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Небесная энциклопедия

Космические корабли и станции, автоматические КА и методы их проектирования, бортовые комплексы управления, системы и средства жизнеобеспечения, особенности технологии производства ракетно-космических систем

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Мониторинг СМИ

Мониторинг СМИ и социальных сетей. Сканирование интернета, новостных сайтов, специализированных контентных площадок на базе мессенджеров. Гибкие настройки фильтров и первоначальных источников.

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Форма поиска

Поддерживает ввод нескольких поисковых фраз (по одной на строку). При поиске обеспечивает поддержку морфологии русского и английского языка
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Применить Всего найдено 5780. Отображено 101.
07-12-2016 дата публикации

흉복부 분기 동맥류 치료용 스텐트 조립체

Номер: KR1020160140688A
Автор: 프리드, 누레딘
Принадлежит:

... 분기 혈관에서의 전개를 위한 다중 루멘 스텐트 조립체(100). 이 조립체는 자기 확장 가능 메인 몸체 부품(200) 및 2개의 루멘 연장부(300)로 이루어지며, 메인 몸체 부품(200)의 이중 배럴부(208)의 루멘 중 하나에 삽입될 수 있다. 메인 몸체 부품(200)은 심장을 향하여 위치되도록 구성되는 근위단(201) 및 원위단(202)을 갖는다. 메인 몸체 부품(200)은 메인 몸체부(203), 오목부(206) 및 천이부(205)를 갖는다. 메인 몸체부(203)는 일정한 직경의 원통형 루멘(204)을 갖는다. 오목부(206)는 2개의 루멘(211)을 갖는 이중 배럴부(208)를 갖는다. 천이부(205)의 단면은 천이부(205)를 향하여 원형 형상으로부터 타원형 형상으로 진행하며, 이 형상의 보다 큰 직경은 중앙 평면(CP)에 있다.

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26-01-2012 дата публикации

Satiation devices and methods

Номер: US20120022430A1
Принадлежит: Barosense Inc

A device for inducing weight loss in a patient includes a tubular prosthesis self-expandable from a collapsed position in which the prosthesis has a first diameter to an expanded position in which the prosthesis has a second, larger, diameter. In a method for inducing weight loss, the prosthesis is placed in the collapsed position and inserted into a stomach of a patient. The prosthesis is allowed to self-expand from the collapsed position to the expanded position and into contact with the walls of the stomach, where it induces feelings of satiety and/or inhibits modulation of satiety-controlling factors such as Ghrelin.

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09-02-2012 дата публикации

Stent Graft Having A Marker And A Reinforcing And Marker Ring

Номер: US20120035714A1

A reinforcing and marker ring for a stent graft is disclosed. The reinforcing and marker ring comprises a plurality of turns of a substantially inextensible resilient wire in a circular shape and terminal ends at each end of the wire. The terminal ends each comprise a loop, each loop attachable to a stent graft having an opening or a fenestration so as to substantially lock a peripheral length of the circular shape. A marker winding is wound helically around the reinforcing wire, the marker winding being viewable on an image display system employing electromagnetic radiation so as to indicate the location of a periphery of the fenestration. The circular shape of the resilient wire, with the marker winding wound around it, is collapsible under radial pressure to form a squashed circular shape for loading into a delivery device, the squashed circular shape self-expandable back to a substantially circular shape upon release from the delivery device. The marker winding defines a curved passageway around the resilient wire of the reinforcing ring, the curved passageway having an internal diameter D, wherein the marker winding is helically wound with a pitch providing at least one winding per length D along the reinforcing wire of the reinforcing ring. The marker winding may be a radiopaque gold wire wound around a nitinol reinforcing wire.

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23-02-2012 дата публикации

Graft Systems Having Filling Structures Supported by Scaffolds and Methods for Their Use

Номер: US20120046684A1
Принадлежит: Endologix LLC

Aneurysms are treated by filling at least one double-walled filling structure with a curable medium within the aneurysm. The filling structures may be delivered over balloon deployment mechanisms in order to shape and open tubular lumens therethrough. Scaffolds are placed into the tubular lumens in order to help maintain the shape, anchor the filling structures in place, and provide improved blood flow transition into and out of the tubular lumens.

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08-03-2012 дата публикации

Prosthesis delivery systems and methods

Номер: US20120059450A1
Принадлежит: Aptus Endosystems Inc

Apparatus and method deliver a prosthesis into a hollow body organ or blood vessel. The systems and methods make use of a catheter. A carrier on the distal end of the catheter is sized and configured to carry the prosthesis. A release mechanism and an enclosure mechanism on the distal end are operable to retain and enclose the prosthesis on the carrier. The release mechanism and the enclosure mechanism are also operable to selectively expose and release the prosthesis from the carrier for deployment in the hollow body organ or blood vessel.

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15-03-2012 дата публикации

Endovascular aneurysm repair system

Номер: US20120065661A1
Автор: Lee Bolduc
Принадлежит: Aptus Endosystems Inc

Method and apparatus for implanting radially expandable prostheses in the body lumens rely on tacking or anchoring of the prostheses with separately introduced fasteners. The prostheses may be self-expanding or balloon expandable. After initial placement, a fastener applier system is introduced within the expanded prostheses to deploy a plurality of fasteners at least one prosthesis end, usually as each end of the prosthesis. The fasteners are usually helical fasteners which are delivered from a helical track in the fastener applier by rotation with a rotator wire. The fasteners will be applied singly, typically in circumferentially spaced-apart patterns about the interior of each end of the prosthesis.

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19-04-2012 дата публикации

Intravascular Ultrasound Pigtail Catheter

Номер: US20120095340A1
Автор: Brian E. Smith
Принадлежит: Volcano Corp

An IVUS pigtail catheter is provided. The IVUS pigtail catheter includes an array of transducers for performing intravascular ultrasound imaging and a pigtail end portion for performing angiographic imaging. The IVUS pigtail catheter facilitates both IVUS imaging and angiographic imaging without the need to exchange catheters. This allows surgical procedures performed using the IVUS pigtail catheter to be faster, more accurate, and less complicated. Methods of utilizing the IVUS pigtail catheter are also provided.

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19-04-2012 дата публикации

Modular grafting system and method

Номер: US20120095547A1
Автор: Timothy A.M. Chuter
Принадлежит: Endovascular Technologies Inc

A system and method for treating and repairing complex anatomy characterized by a plurality of vessel portions oriented at various angles relative to each other. The system including a graft device that is capable of being assembled in situ and has associated therewith a method that avoids the cessation of blood flow to vital organs. A delivery catheter system and various graft supporting, mating and anchoring structures are additionally included.

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17-05-2012 дата публикации

Flow-Deflecting Medical Device

Номер: US20120123518A1
Принадлежит: Cook Medical Technologies LLC

The disclosure relates to a flow-deflecting medical device comprising a support structure and two flow-deflecting members attached to the support structure. The first flow-deflecting member is movable to a position in which it contacts and substantially seals against the second flow-deflecting member.

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17-05-2012 дата публикации

Blood-flow tubing

Номер: US20120123520A1
Принадлежит: Tayside University Hospitals NHS Trust

An artificial or modified natural blood flow tubing has a helical-flow inducer to induce helical flow in such a fashion as to eliminate or reduce turbulence. One inducer is a tubular stent of expansible mesh having a helical vane.

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24-05-2012 дата публикации

Devices and methods for in situ fenestration of a stent-graft at the site of a branch vessel

Номер: US20120130478A1
Автор: Edward E. Shaw
Принадлежит: WL Gore and Associates Inc

The present disclosure includes a stent-graft comprising a first portion that is configured to engage a vessel wall, a second portion that is configured not to engage the vessel wall, and a perfusion window that is configured to permit blood flow. The stent-graft may further comprise a transition portion between the first portion and the second portion, and the perfusion window may be formed in the first portion, the second portion, and/or the transition portion. In a variety of embodiments, one of the first and the second portion may have a smaller diameter than the other. Similarly, in a variety of embodiments, the transition portion may be frustoconically shaped.

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31-05-2012 дата публикации

Stent Graft System

Номер: US20120136431A1
Автор: Wei-Hui Chen
Принадлежит: Individual

The stent graft system in accordance with the present invention has a trunk, a left subclavian tube, a left common carotid tube and a brachiocephalic tube. The trunk is tubular and expandable and has a descending end, an ascending end, a left subclavian mount, a left common carotid mount and a brachiocephalic mount, for receiving the aforementioned branch tubes that are elastic and self-expandable for respectively connecting the left subclavian artery, the left common carotid artery and the brachiocephalic artery to the trunk. With the above-described structure, the present invention allows fast determination of a suitable trunk and branch tubes for a patient and allows a medical institute to prepare compatible branch tubes and trunks for a composite stent graft system instead of numerous stent grafts of various combinations of differently sized tubular bodies and branches, wherein the former requires significantly less warehousing cost than the latter.

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05-07-2012 дата публикации

Venous nitinol embolization inserts

Номер: US20120172908A1
Автор: Karl F. Grace
Принадлежит: Cook Inc

A venous nitinol embolization insert for restricting blood flow includes a tubular member and an embolization material attached to the tubular member. The embolization insert provides a predetermined blood flow rate based on experimental data. A method of controlling restriction of blood flow to a targeted vascular site within a patient's body includes selecting an insert that provides a predetermined blood flow rate corresponding to a desired blood flow rate. The embolization insert is selected from a plurality of embolization inserts that provide varied blood flow rates.

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09-08-2012 дата публикации

Intralumenally-implantable frames

Номер: US20120203327A1
Принадлежит: Cook Medical Technologies LLC

Implantable frames for use in body passages are provided herein. The implantable frames can include a plurality of hoop members joined by a plurality of longitudinal connecting members to form a tubular frame defining a cylindrical lumen. The plurality of longitudinal connecting members may include first and second longitudinal connecting members joining a first hoop member to a second hoop member such that the first and second longitudinal connecting members extend across an entire space separating the first and second hoop members.

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15-11-2012 дата публикации

Paraplegia prevention valve for stent grafts

Номер: US20120290069A1
Принадлежит: Cook Medical Technologies LLC

A stent graft defining a main lumen bounded by a wall of graft material is disclosed. The stent graft has a valve portion between proximal and distal portions. The valve portion is formed by a wall portion having a part-circumferential double layer portion comprising an inner underlap portion and an outer overlap portion, the double layer portion forming a passageway parallel to the main lumen. The passageway has an entrance mouth and an exit mouth. The passageway has an open condition where the underlap and overlap portions are spaced apart to form a vent lumen. The wall portion is broken by a narrow cut. The cut is openable by relative radial movement between its edges. This allows re-perfusion of an aneurism and perfusion of blood from within the lumen out towards blood vessels such as intercostals and can assist in minimising the chance of paraplegia.

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22-11-2012 дата публикации

Thoracic aorta stent graft

Номер: US20120296414A1
Автор: David Ernest Hartley

A stent graft for placement in the thoracic arch of a patient has a tubular body defining a main lumen therethrough, a plurality of zig zag stents along the tubular body, each of the stents comprising a plurality of struts and bends, the bends being between adjacent struts. At least a first stent and an adjacent second stent having at least a pair of adjacent bends on the first stent aligned with an adjacent pair of bends on the second stent, whereby a first pair of adjacent struts of the first stent and a second pair of adjacent struts of the second adjacent stent together define a diamond shape region. A recess is within the diamond shaped region with the recess extending into the lumen of the tubular body. A fenestration extending into the tubular body within the recess in the diamond shaped region and a graft tube leading from the fenestration into the main lumen. There can be one, two or three diamond shaped regions, recesses, fenestrations and graft tubes Proximally of the or each diamond shaped region the tubular body has a first diameter, distally of the diamond shaped region the tubular body has a second diameter and in the region of the tubular body around the diamond shaped region the tubular body has a third diameter, the first diameter being greater than the second diameter and both the first and second diameter being greater than the third diameter whereby a central region is defined which will allow circumferential blood flow during an operation out of the graft tube into the recess and then into the central region.

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20-12-2012 дата публикации

Paraplegia prevention stent graft

Номер: US20120323303A1
Автор: Krasnodar Ivancev
Принадлежит: Cook Medical Technologies LLC

A stent graft ( 10 ) for deployment into the aorta of a patient has a tubular body ( 12 ) with a proximal portion ( 14 ) of a selected diameter and a portion ( 16 ) of a reduced diameter less than the selected diameter distal of the proximal portion and a tapered portion ( 18 ) extending between the proximal portion and the portion of reduced diameter. Low profile side arms ( 26, 28, 30, 32 ) are provided in the portion of reduced diameter and/or the tapered portion. The side arms are for connection of an arm extension to an aortic branch vessel. A paraplegia prevention vent tube ( 34 ) is provided in fluid communication with the main lumen and open to external of the tubular body in the region defined by the portion of reduced diameter and the tapered portion. The paraplegia prevention vent tube is not intended to be connected to a side branch of the aorta but is intended, and is so constructed and arranged, to provide temporary perfusion to external of the stent graft after deployment of the stent graft into the aorta and is intended, and is so constructed and arranged, to be subsequently blocked.

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27-12-2012 дата публикации

Devices and methods for treatment of vascular aneurysms

Номер: US20120330343A1
Принадлежит: Kim Steven W, Shiu Brian K

The present invention relates to devices and methods for the treatment of diseases in the vasculature, and more specifically, devices and methods for treatment of aneurysms found in blood vessels. In a first embodiment of the present invention, a two part prostheses, where one part is an expandable sponge structure and the other part is an expandable tubular mesh structure, is provided. In the first embodiment, the expandable sponge structure is intended to fill the aneurysm cavity to prevent further dilatation of the vessel wall by creating a buffer or barrier between the pressurized pulsating blood flow and the thinning vessel wall. In the first embodiment, the expandable tubular mesh structure is placed across the aneurysm, contacting the inner wall of healthy vessel proximal and distal to the aneurysm.

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14-02-2013 дата публикации

Branch vessel prostheses

Номер: US20130041456A1
Автор: Roy K. Greenberg
Принадлежит: Roy K. Greenberg

The present embodiments provide a branch vessel prosthesis for placement at least partially between a main vessel and a branch vessel of a patient. The branch vessel prosthesis has a graft including a generally tubular body of a biocompatible material. At least one stent is coupled to a proximal region of the graft, and at least one stent is coupled to a distal region of the graft. The proximal region of the graft includes a generally straight configuration in an expanded deployed state that is substantially parallel to a longitudinal axis of a main vessel. The distal region of the graft includes a generally straight configuration in the expanded deployed state that is substantially parallel to a branch vessel. A curvature of a central region varies an angle in which the distal region of the graft is disposed relative to the proximal region.

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21-02-2013 дата публикации

Actively Controllable Stent, Stent Graft, Heart Valve and Method of Controlling Same

Номер: US20130046373A1
Принадлежит: Syntheon Cardiology LLC

Sealable and repositionable implant devices are provided with features that increase the ability of implants such as endovascular grafts and valves to be precisely deployed or re-deployed, with better in situ accommodation to the local anatomy of the targeted recipient anatomic site, and/or with the ability for post-deployment adjustment to accommodate anatomic changes that might compromise the efficacy of the implant. A surgical implant includes an implant body and a selectively adjustable assembly attached to the implant body, the assembly having adjustable elements and being operable to cause a configuration change in a portion of the implant body and, thereby, permit implantation of the implant body within an anatomic orifice to effect a seal therein under normal physiological conditions.

