Abstract: Medical devices including an organic-inorganic composite material, including methods of making the devices, are disclosed.

Abstract: Radiopaque markers for use with stents implantable within a body vessel are provided with one or more through-holes. Each through-hole extends through the thickness of the marker to expose a portion of the stent underlying the marker. The marker is welded to the stent through each through-hole. Also provided are stents incorporating a radiopaque marker having one or more through-holes suitable for receiving a plug weld. Methods are provided for securing a radiopaque marker having one or more through-holes to a stent via welds.

Abstract: The endovascular graft includes a tubular structure having a first end and a second end. The tubular structure has a wall which defines a lumen between the first and second ends. A fenestration is located between the first and second ends to extend through the wall of the tubular structure. A sealing ring is circumferentially disposed within or on, including without limitation secured to, the tubular structure. The sealing ring is adjacent to the fenestration. The sealing ring may be inflatable.

Abstract: A bodily implant, in particular a stent, for insertion or implantation into a living body, having a marker element made of an X-ray visible material which is inserted into a cutout in an implant structure is disclosed. The cutout has expansions on both of its opening sides, and the marker element is pressed or riveted into the cutout so that a positive fit is formed between the marker element and the implant structure.

Abstract: The invention relates to a coated medical device for rapid delivery of a therapeutic agent to a tissue in seconds to minutes. The medical device has a layer overlying the exterior surface of the medical device. The layer contains a therapeutic agent, a contrast agent, and an additive.

Abstract: The present invention relates to a medical device or implant made at least in part of a high strength, low modulus metal alloy comprising Niobium, Tantalum, and at least one element selected from the group consisting of Zirconium, Tungsten, and Molybdenum. The medical devices according to the present invention provide superior characteristics with regard to bio-compatibility, radio-opacity and MRI compatibility.

Abstract: Disclosed herein is a biodegradable prosthesis that includes a first end, a second end, and an elongate tubular body with a lumen therethrough. The prosthesis can have a first layer comprising a set of flexible interbraided bioabsorbable filaments, and optionally a set of flexible interbraided metallic filaments. Also, the prosthesis can have a second layer comprising a porous thermoplastic material that can be either an outer layer or an inner layer relative to the first layer. The prosthesis can include other features including branch apertures, folded portions, and attachment mechanisms for the first and second layers.

Abstract: A radiopaque nitinol stent for implantation in a body lumen is disclosed. The stent is made from a superelastic alloy such as nickel-titanium or nitinol, and includes a ternary element including tungsten. The added tungsten in specified amounts improve the radiopacity of the nitinol stent comparable to that of a stainless steel stent of the same strut pattern coated with a thin layer of gold. Furthermore, the nitinol stent has improved radiopacity yet retains its superelastic and shape memory behavior and further maintains a thin strut/wall thickness for high flexibility.

Abstract: A sacrificial anode stent system comprises a stent having at least one sacrificial anode portion and a vaso-occlusive device. The vaso-occlusive device has at least one portion with a potential different from that of the sacrificial anode portion of the stent.

Abstract: Implantable in vivo sensors used to monitor physical, chemical or electrical parameters within a body. The in vivo sensors are integral with an implantable medical device and are responsive to externally or internally applied energy. Upon application of energy, the sensors undergo a phase change in at least part of the material of the device which is then detected external to the body by conventional techniques such as radiography, ultrasound imaging, magnetic resonance imaging, radio frequency imaging or the like. The in vivo sensors of the present invention may be employed to provide volumetric measurements, flow rate measurements, pressure measurements, electrical measurements, biochemical measurements, temperature, measurements, or measure the degree and type of deposits within the lumen of an endoluminal implant, such as a stent or other type of endoluminal conduit.

Abstract: Radio-opaque endoprosthesis An endoprosthesis furnished with an armature made of metal wires visible in X-ray medical imaging in which the armature is formed of at least two layers of wires, the wires forming the armature comprising a core made of a radio-opaque material, the interaction between the cores of the wires of the various layers improving the visibility of the said endoprosthesis in X-ray medical imaging.

Abstract: The present invention includes a radiopaque stent comprising a cylindrical main body. The tubular main body comprises a cobalt chromium alloy that comprises cobalt, chromium and one or more radiopaque materials.

