A block copolymer comprises an A block and a B block. The A block provides mechanical strength while the B block provides elasticity to the polymeric material. The block copolymer may be an ABA tri-block copolymer. The A block may include one or more of polyglycolide (PGA), polylactic acid (PLA), or copolymer thereof. The B block may include a random copolymer of (i) glycolide (GA) and/or lactide (LA), (ii) trimethylene carbonate (TMC), and (iii) ε-caprolactone (CL). The block copolymer may cover an implantable device which may be used in delivering immediate hemostasis at a puncture site in a wall of a blood vessel.
An expandable stent for implantation in a body lumen, such as an artery, consists of a plurality of radially expandable cylindrical rings generally aligned on a common longitudinal stent axis and interconnected by one or more interconnecting links placed so that the stent is flexible in the longitudinal direction. The radial strength of the stent is enhanced by selectively increasing the width of the crests by offsetting the center points of inner arcs relative to outer arcs.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A guidewire having improved torque characteristics in a proximal section of the guidewire. The proximal section has a square cross-section and a plurality of twists along the length of the proximal section. The plurality of twists have a pitch in a range from 1 to 3 twists per 1.0 inch so that the guidewire has less than a 15° torque delay when the proximal section is subjected to torsional forces
A vessel closure device for delivering substantially immediate hemostasis at a puncture site in a wall of a blood vessel includes an intravascular anchor having one or more suture attachment points, an extravascular cap having a lumen, a sealant, and a suture connected to at least one of the one or more suture attachment points of the intravascular anchor and threaded through the lumen of the extravascular cap, wherein each of the intravascular anchor, extravascular cap, sealant, and suture are formed of bioabsorbable materials. Delivery systems for delivering such a vessel closure device are also disclosed.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A catheter includes a midshaft having a proximal midshaft end and a distal midshaft end. An inner shaft extends distally through the midshaft to a distal inner shaft end. A balloon has a proximal balloon shoulder coupled to the distal midshaft end and a distal balloon shoulder coupled to the inner shaft. A proximal shaft is coupled to the proximal midshaft end. The proximal shaft includes a support member that extends through the balloon at least to the distal balloon shoulder.
An interventional system (402) is used to treat a lesion in a target anatomy. The interventional system includes a balloon catheter (404) and a guidewire (100). The balloon catheter includes a balloon (406) coupled to a catheter shaft (408). The catheter shaft includes a guidewire lumen (412) having a lumen diameter (424). The guidewire includes a coil tip (110) coupled to a guidewire shaft (101) at a proximal joint (112). A coil diameter (114) of the coil tip at the proximal joint is larger than the lumen diameter of the catheter shaft. The interventional system can be used to access and treat the lesion in the target anatomy. Other embodiments are also described and claimed.
24344, e.g., in a volumetric ratio (as prepared) of about 6:1:1, wherein the electrolyte further comprises ethylene glycol. The metallic body is electrochemically processed in the electrolyte solution in the electropolishing cell, wherein the mass removal and electropolishing includes application of an alternating current with a forward:reverse current ratio of at least 3:1 (e.g., from 3:1 to 5:1). Voltage may be allowed to float, e.g., within a range of 1 to 6 volts. Superficially similar processes using DC, other AC settings, or without ethylene glycol were ineffective.
A medical device includes a catheter shaft extending along a longitudinal axis and having a shaft lumen. A balloon includes a proximal balloon end coupled to the catheter shaft, an interior in fluid communication with the shaft lumen, and a distal balloon end. A lead wire extends from a proximal wire end through the shaft lumen and the interior to a distal wire end. The lead wire includes a stepped portion between a proximal wire surface and a distal wire surface. The distal balloon end is axially fixed to the proximal wire surface. The proximal wire surface is narrower than the distal wire surface. Other embodiments are described and claimed.
Systems, methods, and apparatuses for depositing polymer and/or other layers onto surfaces of, for example, implantable medical devices. In some embodiments, the polymer and/or other coating layers are deposited via plasma polymerization deposition. In some embodiments, primer layers are deposited via plasma polymerization deposition. A coating layer can be formed over a primer layer. The deposited layers can be bioresorbable and/or bioabsorbable.
e.g.e.g., stents) formed of cobalt-based alloys that comprise cobalt, chromium, tungsten, nickel, and platinum or another another metal having an atomic number or density greater than that of cobalt for increased radiopacity. In particular, processes are described for removing precipitate inclusions (e.g., tungsten rich precipitates) that render the alloy otherwise unsuitable for use in formation of a stent or similar implantable structure. The alloy with such precipitate inclusions can be heat treated within a narrow temperature range of about 1250°C (e.g., 1225°C to 1275°C) for a time period in a narrow range of about 30 minutes (e.g., 20 to 40 minutes), to remove such precipitate inclusions. Higher temperatures and/or longer treatment times surprisingly do not resolve the precipitate inclusions, but treatment at about 1250°C for about 30 minutes substantially removes the precipitates, resulting in a substantially homogenous structure suitable for use as a stent.
A stent delivery catheter assembly for delivering and implanting a self-expanding stent in a body lumen includes a handle assembly for one handed use. The handle assembly has a mode selection for advancing, reversing and locking the stent delivery components. Rotation of a thumbwheel allows the physician to deploy and implant the self-expanding stent in the body lumen with control and precision by simultaneously pulling a sheath proximally and pushing a pusher member distally.
A guidewire formed from drawn filled tubing having an inner core member encased in an outer layer. The inner core member is formed from a linear elastic or superelastic material and the outer layer is formed from a metal alloy such as 35N LT. A portion of the outer layer is ground down to form a feather edged joint between the outer layer and the inner core member.
A vessel closure device for delivering immediate hemostasis at a puncture site in a wall of a blood vessel includes an intravascular anchor having one or more suture attachment points, an extravascular cap having a lumen, a sealant, and a suture connected to at least one of the one or more suture attachment points of the intravascular anchor and threaded through the lumen of the extravascular cap, wherein each of the intravascular anchor, extravascular cap, sealant, and suture are formed of bioabsorbable materials.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
A61B 90/00 - Instruments, outillage ou accessoires spécialement adaptés à la chirurgie ou au diagnostic non couverts par l'un des groupes , p. ex. pour le traitement de la luxation ou pour la protection de bords de blessures
A guidewire for use in intravascular procedures has a solder or weld joint at a distal end thereof. A plurality of dimples are formed on the solder/weld joint to increase the engagement and penetration of fibrous material including chronic total occlusions (CTO).
A guidewire for use in intravascular procedures has an inner coil that is radiopaque and an outer coil that is non-radiopaque at the distal end of the guidewire. The radiopaque inner coil is visible under fluoroscopy so that the physician can monitor the location of the distal end of the guidewire during a procedure. The inner coil and the outer coil can be formed from a single wire or a multi-filar wire. The inner coil and the outer coil can have any of the following cross-sections for enhanced torquability: I-beam; vertical rectangular; vertical ellipse; square; peanut shape; vertical hexagonal; horizontal hexagonal; and horizontal ellipse.