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28-03-2013 дата публикации

Endoluminal prosthesis with steerable branch

Номер: US20130079870A1

An endoluminal prosthesis may include a tubular main graft body including a sidewall and proximal and distal ends. A first stent may be positioned near the proximal end of the main graft body. A second stent may be positioned adjacent to and distal of the first stent. An opening in the sidewall may be positioned longitudinally between a peak of the first stent and a valley of the second stent. A tubular branch may be disposed in the opening. The branch may include first and second end openings. The branch may be flexibly orientable between a retrograde configuration in which the first end opening is oriented toward the distal end and the second end opening is oriented toward the proximal end and an antegrade configuration in which the first end opening is oriented toward the proximal end and the second end opening is oriented toward the distal end.

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11-04-2013 дата публикации

Surgical Stapling System

Номер: US20130087596A1
Принадлежит: EDRICH HEALTH Tech Inc

A system is provided for joining two tubular structures by a surgical stapling procedure. The system includes a series of sizers, a specifically designed graft, a loading unit, a wand, a tourniquet, and a stapling instrument. As a result, a plurality of staples may be simultaneously deployed quickly and accurately in a circumferential pattern so as to join together two tubular structures. The system may be used in either an open surgical procedure or laparascopically.

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16-05-2013 дата публикации

Surgical Implant Devices and Methods for Their Manufacture and Use

Номер: US20130123909A1
Принадлежит: Syntheon Cardiology LLC

A sealable vascular system includes an endovascular implant to be delivered in a compressed or folded state to an implantation site. The endovascular implant includes a tubular implant body and a sealable circumferential collar at said tubular implant body and including a variable sealing device and a control lead traversing from said variable sealing device to a user for controlling said variable sealing device by the user, said variable sealing device and said control lead being cooperatively operable to reversibly expand and contract said sealable circumferential collar such that said sealable circumferential collar is circumferentially adjustable during deployment thereof to achieve a repositionable fluid-tight seal between said sealable circumferential collar and the internal walls of the implantation site.

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23-05-2013 дата публикации

Branch stent graft deployment and method

Номер: US20130131777A1

A deployment device for deploying a self-expanding fenestrated stent graft. The device includes a fenestrated stent graft retained on an introducer. The introducer includes a main catheter and an auxiliary catheter preloaded within the introducer and extending from distal the distal end of the stent graft, into the lumen of the stent graft and through the fenestration.

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23-05-2013 дата публикации

Endovascular graft

Номер: US20130131786A1
Автор: Michael V. Chobotov
Принадлежит: TriVascular Inc

An endovascular graft, which is configured to conform to the morphology of a vessel to be treated, includes a tubular ePTFE structure; an inflatable ePTFE structure disposed over at least a portion of the ePTFE tubular structure; and an injection port in fluid communication with the inflatable ePTFE structure for inflation of the inflatable ePTFE structure with an inflation medium. The inflatable ePTFE structure may be longitudinally disposed over the tubular ePTFE structure. The ePTFE structure may be a bifurcated structure having first and second bifurcated tubular structures, where the inflatable ePTFE structure is disposed over at least a portion of the first and second bifurcated tubular structures.

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06-06-2013 дата публикации

Device for endovascular aortic repair and method of using the same

Номер: US20130144373A1
Автор: Ali Shahriari
Принадлежит: AORTIC INNOVATIONS LLC

A device and method for endovascular repair of a patient's aorta is disclosed. The device includes a frame component that has a balloon-expandable frame and a self-expanding frame secured to the balloon-expandable frame. The device also includes a valve element positioned at the proximal end of the frame component. The device may include another prosthetic component that may be secured to the frame component. The prosthetic component may include at least one conduit configured to receive a covered stent.

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11-07-2013 дата публикации

Electrophysiological endocardiology tool

Номер: US20130178908A1
Автор: Christoph Hans Huber
Принадлежит: ENDOHEART AG

Apparatus and methods for pacing the heart. The apparatus may include, and the methods may involve, an elongated member having: a delivery lumen that is configured to traverse the heart wall, the lumen having a proximal opening for receiving the instrument and a distal opening for deploying the instrument; and an electrically conductive member that is configured to deliver to the heart wall a current that modifies a contraction frequency. The apparatus may include an access opening closure device that has: a distal end that is configured to be disposed interior the heart and contact endocardial tissue adjacent the access opening; and a proximal end that is configured to be disposed exterior the heart and contact heart tissue adjacent the access opening; and an electrode that is configured to discharge electrical energy into the heart wall to change the frequency. The apparatus may include an injectable needle pacing electrode.

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01-08-2013 дата публикации

Central airway stent

Номер: US20130197657A1
Автор: Diana Anca, Faiz Bhora
Принадлежит: Individual

The present invention relates to central airway stents, and methods and devices for deploying such stents. The central airway stents are useful for maintaining or prolonging the patency of a central airway.

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15-08-2013 дата публикации

Branched stent graft device and deployment

Номер: US20130211506A1
Принадлежит: WL Gore and Associates Inc

A device for treating disease along a main vessel and at least one branch vessel extending from the main vessel includes a branch member for deployment in the branch vessel, the branch member having a branch lumen; and a main body for deployment in the main vessel. The main body has a generally tubular wall extending generally longitudinally between opposite first and second ends. The wall has an internal surface defining a main lumen and an opposite outer surface. The wall has a recessed portion that is recessed relative to the outer surface of the wall and positioned between the first and second ends of the main body. The main body has an opening formed in the recessed portion of the wall for receiving the branch member therethrough such that the branch lumen is in fluid communication with the main lumen.

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22-08-2013 дата публикации

Medical device delivery system and deployment method

Номер: US20130218257A1
Принадлежит: Cook Medical Technologies LLC

An aortic stent-graft may include a tubular graft extending from a proximal end to a distal end, the graft comprising a proximal sealing portion and an intermediate portion, wherein a proximal end of the intermediate portion abuts the distal end of the proximal sealing portion. At least one sealing stent may be attached to the proximal sealing portion. A first fenestration window is disposed in the intermediate portion. The first fenestration window has a length determined by the equation L=1.23*D−24 millimeters, where L is the length of the first fenestration window. D is between about 24 millimeters and 45 millimeters.

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22-08-2013 дата публикации

Abdominal Aortic Stent

Номер: US20130218258A1
Принадлежит: Ching-Yang Wu, Hui-Ping Liu, Po-Jen Ko, Yun-Hen Liu

An abdominal aortic stent includes a first sub-stent and a second sub-stent, each having a front end and the circumference of the front end of each sub-stent is half of the circumference of the abdominal aorta, and when the circumference is gradually reduced to a rear end of each sub-stent, it has entered one side of the bilateral femoral arteries, wherein the rear ends of the sub-stents with full circumference of the cross-sectional area of the femoral artery are included therein; the first and second sub-stents are coated with external removable membrane to compress the sub-stents to generate smaller circumferences, and when the membrane has been removed, the sub-stents are fully extended to reconstruct the vascular flow path.

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03-10-2013 дата публикации

Devices and methods for treatment of vascular aneurysms

Номер: US20130261724A1
Принадлежит: Brian K. Shiu, Steven W. Kim

The present invention relates to devices and methods for the treatment of diseases in the vasculature, and more specifically, devices and methods for treatment of aneurysms found in blood vessels. In a first embodiment of the present invention, a two part prostheses, where one part is an expandable sponge structure and the other part is an expandable tubular mesh structure, is provided. In the first embodiment, the expandable sponge structure is intended to fill the aneurysm cavity to prevent further dilatation of the vessel wall by creating a buffer or barrier between the pressurized pulsating blood flow and the thinning vessel wall. In the first embodiment, the expandable tubular mesh structure is placed across the aneurysm, contacting the inner wall of healthy vessel proximal and distal to the aneurysm.

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17-10-2013 дата публикации

Blood flow controllers and methods

Номер: US20130274648A1
Автор: Judah Weinberger
Принадлежит: Columbia University of New York

Blood flow restrictors are discussed. In some examples, a blood flow restrictor apparatus is configured to be placed within a destination vessel for an arteriovenous hemodialysis access. In an example, the apparatus includes a tubular portion including a delivery configuration and a deployed configuration. In a further example, a size-limiting portion is configured to constrain a size of the tubular portion in the deployed configuration. The tubular portion, in some examples, includes a first portion including a first size substantially matching an interior size of the destination vessel with the tubular portion in the deployed configuration. In another example, the tubular portion includes a second portion constrained by the size-limiting portion to include a second size smaller than the first size of the tubular portion.

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17-10-2013 дата публикации

Debranching Great Vessel Stent Graft and Methods for Use

Номер: US20130274853A1
Автор: Patrick W. KELLY
Принадлежит: SANFORD HEALTH

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.

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31-10-2013 дата публикации

Stent-graft prosthesis for placement in the abdominal aorta

Номер: US20130289702A1
Принадлежит: Medtronic Vascular Inc

A self-expanding main vessel stent-graft includes a trunk portion configured for placement within the abdominal aorta and a bifurcated portion configured for placement above the aortic bifurcation of the common iliac arteries. The trunk portion includes a proximal end section having an anchor stent and a seal stent that accommodates a scallop or open-top fenestration; a suprarenal body section having at least one stent of variable stiffness to accommodate branch vessel prosthesis deployed alongside the main vessel stent-graft; a branch connection section having opposing couplings for connecting the main vessel stent-graft to branch vessel prostheses deployed within the renal arteries; an infrarenal body section having at least one stent of uniform stiffness; and a transition section for transitioning into the bifurcated portion. The main vessel stent-graft is configured to treat short-neck infrarenal, juxtarenal, and/or suprarenal aneurysms in a wide range of patient anatomies.

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12-12-2013 дата публикации

Systems, devices, and methods for organ retroperfusion along with regional mild hypothermia

Номер: US20130331762A1
Принадлежит: Individual

Systems, devices, and methods for organ retroperfusion along with regional mild hypothermia. In at least one embodiment of a method of organ perfusion of the present disclosure, the method comprises the steps of positioning at least part of a first catheter having a cannula within an artery of a patient, the first catheter configured to permit arterial blood to flow therethrough and further configured to permit a portion of the arterial blood to flow through the cannula, positioning at least part of a second catheter within a vein of the patient at or near a target organ, the second catheter configured to receive some or all of the portion of the arterial blood, connecting the cannula of the first catheter to a portion of the second catheter so that some or all of the portion of the arterial blood flowing through the cannula is provided into the vein to treat a condition or disease of the target organ, and reducing and/or regulating a temperature of blood flowing through the cannula using a regional hypothermia system operably coupled to the cannula.

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19-12-2013 дата публикации

Bifurcated endovascular prosthesis having tethered contralateral leg

Номер: US20130338760A1
Принадлежит: TriVascular Inc

An endovascular delivery system includes a bifurcated and inflatable prosthesis including a main tubular body having an open end and opposed ipsilateral and contralateral legs defining a graft wall therein between. A tether is disposed securably disposed to the contralateral leg, and the contralateral leg is releasably restrained towards the ipsilateral leg tether to prevent undesirable movement of the contralateral leg. A release wire within the endovascular delivery system releasably retains the tether near the ipsilateral leg.

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26-12-2013 дата публикации

Fenestrated stent grafts

Номер: US20130345785A1
Принадлежит: Cook Medical Technologies LLC

A stent graft ( 1 ) including a tubular wall ( 3 ) with at least one fenestration ( 40 ) including a peripheral ( 37 ) reinforcement around at least part of the fenestration. There can also be a tubular extension ( 15 ). The side arm includes a stent ( 19 ) and a cover ( 17 ) and extends from and is in fluid communication with the fenestration and the stent graft. The stent may be a self expanding stent. The ring and/or tubular extension provides better support and sealing for an extension arm. The fenestration ( 40 ) can be circular or if towards the ends of the stent graft may be in the form of a U-shape ( 50 ) with an open end.

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06-02-2014 дата публикации

Methods of securing a fastener

Номер: US20140039495A1
Принадлежит: P Tech LLC

Embodiments may include an attachable fastener, which may include a bondable material that may be secured to the end of an end effector. Vibration may be tuned to occur at a distal end of the fastener. Accordingly, the fastener may be used to generate heat at a distal point of contact. If the contact surface contains bondable material, that material may be softened. If the fastener includes bondable material at the point of contact, that material may also be softened by heat produced by vibration at the contact area. A hard implant or another polymeric material may function as the anvil.

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13-02-2014 дата публикации

Stent delivery systems and associated methods

Номер: US20140046428A1
Принадлежит: Altura Medical Inc

Stent delivery systems and associated methods for delivering stents are disclosed herein. In several embodiments, a handle assembly for delivering a stent from a tubular enclosure can include a first lead screw having a first lead thread of a first pitch and first handedness, a second lead screw having a second lead thread of a second pitch and second handedness different from the first handedness, and a housing defining threads of the first and second pitches. The first lead screw can be in mechanical communication with the tubular enclosure, and the second lead screw can be in mechanical communication with the stent. Upon rotation of a portion of the housing, the housing threads can engage the lead screws so as to induce simultaneous translations of the lead screws in opposite directions. The simultaneous translations are configured to deploy the stent from the tubular enclosure.

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13-03-2014 дата публикации

Implant deployment apparatus

Номер: US20140074218A1
Принадлежит: WL Gore and Associates Inc

A delivery system including a restraining member maintains a collapsed implant in its collapsed state for delivery through a small passageway to a desired site in a mammalian body. Once the implant is positioned at the desired site, the restraining member is released so that the stent may expand or be expanded to its expanded state. In a preferred embodiment, the restraining member comprises a sheet of material that surrounds at least a portion of the collapsed stent. Portions of the restraining member are releasably coupled to one another with a low profile thread-like member or suture.

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27-03-2014 дата публикации

Vascular endoprosthesis

Номер: US20140088687A1
Принадлежит: St George Medical Inc

The invention relates to a vascular endoprosthesis including a device for preventing any endoleak after an angioplasty. The invention more particularly but not restrictively relates to a vascular endoprosthesis for a patient suffering from an abdominal aortic aneurysm.

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03-04-2014 дата публикации

Satiation devices and methods

Номер: US20140094734A1
Принадлежит: Boston Scientific Scimed Inc

A satiation device is described which includes a sheath or liner extending from the proximal or middle stomach to the distal antrum. Food ingested by the patient passes through the sheath or liner, thereby minimizing contact between the ingested food and the stomach. It is believed that over time, reduced contact between food and the stomach will result in decreased Ghrelin production by the patient and a consequent decrease in appetite. In some embodiments, the satiation device may also include a proximal pouch and/or a distal bypass tube.

