Approaches are described for fitting an implanted cochlear implant electrode array having stimulation electrodes to the implanted patient. A first unfit stimulation electrode is fit to the patient by determining a most comfortable loudness (MCL) value. Then an MCL value is determined for each remaining unfit stimulation electrode starting from an initial fitting current based on current spread characteristics of at least one already fit stimulation electrode.
An adjustable spine distraction implant alleviates pain associated with spinal stenosis and facet arthropathy by expanding the volume and/or cross sectional area in the spinal canal and/or neural foramen. The adjustable implant provides a spinal extension inhibitor. The implant includes elliptical or oval shaped adjustable member or spacer for positioning between and adjustably spacing apart the spinous processes.
A new Intra-spinal decompression implant is introduced that comprises of two plate attachments to a titanium metal implant that fits between the spinous processes of the vertebrae in the lower back, decompressing the neuro elements. The invention has a number of new design features including: double axis adjustable side plates, stepped conical tipped body and piercing tips on side plates, among many mentioned in this disclosure, that improves the quality of the surgery and the result for the patient. More examples are given in this application.
Disclosed herein are devices, systems and methods for the automated design and manufacture of patient-specific/patient-matched orthopedic implants. While the embodiments described herein specifically pertain to unicompartmental resurfacing implants for the knee, the principles described are applicable to other types of knee implants (including, without limitation, other resurfacing implants and joint replacement implants) as well as implants for other joints and other patient-specific orthopedic applications.
A bone conduction implant, including a bone fixture including a male screw section configured to screw into a skull and an abutment configured to be rigidly attached to the bone fixture, wherein the abutment includes an exterior surface diameter lying on a first plane normal to a longitudinal axis of the bone conduction implant that is less than or substantially equal to the maximum thread diameter of the male screw section of the bone fixture
Silver and/or zinc ion releasing implants, systems and method of operating, inserting and activating/inactivating them are described. In some variations the implant is configured as a bone implant that includes a bone-screw or intramedullary rod like body configured to receive a treatment cartridge having a plurality of ion-releasing members configured as an anode that can controllably engage with a catheter to turn galvanic release of ions on/off as desired. These devices may be configured to release silver ions (and/or zinc ions) above a predetermined level for a predetermined period of time and may maintain a concentration of ions over a relatively large volume of tissue. The ion-releasing members may be configured to reduce or prevent implant movement.
An osteoimplant device is provided. The osteoimplant device includes a body of nondemineralized cortical bone and an outer surface having at least one region including demineralized bone. The osteoimplant device is formable into a shape and size configured for implantation at a surgical site. A disc shaped osteoimplant can be used for a facet joint fusion. A method of treating a patient having a bone defect in a host bone is also provided, the method including inserting the osteoimplant into the bone defect, for example, one associated with a facet joint.
A breast implant system comprises at least one casing (3, 4) with a flexible outer shape for implantation in a patient's body so as to form part of a breast implant (10) and further comprises at least one first element (1) contained in the casing and optionally at least one second element (2) also contained in the casing. The first and second elements are either displaceable within the casing and/or their volume can be changed in order to change the shape and/or size of the breast implant. A reservoir (R) comprising a lubricating fluid is connected to the casing so as to allow lubricating fluid to be supplied to and removed from the casing in order to reduce surface friction between adjacent elements and/or between the casing and the elements before the shape of the breast implant is changed.
A breast implant system comprises at least one first element (1) and at least one second element (2) for implantation in the patient's body so as to form part of a breast implant (10). The first element is displaceable relative to the second element, when implanted in the patient's breast, so as to change the outer shape of the breast implant. Preferably, the elements are contained in a casing (12, 13) with a flexible outer shape. More preferably, a reservoir (R) comprising a lubricating fluid is connected to the casing so as to allow lubricating fluid to be supplied to, and removed from, the casing, in order to reduce surface friction between adjacent elements, and/or between the casing and the elements, before the shape of the breast implant is changed by relative displacement of the first and second elements.
The invention is a cardiac implant, and associated methods therefore, configured to repair and/or replace a native heart valve, and having a support frame configured to be reshaped into an expanded/changed form in order to receive and/or support an expandable prosthetic heart valve therein. The implant may be configured to have a generally rigid and/or expansion-resistant configuration when initially implanted to replace/repair a native valve (or other prosthetic heart valve), but to assume a generally non-rigid and/or expanded/expandable form when subjected to an outward force such as that provided by a dilation balloon. The implant may be configured to have a generally D-shaped configuration when initially implanted, but to assume a generally circular form when subjected to an outward force such as that provided by a dilation balloon.
Medical devices, systems, and methods reduce the distance between two locations in tissue, often for treatment of congestive heart failure. In one embodiment an anchor of an implant system may reside within the right ventricle in engagement with the ventricular septum. A tension member may extend from that anchor through the septum and an exterior wall of the left ventricle to a second anchor disposed along an epicardial surface. Deployment of the anchor within the right ventricle may be performed by inserting a guidewire through the septal wall into the right ventricle. The anchor may be inserted into the right ventricle over the guidewire and through a lumen of a catheter. An anchor force may be applied within a desired range to secure the anchors about the septum and epicardial surface. The anchor force may inhibit migration of the anchors relative to the septum and epicardial surface.
The present invention relates to a coated medical implant wherein the coating comprises an amorphous Me oxide layer or an (Al, Me) oxide layer deposited by physical vapor deposition, and wherein Me can be one or more of the elements of Ti, Si, Cr, Hf, Zr, Ta or Nb. The PVD layer does not have any bioactive/osseointegrating properties at temperatures below 45.degree. C. This makes it easy to remove the implant after it has being inserted in an animal or human body, e.g. when used for fixating fractures. The coating may further comprise a calcium phosphate layer, preferably a hydroxyapatite layer, which is grown on the PVD layer using a biomimetic process. The coating may be loaded with a releasable agent such as a pharmaceutical agent, an ion or a bio molecule. The present invention also relates to a method for forming the coated medical implant.
A one piece screw type mini dental implant (20) with a supragingival comfort head (10) that is generally frustoconical in shape and smooth in contour and outline, with rounded edges (11). The diameter of the base (12) is bigger than the diameter of the screw portion (1) by a factor of 1.5 to 1.6. Flats (4, 6), facets (5, 9), through holes (8, 8'), slots (7, 7'), and/or grooves (13, 13') may be provided on the supragingival head (10). These features provide a mini dental implant that feels comfortable in a patient's mouth, is easy to place, amenable to direct impression taking and applicable in prosthodontic and orthodontic use.
Infection-inhibiting compositions suitable for coating surfaces of implantable medical implants, including compositions and devices for coating medical devices in the operating room prior to implantation in a patient. Methods for inhibiting infection at the site of implantation of an orthopedic device in a human or animal subject, comprise rubbing a surface of the device, prior to implantation, with an infection-inhibiting composition having a waxy matrix comprising an infection-inhibiting material selected from the group consisting of a lipid, an antimicrobial agent, and mixtures thereof, wherein a thin layer of the infection-inhibiting material is deposited on the surface of the device. Medical implants which may be treated in the methods of this technology include orthopedic implants. Lipids include long-chain diacylglycerides or triacylglycerides, which may be saturated or unsaturated, such as lecithin or a purified form of phosphatidylcholine.
A dental implant that facilitates insertion includes a body having a coronal end and an apical end opposite the coronal end. An implant-prosthetic interface region is provided adjacent the coronal end. A tapered region is adjacent the apical end. A variable profile helical thread extends along the tapered region. The thread becomes broader in the apical-coronal direction and higher in the coronal-apical direction. The threads include an apical side, a coronal side and a lateral edge connecting them. The variable profile thread includes an expanding length of the lateral edge while the distance of the lateral edge from the base is reduced in the direction of the coronal end. The implant also has a gradual compressing tapered core, a self drilling apical end with a spiral tap, and a coronal end with and inverse tapering.
Corneal implant retaining devices and their methods of use. The retaining devices can be a cap adapted to be disposed over a portion of a corneal implant insertion device.
Various embodiments of the invention relate to a cRGD peptide derivative and an associated manufacturing method, and to an implant having a coating containing a cRGD peptide derivative. One aspect of the invention is the provision of a cRGD peptide derivative having the formula (1): ##STR00001## wherein x=0-8, in particular 4-8, and R is a hydrophobic group.
