Abstract: A device for inducing weight loss in a patient includes a tubular prosthesis self-expandable from a collapsed position in which the prosthesis has a first diameter to an expanded position in which the prosthesis has a second, larger, diameter. In a method for inducing weight loss, the prosthesis is placed in the collapsed position and inserted into a stomach of a patient. The prosthesis is allowed to self-expand from the collapsed position to the expanded position and into contact with the walls of the stomach, where it induces feelings of satiety and/or inhibits modulation of satiety-controlling factors such as Ghrelin.

Abstract: The invention is directed to an expandable stent for implantating in a body lumen, such as a coronary artery, peripheral artery, or other body lumen. The invention provides for a an intravascular stent having a plurality of cylindrical rings connected by undulating links. The stent has a high degree of flexibility in the longitudinal direction, yet has adequate vessel wall coverage and radial strength sufficient to hold open an artery or other body lumen.

Abstract: A device for inducing weight loss in a patient includes a tubular prosthesis self-expandable from a collapsed position in which the prosthesis has a first diameter to an expanded position in which the prosthesis has a second, larger, diameter. In a method for inducing weight loss, the prosthesis is placed in the collapsed position and inserted into a stomach of a patient. The prosthesis is allowed to self-expand from the collapsed position to the expanded position and into contact with the walls of the stomach, where it induces feelings of satiety and/or inhibits modulation of satiety-controlling factors such as Ghrelin.

Abstract: The invention is directed to an expandable stent for implantation in a body lumen, such as an artery, and a method for making it from a single length of tubing. The stent consists of a plurality of radially expandable cylindrical elements generally aligned on a common axis and interconnected by one or more interconnective elements. The individual radially expandable cylindrical elements consist of ribbon-like material disposed in an undulating pattern. Portions of the expanded stent project outwardly into engagement with the vessel wall to more securely attach the stent.

Abstract: A system and related methods for maintaining the patentcy of the ureter comprising a pusher tube having a pusher tube lumen and an inflate lumen disposed within a wall of the pusher tube and a urinary stent having a proximal and distal portions with an elongated body portion therebetween configured to fit the ureter of the patient and defining a lumen. The system further includes an end-effector that may comprise an inflatable balloon positioned at the proximal portion of the urinary stent for retaining the proximal portion in the urinary bladder. At the distal portion, a retention end-piece is positioned for retaining the distal portion of the stent in the renal pelvis. The end-effector and the retention end-piece of the stent maintain the elongated body portion in situ. The end-effector may also include an inflatable balloon and may contain pharmaceutical or biologic agents for controlled release into the bladder.

Abstract: A device to provide body fluid flow control in the form of a valve to be located within a duct or passageway. The device is controlled through pressure above a preselected threshold. Bulk resilience about a passageway in a valve body provides the mechanism for controlled flow. One-way valve operation may be provided through a flap or through a pressure differential on the valve body depending upon the direction of flow. A frame structure positioned within a resilient seal includes longitudinally elongate elements which may be of spring material, malleable material or heat recoverable material so as to accomplish an initial insertion state and an expanded anchoring state. A valve support transitions between the resilient seal portion and the valve body to insure that the states do not change the threshold opening pressure. Insertion devices may be employed to position and actuate a change of state of the frame in the body duct or passageway.

Abstract: The invention is directed to an expandable stent for implantation in a body lumen, such as a coronary artery. The stent consists of radially expandable cylindrical rings generally aligned on a common axis and interconnected by one or more links. At least some of the links are formed of a polymer material providing longitudinal and flexural flexibility to the stent while maintaining sufficient column strength to space the rings along the longitudinal axis.

Abstract: An expandable ureteral stent placed in a patient's ureter so as to extend into the bladder of the patient. Expansion and contraction of the stent accommodates motion of the patient's kidney and bladder, gently holding the stent in position and reducing patient discomfort. The length of the stent is variable up to several centimeters.

