Abstract: The present embodiments provide a stent graft having a tubular configuration defining a lumen therethrough, the stent graft having a proximal section and a distal section. A folded section is positioned between the proximal section and the distal section. The folded section includes a first fold directed toward the distal end and engaged with the proximal section and a second fold directed toward the proximal end and engaged with the distal section. A valve arrangement is positioned in at least one of the first and second folds providing access from an exterior of the graft to the interior of the stent graft for insertion of an additional device.

Abstract: A small vessel stent graft with a fixation coupling that has a hyperboloid shape positioned at or near the proximal end of the graft. The coupling may be deployed within the fenestration of a fenestrated graft to provide multi-directional movement without compromising the integrity of the sealing zone.

Abstract: A trampoline arena system having a reduced non-reboundable area includes a mattress, an outer support element substantially surrounding and connected to an outer edge of the mattress, and an inner support element providing support to the mattress at a location interior from the outer edge of the mattress. The inner support element may be completely and contiguously surrounded by the mattress. The trampoline arena system may include first and second support members in a parallel spaced relationship, a first mattress joined to the first support member by a first plurality of springs such that at least one of the first mattress and the first plurality springs passes under the second support member, and a second mattress joined to the second support member by a second plurality of springs such that at least one of the second mattress and the second plurality of springs passes under the first support member.

Abstract: A delivery system for an endoluminal device including an introducer, the introducer having a distal end intended to remain outside a patient in use and a proximal end. A stent graft having a first and second end is retained upon the introducer, the stent graft defining a fenestration disposed through a wall of the stent graft between the first and second end. A valve arrangement is disposed within an interior lumen of the stent graft about the fenestration. A retention system including a trigger wire engages and retains the valve arrangement away from the fenestration. The fenestration is in fluid communication with the interior lumen of the stent graft.

Abstract: A system for facilitating deployment of an endoluminal prosthesis may include a main tubular graft body including a proximal end opening, a distal end opening, a lumen, and a sidewall. A branch may extend from the sidewall and may include a first end opening, a second end opening, and a lumen. A fenestration may be disposed in the sidewall and positioned distal of the second end opening of the branch. A wire segment may include a proximal portion positioned proximal of the proximal end opening and a distal portion positioned distal of the distal end opening. The wire segment extend through the fenestration and through the lumen of the branch in a preloaded configuration.

Abstract: An endovascular graft delivery system includes an endovascular prosthetic device and one or more trigger wires deployably engaging portions of the endovascular prosthetic device. An electrical element is positioned at a proximal end of a trigger wire. The electrical element is in signal communication with the trigger wire to communicate operational signals over the trigger wire. The operational signals may be power or control signals to assist with positioning the endovascular prosthetic device at a desired deployment location.

Abstract: An endovascular delivery system includes an endovascular prosthetic device and a signal active guide wire engaging the endovascular prosthetic device. A rotary encoder is coupled with the guide wire and the endovascular prosthetic device to provide an encoder signal on the guide wire. The encoder signal is indicative of axial angular position of the endovascular prosthetic device during implantation of the endovascular prosthetic device in a body of a patient.

Abstract: A trampoline arena system having a reduced non-reboundable area includes a mattress, an outer support element substantially surrounding and connected to an outer edge of the mattress, and an inner support element providing support to the mattress at a location interior from the outer edge of the mattress. The inner support element may be completely and contiguously surrounded by the mattress. The trampoline arena system may include first and second support members in a parallel spaced relationship, a first mattress joined to the first support member by a first plurality of springs such that at least one of the first mattress and the first plurality springs passes under the second support member, and a second mattress joined to the second support member by a second plurality of springs such that at least one of the second mattress and the second plurality of springs passes under the first support member.

Abstract: Modular graft systems with conjoinable grafts comprising graft material with the system comprising a first and second graft prosthesis with mating ends, securing rods attached to one of the mating ends comprising at least one spike that juts from the securing rod. The other of the mating ends is double layered with graft material for receiving at least one spike in the first layer of graft material when the mating ends are conjoined.

