Abstract: The present invention concerns a marker element (1) for marking one or more boundaries of a section of a stent (2) with a mesh (20), the marker element (1) including a radiopaque material and being fitted on a device (5) for the delivery of the self-expanding stent (2) into a body vessel, the device (5) including a tubular element (6) which is inserted through the stent (2). The marker element (1) between the stent (2) and the tubular element (6) can slide on the tubular element (6) and engages detachably into the mesh (20) of the stent (2). The invention further concerns a device (5) for the delivery of a self-expanding stent (2) into a body vessel which is fitted with a marker element (1) of this type.

Abstract: Stents and methods of using stents are provided. Stents of the invention provide external support structure for a blood vessel segment disposed within, wherein the stents are capable of resilient radial expansion in a manner mimicking the compliance properties of an artery. The stent may be formed of a knitted or braided mesh formed so as to provide the needed compliance properties. A venous graft with the stent and a vein segment disposed within is provided, wherein graft is capable of mimicking the compliance properties of an artery. Methods of selecting stents for downsizing and methods of using the stents of the invention in downsizing and smoothening are provided. Methods of replacing a section of an artery with a venous graft including a stent of the invention are provided. Methods of reducing intimal hyperplasia in implanted vein segment in a venous graft using stents of the invention are provided.

Abstract: An orthopaedic prosthesis includes a femoral component configured to be coupled to a surgically-prepared surface of the distal end of a femur and a plate having an aperture defined therein. The plate is configured to be coupled to the femoral component in one of a number of orientations such that the location of the aperture is adjustable based on the orientation of the plate. The orthopaedic prosthesis also includes a stem configured to be coupled to the femoral component via a bolt. The position of the stem relative to the femoral component is adjustable based on the orientation of the plate.

Abstract: An implantable device is positioned within the coronary sinus and tightened around the mitral annulus to reduce mitral valve regurgitation. The device carries at least one electrode, in electronic communication with a cardiac rhythm management device.

Abstract: Various embodiments of methods and apparatus for treating defective heart valve are disclosed herein. In one exemplary embodiment, a transcatheter heart valve is disclosed that includes an expandable shape memory stent and a valve member supported by the stent. A plurality of micro-anchors can be disposed along an outer surface of the stent for engaging native tissue. The transcatheter heart valve can be configured to be advanced into a dilated valve annulus via a balloon catheter. The balloon can be inflated to expand the transcatheter heart valve from a collapsed diameter to an over-expanded diameter such that the micro-anchors engage tissue along the surrounding valve annulus. After engaging the tissue, the balloon can be deflated and the shape memory stent can retract or recoil toward its predetermined recoil diameter. As the stent recoils, the surrounding tissue is pulled inward by the stent such that the diameter of the valve annulus is reduced.

Abstract: The present invention extends to a stemmed amputation implant. In some embodiments, a dual stemmed implant includes a base plate and two intramedullary rods extending from the proximal side of the base plate. The two intramedullary rods are configured for insertion into corresponding intramedullary bone canals reamed into remaining portions of amputated bones, such as, for example, a tibia and fibula or an ulna and radius. The position of the intramedullary rods relative to one another is configured to maintain appropriate separation between amputated bones when the first intramedullary rod and the second intramedullary rod are inserted into the amputated bones. In some embodiments, a hollow tube replaces one or more of the intramedullary rods. A hollow tube can be configured to cover the exterior of a bone, such as, for example, the fibula, when the bone is not stable enough for intramedullary fixation.

Abstract: A medical implant that delivers therapeutic via microtubes and a method of making the same is provided. In one embodiment a biologically implantable structure adapted to fit within the body of a patient is provided. This structure may have a plurality of individual microtubes in physical communication with its outer surface, the microtubes containing or carrying a therapeutic. In another embodiment a method of manufacturing an implantable medical appliance is provided. This method includes placing a pliant stratum of microtubes onto a biologically implantable medical structure and then applying a therapeutic to the pliant stratum to cover or fill the microtubes.

Abstract: A endovascular prosthesis for implantation in a body passageway. The prosthesis comprises a tubular wall which is: (i) movable between a first longitudinal length and a second longitudinally length, and (ii) radially expandable for implantation of the prosthesis in the body passageway. In one embodiment, the tubular wall has a longitudinally length which is variable by an “accordion”-like action. In another embodiment, the tubular wall has a longitudinally length which is variable by an “telescoping”-like action. The longitudinal length of the tubular wall may be varied in vivo to optimize deployment of the endovascular prosthesis.

Abstract: In at least one embodiment, a stent comprises a plurality of interconnected framework members defining a plurality of cells. A portion of the interconnected framework members comprise a side branch structure defining an inner side branch cell that is shaped differently than other cells of the stent. The side branch structure comprises a first serpentine ring extending around the inner side branch cell. The first serpentine ring comprises alternating inner turns and outer turns connected by straight struts. The inner turns are distributed around a reference circle centered upon a side branch center point. The side branch structure further comprises a second serpentine ring extending around the first serpentine ring. The second serpentine ring comprises alternating inner turns and outer turns connected by straight struts. The second serpentine ring has the same number of inner turns and outer turns as the first serpentine ring.

