Cook Medical Technologies LLC

Cook Incorporated

Edwin E Macatangay

Siddharth Vad

Blayne A Roeder

Jeffry Scott Melsheimer

Joel Ondersma

Erik Edelbo Rasmussen

Mark Robert Frye

Eugene Skelton

Davorin K Skender

Per Elgaard

Wen Hong Neoh

Anthony Wright

Jacqueline Farag

Sarah E Reeves

Jarin A Kratzberg

Michael P DeBruyne

William L Howat

Brandon J Davis

Erik Hughes

Joseph Erik Hughes

Bradley Foulke

Natalie Jones

Sang C Park

Jeffery S Melsheimer

Devices for delivering and deploying a prosthesis are disclosed and comprise a sheath, a prosthesis disposed within a distal end portion of the sheath, and a wire having a first end coupled to the prosthesis and a second end coupled to the sheath. A body portion of the wire comprises a slack in the wire, and the sheath, prosthesis, and wire are configured so that a proximal movement of the sheath relative to the prosthesis reduces the slack in the wire, and a subsequent proximal movement of the sheath relative to the prosthesis decouples the wire from the prosthesis. Additional devices, systems, and methods are disclosed.

Wire retention and release mechanisms

The present invention relates to a prosthesis delivery device and to a handle assembly located at the distal end of the delivery device. The handle assembly has a main handle and a nut disposed on the main handle. The nut has a first configuration in which the nut is engaged with the outer surface of the main handle and a second configuration in which the nut is disengaged from the outer surface of the main handle. Disengaging the nut from the main handle facilitates quick sheath retraction and deployment of at least the distal end of the prosthesis as well as recapturing the proximal end of the device within the sheath.

Deployment handle for delivery device with mechanism for quick release of a prosthesis and re-sheathing of device tip

A delivery device and methods for deploying an endovascular prosthesis within the common and internal iliac arteries are described. The device comprises a pusher catheter having a proximal end and a pusher extension extending proximally therefrom. A tubular prosthesis having a side branch is releasably coupled to the pusher extension. An extension dilator extends proximally from the proximal end of the pusher catheter, extends at least partially along an external surface of the main tubular body, into a distal end of the side branch and exits a proximal end of the tubular prosthesis. The extension dilator can be tracked over a guide wire which serves to both position the device within a vessel and also to facilitate cannulation of an internal iliac artery.

Prosthesis delivery device with a pusher extension and an extension dilator

A stent graft assembly having a tubular body and a constraining patch attached to the interior surface of the tubular body. The constraining patch delineates a small passageway close to the inner surface of the tubular body. A cannula may extend through the passageway.

Stent graft with internal constraining mechanism

The present invention relates to a deployment handle for a prosthesis delivery device and to a delivery device including such a handle. The handle assembly facilitates the controlled release of a prosthesis from the delivery device, while ensuring that various deployment steps are performed in a particular sequential order. The handle assembly comprises a main handle and a second handle which is rotatably and/or longitudinally moveable relative to the main handle. The second handle has an initial position on the main handle such that it prevents access to, and premature manipulation of, a proximal stent release mechanism, until the stent graft has been at least partially unsheathed.

Deployment handle for a prosthesis delivery device

Methods for delivering and deploying an endovascular graft to the common and internal iliac arteries are described. A system including a pre-loaded delivery device with a releasably attached extension cannula and an extension sheath for use with such methods is also described.

Delivery device with an extension sheath and methods of using the same

A prosthesis delivery device and method of using the same is described. The delivery device comprises a rotatable inner cannula extending from a proximal end to a distal end with a prosthesis releasably coupled to the proximal end. A delivery handle assembly is disposed at the distal end of the delivery device. The handle comprises a first handle disposed about the inner cannula, a rotary dial rotatably disposed about a distal end of the first handle and a second handle disposed about at least a portion of the distal end of the first handle. The second handle is longitudinally moveable relative to the first handle between a first position wherein the sheath is coaxially disposed about the prosthesis and rotation of the rotary dial is prevented, and a second position wherein the sheath is retracted distally to expose at least a portion of the prosthesis and rotation of the dial is permitted.