Abstract: A small vessel stent graft with a fixation coupling that has a hyperboloid shape positioned at or near the proximal end of the graft. The coupling may be deployed within the fenestration of a fenestrated graft to provide multi-directional movement without compromising the integrity of the sealing zone.

Abstract: Modular graft systems with conjoinable grafts comprising graft material with the system comprising a first and second graft prosthesis with mating ends, securing rods attached to one of the mating ends comprising at least one spike that juts from the securing rod. The other of the mating ends is double layered with graft material for receiving at least one spike in the first layer of graft material when the mating ends are conjoined.

Abstract: An endoluminal prosthesis comprises a prosthetic trunk having a trunk lumen and a trunk wall, a first prosthetic branch having a first branch lumen and a branch wall, and a second prosthetic branch having a second branch lumen. The first branch lumen and the second branch lumen are both in fluid communication with the trunk lumen through the trunk wall and the second branch lumen is in fluid communication with the first branch lumen through the branch wall. Additional devices, systems, and methods are disclosed.

Abstract: An endoluminal prosthesis comprises a prosthetic trunk comprising a trunk lumen extending therethrough, a wall, an anastomosis in the wall, and a first fenestration in the wall, wherein the prosthetic trunk has a circumference. The endoluminal prosthesis further comprises a prosthetic branch comprising a branch lumen extending therethrough. The branch lumen is in fluid communication with the trunk lumen through the anastomosis. The prosthetic branch is disposed longitudinally along and circumferentially about the prosthetic trunk.

Abstract: A system (10) for conducting an image-guided medical procedure on a subject (20) includes a medical imaging apparatus (100) which intermittently during the procedure obtains, upon demand, real-time medical images of the actual procedure. A robotic arm (200) hold a medical instrument (e.g., a biopsy needle (210)) that is used to perform the procedure. The robotic arm (200) manipulates the medical instrument in response to drive signals from a haptic control (400). A detector (e.g., a strain gauge (230)) measures forces experienced by the medical instrument during the procedure. The haptic control (400) generates the drive signals in response to manipulations of an input device (e.g., a knob (404) or an auxiliary instrument, such as, in the case of a biopsy, a remote needle (500)) by an operator, and the operator receives tactile feedback from the haptic control (400) in accordance with the measured forces experienced by the medical instrument. A display (e.g.

Abstract: A system (10) for conducting an image-guided medical procedure on a subject (20) includes a medical imaging apparatus (100) which intermittently during the procedure obtains, upon demand, real-time medical images of the actual procedure. A robotic arm (200) hold a medical instrument (e.g., a biopsy needle (210)) that is used to perform the procedure. The robotic arm (200) manipulates the medical instrument in response to drive signals from a haptic control (400). A detector (e.g., a strain gauge (230)) measures forces experienced by the medical instrument during the procedure. The haptic control (400) generates the drive signals in response to manipulations of an input device (e.g., a knob (404) or an auxiliary instrument, such as, in the case of a biopsy, a remote needle (500)) by an operator, and the operator receives tactile feedback from the haptic control (400) in accordance with the measured forces experienced by the medical instrument. A display (e.g.

Abstract: A frameless stereotactic tomographic scanner includes an imaging device defining a coordinate system in scanner space (.PI.). A localizer device includes a base portion mounted in a fixed relationship to the imaging device and a free end adapted for selective movement into varied positions near a patient body disposed on the imaging device. A position transducer associated with the localizer device generates, in a localizer space (), localizer device tip location information as the localizer device is moved near the patient body. A localizer space to scanner space transform processor converts the localizer tip location information to converted localizer tip location information in an image space (). The imaging device is adapted to generate patient body image information in the image space () regarding the patient body disposed on the device. A display unit is included for displaying the patient body image information together with the localizer tip position information on a human readable display monitor.