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06-01-2022 дата публикации

STAGED DEPLOYMENT OF EXPANDABLE IMPLANT

Номер: US20220000644A1
Принадлежит:

An endoprosthesis delivery system includes an expandable endoprosthesis including a side branch portal, a first primary sleeve releasably constraining a proximal portion of the expandable endoprosthesis to a collapsed configuration, a second primary sleeve in parallel with the first primary sleeve, the second primary sleeve releasably constraining a distal portion of the expandable endoprosthesis to the collapsed configuration, and a secondary sleeve within the first primary sleeve. Upon release of the first primary sleeve, the secondary sleeve releasably constrains the proximal portion of the expandable endoprosthesis to a partially expanded configuration allowing access to the side branch portal via the partially expanded proximal portion of the expandable endoprosthesis. 1. An endoprosthesis delivery system comprising:an expandable endoprosthesis including a side branch portal;a first primary sleeve releasably constraining at least a first portion of the expandable endoprosthesis toward a collapsed configuration;a secondary sleeve overlapping with the first primary sleeve, wherein upon release of the first primary sleeve, the secondary sleeve releasably constrains a second portion of the expandable endoprosthesis to a partially expanded configuration allowing access to the side branch portal via the partially expanded portion of the expandable endoprosthesis;a side branch component configured for delivery through the side branch portal via the partially expanded portion of the expandable endoprosthesis.2. The endoprosthesis delivery system of claim 1 , wherein:the expandable endoprosthesis defines a central lumen, further comprising a first guidewire extended through the central lumen; anda second guidewire extended through the partially expanded portion of the endoprosthesis and the side branch component.3. The endoprosthesis delivery system of claim 1 , further comprising a second primary sleeve in parallel with the first primary sleeve claim 1 , the second ...

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03-01-2019 дата публикации

EXPANDABLE VASCULAR OCCLUSION DEVICE WITH LEAD FRAMING COIL

Номер: US20190000485A1
Принадлежит: DePuy Synthes Products, Inc.

A method of treating an aneurysm with an occlusion device having an inner embolic device with a proximal section and a distal section. The distal section has a first stiffness and the proximal section has a second stiffness. Further, the device has an expandable mesh capable of a collapsed position and an expanded position. The mesh can be disposed over, and attached to, a portion of the proximal section of the inner embolic device. The first stiffness is greater than the second stiffness and the inner embolic device comprises a preselected shape which assists in transforming the expandable mesh from the collapsed position to the expanded position. 1. A method of treating an aneurysm using an occlusion device having an inner embolic element with a proximal section and a distal section , and an expandable mesh , comprising the steps of:providing a first stiffness for the distal section;providing a second stiffness for the proximal section different from the first stiffness;disposing the expandable mesh over a portion of the proximal section of the inner embolic element;placing the occlusion device within a vessel of a patient;directing the occlusion device to the aneurysm;deploying the distal section of the inner embolic element into the aneurysm from a catheter;assuming, by the distal section of the inner embolic element, a predetermined shape;permanently deploying the expandable mesh into the aneurysm.2. The method of wherein the distal section of the inner embolic element is a framing coil claim 1 , and further comprising the step of configuring the different stiffness of inner embolic element so that the framing coil is stiffer than the proximal section.3. The method of claim 1 , wherein the distal section has a stiffness that is at least ten times the stiffness of the proximal section.4. The method of claim 1 , wherein the distal section has a stiffness that is up to twenty times stiffer than the proximal section.5. The method of claim 1 , wherein the distal ...

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07-01-2021 дата публикации

SINGLE MULTIBRANCH STENT DEVICE ASSEMBLY AND METHOD

Номер: US20210000586A1
Принадлежит:

The techniques of this disclosure generally relate to an assembly including a single multibranch stent device. The single multibranch stent device includes a main body, a proximal coupling extending radially from the main body, and a distal coupling extending radially from the main body. The main body, the proximal coupling, and the distal coupling are permanently coupled to one another and the single multibranch stent device is a single piece. By forming the single multibranch stent device as a single piece, the single multibranch stent device can be deployed in a single deployment thus simplifying the deployment procedure. 1. An assembly comprising: a main body;', 'a proximal coupling extending radially from the main body; and', 'a distal coupling extending radially from the main body, wherein the main body, the proximal coupling, and the distal coupling are permanently coupled to one another;, 'a single multibranch stent device comprisinga first guidewire prewired within the proximal coupling; anda second guidewire prewired within the distal coupling.2. The assembly of wherein the main body comprises a proximal opening at a proximal end and a distal opening at a distal end claim 1 , wherein the distal coupling is located between the distal opening and the proximal coupling.3. The assembly of wherein the proximal coupling is located between the distal coupling and the proximal end.4. The assembly of wherein the main body comprises a lumen extending between the proximal opening and the distal opening.5. The assembly of wherein the proximal coupling comprises a lumen fluidly coupled to the lumen of the main body claim 4 , and wherein the distal coupling comprises a lumen fluidly coupled to the lumen of the main body.6. The assembly of wherein the main body comprises a first longitudinal axis claim 1 , the proximal coupling comprises a second longitudinal axis extending radially from the first longitudinal axis claim 1 , and the distal coupling comprises a third ...

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07-01-2021 дата публикации

METHOD FOR AORTIC REPAIR AND AORTIC REPLACEMENT

Номер: US20210000623A1
Автор: Shahriari Ali
Принадлежит:

An endovascularly deployed prosthetic includes a portion for being positioned within an ascending aorta. The prosthesis includes a replacement aortic valve on a proximal end thereof. The prosthesis includes an increased diameter portion that seals against the aorta at a more distal portion, and a pair of conduits extend from the increased diameter portion to the coronaries for fluidly coupling the coronaries to the prosthesis. 110-. (canceled)11. A method of implanting a transcatheter aortic valve assembly , comprising:endovascularly positioning a guide wire through the aortic valve of a patient;endovascularly positioning the transcatheter aortic valve assembly through the aortic valve of the patient, wherein the transcatheter aortic valve assembly has a radially compressed orientation and a radially expanded orientation,wherein the transcatheter aortic valve is positioned so that an outer seal of the transcatheter aortic valve assembly is in overlapping radial alignment with native valve leaflets of the patient, wherein the outer seal comprises a plurality of outwardly extending fibers that form the outer seal;inflating a balloon assembly to expand the transcatheter aortic valve assembly from the radially compressed orientation into the radially expanded orientation,wherein the outwardly extending fibers are pressed into engagement with the native leaflets of the patient to treat paravalvular leaks.12. The method of claim 11 , wherein the transcatheter aortic valve assembly includes an outer frame claim 11 , wherein the outer frame is formed from a metallic material and defines an open cell configuration.13. The method of claim 12 , wherein the transcatheter aortic valve assembly includes an inner frame that engages a prosthetic heart valve having prosthetic leaflets claim 12 , wherein the inner frame includes a cylindrically extending graft covering extending at least partially radially outwardly of the prosthetic heart valve and radially inwardly of the outer ...

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03-01-2019 дата публикации

Pre-loaded multiport delivery device

Номер: US20190000607A1

A pre-loaded stent graft delivery device and stent graft, the stent graft delivery device. The stent graft has at least one fenestration or side arm and the fenestration is preloaded with an indwelling guide wire. The indwelling guide wire are configured to receive the access sheaths. A handle assembly at a distal end of the guide wire catheter. The handle includes a multiport manifold with access ports to the auxiliary lumens in the pusher catheter. Upon deployment of the stent graft into the vasculature of a patient, the indwelling guide wire can be used to facilitate cathertization of a side branch or target vessel through the fenestration or be used to stabilize the access sheath during catheterization, advancement of the access sheath into the target vessel and deployment of a covered or uncovered stent therein through the access sheath.

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03-01-2019 дата публикации

Force transducting inflatable implant system including a dual force annular transduction implant

Номер: US20190000621A1
Принадлежит: Harmony Development Group Inc

An implant system for restoring and improving physiological intracardiac vortical flow in a human heart is provided including a dual force transducting annular implant comprising laterally extending struts transitioning into annular structural members for positioning on the atrial side of the valve annulus; an anchoring system comprising a therapeutic base plate assembly attachable to the apex of the heart; and a tether assembly comprising a tether connected between the implant and the therapeutic base plate assembly.

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05-01-2017 дата публикации

Universal Multi-Branch Endograft

Номер: US20170000630A1
Принадлежит: UNIVERSITY OF SOUTH FLORIDA

The present invention provides endovascular stent graft conversion devices, systems and related methods that are particularly useful in aortic aneurysm repair, such as, but not limited to, thoraco-abdominal aortic aneurysm (TAAA) repair. The endovascular stent graft conversion device provided by the present invention comprises a graft segment comprising a first end and a second end, wherein the first end is adapted for engaging a limb of an endograft device, and wherein the second end comprises three or more graft branches extending therefrom. 1. An endovascular stent graft conversion device , comprising:a graft segment comprising a first end and a second end, wherein the first end is adapted for engaging a limb of an endograft device, wherein the second end comprises three or more graft branches extending therefrom, wherein the three or more graft branches all extend from the second end at the same location.2. The device of claim 1 , wherein the second end comprises three graft branches extending therefrom.3. The device of claim 1 , wherein the second end comprises four graft branches extending therefrom.4. The device of claim 1 , wherein the endograft device comprises a first limb and a contralateral limb and wherein the first end of the endovascular stent graft conversion device is adapted for engaging the contralateral limb of the endograft device.5. A graft system claim 1 , comprising:an endovascular stent graft, wherein the endovascular stent graft comprises one or more limb; anda conversion device, the conversion device comprising a graft segment comprising a first end and a second end, wherein the first end is adapted for engaging one of the limbs of the endovascular stent graft, wherein the second end comprises three or more graft branches extending therefrom.6. The system of claim 5 , wherein the second end comprises three graft branches extending therefrom.7. The system of claim 5 , wherein the second end comprises four graft branches extending therefrom. ...

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13-01-2022 дата публикации

Devices and methods for anatomic mapping for prosthetic implants

Номер: US20220008134A1
Принадлежит: Aortica Corp

A method of generating a patient-specific prosthetic includes receiving anatomic imaging data representative of a portion of a patient's anatomy. A first digital representation of the anatomic imaging data is defined. The first digital representation of the anatomic imaging data is modified. A second digital representation of the portion of the patient's anatomy is defined based on the modifying of the first digital representation of the anatomic imaging data. A patient-specific prosthetic template of the portion of the patient's anatomy is generated based at least in part on the second digital representation of the anatomic imaging data.

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20-01-2022 дата публикации

STENT GRAFT WITH SACRIFICIAL PORT

Номер: US20220015891A1
Принадлежит:

A stent graft assembly with a sacrificial entry/exit port is disclosed. A first sacrificial port extends from a first branch stent graft and is configured to face a second branch stent graft when the stent graft assembly is in an expanded configuration. Likewise, a second sacrificial port can be provided, and can extend from the second branch stent graft and configured to face the first branch stent graft when the stent graft assembly is in the expanded configuration. The first and optional second sacrificial ports are configured to transition between (i) an open configuration to enable a guidewire or other surgical tool to pass from the first branch stent graft to the second branch stent graft while bypassing the main body, and (ii) a closed configuration to inhibit blood flow therethrough. 1. A stent graft assembly comprising:a stent graft having a main body, and first and second legs extending from the main body;a first branch stent graft extending from the first leg;a second branch stent graft extending from the second leg;a first sacrificial port extending from the first branch stent graft when the stent graft assembly is in an expanded configuration; anda second sacrificial port extending from the second branch stent graft when the stent graft assembly is in the expanded configuration; an open configuration to enable a guidewire or other surgical tool to pass from the first branch stent graft to the second branch stent graft while going around the main body, and', 'a closed configuration to inhibit blood flow therethrough., 'wherein each of the first and the second sacrificial ports have2. The stent graft assembly of claim 1 , further comprising a pull wire configured to claim 1 , when pulled claim 1 , transition at least one of the first or the second sacrificial ports from the open configuration to the closed configuration.3. The stent graft assembly of claim 1 , further comprising a closure wrapped about the first sacrificial port and configured to close ...

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12-01-2017 дата публикации

STENT-GRAFT

Номер: US20170007391A1
Автор: Inoue Kanji
Принадлежит:

This invention provides a stent-graft that has both shape-maintainability and flexibility, and when implanted in a living body, the stent-graft performs its intended functions for a considerably long period of time relative to conventional stent-grafts, without causing conflict. The stent-graft comprises a stent comprising multiple elastic rings and a graft. An auxiliary elastic wire whose rigidity is lower than that of the stent is arranged at the end-part of the graft, and the auxiliary elastic wire is connected to the multiple elastic rings at the opening part. 1. A stent-graft comprising a graft of a tubular shape and multiple elastic rings intermittently arranged in an axial direction of the tubular shape spanning across both end-parts of the graft , and housed into a delivery sheath , with each of the elastic rings being transformed into a saddle-shape , and the graft being folded in accordance with the transformation of the elastic rings , whereinan auxiliary elastic wire, whose rigidity is lower than that of the elastic ring, is furthermore provided, and the auxiliary elastic wire is connected directly or through the graft, to the multiple elastic rings arranged at the end-parts of the graft.2. The stent-graft described in claim 1 , whereinthe auxiliary elastic wire comprises multiple first wire elements intermittently arranged in a circumferential direction of the graft, and each of the first wire elements is connected to the multiple elastic rings arranged at the end-part of the graft in a condition of intersecting with each of the multiple elastic rings.3. The stent-graft described in claim 2 , whereinthe auxiliary elastic wire is an endless annular shape that surrounds the graft so as to repeat a concave portion and a convex portion in the axial direction of the tubular shape, and the auxiliary elastic wire comprises multiple second wire elements, each of which forms the concave portions and the convex portions, and the multiple first wire elements, each ...

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12-01-2017 дата публикации

ENDOPROSTHESIS FOR ENDOVASCULAR TREATMENT OF THORACIC-ABDOMINAL AORTIC ANEURYSMS OR DISSECTIONS AND ENDOPROSTHESIS FOR ENDOVASCULAR TREATMENT OF ABDOMINAL AORTIC ANEURYSMS OR DISSECTIONS WHICH COMPROMISE THE ILIAC ARTERIES

Номер: US20170007392A1

The present invention relates to an endoprosthesis for endovascular treatment of thoracic-abdominal aortic aneurysms or dissections, wherein the endoprosthesis has a proximal region, an intermediate region and a distal region, comprising five inner cylinders parallel to the longitudinal axis of the endoprosthesis, said inner cylinders, having elliptical apertures in the intermediate region. The present invention also relates to an endoprosthesis for endovascular treatment of abdominal aortic aneurysms or dissections which compromise the iliac arteries, wherein the endoprosthesis has a proximal region, an intermediate region and a distal region, comprising an inner cylinder parallel to the longitudinal axis of the endoprosthesis, said inner cylinder having an elliptical aperture in the intermediate region. 1123457911131579111368101214. Endoprosthesis for endovascular treatment of thoracic-abdominal aortic aneurysms or dissections , said endoprosthesis () comprising a proximal region () , an intermediate region () and a distal region () , wherein it has five internal cylinders () , () , () , () , and () , parallel to the longitudinal axis of the endoprosthesis () , said internal cylinders () , () , () , () , and () being provided with elliptical openings () , () , () , () , and () arranged in said intermediate region ().2505152535450545552. Endoprosthesis for endovascular treatment of thoracic-abdominal aortic aneurysms or dissections , said endoprosthesis () comprising a proximal region () , an intermediate region () and a distal region () , wherein it has an internal cylinder () , parallel to the longitudinal axis of the endoprosthesis () , said internal cylinder () being provided with and elliptical opening () in said intermediate region (). The present invention belongs to the field of prostheses implantable inside the human body, especially to the field of devices that prevent collapse of tubular structures of the body, such as endoluminal vascular prostheses or ...

