Abstract: A device for delivering and deploying a radially expandable prosthesis is disclosed and comprises a proximal prosthesis release mechanism having a first resistance and a distal prosthesis release mechanism having a second resistance. The device further comprises an actuation mechanism for actuating the distal and proximal release mechanisms in a single coordinated movement and a biasing compensator for regulating the relationship between the first resistance and the second resistance. Additional aspects of the invention include devices and methods for delivering and deploying a radially expandable prosthesis.

Abstract: A strut, or beam, is provided for intraluminal devices. Strain which is introduced into a stent or other intraluminal device is distributed more evenly along the length of the improved strut by maintaining a substantially constant strain level along the length of an end portion. This may increase fatigue life or improve the performance of devices using the improved strut. The strain along the length of the end portion may be maintained substantially constant by varying a section property of the strut, including the width, thickness, cross-sectional area, material property or other characteristic of the end portion.

Abstract: A stent graft for use in a medical procedure to treat a dissection of a patient's ascending thoracic aorta. The stent graft includes bare alignment stents at least at a proximal end, and often with a stent at both ends, each stent having opposing sets of curved apices, where the curved section of one broader set of apices has a radius of curvature that is greater than the curved section of the other narrower set of apices. The proximal stent is flared in a manner such that its broad apices occupy a larger circumference around the stent than do its narrower apices, where this flared feature provides for anchoring engagement near the aortic root in a manner not interfering with the coronary arteries or the aortic valve.

Abstract: A self-expanding medical device delivery system includes a plurality of trigger wires. The trigger wires retain a self-expanding medical device by forming a bend about structural members located on the proximal portion of the medical device. The proximal portions of the trigger wires have a greater diameter than the distal portions of the trigger wires to provide increased bending strength. An operator releases the self-expanding medical device by withdrawing the trigger wires in the distal direction. In some embodiments, a small portion at the proximal end of each trigger wire has a smaller diameter than the rest of the proximal portion. In other embodiments, the proximal and distal portions of each trigger wire each have a greater diameter than the center of the trigger wire.

Abstract: A device for delivering and deploying a radially expandable prosthesis is disclosed and comprises a proximal prosthesis release mechanism having a first resistance and a distal prosthesis release mechanism having a second resistance. The device further comprises an actuation mechanism for actuating the distal and proximal release mechanisms in a single coordinated movement and a biasing compensator for regulating the relationship between the first resistance and the second resistance. Additional aspects of the invention include devices and methods for delivering and deploying a radially expandable prosthesis.

Abstract: An aortic stent-graft may include a tubular graft extending from a proximal end to a distal end, the graft comprising a proximal sealing portion and an intermediate portion, wherein a proximal end of the intermediate portion abuts the distal end of the proximal sealing portion. At least one sealing stent may be attached to the proximal sealing portion. A first fenestration window is disposed in the intermediate portion. The first fenestration window has a length determined by the equation L=1.23*D?24 millimeters, where L is the length of the first fenestration window. D is between about 24 millimeters and 45 millimeters.

Abstract: An implantable medical support frame (104) having a central longitudinally extending axis is expandable from a collapsed configuration having a first diameter to an expanded configuration having a second diameter. The frame also includes an anchoring mechanism with an elongate member (110). At least a portion of the elongate member is slidably disposed within a retaining structure when the frame is in the collapsed configuration. When the frame expands from the collapsed configuration to the expanded configuration, a portion of the elongate member is advanced out of the retaining structure such that the portion of the elongate member protrudes radially outward of the frame at an angle to the axis, thereby forming an anchor. A length of the protruding portion of the anchor increases as the frame expands from the collapsed configuration to the expanded configuration.

Abstract: The present embodiments provide a valve for implantation in a patient, for example, an aortic valve. The valve comprises a proximal region comprising a cylindrical shape, and a distal region having a generally rectangular shape comprising opposing flat surfaces that are separated by narrower flat sides. A tapered region is disposed between the proximal and distal regions, where the tapered region comprises two opposing flat surfaces that transition into the opposing flat surfaces of the distal region. The opposing flat surfaces of the tapered region are angled relative to the proximal and distal regions. The opposing flat surfaces at the distal end of the valve allow fluid flow therethrough during antegrade flow and are generally adjacent to one another to inhibit blood flow through the valve during retrograde flow. Optionally, at least one reinforcement member may be coupled to the valve to prevent prolapse of the valve during retrograde flow.

Abstract: The present embodiments provide a medical device for implantation in a patient comprising a stent and a valve. The stent comprises a proximal region comprising a cylindrical shape having a first outer diameter in an expanded state, and a distal region comprising a cylindrical shape having a second outer diameter in the expanded state. The second outer diameter is greater than the first outer diameter. A proximal region of the valve is at least partially positioned within the proximal region of the stent, and the distal region of the valve is at least partially positioned within one of tapered and distal regions of the stent. When implanted, the proximal region of the stent and the proximal region of the valve are aligned with a native valve, and the distal region of the valve is distally spaced-apart from the native valve.

Abstract: The present invention provides a stent having less invasive ends and improved radial force. In one embodiment, the stent comprises a series of proximal apices disposed at a proximal end of the stent, a series of distal apices disposed at a distal end of the stent, and at least one angled strut segment disposed between the proximal and distal apices of the stent. At least one apex of the stent may comprise multiple curved portions. In one example, the radius of curvature of one of the curved portions is significantly greater, for example, at least 10 times greater, than each of the other radii of curvature of the apex. The curved portion having the significantly greater radius of curvature may be configured to engage a vessel wall in a less invasive manner.