Custom dental prosthesis or implants each individually designed and manufactured to replace nonfunctional natural teeth positioned in a jawbone of a specific pre-identified patient are provided. An example dental prosthesis/implant includes a dental implant body having a prosthesis interface formed therein to receive an occlusally-facing dental prosthesis component. The prosthesis interface has a custom three-dimensional surface shape positioned and formed to create a form locking fit with respect to the occlusally-facing dental prosthesis component when positioned thereon.
A method for perfusion of a porous implant which achieves efficient interpenetration of desired factors into and removal of undesirable factors from the pores of the implant, cleaning of the implant, efficient passivation of the implant, and the implant produced by such treatment. A system wherein the rate of pressure cycling, the fact of pressure cycling, and the amplitude of pressure cycling, results in highly cleaned tissues and other implants. Goals include between about a one to twelve log reduction in bacterial contamination, between about a one to fifteen log reduction in enveloped virus contamination, up to about a five log reduction in non-enveloped virus contamination, between about a two to tenfold reduction in endotoxin, maintenance of implant or graft biologic and biomechanical properties, absence of tissue toxicity due to cleaning solutions used, and reduced implant antigenicity.
A dental implant assembly comprises an implant body adapted for securement within a bore in a jaw bone of a patient. The implant body has a portion with an external thread for engaging the bore. An abutment has a top portion and a bottom portion. The top portion of the abutment is adapted to secure a prosthetic component. The bottom portion of the abutment is attachable to the implant body and adapted to be positioned below a gumline of the patient, the abutment formed of a first material. A cover, is sized and shaped to cover the bottom portion of the abutment and adapted to be positioned below the gum line, without covering the top portion of the abutment. The cover is formed from a second material having a different color from the first material.
The invention provides dental implants for fixed and removable prosthetic devices, and for other devices such as orthodontic devices, and has application to single tooth replacement, e.g., caps and crowns, and multiple tooth replacement using one or more implants, e.g., bridges, and multiple implants for full and partial prosthetic devices. Dental implants according to embodiments of the invention comprise a post or posts inserted into the jawbone and a base that is loaded, in the general area of the gum line, against the jawbone using the post or posts. According to some embodiments, the base is secured to each post, loaded against the jawbone, by a fastener system.
To provide a dental implant abutment made of titanium, which is mounted on the intraoral side of a dental implant fixture embedded in a jawbone and coming to be an artificial tooth root, penetrates through gingiva, and comes to be a base of an upper structure. The dental implant abutment does not remarkably impair aesthetic property even when the intraoral portion of the dental implant abutment is seen through gingiva. The surface of the dental implant abutment made of titanium is colored to have the value of L* within a range from 40 to 44, the value of a* within a range from 21 to 40 and the value of b* within a range from -20 to 10, which are represented by L*a*b* color system.
Dental implant system for mounting a dental superstructure is disclosed. Enossal, gingival, transgingival sections plus implant head are integrated into a single-piece implant body. The enossal and gingival sections have geometries derived from diagnostic patient data and, thus, correspond geometrically precisely to the shape of the patient's jawbone and the drilled implant cavity, completely filling those portions of the cavity. The superstructure covers the entire surface of the implant head, filling out the rest of the cavity. The surface structure of the dental implant has no gaps in it and portions of it are textured so as to facilitate complete fusing of tissue to implant, thereby preventing formation of gum pockets. Sections of the dental implant are rotationally asymmetrical, so as to ensure proper location of the implant in the cavity and prevent rotation. The construction of the implant also prevents the occurrence of micro-movements.
Provided is a method that includes providing a listing of a plurality of user selectable dental implant treatment plan options, wherein the listing is to be displayed on a graphical user interface of a computer system, providing a cost associated with a set of the dental implant treatment plan options selected for inclusion in the dental implant plan, wherein the cost is configured to be displayed in a cost display region of the graphical user interface, receiving, at computer device, an input indicative of a user selection of one or more of the user selectable dental implant treatment plan options for inclusion in the dental implant treatment plan, and providing, in response to receiving the input, an updated cost associated with the with the set of dental implant treatment plan options selected and the user selected one or more dental implant treatment plan options, wherein the updated cost is to be displayed in the cost display region in place of the cost associated with the set of selected dental implant treatment plan options. Further provided is a method that includes receiving, at a computer device, a request from a user for at least a portion of dental implant treatment plan application, wherein the dental implant treatment plan application is to be displayed on a graphical user interface of a computer system, retrieving, in response to receiving the request, one or more dental implant treatment plan application preferences associated with the user, and providing the dental implant treatment plan application in accordance with one or more of the preferences associated with the user, wherein the dental implant treatment plan application is to be displayed on a graphical user interface of the computer system.
A dental jaw implant for supporting at least one of a replacement tooth neck and a crown portion includes a monolithic implant body comprising an ingrowth section comprising an ingrowth structure configured to grow together with a patient's jaw bone. An insertion opening is arranged at a coronal axial end. The insertion opening is configured to have at least one of a replacement tooth neck and a crown portion be inserted therein. A female thread adjoins the insertion opening. The female thread is configured to thread a replacement tooth retaining element. The replacement tooth retaining element is configured to retain the at least one of the replacement tooth neck and the crown portion. An outer cone is arranged at the coronal axial end. The outer cone tapers towards a non-coronal end. A radial step comprises an annular surface substantially disposed in a radial plane. The annular surface is arranged between the outer cone and the ingrowth section.
Dental retention systems which facilitate the adjustment or removal of an oral appliance, e.g., a crown or bridge, from a reconfigurable abutment assembly are described. The adjustable abutment assembly may be secured to an anchoring implant bored into the bones within the mouth. The abutment assembly has a projecting abutment portion with one or more shape memory alloy compression plates or elements extending along the projecting abutment portion. Each of the plates has a length with one or more straightened portions and with at least one curved or arcuate portion. Energy may be applied to the elements such that the arcuate portion self-flattens to allow for the oral appliance to be placed thereupon while removal of the energy allows the elements to reconfigure into its curved configuration thereby locking the oral appliance to the abutment. Removal of the oral appliance may be effected by reapplication of energy to the elements.
A method comprises attaching an abutment to an implant body so as to form a seal and cover the implant body, the implant body having a top portion with an external tapered surface and a bottom portion secured within a jaw bone of a patient. The abutment has a top portion adapted to secure a prosthetic component and a bottom portion adapted to be positioned below a gumline of the patient. The bottom portion of the abutment is shaped to attach to and fit over the implant body. The bottom portion of the abutment has a cavity with an internal tapered surface. The internal tapered surface of the abutment and the external tapered surface of theimplant body form a Morse taper.
A dental implant assembly comprises an elongated tubular body adapted for securement within a bore in a jaw bone of a patient. The body has an expandable bottom portion. The expandable bottom portion has an outer thread on an outer surface. The outer thread has a major diameter that gradually increases from a first major diameter near a bottom end of the body to a second major diameter near a top end of the bottom portion. The top end of the bottom portion is located between the bottom top ends of the body. An expander at least partially extends into the bottom end of the tubular body. The expander is configured to be advanced from a first position in which the bottom portion of the body is not expanded to a second position in which the expander forces the bottom portion of the body to expand.
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.
A device for medical applications, comprising an elongated conductive element having one proximal end and one distal end, wherein the latter undergoes a temperature increase by absorbing energy from an electromagnetic field, comprising a separating element disposed in the elongated conductive element for the galvanic separation of the proximal end from the distal end.
A medical device for the delivery of sutures and implants through tissue of a patient's body. The medical device includes a handle, an elongated shaft member, a needle carrier, and a slideable mechanism. A method of delivering a suture or an implant includes inserting and deploying a medical device including a handle, an elongated shaft member, a needle carrier, and a slideable mechanism into tissue of a patient's body.
Disclosed is a cytostatic drug attached to a sterile sheet that is designed to be placed between internal body tissues to prevent the formation of post-operative adhesions, which adhesions are really scar tissue formation. This sheet onto or into which the drug is placed may be either a permanent implant or it may be biodegradable. By impregnating an existing product such as the Johnson & Johnson SURGICEL.TM. absorbable hemostat gauze-like sheet with an anti-proliferative drug such as sirolimus, the biodegradable, drug impregnated mesh would act as a barrier to cell proliferation and hence be a deterrent to the formation of adhesions or scar tissue. Another embodiment of this invention is a cytostatic drug attached to a sheet that is placed at the site of an anastomosis to decrease scar tissue formation from within the vessel at the site of the anastomosis.