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11-01-2018 дата публикации

IMPLANTABLE DAMPING DEVICES FOR TREATING DEMENTIA AND ASSOCIATED SYSTEMS AND METHODS OF USE

Номер: US20180008279A1
Принадлежит:

Devices, systems, and methods for reducing stress on a blood vessel are disclosed herein. A damping device configured in accordance with embodiments of the present technology can include an anchoring member coupled to a flexible, compliant damping member including a generally tubular sidewall having an outer surface, an inner surface defining a lumen configured to direct blood flow, a first end portion and a second end portion, and a damping region between the first and second end portions. The inner and outer surfaces of the damping member can be spaced apart by a distance that is greater at the damping region than at either of the first or second end portions. When blood flows through the damping member during systole, the damping member absorbs a portion of the pulsatile energy of the blood, thereby reducing a magnitude of the pulse pressure transmitted to a portion of the blood vessel distal to the damping device. 1. A device for treating or slowing the effects of dementia by lowering the peak of the blood pressure wave , the device comprising:an anchoring member comprising a generally cylindrical mesh structure configured to expand from a low-profile state to a deployed state; anda tubular damping member within the mesh structure, the damping member having a low-profile configuration and a deployed configuration, wherein the damping member includes an outer sidewall, an inner sidewall, and a cavity therebetween, wherein the inner sidewall has a plurality of undulations and defines a lumen extending through the damping member, and wherein the cavity is at least partially filled with a fluid comprising a plurality of fluid particles,wherein the device is configured to be deployed within a blood vessel lumen such that an outer surface of the anchoring member is in apposition with an inner surface of the blood vessel wall and an outer surface of the inner sidewall of the damping member is in contact with blood flowing through the blood vessel lumen, andwhen the ...

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11-01-2018 дата публикации

INTRODUCER FOR A SIDE BRANCH DEVICE

Номер: US20180008395A1
Автор: Hartley David Ernest
Принадлежит: Cook Medical Technologies LLC

An introduction arrangement for a fenestrated or branched stent graft () intended for deployment into the lumen of a vessel having a blind vessel extending from it. The introducer () has a distal end intended to remain outside a patient in use and a proximal end with a nose cone dilator () and an arrangement to retain the branched stent graft distally of the nose cone dilator. A sheath () on the introducer extends over the branched stent graft to the nose cone dilator. An indwelling catheter () extends from the distal end of the introducer and enters the fenestration or side arm and through to the nose cone dilator, the indwelling catheter has a guide wire () extending through it. The guide wire can be extended beyond the nose cone dilator in use before the sheath is withdrawn from the branched stent graft so that it can be snared from the contra-lateral artery. 1. An introduction arrangement for a branched stent graft intended for deployment into the lumen of a vessel having a blind vessel extending therefrom; the branched stent graft having a main tubular body having a distal end and a proximal end with a main lumen therethrough , a side arm extending from the main body and having a side arm lumen therethrough and in fluid communication with the main lumen , the introduction arrangement including an introducer , the introducer having a distal end intended to remain outside a patient in use and a proximal end , the proximal end having a nose cone dilator and an arrangement to retain the branched stent graft thereon distally of the nose cone dilator , the branched stent graft being retained on the introducer and a sheath on the introducer extending over the branched stent graft to the nose cone dilator , an indwelling catheter extending from the distal end of the introducer through an introducer lumen in the introducer to the branched stent graft , exiting from the introducer lumen at a distal end of the branched stent graft and entering the distal end of the side ...

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11-01-2018 дата публикации

Introducer for a side branch device

Номер: US20180008396A1
Автор: David Ernest Hartley
Принадлежит: Cook Medical Technologies LLC

An introduction arrangement for a fenestrated or branched stent graft ( 13 ) intended for deployment into the lumen of a vessel having a blind vessel extending from it. The introducer ( 1 ) has a distal end intended to remain outside a patient in use and a proximal end with a nose cone dilator ( 11 ) and an arrangement to retain the branched stent graft distally of the nose cone dilator. A sheath ( 15 ) on the introducer extends over the branched stent graft to the nose cone dilator. An indwelling catheter ( 21 ) extends from the distal end of the introducer and enters the fenestration or side arm and through to the nose cone dilator, the indwelling catheter has a guide wire ( 29 ) extending through it. The guide wire can be extended beyond the nose cone dilator in use before the sheath is withdrawn from the branched stent graft so that it can be snared from the contra-lateral artery.

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11-01-2018 дата публикации

PROSTHESIS HAVING PIVOTING FENESTRATION

Номер: US20180008397A1
Принадлежит:

The present disclosure relates to an endoluminal prosthesis, such as a stent graft that includes one or more fenestrations to accommodate endovascular disease, such as an aneurysm in cases where one or more side branches is involved. In one aspect, the prosthesis includes fenestrations that are pivotable to accommodate the dynamic geometry of the aortic branches. 1. A prosthesis , comprising:a graft having a tubular body and a surface comprising a first biocompatible material;at least one fenestration having a diameter extending from a sidewall of the graft;a first perimeter having a first diameter and surrounding the fenestration;a band of flexible material attached to and surrounding the first perimeter and having a flexible frame;a second perimeter attached to and surrounding the band of flexible material and having a second diameter greater than the first perimeter diameter;where the band of material has a first diameter substantially the same as the first perimeter diameter and a second diameter substantially the same as the diameter of the second perimeter, and where the diameter of the band of material decreases in a direction away from the surface of the graft from the second perimeter to the first perimeter; andwhere each fenestration is pivotable in any direction away from an axis perpendicular to a longitudinal axis of the prosthesis.2. The prosthesis of claim 1 , wherein the flexible frame includes a plurality of support units.3. The prosthesis of claim 1 , wherein the band of material has a concave or convex orientation relative to the surface of the graft.4615. The prosthesis of claim 1 , wherein the first diameter of the band is about mm and the second diameter of the band is about mm.5. The prosthesis of claim 5 , wherein the first perimeter claim 5 , the band of material claim 5 , and the second perimeter form a hemispherical shape and are substantially concentric when positioned in the same plane.6. A prosthesis for treatment of a main vessel ...

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14-01-2021 дата публикации

DEVICE FOR ENDOVASCULAR AORTIC REPAIR

Номер: US20210007865A1
Автор: Shahriari Ali
Принадлежит:

An endovascularly deployed prosthetic includes a portion for being positioned within an ascending aorta. The prosthesis includes a replacement aortic valve on a proximal end thereof. The prosthesis includes an increased diameter portion that seals against the aorta at a more distal portion, and a pair of conduits extend from the increased diameter portion to the coronaries for fluidly coupling the coronaries to the prosthesis. 110-. (canceled)11. A transcatheter heart valve assembly comprising: a first open cell portion; and', 'a second open cell portion extending from and continuous with the first open cell portion and defining a construction that differs from the construction of the first open cell portion;, 'an outer frame, wherein the outer frame is formed from a metallic material and definesan inner frame that houses a prosthetic heart valve, wherein the inner frame is a graft covering extending around at least a portion of the prosthetic heart valve for providing sealing to the heart valve, wherein the graft covering covers the first open cell portion but does not extend to the second open cell portion,wherein the outer frame is secured to the graft covering by a plurality of stitches,a sealing material positioned externally to the outer frame for providing sealing between the outer frame and a patient's anatomical wall to prevent paravalvular leaks, wherein the sealing material includes a plurality of outwardly extending fibers that extend outwardly of the outer frame to form the sealing material, wherein the sealing material is attached to the first open cell portion of the outer frame and extends at least a majority of a height of the first open cell portion,wherein the valve assembly is balloon expandable and expansion of the valve assembly presses the sealing material against native leaflets of the aorta of the patient,wherein the valve assembly has a radially compressed orientation and a radially expanded orientation.12. The valve assembly of claim 11 , ...

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11-01-2018 дата публикации

PERSONALIZED PROSTHESIS AND METHODS OF USE

Номер: US20180008437A1
Автор: Thapliyal Hira V.
Принадлежит: AneuMed, Inc.

A personalized prosthesis for implantation at a treatment site of a patient includes a self-expanding mesh or membrane having collapsed and expanded configurations. The collapsed configuration is adapted to be delivered to the treatment site, and the expanded configuration engages the personalized prosthesis with the treatment site. The mesh or membrane is personalized to match the treatment site in the expanded configuration, and has an outer surface that substantially matches the treatment site shape and size. The self-expanding mesh or membrane forms a central lumen configured to allow blood or other body fluids to flow therethrough. Methods of manufacturing and delivery of the personalized prosthesis are also disclosed. 1. A personalized prosthesis , said prosthesis comprising:A radially expandable prosthesis, wherein the prosthesis is personalized prior to implantation thereof such that the prosthesis substantially matches a shape and a volume of a treatment site.2. A method of treating a treatment site , said method comprising:providing a personalized prosthesis;delivering the prosthesis to the treatment site; andradially expanding the prosthesis into engagement with the treatment site such that the prosthesis substantially matches a shape and a volume of the treatment site. The present application is a continuation of U.S. patent application Ser. No. 15/628,431 (Attorney Docket No. 44600-703.302) now U.S. Pat. No. filed Jun. 20, 2017 which is a continuation of U.S. patent application Ser. No. 14/850,586 (Attorney Docket No. 44600-703.401) now U.S. Pat. No. 9,744,060 filed Sep. 10, 2015 which is a divisional application of U.S. patent application Ser. No. 13/663,160 (Attorney Docket No. 44600-703.201, formerly 45045-703.201) filed Oct. 29, 2012 now abandoned, which is a non-provisional of and claims the benefit of U.S. Provisional Patent Application No. 61/554,099 (Attorney Docket No. 44600-703.101, formerly 45045-703.101) filed Nov. 1, 2011; the entire ...

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11-01-2018 дата публикации

BRANCH ENDOGRAFT DELIVERY

Номер: US20180008442A1
Автор: Douglas Myles
Принадлежит: Red Vascular Technologies, LLC

A system for treating disease involving branching vessels of a mammal system can include a main graft assembly (i) having a lumen permitting fluid flow therethrough, and (ii) configured to expand within a first vessel of a mammal; and a branch graft assembly including a branch cover (i) having a cover lumen permitting fluid flow therethrough; and (ii) configured to expand within a branch vessel that branches from the first vessel. The branch graft assembly may also include an expandable branch stent extending within the cover lumen. The branch graft assembly may further include a branch sheath (i) extending between the branch stent and the cover lumen, and (ii) constraining radial expansion of the branch stent within the cover lumen. 1. (canceled)2. A graft system for treating branching blood vessels of a mammal , said branch assembly comprising:a main graft assembly including a main stent with a main stent lumen and a main cover with a main cover lumen; anda branch graft assembly including a branch stent with a branch stent lumen and a branch cover with a branch cover lumen, wherein the branch cover is coupled with the main cover;a branch sheath (i) positioned fully over the expandable branch stent and beneath the branch cover, and (ii) constraining radial expansion of the branch stent, wherein the expandable branch stent is attached to the branch cover along at least a part of a perimeter of the branch cover in order to inhibit distal movement of the branch sheath within the branch cover lumen while said branch graft assembly is being advanced through a first vessel and into a branch vessel;an outer sheath which constrains the branch graft assembly to lie substantially in parallel against the main graft assembly while the main graft assembly and the branch graft assembly are being advanced through the first vessel;such that (i) retracting the outer sheath from over the main graft assembly and the branch graft assembly laterally releases the branch graft assembly ...

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11-01-2018 дата публикации

ENDOGRAFT VISUALIZATION WITH PRE-INTEGRATED OR REMOVABLE OPTICAL SHAPE SENSING ATTACHMENTS

Номер: US20180008443A1
Принадлежит: KONINKLIJKE PHILIPS N.V.

An endograft () includes a stent structure. An optical shape sensing (OSS) system () is associated with the endograft and is configured to measure shape, position and/or orientation of the stent structure. The OSS system () is connected to the stent structure and removable in a plurality of ways. Methods for deployment and removal of the OSS system are also provided. 1. An endograft , comprising:a stent structure;at least one attachment mechanism configured to releasably attach to the stent structure; andat least one optical shape sensing (OSS) system having one or more optical fibers, wherein said optical shape sensing system is coupled to the at least one attachment mechanism and is configured to measure at least one of shape, position or orientation of the stent structure.2. The endograft as recited in claim 1 , wherein the at least one attachment mechanism includes a hook claim 1 , a clip claim 1 , a clamp claim 1 , a magnet and a capture tube.3. The endograft as recited in claim 1 , wherein the at least one attachment mechanism is coupled at a distal end of the at least one OSS system.4. The endograft as recited in claim 1 , wherein the at least one attachment mechanism attached to the stent structure at attachment point of a geometric landmark.5. The endograft as recited in claim 4 , wherein the attachment point includes one or more of a ring of the endograft claim 4 , a fenestration claim 4 , a scallop or a bifurcation junction.6. The endograft as recited in claim 1 , wherein the at least one attachment mechanism is selectively releasable from the stent structure.7. The endograft as recited in claim 1 , wherein the at least one attachment mechanism includes a plurality of attachment points on the stent structure for a same OSS system.8. An endograft claim 1 , comprising:a stent structure;at least one deployable instrument pre-cannulated through a fenestration in the stent structure; andthe at least one deployable instrument including an optical shape sensing ...

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27-01-2022 дата публикации

Combinatorial therapies including implantable damping devices and therapeutic agents for treating a condition and associated systems and methods of use

Номер: US20220022881A1
Принадлежит: Brain Protection Co Pty Ltd

Devices, systems, and methods for combinatorial treatment of a condition with an implantable damping device and therapeutic agent (e.g., drug) are disclosed herein. Methods for treating one or more effects of the condition, such as a neurological condition, include providing the implantable damping device and at least neck one other therapy, such as a therapeutic agent, that treats the condition to the patient. The implantable damping device includes a flexible damping member and an abating substance and can be placed in apposition with a blood vessel. The flexible damping member forms a generally tubular structure having an inner and an outer surface, the inner surface formed of a sidewall having a partially deformable portion. The abating substance is disposed within the partially deformable portion and moves longitudinally and/or radially within the partially deformable portion in response to pulsatile blood flow.

