Abstract:
A hybrid prosthetic heart valve configured to replace a native heart valve and having a support frame configured to be expanded post implant in order to receive and/or support an expandable prosthetic heart valve therein (a valve-in-valve procedure). The prosthetic heart valve may be configured to have a generally rigid and/or expansion- resistant configuration when initially implanted to replace a native valve (or other prosthetic heart valve), but to assume a generally expanded form when subjected to an outward force such as that provided by a dilation balloon or other mechanical expander. An inflow stent frame is expandable for anchoring the valve in place, and may have an outflow end that is collapsible for delivery and expandable post-implant to facilitate a valve-in-valve procedure.
Abstract:
A system includes an inner filling structure around a stent-structure and an outer filling structure around the inner filling structure. The inner filling structure can be configured to produce a proximal seal with a first portion of an artery at a proximal end and a distal seal with a second portion of an artery at a distal end when the inner filling structure is in an inflacted state. The outer filling structure can have an inner surface surrounding at least a portion of the inner filling strucutre. The outer filling structure can be configured to be inflatable to occupy a space within an aneurysm at a lower pressure than a pressure in the inner filling structure.
Abstract:
A system for treating a patient is provided that includes an expandable vascular device having a body having a substantially uniform porosity that is adapted to change by adjusting an axial length of the body. The system also includes an expanding member positioned within a central lumen of the device, the expanding member configured to engage the body, as the body is radially expanded from a collapsed configuration, and to reduce a porosity of the body within a body region more than the body porosity is reduced outside the region.
Abstract:
A device and method for endovascular repair of a patient's aorta is disclosed. The device includes a frame component that has a balloon-expandable frame and a self-expanding frame secured to the balloon-expandable frame. The device also includes a valve element positioned at the proximal end of the frame component. The device may include another prosthetic component that may be secured to the frame component. The prosthetic component may include at least one conduit configured to receive a covered stent.
Abstract:
An interbody implant system for use with a first vertebra having a first endplate and a second vertebra having a second endplate. The system includes an expandable implant that includes a plurality of supports and means for linking the plurality of supports. The plurality of supports are capable of moving apart from one another so that the expandable implant is in an expanded condition. A channel extends through the first vertebra from a pedicle or the body wall to the first endplate. An unexpanded diameter for the expandable implant is configured to permit passage of the expandable implant through the channel. An expanded diameter for the expandable implant is greater than the channel diameter at the first endplate. The support height is configured to permit the plurality of supports to be positioned between the first endplate and the second endplate. Methods for the use of the system are described.
Abstract:
A radially expandable vessel support (22) for implantation in a secondary vessel (12) branching off from a main vessel (11) at a vessel opening (15) is provided with a distal main section (25) which, in the expanded state, bears on the inside wall (19) of the secondary vessel (12), and with a proximal segment (24) which, in the implanted state of the vessel support (22), lies in the vessel opening (15). The proximal segment (24) adjoins the main section (25) and permits a greater radial expansion than the main section (25).
Abstract:
The present invention provides apparatus and methods for treating a vascular condition by restoring patency to a vessel while reducing the likelihood that emboli become dislodged into the bloodstream. In a first embodiment, the apparatus comprises a graft having proximal and distal regions, a first support member attached to the distal region of the graft, and a second support member attached to the proximal region of the graft. The first and second support members may comprise first and second stents, respectively. The first stent is deployed distal to a vascular condition, and the second stent is deployed proximal to a vascular condition, such that the graft spans the length of the vascular condition to entrap emboli during treatment of the vascular condition. In an alternative embodiment, the first stent is adapted to be deployed within a vessel at a location distal to the vascular condition, and the graft is adapted to be everted to form a pocket adapted to entrap emboli dislodged during treatment of the vascular condition. The second stent then may be subsequently deployed proximal to the vascular condition, such that emboli trapped within the graft pocket are effectively sealed off from the bloodstream.
Abstract:
A stent assembly (10) includes a branch portion (25) and a main body (12) with a proximal (15) main body, a contralateral main body (20), and a distal main body (30). The branch portion is in fluid communication with the main body. In the expanded state the branch portion extends at an oblique angle in relation to the longitudinal axis. The main body and the branch portion are at least partially constructed of interconnected struts. A plurality of the struts are connected one to another by a peak. The distal main body has a greater peak width to strut width ratio than does the proximal main body and contralateral main body.
Abstract:
A hybrid intraluminal device and a method for fabricating the device is described. The device has structural elements which have different properties. One portion of the device may contain a stent having a zigzag configuration. A second portion of the device may contain a stent having a braided configuration. The first and second portions may possess the same architectural pattern but yet exhibit variation in radial force as a result of various properties of the structural elements. The portions are attached to a coating to form a hybrid stent. Gaps between the different stent sections provide flexibility to the stent. The first and second portions may be configured in numerous ways. The structural features of the hybrid stent can be adapted to satisfy the criteria of specific medical applications.
Abstract:
The invention relates to a stent for insertion into and placement inside a body cavity of a 5 human being or an animal, said stent being intended for having a first configuration during insertion into the cavity and said stent, after having been placed in the cavity, being intended for having a second configuration. In an aspect of the invention, an expandable part is constituted by at least one first section of at least one helical winding in a clockwise direction and at least one second section of at least one helical winding in a counter- 0 clockwise direction, each of said first and second at least one section being radially expandable so that during expansion, and where the at least one first section will be rotating in counter-clockwise direction and the at least one second section will be rotating in clockwise direction. In another aspect of the invention, a non-straight curvature of the retaining part is capable of conforming to a curvature of the body cavity, thereby avoiding migration of the stent along the body cavity, and substantially without application of radial forces from the retaining part onto the body cavity walls.