204 results about "Implant prosthesis" patented technology

Devices, systems, and methods for implanting prostheses in the body lumens rely on tacking or anchoring the prostheses with separately introduced fasteners. After initial placement, a fastener applier system is introduced within the expanded prostheses to deploy a plurality of fasteners to at least one prosthesis end. The fasteners are usually helical fasteners which are releasably restrained on the fastener driver, and are delivered by rotation of the fastener driver. The fasteners may be applied singly, typically in circumferentially spaced-apart patterns about the interior of at least one end of the prosthesis. A lumen extension or lumens may be coupled to the prosthesis to extend the reach of the prosthesis within the implantation site. Fasteners may also be applied to the lumen extensions.

A system for repairing an intervertebral disc by delivering and curing a biomaterial in situ within the disc. The system includes both a device, having an insertable balloon and related lumen, controls and adapters, as well as an in situ curable biomaterial (and related biomaterial delivery means). The system can allow the doctor to determine a suitable endpoint for biomaterial delivery, by controlling distraction and / or biomaterial delivery pressure, and in turn, to deliver a desired quantity of biomaterial to the balloon in order to achieve improved polymer cure and implant characteristics. Also provided is a related method for repairing an intervertebral disc by using such a system to deliver and cure the biomaterial in situ. The system can be used to implant a prosthetic total disc, or a prosthetic disc nucleus in a manner that leaves the surrounding disc tissue substantially intact.

The surgical device according to the invention comprises both means for per-operative measurement and for memorization of a plurality of positions of a given femoral prosthetic direction and means for per-operative comparison of these positions with the cone of mobility of the prosthesis to be implanted, the position of the axis of revolution of this cone being, during the implantation of the prosthesis, adjustable with respect to the zone of the pelvis where the implantation of an acetabulum of the prosthesis is provided. By using this device, the surgeon can easily and rapidly determine, in the course of the surgical operation, a preferential direction for implanting the prosthetic acetabulum in order to reduce the subsequent risks of dislocations of the implanted prosthesis.

Presbyopia is treated by implanting within a plurality of elongated pockets formed in the tissue of the sclera of the eye transverse to a meridian of the eye, a prosthesis having an elongated body having a first surface and a second surface opposite the first surface to contact the base and flap of the scleral pocket. The first and second surfaces are spaced apart a distance so that the implanted prosthesis exerts an outward force on the flap of the scleral pocket which results in an outward traction on at least the anterior margin of the scleral pocket. The combined effect of the implanted prostheses is to exert a radially outward traction on the sclera in the region overlying the ciliary body which expands the sclera in the affected region together with the underlying ciliary body. The expansion of the ciliary body restores the effective working distance of the ciliary muscle in the presbyopic eye and thereby increases the amplitude of accommodation. Hyperopia, primary open angle glaucoma and / or ocular hypertension can be treated by increasing the effective working distance of the ciliary muscle according to the invention. A preferred embodiment of the scleral prosthesis has a major surface adapted to contact the base or flap of the pocket and an opposite surface or ridge spaced from the major surface.

An apparatus and method for connecting a first conduit to the heart without the need for cardiopulmonary bypass. The first conduit may then be attached to a second conduit that has a prosthetic device interposed. The second conduit may be connected to the aorta prior to the first conduit being attached to the heart. The prosthetic device may be a prosthetic valve or a pump, for example. The apparatus of the present invention includes an implantable connector with first conduit component, a retractor expansion component, a coring component, and a pushing component. The retractor expansion component is slide-ably coupled to the coring component. The retractor expansion component serves to seat against and separate the inside apical wall of the left ventricle so that the coring component may cut cleanly through the myocardium to form a tissue plug without leaving any hanging attachments to the inside walls. By remaining seated against the inside wall, the retractor expansion component follows the tissue plug into the coring component. The surgeon applies force and rotary motion to the pushing component sufficient to cut the tissue plug and implant the prosthetic component.

