Abstract: Apparatus tests the durability of a peripheral artery medical device based upon anatomical loading conditions. A peripheral artery medical device is mounted to a support element, typically a hollow tube, having first and second end portions. End holding elements are mounted to a base and are secured to the first and second end portions. The apparatus further comprises means for applying a plurality of cycles of at least one of the following loading conditions to the medical device support element at the location of the peripheral artery medical device: torsion, tension/compression, bending and pinching. In some embodiments the apparatus comprises an environmental chamber housing at least the support element so to mimic the service temperature environment of the medical device. A method for testing the durability of a peripheral artery medical device based upon anatomical loading conditions is also disclosed.

Abstract: A stent, having openings, is mounted onto a mandrel. An agent-containing film is applied onto the stent and the two are pressed against one another so that at least a portion of the film is pressed at least partially into the openings. The film is adhered to the stent. Any excess film is removed to create a stent/film combination which is removed from the mandrel and enclosed within a sleeve of porous material to create a covered agent-eluting stent.

Abstract: A vascular lining removal assembly comprises a plurality of slats, each having inner and outer surfaces, configured to pass along a vascular cleavage plane to removingly engage a length of vascular lining. In some embodiments the assembly may also include means for engaging the length of vascular lining to aid removal of the length of vascular lining. The inner surface of at least one of the slats may comprise an inwardly opening passageway to permit direct access to the length of vascular lining by a tool.

Abstract: A ring stripper comprises a shaft and a tissue separator ring joined to the distal end of the shaft at a junction. A tissue dissecting element extends from the junction and has a leading surface with at least a portion of the leading surface being located distally of the ring. The tissue dissecting element may, and preferably does, extend along the shaft axis. The ring stripper may also include means for enhancing tissue dissection of the tissue dissecting element, such as by mechanically vibrating or reciprocating or otherwise moving at least the leading surface of the dissecting element or by heating the tissue to be dissected, or a combination thereof.

Abstract: A delivery catheter comprises a first, flexible, polymer-based tube and a second, metal tube at the first tube distal end. The second tube has flexibility enhancing relief areas along its length to provide localized areas of reduced bending stiffness to enhance the bending flexibility while retaining good torsional stiffness. A notched catheter has a lumen and a notched outer surface intersecting the lumen with a filament-containing layer adjacent to the outer surface. A part of the filament-containing layer is capturable between the notched surface portion and an elongate element extendable through the lumen. A generally helically coiled endoluminal prosthesis may be mounted on a pre-torqued delivery catheter to tighten the coiled endoluminal prosthesis onto the delivery catheter.

Abstract: A coiled endoluminal prosthesis system may include means for rotating a delivery catheter while axially releasing a coiled endoluminal prosthesis from the delivery catheter. A release element may be retracted simultaneously with rotation of the delivery catheter. The coiled endoluminal prosthesis may have a first direction of spiral in a first rotational direction. The delivery catheter may be rotated in a second rotational direction while axially releasing the coiled endoluminal prosthesis from the delivery catheter. The endoluminal prosthesis may be configured to reduce or eliminate any difference between the length of the endoluminal prosthesis when in the reduced diameter state and when in the expanded diameter state.

Abstract: A coiled endoluminal prosthesis delivery assembly includes a catheter and a generally helical endoluminal prosthesis. The endoluminal prosthesis is placeable in a radially contracted state on the catheter. The assembly also comprises means for engaging proximal, intermediate and distal portions of the endoluminal prosthesis to maintain it in the first state, and means for controllably releasing the proximal, distal and intermediate portions to permit the endoluminal prosthesis to move towards a radially expanded state in a controlled manner. A method controllably releases the endoluminal prosthesis from the catheter within a hollow body structure. The method may include permitting at most 50%, and more preferably at most 25%, of the length of the endoluminal prosthesis to simultaneously move to the radially expanded state in contact with the hollow body structure.

Abstract: A covered stent includes a generally tubular stent body having inner and outer stent body surfaces. A sleeve of porous material encloses the stent body and has inner and outer portions opposed to the inner and outer stent body surfaces. A therapeutic agent is located along the stent body, the agent being diffusible through the material. A diffusion barrier is located between the inner material portion and the agent along the stent. The diffusion barrier prevents passage of at least a significant amount the agent through the inner portion of the sleeve of porous material. A diffusion restrictor is located between the outer portion of the sleeve of porous material and the agent along the stent. The diffusion restrictor permits passage of the agent through the inner material portion at a therapeutic level.

Abstract: A coiled ladder stent comprises first and second rails and rungs connecting the rails. At least one rung has lower strength portion or is an enhanced flexibility rung, or both. The lower strength portion is positioned at a reduced strength fracture location along the rung so to promote any fracture of the ladder stent at the fracture location along the rung to help prevent fracture of a rail. One way to make the lower strength portion is to make the cross-sectional area of the lower strength portion less than the average cross-sectional area of the rung. The enhanced flexibility aspect helps to accommodate relative movement between the first and second rails. Doing so helps to prevent fracture of the rails and rungs. In some embodiments of the invention the enhanced flexibility rung comprises one or more nonlinear, such as generally S-shaped or generally U-shaped, portions.

