Abstract: A fiber-based surgical implant stabilized against fraying, includes a thermally crimped flat-knitted fabric of a biocompatible, optionally biodegradable, polymer material having a glass transition temperature or other thermally induced secondary conformational mobility threshold in the temperature range of from 20° C. to +170° C. Also disclosed is a corresponding fabric and methods of producing the implant and the fabric.

Abstract: An intervertebral prosthesis for insertion between adjacent vertebrae, in one embodiment, includes upper and lower prosthesis plates and a movable core. The prosthesis plates and optionally the core are formed of polyaryletherketone (PAEK) for improved imaging properties. A metallic insert is provided on each of the PAEK prosthesis plates providing a bone ongrowth surface.

Abstract: A label and related method of manufacture that includes a fabric made of yarn, in either cut individual singles or continuous ribbon format in any length. The yarn includes a fiber that has been recycled, that is recyclable, that is organic, that is biodegradable, and/or that can be derived from a material that is known to be environmentally friendly. The yarn, in one embodiment, may include a fiber defined as “high filament count” material, above the current industry standard of 24 filaments, being in the range of 72 to 96 to 144 filaments or higher per individual yarn, in any denier range of 30 denier to 150 denier thickness, in natural raw white, optical dyed white, or dyed colors. These yarns can be independent of each other.

Abstract: An upper for an article of footwear is provided, having a braided structure comprising a first yarn having a first cross-sectional shape and a second yarn having a second cross-sectional shape different than the first cross-sectional shape. The first cross-sectional shape comprises an outer surface parallel to an inner surface in a rectangular orientation. Additionally, the first yarn is oriented such that at least a portion of the outer surface comprises the first side of the first yarn and at least a portion of the inner surface comprises the second side of the first yarn.

Abstract: Provided is a graft material capable of securing a sufficient space for regenerated tissue in the implantation site, and thereby promoting the regeneration of a blood vessel. Specifically, the present invention provides a revascularization graft material including an outer tube and an inner tube each being formed by knitting twisted yarns of biodegradable single yarns into a hollow tubular structure, wherein there is provided, in the lumen of the outer tube, at least one inner tube having an outer diameter smaller than the lumen diameter of the outer tube. The inner tube functions as a core material for the outer tube, and accordingly the revascularization graft material is excellent in kinking resistance, and the occlusion of the lumen hardly occurs.

Abstract: A method of stenting, comprises: implanting a stent assembly in a vessel of a subject, the stent assembly, including: a stent jacket, comprising an expansible mesh structure, formed of fibers of a diameter between about 7 micrometers and about 18 micrometers, the diameter having a property of forming a substantially stable layer of endothelial cells, covering the fibers, thus reducing platelet aggregation, and an expansible stent, operatively associated with the stent jacket. The method further comprises administering to the subject an active pharmaceutical ingredient (API) comprising a platelet aggregation reducer for a shortened time period, not exceeding six months, the shortened time period being a consequence of the property. In accordance with some embodiments, the administration of a platelet aggregation.

Abstract: The disclosure describes a direct skeletal attachment (DSA) device including a micro-miniature chainmail skin-to-DSA interface. The interface comprises various porous architectures for skin ingrowth and integration as barriers against pathogens. Failure of skin-to-DSA interfaces can occur due to mismatches in mechanical compliance between pliable skin and more rigid DSA interfaces. To address this problem, in embodiments disclosed herein is an interface having a gradient in mechanical compliance or link mobility, ranging from fully flexible, to less compliant, to rigid where it attaches to the main DSA body.

Abstract: The present invention is directed to vascular implants and methods for fabricating the same. The implantable devices include but are not limited to stents, grafts and stent grafts. In many embodiments, the devices include one or more side branch lumens interconnected with the main lumen.

Abstract: Disclosed is a self-expanding medical implant for placement within a lumen of a patient. The implant comprises a woven or non-woven structure having a substantially tubular configuration, and is designed to be low-profile such that it is deliverable with a small diameter catheter. The implant has a high recoverability and desired mechanical properties.

Abstract: A system for treating a vascular condition includes a stent including hydroxyapatite fibers interwoven to define a stent lumen. Another aspect of the invention is a method of manufacturing a stent by forming hydroxyapatite fibers and biodegradable polymeric fibers, and interweaving the fibers to form a stent wall. The hydroxyapatite fibers can be formed by a sol-gel process, followed by spinning of the gel to form the hydroxyapatite fibers.

