Abstract: An endoluminal graft includes a tubular graft material having a closed sleeve integral with the tubular graft material. The closed sleeve extends a distance along the tubular graft material. A length of wire extends at least partially along the distance and is enclosed by the sleeve. The tubular graft material and the sleeve may comprise a single piece of graft material. The sleeve may be a closed circumferential sleeve and/or a closed longitudinal sleeve.

Abstract: The invention relates to a biocompatible molded part for supporting new bone formation, in particular the reformation of a jaw bone or a jaw bone portion in a mammal, preferably a human, wherein the molded part is suitable to be placed on the jaw bone and is designed as a solid body. The invention also relates to a composition for producing a biocompatible molded part, a method for producing a biocompatible molded part, a use of a biocompatible molded part and a kit comprising a plurality of molded parts.

Abstract: The invention relates to a membrane implant for the treatment of vascular malformations, said implant being implantable by endovascular methods into the vessel to be treated, wherein the membrane implant consists of an expandable stent (4) and a membrane (3, 5, 11, 2) connected with the stent (4), with said membrane (3, 5, 11, 4) covering the meshes of the stent (4) at least in a central region, wherein said membrane (2, 3, 5, 11) is provided in the form of a non-woven fabric comprising plastic fibrils, and the membrane (2, 3, 5, 11) forms an integral bond with the stent (4) and, at least partially, is of porous design.

Abstract: A prosthesis including a support structure for enhancing kink and/or crush resistance. The support structure is connected to an outer surface of the prosthesis and includes at least two components, one of which has a lower melting point than the other. The component with the lower melting point is used to connect the support structure to the outer surface of the prosthesis.

Abstract: Tubular prosthesis for deployment in a human body passageway comprises a tubular member adapted for placement in a passageway in a human body and a tube. The tubular member has a tubular wall, first and second end openings, and a side opening formed in the tubular wall between the first and second end openings. The tube has a first end portion and a second end portion. The first end portion of the tube is disposed in the tubular member and has an opening arranged relative to the side opening such that an elongated element (e.g., a guidewire) can be passed through the tube and out from the side opening in the tubular wall where it can enter a branch passageway. The tube can be releasably secured to the tubular member in such as manner that it can be detached from the tubular member and withdrawn after the elongated element is passed through the side opening and placed in a desired position.

Abstract: Apparatus and methods are provided for making catheters having intermediate layers that minimize or eliminate gaps during layup.

Abstract: A prosthesis including a support structure for enhancing kink and/or crush resistance. The support structure is connected to an outer surface of the prosthesis and includes at least two components, one of which has a lower melting point than the other. The component with the lower melting point is used to connect the support structure to the outer surface of the prosthesis.

Abstract: A device for repair surgery of cylindrical organs, particularly ruptured tendons, is configured as a tubular sheath (T) made of a biocompatible and biodegradable polymer. The tubular sheath comprises an elastic fiber mesh formed by electrospinning of said polymer and has an inner wall surface and an outer wall surface substantially parallel thereto. One of said wall surfaces is comparatively rough (WR) and the other one of said wall surfaces is comparatively smooth (WS), with the tubular sheath having a Young elasticity modulus of about 2 to about 5 MPa and an elongation at break of about 50 to about 1,000%. Preferably, the polymer is a biodegradable polyester urethane block copolymer with poly-hydroxy-butyrate as a hard 10 segment and ?-caprolactone as a soft segment.

Abstract: A stent-graft including a helically-wound stent component provided with a covering of graft material. It is removable from the site of implantation by gripping an end of the helically-wound stent component with a retrieval device and applying tension to the stent component. 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. The axial extension of the stent component, with portions of the graft still joined to the stent component, allows the device to be unravelled and removed through a catheter of diameter adequately small to be inserted into the body cavity that contained the stent-graft.

Abstract: An expansion ring for a braided stent includes a plurality of elongated forked frame elements forming the expansion ring. Each of the frame elements includes first and second legs extending in one direction and connected together at a junction portion forming a fulcrum allowing compression of the frame elements, and each of the frame elements are threaded through interstices in a tubular body of the braided stent so that the junction portions engage the tubular body of the braided stent. Each of the frame elements is connected sequentially to adjacent frame elements at the ends of the first and second legs, and the expansion ring has a compressed configuration with a first diameter and an expanded configuration with a second diameter larger than the first diameter.