Abstract: A coiled stent graft, including a thrombolytic agent, is positionable within an AV fistula and optionally into one or both of the artery and the vein (6) to help reduce or eliminate blockages within the blood vessel at the junction between the AV fistula and the blood vessel.

Abstract: An endoluminal prosthesis includes a coiled body and a graft material covering at least part of the coiled body to create a coiled stent graft. The average stent graft diameter to turns width ratio may be about 0.8 to 1 to about 2.4 to 1 when expanded.

Abstract: A coiled stent (196) has a coiled stent body with a main body portion (106) and end portions (108). The end portions may be substantially less stiff than the body portion to help prevent tissue trauma. A graft material (124) may be used to cover at least the main body portion to create a coiled stent graft (122) in which adjacent turns (128) have gaps defined therebetween to create a generally helical gap (130). The coiled stent may have side elements (10) separated by connector elements (112) and be placeable in a contracted, reduced diameter state and in a relaxed, expanded diameter state. The connector elements are preferably generally parallel to the stent axis when placed in the contracted, reduced-diameter state, typically tightly wrapped around a placement catheter (136).

Abstract: A coiled stent (196) has a coiled stent body with a main body portion (106) and end portions (108). The end portions may be substantially less stiff than the body portion to help prevent tissue trauma. A graft material (124) may be used to cover at least the main body portion to create a coiled stent graft (122) in which adjacent turns (128) have gaps defined therebetween to create a generally helical gap (130). The coiled stent may have side elements (10) separated by connector elements (112) and be placeable in a contracted, reduced diameter state and in a relaxed, expanded diameter state. The connector elements are preferably generally parallel to the stent axis when placed in the contracted, reduced-diameter state, typically tightly wrapped around a placement catheter (136).

Abstract: An endoluminal prosthesis includes a coiled body and a graft material covering at least part of the coiled body to create a coiled stent graft. The average stent graft diameter to turns width ratio may be about 0.8 to 1 to about 2.4 to 1 when expanded.

Abstract: A coiled stent (196) has a coiled stent body with a main body portion (106) and end portions (108). The end portions may be substantially less stiff than the body portion to help prevent tissue trauma. A graft material (124) may be used to cover at least the main body portion to create a coiled stent graft (122) in which adjacent turns (128) have gaps defined therebetween to create a generally helical gap (130). The coiled stent may have side elements (10) separated by connector elements (112) and be placeable in a contracted, reduced diameter state and in a relaxed, expanded diameter state. The connector elements are preferably generally parallel to the stent axis when placed in the contracted, reduced-diameter state, typically tightly wrapped around a placement catheter (136).

Abstract: A coiled stent graft (10) is positionable within an AV fistula (4) and optionally into one or both of the artery (9) and the vein (6) to help reduce or eliminate blockages within the blood vessel at the junction (8) between the AV fistula and the blood vessel.

Abstract: An endoluminal prosthesis includes a coiled body and a graft material covering at least part of the coiled body to create a coiled stent graft. The average stent graft diameter to turns width ratio may be about 0.8 to 1 to about 2.4 to 1 when expanded.

Abstract: An endoprosthesis delivery catheter assembly comprises a placement catheter having first and second catheter shafts. A handle includes a body and an actuator mounted to the body for movement relative to the body. The proximal portions of the first and second catheter shafts are mounted to the handle. At least one of the proximal portions of the first and second catheter shafts are drivenly coupled to the actuator so that movement of the actuator causes rotary and/or axial movement of the first and second catheter shafts relative to one another. The actuator may be mounted to the body for both rotary and axial movement relative to the body so that rotary and axial movement of the actuator causes corresponding relative rotary and axial movement of the first and second catheter shafts. The number of turns and/or the length of the coiled endoprosthesis may be selectively changed using a single actuator and then released from the catheter.

Abstract: An embodiment of a placement catheter assembly (2) comprises an inner shaft (10) movably housed within a hollow outer shaft (8). A radially-expansible endoluminal prosthesis (6) is mounted about the inner shaft between the distal ends of the inner and outer shafts. Distal and proximal end release elements (22/28, 16/34), such as pull wires, are carried by the inner and outer shafts and releasably secure the prosthesis to the inner and outer shafts. The prosthesis in the radially contracted state and the distal and proximal end release elements together have a maximum diameter which is at most about equal to the diameter of the distal part (48) of the outer shaft to facilitate placement of the prosthesis.

Abstract: A coiled stent graft (10), including a thrombolytic agent, is positionable within an AV fistula (4) and optionally into one or both of the artery (9) and the vein (6) to help reduce or eliminate blockages within the blood vessel at the junction (8) between the AV fistula and the blood vessel.