Abstract: In a treatment system, an energy treatment instrument includes a pair of grasping pieces. An energy output source outputs electric energy to the energy treatment instrument, thereby applying treatment energy to a blood vessel grasped between the grasping pieces. A measurement section measures a blood pressure at a site related to the grasped blood vessel. A processor controls output of the electric energy from the energy output source based on a measurement result obtained by the measurement section, and thereby switches an actuation state of the energy treatment instrument between a first mode for coagulating the blood vessel and a second mode for coagulating the blood vessel target that is different from the first mode.

Abstract: In one embodiment, a medical system includes a medical instrument having a grasper head including first and second complementary grasping jaws, and first and second conducting surfaces disposed on respective distal portions of the first and second grasping jaws, the conducting surfaces being electrically isolated from each other in the grasper head, an actuator configured to close the grasping jaws so as to bring the conducting surfaces into contact with a tissue of a body part of a living subject, and a proximity sensor configured to output at least one proximity signal responsive to a displacement between the grasping jaws, and processing circuitry coupled to sense the displacement between the first and second grasping jaws responsively to the at least one proximity signal, and apply an electrical current between the first and second conducting surfaces of the grasping jaws when the sensed displacement is less than a given threshold displacement.

Abstract: An end effector apparatus for a surgical instrument is disclosed including a housing having a first jaw mounted on a revolute joint and providing a first electrical conduction path between the housing and the first jaw. A second jaw is mounted on a revolute joint within the housing and is insulated from the housing, the jaws each having a manipulating portion and a lever arm. A yoke is received within the housing and mechanically coupled to the lever arms and to a control link and is moveable in response to movements of the control link to cause opening and closing of the jaws, the yoke being electrically insulated from the housing and the first jaw. A second electrical conduction path is provided between the control link and the second jaw. The electrical conduction paths facilitate conduction of an electrocauterization current through tissue grasped between the jaws.

Abstract: A surgical instrument includes a housing having a shaft affixed thereto, a reciprocatable drive rod slideably disposed at least partially within the shaft, and a force applicator coupled to the drive rod. The shaft includes first and second jaw members attached to a distal end thereof, at least one of which movable relative to the other from a first position wherein the jaw members are disposed in spaced relation relative to one another to at least a second position closer to one another wherein the jaw members cooperate to grasp tissue therebetween. The force applicator and the drive rod mechanically communicate to impart movement to at least one of the jaw members. The bipolar forceps includes a handle assembly and a force-balance interface. The force-balance interface configured to translate a multiple of the user-applied force exerted on the handle assembly into the jaw members.

Abstract: A bipolar radiofrequency (RF) device for treating tissue in the presence of an electrically conductive fluid includes a headpiece and a probe. The handpiece has a motor drive, a receiving channel, and an active electrical contact on an inner wall of the receiving channel. A return electrical contact is disposed proximally of the active electrical contact on the inner wall of the receiving channel. A probe includes a proximal hub and an elongated shaft extending distally about a longitudinal axis from the proximal hub, and the hub being may be inserted into and removed from the receiving channel of the handpiece. A working end of the probe is located at a distal end of the elongated shaft, and the working end includes an active electrode and a return electrode. A return electrical contact is located proximally of an active electrical contact on an outer surface of the hub.

Abstract: An arthroscopic cutting probe includes a shaft assembly having a distal end, a proximal end, and a longitudinal axis. A distal cutting member is rotatably attached at the distal end of the shaft assembly, and at least a portion of an exterior surface of the distal cutting member is electrically insulated. One or more burr elements extend radially outwardly from the electrically insulated portion of the exterior surface of the distal cutting member, wherein the burr element is electrically conductive to form an active electrode.

Abstract: Intrauterine devices and methods for facilitating deployment thereof using a bumper are disclosed. In one embodiment, an intrauterine device comprises a structure including a first central support member and a deployment mechanism coupled to the first central support member. The intrauterine device further comprises a bumper positioned at a distal end of a second central support member and at a more distal position relative to a distal end of the structure so as to prevent the distal end of the structure from contacting the fundus of the uterus of a patient during deployment of the deployment mechanism. In another embodiment, the intrauterine device comprises a bumper coupled to the deployment mechanism and configured to move from a more distal to a more proximal position relative to a distal end of the structure.