Abstract: A stent comprises (a) a first segment that is radially compressible and expandable and (b) a second segment that is substantially rigid in a radial direction. The second segment is bendable to assume a curved configuration while remaining substantially rigid in the radial direction and thereby resisting radial compression and expansion.

Abstract: Novel devices and methods for implanting medical stents are provided. A novel apparatus, which may be in a first compressed position, may be inserted into the artery, such as by being positioned over a catheter. The apparatus may be expanded to a second position. In one embodiment, the apparatus is configured to expand away in two substantially opposing directions along a second axis away from the longitudinal axis. The second axis may be perpendicular to the longitudinal axis. The apparatus may include markers that are detectable to determine the orientation of the catheter or the apparatus and/or assist in the determination of the type or size of stent to utilize.

Abstract: A braided stent to be implanted in a blood vessel comprises a hollow body which is stretchable in its longitudinal direction and whose circumferential surface is formed by a braid of a multiplicity of filamentary elements which, in the expanded state of the braided stent, intersect a plane, perpendicular to the longitudinal direction, at a braiding angle. The braided stent has a smaller braiding angle in a central portion than in its distal and proximal portions which adjoin the central portion in the longitudinal direction.

Abstract: Methods for restoring the conical shape of a dilated heart ventricle, or at least reshaping the ventricle to a more conical shape to counter the effects of dilation, thereby improving pumping efficiency. In an exemplary embodiment, a reshaping apparatus comprises an implantable body that can be delivered to a dilated left ventricle via the patient's vasculature in a minimally-invasive procedure. When deployed inside the left ventricle, the body is adapted to apply a longitudinal (downward) force against the inner surface of the left ventricle that causes the ventricle to distend or elongate downwardly relative to the base of the heart so as to at least partially restore the conical shape of the heart. In other embodiments, one or more tension members can be secured to heart tissue inside a heart chamber or on the outside of the heart and placed in tension to reshape the geometry of the heart.

Abstract: A stent configured for implantation in a body lumen includes a plurality of radially expandable circumferential segments, and an axially expandable connecting member connecting adjacent circumferential segments of the plurality. The stent has a relaxed, axially contracted configuration in which the connecting member is contracted axially and each circumferential segment is nested with at least one adjacent circumferential segment. The stent also has a delivery, axially expanded configuration in which the connecting member is expanded axially, and an axial distance between adjacent circumferential segments of the plurality is greater than when the stent is in its relaxed configuration.

Abstract: Provided are methods, devices, and systems that can be used to deploy prosthetic devices within a bodily lumen of a patient. These methods and devices can include the securement of a prosthetic valve within a vascular lumen by driving one or more fasteners from a position on an expandable device through the valve and into or through a vascular wall.

Abstract: A tubular graft comprising an internal helical formation which imparts helical flow on fluid passing through the tubular graft. One end of the tubular graft is tapered from an inner base to an outer tip.

Abstract: A vascular device is provided that includes a mesh structure formed of a plurality of spaced members. The structure has (i) a first, collapsed configuration, (ii) a second, expanded configuration, and (iii) a density of the plurality of members. The vascular device further includes an elastic member disposed along a region of the structure, the region having a proximal end and a distal end. The Elastic member is configured to increase the density within the region by drawing at least one of the proximal and distal ends of the region toward the other of the proximal and distal ends when the structure is in the second configuration.

Abstract: An endoluminal prosthesis includes a support structure including a curvilinear portion having a first strut and a second strut that meet at an apex. Disposed on the support structure is an anchor with an anchor body and one or more barbs extending outwardly from the anchor body. The anchor body can fit at least partially about, and can conform to the first strut, second strut, and the apex. A curved portion of the anchor and the curvilinear portion of the support structure can be co-formed, resulting in a secure interference fit so that welding, soldering, or other joining mechanisms can be avoided. Cutouts can be formed along the curved portion of the anchor to relieve stress or strain during the co-forming process.

Abstract: A prosthesis including a support structure for enhancing kink and/or crush resistance. The support structure is connected to an outer surface of the prosthesis and includes at least two components, one of which has a lower melting point than the other. The component with the lower melting point is used to connect the support structure to the outer surface of the prosthesis.

