Abstract: A biomaterial useful for bioprostheses such as bioprosthetic heart valves is provided in which the fixed tissue has improved elastic properties. The high elastin-containing biomaterial is further characterized by having anisotropic properties wherein the biological material has a greater stiffness in one direction and a greater elasticity in a cross direction. For instance, the biological material has an elastin content of about 30% by weight. In one embodiment, the biological material is vena cava tissue.

Abstract: A method for reducing blood flow to an aneurysm proximate to a bifurcation having a source blood vessel a first branch vessel and a second branch vessel, the method comprising: providing a first mesh-like tube of bio-compatible material, the first mesh-like tube exhibiting a porosity index pre-selected to skew blood flow about the bifurcation away from the aneurysm; inserting the first mesh-like tube into the source blood vessel and the first branch vessel; and securing the first mesh-like tube to at least one of the source blood vessel and the first branch vessel, whereby blood flowing from the source blood vessel flows without undue impedance to the first branch vessel and the second branch vessel while being skewed away from the aneurysm.

Abstract: The present invention provides stents for deploying within tubular organs, blood vessels, or other tubular body lumens. Such stents comprise a stent body comprising an elastic material, the stent body being characterized by a free cylindrical shape having a free diameter. The stent body is at least partially covered with a covering that substantially prevents the stent body from expanding towards its free diameter when the stent body is placed into a diameter smaller than the free diameter. In one embodiment, the covering is a metal coating on the stent body. In another embodiment, the covering is a tube, or multiple tubes, around the stent body. Also provided is a method for deploying the stents of the present invention within tubular organs, blood vessels, or other tubular body lumens.

Abstract: A prosthetic ligament and its method of manufacture is provided by which the prosthetic ligament is comprised of a plurality of strands aligned in a parallel lengthwise relationship to form a bundle, with the strands being interwoven at their respective ends while the middle portion of the strands remain unattached to adjacent strands. A predetermined torsion is applied to each strand prior to forming the bundle to create natural coiling in either a clockwise or counter-clockwise orientation. The prosthetic ligament may be used for a posterior or anterior cruciate ligament of the knee joint.

Abstract: Two prostheses each have a tubular sidewall with a terminal portion extending to a connection end. A connector body has first and second terminal portions extending to first and second ends. The connector body terminal portions are respectively surrounded by the prostheses terminal portions. First and second straps respectively circumscribe the prostheses terminal portions to bias the prostheses into engagement with the connector body. The connector body has first and second strap engagement projections respectively captured by apertures in the straps.

Abstract: Disclosed is a tubular endoluminal vascular prosthesis, useful in treating, for example, an abdominal aortic aneurysm. The prosthesis comprises a self expandable wire support structure surrounded by a flexible tubular membrane. A delivery catheter and methods are also disclosed.

Abstract: Apparatus and method for securing a stent to a balloon catheter. A first clamping portion and a second clamping portion are arranged for movement toward and away from each other and are provided with recesses defining a channel to receive a stent crimping sleeve having a longitudinal bore. The stent is slid into the longitudinal bore of the stent crimping sleeve and the balloon catheter is then slid into the longitudinal bore of the stent. The first and second clamping portions are moved towards each other and apply pressure to the external surface of the stent crimping sleeve causing the internal diameter of the longitudinal bore to get smaller and apply pressure to the external surface of the stent and crimp the stent to the balloon.

Abstract: A first catheter has a return bend formed near its distal free end and a first magnet is mounted on the distal free end. The first catheter is introduced through a sheath in a first common femoral artery into an elongate leg of a stent graft and pulled back until the return bend positions the first magnet near a truncate leg of the stent graft. A second catheter having a second magnet on its distal free end is introduced through a second common femoral artery and positioned near the first magnet so that the magnets become interconnected. The second catheter is pulled into the stent graft, a guide wire is inserted through it, and a second sheath is introduced into the stent graft. A contralateral limb is deployed through the second sheath and the second sheath is removed. In another embodiment, catheters with magnets pull a nephroureteral stent from a kidney.

Abstract: Method and device for manufacturing of expandable cylindrical metal meshes for use in expandable stents and in particular for customized manufacturing. The method includes determining the type and size of the stent to be implanted, electrochemically forming the stent with desired pattern of meshes and implanting the stent into patient. The method comprises using a cathode with desired pattern of meshes and a tubular blank, from which the stent is formed. Between the cathode and the blank is delivered an electrolyte and the cathode and the blank are simultaneously rotated during electrochemical forming process.

Abstract: The present invention provides a method and apparatus for mounting a stent onto a balloon on a stent delivery system. A stent is then loaded onto the delivery system and the resulting stent/balloon assembly is positioned in a first section of a mould and a second section of the mould is closed onto the first section and locked in place. Pressure is applied to the delivery system through a luer and the mould is heated. The pressure and heat are discontinued and the mould is cooled; this combination of heat and pressure secures the stent to the balloon. The method may include a cooling cycle to help retain the profile of the final stent delivery assembly.

