摘要:
The reconstrainable stent delivery system of the present invention comprises a proximal end and distal end which include inner and outer members. A pusher is positioned at the proximal end of the inner member. A slider is located coaxially with the inner member and is positioned within the inner diameter of the stent. The slider can rotate about and move longitudinally along one of an inner shaft or tube, such as the guide wire tube, such that the proximal end of the stent can move distally as the stent deploys. A pusher can be used on the guide wire tube such that the guide wire tube, pusher, and stent move proximally relative to the outer sheath and re-constrain the stent in the outer sheath. Furthermore, the pusher and guide wire tube could move distally as the outer sheath retracts proximally for stent deployment to accommodate foreshortening.
摘要:
A stent for insertion into a vessel of a patient, comprising: a tubular member having a first smaller diameter for insertion into the vessel, and a second larger diameter for deployment within the vessel, and defining a longitudinal axis, said tubular member including a central portion comprised of a plurality of helical circumferential windings separated by a helical space, each of said windings including a plurality of undulations, with each said undulation being defined by two adjacent struts and a loop connecting said struts, at least one cylindrical end portion at an end of said central portion and, a transition zones between said central portion and each of said cylindrical end portions, said transition zone including a plurality of transition undulations having struts that progressively increase in length, wherein a relatively longer strut of said transition undulations has a relatively wider width than a relatively shorter strut of said transition undulations.
摘要:
Apparatus and methods are described for use with a blood vessel of a subject. An annular antenna is placed inside the blood vessel such that radial expansion of the antenna is limited by a circumference of the blood vessel. A transmitter generates an inductive current in the antenna, by transmitting RF energy toward the antenna. A control unit measures the inductive current in the antenna, and, in response thereto, determines a physiological parameter of the subject. Other applications are also described.
摘要:
The present invention relates to a stent for implant in a mammalian body comprising a tubular structure having a central axis defining a longitudinal direction and a circumferential sidewall having a wall thickness, and apertures extending through the sidewall, said apertures separating longitudinal struts having different widths and joined at apices, with a plurality of the struts grouped to define a cell, and adjacent cells being joined by connectors on opposed sides of the cell in the longitudinal direction, the struts, apices and connectors forming undulating row patterns, wherein in the circumferential direction of the stent, each cell comprises a first group of struts having a first width and a second group of struts having a second width different from the first width, and wherein at least one of the struts in the first group of struts extends from a connector and has a smaller width dimension than the struts in the second group of struts.
摘要:
Expandable medical device comprising: elongated struts (18) joined together to form a cylindrical device (12) which is expandable from a cylinder having a first diameter to a cylinder with a second diameter, struts having width and thickness in a radial direction, at least one opening (16) in at least one of the struts, and at least one beneficial agent provided in the at least one opening in layers, is new. Expandable medical device comprises: (a) elongated struts(18) , elongated struts joined together to form a cylindrical device (12) which is expandable from a cylinder having a first diameter to a cylinder with a second diameter; (b) struts each having strut width in a circumferential direction and a strut thickness in a radial direction; (c) at least one opening (16) in at least one of the struts; and (d) at least one beneficial agent provided in the at least one opening in layers Independent claims are also included for the following: (1) an expandable medical device for treating cardiac arrhythmias, comprising: an expandable cylindrical device having struts with openings containing a chemically ablative, the openings being configured to deliver the ablative to tissue surrounding the device without permanently trapping any agent in the openings; and (2) a method of forming an expandable medical device by providing the device with struts joined together to form a device which is expandable from a cylinder with a first diameter to a cylinder with a second diameter; forming at least one opening in at least one of the struts, and delivering at least one beneficial agent into the at least one opening in layers.
摘要:
A stent incorporating flexible, preferably polymeric, connecting elements into the stent wherein these elements connect adjacent metallic stent element(s) across an intervening space and have optimized geometries. In one configuration the metallic elements are the result of forming the stent from a helically wound serpentine wire having intervening spaces between adjacent helical windings of the wire. The polymeric connecting elements are designed to fold within the space between the outer diameter of the stent and the inner diameter of the stent when the stent is subjected to compaction or bending. Other stent forms such as multiple, individual spaced-apart ring-shaped or interconnected stent elements may also be used.
摘要:
A method of deploying a bifurcation stent at a vascular bifurcation of a main vessel into first and second branch vessels includes: positioning a bifurcation stent at a vascular bifurcation, the bifurcation stent expandable from a reduced diameter to an expanded diameter, the bifurcation stent comprising a first end, a second end, and a marker near the first end, wherein the first end diameter is larger than the second end diameter when the bifurcation stent is expanded, and wherein the bifurcation stent is positioned such that the marker is approximately aligned with a carinal plane at the vascular bifurcation; partially expanding the first end of the bifurcation stent; adjusting the position of the bifurcation stent such that the marker is positioned past the carinal plane and towards the first branch vessel; and deploying the bifurcation stent at the bifurcation. Devices are also disclosed.