Abstract: An implantable vascular prosthesis having improved flexibility is provided comprising a helical body portion having a reduced delivery configuration and an expanded deployed configuration, the helical body portion comprising a plurality of cells interconnected by hinge points that enhances flexibility of the vascular prosthesis in the reduced delivery configuration.

Abstract: Apparatus is provided for accessing a body cavity comprising a tubular member formed by everting a length of material upon itself to form a tubular annulus. The tubular member has a deflated insertion configuration and an inflated expanded configuration that facilitates viewing within the body cavity. The tubular member may include proximal and distal cuffs that facilitate placement of the apparatus within a body cavity or organ, and an inflation lumen that enhances rigidity of the device in the deflated configuration, thereby assisting insertion into the body cavity.

Abstract: Apparatus is provided for accessing a body cavity comprising a tubular member having a deflated insertion configuration and an inflated expanded configuration that facilitates viewing within the body cavity. The apparatus is formed by everting a length of material upon itself to form a tube having a single circumference seam at the distal end, and includes an inflation tube that is sufficiently rigid to assist in inserting the tubular member into a body cavity in the deflated insertion configuration. The tubular member further includes a pattern of staggered contact areas that configured so as to avoid the creation of longitudinal features that preferentially bend when loaded, thereby ensuring that tubular member provides a substantially circular central lumen.

Abstract: A prosthesis is provided for treating aneurysms, occlusive disease of vessels and body organs, and arterio-venous fistulas, occurring in single and bifurcated lumens. The prosthesis comprises an expandable coiled sheet portion having a biocompatible graft, either a sheet or tube, affixed thereto along part or all of the circumference of the coiled sheet portion. The prosthesis has a small delivery profile, making it suitable for use in a variety of body vessels. Methods of making and deploying the prosthesis in single and bifurcated lumens are also provided.

Abstract: Methods and apparatus are provided for improved administration of brachytherapy in the treatment of prostate disease. More particularly, a prostate visualization device is provided comprising a catheter coupled to at least one deployable member at the distal end of the catheter. The deployable member is preferably manufactured from a shape memory alloy having a petal-shaped configuration suitable for engaging and defining the proximal region of a patient's bladder. The deployable member may comprise tubing filled with air or other radiopaque agents to facilitate ultrasonic imaging of the deployable members near the bladder/prostate junction.

Abstract: Apparatus and methods for depositing radioactive seeds into a patient's prostate are provided that include impedance measuring circuitry for detecting whether the distal end of an elongated needle extends into a patient's bladder. The elongated needle includes two conductive traces and a lumen adapted to receive a column of radioactive seeds and spacers. The impedance measuring circuitry is coupled to the conductive traces of the elongated needle and provides a display indicative of the monitored impedance.

Abstract: Methods and apparatus are provided for improved brachytherapy treatment of prostate disease. The apparatus provides for angular reorientation of a needle template with respect to an ultrasound probe during brachytherapy administration. Angular reorientation is expected to beneficially overcome anatomical constraints, such as skeletal structures, that may limit a medical practitioner's ability to deliver radioactive brachytherapy seeds into a prostate in proper alignment.

Abstract: The present invention is directed to an implantable vascular prosthesis configured for use in a wide range of applications, such as treating aneurysms, maintaining patency in a vessel, and allowing for the controlled delivery of therapeutic agents to a vessel wall. The prosthesis comprises one or more helical sections coupled to one or more anchoring sections having a generally zig-zag or cell-like configuration. The prosthesis is configured to conform to a vessel wall without substantially remodeling the vessel, and further is configured to be precisely deployed in a vessel without shifting or foreshortening during deployment.

Abstract: A prosthesis is provided for treating aneurysms, occlusive disease of vessels and body organs, and arterio-venous fistulas, occurring in single and bifurcated lumens. The prosthesis comprises an expandable coiled sheet portion having a biocompatible graft, either a sheet or tube, affixed thereto along part or all of the circumference of the coiled sheet portion. The prosthesis has a small delivery profile, making it suitable for use in a variety of body vessels. Methods of making and deploying the prosthesis in single and bifurcated lumens are also provided.

Abstract: A vascular prosthesis is provided having a self-expanding radial distal section joined to a ribbon-type helical section by a stress-relieving articulation. The stress-relieving articulation preferably comprises first and second connection members, each having a hinge and interconnected between the distal and helical sections, proximal ends of the first and second connection members also interconnected by a hinge, so that the articulation permits relatively independent rotation and compression of the distal and helical sections.

Abstract: The present invention is directed to a delivery catheter for use in deploying a vascular prosthesis having a self-expanding radial distal section joined to a helical section for use in a wide range of interventional applications. The delivery catheter comprises an elongated member having a balloon disposed adjacent to a distal end of the member, means for engaging the distal section of the vascular prosthesis against axial translation, and a sheath that restrains the vascular prosthesis against the elongated member during transluminal delivery. The balloon also may be used to perform angioplasty of a stenosis located within the vessel prior to deployment of the vascular prosthesis. Methods of using the delivery catheter of the present invention also are provided.