A system for single tunnel, double bundle anterior cruciate ligament reconstruction includes implant constructs and instruments. The implant constructs provide a combination of cortical fixation and bone tunnel aperture fixation. The implant constructs separate a graft into distinct bundles. The instruments are used to prepare shaped bone tunnels to receive the implant constructs and graft bundles. Methods for reconstructing the antero-medial and postero-lateral bundles of the anterior cruciate ligament may rely on single femoral and tibial tunnels and a single strand of graft.
A replacement knee implant has a femoral implant and a tibial implant, each of which are inset in a bone surface. The tibial implant is generally elongated with one end rounded and an opposite end conforming to the shape of the tibia, and is made of a metal alloy or a ceramic. The upper surface is dished while the lower surface is planar and can be parallel or sloped relative to the upper surface, and can have a keel for fixation. The femoral implant for implementation in a femoral condyle is rounded such that, when implemented, the femoral implant is flush at the anterior and posterior sides and protruding away from the femur between the anterior and posterior ends. The femoral implant can have an elongated keel for extending into the femur, and can be made from a highly cross-linked polyethylene.
An implantable electrode assembly for a cochlear implant comprising: an elongate carrier member having an intra-cochlear region, an extra-cochlear region, and an additional region immediately adjacent the extra-cochlear region and extending to a stimulator unit; one or more electrodes disposed on the intra-cochlear region of the elongate carrier member; and one or more signal pathways extending from the additional region through at least a portion of the intra-cochlear region, wherein a cross-sectional profile of each of the one or more signal pathways is smaller in the intra-cochlear region than in the additional region.
An interbody spinal implant including a body having a top surface, a bottom surface, opposing lateral sides, opposing anterior and posterior portions, a substantially hollow center, and single vertical aperture, as well as an integration plate having a roughened surface topography on its top surface.
A medical implant comprising in components from a tooth and stem cells harvested from at least one tooth. Pluripotent stem cells, other cells, and biologic constituents of the dental pulp may be harvested from the dental pulp of mammalian teeth, such as unerupted third molars in humans. After the stem cells are removed and isolated from the other teeth tissue, the hard tooth may be ground into a base material for the manufacture of a porous matrix into which the pluripotent stem cells, other cells, and biologic constituents of the dental pulp can be added. Additionally, soft tissue from the harvested tooth may be used as a carrier scaffold for soft tissue applications such as meniscal or cartilage repair.
Disclosed is an expandable interbody fusion implant that is configured to have an initial configuration having a first footprint width suitable for being inserted into an intervertebral space and an expanded configuration having a second footprint width that is greater than the first footprint width. The implant may include a first body member and a second body member that is pivotally coupled to the first body member. The implant may be expanded using an inflatable balloon. The implant may be expanded bilaterally such that both body members rotate relative to the other or the implant may be expanded unilaterally such that one of the body members rotates relative to the other.
A method of inserting an expandable intervertebral implant is disclosed. The implant preferably includes first and second members capable of being expanded upon movement of first and second wedges. The first and second wedges, while being capable of moving with respect to each other and the first and second members are also preferably attached to the first and second members. In addition, the first and second wedges are preferably capable of moving only in a first direction, while movement in a second direction is inhibited. The first and second wedges are also preferably prevented from torsionally moving with respect to the first and second members.
An implant includes at least one supporting arrangement which is suited for supporting the implant at or on an implantation position, wherein both the supporting arrangement and the implant are expandable from a first diameter to a second diameter and/or are collapsible from the second diameter to the first diameter. The supporting arrangement includes bars which are connected to each other by means of connecting sections and at least one post for connecting the supporting arrangement with at least one other structure of the implant. At least two of the connecting sections differ in at least one material characteristic, for example, thickness.
A method for crimping a medical implant includes at least one foldable and/or unfoldable structure on or around or over a portion or outer surface of a catheter or of a catheter tip. No pressure beyond a predetermined pressure is exerted on the structure during and/or after crimping of the implant.
A dental implant and a method and system for fabricating and installing the dental implant are provided. The dental implant comprises an implant member for insertion into a periodontal bone socket, and an anchoring assembly. The anchoring assembly is positioned within a hollow axial cavity of the implant member. The anchoring assembly comprises a fastening element and radial and equidistant cylindrical members. The fastening element engages the implant member within the hollow axial cavity. The cylindrical members are positioned proximal to the implant member's root section. The root section comprises through-holes for radially and forcibly sliding the cylindrical members through them. Each of the cylindrical members comprises a first end interfacing with the fastening element, and a second end interfacing against a periodontal bone socket surface. When the fastening element apically advances within the hollow axial cavity, the cylindrical members generate an anchoring force to anchor the dental implant.
The invention relates to a fastening device for implant device, the fastening device comprising at least two fastening sections, where a first fastening section is arranged with a through hole, a second fastening section is arranged with a protruding part, and where said protruding part is in place in said trough hole in a fastening device locking state, where the protruding part on the second fastening section is arranged with a trough channel having an inlet and an outlet, said through channel being arranged to receive an implant device feed member, said inlet and outlet being accessible from the exterior of the fastening device in said fastening device locking state, wherein the first fastening section is securely locked to the second fastening section when, in said fastening device locking state, said implant device feed member is in place in the trough channel and protrudes from both the inlet and the outlet of said trough channel. The invention further relates to an implant device comprising a fastening device, and a method for securely locking a first fastening section of a fastening device for an implant device to a second section of a fastening device for an implant device.
The present invention relates generally to implants used in medical procedures such as bone fixation or fusion. More specifically, this application relates to fenestrated implants used in bone fixation or fusion.
Implants and methods for augmentation of the disc space between two vertebral bodies to treat disease or abnormal pathology conditions in spinal applications. The implant includes a chain of biocompatible material suitable for insertion into a disc space between two adjacent vertebral bodies in a patient's spinal column, wherein the spinal disc space has a transverse plane. The chain comprises a plurality of adjacent bodies having a height configured to reside within the disc space between two adjacent vertebral bodies and a length configured to reside in the disc space between two adjacent vertebral bodies when the chain is curved in an orientation substantially along the transverse plane of the spinal disc space.
A method of forming a deep trench structure for a semiconductor device includes forming a mask layer over a semiconductor substrate. An opening in the mask layer is formed by patterning the mask layer, and a deep trench is formed in the semiconductor substrate using the patterned opening in the mask layer. A sacrificial fill material is formed over the mask layer and into the deep trench. A first portion of the sacrificial fill material is recessed from the deep trench and a first dopant implant forms a first doped region in the semiconductor substrate. A second portion of the sacrificial fill material is recessed from the deep trench and a second dopantimplant forms a second doped region in the semiconductor substrate, wherein the second doped region is formed underneath the first doped region such that the second doped region and the first doped region are contiguous with each other.
A fully implantable apparatus for improving the hearing of a hearing-impaired subject is shown, said apparatus comprising a means for sensing vibrations impinging upon the tympanic membrane or an object in operative contact with the tympanic membrane, a means for converting said vibrations to an electrical signal, and a means for transmitting the electrical signal to the inner ear.
At least some embodiments of the invention relates to an implant having a coating that contains or is composed of a functionalized RGD peptidomimetic RGD-P1 having the formula (1) and/or a functionalized RGD peptidomimetic RGD-P2 having the formula (2), and an associated manufacturing method.
A gastrointestinal implant device comprises a sleeve for extending into the duodenum and an artificial valve for placement at the pylorus to control flow from the stomach into the duodenal sleeve. The implant device also comprises a support structure for the valve
The invention provides chip packaging and processes for the assembly of retinal prosthesis devices. Advantageously, photo-patternable adhesive or epoxy such as photoresist is used as glue to attach a chip to the targeted thin-film (e.g., parylene) substrate so that the chip is used as an attachment to prevent delamination.
A humeral head resurfacing implant (11) that has a modulus of elasticity close to that of human cortical bone as a result of its design from an integral substrate of isotropic graphite covered completely with a reinforcing layer of dense isotropic pyrolytic carbon. A carefully engineered cruciform stem (15) extends from the axial center of a flat distal circular surface (23) of a spherical cap portion (19) of the implant head located within the confines of a surrounding skirt portion (21).