Abstract: A resectoscope operating handle and electrode fitting structure and fitting method are provided. The fitting structure includes a slider of a resectoscope operating handle and a binding post of an electrode. The slider has a front surface and a back surface. The front surface of the slider is provided with a mounting groove for mounting the binding post. An end surface of the binding post is perpendicular to the front surface of the slider. The binding post is mounted in the mounting groove, and an axial direction of the binding post is perpendicular to a plane where the handle is located. The resectoscope operating handle and electrode fitting structure and fitting method of the present invention can ensure that an electrode is accurately and firmly fixed to an operating handle under the condition of convenience in operation.

Abstract: Described embodiments include a catheter tip that includes an outer layer of a thermally-conducting metal; an inner layer of a thermally-conducting metal; a polymer layer between the inner and outer layer; and a plurality of thermal bridges selectively positioned between the inner and outer layers and through the polymer layer thereby significantly increasing the heat transfer of the catheter tip through the polymer layer. Other embodiments are also described.

Abstract: An electrical apparatus includes a spiral electrode and an interface circuit. The spiral electrode is disposed on a distal end of a probe for insertion into a body of a patient. The interface circuit is configured to (a) transfer a radiofrequency (RF) ablation signal to the electrode for ablating tissue in the body, (b) output a voltage that develops across the electrode in response to an external magnetic field, for measuring a position of the distal end in the body, and (c) transfer electrical current through the electrode for measuring a resistivity that is indicative of tissue temperature in a vicinity of the electrode.

Abstract: Systems, devices, and methods for transvascular ablation of target tissue. The devices and methods may, in some examples, be used for splanchnic nerve ablation to increase splanchnic venous blood capacitance to treat at least one of heart failure and hypertension. For example, the devices disclosed herein may be advanced endovascularly to a target vessel in the region of a thoracic splanchnic nerve (TSN), such as a greater splanchnic nerve (GSN) or a TSN nerve root. Also disclosed are method of treating heart failure, such as HFpEF, by endovascularly ablating a thoracic splanchnic nerve to increase venous capacitance and reduce pulmonary blood pressure.

Abstract: Exemplary embodiments of the present disclosure provide method and apparatus for facilitating stretching of a biological tissue by forming a plurality of micro-slits in the tissue. Each micro-slit can be less than about 2 mm or less than about 1.5 mm long, or even less than about 1 mm, such that small gaps that can heal quickly can be formed when the tissue is stretched. The micro-slits can be formed using a plurality of cutting arrangements or an ablative laser. The micro-slits can be formed in various patterns, including staggered rows, circular or spiral patterns, or random patterns.

Abstract: A method of treating a mobile target tissue with a laser beam includes: providing a laser device for generating a laser beam and providing an optical fiber having a delivery end for guiding the laser beam to the target tissue; a controller causes the laser device to generate one or more laser pulses substantially along the same longitudinal axis. The controller causes the laser device to provide one or more laser pulses. The one or more pulses are selected to allow a vapor bubble formed by the one or more pulse to expand an amount sufficient to displace a substantial portion of the liquid medium from the space between the delivery end of the fiber and the target tissue. The one or more pulses are delivered to the target tissue through the vapor bubble after the vapor bubble has reached its maximum extent and has begun to collapse to reduce retropulsion of the mobile target tissue.

Abstract: Apparatuses and methods are disclosed for applying laser energy having desired pulse characteristics, including a sufficiently short duration and/or a sufficiently high energy for the photomechanical treatment of skin pigmentations and pigmented lesions, both naturally-occurring (e.g., birthmarks), as well as artificial (e.g., tattoos). The laser energy may be generated with an apparatus having a resonator with the capability of switching between a modelocked pulse operating mode and an amplification operating mode. The operating modes are carried out through the application of a time-dependent bias voltage, having waveforms as described herein, to an electro-optical device (e.g., a Pockels cell) positioned along the optical axis of the resonator.

Abstract: Techniques for reducing blade exposures include one or more processors and a drive system configured to be coupled to a cutting instrument. The cutting instrument includes an end effector located at a distal end of the cutting instrument, the end effector comprising opposable gripping jaws and a cutting blade, a shaft configured to be coupled to the drive system, an articulated wrist coupling the end effector to the shaft and one or more drive mechanisms in the shaft for coupling force or torque from the drive system to the end effector and the articulated wrist. The one or more processors are configured to measure a jaw angle between the gripping jaws, measure articulation of the articulated wrist, correct the jaw angle based on the articulation of the articulated wrist, determine a cutting length based on the corrected jaw angle, and perform a cutting operation according to the cutting length.