Abstract: Method are disclosed for local and systemic administration HDL, recombinant HDL or HDLm for the prevention, treatment, or amelioration of a vascular disorder, disease or occlusion such as restenosis or vulnerable plaque.

Abstract: A vascular access graft (1) comprises an elongate conduit (2) having proximal and distal ends (3, 4). At least a portion of the elongate conduit (2) has a self-sealing property such that the portion remains impermeable after puncturing by a dialysis needle. The vascular access graft (1) also comprises a helical fin (6) projecting inwardly from the inner surface (5) of the elongate conduit (2) and extending parallel to the axis of the elongate conduit (2).

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: The present invention relates to covered endoprosthetic devices. Covered endoprosthetic devices comprise an endoprosthesis and a sheath. The sheath comprises a central portion and outer portions, wherein the central portion preferentially restricts or causes a restriction of blood flow. Blood flow can be reduced by the central portion of the sheath by varying the permeability of the sheath or by having projections on the sheath that slow blood flow. Permeability may be provided by perforations or holes in the material of the sheath or by varying the polymer structure that makes up the sheath itself. The outer portions of the sheath do not substantially reduce blood flow. Methods of using sheath-covered endoprosthetic devices of the invention to treat aneurysms, especially aneurysms in proximity to small perforator vessels or arteries, are also encompassed.

Abstract: Apparatus and methods for stenting are provided comprising a stent attached to a porous biocompatible material that is permeable to endothelial cell ingrowth, but impermeable to release of emboli of predetermined size. Preferred stent designs are provided, as well as preferred manufacturing techniques. Apparatus and methods are also provided for use at a vessel branching. Moreover, embodiments of the present invention may comprise a coating configured for localized delivery of therapeutic agents. Embodiments of the present invention are expected to provide enhanced embolic protection, improved force distribution, and improved recrossability, while reducing a risk of restenosis and thrombus formation.

Abstract: An implantable composite medical device having a longitudinal length a woven textile portion having yarns interlaced in a woven pattern, a knitted textile portion having yarns interlooped in a knitted pattern. The woven and knitted portions are securably attached to one and the other to provide a composite woven and knitted textile surface along the longitudinal length of the device. The woven portion may have a permeability from about 30 to about 500 ml/min/cm2, and the knitted portion may have a permeability from about 30 to about 15,000 ml/min/cm2. Further, a crimped woven portion with a resiliently longitudinal stretchability from about 10 to about 100 linear percent over its quiescent longitudinal dimension or an uncrimped woven portion with a resiliently longitudinal stretchability of less than about 10 linear percent over its quiescent longitudinal dimension are useful.

Abstract: A prosthetic aortic conduit for replacing a root portion of an aorta is provided. The conduit comprises a continuous tubular conduit along a substantially common axis. A portion of the tubular conduit does not substantially deform in a longitudinal direction and has resilient means which allow said another portion of the conduit to be expandable in a lateral direction. The portion that is able to deform laterally mimics the function of the sinuses of Valsalva. The method of manufacturing such a conduit comprises the steps of having a continuous weave of rows of yarn or the equivalent with a change in tightness of the rows so that in some portion of the conduit it is expandable in the lateral direction and in some portion of the conduit it is expandable in the longitudinal direction.

Abstract: A medical device for canalization of a tissue 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. During delivery the device turns outside in and digs into the tissue to create a channel therein, thus preventing or fixating debris or other matter to spread from the channel.

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: A method of making a non-porous tubular graft is disclosed. The method includes the step of securing a plurality of fastening elements extending through an outer layer of knitted, woven, or braided material along a length of the outer layer, wherein the fastening elements extend outwardly from the outer layer. The method further includes the steps of placing an inner layer of non-porous material within the outer layer such that an underside of each fastening element is positioned between the inner layer and the outer layer and laminating the outer layer to the inner layer to form the non-porous tubular graft.

Abstract: The present invention provides an implantable prosthesis and more specifically, an implantable tubular textile prosthesis comprising a biocompatible fabric having inner and outer surfaces and first and second ends; the fabric having a textile construction comprising cold drawn PTFE yarns having a substantially uniform denier and high molecular orientation. Use of cold drawn PTFE yarns result in implantable prostheses that have excellent abrasion resistance, strength and lubricity properties. Useful textile constructions include weaves, knits, braids, filament windings, spun windings and combinations thereof. The prostheses of the present invention are lubricious and have characteristics that closely resemble the properties of a natural body lumen.

