Abstract: Example access devices, treatment devices, and kits useful in performing treatment under magnetic resonance imaging and related methods are described. An example access device includes an elongate tubular member formed of an MRI compatible material and moveable between a first, unexpanded configuration and a second, expanded configuration. The elongate tubular member has a central lengthwise axis, a proximal end, a distal end, an axial length, and a main body that defines a circumferential wall, a lumen, a proximal opening, a distal opening, and a main body opening. The main body opening is arranged in a spiral relative to the lengthwise axis and extends circumferentially along the circumferential wall. The main body opening extends along the entire axial length of the elongate tubular member from the proximal end to the distal end.

Abstract: Example medical devices for performing treatment under magnetic resonance imaging and related methods are described. An example medical device includes a cannula and a plug. The cannula has a proximal end, a distal end, a first portion, a second portion, and a main body that defines a lumen and a passageway. The first portion extends from the distal end toward the proximal end. The second portion extends from the first portion toward the proximal end. The first portion is formed of first material. The second portion is formed of a second material that is different than the first material. The plug is disposed within the passageway and has a main body that defines a passageway in fluid communication with the lumen defined by the cannula. The plug is formed of a third material that is different than the second material.

Abstract: There is disclosed, among other things, embodiments of a biopsy needle for taking a full core sample through soft tissue. In the illustrated embodiments, the needle includes a single monolithic tubular member having a notch cut part-way through a distal portion of the tubular member to form an arch-shaped finger. At least a portion of the finger is bent toward the notch and into the lumen of the tubular member. Methods for using these embodiments are also described.

Abstract: Disclosed is a stent graft, including a graft body, a sealing stent at the proximal end of the graft body and completely overlapped by the graft body, and a diameter reducing loop arrangement. The sealing stent includes proximal apices at a proximal end thereof and distal apices at a distal end thereof. The diameter reducing loop arrangement includes a loop element. The loop element includes a first end, a second end, and a strand section from the first end to the second end. The first end is attached to the distal end of the sealing stent. The loop element is configured to pass circumferentially around the distal end of the sealing stent and have a release wire pass through a loop at the second end. The diameter reducing loop arrangement is configured to constrict the distal apices of the sealing stent and cause the sealing stent to adopt a substantially conical or frustoconical shape.

Abstract: Storage devices, loading devices, delivery systems, kits, and associated methods for implantable medical devices are described. An example embodiment of a storage device includes a storage member, a first cap, and a second cap. The storage member has a first end, a second end, and a main body that defines a first opening, a second opening, a passageway, a separating wall, and a plurality of holes. The passageway has a first portion and a second portion. The first portion extends from the first end of the storage member to the separating wall and the second portion extends from the second end of the storage member to the separating wall. Each hole of the plurality of holes extends through the separating wall and provides access between the first portion and the second portion. Each of the first and second caps is releasably attached to the storage member.

Abstract: The present disclosure relates to a graft material including a reinforced layer and to implantable medical devices including such a graft material. The invention also relates to methods of using and manufacturing such graft materials and devices. In one embodiment the implantable medical device is a stent graft.

Abstract: A stent graft for deployment in a curved lumen such as the aortic or thoracic arch comprises a constraining mechanism at its proximal end. A stent provided at the proximal end of the stent graft includes loops of material that co-operate with restraining wires that extend between a central guide wire carrier and a restraining wire cannula. The constraining mechanism acts to maintain the proximal stent constrained at both the proximal and distal ends of the proximal stent. The proximal stent is thus allowed to expand after expansion of the remainder of the stent graft during deployment. In an embodiment, the constraining mechanism acts to constrain two adjacent struts of the proximal stent at three points radially therearound, at the proximal end of the stent and at the distal end of the stent. The proximal stent may then overlap with the interior of an adjacent stent at an inner part of a curved vessel.

Abstract: Systems and methods to place a prosthesis to have a preselected overlap with a receiving structure are provided. In one embodiment, a delivery system may include a primary sheath comprising a primary sheath lumen. The delivery system may further include a secondary sheath comprising a secondary sheath lumen. The primary sheath may be at least partially received within the secondary sheath lumen such that the primary sheath may translate longitudinally within the secondary sheath lumen. The delivery system may further include a prosthesis having proximal and distal ends and being received within the primary sheath lumen adjacent to the primary sheath distal end in a contracted delivery state. The delivery system may further include a length reference mechanism that indicates a length of the primary sheath distal end that extends distal to the secondary sheath distal end during the contracted delivery state of the prosthesis.

Abstract: An implantable graft may include a main section having walls formed with a woven fabric, the main section having a main lumen extending therethrough. The implantable graft may also include a bifurcated section having walls formed with the woven fabric, where the bifurcated section extends from main section, where the bifurcated section includes a first branch and a second branch, and where the first branch and the second branch each include a branch lumen in fluid communication with the main lumen. At least one branch of the bifurcated section may include a branch taper formed by a seam connecting a first woven layer and a second woven layer. A seam extension may extend outwardly along the seam of the branch taper, the seam extension being a single-layer woven structure.

Abstract: A medical device for repositioning tissue within an animal has a main body with a first end portion, a second end portion, and a middle portion. The first end portion defines a series of passageways and the second end portion defines a bulbous shape, a slot, and a tab portion. Methods of treating obstructive sleep apnea are also described.