Abstract: An implantable shunt that includes one or more catheters configured so that the implantable shunt has a resistance to flow greater than about 3 mm Hg/mL/minute. An implantable shunt system that includes one or more catheters and a fluid control device that utilizes the properties of the catheters to improve the expected function of the shunt by providing a higher or lower resistance to the flow through the shunt and reduces the effect of pulsations of cerebrospinal fluid on the shunt system.

Abstract: An implantable mechanical device for insertion into a passage, where the device is made from a platinum alloy selected from the group consisting of platinum:iridium alloy, platinum:tungsten alloy, platinum:rhodium:ruthenium alloy, platinum:rhodium alloy and platinum:nickel alloy.

Abstract: A method of cutting, polishing and then welding together two metallic components (10, 18), in which the respective components (10, 18) are cut to define respective cut surfaces (14, 16) that are to be polished and fitted together, both to define the relative positions of the two components (10, 18) to be fixed by the welding and to provide facing weld surfaces at which the two components (10, 18) can be welded together.

Abstract: Implantable medical devices comprising radiopaque star-block copolymers.

Abstract: Disclosed herein is a biodegradable prosthesis that includes a first end, a second end, and an elongate tubular body with a lumen therethrough. The prosthesis can have a first layer comprising a set of flexible interbraided bioabsorbable filaments, and optionally a set of flexible interbraided metallic filaments. Also, the prosthesis can have a second layer comprising a porous thermoplastic material that can be either an outer layer or an inner layer relative to the first layer. The prosthesis can include other features including branch apertures, folded portions, and attachment mechanisms for the first and second layers.

Abstract: A method for assembling a stent graft onto a- balloon delivery catheter is disclosed. The method includes the steps of: assembling a graft over a stent with attached security rings and inserting the ends of the graft between the stent and the rings; placing the assembled stent graft on the delivery balloon of the delivery catheter; and crimping the stent graft onto the balloon. The stent may include a plurality of axially aligned belts that include a plurality of mid belts, and first and second end belts, where each of the mid belts includes a plurality of circumferentially spaced struts having first and second ends adjoining first sinusoidal-shaped elements, and each of the first and second end belts includes at least about twice the number of circumferentially spaced struts adjoining second sinusoidal-shaped elements. Also disclosed is a stent graft for use in practicing the method.

Abstract: Several unique intra-cardiac pressure devices, placement catheters, methods of placement and methods of treating heart failure are presented. The intra-cardiac pressure devices presented allow sufficient flow from the left atrium to the right atrium to enable the relief of elevated left atrial pressure and resulting patient symptoms. The intra-cardiac pressure devices are made of a non-braided material.

Abstract: Disclosed herein is a biodegradable prosthesis that includes a first end, a second end, and an elongate tubular body with a lumen therethrough. The prosthesis has a first outer layer with a drug delivery element that may include polyphosphoester microspheres. The prosthesis also can have a second layer comprising a set of flexible interbraided bioabsorbable filaments. Also, the prosthesis can have a third inner layer comprising a porous thermoplastic material.

Abstract: A radiopaque marker includes a core wire having a proximal portion and a distal portion, and a coil wrapped around the distal portion of the core wire. The core wire is formed from a shape memory material and the coil is formed from a radiopaque material. The radiopaque marker includes a delivery configuration wherein the radiopaque marker is substantially elongated and a deployed configuration wherein the distal portion of the raadiopaque marker forms a substantially helical tube.

Abstract: A system for delivery of a stent dilatable by means of a balloon, including a multilumen polymeric catheter having at least two balloons at the input end, where the distal balloon can expand an eccentric stent mounted on it, and the proximal balloon of smaller diameter has, at least, two radiopaque labels (markers) and has a capability of accurate orientation of the stent in an artery lumen.

Abstract: The invention relates to an implantable radiopaque stent adapted to be disposed in a body lumen. In one aspect of the invention, at least one radiopaque filament is arranged for permanent attachment to a hollow tubular structure. The filament is desirably arranged in a linear direction traverse to a longitudinal length of the structure, the structure having a tubular wall that defines an inner surface and an outer surface and opposing first open end and second open end. The radiopaque filament improves external imaging of the tubular structure on fluoroscope or x-ray imaging equipment.