Abstract: Luminal endoprosthesis formed of a multi-layer braided framework. The framework is devoid of any cover layer, and formed of a plurality of stabilized layers of biocompatible metal wires which are interlaced, forming a lattice, a plurality of wires of a given layer being integrated in the lattice of the adjacent layers. The mechanical characteristics of an outermost layer is so that when in place, the layer applies against a vessel wall, the other layers extending substantially along cylindrical surfaces distinct from the outermost layer so as to form a multi-layer mat which affects the haemodynamic of a flow of blood passing along or through this mat and preventing a growing of plaque.

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 venous graft for replacement of a section of an artery and methods of making the graft. The graft comprises a flexible, resilient, generally tubular external support and a vein segment carried within and having an ablumenal surface in contact with and supported by the tubular support, the venous graft being capable of resilient radial expansion in a manner mimicking the radial compliance properties of an artery.

Abstract: It has been determined that gamma sterilization of biodegradable polymer stents does not cause significant polymer cross-linking and collapse. Using sufficient spacing can lead to stents that display little if any detrimental effects from the procedure. In certain embodiments, using structures in the general region of about 100 micron spacing between the struts leads to highly functional stents that do not fuse. Further, the resulting stent has radially homogenous mechanical properties. Therefore, the stent has a uniform expansion within the lumen.

Abstract: This disclosure provides a medical device and a method of forming the medical device. The medical device comprises a coating comprising a type-one polymer and a type-two polymer. The type-one polymer comprises at least two different blocks, at least one L1 block with the formula ; and at least one L2 block with the formula Medical devices comprising these polymers, mixtures of these polymers with therapeutic agents, and methods of making these polymers and mixtures are within the scope of this disclosure.

Abstract: A medical film that is excellent in biocompatibility and bioabsorbability and has an excellent strength in suturing and bonding is provided. A reinforcing material 12 made of a biodegradable polymer is placed in a gelatin solution so as to allow the solution to infiltrate in the reinforcing material 12 and then the gelatin is dried. This allows the gelatin that has infiltrated entirely in an internal part of the reinforcing material 12 to gel, thereby forming a gelatin film 11. Thus, a medical film 1 in which the reinforcing material 12 and the gelatin film 11 are integrated is obtained. The gelatin film 11 preferably is a cross-linked gelatin film.

Abstract: Sheathing for reinforcing natural veins for use as surgical implants in the form of textile netting that is configured by forming a seamless, tubular, essentially pile-less, knit fabric and has loops having large, open apertures having essentially polygonal shapes is made available.

Abstract: The invention relates to a medicinal implant or instrument, more particularly to a vascular endoprosthesis (1), having a radially dilatable hose part (2) comprised of a tubular knitted fabric of interdigitating meshes composed of one or more individual fibres (9). To provide such an implant or instrument that allows for MR-imaging of the interior of the implant or instrument, the invention proposes that the fibres (9) of the knitted fabric be electrically conductive and form an inductor (7, 8) within a high-frequency resonant circuit.

Abstract: A modular luminal endoprosthesis consisting of a framework, generally called a stent, and more particularly an endoprosthesis for blood vessels. The framework (6) of this stent comprises a plurality of interconnected layers (8, 10, 12), each of these layers (8, 10, 12) being formed by two plies of metal wires (14), which are respectively dextrogyratory and laevogyratory, and which are interlaced and form a lattice, a plurality of wires (14) of a given layer (8, 10, 12) being integrated in the lattice of at least one of the adjacent layers (8, 10, 12).

Abstract: The present invention is directed to vascular implants and methods for fabricating the same. The implantable devices include but are not limited to stents, grafts and stent grafts. In many embodiments, the devices include one or more side branch lumens interconnected with the main lumen.

Abstract: A compressible resilient fabric can include a ground layer of knitted yarn, and a loop layer comprising a plurality of loops of yarn, each loop having a point knit into the ground layer. The fabric can be compressible from an non-compressed configuration, in which each loop has an apex extending substantially perpendicularly outward from the ground layer, into a compressed configuration, in which each loop is collapsed onto the ground layer. The fabric can further be resilient so as to substantially resume the non-compressed configuration when compression is relieved. The loop layer yarn can include a multifilament yarn having a high denier per filament ratio. The ground layer yarn can include a yarn shrinkable substantially more than the loop layer yarn. The loops can be densely knit so as to support the extension of the loops outward from the ground layer.

