摘要:
A stent-delivery catheter system delivers and implants a self-expanding stent intraluminally into a human patient's body lumen. A self-expanding stent is removabaly attached to the distal end of an inner member so that attachment projections prevent axial movement of the stent on the inner member while the stent is being delivered and implanted in a patient's body lumen.
摘要:
An expandable stent for implantation in a body lumen, such as an artery, is disclosed. The stent consists of a plurality of radially expandable cylindrical elements generally aligned on a common longitudinal stent axis and interconnected by one or more interconnecting members placed so that the stent is flexible in the longitudinal direction. The strength of the stent at a center section or at either end can be varied by increasing the mass of the struts forming each cylindrical element in that center section or end section relative to the lower mass struts in the remaining sections of the stent. Increasing the mass of the struts can be accomplished by, for a given strut thickness, increasing the width of the strut, or increasing the length of a cylindrical element.
摘要:
A catheter assembly is provided for use in delivering and implanting a stent in a body lumen, such as in a coronary artery. An elongated catheter body includes an expandable member or balloon having a folded configuration and an expanded configuration wherein a plurality of pre-formed grooves extending generally circumferentially around the balloon when the balloon is in its folded configuration. An intravascular stent is removably crimped over the balloon and is at least partially retained on the balloon by the grooves. Upon inflation of the balloon, the grooves will flatten out thereby releasing the stent and allowing the stent to expand radially outwardly into contact with the body lumen or coronary artery.
摘要:
The invention is directed to a stent that is relatively flexible along its longitudinal axis but can be crimped or reduced to a very low profile while maintaining the ability to expand radially outwardly to any number of diameters to support a body lumen such as a coronary artery. The stent includes a plurality of cylindrical rings connected to each other by links. The cylindrical rings have curved portions that are attached by arms having slits that, when expanded, form apertures or holes to permit the stent to be reduced to a very low profile for delivery purposes, yet be able to expand the stent to various diameters and to provide sufficient vessel wall coverage when implanted.
摘要:
Polymeric stents having fracture toughness and resistance to recoil after deployment are disclosed along with methods of manufacturing such stents. Improvements to mechanical characteristics and other improvements may be achieved by having polymer chains within individual stent struts oriented in a direction that is closer to or in line with the axis of the individual stent struts. The desired orientation of polymer molecules may be achieved by one or any combination of extruding polymers into hollow tubes to induce axially oriented polymer chains, applying a tensile load to polymer tubes to induce axially oriented polymer chains, and radially expanding polymer tubes to induce circumferentially oriented polymer chains. Stent patterns include struts defining diamond shaped cells and/or W-shaped cells.
摘要:
Polymeric stents having fracture toughness and resistance to recoil after deployment are disclosed along with methods of manufacturing such stents. Improvements to mechanical characteristics and other improvements may be achieved by having polymer chains within individual stent struts oriented in a direction that is closer to or in line with the axis of the individual stent struts. The struts are connected to each other by hinge elements that are configured to bend during crimping and deployment of the stent. The hinge elements may be tangent or non-tangent to the adjoining struts so as to form W-shaped closed cells arranged in an offset brick pattern in which the size each W-shaped closed cell can be defined in part by a curvilinear length that is approximately 4.5 mm, which allows the stent to be crimped down to an OD of about 1.3 mm and expanded to an OD of at least about 3.5 mm.
摘要:
A strut pattern of an endoprosthesis includes a plurality of W-shape cells that define a tubular body, the W-shaped cells at the opposite ends of the tubular body have a modified configuration that is different than the W-shaped cells at the middle portion of the tubular body. At the distal end of the tubular body, the W-shaped cells have crests with axial positions that are axially spaced apart, and have troughs with circumferential positions that are spaced apart. At the intermediate and distal end of the tubular body, the W-shaped cells crests with axial positions that coincide and have troughs with circumferential positions that coincide. The strut pattern is cut from a tubular precursor construct made of PLLA that has been radially expanded and axially extended by blow molding.
摘要:
Methods, systems, devices and assemblies are provided for treating a patient by: making an incision or puncture though the patient's skin over the abdominal cavity; establishing an initial tract through an opening formed by the incision or puncture; advancing an instrument through the tract; contacting a distal end portion of the instrument against an inner surface of the abdominal cavity; driving at least one stitching needle through the inner surface of the abdominal cavity; continuing the driving until the at least one stitching needle exits the inner surface of the abdominal cavity; anchoring a suture carried by each of the at least one stitching needle to a suture anchor at an exit location, respectively; and applying tension to each of the sutures.
摘要:
Methods, systems, devices and assemblies are provided for treating a patient by: making an incision or puncture though the patient's skin over the abdominal cavity; establishing an initial tract through an opening formed by the incision or puncture; advancing an instrument through the tract; contacting a distal end portion of the instrument against an inner surface of the abdominal cavity; driving at least one stitching needle through the inner surface of the abdominal cavity, continuing the driving until the at least one stitching needle exits the inner surface of the abdominal cavity, anchoring a suture carried by each of the at least one stitching needle to a suture anchor at an exit location, respectively; and applying tension to each of the sutures.
摘要:
Methods, systems, devices and assemblies are provided for treating a patient by: making an incision or puncture though the patient's skin over the abdominal cavity; establishing an initial tract through an opening formed by the incision or puncture; advancing an instrument through the tract; contacting a distal end portion of the instrument against an inner surface of the abdominal cavity; driving at least one stitching needle through the inner surface of the abdominal cavity; continuing the driving until the at least one stitching needle exits the inner surface of the abdominal cavity; anchoring a suture carried by each of the at least one stitching needle to a suture anchor at an exit location, respectively; and applying tension to each of the sutures.