Abstract: A hybrid stent (100) includes at least one resilient ring (105) comprising a superelastic wire (102) formed in a sinusoidal pattern of alternating crests (110) and troughs (115) about a circumference of the ring (105). A plurality of malleable cannula segments (120) overlie the superelastic wire at the crests and troughs. Each of the cannula segments (120) includes a bend (125) and has an inner diameter sized to allow relative motion between the wire (102) and the cannula segment (120). The hybrid stent (100) may also include a plurality of gaps (130), where each gap (130) is defined by a spacing between opposing cannula segments (120). Deformation of the malleable cannula segments (120) dominates a response of the stent to substantially uniform radial forces, and deformation of the resilient ring (105) dominates a response of the stent to radially nonuniform crushing forces.

Abstract: The present invention discloses a composite yarn comprising at least one wear-resistant polymeric fiber and at least one flexible polymeric fiber. The present invention also discloses a co-extruded filament comprising a polymeric inner core and a polymeric outer sheath. The polymeric inner core comprises a flexible polymeric material and the polymeric outer sheath comprises a wear-resistant polymeric material. The composite yarn and the co-extruded filament synergistically combine durability and flexibility, and thereby are particularly useful for the construction of graft materials. The present invention further discloses a reinforced fiber graft comprising wear-resistant beads and weaves of flexible polymeric fibers. In another aspect, the present invention discloses a process for assembling a graft device without suture knots by using the inventive co-extruded filament.

Abstract: A medical appliance or prosthesis may comprise one or more layers of rotational spun nanofibers, including rotational spun polymers. The rotational spun material may comprise layers including layers of polytetrafluoroethylene (PTFE). Rotational spun nanofiber mats of certain porosities may permit tissue ingrowth into or attachment to the prosthesis. Additionally, one or more cuffs may be configured to allow tissue ingrowth to anchor the prosthesis.

Abstract: The invention relates to medical devices and methods of using them. The devices are prostheses which can be percutaneously deliverable with (or on) an endovascular catheter or via other surgical or other techniques and then expanded. The prostheses are configured to have a lattice resistant to dilation and creep, which is defined by a plurality of openings. The prosthesis may also optionally have a stent disposed proximal to the lattice. In exemplary embodiments, the fluoropolymer is expanded polytetrafluoroethylene. The composite materials exhibit high elongation while substantially retaining the strength properties of the fluoropolymer membrane. In at least one embodiment, the lattice is made of a composite material that includes a least one fluoropolymer membrane including serpentine fibrils and an elastomer. A lattice including a generally tubular member formed of a composite material including a least one fluoropolymer membrane containing serpentine fibrils and an elastomer is also provided.

Abstract: The present invention relates to a hybrid graft and methods of generating the hybrid graft. The hybrid graft comprises an exterior surface and a luminal surface. The luminal surface comprises a micropattern of grooves to which cells adhere and orient along. The exterior surface comprises electrospun microfibers wherein the microfibers provide mechanical properties to the graft. The hybrid graft is capable supporting endothelial cell attachment, endothelial cell alignment, cell proliferation, and maintaining their in vivo function. The graft of the invention can recapitulate the in vivo morphology and function of natural vascular endothelium.

Abstract: A self-sealing vascular graft, including a substrate with a sealant layer and several optional additional layers, is described. The substrate can be ePTFE and the material used for the sealant and additional layers can be polyurethane. The sealant layer and additional layers may include one or more base layers, one or more foam layers, beading of different sizes and shapes, and ePTFE tape. A flared cuff may be integral to one or both ends of the substrate or may be attached to one or both ends. Various methods of making a self-sealing vascular graft are also described, including methods of disposition, methods of forming, methods of bonding and methods of attaching.

Abstract: A vascular repair device includes a tubular graft body and a structural framework having at least two stents connected to the graft body. Stents of the structural framework can each be respectively connected to graft body adjacent the proximal and ends and the support member is shorter than the separation distance therebetween to form a gimbal at least at one end. A first stent is connected along an entirety thereof and a second stent is connected at distal apices thereof. Distal apices of the second stent have radii of curvature smaller than proximal apices. A curved longitudinal support member can be connected to the graft body, the support member being substantially symmetrical with respect to the centerline. The support member can be connected to the graft body independent of the structural framework. At least one of the ends of the support member can have a curved longitudinal extremity.

Abstract: An energy harvesting device is provided that may include any of a number of features. One feature of the energy harvesting device is that it is adapted for insertion into a human blood vessel for converting pulsatile pressure in the blood vessel into electrical energy. The energy harvesting device can provide electrical energy to another electronic or electromechanical on or in the human body. The energy harvesting device can include an electrostatic generator. Methods associated with use of the energy harvesting device are also covered.