A guidewire for use in intravascular procedures has an inner coil that is radiopaque and an outer coil that is non-radiopaque at the distal end of the guidewire. The radiopaque inner coil is visible under fluoroscopy so that the physician can monitor the location of the distal end of the guidewire during a procedure. The inner coil and the outer coil can be formed from a single wire or a multi-filar wire. The inner coil and the outer coil can have any of the following cross-sections for enhanced torquability: I-beam; vertical rectangular; vertical ellipse; square; peanut shape; vertical hexagonal; horizontal hexagonal; and horizontal ellipse.
A guidewire for use in intravascular procedures has an elongated core member including a proximal core section having a uniform diameter. One or more parabolic grind profile sections extend distally from the distal end of the proximal core section and provide a linear change in bending stiffness and a high degree of torque to the distal portion of the guidewire.
Embodiments are directed to radiopaque implantable structures (e.g., stents) formed of cobalt-based alloys that comprise cobalt, chromium, tungsten, and nickel, and methods for their manufacture. Tungsten is present above its solubility limit (about 15%) at ambient temperature, but is still only present as a super-saturated, primarily single-phase material exhibiting an FCC microcrystalline structure.
C22F 1/10 - Modification de la structure physique des métaux ou alliages non ferreux par traitement thermique ou par travail à chaud ou à froid du nickel ou du cobalt ou de leurs alliages
19.
METHODS, SYSTEMS, AND DEVICES FOR POSITIONING SUTURES FOR CLOSING AN OPENING IN TISSUE
A closure device for closing an opening in tissue that includes a needle actuation handle that cooperates with a housing. A hollow needle is selectively movable by the needle actuation handle, the needle including a slot extending proximally from a distal end of the needle. A suture anchor is positioned within and selectively releasable from the slot and coupled to a suture. A portion of the suture anchor extends proximally along an outer surface of the needle as the needle is advanced through tissue adjacent the opening.
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A61B 17/04 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour la suture des plaiesSupports ou emballages pour aiguilles ou matériaux de suture
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 rings generally aligned on a common longitudinal stent axis and interconnected by one or more interconnecting links placed so that the stent is flexible in the longitudinal direction. The link pattern is optimized to enhance longitudinal flexibility and high longitudinal strength compression of the stent.
A61F 2/82 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents
A61F 2/86 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles
A61F 2/91 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A torque device for gripping and manipulating a guidewire for advancing the guidewire into a patient's vascular system. The torque device is configured for single-handed use and can be opened for repositioning the torque device relative to the guidewire and closed for gripping the guidewire to prevent axial and rotational movement relative to the guidewire. The torque device grips the guidewire at multiple spaced apart locations on the guidewire.
A guidewire for use in penetrating through complex and stenosed lesions. The distal tip of the guidewire has a roughened surface to increase frictional engagement with calcified and fibrous tissue to increase the penetration of the distal tip and the guidewire into and through the lesion and reduce the likelihood of deflection of the guidewire tip. The average surface roughness of the distal tip is in the range from 1 micron to 200 microns.
A medical device includes a balloon expanded scaffold (or stent) crimped to a catheter having a balloon. The scaffold is crimped to the balloon by a process that includes using protective polymer sheaths or sheets during crimping, and resetting the sheaths or sheets during the crimping to avoid or minimize interference between the polymer material and scaffold struts as the scaffold is reduced in size. Balloon pressure is adjusted when the polymer material is reset.
A61F 2/958 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes ballons gonflables pour insérer les stents ou les endoprothèses déployables couvertes
24.
INTRAVASCULAR STENT HAVING HIGH FATIGUE PERFORMANCE
The invention is directed to an expandable stent for implantation in a body lumen, such as an artery, and a method for making it from a single length of tubing. The stent consists of a plurality of radially expandable cylindrical elements generally aligned on a common axis and interconnected by one or more links. A Y-shaped member comprised of a link and a U-shaped member has relief dimples formed in the curved portion of a valley to reduce localized stress and thereby reduce fatigue failure that can lead to link structure failure.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A device (120) for connecting together two opposing leaflets of a valve in a patient's heart, comprising: a first clip (122) having a generally U-shape, comprising a first prong (128) and a second prong (130), and a first bridge (140) connecting the first prong to the second prong; a second clip (124) having a generally U-shape, comprising a third prong (132) and a fourth prong (134), and a second bridge (142) connecting the third prong to the fourth prong; a third clip (126) having a generally U-shape, comprising a fifth prong (136) and a sixth prong (138), and a third bridge (144) connecting the fifth prong to the sixth prong, wherein the third prong has a first elongate axis and the fifth prong has a second elongate axis and the third prong and the fifth prong are positioned to extend adjacent to and parallel with the first prong, and are configured to rotate about the first elongate axis and the fifth elongate axis respectively.
The invention is directed to an expandable stent for implanting in a body lumen, such as a coronary artery, peripheral artery, or other body lumen. The invention provides for an intravascular stent having a plurality of cylindrical rings connected by undulating links. The stent has a high degree of flexibility in the longitudinal direction, yet has adequate vessel wall coverage and sufficient radial strength to hold open an artery or other body lumen. The stent can be compressed or crimped onto a catheter to a very low profile since the inside radii of curvature of some of the peaks and valleys allow the stent to be crimped to a very low profile onto a catheter and increase radial strength over prior art stents.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A method of accelerated aging of bioresorbable polymer scaffolds (10) including exposing the scaffold to water is disclosed. The scaffold (10) is exposed to water at a controlled temperature for a selected aging time. The functional outputs, such as radial strength, expandability, and %recoil obtained from aged scaffolds predict those of real-time aging of the scaffold. The accelerated aging factor, which is the required shelf life divided by the aging time, is significantly higher for poly(L-lactide) scaffolds tested than thermal aging.
A jointed system for delivering a medical device to a target location within a human anatomy, comprising: a first segment that is a hollow cylinder, wherein a first flange and a second flange are attached to the distal end and extend distally away from the first segment; a second segment that is a hollow cylinder and has a proximal end and a distal end, wherein a third flange and a fourth flange are attached to the proximal end and extend proximally away from the second segment; a connector element having four cylindrical lugs extending radially away from a central point, wherein each lug passes, respectively, through a circular hole, and further wherein the connector element defines at least two separate openings extending in a direction from the distal end of the first segment to the proximal end of the second segment.
The invention provides medical devices, systems and methods for tissue approximation and repair and in particular to reduce mitral regurgitation by means of improved coaptation. The devices, systems and methods of the invention will find use in a variety of therapeutic procedures, including endovascular, minimally-invasive, and open surgical procedures, and can be used in various anatomical regions, including the cardiovascular system, heart, other organs, vessels, and tissues. The invention is particularly useful in those procedures requiring minimally-invasive or endovascular access to remote tissue locations, where the instruments utilized must negotiate long, narrow, and tortuous pathways to the treatment site.