Abstract: Expandable intraluminal scaffold defining a longitudinal axis is provided, wherein the scaffold includes at least two filaments extending from a head portion disposed along the longitudinal axis at a first longitudinal end, each of the at least two filaments including a free end portion at a second longitudinal end opposite the head portion. The at least two filaments converge toward each other at a juncture disposed proximate the longitudinal axis between the first longitudinal end and the second longitudinal end. A system including a delivery system and the intraluminal scaffold, as well as a method of delivering the scaffold, is also provided.

Abstract: A medical device includes a balloon catheter having an expandable member, e.g., an inflatable balloon, at its distal end and a stent or other endoprosthesis. The stent is, for example, an apertured tubular member formed of a polymer and is assembled about the balloon. The stent has an initial diameter for delivery into the body and can be expanded to a larger diameter by inflating the balloon.

Abstract: A stent or other intraluminal medical device having markers formed from housings integral with the stent and marker inserts having a higher radiopacity than the stent provides for more precise placement and post-procedural visualization in a vessel, by increasing the radiopacity of the stent under X-ray fluoroscopy. The housings are formed integral to the stent and the marker inserts are made from a material close in the galvanic series to the stent material and sized to substantially minimize the effect of galvanic corrosion. The housings are also shaped to minimize their impact on the overall profile of the stent.

Abstract: An expandable prosthesis having an imageable structure comprising one or more elements visually distinguishable by an external (e.g., radiographic or ultrasonic) imaging system, the structure being located about a first axis that corresponds to a structural feature of the prosthesis that is configured to perform a specific function particular to that axis. The imageable structure is configured to assist in the rotational orientation of the prosthesis during placement within the implantation site. In one embodiment, the prosthesis comprises a venous valve that includes imageable elements or structure, such as a pair of radiopaque markers, that defines the orifice of the valve structure such that the orifice can be oriented with a particular anatomical feature under imaging, such as to align the orifice with the long axis of the vessel.

Abstract: The present embodiments provide stents for use in medical procedures. In one embodiment, a stent comprises a first flanged region and a body region. A first diameter of the first flanged region is greater than a second diameter of the body region when the stent is in an expanded deployed state. A proximal junction is formed between the first flanged region and the body region. The proximal junction comprises at least one strut extending from the distal end of the first flanged region in a distal direction towards the proximal end of the body region. A strut at the proximal end of the body region is disposed around at least a portion of the strut of the proximal junction. The overlap between the strut at the proximal end of the body region with the strut of the proximal junction causes an increased radiopaque effect at the proximal junction.

Abstract: An implantable medical device includes a radiolucent member provided with an x-ray mirror that reflects incident x-ray radiation to enable visualization of the device. The x-ray mirror includes a multilayer nanolaminate having alternating layers of a first metal or ceramic layer deposited by atomic layer deposition having a first refractive index, and a second metal or ceramic layer deposited by atomic layer deposition having a second refractive index that is different from the first refractive index. The nanolaminate includes a total of at least four layers.

Abstract: The present invention is directed to a prosthesis for treating, repairing and/or replacing an abdominal aortic aneurysm. The prosthesis includes a stent having a first end and a second end with an intermediate section therebetween. The first end and seconds ends each include an anchor, wherein one or both anchor(s) has a diameter that is larger than the diameter of the intermediate section. The prosthesis also comprises graft material engaging at least a portion of the stent. The present invention is also directed to a prosthesis for repairing an aneurysm comprising a stent having a first end and a second wend with an intermediate section disposed therebetween. The first and second ends each include means for sealing the respective ends to a structure, wherein the intermediate section has a diameter that is smaller than the diameter of the first or second end. Graft material engages at least a portion of the stent.

Abstract: An endoprosthesis, in particular an intraluminal endoprosthesis, for example a stent, having a base body composed at least partially of a metallic material, and having a functional element which is attached to the base body or imbedded therein and which contains material that is radiopaque and/or X-ray opaque and has a different material composition, at least in a portion of its volume, compared to the material of the base body. To avoid contact corrosion and undesired corrosion, the functional element is provided with a barrier layer which electrically insulates the radiopaque and/or X-ray opaque material from the base body.

Abstract: The invention relates to an implant having a base body made of a biocorrodible material. A surface of the implant has a coating at least in some regions, wherein the coating comprises a tissue adhesive.