The present invention provides improved devices and methods for inhibiting restenosis and hyperplasia after intravascular intervention. In particular, the present invention provides luminal prostheses which allow for programmed and controlled substance delivery with increased efficacy to selected locations within a patient's vasculature to inhibit restenosis. The luminal delivery prosthesis comprises a scaffold which is implantable within a body lumen and means on the scaffold for releasing a substance from the scaffold. The substance is released over a predetermined time pattern comprising an initial phase wherein the substance delivery rate is below a threshold level and a subsequent phase wherein the substance delivery rate is above a threshold level.

An implantable prosthesis for an anatomical defect, such as a tissue or muscle defect, that promotes tissue or muscle growth into the prosthesis and subsequently strengthens the area of the defect. At least one pocket and preferably two concentric pockets may be provided to aid with manipulating the prosthesis. Where two pockets are used, a barrier or partition exists between the pockets and the outer pocket allows manipulation of the outer periphery. The incidence of postoperative adhesions between a portion of the prosthesis and tissue, muscle or organs may be minimized with the use of a barrier layer. Reinforcing members may be attached to portions of the prosthesis to aid in positioning and deployment in the area of desired coverage without rendering the prosthesis unduly difficult to implant or uncomfortable for the patient. Typically, two concentric members are employed. Further, the prosthesis is constructed to allow it to be provisionally held in place at desired locations by openings in the pockets that allow access for a stapler or sewing device.

A modular prosthesis for replacement of a joint articulating surface of a bone, where the modular prosthesis generally comprises a head with a recessed socket, an elongate stem, and a connecting member including a patrix member having a generally spherical surface and adapted to be attached to an end of the stem and to be received in the head, and a locking member adapted to lock the head to the stem in a desired orientation; a system for use in surgical repair of a joint including a selection of components for assembling the modular implant prosthesis, a selection of components for assembling a trial prosthesis, and a transfer device for arranging the components of the implant prosthesis in the same orientation as the components of the trial prosthesis; and methods of using the modular prosthesis and system of the invention.

A system for implanting a prosthesis includes a control lumen and a nose cone affixed at a distal end of the control lumen. At least one supporting wire is affixed at one end, is substantially parallel to a major axis of the control lumen and is free at an opposite end, wherein the free end of at least one of the supporting wires is arcuate. Alternatively, a system for implanting a prosthesis includes at least one suture extending from a nose cone affixed to a distal end of a control lumen. The suture extends from the nose cone to a proximal end to a stent graft extending about the control lumen and from the stent graft to a fixed location on the control lumen. The suture is releasable from the stent graft by remote activation, whereby the suture separates from the nose cone to thereby deploy the stent graft.

A sub-periosteally implantable prosthesis support structure for a fixed or detachable dental prosthesis includes a framework fitted to and generally conforming to the inner and outer contours of the bony ridge structures of a person. The framework is configured to provide a space extending generally normal to the bony ridge structure to an apex to provide space for subsequent bone growth. A plurality of denture support posts are distributed about the framework and depend outwardly from the apex in substantial alignment with the bony ridge structure. During the fabrication of the prosthesis support structure, a bio-compatible fine mesh screen is fixed to and spans, tent-like, the framework to substantially overlay the bone structure and the space provided for subsequent bone growth. After the support structure has been implanted, the growth of bone into the space and around the support structure is promoted to osseo-integrate the support structure with the person's bony ridge, thus providing a secure foundation for a denture or fixed dental prosthesis configured for detachable or fixed coupling with the denture support posts. The support structure may be made, partly or wholly, from either non-resorbable material, such as titanium stock and mesh, or from a resorbable material such as Vicryl TM .

Presbyopia is treated by implanting within a plurality of elongated pockets formed in the tissue of the sclera of the eye transverse to a meridian of the eye, a prosthesis having an elongated base member having an inward surface adapted to be placed against the inward wall of the pocket and having a ridge on the inward surface of the base extending along at least a major portion of the major dimension of the base. The combined effect of the implanted prostheses is to exert a radially outward traction on the sclera in the region overlying the ciliary body which expands the sclera in the affected region together with the underlying ciliary body. The expansion of the ciliary body restores the effective working distance of the ciliary muscle in the presbyopic eye and thereby increases the amplitude of accommodation. Hyperopia, primary open angle glaucoma and / or ocular hypertension can be treated by increasing the effective working distance of the ciliary muscle according to the invention.