A61B 17/128 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical pour appliquer ou enlever les clamps ou les pinces
A61B 17/122 - Clamps ou pinces, p. ex. pour le cordon ombilical
A medical device includes a balloon expanded scaffold crimped to a catheter having a balloon. The scaffold has a network of rings formed by struts connected at crowns and links connecting adjacent rings. The scaffold is crimped to the balloon by a process that includes using protective polymer sheaths or sheets during crimping, and adjusting the sheaths or sheets during the crimping to avoid or minimize interference between the polymer material and scaffold struts as the scaffold is reduced in size.
Expandable electrophysiology catheters having electrodes mounted on splines of an expandable member are described. The splines of the expandable member include subsegments between a proximal location and a distal intersection at a central axis. The subsegments can include respective top-down profiles, and at least one of the top-down subsegment profiles is straight between the central axis and an adjacent top-down subsegment profile. The subsegments can be interconnected to extend continuously about the central axis from the proximal location to the distal intersection. Other embodiments are also described.
A system for delivering an implant including a handle, a trigger, an actuation assembly, and a catheter assembly. The actuation assembly is configured to displace the outer tubular member in the proximal direction and to separately move the inner shaft member distally upon deployment of the trigger from the first position to the second position, and move the inner shaft member proximally with no displacement of the outer tubular member upon return of the trigger from the second position to the first position. The catheter assembly includes an outer tubular member, an inner shaft member, and a pusher assembly.
A61F 2/966 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure avec un mouvement longitudinal relatif entre la gaine extérieure et la prothèse, p. ex. utilisant une tige poussoir
A61F 2/95 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes
A system for repairing a tricuspid valve in a patient's heart comprising a post having a distal end and a proximal end, a capture element attached to the distal end of the post, the capture element including: a plurality of arms each having a first end and a second end, each arm attached at the first end to the post and extending both radially outwardly from the post and proximally, each arm defining an opening at the second end; a wire passing sequentially through the opening on each arm, whereby tensioning the wire draws the second end of each arm towards the post.
Devices, systems and methods for repairing a valve in a patient's heart includes a two or more fixations devices, each fixation device being attachable to the free end of a target tissue, such as a valve leaflet, the fixation devices being coupled together by a coupling device capable of re-positioning and coupling the fixation devices in order to re-position the free ends of the valve leaflets.
A61B 17/122 - Clamps ou pinces, p. ex. pour le cordon ombilical
A61B 17/128 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical pour appliquer ou enlever les clamps ou les pinces
A61B 17/29 - Pinces pour la chirurgie faiblement invasive
A system for repairing a tricuspid valve and positioned at a distal end of a catheter having a proximal end and a distal end and a bore extending between the proximal end and the distal end. The system comprises an activation element extending along the bore, the activation element including a first push element and a first pull element; a second push element and a second pull element; a third push element and a third pull element; wherein the first push element, the second push element, and the third push element are independently slideable in relation to each other; a first lower jaw being pin connected to the first pull element; a second lower jaw being pin connected to the second pull element; a third lower jaw being pin connected to the third pull element.
A system for repairing a tricuspid valve in a patient's heart; a first shaft; a first disc removably mounted on the first shaft; a second shaft coaxially aligned with, and slideable in relation to, the first shaft; a second disc removably mounted on the second shaft, wherein the second disc is positioned proximal of the first disc; and wherein the first disc includes a plurality of openings positioned on an outer perimeter of the first disc, and a first cinch wire extending through the plurality of openings and thence through the catheter to the proximal end, the first cinch wire being tensionable for reducing the outer perimeter of the first disc.
A system for delivering a platform to support a prosthetic mitral valve (410) in a patient's heart (102), the system comprising a delivery catheter (600) that includes a slidable sheath (602) and a tube (606) positioned within the slidable sheath (602) and being cut to define a structure that includes: an annular portion defining a bore and an axis that extends along the bore, and further defining at least one opening (607) in a circumferential surface of the annular portion; a plurality of upper elements attached to an upper perimeter of the annular portion and extending axially; and a plurality of lower elements attached to a lower perimeter of the annular portion and extending axially; a piston (620) configured to slide within the tube (606), the piston (620) defining a lumen (622, 625, 633) that receives at least one pin configured to slide out of the lumen (622, 625, 633) so as to pass through the at least one opening (607).
A lubricated tubular graft (220) is implanted in the inferior vena cava and the superior vena cava in order to control the inflow of blood to the right atrium. A bifurcated leg (224) with a non-collapsing stent (242) extends across the tricuspid valve. A bioprosthetic valve (246) is positioned proximal of the stent in the bifurcated leg in order to regulate flow through the tricuspid valve and to eliminate tricuspid regurgitation.
Delivery systems are disclosed for bioresorbable scaffolds that decrease in length when expanded to a deployment diameter that allow accurate positioning of the scaffold at a lesion. The scaffolds are mounted on a catheter that includes marker bands that are positioned interior to the proximal and distal edges of the crimped scaffold to anticipate the shortening of the scaffold upon deployment. Delivery systems are further disclosed for bioresorbable scaffolds that increase in length when expanded to a deployment diameter that allow accurate positioning of the scaffold at a lesion. The scaffolds are mounted on a catheter that includes marker bands that are positioned exterior to the proximal and distal edges of the crimped scaffold to anticipate the lengthening of the scaffold upon deployment.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A61F 2/958 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes ballons gonflables pour insérer les stents ou les endoprothèses déployables couvertes
A61F 2/82 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents
A catheter for delivering an implant, the catheter comprising a shaft having a proximal end and a distal end and a bore; a first joint in the shaft, the first joint being configured to permit adjacent portions of the shaft to rotate in relation to each other; a second joint in the shaft located distal of the first joint, the second joint being configured to permit adjacent portions of the shaft to rotate in relation to each other; wherein, the first joint and the second joint are separated by a first digit that is rotationally rigid at all points between the first joint and the second joint; further wherein, the second joint and the distal end are separated by a second digit that is rotationally rigid at all points between the second joint and the distal end, the second digit being sized to receive an implant.
A method of making a core metal element for a medical guidewire comprising providing a wire of nickel titanium alloy having a length that includes a proximal portion having a first diameter and a distal portion having a second diameter. Applying cold work to the distal portion and not applying cold work to the proximal portion, thereby imparting to the distal portion a third diameter that is smaller than the second diameter; and then applying a reducing process to the wire whereby the proximal portion is reduced to have a fourth diameter that is less than the first diameter.
A thin-walled scaffold includes a radiopaque marker connected to a link. In a first example, the marker is retained on the strut by a head at one or both ends by swaging. In a second example of a thin-walled scaffold the link is modified to avoid interference during crimping. In a third example a distal end of the thin-walled scaffold is modified to improve deliverability of the thin-walled scaffold. These features are combined in a fourth example.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A61F 2/958 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes ballons gonflables pour insérer les stents ou les endoprothèses déployables couvertes
43.
