A tunable implant, system, and method enables a tunable implant to be adjusted within a patient. The tunable implant includes a securing mechanism to secure the implant in the patient, a actuation portion that enables the implant to move and an adjustment portion that permits adjustment of the implant after the implant has been positioned within the patient. The method of adjusting the tunable implant includes analyzing the operation of the implant, determining if any adjustments are necessary and adjusting the implant to improve implant performance. The implant system includes both the tunable implant and a telemetric system that is operable to telemetrically receive data from the tunable implant where the data is used to determine if adjustment of the tunable implant is necessary. The system also includes an instrument assembly that is used for performing spinal surgery where the instrument assembly includes a mounting platform and a jig.

Embodiments of the present disclosure include an implantable assembly for a native heart valve that includes a prosthetic heart valve and a braided support structure. The prosthetic valve includes a frame and prosthetic leaflets. The braided support structure has an inner braided layer and an outer braided layer. The outer braided layer is disposed over the inner braided layer. The outer braided layer is less porous to blood than the inner braided layer. The braided support structure defines a plurality of arms that are angularly spaced around the prosthetic heart valve such that each arm extends radially outwardly from the prosthetic heart valve. Other embodiments are also described.

An endoluminal valve (30) for controlling fluid flow during a surgical procedure is integrated into an access branch (24) of a tubular prosthetic device (10), the access branch (24) receiving a delivery system (100) including a shaft (110), a housing (112) with a depressible finger actuator (122) configured to contact a resilient wall surface (38) of inwardly tapering closure elements at the proximal end (32) of the endoluminal valve (30), wherein the proximal end (32) is secured within a lumen (26) of the access branch (24) and a distal end (36) of the endoluminal valve (30) located within the lumen (26) comprises self-sealing edges (42) coming together to form a flow-inhibiting seal.

According to an aspect, an inflatable penile prosthesis includes a fluid reservoir configured to hold fluid, an inflatable member, and an electronic pump assembly configured to transfer the fluid between the fluid reservoir and the inflatable member. The electronic pump assembly includes a pump, an active valve disposed in parallel with the pump, and a controller configured to control the pump and the active valve.

According to an aspect, an inflatable penile prosthesis includes a fluid reservoir configured to hold fluid, an inflatable member, and an electronic pump assembly configured to transfer the fluid between the fluid reservoir and the inflatable member. The electronic pump assembly includes a pump, an active valve, a pressure sensor configured to measure a pressure of the inflatable member, and a controller configured to control at least one of the pump or the active valve based on the measured pressure.

An endovascular stent-graft includes a generally tubular body configured to assume a radially-compressed delivery state and a radially-expanded deployment state. The body includes a flexible stent member, and a tubular fluid flow guide attached to the stent member. The body includes a compliance-restoration body portion extending axially along a portion of the body, and including portions of the stent member and fluid flow guide. When the body is in the radially-expanded deployment state, the compliance-restoration body portion characterized by a greatest diastolic outer radius when the body is internally pressurized by fluid having a pressure of 80 mmHg, and radially expandable to a greatest systolic outer radius when the body is internally pressurized by fluid having a pressure of 120 mmHg. The greatest systolic outer radius (R.sub.S) is at least 5% greater than the greatest diastolic outer radius.

An intraocular drainage device may include a monolithic silicone body having a flap, a rigid bottom plate having a portion configured to contact a corresponding portion of the flap, and a tube having a proximal end disposed between the flap and the rigid bottom plate. The corresponding portion of the flap may be configured to separate from the portion of the rigid bottom plate responsive to a fluid pressure in aqueous humor received from the tube. A plurality of parallel microgrooves may be formed on one or more portions of one or more outer surfaces of the intraocular drainage device.

Apparatus and methods are provided for treating diseases that produce elevated intraocular pressures, such as glaucoma, wherein the device operates on the principles of a Starling resistor, and includes a housing, a deformable structure and a spring mounted within a housing, such that the spring applies a substantially constant spring force over a predetermined working range on the deformable structure to thereby self-regulate flow of fluid through the deformable structure.

The invention relates to an occlusion system implantable in a human or animal body, comprising: a fluidic circuit comprising: an inflatable occlusive sleeve (3), a reservoir (5) with variable volume filled with a fluid, said reservoir comprising a fixed portion and a movable portion, an actuator mechanically coupled with the movable portion of the reservoir so as to linearly displace said movable portion relatively to the fixed portion for adjusting the volume of the reservoir, the actuator and the reservoir with variable volume being laid out in a sealed casing (1) containing a gas, a sensor (21, 22) mechanically bound to the actuator and/or to the movable portion of the reservoir, measuring a traction and/or compressive force in the direction of displacement of the movable portion of the reservoir, a device for measuring the fluid pressure (P1) in the fluidic circuit taking into account at least the force measured by said sensor (21, 22), the effective pressure surface area (S.sub.eff) of the movable portion of the reservoir, and the force exerted on the movable portion of the reservoir with variable volume related to the pressure of the gas in the casing.

An IOL utilizes a haptic formed as a toroid portion configured to fit into a capsular bag of an aphakic eye of a patient. The toroid portion may be separate from an IOL optic and may include a receiving feature for the IOL optic. The toroid portion may be configured for intraoperative fluid-filling for snug fitting at the equator of the capsular bag, in order to immobilize the IOL optic.