The invention relates to a glenoid (shoulder socket) implant prosthesis, a humeral implant prosthesis, devices for implanting glenoid and humeral implant prostheses, and less invasive methods of their use for the treatment of an injured or damaged shoulder.

The present invention provides improved stents and other prostheses for delivering substances to vascular and other luminal and intracorporeal environments. In particular, the present invention provides luminal prostheses which allow for a programmed and controlled substance delivery protocols for a variety of purposes. The prostheses comprise a scaffold which is implantable within a body lumen and a substance reservoir present over at least a portion of the scaffold. Usually, a rate-controlling element will be formed over the substance-containing reservoir to provide for a number of different substance release characteristics.

The present invention consists of an implantable structural element for in vivo controlled delivery of bioactive active agents to a situs in a body. The implantable structural element may be configured as an implantable prosthesis, such as an endoluminal stent, cardiac valve, osteal implant or the like, which serves a dual function of being prosthetic and a carrier for a bioactive agent. Control over elution of the bioactive agents occurs through a plurality of cantilever-like cover members which prevent drug elution until an endogenous or exogenous stimulus causes the cover members to open and permit drug elution.

Medical devices and methods for delivery or implantation of prostheses within hollow body organs and vessels or other luminal anatomy are disclosed. The subject technologies may be used in the treatment of atherosclerosis in stenting procedures or a variety of other procedures. The various systems described employ self expanding stent restrained by tubular restraints. The systems are configured to reduce restraint actuation force relative to simple-sheath based stent delivery systems by actuation in a staged fashion.

An implantable prosthetic device has a coaption element and at least one anchor. The coaption element is configured to be positioned within the native heart valve orifice to help fill a space where the native valve is regurgitant and form a more effective seal. The coaption element can have a structure that is impervious to blood. The coaption element can be connected to leaflets of the native valve by the anchor.

The surgical device according to the invention comprises both means for per-operative measurement and for memorization of a plurality of positions of a given femoral prosthetic direction and means for per-operative comparison of these positions with the cone of mobility of the prosthesis to be implanted, the position of the axis of revolution of this cone being, during the implantation of the prosthesis, adjustable with respect to the zone of the pelvis where the implantation of an acetabulum of the prosthesis is provided. By using this device, the surgeon can easily and rapidly determine, in the course of the surgical operation, a preferential direction for implanting the prosthetic acetabulum in order to reduce the subsequent risks of dislocations of the implanted prosthesis.

The invention provides expandable tubular endoluminal prostheses for the treatment of atherosclerotic lesions of blood vessels, including vulnerable plaque lesions, and methods of treatment using the prostheses. Various prostheses of the invention are characterized by hoop strength suitable for treating vulnerable plaque lesions, good conformability and good apposition to vessel walls, as well as minimal coverage areas in order to minimize the inflammatory response to the implanted prostheses.

Apparatus for the fast angular orientation of a surgical instrument with respect to an implantation seat of a prosthesis in a patient's bone, of the type comprising a moving sensor, which may be associated with the surgical instrument, and a fixes sensor, which may be integrally fastened to the bone during a surgical operation, the moving sensor and the fixed sensor being provided with a position detection device and with a device for signaling of the detected position to a central memory and processing unit. The central memory and processing unit comprises calibration device which detect the position of the moving sensor when it is associated with a line passing through two known points of the bone and, simultaneously, they detect the position of the fixed sensor when it is integrally fastened to the bone, and they record such position as initial work position.

