esters claim 18 , and copolymers claim 18 , block copolymers claim 18 , homopolymers claim 18 , blends ...