Abstract: Absorbable/disintegratable endourological stents, specifically endoureteral stents, and applicators for their introduction into the biological site, are formed from fiber-reinforced elastomeric films configured to prevent their migration from the application site.

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: A tether guided bifurcated stent having a generally tubular main body extending along a longitudinal axis connected to a side branch assembly. Both the main stent body and the side branch assembly are capable of forming an unexpanded configuration and an expanded configuration. The bifurcation's expansion is facilitated by a force exerted by the tether. When the side branch assembly is expanded it forms a secondary tubular region defining a generally tubular shape extending at an angle to the longitudinal axis of the main tubular body.

Abstract: When a main stent-graft is placed in a vessel of a patient and a branch vessel is blocked by the main stent-graft, a RF plasma catheter is used to cut out a portion of the graft cloth of the main-stent graft adjacent to an ostium of the branch vessel to be perfused. To ameliorate possible adverse effects associated with the use of the RF plasma catheter, e.g., creation of coagulum, (desiccated, coagulated blood) or perhaps a cut stent strut, a special process using saline flushing, a novel RF plasma catheter with an insulated tip, or a combination of the two is used.

Abstract: Aneurysms are treated by filling a double-walled filling structure with a curable medium. The structures may be delivered over balloon deployment mechanisms in order to shape and open tubular lumens therethrough. The filling structures are preferably used in pairs for providing flow into the iliac arteries when treating abdominal aortic aneurysm.

Abstract: A method of non-delaminably bonding a non-porous thermoplastic elastomer to a substrate by heating a bilayer of the elastomer and the substrate for a predetermined time and a product obtained by the method. Methods for producing non-delaminable conduits and non-delaminable kink-resistant conduits constructed of biocompatible elastomers and substrates, and products produced by these methods are taught. Methods, products, and articles of manufacture relating to non-delaminable monofilament supported kink-resistive conduits that may be used as inflow conduits in left ventricular assist devices for treatment of heart failure are also provided.

Abstract: Improved polymeric endoprostheses having reinforcement elements and methods of making the endoprostheses are disclosed. The devices disclosed exhibit improved overall compliance, selective regional compliance, and selective radial strength without varying the geometries of selected regions. Numerous other physical characteristics of the endoprostheses described may be selectively varied during manufacture. Some embodiments may include an erodible polymer and magnesium. Some embodiments may have one or more therapeutics incorporated into the endoprosthesis via a solvent in a supercritical state.

Abstract: A medical device which defines a lumen for flowing a bodily fluid from an upstream end of the device to a downstream end thereof is disclosed. The device has a luminal wall (14) that extends between the upstream and downstream ends and defines the lumen within which the fluid flows. The wall exhibits a succession of protuberances spaced from each other along the length of the device. Each protuberance has a flank facing upstream (54) and a flank facing downstream (64), the flank facing upstream extending into the fluid flow so that a radially outermost part of the flow of fluid from the upstream to the downstream end of the device impinges on the upstream flank and is thereby caused to reverse its flow, and flow upstream from the upstream flank to the downstream flank of the next adjacent protuberance upstream, creating micro-vortices between two adjacent protuberances.

Abstract: A radiation and radiochemically sterilized, multi-component, fiber-reinforced composite, absorbable/disintegratable urinogenital stent, such as an endoureteral stent, with radiomodulated residence time in the biological site of 1 to 10 weeks depending on the high energy radiation dose used for sterilization.

Abstract: This invention deals with an absorbable/disintegratable endo-urological stent and applicators for introduction into biological conduits, including such as urethras and ureters, with said stent comprising a fiber-reinforced, multicomponent tube made of polyesters having a range of physicochemical properties.

Abstract: A self-sealing vascular graft with kink resistance is described. The vascular graft includes a substrate that can be a PTFE, having a self-sealing region that may include several layers of material. The central section of the vascular graft may be constructed differently from surrounding self-sealing regions, in order to provide kink resistance following the clamping of the graft. Also described is a graft with a flared cuff attached to one or both ends, the attachment or transition region including reinforcement beading.

