Abstract: A delivery system for procuring implantation of an expandable stent into a bodily lumen of interest is disclosed including a fluid-operated moving cylinder sleeve for retaining the stent in place during delivery. The sleeve to release a stent at the implantation site. A fluid driven bellows may be employed to retract the sleeve.

Abstract: A radially self-expanding stent particularly suited for treating esophageal strictures, includes a medial region and proximal and distal cuffs having diameters greater than the medial region diameter when the stent is in the relaxed state. A silicone coating circumscribes the medial region, but the cuffs are not coated and retain their open weave construction. As a result, the cuffs remain particularly well suited to immediately contact esophageal wall tissue and resist stent migration, while the silicone coated medial region provides a barrier to tumor ingrowth, and has an enhanced radial restoring force to maintain an open passageway in the esophagus. A deployment device for the stent includes an interior catheter surrounded by the stent and having an esophageal dilation feature, along with an exterior catheter that radially compresses the stent.

Abstract: A body compatible stent is formed of multiple filaments arranged in two sets of oppositely directed helical windings interwoven with one another in a braided configuration. Each of the filaments is a composite including a central core and a case surrounding the core. In the more preferred version, the core is formed of a radiopaque and relatively ductile material, e.g. tantalum or platinum. The outer case is formed of a relatively resilient material, e.g. a cobalt/chromium based alloy. Favorable mechanical characteristics of the stent are determined by the case, while the core enables in vivo imaging of the stent. The composite filaments are formed by a drawn filled tubing process in which the core is inserted into a tubular case of a diameter substantially more than the intended final filament diameter. The composite filament is cold-worked in several steps to reduce its diameter, and annealed between successive cold-working steps.

Abstract: A medical appliance for use in magnetic resonance imaging procedures. A guidewire for vascular procedures is formed by a coaxial cable acting as antenna in a magnetic resonance imaging system.

Abstract: A method of joining successive sections of tubular members having substantially dissimilar flexibilities is involved that includes the step of providing a transitional zone intermediate said successive sections having a flexibility intermediate those of the successive sections. Articles made by the process are also disclosed.

Abstract: The expandable stent-graft generally defines a cylindrical lumen made from a stent having a discontinuous wall that is at least substantially covered with an expanded polytetrafluoroethylene material. The expanded polytetrafluoroethylene covering may be a biaxially oriented, expanded polytetrafluoroethylene material having nodules and longitudinal and circumferential fibrils or a uniaxially oriented, expanded polytetrafluoroethylene material. The expandable stent-graft expands and compresses in association with the stent structure as it is contracted and expanded.

Abstract: Interpenetrating polymer networks (IPN's), composed of polyisoprene (PI) and polyurethane (PU), together with a process for their preparation and their use in the manufacture of medical devices, such as catheters and catheter balloons, are disclosed. Both components are elastomers. The PI component is chemically crosslinked. The PU component is crystallizable and contains only physical crosslinks. The IPN's have glass transition temperatures in the range of from -65.degree. C. to -40.degree. C.

Abstract: Interpenetrating polymer networks (IPN's), composed of polyisoprene (PI) and polyurethane (PU), together with a process for their preparation and their use in the manufacture of medical devices, such as catheters and catheter balloons, are disclosed. Both components are elastomers. The PI component is chemically crosslinked. The PU component is crystallizable and contains only physical crosslinks. The IPN's have glass transition temperatures in the range of from -65.degree. C. to -40.degree. C.

Abstract: Interpenetrating polymer networks (IPN's), composed of polyisoprene (PI) and polyurethane (PU), together with a process for their preparation and their use in the manufacture of medical devices, such as catheters and catheter balloons, are disclosed. Both components are elastomers. The PI component is chemically crosslinked. The PU component is crystallizable and contains only physical crosslinks. The IPN's have glass transition temperatures in the range of from -65.degree.C. to -40.degree.C.

Abstract: A dilation-drug delivery catheter comprises a dilation portion for dilating a stenosis and a drug delivery portion for delivering antithrombolytic, antiproliferative, or any other type of medication, to the dilation site. The drug delivery portion of the catheter is located within the dilation portion, which can be retracted to reveal the drug delivery portion, after dilation. Occlusion balloons are preferably provided on the drug delivery portion to isolate the dilation site during drug delivery.

Abstract: An expander member for a balloon catheter to be used in stent delivery applications comprises a double-walled tubular member that is adapted for attachment to a distal end portion of an elongated, flexible, tubular catheter body. The outer wall is preferably a polyamide, such as Nylon-12, and the inner wall is PET. By properly controlling the percentage of the polyamide relative to the PET content, the distension characteristics of the resulting expander member can be tailored to fall in a range less than 15 percent. The outer Nylon-12 layer provides the expander member with high abrasion resistance. By appropriately temperature annealing the expander member, any tendency toward winging upon deflation thereof is reduced.