Abstract: A medical prosthesis implantable in an anatomical duct in order to treat a disease of the duct, the prosthesis having a longitudinal axis, a first radially restricted state or a second radially expanded state, a proximal end and a distal end, first structural elements having meanders extending along a series of parallel helices coiled around the longitudinal axis, the meanders having apices alternately directed towards the proximal end and the distal end, and second structural discrete elements extending along a series of parallel lines perpendicular to the longitudinal axis, the second structural discrete elements being individually arranged between two adjacent first structural elements and defining connecting struts by intersecting the two adjacent first structural elements, the second structural discrete elements showing changes of slope with at least one shoulder, but not apices.

Abstract: A medical stent includes a first section which includes a first material, defines a lumen, and includes a first coil completing more than one revolution. The first coil revolves about and is coaxial with an axis, expanding and opening as it revolves from the origin of the first coil. A second section of the stent includes a second material, defines a lumen, and includes a second coil completing at least one revolution. A third section defines a lumen and is located between the first and second sections. The third section includes a co-extrusion of the first and second materials. One of the first or second sections is harder than the other section.

Abstract: A stent is designed to be placed within a patient's ureter to facilitate drainage from the patient's kidneys to the bladder. An elongated portion of the stent includes a length sufficient to extend substantially within the ureter from the kidney to the bladder, and defines a lumen extending therethrough. A first end portion extends from one end of the elongated portion and is adapted to assume a retaining configuration when placed substantially within the kidney. A second end portion extends from another end of the elongated portion and flares outward when placed substantially within the bladder to maintain position. The second end portion allows fluids to flow through the lumen and into the bladder and is collapsible to prevent fluid from passing from the bladder to the kidney.

Abstract: There is provided an indwelling ureteral (ureteric) stent comprised of a hollow flexible tube with an upper end section, a substantially straight middle section and a lower end section. The upper and lower sections are preferably coiled. The coiled upper section has a diameter between 1 and 2.5 cm which retains the upper section of the stent in the kidney, and has perforations in the surface to allow drainage of urine from the kidney into the tube. The lower coiled section of the stent is G-shaped. The tip of this lower section assumes the horizontal portion of the G shape and contains an integral valve. The integral valve maintains an open flow of urine from the kidney to the bladder, but prevents the reflux of urine into the kidney during bladder contraction. The stent further comprises a small cuff or series of studs behind said valve against which a stent pusher may rest.

Abstract: A conduit is provided to provide a bypass around a blockage in the coronary artery. The conduit is adapted to be positioned in the myocardium or heart wall to provide a passage for blood to flow between a chamber of the heart such as the left ventricle and the coronary artery, distal to the blockage. The stent is self-expanding or uses a balloon to expand the stent in the heart wall. Various attachment means are provided to anchor the stent and prevent its migration.

Abstract: A stent (1) formed into a generally or substantially tubular body and expandable radially outward from inside of the tubular body, wherein cells (6) are connected vertically and so arranged as to surround the central axis (C1) of the stent (1) and thereby to form annular units (4), the annular units (4) are extended along the axis of the stent (1), adjacent annular units (4) are connected at least at one portion by a connecting part (5), each of the cells (6) has at least one bent portion, and the angle of the bent portion after expansion of the tubular body until the diameter becomes 2.5 mm is larger than 30°0. The stent ensures a high flexibility and radial support force, enhances the blood vessel expandability, and suppresses the foreshortening phenomenon and the flare phenomenon.

Abstract: Disclosed are implantable or insertable medical devices that provide resistance to microbial growth on and in the environment of the device and resistance to microbial adhesion and biofilm formation on the device. In particular, the invention discloses implantable or insertable medical devices that comprise at least one biocompatible matrix polymer region, an antimicrobial agent for providing resistance to microbial growth and a microbial adhesion/biofilm synthesis inhibitor for inhibiting the attachment of microbes and the synthesis and accumulation of biofilm on the surface of the medical device.

Abstract: A pharyngeal airway having a pharyngeal wall of a patient at least partially surrounding and defining the airway is treated by selecting an implant dimensioned so as to be implanted at or beneath a mucosal layer of the pharyngeal wall and extending transverse to said wall. The implant has mechanical characteristics for the implant, at least in combination with a fibrotic tissue response induced by the implant, to stiffen said pharyngeal wall to resist radial collapse. The implant is implanted into the pharyngeal wall transverse to a longitudinal axis of the airway.

