Abstract:
A prosthesis delivery device and method of using the same is described. The delivery device comprises a rotatable inner cannula extending from a proximal end to a distal end with a prosthesis releasably coupled to the proximal end. A delivery handle assembly is disposed at the distal end of the delivery device. The handle comprises a first handle disposed about the inner cannula, a rotary dial rotatably disposed about a distal end of the first handle and a second handle disposed about at least a portion of the distal end of the first handle. The second handle is longitudinally moveable relative to the first handle between a first position wherein the sheath is coaxially disposed about the prosthesis and rotation of the rotary dial is prevented, and a second position wherein the sheath is retracted distally to expose at least a portion of the prosthesis and rotation of the dial is permitted.
Abstract:
The present embodiments provide an endoluminal prosthesis deployment system and method for deploying the prosthesis for cannulation of branch vessels. The prosthesis includes an anterior fenestration and a posterior opening. A guide is disposed to exit the prosthesis lumen through a lateral fenestration, enter through the anterior fenestration, and exit the prosthesis lumen through the posterior opening. A sheath can be preloaded over the branch wire at the lateral fenestration for vessel cannulation, such as in renal arteries. The sheath can include another branch wire that extends from the lateral fenestration to another lateral fenestration. An end of the guide is retracted after partial expansion of the prosthesis, and another sheath is inserted over the retracted guide and moved through the posterior opening and to the anterior fenestration. A separate branch guide wire is then directed through the sheath for vessel cannulation, such as the SMA.
Abstract:
A prosthesis delivery comprising a rotatable inner cannula and a prosthesis releasably coupled to a proximal end of the inner cannula is disclosed. The inner cannula has a first position in which the prosthesis is retained on the cannula and a second position in which the prosthesis is released. At least one magnet is disposed on the inner cannula. A handle assembly is disposed about a distal portion of the inner cannula, the handle assembly comprising a rotary collar having at least one magnet disposed on the inner surface thereof, wherein the at least one magnet disposed on the rotatable inner cannula and the at least one magnet disposed on the inner surface of the rotary collar comprise a magnetic attraction. The magnetic attraction translates torque from rotation of the rotary collar to rotate the inner cannula from the first position to the second position to thereby release the prosthesis.
Abstract:
A stent graft for deployment into the aorta of a patient has a tubular body with a proximal portion of a selected diameter; preferably a reduced diameter portion, distal of the proximal portion, having a diameter less than the selected diameter; a tapered portion, extending between the proximal portion and the reduced diameter portion; and optionally a distal portion, distal of the reduced diameter portion. At least three, preferably four or five, low profile side arms are provided, preferably in the reduced diameter portion and/or the tapered portion, for connection of an arm extension to an aortic branch vessel. All but one of the side arms are to be connected at the physician's choice, depending on the anatomy of the patient. One side arm is to provide temporary profusion to external of the stent graft after deployment of the stent grant into the aorta, and is subsequently blocked.
Abstract:
The present embodiments provide a prosthesis comprising first and second segments, and an axially extendable segment coupled to the first and second segments. A valve is coupled to at least one of the axially extendable segment or the second segment. The axially extendable segment comprises a first state in which the valve at least partially overlaps with the first segment, and the axially extendable segment comprises a second state in which the valve lacks an overlap with the first segment.
Abstract:
A stent for use in a medical procedure having opposing sets of curved apices, where the curved section of one set of apices has a radius of curvature that is greater than the curved section of the other set of apices. One or more such stents may be attached to a graft material for use in endovascular treatment of, for example, aneurysm, thoracic dissection, or other body vessel condition.
Abstract:
A prosthesis delivery comprising a rotatable inner cannula and a prosthesis releasably coupled to a proximal end of the inner cannula is disclosed. The inner cannula has a first position in which the prosthesis is retained on the cannula and a second position in which the prosthesis is released. At least one magnet is disposed on the inner cannula. A handle assembly is disposed about a distal portion of the inner cannula, the handle assembly comprising a rotary collar having at least one magnet disposed on the inner surface thereof, wherein the at least one magnet disposed on the rotatable inner cannula and the at least one magnet disposed on the inner surface of the rotary collar comprise a magnetic attraction. The magnetic attraction translates torque from rotation of the rotary collar to rotate the inner cannula from the first position to the second position to thereby release the prosthesis.
Abstract:
An endoluminal prosthesis system includes a tubular graft having a pocket on the exterior of the graft. The graft further includes a wire extending within a lumen of the graft, with the wire extending through the passageway and into the pocket. An extension prosthesis can be inserted over the wire and into engagement with the pocket and the passageway, where the extension prosthesis can be sealed with the pocket and the passageway to seal the otherwise unused passageway in the graft.
Abstract:
A deployment device for deploying an expandable endoluminal prosthesis within a body vessel may include an elongate member extending longitudinally along at least a portion of a length of the deployment device. The deployment device may include at least one engagement member coupled to the elongate member and extending outwardly from the elongate member. The deployment device may include a circumferential trigger wire extending at least partially circumferentially around the elongate member and removably received between the engagement member and the elongate member. The circumferential trigger wire may be manipulatable from a distal end of the deployment device, whereby the circumferential trigger wire is removable from between the engagement member and the elongate member.
Abstract:
The present embodiments provide systems and methods for deploying at least a portion of a stent. In one embodiment, the system comprises a cannula having an outer surface, and at least one coiled member having proximal and distal ends and a plurality of turns disposed therebetween. One of the proximal and distal ends of the coiled member is secured to the outer surface of the cannula, and the other of the proximal and distal ends of the coiled member is unsecured relative to the outer surface of the cannula. A portion of a stent is looped around the unsecured end of the coiled member and disposed within spacing between adjacent turns of the coiled member. Rotation of the cannula subsequently causes the portion of the stent to disengage from the coiled member.