Medtronic Vascular, Inc.

Zachary E Borglin

Keith Perkins

Julie Benton

Mark L Stiger

Mark Young

Travis Rowe

Steven Claessens

Jeremy J Kinkade

Manthan Patel

Nrupen N Zaver

April K Anderson

Adam Shipley

Gianfranco Pellegrini

Darren Galligan

Mathew A Haggard

Matt Petruska

Adam J Shipley

Gianfranco M Pellegrini

A stent graft assembly including a main body and a branch coupling extending radially from the main body. A proximal end of the single branch stent device is configured to seal in an ascending portion of an aorta. The assembly further includes a modular stent device including a proximal end and a distal end. The proximal end of the modular stent graft is configured to couple to a distal end of the single branch stent device. The modular stent device includes a main body configured to couple inside the main body of the single branch stent device. The modular stent device includes a bypass gate and an artery leg. The modular stent device is configured to bifurcate at a bifurcation point from the main body to the bypass gate and the artery leg outside of and distal the distal end of the single branch stent device.

Modular multibranch stent assembly and method

A stent graft delivery system includes a stent graft and a thermal stent graft cutter for shortening the stent graft to a desired length in vivo. The thermal stent graft cutter is coupled to at least one of a stent graft cover at a distal longitudinal end of a cover body thereof, and the inner lumen tip of an inner lumen. A safety system allows activation of the stent graft cutter only when the stent graft is suitably sandwiched between the inner lumen tip and the distal end of the stent graft cover to inhibit inadvertent activation of the cutter and provide for proper cutting of the stent graft.

Stent graft delivery system including stent graft cutter

A stent graft delivery system including a stent graft cover, a screw gear, and a handle assembly. The handle assembly includes an external slider, a T-tube, and a Y-adapter. The external slider is configured to rotate about the screw gear. The T-tube and the Y-adapter collectively form a hub configured to slide linearly along the screw gear as the external slider rotates. The T-tube defines a main lumen port extending therethrough and is configured to receive the stent graft cover and a main lumen. The Y-adapter defines a secondary lumen port and is configured to receive a secondary lumen.

Stent graft delivery system

The techniques of this disclosure generally relate to a modular stent device that is deployed into the ascending aorta via femoral access. The modular stent device is a base or anchor component to which additional modular stent devices can be attached to exclude diseased areas of the aorta while at the same time allowing perfusion of the brachiocephalic artery, the left common carotid artery, and/or the left subclavian artery.

Femoral aortic access modular stent assembly and method

The techniques of this disclosure generally relate to a modular stent device including a main body configured to be deployed in the ascending aorta, a bypass gate configured to be deployed in the aorta, and a bifurcated contra limb. The bifurcated contra limb includes a single proximal limb that is bifurcated (split) into a first distal limb and a second distal limb. By forming the bifurcated contra limb to include a single proximal limb that is bifurcated into the distal limbs, guiding a guide wire into the relatively larger opening of bifurcated contra limb at a proximal end is simpler than guiding a guidewire into two smaller limbs extending distally from main body. Accordingly, cannulation of the bifurcated contra limb is relatively simple thus simplifying the procedure. In addition, the parallel design mimics anatomical blood vessel bifurcations to limit flow disruptions.

The techniques of this disclosure generally relate to an assembly including a single branch stent device and a modular stent device configured to be coupled to the single branch stent device. The single branch stent device includes a main body and a branch coupling extending radially from the main body. The modular stent device includes a main body configured to be coupled inside of the main body of the single branch stent device, a bypass gate extending distally from a distal end of the main body of the modular stent device, and an artery leg extending distally from the distal end of the main body of the modular stent device.

The techniques of this disclosure generally relate to an assembly including a single multibranch stent device. The single multibranch stent device includes a main body, a proximal coupling extending radially from the main body, and a distal coupling extending radially from the main body. The main body, the proximal coupling, and the distal coupling are permanently coupled to one another and the single multibranch stent device is a single piece. By forming the single multibranch stent device as a single piece, the single multibranch stent device can be deployed in a single deployment thus simplifying the deployment procedure.

Single multibranch stent device assembly and method

A stent graft delivery system and method of operating the same are disclosed. The system includes a stent graft cover, a screw gear, and a handle assembly. The handle assembly includes an external slider configured to rotate about the screw gear, and a central hub configured to slide linearly along the screw gear as the external slider is rotated. The central hub defines a main lumen port extending therethrough and configured to receive the stent graft cover, and a branched lumen port configured to receive a branched lumen. The stent graft cover can be fixed to and within the main lumen port. Rotation of the handle causes the central hub to slide linearly, which simultaneously retracts the stent graft cover and the branched lumen.

Branched stent graft delivery system

The techniques of this disclosure generally relate to modular stent device and method of deploying the same. The method includes introducing a delivery system including the modular stent device via supra aortic access. The delivery system is advanced into the ascending aorta. Once positioned, the modular stent device is deployed from the delivery system such that an artery leg of the modular stent device engages the brachiocephalic artery and a bypass gate engages the aorta, wherein the artery leg partially collapses the bypass gate. The artery leg has a greater radial force than the bypass gate such that the artery leg remains un-collapsed and opened. Accordingly, blood flow through the artery leg and perfusion of the brachiocephalic artery and preservation of blood flow to cerebral territories including the brain is insured.

Modular stent device for multiple vessels and method

The techniques of this disclosure generally relate to a modular stent device that is deployed via supra aortic access through the brachiocephalic artery. The modular stent device is a base or anchor component to which additional modular stent devices can be attached to exclude diseased areas of the aorta while at the same time allowing perfusion of the left common carotid artery and the left subclavian artery.

Supra aortic access modular stent assembly and method

A laser is used to form openings within a graft material to selectively enhance permeability of a prosthesis for tissue integration therein. A feature of utilizing a laser to create the openings for tissue integration builds from its tunability. More particularly, the laser precisely places openings in any pattern and location, and on any textile that forms the graft material. Further, the power and focus of the laser is precisely adjusted to control the diameter and shape of the openings. All parameters of the openings can be controlled at will, allowing for the opportunity to selectively enhance and optimize the permeability of the graft material in a vessel.

Graft material having selectively advanced permeability structure and method

The techniques of this disclosure generally relate to a variable permeability layered prosthesis including an impermeable outer layer and a permeable inner layer. The impermeable outer layer is well suited to seal a dissection opening of a dissection. The permeable inner layer allows fluid to enter into a dead space between the impermeable outer layer and the permeable inner layer. The fluid in the dead space coagulates in the dead space providing a media for tissue growth into the prosthesis. The ability of tissue to integrate into the prosthesis provides biological fixation of the prosthesis in vessels and prevents endoleaks and migration of the prosthesis.

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Santa Rosa, CA, United States of America

Zachary E Borglin