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27-01-2022 дата публикации

FORCE TRANSDUCTING INFLATABLE IMPLANT SYSTEM INCLUDING A DUAL FORCE ANNULAR TRANSDUCTION IMPLANT

Номер: US20220023042A1
Принадлежит:

An implant system for restoring and improving physiological intracardiac vortical flow in a human heart is provided including a dual force transducting annular implant comprising laterally extending struts transitioning into annular structural members for positioning on the atrial side of the valve annulus; an anchoring system comprising a therapeutic base plate assembly attachable to the apex of the heart; and a tether assembly comprising a tether connected between the implant and the therapeutic base plate assembly. 1. An implant system for restoring ventricular geometric shape and changing vortical physiological intracardiac flow (ventricular vortex) in a human heart comprising:a dual force transducting annular implant comprising laterally extending struts transitioning into annular structural components for positioning the implant and transducting force on the atrial side of a valve annulus;an anchoring system comprising one or more therapeutic base plate assemblies attachable to the heart's apex or wall;a tether assembly, comprising a tether or tethers or shaft, connected between the implant and the one or more therapeutic base plate assemblies;a conduit providing a fluidic connection; anda control unit.2101-. (canceled) This application claims the benefit of priority under 35 USC § 120 to U.S. patent application Ser. No. 16/021,985, filed Jun. 28, 2018, which claims the benefit under 35 USC § 119(e) of U.S. Provisional Application Ser. No. 62/526,216, filed Jun. 28, 2017, each of which is hereby incorporated by reference in its entirety.The present disclosure relates generally to a force transducting, structurally stabilizing, vortex orienting or steering, and functionally ventricular assisting inflatable implant within a human heart for restoring and improving physiologic vortical intracardiac flow and utilizing the re-purposed native energy and force of the atrioventricular pressure gradient, via force transduction, to restore geometric elliptical shape, ...

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10-01-2019 дата публикации

SYSTEMS AND METHODS WITH FENESTRATED GRAFT AND FILLING STRUCTURE

Номер: US20190008631A1
Принадлежит:

A system includes a graft body and a filling structure. The graft body has a fenestration in a side surface through which a support structure is insertable. The filling structure has an internal volume that is tillable with a filling medium and is configured to have a conduit through the internal volume through which the support structure is insertable. The conduit in the filling structure is alignable with the fenestration in the graft body such that the support structure is insertable through both the conduit in the filling structure and the fenestration in the graft body. 1. A system , comprising:a graft body with a fenestration in a side surface through which a support structure is insertable; anda filling structure defining an internal volume that is fillable with a filling medium and configured with a conduit through the internal volume through which the support structure is insertable.2. The system of claim 1 ,wherein the conduit in the filling structure is alignable with the fenestration in the graft body such that the support structure is insertable through both the conduit in the filling structure and the fenestration in the graft body.3. The system of claim 1 ,wherein the fenestration in the graft body and the conduit in the filling structure are alignable with a renal artery.4. The system of claim 1 , further comprising:a stent attached to the graft body at a portion of the graft body that is entirely above a location of the fenestration in the graft body.5. The system of claim 1 ,wherein the graft body is configured to have an enlarged portion having slack graft material to allow for the fenestration to be moved to align the fenestration with an artery.6. The system of claim 1 ,wherein the filling structure surrounds at least a portion of the graft body.7. The system of claim 1 ,wherein the filling structure is configured such that the conduit in the filling structure is an opening with a shutter that is closable around the support structure after the ...

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10-01-2019 дата публикации

STENT AND METHOD AND DEVICE FOR FABRICATING THE STENT

Номер: US20190008666A1
Автор: Harder Claus
Принадлежит:

Device, system and method for fabricating a stent, the device including a reservoir that provides a supply of particles; an appliance having a high pressure generator that generates a particle beam from the supply of particles; a transport conduit that transports the particle beam; and a nozzle connected to the transport conduit that jets the particle beam outward from the device, where the nozzle is configured for insertion into a stent. 1. A device for fabricating a stent , the device comprising:a) a reservoir that provides a supply of particles;b) an appliance comprising a high pressure generator that generates a particle beam from the supply of particles;c) a transport conduit that transports the particle beam; andd) a nozzle connected to the transport conduit that jets the particle beam outward from the device, wherein the nozzle is configured for insertion into a stent.2. The device of claim 1 , wherein the particles comprise sand or pellets.3. The device of claim 1 , wherein the nozzle is configured to scatter the particle beam to strike struts of a stent laterally along a luminal surface.4. The device of claim 1 , wherein the nozzle is configured to scatter the particle beam in a pattern that irradiates a plurality of strut edges simultaneously when the plurality of strut edges lie within a same section of a stent that is perpendicular to the longitudinal direction of the stent.5. A system for fabricating a stent claim 1 , the system comprising:a) a stent comprising a plurality of struts with strut edges lying within a same section that is perpendicular to the longitudinal direction of the stent; and{'claim-ref': {'@idref': 'CLM-00001', 'claim 1'}, 'b) the device of .'}6. A method of fabricating a stent claim 1 , the method comprising:a) providing a stent comprising a plurality of struts with strut edges lying within a same section that is perpendicular to the longitudinal direction of the stent;{'claim-ref': {'@idref': 'CLM-00001', 'claim 1'}, 'b) providing ...

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09-01-2020 дата публикации

LASER DIMPLED STENT FOR PREVENTION OF RESTENOSIS

Номер: US20200008925A1
Принадлежит: University of North Texas

A dimpled stent design has geometrical characteristics, namely dimple width and depth, which generate dimple site specific turbulence and thrust within the blood flow to reduce or eliminate restenosis. The dimpled stent design is produced by laser processing of the stent material to produce different sizes, which may be predicted by a Multiphysics computational model, placements, and spatial layouts of dimples in the stent. 5. The method of claim 1 , wherein the stent material is a titanium alloy claim 1 , cobalt-chrome alloy claim 1 , or stainless steel.6. The method of claim 1 , further comprising the step of choosing a laser to generate a laser beam claim 1 , wherein the laser is a Neodymium-Doped Yttrium Aluminum Garnet (Nd:YAlO) laser.7. The method of claim 1 , further comprising the step of choosing a laser to generate a laser beam claim 1 , wherein the laser operates at a laser power of 500 W to 1800 W.8. The method of claim 1 , further comprising the step of using a Multiphysics computational model to predict and define features of the one or more dimples produced at the targeted surface areas.10. The method of claim 8 , wherein width and depth of the one or more dimples produced at the targeted surface areas are determined based on the Multiphysics computational model.11. The dimpled stent produced by the method of .12. A dimpled stent claim 1 , comprising:circumferential walls enclosing a cylindrical inner space surrounding a central axis, wherein the circumferential walls comprise one or more laser produced dimples protruding outwardly away from the central axis to create one or more dimpled spaces in outer edges of the cylindrical inner space.13. The dimpled stent of claim 12 , wherein the dimpled stent is about 30 mm long and about 3.5 mm in diameter claim 12 , wherein the circumferential walls are about 0.1 mm thick claim 12 , and wherein the dimples have a depth of about 0.12 mm and a width of about 0.6 mm.14. A dimpled stent claim 12 , comprising:a ...

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09-01-2020 дата публикации

MYOCYTE-DERIVED FLOW ASSIST DEVICE: EXTRAVASAL SHEATHS OF RHYTHMICALLY CONTRACTING MYOCYTES AIDING FLOW OF BIOLOGICAL FLUIDS

Номер: US20200009296A1
Автор: Sarvazyan Narine

This invention relates, e.g., to a Myocyte-based Flow Assist Device (MFAD) for treating a subject in need of increased flow of a biological fluid, such as venous blood or lymph, comprising a sheath which comprises rhythmically contracting myocytes. 1. A Myocyte-based Flow Assist Device (MFAD) for treating a subject in need of increased flow of biological fluids , comprising;a vessel segment; anda sheath which comprises rhythmically contracting myocytes, the sheath disposed on at least a portion of a surface of the vessel segment,wherein the sheath further comprises at least one sheet of myocytes formed into a ring.2. The MFAD of claim 1 , wherein the sheath further comprises a scaffold claim 1 , within which are embedded the rhythmically contracting myocytes.3. The MFAD of claim 1 , wherein the myocytes are immunologically compatible with the subject.4. The MFAD of claim 2 , wherein the scaffold is of biological origin.5. The MFAD of claim 2 , wherein the scaffold is made of a chemical agent.6. The MFAD of claim 1 , wherein the sheath is in the form of at least one of:a thick sheet, having a thickness of about 0.2-5 mm; orone or more thin sheets, each individual sheet having a thickness of about 50-300 microns, providing a combined thickness of about 0.2-5 mm; ora mesh-like, woven, or prefabricated pattern of myocyte comprising fibers; ora coil-like arrangement of thick muscle fibers that results in a left-handed or right-handed helical arrangement or both; ora combination of helical fiber arrangements with circumferential fiber alignment.7. The MFAD of claim 1 , wherein the myocytes are cardiomyocytes.8. The MFAD of claim 1 , wherein the myocytes are smooth muscle cells.9. The MFAD of claim 1 , wherein the sheath comprises a section that comprises pacemaker-like cells while the rest of sheath comprises ventricular-like cells.10. The MFAD of claim 9 , whereinthe pacemaker-like section is in a form of a ring which abuts the section comprising the ventricular-like ...

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08-01-2015 дата публикации

ENDOVASCULAR GRAFT HAVING A CANNULATION POCKET

Номер: US20150012080A1
Автор: Barrand Zoe
Принадлежит:

A stent graft for placement in a lumen of a patient is disclosed. The stent graft comprises: a main tubular body of a biocompatible graft material having a main lumen, the main tubular body having a proximal end and a distal end; a side arm extending from the main tubular body, the side arm having a side arm lumen, the side arm lumen being in fluid communication with the main lumen through a side arm opening in the main tubular body; and a cannulation pocket. The pocket comprises: an exit aperture positioned opposite the side arm opening; an entry aperture longitudinally spaced from the entry aperture in a direction toward the distal end of the main tubular body; and a wall, the wall laterally spaced from the main lumen so as to provide a guide surface for a cannula fed through the entry aperture. 1. A stent graft for placement in a lumen of a patient , the stent graft comprising:a main tubular body of a biocompatible graft material having a main lumen, the main tubular body having a proximal end and a distal end;a side arm extending from the main tubular body, the side arm having a side arm lumen, the side arm lumen being in fluid communication with the main lumen through a side arm opening in the main tubular body; and an exit aperture positioned opposite the side arm opening;', 'an entry aperture longitudinally spaced from the exit aperture in a direction toward the distal end of the main tubular body; and', 'a wall, the wall laterally spaced from the main lumen so as to provide a guide surface for a cannula fed through the entry aperture., 'a cannulation pocket, the pocket comprising2. The stent graft of comprising a distal sealing portion claim 1 , the distal sealing portion sealable against the lumen of the patient.3. The stent graft of wherein the distal sealing portion comprises a distal sealing stent claim 2 , the distal sealing stent expandable to seal the distal sealing portion of the stent graft against the lumen of the patient.4. The stent graft of ...

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03-02-2022 дата публикации

MULTI-LAYER FOLDING FLOW DIVERTERS

Номер: US20220031443A1
Автор: GOROCHOW Lacey
Принадлежит: DePuy Synthes Products, Inc.

A tubular, folding flow diverter is provided. The flow diverter includes a plurality of sections, including a first section, a second section, and a third section. The flow diverter is shapeable to an elongated cylindrical shape and is movable to an implanted configuration. In the implanted configuration, the second section and at least a portion of the first and third sections overlap to form a three-layer shape. This three-layer shape can be positioned proximate an aneurysm neck when implanted in a patient. The overall porosity of the implant can be higher than legacy implants, because the overlapping portion of the three sections can decrease the porosity proximate the aneurysm neck. 1. A vascular flow diverter , comprising:a first tubular section defining an inner lumen;a third tubular section positionable within the inner lumen; anda second tubular section disposed between the first tubular section and the third tubular section,wherein the vascular flow diverter is foldable from a delivery configuration to an implanted configuration,wherein, in the delivery configuration, the first tubular section, the second tubular section, and the third tubular section define a single-layer cylindrical shape, andwherein, in the implanted configuration, the second tubular section is overlapped by at least a portion of the first tubular section and the third tubular section, thereby creating a three-layer shape proximate the second tubular section.2. The vascular flow diverter of claim 1 , wherein the first tubular section claim 1 , the third tubular section claim 1 , and the second tubular section comprise a braided mesh comprising a porosity of from approximately 80% to approximately 90%.3. The vascular flow diverter of claim 2 , wherein three-layer shape proximate the second tubular section comprises a porosity of from approximately 50% to approximately 70%.4. The vascular flow diverter of claim 1 , wherein the second tubular section comprises a different porosity than the ...

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19-01-2017 дата публикации

PROTHESIS HAVING PIVOTING FENESTRATION

Номер: US20170014222A1
Принадлежит:

The present disclosure relates to an endoluminal prosthesis, such as a stent graft that includes one or more fenestrations to accommodate endovascular disease, such as an aneurysm in cases where one or more side branches is involved. In one aspect, the prosthesis includes fenestrations that are pivotable to accommodate the dynamic geometry of the aortic branches. In another aspect, the pivotable fenestrations include a first perimeter, a band of flexible material attached and surrounding the first perimeter, and a second perimeter attached to and surrounding the band of flexible material. The first perimeter, band of flexible material, and second perimeter have a geometric shape. In one aspect, the prosthesis includes at least three pivotable fenestrations, 1. An endoluminal prosthesis , comprising:a graft having a tubular body and a surface comprising a first biocompatible material;a stent frame having a plurality of stent units attached to the graft about the surface of the graft and arranged in longitudinally spaced rows, at least one of the stent units comprising a plurality of struts interconnected by apices;at least three fenestrations disposed through a sidewall of the graft, each fenestration having a diameter;a first perimeter having a first diameter and surrounding each of the fenestrations;each first perimeter having a band of flexible material attached to and surrounding the perimeter, the band of flexible material having a depth relative to a surface plane of the tubular body; andeach band of flexible material having a second perimeter attached to and surrounding the band of flexible material;where the first perimeters, the bands of flexible material, and the second perimeters have a geometric shape and where each fenestration is pivotable in any direction away from an axis perpendicular to a longitudinal axis of the prosthesis, where at least two of the fenestrations are positioned on opposing sides of the graft.2. The prosthesis of claim 1 , where the ...

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18-01-2018 дата публикации

DEVICE VISUALIZATION THROUGH OPTICAL SHAPE SENSING OF A GUIDEWIRE

Номер: US20180014886A1
Принадлежит:

A medical device deployment system includes a main body () and a guidewire () capable of being passed through the main body and including a lumen. An optical shape sensing (OSS) system () is configured to pass through the lumen in the guidewire. The OSS system is configured to measure shape, position or orientation of an endograft () relative to a blood vessel for placement of the endograft. 1. A medical device deployment system , comprising:a main body;a guidewire capable of being passed through the main body and including a lumen; andan optical shape sensing (OSS) system configured to pass through the lumen in the guidewire, the OSS system being configured to measure at least one of shape, position or orientation of a medical device being deployed relative to an anatomical feature and output optical shape sensing data obtained from reflections within an optical fiber of the OSS system indicative of a shape of the optical fiber,wherein the guidewire is centrally located in the main body, andwherein the OSS system is centrally located in the lumen the guidewire.2. The deployment system as recited in claim 1 , wherein the guidewire is deformed with a shape template for registering the position in the optical shape sensing data along the guidewire.3. The deployment system as recited in claim 1 , further comprising at least one handle coupled to the main body claim 1 , the at least one handle including an attachment position for the OSS system exiting the guidewire.4. The deployment system as recited in claim 1 , further comprising at least one handle coupled to the main body claim 1 , the at least one handle including an attachment position for an additional OSS system.5. The deployment system as recited in claim 1 , further comprising a clamping mechanism configured to clamp the main body to the guidewire.6. The deployment system as recited in claim 1 , further comprising a first coupling feature on the main body and a second coupling feature on the guidewire claim 1 ...