Abstract: A method of generating a 4D model includes capturing imagery of a catheter and a vessel as the catheter is directed through the vessel to a location of interest, wherein the catheter is disposed on a guidewire, constructing a 3D time varying reference curve describing a trajectory of the guidewire, and constructing a time varying 3D model of the artery using the reference curve.

Abstract: Methods, systems and devices for pre-operatively planned shoulder surgery guides and implants. Pre-operative planning methods for designing glenoid placement guides and depth-control pins based on considerations of multiple factors affecting the outcome of shoulder surgery. Methods of using surgery guides and implants, including glenoid placement guides and depth-control pins, in patients undergoing shoulder surgery.

Abstract: A surgical instrument is disclosed comprising a housing and a control circuit mounted to and/or embedded in the housing.

Abstract: Various example embodiments of the present disclosure provide systems and methods for performing image-guided navigation during medical procedures using intraoperative surface detection. A surface detection device is employed to obtain intraoperative surface data characterizing multiple surface regions of a subject. Pre-operative volumetric image data is registered to each surface region, providing per-surface-region registration transforms. In some example embodiments, navigation images may be generated intraoperatively based on the dynamic selection of a suitable registration transform. For example, a registration transform for generating navigation images may be dynamically determined based on the proximity of a tracked surgical tool relative to the surface regions. In an alternative example embodiment, multiple navigation images may be displayed, wherein each navigation image is generated using a different registration transform.

Abstract: Navigated instrument guide systems and related methods can identify an absolute position of an instrument received within an instrument mount of a robotic arm. A navigation array unit of the guide system can include a main array and a mounted array. The main array can identify a position of the robotic arm and the instrument mount, while the mounted array can identify a depth position of a distal end of an instrument received within the instrument mount. The instrument can be passed through a lumen of the mounted array as the instrument is inserted into the instrument mount. The mounted array can be configured to translate relative to the instrument mount and the main array with distal translation of the instrument. In this manner, a position of the mounted array can identify a depth position of the instrument without a mechanical connection between the mounted array and the instrument.

Abstract: Disclosed are methods related to guiding robotic surgery using optical coherence tomography (OCT) and computer-readable media and computer systems executing the methods. They may include receiving a series of cross-sectional slices of 3D space obtained from an OCT probe over biological tissue and processing and filtering the series of slices. The processing and filtering may include spatially smoothing the intensity values of each slice, thresholding each slice after it has been blurred, performing a connected-component analysis to identify blobs on the thresholded slice, filtering the blobs, performing edge detection, and invoking a selective median filter. The processing and filtering can be used to construct a depth map from the received series of cross-sectional slices in order to guide a robotic end effector, based on the depth map.

Abstract: An apparatus is provided that is visible by both a three dimensional (3D) scanner system of a medical navigation system and a camera of the medical navigation system. The apparatus involves a rigid member and a plurality of markers attached to the rigid member. Each of the plurality of markers includes a reflective surface portion visible by the camera and a distinct identifiable portion visible by the 3D scanner system. The apparatus further involves a connector mechanism to connect the apparatus to a reference location. The apparatus is in a field of view of the 3D scanner system and the camera within a timeframe of the 3D scan.

Abstract: A surgical system includes an arm extending from the base and having a distal end configured to be coupled to a tool, a first marker coupled in fixed relation to the base, and a tracking system. The tracking system is configured to collect first data indicative of a position of the first marker and collect second data indicative of a position an anatomical feature of a patient. The surgical system also includes a processor configured to calculate a position of the tool relative to the anatomical feature based on the first data and the second data.

Abstract: A method for magnetic tracking of a flexible catheter device or another flexible elongated device, the method comprising: receiving by a host server a plurality of sensed values of a local magnetic field, sensed by a respective plurality of sensors, wherein the host server is optionally included in a controller of the sensors, the sensors are located along a flexible tube of a device, wherein the sensed values are at least partially due to at least one alternating magnetic field generated by at least one magnetic field generator, the source amplitude and frequency of each generated magnetic field are given to the host server; and calculating by the host server, based on the sensed magnetic field values and the given source amplitude and frequency of each generated magnetic field, a localization of the flexible tube.

