摘要:
This disclosure relates to endolumenal medical devices coated with a taxane therapeutic agent in one or more solid form(s) having varying dissolution rates. Particularly preferred coatings comprise amorphous paclitaxel, dihydrate paclitaxel, or combinations thereof that provide durable coatings that release paclitaxel over a desired period of time, which can be on the order of hours, days or weeks. Preferred embodiments relate to medical device coatings of paclitaxel, or paclitaxel analogs or derivatives, having one or more polymorph solid forms that provide a prolonged release of paclitaxel within a body vessel without requiring a polymer carrier or barrier layer to achieve the desired rate of paclitaxel elution.
摘要:
A coated medical device (10) including a structure (12) adapted for introduction into a passage or vessel of a patient. The structure is formed of preferably a non-porous base material (14) having a bioactive material layer (18) disposed thereon. The medical device is preferably an implantable stent or balloon (26) of which the bioactive material layer is deposited thereon. The stent can be positioned around the balloon and another layer of the bioactive material posited over the entire structure and extending beyond the ends of the positioned stent. The ends of the balloon extend beyond the ends of the stent and include the bioactive material thereon for delivering the bioactive material to the cells of a vessel wall coming in contact therewith. The balloon further includes a layer of hydrophilic material (58) positioned between the base and bioactive material layers of the balloon.
摘要:
A balloon catheter is provided that may be used to dilate hardened regions of a stenosis on a vessel wall. The balloon catheter is provided with cutting elements that extend along a surface of a balloon. At least one bioactive is present, either on the cutting element, within the interior of the balloon, within the material of the balloon or on an outside surface of the balloon. The bioactive is delivered to the vessel wall upon dilation of the balloon.
摘要:
An introducer device for a medical implant comprising a plurality of components for performing a sequence of steps to introduce the medical implant into a desired location and deploying it there wherein selected ones of said components are interconnected by a respective catch arrangement (142) whereby, when one component (104,106,136) has reached a first desired location (150) relative to another component (100), the catch arrangement automatically engages to resist withdrawal of said one component from its first desired location, and when said one component has reached a second desired location (152) relative to the other component, the catch arrangement automatically engages to resist withdrawal of said one component from its second desired location, characterised in that the first desired location is a temporary location and the second desired location is a final location, and in that the catch arrangement engages in a stronger manner at the final location than at the temporary location.
摘要:
A trigger wire release mechanism for selectively releasing a trigger wire (22, 24) from a prosthesis retaining device, includes an elongate body member (36) and a guide member (93, 94) slidably disposed on the body member, the guide member being moveable to disengage the trigger wire (22, 24) from the retaining device, and comprising a knob (100) disposed about the body member. A locking mechanism (120) is provided for limiting the axial position of the guide member (93, 94) along the elongate body member (36). The knob (100) comprises a body portion (102) and a head portion (104), the head portion and the body member having mutually engageable members which can be engaged by rotation of the head portion to prevent the knob from sliding along the body member.
摘要:
A multi-section tubular device suitable for use as a stent is provided. The multisection tubular device includes a first tubular section (12) having a first end and a second end. A second tubular section (18) is connected to the first end of the first tubular section and a third tubular section (20) is connected to the second end of the first tubular section. The first tubular section is more flexible than the second and third tubular sections. One advantage is that the coiled first tubular section is highly flexible axially, radially, and torsionally, which makes the multi-section tubular device resistant to kinking or fracturing.
摘要:
This disclosure relates to endolumenal medical devices coated with a taxane therapeutic agent in one or more solid form(s) having varying dissolution rates. Particularly preferred coatings comprise amorphous paclitaxel, dihydrate paclitaxel, or combinations thereof that provide durable coatings that release paclitaxel over a desired period of time, which can be on the order of hours, days or weeks. Preferred embodiments relate to medical device coatings of paclitaxel, or paclitaxel analogs or derivatives, having one or more polymorph solid forms that provide a prolonged release of paclitaxel within a body vessel without requiring a polymer carrier or barrier layer to achieve the desired rate of paclitaxel elution.
摘要:
Medical device delivery systems having internal cannulated joints are provided. An internal compression member has a distal mating end portion, an inner guide channel member has first and second end portions defining a channel. An insert body proximal connecting end portion having an exit port operatively couples the compression member mating end portion and insert body distal mating end portion operatively couples the inner member second end portion, the insert body connecting and mating end portions defining a lumen. Alternatively, the insert mating end portion is implanted into the inner member second end portion. Alternatively, the insert mating end portion disposes about the inner member second end portion, and a tubular outer sleeve has a proximal mounting end portion disposed about the insert mating end portion, whereby at least one junction operatively couples the inner member second end portion, insert mating end, and outer sleeve mounting end portion.
摘要:
One embodiment of the present invention provides an implantable valve prosthesis (100). The valve prosthesis (100) includes a frame (102) defining a lumen extending between a proximal frame end (A) and a distal frame end along a longitudinal axis (y-y' ) / and a first' valve leaflet (104) positioned within the. lumen and having a distal edge (110) attached to the frame (102) and a proximal edge (105) free of the frame (102). The first valve leaflet (104) comprises a first (108) and a second (109) slit extend distally from the proximal edge (106) and defining a free portion (112) of the first valve leaflet (104) between the first (108) and second (109) slits. The first valve leaflet (104) is movable between a first position that allows fluid flow in a first, antegrade, direction and a second position that restricts flow in a second, retrograde direction.
摘要:
In at least one embodiment of the present invention a balloon catheter is provided. The balloon catheter comprises a shaft having a lumen formed therethrough. Connected to the shaft is an inflatable balloon. The inflatable balloon has a balloon wall defining a balloon interior surface and a balloon exterior surface that is opposite the interior surface. In fluid communication with the balloon wall is the lumen for inflating the balloon to define an inflated state and for collapsing the balloon to define a deflated state. The balloon wall is textured in the deflated state such that the balloon interior surface is spatially registered with the balloon exterior surface. The balloon in the inflated state is tensioned to have a surface roughness substantially less than a surface roughness of the balloon in the deflated state.