摘要:
A radially deployable covered stent that predictably and dependably expands to an increased diameter state at relatively low deployment pressures while concomitantly minimizing the risk of tearing of the stent covering during expansion. The stent covering includes an inner cover and an outer cover that are bonded together through and around the stent structure to cover the stent. The stent cover is constructed from expanded polytetrafluoroethylene (ePTFE) having a structure of nodes interconnected by fibrils. The stent covering has a radial thickness of at least about 0.008″ and an average internodal distance (IND) of at least about 100 microns when the stent is in the reduced diameter, unexpanded state. The covered stent deploys at an average deployment pressure of less than or equal to about 10 atm. A method for covering a stent structure according to the present invention includes placing a compression member in the form of a tubular sleeve over the outer cover and heating the compressed covered stent to bond the inner cover to the outer cover. An adhesive in the form of an aqueous dispersion of PTFE can be applied to either the inner cover or the outer cover to facilitate bonding of the inner cover to the outer cover.
摘要:
A radially-expandable stent for implantation in a bodily passageway, being expandable from an initial unexpanded state to an expanded state, having an outer surface with a geometric pattern covering said outer surface to minimize migration after implantation is provided. Also provided is a method of manufacturing such a stent.
摘要:
A balloon geometry is utilized herein where the balloon is inflatable from an initial unexpanded state to an expanded state. The balloon includes first and second portions; the first portion having a first diameter with the balloon being in the expanded state, the second portion having a second diameter with the balloon being in the expanded state, the first diameter being different from the second diameter. With a stent being mounted onto the balloon, expansion of the balloon results in the first portion of the balloon assisting a first portion of the stent to radially expand more than a second portion of the stent located adjacent to the second portion of the balloon. Preferably, the stent is formed of shape memory polymer. With the subject invention, one or both ends of the stent can be formed with larger diameters, or flares, in vivo at the point of implantation. The flared ends provide engagement points for the stent to a surrounding bodily passageway. Although the balloon may have various applications, it is particularly well-suited for use with shape memory polymer stents, which can be expanded and deformed in vivo.
摘要:
The deployment device includes at least one sheath, a dilation balloon, a transparent tip extending between the at least one sheath and the dilation balloon, a prosthesis, an inner tubular member and a camera to allow visualization of the stricture and prosthesis prior, during, and after deployment without the use of an endoscope. The sheath includes a camera extending from one end.
摘要:
The present invention relates to a medical device, for pancreas, equipped with drainage feature. The medical device includes a stent having an exterior surface, a proximal end and a distal end. The medical device further includes a drainage tube helically wrapped around the stent. The drainage tube includes an external surface, an internal surface, a proximal end, and a distal end. The external surface of the drainage tube is designed with a plurality of holes. The pluralities of holes are connected to the internal surface via a lumen. The plurality of holes can be configured to direct the fluid from side walls of pancreas and bring it out through lumen to avoid occlusion of the side walls in pancreas.
摘要:
A device for fastening tissue includes (a) a shaft extending longitudinally from a distal end insertable into a body to a proximal end attached to a controller which remains outside of the body, the shaft including a lumen extending therethrough and an opening extending through a wall of a distal portion thereof to open the lumen to an exterior of the shaft; (b) a first roller housed within the lumen adjacent to a first longitudinal edge of the opening such that a rotation of the first roller grasps and draws tissue from the body into the lumen in combination; and (c) a fastening element housed within the lumen adjacent to the opening and movable from a tissue receiving configuration to a tissue gripping configuration.
摘要:
A stent delivery system comprising an elongate inner structure, a tubular endoprosthesis holder supported on said elongate inner structure and in coaxial relation therewith, said endoprosthesis holder comprising, the endoprosthesis holder fixed in a coaxial relationship to said elongate inner structure, the endoprosthesis holder comprising a proximal connector structure having an outer surface, a distal connector structure having an outer surface and an intermediate connector structure having an outer surface extending between the proximal and distal connector structure, the outer surface of the at least one of the proximal connector structure, the distal connector structure or the intermediate connector structure comprising at least one outward protrusion.
摘要:
An endoprosthesis holder includes a proximal connector structure having an outer surface. A distal connector structure has an outer surface. An intermediate connector structure is connected to the proximal and distal connector structures such that the intermediate connector structure is between the proximal and distal connector structures. The intermediate connector structure includes one or more intermediate transverse structures and one or more axial structures. The one or more intermediate transverse structures are connected to one another and to the proximal and distal connector structures by the one or more axial structures. The intermediate connector structure has an outer surface. An outward protrusion is connected to one or more of the outer surfaces of the proximal connector structure or distal connector structure or intermediate connector structure.
摘要:
A system for intraluminally delivering and deploying stents and other prostheses includes an outer catheter, an inner catheter movable axially relative to the outer catheter, and an anchoring device mounted to a distal end region of the inner catheter. The anchoring device includes one or more control features that interact with a linking structure proximally disposed on the prosthesis, preferably including one or more loops. The control features and loops interact by surface engagement to anchor the prosthesis relative to the inner catheter in a nonfrictional manner, thus to maintain lower axial prosthesis deployment and retraction forces. In one version of the anchor, the control features extend radially outward from a sleeve. In another version, the control features are formed in respective recesses which also receive the loops or other linking structure.