摘要:
Surgical tissue fasteners and related deployment systems and methods are disclosed. A tissue fastener used to join multiple tissue layers includes a first member, a second member, and a connecting member connecting the first and second members. In some embodiments, the first and second members are configured to expand from a delivered state to a deployed state in which the fastener secures the tissue layers together. Other tissue fastener embodiments include means for applying a substantially constant force on the tissue layers and/or means for adjusting a length of the connecting member between the first and second members.
摘要:
A self-expanding endoluminal device comprising at least one tubular filamentary member having a hollow core for receiving a guidewire, the tubular member having a straightened configuration with the guidewire in the hollow core and a shape memory configuration without the guidewire in the hollow core. A delivery system includes the guidewire. The hollow core may contain a substance that is adapted to be eluted from the tubular member or permanently contained inside. The device may further comprise a graft. The device may also comprise a plurality of filamentary members, more than one of which may comprise tubular members. The device may also have a severable extension that extends outside of the body through which the substance may be periodically injected.
摘要:
A graft system for intraluminal delivery in a vessel in need of repair comprising a graft (140), anchoring means (130), and a strippable sheath (150) around at least part of the graft (140). A preferred anchoring means is a balloon-expandable stent (130). Also included in the invention is a method of using the device to treat a body lumen. The strippable sheath (150) is removable by pulling on a drawstring to remove it which permits expansion of the graft. The positioning of the device may then be adjusted prior to stent (130) dilation. A preferred embodiment of the invention includes a bifurcated graft system for intraluminal delivery in an aortic aneurysm comprising a bifurcated graft having a distal region (630) and two legs (620,660), an expandable stent (130) disposed in part of the distal region, and a strippable crocheted sheath (150) around the distal region and one of the two legs (620). The strippable crocheted sheath (150) is removable by untying it to permit expansion of the graft (140) after initial placement within the aneurysm.
摘要:
A graft system for intraluminal delivery in a vessel in need of repair comprising a graft (140), anchoring means (130), and a strippable sheath (150) around at least part of the graft (140). A preferred anchoring means is a balloon-expandable stent (130). Also included in the invention is a method of using the device to treat a body lumen. The strippable sheath (150) is removable by pulling on a drawstring to remove it which permits expansion of the graft. The positioning of the device may then be adjusted prior to stent (130) dilation. A preferred embodiment of the invention includes a bifurcated graft system for intraluminal delivery in an aortic aneurysm comprising a bifurcated graft having a distal region (630) and two legs (620,660), an expandable stent (130) disposed in part of the distal region, and a strippable crocheted sheath (150) around the distal region and one of the two legs (620). The strippable crocheted sheath (150) is removable by untying it to permit expansion of the graft (140) after initial placement within the aneurysm.
摘要:
A variable length endovascular prosthesis adapted to prevent endoleaks is provided that includes a substantially tubular first graft member having an interior surface, an exterior surface, and a proximal end, and a substantially tubular second graft member slidably engaged coaxially within the first graft member. The prosthesis further includes a substantially tubular fluid-tight connecting member attached at one end to the first graft member and attached at another end to the second graft member. The connecting member is axially compressible and expandable to facilitate engagement of the second graft member within the first graft member while maintaining a seal between the graft members.
摘要:
An apparatus includes a body configured to be at least partially inserted into a rectum of a patient. The body defines a first passageway and a second passageway between a proximal end portion and a distal end portion. The first passageway is configured to receive a medical tool and the second passageway is configured to communicate an insufflation medium. An insufflation port is coupled to the second passageway and is configured to communicate the insufflation medium to the second passageway. A retention portion is coupled to the body and is configured to have a dimension transverse to an axis defined by the body sufficient to retain at least a portion of the body in the rectum. The retention portion is configured to be located beyond an anus of the patient.
摘要:
A stent is provided that includes at least two stent segments which mate with one another. At least one of the stent segments includes a hollow member, and at least one of the stent segments includes a solid member. At least one of the solid members is secured to at least one of the hollow members.
摘要:
An elastomeric radiopaque adhesive composition which includes a biocompatible elastomeric matrix and a radiopaque material distributed therein in sufficient amounts to produce a radiopaque image. Further, a hybrid vascular prosthesis including a PTFE structure, a textile structure and a cured elastomeric bonding agent adhesively secures the PTFE to the textile. The elastomeric agent having radiopaque material impregnated therein in sufficient amounts to produce a radiopaque image.
摘要:
A prosthetic valve for implantation within a fluid conducting lumen within a body includes an elongate generally cylindrical radially collapsible valve body scaffold defining a fluid passageway therethrough for retentive positioning within the lumen. A radially collapsible leaf valve member is supported by the scaffold includes a number of valve leafs deflectable between a closed position restricting fluid flow through the passageway and an open position permitting fluid flow through the passageway. The leaf valve member includes an interior leaf valve frame defining a valve leaf aperture which is sealed by a fluid impermeable non-thrombogenic lining to prevent fluid flow therethrough.
摘要:
A method and apparatus of treating an abdominal aortic aneurysm in a patient comprises the steps of providing a deployable tubular graft (12) of length to extend across the aneurysm. The graft is inserted endovascularly through an artery communicating with the aorta to a site within the aorta whereby an insertion end of the graft is positioned adjacent a non-dilated region of the aorta. The graft is deployed such that such insertion end of the graft (12a) is placed against an interior wall of the non-dilated region (40) of the aorta. The graft is held from within the graft against the interior walls of the aorta and while being held, sutures (46, 48) are introduced laparoscopically through a wall of the aorta to the exterior of the graft whereby the graft is sutured to the inner walls of the aorta and the graft.