Abstract: A process is disclosed for manufacturing a prothesis for intraluminal implantation. The prosthesis is formed with a flexible tubular interbraided structure of metal or polymeric monofilaments, and polymeric multifilament yarns, and can be elastically deformed to reduce its diameter through axial elongation. The monofilaments and multifilament yarns are wound on a mandrel arranged in axially spaced apart helices, concentric on a common central axis of the prosthesis. The monofilaments are selectively shaped before their interbraiding with the multifilament yarns, either by an age-hardening or other heat-setting stage while wound on a mandrel, or by a cold-working stage that controllably plastically deforms the strands. The shaped structural strands cooperate to impart to the prosthesis its nominal shape and resilience.

Abstract: A percutaneous stent-graft is disclosed for restoring blood flow between vessels. The stent-graft has a body implantable device and first and second retaining elements. Also disclosed are methods for deploying a stent-graft.

Abstract: A medical device such as a catheter is described having a stiff, preferably metallic, proximal tube. The distal portion of the proximal tube may have a plurality of perforations or slots formed therein to increase its flexibility. This provides a smooth transition between the relatively stiff proximal tube and a more flexible distal polymeric tube.

Abstract: A dilatation balloon is fabricated according to a process that yields high hoop strength and uniformity in balloon wall thickness. A length of tubing is axially elongated and radially expanded in a form to provide the requisite biaxial orientation and strength. Then, an excimer laser is used to remove the polymeric material by photo-chemical ablation, virtually without thermal effects. Dilatation balloon walls are thinned primarily along tapered sections between proximal and distal balloon stems and a medial working section of the balloon. Material removal, particularly near the balloon stems, enables tighter wrapping of the balloon for a reduced delivery profile, and reduces rigidity near the stems for better maneuverability of the catheter in tortuous passageways. The balloon tapered sections are reduced to a wall thickness substantially equal to that of the medial section. Alternatively, an array of grooves is formed in each tapered section.

Abstract: A diagnostic catheter comprises an inner layer of substantially unmodified polyamide over which is a reinforcing means and an outer layer of polymer having a hardness of 50 Shore D to 70 Shore D, along with a suitable radiopaque filler. Affixed either directly to the end of the above tubular body or to a stem member secured to that tubular body is a soft-tip formed from a blend of PEBA whose hardness is such that the catheter can be considered as having an atraumatic tip. The resulting catheter exhibits excellent torque and column strength characteristics while providing a relatively large diameter lumen for a given outside diameter.

Abstract: An ultrasonic balloon catheter and stent assembly including ultrasonic acoustical oscillating energy for low pressure balloon inflation and expansion of implantable devices including stents. The ultrasonic balloon catheter may also be used in low pressure angioplasty procedures.

Abstract: A process is disclosed for making a prosthesis for intraluminal implantation. The prosthesis has a flexible tubular three-dimensionally braided structure of metal or polymeric monofilaments, and polymeric multifilament yarns. The prosthesis can be elastically deformed to reduce its diameter through axial elongation. The monofilaments and multifilament yarns are interbraided into axially spaced apart helices, concentric on a common central axis of the prosthesis. The monofilaments are selectively shaped before their interbraiding with the multifilament yarns, either by an age-hardening or other heat-setting stage, or a cold-working stage that controllably plastically deforms the strands. The shaped structural strands are arranged to impart to the prosthesis its nominal shape and resilience. The textile strands are braid into one or more layers of sheeting that reduce permeability and thereby enhance the utility of the prosthesis as a vascular graft.

Abstract: A stent delivery device is disclosed that includes an inner tube having a distal portion which carries the stent on the delivery device. At least part of the inner tube is formed from a spirally wound wire. A movable outer tube is used to constrain the stent in a radially contracted state on the distal portion of the inner tube. A substantially straight elongate wire is configured inside the spirally wound wire and bonded at the distal and proximal portions of the wound wire. The outer tube may have at least one side port adjacent to the distal portion in communication with the annular space between the outer tube and the inner tube allowing radiopaque fluid to be injected through the annular space and out the side port in the vicinity of the stent.

Abstract: A stent deployment device includes a flexible, elongate interior catheter and a retaining structure cooperating with the catheter to support a stent along a distal end support region of the catheter. The stent is supported in a reduced radius delivery state to facilitate delivery to a treatment site in a body lumen, by advancing the device over a previously positioned guidewire. An opening at the distal end of the device receives the guidewire into a guidewire lumen of the interior catheter. A second opening through the catheter wall just proximally of the support region allows passage of the guidewire to the exterior of the catheter, whereby the guidewire is contained within the device only along the distal end region. A retainer for the stent can include an exterior catheter surrounding the interior catheter and stent, and moveable axially relative to the interior catheter.