Abstract: An apparatus and method of use are disclosed for treating, preventing and terminating arrhythmias. In particular, the apparatus is implantable within or on various tissues and structures and is used to prevent or block conduction of aberrant impulses. A variety of methods of the present invention may be used to attack arrhythmias by short-circuiting impulses, inducing fibrosis, ablating tissue or inducing inflammation. In addition, the device and methods may also be used to treat aneurysms. The device may also be used to treat hypertension, and to function as a blood pressure regulator.

Abstract: A stent graft adaptor has an outer graft tube and an inner graft tube with the inner graft tube substantially concentric with and within the outer graft tube. A joining member extends between the inner tube and the outer tube. The s joining member can be a continuous fold of graft material extending from a proximal end of the outer tube to a proximal end of the inner tube. The inner tube has at least one self expanding stent on an outer surface thereof and the outer graft tube has at least one self expanding stent on an inner surface. The outer surface of the outer tube provides a sealing surface to engage against the wall of a vessel and the inner tube provides a sealing surface to engage with a corresponding sealing surface of a stent graft deployed through it. The outer sealing surface can include barbs.

Abstract: A removable device such as a stent-graft, intended for applications where it may be desirable to remove the device at some time following implantation. The stent-graft of the present invention includes a helically-wound stent component provided with a covering of graft material. It is removable by gripping an end of the helically-wound stent component with a retrieval device and applying tension to the stent component in the direction in which it is intended to be withdrawn from the site of implantation. The use of such a retrieval device allows the stent-graft to be removed remotely, such as via a catheter inserted into the body at a different location from the implantation site. The design of the stent-graft is such that the stent component is extended axially while the adjacent portion of the graft separates between windings of the stent component.

Abstract: A catheter based system for treating mitral valve regurgitation includes a reshaping device having a body and a plurality of movable anchoring barbs attached to the body of the device. The reshaping device can be made from a biocompatible material having suitable shape memory properties. The devices of the current invention can be self expandable, balloon expandable, or a combination self expandable and balloon expandable. One embodiment of the invention includes a method for attaching a reshaping device to the annulus of a mitral valve, moving the body of the device from a fully expanded configuration to a resting configuration, and thereby reshaping the mitral valve annulus.

Abstract: An implant centering system includes a sensor connected to a hollow cylindrical anchor via at least two struts. The hollow cylindrical anchor is transformable between a radially compressed configuration for delivery and a radially expanded configuration for lodging against a vessel wall. The struts longitudinally relocate the sensor between a first position in which the sensor is longitudinally spaced apart from the radially compressed anchor, and a second position in which the sensor is at least partially within a lumen of the radially expanded anchor and radially centered within vessel. In one embodiment, the struts are heat-set into a curved configuration and an externally applied force longitudinally relocates the sensor until the struts lock over center into their heat-set configuration. In another embodiment, radial expansion of the anchor longitudinally relocates the sensor without an externally applied force.

Abstract: A biodegradable polymer stent with radiopacity and a method of making and using a stent with enhanced mechanical strength and/or controlled degradation for use in a bodily lumen is described.

Abstract: An intravascular implant and methods of using the implant within the vasculature of the body, for example near a vascular aneurysm, are disclosed. The method of attaching a second implant, such as a vascular graft, to the intravascular implant is also disclosed. The implant can be made from an anchor, a connector and a seal.

Abstract: A strut pattern of an endoprosthesis includes a plurality of W-shape cells that define a tubular body, the W-shaped cells at the opposite ends of the tubular body have a modified configuration that is different than the W-shaped cells at the middle portion of the tubular body. At the distal end of the tubular body, the W-shaped cells have crests with axial positions that are axially spaced apart, and have troughs with circumferential positions that are spaced apart. At the intermediate and distal end of the tubular body, the W-shaped cells crests with axial positions that coincide and have troughs with circumferential positions that coincide. The strut pattern is cut from a tubular precursor construct made of PLLA that has been radially expanded and axially extended by blow molding.