A system, apparatus and method for increasing ion source lifetime in an ion implanter are provided. Oxidation of the ion source and ion source chamber poisoning resulting from a carbon and oxygen-containing source gas is controlled by utilizing a hydrogen co-gas, which reacts with free oxygen atoms to form hydroxide and water.
An impacting device for inserting, positioning and/or removing an implant and/or performing other impacting applications. The impacting device may have a head having at least one recess. The recess may have a insertion channel and a locking chamber. In one embodiment, the insertion channel and the locking chamber may be connected by an axial channel. The recess may pass through a lateral surface of the head so that the base surface may remain cohesive or unobstructed. A guide means, such as a guide rod, may be positioned though the recess so that the head may be moveable on the guide means and not disengage the guide means. A shaft having a handle may be attached to the head to assist a surgeon in moving the head on the guide means.
An implant apparatus and a method for spinal fusion from oblique, lateral, ALIF, PLIF, and TLIF approach are disclosed. The apparatus can be configured to include an expandable implant cage and an inserter. The cage can be inserted between endplates of upper and lower vertebra using lateral, ALIF, PLIF, and TLIF approach. The cage generally includes a male and female screw configuration and a cage expansion mechanism. The inserter inserts the cage in a spinal disc space and tightens the male and female screw arrangement. Once the cage is inserted to the desired position, viewed by X-ray you will begin to tighten the male portion of the screw in the device, and continue to tighten until final deployment of cage has been achieved. This provides a much greater footprint that allows the device to reach the cortical ring or apophyseal ring of the vertebral body. Tightening of male and female screw arrangement operates the cage expansion mechanism to expand the cage size. The cage can be inserted through a smaller surgical opening and then expanded to a full size assembly between the vertebrae.
An implant is provided with an upper portion in which an internal socket extends. The implant can be tightened by a turning instrument which has first lateral surfaces that can cooperate with corresponding second lateral surfaces in the internal socket. One or more of the first and/or second lateral surfaces is/are arranged completely or partially with friction-enhancing means. The implant and the tool are arranged with interacting parts which extend beyond the first and second lateral surfaces and completely or substantially take up bending moments which act in or on said portion or are directed toward said portion and occur in the event of skewing, or a tendency toward skewing, between the implant and the tool. The arrangement counteracts mechanical stresses in said portion, the latter being able to retain its original shape even in the case of implants with small dimensions.
An implant device for stimulating osteogenesis and osseointegration comprises a hollow annular housing member, a pulsed current modulator, and a coil connected to the current modulator. The current modulator and at least a portion of the coil are mounted within the housing member. A frequency of the pulsed current is selected to generate an electromagnetic field of a predetermined flux density that penetrates, and propagates radially outwardly from, the housing member for a sufficiently large propagation distance to stimulate osteogenesis and osseointegration, by means of the generated electromagnetic field, of a bone region in which the implant device is implanted and which is disposed radially outwardly from the housing member.
An implant unit may include a substrate and an implantable circuit arranged on the substrate. An encapsulation structure may be disposed over at least a portion of the substrate and at least a portion of the implantable circuit, the encapsulation structure including a parylene layer and a silicon layer disposed over the parylene layer.
The invention relates to an implant for the transforaminal intracorporeal fusion of lumbar vertebral column segments. At least some sections of the surface areas that are in direct contact with the spinal column are provided with an anti-dislocation mechanism (1) while an attachment part (4) for a positioning instrument (10) is provided in or on the implant and holes (6) or hollow spaces are disposed in the implant for filling purposes. According to one embodiment of the invention, the attachment part is configured as a revolute joint. In a further embodiment, the implant member has the shape of a sickle, the curvature of which is oriented ventrally and the interior of which is oriented dorsally. The attachment part is located at one end of the sickle while the opposite end of the sickle has a beak-type, tapering shape (5). At least one filling hole is provided between the sickle walls.
The invention relates to an implant which includes, in order to electrically stimulate a nerve structure, in particular the retina, an electrically insulating substrate (1), a array of recesses (2) formed in an upper surface of the substrate, stimulation electrodes (3) arranged at the bottom of the recesses, and an electrically conductive layer forming a ground plane (4) at the upper portion of the recesses. The sizes of the recesses and of the electrodes of the implant are such that the spatial selectivity of the stimulation current applied to the nerve structure is maximized.
An orthopedic implant having an implant body including a bone interface surface having a bone interface structure protruding therefrom. The bone interface structure includes a proximal portion of the bone interface structure adjacent the bone interface surface and a distal portion of the bone interface structure extending from the proximal portion of the bone interface structure, wherein the distal portion of the bone interface structure configured to be disposed at least partially into a bone structure during use.
Disclosed is an adjustable occlusion device for use in a body lumen such as the left atrial appendage. The occlusion device is removably carried by a deployment catheter. The device may be enlarged or reduced to facilitate optimal placement or removal. Methods are also disclosed.
A sleep apnea treatment device may include a flexible carrier configured to be implanted in a body of a subject. The device may also include at least one electrode disposed on the flexible carrier, the at least one electrode being configured to modulate nerve fibers of the subject. A flexible antenna may be disposed on the flexible carrier, the flexible antenna electrically connected to the at least one electrode in a manner permitting at least some energy received by the flexible antenna to be transferred to the at least one electrode. The flexible antenna may include: at least a first conductive trace arranged on a first side of the flexible carrier, the at least a first conductive trace defining at least a first elongated space between portions thereof; and at least a second conductive trace arranged on a second side of the flexible carrier, the at least a second conductive trace defining at least a second elongated space between portions thereof, wherein the at least a first conductive trace is at least partially offset from the at least a second conductive trace such that portions of the first conductive trace overly the at least a second elongated space and wherein portions of the second conductive trace underlay the at least a first elongated space.
An implant or sling device is provided with a tension adjustment system. The adjustment system can include one or more small pressure bulbs placed against the inferior pubic rami for support. By palpating the bulbs (one on left and one on right), the pressure can be adjusted to control the tension of the implant. Other conduits, balloons, introduction tools, ports and fluid adjustment components and mechanisms can be included to provide selective adjustment of the tension of the implant relative to the supported tissue or organ.
An implant delivery system can be configured to deliver an inflatable implant into a bladder via a urethra. The delivery system can comprise an elongate tubular body, an inflation tube and an implant decoupler. The tubular body can comprise a central lumen configured to hold an inflatable implant in an initial un-inflated state for delivery of the implant into the bladder. A method of use can include passing a distal tip of the elongate tubular body into the bladder. The implant can be inflated and released into the bladder.
A spinal fusion implant for surgical implantation at least in part within a disc space between two adjacent vertebral bodies in a segment of a human spine. The implant has a trailing end with bone screw receiving holes that each have a diameter that intersects with one of the upper and lower surfaces of the implant to form a perimeter that extends from an exterior surface of the trailing end towards an interior surface of the trailing end.
The present invention provides improvements to an implant, system and method using passive electrical conductors which route electrical current to either external or implanted electrical devices, to multiple target body tissues and to selective target body tissues. The passive electrical conductor extends from subcutaneous tissue located below either a surface cathodic electrode or a surface anodic electrode a) to a target tissue to route electrical signals from the target body tissue to devices external to the body; b) to implanted electrical devices to deliver electrical current to such devices, or c) to multiple target body tissues or to selective target body tissues to stimulate the target body tissues. The conductor has specialized ends for achieving such purposes.
A multi-component joint assembly incorporated into reconditioned end surfaces established between a first bone and opposing second bone. A first component is anchored into a reconditioned end surface of the first bone and exhibits a first exposed support surface. A second component is anchored into a reconditioned end surface of at least one of radius and ulna bones and exhibits a second exposed support surface. An intermediate component is supported in articulating fashion between the first and second anchored components. A plurality of micro debris entrapment chamber subassemblies are incorporated into the components and communicate with at least one of the articulating surfaces for isolating and capturing debris resulting from joint wear.
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 tissue.