Abstract: Methods implant one or more fastening structure(s) in a targeted body region, e.g., within a hollow body organ or an intraluminal space. The fastening structure(s) are implanted to a vessel wall, and serve to secure a prosthesis within the hollow body organ or intraluminal space.

Abstract: Prosthetic valves, methods of making medical devices, and methods of treatment are provided. The prosthetic valves of the invention have a valve portion moveable between first and second positions, and a spacing member that has a thickness and protects a portion of the valve portion from contact with a wall of a vessel in which the prosthetic valve is implanted, and/or another structural component of the prosthetic valve, such as a support frame.

Abstract: The present invention is directed to a stent for use in a bifurcated body lumen having a main branch and a side branch. The stent comprises a radially expandable generally tubular stent body having proximal and distal opposing ends with a body wall having a surface extending therebetween. The surface has a geometrical configuration defining a first pattern, and the first pattern has first pattern struts and connectors arranged in a predetermined configuration. The stent also comprises a branch portion comprised of a second pattern, wherein the branch portion is at least partially detachable from the stent body.

Abstract: A prosthesis includes a trunnion having a first end defining a uniform cross-section and a second end adapted to be fixed to a prosthesis stem. A ceramic head has a first bearing surface on which a second prosthesis fixed to a second bone can articulate. The ceramic head defines a recess. The first end of the trunnion is fixedly received within the recess. The second end of the trunnion is releasably connectable to the prosthesis stem by a taper connection.

Abstract: An apparatus for treating regurgitation of blood through a diseased heart valve having at least two leaflets includes an occluding member configured to be positioned within the diseased heart valve so that at least a portion of the occluding member is positioned adjacent to one of the at least two leaflets. The at least one portion of the occluding member contacts at least one surface of the at least one leaflet. The occluding member is dimensioned so that the at least one leaflet abuts the at least one surface of the occluding member. The apparatus further includes a suspending wire operatively attached to the occluding member and configured to facilitate positioning of the occluding member within the heart valve. The suspending wire includes an anchoring portion having a coiled shape. The anchoring portion is configured to secure the suspending wire to at least one of a blood vessel and a heart wall surrounding a heart chamber.

Abstract: The present invention, in an exemplary embodiment, provides a stent, which combines many of the excellent characteristics of both silicone and metal stents while eliminating the undesirable ones. In particular, a principal objective in accordance with the present invention is to provide a family of stents where the relative hardness/softness of regions of the stent can differ from other regions of the stent to provide additional patient comfort and resistance to radial forces. An exemplary embodiment also provides a family of stents with obstruction clearance and/or radiation therapy capabilities.

Abstract: A venous valve with a frame and a cover on the frame for unidirectional flow of a liquid through the valve.

Abstract: A cardiac-valve prosthesis which can be used, for example, as a valve for percutaneous implantation. The prosthesis includes an armature for anchorage of the valve prosthesis in the implantation site. The armature defines a lumen for passage of the blood flow and supports a set of prosthetic valve leaflets, which, under the action of the blood flow, are able to move into a radially divaricated condition to enable the flow of the blood through the lumen in a first direction and a radially contracted condition, in which the valve leaflets co-operate with one another and block the flow of the blood through the prosthesis in the opposite direction. The armature includes, in one embodiment, two annular elements connected by anchor members having the capacity of projecting radially with respect to the prosthesis, and support members for the set of leaflets, the support members being carried by at least one of the annular elements so as to leave substantially disengaged the aforesaid lumen for passage of the blood.

Abstract: A modular prosthesis that may be implanted in a highly minimally invasive manner. Specifically, the modular prosthesis may include a neck and an anchor. Both the neck and the anchor are configured to be inserted and connected together through a lateral aspect of a long bone adjacent to the proximal end of the long bone. In one exemplary embodiment, the neck includes a body having a head end, configured for attachment to another prosthetic component, such as a corresponding articulating component, and an aperture extending therethrough. The anchor may be sized for receipt within the aperture formed in the neck. Additionally, the anchor may be configured such that the anchor engages the walls forming the aperture in the neck to secure the components together.

Abstract: A side branch stent graft (1) suitable for the iliac arteries has a main tubular body (3) of a biocompatible graft material and a tubular side branch (5). The tubular side branch is affixed into the main tubular body so that a side branch lumen is in fluid communication with a main lumen. There is at least one external zig-zag stent (13) on the main tubular body proximal of the tubular side branch, one central external stent (14) which also encompasses the side arm, at least one external zig-zag stent (16) on the main tubular body distal of the tubular side branch and one internal zig-zag stent (15) at the distal end of the main tubular body. A reinforcing ring (9) is around the proximal end of the main tubular body and stitched thereto.

Abstract: A stent with at least one severable supporting device and methods of coating using the same are disclosed. The severable supporting device can be an end tube or a tab attached to some portion of the stent by at least one “gate” or attachment. The end tube or tab may be part of the design of the stent when it is originally manufactured, or it may be attached to the stent in a secondary process by a biocompatible glue or solder. The end tube or tab can be used to support a stent during a coating process eliminating the need for a mandrel which would otherwise contact the stent during the coating process.