Abstract: A prosthetic device for creating a vascular bypass from an arterial vessel has at least one prosthetic tube joined to an orifice of a flexible collar. The prosthetic tube extends from an outer face of the collar. The collar has an inner face surface for attachment to the arterial vessel. The collar has a connection zone has an annular cavity extending around and away from the orifice. The annular cavity is suitable for receiving an injected glue or bioabsorable haemostatic product so as to attach to the arterial vessel.

Abstract: An artificial blood vessel includes one proximal-end and at least one distal-end communicating with the proximal-end, and an inserting port positioned between the proximal-end and the distal-end. The inserting port is provided with a check valve that permits an intravascular curing device to pass through up to the proximal-end and also prevents body fluid from flowing out from the artificial blood vessel. The proximal-end is connected to the ascending aorta and the at least one distal-end is connected to one of the right brachiocephalic arterial trunk, the left common carotid artery, and the left subclavian artery.

Abstract: A stent graft provides for a fenestration to be created by a side branch fenestration creation device. A kit comprises a side branch fenestration creation device and a stent graft in which a fenestration may be created thereby.

Abstract: An endoprosthesis to be implanted in vessels damaged in a way as to be detrimental to the flow of the biological fluids they convey, intended for the treatment of aneurysms in areas of a vessel in the vicinity of a bifurcation, such as, for example, an aneurysm of the abdominal aorta.

Abstract: A tissue lesion creating device is structured and arranged to be inserted through the vascular system into a body vessel adjacent the heart and to be subsequently subjected to a change of shape in order to penetrate into the heart tissue. The tissue lesion creating device may thus be used for treating disorders to the heart rhythm regulation system. A kit of devices provides a plurality of devices for creating a lesion pattern for treating such disorders.

Abstract: A flexible low profile delivery system for delivery of an expandable intracorporeal device, specifically, an endovascular graft, which has at least one belt circumferentially disposed about the device in a constraining configuration. The belt is released by a release member, such as a release wire, by retracting the wire from looped ends of the belt. Multiple belts can be used and can be released sequentially so as to control the order of release and placement of the endovascular graft. An outer protective sheath may be disposed about the endovascular graft while in a constrained state which must first be refracted or otherwise removed prior to release of the graft from a constrained state. The delivery system can be configured for delivery over a guiding device such as a guidewire. The delivery system can also be configured for delivery of bifurcated intracorporeal devices.

Abstract: The invention relates to an implant, a method and a device for determining the position of the implant. To improve the accuracy of determining the position it is proposed to provide a transponder on the implant suitable for determining the position.

Abstract: A stent-graft comprising an expandable stent and a plurality of graft segments, each graft segment having a first end attached to the stent and a second end not attached to the stent. In one embodiment, the plurality of overlapped graft segments form a continuous conduit wherein each overlap between axially adjacent graft segments comprises a fluid-tight seal when the stent in the radially expanded configuration sandwiches the graft segments against a wall of a body lumen. In another embodiment, there are one or more discontinuities in the plurality of graft segments. The discontinuities may be aligned with branch lumens. The graft segments may be cut perpendicular to the stent-graft axis, or on a bias. A delivery system for and method of deploying the stent-graft are also claimed.

Abstract: An implantable graft device having treated yarn is disclosed. The device includes a graft body forming a lumen defining a longitudinal axis and having proximal and distal ends. The graft body is constructed from a woven fabric having warp yarns aligned in a first direction and a weft yarns aligned in a second direction. At least one of the weft yarns and the warp yarns has an agent applied thereto defining treated yarns of the graft body.

Abstract: The present application is directed to a stent, and more particularly to a radially self-expandable metallic stent, including a serpentine configuration having a plurality of struts and having a plurality of proximal and distal apices; and a barb integrally formed as an extension of each strut and extending outwardly from a position on each strut; where the barb has an elevation angle with respect to a longitudinal axis of a strut from which the barb extends of about 10 degrees to about 45 degrees.