Abstract: The invention relates to a gastroplasty ring formed by a flexible strip (2) for passing around the stomach and for being closed near its two end portions (5, 6) by a closure system (7, 12, 13, 15, 20) to reduce the diameter of the opening of the stoma, said strip having an annular compression chamber of adjustable volume and of substantially constant section that is connected by an adjustment catheter (7) to a device (8) for adjusting the internal pressure in said chamber so as to adjust its diametral expansion, the ring being characterized in that the closure system includes means (12, 13) for locking and loosening the ring, which means are carried by the adjustment catheter, thus making it possible, starting from the position in which the diameter of the ring is locked, to release the diameter of the ring by relative displacement between the two end portions. The ring constitutes a gastric implant for treating obesity.

Abstract: A vascular implant includes a scaffold and a tubing in covering relating to the scaffold. Preferably, the tubing completely covers or encases the scaffold interior surface and exterior surface to leave no portion of the scaffold exposed. Methods for constructing includes pulling tubing through a scaffold and folding at least a portion of the tubing over at least one of the ends of the scaffold. Methods for using an implant include performing coronary vessel bypass procedures or forming blood flow paths in a blood vessel utilizing constructions described herein.

Abstract: Shape memory alloy and elastically self-expanding endoluminal stents which are at least partially encapsulated in a substantially monolithic expanded polytetrafluorethylene (“ePTFE”) covering. An endoluminal stent, which has a reduced diametric dimension for endoluminal delivery and a larger in vivo final diametric diameter is encapsulated in an ePTFE covering which circumferentially covers both the luminal and abluminal walls along at least a portion of the longitudinal extent of the endoluminal stent. The shape memory endoluminal stent is fabricated from a shape memory alloy which exhibits either shape memory or pseudoelastic properties or from an elastic material having an inherent spring tension.

Abstract: The present invention provides stents for deploying within tubular organs, blood vessels, or other tubular body lumens. Such stents comprise a stent body comprising an elastic material, the stent body being characterized by a free cylindrical shape having a free diameter. The stent body is at least partially covered with a covering that substantially prevents the stent body from expanding towards its free diameter when the stent body is placed into a diameter smaller than the free diameter. In one embodiment, the covering is a metal coating on the stent body. In another embodiment, the covering is a tube, or multiple tubes, around the stent body. Also provided is a method for deploying the stents of the present invention within tubular organs, blood vessels, or other tubular body lumens.

Abstract: A device for loading a self expanding stent into a deployment tool has an outer tube defining a space. The device has a constricting sheath with a stent delivery end and a stent receiving opening opposite thereto. The constricting sheath is open therethrough with the stent delivery end and the stent receiving opening aligned along an axis thereof. The stent delivery end is shaped and sized for slipping over the outer tube. The stent receiving opening is shaped and sized to receive a self expanding stent aligned along the axis and in its expanded state. A rest within the delivery end is located for seating the constricting sheath along the axis and in position over the outer tube. A funnel is positioned within the constricting sheath located between the stent delivery end and the stent receiving opening. The funnel is shaped for collapsing the self expanding stent before loading into the space of the outer tube.

Abstract: A donor heart valve sizer and method of sizing to increase the quality and yield of, and decrease the expense of fabricating, prosthetic heart valves. The sizer includes an axially-extending sizing portion sized to fit within the lumen of a donor heart valve. The sizing portion may be conical such that a resistance to further insertion is felt when the exterior of the sizing portion contacts the annulus of the valve. A measuring bracket attached to the sizing portion includes a scale aligned with the sizing portion that indicates the final expected valve size based on the position of the fresh donor valve on the sizing portion. The measuring bracket includes regions of acceptable valve sizes, and may also include regions of unacceptable valve sizes. A method of sizing includes utilizing the sizer in the slaughterhouse to reduce the overall number of valves shipped to the valve assembly facility to obtain a particular valve size.

Abstract: An ankle block for a leg prosthesis comprising an insert having a body with an upper mounting surface and a bottom interface surface opposite from the upper mounting surface. The insert body defines a central coaxial hole therethrough. An over mold is formed about an exterior of the body and extends upwardly therefrom defining a central cavity above the insert and above the upper mounting surface.

Abstract: A method for spreading skin grafts, wherein the skin grafts are placed on an elastic membrane, after which the membrane is stretched in at least two directions substantially perpendicular to each other and the skin grafts present on the membrane are spread. A spreading means, a stretcher and a membrane to be used therewith, as well as to a method for applying skin grafts to a burn.

Abstract: An implantable intraluminal device includes a multilayer composite tubular device supporting one or more stents between the layer thereof and a method of making such a device is disclosed. A first porous elongate tube includes an exterior surface and an interior luminal surface. A radially expandable member is disposed about the exterior surface of the first tube. A second porous elongate tube is disposed concentrically over the first tube and is secured thereto so that the radially expandable member is longitudinally immobilized therebetween.

Abstract: The present invention relates to a collagen material comprising a laminate in which a collagen ultra-fine fibrous non-woven fabric-like multi-layer structure is sandwiched between non-fibrous collagen layers, a thread-like material containing said collagen material, their production processes, and a medical material containing said collagen material, and particularly a medical alternative membrane comprised of said medical material.

Abstract: A shoulder prosthesis having a head and an elongate stem portion including a proximal end connected to the head, a distal section for insertion into a medullary canal of a humeral bone and an alignment section disposed between the proximal end and distal section. The alignment section includes a plurality of reference marks positioned to facilitate placement of the prosthesis in the bone at a previously-determined position.