A system for adjusting an adjustable ossicular prosthesis including an ossicular implant and an adjusting device is provided. The ossicular implant includes a first fixation element, an elongated member extending from the first fixation element with a plurality of notches, a receiving member receiving a portion of the elongated member, and a resilient arm coupled to the elongated member. The resilient arm has a locked position fixing the receiving member relative to the elongated member and the length of the implant, and an unlocked position. The adjusting device includes first and second arms having first and second sets of jaws coupled thereto, the first and second sets of jaws configured to selectively engage the implant, the second set of jaws being configured to position the resilient arm in the unlocked position when engaging the receiving member of the implant, and an adjustment mechanism to adjust the length of the implant.
An inter-vertebral implant having drainage cavities therethrough is disclosed. Drainage of surgical byproducts, spinal fluid and blood, and administration of medicine or cooled saline to the volume between the inter vertebralimplant and the spinal cord are enabled during and after surgery.
An intervertebral spinal implant includes a shaped body with a first bearing side, a second bearing side located opposite to the first bearing side, a front part, a rear part, a concave side and a convex side. The concave side and the convex side are both connected to the bearing sides as well as to the front part and the rear part. The first bearing side and the second bearing side are each provided with at least two projections for penetration within a vertebral body's wall. The projections are formed by elongated sliding-guiding runners which extend in a diverging manner from the concave side of the body towards the convex side of the body. The sliding-guiding runners extend in a curved manner so that they also extend from the concave side of the body towards the rear part of the body in addition to extending towards the convex side of the body. The sliding-guiding runners are provided with a smooth surface facing the convex side of the body and with a rough surface facing the concave side of the body.
An improved method of fabricating a resistive memory device is disclosed. A resistive memory includes a bottom electrode, a top electrode and a resistive material layer interposed therebetween. Interfaces are formed between the resistive material layer and the respective top and bottom electrodes. Ions are implanted in the device to change the characteristics of one or both of these interfaces, thereby improving the performance of the memory device. These ions may be implanted after the three layers are fabricated, during the fabrication of these layers, or at both times.
Disclosed are embodiments of an improved joint prosthesis that can provide the option to improve initial stability without removing the implant or altering the preparation. Embodiments of improved joint implant components can comprise one or more expandable, hollow segmented posts. Methods of implant fixation are also disclosed. Disclosed methods can provide the opportunity for establishing initial biologic fixation (bone ingrowth), and can also provide an adjunct fixation through injecting cement down the center of the post if initial stability is not achieved or is questionable.
An implant for one of partial and total replacement of an articulating joint between a first bone and a second bone. The implant has a joint component implant including a body and a head, the body including a first region spaced from the head and a second region proximate the head, the head including a convex bearing surface. At least a portion of the first region has a textured surface, the textured surface constructed of a foam metal material that is configured to promote bone in-growth into the textured surface, the body constructed of a metallic material and configured for attaching to the first bone, the first region tapering from a proximal end adjacent the second region toward a distal end.
A joint resurfacing prosthetic implant system is disclosed having an anatomically-shaped implant to replace a joint at a pedal digit or finger, including a head having an elliptical bearing surface disposed for engaging the end of an adjacent bone and a seating surface opposite the bearing surface, an elongated stem extending distally from the seating surface, and a flange on the circumference of the device and extending distally from the seating surface. The flange includes one or more portals and a removed section configured to avoid impinging upon a tendon during and after implantation of the prosthetic. A specialized tool is also provided to facilitate the resection of the bone for implantation. The specialized tool includes an elliptical template having a cutting edge and a center insert that is sized and configured to match a reamer used to bore into the bone for insertion of the implant.
A receiving member has a primary socket for a fixation mechanism and a secondary socket for a locking device. The secondary socket has a first bore intersecting a portion of the primary socket and forming an arcuate cut-out. The secondary socket has a chord member extending into the secondary socket first bore that forms a radial undercut in the secondary socket. The secondary socket has a detent extending from the radial undercut into the chord member. The locking device is rotatable in the secondary socket between an unlocked position in which an engagement surface of a cap of the locking device is angularly displaced from the arcuate cut-out, and a locked position in which the cap engagement surface occupies the arcuate cut-out and engages the fixation mechanism, and the arm engages an underside of the chord member, thereby preventing the fixation member from disengaging the receiving member primary socket.
The longitudinal implant is fastened to bones on either side of a damaged area through a connecting device. Said implant is comprised of a filament or fiber composite material and said connecting device is made of a material harder than said longitudinal implant. The longitudinal implant is preferably made of a carbon filament composite material, wherein the filament are encapsulated in a polymer matrix.
A marker composite for medical implants composed of a biocorrodible metallic material and a medical implant comprising an X-ray marker which was made of the marker composite. The marker composite contains a large number of particles composed of a radio-opaque metal, which are embedded in an electrically non-conductive polymer. The particles have an additional electrically non-conductive coating.
A medical implant includes a flexible container having two layers of flexible surrounding walls, each surrounding wall being provided with a plurality of through holes; a tubular fitting being connected to an open end of the flexible container for inserting or infusing a medical filling material into the flexible container through the tubular fitting; and a thrust part connected to the flexible surrounding walls of the flexible container and at a distal end of the flexible container. The thrust part has a receiving seat and a ring, the receiving seat having a central bore and an annular groove surrounding the central bore and opposite to the central bore, wherein a tubular surrounding wall is inserted into the ring and is folded so that the two layers of flexible surrounding walls are formed with the ring imbedded between the two layers of flexible surrounding walls, and the ring with the two layers of flexible surrounding walls are received in the annular groove and detained therein due to friction.
An implantable medical device includes a telemetry unit wirelessly receiving data signals and control commands; a control unit connected to the telemetry unit; and a comparator unit which compares data signals received via the telemetry unit with data signals generated in or detected by the implantable medical device. Each of the data signals represents specific features, e.g., patient characteristics. The comparator unit generates a release signal if data signals received via the telemetry unit represent one or more features that are similar, according to a specified similarity measure, to one or more features represented by data signals generated in or detected by the implantable medical device. The control unit executes control commands received via the telemetry unit, or receives control commands via the telemetry unit, in response to such a release signal (or, in the absence of the release signal, does not execute or receive control commands).
A medical implant deployment tool and deployment method are disclosed. One aspect of the invention provides an implant system including an implant adapted for endovascular delivery and deployment; and a deployment tool adapted to deploy the implant, with the deployment tool having an actuation controller; a plurality of actuation elements adapted to apply forces to one or more implant deployment mechanisms and each adapted to extend along an actuation element path within a patient's vasculature; and an actuation element compensation mechanism adapted to compensate for differences in length between the actuation element paths.
An implant, intended to be detachably fixed or crimped on a portion or an outer surface of a catheter for being delivered to an implantation site, includes a longitudinal axis, or an inner space or inner volume longitudinally extending within the implant, and a radial direction perpendicular to the longitudinal axis, space or volume. The implant includes a first structural element having a first portion, a second structural element having a second portion, and one or more interconnecting elements arranged between the first and the second structural elements. In the implant, the first portion and/or the second portion is/are located less radially as regards the longitudinal axis, inner space, or volume than a third portion of the one or more interconnecting elements.
A medical device for use in providing therapy to a patient by bridging or otherwise extending the range of an external device for wirelessly connecting to a medical device, such as an implanted medical device for providing stimulation therapy to a patient.
An implant for metatarsal hemiarthroplasty according to embodiments of the present invention includes a resurfacing body configured to at least partially resurface distal and dorsal surfaces of an articular head of a metatarsus, the resurfacing body including a first side and a second side, the first side configured to articulate against a phalange associated with the metatarsus, the first side including a convex surface formed of ceramic, the second side configured to be fixed to the metatarsus, the second side including a concave surface from which protrude at least two immobilization elements, the at least two immobilization elements configured to interface with the articular head.
A buoyant, expandable intragastric device is provided that can be inserted into the stomach of a patient. The device is inflated, or expanded, with gas or other low density material to partially fill the stomach and enabling the device, or implant, to be buoyant within the stomach by floating toward the highest location possible relative to the contents of the stomach and the configuration of the stomach walls. The implant moves around as the body changes orientation or as the stomach contents change. Therefore, continual impingement on the same tissues of the gastrointestinal tract is minimized. The implant, being buoyant and floating to the top of the stomach, can beneficially generate increased pressure on, or stretching of, the tissues at the top of the stomach and the vagal nerves causing signals to the brain indicating that the stomach is full.