NON-CIRCULAR RADIOPAQUE MARKERS AND METHODS FOR ATTACHING A MARKER TO A SCAFFOLD
A scaffold includes a marker connected to a strut. The marker is retained within the strut by a tongue-and-groove connection. The marker is attached to the strut by a process that includes pressing a non-circular marker into a rectangular hole of the scaffold strut. The strut sidewalls are restrained to produce the tongue and groove connection.
Stents including a poly(D,L-lactide)(PDLLA)-based scaffold and PDLLA based therapeutic layer are disclosed. The PDLLA based scaffold may be amorphous and may include a primer layer. Methods of applying the PDLLA-based coating to the scaffold are disclosed with solvent processing methods using a solvent blend are also disclosed. Methods of removing residual solvent from a PDLLA-base coating that also condition the scaffold are disclosed. Methods of treating restenosis that release drugs to prevent restenosis without interfering with the natural positive remodeling of a vessel are disclosed.
A61L 31/06 - Matériaux macromoléculaires obtenus autrement que par des réactions faisant intervenir uniquement des liaisons non saturées carbone-carbone
Methods of fabricating a stent are disclosed including forming a primer layer on a surface of the scaffold including a first polylactide polymer. The primer layer includes a second polylactide polymer and is free of a therapeutic agent. The scaffold with the primer layer is thermally treated to condition the scaffold. A therapeutic layer is formed over the primer layer and the therapeutic layer includes the second polylactide polymer and a drug. The scaffold is crimped and the primer layer improves adhesion of the therapeutic layer to the scaffold and reduces or prevents damage to the therapeutic layer during crimping.
A61L 31/06 - Matériaux macromoléculaires obtenus autrement que par des réactions faisant intervenir uniquement des liaisons non saturées carbone-carbone
A scaffold includes a radiopaque marker connected to a strut. The marker is retained within the strut by a head at one or both ends. The marker is attached to the strut by a process that includes forming a rivet from a radiopaque bead and attaching the rivet to the marker including deforming the rivet to enhance resistance to dislodgement during crimping or balloon expansion. The strut has a thickness of about 100 microns.
A61F 2/86 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A system for providing a continuous passage through a delivery catheter comprising a handle (12) that defines an internal chamber (24). A first tube (26) having a proximal end and a distal end (60) and a first bore, the first tube being fixedly mounted within the handle, wherein the first bore at the distal end of the first tube is shaped to define a first inverse conical surface. A second tube (16) having a proximal end and a distal end and a second bore, the second tube being slidably mounted within the handle, wherein the second bore is in axial alignment with the first bore. A third tube (104) having a proximal end and a distal end and a third bore.
A61F 2/966 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure avec un mouvement longitudinal relatif entre la gaine extérieure et la prothèse, p. ex. utilisant une tige poussoir
The present disclosure is directed to multi-segment intraluminal guide wires including an elongate distal portion (304) comprising a first metallic material (e.g., nitinol), an elongate proximal portion (302) comprising a second metallic material (e.g., stainless steel). The distal and proximal portions are directly joined together end to end by a solid-state weld joint (303). A diameter of the weld region surrounding the weld joint on either side of the weld joint is reduced (e.g., ground down) relative to the diameter of the distal and proximal portions of the guide wire on either side of the weld region. A stiffness adjusting sleeve (305) is disposed over the weld joint so that a transition profile of bending stiffness across the weld region is gradual, rather than abrupt across the distal portion of the guide wire to the proximal portion of the guide wire. A polymer jacket (320) may cover the sleeve and distal portion.
The present disclosure describes tissue gripping devices, systems, and methods for gripping mitral valve tissue during treatment of a mitral valve and while a tissue fixation device is implanted in the mitral valve. The tissue gripping device includes a flexible member and one or more tissue gripping members coupled to one or more arms of the flexible member. The flexible member is formed from a shape-memory material, such as nitinol, and the tissue gripping member(s) are formed from a material that is more rigid than the shape-memory material. The tissue gripping member(s) are attached to the flexible member by threading or looping suture lines around and/or through the tissue gripping member(s) and the flexible member and/or by applying a cover material to the tissue gripping device to hold the tissue gripping member(s) against the flexible member.
A radiopaque marker bead (18) can be attached to an endoprosthesis (26) by pressing an end of bead into a through hole (20) formed into the endoprosthesis and allowing the opposite end of the bead to pass through the hole and protrude out of the other end of the hole. Both ends of the bead can then be pressed and flattened so as to frictionally engage both ends of the hole. A support tool (14) having a curved outer surface can be inserted into the endoprosthesis to support the endoprosthesis luminal surface while the bead is being pushed into the hole. The support tool has a depression (30) which allows the opposite end of the bead to protrude out of the hole.
A scaffold includes a radiopaque marker connected to a strut. The marker is retained within the strut by one or more of a mechanical interference fit, a polymer coating or melt, and/or by friction. The marker can take the form of a bead, rivet or snap-in marker, or a tube deformed when attached to the strut. The strut is made from a tube. The strut has a thickness of about 100 microns.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
A handle for delivering, from a distal end of a catheter, a stent positioned within a sheath. The handle comprises an upper rack fixed to the handle and an upper distal block moveable along the upper rack and defining a pawl configured to permit only proximal movement in relation to the upper rack, further including an upper proximal block moveable along the upper rack and defining a pawl configured to permit only proximal movement in relation to the upper rack. The handle includes a lower rack configured to slide proximally and, alternatingly, distally in relation to the handle
A scaffold strut is shaped to improve hemocompatibility. After laser cutting, the scaffold is placed on a work piece and its struts are shaped by flame polishing or brushing. The abluminal surfaces and luminal surfaces can have corners rounded. The strut can have a sloped surface on its luminal side without reducing strut thickness needed for strength.
A61L 31/06 - Matériaux macromoléculaires obtenus autrement que par des réactions faisant intervenir uniquement des liaisons non saturées carbone-carbone
A61L 31/14 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
A61F 2/91 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés
The invention provides improved devices, systems, and methods for tissue approximation and repair at treatment sites. The invention provides devices, systems, and methods that may more successfully approximate and repair tissue by improving the capture of tissue into the devices. The invention may be a one-way mechanism that allows tissue to enter the mechanism but not easily exit, such as a leaf-spring, a protrusion, a pivoting arm and one or more frictional elements.
A61B 17/122 - Clamps ou pinces, p. ex. pour le cordon ombilical
A61B 17/128 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical pour appliquer ou enlever les clamps ou les pinces
A61B 17/00 - Instruments, dispositifs ou procédés chirurgicaux
A system for delivering a stent from a catheter sheath in a longitudinal direction comprising: a thumbwheel (702) mounted on an axle (704), the axle being supported by opposite walls of a housing (701); a first pinion (706) mounted on the axle; a second pinion (708) mounted on the axle, whereby rotation of the thumbwheel causes rotation of the first pinion and rotation of the second pinion; a first rack (710), engageable with the first pinion at a first surface of the first pinion, the first rack being operably connected with a stent-engaging member; a second rack (712), engageable with the second pinion at a second surface of the second pinion, the second surface being disposed in a direction diametrically opposite the first surface, the second rack being operably connected with a sheath configured to confine the stent.
