Abstract: A delivery device includes a guidewire catheter and a delivery assembly extending about the guidewire catheter. The delivery assembly includes a locking mechanism that selectively engages a proximal handle of the delivery assembly with a push rod to which a vascular prosthesis is directly or indirectly attached. When an actuator selectively disengages the proximal handle from the handle body, rotation of the proximal handle is independent of longitudinal movement of the vascular prosthesis relative to the handle body, whereby the proximal handle can be moved along the handle body with rotation.

Abstract: A delivery system for delivering and deploying stents with proximal and distal apices includes a “guidewire lumen, a distal apex release lumen, a proximal apex release lumen, a distal apex capture device and a proximal apex capture device. The distal and proximal apex capture devices include a first distal capture portion and a second distal capture portion fixedly connected to the guidewire lumen and distal apex release lumen, respectively, and a first and second proximal capture portions, respectively. The first proximal capture portion is fixedly connected to the distal end of the apex release lumen and has fingers extending toward the first distal capture portion in a distal direction. The second proximal capture portion is fixedly connected to the distal end of the proximal apex release lumen and has fingers extending toward the second distal capture portion in a distal direction.

Abstract: An aortic graft assembly includes a tubular component that defines a wall aperture having a proximal end that extends perpendicular to a major longitudinal axis of the tubular aortic component, and a tunnel graft connected to the wall of the tubular aortic component and extending from the wall aperture toward a proximal end of the tubular aortic component. The method for delivery of the aortic graft assembly includes delivering the aortic graft assembly through the wall aperture and into interferring relation with the tunnel graft.

Abstract: A delivery system for delivering and deploying a stent graft includes a curved guidewire catheter, an apex release catheter, an apex capture device, a relatively rigid, hollow catheter, and a distal nose. The apex capture device includes a distal capture portion fixedly connected to the distal end of the guidewire catheter and having a distal portion and a proximal stopper having an exposed side facing distally in a plane approximately perpendicular to a longitudinal axis of the curved guidewire catheter. The apex capture device also includes a proximal capture portion fixedly connected to the distal end of the apex release catheter and has fingers extending toward the distal capture portion in a distal direction that define an interior cavity to receive the proximal stopper. The proximal and distal capture portions of the apex capture device define a stent capture state.

Abstract: A method of implanting a prosthesis in a patient at a treatment site includes advancing an outer catheter of a prosthesis delivery system in the patient and advancing an inner sheath and a guidewire lumen of the delivery system from the outer catheter to the treatment site along a guidewire while the outer catheter remains stationary relative to the patient. The method also includes locking an apex release lumen, a sheath lumen and a guidewire lumen within the apex release lumen, with respect to an outer catheter and rotationally locking the apex release lumen, the sheath lumen and the guidewire lumen. The apex release lumen, the sheath lumen and the guidewire lumen are threaded onto a guidewire and directed into a patient and the apex release lumen and the sheath lumen are unlocked with respect to the outer catheter.

Abstract: A delivery system for endovascularly delivering a prosthesis along a guidewire to a curved implantation site includes a delivery device having control handle and an inner lumen slidably disposed in the handle between a retracted position and an extended position. The inner lumen has a distal end and a tip at the distal end of the inner lumen. An intermediate lumen is slidably disposed about the inner lumen and has a distal end. A relatively flexible prosthesis sheath is connected to the distal end of the intermediate lumen and a relatively stiff outer lumen is axially fixedly connected to the handle about the intermediate lumen. The outer lumen has a length only long enough to be inserted in a patient's aorta no further than the patient's celiac axis.

Abstract: A vascular repair device includes a tubular graft body and a structural framework having at least two stents connected to the graft body. Stents of the structural framework can each be respectively connected to graft body adjacent the proximal and ends and the support member is shorter than the separation distance therebetween to form a gimbal at least at one end. A first stent is connected along an entirety thereof and a second stent is connected at distal apices thereof. Distal apices of the second stent have radii of curvature smaller than proximal apices. A curved longitudinal support member can be connected to the graft body, the support member being substantially symmetrical with respect to the centerline. The support member can be connected to the graft body independent of the structural framework. At least one of the ends of the support member can have a curved longitudinal extremity.

