Abstract: A system and method for loading an endoprosthesis, such as a stent or valve, into an introducer is provided that permits interventionalists to load the endoprosthesis easily at the bedside. The system can include a compressor for compressing the endoprosthesis to a cross-sectional area less than the cross-sectional area of the introducer lumen. The compressor has a funnel portion at one end where the un-compressed endoprosthesis can be introduced and another end where the introducer and sleeves of a split sleeve device are inserted. The sleeves conform to the compressor passage and surround the endoprosthesis to collapse the endoprosthesis. The split sleeve device also includes a mounting device coupled to the sleeves. The endoprosthesis is compressed and loaded into the introducer by the relative movement of the mounting device and the compressor, where the endoprosthesis remains generally stationary while being compressed and loaded in order to avoid potentially compromising the endoprosthesis.

Abstract: A device for thrombolytic therapy is provided. The device includes an elongate catheter with a distal end portion and a proximal end portion and a first lumen extending through both distal and proximal end portions. The distal end portion of the catheter includes an echogenic tubular potion that defines or surrounds a portion of the first lumen. An expandable balloon coaxially surrounds the tubular portion. The tubular portion additionally includes a plurality of indentations defined upon an outer surface thereof.

Abstract: A delivery system is provided for a self-expanding medical device. The delivery system has a handle assembly with a housing. The housing has a slot with a deployment knob extending therethrough. The self-expanding medical device is deployed by restraining the housing of the handle assembly and pulling on the deployment knob. This causes an outer sheath to withdraw proximally from an inner catheter to release the self-expanding medical device from a space between the outer sheath and inner catheter.

Abstract: The invention relates to minimally invasive device for delivering therapeutic or diagnostic agents into a vessel wall. The device includes an introducer tube, a tubular member having a proximal end, a distal end, and a first lumen extending therebetween, the tubular member being slidably disposed within the introducer tube; a plurality of hollow delivery struts, each delivery strut adapted to pierce through inner most layers of the vessel wall and each comprising at least one exit port and at least one stopper to prevent the delivery strut from piercing through the outer most layers of the vessel wall. The delivery struts are disposed on the distal end of the tubular member and are in fluid communication with the first lumen. The invention also relates to methods of delivering the device of this invention and methods of treating conditions or diseases of body lumens.

Abstract: The disclosure relates to support frames for prosthetic implantable valves. The support frames may include a plurality of symmetrically arrayed interconnected U-shaped member structures. Preferred support frames are tubular structures enclosing a longitudinal axis and including a plurality of U-shaped member structures facing a distal or a proximal end of the support frame. Each U-shaped member structure may be connected to a single longitudinally adjacent U-shaped member facing in an opposite longitudinal direction, as well as two laterally adjacent U-shaped members.

Abstract: Among other things, there are disclosed embodiments of a biopsy device using relative rotational motion to obtain a full-core biopsy sample. Inner and outer tubular members are provided connected to a handle. Each member includes a slit, and the members are rotatable with respect to each other. The device is inserted into a patient to a sampling site, and with the slits co-oriented, is extended into the sampling site. Tissue enters the tubular members through the slits, and one or both members are rotated to cut off and enclose tissue within the inner tubular member.

Abstract: A deployment device for repair of a transected body vessel is described herein. Device can have a handle and one or more shafts coupled thereto. A prosthesis being retained by a sheath can be coupled to the delivery device. The sheath can have end portions coupled to one or more shafts. Rotation of a shaft can retract a sheath portion away from either end of the prosthesis for expansion thereof prior to the middle of the prosthesis. Continued rotation of a shaft can completely remove the sheath from the prosthesis, so that the prosthesis is fully expanded and couples the first and second vessel portions of the transected vessel together. Prosthesis may be retained by overlapping a tubular sheath and lacing a threading member therethrough. Prosthesis may be retained by a splittable sheath.

