Abstract: A vascular prosthesis assembly includes a self expanding prosthesis and a selectively releasable retention mechanism over the outer surface of the prosthesis which maintains the vascular prosthesis in a contracted state. The retention mechanism may include a removable strand extending along the length of the prosthesis having a series of slip knots. The retention mechanism may also include a removable strand which engages overlying layers of a wrapped prosthesis by the passage of the strand through openings in the overlying layers. Manipulation of a user-accessible release strand permits release of the retention mechanism. The retention mechanism may also include a generally cylindrical sheath housing the vascular prosthesis, the sheath constructed to be split and removed to release the prosthesis. A method releases the prosthesis to expand at a target site using a retention mechanism.

Abstract: A vascular prosthesis delivery system comprises a radially self expandable vascular prosthesis and a delivery sheath with a lumen with a smaller diameter storage region and a larger diameter delivery region. A prosthesis is housed within the storage region and is movable into the delivery region for delivery at a target site within a patient. The delivery force required to move the prosthesis from the delivery region into the patient can be less than the force required to move the prosthesis from the storage region into the delivery region. In some examples, the storage region defines a tapered lumen expanding in diameter in a distal direction. In some examples, the storage and delivery regions are generally coextensive and define a tapered lumen expanding in diameter in a distal direction. A method stores a vascular prosthesis in the storage region and delivers it to a target site from the delivery region.

Abstract: A vascular prosthesis comprises generally tubular body placeable in contracted and expanded states and has an axial length and a circumferential dimension in the expanded state. The body includes a series of circumferential elements having first lengths. First and second connectors have connector lengths and join alternating ends of adjacent circumferential elements. The first length plus the connector lengths joined thereto equal a total circumferential length. Each connector length is between 2.5% and 25% of the total circumferential length. Adjacent circumferential elements and connectors extending therefrom are separated by a stress relief slot having a relief slot length of more than 50% and less than 95% of the total circumferential length. The stress relief slots have narrow width portions over a majority of the relief slot lengths, the narrow width portions having lateral dimensions of no greater than about 3 mm.

Abstract: A delivery system including a restraining member maintains a collapsed implant in its collapsed state for delivery through a small passageway to a desired site in a mammalian body. Once the implant is positioned at the desired site, the restraining member is released so that the stent may expand or be expanded to its expanded state. In a preferred embodiment, the restraining member comprises a sheet of material that surrounds at least a portion of the collapsed stent. Portions of the restraining member are releasably coupled to one another with a low profile thread-like member or suture.

Abstract: An implantable vascular prosthesis is provided for use in a wide range of applications wherein at least first and second helical sections having alternating directions of rotation are coupled to one another. The prosthesis is configured to conform to a vessel wall without substantially remodeling the vessel, and permits accurate deployment in a vessel without shifting or foreshortening.

Abstract: An implantable vascular prosthesis is provided for use in a wide range of applications wherein at least first and second helical sections having alternating directions of rotation are coupled to one another. The prosthesis is configured to conform to a vessel wall without substantially remodeling the vessel, and permits accurate deployment in a vessel without shifting or foreshortening.

Abstract: An implantable vascular prosthesis is provided for use in a wide range of applications wherein at least first and second helical sections having alternating directions of rotation are coupled to one another. The prosthesis is configured to conform to a vessel wall without substantially remodeling the vessel, and permits accurate deployment in a vessel without shifting or foreshortening.

Abstract: A vasoocclusive coil is reinforced with a stretch resistant member to improve safety during retraction of the coil. The stretch resistant member is fixedly attached at one end to the vasoocclusive coil, and the other end of the stretch resistant member is detachably mounted to an elongated pusher member to allow for placement and release of the vasoocclusive coil within the patient's vasculature. The stretch resistant member may be formed from a therapeutic and/or bioactive non-metallic material to enhance the therapeutic properties of the vasoocclusive coil.

Abstract: A stent includes a cylindrical frame consisting of a series of helical winds containing a pattern of alternating zigzag bends. The frame may be made of resilient wire or from a piece of laser cut hypo tubing. The stent may be deployed by placing the stent over a notched portion of a pusher catheter member, and retained on the pusher catheter member by a release wire threaded through the pusher catheter member and over the stent. The stent may also be deployed by placing the stent over a pusher catheter member having opposing notched portions, and retaining the stent and pusher catheter member in a delivery catheter, which can be withdrawn when stent reaches the site to be treated to release the stent.

Abstract: A stent includes a cylindrical frame and a plurality of connecting segments connecting opposed portions of the frame. The frame may be formed from either of a single loop of resilient wire formed into a series of arcuate sections and longitudinal connecting sections, two pieces of resilient wire each formed into a half-frame having a series of arcuate sections and longitudinal connecting sections or from a piece of laser cut hypotubing. For the resilient wire frames, the connecting segments may be either of a single metal or plastic band wrapped around opposed longitudinal sections, joined individual bands wrapped around opposed longitudinal sections, or a piece of solder joining opposed longitudinal sections. For the hypotubing frame, the connecting segments are pieces of remaining hypotubing joining opposed longitudinal sections.

Abstract: A delivery system including a restraining member maintains a collapsed implant in its collapsed state for delivery through a small passageway to a desired site in a mammalian body. Once the implant is positioned at the desired site, the restraining member is released so that the stent may expand or be expanded to its expanded state. In a preferred embodiment, the restraining member comprises a sheet of material that surrounds at least a portion of the collapsed stent. Portions of the restraining member are releasably coupled to one another with a low profile thread-like member or suture.

Abstract: A delivery system including a restraining member maintains a collapsed implant in its collapsed state for delivery through a small passageway to a desired site in a mammalian body. Once the implant is positioned at the desired site, the restraining member is released so that the stent may expand or be expanded to its expanded state. In a preferred embodiment, the restraining member comprises a sheet of material that surrounds at least a portion of the collapsed stent. Portions of the restraining member are releasably coupled to one another with a low profile thread-like member or suture.

Abstract: Apparatus and methods for percutaneously performing myocardial revascularization are provided using a catheter having an end region that is directable to contact a patient's endocardium at a plurality of positions. A cutting head is disposed within a lumen of the catheter and coupled to a drive tube that rotates and reciprocates the drive shaft. One or more stabilizing elements are disposed on the distal end to retain the catheter in position when the cutting head is actuated. The cutting head and drive tube include a lumen through which severed tissue is aspirated. Mechanisms are provided for controlling the maximum extension of the cutting head beyond a distal endface of the catheter, independent of the degree of tortuosity imposed on the catheter. Mechanisms and methods also are provided for providing the operator with information to assess the desirability of treating a proposed site.

Abstract: Apparatus and methods for percutaneously performing myocardial revascularization are provided using a catheter having an end region that is directable to contact a patient's endocardium at a plurality of positions. A cutting head is disposed within a lumen of the catheter and coupled to a drive tube that rotates and reciprocates the drive shaft. One or more stabilizing elements are disposed on the distal end to retain the catheter in position when the cutting head is actuated. The cutting head and drive tube include a lumen through which severed tissue is aspirated. Mechanisms and methods are provided for providing the operator with information to assess the desirability of treating a proposed site. Mechanisms also are provided for controlling the maximum extension of the cutting head beyond a distal endface of the catheter, independent of the degree of tortuosity imposed on the catheter.