Abstract: A composite medical device includes a knitted structure having a single layer of yarns to define a single layered wall, where the yarns are interlaced into stitches in a knit pattern capable of resilient longitudinal elongation and resilient radial contraction of the knit from a quiescent state to an elongated state, and a layer of ePTFE securably attached to the knitted structure. The knit pattern is a warp knitted pattern of yarns forming a textile layer having an interior surface and an exterior surface, where interior yarns form the interior surface and form loops in the longitudinal direction of said knitted structure, and exterior yarns form the exterior surface and are diagonally shifted over two or more of the interior yarns in an alternating pattern along a width of the knitted structure before engaging an the interior yarn.

Abstract: A method for providing dilation resistance to an implantable tubular graft includes the steps of (a) providing a graft having opposed open ends and a textile wall extending in a lengthwise direction therebetween defining a graft diameter, wherein the textile wall has radially extending yarns having a radial extent which inter-engage longitudinally extending yarns having a longitudinal extent to define a textile pattern and further wherein the radially extending yarns are obliquely oriented to the lengthwise direction of the graft, thereby defining a first acute angle from the lengthwise direction of the graft; (b) providing an elongate tubular mandrel having a diameter which differs from the graft diameter by a factor of at least 1.

Abstract: A radially expandable stent-graft endoprosthesis is provided. The graft included in the stent-graft is a knitted tubular structure circumferentially disposed and securably attached to the stent. The knitted tubular structure has a warp knit pattern of interlacing yarns with at least a two-needle underlap to provide greater than 150 percent longitudinal stretchability while substantially inhibiting dilation. A knitted tubular graft and a knitted medical fabric with greater than 150 percent longitudinal stretchability are also provided.

Abstract: The invention relates to a stent-graft with a bioabsorbable structure and a permanent graft for luminal support and ‘treatment of arterial fistulas, occlusive disease, and aneurysms. The bioabsorbable structure is formed from braided filaments of materials such as PLA, PLLA, PDLA, and PGA and the graft is formed from materials such as PET, ePTFE, PCU or PU.

Abstract: The present invention provides an implantable prosthesis and more specifically, an implantable tubular textile prosthesis comprising a biocompatible fabric having inner and outer surfaces and first and second ends; the fabric having a textile construction comprising cold drawn PTFE yarns having a substantially uniform denier and high molecular orientation. Use of cold drawn PTFE yarns result in implantable prostheses that have excellent abrasion resistance, strength and lubricity properties. Useful textile constructions include weaves, knits, braids, filament windings, spun windings and combinations thereof. The prostheses of the present invention are lubricious and have characteristics that closely resemble the properties of a natural body lumen.

Abstract: A knitted implantable stent having a hollow tubular structure having opposed open ends defining a wall portion therebetween is provided. The wall portion includes an open lattice structure of a plurality of interconnected perimetrically bound cells. The cells are defined by a plurality cell segments. The cell segments are defined by at least two wires knittingly interlaced in a plurality of loops. Adjacent cell segments are knittingly interlaced with each other to form the open lattice structure of interconnected perimetrically bound cells. The stent may be a singular tubular structure or may be a bifurcated stent. Methods for producing the flat knitted stents include the use of double needle bar flat knitting machines.

Abstract: A method for manufacturing a stent includes heating a plurality of wire strands to impart a desired shape to the wire strands, coating each wire strand with a biocompatible polymer in an extruder to produce a plurality of coated wire strands, and interlacing the coated wire strands to form a stent.

Abstract: A radially expandable stent-graft endoprosthesis includes a knitted tubular structure circumferentially disposed and securably attached to the stent. The knitted tubular structure has a warp knit pattern of interlacing yarns with at least a two-needle underlap to provide greater than 50 percent longitudinal stretchability while substantially inhibiting dilation. A knitted tubular graft is combined with an ePTFE liner to form a composite with greater than 50 percent longitudinal stretchability is also provided. The knitted tubular graft also has a warp knit pattern of interlacing yarns with at least a two-needle underlap to provide the longitudinal stretchability while also substantially inhibiting dilation.