Abstract: A Eustachian tube stent designed to maintain patency of the eustachian tube passage, comprising a flanged tubular body constructed of a biodegradable material capable of eluting a drug. The stent design is adapted specifically for the Eustachian tube environment. The stent is positioned in the Eustachian tube via the middle ear by insertion past the tympanic membrane. The flange secures the stent at the tympanic orifice of the Eustachian tube.

Abstract: An insertable stent is provided for joining together and facilitating healing of adjacent tissues. Typically, the tissues are mammalian tissues. The insertable stent is made from completely non-toxic, bio- and blood-compatible materials. Each of the tissues employed herein defines an internal cavity. The insertable stent body defines a bore. The bore permits fluid to pass through the insertable stent body. In use, the insertable stent body is introduced into the internal cavities of the tissues. The insertable stent body fits within the confines of, and in contact with, each of the adjacent tissues. Typically, at least a portion of the insertable stent body is fusible to the adjacent tissues for facilitating healing of these tissues.

Abstract: The disclosed stent is formed of an elongate, flexible duct having a very thin wall and a preformed diameter, length, and shape. The stent is constructed of a woven tubular structure of multiple strands or elements. The woven tubular structure is thermally set to a predetermined diameter and length, so that the “at rest” or natural condition of the tubular structure is predictable. A retention or holding member can be formed at one or both of the ends of the stent. This retention member can be reduced in diameter for insertion into the body passage. The woven tubular structure provides a path for fluids to flow in and around the stent, while a patent lumen is being developed. The woven tubular structure allows the stent to be extended or stretched over a guidewire or other noncompressive member, to thereby reduce the diameter of the stent for insertion of the stent into a body passage.

Abstract: A porous weave of bioabsorbable filaments is encased in an elastic membrane to form a thin-walled stent. The stent is sized to be snugly fitted in the proximate portion of the duodenum of a patient, to induce weight loss by limiting uptake of food passing through the stent. After a predetermined period, the stent degrades and passes from the body without surgical intervention.

Abstract: A porous weave of bioabsorbable filaments having an open mesh configuration is formed into an oblate shape having dimensions greater than the esophageal opening and gastric outlet of a stomach. The resulting prosthesis is deployed in the stomach and is of a size to be retained in the proximate portion thereof for exerting pressure on the upper fundus. The prosthesis limits the amount of food that may be held within the stomach, and exerts pressure on the fundus to create a sensation of being full, resulting in weight loss.

Abstract: A medical device for use within a body cavity comprising an elongated body portion and a retention module. The retention module comprises a fixation element and a tether connector. The tether connector and fixation element permit the device to move a predetermined distance longitudinally. The tether connector reduces ureteral reflux, and minimizes irritation and patient discomfort. The fixation element and the tether connector further function as a graspable structure for removal of the stent.

Abstract: A stent includes a first stent section, a second stent section, and at least one connecting member. The connecting member has a first end attached to the first stent section, a second end attached to the second stent section and a physically separable portion.

Abstract: A stent has a tubular body with longitudinal struts interconnected by multi-bar linkages. The struts inhibit foreshortening of the body and relative rotation between the links in the linkages permits radial expansion. The links are plastically deformed as they are expanded to maintain the expanded diameter.

Abstract: A medical stent includes a first section which includes a first material, defines a lumen, and includes a first coil completing more than one revolution. The first coil revolves about and is coaxial with an axis, expanding and opening as it revolves from the origin of the first coil. A second section of the stent includes a second material, defines a lumen, and includes a second coil completing at least one revolution. A third section defines a lumen and is located between the first and second sections. The third section includes a co-extrusion of the first and second materials. One of the first or second sections is harder than the other section.

Abstract: Medical stents having valves and their methods of manufacture are disclosed. The valve may be basket-shaped and formed integral to a medical stent to prevent undesirable backflow across the valve. The valve can be formed by converting the braided wires of the stent, by providing elastomeric material onto a mold or fixture to form an elastomeric valve, or by attaching a gasket valve. The valve is normally closed but configured to allow easy opening in response to a predetermined condition.

Abstract: A collapsible and expandable stent includes a body segment, first and second terminal ends spaced apart from each other, a substantially smooth wall and a lumen extending between the first and second ends. The device can be used for maintaining the patency of the prostatic urethra in a male patient. The stent may be designed according to the individual needs of particular patients. A delivery system for deploying the stent and other collapsible and expandable stents in the body of the patient comprises a retractable sheath, a shaft and a locking element to reversibly lock the sheath to the shaft.