The present invention has as an object to simplify the implant work in a series of the process from the separation of target cells by dielectrophresis to the cell cultivation and to realize a cell accumulation method that prevents bacteria contamination by bacteria. Method to achieve the objects The cell accumulation device includes the accumulation and cultivation vessel having a first electrode unit 16, an aggregation of the plural number of individual electrodes, allocated on the first substrate and a second electrode unit 17 allocated on the second substrate. The cell accumulation method has 1) a microbead trapping process, wherein microbeads 2 having biocompatibility are sent to the accumulation and cultivation vessel and AC voltage is applied to the first electrode unit and the second electrode unit to trap the microbeads on the individual electrodes and 2) a cell collection process, wherein after the microbead trapping process cellular suspension is sent into the inside of the vessel 101 of the accumulation and cultivation vessel 1 and AC voltage is applied to the first electrode unit and the second electrode unit to collect active cells 41 on said trapped microbeads.
A method of manufacturing a medical implant comprising a radiopaque marker is described. The method comprises manufacturing a medical implant using stereolithography, wherein the medical implant has an external surface that delimits an opening to a channel. A curable mixture of a biocompatible polymer and a radiopaque material is then inserted into the channel while in a liquid state and cured in the channel so that it solidifies in the channel. The combination of an implant manufactured by stereolithography and a radiopaque marker which is inserted into the channel in a liquid state enables complex internal structures to be formed in the implant for the radiopaque marker and for the marker to take on those complex forms more easily. This allows a better visualisation of the marker under X-Ray or other medical imaging technique.
According to some embodiments, a method for promoting spinal fusion using a spinal implant comprises providing a spinal implant, wherein the spinal implant comprises an anterior wall, a posterior wall and two lateral walls configured to extend between the anterior wall and the posterior wall. In some embodiments, the spinal implant further comprises at least one internal chamber generally positioned between the anterior wall, the posterior wall and the two lateral walls, wherein the internal chamber being is adapted to receive at least one graft and/or other fill material.
Methods of manufacturing dental prosthesis/implants each to replace a non-functional natural tooth positioned in a jawbone of a specific pre-identified patient are provided. An example method includes the steps of receiving imaging data such as x-ray image data and surface scan data of a dental anatomy and/or a physical impression of the dental anatomy of a specific preidentified patient. The steps can also include forming a three-dimensional virtual model of at least portions of a non-functional natural tooth positioned in the jawbone of the specific pre-identified patient based on the imaging and surface scan data, virtually designing a dental implant based upon the virtual model, exporting the data describing the designed dental implant to a manufacturing machine, and custom manufacturing the dental implant for the specific patient.
The present disclosure relates to an apparatus and process for forming medical devices from an injectable composition. The apparatus includes a supply assembly, a mixing assembly, and at least one source of microwave energy. The supply assembly is configured to maintain and selectively dispense a first precursor functionalized with a first reactive member and a second precursor functionalized with a second reactive member. The mixing assembly is configured to mix the first and second precursors within a mixing cavity defined therein. The microwave energy source is configured and adapted to irradiate the mixed first and second precursors within the mixing cavity.
Exemplary embodiments of the present disclosure provide for multi-layered implantation materials, methods of making a multi-layered implantation material, methods of forming a multi-layered implantation material, methods of forming a multi-layered implantation material having a spiral roll cross-section, and the like.
An implant configured to completely replace degenerated or damaged nucleus pulposus in an intervertebral disc. The implant comprises a silicone elastomer shell that is implanted into a void within the annulus fibrosus created by at least partial removal of the nucleus pulposus therefrom. A colloidal suspension of platinum cured silicone-based polymer and carbon nanotubes is injected into the elastomer shell. The colloidal suspension is irradiated with electromagnetic radiation, particularly infrared or near infrared light, to the point that it hardens. The hardened implant becomes a mechanical replacement for the original nucleus pulposus in the intervertebral disc.
Devices and methods for treating ocular disorders are disclosed. One ocular implant, has a substantially straight, rigid, elongate body. The body has a self-trephinating distal portion that narrows toward a distal end, and at least one inlet that communicates with at least one inner lumen that communicates with a plurality of outlets. The lumen has a sufficient length to extend from an anterior chamber of an eye to a physiologic outflow pathway. An anchor member extends from the implant.
An ocular disorder treatment implant includes an anchor and a therapeutic agent. The implant has a body with first and second end portions. The implant is configured to transport fluid from the anterior chamber of an eye to a physiological outflow pathway of the eye. The body has at least one inlet opening at the first end portion and at least one outlet opening at the second end portion such that the inlet and outlet openings are in fluid communication and define an axis therebetween. The anchor extends substantially perpendicularly to a part of the axis between the openings, and at least one outlet opening is configured to be positioned in the physiological outflow pathway. One implant has two outlet openings, and the anchor is disposed closer to one of the outlet openings.
A monitoring system includes an implant having at least one sensor and configured for at least partial insertion into a patient, a microchip associated with the implant and the sensor, the microchip configured to receive at least a first signal from the sensor, and a transmitter associated with the microchip for transmitting a second signal, representative of the first signal. The monitoring system also includes a receiver located outside of the patient, the receiver configured receive the transmitted second signal and a display device associated with the receiver, the display device configured to provide an audible or visual representation of the second signal to a user.
An orthopedic joint implant component and implant component surface are disclosed. The implant component can have a resilient or compliant structure to distribute force loads. The implant component surface can be attached by one or more springs or other resilient or compliant elements to the remainder of the implant. Methods of using the component and component surface are also disclosed.
Dental implant with biomimetic osteointegrative interface has a substrate of biocompatible material with a first layer thereon, having a first concentration of oxide of the biocompatible material, enriched with a second concentration of phosphorus and with a third concentration of calcium. The ratio between the concentration of calcium and the concentration of phosphorus is greater than two and the biomimetic osteointegrative interface further comprising a second layer having a first surface in contact with the first layer, and a second surface, the second layer having a fourth concentration of oxide enriched with a fifth concentration of calcium and a sixth concentration of phosphorus, the fourth concentration being less than the fifth and sixth concentrations and the ratio between the fifth concentration of calcium and the sixth concentration of phosphorus being no less than three.
Medical devices, systems, and methods reduce the distance between two locations in tissue in a minimally invasive manner, often for treatment of congestive heart failure. In one embodiment, an anchor of an implant system may, when the implant system is fully deployed, reside within the right ventricle in engagement with the ventricular septum. A tension member may extend from that anchor through the septum and an exterior wall of the left ventricle to a second anchor disposed along an epicardial surface of the heart. Deployment of the anchor within the right ventricle may be performed by inserting a guidewire through the septal wall into the right ventricle. The anchor may be inserted into the right ventricle over the guidewire and through a lumen of a delivery catheter. Delivering the anchor over the guidewire may provide improved control in the delivery and placement of the anchor within the right ventricle.
An implantable electrode array assembly configured to apply electrical stimulation to the spinal cord. A substantially electrically nonconductive layer of the device has a first portion positionable alongside the spinal cord that includes a plurality of first openings. The layer has a second portion that includes a plurality of second openings. Electrodes and traces are positioned inside a peripheral portion of a body portion of the device and alongside the layer. At least one of the first openings is adjacent each of the electrodes to provide a pathway through which the electrode may provide electrical stimulation to the spinal cord. At least one of the second openings is adjacent each of the traces to provide a pathway through which the trace may receive electrical stimulation. At least one trace is connected to each electrode and configured to conduct electrical stimulation received by the trace(s) to the electrode.
A patellar implant is provided being of a two part construction having a strong base portion 32, 54, 72 and 92 (manufactured from a metal material or other medical grade strong material) with a molder outer material 34, 62, 80 and 100 (manufactured from a polymeric material or other softer, smoother material) at least on one side to provide a smooth friction surface to contact the femoral portion of a patient's knee.
Methods and devices are disclosed relating improved articular models, implant components, and related guide tools and procedures. In addition, methods and devices are disclosed relating articular models, implant components, and/or related guide tools and procedures that include one or more features derived from patient-data, for example, images of the patient's joint. The data can be used to create a model for analyzing a patient's joint and to devise and evaluate a course of corrective action. The data also can be used to create patient-adapted implant components and related tools and procedures.