Abstract: A stent graft indwelling device (1) comprising a dilator (10) and a sheath (30) in which the dilator (10) and a stent graft (60) are to be loaded, the stent graft indwelling device (1) having a wire (40) or a fixed chip (20) as means for adjusting the insertion angle and/or indwelling site of the stent graft (60) when the stent graft (60) is released from the sheath (30) in a diseased part by this indwelling device, so that the insertion angle and indwelling site can be finely adjusted in a blood vessel in a semi-expansion state where the stent graft is not completely expanded.

Abstract: The disclosure provides methods and compositions to build living tissue covered stents and the like. These tissue coated stents provide a barrier against cell migration to the lumen of the vessel. Since the tissue can surround and envelope the stent, foreign body responses to the stent material are reduced and delayed. The tissue coating is also relatively impermeable to transmural flow, so the wrapped stent can act as a bypass vessel. The tissue is also robust enough to act as a stand alone vessel, without requiring the presence of the metallic stent. These stents can be endothelialized to reduce thrombosis. The genetic modifications described in this disclosure allow for functional organs to be built that express agents that are anti-restenotic or anti-thrombogenic.

Abstract: The invention provides a stent-graft system comprising a graft member and a stent having a connection end interconnected with the graft member and a free end opposed thereto. A belt retaining structure is provided at the stent free end. A belt is releasably retained in the belt retaining structure and is configured to constrain the stent free end independent of the stent connection end. A method of securing at least one end of a stent-graft within a vessel is also provided.

Abstract: Methods and apparatuses for treating a vulnerable plaque are described herein. In one aspect of the invention, the exemplary apparatus includes a medical device to treat a vulnerable plaque within a body lumen, where the medical device is adapted to position a rupturing device to rupture a fibrous cap of a vulnerable plaque. In one particular embodiment, the medical device includes a rupturing wire having a predetermined pattern to enable the rupturing device to rupture the fibrous cap of the vulnerable plaque. Other methods and apparatuses are also described.

Abstract: A method and apparatus for making an anastomosis between a tubular duct and a vessel has an annulus having a longitudinal axis, a first set of fingers and a second set of fingers. The first set of fingers extend axially from the annulus in one direction and the second set of fingers extending axially from the annulus in another direction generally opposite the direction of the first set of fingers. The first and second sets of fingers are movable to penetrate the tubular duct and the vessel, respectively, as they move from a biased configuration to an unbiased configuration.

Abstract: A method for repairing a diseased or damaged section of an aorta (i) introduces an intraluminal directing device from a remote access site to a location within a prosthesis at a target site in an aorta where the diseased or damaged section exists, the intraluminal directing device including a deflectable distal region; (ii) establishes a path to a desired fastening site on the prosthesis by manipulating the intraluminal directing device within the prosthesis to orient the distal region with respect to the desired fastening site; (iii) introduces from an intraluminal fastener applier, that is introduced along the path established in (ii), at least one tissue-piercing fastener into tissue at the desired fastening site to anchor the prosthesis; (iv) establishes a path to a different desired fastening site on the prosthesis by manipulating the intraluminal directing device within the prosthesis to orient the distal region with respect to the different desired fastening site; (v) introduces from an intraluminal fa

Abstract: Modified suture knots may be utilized to effective anchor one stent-graft to another stent-graft wherein the stent-grafts are normally connected via an interference fit in an overlap configuration. The sutures that are utilized to affix the graft material to the underlying stent structure may be modified to have a profile that allow it to lock and secure it to another stent-graft or a vessel into which it is implanted.

Abstract: A stent-graft comprising an expandable stent and a plurality of graft segments, each graft segment having a first end attached to the stent and a second end not attached to the stent. In one embodiment, the plurality of overlapped graft segments form a continuous conduit wherein each overlap between axially adjacent graft segments comprises a fluid-tight seal when the stent in the radially expanded configuration sandwiches the graft segments against a wall of a body lumen. In another embodiment, there are one or more discontinuities in the plurality of graft segments. The discontinuities may be aligned with branch lumens. The graft segments may be cut perpendicular to the stent-graft axis, or on a bias. A delivery system for and method of deploying the stent-graft are also claimed.