A61F 2/966 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure avec un mouvement longitudinal relatif entre la gaine extérieure et la prothèse, p. ex. utilisant une tige poussoir
A system for delivering an implant including a handle, a trigger, and an actuation assembly. The actuation assembly can be configured to displace the outer tubular member in the proximal direction a distance (d) relative to the handle and to separately move the inner shaft member distally a distance (x) relative to the handle upon deployment of the trigger from a first position to a second position, and move the inner shaft member proximally a distance (y) relative to the handle with no displacement of the outer tubular member upon return of the trigger from the second position to the first position.
A61F 2/966 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure avec un mouvement longitudinal relatif entre la gaine extérieure et la prothèse, p. ex. utilisant une tige poussoir
57.
METHODS AND SYSTEMS FOR DELIVERING AN IMPLANT USING A PLANETARY GEAR ACTUATION ASSEMBLY
A system for delivering an implant including a handle, a trigger, and an actuation assembly. The actuation assembly can include a planet carrier, at least one planet gear operatively coupled to the planet carrier, a sun gear shaft operatively engaged with the planet gear, a ring gear operatively engaged with the planet gear, a first clutch driver, and a second clutch driver. The actuation assembly can be configured to displace the outer tubular member in the proximal direction a distance (d) relative to the handle and to separately move the inner shaft member distally a distance (x) relative to the handle upon deployment of the trigger from a first position to a second position, and move the inner shaft member proximally a distance (y) relative to the handle with no displacement of the outer tubular member upon return of the trigger from the second position to the first position.
A61F 2/966 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure avec un mouvement longitudinal relatif entre la gaine extérieure et la prothèse, p. ex. utilisant une tige poussoir
58.
INTRAVASCULAR DEVICE DELIVERY SYSTEM WITH A ONE-WAY ACTUATOR KNOB
Embodiments of the present disclosure relate to apparatuses, systems, and methods for safely delivering and deploying an intravascular device. An apparatus for controlling an intravascular device may include a body having rotating assembly disposed through the body. The rotating assembly may be configured to hold a proximal end of an elongate mandrel. The rotating assembly may be rotationally connected to the body by a one-way bearing.
A61B 17/122 - Clamps ou pinces, p. ex. pour le cordon ombilical
A61B 17/128 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical pour appliquer ou enlever les clamps ou les pinces
A system for delivering an implant including a handle, a trigger, and an actuation assembly. The actuation assembly can include a planet carrier, at least one planet gear operatively coupled to the planet carrier, a sun gear shaft operatively engaged with the planet gear, a ring gear operatively engaged with the planet gear, a first clutch driver, and a second clutch driver. The actuation assembly can be configured to displace the outer tubular member in the proximal direction a distance (d) relative to the handle and to separately move the inner shaft member distally a distance (x) relative to the handle upon deployment of the trigger from a first position to a second position, and move the inner shaft member proximally a distance (y) relative to the handle with no displacement of the outer tubular member upon return of the trigger from the second position to the first position.
A61F 2/966 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure avec un mouvement longitudinal relatif entre la gaine extérieure et la prothèse, p. ex. utilisant une tige poussoir
A stent (10) includes a plurality of rings (20) which form a tubular scaffold. The rings include an elongation mechanism (30) which allows for further expansion of the stent.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
Method is disclosed including thermally processing a scaffold to increase the radial strength of the scaffold when the scaffold is deployed from a crimped state to a deployed state such as a nominal deployment diameter. The thermal processing may further maintain or increase the expansion capability of the scaffold when expanded beyond the nominal diameter.
A61L 31/06 - Matériaux macromoléculaires obtenus autrement que par des réactions faisant intervenir uniquement des liaisons non saturées carbone-carbone
A61L 31/14 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
62.
METHODS FOR SOLID PHASE PROCESSING OF TUBES AND MEDICAL DEVICES MADE FROM THE PROCESSED TUBES
A polymer tube is processed using a solid phase process for improving mechanical characteristics of the tube, including radial strength and stiffness. The tube is made into a scaffold possessing improved mechanical and use characteristics, such as a reduced crimped profile and improved deliverability.
A61L 31/06 - Matériaux macromoléculaires obtenus autrement que par des réactions faisant intervenir uniquement des liaisons non saturées carbone-carbone
63.
EXTRAVASCULAR DEVICES SUPPORTING AN ARTERIOVENOUS FISTULA
A medical device for being used as an extravascular device to support vein maturation following the formation of an arteriovenous fistula. The device (10) comprises a first tubular member (12) having ends; and a second tubular member (15a, 15b) connected to the first tubular member between the ends and extending from the second tubular member at a take-off angle less than about 45 degrees.
Bioresorbable polymer vascular scaffolds made of combinations of polylactide and polycaprolactone having thin struts in a selected range and sufficient radial strength to support a vessel upon deployment are disclosed. The scaffolds have degradation behavior of molecular weight, radial strength, and mass that are conducive to healing of a vessel including providing patency to a vessel, reduction of radial strength, breaking up, and resorbing to allow return of the vessel to a natural state.
A61L 31/06 - Matériaux macromoléculaires obtenus autrement que par des réactions faisant intervenir uniquement des liaisons non saturées carbone-carbone
A61L 31/06 - Matériaux macromoléculaires obtenus autrement que par des réactions faisant intervenir uniquement des liaisons non saturées carbone-carbone
66.
TREATMENT OF CORONARY ARTERY LESIONS WITH A SCAFFOLD HAVING VESSEL SCAFFOLD INTERACTIONS THAT REDUCE OR PREVENT ANGINA
Methods of treating coronary artery disease (CAD) with bioresorbable stents resulting in reduced angina or non-ischemic chest pain are described. Methods of treatment and devices for treatment of angina and post-procedural chest pain that include anti-angina agents incorporated into the device are disclosed.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
67.
ADDITIVES TO INCREASE DEGRADATION RATE OF A BIODEGRADABLE SCAFFOLDING AND METHODS OF FORMING SAME
Methods of making biodegradable polymeric devices, such as stents, with one or more modifications to alter the degradation rate, and the biodegradable polymeric devices are described. Modifications include blending of two polymers, one with a different degradation rate, inclusion of additives to alter the degradation rate, and the use of polymers of a high polydispersity.
A61L 31/06 - Matériaux macromoléculaires obtenus autrement que par des réactions faisant intervenir uniquement des liaisons non saturées carbone-carbone
A61L 31/14 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
68.
DEVICES AND METHODS FOR TREATMENT OF THE EUSTACHIAN TUBE AND SINUS CAVITY
A polymeric stent can be implanted for treatment of the Eustachian tube. The stent can be designed to have length-dependent radial strength to allow it to stay within the Eustachian tube and to allow normal closing and opening of the Eustachian tube. A balloon can be used to implant the stent, and the balloon can be coated with a therapeutic agent. A coated balloon can also be used to transfer therapeutic agents to the sinus cavity during a balloon sinus dilation procedure.