Abstract: A tape-reinforced tubular vascular graft formed of sintered fluoropolymer(s), such as expanded, sintered PTFE. The graft includes a base graft and a reinforcing tape applied thereto. The tape may be spirally wrapped about the graft or spirally wrapped into a tube about a cylindrical mandrel and then applied to the exterior of the graft. Radial shrinkage of the combined base graft and tape, or of the reinforcing tape tube, renders the vascular graft subsequently radially enlargeable by more than 5%, without tearing or breaking of the reinforcement tape layer of the graft. Radially enlargeable grafts of the present invention may be combined with various types of stents or anchoring systems, to form endovascular graft devices which are transluminally insertable and implantable within the lumen of a host blood vessel.

Abstract: The invention provides an implantable medical device comprising a fibrous polymer body comprising a plurality of electrospun poly(urethane) fibers, a support filament wrapped around the body, an outer layer around the filament for adhering the filament to the body, the outer layer comprising a plurality of electrospun poly(urethane) fibers, and a polymer primer coating at least the fibers of the body. The polymer primer comprises poly(lactide) and is attached to a heparin residue through a link.

Abstract: An apparatus for use by an operator in a cavity of a mammalian body with a scope having a distal face providing a field of view. The apparatus includes a flexible elongate member having a distal extremity adapted for extending into the cavity and a proximal extremity accessible from outside of the mammalian body when the distal extremity is disposed in the cavity. An expandable prosthesis is releaseably secured to the distal extremity of the flexible elongate member. A visual marker capable of being seen by the operator in the field of view is secured to one of the distal extremity of the flexible elongate member and the prosthesis for facilitating placement of the prosthesis in the mammalian body.

Abstract: Aneurysms are treated by filling at least one double-walled filling structure with a curable medium within the aneurysm. The filling structures may be delivered over balloon deployment mechanisms in order to shape and open tubular lumens therethrough. Scaffolds are placed into the tubular lumens in order to help maintain the shape, anchor the filling structures in place, and provide improved blood flow transition into and out of the tubular lumens.

Abstract: A leg extension (10) for a stent grafting system to connect between an aortic graft and an iliac graft. The leg extension is a tubular body (12) of a biocompatible graft material with self-expanding stents connected along the length of the tubular body and the tubular body having a distal end with a connection region. The connection region has a flared stent defining an external frusto-conical surface to provide a connection arrangement to engage within an internally flared portion of an iliac graft.

Abstract: Described herein are devices and methods fabricating devices having nanostructures that allow adhesion or growth of one cell type, such as endothelial cells, more than another cell type, such as smooth muscle cells. In particular, stent covers having such nanostructures are described, and methods for fabricating these stent covers. Also described herein are methods for optimizing the nanostructures forming the devices.

Abstract: There is disclosed a method for introducing a helical formation (11) into a flexible tubular material (12). The material (12) is supported together with a surrounding helical former (13) so as to deform the material (12) to have a helical indentation (11) corresponding to the shape of the former (13). The material (12) is then set in that configuration and the former (13) is removed.

Abstract: A vascular graft includes a vessel structure having outer and inner wall surfaces. The vessel structure has outer and inner transverse dimensions. The vascular graft includes a fold structure which is integral with the vessel structure. The fold structure extends from the outer or inner wall surface of the vessel structure for altering the inner or outer transverse dimension thereof. A method for making the vascular graft facilitates formation of the fold structure.

Abstract: The invention relates to a vessel prosthesis, particularly for the replacement of aorta segments near the heart, in the form of a pleated flexible tube with folds (3), the tube being configured as an arc, and the arc shape being fixed in an extension-resistant manner, in the non-implanted state, by means of extension limiters.

Abstract: The present invention provides an expanded tubular graft formed of expanded polytetrafluoroethylene (ePTFE). The graft has first and second open ends and a surface longitudinally extending between the ends. The graft also includes an inner and outer cylindrical walls, where the walls have crimps or corrugations located along the surface of the graft. Additionally, the graft is coated with biocompatible elastomer covering portions of the outer cylindrical walls of the PTFE graft. The resulting ePTFE crimped graft exhibits various enhanced properties, such as adjustable graft length, high kink resistance, improved suture retention and high crush resistance as compared to the same graft without the crimps.

Abstract: An implantable stent comprising a first strut having an abluminal surface, and subluminal surface, and at least one side surface; a first depression formed in the abluminal surface; and a first support element at least partially disposed in the first depression; wherein at least a portion of the first support element extends beyond the abluminal surface of the first strut.