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18-01-2018 дата публикации

Frame structures, stent grafts incorporating the same, and methods for extended aortic repair

Номер: US20180014952A1
Автор: Eric E. Roselli
Принадлежит: CLEVELAND CLINIC FOUNDATION

One aspect of the present disclosure can include a frame structure adapted for use with a stent graft. The frame structure can include a scallop region and a Z-form region. The scallop region can have a first end portion, a second end portion, and a perimeter that defines an aperture. The Z-form region can extend from the scallop region and include a plurality of Z-shaped struts, each of which has a first end and a second end that is connected to the scallop region at different points so as to form a central frame structure lumen. The second end portion of the scallop region can include a backstop that is deployable from a first flattened configuration to a second erect configuration. The backstop, in the second erect configuration, is sized and dimensioned to extend into a lumen of an aortic branch vessel.

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21-01-2016 дата публикации

BRANCHED STENT GRAFT, DELIVERY SYSTEM COMPRISING SAME AND METHOD OF FABRICATING SAME

Номер: US20160015536A1

A branched stent graft, a convey system comprising thereof and manufacturing method thereof, the branched stent graft includes a main body () and a side branch (), at least a portion of a lowermost stent section of the side branch () closest to the main body () is not stitched to the cover of the side branch from a lower end to an upper end, the at least a portion of the lowermost stent section is located on a side of the side branch corresponding to a folding direction of the side branch. After deployed, the branched stent graft has an effective supporting force at the base portion of the side branch. In addition, during the deployment of the stent, the side branch can expand to a maximal extent even when the positioning is slightly inaccurate. Further, vascular stenosis or occlusion will not be caused even when subsequent endothelialization occurs.

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17-01-2019 дата публикации

Stent

Номер: US20190015225A1
Автор: Eric K. Mangiardi
Принадлежит: Q3 Medical Devices Ltd

A stent is disclosed that has an elongated body composed of a bioabsorbable polymer having a proximal end, a distal end, two open spiral channels formed on the exterior surface of the body to provide fluid communication between the proximal end and the distal end. The stent also has a central lumen open at the proximal and distal ends of the stent for the passage of a guide wire. A method for using the stent and a kit containing the stent are also disclosed.

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21-01-2021 дата публикации

STENT GRAFT

Номер: US20210015599A1
Принадлежит:

The stent graft () comprises a cylinder comprising a graft material in the form of a film and a stent that supports the cylinder. Further, the stent graft () is inserted within a region from the ascending aorta to the sinus of valsalva, and the stent graft comprises cylindrical body section () arranged in the ascending aorta and the sinus of valsalva section () arranged in the sinus of valsalva and having an inner diameter larger than that of the body section (). 14-. (canceled)5. A stent graft comprising a cylinder comprising a graft material in the form of a film , and a stent that supports the cylinder , characterized in that:an open window is formed in the cylinder,roentgen markers are arranged inside an inner periphery of the open window, anda site of the window is a bare stent.6. (canceled)7. The stent graft according to claim 5 , whereinthe open window is circular when the stent graft is extended, and the roentgen markers are arranged in four directions of the open window.8. The stent graft according to claim 5 , whereinthe roentgen markers are soldered to the stent.9. The stent graft according to claim 5 , whereinthe stent graft is inserted in aortic arch; andthe open window is formed so as to enclose the openings of left subclavian artery, left common carotid artery, and brachiocephalic artery branching from the aortic arch. The present disclosure relates to stent grafts.Aortic diseases include cases of aortic aneurysms and aortic dissections. The aortic aneurysm refers to generation of aneurysm which bulges out like a lump in a part of the aorta; and arteriosclerosis is thought to be the main cause of the onset of the aortic aneurysm. The aortic aneurysm is a dangerous disease that exhibits no noticeable subjective symptoms such as pain even when the enlargement of the aortic aneurysm advanced and causes the rupture of the aorta in the course of time due to failure to withstand blood pressure, resulting in massive bleeding. Further, the aortic dissection ...

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21-01-2021 дата публикации

LOW PROFILE NON-SYMMETRICAL STENT

Номер: US20210015643A1
Принадлежит: Cook Medical Technologies LLC

Various stents and stent-graft systems for treatment of medical conditions are disclosed. In one embodiment, an exemplary stent-graft system may be used for endovascular treatment of a thoracic aortic aneurysm. The stent-graft system may comprise proximal and distal components, each comprising a graft having proximal and distal ends, where upon deployment the proximal and distal components at least partially overlap with one another to provide a fluid passageway therebetween. The proximal component may comprise a proximal stent having a plurality of proximal and distal apices connected by a plurality of generally straight portions, where a radius of curvature of at least one of the proximal apices may be greater than the radius of curvature of at least one of the distal apices. The distal component may comprise a proximal z-stent coupled to the graft, where the proximal end of the graft comprises at least scallop formed therein that generally follows the shape of the proximal z-stent. Further, the distal component may comprise at least one z-stent stent coupled to the distal end of the graft and extending distally therefrom that reduces proximal migration of the distal component. 120-. (canceled)21. A stent-graft system for treatment of a medical condition , the stent-graft system comprising:a proximal component comprising a graft having proximal and distal ends, and further comprising a stent having a plurality of proximal and distal apices connected by a plurality of generally straight portions, where at least one of the distal apices of the stent is attached to the graft using one or more sutures,where each proximal apex comprises a first curved portion and each distal apex comprises a second curved portion, where the first curved portion and the second curved portion each comprises at least one radius of curvature, and the radius of curvature of at least one of the proximal apices is greater than the radius of curvature of at least one of the distal apices; anda ...

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16-01-2020 дата публикации

METHODS AND SYSTEMS FOR ESTABLISHING RETROGRADE CAROTID ARTERIAL BLOOD FLOW

Номер: US20200016321A1
Принадлежит:

Interventional procedures on the carotid arteries are performed through a transcervical access while retrograde blood flow is established from the internal carotid artery to a venous or external location. A system for use in accessing and treating a carotid artery includes an arterial access device, a shunt fluidly connected to the arterial access device, and a flow control assembly coupled to the shunt and adapted to regulate blood flow through the shunt between at least a first blood flow state and at least a second blood flow state. The flow control assembly includes one or more components that interact with the blood flow through the shunt. 1. A system for use in accessing and treating a target artery , said system comprising:an arterial access device adapted to be introduced into a common carotid artery and receive blood flow from the target artery;a shunt fluidly connected to the arterial access device, wherein the shunt provides a pathway for blood to flow from the arterial access device to a return site; anda flow control assembly coupled to the shunt and adapted to regulate blood flow through the shunt between at least a first blood flow state and at least a second blood flow state, wherein the flow control assembly includes one or more components that interact with the blood flow through the shunt, wherein the flow control assembly comprises two or more parallel flow paths and a valve to open or close one or more of the flow paths to adjust the state of flow by selectively directing blood flow through one or more of the flow paths.2. A system as in claim 1 , further comprising a port fluidly communicating with the shunt claim 1 , wherein the port may be used to connect an aspiration device to the shunt.3. A system as in claim 2 , further comprising a second valve which controls fluid communication between the shunt and the port.4. A system as in claim 3 , wherein the second valve automatically opens with attachment of an aspiration or injection device ...

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15-01-2015 дата публикации

ILIAC STENT GRAFT

Номер: US20150018932A1
Принадлежит:

An iliac artery stent graft has a substantially inverted Y shape comprising a second arm terminating in a second end, and first and third arms terminating respectively in a first end and a third end. Each of the arms comprising a tubular graft of biocompatible graft material and the three arms joined being at a junction to allow fluid flow from the second arm into the first and third arms. In use the first end is deployed within the common iliac artery extending towards the external iliac artery, the second end is deployed within the common iliac artery extending towards the iliac bifurcation and the third end is within the common iliac artery and extends towards the internal iliac artery. Each of the three arms are mutually at an angle of approximately 120 degrees to each other. In use the first and second legs form a U shape to allow a deployment device to be smoothly deployed. 1. An iliac artery stent graft;the iliac artery stent graft comprising a substantially inverted Y shape comprising a second leg terminating in a second end, and first and third arms terminating respectively in a first end and a third end;each of the first and third arms and the second leg comprising a tubular graft of biocompatible graft material, the first arm being supported by a first stent arrangement and the third arm being supported by a third stent arrangement;first and third arms and the second leg being joined at a junction to allow fluid flow from the second leg into the first and third arms;the first end comprising an internal self expanding sealing stent and an outer sealing surface;the second end comprising an external self expanding stent and an internal sealing surface;wherein the first stent arrangement and the third stent arrangement together comprise a structure comprising the first and third arms together being a substantially semicircular or U-shape in use.2. An iliac artery stent graft as in wherein the second end comprises a terminal support ring.3. An iliac artery ...

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15-01-2015 дата публикации

PERFUSION REGULATION SYSTEM

Номер: US20150018937A1
Принадлежит:

A reperfusion system and method of perfusing a blood vessel using the reperfusion system are provided. The system includes an introducer sheath, a middle catheter extending through the introducer sheath, and a balloon microcatheter extending through the middle catheter. A connecting tube extends between a lumen of the introducer sheath and a valve at a proximal end of the microcatheter. A flow path is defined along a lumen of the introducer sheath, through the connecting tube, into the microcatheter, and out of a distal opening of the microcatheter. The balloon is disposed adjacent the exit point of the flow path to reduce reflux. Embolic material can be introduced into the microcatheter at the valve to exit at the same location as the blood flow. 1. A reperfusion catheter system comprising:an introducer sheath having a wall defining a longitudinal lumen extending from a proximal portion to a distal end;a middle catheter having a wall and having a longitudinal opening extending from a proximal portion to a distal end, the middle catheter disposed through the lumen of the introducer sheath;a microcatheter having a wall and having a longitudinal lumen extending from a proximal portion to a distal end, the microcatheter disposed through the lumen in the middle catheter, the microcatheter having an inflatable balloon on the distal end;a connecting tube having a first end disposed in fluid communication with the inside of the introducer sheath and a second end disposed in fluid communication with the microcatheter; andan antegrade blood flow path defined between an inner surface of the introducer sheath and an outer surface of the middle catheter, through the connecting tube, through the proximal portion of the microcatheter, through the lumen of the microcatheter, and exiting the distal end of the microcatheter.2. The system of further comprising a valve disposed between the proximal portion of the microcatheter and the connecting tube claim 1 , the valve having a first ...

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28-01-2016 дата публикации

ENDOVASCULAR PERFUSION STENT GRAFT

Номер: US20160022409A1
Принадлежит:

An endovascular perfusion stent graft is provided that can include a graft device, a balloon and a valve. The graft device can be inserted into a vessel. The balloon can be inserted into the graft device and can temporarily restrict passage of fluid or gas received via a perfusion port when the balloon is inflated via a bulb that provides air pressure to the balloon. The perfusion port can be operatively connected to another perfusion port configured to allow the fluid or the gas to pass through another balloon. The valve can be attached to the graft device. 1. A system , comprising:a graft device configured to be inserted into a vessel;a balloon configured to be inserted into the graft device and to temporarily restrict passage of fluid or gas received via a perfusion port when the balloon is inflated via a bulb that provides air pressure to the balloon, wherein the perfusion port is operatively connected to another perfusion port configured to allow the fluid or the gas to pass through another balloon; anda valve configured to be attached to an end of the graft device.2. The system of claim 1 , wherein the valve is configured to be attached at a distal end of the graft device.3. The system of claim 1 , wherein the valve is configured to open and close to provide unidirectional flow of the fluid or the gas.4. The system of claim 1 , wherein the valve is selectively removable from the graft device.5. The system of claim 1 , wherein the valve is a wire mesh valve attached to the end of the graft device.6. The system of claim 1 , wherein the valve is a mechanical valve attached to the end of the graft device.7. The system of claim 1 , wherein the valve is a bioprosthetic valve attached to the end of the graft device.8. The system of claim 1 , wherein the bulb is configured to provide the air pressure to the balloon through a balloon infusion port.9. The system of claim 1 , further comprising:another graft device configured to be inserted into another vessel, wherein ...

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28-01-2016 дата публикации

ADVANCED ENDOVASCULAR GRAFT

Номер: US20160022410A1
Принадлежит: TRIVASCULAR, INC.

This invention is a system for the treatment of body passageways; in particular, vessels with vascular disease. The system includes an endovascular graft with a low-profile delivery configuration and a deployed configuration in which it conforms to the morphology of the vessel or body passageway to be treated as well as various connector members and stents. The graft is made from an inflatable graft body section and may be bifurcated. One or more inflatable cuffs may be disposed at either end of the graft body section. At least one inflatable channel is disposed between and in fluid communication with the inflatable cuffs. 1. An endovascular device comprising:an expandable stent comprising a proximal end comprising proximal apices and an opposed distal end comprising distal apices with the proximal and distal apices being interconnected by struts therein between,the proximal apices having a proximal apical width;the distal apices having a distal apical width;wherein the proximal apical width of the proximal apices is smaller than the distal apical width of the distal apices.2. The endovascular device of claim 1 , wherein a ratio of the distal apical width to the proximal apical with is about 10 or higher.3. The endovascular device of claim 1 , wherein a ratio of the distal apical width to the proximal apical with is above about 1.4. The endovascular device of claim 1 , wherein a ratio of the distal apical width to the proximal apical with is above about 1 to about 10 or higher.5. The endovascular device of claim 1 , wherein the distal apical width is from about 0.016 inches to about 0.032 inches claim 1 , and the proximal apical width is from about 0.010 inches to about 0.026 inches.6. The endovascular device of claim 1 , wherein the distal apical width is from about 0.017 inches to about 0.028 inches claim 1 , and the proximal apical width is from about 0.012 inches to about 0.024 inches.7. The endovascular device of claim 1 , wherein the struts are tapered by ...