A61F 11/00 - Procédés ou dispositifs pour le traitement des oreilles ou de l'ouie Prothèses auditives non électriquesProcédés ou dispositifs permettant au patient d’obtenir une perception auditive par des sens physiologiques autres que l’ouïeDispositifs de protection pour les oreilles, portés sur le corps ou dans la main
69.
METHODS AND DEVICES FOR TREATING A BODILY LUMEN WITH IN SITU GENERATED STRUCTURAL SUPPORT
A bodily lumen, such as a blood vessel, can be treated by forming a structural support in situ within the bodily lumen. This can be done by ejecting a formulation that includes a polymer that solidifies over a period of time, such as due to DMSO exchange or photocrosslinking. This can also be done by cooling a formulation until it freezes in situ. The structural support can also be made from a plaque which is already present in the bodily lumen. The plaque can be compressed by a balloon catheter and cooled so that it hardens and thereby forms the structural support. The bodily lumen can also be treated using a preformed structural support made of ice, for example frozen isotonic saline, or a fast degrading polymer, such as PEG. The preformed support is created outside of the bodily lumen, and then transported on a catheter to the treatment zone.
A61L 27/18 - Matériaux macromoléculaires obtenus par des réactions autres que celles faisant intervenir uniquement des liaisons non saturées carbone-carbone
A61L 27/50 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
A61L 27/58 - Matériaux au moins partiellement résorbables par le corps
A61L 31/06 - Matériaux macromoléculaires obtenus autrement que par des réactions faisant intervenir uniquement des liaisons non saturées carbone-carbone
A61L 31/14 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
A system for advancing a stent comprising a first stent-engaging member and a second stent-engaging member. The first stent-engaging member and the second stent-engaging member are each operably connected to a double crank, whereby, upon rotation of the double crank, the first stent-engaging member and the second stent-engaging member oscillate distally and proximally out of phase with each other.
A61F 2/966 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure avec un mouvement longitudinal relatif entre la gaine extérieure et la prothèse, p. ex. utilisant une tige poussoir
A61F 2/95 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes
71.
COATINGS FOR BRAIDED MEDICAL DEVICES AND METHODS OF FORMING SAME
Embodiments of the present invention encompass methods of forming coatings, particularly coatings for medical devices, and more particularly, for braided or woven medical devices. Embodiments of the present invention encompass the coatings and the coated devices. The coatings may include a polymer and optionally a therapeutic agent.
Medical devices and methods for forming an arteriovenous (AV) fistula include a stent (10) having an arterial tubular portion (12) and vein supporting tongue (16) connected by a pre-shaped connector (15) and a venous frustoconical stent (70) having a distal end for maintaining a take-off angle for the venous portion of the AV fistula. Also disclosed is an angled balloon (200) for assisting with the formation of the AV fistula. The medical devices disclosed herein support an AV fistula formation having a desired take off angle of about 30 degrees, or between about 15 and 45 degrees.
A61F 2/82 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents
A61F 2/954 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes pour insérer les stents ou les endoprothèses déployables couvertes dans une bifurcation
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour réaliser l'anastomoseBoutons pour anastomose
73.
STENT WITH ALBUMIN COATING FOR ENHANCED THROMBORESISTANCE
Coatings for medical devices, the coatings including albumin, the methods of forming the coatings, and the coated medical devices are disclosed. In preferred embodiments the medical device is a bioabsorbable stent. The albumin coating layer improves the thromboresistance of the device.
A sheath used to protect a medical device has one or more strips formed over a portion thereof. The medical device is a scaffold crimped to a balloon and mounted to a catheter. The sheath is two-piece, including a protecting and constraining sheath part. The strips facilitate removal of the constraining sheath from the scaffold in manner that reduces instances of damage caused by improper removal of the sheath from the medical device.
A61F 2/97 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure la gaine extérieure pouvant être fendue
A61F 2/958 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes ballons gonflables pour insérer les stents ou les endoprothèses déployables couvertes
A process for making a sheath used to protect a medical device. The medical device includes a polymer scaffold crimped to a catheter having an expansion balloon. A sheath is placed over the crimped scaffold after crimping to reduce recoil of the crimped polymer scaffold and maintain scaffold-balloon engagement relied on to hold the scaffold to the balloon when the scaffold is being delivered to a target in a body. The sheath is removed by a health professional either by removing the sheath directly or using a tube containing the catheter.
Disclosed herein are drug delivery medical devices. A polymer coating for a medical device is provided which comprises a minimum amount of a drug bonded to the polymer in the coating.
A61L 31/14 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
A61L 31/16 - Matériaux biologiquement actifs, p. ex. substances thérapeutiques
A61K 47/48 - Préparations médicinales caractérisées par les ingrédients non actifs utilisés, p.ex. supports, additifs inertes l'ingrédient non actif étant chimiquement lié à l'ingrédient actif, p.ex. conjugués polymère-médicament
77.
MODIFIED PLA POLYMER AND METHOD OF MAKING AND USING
It is provided herein modified polylactide (PLA) polymers comprising biocompatibile functional group(s) on the polymers and methods of making and using the modified PLA polymers.
A61F 2/00 - Filtres implantables dans les vaisseaux sanguinsProthèses, c.-à-d. éléments de substitution ou de remplacement pour des parties du corpsAppareils pour les assujettir au corpsDispositifs maintenant le passage ou évitant l'affaissement de structures corporelles tubulaires, p. ex. stents
A61F 2/82 - Dispositifs maintenant le passage ou évitant l’affaissement de structures tubulaires du corps, p. ex. stents
A61L 2/08 - Procédés ou appareils de désinfection ou de stérilisation de matériaux ou d'objets autres que les denrées alimentaires ou les lentilles de contactAccessoires à cet effet utilisant des phénomènes physiques des radiations
B29C 71/00 - Post-traitement d'objets sans modification de leur formeAppareils à cet effet
B29C 71/04 - Post-traitement d'objets sans modification de leur formeAppareils à cet effet par énergie ondulatoire ou rayonnement corpusculaire
A medical device includes an elongate body (10) having a distal (10b) and proximal end (10a), a pair of anchors (30a, 30b) at the distal end and spacers (20) extending along its length. The body is delivered to an AV fistula using a catheter (2) connected to the proximal end by a tether (5). The body when deployed at the fistula is suspended within the flow stream and spaced from walls of a blood vessel. The body deflects blood flow to cause an increase in vascular wall shear stress, which has been found to induce a positive vascular remodeling.