Abstract: A method of providing a therapeutic, diagnostic or lubricious hydrophilic coating on an intracorporeal medical device and the coated device produced thereby, wherein the coating is durable. In one embodiment, the coating comprises a polymerized base coat and a top coat having a therapeutic, diagnostic or hydrophilic agent, where the base coat has a binding component which binds to the top coat, and a grafting component which binds to the binding component and adheres to the device. In another embodiment, the coating comprises a blend of an agent, a grafting component, and salt. In one embodiment, the therapeutic agent is superoxide dismutase or a superoxide dismutase mimic. The coating of the invention may be applied to a medical device with a polymeric surface such as a polymeric catheter, or a metal device such as a stent coated with a polymeric primer or without a primer.

Abstract: Disclosed is a pressure sensitive prosthesis that includes a tubular member having a passageway extending therethrough and a sleeve attached about one end of the tubular member. The sleeve functions as a one-way valve to permit fluid flowing through the sleeve lumen in a first direction and under a first pressure, while collapsing in response to fluid flowing in a second direction when the pressure thereof exceeds that of the first direction or pressure. One aspect of the invention includes an esophageal anti-reflux expandable prosthesis wherein the sleeve is adapted to invert back through the tubular stent frame to permit belching or vomiting (fluid or materials under a third, significantly higher pressure). Another aspect of the invention includes a tubular drainage stent, such as a biliary or urethral stent in which the sleeve opens to permit passage of fluids, then collapses to prevent retrograde flow.

Abstract: A delivery system for placement of a stent within a body of a patient includes a stent, a retaining structure, and an elongated member. The stent includes a coil which defines a lumen and has an initial length when in an expanded rest state. Adjacent turns of the coil are positioned to substantially prevent tissue ingrowth through the turns and into the lumen when the stent is placed within the body. The retaining structure is sized for insertion into the body and includes one or more pins. The pins collapse and deform the stent while the stent maintains substantially its initial length. The elongated member is coupled to the retaining structure and enables insertion of the retaining structure with the stent into the body such that the stent can be deployed from the retaining structure and placed into the body while maintaining substantially its initial length.

Abstract: A device for inducing weight loss in a patient includes a tubular prosthesis self-expandable from a collapsed position in which the prosthesis has a first diameter to an expanded position in which the prosthesis has a second, larger, diameter. In a method for inducing weight loss, the prosthesis is placed in the collapsed position and inserted into a stomach of a patient. The prosthesis is allowed to self-expand from the collapsed position to the expanded position and into contact with the walls of the stomach, where it induces feelings of satiety and/or inhibits modulation of satiety-controlling factors such as Ghrelin.

Abstract: An automatically controlled expansion stent having an expansible stent body, actuation means for expanding the stent body, and control means for actively controlling the actuation means. The stent body is substantially tubular and includes material layers covering a plurality of radial expansion trusses. The stent employs MEMS motors under the control of a programmable logic device to expand the trusses and the stent body. Force from the motor is communicated to the expansion trusses through interconnects, which pivotally connect the trusses and provide channels for pull wires extending from the motors to the trusses. The trusses comprise a plurality of hinged links which produce symmetrical expansion of the stent body when actuated by the MEMS motor.

Abstract: A stent for maintaining an open passageway through a body lumen, such as the prostatic urethra of a male patient, includes a coil segment and a flexible polymer material encapsulating the coil segment. The coil segment defines a lumen extending therethrough and includes a distal portion, a middle portion, and a proximal portion. Both the distal and proximal portions of the coil segment have a greater outer diameter in comparison to the middle portion, so as to enhance retention of the stent after placement within the patient's body. The coil segment is made from a wound element that includes one or more spaced windings. The flexible polymer material is disposed between adjacent spaced windings to form an imperforate flexible webbing that encapsulates the coil segment and prevents the growth of tissue between the windings and into the coil segment's lumen when the stent is placed within the patient.