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28-01-2016 дата публикации

LOW PROFILE NON-SYMMETRICAL STENT

Номер: US20160022412A1
Принадлежит: Cook Medical Technologies LLC

A stent for use in a medical procedure having opposing sets of curved apices, where the curved section of one set of apices has a radius of curvature that is greater than the curved section of the other set of apices. One or more such stents may be attached to a graft material for use in endovascular treatment of, for example, aneurysm, thoracic dissection, or other body vessel condition. 122-. (canceled)23. A stent-graft for treatment of a medical condition , the stent-graft comprising:a graft having proximal and distal ends, and further comprising a proximal stent that is disposed adjacent to the proximal end of the graft, the proximal stent having a plurality of proximal and distal apices connected by a plurality of generally straight portions, where at least one of the distal apices of the proximal stent is attached to the graft using one or more sutures,where each proximal apex comprises a first curved portion and each distal apex comprises a second curved portion, where the first curved portion and the second curved portion each comprises at least one radius of curvature, and the radius of curvature of at least one of the proximal apices is greater than the radius of curvature of at least one of the distal apices; andwhere a first radius of curvature of one of the distal apices is from about 0.5 mm to about 1.5 mm,where a second radius of curvature of one of the proximal apices is from about 4 mm to about 9 mm, andwhere a ratio of the first radius of curvature to the second radius of curvature is about 1:2.6 to about 1:18.24. The stent-graft of claim 23 , where each of the plurality of proximal and distal apices of the proximal stent axially overlap with the graft.25. The stent-graft of claim 23 , where the proximal stent comprises at least one uncovered region facing radially inward or outward relative to the graft.26. The stent-graft of claim 23 , further comprising a plurality of z-stents coupled to the graft and disposed distal to the proximal stent.27. ...

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28-01-2016 дата публикации

LOCKING MECHANISM FOR SECURING THE INTERFACE BETWEEN STENT GRAFTS

Номер: US20160022413A1
Автор: Farag Jacqueline
Принадлежит: Cook Medical Technologies LLC

A modular stent graft system and methods of assembly are disclosed. The stent graft assembly comprises a first stent graft having an interface region at its distal end and a first locking stent secured to an internal surface of the interface region. A second stent graft having an interface region at its proximal end is configured to at least partially overlap with the interface region at the distal end of the first stent graft. The second stent graft comprises a second locking stent secured to an external surface of the interface region. The first and second locking stents are configured to be engaged such that the second locking stent is nested between the first locking stent and an internal surface of the interface region of the first stent graft thereby interlocking the first and second stent grafts to each other. 1. A modular stent graft system comprisinga first stent graft comprising a first tubular body of biocompatible graft material, a proximal end, a distal end, an internal lumen, and an inner interface region at the distal end having an internal surface;a locking stent secured to the internal surface of the inner interface region, the locking stent having a first end, a second end, proximal apices, distal apices, and a locking mechanism at one of the ends of the locking stent having an unattached free end that extends away from the internal surface and inwardly into the internal lumen;a second stent graft comprising a second tubular body of biocompatible graft material, a proximal end, a distal end, and an outer interface region having an external surface at the proximal end configured to at least partially overlap with the inner interface region of the first stent graft;at least one stent secured to the external surface of the outer interface region, the at least one stent comprising a series of proximal apices and a series of distal apices, wherein when the inner interface region and outer interface region are in at least a partial overlapping ...

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26-01-2017 дата публикации

DEVICES AND METHODS FOR TREATMENT OF ABDOMINAL AORTIC ANEURYSM

Номер: US20170020653A1
Принадлежит:

Disclosed are devices and methods for treatment of aneurysms. In one variation, a device for treating an aneurysm includes a tubular graft comprising a longitudinal channel having a first end and a second end, wherein the longitudinal channel is bifurcated at a bifurcated portion. The device also includes an expandable anchoring member attached to the first end of the longitudinal channel and inflatable chambers on the exterior of the tubular graft. The inflatable chambers are configured to receive a filling medium. At least one of the inflatable chambers is positioned along the longitudinal channel on the side of the bifurcated portion toward the expandable anchoring member and is only partially around the circumference of the longitudinal channel. 1. A device for treating an aneurysm , the device comprising:a tubular graft comprising a longitudinal channel having a first end and a second end, wherein the longitudinal channel is bifurcated at a bifurcated portion;an expandable anchoring member attached to the first end of the longitudinal charm andan inflatable chamber on the exterior of the tubular graft, wherein the inflatable chamber is configured to receive a filling medium, and wherein the inflatable chamber is along the longitudinal channel on the side of the bifurcated portion toward the expandable anchoring member, and wherein the inflatable chamber is only partially around the circumference of the longitudinal channel.2. The device of claim 1 , wherein the inflatable chamber is configured to hold the tubular graft in place within a blood vessel of a patient.3. The device of claim 1 , wherein the tubular graft comprises at least one of polytetrafluoroethylene (PTFE) claim 1 , polyester claim 1 , polyurethane claim 1 , nylon claim 1 , and silicone.4. The device of claim 11 , wherein the inflatable chamber comprises at least one of polytetrafluoroethylene (PTFE) claim 11 , polyester claim 11 , polyurethane claim 11 , nylon claim 11 , and silicone.5. The ...

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26-01-2017 дата публикации

INTRAVASCULAR IMPLANTS AND METHODS OF USING THE SAME

Номер: US20170020654A1
Принадлежит:

An intravascular implant and methods of using the implant within the vasculature of the body, for example near a vascular aneurysm, are disclosed. A method of treating an aneurysm includes positioning a vascular graft comprising a tubular channel having a first end and a second end in a blood vessel, securing the vascular graft in place with an expandable anchoring member, and filling a seal cuff on the vascular graft, wherein the seal cuff extends radially outward beyond an exterior surface of the vascular graft, wherein the seal cuff comprises a first seal portion and a second seal portion and wherein the first seal portion is separated from the second seal portion by a first gap and a second gap along a circumference of the seal cuff. 1. A device for treating an aneurysm , the device comprising:a vascular graft comprising a tubular channel having a first end and a second end, wherein the tubular channel is bifurcated at a bifurcated portion at the second end;an expandable anchoring member attached to the first end of the tubular channel, wherein the expandable anchoring member comprises longitudinal anchor arms, wherein each of the longitudinal anchor arms extends radially outward along a length of the longitudinal anchor arm; and wherein the seal cuff comprises a first seal portion and a second seal portion,', 'wherein the first seal portion is separated from the second seal portion by a first gap and a second gap along a circumference of the seal cuff,', 'wherein the first seal portion has a first portion radius measured from a longitudinal axis of the device to a furthest point on an exterior surface of the first seal portion,', 'wherein the second seal portion has a second portion radius measured from the longitudinal axis of the device to the furthest point on the exterior surface of the second seal portion,', 'wherein the first gap has a first gap radius measured from the longitudinal axis of the device to the furthest point along the exterior surface of ...

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25-01-2018 дата публикации

Treatment of tricuspid insufficiency

Номер: US20180021130A1
Автор: Amir Danino
Принадлежит: Innoventric Ltd

A tricuspid insufficiency treatment device includes a vena cava member ( 12 ) implantable in a vena cava of a patient. The vena cava member ( 12 ) is formed with a fenestration ( 14 ) and further includes a blocking member ( 16 ) arranged to block and unblock the fenestration ( 14 ).

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25-01-2018 дата публикации

STENT GRAFT WITH INTERNAL CONSTRAINING MECHANISM

Номер: US20180021158A1
Принадлежит:

A stent graft assembly having a tubular body and a constraining patch attached to the interior surface of the tubular body. The constraining patch delineates a small passageway close to the inner surface of the tubular body. A cannula may extend through the passageway. 1. A stent graft assembly comprising:a tubular body having a first open end, a second open end, a main lumen between the first open end and the second open end, and an inner surface surrounding the main lumen;a patch disposed in the main lumen and attached to the inner surface and defining a longitudinally extending passageway between the inner surface and the patch, the patch having a first unattached end and a second unattached end;wherein the passageway is in fluid communication with the main lumen through the first unattached end and the second unattached end;wherein neither unattached end is in communication with an exterior of the graft, andwherein the patch is configured to temporarily constrain a portion of a medical instrument within the passageway.2. The stent graft assembly of wherein the tubular body comprises graft material having a sidewall and a fenestration in the sidewall.3. The stent graft assembly of wherein the patch is circumferentially offset from the fenestration.4. The stent graft assembly of wherein the tubular body has a posterior side and an anterior side claim 2 , and wherein the patch extends at least partially around a circumference of the inner surface; and wherein the fenestration is on the posterior side and the patch is on the anterior side.5. The stent graft assembly of wherein the patch has at least two lateral edges and the patch is attached to the inner surface at the at least two lateral edges.6. The stent graft assembly of further comprising at least one stent ring.7. The stent graft assembly of wherein the stent is disposed at least partially over the patch and in a first configuration closes the passageway.8. The stent graft assembly of further comprising:a ...

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10-02-2022 дата публикации

STENT MONITORING ASSEMBLY AND METHOD OF USE THEREOF

Номер: US20220039752A1
Автор: HUNTER WILLIAM L.
Принадлежит:

Assemblies are provided comprising a stent and a sensor positioned on and/or in the stent. Within certain aspects the sensors are wireless sensors, and include for example one or more fluid pressure sensors, contact sensors, position sensors, accelerometers, pulse pressure sensors, blood volume sensors, blood flow sensors, blood chemistry sensors, blood metabolic sensors, mechanical stress sensors and/or temperature sensors. Within certain aspects these stents may be utilized to assist in stent placement, monitor stent function, identify complications of stent treatment, monitor physiologic parameters and/or medically image a body passageway, e.g., a vascular lumen. 189-. (canceled)90. An assembly comprising a first stent in combination with a second stent , wherein each of the first and second stents is a unitary stent; and a sensor positioned on or within each of said first and second stents , wherein the assembly further comprises an antenna for sending and receiving data.91. The assembly according to wherein the sensor is positioned on an outer wall of the first stent or on an inner wall of the first stent.92. The assembly according to wherein the sensor is positioned within the first stent material itself.93. The assembly according to wherein the sensor of the first stent is a fluid pressure sensor.94. The assembly according to wherein the sensor of the first stent is a blood volume sensor95. The assembly according to wherein the sensor of the first stent is a blood flow sensor.96. The assembly according to wherein the sensor of the first stent is a blood chemistry sensor.97. The assembly according to wherein the sensor of the first stent is a blood metabolic sensor.98. The assembly according to claim 90 , wherein the sensor of the first stent measures the development of restenosis.99. The assembly according to claim 90 , wherein the sensor of the first stent measures the development of a thrombus claim 90 , atherosclerosis claim 90 , tumor claim 90 , ...

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10-02-2022 дата публикации

FLOW-DIVERTING IMPLANT AND DELIVERY METHOD

Номер: US20220039804A1
Принадлежит: MICROVENTION, INC.

A flow-diverting implant includes a saddle-shaped braided mesh diverter that is sized to provide adequate blocking coverage of a neck of an aneurysm. The diverter is anchored using minimally profiled, generally circular anchors that present little to no resistance to blood flow and are unlikely to create thrombosis. A locator extends into the aneurysm to ensure the diverter is optimally positioned over the neck of the aneurysm. 1. A flow diverting implant comprising:a flow diverter;a first anchor positioned at a proximal portion of the flow diverter;a second anchor positioned at a distal portion of the flow diverter; anda locator unit;the locator unit configured such that when in a deployed state for reception in the aneurysm, the flow diverter is in a diverting state and the first and second anchors are in an anchoring state.2. The flow diverting implant of claim 1 , wherein the flow diverter is a single layer mesh structure.3. The flow diverting implant of claim 1 , wherein the flow diverter is woven from a single wire.4. The flow diverting implant of claim 1 , wherein the flow diverter comprises pores having sizes in a range of about 10-20 pores/mm.5. The flow diverting implant of claim 1 , wherein the flow diverter is slightly larger than the neck of the aneurysm.6. The flow diverting implant of claim 1 , wherein the flow diverter comprises a shape of a saddle7. The flow diverting implant of claim 1 , wherein the flow diverter has a rounded distal portion.8. The flow diverting implant of claim 1 , wherein the flow diverter has a semicircular proximal portion culminating in two tapered corners.9. A flow diversion system comprising: a proximal end and a distal end;', 'a heating element proximal the distal end;', 'a power source connected to the heating element with a switch;', 'an activation mechanism near the proximal end that closes the switch; an implant comprising:', 'a flow diverter having a proximal end;', 'at least one anchor attached to the flow diverter; ...

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10-02-2022 дата публикации

FLOW MODIFICATION DEVICES IN BODY LUMENS

Номер: US20220039938A1
Принадлежит: Nephronyx Ltd.

The devices and methods described herein include a body lumen fluid flow modulator including an upstream flow accelerator and a downstream flow decelerator. The fluid flow modulator preferably includes one or more openings that define a gap/entrainment region that provides a pathway through which additional fluid from a branch lumen(s) is entrained into the fluid stream flowing from the upstream flow accelerator to the downstream flow decelerator. 1. A device for altering fluid flow through a body lumen , the body lumen coupled to a branch lumen , the device comprising:a flow modulator configured to be positioned within the body lumen, the flow modulator comprising an upstream component, a downstream component, and an entrainment region, the upstream component having an inlet, an outlet, and a cross-sectional flow area that converges from the inlet towards the outlet, the downstream component having an entry, an exit, and a cross-sectional flow area that diverges from the entry towards the exit, and the entrainment region comprising a plurality of longitudinally extending openings radially spaced around the entrainment region, the entrainment region between the inlet of the upstream component and the exit of the downstream component,wherein the flow modulator is configured to accelerate a fluid stream passing through the upstream component towards the downstream component to generate a low pressure region in the vicinity of the entrainment region that entrains additional fluid into the fluid stream via the plurality of longitudinally extending openings as the fluid stream passes into the entry of the downstream component.2. The device of claim 1 , wherein the entrainment region diverges at a same angle as at least a portion of the downstream component's divergence angle.3. The device of claim 1 , wherein the entrainment region is integrally formed with the downstream component.4. The device of claim 1 , wherein the entry of the downstream component has a diameter ...

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10-02-2022 дата публикации

STENT GRAFT

Номер: US20220039939A1
Принадлежит: Kawasumi Laboratories, Inc.

Provided are a stent graft and a stent-graft placement device with which it is possible to suitably align a side opening of a main blood vessel stent graft and a blood vessel opening of a branch blood vessel. The stent graft () is to be placed in a tubular tissue and is equipped with: a skeleton portion (); a tubular graft portion () having, in part of a tube wall, a side opening (opening of branch portion ) that communicates with the lumen, the graft portion being provided along the skeleton portion; and a position adjustment portion () capable of adjusting the relative position of the side opening in the graft portion when the stent graft is placed in the tubular tissue. 1. A stent graft to be placed in a tubular tissue , comprisinga skeleton portion,a tubular graft portion disposed along the skeleton portion, and having a side opening leading to a lumen in a part of a tube wall,a position adjustment portion capable of adjusting a relative position of the side opening on the graft portion in a state where the stent graft is placed in the tubular tissue.2. The stent graft according to claim 1 , wherein the position adjustment portion is disposed around the side opening.3. The stent graft according to claim 1 , wherein the side opening and the position adjustment portion are disposed in a region to which another stent graft different from the stent graft on the graft portion is connected.4. The stent graft according to claim 1 , whereinthe graft portion has a concave portion in which the part of the tube wall is recessed inward in a radial direction, andthe side opening and the position adjustment portion are disposed on the concave portion.5. The stent graft according to claim 4 , comprising a deformation restriction portion for restricting deformation of the concave portion.6. The stent graft according to claim 1 , wherein the position adjustment portion is formed in a pleated shape around the side opening. The present invention relates to a stent graft. ...

