A debranching Great vessel stent graft and methods for its use, where the stent graft comprises, a main body stent graft with a first bifurcation defining a first leg and a second leg, the main body stent graft has distal and proximal ends, the main body stent graft has a diameter at the proximal end in the range from about 18 mm to about 28 mm, the first leg and the second leg each have a diameter in the range from about 12 mm to about 18 mm, the distance from the proximal end of the main body to the distal end of the first leg is in the range from about 30 mm to about 50 mm, and the distance from the proximal end of the main body to the distal end of the second leg is in a range from about 50 mm to about 70 mm.

A kit of stents and an adjustable multi-lumen stent for adjustable interventional reduction of blood flow in a blood vessel. The kit includes: a first reduction stent having in an expanded conformation at least one widened section and a narrowed section, the narrowed section defining a central lumen providing reduced fluid communication between an upstream end and a downstream end of the first reduction stent; at least one expandable dilatation stent having a tubular form insertable into and expandable in the central lumen of the first reduction stent to define an enlarged central lumen; at least one second reduction stent having a narrowed tubular section insertable into the central lumen of the first reduction stent or the central lumen of the dilatation stent to define an reduced central lumen, and having an anchoring element at its upstream end.

Various embodiments of craniofacial implants, surgical instruments, and techniques are described to provide improved surgical results.

Gluteal implants and gluteal implant systems are described herein, as are methods of manufacturing and implanting the same. In certain embodiments, the gluteal implant includes a body having a convex upper surface, a concave lower surface, and an edge, the edge being formed by the intersection between the convex upper surface and the concave lower surface. The body can take on various shapes, including a truncated ovoid shape, a truncated approximate ovoid shape, a truncated substantially ovoid shape, a truncated ellipsoid shape, a truncated approximate ellipsoid shape, or a truncated substantially ellipsoid shape, among others. In certain embodiments, the gluteal implant system includes first and second gluteal implants that have the same or different shaped bodies. In certain embodiments, the gluteal implants and gluteal implant systems are implanted in a buttock region.

The implantable medical device includes at least one frame having a rounded shape and formed of a plurality of rounded legs. In one embodiment, the device includes two frames having similar rounded shapes and coupled to one another by means of a flexible coupling. The flexible coupling enables the frames to tilt relative to one another and relative to a vessel in which the device is deployed. The rounded nature of the frames enables the frames to tilt in the vessel while retaining proper contact to the vessel wall and the functional characteristics of the frames. The device may have just one frame in some embodiments and three or more frames in other embodiments. The device may be a filter, an occluding device or any other suitable medical device.

A modular acetabular cup assembly for use with multiple bearing liners is disclosed. The acetabular cup assembly includes a shell having a tapered inner wall and two circumferential grooves. The shell may be used with polyethylene, ceramic, metal, and other types of liners.

A delivery system for delivering a prosthesis includes a catheter and a selectable tip kit having a plurality of tips. Each tip is uniquely shaped, i.e., has a particular shape different than the shape of all the other tips, and each tip is better suited for some procedures than for others. One of the tips is selected by the physician as being particularly well suited for the procedure to be performed. The selected tip is non-removably attached to the catheter and the remaining tips are discarded. This allows the delivery system to be customizable to each procedure, putting the physician in control of the case. This provides a case specific delivery system for the physicians to use and at a very low expense and with minimal additional engineering.

The present disclosure provides a modular stent assembly for deployment within a lumen. The assembly may include primary and secondary stent portions. Each stent portion includes a sheet having an incomplete annular profile. The sheet includes a graft material disposed on a wire matrix. Each stent portion further includes an aperture positioned in the sheet, and first and second side walls. The first side wall extends between the aperture and a first longitudinal edge of the sheet. The second side wall extends between the aperture and a second longitudinal edge of the sheet, which is spaced apart from the first edge. The stent portions mate to define an interior space in which is positioned an expandable securement stent. An outer wall of the securement stent is sized to compress the side walls of the stent portions between the body of the securement stent and a wall defining the lumen.

A visceral double-barreled main body stent graft and methods for its use, the stent graft comprises, a main body stent graft having distal and proximal ends, the main body stent graft's length ranges from about 100-120 mm and diameter at the proximal end ranges from about 30-45 mm, first and second lumens defined at the main body stent graft's distal end, the first lumen's diameter ranges from about 18-20 mm, the second lumen's diameter ranges from about 16-18 mm, the first and second lumens have about the same length from about 50-70 mm, the first lumen is secured to the second lumen along a shared length, and the main body stent graft defines a tubular wall that is contiguous with the first and second lumens such that any fluid entering the main body must exit through one of the first or second lumens.

An implant system for total shoulder arthroplasties, hemi shoulder arthroplasties, and reverse total shoulder arthroplasties including a humeral stem having an enlarged head portion with interfaces adapted to removably receive various modular interchangeable components, such as articulating liners, spacers, and adapter inserts. The humeral stem functions as a universal platform that may be used in either conventional or reverse total shoulder arthroplasties, as well as hemi shoulder arthroplasties, and may remain implanted in place during a revision in which the implant system is converted between the foregoing configurations, for example.