Abstract: A system is suggested comprising an optical sensing means and a processing unit. The optical sensing means may include an optical guide with a distal end, wherein the optical guide may be configured to be arranged in a device to be inserted into tissue in a region of interest. The processing unit may be configured to receive information of a region of interest including different tissue types as well as of a path through the tissues, to determine a sequence of tissue types along the path, to determine a tissue type at the distal end of the optical guide based on information received from the optical sensing means, to compare the determined tissue type with the tissue types on the path, to determine possible positions of the distal end of the optical guide on the path based on the comparison of tissue types, and to generate a signal indicative for the possible positions.

Abstract: Provided are systems and methods for path-based navigation of tubular networks. In one aspect, the method includes receiving location data from at least one of a set of location sensors and a set of robot command inputs, the location data being indicative of a location of an instrument configured to be driven through a luminal network. The method also includes determining a first estimate of the location of the instrument at a first time based on the location data, determining a second estimate of the location of the instrument at the first time based on the path, and determining the location of the instrument at the first time based on the first estimate and the second estimate.

Abstract: A method for determining a shape of a lumen in an anatomical structure comprises reading information from a plurality of strain sensors disposed substantially along a length of a flexible medical device when the flexible medical device is positioned in the lumen. When the flexible medical device is positioned in the lumen, the flexible medical device conforms to the shape of the lumen. The method further comprises computationally determining, by a processing system, the shape of the lumen based on the information from the plurality of strain sensors.

Abstract: For robotically operating a catheter, translation and/or rotation manipulation is provided along the shaft or away from the handle, such as near a point of access to the patient. A worm drive arrangement may allow for both translation and rotation of the shaft. Some control may be provided by robotic manipulation of the handle, while other control (e.g., fine adjustments) are made by robotic manipulation of the shaft.

Abstract: Implementations relate to a master control device. In some implementations, a master control device includes a control body comprising a proximal end, a thumb grip portion, and a finger grip portion. The control body has a length configured to engage the proximal end of the control body in the palm of a hand of the user while the hand engages the thumb grip portion with a thumb of the hand and the finger grip portion with a finger of the hand. The control body is configured to allow the proximal end of the control body to be selectively engaged by the palm of the hand and selectively disengaged from the palm of the hand while the hand engages the thumb grip portion with the thumb of the hand and the finger grip portion with the finger of the hand.

Abstract: A surgical robotic system that includes a robotic arm, glove configured to be worn on a hand of a user and including a force-feedback mechanism, a tracking device, a processor, and memory. The memory includes instructions which when executed by the processor causes the system to determine that the user is performing a hand gesture with the glove to grasp a virtual user input device (UID) based on the tracking device, and in response to the user grasping the virtual UID, apply, via the force-feedback mechanism, a force upon the glove that corresponds to a physical representation of the virtual UID, and engage the robotic arm to be controlled by the virtual UID.

Abstract: Surgical and radiological drapes are provided herein. In some embodiments, a surgical drape is provided including a surgical table drape and a radiological drape including a first end portion attached to the surgical table drape, an enclosure portion configured to extend from the surgical table drape and enclose a radiological imaging unit and an adjustable closure mechanism configured to secure the upper portion about the radiological imaging unit, a side wall portion extending from the enclosure portion, and a second end portion comprising a weighted material.

Abstract: Disclosed are various embodiments for holding and organizing surgical instruments in a surgical environment. In one embodiment, a surgical instrument holder has an elongated body portion with a top surface and a base surface. The base surface is configured to contact a table surface. When a portion of a surgical instrument is laid upon the top surface, the top surface is configured to deform under an applied weight so as to limit movement of the surgical instrument.

Abstract: A surgical instrument includes a body, an ultrasonic transducer assembly, and a transducer lock having a lock member configured to move between unlocked and locked positions. The transducer assembly is rotatably mounted along a longitudinal axis within the body such that the transducer assembly is configured to selectively rotate about the longitudinal axis. With the lock member in the unlocked position, the transducer assembly is configured to be selectively rotated about the longitudinal axis relative to the body. With the lock member in the locked position, the transducer lock is configured to seize the transducer assembly and inhibit rotation relative to the housing for coupling with an acoustic waveguide. The surgical instrument may also include an integral torque wrench for coupling the acoustic waveguide with a predetermined torque and an integral torque indictor for signaling to a user that the acoustic waveguide is coupled with the predetermined torque.