Abstract: A filter device for capturing thrombi in a body vessel of a patient is disclosed. The device comprises first and second portions, each comprising a wire formed into a zig-zag configuration. The configuration comprises a series of straight sections and a plurality of bends connected to the straight sections. The straight sections are joined by the bends, defining a first cell size of the first portion and a second cell size of the second portion. The filter device further comprises a filter portion connected to the first and second portions. The filter portion comprises the wire formed into a zig-zag configuration having a series of straight sections and a plurality of bends connected to the straight sections. The straight sections of the filter portion are joined by the bends of the filter portion, defining a filter cell size of the filter portion. The filter portion is configured to be disposed at the arc of the iliac veins at the opening of the inferior vena cava.

Abstract: An extendable flushing system, a delivery system including an extendable flushing system and a method of flushing a delivery system are provided. The extendable flushing system includes flexible tubing having an extended configuration and a compressed configuration, a first tubing end and a second tubing end. The extendable flushing system also includes a flush port and a shuttle assembly. The flush port includes a first lumen operably connected to the first tubing end and an opening configured to receive fluid therethrough. The shuttle assembly is operably connected to the second tubing end forming a fluid flow path with the flush port and the shuttle assembly. The shuttle assembly is configured to be fluidly connected to a lumen of an elongate device. The shuttle assembly is movably positionable relative to the flush port and configured to move the flexible tubing between the compressed configuration and the extended configuration.

Abstract: Medical device delivery systems and associated methods are provided. Delivery systems according to the invention include an elongated tubular member and a body member, such as a dilator, disposed therein. An intraluminal medical device is disposed on the dilator and within the tubular member prior to deployment. The delivery system includes a means for separating two or more portions of the distal end of the tubular member that aids in deploying the intraluminal medical device from the delivery system by separating two or more portions of the tubular member from each other to facilitate release of the intraluminal medical device from the body member. Various structures can be used for means for separating, including a cutting ring, activateable material on the tubular member, or other suitable structure. The provided devices and methods reduce friction occuring from relative movement between the sheath and dilator during deployment.

Abstract: The invention relates to minimally invasive device for delivering therapeutic or diagnostic agents into a vessel wall. The device includes an introducer tube, a tubular member having a proximal end, a distal end, and a first lumen extending therebetween, the tubular member being slidably disposed within the introducer tube; a plurality of hollow delivery struts, each delivery strut adapted to pierce through inner most layers of the vessel wall and each comprising at least one exit port and at least one stopper to prevent the delivery strut from piercing through the outer most layers of the vessel wall. The delivery struts are disposed on the distal end of the tubular member and are in fluid communication with the first lumen. The invention also relates to methods of delivering the device of this invention and methods of treating conditions or diseases of body lumens.

Abstract: Implantable prosthetic valves comprising support frames are provided. The support frames may include a plurality of symmetrically arrayed interconnected U-shaped member structures. Preferred support frames are tubular structures enclosing a longitudinal axis and including a plurality of U-shaped member structures facing a distal or a proximal end of the support frame. Each U-shaped member structure may be connected to a single longitudinally adjacent U-shaped member facing in an opposite longitudinal direction, as well as two laterally adjacent U-shaped members.

Abstract: The invention relates to minimally invasive device for delivering therapeutic or diagnostic agents into a vessel wall. The device includes an introducer tube, a tubular member having a proximal end, a distal end, and a first lumen extending therebetween, the tubular member being slidably disposed within the introducer tube; a plurality of hollow delivery struts, each delivery strut adapted to pierce through inner most layers of the vessel wall and each comprising at least one exit port and at least one stopper to prevent the delivery strut from piercing through the outer most layers of the vessel wall. The delivery struts are disposed on the distal end of the tubular member and are in fluid communication with the first lumen. The invention also relates to methods of delivering the device of this invention and methods of treating conditions or diseases of body lumens.