Abstract: The present invention is directed to an implantable vascular prosthesis configured for use in a wide range of applications, such as treating aneurysms, maintaining patency in a vessel, and allowing for the controlled delivery of therapeutic agents to a vessel wall. The prosthesis comprises a helical proximal section coupled to a distal anchoring section having a generally zig-zag configuration. The prosthesis is configured to comply to a vessel wall without substantially remodeling the vessel, and further is configured to be precisely deployed in a vessel without shifting during deployment. The prosthesis also has a substantially small delivery profile compared to other known stents, while having an increased surface area to enhance delivery of therapeutic agents.

Abstract: Apparatus and methods for manufacturing a guidewire having a plurality of radiopaque markers are disclosed. In a preferred embodiment, the present invention provides a guidewire having a tapered distal section comprising a plurality of gold markers that are deposited on the guidewire at predetermined intervals, so that the outer surface of the guidewire is substantially smooth. The gold markers provide a fluoroscopic reference for positioning the guidewire and enable accurate sizing of vessel features, such as the length of a lesion.

Abstract: Apparatus and methods for depositing radioactive seeds into a patient's prostate are provided that include impedance measuring circuitry for detecting whether the distal end of an elongated needle extends into a patient's bladder. The elongated needle includes two conductive traces and a lumen adapted to receive a column of radioactive seeds and spacers. The impedance measuring circuitry is coupled to the conductive traces of the elongated needle and provides a display indicative of the monitored impedance.

Abstract: The present invention is directed to a catheter that is configured to self-regulate aspiration rates through a working lumen of the catheter. The catheter comprises a compliant member in communication with the working lumen that is configured to transition from an open position to a closed position when a predetermined aspiration threshold is exceeded. In the closed position, the compliant member is temporarily drawn inward to at least partially occlude flow through the working lumen, thereby mitigating the rate of aspiration imposed upon a patient's vessel. When the rate of aspiration is reduced below the threshold level, the compliant member returns to the open position.

Abstract: Methods and apparatus are provided for temporarily excluding an aneurysm or an arterio-venous fistula from a flow path by transluminally disposing a hollow balloon catheter structure within the aneurysm so that its proximal and distal ends extend past the aneurysm while maintaining continuity of the flow path, and then injecting a synthetic molding material or a biological hardening agent into the aneurysm cavity to cause solidification of the volume within the cavity. Once the material within the excluded aneurysm has solidified, the balloon catheter structure is deflated and removed, so that the hardened mass forms a new lining for the organ or vessel, and relieves the weakened tissue of the aneurysm or fistula from further flow-induced stress.

Abstract: Methods and apparatus are provided for improved administration of brachytherapy in the treatment of prostate disease. More particularly, a prostate visualization device is provided comprising a catheter coupled to at least one deployable member at the distal end of the catheter. The deployable member is preferably manufactured from a shape memory alloy having a petal-shaped configuration suitable for engaging and defining the proximal region of a patient's bladder. The deployable member may comprise tubing filled with air or other radiopaque agents to facilitate ultrasonic imaging of the deployable members near the bladder/prostate junction.

Abstract: The present invention is directed to a blood aspiration system that is configured to enable various types of aspiration through a working lumen of a catheter. The blood aspiration system facilitates natural aspiration by providing a circuit between a patient's arterial and venous vasculature, and also comprises a manually actuated pump configured to selectively vary rates of aspiration in the working lumen. The blood aspiration system further comprises an external port that allows suction-assisted aspiration or infusion through the working lumen, and further comprises a detachable filter that removes emboli prior to reperfusing blood into a patient's venous vasculature.

Abstract: Methods and apparatus are provided for removing emboli generated during a surgical procedure comprising a catheter having proximal and distal ends, a lumen extending therethrough, an occlusive member affixed to the distal end, and at least one blood intake port disposed in a lateral surface of the catheter. The occlusive member preferably is disposed in a treatment vessel, and the blood intake port, when uncovered, permits a portion of the antegrade flow from a host vessel to be diverted into the lumen of the catheter. A pressure differential caused by the blood intake from the host vessel establishes a venturi-effect suitable for manipulating flow in the treatment vessel. The flow characteristics may be manipulated via the intake port to direct emboli into the lumen of the catheter for subsequent removal.

Abstract: Apparatus for occluding a vessel and enhancing blood flow within a catheter are provided, wherein a catheter comprises a multi-section self-expanding wire weave forming a radially expandable body and an occlusive distal section, covered with an elastomeric polymeric coating, and disposed within an outer sheath. Methods of using the apparatus of the present invention to remove emboli also are provided.