Abstract: A surgical lighting system and a method of rotating a camera of a surgical lighting system includes a light head housing including a plurality of light emitting elements arranged to emit light downward to a region of interest, a handle mounted to and protruding downward from the light head housing, the handle including a handle housing having a sufficient size to be gripped by the human hand, and a camera assembly mounted within the handle housing and including a camera having a field of view that encompasses at least a portion of the region of interest. The camera assembly is mounted within the handle housing for rotation greater than 360 degrees about a rotation axis from a first stop to a second stop and vice versa. The first stop limits clockwise rotation of the camera and the second stop limits counterclockwise rotation of the camera.

Abstract: A surgical system for providing an improved video image of a surgical site including a system controller that receives and processes video images to determine a video signature corresponding to a condition that interferes with a quality of the video images, with the system controller interacting with a video enhancer to enhance the video images from a video capturing device to automatically control the video enhancer to enhance the video images. The surgical system can also review the video images for a trigger event and automatically begin or stop recording of the video images upon occurrence of the trigger event.

Abstract: An apparatus and a method for adjusting a void volume of a basin of a treatment apparatus are provided. A treatment apparatus comprising a basin and an expandable member are provided. The expandable member may be disposed in the basin. The expandable member may be configured to expand from a first state to a second state to adjust the void volume of the basin. A void volume of the basin when the expandable member is in the second state is less than the void volume of the basin when the expandable member is in the first state.

Abstract: An assembly for aiding field use of an endoscopic probe is disclosed. The assembly includes a housing assembly for an endoscopic probe and a compatible holder for the housing assembly. The housing assembly includes a tubular conduit for receiving the endoscopic probe and a plug coupled along a distal end of the tubular conduit. The holder includes a pre-configured arm for facilitating an exploration of a pre-determined quadrant of an oral cavity. The explorer includes a plug receiver. Upon coupling the plug receiver with the inversely matching plug, the tubular conduit passes through the opening and into the third axial channel.

Abstract: A bone foundation guide system has a bone foundation guide including a body that is contoured to reversibly affix to a bone segment of a dental implant surgical site. The body is further contoured to guide the cutting of a portion of the bone segment from a dental implant surgical site and alternatively support a dental implant surgical guide. The body is further contoured to support a bone foundation guide prosthesis as an alternative to the dental implant surgical guide. The bone foundation guide prosthesis combines with the body to accommodate the bone segment portion as placed through the body prior to the bone segment portion being removed from the dental implant site through the use of the body.

Abstract: A dental separator device includes an elastic body having a first end and a second end. A first surface engager is connected to the first end of the body. The first surface engager includes a first distal section and a first mesial section and a notch between the first distal section and the first mesial section. The first distal section and the first mesial section each include a pair of spaced apart hands. A second surface engager is connected to the second end of the body. The second surface engager includes a second distal section and a second mesial section, and a notch between the second distal section and the second mesial section. The second distal section and the second mesial section each include a pair of spaced apart hands. The hands are for engaging teeth and/or for creating adaptation pressure on a dental matrix stabilizer and/or dental matrix.

Abstract: A vibration device for dental use is provided, including a support member and a vibration transmission member. The support member is adapted to fit in the space between the upper and lower teeth on one side of the mouth, and includes a frame and an elastic layer. The frame is configured to maintain a shape defining an inner cavity having a first opening formed on the first side of the support member and a second opening formed on the second side of the support member. The elastic layer covers the surfaces of the frame. The vibration transmission member has a connector end for coupling to a vibration source and an insertion end configured to be inserted into the inner cavity of the support member so as to transmit the vibration energy generated by the vibration source to the upper and lower teeth of the patient.

Abstract: A personal care device, such as an electric toothbrush, has a handle having a longitudinal axis and a treatment head connected to a carrier. The carrier extends within the handle and is mounted at the handle for pivoting motion around a pivot axis against a restoring spring force. A drive unit, such as a linear actuator, is mounted on the carrier, and at least one electrical connector is arranged between the handle and the carrier to convey electrical energy from an energy source fixedly mounted with respect to the handle to the drive unit. The electrical connector can be realized as an elastic metal sheet element having a spring constant for providing at least a part of the restoring spring force.