Delivery device handle assembly for the sequential deployment of a prosthesis

The present embodiments provide an endoluminal prosthesis, comprising a prosthetic trunk and a prosthetic branch, each comprising proximal and distal ends and a lumen extending therebetween. The proximal end of the prosthetic branch is secured around an aperture formed in a side surface of the prosthetic trunk. A support structure is coupled to the prosthetic branch. In certain embodiments, a proximal end of the support structure comprises a first width, and a distal end of the support structure comprises a second width, wherein the first width is less than the second width.

Support structures for prostheses with branching portions

An endoluminal prosthesis having a tubular graft comprising a first biocompatible material having a first weave density comprising yarns aligned in a first direction interwoven with yarns aligned in a second direction, and a second biocompatible material having a second weave density less than the first weave density comprising yarns aligned in a first direction interwoven with yarns aligned in a second direction, the second biocompatible material spirally positioned throughout the entire length of the tubular graft around a central axis with respect to the first biocompatible material. An elongate member is attached along the length of the tubular graft. The tubular graft includes first regions comprising the first biocompatible material and second regions containing the second biocompatible material. The elongate member is attached to the first regions of the tubular graft.

Endoluminal device with kink-resistant regions

A vascular closure device includes a frame to which there is fitted a plurality of anchor elements, spaced radially around the frame. The closure device includes a radial compression feature, which may be a memorized shape of the frame or non-sprung condition of the frame, having a small radius. The closure device is deployed in a vessel such that the anchor elements are embedded into the vessel wall. The radial compression feature causes the frame to compress radially, as a result of which the anchor elements will pull the vessel wall inwardly, thereby closing the vessel.

Vascular closure device

A device is provided for closing a wound, such as a percutaneous access site. The device is inserted into the wound, and a helically shaped pusher is actuated to penetrate a wall of the wound. The pusher extends a suture through the tissue wall. After the suture is extending through the tissue wall, the pusher is retracted out of the tissue, while the suture remains extending through the tissue. The suture may then be used to close the wound.

Wound closure device

A delivery system for an occlusion balloon includes a delivery catheter and a balloon releasably detached thereto. The balloon can include a base portion that is threaded onto the end of the delivery catheter. The balloon can include a one-way valve or septum in the base portion, through which a filling needle is inserted into a cavity of the balloon. The balloon can be filled with a fluid to expand the balloon and fix the balloon within the patient's body. The balloon can be filled with a hardening material to assist in fixing the balloon in place and occluding the blood vessel. The balloon can include anchoring structure on its outer surface to assist in the fixing the location of the balloon. The delivery device and needle can be detached and withdrawn from the balloon, allowing the septum to close and seal the balloon, leaving the balloon fixed within the body vessel.

Occlusion balloon

An endoluminal prosthesis may include a tubular graft extending in a longitudinal direction, where the graft has an inner surface forming a lumen extending a length of the graft. An elongate member may be attached to the graft in a circumferentially and longitudinally extending manner such that the elongate member forms a series of longitudinally spaced apart turns, each turn extending substantially around a circumference of the graft. The elongate member may torsion the graft in at least the circumferential direction and cause the graft to form circumferentially and longitudinally extending folds in the portions of the graft disposed between longitudinally adjacent turns of the elongate member.

Preform for and an endoluminal prosthesis

A valve assembly includes a valve collar, a rotatable valve control member, and a flexible valve member disposed therebetween. The valve control member and the valve collar are aligned to define an elongated passageway, and the flexible valve member is disposed along the passageway. The valve collar is structured such that at least a portion thereof is capable of radial flexure upon engagement with a mechanism on the rotatable valve control member. One end of the valve member is secured to the valve collar, and the other end is secured to the rotatable valve control member. Upon rotation of the rotatable valve control member relative to the valve collar, the mechanism of the rotatable valve control member engages the valve collar portion in a manner such that the valve collar portion flexes in a radial direction and a tactile sensation is produced thereby, and the flexible valve member constricts from an open position to a position wherein the flexible valve member opening is at least partially closed to passage of fluid therethrough.

Growing community of inventors

Ellettsville, IN, United States of America

Edwin E Macatangay