Abstract: A hybrid stent (100) includes at least one resilient ring (105) comprising a superelastic wire (102) formed in a sinusoidal pattern of alternating crests (110) and troughs (115) about a circumference of the ring (105). A plurality of malleable cannula segments (120) overlie the superelastic wire at the crests and troughs. Each of the cannula segments (120) includes a bend (125) and has an inner diameter sized to allow relative motion between the wire (102) and the cannula segment (120). The hybrid stent (100) may also include a plurality of gaps (130), where each gap (130) is defined by a spacing between opposing cannula segments (120). Deformation of the malleable cannula segments (120) dominates a response of the stent to substantially uniform radial forces, and deformation of the resilient ring (105) dominates a response of the stent to radially nonuniform crushing forces.

Abstract: A barb for anchoring an implantable medical device to a body vessel comprises a thin-walled body portion for engagement with a structural element of an implantable medical device and a penetrating element extending from the body portion. The body portion has a longitudinal axis. The penetrating element includes a tip portion for anchoring into tissue and a base portion between the tip portion and the body portion. In a deployed configuration of the barb, the base portion curves away from the longitudinal axis at a first curvature and the tip portion curves toward the longitudinal axis at a second curvature which is opposite in sign from the first.

Abstract: A self-expanding medical device delivery system includes a plurality of trigger wires. The trigger wires retain a self-expanding medical device by forming a bend about structural members located on the proximal portion of the medical device. The proximal portions of the trigger wires have a greater diameter than the distal portions of the trigger wires to provide increased bending strength. An operator releases the self-expanding medical device by withdrawing the trigger wires in the distal direction. In some embodiments, a small portion at the proximal end of the trigger wire has a smaller diameter than the rest of the proximal portion. In other embodiments, the proximal and distal portions of the trigger wire each have a greater diameter than the center of the trigger wire.

Abstract: A self-expanding or otherwise expandable artificial valve prostheses for deployment within a body passageway, such as a vessel or duct of a patient. The valve prostheses include a support structure having an outer frame, a supporting member and a valve leaflet. The portion of the valve leaflet is supported by the supporting member and is positioned away from the wall of the body passageway when the device is deployed within the body passageway.

Abstract: The disclosure relates to an intraluminal medical device. The medical device comprises a main graft, a first extension graft, and a second extension graft. The main graft comprises a proximal end, a distal end, and a body extending between the proximal end and distal end. The distal end of the main graft comprises a first branch and a second branch, the branches extending distally from the body. The first and second extension grafts comprise at least one stent and have a body reinforcing portion and a branch reinforcing portion. The body reinforcing portions have a larger expanded dimension than the expanded dimension of the respective branch reinforcing portion. The body reinforcing portions, together, have an expanded dimension that is generally equal to the expanded dimension of the outer graft body.

Abstract: The present invention provides a stent having less invasive ends and improved radial force. In one embodiment, the stent comprises a series of proximal apices disposed at a proximal end of the stent, a series of distal apices disposed at a distal end of the stent, and at least one angled strut segment disposed between the proximal and distal apices of the stent. At least one apex of the stent may comprise multiple curved portions. In one example, the radius of curvature of one of the curved portions is significantly greater, for example, at least 10 times greater, than each of the other radii of curvature of the apex. The curved portion having the significantly greater radius of curvature may be configured to engage a vessel wall in a less invasive manner.

Abstract: An attachment system for attaching an intravascular device to a vessel wall of a body vessel is disclosed. The attachment system includes an intravascular device and biological attachment material connected to the intravascular device. The biological attachment material is configured to attach the intravascular device to the vessel wall.

Abstract: Various stents and stent-graft systems for treatment of medical conditions are disclosed. In one embodiment, an exemplary stent-graft system may be used for endovascular treatment of a thoracic aortic aneurysm. The stent-graft system may comprise proximal and distal components, each comprising a graft having proximal and distal ends, where upon deployment the proximal and distal components at least partially overlap with one another to provide a fluid passageway therebetween. The proximal component may comprise a proximal stent having a plurality of proximal and distal apices connected by a plurality of generally straight portions, where a radius of curvature of at least one of the proximal apices may be greater than the radius of curvature of at least one of the distal apices. The distal component may comprise a proximal z-stent coupled to the graft, where the proximal end of the graft comprises at least scallop formed therein that generally follows the shape of the proximal z-stent.

Abstract: An attachment system for attaching an intravascular device to a vessel wall of a body vessel is disclosed. The attachment system includes a tubular expandable body defining a lumen therethrough. The tubular expandable body is configured to move between an expanded state to contact the body vessel and a collapsed state for delivery or retrieval. The tubular expandable body is configured to contact the vessel wall along the length of the tubular expandable body in the expanded state when deployed in the body vessel. An intravascular device is held to the exterior side of the tubular expandable body and is configured to contact the vessel wall when the tubular expandable body is in the expanded state and the system is deployed within a body vessel.

Abstract: An attachment system for attaching an intravascular device to a vessel wall of a body vessel is disclosed. The attachment system has an intravascular device having a first end and a second end. The intravascular device defines a longitudinal axis along a length thereof. Several struts are connected to one or more ends of the intravascular device. Each strut is configured to move along a strut path relative to the longitudinal axis between an expanded state for engaging the vessel wall and a collapsed state for delivery or retrieval. Each strut has a free end configured to engage the vessel wall in the expanded state.