Abstract: A body tissue graft for use in a patient includes a frame structure made of a first elastic material, a covering of a second elastic material on the frame structure, the covering substantially filling openings in the frame structure, and a connector connected to the frame structure. Projections are secured to the connector structure. The projections facilitate attachment of the tubular graft in a patient by securing the graft to the body tissue with which the graft is employed. The connector selectively circumferentially expands and the projections selectively circumferentially expand. This may be done using an inflatable balloon to circumferentially expand the projections. A restraining member may be provided to restrain the projections in a cone shape so that an end of the graft may be used to open an aperture through a side wall of existing body organ tubing and a portion of the projections may enter the aperture.

Abstract: A medical device for canalization of a tissue of a body portion by penetration thereof, a kit, a manufacturing method and a method of canalization are disclosed. The device is adapted for trans-catheter delivery to the body portion, and comprises a radially expandable and crimpable or collapsible substantially tubular member that has a rear end, a front end, and a pattern of struts or a mesh of wires arranged in-between the rear end and the front end, arranged around an interior of the device. The tubular member has extensions, which are arranged towards the interior of the device in a first state of the device, and towards an exterior of the medical device in a second state of the device, wherein the second state of the medical device is the tubular member turned inside out. During storage, the device is restrained in a delivery catheter in the second state.

Abstract: An expandable stent is implanted in a body lumen, such as a coronary artery, peripheral artery, or other body lumen for rupturing a fibrous cap to controllably release vulnerable plaque. The invention provides for a an intravascular stent having a plurality of cylindrical rings connected by links. The stent includes struts and links of varying strengths about the circumference of the stent. The weaker struts and links require less force to open and, hence, may apply more stress to rupture the fibrous cap while the stronger struts and links protect the healthy portions of the body lumen. In another embodiment, the stent may include stress concentrators positioned on outer surfaces of the links. The stress concentrators are aligned with the fibrous cap prior to stent expansion so that upon stent expansion, the stress concentrators induce stress to rupture the fibrous cap, thereby releasing the vulnerable plaque.

Abstract: The present invention embodies an endovascular graft having various frame-to-main body component attachment mechanisms which provide a secure bond, reduced graft material wear, and reduced delivery profile.

Abstract: An anastomosis device (12) for advantageously bridging an artery and a vein. The anastomosis device includes a tubular graft (15) with first and second ends (47 and 48) and a longitudinal passageway extending longitudinally through the graft. The device further includes a first stent (10) disposed about the first end of the tubular graft and a second stent (10) disposed about the second end of the tubular graft. Each of the first and second stents has a plurality of hooks or barbs (11) pointed or releasable to the point toward the other end of the graft.

Abstract: The invention concerns a micro-muscle designed to be immersed in a biological liquid, comprising a deformable chamber whereof one portion at least consists of a semipermeable membrane, said chamber containing a solution capable of osmotic activity. The solution is preferably activated by a product to be injected into the biological liquid.

Abstract: A stent graft system and method of use includes a stent graft for fixation at an attachment site with graft material defining at least one opening having an opening perimeter; a support attached to the graft material; a guide rail attached around the opening perimeter; and a helical anchor having a plurality of coils with a point at one end. The plurality of coils are rotatable around the guide rail to cause the pointed end of the coils to penetrate the graft material and the adjacent tissue in contact with the stent graft to sew the stent graft to the attachment site.