DIn one embodiment, an implant is configured to be placed within a body of a patient. The implant includes a support member. The support member is configured to be placed adjacent a vaginal apex of a patient. The support member has a length sufficient to extend the length of the vaginal apex but not of a length sufficient to extend from the vaginal apex to a location between a vagina of the patient and a rectum of the patient. Theimplant also includes first and second arm members coupled to the support member. The arm members are configured to be coupled to bodily tissue of the patient to help secure the implant within the body of the patient.
A method and system for percutaneous fusion to correct disc compression is presented. The method has several steps, for instance, inserting a percutaneous lumbar interbody implant; positioning guide wires for each facet screw to be implanted; performing facet arthrodesis in preparation for the facet screws; fixating the plurality of facet screws; and optionally performing foramen nerve root or central decompression. The system includes animplant, an elongate cannulated insertion tool, and an elongate lockshaft positioned within the insertion tool.
A percutaneous ostomy implant for implantation into the abdominal wall of a patient. The implant has a cylindrical part for mounting an external detachable device thereto, an ingrowth mesh and a circular flange for anchoring the implant. The cylindrical part and circular flange are attached to opposite ends of the ingrowth mesh. The ingrowth mesh is arranged such that when the implant is implanted in the abdominal wall of a patient, the epidermis meets the ingrowth mesh and is able to attach therethrough directly to serosal tissue of a bowel segment inside the implant.
Expanding a spinal canal by drilling a cylindrical passage in each pedicle of a vertebra, making a circumferential pedicle cut (osteotomy) through each pedicle from within the passage, separating each pedicle cut by inserting an implant into the passage to distract the pedicle cut (i.e., lengthen the pedicle) to expand the spinal canal, and securing each pedicle cut, allowing the vertebra to heal with the spinal canal expanded. The implant can include an outer sleeve, an inner bolt, and expandable flanges. The outer sleeve includes an upper and a lower portion, with the expandable flanges therein. Rotation of the inner bolt causes the upper and lower portions of the outer sleeve to separate, causing the pedicle cut to widen and the expandable flanges to radially extend into and stabilize the widened pedicle cut for expansion of the spinal canal.
Various embodiments of components, devices, systems and methods are provided for a pneumatic surgical instrument having a probe or an impactor disposed at a distal end thereof and configured to make contact with a selected portion of an orthopedic implant or device and drive the implant into a hole or void formed in a patient's bone. The instrument is configured to generate a shock wave, which is then transferred to the distal end of the probe or impactor, and thence into the orthopedic implant, thereby causing the implant to be driven into contact with portions of the void or hole.
Porous biocompatible structures suitable for use as medical implants and methods for fabricating such structures are disclosed. The disclosed structures may be fabricated using rapid manufacturing techniques. The disclosed porous structures has a plurality of struts and nodes where no more than two struts intersect one another to form a node. Further, the nodes can be straight, curved, portions that are curved and/or straight. The struts and nodes can form cells which can be fused or sintered to at least one other cell to form a continuous reticulated structure for improved strength while providing the porosity needed for tissue and cell in-growth.
A dental implant can comprise a shaft defining a longitudinal axis and having an apical end, a coronal end, and an exterior surface. A portion of the exterior surface can include a porous material. The dental implant can comprise at least one thread, including a non-porous material, having an interior surface and a bone-engaging surface. The interior surface can engage and wind around the exterior surface of the shaft and the bone-engaging surface can extend outwardly from the exterior surface of the shaft. The shaft can include one or more channels configured to communicate a flowable material, stored within the shaft, to the exterior surface. Each channel can include an opening at the exterior surface to release the flowable material. At least one channel can extend between a cavity of the shaft and the exterior surface and can optionally be angled toward the apical end.
An orthopaedic implant for filling a bone void and a method of using the same. The orthopaedic implant comprises an open porous metal portion and a bone cement portion. At a first surface region, the open porous metal portion facilitates bone and/or soft tissue ingrowth into the pores of the first surface region of the open porous metal. At a second surface region, the open porous metal facilitates reception of the bone cement into the pores of the second surface region of the open porous metal. The open porous metal portion of the orthopaedic implant may also be formed of a plurality of porous metal fragments aggregated together with the cement portion of the orthopaedic implant. Additionally, the orthopaedic implant may be pliable and thereby capable of being molded to the shape of a void in a bone.
A medical implant comprising a power source configured to generate a direct current (DC) signal, a first interface configured to convert the DC signal to an alternating current (AC) signal; and a DC power storage device. The implant also comprises a second interface configured to convert the AC signal received from the first interface via two interface connection lines to a DC signal, and configured to provide the DC signal to the power storage device via two storage connection lines, and wherein the second interface includes: at least one switch disposed between the two module connection lines and the two storage connection lines; and at least one switch controller configured to control the at least one switch to prevent the power storage device from being electrically connected to an opposite polarity of the power source.
A medical implant, including a first power storage device, a first switching circuit for receiving power and transferring the received power from an implant connector electrically connected to the medical implant to the first power storage device in a first power transfer stage, a second power storage device, and a second switching circuit for transferring power from the first power storage device to the second power storage device in a second power transfer stage.
A prosthetic implant useful in a cementless application is disclosed. The implant may include a curved bone facing surface and one or more pegs or keels. Preferably, the implant is implanted on a bone surface that has been prepared so as to allow for a snap fit between the implant and the bone.
A prosthetic implant, and more particularly, with a prosthetic implant having biplanar angulation and that can be inserted into a disk area generally straight using a posterolateral approach.
This disclosure is directed to a resilient interpositional arthroplasty implant for application into a knee joint to pad cartilage defects, cushion a joint, and replace or restore the articular surface, which may preserve joint integrity, reduce pain and improve function. The implant may endure variable joint compressive and shear forces and cyclic loads. The implant may repair, reconstruct, and regenerate joint anatomy, and thereby improve upon joint replacement alternatives. Rather than using periosteal harvesting for cell containment in joint resurfacing, the walls of this invention may capture, distribute and hold living cells until aggregation and hyaline cartilage regrowth occurs. The implant may be deployed into debrided joint spaces, molding and conforming to surrounding structures with sufficient stability to avoid extrusion or dislocation. Appendages of the implant may repair or reconstruct tendons or ligaments, and an interior of the implant that is inflatable may accommodate motions which mimic or approximate normal joint motion
Described herein is a system for inducing weight loss in a patient, which comprises an extragastric space occupier positionable in contact with an exterior surface of a stomach wall to form an inward protrusion of wall into the stomach, and a retention device positionable in contact with the wall to retain the inward protrusion and to thereby capture the extragastric space occupier within the protrusion.
The present application describes an implant system useable for positioning an implant device such as a device useful for restricting passage of ingested food into the stomach. In one embodiment, the disclosed system includes a plurality of anchors that may be coupled to tissue within the stomach, or to a tissue tunnel formed by plicating stomach wall tissue. The anchor includes a loop. During use, the implant device is inserted through the loop and expanded such that it retains its position within the loop until removed. Instruments for implanting and explanting the implant device are also described.
A spinal implant has two pairs of mounting plates or \"staples,\" two rods, and a crosslink. Each mounting plate mounts to a lateral side of a spinous process. Each rod interconnects a pair of mounting plates. The crosslink is disposed through the interspinous space and interconnects the rods. The crosslink hinders movement of the rods away from each other. The rods have a flexural modulus less than the mounting plates. The rod flexibility allows a small amount of relative movement of the vertebrae, which may be helpful in promoting fusion.
A fusion cage of the present invention includes a first housing portion, a second housing portion, and an insert portion adapted to be received therebetween, wherein the geometry of the fusion cage corresponds substantially to the geometry of a void into which the fusion cage is to be inserted. Also described is a novel tool for insertion of a fusion cage and a novel method for designing a fusion cage or other surgical implant for filling a void identified within a patient.
An interbody spinal implant including a body and an integration plate having a top surface, a bottom surface, opposing lateral sides, opposing anterior and posterior portions, and a substantially hollow center in communication with a vertical aperture. The body is recessed in a way that portions of the integration plate protrude above the top and/or bottom surface of the body to enhance the resistance of the implant to expulsion from the intervertebral space.
A spinal implant system for restricting flexion of a spine includes an elongate band proportioned to engage at least two spinous processes. During use, the band is positioned engaging the spinous processes at a spinal segment of interest, where it restricts flexion at the segment. The length and tension of the band may be adjustable following to implantation using percutaneous or transcutaneous means.