Abstract: Endoluminal grafts include an endoluminal graft body and at least one vessel ingrowth component affixed to the endoluminal graft body. Endoluminal grafts can include luminal fabric and stent components that are longitudinally extendable from a first, collapsed configuration to a second, extended configuration. Endoluminal grafts can include at least one stent fixed with a proximal portion of a graft body that also includes a distal portion or a proximal portion of an endoluminal graft body retractable over at least a portion of the remaining graft body. Endoluminal grafts can be employed in methods of delivering stent grafts in patients at an aneurysm site.

Abstract: A vascular repair device includes a tubular graft body and a structural framework having at least two stents. A first stent of the stents is connected to the tubular graft body along an entirety of the first stent and a second of the stents includes a periodically changing shape that defines proximal apices having a first radii of curvature and distal apices having a second radii of curvature that is less than the first radii of curvature. The second stent is connected to the tubular graft body at the distal apices.

Abstract: A delivery system for delivering and deploying a stent graft includes a curved guidewire catheter, an apex release catheter, an apex capture device, a relatively rigid, hollow catheter, and a distal nose. The apex capture device includes a distal capture portion fixedly connected to the distal end of the guidewire catheter and having a distal portion and a proximal stopper having an exposed side facing distally in a plane approximately perpendicular to a longitudinal axis of the curved guidewire catheter. The apex capture device also includes a proximal capture portion fixedly connected to the distal end of the apex release catheter and has fingers extending toward the distal capture portion in a distal direction that define an interior cavity to receive the proximal stopper. The proximal and distal capture portions of the apex capture device define a stent capture state.

Abstract: An apex capture device for holding proximal apices of a stent to be implanted includes a distal capture portion to be fixedly connected to a distal end of a first hollow lumen and a proximal capture portion fixedly connected to a distal end of a second hollow lumen. The distal capture portion has a longitudinal axis, a distal portion with a proximal end, and a proximal stopper having a distal side and a proximal side. At least a portion of the proximal side of the proximal stopper extends along a line that intersects a hollow first lumen. The proximal capture portion has fingers that define an interior cavity shaped to receive the proximal stopper.

Abstract: A delivery system for delivering and deploying a stent graft includes a guidewire catheter, an apex release catheter, an apex capture device, a relatively rigid, hollow catheter, a sheath catheter, a relatively flexible, hollow stent graft sheath and a distal nose. The apex capture device includes a distal capture portion fixedly connected to the distal end of the guidewire catheter and having a distal portion and a proximal stopper having an exposed side facing distally in a plane approximately perpendicular to a longitudinal axis of the guidewire catheter. The apex capture device also includes a proximal capture portion fixedly connected to the distal end of the apex release catheter and has fingers extending toward the distal capture portion in a distal direction that define an interior cavity to receive the proximal stopper. The proximal and distal capture portions of the apex capture device define a stent capture state.

Abstract: A method of implanting a prosthesis in a patient at a treatment site includes the steps of providing a prosthesis delivery sheath with an alignment device, loading a prosthesis into the sheath, advancing the sheath in a patient up to the treatment site, and viewing at least one of a rotational and an axial position of the alignment device at the treatment site and, if the sheath is not in a desired position, moving the sheath to the desired position based upon the position of the alignment device. The alignment device can be a pair of markers on opposing sides of a longitudinal axis of the sheath such that, when viewed from a side of the sheath, the pair forms a given shape that communicates to a user a direction in which the sheath needs to rotate minimally to align the markers and form the given shape.

Abstract: A method for manufacturing a stent, includes the steps of winding stent wire around the outer surface of a longitudinal axis of a mandrel into a desired final shape that is polygonal in an elevation orthogonal to the longitudinal axis, and forming a stent by setting the wound stent wire in the desired polygonal final shape. The outside diameter of the stent formed will be in co-columnar apposition with a blood vessel in which it is implanted. The mandrel employed in the methods can have a multiple-sided outer surface and a longitudinal axis.