Abstract: The present disclosure is directed to embodiments of devices for capturing obstructions within passageways. The devices disclosed herein may include a flexible tubular body forming multiple flexible members arranged in a helical pattern. These flexible members may be expandable to form one or more cages when the tubular body is expanded to an increased diameter state. The cages may be generally centered around the longitudinal axis of the tubular body between the two ends of the body. Also disclosed herein are methods for capturing obstructions within passageways, methods for obtaining tissue samples from body passages, and methods for making devices for capturing obstructions within passageways.

Abstract: This is a medical device and a method of using it. The device is a foldable stent-graft which may be percutaneously delivered with (or on) an endovascular catheter, via surgical techniques or using other suitable techniques and then expanded. The stent-graft uses a kink-resistant stent structure and an interior graft which is attached to the stent in such a way that the graft does not kink and yet the stent is able to conform to curves in the blood vessel lumen. The expandable stent structure preferably has a helically deployed torsional member with an undulating shape which is wound to form the generally cylindrical shape deployed as the stent. The helical winding desirably is aligned to allow undulations in adjacent turns of the helix to be in phase. The adjacent undulating shapes are held in that phased relationship using a flexible linkage, typically made of a polymeric material. The graft component cooperating with the stent is tubular and mounted on the interior of the stent.

Abstract: Disclosed is an exoluminal stent. The stent includes a bioabsorbable matrix having a plurality of apertures passing therethrough. The matrix is capable of being dimensioned and configured to complement an external diameter of a vessel to be stented. The stent can be adhered to the outer diameter of the vessel to be stented via sutures that pass through the apertures in the matrix.

Abstract: A surgical implant, device, or part thereof, made of biodegradable material for performing at least one function selected from the group consisting of supporting, joining and separating tissue and keeping open a tissue cavity. One biodegradable rod which is wound around a winding center into a helical configuration in a manner that between successive winds there is provided a space free of material of the biodegradable rod, and which is reinforced with biodegradable reinforcement element in a biodegradable matrix said reinforcement elements being oriented substantially in a longitudinal direction of the biodegradable rod.

Abstract: An endoluminal stent composed of a plurality of first structural elements arrayed to form the circumference of the stent and extending along the longitudinal axis of the stent, and a plurality of second structural elements that interconnect adjacent pairs of first structural elements. The plurality of first structural elements have either a linear shape or a generally sinusoidal configuration with either a regular or irregular periodicity or regions of regular and regions of irregular periodicity between the peaks and troughs of the pattern, with the peaks and troughs projecting from the first structural elements in the circumferential axis. The plurality of second structural elements are generally linear or sinusoidal-shaped members which interconnect an apex of a peak of one of the plurality of first structural elements with an apex of a valley of a second and adjacent one of the plurality of first structural elements.

Abstract: A medical device vibratory activation system is disclosed. The system includes an implantable appliance comprising a conductive material and a signal producing mechanism having a portion configured to be located relative to the implantable appliance. The signal-producing mechanism is also configured to generate a signal that interacts with the conductive material in the implantable appliance to induce a motion of the implantable appliance.

Abstract: An expandable, elongate flexible conduit is provided for placement in a tubular body structure. An exemplary conduit includes a plurality of flexible longitudinal members defining in an unexpanded state a lumen, the members being radially expandable at preselected intervals to define a longitudinally oriented array of open-sided cages separated by less-expanded tubular segments, at least one of the open-sided cages having a diameter varying along its length and each of the open-sided cages having a maximum diameter larger than a diameter of the less-expanded tubular segments.

Abstract: In one embodiment, the invention is directed to a ureteral stent adapted for placement within a patient's urinary tract to facilitate drainage from the patient's kidney to the patient's bladder. The ureteral stent includes an elongated portion, a retention portion and a mesh or coil portion. The elongated portion has first and second ends, defines an elongated portion of a lumen extending between the first and second ends, and has a length sufficient to extend within the ureter from the patient's kidney to the patient's bladder. The retention portion extends from the first end of the elongated portion, defines a retention portion of the lumen and at least one through aperture for providing fluid communication between the lumen and the kidney. The retention portion is adapted for placement substantially within the kidney and for retaining the placement of the stent within the kidney.