Abstract: Sheathing for reinforcing natural veins for use as surgical implants in the form of textile netting that is configured by forming a seamless, tubular, essentially pile-less, knit fabric and has loops having large, open apertures having essentially polygonal shapes is made available.

Abstract: The present invention provides an implantable prosthesis and more specifically, an implantable tubular textile prosthesis comprising a biocompatible fabric having inner and outer surfaces and first and second ends; the fabric having a textile construction comprising cold drawn PTFE yarns having a substantially uniform denier and high molecular orientation. Use of cold drawn PTFE yarns result in implantable prostheses that have excellent abrasion resistance, strength and lubricity properties. Useful textile constructions include weaves, knits, braids, filament windings, spun windings and combinations thereof. The prostheses of the present invention are lubricious and have characteristics that closely resemble the properties of a natural body lumen.

Abstract: A radially expandable stent-graft endoprosthesis includes a knitted tubular structure circumferentially disposed and securably attached to the stent. The knitted tubular structure has a warp knit pattern of interlacing yarns with at least a two-needle underlap to provide greater than 50 percent longitudinal stretchability while substantially inhibiting dilation. A knitted tubular graft is combined with an ePTFE liner to form a composite with greater than 50 percent longitudinal stretchability is also provided. The knitted tubular graft also has a warp knit pattern of interlacing yarns with at least a two-needle underlap to provide the longitudinal stretchability while also substantially inhibiting dilation.

Abstract: A method for forming a kink resistant, blood impermeable graft comprises the steps of: providing a crimped substrate of polymer fabric; coating the outer surface of the substrate with a first solution comprising a first polymer and a particulate in a first solvent; allowing the first solution to dry, thereby forming a first coat on the substrate; coating the first coat with a second solution comprising a second polymer in a second solvent; and immersing the coated substrate in a third solvent to precipitate the second polymer from solution, thereby forming a porous second coat. The third solvent also dissolves the salt in the first coat to form pores in the first coat. The first and second polymer solutions do not penetrate to the interior surface of the substrate of the graft. Vascular prostheses made by this method are blood impermeable and kink resistant and are particularly useful as outflow cannulas for ventricular assist devices.

Abstract: A radially expandable stent-graft endoprosthesis is provided. The graft included in the stent-graft is a knitted tubular structure circumferentially disposed and securably attached to the stent. The knitted tubular structure has a knit pattern of interlacing yarns in an Atlas or a modified-Atlas pattern to provide greater than 150 percent longitudinal stretchability. A knitted tubular graft and a knitted medical fabric with greater than 150 percent longitudinal stretchability are also provided.

Abstract: A radially expandable stent-graft endoprosthesis is provided. The graft included in the stent-graft is a knitted tubular structure circumferentially disposed and securably attached to the stent. The knitted tubular structure has a warp knit pattern of interlacing yarns with at least a two-needle underlap to provide greater than 150 percent longitudinal stretchability while substantially inhibiting dilation. A knitted tubular graft and a knitted medical fabric with greater than 150 percent longitudinal stretchability are also provided.

Abstract: A radially expandable stent-graft endoprosthesis is provided. The graft included in the stent-graft is a knitted tubular structure circumferentially disposed and securably attached to the stent. The knitted tubular structure has a warp knit pattern of interlacing yarns with at least a two-needle underlap to provide greater than 150 percent longitudinal stretchability while substantially inhabiting dilation. A knitted tubular graft and a knitted medical fabric with greater than 150 percent longitudinal stretchability are also provided.

Abstract: Methods for attaching an axial filament to the body of a self expanding stent, the filament serving to enhance the radial self expanding force of the stent body. Also stents having enhanced radial self expansion characteristics.

Abstract: The device comprises a prosthesis designed as a hollow body compressed against the action of restoring spring forces to a cross section reduced relative to an expanded use position, and held in this position by a strippable sheath. After the sheath is stripped, the prosthesis automatically expands to a cross section corresponding to the use position. The sheath, which can be a meshwork in the approximate form of crocheted material, extends over the entire length of the prosthesis and consists of at least one continuous thread and at least one drawstring. The prosthesis, held in the radially compressed position by the sheath, can be mounted displaceably on a feed wire or non-axially-displaceably on the insertion end of a probe or a catheter.