A prosthetic device, method for planning bone removal, and a robotic system for implantation of a prosthetic device in bone are disclosed. The prosthetic device can include a body portion for attachment to a bone, wherein the body portion includes an implantation surface configured to face the bone upon implantation, and a constraint structure. The prosthetic device, method, and robotic system can be configured to cause the constraint structure and bone to interact so as to constrain the prosthetic device in the bone.

The invention features a glenoid (shoulder socket) implant prosthesis, a humeral implant prosthesis, devices for implanting glenoid and humeral implant prostheses, and less invasive methods of their use for the treatment of an injured or damaged shoulder.

A implantable prosthesis having an external surface at least a portion of which is an open-cell structure is made by providing an implantable member having a surface applying a first layer of elastomer to the surface, applying a first layer of particles to the first layer of elastomer, applying a second layer of elastomer to the first layer of particles, applying a second layer of particles to the second layer of elastomer, curing the layers of elastomer, and removing the particles to form an external surface at least a portion of which is an open-cell structure.

A surgical assembly for preparing a tibia for implantation of a prosthetic implant includes a tray trial adapted to be secured to a proximal end of the tibia. The tray trial includes a plate having a plate opening defined therein. The plate opening has a center point. The surgical assembly also includes a first guide adapted to be secured to the tray trial. The first guide has a guide opening defined therein. The guide opening has a first bushing-receiving portion and a second bushing-receiving portion which is distinct from the first bushing-receiving portion. The surgical assembly also includes a drill bushing positionable in either the first bushing-receiving portion of the guide opening or the second bushing-receiving portion of the guide opening. The drill bushing has a bushing bore extending therethrough. The bushing bore has a center point. The center point of the bushing bore of the drill bushing is offset from the center point of the plate opening of the tray trial in a first direction when the drill bushing is positioned in the first bushing-receiving portion of the guide opening. The center point of the bushing bore of the drill bushing is offset from the center point of the plate opening of the tray trial in a second direction when the drill bushing is positioned in the second bushing-receiving portion of the guide opening. A method of surgically preparing a tibia for implantation of a prosthetic implant is also disclosed.

A dual mobility femoral head construct has a secure acetabular shell received within an acetabular recess formed in a pelvis. An implantable prosthetic device is implantable after a failure of an originally installed articular head insert of an acetabular cup assembly. A hemispherical liner is formed from a cast cobalt-chromium alloy for thinness and elasticity. At least three spacers are annularly displaced about an outer diameter of the hemispherical liner to define a uniform cement thickness with the secure acetabular shell. Web shaped depressions are formed circumferentially in the outer diameter of the hemispherical liner to receive cement to resist lever out forces and to secure the cement bond with the secure acetabular shell. A replacement articular head insert is then received for dual mobility rotational movement in an inner diameter of the hemispherical liner. A femoral head implant is received for articulating movement in the articular head insert.

The present invention relates generally to a prosthetic spinal disc for replacing a damaged disc between two vertebrae of a spine. The present invention also relates to a method for implanting a prosthetic spinal disc via posterior or posterior lateral implantation. Other surgical approaches for implanting the prosthetic disc may also be used. The present invention also involves a method for implanting the prosthetic spinal disc while either avoiding or minimizing contact with the spinal cord and nerve rootlets, or reducing the time and extent that they need to be repositioned during implantation.

The present invention provides an implantable prosthesis and more specifically, an implantable tubular textile prosthesis comprising a biocompatible fabric having inner and outer surfaces and first and second ends; the fabric having a textile construction comprising cold drawn PTFE yarns having a substantially uniform denier and high molecular orientation. Use of cold drawn PTFE yarns result in implantable prostheses that have excellent abrasion resistance, strength and lubricity properties. Useful textile constructions include weaves, knits, braids, filament windings, spun windings and combinations thereof. The prostheses of the present invention are lubricious and have characteristics that closely resemble the properties of a natural body lumen.

The invention relates to a glenoid (shoulder socket) implant prosthesis, a humeral implant prosthesis, devices for implanting glenoid and humeral implant prostheses, and less invasive methods of their use for the treatment of an injured or damaged shoulder.