Abstract: A method of loading a shape memory, superelastic (or pseudoelastic) stent onto an insertion catheter by cooling the stent to its martensite state with a spray of refrigerant, cold gas, or expanding gas. The stent may then be loaded onto the delivery catheter without the force necessary to deform the stent through the formation of stress induced martensite.

Abstract: A removable stent for implantation into a lumen in a human body. The stent is made from a soft, flexible fiber having an outer surface. An outer bioabsorbable/degradable coating is applied to the outer surface of the filament causing it to become rigid. The coating softens in vivo through absorption and/or degradation such that the stent is readily passed or removed from the lumen as a softened filament after a pre-determined period of time through normal flow of body fluids passing through the lumen or by manual removal.

Abstract: A stent for assisting urinary release in a male patient includes a first segment, a second segment, and a connecting member disposed between the first and second segments. The first segment includes a multi-winged malecot. When the stent is properly positioned within the patient's urinary system, the first segment is located on one side of the external sphincter with the multi-winged malecot located within the bladder to inhibit migration of the stent, and the second segment is located on the other side of the external sphincter and also tends to inhibit migration of the stent. The connecting segment is sized to extend through the external sphincter to couple the first and second segments together while not interfering with the normal operation of the external sphincter.

Abstract: This is a medical device and a method of using it. The device is a foldable stent-graft which may be percutaneously delivered with (or on) an endovascular catheter or via surgical techniques or using other suitable techniques and then expanded. The stent-graft uses a kink-resistant stent structure and an interior graft which is attached to the stent in such a way that the graft does not kink and yet the stent is able to conform to curves in the blood vessel lumen.

Abstract: A surgical method of repair and reconstruction of the spinal disc wall (annulus) after surgical invasion or pathologic rupture, incorporating suture closure, or stent insertion and fixation, designed to reduce the failure rate of conventional surgical procedures on the spinal discs.

Abstract: A plastically deformable stent for implantation within a body passage includes a plurality of cylindrical segments, and a plurality of connectors extending between adjacent segments. Each segment has an alternating pattern of curvilinear elements extending about its circumference, including first and second sets of curvilinear elements having different resistances to expansion, and preferably defining “U” shapes with alternating lengths that are connected to one another to define a substantially sinusoidal pattern. The connectors define a sinusoidal shape adapted to extend and compress axially substantially evenly when the adjacent segments are subjected to bending. The stent may be delivered on a device including an elongate member with a nose cone, an expandable member, and a proximal shoulder thereon, and an outer sheath for slidably receiving the elongate member therein. The outer sheath and/or nose cone may have perfusion holes for allowing continued perfusion of fluid during stent delivery.

Abstract: A nasolacrimal stent device illuminates a dark nasal cavity so that the interior of the nasal cavity can be directly observed to facilitate and ensure the correct insertion of a nasolacrimal stent into the nasal duct. Flexible, transparent probe tube segments (21) are connected to the opposite ends of a flexible detention tube segment (2) having a diameter that permits the flexible detention tube segment (2) to be inserted in a lacrimal passage, respectively. The respective extremities of distal end parts (21a, 21b) of the probe tube segments (21) are closed. The probe tube segments (21) are provided in their base end parts with openings (23), respectively. When inserting each probe tube segment (21) into the nasal cavity, an illuminating device, such as an optical fiber (30) is inserted through the opening (23) into the probe tube segment (21) to illuminate the interior of the nasal cavity through the transparent probe tube segment (21).

Abstract: A stent in a non-expanded state has a first and second expansion column, each consisting of a plurality of expansion strut pairs. An expansion strut pair includes a first expansion strut, a second expansion strut and a joining strut that couples the first and second expansion struts at one end. Expansion strut pairs include expansion strut pair first and second corners formed where the joining strut couples the first and second expansion struts. A connecting strut column, formed of a plurality of connecting struts couples the first and second expansion columns. Connecting struts include a proximal section, a distal section and an intermediate section. The proximal section is coupled to the corner of an expansion strut pair of the first expansion column, and the distal section is coupled to the joining strut of an expansion strut pair of the second expansion column intermediate the expansion strut pair first corner and the expansion strut pair second corner.

Abstract: A urethral prosthesis provides relief of urinary retention and has first and second tubular elements with an interposed bridge segment. A valve can be disposed in the second tubular element to control the flow of urine therethrough.