Abstract: The disclosure provides a device and method for managing urinary incontinence. The device includes a platform, a balloon, and a valve. The platform and balloon can include a silicone material, a thermoplastic material, and an adhesive and/or a cement for sealing the urethra. The thermoplastic and silicone materials can soften at the body temperature so that their shape can be adapted to fit the three-dimensional contour of surfaces of the urethra. The balloon seals the internal orifice of the urethra, and the platform can block the leakage associated with the balloon. The valve permits selective urine voiding. The method includes inserting the device into the urethra and the bladder. The method can also include inflating the balloon. The method can further include pulling the balloon so that the balloon is in sealing contact with the neck of the bladder and moving the platform to a suitable position for sealing the urethra.

Abstract: A stent for repairing post-anastomasis (e.g., bariatric) surgery leaks is formed by an elongated tube having a proximal flare-shaped flange, an enlarged middle section, and a distal flare-shaped flange, where an exterior surface of the elongated tube is substantially covered with a polymer.

Abstract: A stent assembly for insertion into an airway of a patient includes a stent defining an interior pathway along a length of the stent. The stent assembly includes a removal instrument for removal of the stent from the airway of the patient. The removal instrument is configured to cause a helical motion of the stent to remove the stent from the airway of the patient.

Abstract: A vascular graft deployment tool may include a grip, an elongated mandrel positioned distal of the grip, a vascular graft, at least part of which is disposed coaxially about the mandrel, a sheath assembly including a distal sheath portion and a proximal sheath potion, wherein the distal sheath portion and the proximal sheath portion are configured to constrain the vascular graft against the mandrel in an insertion diameter and a actuator that is moveable relative to the grip and engages the sheath assembly, wherein operation of the actuator causes at least one of the distal sheath portion and the proximal sheath portion to separate longitudinally to free at least a portion of the vascular graft. Further, a vascular graft is expandable from an insertion state to a deployed state and at least two suture cuffs are located between opposed ends of the vascular graft.

Abstract: Endoprosthesis assemblies and methods for using the same. In at least one embodiment, the endoprosthesis assembly comprises an endoprosthesis comprising an impermeable inner wall defining an endoprosthesis lumen sized and shaped to permit fluid to flow therethrough, a distal balloon positioned at or near a distal end of the endoprosthesis and capable of inflation to anchor the distal end of the endoprosthesis within a luminal organ, and a proximal balloon positioned at or near a proximal end of the endoprosthesis and capable of inflation to anchor the proximal end of the endoprosthesis within the luminal organ, wherein when the endoprosthesis assembly is positioned within the luminal organ at or near an aneurysm sac, inflation of the distal balloon and the proximal balloon effectively isolates the aneurysm sac and prevents fluid within the aneurysm sac from flowing past the distal balloon and the proximal balloon.

Abstract: A composite scaffold having a highly porous interior with increased surface area and void volume is surrounded by a flexible support structure that substantially maintains its three-dimensional shape under tension and provides mechanical reinforcement during repair or reconstruction of soft tissue while simultaneously facilitating regeneration of functional tissue.

Abstract: An IOL base compression device having an IOL towing mechanism is described.

Abstract: Prosthetic heart valve devices for percutaneous replacement of native heart valves and associated systems and method are disclosed herein. A prosthetic heart valve device configured in accordance with a particular embodiment of the present technology can include an expandable support having an outer surface and configured for placement between leaflets of the native valve. The device can also include a plurality of asymmetrically arranged arms coupled to the expandable support and configured to receive the leaflets of the native valve between the arms and the outer surface. In some embodiments, the arms can include tip portions for engaging a subannular surface of the native valve.

Abstract: The invention relates to anchor channels and subannular anchors for a transcatheter heart valve replacement (A61F2/2412), and in particular for an orthogonally delivered transcatheter prosthetic heart valve having a annular support frame having compressible wire cells that facilitate rolling and folding the valve length-wise, or orthogonally to the central axis of the flow control component, allowing a very large diameter valve to be delivered and deployed to the tricuspid valve from the inferior vena cava or superior vena cava, or trans-atrially to the mitral valve, the valve having a height of about 5-60 mm and a diameter of about 25-80 mm, without requiring an oversized diameter catheter and without requiring delivery and deployment from a catheter at an acute angle of approach.