Abstract: A stent or other intraluminal medical device having markers formed from housings integral with the stent and marker inserts having a higher radiopacity than the stent provides for more precise placement and post-procedural visualization in a vessel, by increasing the radiopacity of the stent under X-ray fluoroscopy. The housings are formed integral to the stent and the marker inserts are made from a material close in the galvanic series to the stent material and sized to substantially minimize the effect of galvanic corrosion. The housings are also shaped to minimize their impact on the overall profile of the stent.

Abstract: The endoprosthesis is designed to be implanted in an aneurysm (12) of a patient, the aneurysm (12) resulting from deformation of a vessel wall, in particular the wall of an artery (14), the endoprosthesis including: a tubular envelope (22, 24) that extends in a direction (Y-Y?), and a plurality of pressure probes (26) fixed on the envelope (22, 24), each probe (26) including: a sensor (28) for measuring pressure, and elements (34, 36) for transmitting the pressure measurement to a monitoring apparatus located outside the patient. The elements (34, 36) for transmitting the pressure measurement from each probe (26) are designed to generate an electromagnetic pressure measurement transmission signal including at least one distinctive characteristic of the probe (26) of which these elements (34, 36) form part.

Abstract: Embodiments are directed to radiopaque implantable structures (e.g., stents) formed of cobalt-based alloys that comprise cobalt, chromium and one or more platinum group metals, refractory metals, or combinations thereof. Platinum group metals include platinum, palladium, ruthenium, rhodium, osmium, and iridium. Here, the term “refractory metals” include zirconium, niobium, rhodium, molybdenum, hafnium, tantalum, tungsten, rhenium, as well as the precious metals silver and gold. In one embodiment, the one or more included platinum group or refractory metals substitute for nickel, such that the alloy is substantially nickel free. The stents exhibit improved radiopacity as compared to similar alloys including greater amounts of nickel.

Abstract: A marker composite for medical implants composed of a biocorrodible metallic material and a medical implant comprising an X-ray marker which was made of the marker composite. The marker composite contains a large number of particles composed of a radio-opaque metal, which are embedded in an electrically non-conductive polymer. The particles have an additional electrically non-conductive coating.

Abstract: A radially expandable stent and methods of making the same, the stent made entirely of a bioabsorbable metal, the stent having a portion of increased radiopacity, wherein the portion of increased radiopacity has one or more of the following characteristics: i. the wall thickness of the stent in the portion of increased radiopacity exceeds the wall thickness of the wall immediately adjacent thereto by at least 0.0010?; ii. the width of the stent in the portion of increased radiopacity exceeds the width of the stent immediately adjacent thereto by at least 0.0005?.

Abstract: A vascular band (1) comprises a biocompatible flexible material (2) and a plurality of radiopaque bars (4) extending transversely across the width of the material and spaced apart along the length of the biocompatible material. The bars provide some rigidity to the flexible material in the width direction thereby preventing buckling of the band in use and the radiopaque nature of the bars enable visualization of a landing zone for a stent graft during deployment thereof. The bars can be crimped or woven into the material. The band can be stitched, stapled, or hooked around a vessel.

Abstract: A marker formed on a stent which is to be mounted within a human body, the marker being formed without applying gold plating or gold foil onto the stent and allowing the position of the stent in the human body to be confirmed by a recognition means. A marker (A, B) used to confirm the position in a human body of a stent (C) consisting of wires is formed by fitting pipes (10-12), which consist of a raw material which can be recognized by a recognition means, on a portion at which at least two wires constituting the stent (C) are located close to each other. The stent (C) comprises a stent main wire (1) formed in a zigzag pattern, and the pipes (10-12) are fitted to zigzag-shaped turn-back sections (E) of the stent main wire (1).

Abstract: A stent comprising a tubular base body having a lumen along a longitudinal axis. The base body has a plurality of circumferential support structures and one or more connectors. Two successive circumferential support structures are connected to one another via at least one connector. The stent is characterized in that one, multiple, or all support structures and/or connectors have a slotted passage, and the slotted passage is filled with a radiopaque material and has a curvature which increases at least toward one end of the slotted passage.