Abstract: A method for manufacturing a stent, includes the steps of winding stent wire around the outer surface of a longitudinal axis of a mandrel into a desired final shape that is polygonal in an elevation orthogonal to the longitudinal axis, and forming a stent by setting the wound stent wire in the desired polygonal final shape. The outside diameter of the stent formed will be in co-columnar apposition with a blood vessel in which it is implanted. The mandrel employed in the methods can have a multiple-sided outer surface and a longitudinal axis.

Abstract: A system for implanting a prosthesis includes a control lumen and a nose cone affixed at a distal end of the control lumen. At least one supporting wire is affixed at one end, is substantially parallel to a major axis of the control lumen and is free at an opposite end, wherein the free end of at least one of the supporting wires is arcuate. Alternatively, a system for implanting a prosthesis includes at least one suture extending from a nose cone affixed to a distal end of a control lumen. The suture extends from the nose cone to a proximal end to a stent graft extending about the control lumen and from the stent graft to a fixed location on the control lumen. The suture is releasable from the stent graft by remote activation, whereby the suture separates from the nose cone to thereby deploy the stent graft.

Abstract: A delivery system and kit for endovascularly delivering a prosthesis along a guidewire to an curved implantation site includes a control handle having a handle body with a prosthesis movement control assembly movably disposed thereto. A proximal end of a catheter is connected to the control handle. A prosthesis delivery assembly is movably disposed in the catheter. The delivery assembly has a guidewire lumen slidably receiving therein the guidewire and having a curved distal end orienting the delivery assembly when passing through a curved vessel portion. A method for automatic endovascular alignment of the prosthesis includes loading it in the distal delivery assembly, positioning the guidewire into the curved implantation site, and threading the guidewire lumen over the guidewire with the delivery assembly and into the implantation site to at least approximately align the curved distal portion to a curve of the curved implantation site and, thereby, orient the prosthesis.

Abstract: A delivery system for delivering and deploying stents with proximal and distal apices includes first and second hollow lumens and a hollow apex release lumen, the first lumen having a distal end and an interior extending along a longitudinal axis, the second lumen having a distal end and being slidably disposed about the first lumen, and the apex release lumen having a distal end and being slidably disposed about the second lumen. A proximal apex capture device of the delivery system includes a first distal capture portion fixedly connected to the first lumen, the first distal capture portion having a first distal portion with a proximal end and a proximal stopper having a distal side disposed in a plane approximately perpendicular to the longitudinal axis, being disposed at a first proximal distance from the proximal end of the first distal portion, and defining first stopping surface portions.

Abstract: A delivery system for delivering and deploying stent grafts having a proximal stent includes a first lumen and a stent capture device including a capture portion fixedly connected adjacent a first lumen distal end. An outer catheter has a catheter distal end and a catheter inner diameter. A second lumen having a second distal end is slidably disposed about the first lumen and within the outer catheter. A stent graft sheath has a sheath proximal end connected to the second distal end and disposed about the first lumen. The sheath has a sheath distal end and a sheath inner diameter greater than the catheter inner diameter for holding a compressed stent graft. A distal nose cone has a cone proximal end connected to either the capture portion or the first distal end. The nose cone and the capture portion are movably adjustable to selectively capture the sheath distal end therebetween.

Abstract: A method for delivering a stent graft includes the steps of moving lumens retaining a stent graft within a multi-lumen stent-graft-delivery catheter towards an implantation site to place the stent graft at a first position prior to reaching the implantation site. The delivery catheter has at least one interior lumen holding the stent graft. A handle assembly of the delivery catheter is activated to extend distally the at least one interior lumen towards the implantation site to thereby place the stent graft at a second position substantially within the implantation site while a lumen surrounding the at least one interior lumen of the delivery catheter remains substantially at the first position. The handle assembly is activated to proximally retract a sheath holding the stent graft to at least partially deploy the stent graft at the implantation site.