Abstract: A method for occluding a body vessel in a patient to block or reduce blood flow therethrough includes puncturing a blood vessel wall at a proximal vessel entry site with a hollow needle and extending the needle through the proximal entry site into the vessel lumen. The needle is extended through the vessel lumen and extended through the vessel wall at a distal vessel exit site into the extravascular space surrounding the distal vessel exit site. An expandable biocompatible material, such as expandable extracellular matrix (ECM) material, is then ejected though the distal end of the needle into the extravascular space. Then, while continuing to eject the expandable biocompatible plug material, the distal end of the needle is retracted back through the distal vessel exit site into the vessel lumen, such that the plug material continuously extends between the extravascular space surrounding the distal vessel exit site into the vessel lumen.

Abstract: The disclosure relates to implantable prosthetic valves comprising support frames. The support frames may include a plurality of symmetrically arrayed interconnected U-shaped member structures. Preferred support frames are tubular structures enclosing a longitudinal axis and including a plurality of U-shaped member structures facing a distal or a proximal end of the support frame. Each U-shaped member structure may be connected to a single longitudinally adjacent U-shaped member facing in an opposite longitudinal direction, as well as two laterally adjacent U-shaped members.

Abstract: An adjustable length catheter device, a kit and a method of providing the adjustable length catheter device to a patient are provided. The catheter device includes an elongate shaft having a proximal portion, a distal portion, a first lumen and a second lumen extending at least partially therethrough. The catheter device further includes a manifold operably connected to the shaft. The manifold is configured to longitudinally move along the shaft towards the distal portion for separating the proximal portion of the shaft into a first proximal shaft portion including the first lumen and a second proximal shaft portion including the second lumen.

Abstract: An implantable valve prosthesis is provided. The valve prosthesis includes a frame structure having first and second independent frame elements. A graft member is attached to both the first and second frame elements and includes a closure member, such as a valve leaflet. The closure member is movable between a first position that allows fluid flow through the prosthesis in a first, antegrade direction and a second position that restricts flow through the prosthesis in a second, retrograde direction.

Abstract: This present disclosure relates to a medical device and method capable of locally administering therapeutic agents efficiently. The medical device preferably includes one balloon catheter with conduits external to the balloon and with ports in the conduits where the conduits provide adequate sealing and sufficient penetration of the body vessel wall. Moreover, the placement of the conduits and location of the ports help ensure the optimal and sufficient administration of the therapeutic agent evenly to the entire treatment site. Other embodiments of the present disclosure relate to providing means to isolate the inflation medium and the therapeutic agent during administration to the treatment site and to introduce more than one therapeutic agent simultaneously to the treatment site.

Abstract: Implantable medical devices, such as intraluminally implantable stents and valves, are provided having certain preferred shapes. Preferably, a portion of the implantable medical device can define a sinus region having a preferred geometry. The sinus region can have one or more preferred geometric configurations described herein, for example to mitigate or prevent thrombosis within a body vessel. The medical device can include a valve means, such as one or more valve leaflets positioned within the sinus region. The implantable medical devices can be delivered from a catheter within a body vessel, and are preferably expandable from a compressed configuration to a radially expanded configuration. The implantable frames can be self-expanding or balloon expandable. Portions of the medical device, such as the implantable frame or a valve leaflet, are optionally coated with one or more bioactive materials.

Abstract: A system and method for loading an endoprosthesis, such as a stent or valve, into an introducer is provided that permits interventionalists to load the endoprosthesis easily at the bedside. The system can include a compressor for compressing the endoprosthesis to a cross-sectional area less than the cross-sectional area of the introducer lumen. The compressor has a funnel portion at one end where the un-compressed endoprosthesis can be introduced and another end where the introducer and sleeves of a split sleeve device are inserted. The sleeves conform to the compressor passage and surround the endoprosthesis to collapse the endoprosthesis. The split sleeve device also includes a mounting device coupled to the sleeves. The endoprosthesis is compressed and loaded into the introducer by the relative movement of the mounting device and the compressor, where the endoprosthesis remains generally stationary while being compressed and loaded in order to avoid potentially compromising the endoprosthesis.