Abstract: A stent includes a plurality of cylindrical elements joined along a common longitudinal axis to form a tube. The cylindrical elements include struts joined by crowns. Hollow, drug-eluting elements are disposed between adjacent cylindrical elements and connect adjacent cylindrical elements to each other. A therapeutic substance fills the lumen of the drug-eluting elements, and openings in the walls of the drug-eluting elements allow elution of therapeutic substance from the lumen for treatment of a vessel.

Abstract: Inherently radiopaque side-chain crystallizable polymers (IRSCCP's) are useful in various medical applications. An example of a IRSCCP is a polymer that comprises a main chain, a plurality of crystallizable side chains, and a plurality of heavy atoms attached to the polymer, the heavy atoms being present in an amount that is effective to render the polymer radiopaque. A polymeric material that includes a IRSCCP may be fabricated into a medical device useful for at least partially occluding a body cavity. For example, such a medical device may be an embolotherapy product.

Abstract: A stent prosthesis for vascular surgery for inserting into an artery, particularly for bridging a vascular enlargement in the area of the aortic arch, comprising a tubular flexible and radially expandable stent body, on which at least one tear-proof long thread is attached in a fixed manner at a point of attachment on the outer peripheral surface of the stent body in the front portion thereof The thread can be recognized under x-ray radiation and has a free thread length of a number of decimeters and, starting from the point of attachment, is exposed outside the stent body so that the stent body, while following the thread, can be passed into the artery and can be placed, by means of the thread, in position inside the artery and can be subsequently fixed to the vascular wall.

Abstract: 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.

Abstract: An expandable stent (12) for use in the implantation of a valve prosthesis (11) using a delivery system (10) is disclosed. The self-expandable stent (12) includes a tubular lattice structure (13) defined by longitudinally aligned rods (16) connected to V- shaped struts (17) for forming a plurality of interconnected chevron-shaped six-sided polygons (24) that define a distal end zone (21) and a middle zone (20) of the tubular lattice structure (13). A flare (27) or bend may be defined along opposite ends of each rod (16) to properly seat and prevent undue torsion of the stent (12) and valve prosthesis (11) during deployment and placement of the stent (12) within the lumen.

Abstract: An endoprosthesis comprises a plurality of serpentine bands. Each serpentine band comprises a plurality of interconnected struts forming peaks and troughs. Adjacent serpentine bands are interconnected by one or more connectors. First and second serpentine bands are connected via at least one connector. The connector has a first side facing one the struts and a second side facing another of the struts. The connector extends from an inside of a trough of the first serpentine bands to the outside of a trough of the other of the serpentine bands. The connector has a first bump extending from the first side and a second bump extending from the second side opposite the first, the first bump located adjacent a first peak and the second bump located adjacent a second peak.

Abstract: A radiopaque implantable prosthesis including a polymeric prosthesis made from ePTFE having a node and fibril structure and a radiopaque filler integral with at least a portion of the node and fibril structure of the ePTFE. A method of making the prosthesis is also provided.

Abstract: The present invention relates to an implant, in particular an intraluminal endoprothesis, comprising a body containing a metallic material, and comprising at least one functional element that is fastened to the body and has a material composition in at least a portion of its volume that differs from the material of the body, the material composition preferably including radio-opaque and/or x-ray opaque material. To effectively prevent accelerated degradation due to the formation of a local cell of the material of the body and the functional element, the at least one functional element includes a first layer at least in the region of its surface where it is bonded to the body, the first layer primarily containing at least one metal oxide. Furthermore, the manufacture of an implant of this type is described.

Abstract: A bioabsorbable implant including an elongated metallic element including more than 50% a metal substantially free of rare earth metals, with the elongated metallic element defining at least a portion of the bioabsorbable implant.

Abstract: A device and a method of manufacturing an implantable medical device, such as a stent, are described herein. The device includes a metallic region composed of a bioerodable metal and a polymer region composed of a biodegradable polymer contacting the metallic region. The metallic region may erode at a different rate when exposed to bodily fluids than the polymer region when exposed to bodily fluids. In certain embodiments, the polymer region is an outer layer and the metallic region is an inner layer of the device. A further aspect of the invention includes device and a method of manufacturing the device that includes a mixture of a biodegradable polymer and bioerodable metallic particles. The mixture may be used to fabricate an implantable medical device or to coat an implantable medical device. In some embodiments, the metallic particles are metallic nanoparticles.