Abstract: Material processing apparatus, systems, methods, and products are described. An example of a material processing apparatus includes a holding member, a base, a tensioning member, an actuator, and a first inner member. The holding member defines a holding member passageway. The base is attached to the holding member. The tensioning member is partially disposed within the holding member passageway. The tensioning member defines a tensioning member passageway. The tensioning member is moveable relative to the holding member between a first position and a second position. The actuator is attached to the tensioning member and is moveable in a first direction and a second direction. Movement of the actuator results in movement of the tensioning member between its first position and second position. The first inner member is adapted to be disposed within the tensioning member passageway.

Abstract: The present embodiments provide apparatus and methods for treating tissue by applying a force to the tissue. In one embodiment, the apparatus comprises a deployable segment having proximal and distal regions, a main body extending therebetween, and a loop member formed at the distal region of the deployable segment. A cannula having a bore is dimensioned to circumferentially surround at least a portion of the main body at a location proximal to the loop member, and a spring member is disposed between the cannula and the loop member. The proximal end of the spring member is affixed to the cannula, and the distal end of the spring member is movable to apply a compressive force to adjust the size of the opening of the loop member and compress tissue disposed within the opening of the loop member. In an alternative embodiment, the cannula is omitted, and a diameter of the loop member is configured to be reduced and increased any number of times before final deployment of the deployable segment.

Abstract: A forceps may include: a housing defining an internal passageway and a longitudinal axis extending between proximal and distal ends of the housing; a first jaw and a second jaw each slidably and pivotably connected to the housing, where the first and second jaws have an open configuration and a closed configuration; a first connection member having a first end pivotably connected to the first jaw; a second connection member having a first end pivotably connected to the second jaw; a connecting pin assembly that slidably and pivotably connects the first and second jaws to the housing; and a driver operably connected to a second end of the first connection member and a second end of the second connection member. Longitudinal movement of the driver in a proximal direction relative to the housing moves the first and second jaws, along with the connecting pin assembly, relative to the housing.

Abstract: A wire lock assembly for an access port of an elongate medical tube includes a body having an exterior surface, an interior surface, and a central opening disposed therethrough, an attachment mechanism disposed through the exterior surface of the body, the attachment mechanism having an open end and a closed end, at least one notch arranged on the body and positioned proximate to the central opening and at least one seal supported within the interior surface of the body in communication with the central opening, the seal comprising a passageway therethrough, where the interior surface of the body defines a non-linear pathway for securing one or more medical devices.

Abstract: An inner catheter for deployment of a medical device can include a pusher band having a passage that includes a first portion extending from a first end to a position and a second portion extending from a second end to the position. A cross-sectional area of the second portion can be less than a cross-sectional area of the first portion to form a step. A second end of the first tubular member having first and second ends can be within the first portion of the pusher band, abut the step and be unable to pass through the second portion. A portion of a second tubular member having first and second ends can be within the pusher band, and the second end of the second tubular member can extend away from the second end of the pusher band and be configured to extend through a medical device.

Abstract: A stent-graft comprises: a graft defining an elongate lumen having a longitudinal axis; an external stent having a plurality of struts and apices between the struts, the apices including proximal apices and distal apices; a set of proximal sutured knots, the proximal sutured knots securing the proximal apices of the stent to the graft; a set of distal sutured knots, the distal sutured knots securing the distal apices of the stent to the graft; and a plurality of intermediate sutured knots, formed along a continuous suture, the continuous suture including a plurality of bridging portions, the bridging portions bridging between neighbouring struts of the stent, the intermediate sutured knots securing struts of the stent to the graft.

Abstract: Described are catheters having a distal catheter tube region that can be secured in an anchoring profile by a locking engagement of a filament at a catheter hub. The catheter hub can include a locking arm that cooperates with a hub body to provide a locked position that compresses and positionally fixes a portion of the filament between a fixing surface of the locking arm and a fixing surface of the hub body. The locking arm can define a cutting notch in its outer surface through which a further portion of the filament passes in the locked position, and the further portion of the filament can be cut to release the secured condition of the anchoring profile as the locked position of the hub is maintained. The locked position defined between the hub body and the locking arm can leave at least portions of the respective fixing surfaces of the locking arm and the hub body spaced from one another a distance, when in a relaxed or unstressed condition.

Abstract: A medical device for stone management comprises a catheter comprising a proximal end, a distal end, and a first lumen and a second lumen disposed therethrough. A handle assembly is interconnected with the proximal end of the catheter, the handle assembly comprising a body defining an interior cavity, a first section and a second section. An interior passageway is disposed within the interior cavity and in fluid communication with the first lumen of the catheter. A valve assembly interconnected with the interior passageway. An actuator assembly is engaged with the valve assembly, the actuator having a first position and a second position. A vacuum port is in communication with the interior passageway and positioned on the second section of the handle. The second section of the handle forms an angle with respect to the first section of the handle.

Abstract: In one aspect of the invention, a preloaded stent graft delivery device includes a guidewire catheter having a proximal end, a distal end, and a guide wire lumen therethrough; a nose cone dilator at the proximal end of the guide wire catheter, the nose cone dilator comprising a distal end and a capsule on the distal end of the nose cone dilator; a handle assembly at the distal end of the guidewire catheter, the handle assembly comprising a first section and a second section releasably connected to the handle assembly and in communication with the capsule on the distal end of the nose cone dilator; a ratchet assembly disposed within an interior surface of the first section of the handle assembly; a pusher catheter extending from the handle assembly towards the nose cone dilator; and a sheath disposed coaxially over the pusher catheter.

Abstract: Various medical devices are described herein. More particularly, various probes used for performing lithotripsy and methods of performing lithotripsy are described. In an example, a probe comprises an elongate member comprising a proximal end, a distal end, a proximal portion, an intermediate portion, and a distal portion. The proximal portion has an outer diameter that is greater than the outer diameter of the distal portion.