The present invention provides a connection assembly that can be used to securely connect a spinal implant to a bone anchor. In particular, the present invention preferably provides a spinal implant connection assembly that is able to securely connect the spinal implant to the anchors even when there is a variance in the angle and position of the anchors with respect to the spinal implant. Furthermore, the present invention provides a connection assembly with structure to increase the locking strength of the connection assembly.
There is provided a spinal implant device for placement between adjacent spinous processes and a pair of opposing facet joints. The spinal implant device includes a fusion cage, first and second fixation plates and a connector for connecting the cage to the plates. The fusion cage includes a superficial face, a deep face, superior and inferior saddle portions, and opposing cage ends. Each cage end defining a facet fusion surface sized and configured to respectively contact the opposing facet joints. The first and second fixation plate are sized and configured to extend along and in contact with the adjacent spinous processes. A method of implanting the device is provided. In another embodiment the device includes the fusion cage.
A vertebral distractor-inserter comprising a housing, a pair of opposing arms in mechanical communication with the housing, a driving rod extending through at least a portion of the housing and between the arms, wherein the driving rod comprises an axis and a surface with a plurality of angled ratchet teeth on at least a portion of the surface, and a ratchet drive mechanism in mechanical communication with the driving rod. A vertebral distractor-inserter comprising a pair of opposing arms, a housing in mechanical communication with the arms and rotatable about an axis extending between the arms, and a driving rod extending through at least a portion of the housing and between the arms. A vertebral distractor-inserter adapted for single-handed use. A vertebral distractor-inserter having an implant depth adjustor. Methods for distracting adjacent vertebrae and inserting an implant using the devices described herein.
Biodegradable neurotoxin implants and methods of making and using such implants are provided. Biodegradable neurotoxin implants include a neurotoxin, a biodegradable polymer component, and an acidity regulating component. The biodegradable polymer component is effective in controlling the release of the neurotoxin from the implant when the implant is located in a patient's body. The acidity regulating component is effective in maintaining a pH of the implant in a desired range that may be effective in stabilizing the neurotoxin as the implant biodegrades when the implant is located in a patient's body. In one embodiment, an implant includes a botulinum toxin, a biodegradable polymer, and either monomers from which a biodegradable polymer is derived or oligomers including monomeric units substantially identical to a monomer from which a biodegradable polymer is derived, or a combination of such monomers and oligomers. The oligomers and biodegradable polymer may be derived from a single type of monomer. The implants disclosed herein may be administered to a human or animal patient in which a therapeutic effect is desired for prolonged periods of time.
An apparatus, method, and system for the deployment of surgical mesh material, which are particularly suited for use in the laparoscopic surgical repair of hernias. Any suitable surgical mesh can be placed between at least two elongate retaining members; wrapped around the elongate retaining members; inserted into a patient; and then deployed using at least two elongate deploying members on either side of the mesh.
This invention comprises a totally implantable Eustachian tube activation device which is intended for patients suffering from Eustachian Tube Dysfunction ailment. The device electrically stimulates the muscles activating the Eustachian tube to perform the opening maneuver of the Eustachian tube valve to aerate the middle ear cavity. The unit is hermetically sealed in a suitable biocompatible container and implanted in a suitable location in close proximity to Eustachian tube. The frequency of the stimulation of the implant may be fixed or can be altered depending on the condition of the patient.
Biocompatible intraocular implants include a tyrosine kinase inhibitor and a biodegradable polymer that is effective to facilitate release of the tyrosine kinase inhibitor into an eye for an extended period of time. The therapeutic agents of the implants may be associated with a biodegradable polymer matrix, such as a matrix that is substantially free of a polyvinyl alcohol. The implants may be placed in an eye to treat or reduce the occurrence of one or more ocular conditions.
An intravascular implant delivery system carries an implant by retaining an engagement member engaging the implant in a position proximal of an aperture at a distal end of the delivery system. The engagement member is retained proximal to the aperture by a cord that obstructs the movement of the engagement member through the aperture. The engagement member is free to rotate and move within an area defined by the delivery system, allowing the implant to react to forces imparted to the implant by the movement of the delivery system and implant through a delivery catheter. Once the implant is in a desired implant position, the cord is moved away from an aperture and the engagement member is allowed to move away from the delivery system.
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).
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.
First and second bone segments separated by a fracture line or joint can be fixated or fused by creating an insertion path through the first bone segment, through the fracture line or joint, and into the second bone segment. An anchor body is introduced through the insertion path. The distal end of the anchor body is anchored in the interior region of the second bone segment. An elongated implant structure is passed over the anchor body to span the fracture line or joint between the bone segments. The proximal end of the anchor body is anchored to an exterior region of the first bone segment to place, in concert with the anchored distal end, the anchor body in compression, to thereby compress and fixate the bone segments relative to the fracture line or joint.
The present invention provides devices and methods for associating an implantable sling with a delivery device for delivering the sling to an anatomical location in a patient.
According to some embodiments, a method of treating a joint of a patient comprises creating a recess in a bone located at or near a targeted joint, wherein the recess includes a generally wedge or truncated cone shape. In one embodiment, the recess in a bone comprises a surface opening along an outer surface of the bone and a bottom opening along the distal end of the recess, such that a diameter of the surface opening is generally smaller than a diameter of the bottom opening. The method additionally comprises providing a joint implant having a wedge or truncated cone shape, wherein a diameter of a top end of the joint implant is generally smaller than a diameter of a bottom end of the joint implant, inserting the joint implant within the recess.
A method and system is disclosed that is operable to generate a location value associated with an implant that has been implanted in a predetermined location of a vertebra of a spine. The location value can be utilized to generate a three-dimensional animation of the spine in motion. The system includes a plurality of implants that include a controller having a memory. The implants also include a telemetry unit connected with the controller that is used to wirelessly transmit and receive data. In addition, the implants include an acoustic generator that is configured to generate an acoustic pulse in response to a signal from the controller. An external control unit is wirelessly connected with the implant for receiving various data values from the implant.
A tibial tuberosity advancement implant and method includes a spacer body made of biocompatible, biodegradable material and having a main section with at least one bony growth orifice therethrough and a proximal slot and at least one fin extending from the main section by at least one connector. A metal clip is slideable into the proximal slot of the spacer body main section and includes spaced screw holes for securing the spacer body to the advanced tibial tuberosity and the tibia when the implant is placed in the space between the advanced tibial tuberosity and the tibia.
The present disclosure relates to a spinal fusion impactor tool that includes an attachment means for securing an implant device to the distal end of the tool, a means for adjusting the angle of the distal head relative to the handle to better position the implant for introduction into the implant site, means for remotely releasing the implant device at the distal end and a clamp device on the shaft of the tool to secure tabs, attachments and other devices. The impactor tool is preferably used in conjunction with implantation of an intervertebral fusion cage that is equipped with shims having tabs or other removing means, but may also be used to introduce, for example, an implant, graft, fusion device, wedge or distractor device into any joint space or bony region in preparation for implantation.
A total disc implant (TDI) is provided for total replacement of a spinal disc or discs in a human patient or other mammal, wherein the TDI is designed to maintain a substantially full range of natural motion (ROM) following implantation. The TDI generally comprises, in one preferred form, upper and lower end plates for affixation to adjacent vertebral bodies, with an intervening insert disposed therebetween. The end plates each include elongated part-cylindrical surfaces oriented generally perpendicular to each other, with one of said surfaces extending in an anterior-posterior direction and the other extending in a medial-lateral direction. The intervening insert defines concave upper and lower part-cylindrical seats oriented for respectively engaging these part-cylindrical surfaces, wherein these part-cylindrical seats are defined by offset radii to include a somewhat flattened central base region merging smoothly with upwardly curving radiused sides.
Novel bioabsorbable, universal kits used to form nasal implants are disclosed. The implants are useful in rhinoplasty and nasal reconstruction surgical procedures. The kit devices have a universal configuration and can be converted by the surgeon in the field into one or more individual nasal implant devices having different configurations and applications. The kits may have outlines of nasal implants thereon.
A vestibular implant system is described which includes an implantable vestibular stimulator providing a vestibular stimulation signal to electrically stimulate target neural tissue for vestibular sensation by a patient. A patient warning alarm process alters the stimulation signal when a given alarm condition occurs to change the vestibular sensation of the patient thereby warning the patient of the alarm condition.
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