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24-01-2019 дата публикации

STENT-GRAFT HAVING SUPPORTED TRANSITION STENT AND METHOD

Номер: US20190021843A1
Принадлежит:

A stent-graft includes a graft material having a main body, a first leg, a second leg, and a transition region where the first leg and the second leg meet the main body. A main body transition stent is coupled to the main body. A transition stent support including a gusset is coupled to the graft material such that a transition apex of the main body transition stent is interposed between the gusset and the graft material, the transition apex being aligned with the transition region. The transition apex, which is susceptible to failure, is stabilized by the gusset in combination with a supporting ligament. The gusset and supporting ligament prevent flexing of the transition apex and the associated failure thereof. 1. A method comprising:coupling a main body transition stent to a main body of a graft material adjacent to a first leg and a second leg of the graft material; andinterposing a transition apex of the main body transition stent between a transition stent support and the graft material, the transition apex being aligned with a transition region of the graft material where the first leg and the second leg meet the main body.2. The method of further comprising coupling apexes of the main body transition stent adjacent to the transition apex together with a supporting ligament.3. The method of wherein the transition stent support and the supporting ligament support the transition apex. This application is a divisional of pending U.S. patent application Ser. No. 15/266,283, entitled “STENT-GRAFT HAVING SUPPORTED TRANSITION STENT AND METHOD”, filed Sep. 15, 2016, which is incorporated herein be reference for all purposes.The present application relates to an intra-vascular device and method. More particularly, the present application relates to a device for treatment of intra-vascular diseases.A conventional bifurcated stent-graft typically includes a radially expandable reinforcement structure, formed from a plurality of annular stent rings, and a cylindrically ...

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02-02-2017 дата публикации

METHOD AND APPARATUS FOR STENTING

Номер: US20170027722A1
Принадлежит:

A method and an apparatus to create a more favorable flow regime in a lumen. An artificial shape in the lumen is created to at least one of eliminate flow disturbances and enhance aspects of fluid flow through a treatment site. 160-. (canceled)61. A unitary stent for implantation in a vascular lumen , wherein , in an expanded state of the stent , the stent having a longitudinal axis along a direction of blood flow and an envelope , said envelope comprising:a first end and a second end defining a length therebetween, said envelope consisting of an asymmetric shape over the entire length;a bottom portion of the envelope shaped of a right cylinder cut in half; andan upper portion of the envelope asymmetrical to the bottom portion, said upper portion comprising a taper at a constant angle to the longitudinal axis of the stent along the entire length of the envelope.62. The stent of claim 61 , wherein the stent is a self-expanding stent.63. A unitary stent for implantation in a vascular lumen claim 61 , wherein claim 61 , in an expanded state of the stent claim 61 , said stent having a length and an asymmetric shape over the entire length claim 61 , said stent comprises a longitudinal axis along a direction of blood flow and a plurality of cross-sections at planes perpendicular to the longitudinal axis claim 61 , each cross-section having a shape claim 61 ,wherein at least one of said cross-sections is non-uniformly circular about the longitudinal axis and at least two of the plurality of cross-sections have different shapes from one another.64. The stent of claim 63 , wherein the stent is a self-expanding stent.65. The stent of claim 63 , wherein all cross-sections are non-uniformly circular about the longitudinal axis.66. The stent of claim 63 , further comprising a first end and a second end separated by the length claim 63 , wherein a first cross-section taken at the first end has a larger area than a second cross-section taken at the second end. The present ...

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02-02-2017 дата публикации

METHOD AND APPARATUS FOR STENTING

Номер: US20170027723A1
Принадлежит:

A method and an apparatus to create a more favorable flow regime in a lumen. An artificial shape in the lumen is created to at least one of eliminate flow disturbances and enhance aspects of fluid flow through a treatment site. 160-. (canceled)61. An expandable medical device for implantation in a body , the device having an envelope and a longitudinal axis along a direction of blood flow , the device comprising:a first device segment;a second device segment; anda third device segment,wherein the first device segment is longitudinally separated from the third device segment, the first device segment directly connected around the circumference to the second device segment, the third device segment directly connected around the circumference to the second device segment,wherein the first device segment has a tapered configuration in an expanded state of the device, the second device segment has a tapered configuration in an expanded state of the device, and the third device segment has a tapered configuration in an expanded state of the device,wherein the second device segment diverges from the tapered configuration of the first device segment, and the third device segment diverges from the tapered configuration of the second device segment.62. The expandable medical device of claim 61 , wherein the first device segment comprises an opening having a first diameter and the third device segment comprises an opening having a second diameter.63. The expandable medical device of claim 62 , wherein the first diameter and the second diameter are the same.64. The expandable medical device of claim 62 , wherein the first diameter is larger than the second diameter.65. The expandable medical device of claim 61 , wherein the largest cross-sectional areas of the first device segment and the second device segment are different.66. The expandable medical device of claim 61 , wherein the device is self-expanding.67. The expandable medical device of claim 61 , wherein the device is ...

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04-02-2016 дата публикации

Aneurysm Graft With Stabilization

Номер: US20160030155A1
Принадлежит: Inceptus Medical LLC

The present invention provides methods and apparatus for the endoluminal positioning of an intraluminal prosthesis at a target location within a body lumen. The device may comprise a porous, multi-layer prosthesis that can include stabilization members for stabilizing the placement of the device at the site. Various components can have different densities or pore sizes. 1. A vascular defect treatment device , comprising:an inner tubular member sized to span a vascular defect;at least one stabilization member associated with said tubular member and disposed so as to provide support to said inner tubular member in a region of said vascular defect.24-. (canceled)5. A vascular defect treatment device according to claim 1 , wherein said at least one stabilization member comprises two stabilization members disposed opposite each other along an axis of said inner tubular member.6. A vascular defect treatment device according to claim 5 , wherein opposing ends of said two stabilization members contact each other so as to form a ring of contact around said inner tubular member.7. A vascular defect treatment device according to claim 6 , wherein said ring of contact is substantially planar and is substantially orthogonal to said axis of said inner tubular member.8. A vascular defect treatment device according to claim 6 , wherein said ring of contact is substantially planar and is at an angle to the axis of said inner tubular member.9. A vascular defect treatment device according to claim 5 , wherein opposing ends of said two stabilization members are spaced from each other so as to create an axial space around said inner tubular member.10. (canceled)11. A vascular defect treatment device according to claim 1 , wherein said at least one stabilization member comprises three stabilization members disposed axially along said axis of said inner tubular member.12. A vascular defect treatment device according to claim 11 , wherein opposing ends of said three stabilization members ...

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04-02-2016 дата публикации

MEDICAL DEVICE

Номер: US20160030208A1
Автор: Park Richard
Принадлежит:

Novel devices and methods for implanting medical stents are provided. A novel apparatus, which may be in a first compressed position, may be inserted into the artery, such as by being positioned over a catheter. The apparatus may be expanded to a second position. In one embodiment, the apparatus is configured to expand away in two substantially opposing directions along a second axis away from the longitudinal axis. The second axis may be perpendicular to the longitudinal axis. The apparatus may include markers that are detectable to determine the orientation of the catheter or the apparatus and/or assist in the determination of the type or size of stent to utilize. 1. An apparatus configured to be positioned within a passageway of a living being , the apparatus comprising: a first-stage outer wall having a length along a first axis, a depth along a second axis and a height along a third axis; and', wherein at the first configuration of the apparatus, the depth and a height of the first-stage outer wall form an outer perimeter of the apparatus that is less than an inner perimeter of the passageway of the living being, such that the length of the first-stage outer wall is configured to be maneuverable along a longitudinal axis of the passageway from a first location to a second location;', 'wherein at the second configuration of the apparatus, the expandable strut member expands along the second axis until it reaches an interior surface of the passageway or a physical structure to form two opposing outer surfaces separated by a first inner diameter, wherein the first inner diameter is a distance that is less than the maximum expansion distance and further comprises a first plurality of markers that are each separated by a predetermined distance along the first inner diameter of the apparatus; and', 'wherein the first plurality of markers are configured to be detected by an imaging device to allow an indication of an orientation of the apparatus and a diameter of the ...

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04-02-2016 дата публикации

STENT GRAFT ADAPTOR

Номер: US20160030218A1
Принадлежит: Cook Medical Technologies LLC

A stent graft adaptor has an outer graft tube and an inner graft tube with the inner graft tube substantially concentric with and within the outer graft tube. A joining member extends between the inner tube and the outer tube. The joining member can be a continuous fold of graft material extending from a proximal end of the outer tube to a proximal end of the inner tube. The inner tube has at least one self expanding stent on an outer surface thereof and the outer graft tube has at least one self expanding stent on an inner surface. The outer surface of the outer tube provides a sealing surface to engage against the wall of a vessel and the inner tube provides a sealing surface to engage with a corresponding sealing surface of a stent graft deployed through it. The outer sealing surface can include barbs. 1. A stent graft delivery assembly comprising:a delivery device including a proximal end, a distal end, a nose cone dilator at the proximal end, the nose cone dilator having a proximal tip and a distal end, and an inner catheter extending from the distal end of the delivery device to at least the nose cone dilator;a stent graft mounted at least partially over the inner catheter, the stent graft comprising a tube of graft material and having a proximal end, a distal end and at least one stent attached to the tube of graft material, the tube of graft material having a proximal end, a proximal portion having a first diameter, a proximal portion inner lumen, a distal end, a distal end portion having a second diameter, and a distal portion inner lumen in fluid communication with the proximal portion inner lumen;wherein the graft material of the proximal portion is at least partially inverted into the lumen of the proximal portion to form an outer proximal tube portion and an inner proximal tube portion of graft material disposed within the outer proximal tube portion, the inner proximal tube portion having an edge disposed distal of the proximal end of the graft ...

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01-02-2018 дата публикации

STENT GRAFT DELIVERY SYSTEM

Номер: US20180028192A1
Принадлежит:

A system for treating an aneurysm comprises an elongate flexible shaft and an expandable member. An expandable scaffold is disposed over the expandable member and may be expanded from a collapsed configuration to an expanded configuration. A double-walled filling structure is disposed over the scaffold and has an outer wall and an inner wall. The filling structure is adapted to be filled with a hardenable fluid filing medium so that the outer wall conforms to an inside surface of the aneurysm and the inner wall forms a substantially tubular lumen to provide a path for blood flow. In the expanded configuration the scaffold engages the inner wall of the filling structure. A tether is releasably coupled with the filling structure and the flexible shaft thereby constraining axial movement of the structures relative to each other. 1. A system for treating an aneurysm in a blood vessel , the system comprising:an elongate flexible shaft having a proximal region and a distal region;a first double-walled filling structure disposed over the distal region of the shaft, the filling structure having an outer wall and an inner wall, wherein the filling structure is adapted to be filled with a hardenable fluid filing medium so that the outer wall conforms to an inside surface of the aneurysm and the inner wall forms a first substantially tubular lumen to provide a path for blood flow across the aneurysm;at least a first expandable scaffold disposed at least partly within the filling structure, the first scaffold radially expandable within at least a portion of the tubular lumen of the filling structure;a first pressure monitor device configured to monitor pressure during filling of the first double-walled filing structure; anda filling device configured to facilitate flow of the hardenable medium into the first double-walled filling structure via a fill tube coupling the filling device to the first double-walled filling structure and configured to facilitate filling of the first ...

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17-02-2022 дата публикации

MEDICAL DEVICE, IN PARTICULAR A FLOW DIVERTER, AND KIT

Номер: US20220047373A1
Принадлежит:

The invention concerns a medical device, in particular a flow diverter, having a radially self-expandable lattice structure () which is tubular at least in some regions and which is composed of a plurality of interwoven individual wires () which form meshes () of the lattice structure (), wherein at least some of the individual wires () have an X-ray visible core material () and a superelastic mantle material (), wherein a plurality of directly adjacent meshes () in the circumferential direction of the lattice structure () form a mesh ring (), wherein in a fully self-expanded state, the lattice structure () has an expansion diameter D, the mesh ring () has a mesh number n, and the core material () has a core diameter d, and wherein for the core diameter d, the following holds: 2. The medical device as claimed in claim 1 ,characterized in that{'sub': 'exp', '#text': 'the expansion diameter Dis 2.5 mm to 8 mm.'}3. The medical device as claimed in one of the preceding claims claim 1 ,characterized in that{'b': '10', '#text': 'a braiding angle α of the lattice structure () is between 70° and 80°, in particular 75°.'}4. The medical device as claimed in one of the preceding claims claim 1 ,characterized in that{'b': '11', 'sub': 'wire', 'claim-text': [{'sub': ['exp', 'wire'], '#text': 'in the case of an expansion diameter Dof 2.5 mm to 4.5 mm: 30 μm≤d≤46 μm, and'}, {'sub': ['exp', 'wire'], '#text': 'in the case of an expansion diameter Dof more than 4.5 mm to 8 mm: 46 μm≤d≤65 μm.'}], '#text': 'the wire () has a wire diameter d, which is'}5. The medical device as claimed in one of the preceding claims claim 1 ,characterized in that{'b': '11', 'i': 'b', '#text': 'the mantle material () of the wire has a thickness which is at least 10 μm, in particular at least 15 μm, in particular 10 μm to 20 μm.'}6. The medical device as claimed in one of the preceding claims claim 1 ,characterized in that{'b': ['11', '11'], 'i': 'a', '#text': 'the volume of the core material () takes up a ...

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17-02-2022 дата публикации

STENT GRAFT SYSTEMS AND METHODS WITH INFLATABLE FILL STRUCTURE AND FILLABLE CUFF

Номер: US20220047374A1
Принадлежит:

A stent graft system includes a stent graft an inflatable fill structure, and a cuff. The inflatable fill structure at least partially surrounds the stent graft. In various arrangements, the inflatable fill structure has a cavity that is bifurcated. A portion of the cavity is configured to receive a branch stent graft for connection to the stent graft. The cuff is fillable and is located outside of the inflatable fill structure, and allows for providing a seal with a wall of a blood vessel. The cuff and the inflatable fill structure are separately fillable from each other to different pressures with fill medium. In various arrangements, the cuff has a tapered shape such that it is wider at one end than at an opposite end when filled with a fill medium. A method includes filling the cuff to a higher pressure than a pressure of the inflatable fill structure. 1. A stent graft system , comprising:a stent graft;an inflatable fill structure at least partially surrounding the stent graft, the inflatable fill structure having a cavity that is bifurcated; anda cuff that is fillable and that is located outside of the inflatable fill structure.2. The stent graft system of claim 1 ,wherein a portion of the cavity is configured to receive a branch stent graft for connection to the stent graft.3. The stent graft system of claim 1 ,wherein the cuff is located at an end of the stent graft.4. The stent graft system of claim 1 ,wherein the cuff has a tapered shape such that it is wider at one end than at an opposite end when filled with a fill medium.5. The stent graft system of claim 1 , further comprising:inflatable channels located at least partially around the stent graft and surrounded by the inflatable fill structure.6. The stent graft system of claim 1 ,wherein the cuff and the inflatable fill structure are separately fillable from each other to different pressures with fill medium.7. The stent graft system of claim 1 ,wherein the inflatable fill structure is configured such ...

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