Abstract: An endoluminal prosthesis for treating a diseased portion of the ascending aorta includes a tubular graft material having an outer surface and an inner surface and a support structure coupled to the graft material. An anchoring device is coupled to the proximal end of the support structure to engage the sinotubular junction or the sinuses adjacent the sinotubular junction. The anchoring device may be a stent ring with barbs on an outer surface to engage the sinotubular junction, a plurality of anchors extending into the sinuses including hooks to engage the sinuses, a plurality of bent stents with distally facing shoulders extending into the sinuses and engaging a distal edge of the sinuses, or a series of progressively larger diameter stent rings extending into the sinuses to engage the distal edge of the sinuses.

Abstract: A tubular prosthesis comprises a tubular graft; and an undulating stent having a plurality of apexes, a first end defined at least in part by a first group of the apexes, and a second end defined at least in part by a second group of the apexes, the first group of apexes being pivotally attached to the tubular graft so as to form a plurality of circumferentially arranged hinges about which the stent can pivot so that the second group of apexes can move between a position where they are inside the tubular graft and a position where they are outside the tubular graft.

Abstract: An endovenous valve transfer stent (10) has an elongated tubular open-work body (12) having a network of longitudinally extending ribs (13) interconnected by laterally extending zigzag struts (14). The struts define a plurality of barbs (15, 17) in opposing longitudinal directions. The body (12) has a first end and a second end, and includes a longitudinal cut through the struts (14) from the first end to the second end. A seam (19) is defined between adjacent cut ends of each strut. The body (12) is adapted, in use, to vary in its diameter to receive a donor valve containing vein segment (20) longitudinally therethrough.

Abstract: Methods and apparatus for delivering and installing a new length of tubing between two sections of a patient's existing body organ tubing and at least partly outside of that existing structure. For example, the new length of tubing may be for the purpose of providing the patient with a coronary bypass. The new tubing may be an artificial graft, a natural graft (harvested elsewhere from the patient), or both. The new tubing is delivered to and installed at the operative site primarily by working through the patient's existing tubular body organ structure. This avoids the need for any significant surgery on the patient. The artificial grafts may have shapes other than tubular. Certain procedural and apparatus aspects of the invention have uses other than in connection with grafting in general or tubular grafting in particular.

Abstract: A stent graft with pins, a stent graft including a tubular graft having a perimeter and a central axis; at least one stent ring operably connected about the perimeter, the stent ring having a plurality of struts connected in a sinusoidal pattern, at least one of the plurality of struts having a hole; and a pin having a free end. The pin is secured in the hole with the free end directed outwardly from the central axis.

Abstract: Delivery systems and methods for delivering modular endovascular graft devices that allow one portion of the repair device to be deployed while maintaining control of the other portions. One system includes an elongate inner member including an anchor stop ring, the anchor stop ring including a plurality of recesses, each sized to receive a portion of the trunk portion and embedding portion of a respective hook in the delivery configuration, each embedding portion extending radially outwardly at an acute angle relative to the trunk portion in the delivery configuration. The delivery systems are simpler to use, easier to manufacture and facilitate better packing of the repair device.

Abstract: A cardiac prosthesis fixing device made up of a tubular element that can be accommodated inside a valve annulus of a heart and is provided with a bottom flange and top flange, between which the valve annulus can be accommodated. The bottom flange is bent, or can be bent, reversibly, against a resilient force, from a first outward-pointing position into a second position in which the projection of the bottom flange on a radial transverse surface of the tubular element is located essentially on and/or within the periphery of the tubular element and the bottom flange is fixed or can be fixed in the second position in such a way that the fixing can be released in order to bend back the bottom flange towards the first position under the influence of the resilient force.

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: Methods and devices for placing a conduit in fluid communication with a target vessel and a source of blood, such as the aorta or a heart chamber. The device may be actuated using one hand to place the conduit. The invention allows air in the conduit to be removed prior to placement of the conduit. The invention deploys the conduit in the target vessel by moving a sheath in a distal direction and then in a proximal direction. A conduit is provided with a reinforcing member to prevent kinking of the conduit, and a structure for preventing blockage of the conduit by tissue. A vessel coupling may be used to secure a conduit to a target vessel so as to preserve native blood flow through the vessel, and the conduit may be placed in fluid communication with a target vessel via a laparoscopic or endoscopic procedure.