A61F 2/94 - Stents conservant leur forme, c.-à-d. non déformables, après mise en place à l’endroit voulu
A61B 17/11 - Instruments, dispositifs ou procédés chirurgicaux pour refermer les plaies ou les maintenir ferméesAccessoires utilisés en liaison avec ces opérations pour réaliser l'anastomoseBoutons pour anastomose
A61M 1/36 - Autre traitement du sang dans une dérivation du système circulatoire naturel, p. ex. adaptation de la température, irradiation
Adjustable balloon catheter (100) having an inner tubular member (110) having a distal tubular element (201) is coupled to an exterior surface of the inner tubular member at the distal end portion thereof to define an inflation passage. An expandable member (140) has a proximal section coupled to the distal tubular element and defines an inner chamber in fluid communication with the inflation passage. A seal structure (301) is disposed proximate the proximal section of the expandable member. An outer tubular member (120) has an inflation lumen (130) with the inner tubular member disposed therein. The outer tubular member is moveable relative to the inner tubular member between an extended position and a retracted position proximal to the extended position to define an exposed length of the working length of the expandable member. The outer tubular member has an interior surface in scaling engagement with the seal structure.
A61M 39/06 - Soupapes hémostatiques, c.-à-d. éléments formant joint autour d'une aiguille, d'un cathéter ou similaire, et se fermant après leur retrait
80.
EXTRAVASCULAR DEVICE FOR LIMITING BLOOD FLOW ADJACENT AN ARTERIOVENOUS FISTULA
A medical device that can be wrapped around a segment of an artery downstream of an arteriovenous fistula. The wrap, when used in this manner, creates a stenosis for reducing retrograde flow at the fistula. Sutures are positioned in holes present in the upper and lower halves or connecting ends of the wrap, after which the sutures are pulled to oppose the two sides in order to create a stenosis. When the surgeon is satisfied that the stenosis is appropriate, the sutures are tied in place.
A61M 1/36 - Autre traitement du sang dans une dérivation du système circulatoire naturel, p. ex. adaptation de la température, irradiation
A61B 17/12 - Instruments, dispositifs ou procédés chirurgicaux pour ligaturer ou comprimer par un autre moyen les parties tubulaires du corps, p. ex. les vaisseaux sanguins ou le cordon ombilical
81.
EXTRAVASCULAR DEVICES SUPPORTING AN ARTERIOVENOUS FISTULA
A medical device includes a curved tubular body configured for being used as an extravascular device to support vein maturation following the formation of an arteriovenous fistula. The tubular body is curved. The tubular body has an entrance angle of less than about 40 degrees to improve blood flow from the artery into the vein. And the tubular body includes a cuff or edge at the proximal end to stabilize the tubular body at the fistula.
A medical system utilizes a guide wire with a fluid filled internal lumen and a pressure measurement system to measure blood pressure in a body vessel. The guide wire includes an internal lumen with a distal opening for admitting fluid flow. The internal lumen is filled with a fluid or other media which can transmit pressure along the guide wire. The pressure measurement system includes a pressure transducer in fluid communication with the internal lumen of the guide wire. Pressure waveform in the body vessel are transmitted through the fluid or media from the distal opening of the internal lumen to the pressure transducer. The pressure transducer is in communication with a processor (with display) for determining the pressure acting on the pressure transducer. A pump with a fluid reservoir in fluid communication with the internal lumen of the guide wire is controlled by the processor. The pump introduces additional fluid into the guide wire lumen.
A sheath is placed over a crimped scaffold to reduce recoil of the crimped polymer scaffold and maintain scaffold-balloon engagement relied on to hold the scaffold to the balloon when the scaffold is being delivered to a target in a body. The sheath has an opening spanning the length of the sheath. The opening spans an arc length of about 90 degrees with respect to the circumference of the scaffold or balloon. The sheath may be removed from the scaffold by pinching the sheath between a thumb and forefinger, or bending or peeling back the sheath from the edges of the opening using fingertips.
A61F 2/97 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure la gaine extérieure pouvant être fendue
A61F 2/958 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes ballons gonflables pour insérer les stents ou les endoprothèses déployables couvertes
Guide wires including a guide wire tip portion including a distal tip portion and a proximal tip portion, where the tip portion includes a circular cross-section and substantially constant diameter along both a linear elastic distal tip portion and a superelastic proximal tip portion. Methods for manufacture include providing a superelastic wire (e.g., nitinol) including a length so as to define both a distal tip portion and a proximal tip portion. The distal tip portion is cold worked, without imparting significant cold work to the proximal tip portion, to provide linear elastic properties within the distal tip portion, while the proximal tip portion maintains superelastic properties. The tip portion is ground or otherwise reduced in cross-sectional thickness after cold working of the distal tip portion, so as to provide a circular cross-section having a desired substantially constant diameter along both the distal tip portion and the proximal tip portion.
A braided polymeric scaffold (300), made at least in part from a bioresorbable material (304) is deployed on a catheter that uses a push-pull mechanism to deploy the scaffold. A drug coating is disposed on the scaffold. A plurality of scaffold segments on a catheter is also disclosed.
A61F 2/90 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles
A61F 2/966 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure avec un mouvement longitudinal relatif entre la gaine extérieure et la prothèse, p. ex. utilisant une tige poussoir
86.
GUIDE WIRE WITH CORE MADE FROM LOW-MODULUS COBALT-CHROMIUM ALLOY
Intraluminal guide wires including at least a portion thereof fabricated from a non-super-elastic cobalt-chromium alloy that exhibits improved elasticity, while maintaining a relatively high yield strength, as compared to conventionally employed non-super-elastic cobalt-chromium alloys. The guide wire may include an elongate core wire having a distal end and a proximal end, wherein at least a portion of the elongate core wire is fabricated from a cobalt-chromium alloy having a Young's modulus that is 150 GPa or less while having a yield strength that is at least 280 ksi.
An implantable stent includes a plurality of rings. At least a distal end ring has an eased corner feature formed in the polymer substrate at a radially outward, distal-facing corner of the ring while relatively sharp corners of the polymer substrate are maintained in radially inward corners of the ring.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
Hypotubes for use with intra-corporal medical devices are fabricated from a stainless steel alloy exhibiting a combination of excellent yield strength with improved ductility as compared to cold worked AISI 304 stainless steel, from which hypotubes are typically fabricated. The stainless steel alloy may have: (1) a nitrogen content, a carbon content, or a combined nitrogen and carbon content that is greater than that allowed in AISI 304 stainless steel, providing an increased concentration of interstitial atoms to stabilize dislocations generated by cold work and/or (2) a combined nickel and manganese content that is lower than that allowed in AISI 304 stainless steel to reduce the stability of the austenitic structure, enabling a greater percentage of martensite to be stress-induced by a given level of cold work as compared to AISI 304 SS. Following cold working, the alloy may be heat treated to raise its yield strength by strain aging
A medical device includes a polymer scaffold crimped to a catheter having an expansion balloon. A sheath is placed over the crimped scaffold after crimping to reduce recoil of the crimped polymer scaffold and maintain scaffold-balloon engagement relied on to hold the scaffold to the balloon when the scaffold is being delivered to a target in a body. The sheath is removed by a health professional either by removing the sheath directly or using a tube containing the catheter.