Abstract: A stent graft for animal or human implantation and method of delivery thereof. The device stent graft employs a first component having an axial passage communicating with the axial cavities of a second leg and longer first leg. A separate leg extension is engageable to the second leg. A first catheter engages the first component for translation to the implantation site and a second catheter engaged with the first is provided with a pre-positioned guide wire inside the second leg which may be employed to easily position a guide wire for engagement of the second leg with the leg extension.

Abstract: A stent graft fixation system and method including a stent graft for fastening to a fixation point in a body lumen, the stent graft including a stent; a graft material supported by the stent and having a fixation region; and a guide suture joined to the graft material in the fixation region. The guide suture has a length selected to extend from the fixation point to outside of the body lumen.

Abstract: A device for affixing a tubular medical accessory to a wall of a body passage is disclosed. The said device comprises a handle portion, a barrel portion and a working head portion, said barrel portion is fitted with a pushing rod displaceable along the barrel portion upon actuating the handle portion. The working head portion is fitted with a plurality of wings and levers and said wings are preloaded with a plurality of staples. Upon initial displacement of the pushing rod in a distal direction the wings are swiveled towards the medical accessory such that they abut it and stretch it together with the body passage in a radial direction. Upon still further displacement of the pushing rod the levers are swiveled and cause the staples to exit from the wings such that the staples pierce the accessory and the wall of the body passage and affix the accessory to the body passage.

Abstract: Systems and methods are described providing therapeutic preparations of tachykinins, and more specifically sialokinins, for treating various types of abnormal cellular proliferation conditions in regions of tissue associated with the body of a patient. The sialokinins may be isolated and purified from natural or bioengineered sources, or may be synthesized, and may be combined into, with, or on an implant for local elution or otherwise as a powder mixed in a carrier vehicle for injection delivery. Tumors, warts, and restenosis are abnormal cellular proliferation conditions treated by therapeutic doses of sialokinin. Size of the tissue structure to be treated is used to determine the therapeutic dose of sialokinin. The sialokinins are either locally or systemically delivered at therapeutic doses for the desired effect. Implants such as stents are coated with sialokinins for local elution at the site of injury or tissue otherwise vulnerable to harmful conditions treated by the sialokinin.

Abstract: A stent graft (2) for treatment of an emergency rupture of, for instance, the aorta adjacent the aortic bifurcation. The stent graft comprising a tubular body (8) with a bifurcation (10) in the tubular body defining a first long leg (12) and a second short leg (14). The second leg has a valve arrangement (18) to prevent fluid flow through the second leg from the stent graft. The valve can be opened from external of the stent graft for the placement of a leg extension stent graft (90) therethrough.

Abstract: This invention relates to prosthetic cardiac and venous valves and a single catheter device and minimally invasive techniques for percutaneous and transluminal valvuloplasty and prosthetic valve implantation.

Abstract: The present invention provides a stent-graft assembly. The assembly comprises at least one stent framework and a graft member. The graft member is positioned adjacent an inner surface of the stent framework and everted over an outer surface of the stent framework to enclose at least a portion of the stent framework. The assembly may further comprise a therapeutic agent that is enclosed by the graft member. Elution openings may be formed in the graft member to preferentially elute a therapeutic agent into the wall rather than the lumen of a vessel into which the stent-graft assembly is placed.

Abstract: A polymer composition for use in forming a stent is described. The composition includes a monomer of an aliphatic ester of acrylic acid which has a glass transition temperature less than 25° C. and a second monomer that copolymerizes with the first monomer and which has a glass transition temperature greater than 25° C. The components in the composition are mixed in amounts suitable to give a copolymer having a glass transition temperature less than 25° C., or in case of block copolymers, having at least one glass transition temperature less than 25° C. A stent including polymer members formed from the described composition is also disclosed.