A61F 2/958 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes ballons gonflables pour insérer les stents ou les endoprothèses déployables couvertes
A medical device includes a polymer scaffold crimped to a catheter having an expansion balloon. A sheath is placed over the crimped scaffold after crimping to reduce recoil of the crimped polymer scaffold and maintain scaffold-balloon engagement relied on to hold the scaffold to the balloon when the scaffold is being delivered to a target in a body. The sheath is removed by a health professional either by removing the sheath directly or using a tube containing the catheter.
A61F 2/958 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes ballons gonflables pour insérer les stents ou les endoprothèses déployables couvertes
A61F 2/97 - Instruments spécialement adaptés pour insérer ou retirer les stents ou les endoprothèses déployables couvertes possédant une gaine extérieure la gaine extérieure pouvant être fendue
A61F 2/00 - Filtres implantables dans les vaisseaux sanguinsProthèses, c.-à-d. éléments de substitution ou de remplacement pour des parties du corpsAppareils pour les assujettir au corpsDispositifs maintenant le passage ou évitant l'affaissement de structures corporelles tubulaires, p. ex. stents
A61L 31/14 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
91.
A HOLLOW STENT FILLED WITH A THERAPEUTIC AGENT FORMULATION
A composition for loading into a structural element of a stent, where the structural element is defined by a lumen and at least one opening to access the lumen. The composition may comprise a therapeutic agent, and a chelator, a precipitation agent, or a combination thereof. Medical devices, such as stents, with a structural element defined by a lumen and at least one opening to access the lumen, filled with the compositions are also described.
Bioresorbable scaffolds and methods of treatment with such scaffolds for neurologic disorders including Parkinson's disease, Huntington's disease, Alzheimer's disease, and brain neoplasms are disclosed. The bioresorbable scaffold includes a bioresorbable body and an active agent or drug associated with the body for treating or ameliorating the neurological disorder. The bioresorbable scaffold is implanted in the neurological vasculature brain or brain tissue to provide localized delivery of the drug or active agent. Embodiments of the invention include scaffolds that are partially bioresorbable or completely bioresorbable.
A61L 31/06 - Matériaux macromoléculaires obtenus autrement que par des réactions faisant intervenir uniquement des liaisons non saturées carbone-carbone
A61L 31/14 - Matériaux caractérisés par leur fonction ou leurs propriétés physiques
A61L 31/16 - Matériaux biologiquement actifs, p. ex. substances thérapeutiques
93.
BIORESORBABLE IMPLANTS FOR TRANSMYOCARDIAL REVASCULARIZATION
Implants for treating insufficient blood flow to a heart muscle with transmyocardial revascularization are disclosed. Methods of treating insufficient blood flow to a heart muscle with the implant are also disclosed. The implant can have a body with an inner lumen that supports a channel in the heart muscle to allow for increased blood flow through the lumen upon implantation. The implant can include active agents to prevent or inhibit thrombotic closure of the channel, to promote vascularization, or both.
A method of laser machining a polymer construct to form a stent (10) that includes a bioresorbable polymer and an absorber that increases absorption of laser energy during laser machining. The laser cuts the tubing (414) at least in part by a multiphoton absorption mechanism and the polymer and absorber have a very low absorbance or are transparent to light at the laser wavelength.
A61F 2/91 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
B23K 26/38 - Enlèvement de matière par perçage ou découpage
B23K 26/40 - Enlèvement de matière en tenant compte des propriétés du matériau à enlever
B23K 26/06 - Mise en forme du faisceau laser, p. ex. à l’aide de masques ou de foyers multiples
B23K 26/18 - Travail par rayon laser, p. ex. soudage, découpage ou perçage utilisant des couches absorbantes sur la pièce à travailler, p. ex. afin de marquer ou de protéger
95.
DRUG DELIVERY DEVICE FOR PERIPHERAL ARTERY DISEASE
A medical device implantable within a peripheral vessel of the body composed of a bioresorbable polymer is disclosed. The device has a high resistance to fracture, is very flexible, and has a high crush recovery when subjected to crushing, axial, or torsional forces.
Embodiments are directed to radiopaque implantable structures (e.g., stents) formed of cobalt-based alloys that comprise cobalt, chromium and one or more platinum group metals, refractory metals, precious metals, or combinations thereof. Platinum group metals include platinum, palladium, ruthenium, rhodium, osmium, and iridium. Refractory metals include zirconium, niobium, rhodium, molybdenum, hafnium, tantalum, tungsten, rhenium, and precious metals include silver and gold. In one embodiment, the one or more included platinum group or refractory metals substitute at least partially for nickel, such that the alloy exhibits reduced nickel content, or is substantially nickel free. The stents exhibit improved radiopacity as compared to similar alloys including greater amounts of nickel.
Radiopaque cobalt-based alloys having a smooth electropolished surface with rounded edges and methods for electropolishing such alloys. A cobalt-based alloy includes cobalt, chromium, and one or more radiopaque elements. In one embodiment, examples of radiopaque elements include so-called platinum group metals (i.e., platinum, palladium, ruthenium, rhodium, osmium, or iridium). Group 10 elements (i.e., platinum or palladium) are particularly preferred. Because of the presence of the platinum group metal(s), such alloys are generally difficult to electropolish. Electrolyte formulations and methods for electropolishing such alloys are also disclosed.
A stent crimping tool insert comprises a core body configured for insertion into and removal from within a crimping chamber of a stent crimping tool. The core body has a core surface configured to withstand a compressive force without a reduction in diameter of the core surface.
Adjustable balloon catheter 100 including an inner tubular member 110 that has an inflation Iumenl30. An expandable member 140 is coupled to the distal end portion of the inner tubular member and has an inner chamber in fluid communication with the inflation lumen. The expandable member is transitionable between a deflated and an inflated configuration. The expandable member defines has a non-cylindrical shape including a first section having a first diameter in the inflated configuration and a second section having a second diameter when in the inflated configuration. The first diameter is different than the second diameter. An outer tubular member 120 is movable relative to the inner tubular member between an extended position disposed over the expandable member and a fully retracted position proximal to the extended position. The outer tubular member is selectively positioned between the extended position and the fully retracted position.
A medical device includes a polymer scaffold crimped to a catheter having an expansion balloon. The scaffold has a morphology resulting from a biaxially (A-A, B-B) expanded tube arranged to provide a more balanced, or less anisotropic axial and radial mechanical properties. The scaffold has improved mechanical properties suited for use as a balloon expandable scaffold implanted in a peripheral vessel of the body.
A61F 2/915 - Stents ayant une forme caractérisée par des éléments filiformesStents ayant une forme caractérisée par une structure de type filet ou de type à mailles caractérisés par une structure de type filet ou de type à mailles fabriquée à partir de feuilles perforées ou de tubes perforés, p. ex. perforés par découpe au laser ou gravés avec des bandes présentant une structure en méandre, des bandes adjacentes étant reliées l’une à l’autre
B29C 49/08 - Étirage biaxial pendant le moulage par soufflage
brevets
